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HomeMy WebLinkAbout0183 HUCKINS NECK ROAD l �� �c�c�C;hs �N��ck�al _ . , . _. F 4 t _ ,, n s o ., ,. A .. _ � � .. IKE Town of Barnstable ' *Permit#� g ro ' Expires 6 mont s from issue date Regulatory Services Fee sntuvsT,�ai.E. * - '""9'039. Thomas F.Geiler,Director µ Biuildin Division OIG 6 LS 2 Re g Tom Perry,CBO, Building Commissioner 200 Main Street,•Hyannis,MA 02601; www.town.barnstable.iha.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION RESIDENTIAL.ONLY Not Valid without Red X--Press Imprint Map/parcel Number 2s ozo L-wr 71 Property Address l aVALkO �� (Residential Value of Work I Minimum fee of$35.0016i..work under$1000.00 Owner's Name&Address Contractor's Name Telephone Number g" .—739 Home Improvement Contractor License#(if applicable p Construction Supervisor's License#(if applicable) 'boo 6 g t['Workman's Compensation Insurance P �11' Click one: I am a sole proprietor SUN 2 2 2�12 ❑ I.am the Homeowner r ❑ I have Worker's Compensation Insurance OF'TOWN Insurance Company Name BARNS Workman's Comp.Policy# 'O ZZ0 6 q©I Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(checlCbox) t j Re-roof hurricane nailed (stripping old shingles),All construction debris will be taken to,( )( . PP g g ) . ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑..Re-side :#of doors Replacement Windows/doors/sliders.,U-Value (maximum.35)#of windows *Where required: Issuance.of this permit does"not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Not Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FO \build' pe it Orms\EXPPESS.doC Revised 051811 y ' The Commonweakh ofMassachusehts Depaphnent of Industrial Accidents LV DKwe of Investigations 600 Washington Street Boston,MA 02111 nms.-,mgov1dia Workers' Compensation Insurance_Affidavit Baders/CantrActarsTlectrk ans/Plumbers. Applicant Information Please Print Legibly Name(BusmmXhganiza do /fi div dual) GK.EC)1zq 1 >01)K GH Addre s City/State/ziP_l�?,ew9TM MA 02131 PhKMC it- So - 8 E�6 VIA Are you an employer?Check the appropriate box: Type of project(required): I.❑ am a employer with. 4. ❑ I am a genend contractor and i . have hired the sub-contrwtots 6. ❑Newconstruction loyees(foil audforrart-time).*. 2_ I am a sole proprietor or paler- listed on the attached sheet: 7- ❑Remodeling These sub-contractors have ship and have no employees. $_ ❑Demolition . working for me in any capacity employees and have workers' [No workers'c insurance,comp.inrance, comp_insurer ml 9. ❑Building addition 5. ❑ We are a corporation and its io.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 11_❑Plumbing repairs oi;auditions myself [No workers'comp- right of exemption per MGL 12;EYioof repairs insurance regauire&]S c.152, §1(4X and we have no employees-[No workers' 13.❑Other comp.insurance required-] G Y P fat che&s box#1 nmst also fill out the section below showing their wa&ew con4m matiou pony infflr�tiau_ 13omeaar�rs calm sub=this afii&mrs indicating they are doing all wak and dm hire outside conuwtm mast submit a new affidavit indicating such . TContractors that rhark this box must attached=additional shm showing the name of the sub-cannacAoas aid state whedw grunt tlwse enititees 1mte employees. If the sub-con=dars kne employees,tt y must pravide t wir workers,comp•polity number. I am an employer that is providing workers'compensation.insurance,for my srr:p&)we& Below is the policy and job site. information. Insurance Company Name: t'I r'1 . '" u V, A L— Policy#or Self-ins.Lic.