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HomeMy WebLinkAbout0233 ELLIOTT ROAD �i 33 i Town of Barnstable 1 i r:�"�.,,, '��:,,"''� a �., ��i n HARNT ;. POst:Th1S Card So'ryThat rt is".V�s�bleFrom_the Street ApProved-Plans�Must be"Retained.on Job=andthis CardrMust be:Kept A;' - v AOLF, -. ..:, �,.�:..:,s.:-. '^'i .ns'f'`s.x""�.�$F*"� ,,M'" �".<s :;g,. u �?. , • Posted Until Final Inspection,Has Been Made 4 �- 16 � r ,. k' y�m7 Where•a~Certificate:of Occu anc is Re uired;such Buildm shall Not be Occu ied until a,Final lns action°has been made Pel tn1t Permit No. B-18-2208 Applicant Name: James Curley Approvals Date Issued: 07/12/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/12/2019 Foundation: Location: 233 ELLIOTT ROAD,CENTERVILLE Map/Lot 227-005 Zoning District: RC Sheathing: Owner on Record: SCANLON, MARY&JAYNEs Corit�actor'!Narne= JAMES P CURLEY Framing: 1 r r }r c a ~ Contractor•Ucense CSSL-099138 Address: ' PO BOX 537 _ 2 OSTERVILLE, MA 02655 - = Est Prole t Cost: $15,000.00 Chimney: Description: Strip and re-roof approximately 40 square of bspha.ltedof shingles. kPermit`Fee: $76.50 Insulation: Project Review Req: _ Fee Paid:) $76.50 Date 7/12/2018 Final g � Plumbing/Gas P P - P Rough Plumbing: 1- Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months a4i iissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the°Aapproved construction documen-6 for which this permit has been granted. -� r : Final Gas: All construction,alterations and changes of use of any building and structures"'shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public nnspectidi for the entire duration of the work until the completion of the same.. _ a; � p � Electrical Service: The Certificate of occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: 44. Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: . 3.AI4Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection <ILI Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) //? 6.Insulation o Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,an Mechanical Installations. h Health . Work shall not proceed until the Inspector has approved the various stages of construction. Fina_l: "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: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i Town of Barnstable �RECE� T 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-2208 Date Recieved: 7/10/2018 Job Location: 233 ELLIOTT ROAD,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: JAMES P CURLEY State Lic. No: CSSL-099138 Address: Centerville, MA 02632 Applicant Phone: (508) 790-4508 (Home)Owner's Name: SCANLON,MARY&JAYNE Phone: (508)428-9245 (Home)Owner's Address: PO BOX 537, OSTERVILLE, MA 02655 Work Description: Strip and re-roof approximately 40 square of asphalt roof shingles. Q � coo try • c3o { Total Value Of Work To Be Performed: $15,000.00 r" c=) rn Structure Size: 0.00 0.00 0.00 - Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 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: James Curley 7/10/2018 (508)790-4508 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $15,000.00 Date Paid i Amount Paid Check#or CC# Pay Type Total Permit Fee: $76.50 7/10/2018 $76.50 Xoc-XXXX-mac-2 Credit Card 5483 (, Total Permit Fee Paid: $76.50 AMR` fi THISIS OT A PER:MI'I < , , ' TOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION, ` Map i u Parcel Pe � rmit# H_ealth Division Date IssueP. d ' 2 Conservation Division 2— Fee y 7r7- Sv F Tax Collector ) Treasu _ Planning Dept. (� Date Definitive Plan Approved by Planning Board Historic=OKH Preservation/Hyannis Project Street Addressc�... !