HomeMy WebLinkAbout0208 LEWIS POND ROAD �D$ Lewis 'Pond r icl,
Town of Barnstable
-Q- Building
e Post Thy CS Cs and So That�t�s MINOR
he Street A roved Plans°F1111ust>beRetamedoJoband this CardMust be Ke et
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Mom' Posted Until Final Inspection Has BeenyMade. £
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Certificaterof Occu anc,:�s Re Uiredv ;uch>B.w-ldm shallzNot be Occu ied until a Final Ins"'ect�on has been made Permit
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Permit No. B-18-1031 Applicant Name: diane landry Approvals
Date Issued: 04/27/2018 Current Use: Structure
Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 10/27/2018 Foundation:
Location: 208 LEWIS POND ROAD,COTUIT Map/Lot: 020 132 Zoning District: RF Sheathing:
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Owner on Record: LANDRY CRAIG J&DIANE M HERSOM Contractor Narne Framing: 1
Address: 46 PAUL ROAD Contract�Or License 2
HOLLISTON, MA 01746 `" Est: Protect Cost: $2,939.00
Chimney:
Description: Placing shed on property ' Permit Fee: $35.00
Insulation:
f Fee Paid? $35.00
Project Review Req:
Al
Date § 4/27/2018 Final:
,;:
` 4 Z�txs�.T(rv� Plumbing/Gas
Rough Plumbing:
4 Building Official
g Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work autthho�rized'by this permit is commenced within six nths after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and theapproved construction documents for w 11 hicthis permit has been granted.
All construction,alterations and changes of use of any building and struc ures shallibe in compliance with the local zoning by it 's,' codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for�pubAw
�lic inspection for the entire duration of the
work until the completion of the same. '
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by thwe Budding ands-ire Officials are.provwded on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work
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1.Foundation or Footing ,> Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
r� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
L4/09/2018 13:34 FA% Z 001
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Samitib "`MA Poweted by
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9V Mann Street.Hy—M.MA.02601 . 50S-B62-4000 M h'wvlG(wm0.i uq.w l
landap(Raoi.corn(Home Owner) ,
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Project at: -i c.
Balance Due: $0.00 __... ----•... .
PERMIT INFORMATION
occupancy Type Building Type Date Submlttsd Pete Issued Permit For
HcsidonliM Single s-amily 41i12010 Building-Shed-Rosidenlial 200 sf and ender
Project Cott Permit re* Additlonel Fes Tbtal Res 'total Paid
2939.00 $35.00 $0.00 $35.00 $35.00
Work Description
Piariny shad on property
OWNER APPLICANT
ry + O
LANDRY,CRAIG J 8 DIANE M HFRSOM- dialle land
46 PAUL ROAD 20a Lewis Pond Rd c�
HOLLISTON MA 01146 cotult MA 07.635 (a'g
CONTRACTOR
W
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Attach Documents / Photos
Mon Apr 09 2016
-APPLICATION REVIEW STATUS
Building-Admin Department
No Comments Av allatllo -.-
Conservatlon Department
No Comments Availahle
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04/09/2018 13:34 FAX Z 002
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Lot No. 13
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Client.: Ament Law Firrn LL:C and The Cape Cod Five Cents Savings Bank Job No. 16-157
MORTGAGE INSPECTION PLAN Location: Barnstable, MA Date: 10/07/2016
Title Deference: Bornstable County Registry of Deeds
Deed Book/Page: 27721/201, Plan Book No. 274, Page .50, Lot No. 13.
