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Home My WebLink About0052 CENTERBROOK LANE C�'�1 �t?ge o rj 4, A�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I 0WNMaP Parcel F 'BARNSTABLE APPlication # 20U15 Health Division - Date Issued `7 �5 Conservation Division Application Fee Planning Dept. Permit Fee L_�)o Date Definitive Plan Approved by Planning Board 0 Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Address Telephone 5b&-3Cy-y767 Permit Request 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 ❑ No If yes, attach supporting documentation. DwellingType: Single Family OY Two Family ❑ Multi-Family # units 9 Y Y Y ( ) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Flnished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new v Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ 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 Mike_4\/ eCa hy Construction Telephone Number PO Box 52 Address west Dennis, MA 02670 License # Cell (508) 280-6964 CSL 58633 -1-!'T6-93- 9s Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7 7'( FOR OFFICIAL USE ONLY t , z APPLICATION# Ca 'I5 DATE ISSUED MAP/PARCEL NO. a" ADDRESS VILLAGE OWNER DATE OF INSPECTION: I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ��3C4-kj`S r r Town,of Barnstable, 0 4 R,egitIOD-y Sea vicgs xutusrn Richard V.Sca%Director 1A Building DiWsioa , f Tom Per T,Bu fdingCommissioner 200 Main Stteet Hyannis,MA.0260f ivvw:tow.nbarnstablema us Office: 508462-4038. flax: 508-790762.30 Property Owner Must Complete and.S:ign This Section If Using:A Bider, L— / /��as<? aer>ofe soli ect ro"en' Y� / f�. 4.:. -.� p p y ferebyauthoiize: C vG i co act.o'n inybeha]f, in all matters relative to work autbo ' d b3 this.building permit application for. b wol(. L - { vi Gl , R14 b? ?Z {Add 6's o :ob), "Poor fences and alarms are`the resporsbtliiy of,tke applic� t. Pools axe n6v,to.be:filled'or 'and all-final uupectiox�s are.- etfotnme�and accepted. Sig tore &er `Signatu ofAppl cant end L_ j:o /( :.Print"Naive Print,N' Z Date Q;FoRMs:o%VNE"M rsStoNrooLs Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCC�R PO BOX 52 W DENNIS MA 8 67 Expiration Commissioner 04/10/2016 Office of Consumer Affairs and Business Regulation 10 Park.Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Qnthactor Registration b= = Registration: 169393 Type: Individual Expirat' n: /16/2017 Tr# 264961 Ej MICHAEL MCCARTHY :: _ MICHAEL MCCARTHY P.O. BOX 52 } WEST DENNIS, MA 02670 a ti. Update Address and return card.Mark reason for change. Address Renewal Employment ❑ Lost Card 20M-05/11 '\ The Commonwealth ofMassachrisetts Department of InditstrialAcchlents 1 Congress Street,Suite 100 Boston,MA.02114-2017 wlvw,mnss.gnv/dia.. Workers'Compensation Insurance Affidavit:Builders/Contractors/Electriciaris/Pitirnbers. TO BE, FILE,D WITH TIM PE,RMITTING AUTHORITY. Applicant Information ' Af l-ke MBCarth:V C-onStrUCt2tnffise Print Legibly Name(Business/Organization/Individual): P® Boas 52 Address: West Dennis, MA 02 670 Cpii-(5tDt8)-7-90-6964 City/State/Zip: CSL A§n63� H C-169393 AYam an employer?Check the appropriate box: Type of project(required): 1. a employer with � employees(full and/or part-time).* 7. El New construction 2.❑1 am a sole proprietor or partnership and have no employees working forme in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole I I.E]Electrical repairs or additions proprietors with no employees. 12.�Plumbing repairs or additions 5.❑I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 1 .0 ROOFPlumbing repairs These sub-contractors have employees and have workers'comp.insurance.► 6.n We are a corporation and its officers have exercised their right of exemption per MGL c. 14.90ther 152.§1(4),and we have no employees.fNo workers'comp.