Loading...
HomeMy WebLinkAbout0237 MARINER CIRCLE .ry Town of Barnstable �IKEI wilding Department Services Brian Florence,CBO r r t s,►tuvsresr.Tr, Building Commissioner ,,rF ►��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $35.00 SHEID REGISTRATION k�0,� OQ > RESIDENTIAL ONLY 6',q� ®�� 200 square feet or less l 23 /MA7,%n oz— Ci Co'R, (7 Location of shed(address) Village Property owner's name Telephone number Size of Shed Map/Parcel# ' a e Date annis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation.`S':00_9:30_&3:30-4:30"7i PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 ` CjOvJ Z>A2- ntic.A3`T • ��`� r 77,717A R'-�.,'....s"`S.2F'7'.•�mp a.t � �Y 2000p `�17 C)m7a E- 6 G1 o `4 a Mira z L G t 9 rl Zzf - �`{ 11! j i{Y-In SHOWING , � , 3g PLAN . d� FOUNDATION LOCATION ` � # y � C O T UI T, MASSACHUSE T T S ,ti " OWNED BY s , f a s E SCALE .� � `� ' x loeo NORMAN GROSSI"AN------ ` " ¢ REGISTERED LAND SURVEYOR } ' I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED # qq ON 77HE LOT AS SHOWN AND CONFORMS TO THE TOWN OF BARNSTABLE ZONING REGULATIONS REGARDING }fit SETBACKS FR�M STREET LINES AND LOT LINES . v cRt SSMA gz • 11175 �� NORMAN GROSSMAN ° d R.L. S. DATE y sup ;� { 4 { � - �'` sir t��:±N,"-s3�3>+J 3������ +•?5". ►' s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- oi.y Parcel �ti'� TOWN Or BARNES. "�" Application , t t t Health Division _ Date Issued 4 j; Conservation Division Application Fee Planning Dept. Permit Fee 3 x� Date Definitive Plan Approved by Planning Board- L- Historic - OKH _ Preservation/ Hyannis / Project Street Address -zc.�.E Village Owner Address z V,o �-• •+ yt�..,a 'S Telephone Permit Request r i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed t Total new Zoning District Flood Plain Groundwater Overlay Project Valuation moo® Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ZFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Z.. new Half: existing k new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 3 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number S�ft% - 8'33 - 'rs'SB�1 Address 3,%c. License# Home Improvement Contractor# Email Worker's Compensation # t,,e> —A 'y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 6rwnI DATE f i` FOR OFFICIAL USE ONLY r A*PPLICATION# s DATE ISSUED MAP/PARCEL NO. ADDRESS i VILLAGE OWNER Y s DATE OF INSPECTION: ` FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL . a' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN,NO. :t w The Commonwealth of Massachusetts - ,Department of Industrial Accidents. 4 Office of Investigations 600 Washington Street Boston,MA.02111 www mass.gov/dia t Workers''Compensation Insurance Affidavit- Builders/Contra€tors/]lecteicians/Plumbers Applicant Information— Please.Print:Legibly Name(Business/Organization/Individual) , ConserVisioh Energy Address: 376 Route 130 Suite C. City/State/Zip: Sandwich, MA 02563_ Phone:#: 508-833-8384 Are you an employer? Check:the appropriate.box: Type of project(required); l..[ I am a employer with 8 4. ❑ 1 am a general contractor and I 6. Q New construction employees(full and/or part-time)* have hired the sub-contractors 2.El I am a sole.proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees- These sub-contractors have: . & Demolition working for me in any capacity. workers' comp.insurance:.. g Building_addition [No workers' comp.insurance. 5.: El We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner.doing all work- right of exemption per MGL 11.0 P,lumbing repairs or additions myself. [No workers' comp: c. 152, §1(4.),and we have no 12:El Roofrepairs insurance required.]t employees:-[No workers': com . Ii nsurance.re uired. 13. Other WeatherlZatlon . •Any applicant that checks box#1 must aiso fill butthe section below showing their workers'compensation.policy:information. ` t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attaehed an additional sheet showing the name of the sub-contractors and their:workers'.comp,policy information. I am an employer that is.providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name' CS&SM/ORKCOMPON.E Policy#or Self-ins.Lic.