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HomeMy WebLinkAbout0449 STRAWBERRY HILL ROAD � � e ;. a Application number..................L. .�P,, ....... Fee.....................�.l .o ...................' . VAFMA" � NAM Building Inspectors Initials.. .. .. . . TOWN ��� �N�'IU Date Issued...�(.............�....�..L2................................. SIABU ��// rr Map/Parcel...........RiS.........lk7................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/S TO VES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Lfy ram,,, . i N3�— NUMBER STREVF VILLAGE Owner's Name: ��/�,c,rx �-� v� 5 Phone Number S — 1 Email Address: .401 Cell Phone Number Project cost$ (Q ,30�'•c<--� Check one Residential ✓ 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 Siding ErWindows(no header change)# I Elr�nsulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review 12'Roof(not applying more than 1 layer of shingles) Construction Debris will be going to IS rv,4,6 , 'f'r—. F� 5klr,4-r� CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy), Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. Ir � X ik 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 9 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 Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. 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 APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. r v. The Commonwealth of Massachusetts Department of Industrial Accidents WIF 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 Legibly Name (Business/Organization/Individual): j�-! Address: qq,1 .S4rK,,-b-er'r-A, 4<<( City/State/Zip: Gr-�cr 01 LLQ PAN`N ya Phone#: a`l r S� Are you an employer?Check the appropriate box: Type of project(required): L❑ 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• x 9. ❑Building addition insurance [No workers' comp. comp.insurance. Electrical repairs or additions / required.] 5. ❑ We are a corporation and its 10.❑ p ® officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work ❑ g P • 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 information. " N_ Insurance Company Name: _ a Policy#or Self-ins.Lie.#: Expiration Job Site Address: City/State/Zi- w �� Attach a copy of the workers'*compensation policy declaration page(showing the policy -. ; S x ar-" ; .,� Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impo pW,z .:# P;;iiames of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a S IL Ur 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 penalties of perjury that the information provided above is true and correct Signature: Date: /063 Phone#: 561' 2t:> 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#: Information and Instructions 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 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, §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 produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)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 cant'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 to any business or commercial venture (i.e.a dog license or permit to burn 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT'APPLICATION Parcel ^Permit# Health Division / Date Issued Conservation Division -%J / / l6� Feeder Tax Collector yell Treasurer Planning Dept. *, } Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �1 Z_ 5brQ-,tkZ-r1 14`�G Village Owner' �� S Address 1`1 10 Telephone �'�� Permit Request �" SAS � �'� 6 H& Square feet: 1 st floor:a isting proposed 2nd floor:existing proposed Total new Estimated Project Cost` �®�` d� Zonin District Flood Plain Groundwater Overlay Y Construction Type Incts it ' Lot Size 113 � �- Grandfathered: ❑Yes /NoIf yes, attach supporting documentation. Dwelling Type: Single Family. Two Family O Multi-Family(#units) Age of Existpg Structure Historic House: ❑Yes 0'No On Old King's Highway: ❑Yes o Basement Type: Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of,Baths: Full: existing, c new Half:existing new .Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel:.,U(Gas ❑Oil ❑Electric ❑Other Central Air: O Yes 8/No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 2 Detached garage:❑existing ❑new size IV® Pool:❑existing ❑new size d Barn:❑existing 0 new size At4ached garage:❑existing ❑new size " © Shed:A existing ❑new size/,;-xg Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed.Use Q 01k U.) BUILDER INFORMATION Name 21`n Telephone Number Address V ` '� Y�L K� License# Home Improvement Contractor# Worker's Compensation jj# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS ROJECT WILL BETAKEN TO 0 8 s,Arb Ce SIGNATURE DATE �� '' J. C 'FOR OFFICIAL USE ONLY y ' PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS I f VILLAGE OWNER + DATE OF INSPECTIOIaI: FOUNDATION FRAME '4 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT F ASSOCIATION PLAN NO. t °E THE T ,. , Department of Health Safety and Environmental Services °� Building Division &Axrrsz'Ast.e. ' 367 Main Street,Hyannis MA 02601 MASS. 9 165 �0 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commission HOMEOWNER LICENSE EXEMPTION Please Print DATE: 3- (9—O JOB LOCATION: M "'�y W number street village 72 "HOMEOWNER . t ' e 0) 13,�1 �>&// �ey f (xea name home phone# work phone# t �CURRENT MAILING ADDRESS: Rd � f o� 'd` & , city/town state zip code The current exemption for"homeowners was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,REovided that. the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 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 minimum inspection p cedures and requirements and that he/she will comply with said rocedur and require ents. Signature of Homeowner ram,, pproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q.Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require.as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMM I _ 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUII DING CODE Figure 3610.4.7a CONSTRUCTION REQUIREMENTS FOR A TYPICAL MASONRY FIREPLACE IN A WOOD FRAME WALL -a--Ulm.WCWMC r Mm=oa nr NRL VIM N0 MEaN= (7t0 Oa 3610.4>) 4-ION.CIFAPANCE nOL=Wn ALE I M CM3610A.7(1)) ' 1 i P VOL CnO CMR 3610.4.7(1)) Iw �� rum wlrEFiR}3Ui=oPENzNG 2r wL NEARM OEM Liss THAN 6:SosT.oR it mu. A MERACE OWaiG 6 sQFT (Fi6me3630A.1a) G&L111GQt 30 r1wIIt 3610.4.6) NEARIN OLTOL90N Cm O&3610.4.6) 16*MW WRHF711�L10:L�FJ�iCi1�SS THAN6S03T.OA20'IdQi.W1IH FDIF3I S=0n F3mi06sQ3T-ORLIAGFR (M 0at3610AA) Figure 3610.4.7b REQUIRED CLEARANCES FROM MASONRY FIREPLACE TO COMBUSTIBLES iBlo¢E t7IAILeER eo+Iaysnm,E COUVA-r LE WATONAL 1 Ii TWA I PftMJECT;"r MW r WLCM0a36icam (71'0 Oat 3610.6.7(J)) Ir weL .(M C 4R ,-ION 3610.17pll 3�61o.AJ(H) . FNAYWG w000 Trams FIREPLACE OFO= a-IOX CM 0a 3610A.7= 17s10tiACE rrAit 36105 Factory-built fireplaces,general:Factory- ceilings,factory-fumished 5restops or firestop built fireplaces shall conform to the requirements of spacers shall be installed.Portions of chimneys 780 CMR 3610.5.1 through 36105.4. which extend through rooms or closets are to 3610.5.1 Installation: Factory-built fireplaces be enclosed to avoid personal contact,contact that consist of a fire chamber assembly, one or of combustible material, and damage to the more chimney sections,a roof assembly and other chimney. Pam shall be resod and listed to UL-127 as found 3. Hearth extensions shall not be less than'r'e- in Appaidix A.Such fireplaces may be installed inch-thick(9.5 mm)miIIboard,hollow metal, when complying with all the following stone, the or other approver noncombustible material. Such hearth extensions may be provisions: placed on combustible subflooring or finish 1. The fire chamber assembly is installed to flag.The hearth extension shall be readily provide clear clearance to combustibledisunguished from the surrounding floor. materials not Las than set forth in the listing. 2. The chimney sections are installed to Note.Where floor protection underneath,to provide clearance to combustible material not the sides, back or in front of factory-built less than specified in the listing and if the fireplaces is required via testnagt1istng fireplace chimney extends through floors and and/or tmnufacttaer's requrnnents,refer to 780 CMR-Sixth Edition 2120/98 (Effective 3/l/98) I 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ONE AND TWO FAMILY DWELLINGS-CHIMNEYS,FIREPLACES AND SOLID FUEL-FIRED APPLIANCES Figure 3610.4.Ia FIREPLACE AND CHIMNEY DETAILS BOND . BEAM LIOHfiVt CAP =_ ® —MASONRY CAP E qs BRICK BLOCK- 0EX., (=I=P FLUE AREA CLEARANCE 0 0 BONG F a B- B �'� >MIOI11 OF FTREFUCE " OPENBIC FLUE LYL01O ANOKMUOE � S PLAN VMN MORTAR CAP BOND K B BOND BIAY ANCILORAC� HDRIZONIAL . S REDSDRC NC ' HORIZOINIIAL ADWORCM DECK FOR ® VENTIdiI 'DES FLU MASONRY , C .IRALL N \\ FL1151� \ . ANCHOR STRAP . . WALL TNI001F55 TIE CLEARANCECrI. \ . N PAR==FOAL INTN 7 1/2'UK GROW MORTAR MAIE �7WEDI s-CONCRETE . 