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HomeMy WebLinkAbout0020 HALYARD WAY CL i.. . r . e v s. t o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel © Co Application # U Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board /ZZ It 2 Historic - OKH _ Preservation/ Hyannis Project Street Address a 0 it,Gp �-✓/� Village C.ewtar-V-i71Z Owner ddress ® W g r d Telephone .S�o 7 ak G Permit Request I?e 4 14 L e �p l� k/*eA e4 dalAr~ + Square feet:,.1 st floor: existinj8fo proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 10gjO& Construction Type tiJ D LL-ck- Lot Size ®J Y Ae-C4e, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family !( Two Family ❑ Multi-Family(# units) Age of Existing Structure 61"_' Historic House: ❑Yes 2r No On Old King's Highway: ❑Yes UdNo Basement Type: ❑ Full ❑ Crawl U0 Walkout ❑ Other C.7 a <: Basement Finished Area(sq.ft.) 4103 Basement Unfinished Area (sq- ) 13 Number of Baths: Full: existing new Half: existing J nevv 12 Number of Bedrooms: _ �' existing _new R Total Room Count (not including baths): existing new First Floor Room Countw zr- Heat Type and Fuel: IdGas ❑ Oil ❑ Electric ❑ Other ^� r Central Air: ❑Yes idNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes dNo 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 �r> �B,ri�f'�v1 c e Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)_ Name ,�! 4 .0,.> l�y►G�/�! Telephone Number Address ,0 (Lloed License # Home Improvement Contractor# 2 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE V 7 f -• �.' FOR OFFICIAL USE ONLY s `-AlPPLICATION# r f __DATE ISSUED': .,'-it ��: { MAP/PARCEL NO. ADDRESS — VILLAGE OWNER. ' DATE OF INSPECTION: ' _�FOUNDATION: OI UZ1 el?- FRAME INSULATION' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FI& -GAS: ROUGH FINAL 1 .`FINAL BOIL-DING'i. � ��l l� � r DATE CLOSED OUT ry ASSOCIATION PLAN NO. r ' . The Commonwealth of Massachusetts fA Department of Industrial Accidents Office of invaWgiWons 600 Washington Street. _ Boston;MA 02111 www.mass gov%dim------- Workers' Compensation Insurance Affidavit: Builders/Coiitractors/Electr-icians/Plumbers ____Applicant Information Please Print-Le db Name(Business/organization/Individvai):_._ A5z; Xi,-_t,1 Z/oe� •Address: c7 ( City/State/Zip: l r ®/f�1, 8��° Phone.# Are you an employer?Check the appropriate bog: Type of project(required):; 1.❑ I am a employer with 4. 0 I am a general contractor and I * have hired the sub-contractors 6. ❑New construction , . employees(full and/arport--lime). ; 2.❑ I am a'sole proprietor or partner- listed on the'att ached sheet: 7. ®Remodeling ship and have no employees These sub-contractors have S. 0 Demolition working for me irr any capacity. employees and have workers' [No workers'comp.insurance camp.msurance$ 9. 0 Building addition required.] 5. We are a corporation and its 10.0 Electrical repairs or additions '3. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions. myself [No workers' camp. right of exemption per MGL insurance required.]t C. 152, §1(4),and we have no 12.0 Roof repairs employees. [No workers' 13.❑ Other Pomp.insurance required.] Any applicant that checks box#1 moist also fill out the section below showing their workers'compensation policy mfonmatim- t Homeowners who submit this affidavit indicating they a=doing an work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of tht sub-cantractms and state whether or not those entities have employees. If the sub-contcactms have employees,they mustprovidt their workers'comp•policy number. I am an employer that is priding workers'compensation insurance for my employees. Below is the poT.icy and job site information Insurance Company Name: Policy#or Self=ins.Lic.# Expiration Date: lob 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 Section 25A of MGL c. 152 can lead to the iruposifim of criminal penalties of'a fine up to$1,500.00 and/or one-yearimpn'sonrent,as well as civil penalties in the form of a STOP WORK ORDER and a fie of up to$250.00 a day against the violator. Be advised that a copy of this statenie±may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify u p • s•and penalties of perjury fhaf the information provided above is true acid correct: S' tore: Date: Phone#: 7? q (o Official use only. Do not write in.this area,to be completed by city or town affccial 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 I 6. Other Contact Person: Phone#: -ems Town of Barnstable Regulatory Services t Thomas F.Geiler7 Director • sAENSI'A1C.F, X&M. fc � a.