/ Village / �� �Address e� Owner Telephone �g 7l Voi C`�, 3o u rmit Request � �CP �/P�a����l � S'/al Gd�X&d &Dgj"r Square feet: 1st floor: existing proposed " 2nd floor:existing proposed Total new Estimated f Cos Project ,p� f ' ®04 Zoning District & / - t lood Plain _A10 Groundwater Overlay Construction Type Lot Size �e ��� ���� Grandfathered: ❑Yes INo If yes,attach supporting documentation. Dwelling Type: Single Family, Two Family ❑ Multi-Family(#units) Age of Existing Structure MY - 'Historic House: ❑Yes %No On Old King's Highway: ❑Yes No Basement Type: XFull' ;(Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 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�(Gas, ❑Oil ❑Electric ❑Other Central Air: ❑Yes *No Fireplaces: Existing New Existing wood/coal stove: ❑Yes JVNo ' Detached garage:W existing ❑new size Pool:❑existing ❑new size Barn:❑existing U.new size Attached garage:Coexisting Q new size Shed:.❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �(No If yes,site plan review# i Current Use 10 Proposed Use ee sl�rPir/� �o BUILDER INFORMATION Name o cv w J'f_� /'1 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE FOR OFFICIAL,US&ONLY c - � ..,.�X "s a .. r k `` � •f' � .;' ...-. av »..+ - ; -n _ a _ a .s - •- � t ... .' 1 -+ t .,- , • .PERMIT NO. - .. _ ,• _ t DATE ISSUED r i MAP/PARCEL NO. ; "' w .;`� w'=. '.et and +- e I'r -y ... ';' ;f - i• ,' e. _ r w e ^ , • `• . ..� y a ;; f � ff .• s • t ^ Iit .1 fxsy �i ` r . ' J "� , y r), • t i I c i . . ADDRESS` p,.,� �.'F EVIL"LACE '✓ , V r+ OWNER s DATE OF INSPECTION: ' i FOUNDATION r `,, +. , r, ,'; •P •_ ., - r e : FRAME • �, �•;.� �� .f1' _ ' ,.. -,,`: �,, T � �-' _;` s 1 - ,-., INSULATION '' ,' .y + , -, ;,:r :: , , y •_ . ' - `' iuN FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL." A . _f' GAS: ROUGH .FINAL! t FINAL BUILDING fr DATE CLOSED OUT ASSOCIATION-PLAN NO. The Town of Barnstable � �: �,�' Department of Health Safety and Environmental Services e 5 Building Division 367 Main Street,Hyannis MA 02601 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: Estimated Cost 9 � Address of Work: �6� �-��ld kcI ' Owner's Name: ar4�r�-�✓ Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under S 1,000 ❑Building not owner-occupied 0Owner 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. Date Contractor Name Registration No. Dfie 1444n Owner's Name q:fbrms:Affidav =CMRAFPNNdMJ ., •,. � ?abUOIL( Fom7 Fads rMaiptha ftcks s for dns sod'1'"wroddy RuWm W BaiidhW Sam wi* f MAXMIU YI 16>riQVItAH Wail mcs�(K) R"I=, &valm� R�wai� Wi11 F� ! Z4vaW B.vda�d t S90i to doe Hades in) Doll Q 1ZX "0 3= 13 19 10 6 Namd it 127f 032 mi 3D 19 19 10 6 IS A S ITs OJO *w3t 13 19 l0 6 tS AFUE T 15% M 31t 13 2S WA WA Nam Q t5% OA6 39 19 19 10 6 Na mw — 13r' WA il ii fig AFVE . V 1�7i tR/iM iS AME W 15% am 30 19 19 10• x IVA om 3f 13 25 WANamY IVA 0r42 3= 19 2S WA Nazami Z IVA Or42 >: 13 19 10 6 90AFEM AA tti%. 050 30 19 19 t0 6 90AFEM OF PROPERTY: 1. ADDRESS � 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA 03 DIVIDED BY#Z): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREME M ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: No: i y.fon 4980303a 780 CMR Appendix J Footnotes to Table J52.1b: a ass doors, skylijhts, and Glazing area is the ratio of the area of the glazing assemblies (including sliding-gl basement windows if looted in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of tine total glazing area may be excluded from the U-value requirement. For example,3 fl o with f decorative glass may be excluded fivm a building design with 300 fl of glazing area- 2 After January 1, 1999,glazing U•values must be tested and documented by the manufatx m in accordance the National Fenestration Rating Council (NFRC) test procedum or taken from Table JI.5.3a. U-values are for whole units:aorta-of-glam U-values cannot be used The ceiling R-values do not assume a raised or oversized unss c 0nmwdon. If the insulation achieves the full insulation thickness.over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing if used)- For ventilated ceilings, insulating sheathing must be placed b etween the conditioned apace audi ie ventilated pun adon of tit.:. Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,saucturaf chug.and issterior drywall.For example,an R-19'regairement could be met ETHER by R-19 cavity won OR R-13 cavity bmdation plus R-6 ululating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal frame emswction- The floor requirements apply to floors over unconditioned spaces(such as unconditioned=wispaces,basements, or ).Floors over outside air must meet the coding requiz, 11L ° must �a ow m `'the entire opaque portion of any individual basement wall with an average depth less than 50/o below grade meet the same R-value requirement as above-grade wails. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-vahte requirement described in Note b. The R-value requiremetts;are for unheated slabs.Add an additional R-2 for heated slabs. •if the building utilizes electric resistance heating use compliance approach 3,4, or S. If you plan to install more 'ece of coolie eat, the equipment with the lowest than one piece of heating equipment or more than one Ps g equipment. efficiency must meet or exceed the efficiency required by the selected package. For Headsg �D Day requirements of the closest city or town see Table JS.Zla NOTES: le levels. a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptab R-value requirements are for insulation only and do not include str w=ral components- 0.35. oor U-values must be tested b)Opaque doors in the building envelope must have a U-value no greatsthe door U-value and documented by the m�in accordance accordancewith the NFRC proc c& ar takes from in Table JI.5.3b. If a door contains glass and an aggregate-U-value rating for that door is not available,include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. 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" 1 sit 1 1 i t 1 M I 1 A' I I f I l I I I • I I � 1 1 ' 1 1 1 :-1 r l 1 1 I ' . 1 Department of Health Safety and Environmental Services Building Dion _. 367 Maio Stuxt,Ayamis MA OZ601 office: 308-86Z-4038 Ralph Crosses Fax: SO8-790-6230 Building Commissi: eoMEa�wNFs Piease�at I08 tACAIMON: Q UENMA MADDRISS: pto41=acC MA L zkp code The aarm' c=mdonformhomemmerewu=mdedtainciude of six units or less and to ailaw hmmuownas� an iad'n WMI for him who doest�otpamess alionise.wnyid d thatthe m�msz • nets a�ceeertriseL �50 _ pason(s)who arras a pa cd of]and oa which helshe resides ar�m � �dl {�s0acna+es. p to be,acme ortwo-�Y dw dit a ar deumWs Y p==who mot dm amehome in atwo-ympododsWnutbecanddmida vner. Such to the Official,t o helabe dy,11 be shaltsubmitto the Bm'idiag Officiatanafo�m ID9�Ll) . Tho ted'bomeawnet"a�resQomsbiti�►far warps Sate Budding Code and other applicable codes,bylaws,rule=and rephdam 'Du "hmaeawue�'cerdfiesthat hrlshe nodas=&ti o Town of8am111ble Budding Dep =cM mfia pmccdc=ands andthsthelshewa comply wft ssidPror-P 11 11 and R App�rai of ed1d�6 Ctlt� Note: ' Y MR 3UM Cobbfor iaWvMberzgaut dto comply wrth State BaUft Gods Section Woo Com anctiam ConUOL + ZSEWJL ' 'iliseCodesum'sthfc 'Aapbomimwaa �ph Id :baueetfth9 oftbhstndoa(Seeeian l09.1.2•;Jomsiogof ptsAidodtbotiftbebommanert�apasaa(s1 for 6ieemdomhaak*tsadkAoaroosaashdlmcas >bfttffif� �s ofasapa+ (swAppa,9f cQ. abomethh�dmn in gyp Rd=AR ft C UMcdM& 0at°°Zl� ssttTMWd rvdmog mmeo+�aerMmudb undpe�a�s InddsaM��=wMFooeeds�t�enaiit�ed� wish a itoeasd Sapa+ris� 'I�e 6omeommrm�og ds 8apa*aos isa�l tts�as pact afthe p���0°' Totmmthatthebamm O aaVe atheloftld:is Mn Lf0==M*� dotttaboa000+�naMWthacbcan�dsthe= f�asaiayoar ity. by sevad towns. Yong T cM to ammd sad sdoptsuch afmm�oadSa� f ...�� TOWN OF BARNSTABLE BUILDINGPERMIT APPLICATION Map Parcel _ Permit# 1��i� Health Division`/N--- ?