-insurance required.] Any applicant that checks box#1 must also fill out the 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. [Contractors that check this box must attached hn additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,[hey must provide their workers'comp,policy number. lain an employer[lint is provlding)porkers'compensation insurance for my employees. BelmU Is the policy anti fob site Information. ATM �f Insurance Company Name:_ Al / ' l ,4, Policy#or Self-ins.Lie.#: V�L'bo'6�t 7�s(,'�d]y _ Expiration Date: )a k- )IN Job Site Address: City/State/Zip: Attach a copy of-the workers'compensation policy,declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby certify un tl of s nnr/ olties rjury that the information provided above 7te anti correct. Si nature: Date- 2Ir . Phone#: Official use only. Do not)vrite 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMA1=PA.GE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 800 876-2765 NCCI NO 26158 POLICY NO. VWC-100-6017656-2014B PRIOR NO. I VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P 0 Box 52 FEIN:**-***3862 West Dennis, MA 02670 Legal Entity Type: Corporation Other workplaces not shown above: See Location. 2. The policy period is from 12/15/2014 to 12/15/2015 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in Iitem 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000:each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease. $ .500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Oates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTEA 0712979 INTER SEE CLASS CODE SCHEDULE Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 5479 State Assessments/Surcharges. $28,601.00 x 5.8000% $1,659 This policy, including all endorsements is hereby countersigned b P Y 9 Y 9 Y 12/15/2014 Authorized Signature Date Service Office: .Bryden &Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 n Burlington MA 01803 So Dennis, MA 02660 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, \ v� used with its oe►mission. V Town of Barnstah16,,: ,-- - �o Q Regulatory ServicesN Thomas F.Geiler,Director p + EARNSfABLE. • 9� M' Building Division 16 9 rFn►�'� Tom Perry,Building Commissioner: l 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Od PERMIT# 911 7 FEE: $ SHED REGISTRATION 120 square feet or less C Location of shed(address) Village vigb - Property ownee&u6e Telephone number \ '"-A �— Size of Shed Map/Parcel# Sign a Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) �d i* 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:121901 L-C3CJN—F1C3N C3F PROPERTY LANES MAY NOT BE ^CCUR^: TE STANDARD LEGEND NOTE:not all symbols will appear on a An GOLF COURSE FAIRWAY "y v'Y",", EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY V EDGE OF CONIFEROUS TREES MARSH AREA . . ....... EDGE OF WATER ................ .............. ............... DIRT ROAD DRIVEWAY ............... .............. PARKING LOT PAVED ROAD —--—--— DRAINAGE DITCH t ————— PATH/TRAIL S �N L NOTE:E T! A]p —--------- PARCEL LINE MAP 326 E--MAP# 01�P 1721 �—* PARCEL NUMBER HOUSE NUMBER ,2 #3267.......... 2 FOOT CONTOUR LINE 24 io 10 FOOT CONTOUR LINE MAPq Elevation based on NG1121 4.9 SPOT ELEVATION 1� 2 4 c:x=x:a STONEWALL X, "x-. FENCE RETAINING WALL RAIL ROAD TRACK STONE JETTY SWIMMING POOL PORCH DECK 0 BUILDING/STRUCTURE DOCK/PIER HYDRANT e VALVE @ MANHOLE 0 POST 0" FLAG POLE T 0 W 0 F B A R N S T A B L E 6 E 0 G R A P H I C 11 N F 0 R M A T 1 0 N S Y S T E M S U N I T SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET NOTE:This map is an enlargement of NOTE:The parcel lines are only graphic tepresentofions DATA SOURCES: Planimehics(man7made features)were interpreted from 1995 aerial photographs by The James p ❑ TOWER I 100'scale map and may of property bound nd. W.Sewall EOD w-i 0 20 40 National Mci�,Accuracy Standards a IL relationships to physical objects Corporation. Planimehics,topography,and vegetation were mopped to meet National Map Accuracy NOT meet aries.They are not hue locafions,a Company.Topography and�egetafion were interpreted from 1989 aerial photographs by G 0 LITILITYPOLE ids at this do not represent actual Standards INCH=40 FEET enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessors tax maps LIGHT POLE o ELECTRIC BOX f i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 5� `� Permit# Health Division 9 AV kge�'h,—/ _ Date Issued `d Conservation Division r�_�p 7 ��b�"®/0;u tom^-A, 4, �''e"`' �'" Y � Tax Collector.. �. r '�• "7�®9/al (� Treasurer" Planning Dept. o :,,X,;.y 7: Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 4"_' --e_A_.