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Home My WebLink About0377 HUCKINS NECK ROAD 0 rf, 44 kiz, yaq D -r,� (� I SIV W.W. V Ir ."A.A. Of"I 15"I"I'V I VI EIV ewl': ltW W rg� W, AR Mv �!ff"t 'A 4 k 01 IS; INI Rt, k ImIl lit" 'T 4M�- 'g-g-A" -Pg t INN, 1��Xl� q) T-4 AIR Vv t,' A-- '17 0- m'i�t'voAg'*-®r ON 01 PIM M11 I i hN MA, k p,-,A,,-fi;tit'A;'p4'i NIX ?iN'Ig"I ...... "Ail I'MA 1� I VIM", f -W -A$ rM All V 11 AIN MI'all—, gui- M . "A K. Ov -%30 p,,tj ".g"g 0 'g, jqgm,-�, fg, rRI,M�111, al— NO Y t Ij ll;�1,',f'M lk,.-,4507,MK�,Auf�mwg V NOR .54 "Na I N��ia a T al Kf RIS k 301 N Ip r"tq o�tj�* "F -4:t'X'g 4,WT r Town of Barnstable * ermit',w Expires 6 months from issue date Regulatory Services FeeA BAB.NSTABLE v� MASS. `� Thomas F.Geiler,Director`'elFO NIAr A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY u Not Valid without Red X-Press Imprint Map/parcel Number Property Address_�377V .�� : ro✓Pf!✓ {`� t �� ,`ll N .'l�� 64 'S z ❑Residential Value of Work Minimum fee-of$35.00 for work under$6000.00: Owner's Name.&Address F (2f�lL�i �ke i 3-2 fVee b Contractor's Name L I �� 4+,',It Telephone Number Home Improvement Contractor License#(if applicable) L�3 OS Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X—PRESS P E IT Check one: ❑ I am a sole proprietor 0( T I 2. ?O'C'. ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTAL Insurance Company Name Lr/f�j4 Workman's Comp. Policy# (�G ZLft 4,/ Copy of Insurance Compliance Certificate must accompany each permit.. Permit Request(check box) [A Re-roof(hurricane nailed)(stripping old shingles) All constriction debris-will betaken to �4✓/yW�Z ❑.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. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Con'struction Supervisors License is relgired: SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doo Revised 672110 ACO,?D ,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DOYYYY( 03/09/2010 PRODUCER THIS CERTIFICATE IS -ISSUED AS A MATTER OF INFORMATION Schlegel S Schlegel Insurance 'Brokers Inc ONLY. AND CONFERS NO RIGHTS UPON . THE CERTIFICATE 34 MAIN STREET HOLDER. THIS -'CERTIFICATE �OES .NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Yarmouth, MA 02673 INSURERS AFFORDING COVERAGE- NAIC# -- INSURED - � - � "� ; : -- e LNSURERA COLONY TNSURANCE. Timothy Keating Dba Beating Construction --- ---- - ---- i INSURER 8 CNA - 54 Lower Brook Rd -- - INSURER C. • r. INSURER D - South Yarmouth, MA 02664 INSURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE,INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLI&EFFECTIVE `POLICY E%PIRA 710N _ ' LTR INSRDT TYPE OF INSURANCE POLICY NUMBER DATE(MM:DDlYY) DATE(MWOD/YY) LIMITS A GENERAL LIABILITY GL3594908 03/'10/2010 03%10./2011 EACH OCCURRENCE 5,1,000,000 X COMMERCIAL GENERAL LIABILITY d DAMAGE TO RENTED PREMISES IEa occurence) S 100,000 CLAIMS MADE X-.OCCUR _. MED EXP IAny one person) s 5,000 -_..... PERSONAL 3 ACV INJURY S 1,000,000 GENERAL AGGREGATE. $2,000,O00 GEN'LAGGREGATE LIMIT APPLIES PER. - - - PRO- - PRODUCTS-CGMP!OP AGG S 2.,000,000 POLICY JEST :LOC .. AUTOMOBILE LIABILITY - • _ . r - - COMBINED SINGLE LIMIT ANY AUTO - _ - ;Ea accident) S ALL OWNED AUTOS_ BODILY INJURY - S SCHEDULED AUTOS - _ _ (Per person) - - i - HIRED AUTOS - - - . - _ BODILY INJURY -- S NON OWNED AUTOS (Per accidents - - PRO PERTY (Per accident) - }S _ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT,. - S ANY.AUTO . - - - -OTHER THAN EA.ACC S - AUTO ONLY ." AGG S EXCESS/UMBRELLA LIABILITY '- ( • EACH OCCURRENCE .00CUR CLAIMS MADE- AGGREGATE _.