� ��'/ Date Issu d f Conservation Division Fee D Tax Collector (. �� �s /t/o 4'al 4n,/ SEPTIC SYSTEM DUST DE Treasurer ( INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 6 ENVIRONMENTAL CODE AND Date Definitive n A r d by Planning Board TOWN REGULATIONS Historic'-OKH Preservation/Hyannis l� G Project Street Address Village. Owner l� _ _� Address `e Telephone cp Permit Request ewl,4-` y `T�[/Ocxt& • c Square feet: 1 st floor:existing yia.0 proposed ro 2nd floor:existing proposed Total new Estimated Project Cost � @ Zoning District P.9S, Flood Plain AM Groundwater Overlay Construction Type We& Lot Size L> /o,S�Acee Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 4-- Two Family D Multi-Family(#units) Age of Existing Structure ��— RO (4s1 Historic House: ❑Yes 4 On Old King's Highway: ❑Yes *To Basement Type: 4full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing C�2 new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing --s new First Floor Room Count Heat Type and Fuel: a�Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0-90 i Fireplaces: Existing 0 New Existing wood/coal stove: ❑ �Yes No Detached garagett[-I existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage: xisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes .,�, No If yes,site plan review# Current Use (9&e49 e Proposed Use BUILDER INFORMATION � / n Name_ e C-- Telephone Number J/� �2 Address ql4m-e License# Ar �� l � �c�I Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �L� rAl SIGNATURE 1flLe&4VW - DATE c��� ' FOR OFFICIAL USE ONLY PERMIT NO. k _ DATE ISSUED k MAP/PARCEL NO.. 44 ADDRESSA ' " s= S "t l % VILLAGE OWNER DATE OF INSPECTIT: FOUNDATION r. FRAME INSULATION # FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 , GAS: ROUG.H:: FINAL y F FINAL BUILDING DATE CLOSED dUT ASSOCIATION PLAN NO: + The Commonwealth of Massachusetts '.. �=_..-._ du Department of Industrial Accidents �� ==•�•' � -- � OlBceoflmrestigalioos _ — 600 Washington Sheet Boston,Mass. 02111 Workers' Co m ensatiosurance davit n In name. / location. L�l® 4 city .0 hone# I am a homeowner performing all work myself ❑ I am a sole rietor and have no one anv ��/��/%%1W��3/////a riz/%//////////%//%%%%/ rop workin on this 'ob Wqyery rove workers for my emp•�S•::.�:::.:::.�::g .:::�.::.:�....::.::.:.::.._:::.�::.::::.::::::.:::::::.:::::..:::,.::: rrh r: >ii£:.:t�rr�:�' :;: � :i ?`i�:;:;;::�i:2�i5:'+.;::�:'c�i::•>:::>:::::�-»;: ;:' ............:................................... ....... com anv n : ,.. ............. ..................................................... -............: }...:.. :........................ cite ...:::::::......... .:.:.:..: ......... . ... .... ........ .....:•....:},:.... n•:•...Y•:•:•i}:.v:fi}:{4Y�'?:;;:v::•.-'�v:.;:{ti•?C:?4!?{;::•}}::!.i}i::;>}::C:;G:}?}:i:-i.�}:•:}?}}i}i:{;':?>.;i:;:;y;+::::$::�:ii:-:•?::::•.:.:,...... ------------ ::..:...:::.�::.:�..............:::...............v::::::w:::::•::v.•r.:tti{?•r:{•}}}::x.....11.v:.... ...-.t•.r ..::.vy}v,{{{.v:::::•::::::.:::v'•::::::::�v:::::•::::::'v::':v::v:::...................................................::............. ................vw::.v;:"' ...-.......-..., -............. ..:w:...{.....••.is}:::.,..:n:....• ...... ................................................... ..::.... c� //// eral one)and have hired the contractors listed below who ❑ I am a sole proprietor,gem have workers co ematl Police.................:..,.t:.: :.:.::::::.:::::.::....:::.::::.::::.:;.:.: the followm .............:.:.:: ..........................:..........;},..:::.::..:::.::::... ... ... ... .-.. ... ...\...........:.v:::.v:::::.v?C:^i:•:;{:•i:•:}:}i::�ii ii}}}:_i:_:;:i;::i::rr:i�rr":�}::::::i:�:}:•}}:;�:i::�i}::;�:i•::rr:iiii ii:-:i::':it}i::�::::' `"y:i£ti?:::::::y':�iii::R+�iii:•:ii::�i�`f�:{ti�iiii:i2?:i:}:i:itii?:i<`�:}:-i::.;i}v:.}.,::..._:.i:•::iiv.;:•.:::::::.�::::•::................ •i:fi. tiF:i?{;}:tv:iS:+i:i;:�jSir:;:Y:'<::2it',:::;�`i:>ii:;i:::::::;<:;;;•>:;�};>;;::;t?;:r;�<:'::i•r:�:�::5fi%;i>:•:;a:-:;;•>:}:;?::::::::�:::.:::. vn amen:..:.,.......:- .....,.. . ......................:::....:::,::.::::.:::::-:•:.