> to 0 Village Owner ` A K : rin Address re0 Telephonel3 Permit Request vv�: I oe K F J P-� Square feet: 1st floor: existing proposed 2nd floor: existing `7J d proposed ..ti'I Total new-9r17- Valuation Zoning District;`a Flood Plain Groundwater Overlay Construction Type ® ' Lot Size Grandfathiered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)' Age of Existing Structure i� Historic House: ❑Yes � moo o On Old King's Highway: ❑Yes - Basement Type: �Full Cl Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7 00 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 1r2 new� First Floor Room Count Heat Type and Fuel: Q-Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ONo Fireplaces: Existing _ New N Existing wood/coal stove: ❑Yes no Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing 0 new size Attached garage:dexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ZrNo If yes,site plan review# /f . Current Use Proposed Use 4 = S 4 BUILDER INFORMATION Name v- M J Telephone Number _ Address .-'S_ �d� a License# Home Improvement Contractor# l f �2 Worker's Compensation# & � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e hMVr✓ l� ►a,�� SIGNATUREE DATE �� f ` FOR OFFICIAL USE ONLY - PERMIT NO. s DATE ISSUED ' MAP/PARCEL NO:, ADDRESS, VILLAGE OWNER DATE OF INSPECTION r FOUNDATION' FRAME • //��JJ INSULATION •f �y FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT; ASSOCIATION PLAN NO. x t The Town of Barnstable � : iASlvsrABI.E. - ;, Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner t 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation;repair,modernization,conversion, F improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: i'�1 �l t a�'`J Estimated Cost Address of Work: L� �� `'f,�l� 13 �� 44 -0 e Owner's Name: 7)7 -0 Date of Application: / 6/0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I here,y ap ly for a permit as the agent of the owner: 7, Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav f The Commonwealth of Massachusetts Department of Industrial Accidents ,a ==_�� - Ol//ce of/nrest/gatioos . 600 Washington Street 4, Boston,Mass. 02111 Workers Com ensation Insurance Affidavit i i name: U Ia 1►�cJ.�J location city phone# .J 760 ,V ❑ I am a homeowner performing all work myself ❑ I am a sol I r 'et or and have no one workin in ca achy am an empl er providin orkers'compensation for my employees working on this job. _...... ..:....::. .:. ::::...................:.:::�:�:•....:..:::..::::::::::..............................V. .::.....................................:...:.. .:::::.....:.. x. :city. �,- phone#.:::::::.� -7 nsuranee co.:: � ................ pli .#.::. ... ....... ❑'I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: X. t omnanv name :.....::::::..»::>::::: X. ........................ ><>> :. .:: ::::::.:::::::.......... ...... ............::... ..: address:::>::::.;..:::;::;<;'>::::.::;;:::>::<::<:::::;?:::>:>::> ::i... .............._..............................................................._......_.................... ..... ... .:::::.... ... ..... :.r:. onerij:�i'ii%:i'l'i� ':+'' %%'isy`%.:;:c>:::;,'<2 .':iji%�iiiiiC<'{i ?�?'' 5::;2 ;:?::i:Yt ?i>i 4i" n..... X. ............................. . ..:.>::........................ .:: ::... .... ......................:. ::::::::::::.......:�:::::::.....:::::::::::::. .:.: :. y{�,, .:.k•:::: k�— ............. sii: :i: :::::5:% XX :::?z `'::s :::::: ::is: ::::: ::: .}2<;:%:'::;:::%%: ::: 3::::: 2 ;.