#: -7o ZZD(619 D 1 2.012, Expuation Date: rob Site Address: i la uS KY--by lao AD City/State/Zip-�E )WE 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 imposition of criminal penalties of a fine up to$1,500.00 and/or one-year unpnsmment,as well as civil penalties in the form of a STOP WORE ORDER and a fine ofup to$250.00 a.day against the violator_ Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veriftcatio- Ida herRby c �umdertheIT'n;sandpirnabiesoy'. icry that the itafotvaatiorr pt avedrd above is.true and correct . Si ' Date: TM91 1z, l� D Phone#_ R. � ��' 4� t�1,f aeial use only. Do not write in this area,to be completed by city or town offiiciat City or Town: PerntdtlLicease g Issuing Authority(idncle.one):: b. 1.Board of Health 2.Building Department 3.Citylrovvn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6:Other: Contact Person: Phone#: 6 s. • sncuvsrnar.�, 9. ,. Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,-CBO Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fak: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 510-L-4kJUI -r. WIELW , as.Owner of the subject property hereby authorize ���� � VA • -D U KNW to act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) Signao of Owner Date uZtqni 0 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPHLESTORMS\building permit forms\EXPRESS.doC Revised 051811 �t Town 'of Barnstable Regulatory Services Thomas F. Geiler,Director 1659. pr .�►`'� 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: J03 LOCATION:, number street village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided.that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be.considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit' (Section The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. i The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner •. 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,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. .To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 :a �y Office�Cons�me +(inessytio GFHOME IMPROVEMENT CONTRACTOR Registration: «111458 Type: Expiration: =132r 2013 Individual OKYMBOOI A!�-I —- =- GREGORY BOOKACH_`. -;.;_, 170 GREENLAND POND-ID- g � BREWSTER,MA.72637` " Undersecretary A 6r Massachusetts-Department of Public Safety Board of Building Regulations and Standards C'on9truction Supen-isor License:CS-000682 GREGORY M*9 f;*CH rr 170 GREENI2 PNID RD BREWSTE OZ631 e r Expiration Commissioner 05108/2014 ; l Assessor's mop and lot number ..�� �.�1 ���r � SEPTIC�� YSTEM �A :+. Jmber k.. s fF�'�" d - co w iNSTgLLEDIN COIVIu :CGS - 'far<i�v�ss�oK °� Sewage Permit ` .......:........... ............a,....... . WITH TITLE N eeN IYI 1� House number ..... . .13.................................................. r 'r0VV E(;U, N 'r 639 009 } #. MAI a\ TOWN' OF BARNSTABLE UUIPINS !..kSPECTO.,R APPLICATION FOR PERMIT TO 't..:�u... ....:.' /./? / �' . meSl�'-C� ..... �!. �Y.............. .... .. TYPE OF CONSTRUCTION ....... . ..Q.1 ,r. .... �� ...:................... 1 r........19dp;,? " TO THE-�INSPECTOR OF BUILDINGS: m 1 The undersigned hereby applies for a permit accordin to the following information: Location .......... ...o�l. ....... w�jLl. ?s.... .. :.,of '.....(.a................... ................................ Proposed Use .......0.n.f�.... .........., eSl....Q,15 ?./.1.. (..:.................................. ...................................... Zoning District ........:................ ..........................................Fire District Name of Owner. .... ......Address ................................... o U:s.W.h.........5 - -�1:.� . ............ ll..!.�1.....4 h f...1 /l.... Name of Builder' ...... /,,5 � ®K pZ Yp� �o �/�/�/-f••. . !_}..-... ..... .:..... .............................Address ................. ....... ............. �. Nameof Architect ..................................................................Address .................................................................................... O Number of Rooms .......... .......X... ....Foundation .....Aa 4� .....CIP.K...e°�e�e Exierior j1.'�...Roofing ...... S..F`«......................../ s ...................... Floors ....... CQ/zgLGvaoq v @-A.......................Interior .....4�./cc 2�o L..0 It ..�1. /..�!'Z........ Heating ....... ......................:.........................Plumbin ......... ,ry Fireplace ..........4/1!1.. ...................................... Approximate Cost :. d..r�J ..................... ............... Definitive Plan Approved by Planning Board ________________________________19________. Area ...................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH C�..IF Op . N • 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 .. ... . .. . .. ... ... . ... ............. F ✓ WELCH, SUSAN !24251- Build One Story No .R.............. Permit for Sinr_ ..in... ............. ......9............ Location ......18. ..H.ggX ns...Nec'k 'Rd,w- r+ <� Centerville �� . � • ...................................................................... T _ (�' ,,., 4 ,r Susan Welch.......... :............ Owner ............................................ h Type of Coristruction ... same......................... f .................................................k .. .......... ...... Plot ............................ Lot ..... t+ �' r! �r� July 30, f 82 Permit Granted iDate of Inspection ................. ...... � � r Date Completed . ... ............19 r -221 X •�,l 1 � /��� /� N ,,,�+'" t, � Lam_, f • � f � �,./ � - � �� �.* 4l 011 fe 1i�; 1�� �•'"` TOWN OF BARNSTABLE Permit No. ______�_ �" '• ` Building Inspector 1 suna Cash __ 5 rua � OCCUPANCY ; PERMIT` Bond "No building nor structure shall be erected, and no land,1 building or structure shall be f used for a new, different, changed., or enlarged use without a Building Permit- therefor first having been obtained from the Building Inspector. No.building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to SUsaTi Ewelch Address k' lot #216 183 Huckins Fled< Roil, Centerville Wiring Inspector i` .fry^ l Inspection date Plumbing Inspector f ��' Inspection date r Gas Ins ctor Inspection date 4 R P,+�%f�o`A',€__,�'ffTf7•C7"f-_ ��.:/Y.sl.°+X � 2.4 a�IC�rfr PQ X Engineering Department - .1./s Inspection date Y — 7 _ 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. 19 --'' Building Inspector Assessor's map and lot numberTHE ...........:........................... 1 Q Sewage Permit number .................... .:..:..... ...--.............mil, (l Z 33AUSTADLE. i Houses number � 9 ""& ......................................................... �p t639 MAI a• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... !./�...... ....... 1 ........?i .. ........ ....... " TYPE OF CONSTRUCTION ........lp11f� / a ?!!!/,, _........................ ........................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit accorddiinng to�the following information: --�--- Location .......... �.!......: � ....... /.fit C' /I?.5..../.i!..P. .� :�.!..................... /` . /., ! ................................. ... . ......... Proposed Use ...... .... .„....../✓..........�„ .... C!..e�rt,/r.q..�............................................................................ ......... ••�- 0 Zoning District ................Fire District C�YtI P� ��1.(,/ /, .5 �'��1�/�e .................... �... ............ Name of_Owner ... \„/;C: 5 .........t...... ............... Address ......... / ; l .........................................�... Name of Builder" � '-�! .r �t�� A ..... �X .......,.....:...... :.............................Address ....................................... ............................. Nameof Architect ..................................................................Address .................................................................................... 0 n Number of Rooms .. X..........................................Foundation t `}N T�.e�?.t°. c ............... ............... .... ..................................... ` a Exierior I' � Roofng / r�S"/ m/a/rse�s y f�:`............................ ...l. . . ...................... Floors ; ........ ...........Interior o . . ..... ............ ................. Heating ....... � !/Z . ..'