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HomeMy WebLinkAbout0491 HUCKINS NECK ROAD ���9�f� xc��.c �,ns �e��C � �. � . T .. . r . T - r ... .. V ,. � �. - .I ' - 1 °C- IN �q tp� Application number................................................ Fee..................................................... ...................... yRAM , HAM 1'E'�p, Building Inspectors Initials. ................ s639. " APR 30 20119 d DateIssued................ .... . . . dHti1""1A L 1 I Map/Parcel..............................Y. ........................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: t 11 BUC I�N5 PECK RDP'D C:rIVTERyILLE , lyf} OZ,63 Z, NUMBER STREET VILLAGE Owner's Name: 'R I C i-J/4 I,D S►'r N F 0 R I? Phone Number So 2 - 3 d 2 - 2-2 9'y Email Address: Cell Phone Number Project cost$ 171, p p p Check one Residential s/ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding ' ED Windows(no header change)# ED Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to VOL:( MAOS&A CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# N 3 2 0 Z. (attach copy) Construction Supervisor's License#10 (attach copy) Email of Contractor Co rNadw(tirge j, co to Phone number 77 - 2`IO 0 ALL PROPERTIES THAT A VE STRUCT RES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X 3 X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8.00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PPLICANT'S SIGNATURE Signature , Date All permit applications are s ject to a buffifing official's approval prior to issuance. Office of Consumer 1� 'rs and Business Regulation One Astbl on Place - Suite 1301 BOStot , '{ 1 ssachusetts 02108 Home Improve nt_Contractor Registration _. .- . - Type: Individual ARMEN SAFARYAN Re9+s�tiorx 183202 67 SEA ST APT A4 - = Expiration: 0911312019 HYANNIS, MA 02601 i a eon 7 UpdateAddress and return card. once of Co nsrnnerABairs&Business Regulaijon HOME IMPROVEMENT CONTRACTOR R On V21td for individual Use Only TYPE Indnndual the expiration date_ It found return to: _..= Expiration ce of consumer Affairs and SWIMRegutattorr `. .09/13P2019 1 Park Plaza.Suft 5t ARMEN SA1= ' " B n,MA 02116 D1B/A COREYAN j ARMEN SAFARYAt== 67 SEA ST APT`A4`,-- HYANNIS,MA .Q2601== 1 Undersecretary ? Not valid whhout Wgn re Y OFMassach6si e-ts Department of Public.Safety Boardof`Buil ling Regulations and Standards -License r truS ?06102 ueionConscr sor Specialty j ARMEN SAFAR 67 SEA STREET,•kpr A4 HYANAIlS M%1 41 0;1 . Cornnilssi•rier Expiration: 10/02/2020 3 j A��® CERTIFICATE OF LIABILITY INSURANCE DATE9/13/2D)YYYY) 09/13/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ashley Paiva NAME: Eastern Insurance Group PHONE (508)997-6061 FAX (508)990-2731 Alc o E . A/C No): 439 State Rd. E-MAIL s: apaiva@easteminsurance.com ADDRE P.O.BOX 79398 INSURER(S)AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERA: Arbella Protection Insurance 41360 INSURED - INSURER 8: Armen Safaryan INSURER C: DBA:Corey and Corey INSURER D: 67 Sea Street Unit A4 INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 2018-2019 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY E F POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ©OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A 952004644104 09/18/2018 09/18/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 0PRO, LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JEC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ ' AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILR YIN Y STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? N(A 952004644104 09/18/2018 09/18/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Display Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):ARMEN SAFARYAN Address:67 SEA ST APT.A4 City/State/Zip:HYANNIS, MA 02601 Phone#:(508)776 2900 Are on an employer?Check the appropriate box: Type of project(required): 111 am a employer with ( employees(full and/or part-time).* 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8_ Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.01 am a homeowner and will be hiring contractors to conduct all work on my properly. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance orare sole 11.Q Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.�ROOf repairs These suh-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: r Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations Ithe DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperju;j`that the information prov ed bo i e d orrect Si afore: S- a I te: Phone#:(508)776 2900 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CORE ' 1 The Roofers 66 Clean and Remove Debris from work area afterjob is completed. k TOTAL PROJECT IN VESTMENT ------------- $179000.00 POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side Wag or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 60.00 per Hour(For Each Laborer Involved). PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 90 Days of Acceptance and Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. Please M ke Checks Payable to: CO Y & COREY COREY & COREY Warranties the S '' gles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFE; IME if the shingles becomes defective. CER TAINTEED Warranties the Shingles up to a CATEGORY III HURCANE-130 MPH WIND WARRANTY. CERTAINTEED Warranties the Shingles to b Algae Resistant for a Full 10 Years. COREY & COREY carries Workman's Co pensation, d Public Liability Insurance on the above work DATE OF ACCEPTANCE: , ACCEPTED BY: SUBMITTED BY: CHARD SA ARMEN SAFARYAN HOMEOWNER COREY & COREY HIC # 183202 CSSL# 106102 ,.t ` O( � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map } �/ Parcel Application # Health Division Date Issued rrCo Conservation Division Application Fee J� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board V Historic - OKH _ Preservation / Hyannis Project Street Address U ba., ' Vo AJ`e't Village Owner If kc, ���� ads Address Telephone Permit Request it o a /)e,�-o �-c t, �C b, C,8 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuuat o_n --• ; V Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ❑ No Basement Type: 4Full ❑ Crawl ❑Walkout ❑ Other ` Basement Finished Areas ft. Basement Unfinished Area s !ft Number of Baths: Full: existing new Half: existing newer'-� X Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: *Gas ❑ Oil - =❑ Electric ❑ Other Central Air: 4Yes ❑ No Fireplaces: Existing 11 New Existing wood/coal stove: ❑Yes ❑ No Detached garage: xisting ❑ 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 U� o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,mo Name Telephone Number' o '- 5 � b Address � UU Q r&eA ICA License# C S "l `I 1!� 2- d Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE � -v DATE l ={ FOR OFFICIAL USE ONLY 'f c. ,APPLICATION# DATE ISSUED ' MAP/PARCEL NO. - - ADDRESS VILLAGE OWNERr c ' _ r. DATE OF INSPECTION: r FOUNDATION A FRAME INSULATION l)1%))Z i FIREPLACE �4. ELECTRICAL: ROUGH FINAL e PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT >f ASSOCIATION PLAN NO. ri r p The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): vt-tiz) Address:� � (�O r�i✓°�S j City/State/Zip: Ma. (Phone M -2 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.KI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition .working for me in any capacity. employees and have workers' insurance.# 9. ❑Building addition comp. [No workers' comp. insurance + d.re uire 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work officers have exercised their I LEl Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 certify under the pains and pen lties of perjury that the information provided above is true and correct Signafore: al" Date: ( b1b( Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i te Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 y Boston, Massachusetis 02116 Home Improvement Contractor Registration Registration: 136590 -= Type: Individual - 71 $ Expiration: 8/5/2012 Tr#. 