%::%:: i:r::: ::% ::t %:.. :::::::%%;;i:: •::::::::::::::::::s:>:�•::>::::: .................. ...............:..........................::........... .......... ........ ::'>:>::::.,..:.. ....................... ................. . .::. ...............:......>;;:.;:.;:.;::<.;:::;::::'::::..................;;;:.:;:.>:.;;:.;:.;:.;;>:.>:.;;:.;;;::.<;;:::;::;;:;.;;::;;:.:;.;:.;;;::.;:.;;:.;:;::<::;:::;::;::;::2:«'::i:iii.:;:: Ohcv# i::;:::ii::::::::::;::ii«<::.::::::::::;:;:.......:: :::::.....::::::::::'::::::::.;;;:.;:.;:::;::;; ;;:';:;:;�:>� : ;.: :c an gain :. atlslrEss• "'htia ouiraart;c . xx— saw ww uli Fafiute to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a flue up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do ereby certi t e and penalties of perjury that the information provided above is:,,an cone d e, Signature Date S t Print name /�a.. !� n'+ F.✓ Phone# ��w o n official use only do not write in this area to be completed by city or town official city or town. permit/license# ❑Building Depsrtrneat ❑Licensing Board ❑checkif immediate response is required ❑Selechnen's Office _ ❑Health Department contact person• phone#; ❑Other Owned 9195 PIA) _N •I 1. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a - _ dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and _. supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pe i &t1license number which will be used as a reference number. The affidavits may be rtained e to - _ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The.Commonwealth Of Massachusetts Department of Industrial Accidents 8fflce of lollestlgatloas 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ezt. 406, 409 or 375 ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot (average construction) square feet X$57/sq. foot F GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= -VQ-� -OTHER square feet X$??/sq. foot= Total Estimated Project Value " d f - BOE1D oF`BUiLDING RFaU1AT10NS License: CON$TRUCTION SUPERVISOR x r_ Number CS; 0742054 i P 2131'10U2,_ Tr.no: 742U5 __-- _12estF�cdrLo:1-G DAVID L DADMUN p 51 POND STREET - WEST DENNIS, MA 02670 Administrator . _ J1ee vi oarrm�rnuiiea,� �.�aaaac/uiar-lt Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 128718 Expi�05/0912003 y" .` �TYpe' DBA , D.L.DADMON CUSTOM BUiL.. R DAVID DADMON 51 POND ST C 1. . --e�rlr""i W.DENNIS,MA 02670 Administrator CRANBERRY BOG 6'4' AS �� 00 JF LOT ,yv LOT 12 F E. RC" This MORTGAGE INSPECTION Plan ls. ForFLOOD ZONE. C" NTERVILLE Bank Use Only _____ REGISTRY O�tNER: DANIEL PF &_ WENDY LF: _CTF _14631 ___'___—BUYER: SAME _______ _ ___ _ _ -------- I DATE: _1�28�98____—_ — PLAN REF: 38671 B ___ _ SCALE:1' = 40FT HEREBY CERTIFY TO NORLA A 6 RICAN__ A \` ----- MORTGAGE C0.___ -_-THAT THE BUILDINGfYANKEE SURVEY WNON THIS PLAN IS LOCATED ON THE GROUND ASSHOWN AND THAT ITS POSITION DOES _ CONFORM , ONSULTANTS TO THE ZONING LAIN SETBACK REQUIREMENTS OF TFIE �� ''�TOWN OF BARN.STABLE______ �ER4, �_r'r 43 ROUTE 149 __AND THAT IT DOES_ NOT 5 f NO_ 32098 MARSTUNS MILLS, MA. 026<IS _ LIE WITHIN THE SPECIAL FLOOD HAZARD,` �:. AREA AS SHOWN ON THE H.U.D. M TEL: 428-0055 AP DATED 8 19�85__ � 'you<� ;� `,% ;, FAX: 420-5553 C munit -Panel 250001 0015 C ^ -- ___ ____ THIS PLAN NOT 1�4ADE FRO"AN-.INSTRUMENT PAUL A. ERI EW,_PLS --- SURVEY, NOT TO BE USED FOR FENCES, ETC. 22574 7Y DCB i MAScheck COMPLIANCE REPORT ( I Massachusetts Energy Code ( Permit k MAScheck Software Version 2.01 i { Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE:. Other_ (Non-Electric Resistance) DATE: 5-30-2001 COMPLIANCE: PASSES Required UA = 71 Your Home = 70 Area or Cavity Cont. Glazing/Door ,Perimeter R-Value:R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 224 30.0 3.0 7 WALLS: Wood Frame, 16" O.C. 368 13.0 3.0 26 GLAZING: Windows or Doors 68 0.380 26 FLOORS: Over Unconditioned Space 224 19.0 3.0 11 COMPLIANCE STATEMENT The-,proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building. and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool °the building shall be no greater than 125% of the design load as specified in Sections 780 1310 J4.4. Builder/Designer 4 Date d I e " a tg o 4, ff}I im tr9 ar nl �'� in f n . Q— t -o � 11 Do- EIE . �i i r vJ s= SZ— Lk ra 'If-X i I C.A I 1 A i ` ' 'cl iL c i 3Po K � LA is o O P a Z it 0 o IT% 8 W ;a to n ri �p [^ • � � Dom' �. Li61 O T' 'S n � — n T .o c C) I G �q w A : w � . 