#: 6011316349 Expiration Date: 03/11/2015 Job Site Address: . City/State/Z`ip: :: Attach a copy of the workers-'"compensation policy declaration page:(showing the:policy.number and:expiration date). Failure to secure coverage as required under Section.25A of MGL c. 152 can lead t6.the imposition of criminal penalties of a fine up to$1,500.00 and/or-one-year imprisonment,as well as civil penalties in-the form of a STOP WORK ORDER and a fine of up to$250:00 a day against the.violator::. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the;DIA for insurance coverage verification. I do hereb der th in nd enalties o fy p p fperjury that the information prosaded above is;true and correct Signature: Date:. Phone#: Official use only. Do not write'in this area,to be completed by city.or town official City or Town: Permit/License# . Issuing Authority.(circle one): 1..Board of Health 2.Building Department; 3.City/Town.Clerk 4.Electrical Inspector 5..Plumbing Inspector . 6.Other: Contact Person: Phone#:. { Aco CERTIFICATE<OF LIABILITY INSURANCE °AT 03/1731 /2014172014 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER$NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is.an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUB ROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may.require An endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _ .CONTACT -:- CS&S/WORKCOMPONE NAME` PO BOX 946580 PHONE FAX `IA/C.No,Eid):: _ (A7C,No): MAITLAND,FL 327944580 E-MAIL Phone-877-724-2669" ADDRESS: Fax-877.763.5122 INSURER(S)AFFORDING COVERAGE NAIL a3 INSURER A Continental Casualty Company zo443 INSURED. INSURER B:- CONSERVISION ENERGY 376 ROUTE 130 INSURERC.:_ SUITE C INSURERO:Continental Casualty:Company. 20443 SANDWICH,MA 02563 aNSURERE:Continental Casualty Company 20443 . .INSURER F:: .. . COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER;,.... THIS IS TO CERTIFY THAT THE POLICIES.OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH:RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;;EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.:LIMBS SHOWN MAY HAVE BEEN REDUCED.BY PAID CLAIMS. -.I SR S B - POLICY,E ..POC P .-.:-_ -..-.. :.:. .. . LTR. -TYPE OF INSURANCE-: INSR. WVD. .:POLICY NUMBER MMIDD btMIDD - UNITS `GENERAL LIABILITY :. .. EACH OCCURRENCE $11000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300,000 PREMISES(Ea occurrence) CLAIMS-MADE OCCURr 0 MED`EXP(Anyone person $10,000 A Y ," N . 60113163315 03/1112014. 03/11I20I.S. PERsoNALanovINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JE[—]PRO-, LOC .. ...._ „ ... ..... __ -. _. COMBINED SINGLE LIMIT. ... AUTOMOBILE LIABILITY - (Ea accident) : $1,000,000 ANY AUTO BODILY INJURY-(Per person) A AUTOOSNED SCHEDULED N N 6011316335 0 111/2614. 0311.1/2015 BODILYINJURY(Per accident) NON-OWNED: .HIRED AUTOS AUTOS: - PROPERTY DAMAGE (Per:ecadent)." UMBRELLA LU[8 �066UF',�: EACH OCCURRENCE 1,000,000 D EXCESS Line -MADE. N N 6011316352" 034112.014 0311"1120.15 AGGREGATE_ 1 000,000 DED RETENTION$ 1 O,000 WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER, ANY PROPRIETOR/PARTNER/EXECUTIVE YIN - $100,000 E OFFICERIMEMBER EXCLUDED? N N 601131634$ 03/11/2014 ". 03/11/ZO1IS ELEACHACCiOENT (Mandatory in NM) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under. DESCRIPTION OF OPERATIONS below E.L.DISEASE-EOLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS hVEHICLES(Attach;ACORD 101,Additional Remarks Schedule,if more space is*ulred). Certificate Holder is added:.as"An Additional insured as provided in the blanket:additionaf insured:endorsement CERTIFICATE HOLDER CANCELLATION Ise ngineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1341 Elmwood Ave THE EXPIRATION DATE THEREOF,NOTICE WILL IE DELIVERED IN i. Cranston,RI 02910 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010.ACORD.CORPORATION, All rights reserved: ACORD 25'(2010/05)! The ACORD name and,logo are registered marks of ACORD: cacgess. I _ C-'J�e�oru.