210621 TIMOTHY O'HARA TIMOTHY O HARA 37 WORCESTER LN. HYANNIS, MA 02601 = dUpdate Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 is SOM-04104-G101216 Office on mer" a rs 'Ou"in X,n� License or registration valid for individul use only � HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: @Registration: _1.36590 Type: office of Consumer Affairs and Business Regulation }, Expiration. ,$X,5/2o12 Individual 10 Park Plaza-Suite 5170 �_- — Boston,MA 02116 TIM HY O'HARAJ �,- TIMOTHY O'HARi4i ->-_ 37 WORECSTER LPC* HYANNIS,MA 02601 ` Undersecretary valid without signature - 141assachusetis- Del�a1#meat c�1'Public Safefi Board()f Building Regulations and Sta*.1ards Construction Supervisor License License: CS 76694 F TIMOTHY OHARA 37 WORCESTER LN.. HYANNIS MA..0260.1" Expiration: 10/21/2013 ('++nan isri�,nc.r Tr#: 5730 �TME' Town of Barnstable t Regulatory Services r a�ar►sns - s �g Thomas F. Ge>Zer,Director s639. � o, + Building Division Tom Perry,Building Commissioner' 200 Main Street,Hyannis,MA 0260I www:town.barnstable.ma.ns Office: 508-862403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign:This Section If Using A Builde—scot—� r as Owner of the subject property hereby authorize T i 14" to act on my behalf ff in all matters relative-work a�orizzed by this din p t d"d (Address of Job) **Pool fences and alarms are the res onsibili P ty of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final in are performed and accepted. Signature of Owner Signa e Applicant Pant vL(,`� c, Name P11nt Name' v - ZVDat Q:FORMS:OWNERPERMISSIONPOOLS IKE Town of Barnstable Regulatory Services t &MA FMI&MMA . Thomas F.Geiler,Director nAss. , 1619. .�•� 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: JOB LOCATION: number street village "HOMEOWNER": ' name home phone# work phone# CURRENT MAILING ADDRESS: city/town itate 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 hirewho does not possess a lice P nse ro supervisor. ,p yrded that the owner acts as 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'suchuse 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 fo the Building Official, that he/she shall be resuonsible 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 numrrmm inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner w 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 l o9.1.1=Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to ov 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, 1 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:forms:homeexempt i Assessor's office (1st floor): THE Assessor's ma and lot number ...... ' `3 -3 �o o� D f map"and ..."............................... Board of Health (3rd floor): i ` SEPTIC SYSTEM MUST INSTALLED IN CdI PLIA • Sewage Permit'number ....... WITH TITLE 5.. ........../ .......'...��. ... � B-�HHASeTdDLE. i Engineering.Department Ord•floor•): 9 1639• • " • l= House number ................................. ,'-................ ENVIRONMENTAL CODE �m o 0 YPY At- APPLICATIONS PROCESSED 8:30.9:30 A.M. and 1:00-2:00 P.M. only: TOWN PEGULATIOW) kPPR0VED gf e• le Conservation, i W N. OF ,BA RN S TA B L E ILDING INSPECTOR geed Cato APPLICATION FOR PERMIT TO . : .r�.�i?/.:,�..d.�< .,G.. ..1 ...................................................................... TYPE OF CONSTRUCTION .. .1: ''.lo. .Z:.... y`1.... .1... .. '....................................... a t � ............ ..... .---..19;. .. TO THE. INSPECTOR OF BUILDINGS: The und= hereby a /f r a permit according to the following information .. V G i1i 3' �- Location .... . � �/ :�.��.C:.�.....�� .L��...`.4r�..�f....�.�.L..... .. / L ProposedUse ..�./.!Inl..../`.'�............ .i.....X.......! ..0 'Z..` ..........................................................................:....... . Zoning District ........r. ' Fire District .CC.`.... �7.................' C .r�..... ...`.................................... U Name of Owner .. + / 'yam L z Address 3K4,�.A ..f`'ii./Z 77 ' /�1/G L ..��............. �-...............................`..... Nameof Builder ..............S.a.�?!.."R�.........................Address .................................................................................... Name of Architect �lc� �L ivy A `Address .................../...... ............................. . ............... Number of Rooms .........p ...................Foundation � ® �..3. Exterior .... �1� C �� �. ...............Roofing ....