71a �. Lo JA L4 . g E x TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � _Parcel � � _ : Permit# - Health Division f Date Issued C?,fgA2�� Conservation Division Fee ®'-J 06 Tax Collector Treasurer - 1 Planning Dept. z Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village N�Kme 1✓Iu-'r Owner W CCA16 .1 'jjjo40A 11" ` Address Telephone `�� `1 g�0 Permit Request L: S K W I l4T k 014) E�5 --vaua Lnd ue A&ni Cs 5 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation t a-7 O'D Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes a J�o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑'ITo On Old King's Highway: ❑Yes EMo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) N/mber 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 'k Heat Type and Fuel: ❑Gas 0 Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes to If yes, site plan review# Current Use Proposed Use., dx BUILDER INFORMATION Name CAP/ Z_Z hl�M T: (tP2QLtF-MFA4T Telephone Number Address A Pai-I-PWAj Ad, License# Q_S0f7 a `7 �I Ua6 35 Home Improvement Contractor# 10 D 7 (46 Worker's Compensation# a�n„eqT ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE aI- DATE _�� 022 6 0, 14.,1r. FOR OFFICIAL USE ONLY ( t `a PERMIT NO. - DATE ISSUED MAP/PARCEL NO. + ADDRESS .'i+ VILLAGE i OWNER " DATE OF INSPECTION: ` - -t FOUNDATION + . FRAME f Y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL' GAS: t. ROUGH FINAL FINAL BUILDING DATE CLOSED OUT - ASSOCIATION PLAN NO. The Town of Barnstable • a'sivsr.1= • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 r T Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,.demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ��• �� WA 4 Estimated Cost Address of Work: e(fn4et4nn)IL- Owner's Name: 03C/k1 Q SA Date of Application: 5' --C o _ I hereby certify that: Registration is not required for the following reason(s): r-iWork excluded by law rJJob Under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. B��cSyit.-off lOD 7`I?7 Date C M A E, N �fM6u-t Registration No. I� OR Date Owner's Name q:forms:Affidav The Commonwealth of/Massachusetts -_- - ( Department of Industrial Accidents Office of/nvesUgaUoas 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit location- phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity gyp{ I am an employer providing workers' compensation for my employees working on this job. comoanv name ��P�ZZ/ /—/�rri� ✓�n7/0,/�11AC 07f Aj [V Ju 6ti1/ N city: Co / `r "—�1—J o,2/ 3 -5" phone# insurance:co, V/+s 61 T 94-fd 6/97tJ j5ds 1% policy# bi cl ff I 9 5Elm ❑ I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who h-.,.- the following workers'compensation polices: company name: address: situ phone#, insurance co:- op�li y# company-name- city: phone# frtsaraneeco: oolicv# Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 andm one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. f do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature �Date 7 /�SLai Print name i4so—H, T7 Qr— C.14:.2!� Phone# 1 .mod / "T`�� 9Sk official use only do not write in this area to be completed by city or town official city or town: permit/license aY n Building Department =s oLiccnsing Board O check if immediate response is required f' Selectmen's Office r Health Department contact person: phone t1; nOther In e (revised 1N5 PIA) .: -,.. .._.. HOME IMPROVEMENT CONTRACTOR �K6 1 " Y i �lte V/dl7rmtO�tu/ea . o��rQ Registration: f p 1007Qp `N y�' j BOARD QF BUILDING REGULATIONS E XPlfatlon: j.License CONSTRUCTIONSURERVISOR ` 6/23/ k We: Private Cor 02 l I poratio ga svfi li Number CS 057032 CAPI22I ° G� HOME IMPROVEMENT; y