�raoiuue�r/�G/tasl�rr.,;n��u:;�/TJ op ce of Consumer Affairs&Business Regulation License or regtstrahon valid for individul use only ME IMPROVEMENT CONTRACTORbefore the expiration date. If foundreturn toIstration: 171251 Type: Office ofConsumer:Affairs and Business Reeulation iration: 3/1/2016 Partnership 10.Park Plan-Suite5170 0 Boston,MA 02116 CON-SERVE ENERGY: CONOR MCiNERNEY 376 ROUTE 130 SUITE G; SANDWICH,MA 02563, Undersecretary. Piot'valtd without signature avlas`sachusetls -Departmeni of a}utric Safrty: Spard of Ruiieiing ReguI ti;oi�s.arad8todards i' rtteti��,ta 9tshea-k it s� �(,E€!�i� License:CSSLe 402778 CONOR l)NMCMRNEY 39 SIASCONSET DRIVE ;t: SAGAMORE BEACH 1" 02562 F0 On C�sisvmssarizF 08/19/2014 r�s rin n mass saveNVAM CO 4.'.2vY2Qf iFarnyll Ri1:epY uNYteicY PERMIT AUTHORIZATION FORM I, Aqj,,1 6/pr l , owner of the property located at: (Owner's Name, printed) (Property Street Address) (City/Town) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Srgnatur � .h Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services. Participating Contractor to the above referenced proj ect: Participating Contractor Date Rev.12132011 Assessor's map and. lot number,- Lam/ Q��F TH E r��♦ Sewage Permit number ..... ..: o.:. ... zf ................... Z EAUSTADLE, i House number ............ .. MAM . y 039 0YPYp. r TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO / ?� �r TYPE OF CONSTRUCTION ff��CK,% 7 �E�f� 22GUr�/J� rJ..................................... / ' .19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby /applies for a permit according tothe following information: o Location .. !f��.....?.�!........ . Q�/C�tCf.....f.... E- �'! .......� .......... ProposedUse ......... � .../. .................................................................................................................................. Zoning District ............!/`..:...�..........................................Fire District .......G....<r�.. Name of Owner .... ..... G ,;Ge',11:;yJ..14. ..Address .................��. ... J....................... ................. �t.0��� c.. Nameof Builder �pf ... �...............Address .................................................................................... Name of Architect ....Address r Number of Rooms ................6.............................................Foundation t Exterior (.. � !' ....t,.,l // �, ................Roofing .. . ,, .. !i!C ..................: // L(/� f? f ( � .......................................Interior ......../.. .......... ...................................... Floors .........../�.......,.�.:i:...1..... �-� Heating .... . !�fa. ......r .................:......Plumbing ............. ....!/1 :.........::.:..:....:....:..:::....::........ r Fireplace ............ .��'/.. ' �.........................................../........Approximate Cost ........ .................................................. _ Definitive Plan Approved by Planning Board ____'__.�_rj_ �--_-- _____19_;7�1. Area j it Diagram of Lot and Building with Dimensionsv Fee } ' SUBJECT TO APPROVAL OF BOARD OF HEALTH ?( II t 11 �- 7 c� hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg'arding the above construction. <' t t . Name �r ........ ..................................... -147 Theo Construction 8orp. No Z2.54.6..... Permit for ..Qne...S.to.ry........... _ .....Single..F ?11? �, ..]�v,�elli ng................ Location .LQt...5.4....#2.3.7....Marlaex.:.Ci rcle ................C.Qt.0 i t............................................... ; owner TbP-O...Qonstxu tion...Corp........ Type of Construction ...F.r.aTrig...:....................... .................................................. ......................... Plot ............................ Lot .............................. Permit Granted Ju,Aly 17 , 19 80 Date of Inspection 19 Date Completed ........ ............................19 PERMIT REFUSED ................................. .. t ........... 19 �. ............ ...................................:........................................... Approved ................................................ 