2 1 2- S LI�LMASO MASONRY AND CLAY FLUE . . EACH STRAP . ` ac FLUE LINER SLOT WAWIFER C L�rtTlRL ,` �-�J"' $'MIN.AT BACK OF YORTAR SMOKE CHAMBER 01 V HORRONDA VERBCAL RFINiORCINC F E i/2' FIREBOX _ L Irol L4 0 0 O3 S 00 THICK MFJ1RI I _ f ' MASONRY UNITS . 20'MR. C L ' TON. N . r.FARTN WON TO FOOTLNO DOWELS A SLAB C - I1Rf)KF7C N - it000LF4 0 NEAR}N I FODNNC VAOTN B- i. � '1MJFLf'ORC2ar. iO T IG 1'J' y ✓,: SLAM=FIREPLACE . FDOC R1 - T .+�.+1.�` ' � IN Th CONCRETE IW CRAM K. ASH FTKRWC ' OPIfOFW. ' CLEAN aLrt BRICK FIREBOX AND CHIMNEY— BRICK FIREBOX AND BLACK CFUMNEY— SECTIONAL. SIDE VIEW ON WOOD FLOOR SECTIONAL SIDE'VIEW ON CONCRETE SLAB 12,'12/97 (Effective 8/28/97)' 780 CMR-Sixth Edition 603 r - "'�"_� The Commonwealth of Massachusetts -__- �.: Department of Industrial Accidents • ::_. = -=: Office of/ocest 9898os 600 Washington Street -= Boston,Mass. 02111 Workers' Com ensation Insurance davit ,�rrwra r�rar riaai �/lllr��,'t(Ff(�'f�' name: location: q i City l- 11'•" phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole prcTrietor and have no one working in anv ca acity :....:.. t' shunt: :: :::: insurance co:... :;.;.:..::;::;;'::;:;':;.;:.;,....: ... .: ... .. ❑ I am a sole proprietor,general contractor,o omeo (circle one)and have hired the contractors listed below who have � the following workers compensation polices: >: +' ................. ;., < >> X>» ' » addressjx 4 ;; til ............ •.. :. v.. � ::.: ........::•..:is:v. :.. ::..::.......::.:. r apse address n b :. :..............::.::::::::•.::................ ..:.:::::::-::::•........ Ol Fafinre to secure coverage as required under Section 25A of MGL 152 cam had to the imposition of criminal penalties of a fine up to SI,500.00 and/or one year,'imprisonment as weal as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understond that a copy of this statement may he forwarded to the Once of Investigations of the DIA for coverage verification. I do hereby certify under the pains mid penalties of perjury that the information provided above is true.and correct Signature ate Print name one# " official use only do not write in this area to be completed by city or town official city or town: permit/ticense# ❑Building Department ❑Licensing Boerd ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person. phone#; _ ❑Other Urnad 9195 PIA) i GF THE Tp� The Town of Barnstable « BARNSUBLE, 9� MA&& �0� Department of Health Safety and Environmental Services >Eo 39. A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. / /yam Type of Work: 1 ' �^ M�' Estimated Cost D® ® V�✓ Address of Work: q �CA� (y f�f l f�l �dri� m B� l & Owner's Name: Date of Application: _1 I hereby certify that: ' Z Registration is not required for the follAinb reason(s): w ❑Work)_X_clu«ed by�lawhr .y � ❑Job IJnder$1,000 ' tS ❑Building not owner-occupied -Owner pulling own permit, Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. h SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration o. Date Owner's Name q:forms:Affidav "Assess@ s offioe .(1st floor): Assessor's moo and, lot number aft(67 FTHEro`♦ Board of Healoth (3rd floor): ' c==PTIC SYSTEM MU IT P-"— WQ o Sewage...Perm t dumber .......�1..7.a. . .,....................... HE ISTALLED 9N COMPU�NZE Z BAHd9TADLE, Engineerrng : agtrnpt (3rd floor): ��� 31I�`� WiTH TITLE va rb s 9 House nor er ..........................l ..5!;l�i.. r........! @�El '® EMTWL cOVE MID ��.� 39Ar r APPLICATIONS `PRbCESSED 8:30-9:30 A.M. and 1:00-2:00' P.M'. only affll REGULAMON5 �aY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...........Edith._Pomano...................................................................................... TYPE OF CONSTRUCTION Frame . ..................................................................................................................................... ............July...2.2,.................19..$.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .,.Lot 3, Plan...Book...228....Pa e 123, 83d 5trawberr.y..Hill..Road, Centerville, MA Proposed Use .......Three..0)....bedroom..single family.................................................................................................. Zoning District ................RB..................