A 44� Ezplr@s Q9/26/�p01 T�.no: 5742 Thongs Ca 1111 „ nonvNis�� 16Q5 P Sr. � '. ,." .._ � _ Newton Rd, ` 1 i Restricted}To.;.00 L Cotuit .. . MA' 02635 1 THOMAS X.CAP17I JR 2$0"PERCIVAL DR •' i W BARN3TABLE, MA 026t8. Administrator i F _ _ _ yp' � , �'- L' ,ea/,l/z ✓�,aa�ar/,�cae�ta M1 f uuca�� o� f2avaa, u�etld i _ BOARD OF OF BUILDI G REGULATIONS za an�nao DEPARTMENT OF PUBLIC SAFETY' License: CONSTRUCTION SUPERVISOR 007454 N R CONSTRUCTION SUPERVISOR LICENSE umber: CS �� i i RESCi Icted Tog 00 i Restricted To: 00 I; I THOMAS CAPIZZI FRE061t` V oSCH III 1645 NEVvrOWN RD COTUIT, MA 02635 Administrator PLYMOUTH, :..MN 12360 I t w Assessor's map and lot number .. .... .. ......... ......�� TH E TO�y �- Sewage Permit number .......� `'`' �< Z BARNS TABLE. i S House number ........... MAO . . ........................,................. oo 163q. .......... /2ai L a MAX a' ` TOWN OF BARNSTABLE -- /BUILDIHG INSPECTOR APPLICATION FOR PERMIT TO ... .n.... ................................ TYPE OF CONSTRUCTION ....< t..............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned here y appllies for permit according to the following ince foormatio : Location ....G .�/%� 1 ...�.� � �J .........7 . ... r 1�/�� ProposedUse .. .. -!.�. r.� ... 1/.... ...................................................... ......................................................... Zoning District ..... .. 4........................................Fire District ..... .... ......1 .................. Name of Owner �..�'�. � .........Address .. .1' J..... .....`.S^l.v.... Name of Builder ......Address ' Nameof Architect ..................................................................Address ...................................... ' a�� .... . c.. Number of Rooms ..................�..... .......................... .......Foundation ...... Exterior .....Llj .:. ?.!!..!��......l.CGS. ....,.. 14-%..... Roofing ............... . . ......�� ). .................... Floors C. �1.:.. ....C...�-+..v .Interior ....... .... . . ®.... Heating ......................... ...........Plumbing ..........�P...... ...............5...................................... Fireplace ....� �fa ........................................Approximate. Cost ........... ` ......... ........................... Definitive Plan Approved by Planning Board ____________0r�-------19_�_� Area ....... .................................. Diagram of Lot and Building with Dimensions Fee C;r5( 7.��..._...... ........................ r SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re grdi.ng the above construction. Name .......................... .. .................. .... :51.�. . .................. t. d13� Construction Supervisor's License .........v......................... GREENBRIER CORP. A=172 a2(s' i7a- Zy15r, No .27532..... .Permi4 for ..12 Story Single Family Dwelling Location Lot 11, 52 Centerbrook L .................... ..... Centerville . .. ................................................ ............. Owner Greenbrie Corp. Type of Construction .Fr PPlot ............................ Lot ................................ i Permit Granted Xebruaxy...19..............19 85 Date of Inspection ....................................19 III Date Completed ......................................19 TOWN OF BARNSTABLE Permit No. 27532 - Building Inspector saoaaa i Cash -------- ----—------_-_--- ., OCCUPANCY PERMIT Bond 1 Issued to Gre.P_r&xiP�'�f'�m. Address Lot 11. 52 CenteC=-ook bane, Caenterville Wiring Inspector ' `-, ��"` ,;� Inspection date -- Plumbing Inspector Inspection date �` - r Gas Inspector Z a- k; �, E Inspection date Engineering Department` f �`'y'r Inspection date f�/ Board of Health }" "� t� �- 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. n ,��...,u.-L /O lg ....................� - .t -is-- �- ....... ........................................... ._._ Building Inspector g JOSEPH D. DALuz � '/TELEPHONE? 