`S DEDUCTIBLE S P.E 1'ENTIi;N S 3 I WORKERS COMPENSATION AND 0224N37-2-10 03/09/2010 03./09/,1011 �{ - H-I - EMPLOYERS'LIABILITY - TORV LIM7T5 £R ANY PROPRIETOR/PARTNERIEXECUTIVE E L. ACH ACCIDENT +S 100,000 OFFICERIMEMBER EXCLUDED' - - - - It yes,descnDe Under YES ,d E L.DISEASE EA EMPLOYEE S 100,000 000 i SPECIAL PROVISIONS Delow _ OTHER u - _) E L DISEASE-POLICY LIMIT - 5 500,000- ESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES/EXCLUSIONS ADDEDBYENDORSEMENT!SPECIAL PROVISIONS ` IMOTHY KEATING HAS ELECTED NOT TO BE COVERED ON HIS WORKERS COMPENSATION °RTIFICA I t HOLDER CANCELLATION TN ANY OF THE ABOVE DESCRIBED. POLICIES BE CANCELLED BEFORE..THE`EXPIRATION . HEREOF, THE ISSUING INSURER WILL ENDEAVOR 'TO MAIL 21 - - . DAYS.: WRITTEN TO THE„CERTIFICATE HOLDER NAMED TO THE LEFT,:BUT FAILURE TO �DO SO,bHALC NO OBLIGATION OR' LIABILITY OF ANY KI ND` UPON THE-INSURER. ITS AGENTS OR - REPRESENTATIVES. AUTHORIZED REPRES TATIVE ORD 25(2001,1081 „,y _ ---�.._-._ ._------ -. . ---- -Office of Consumer .Affairs&Bf ines�s R g�ti License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,A43053 Type: Office of Consumer Affairs and Business Expiration fi% r. ,. s Regulation 4-1L2012 g DBA` t 10 Park Plaza-Suite 5170 K I N G CONST:1 ' Boston,MA 02116 TIMOTHY KEATING� 54 LOWER BROOK RDMs SO:YARMOUTH, Undersecretary 4. Not valid without signature r�1 t��tchu�cYt�- of Board DUPartnuoi of P B unl:i ui•Idin,;Rt S tteh CAnstruction ut ttton;� ` - u, S.uperytsor S 1O Restr cicense C3 5L 99351 peClalty LicensC ted to: RF TIMOTHY KEATING ' ` 54 LOWER B •` � , ROOK ROAD SOUTH YgRMOUTH, MA 02664 s t'nui�i.�i'ner Expiration: 5/111- • � 2012 •. Tr{f 99351 y” f OF TFIE ` IMMMOM • 3 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 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I GAWX 9'--111?/Vf-1/91<-1 , as Owner of the subject property , hereby authorize T//y to act on my behalf, in all matters relative to work authorized by this building permit application for: /V (Address of Job) ignature of Owner Date �4- fA, I'9 Print Name . If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPKESS.doc Revised 072110 � y,; 3 � L' ,..,. :.T ./fZe•r�3� - 3 J � ki - �[;. T, I r _ '. �.. -. _ .—.-. W v • { 1 ."v'� .' ..� .. , ; .... � 1 r 1 I Y �' { t.r .� , � � I r � � r e Sri .•3 i. ,. , � i ,} 3�� e ! r 1�, I ' r f •'rs.. - t � � 1 �� , r 4. �` The Coninionw Ws of Massachusetts Department of Industrial Accidents Office of Investigations:. 600 Washington Street Boston,MA 02111 wnnv.mass gov/dia Workers'Compensation Insurance,Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �,� Please Print Le�biy Name gk4nes torganizationtlndividual):" / / 0 A24.W4 S Address: SL/ Lokle,-J d✓ IP� City/State/Zip: Sfl- j L M14 d? Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1_[2 I am a employer with /_ 1 4. Q I am a general contractor and I . employees(full and/or part-time). s have hired the_sub-contasctors 6_ New constnhction. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [IRemodeling shipand have no employees Tbe�sub-contractors have �P�3` 8. ❑Demolition . working forme in any capacity., employees and have workers' [No workers'comp_+nG=*a++ce comp.insurance.! 9. Q Building addition. required.) 5. We.are a corporation and its 10.n Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I 1-Q Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.E)Roof repairs insurance required.]T c. 152,§1(4),and we have no employees.