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HomeMy WebLinkAbout0441 STRAWBERRY HILL ROAD �� �� ,� �iv�/�/ �° �. �„ n, ... _ _._ . ... ., .. ... � o '. �,. �. � -��' 2�.r- . ... � � ,� .. Q - O -. .. ', O ', - �, o - .. � of IHE Town of Barnstable - *Permit# () Taw Ern lrs ro issue date Regulatory Services I " y a < BARN$TABLE " - 1' 9� �m `3 Thomas F. Geiler, Director 29 bf OCT Building Division om Perry, CBO, Building Commissioner �0WA/ 8 2008. 200 Main Street,Hyannis, MA 02601 OP eqR&/'37 www.town.barnstab le.ma.us Office: 508-862-4038 '9�LE Pax: 508-790-6230 EXPRESS PERMITAPPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ff S ''a..u ,l` J``/ !. C�i✓G`ll 1 ,/F� j,�7�- �— Property Address Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name & Address � � etr Ali,, .t:t. ic C:'ontractor's Name �`'�`'�� l�G'I1C,lf ---Telephone Number �� s-0`--55,�I I Lome Improvement Contractor License# if a licable __ � el J Construction Supervisor's License tl (if applicable) ❑Workman's Compersation Insurance Check�one: �" l Atli a sole proprietor ❑ I am the 1-Iomcowner ❑ I have Worker's Compensation Insurance Insurance Company Name tl 6C'r r� Workman's Comp. Policy#_ G �. A3 C /7 ._ / Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-root(stripping old shingles). All construction debris will be taken to ❑ Re-roof(notstripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value (maximum .44) "Where required: Issuance of this-pennit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. 'Note. Property Owner must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors License is required. SlGNA'ruIZE: A,�1,a Q: b IT'lt.ESTORMSbuilding pe:-miL.fprms\EXPRESS.doc Rcvised 100608 w x � M Tom._# - Bdaoiii. }HOME IMPROVEMENT CONTRACTOR s er � � . s Registrations 110069 a: Expira 1.:0/6/20.10 Tr# 275369 s lion ' t 3 wr I.. Fly �T e Individual r _� YP<, .. 'p Baia 4 :'g — .A � xT .pfi �'«�. � ��ti u � c. r ROBERTMITCHELL � y ROBERT MITCHELL r� 33 ' 1 c 452 Strawberry Hill'Roatl,.. i lit n i Centerville;MA 02632`' i,:`r f Administrator w , s - BoG— an �j ard ABu iding' e-ki an tan ar s t Construction Supervisor.License ` License CS 60051 Expiration 3/8/2010 Tr#. 18934 ROBER7 E MITCHELLIr " 452 STRAWBERRY HILL RD j J a ,i CENT ERVILLE,MA 02632 Commissioner y �:� s. ��� y '.r:.3 '"ry�,F,a,R+�'�,�,yw,. �.r.t< �. s•5, k. I. "�t,�.f�,�, r sq d"yy,Pp^'�piP '� !�� '�b"''�,•�'�n �,�$'i�i t s� e' ' - 'License hefore the ex registration valid Po Board P�ratton d r�ndividul One of Building Re ate. If found retur use only f Boston, M ton PIar0210gace R►n 130 and Standards' j I t " f Not valid with `p t signature r 00 - -35`000 of enclosed space IA-Maspnry' only 1G-1_2 Family Homes i Failure to possess a current ed►tioir'of the Massathusetts State.Building Code is cause for revocation of this license. R 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d .600 Washington Street <` Boston,MA 02111 www.mass.gov/dia Workers,- Compensation Insurance davit: Builders/Contractors/FlectricianslPlumbers Applicant Information / Please Print Le ibl Name ()3usiness/Orgaaizationadividual): . Address: /�,r�G� l�T (� City/State/Zip: � /`� 2Z-3 Phone:#: ) Areyou an employer? Check the appropriate box: .Type of project(required):. 1•❑ I am a employer with 4. I am a general contractor and I * have hired the sub-contractors 6. ❑New construction loyees(full ind/oxport-tune), 7, Remodeling 2. I am a'sole proprietor or partner- listed on the-attached sheet. ❑ g ship and have no employees These sub-contractors have g. Demolition employees and have workers' working for me in any capacity, 9: []Building addition comp. insurance,$• [No workers'.comp.insurance 10.[]Electrical repairs or additions required.] 5. We are a corporation and its p. 3.❑ I required.] a homeowner doing all work . officers have exercised their II-❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per.MGL 12. oof repairs insurance.required,]t c. 152, §1(4), and we have no 13.0 Other 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 Homeowncrs.