775-1120 Building CommKiionts EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING • HYANNIS, MASS. 02601 MEMO TO: Town Clerk , FROM: Building Department DATE: i - - I An Occupancy Permit has been issued for the building authorized by Building Permit # issued to ,' Please release/ the performance bond. i 'J IC • Zo"r_- -,RC_ . 15000 N ��• 100' M/N '1,✓or Lor /t e 26 1/0 sF �.!. _ o. 4 M ` /8/ • GS LGT /L� Aft CERTIFIED ' PLOT PLAN ROBERT N W CONSTRUCTION ONLY ° aRuc� - 11 f rY VP .:4F ;FOUNDATION 15 FEE S. " IN V ABOVE, L01V ,»POINT OF AD AGENT 11 3iItOgp. E.�" MCC lNQ CLIENT .,Q a, 1 CERTIFY .THAT THE ra Ny9� ^L4 A,yyi+y�Lp �O.I;�TEREO REGISTERED SHOWN • ON THIS PLAN IS LOCATED ; �. L b r,� ,IgD;Np. o OId 'THE; eROUND A$ INDICATED AN�p ' CLV L LAND- s' , ENGINEER SURVEYOR s J v� CONFORAiS. T0: THE ZONING LAMS " � , ,.. D R.BY+ �.,._...�..,..., RF� >1A►RNSTA. MARS q @.L. >712`MAIN .S.TREET` � , HYANhIIS MASS $MXET.L, .•OF,.!, ATE REG. NANO SURVEYQRt Cc '2 5 OL '-7 1171 5 ,1ss-e,ss*or's mR P. .;2 - p ....... d SEPTI and lot number ....... ......... rE BE %THE INS -PLIN- Sewage Permit number .........T j��.... ..... EW MA23STLBLE.ENVI 2 NM House number ........... . NAM ............................................ ........... To 1639.Ar TOWN ' . OF BARNSTABLI BUILDING INSPECTOR Viz /APPLICATION FOR PERMIT TO ............................... TYPE OF CONSTRUCTION ........ ............................. .................................... ............. 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following informatio?* ,:0 -c 4-0 ............................ N ef Location ....C?& ... ... ..��.../ Proposed Use ...jy, ...J.'. .................................................................. 16............................................. ..............Fire District ..... .................................................. Zonin District g ..... -C.................. Name of Owner ..... ..... ,4P Address .... ........ ....�S7/ .... Name of Builder ............—5 .. ...............................Address Address .................................................................................... .................7 Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................C.:!�.......................... ........Foundation ........Foundation ..... C X,e (fi-4/... - Exterior ......t�JIC.S. Roofing ... ............ . ....... . .......................... Floors �. .. ./.Interior ....... ..... .<Pc ... .................................... iz...........Plumbing ...........c*.... ... Heating ............... .. .... ... . ................... Fireplace .... . ... .................... ...................................Approximate Cost ........................... Definitive Plan Approved by Planning Board ----------- I 9--o--f Area ............ Diagram of Lot and Building with Dimensions . ... . Fee ... ...;�.Cc;;z..... .... ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH K 10 z-C OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r cli, t Ke?bove construction. • Name ........ ........... ...................... . .............. ... ...... Construction Supervisor's License ......... GREENBRIER CORP. ' 0 27532 . Permit for 1 � ................. l StorY............. Single Family Dwelling t 11 Location Lo . 52 Cente b ppk.Lan� .... ........................................ nterville. Owner ...-Greenbrier Core........................... ' - Type p of Construction F. -'- ............. .............................................. . ................ Plot Lot• ..................:.......... . f r Permit-Granted .......Fdz'Y. 85 Date off Inspection a Date Completed ........19 � ` r i J i I r Y T THE.; TOWN OF BARNSTABLE �p i 3AR1STrL Q 0 9 M��P MASSACHUSETTS Solid Fuel Stove Permit DATEOF APPLI TION ............................................................................ F T. ISSUI G P RMIT ........ ........................... ... NAME (owner) .............. .................. ......