[No workers' 13.M Other comp.insurance required.] *Any applicant that checks boa#1 tmmst also fill out the section below showing then workers'compensation policy information. Homeowners who submit this affidAit,indicating they are doing all weak and then hire outside contractors mast submit a new affidavit indicating such: ICoutractors that check this boat mast attached=additional sheet showing the nme of the sab-contractors and state whether or not those entities base employees. If the sub-contractors line employees,they must provide&-workers'comp.policy number. I awn an employer that is providing workers'conrpernsalion insurance for nny entpiny ees. Belatw is the parley and job.site information. Insurance.Company Name: CA/4 Policy#or Self-ins.Lic.#: d Z Z q ly-?7--2 Expiration Date: T&/o Job Site Address: -3 J 7 ILA-,l+r 44,,4,0 : City/State/Tap: C tOi eq d'?1 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-imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded:to the Office of Investigations of the DIA for insurance coverage verification. I do hereby Bert.fy und e.r thepains and penalties of perjury that Hie information prow ded above is true and correct Si mature. Date: v Phone Official else only:`Do not unite in this area,to be completed by,city or town official, . City or Too'n: Permit/Liceuse# ' Issuing Authority(circle one):: 1 Board of Health.Z.Building Department 3.CitS-;Tpwn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 .� ) Map Parcel Permit# 2— House# 37 7 SS Date It-u Board of Health(3rd floor)(8:15 -9:30/1:00- ) Fee 11VS IV yr 0 Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) _Lrh�, bmti �� Planning Dept.(1st floor/School Admin. Bldg.) �� Definitive Plan Appr wed-1 y-Planning Board ! 19a° :� BARNSTARLE. •�.� TOWN OF�BARNSTABLE Building Permit Application Project Street A ress C trUS 1-2 Cam` Q Tt Village Owner- c,tl,�y�Q.s / nbA!/ffl f'�4a-/uhA1Y1 Address S�4-iris Telephone 3 f!i QL1 Permit Request ( co1j srl-ucT- 4 ✓ ab-t ihdtu First Floor ( square feet Second Floor UA square feet Construction Type C � Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ®--' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full p<rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New / Half: Existing New No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name lRataA1.n Eye &e gu Telephone Number sa19 44 9- 9644 Address l R 7-1 yn h�j1- LEI u- License# 0 9.3 f11& S grow ,(,1,1 Ct 5 .,JM e2y,�4S Home Improvement Contractor# Worker's Compensation# W G T NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO $ SIGNATUR - :G&_ DATE t_,444 1 16 BUILDING PE FO HE FOLLOWING REASON(S) I J 4 - - FOR OFFICIAL USE ONLY _ PERMIT NO, DATE ISSUED MAP/PARCEL_ NO. ADDRESS3VILLAGE OWNER DATE OF'INSPECTION: FOUNDATION FRAME ' . ''2c INSULATION 3 FIREPLACE L M ELECTRICAL: ROUGH '''-r. FINAL-.-- PLUMBING: h -• _ ROUGH • FINAL, - GAS: t :ROUGH FINAL- FINAL BUILDING. - DATE CLOSED OUT ' = ASSOCIATIO_N-PLAN NO. l _ r THE 1, The:Town .of Barnstable 9� 16 �' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230, Building Commissioner For office use only , 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: f d Est. Cost Address of Work: V/ Owner's Name Date of Permit Application: '7`—/ 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 hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR cz Date 0 ' ame S =-- `�x__ The Commonwealth of Massachusetts r-=_=`-; I .