}:.;}::::�}.x +a,::t�X,..:;{:'•''{::r.}:;}:;>:;:r;::;:ir::r::;:r:>::r::S<:;:2::r::r::�;:5:_i'�;::::�;::2:::;:;h2��:�:22:5�::r::.>:::;};::i�;::�::::.;r:.::.:.}:.;}:.......:.............. ... ... .. ...:. r..tititi ....., .... v. ...... ...,. ... :......v. .::::•., n..•, .. ... 0.•::�:'�}Y{w::.:;.Y'r v'{}:::r;{:r;;:r{?::t�iii:3}:•::v::•:::::::.�::-:•.v::::::v::ti�?ii::}::?.}}}:^;{::.....'•':............ ::^::::::.::................. .......w::.:.w.}:?{J.ti•}:•}::ti4X�:•.tv^}f:::::.v:xf.:v.....;r v..:::. .:�:.,,•::••�''•}r•. ............:•.v:::::::::;......',..-....w...........-........::.{.. vv•::.v:urr•:r.?{(.ems :,,... ,:?v:Y.}}}};•,!:v:v.�::.::.:::.v::•.�.:.:.v;:..:...... ad : .. ..... ....................;;•:•:•::•:v.-......:•r vv',.::}::v}1-:h.:^n::•nrr.:...}FY.`:•:.v,{:}:;:{Yr:{C}... ....}..}..,........ . dress. vr}}}:S:J}:•:vti?v::???:•:.�.:'fr:;•:???ti;•:;:}::}}}} ::ik:�:X?rS}Fi:+;:�� i.-. .. ........ rn...M pt'S", ...............::•................t•::.r..r...:.,::•:.t...:a...xt , .0•.:(J•.£.F... .t•.•,r. }.1•±AfStw. 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FaIInre to aeemx coverage as regdred Seetier►13A of MQ.L4 cart bard to the imps of cein ind penalties of a Sue up to 51,S00.00 and/or one year,'imprisomnmt as wen as ctvII penaltla iA the form of a STOP WORK ORDIIt and a One of S100.00 a day against me. I miderstand that a copy of this statement may be forwarded to the 081oa of Investigdlo�s otthe D7A for coverage veriSestioa I do hereby certify a pouts p o perjury tbat tit information provided above is trip and correct r Date - signature r Print name�'(� /1��C. �� ���/c/ Phone# ----------- oincial use only do not write in this area to be completed by city or town of cl2I permit/license# [-)Building Department city or town: ❑Licensing Board ❑selecdnews office ❑checkif immediate response is required ❑Health Department contact person: phone#, - ❑Other Vemed 9/95 PJN Information and Instructions , to Massachusetts General Laws chapter 152 section 25 requires all employers to Provide workers' compensation for their quoted from the"law an employee is defined as every person in the service of another under any contract employees. As of hire, express or implied, oral or written. association, corporation or other legal entity, or any two or more of An employer is defined as an individual,partnership, representatives of a deceased employer, or the receiver or the foregoing engaged in a joint enterprise, and including legal rep toemployees. However the owner of a trustee of an individual,partnership, association or other legal entity, emP ymg house of dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling grounds or another who employs persons to do maintenance, constructionor repair work°II I dwelling house or on the building appurtenant thereto shall not because of such employment be deemed to be an employer. L chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal who has MG pter in the commonwealth for any pp of a license or permit to operate a business or to construct buildings d. not produced acceptable evidence of compliance with the insurance coverage require erformance Additionally, f pu�bhn cw o until commonwealth nor any of its political subdivisions shall enter into any CO�� have been resented to the contracting acceptable evidence of compliance with the insurance of this chapter p authority. Applicants in the workers' compensation affidavit completely,by checking the box that applies to your situation and Please fill along with a Certificate of insurance as all affidavits may be supplying company yes'address and phone bins confirmation,of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents for cam or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the City have any questions regarding the`9aw"or if you being requested,not the Department of Industrial Accidents. Should you are please call the Department at the member fisted below. required to obtain a workers' compensation Policy, /%% City or Towns Please be sure that the affidavit is Complete and printed legibly. The Department has provided a space tthe Please f the P has to contact you reg uxbg the applicant. affidavit for you to fill out in the event the Office of mmiber. The affidavits may be reds t^ be sure to fill in the pemnittlicease number which will be used as a reference 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. re The Department's address,telephone and fax member. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlesilgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#:.(617) 7274900 eat. 406, 409 or 375. oF C A he Town of Barnstable �•�� � � I Services &UtNSTASM3& g Department of Health Safety and Envlronmen a 9�a 1639- b,� Building Division Tfa►u►{ 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commission: : Fax: 508-790-6230 Permit no. Date AFMAVIT 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 stntetures which are adjaco�e1 nt to such residence or building be done by registered contractors,with certain exceptions,along requirements. Type of Work: Estimated Cost Address of Work: Owner's Name' Date of Application: I hereby certify that: Registration is not required for the following reason(s): []work excluded by law MJob Under S1.000 , uilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING I WOE DUI NOT HAVE TERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT OR GUARANTY FUND UNDER MGL c. 142A. ACCESS TO THE ARBITRATION PROGRAM SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Registration No. Date Contractor Name OR Date Owner's Name o:forms:Affidav ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (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= c� GARAGE(UNFINISHED) square feet X$25/sq. foot � 0 - PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost ® do o, m r IAHFORM 1/3/00 J 1 . ;A e, �' �� o � 0 s-� � a Car� i11111 M1^{- 1�+ �Ni./If a,.Ail .k Pi.an . / ' AAL WE ILANUS FL ADCED ...ww - p U 'y. '-0CfOUER 21.1998 +L N Z. l BY K BARNICLE AL FOR E.N.S.R. V WE TLANU "J4 I -.'• \ 1: N. . .. f*—_. •l' ..PARCEL A. n WETCANL �� - - • �` F'1 °5wry t13.BBY�KwBaM •S ., _ Y _o� - pkmd 1.66 arAera to EARL S.RILDELL - " R a n O l i I _ .. qN01 r q /Soo \v' �:..�, ?3•i: r i I s y "or +a+1�.5i Ate" a. :,��� • � ~ s � f 1 X i' ! I 'iY kw -".... .- .,/r �.,. ��- �..,.�.-- may„ - A 5. r../.+•-,A wG u "'."1 .,y_ ,,. i:F .. . - tY .•w t. ` r' F,MD. LU �� .1" �z :•l..l- w`. _. r-..�,4 `. iJ A S68-0730.w 2994; PUULI,WA)' UNULI INLU, WIUUI VARIES S I t, • �,� ... O_ h ELLIOTT. ROAD ' 1 Ni�U'I�]'l0•F 299.49' - PAVFMFNT WID IN 1!i+ F.J. 1 0 C.U. 1. _ n^A', • �� � - .. Directions: W.Main Street to Pine to Elliot Road. 3 { { ttry ' 0 t 4 N- i Cotton ' REAL ESTATE® ! 1=800.851.9115 851 MAIN STREET• P.Q.BOX 68 • QSTERVILLE,MA 02655 •.508.428.9115 • FAX 508.420.3161 r www.cottonre.com r, a RESIDENTIAL PROPERTY AP NO. LOT�N�J. FIRE DISTRICT SUMMARY STREET Elliott Rd. Centerville r — 73 LAND .S/ 1 G'0 22 55 OWNER C-0 rn BLDGS. /7 TOTAL RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: 'q LAND 0) BLDGS. ' 7�, B TOTALtitlo ^'G LAND Elliott,":Robert 8. •& Catherine'`M.:,: ,.,, _�._... .� .C� .g3 834„' 105 . BLDGS. Rlliottg Catherine M. -10- Probate 57S52 Rob TOTAL LAND o zG,;z 5-6-81 3280 260 (Form BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND ERIOR INSPECTED: BLDGS. TOTAL TE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL E LOT v �J J�, LAND RED FRONT BLDGS. REAR TOTAL DS if SPROUT FRONT _ _ LAND REAR 1_ - BLDGS. E FRONT TOTAL REAR Fl`7 r,- ' �c_7c� LAND Ol BLDGS. TOTAL LAND 1. / Q ^ ` `� U BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL )NT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. -F LAND SWAMPY NO RD. BLDGS. 'UU of Ur A 4 p. ivl A. (A !