The certifications made herein are based upon a Mortgage Loan Inspection performed under my
immediate supervision and are made to the above named client only as of this date. The land Scale_ 1 =3U�
depicted hereon is based upon client furnished title information and may be subject to further
exceptions, takings, easements and rights of way. No certification is intended with respect to
1!nes of title. Offsets if shown, are to the cornerboards of the.structure unless otherwise noted. Copies may be reduced acme
I hereby certify that, to the best of my knowledge and in my professional opinion, the
structure or structures depicted ore In compliance with the horizontal dimenelonol setback
requirements of the Zoning By—Laws of the municipality when constructed and to restrictions
oet record or may be exempt from enforcement action under Moss. G.L., Title VII, Chapter 40A,
aection 7, unless otherwise noted. �yc
To the best of my knowledge and belief, the structures depicted do not lie within a Special STEPHEN
Flood Hazard Zone as determined by F,E.M.A. and delineated on F.I.R.M. Community Map No. W,
:.'50001 doted 07/16/14. Flood Hazard Zones have been determined schematically as shown on CARTWRIGHT
.ho FEMA Maps and are not necessorily occurate. Until both an elevation ourvoy is performed 4 No,37041 ac
and `IPvation Certificate is completed, an accurate determination cannot be made, felgTfRrio �,Y
S 0 �Sqe•
_ "Serving the South Shore and Cope Cod continuously since 1983"
RS associates Civil Engineers — Land Surveyors — Lond Use Consultants 'Stephen w. Cortwilght, r.l..
30 Carolyn Drive , Plymouth , Mossachusetfs 02360 (508) 224--90.35
a 30-fCF
Town of Barnstable I �cE�PT
200 Main Street, Hyannis MA 02601 508-862-4038
609.a,
Application for Building Permit
Application No: TB-18-1031 Date Recieved: 4/7/2018
Job Location: 208 LEWIS POND ROAD,COTUIT
Permit For: Building-Shed-Residential-200 sf and under
Contractor's Name: State Lic. No:
Address: Applicant Phone: (508)596-5463
(Home)Owner's Name: LANDRY,CRAIG J&DIANE M Phone: (508)596-5463
HERSOM-
(Home)Owner's Address: 46 PAUL ROAD, HOLLISTON,MA 01746
Work Description: Placing shed on property
Total Value Of Work To Be Performed: $2,939.00
Structure Size: 0.00 0.00 0.00NJ -T
Width Depth Total Area in
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other wort-before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). t
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: diane landry 4/7/2018 (508)596-5463
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $2,939.00 Date Paid Amount Paid Check#or CC# € Pay Type
Total Permit Fee: $35.00 4i7/2018 $35.00 )0M-30ooc xxxx- Credit Card
z 8829 g
....
Total Permit Fee Paid: $35.00
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma`ppp
61TO Parcel A lication 6V7-4ez
Health Division Date Issued u. a' 3 °"v
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address ` 1 a�� Z- q ''P" _ d
Village
Owner � �- ��� Address 7 a" GL S ( �7TJi
Telephone 5a i/Z.8 - / .9- -771Y _. 3?r 2,;t- Q
,� lI
Permit Request > il`C %l� ✓I ��e'2. 1�/u - a�;r.. �,
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation " � °� Construction Type /
Lot Size Grandfathered: ❑Yes 2f No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing St;F/u
e Historic House: ❑Yes C�No On Old King's Highway: ❑Yes INo
Basement T e: II ❑ Crawl ❑Walkout ❑ th r
Yp
aOther
Basement Finished Area (sq.ft.) ,'Q__ Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing / new
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing ��new First Floor Room Count
Heat Type and Fuel: L�7 Gas ❑ Oil ❑ Electric ❑ Other
C(Central Air: Yes low Fireplaces: Existing New Existing wood/coal stove: ❑Yes Uo
Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:-
�sr
Zoning Board of Appeals Aut rization ❑ Appeal # Recorded ❑
Commercial ❑Yes No If yes, site plan review# -
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name e_ Telephone Number "7-7 Y
Address 7 91" C_) - License #
C7v t Wa . 6a6 J-j Home Improvem ntractor#
Worker's ensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKE TO
SIGNATURE`" �_ .� �b G SATE-'_ - �Z �-
f�
FOR OFFICIAL USE ONLY
i
APPLICATION#
! i DATE ISSUED
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I
i MAP/PARCEL NO. (t
r
! j
ADDRESS VILLAGE
OWNER
_ DATE OF INSPECTION:
i
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
4
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING S
DATE CLOSED OUT
;4 ASSOCIATION PLAN NO.