=5.. : F : = Department of Industrial Accidents (�' = ° Office oflnyesffoaflons 600 Washington Street � �� Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: I 'C KI-41/1) '- Le 64,4 I location: � -1 1�c k-- I sts Ue C i- city �-.e hJ f--,'.1,U i l LC ,,tu' phone# 4— O J-6 499 ❑ I am a homeowner performing all work myself. ❑ I am a sole pro netor and have no one workin in anv capacity [dram an emplo/yeerr ptroviding workers' `compensation for my employees working on this job comaanv name. t. M L t 1 VNIO Q �l,' . C- address:`: I F > `� �l� ei $ 6lj j. � honel. #. insurance co. olicv#-..'.-.-..-.�1.I 16?.�:F`.--I��Y..I.. . II.' %/ ❑ I am a sole proprietor general contractor, r homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: .. comaanv name: address:, .... riW. phone#: insurance ca oliev# .; ..;:: _ ...; ////.G/%///%%%//. .. - ::: .. .. .: camnarrv:name. :: address.< _, city- shone# insurance co: . ;: : olicv# / Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine 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 hereb i u a pains enalties of perjury that the information provided above is truo and/co�`rrect Signatur Date L /t/ — 9 _ _ / 7 Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectinen's Office ❑health Department contact person: phone#; ❑Other - ::. ., (revised 9/95 PJA) d 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 pernWlicense number which will be used as a reference number. The affidavits may be wturfi d io 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 Office of Imlesdoatlons n.r 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 J 4 4 I V? ,k ti r I -= ' ef t JAI, 1 � I ! P' ;c ' 1 I d LLI; le- 1 J ui ! _ cc i I II ,�{f•, Z U. 10 !L o� - --- - J LL ul Cl ib s_ ,r : _ s, VT_ I f , t, UA LU s { _ _.. I %I t t� W } l r 730m/R App mdkJ Taba.l=b(tandound) peua ptire PaeiraW for 06 and TwaFamiy Ruidmdal Buildings Seated with Fond Fuala MAXIMUM MINIMUM wall Floor Bay EfiEM = lHiownw Coolinl ) U�ucz R value' R valuo' &Valu2 wall. ' mR-vaiue' 3"1 to 6300 Heating Degree Days' Q 121% 0.40 31 13 1 19 10 6 Normal R 12% 0M 30 19 1 19 10 6 Normal s 12-A 0.50 31 13 1 19 10 6 1S AFUE T 13% 0.36 31 13 2S wA WA Normal U VA 0.46 31 19 19 10 6 Normal V 15% 0.44 31 13 25 WA WA 1S AFUE q► 15% W2 30 19 19 10 6 is AFUE X 1114. 0.32 31 13 23 WA wA Normal Y 18% 0.42 31 19 25 WA WA Normal Z 12% 0.42 31 13 19 10 6 90 AFUE AA IMe 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: a' 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t9110303a sessoCs Office 1st floor)- Ma 3 3 Lot Permit# 23,7 Conservation Office Oth floor) j_'b1-'7 j/3/�JS' ®�� Date Issued 95-2¢S Board of Health Ord floor Engineering Dept. (Ord floor) House# 32� Planning Dept. 1st floor/School Admin. Bldg.): A �' ®' &g' � � Definitive Plan A roved b PlanningBoard 19� TMo `� ® t� (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) TOWN O STABLE Building Permit Application Proiect Street Address 37r7 NveK INS AJgei< 4d4-4 La>.,j �,,r 13 4 r! iZ Village C�,�r,^�2vsa_s f_ Fire District e OM rTj Owner CMve-C6S -' Oo�v"4 Q94,jHl n Address 3917 /fye.K INS NSe_4 god CgAgWW yE Telephone S'62- 5S96 Permit Request: �inAoo6� �DWf1Li.Jfs t'�J LTV Sycry7{ w�oJ(r o� lfautE (�l Ado Z-CA2 4-r r cK54 GAAAGf Zoning District oe 41 Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Eaistine Information Dwelling Type: Single Family x Two family Multi-family Age of structure 2S y'-s Basement tune Pvva.w Historic House Finished Old Kings Highway Unfinished Number of Baths No.of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel Cat icHA Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name C1wN Telephone number Address License# Home Improvement Contractor# Worker's Compensation # i ,• NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost f�> de 6/ Fee i� 6 SIGNATURE 1.. ►c� DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 9s 7 p BPERM T 8� 4/13/9 5 — FOR OFFICE USE ONLY 233.044 - 377 Huckins Neck Road - Centerville ADDRESS VILLAGE OWNER Charles & Donna Farnham DATE OF INSPECTION: , FOUNDATION C ICt NE t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL R _ , FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. C.B. FND. • 0� js000• E LOT 12 ,00, 5 � - �62 LOT 13 30 Og0 �o� ,►�o,o_ LOT 14 yy PATIO s' 4 i a 3 i BEARS S r ,��ly, 4p POND. OWNERS.- ALAN D. WEINER, TRUSTEE OF THE J E.L. NOMINEE "RD1" MORTGAGE INSP RES. ZONE' This ECTION plan is For FLOO `"rseA D ZONEC TO REGISTRY .OWNER 'BOYFL DEED REF: ._' 3,�. BUYER. �HABLE DATE: - . .1QI21194 — — -PLAN -REF: 3AR.Z 1 _SCALE I HEREBY CERTIFY .To -------_ -------------THAT THE BUILDING }' t1� �f , }i4 -0 �YANKEEURVEY SHOWN,_ON.THIS PLAN IS LOCATED ON THE GROUND,4AS + CONSULTANTS sSHOWN"AND-THAT*ITS_ POSITION DOES TO .THE ZONING LAW..SETBACK REQUIREMENTS OF 'THE M6R Eyy y :>40B INDUSTRY ROAD TOWN _=, --=AND ;THAT_MQwNoum- :r , .< . a MARSTONS MILLS MA r02648 IT�`DgES_ IVOT -LIEWITHIN THE —SPECIAL FLOOD HAZARD F J ' �fCisTF��° x TEL�428� 0055# ° AREA AS SHOWN ON THE H.U.D. MAP DATE D / „�.�.�'=Y ,,. �y =� x` � 1250001 0005 -C °N I IANO' FFAX0THIS PLAN 420 555$ SURVEY N TO OCHE USEDFORF'EN ESETC. .�w ;15B34i �F'4BJSe' fmmsemtcd Conth ms Rklge Vent pLrh 5.4 2 X 8 Roof Flatters O 1 X 8 Color Tim & F6ME!rs � m 2 X 8 Cakm Jost 5 9" GP-LAM Beans 2X4Stud WE �r 4" Commte Floor 10" Corvete footi-ga Two-Car Garage section 377 H uckins Neck Road Centevvitte, Massachusetts Farnham Residence 1 .0 3/26/95 ° Creative Design 8c \ o � Construction 1 /8" = 1• �� R. B inpl inghoff ae.a frnmpfpn.tcd a N e d w I � tl lV 2J.e Existing - - -- - - - - - - - - - - - --- - - - - - - - - - - - - - - -- - - - Addition P1 of P1 am r.0 u r.w d e 377 Huckins Neck Road N Centerville, MA zee avwir+gl Farnham Residence mt. 2.0 .3/26/0S f`l�q'S �� Creative design 8c Cos c ntrution ' —BY R. B isPl irlghoff frnmflpn.tmd CN235 Storage/Workshop 51 X 13, - 0 7 X 10' 12 X 25 �a, ui Ca. N 3' kneewatl 28.0 F1 oor P1 ans 377 Huckiris Neck Road Centerville, MA Farnham Residence 2.0 .3/26/95 ° Creative Design Sc Construction 1 /S" = I ° �� R. BisplingFioff fmnSEltrd pitd, 5A Cl n L 28.O S ide Elevation Two—Car Garage 377 Huckins Neck Road CenteruitEe, Massachusetts �Yowing Farnham Residence 2.0 3/26/J5 Creative Design 8c o Construction �b.1 /8" = 1, 1 D--Or R. B ispl inghoff 431%TIMBER LANE MARBTONG M4668-MA 02040 �-. . Ta�:al��+o+Ia:uioai saa•aaaz - - �._ FAX DIRECT ACCESS LINE: 508-428 �n7- FAX 'COVER SHEET DATE A P 90 l / FA 1 -no 4 z30) TO COMPANY s T D w/J• ,9 A]jl' T .� FROM I .�_�. NUMBER OF PAGES INCLUDING COVER SHEETS MESSAGESE 'E� ��+)/.. (. /�/�.P�• % �A,�N�IRl�/ 3 7 UG K tj y1L� zt IG r`c h~b,�=9.I' �i�i8:�b80� 0S:8c" SE,ET/ic jv TOWN OF BARNSTABLE BUILDING DEPARTMENT --------------------------HOMEOWNER-LICENSE EXEMPTION y z r-� ti tz, Please print. :. . DATE JOB LOCATION 3 gg IIvGc.�s N�G,e A-*o Number Street address Section of. town- "HOMEOWNER" _- Name Home phone - - - Work phone PRESENT MAILING ADDRESS s T 4—F_ AS ova 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re side, on which there is, or is intended to be, a one to six ,family dwelling, ff: 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 resnonsihle for all such uuiidin ermit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to complywith State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home .Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware_ .that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results 'in 'serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The_ Home "Owner-actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home-'Owner certify that he/she understands the responsibilities of a supervisor..S-On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification. for use in your,;: community.. a�� 11/02'94 17: 02 Z'6177277122 DEPT IND ACCID li3]001 r -Jr, l�Oli2lYLOl2.[UP[z>!L�I. Of �aPartme,tE o�J'ndu�Erial.�lcctden� 600 W uknyton Slmf t James J.Campbell &ton, //lance. Ib 02f f f Commissioner Workers'-Coiiipensation Insurance Affidavit, 1, (aoeas«�Qaeniatee) with a principal place of business at: (eurisr=rerzly) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Polity Number O I am a sole proprietor and have no one working for me in any capacity. 1 am a sole proprietor, general contraaor o homeowner (circle one) and have hired the contractors listed below who have the foilowm rs' compensation policies: :Sot, 4-t4 6,r-,kA,e Sw,��, 4,&,t, ,-) W0312101020/$ Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. t:na!iuma; ;cc;,y of&.is s-atement will be fo.v:arded to tix Office cf Invesdgzrions of the D1A for coverage verification and that failure to secure cc';e-age as rec°i,ed under Section 25A of MGL 152 un lead to tte imposition of criminal penalties consist riz of a fine of up to S 1,500.00 and/or en= years' imprLc'^Ent;a well as civil penalties in the forrs:of 3 STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this �7 _day of �4lZCl� , t9 q�J Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 !� TOWN OF FARNSTABLE BUILDING PERMIT _rah i �I l/ ,i' err • ! � � ` .a � � t a � 11 Ajs fNErO�♦ TOWN OF BARNSTABLE BASB9TADLS, i 2 9 0 �•� BUILDING INSPECTOR � ' w APPLICATION FOR PERMIT TO G `'��- ,.. ... ..... ......... .............:......... ............................................... ............... ... .. ... . .... TYPE OF CONSTRUCTION ..�.��l. .��Y.- - �� „ ,•,%•, ` TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 3 77 ,< Location � .. ..... .r................................. , .. .......................................... Proposed Use 4 ..C�.. .......�� .... - ?� �-eo��........ . /�? t!C�! d ., .. ZoningDistrict ., u tq. ..." �✓�..........r................................Fire District .... .. ........................................ ........................ Name of Owner .. ...�.. . '''Y/�i_✓L ................Address . . / - y' ��...,(.�J ; <,,,.. -........ Nameof Builder ....... . ........ ..................Address ........ ............................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........ . -�.....................................................Foundation ..��...�.............................��z� .................... Exterior ....... - . ...... ...Roofing ......� . ........... ........................................... Floors ......................................................................................Interior ..... .... ..................... Heating ..................................................................................Plumbing ........ ............................................... Fireplace .................................................................................Approximate Cost ...,. .......... ..................................... Definitive Plan Approved by Planning Board -----------_______-----------19 _. 