`............. .................... NAME (Ins ller 1"1....... ....l..v!..!........... .................................................... ADDRESS,....�....C-MAC.................................. .. . . .. ............ .... .... DDRESS ................ .................... .�..J.... STOVE TYPE .................. .......0 ... ............ ..... ....... . .................I............. CHIMNEY: NEW ........................ EXISTING t Manufacturer ...........................................................!................................... CHIMNEY. Masonry .......... ........................................................................ Mass. Approval ..L /. CHIMNEY: Metal ...............��S , Y ...................................... .......... .... .............. This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with an application on file with the A.Ld.�...cj..,q..V...........................................Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued By: ................J......./ / Title .... ..... Date.. fi Permit to install expires 60 days after issue date Stove .............../r�..t .1.. ... ..................................................................:..................l......................................................................................................................................................... Stove Clearance ............................ .......................................................... Floor ....................... SmokePipe ..............c.............. .... ... ......... .........�-.L'. . ..................................................................................................................................................................................... SmokePipe Clearance .................................................................................:.............................................................................................................................................................................. GT/j6¢SO v / . Chimney ..............:........................... .....................:.. ......................................................................................................................................................................................................................... SmokeDetector ............... '-s.........................................:................................................................................................................................................................................................... The undersigned hereby certifies. that the installation of solid fuel burning stove and equipment made under au- thority of permit dated ...fl/ (, ......... -has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto � ?'�'�s� ..................... ... .... .......................... z Installer INSTALLATION APPROVED .... �... ../` By ........................................................... Title /e.g;.?�. date......................... .. WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT f 52 Centerbrook Lane Centerville, MA 02632 March 4, 1993 Mr. Richard A. Bearse Building Inspector Town of Barnstable Main Street Hyannis, MA 02601 Dear Mr. Bearse: On Wednesday, February 3, 1993 you came to my house at 52 Centerbrook Lane in Centerville to inspect my wood stove. You told me that it was properly installed but you were unable to determine the age of the wood stove. I contacted Top Hat Services, the company that installed the wood stove, and they told me that the wood stove was already in the house and they just came and reinstalled it on December 6, 1990. I contacted you with this information and you told me that you would contact Top Hat Services to discuss this situation with them. Please call me at 771-9300 with regard to the status of this matter. I need to have a permit for insurance purposes on the house. Thank you for your assistance in this matter. Vrel y truly yours, W Wendy W. Lee /wwl