�.1/�!1.. �. / .. ...... .............' ........../.1.....fi.../............ .... ...... ........... --7� { .,./.. y.7 L?rp7l .1 vD ....P .. ��.�".p�?!..Interior ....'.= .4v.u.`�..t......ld`:.�?..zop.4� 7 Floors ..... •• ••• •••••• Heating .... 5 /! l ..................Plumbing C� C�•>�/"`'e�...�.. ... ......`��fS Fireplace .�,/��.�. �. .... yd►.. .... .. .5.. .�:..•..Approximate Cost ................... �....!? .......... fp. ,Definitive Plan Approved by Planning Board ________________________________19________ . Area Diagram of Lot and Building with Dimensions Fee // — - SUBJECT TO APPROVAL OF BOARD. OF HEALTH �/l1® , I 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ofWTownrnstable regarding the above construction. Name ..Construction Supervisor's License ...v.t!J/�................... ti BLAZ I S, GARY —^— No 29527 Permit for*°'....n tory r = m . .. ...................... Single Family 12we11 n-g .................� .. ........... ...................... .. Lot #4p' 491 Huckins Neck Road ° .ti Location ....................................................................... �' r rCenterville.1. F P ^a. ...... .......................... Gary Blazis Owner .....................sat..:. ......:.............................. 4 E rame v Type of Construction ... ............ea F ..............:......... > - 4• T r Plot ...............! .. Lot Permit Granted June 19, .. 19 86 QQ 44 Date.of Inspectiprl �.. P/Date Compl ted ...e! tl 3..............1 z n ti• i� of•�F�° TOWN OF BARNSTABLE permit No. .29527 ° BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash (. 'P,ur HYANNIS,MASS.02601 Bond ....X..1/ CERTIFICATE OF USE AND OCCUPANCY Issued to Gary Blazis Address Lot #4, 491 Rtckins Neck Road Centerville, Mgss. . USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT, BE OCCUPIED UNTIL + SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. November 3, 19.....8 ...... ........ ►. r1 .. "`��- ? ? .............. Building Inspector i i - L.? �..°�•�o� TOWN OF BARNSTABLE BUILDING DEPARTMENT _ Sasasr = MYL TOWN OFFICE BUILDING ' s639• HYANNIS, MASS. 02601 �o rnr►' � f MEMO TO: Town Clerk l FROM:, Buil 'ng. Department r DATE: J I An Occupancy Permit Chas been issued fore,the building authorized by BuildingPermit #... i .............................................................»....»............. issuedto ....a+ l a %..... .........».-I: w......................................._......._....».» » »»»» »»»».».. »»»» M.. ..�» J».%. ...» �.. r l Please release the erfor�anee bond. P ,.,��` �.-''' .' �,._ •fir. ....-, ,.;,� - a B un ,I�DIIV , TOWN OF BARNSTABLE, MASSACHUSETTS � PERMIT � A-233-071 JOB WEATHER CARD q ca DATE Junei�9 19 86 PERMIT NO. �� Q 29527 APPLICANT Owner ADDRESS 047l8T (N0.). . (STREET) (CONTR'S LICENSE) PERMIT TO Build Ciwt'11311€ (_� STORY Sin le Tamil dwellin NUMBER OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) �-DWELLING UNITS l yT (LOCATION) lot #4 491"Fiuckine Neck Road, Centerville. ZONING T RD) i (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOt SUBDIVISION LOT BLOCK SIZE 3 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT."IN HEIGH,"",,AND SHALL CONFORM IN CONSTRUCTIO1 i TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION _ (TYPE) ' Sewage #86-421 REMARKS: 1 1PAND AREA OR 1800 sq. ft. 225^0 PERMIT. 115.00 VOLUME ESTIMATED COST $ FEE .� (CUBIC/SQUARE FEET) OWNER Gary .Blazib r 1 BUILDING DEPT. 31 Ui1I1Centerville, ADDRESS ert$ E2 BY THIS PERMIT CONVEYS NO RIGHT, TO OCCUPY ANY STREET, ALLEY OR SIDEWALK:.OR ANY PART THEREOF, EITHER TEMPOR`A-R4LY OF ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE..BUILbING CODE, MUST BE AP PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEC FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION! OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST SE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR :TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL;* MEMBERS(READY TO LATH). FINAL INSPECTION, HAS BEEN MADE. 3. FINAL INSPECTION BEFOREE - OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPRQpYALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I, elffl 2 2 � 2 s 3 13"( HEATING !N ECTING APPROVALS R ALS � o'HER Z e AvdL,,r 10,66------ 2 BOARD OF HEAI.T 'Waft,- Ao r . WCRK SHALL NCT PROCEED ANT:L THE :PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS iNOIC.A'TED ON THIS CAR .NSPECTOR HAS APPRCVED -1 HE VARICUS .WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHON STA#ES 3F"40NSTRUCTIDN. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. I - 1 \wl jv s,v4iy ,,Er2-4,,1� ?UT,Q1— _ RICHARDA.f / n lQ N BAXTER h \ f Na 240480 , Vb � Y/ CERTIFIED PLOT PLAN � I CERTIFY THAT T H E /r LOCATION SHOWN HEREON COMPLYS WITH SCALE DATE -�•- (� THE SIDELINE AND SETBACK REQUIREMENTS OF THE TOWN OF PLAN REFERENCE LOCATED WITHIN THE FLOODPLAIN, f� DATE : — ' C-� b ��-r�'' -�-- BAXTER a NYE, INC. THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BE r ,.. USED TO DETERMINE LOT LINES. APPLICANT �f- i Assessor's office (1st floor): - *THEro Assessor's ma and lot number ...-�zR.)...�.... I.. �. �♦ P p Board of Health (3rd floor): Sewage Permit number ................... `�!�_ t 33AUSTAMLE, Engineering Department (3rd floor): S-6 S — 9oa r6 9 Ar 'House number ..................................................................... . �aMAI APPLICATIONS PROCESSED 8:36-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... '4.493 , . f ' •v- TYPE OF CONSTRUCTION .........................� ... . dF- 1f7�a� ,` ...! ' .fit �� ......... 4 .. .. - t •3,........................................... �-6 TO THE INSPECTOR OF BUILDINGS: The undersig e ereby applies for a permit according to the following information: Location ..,e... .....:... rT.V.G. f.. "5..... r.`' .. � ..... R E' ..:�,.�.' t/ -�- U, 1 Proposed Use .... . .. .. ....j.::....... ......: `� � r .:.'?. ........................................................................................... 7 Zoning District ......../ + ....Fire District . . ... l t 1 i= .. ... . © S yC�j U� L L C ............................................................ .............................. . ....... .. ... .. . Name of Owner• �f.`t.t:. t �:.'4 ......Address 'f .................... �� � �(". l Nameof Builder ........ '..:.f... ........'.....Q.�...........................Address .................................................................................... Name Of Architect t/./.! ` } G f ,!// � , �i `!�+,ar' �.'%}� J v��/ , ....,.... :............. . ... ........................Address ,, :.... Number of Rooms ..................................................Foundation � f _ ..3 H � �s , Roofin �� t �c�G> /yG' Exterior f��: ...:.. •..?:;....:. ......!. ..t...r.. ...:....................... g _. ,i Floors 3.�a�.j. � 4!..-. ,r:.�11 t .... �^p :.V,.Interior .....:�"',^�"F}'� !!` f�.l.� t ,.... . . ............................ ............... ��� Heating ... iw Fireplace ` . � �. .... ..... .. .. Z'...`......��.......Approximate Cost .... , Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH , J ' i f4 t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ' I hereby agree to conform to all the Ru,les,aand Regulations of the Tow f-Bbrnstable regarding the above construction. Name ...,�.. Construction Supervisor's License ....`�w,e/1.......................... J BLAZIS, GARY A=233-071 1 No ...29527... Permit for ....One Story Single Family Dwelling ......................... Location .:,Lot #4, 491 Huckins Neck Road ..................................................... Centerville ............................................................................... Owner ...... ... Gary Blazis. . ......... ...... . . ...................................... Type.of Construction ...Fra . me................................ Plot ............................ Lot ................................ Permit Granted June 19, 19 86[ Date of Inspection ....................................19 Date Completed ......................................19 t Assessor's offioe Ost'floor): : ofTMETo Assessor's map and lot number ............... ................ Board of Health (3rd floor): �J �t1�+S -Al `�, 05- Sewage (J ,,`l Permit number ...? 2 99Ba9TABLL, .................................................. Engineering Department (3rd floor): rb s House number ................................'t ....�..1-:j...�......... "� 1 ` Agar°'f' !1 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only 1� TOWN OF BARNSTABLE BUILDING fNSPECTOR APPLICATION FOR PERMIT TO ........ ........�w.t. (:......2.....6..,.................................................... TYPE OF CONSTRUCTION ........... c?a C:�2gN'(t...�.................. .............................................................................. .......................T..,.... / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: vl�,t� Location ..®.. ....y.......•......y. ./..... ✓L. l !sl....�w.C....1 ....1 .........G........ /2 c......` ,......................... ProposedUse ............./�y.v.../...o........... .. .!`.!¢.. .C......................................................................................................... Zoning District Fire District .e ....... .... .....................................................1 ........................�.......................... Name of Owner D M cn S.......Address .../..�.......c...k....�..w...,.�.....I.n...c.......x.....�..i... ......C..._e �, . �"�• - � .... .. ... Name of Builder .............c Jf...41..e. ..................................Address ..................................... QCii _ Nameof Architect /f ..............�....�►...--Q.'"................................Address ................................................................. . ..........��._,' Numberof Rooms ....................1............................................Foundation ...;............................................................................ if Exterior ......-7/4 / �� C-ec� Lk— Roofing s �CQh �dsS C L1(ti Ie-r........... .`...................... ........................................... � ..... ... .. Floors ..................:.................................................Interior .................................................................................... Heating ..................................................................................Plumbing ......................... . .. .... .......... Fireplace ....................................................Approximate Cost ...............................................T /.�.fry................................ Definitive Plan Approved by Planning Board ________________ ____________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee t SUBJECT TO APPROVAL OF BOARD OF HEALTH i 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. J1 'Name ..... .......... vn......................\-. .... Construction Supervisor's License p V............................... SUMMERS, DONALD A=233-07 No . 1,3_l 4.„. Permit for Build. Garage Accessor Ito Dwelling .....X........................................ Location ...Lot. #4, 491 Huckins Neck Road Centerville ............................................................................... Owner .....Donal. d...Summers. . . . ......................... ..... ....... .. . .. .. Frame Type of Construction .......................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......October 19 , 19 87 . Date of Inspection ....................................19 Date Completed ......................................19 r Assessor's offioe (lst floor): j33 O J L7'� � 0F TN E TO Assessor's map and lot number ......................................... A P P R A V E U Board of Health (3rd floor): ✓�( �wt5 ofa{ Orl1c ' Sewage Permit number ............................................... �- 2 stab Conservati co snot. . Engineering Department (3rd floor): pea House number .e J/J` ............................................ .`. .\T.Ya............... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only SignedL4 -, ate MUST BE TOWN �O F BARN S T A nt" IN COMPLIAINZE �iT�B TITLE � BUILDING INSPECTOIRL.C.. . WiTHTIT � .; w L ta':`vT APPLICATION FOR PERMIT TO ........B.PZL.D..........k7w ..,.C. 2 ! [ e TYPE 'OF CONSTRUCTION ..............................r................................................................................................... ...... _�.......191. TO 'THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location T y 1/.... 4vofiws...: tic�+� .......C...c....�.....«......n....v...I.. c......IMf :......................... ProposedUse ............./r��!...�...4............ ...Gf.! .! .C......................................................................................................... Zoning District p C� -ei, — Pk&,i ..........!`... ..`..I.............................................Fire District ....... '�......ul j� OS ` ............................. L D S Ells H e S � > viw.� }�c ck' R C e Name of Owner ......?1..�.�..................................... ............Address ...�........ `�. �l Name of Builder .............✓..�I.Z` '..' . .................................Add.ress .............................../. Nameof Architect .......' .�l.. ..'�................................Address .................................................................................... Numberof Rooms ....................!............................................Foundation .............................................................................. Exterior ......311�/ ....... ......C-eJ Lt— Roofing ..........�!.�?ce. -..J..ld�s...�..`7.l.k�r.k!—s........... ... ........................................... Floors ......................................................................................Interior .................................................................................... ..............................Plumbin .................................................................................. Fireplace ..................................................................................Approximate Cost ................`9.7,.av-zv ................................ Definitive Plan Approved by Planning Board --------------------------------19________ . Area1.. .......... .. .. ......,.. Diagram of Lot and Building with Dimensions Fee ,�mill ..U�J....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH , f 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 .....A. --/&. -��............................. Construction Supervisor's License .. /........... w SUMMERS, DONALD -v 'i +4 No ...31314 Permit for Bui.1d...G Accessor3"y �o DwP ................................. . ................�.J.] a.� ...... t ; Location .;LQ.t••• 4........4.9.1...Ruckias...Mec_,k Road `+ Ce�tq 4 J .►�...................... Owner ....Dolla d..•Su?1peK•.�..... .............. r Type 'of Construction ....FXZL Ie......................... x, ....................r............................................................. Plot .:.........- ........... Lot ................................ 1 f ' Permit Granted October 19, 19 87 Date of.Inspection ...19 Date Completed ...........19 16 • r •r,: ti ,i� F y b + 1 OF t 4A. 1 BAXTER'- vAj N0.24048 ' f t �,\ r I � 17 1 1 i t _.`_-, .. .... - .' r j 2!i CERTIFIED PLOT PLAN LC EIRT I F.Y I THAT ,THE FRoPoSt-D G m� Q1bLL1=}i.ERr .4_N CO�UIPLY._$_WITH - SCALE / `� ' DATE T 14 SIDELINE AND SETBACK 9-�-g kI r t-1 I 1 PLAN REFERENCE UIRE;MENTS OF_ITHE TOWN ' OF 3? AND 'IS. . . -0CA'T WITHIN T_HE :FLO:ODP:LAIN. NYE, BAXTER ?~ INC. •. ATE 1. -.�—.Z= . _ _. .. , _ ` 'HISiPLAN iIS' NOT BASED ON AN REGISTERED LAND SURVEYORS { H:S I UMENT _SURVEY. AND 'THE OSTERVILLE^- MASS. OFFS_. TS' ShV�Jy ":SHOULD NOT BE }USED DETERMINE! LO LINES APPLICANT 00 5432au3 9 J�9U3A . ,t.'J NI 31hl1 -- . a . • Z i l tz 1 I LU L 71 ' f, .�.fi .. J F �: .. 'r -�.,_x-y*n rote c b eke f'nx �`. ,. � yv � ,r�, .,s, _ .aaax�•., -. _s. _ _� ��::. ...,..✓,.. � ,.? s to.- Y_ __�..� t. i .' 'i �{ (•0 11 l I n! i i , l z b41 l lU !1 i 1A- OF P"TtR o SULLIVANNo 29733 ADO. A. rat::: / [3AXT h�f. / V ,¢ O 1 -it•L , �� / � .. �\.� / / ' � �® � / /� - \ ti �� '� C - MA 714 r•- •t .-Rr.♦ i-: ._.t- -� � .-.. �4 -. .! .. � _•^�j^\..:.'"".ter. �' ',!^�,r- ..r' � � -� � I- - '�.+�- - U -- TH- ?- --- -- G c AM. �—>�L - �Y. �' z - - - z, -.