HomeMy WebLinkAbout0441 STRAWBERRY HILL ROAD �� ��
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of IHE Town of Barnstable - *Permit# ()
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Regulatory Services I "
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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
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Tom._# -
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}HOME IMPROVEMENT CONTRACTOR
s er � � . s Registrations 110069 a:
Expira 1.:0/6/20.10 Tr# 275369
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Baia 4 :'g — .A � xT .pfi �'«�. � ��ti u � c. r ROBERTMITCHELL � y
ROBERT MITCHELL
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' 1 c 452 Strawberry Hill'Roatl,.. i
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n i Centerville;MA 02632`' i,:`r f Administrator w
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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
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"�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'
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Not valid with `p
t signature
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00
- -35`000 of enclosed space
IA-Maspnry' only
1G-1_2 Family Homes
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Failure to possess a current ed►tioir'of the
Massathusetts State.Building Code
is cause for revocation of this license.
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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 •
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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.
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ram' ,
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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
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