:f
h
The cammomweakh of Massachusetts
Department ofIndusMal*dden4v
Office of fnvestigatiotrs
�00 Washington S`lreet
Boston,M4 02111
www.massgw/dza '
Workers' .Co*ensatian fnsurAnce Affidavit;Builders/Cantras firs Iecfriciaus/plttaibers
Applicant Information Pleas e Print L
IV
Name(B�eS�Oovidnai): % C�` �r�'p✓P��/_
•Address: 7 R, Z/,/gm S�
Ci1Y/Sta#e/Zip �0 7`y< �i Oo�63�Phone.# — -
Are you an employer?Check the appropriate bay
Type of project(req�e ;
1.❑ I am a employer with •4. ❑ I am a ganmal coz>fractor and I
employees(fen and/or part timel. have hired fac snb=co�actors 6 ❑New oanst uct;n�, ,
2.❑ I am a'sole p=olnietor or partner_ listed on tkre ached sheet 7. ❑Reamod�ling
ship and have no employees These sub-cmAm tm hzye .
8. ❑Demnliti.on
working for me m any capacity, employees.and have Workas'
[No workers' comp.irh�m�-anae cbrop.insurance$ 9. �]Bm7dmg adnifion
5. We are a c ❑Elcctrical repairs or adcHt ons
orpoiatinn and its 10.
3.[�I am a homeowner doing iil•work officers have exercised their 11•E]Plumbing repairs or additions
myself [No workers' comp. right bf exemption per MGI 12 Robf
Tnt;nrrnrp requked.]t c. 15 .2, §1(4), and we love no repairs
employees. [No Workers' 13.[I Other
comp.>nsmance rD#xrd]
*may aPPhcmt ffi-tchecks box#1 mast also M out the section below showing then wmk me compcnsafiaa poHcy i�Lmaflan.
t Ham eom mra who submit this aindaeit indicafing$hey Mho doing all work and fl=hire outside cantcdctnrs must submit anew affidavitindfcafing such.
Coutra-tnr;tbat chock thiss box must afiached hm addifia3d sheet showing fine name of the sub�auttactras and sta#e wheffier arnot ffiuse ehhfifies have
e�loyces ff the sub coat> a have eapla3'ees,f}hey=Mtprovi&ffi,ir works ts'camp.poficynumber.
lam an employer that is providing workers'compensation insuraace fr y mplyes. Bewisthinformation m e poly andjob site
Iusm'ance Cimlpmy Name:
Pokicy#or Self-ins.I ic.A Exg¢ationDate:
Job Site Address: City/State/Zip:
Attach a copy of the workers' paIi�^p deelarafionpage'(shovPingthe pnkiey number and.eapirafion date}.
Fmlrxc-to_secure coverage as regnired Under.Section 25A ofMGL c• 152 can lead to the impoa±Lon of camiaal
fi one
ne tip to$1,500.00 and/or - ar penalties of�a
3'e ,:as vteIl as civil penalties in the farm of a STOP WORK ORDER and a fne of up to$250.DD a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Fnvmgtizatiom of tite DIA far insurance covera a verification
I do-hereby cetfify under thepains•andpenaldes of'perjwy,fhatthe information provided above is true and correct
Phone#
O•ffacial use onlp. Do nat write in f z&area, fa be catrrpleted by city ar.town afficiaL '
!City or Tama: PermitUrMse#
Iss6119 AYrf'hority(circle one):
.1.Board of Health 2.Bmlduzg Deparbn t 3.CitylTown Clerk 4.IIectdral Inspector 5.Plt>mbing Inspector
6 Other .
Contact Person: Phone#:
tl+e Town of Barnstable
of �� - -
"�, Regulatory Services
BMWSPABLE, Thomas F.Geiler,Director
MASS.
1639. a`0� Building Division
ED MA'I
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print I/ (��
DATE: L / �oY�d /�%•
JOB LOCATION: ' C0
number street village , .