�� Bunding DIVis10Il Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /� Please Print DATE: AP r/ / l -..a/Z. JOB LOCATION: C5 TIC l Yesd'!! Wa5z � n✓�L�r�//���! number s et village "HOMEOWNER": � e4 194V elcllt& name home phone#e ' work phone# CURRENT MAILING ADDRESS: !`i O� (/W ; city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109,1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimr7m inspec ' pro ores and requirements and that he/she will comply with said procedures and requireme a Signa ure of Homelhv er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, I Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. i To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, i that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by j several towns. You may care t amend and adopt such a form/certification for use in your community, Q:forms:homeexempt i i L_ o�TME Town of,Barnstable i r r Regulatory Services !J MASS Thomas F.Geiler,Director Building Division ---------- ---------------- ----Tom Perry,Building Commissioner --------------------- -- ---__ 200 Main Street,Hyannis,MA 02601 www-town.barnstable.ma.us- ---- Office: 508-862-4038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property 1 P Pay hereby authorize t to act on my behal{y in all'=tters relative to work authorized by this building permit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed.and accepted. . Signature of Owner Signature of Applicant I Print Name Print Name f Date Q:F0RMS:0VR4FWERMISSI0NP00LS � � 7 y;PLA- t ev% GAYr Posh x 6 Zx zx o Ff� -D,�k l°'i �o, f 3-tb.S„ saw• �,, y4 e �/,yn 9 er , - arc.- ►a'o .4 r� 1 � or I 4/a a i 1 _ line ?IAge e oC --------------- ry FILE# MIP 42955 CENSUS TRACT# 128 Z CLIENT: DUNNING, KIRRANE, MCNICHOLS &GARNER, LLP DEED BOOK 15931 PAGE 53 OWNER: FRANCIS J. MCINTOSH& KATHLEEN RIORDAN MCINTOSH PLAN BOOK 389 PAGE 27 LOT 3 APPLICANT: MATTHEW E. BLONDIN &JESSALYN M. PETERSON ASSESSORS PLAN 194 PLOT 86 MORTGAGE INSPECTION PLAN OF LAND LOCATED AT' 20 HALYARD WAY BARNSTABLE, MASSACHUSETTS SCALE: I"=40' May 8, 2008 j � 3I. Zf� ls, aoi Sf G.otZ J a. Pecv-1 drive � Shy 41.Zo' &re 3F3' CERTIFY TO DUNNING,KIRRANE,MCNICHOL'S&GARNER LLP,CAPE COD COOPERATIVE BANK, AN ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENT XCEPT.AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS. THE DWELLING SHOWN HERE DOES NOT FALL WITHIN -4 A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP`OFCOMMUNITY #250001-0005C DATED 8/19/85 BY THE F.I.A. Kenneth R. Ferreira Engineering, Inc. 5 P.O.Box 1903 `i J =' New Bedford, MA 02741-1903 '''- 508-992-0020 Fax: 992-3374 ENERAL NOTES:(1)The declarations made above are on the basis of my knowledge,information,and belief as the result of a mortgage plo Ian tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2)Declarations are mad o the above named client only as of this date. (3)This plan was not made for recording purposes, for use in preparing deed descriptions or fo constructions. (4)Verifications of property line dimensions,building offsets,fences,or lot configuration maybe accomplished only by an accurat instrument survey. co ssessor's map and lot numberr. ........... `�'� .... .. k- `evv SEPTIC SYSTEM MUST 6' oFTNE,o .- INSTALLED IN COMPLIANCE Sewage Permit number ... .... .... WITH TITLE 5 .AO Zv House number .................................... ...... ;.:. ENVIRONMENTAL CODE AND Z BARNSTSILE, i y Maee 6 ,TOWN REGULATIONS -' '',o�i639 •0� ' • 'E'0 MPY d. TOWN ' OF. B-AR.}NSTABLE x BUILDING - INSPECTOR .APPLICATION FOR PERMIT TO .:.:..... .. TYPE OF CONSTRUCTION .............:........... Ifi :.::.... ..... ...Irk.,:.d.................... .. _/.......................... rl 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according•to the following information: Location ...... ..... ....... . ... ... .. ......a,.,z. : . _ ProposedUse ..... ... ... .......................... ........................ • Zoning. District ............ :...............Fire District Name of Owner .. . ............Address .. k Name of Builde .. Address •..• ... .................................. .. Nameof Archit'ct ..................................................................Address ................. ........... Number of Rooms ........................Foundation .......................................... . ......40. .......... Exterior .. . ....; ..Lrr:.c.?. ........:....Roofing ..... �� �� ..... Floors ..........................Interior .....:........ . ............................. Heating ........PlumbinI. ..... .. ........... ... ............ .. : .... 9- Heating � . dv Fireplace ." Approximate. Cost ................y......................................,... . ..... ` . ........................ 41 Definitive Plcin-Approved by Planning Board ___ _:= T____________19_ e Area . � " oO S . Diagram of Lot.and Building with Dimensions � '�'"� Fee J .J.1.,�................. SUBJECT TO APPROVAL OF BOARD, OF HEALTHG/ • OCCUPANCY PERMITS REOUIRED FOR NEW DWEL,IlINGS I hereby agree to conform to all the Rules and Regulations of the Town' of'Barnstable regarding the above construction. fName ... • 1` Construction Supervisor's License . ............................ H, JAMES K. ' 6 ' No ...28292... Pefimit for ...One Stogy,........... , _ Single Famil Dwellin�..................................Y............... .... Lot 3, 20 Hal r /� :- k Location ...............Y.1..d...Way............ ' � Centerville ;Win' ;.� f t Owner ..... ............ James K. Smith................ ................................w � Type of Constructiori} ........FX AID..................... � '0 + ................ ...., ................ ....................... . : ` Plot ............................. Lot ...... ............... Permit Granted ..........ugus.......'f::....... 19 85 y' `Date of Inspectionx..:.............� ..� .:..:1,9 �, „Y. •.y,,. � � Date(Completed ..... .. �... .....19�c�" f y' rG ►�* I w 21 '� -Assessor's map and lot number .. ��—� .............. ................... ... of to Sewage Permit number { i Z BJSB9TAILE, i House number ZD . ro rb a 4 �'0 MAY�\ TOWN OF BARNSTABL. E BUILDING INSPECTOR t. .Y1LU-APPLICATION FOR PERMIT TO .........:......................................&��.......................................... TYPE OF CONSTRUCTION ................. ..........1�.J............................................... ........... -1............................19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location v �. .. /�Q.. , ........CMG l ........................................ ............ ................... ............... ..._......: ............ �J� ,C, �� Cs ProposedUse ........... y�...............!...f�°�'....-�...... ...........................................-.....................................-.....-.-....................... Zoning District ............ .. ................Fire District + �' 1. r�/.�?r'<% . •Y 7. Name of Owner ... .........Address ..... / .. ................................. Nameof Buildsr`�..... . ........._..............�;,..:... . .........:............Address ....... / ..�.................................. i Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................. ........................................Foundation � �a !',�G ( 4 ... ? �! Exierior � ,� "��! ,.. .... •!,..Lr:. g ..../.( .... ta'! �-�� Floors ............... ,! .:%............................Interior .......... ....... '•.................................... ... Heating ��e- .... � `i�'f!� ....... � Plumbing ........ .' ' ....... ... ............... ..r.. ... .................................. Fireplace .................. ...... ..........................................Approximate. Cost ........ .................... �................t.... Definitive Plan Approved by Planning Board ___7---- _` z---------19_ Area .......................................... Diagram of Lot and Building with Dimensions �( v Fee ............ ..... " SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ..............�...................... i" Construction Supervisor's License .....Y......................... I SMITH, JAMES -K. A=194-86 28292 One Story No ............4... Permit for ............ .......... ............ Single Family Dwelliiig ............................................................. ................ =1 94-86 to�ry ..... ... ........... . .. ................ Location .....................................ot 3, 20 Haly. . .d...Way......... ... ..... ......... Centerville ........... ................................................................... Owner ......James...K..... mith................................ ...... .. .......... Type of Construction .....Frame.......r................... ................................................................................ Plot ............................ Lot ............................ August 6, 85 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 S/N6LE F�tiy/L Y -- 3 BE'O�ooivt /� �t/o G4.2BL1 GE G.e%C/OE�2 •' � .� ^,� � � ; , , ;: : OA/G.Y -40 w - //o x.3 SE.lc:lT/C - �l/SEoti0\ / Cs, 6'lJ� ,SioEGr/,atL. .�t.eE/1 �• �So.s.� AVM a ��o���� ,� o: `'S� .a � L i 7� .E O .S/G�c/ PE'.2C0L4T fit/ 2 .�'J/.S/. D.e GE.�s ► M OF PETER SULLIVAN ZAXTEFt F+ t Na. 29133 Na 24048 ��ssl ONALE , T 3944 - IZ- 3- 8z/ �{ } r 7� a PdL �o14 M 9T Sv�3SoIC. /, Q ( f<" O/ST [ -IODO ._ /NK t_� ,�•� _' 7 I � ,_..: va 77 BOX /N✓.• GaG,, n//// .: S_.EP�G " � � r • °� Ta/%a •• y /.v✓ /.v� 89 S (39 3 G•.E,2T/F/EO "f�G OT -pL.4N . /"�-- G,--�/'�--• �2.78+v LOG.�T/O.v C�'ivTCaZ tom/L�C� 14- cgs ,$GaL� ���•<�o / paTE • F �2 7¢ T, NO w A tt-rP—• r / GE2r/Fy Tf/.4T 7�V=- l ,v�.vt�9Tia✓ Si/ovdv yE,�Eav G�i►/PLY�S W/Ty TyE.S/l>E�,/.i�/E B•dXT�.2 F�VYE /.tiC AA1-9.4Er.,9AGe ,2EQV/�E�IENTS d� Th'� - ! ,2�6isr�.ecD ✓o;,SU,eriEqu4S. ToW%l of 13A.ou S754ZU,E Qm,�7 /S L ocaTE.v W/T.y/�S/ T.�.E �L�oPG.4/mot/. J gSIC-:S 4 : ,'yiTi�►�/ OL R !� t,.a v /.s �oT a/,lsEo oiv.aiv/rY.S1,2 S/7'pl�f/N h�E.e�4N.5.4/oU�-�iS/�T l�E USEp To ES?A 671-/.S.y LaT L/NES a `iTow TOWNi0F BARNSTABLE Permit No. 28291 `Building Inspector Call, • `'wo ---- ` a OCCUPANCY PERMIT Bond � _____ �,� ` i Issued to James K. Smith � �Address E� 4 Lot 3, .0 Halyard Way,' Centerville Y Wiring Inspector � �� �� Inspection date fsO Plumbing Inspe toi= �', Inspection date f G Gas Inspector ` �� ;� Inspection date A Engineering Department - � t•'t ,r:'il% r �+ Inspection date Board of Health Inspection date THIS PERMIT WIL 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. Buildingb Inspector eWPy �•. TOWN OF BARNSTABLE BUILDING DEPARTMENT Z 'NAM : TOWN OFFICE BUILDING -ru HYANNIS, MASS. 02601 �o cur r. MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #..............2 1.:..:2.„5? ................ .......... .............»...._...... ».. ..». issued .to {,,.1`fit S,...:...»'�-�....I!V f...''........ ............................................... Please release the performance bond. op THE roy, Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fees au 9� MAW Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X,PRESF Office: 508-862-4038 Fax: 508-790-6230 �. 2004 EXPRESS PERNIIT APPLICATION - RESIIDENIUL� NLY.. Not Valid without Red%Press Imprint 1 V 11 u r �Sf�trtt : Map/parcel Number 19 y �� Property Address © 6L,(d• CL ' arxkv !7 0�?&3 QjRaiaeutial Value of Work 5 D Owner Name&Address _ I'rz:n i�t�i;,�,�vSk ti .3c) � ,�a d L05-4 J1e ATE Q2_&3.1 Contractor's Name 1 1 r► g .C e Telephone Number d Home Improvement Contractor License#(if applicable) 1 C-G 75 7 Construction Supervisor's License#(if applicable) LS C_X_ Q(0 43 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner E�, ave Worker's Compensation Insurance Insurance Company Name T4&A 0-ctA19-k— Workmen's Comp.Policy# ?Obw �F V 36 i 266 y Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side $�-er-placement Windows. U-Value t 3,! (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prop must sign Property Owner Letter of Permission. provement Contractors License is required. Signature Q:Porms:upmtrg _Re-viee.(1M1003 :% n; ,,v. �, �k'ti�.a .'4'uc+am 4�tk�.,�.� ,� .wx '& 'f aY ..., �.- " ta ��tt,. .1 re"^.a` I au onze Spi nkie°Home41fi0tovement to�act on,mym eha �n ati natters=relative a tine �r work to be performed on this job (i.e. permits, applications etc.) if necessary. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Owne ignature Contractor S nature C-1• ZJ -0y Date Date f rn„ 'vr.... ���n 'r/�4i7nLrn.IYIZfrX!4L�/,iG. r, l✓ cr.<uacfir.�6eis r �► 6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR .+ Number: CS 006643 Birthdate. 1:0/08/1955 Expires:,1.0/08/2005 Tr.no: 5711 Restricted::'00 BRAD K SPRINKLE 190 LOTHROPS LANEo k . F W BARNSTABLE, MA 62668 Administrator _ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR ` — Registration; 103757 Expiration: 7/9/2006 Type: Private Corporation SPRINKLE HOME!,IMPROVEMENT;,INC. Brad Sprinkle 199 Barnstable Rd. Hyannis,MA 02601 Administrator 00-35,000 cf enclosed space (MGL C.112 S.60L) 1A-Masonry only 1 G-I&2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. { 1 DIG SAFE CALL CENTER: (888)344-7233 1 { License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02109 Not valid without signet re