14?, r*�h Diagram of Lot and Building with Dimensions l �= SUBJECT TO APPROVAL OF BOARD OF HEALTH A CY+CFX�I3 IPB i'ERLFC 11dS7�A"ER ►AND ALL SYSTEM jr oBTA, SEW A, } ED 'A� E PROpOS AVD Doi .r�R 4U THop OF NAOE fs HI -'q�Y� St WAGE INS FOR DISPOS ToWIv �' PQAR,D®F BARAIL- HEAD. H 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. me ..... .f.... ....... .I. ....j. .... ....... ....... ' I^y`izne° J. J. � �eo�x��l to No '�:��—. Permit for --_—..—.—.��. I st floor ' --''--'^^^~'-^'—~^-----^^--^—^^--'—'- / l�xc��o 0e�� I�,�� Location —.—.-_—.-_.—.-_—.--_----'—'-'- Centerville � —_.-------.—.....................--------- J. � Owner .----.—�—'�..��!�—..---.—.—... .�.�. Type of Construction ..........��.----.—._ —'''—'—'—'—'-----'~^--'`—'-^—'—'----^ Plot ............................ Lot ................................. � ' , June 72 | Permit Granted ---.-------.-.—lA Date of InspectionlR Date / Completed It'.6 � PERMIT REFUSED ' _^ .----._---.--.---.--.—..--.—.. 19 ` . . '---'—~-----''—''—'—^~^^~^--''—'-^--' | __—..-'—_--_--'--.----_—.------' ' � � ---'---------'--'-----'—'------'- -----.—.--.-----.-.--'--.---_..-----.- ` - Approved ................................................. lA ^ ' --^--^--'----'—'--'—^'—'-^^--^—`-' - ` -----------'--^^^-----^^'`^—'^'~' U � � � V FND. l �5 LOT 1,2 LOT 13 3p lots .p0 a- `�. -o: - °_-`�o. 0 LOT 14 PATlO i BE ARSE S POND 0 tI'NL'RS• ALAN D frF,'1NF,R, TRUSTFF OF THEE J. E L. N0AfIN ,E TRUST ZONE "RDI " This MORTGAGE INSPECTION Plan is For F TLOOD ZONE C„ TOWN: _'L _ REGISTRY OWNER: ' _d�UV DEED REF: �31� ,, — —DATE: �2 4 — B U YE R: -CY1ARLE'S�• _l1.O V&L F�Nt,�9,f PLAN REF: J3 7A_ ? 4 1� _ SCALE: 1"= 60 __FT- HEREBY CERTIFY TO Lv-Q, 1Y AYE,8LCA1__X0T,� --- ____THAT THE BUILDING �•Atk Of y�,�jj{EE SURVEY 'MOWN ON - THIS PLAN IS LOCATED ON THE GROUND AS I IO WN AND THAT ITS POSITION DOES __-- CONFORM PAUL. yG C O NS U LTAN I'S '0 THE ZONING LAW SETBACI< REQUIREMENTS OF THE • A. 40B INDUSTRY ROAD 'OWN OF A N�'_TA,B.E'_--�_______ -AND THAT U NoRtT320g8y oQ MARSTONS MILLS, MA. 02648 T DOES_ 1VOT__ LIE WITHIN THE SPECIAL FLOOD HAZARD '-g, £ E TEL: 4 IZEA AS SHOWN ON THE H. U. D. MAP DATED 8/_m/_6�_ ss�o �ISTOk SvQ 2f3- 5553 -o l - ,250001 0005 C Nq( LANo FAX 420-5553 ________ THIS PLAN NOT MADE FROM A TRUMENT I�41��fivwlm � - SURVEY NO 158 4 T TO BE USED FOR FENCES ETC. 3 BJS oOo 10-9S,\"9^ •o VSj ,S/- p'^r ¥ ^•ff\p'^ p*^ <0\p'^/05N'''A w c> (i ,o\^ 40 /f ..o/^9§ % 0' I ^ -i... \fr r.- fe .8/,I.?-/'Core c/.7S 5hv7 T- !«•« 1^ SJttlS TOWN OF BARNSTABLE BABISTABIi BUItQING INSPECTOR , TYPE OF CONSTRUCTION _D.dr...<;..;.....^..f^19..^../ APPLICATION FOR PERMIT TO TO THE INSPECTOR OF BUILDINGS: THe^underslgned hereby"op^les^fofla 'perrriit according to the following information: Location ^jA...^.J.h.jC.a..»..<Q...e.<rk.rl:re.r.y..'.JJ.S... Proposed Use Zoning District Fire District Nome of Owner Nome of Builder Nome of AddresA7./£^hr..ylf.ys/^.Mz/yJ^^^ ^^..^..P<y</.SI!jt.:f.rri.^...X.Ht....AddrestZ9-^./fr:1t-S-r.:rf. ArcNtect4.il:SL.i!:f.^....^..<i,A..f:/.ir.Address Number of Rooms Foundation ..C..*.fd.£..t:.. Exterior Roofing ..jlsJfA±Lh. Floors Interior Heating ./?..(./Plumbing Fireplace Approximate Cost ...jZ.A^JhH>. Difinitlve Plan Approved by Planning Board 19 cX-^^ Diagram of Lot and Building with Dimensions ^^s:l hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Helitzer,Marcus Mo Permit for 9??®. •t s^£le..fa^ly..dvell^g_ Locotlon Centerville Owner Type of Construction Plot Lot ...^.^3. Permit Granted 30 19 64 Date of Inspection 19 Date Completed 19 PERMIT REFUSED 19 Approved 19