19 ............................................................................... ............................................................................... �.�� •e TOWN OF BARNSTABLE Permit No. -----------_--------- t IMSTAU Building Inspector cash 1 A►YL --------------__________ 'l0 Y�Y►�� OCCUPANCY PERMIT Bond ---—_________—____ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .......................I....................I.........1 19......_ _ ...................................................................... ... .._....... ._______ Building Inspector . ® r w OF• J7! � !r . Z M• t7f r r U 2(1� C � tx, - >>- ZL S �3 g� PLAN SHOWING FOUNDATION LOCATION COTUI T, MASSACHUSE TTS OWNED BY. 7;1-1250 GD/IJ.S7iJ, �• SCALE : / "_ DATE: J—v Cry/ G, l9U NORMAN GROSSMAN———REGISTERED LAND SURVEYOR I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED 4 �t ON TINE LOT AS SHOWN AND CONFORMS TO THE TOWN «�' A OF BARNSTABLE ZONING REGULATIONS REGARDING SETBACKS FROM STREET LINES AND LOT LINES . " crrc'Fway NORMAN GROSSMAN R.L. S. DATE -As+3essor's map and lot number y S TH E Sewage- Permit number ..... .. ....... �.r....................... SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE = BASH9TADLE, S House number ...........::� .r�4 ......�....... ............................. q rhea d e WITH TITLE 5 °°'°�;;,AY TOWN OF BA%U'V sANo 1 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....................E44 ............................................................................... TYPE OF CONSTRUCTION � Z) ....7...... ................................ ...........7 ...1. . ..fo........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �J2 .................................//%i :....................Location .......� .... Proposed Use ............................... ......................................................................Zoning District ............A ................Fire District C—C. Name of Owner ...../..... ... �� � ..L��.•Address .............. .....>16 ................ o Name of Builder /ZA'4:471.(0J...............Address .................................................................................... .Name of Architect .............................................. ................Address. .... .................................................................................... Number of Rooms ................6............. . .............Foundation ..... ...� ez. :. ....... �. . ........................ 1� � . /�,, Exterior ............. ........................... .. Roofing ......� ..1 ' ..r �� . Floors `...0. 1 ........................................Interior �........... .............................................. (�`'............. ........ . Heating !� t� A.........................Plumbing /... .......C.CJ,�.... Aj Fireplace .............j..............................................................Approximate Cost ....... v v l3��Definitive Plan Approved by" Planning Board _______ ______—) -----19_,1�0. Area ....'...................................... Diagram of Lot and Building with Dimensions Fee /. ................ ...: ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH 5 o r r t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl r arding toe above construction. Name ....... ... ....... .......................................... .' . . . � . THEO CONSTRUCTION CORP. ne mo .-2'�3.**".. Permit for ..����../����'c---. - __..G.iool��..�anziIv_Dvve ____ ' ............. . ' Location .Lot..54—#237.� _Cizcle ' Cotoit --------------------------. . . � C)wvne .. .. ioo_Corp.....������-- ' ..... —�--- Type of Construction .,F?�gp�--------.. . . ----.---------------------' Plot Lot ---------' ................................ 1 . . - | Permit Granted --JoI]/...l?x............lg 80 _ ^ � Date of Inspection lV ' e5p ' ""'e Completed *°�^ = . � ' ~ - . ~~. -------� �A �--. ' ��� fr- ~ . ' ---' ' *�' --'�----------- °. ^ --- ---------�/---- _.--.�� —.. ------.---c,—..�_ -- . . �� �x ` �� -----. —..��---------------... ' - ' ---------------- 19 . � . . . . . ', . . �' --��---.`; .............................................. ^ . . ................. -. NU ' � ��