"HOMEOWNER": 5 7-; 779 a38=?a.-V6
name l��� ,e,,aome phone# work phone#
CURRENT MAILING ADDRESS:
city/town state` zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess`a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be, a one or two-family dwelling, attached or,detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and. -
requn-eme ts.
Signature of Homeowner
Approval of Building Official
r
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code.Section 127,0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building pen-nit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15 This lack of awareness often results in g g P e s serious problems,particularly
P Y
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, a
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
THE Town of Barnstable
Regulatory Services
• i
i aaxxsr"LE, +
Mass. Thomas F.Geiler,Director
�p 1639. 10�
rEnrA Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Co , plete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by s building permit.
(Address of Job)
**Pool fences and alarms are the responsibiR of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORM&OWNERPERMISSIONPOOLS 6/2012
ssessor s ma and lot''nt:d`r ..........................................
p SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Sewage Permit number .4/ 1 n.................................. V!ITH KiTICLE II STATE
SANITARY CODE AND TOWN
QyOf?HETp�♦ ' TOWN OF BA "' ''oLE
BARNSTABLE. i
MASL
6 9
101 N A' DUILDI;NG INSPECTOR
O� PY
' APPLICATION FOR PERMIT TO ....... ..... �L �®.!C�`n ........................................................
TYPEOF CONSTRUCTION .... ®l7d..:../ 1�!�Nl�........................................................................................
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. _ .......�'.col:.........�:�. .......t 9 7.�..
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .,-PT.13........44G(!!Is...eo!pf�.....4,40 ......4649/..rJf..6... ... .......................
. ..... .....
Proposed Use ...1146.0T.l.Q!U..A/0.m�... .:. .. .. .. � ..
Zoning District ....r1 P-2..................................................Fire District �0.T 7 ................................................... ........
2S 3
Name of Owner �i�UL �/ /'c®/�bGd�........................Address 11� ....rie '% � ......fPP � �C... l��:�N:
Name of Builder .... .C. '2�0°LJ....% P..!`7�.5..............Address •tiTGi2!//C� 3,.. ! 5.:............................
Name of Architect ......... ........................................Address .........51d'``7 .........................................
....................
Number of Rooms ...... ....................................................Foundation ......aAIKnLsa..........................
Exierior ....................................Roofing .�� /��t�/1G%...... ��� . C...............................
Floors a!r�.........5..... U4fL0i2 ...Interior ................................................
Heating i .!C:,tX<� ............. .................................Plumbing (. i4T .....3.....�..���.r1Ve YW lVe05 ',4/o.? —
Fireplace .....A.W.&&.............................................................Approximate Cost ...� �.®® ..............................................
Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ................
Diagram of Lot and Building with Dimensions tq
g 9 Fee ... . ....... ......................
SUBJECT TO PPROVAL OF BOARD OF HEALTH
� 1230
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I hereby agree to conform to all the Rules and Regulations of the f Barnstable regarding the above
construction.
Name `�..................... ............... .. ..
Robock, Paul V.
16584 1 1/2 s ry
No ................. Permit for ....................................
. ......�ingle..f.amily...dw.e.11ing...................
........... •.. ........... .... . ...........
Lewis Pond Road
-Locati q..........................................................
cotuit
...............................................................................
O Paul..V....Robo.o
Owner ........ .k..........................
......... .... ........ . ..
Type of Construction ................f ram...............
...
Plot ............................ Lot ..........#13................
Permit Granted ...... S�Bpt.e....imb XIC-17...........19 73
Date of Inspection .... ......................19
Date Completed .. ......................19
E T REFUSED
VMIr
. ....................... ........................................ 19
................................................................................
2. .............................................................
...............................................................................
Z
Approved ................................................ 19
...............................................................................
.............................................................................
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DATE:
DRAWING NUMBER
CHARRETTE PRO-FORM 920PF PRINTED ON 920H CHARPRINT VELLUM
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DATE:
DRAWING NUMBER
CHARRETTE PRO-FORM 92.IF PRINTED ON 920H CHARPRINT VELLUM