..:- .................................Plumbi tg ........7;�2 �- .............................................................. Fireplace ..........(2lY?....! ..........................................................Approximate Cost .. .. .v.................:............... Definitive Plan Approved by Planning Board -------------------—-----------19 ---- . Area ,................................... Diagram of Lot and Building with Dimensions Fee J.✓.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH s �r �l 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 ..-�jF!? ?. c.: � •:�! .�. /� ... 24251 One Story ' No --.---. Parn�� for ---.--------` � ..". —.—..����!��l�..X\A��1],y...I�@�] ��___`li� .. � Location ..I�gt...#216-..—..],8.3. . Neok Rd. Centerville ----'----^----''------------'' , Susan Welch Owner —'--------------------'' ` Frame Type of Construction .......................................... —.-------------------.-----. � ` � Plot ............................ Lot ................................ J,�lv 3O , B2 Permit Granted ----.. --------]P / Date of Inspection ------------lV Dote Completed ------------'lQ _ ' ' - \ \ } ' . A wah.��' - � ' � .r. G� Q i •ti 3A Q 2 r\ h R(7Hi .iiD H -Z CEeT/F y TI�AT T/-E .94-14L/A,6 k / Ql 77 - /Cf1TE1J o c t V LEGEND EXISTING SPOT ELEVATIONS OxO EXISTING CONTOUR- - - 0 - - - - FINISHED SPOT ELEVATIONS 0.0 FINISHED CONTOUR .0 APPROVED: BOARD OF HEALTH a DATE AGENT R. J. O W EARN, INC., RL S, RS 1348 ROUTE 134 EAST DENNIS, MASS. DATE d BZ SCALE: �� JOB NO. �s CLIENT:-7 DR. BY : SHE E T -/- OF Z— . .. -L:.. ._. .:1..}:( ,•?1, INVE -p`r`r 'Lk`+ ,f c ..- T a T ., : S0 L E . . . .. ,. .. .. x, . z.:�; .� „ter w w - <: ,, oa o• t ALL`, WORKMANSHIP, A'N!? ..M:ATERIAL 44 DATE ��. -Sniff- TE T . 3; /S 82 . ; t NVERT AT BULL-DtNG4 " L—_— .FT a S � w . ,, L" CONFORM TO ' D.E:Of;E`. TITLE T; INL''ET SEPTIC' TANK HAL r ... _ _. . --- ,_ : v ,. . . �F_ ti "� T T N O F 13A2�tlSZ'AL3 ,,.. . .Y. �... �:,: ., . ...,... �. _: , ..,�, . ,, . , ,, . ,�,4 �-.�,>w.�: _ : ,,. _- .� ,,. � yx.•,.�; �-Y AND k�.H E.. ,O W- RU L E +� . _. T.. s. T..: S .PT1C ANK ;, 9-3 FT„ _ F.' .R..C. h T r R IN./.INCH _ _ _E Ot ON A E. . , , ♦ n•�,, �. ..,_ .: .w _. U'L-ATCONS . :FOR . �`S.U.6:Sl1RFACE ;;:, r INLET DIST,RI8U.T10`N• .;:;.BOX __ FT ... _ ._. . . G ,i _. a ,.. .., ._ . . AT{ON aHOL,E i 08SERVATION HOLE ..2 � : _ �:, r W. q SPOsaL.. of s'AN:ITARY ,OBSERV .. - 9s.4 - ^: , ._, : OUTLETOtSTR'IBt1T10N=-,BOX _ - 98.,3 .. EL:E:VATION _ 99.5. = " :-EL EVATI.ON- , #., - x - INLET L:EACFII;NGW T�2E/>/Cl 98 /8 `FT. r _ TOPS off[.. ' `. Tt� ,oSoi.L BOTTOM ;:'LEA-CH'I:NG:'. r a� 96.0 :FT- F ua sole ; « -3� _ • - 4g � GES1`GN: CALCULATfO'N.S NUMBER OF. "BEDROOMS . e - Cz 64""l sArvn � GARBAGE. .DISPOSAL UN•IT..... . . . TOTAL ESTIMATED FLOW (1L0_•GAL /BR /DAY x,3 BRA -3 GAL /DAY�r , ' 3 0� _ f. REQUIRED •SEPTIC TANK ;CA-PACITY 95" --GAL." µ A S , LLE_ .:ACT SIZE -Of PTO BE SIN SAND., .v LEACHI;NG AREA ;.REQUIRE:MENTS , SIDE- WQLL AREA�GAL /S.'F. i -/3-7 Ems- SB:S: . BOTTOM 'ARE-A. ,...�� - lh/.4rEIZ::.;,@ ./ZD. E4_=S$•3 r- 4 90 GAL , ' '..�Zr!CF . N,G LEACHING CAPACITY ( :BOTT.OM4.SIDEWALL ) RESERVE. 'LE'A:C:HING. CAPACITY ��,• `9 O 'GAL RICHARD 2a ;ter i�%I �C Y oJAMES T.OP OF -- O HEARN H Na 694' FOUND. - Fr. /�/n/ h , - - 4 SCH. 4.0` G�STEP ELEV /a3 i . 40 s CONCRETE.- --, E2F0�:4 TE,D P VC • PIPE Sr.rr , COVERS PVe PIPE !T • . �. 1 Pi TGH , M 'f/8ry PER FT.• _ MAX ! M X. , OF , M CLEAN -. z-A�zE!W? 9OSFN El� �t R �D FLOW LINE- JAM -- v OHEARN 'a 4 = CAST .:£IRON } •;fig; 9S..o � N..seer� �: PIPE- . PITCH:` , MIN -t • , _ O. 1 4. , PER . 'F T. . . : ::. .,,:�. a.. 96 0 �^ SURv _ 'BOX AI ro 3 9 --- ... 1 _ _- •. y. - _ - F - f- O O L MASS GA , .:� - .�°, �� � �,:� #y:` � ��s>.43�,F s� on/ v w . .. E _. _ f n w s:.: ,. a �r .. :,r ,: ♦ r , .,.. ._. .,.' .. ,.� .�-, obi. . , ,. m ... -c r_ � x � R J.�� O��MEARN, I�NC� RS. TANK w a w y .. .. ':... 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