�6 1�\.. �u . uuvV ,L,'/ Y'1'{Il..11�li .. LAND COST Walla Fin. Bsmt.Area Beth Room / Base c EILDG.COST Blk.Walls Bsmt. Rec. Room St. Shower Bath / Bsmt. — 90 PURCH. DATE lab Bsmt.Garage St. Shower Ext. Walls PORCH. PRICE alas Attic Fl.&Stairs Toilet Room Roof RENT ails Fin.Attic VC, Two Fixt. Bath Floors _ �/ J �"• INTERIOR FINISH Lavatory Extra t F 1' 2 3 Sink Plaster Water Clo. Extra Attie ERIOR WALLS Knotty Pine Water Only / \� Siding Plywood No Plumbing Bsmt.Fin. Int. Fin. / l/ Siding Plasterboard Shingles TILING " Ik. G F P Bath Fl. Heat 5/12 k.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit Q Veneer Int.Cond. Bath Fl.&Walls Fireplace c, rk.On HEATING Toilet Rm.Fl. Plumbing 0 -37 om. Brk. Hot Air rag Toilet Rm.Fl. &Wains. -- Tiling Steam Toilet Rm.Ff.&Walls Ins. Hot Water St. Shower S. Air Cond: Tub Area Total •eZv Floor Furn. ROOFING COMPUTATIONS hingle Pipeless Furn. S' Q S.F. 7 hingle No Heat J d( S.F. hingle Oil Burner S. F. Coal Stoker p / rlr.I 6 r4Rrr'? Gas S.F. OUTBUILDINGS OOF PE Electric Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 2131415 6 7 8 ,9 10 MEASURED Mansard FIREPLACES S. F. Pier Found. Floor I Fireplace Stack 1444 Wall Found. 0.H.Door LISTED FLO RS Fireplace jjvv Sgle.Sdg. Roll Roofing _7 LIGHTING Dble.Sdg. Shingle Roof No Elect. Shingle Walls Plumbing DATE od ROOMS Cement Blk. Electric / ,x�1 71 rile Bsmt. lst5' TOTAL Brick Int.Finish PRICED 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. TOTAL Property Location: 233 ELLIOTT ROAD MAP ID: 227/0051 Vision ID: 15794 Other ID: Bldg#: 1 Card 1 of 1 Print Date:05/23/2001 . , rg .,� �,'i:. .0 �!: •�.r.... .., .:'.c.., i.� ?;. ....�. Description Code jAppraisea value Assessea v a ue 33 ELLIOTT RD RESIDNTL 1010 34,800 34,800 801 ENTERVILLE,MA 02632 SIDNTL 1010 700 700 IVE DATA-Barn.,MA Additional Owners: ccount37113 Plan Ret. ax Dist. 300 Land Ct# er.Prop. #SR VISION Life Estate DL I Notes: DL 2 GIS ID: lotal , ffW 4 Y ,, ems, Z 'r :: r. Code Assessed Value Yr. Code ssesse 7 value ir. Code ANSeSsed value LLIOTT,CATHERINE M 3280/260 Q 0 001 1010 , , 85, 2001 1010 34,800 000 1010 40,7001999 1010 40,700 2001 1010 700 000 1010 1,0001999 1010 800 ota: ota: 12792UU Total:1 Year lypelDescription Amount Code Description Number Amount Comm. nt7 s y -+ Appraised Bldg.Value(Card) 34,800 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 700 ota Appraised Value(Bldg) 117,500 .. ; .. �, Special Land Value Total Appraised Card Value 153,000 Total Appraised Parcel Value 153,000 Valuation Method: Cost/Market Valuation NetTotal.AppraisedParcel a ue , ermiiID issue Date 7ype escripton Amount Insp.Date Yo Conip. Date Comp. Comments Date ID PurposelKesult s a ., Use Gode Description one ronta e Depth nits nit rice actor g p actor ivond. Adj. Notes-AaJ13peciall1ricing Adj. nit rice Lana value Single Fain ., o es: , 1 1010 Single Fain 3 0.70 AC 20,000.00 1.00 5 1.00 48AA 1.00 PCL(1.,U11)Notes: 25,000.00 17,500 ota ar an nits arce ota an rea: otal Lanavalue , Property Location: 233 ELLIOTT ROAD MAP ID: 227/005/// Vision ID:15794 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 05/23/2001 W SAX ; •, Element Ca. Ch. Dascription Lmercial Data Elements Style/I ype a ch Element Ca. Ch. Description Model 1 Residential Heat Grade - Average Grade Frame Type Stories 1 1 Story Baths/Plumbing Occupancy 0 CeilingfWall GAR 21 ooms/Prtns 21 Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height Roof Structure 3 able/Hip Roof Cover 03 sph/F GIs/Cmp 26 nterior Wall 1 08 Typical Element l Code Description act BMT 2 or 34 Interior Floor 1 20 Typical Comp ex 2 Floor Adj Unit Location 20 Heating Fuel 3 as Heating Type 9 Typical Number of Units C Type H None Number of Levels %Ownership 4 , Bedrooms 3 Bedrooms Bathrooms Bathrooms . 0 2 Full Rate na j.Base to otal Rooms Rooms ize Adj.Factor 1.15953 Grade(Q)Index .93 0 ath Type Adj.Base Rate 4.70 Kitchen Style Bldg.Value New 6,892 Year Built 924 4 ff.Year Built P)1950 rml Physcl Dep 0 uncnl Obslnc on Obslnc .. 