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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. Jam* an employer that is providing workers'compensation insurance for my employees. Below is.the policyand job site' information. Insurance Company Name; 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 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi n r the Cns•and p aCties of perjury that the information provided above is true and correct. Si ature: Date: — Phone rOfficIaL only. Do not write in this area, to be completed by,city or town official n: 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#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hiie, 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, §25C(6)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 produeed,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ehapter.152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public until acceptable evidence of compliance vrith the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members'or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that This affidavit 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. Self.insured companies should enter their self-insurance license number on the appropriate'line. City or 'Town Officials 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person,is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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,Com ollweaM of Musa&us-atts DepaztM=t of ludus�al AcQidmts Office of fnvestlgat ons 600 Washingtoli Street Bostona.MA 02111 TO.# f 1'7-727 400 ext 406 or I,M-MASSAFE Fax 4 f 17-'--2'7-'7'749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable Regulatory Services NAM Thomas F.Geiler,Director 1619. � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r I, '&(?0f/1 D,f�'a l - , as Owner of the subject property hereby authorize 0 J�'� "l �Cd1��1 to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of ) afore of Owner ate DAl BCA(yLi 0&�( Print Name WORM&MMERPERMISSION GIS S'�e )`�Assessofs-offioe .(1st floor):' � i`�P� � �F T11C SYSTEM N ��``� 1` - ��[[a /L.fr P �r�� THE T R map and, lot number .................... ...............'..:.... F i tl L 1�� � ON 00MPL1,k5dC.� OF o� Board of Sewa e .Perlth (3rd floor): H TITLE 5 fO�P ♦� ssessor•s m ....�7^..l00..4.... ..............................�, g R??.t urhber t'-,'VER0 FdW dffAL 000E K'l i Baal4TsnLE, Engineen6)' 46 nt (3rd floor): �11 �y 70 YG1 REGULA 6DW House Harp rr T.yam..(....................... a YAY A, APPLICATION15'!;' R&ESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF ' BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............Edith Romano . .......................................................................................................... TYPEOF CONSTRUCTION .....................Frame..................................................................................................... .....------ �Ju1Y-2Z,.............19..$T. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Lot 4, Plan Book 228 Pa$e 123, 63d StrawberrX Hi11...Road,,.,Centerville. MA Proposed Use Three (3), bedroom..sin,g.le..family....................................... .................. . . ......................... ZoningDistrict .........RB..........................................................Fire District .............................................................................. Name of Owner Edith Romano.....................................Address .78..Howe Ave. , Shrewsbury, MA 01545 ...................... Name of Builder .....NOrman...T Romano............................Address 5 Irving St. , Worcester, MA 01609 . . . . . . .............................. Name of Architect ...LBranchard.....•...•.••._.....•...........Address .No. Darmouth., .MA •. .................................................... Number of Rooms ...5i.X ................................................Foundation ......................Cement Exterior Wood......................................................Roofing .................Asphalt Shingle.............. .... .................... Floors .......................Two........................................................Interior .................Drywall...Plaster Heating FRrsF. ..HO ...A71r................................Plumbing .... ':✓V.. =O ................................ Fireplace .....................Y.es.........................................................Approximate Cost ............ ?. .00O.tOQ........................... ..... Definitive Plan Approved b Planning Board' � 1 pP Y 9 --- -I-----19.69 Area ^.�... ............. Diagram of Lot and Building with Dimensions Fee �L� ............c.... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Named... .... . .. .. 6 Construction Supervisor's License .......01.541.1................ � � r r" ROM ..A....N......O......-,....-.... .E.D..I...T...H -N ..33207.. Perm.i. t. .for ....One....S..tory ........... ...... Single Family Dwelling ... ................................. 4-A -Strawberr Hill Road_ Location.-.....................................v........................ Centerville ............................................................................... Owner ...Edith...Romano................................... ....... .... Type of Construction ........Frame................................... ........................................................................... I. P ............................ Lot ................................ Permit Gramed .....September 15.,.I9 89 .............................. Date of Inspection ....................................19 Date Completed ..........14-112...........19101V 14" 1c, Assessor's offioe .Ost floor): _ t' 1 �''� 9 Assessor's maLi.a,nd, lot number . a.?. ...:,b i..... - ' ..oF'THE tO� ........ Q f Board of HyalotIh (3rd floor): Sewage '",it lumber .....� '..+��► .... .. t BaaasTaBLE, .............. ........... Engineen�ng?.t `, nt (3rd floor): *°o 1639• House nVm r' .. ..........................!....../S .................... a�0 o gar APPLICATION$'''P:ROCESSED 8:30-9:30 A.M, and 1:00•2:00 P.M. only TOWN OF BARNSTABLE F BUILDING INSPECTOR APPLICArTION FOR PERMIT TO ............Edith Romano ' t ,. .......................................... TYPEOF CONSTRUCTION ....................Frame..................................................................................................... .......... ....... r 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Lot..4•, �lan Book 228• Page 123r-., i�d Strawberry Hilt Road, Centerville, MA ............. ...................................... Proposed Use T4ree...�3) bedroom single famil3'........':..................................................................................... ZoningDistrict ..........R.B..........................................................Fire District ...................................................: .. 0 Name of Owner ..........dit....Pomano...............................................Address ..78..Howe..Ave., Shrewsbury, MA 01545 .......... Norman T. Romano 5 Irvin`" .......Address ... ..........g St. , Worcester, M.. 01609 Name of Builder ............ ........................................... . .............................. Name of Architect ...L.N.••Branchard................................Address MA................ Number of Rooms ...v1x...(0...............................................Foundation ......................Cement............................ :......... Exterior .....................Wood ... Roofing ...........I............. Asphalt Shingle .... .............................................. Floors • .......................Two........................................................Interior .................Drywall Plaster ...... . ..................................... _ . _Heot;n T- forced Het Azr Plumbing :..Two •code copper PVC g ... ......... g �.... .. .�.. .... ................ tireplace .... .......:....Yes........................................................Approximate Cost _, ..... 65,•000.•00............... — Definitive Plan Approved by Planning Board --- ��-A-�___fat____19_0-9__ . Area• ... �.. .-..-..D� .Diagram of Lot and Building with Dimensions �� Fee.. ........................ t` SUBJECT TO APPROVAL OF BOARD OF HEALTH G � 'AA V • t C f ` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all\.the Rules and Regulations of the Town of Barnstable regarding the above construction. b Named Co{fstruction. Supervisor's License ...... 0154`11 i k .. ...........•..•...... ROMANO, DTTH. No ..33.2.Q.7... Permit for ....Q11e...S.tary......... .....Sing le...F.ami.ly....Dwel lj ug.......... Location' . Strawbe.rzy..Hi.11..Ro.ad ...................Centervllle....... 1i.. '.. Owner ...Edit. ......h Romano... ....... ..................................... Type of Construction .....Frame t ............................................................................... Plot ............................ Lot ............................... Permit Granted ...Septembe.r...1.5......19 89 Date of Inspection ....................................19 r _ Date Completed ......................................19 s A. r • f , ram' , :1 TOWN OF BARNSTABLE Permit No. :3.3.20.7....... tm BUILDING DEPARTMENT ON OFFICE BUILDING Cash TOWN FF t679. ',tnr�r HYANNIS,MASS.02601 Bond ......X...r.�`.?' 4 CERTIFICATE OF USE AND OCCUPANCY Issued to Edith Romano Address ,n � Strawberry bill Road Centerville, Mans. 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. December .. ... 21.1: .., 19 89..... ,....... ? _.: : -� . . : .................... ... Building Inspector S .. ®' I BARNSTABLE, MASSACHUSETTS G A� - .: 248 i6t3 337 ' DATE September 15, I9 89 PERMIT NO i r APPLICANT IVornian T Romano ADDRESS Tr i nrT r" �t� T r #0154 " (NO (STA EE 7) I C ONT R'S'.LICENSE) PERMIT TO Build J/W -� �•1 Tl[7 (�) STORY Single FaI:111�J DZo iti t1�TNUMBER OF (TYPE OF IMPROVEMEN Np• DWELLING UNITS ' (PROPOSED USE) yxy 'AT (LOCATION),,{ $'trak/b rry Hill Road.. C'onf-enrCT,]_T j �+ � ZONING JTA�B�' NO.)_ (STREET) - DISTRICT i117 J BETWEEN / AND 40 + (CROSS STREET) (CROSS STREET) c $l{801VI510N LOT* 1 I a LOT BLOCK SIZE BUILOING:IS TO BE FT. WIDE BY FT. LONG BY FT. 1N HEIGHT AND SHALL CONFORM IN C.ONSTRUCTIC TO TYPE" BASEMENT WALLS OR FOUNDATION USE GROUP y, R ='.REMARKS;` RoyaAgp. R7--604 .. 'i T. e AREA 614.1 R .. c' c /� VOLUME'' 712 5Cj �';'[ ESTIMATED COST $ S5 r Ooo. oo - � ".FEEMIT ,� 50'.-00� (CU81C/SQUARE FEET) - t `OWNER- `" •Edith Romano ADDRESS 78 HO.w6. �VEIlU�, Shrecas ux , i�iEi BUILDING DEPT. 44 to c rcrx Ia ct' { OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. '��E �ryt-AFA�trt_�N'�}R'�7'Fft�tO7�ftTCf'rO-r MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE A o _ INSPECTIONS REQUIRED FOR g; ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. ELECTRICAL, PLUMBING D 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). ' fa 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET k ' + BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS CR � x y_.:. .. 2 --- - t , z •� !�/�i�ji �ir -�� 11 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT -SG'4$16:e r TZ LCJf�sYC�r` ,.,.. ,. OTHER -13 BOARD OF HEALTH etc- ty ' 85 - - 21 t" WORK SHALL NOT PROCEED UNTIL THEINSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN CONSTRUCTION: PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITT NOTIFICATION, N/F JOHN A. ROMANO z 122-59' Q u O v 50.0' Q 24.0' 2 0 O 00 41.6' T.O.F.= z 53.4 Lot 4 10,250 sq.ft.f N 26.0' p pJ 43.4' o O c o 3 0 $� o N 735 00, N/F HENRY A. LYONS N/F ISABELLE MITRANO THIS PLAN IS NEITHER INTENDED ' 9 Iz as INMAL ISSUE Euc N0. DATE DESCRIPTION BY FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 4 MORTGAGE LOAN PURPOSES. STRAWBERRY HILL ROAD BARNSTABLE, �MASSACHUSETTS FOR k� OF n+�;� DALE CROWDER SCALE: 1" = 20' JOB NO. 1464 I CERTIFY THAT THE FOUNDATION £ PAUL A. v, SHOWN ON THIS PLAN IS LOCAT D n LEVY �� 0 20 40 ON THE GROUND AS INDICAT D U No. 10617 yJ LEW, DREDGE & WAGNER ASSOCIATES INC. DATE RE S ERED LAND SURVEYOR DGM umal Imm Rmw 4amsmaFs 889 WEST MAIN STREET CENTERMIX MA 02632 s +t .df �. ..e4PPR®VIE _ 70 ' �'f�r x,:r„¢ ,'� {� •,`,�F f c w .'i T .via • d � t - 4 + J .6 CHANGES •DI .40 WNOFBARN TABLEA ; y . s = � ; _ - ►_ Buildin Ins ecior.D1 al ,: .: 4. 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