5:a pecl.Cond.Code D . ,. ...� pecl Cond% 0 Code Description Percentage Overall%Cond. 0 1010 single ram iuu eprec.Bldg Value 34,800 Code Description LILf units Unit Price Yr. Dp Rt Vo Ch d Apr. Value arage- oor M5 Code Description LivingArea UrossArea Eff.Area Unit Cast Undeprec. Value HAS First Floor 62,117 BMT Basement Area 0 960 192 12.94 12,422 GAR Attached Garage 0 546 191 22.63 12,358 IM Gross LivlLease Area g a: , Building Department Complaint nquiry Report Date: —� J9 r o Rec'd by: Assessor's No.:_-- Complaint Name• - --e-B" Location Address•. M/P Originator Name: Street: Village: State: Ztp• Telephone:D/C Complaint Description: Inquiry 0 Description: For Office Use Only Inspector's ' �� sp Inector. �� Action/Coinments Dace: i� ? r c A Follow-up Action I Additional.Info. Attached cop),Distribution: White-Deparanent File Yellow-Inspector Pink-Inspector(Return to 0, ce Manager) Qy0F7NET��y TOWN OF BARNSTABLE i BABBSTABLB, i "IAOL b 9 BUILDING INSPECTOR ,oho M a' r APPLICATION FOR PERMIT TO ............. �.....Q. .. .............................................................. TYPEOF CONSTRUCTION ........ ............................................................................................... .............. -..7.......19..rJ..,V TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... J L- ..... ...................4 . A. h.lt!t tz R................................................................ ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District ......dj..... ... ... .. . . .................................. Name of Owner. .....: ... ... . ...............Address �.. Name of Builder ... � ,/!.. .� . . . .. ........... ddress .... . � .... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .....I...........................................................Foundation ..... .:...................................................... Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior ........................................................... ....................... c Heating ...................................................... . .. ......................Plumbing ... k /: .... . ... .......�................ v� Fireplace .........................:.................. ..... ./ ....................Approximate Cost .......... ...I( ..V.. ........................................ . Difinitive Plan Appr b annin oard -----------____---------------19________. �® „� Diagram of Lot a ilding with Dimensions THE PROPOSED METHOD OF PROVIDING F SANITARY WATER SUPPLY, OIL AND DRAIN c , SEWAGE DISPOSAL ®�� '0'— HE,cCSY APPROVED TOWN OF BARNSTABLE 7-,,=ELT'" PERMIT. AND INS;A--'SYS7E UBTAiN SEWAGE 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name ........ .... .. ..... . . .....'..... .. ................. el Elliott, Robert No ...14739 Permit for add to single .........family dwelling.................................... LocatiaC. .Elliott Road Centerville ............................................................................... Owner ..........Robert kliott Type of Construction .....frame YP ...................... Plot ............................. Lot ................................ January 27 72 ,� Permit Granted ............19 ' Date of Inspection ... Date Completed ......................................19 �V T PERMIT REFUSED I ................................................................ 19 \ ............................................................................... t - ............................................................................... l ............................................................................... Approved ................................................ 19 ............................................................................... ...............................................................................