-..... .. .................:.Fire District . ..... .... ��C (� Z'^u-j � f ax 7&2- C �QP.... a, 0" 3 tea,}� n,,,R,. .. -,Z$ e6ae �—� efia� �A Q1 54 5 Name of Owner ! .................................................................Address .............................c.:..................... +.:........................ c- . (t t•�� c� !c Lam{ a� --Pftrm ...`...................Address�� T_ - Name of Builder _— g-fit Fes1=e -T—i A 03 6W Name of Architect .......LtN.....Branchard............. . . ,.Address ....No.....Darmouth, MA Number of Rooms ........Six 0) .....Foundation ....,,.Cement .................................................................... Exter for .........................Wood............................................... Roofing ...............A.s halt Shin le Floors Two.....................................................Interior ...............Drywall. Plaster Heating . ........................Forced. Hot,_Air,,.,, -PlumbiII ....Two„code g coP.P.er/PVC Fireplace ........................Yes................... ..................................Approximate Cost ............$1?,%QQ!a.00.................................. Definitive Plan Approved by Planning Board --- Q-c��-__�fl_?,__19_l'ig___ . Area ...���...�.v..`.. .S. ...... Diagram of Lot and Building with Dimensions Fee .. /.. ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of �Ofnstable ing the above construction. / �/ �-�.ti Name ........ . . Construction Supervisor's License. ....... .............. D. E. C. REALTY TRUST 33488 Permit for 1= Story 6 W- Single Family„Dwell,ing,,,,,..,_, ocot.on_c.,.Lot,„#., ,.......4,49.... awberry„ Hill Road ...................Cell. rv .11. ............................... Owner :D.,•.E.. •C..••Realay,.Trust { , Type of Construction .F7K'AMe............................ ........................................................ Plot "............ Lot ti vti Permit Granted ......FQJ?x'.L?.Ar.Y... 90 .ti Date of Inspection ....................................19 Date Completed ..... .. ` .......19 _ n S Assessor's offioe .(1st floor): - a / f ............. Assessor's map and• lot number .................` ........ o f Board of H;yaloth (3rd floor):' Sewage :.P,Orm�t pumber '.zap`a......................... i . JI. BAHII�TA.ULZ, Engineenn� : a�,tm6nt (3rd floor): ,t 9p 'MAX a House n riif erg gr q�l p�039-p�0� ............................... .. O YAY " 'p APPLICATIONS'°`P:R'OCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only " TOWN OF BARNSTABLE BUILDING INSPECTOR Edith Romano APPLICATION FOR PERMIT TO ...........................................................................................................: ............ TYPEOF CONSTRUCTION ..........................Frame..............................................................................................�............ --....... ay.... 2.7................19- 8T TO THE INSPECTOR OF BUILDINGS:' The undersigned hereby applies for a permit according to the following information: Location ...Lot 3, Plan Book 228 Page 123, 0.4j, Strawberry Hill Road, Centerville, MA ....................................................................................................................... ...:�; ........ Proposed Use ...,,,.Three Q.) bedroom single family .. .................................... .............................................................................................................. P, Zoning District RB ...........Fire District...... ,*,'t.. ox 7G2.....0 ...... l��C i7� ✓ i3 kOp �n.a. o G32 Name of Owner +l Fri'rh t?nr[11ttp 7Z-Hojwe--Ave S2�xewsbu�y, MA (1]545. Address .................................................................................... l r-c CZ,a(2i; C-1 C ---aar-la'al Tr AI AB— ✓— �r �pr�4aGtar MA 01604 Name of Builder ....................................................................Address .................................................................................... Name of Architect .......L.N: Branchard .,..Address ...•No. Darmouth, 14A .................................................... Number of Rooms .......... . . Six...(.6>...........................................Foundation .......Cement.............................................'............. Exterior Wood ...Roofing ............ Asphalt...Shingle.................................... . Floors Two ......................Interior ...............Drywall Plaster ....;........................................................... ----_, - Forced Hot Air Plumbin Two code co er/PVC treating ' .....:...........:..:............ ........ ...............,..... ... g ? .............�............ Fireplace ................:.......Yes ...........................!............... ..:....Approximate Cost ............ 65 000.00............. ..++ Definitive Plan 'Approved } oved by Planning Board -' � �19 Area :••S.t..... Diagram of Lot and Building with Dimensions Fee ...6..1'0 ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH r \ � V I \ v V a , 4 � i a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t t I hereby agree, to conform to' all the Rules and Regulations of the Town of B"rnstablereg,6rrding the above.h construction. / Ce LJ��"'� �-�`� h , 0/9U Name✓.................... .. ...................... cam, �f ...... ... .:� v p "� Construction Supervisor's. License ...... D.E. C. REALTY TRUST A=248-167 �yg=A 7 No ..U3 H.. Permit for S.t;Qr.y............. .......dill-gi.e...Eami.l y. ..Dwelling........ t . Location -Lot...u.,.......4.49....Str.aw er.ry..H .11 Road ................Centerville.................................. Owner ......D......E......C......Rp-aJty...Trust..... Type of Construction .....F.r.ame....................... ............................................................................... Plot ............................ Lot ................................ 1 Permit Granted .,FebruarX l, 19 90 Date of Inspection ....................................19 i Date Completed ......................................19 a � 1 i PERMIT COMPLETED 1/1/ 9V Ado7or .e��� t AY7•Rl?7 t 0�7MC>, TOWN QF BARNSTABLE 33488 • . Permit No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .... ,679• S.a�*` HYANNIS,MASS.02601 Bond ......x........ CERTIFICATE OF USE AND OCCUPANCY Issued to D. E. C. Realty Trust Address Lot #3, 449 Strawberry Hill Road Centerville, Massachusetts 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. March 29 , 19..... 0....... ... Building Inspector d��y�••. TOWN OF BARNSTABLE BUILDING DEPARTMENT S 3AXISTM rua - TOWN OFFICE BUILDING � g' 'aJ9• �� HYANNIS, MASS. 02601 MEMO! TO: Town Clerk FROM: Building Department DATE: 2 2 Z91W 1 /An Occupancy Permit has, been issued for the building authorized by BuildingPermit #.........:��..��...�� ................................................................................... . ........................................... issued to . .. .. .... .. G7" .... .. ._.. ��9...��, !y.......... �-' • J.. Please release the performance bond. TOWN OF BARNSTABLE, MASSACHUSETTS t BUILDING PERMI' A-248-'167 i DATE } f• 7't"iL�1'� 19 PERMIT NO. ; t APPLICANT i?•:.r�.�Y ADDRESS Rox 76i ;-JA (}7 rj•)(;Q tNOAP (STREET) "'1 7 1 dwelling 1 (CONTR'S LICENSE) PERMIT TO build dwt' Ili (�) STORY- S:Ulglt! i amily dwelling DWELLING UNITS 1.(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) iot #3 449 Strawberry :i11I. Road Centerville ZONING IN0.) (STREET) DISTRICT �1 r.. BETWEEN AND ' (CROSS STREET) (CROSS STREET) SUBDIVISION - LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: SBws3vt• 1J )—(l()3 BOND AREA OR 766' sq. f 6S 000 t. , • VOLUME ESTIMATED COST FEEMIT �)1'SU r _ (CUBIC/SQUARE FEET) i OWNER ". F:. C. REalt Truet P.O. Box 762 ;+ BUILDING DEPT. � ti ADDRESS Ci_I1C.fsrVil.1� �/\ U�b a 4 -x BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY c PERMANENTLY.. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINS FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. DOES NOT RELEASE THE APPLICANT FROM THE CONDIT.10' MINIMUM OF THREE GALL APPROVED PLANS MUST BE RE INSPECTIONS REQUIRED FOR TAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICALI. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL�I STALBLIATIONS D 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 z ----- z �.'� � ! ?7 3 A S HEATING INSPECTION APPROVALS ENGINE RING DEPARTMENT �0, "-------'-' ----_ }-yl yq r— r2 9 o ROARD 01 1 If Al Ill WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT '+/!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 I$ ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITT NOTIFICATION. LOT 2 N/F JOHN A. ROMANO 0 113.12' z Q LOT 1 0 Q LOT 3 = 11,700 sq.ft.f n z 47.5' 2 4.2' rn Qi T.O.F._ rn 53.7 O N O z O F� . 39.1 o 0 Q O - !� LOT 6 3 Q C �0 Z '�1 02 -O � � v N � � C v D 122.59' w E LOT 4 N/F JOHN A. ROMANO THIS PLAN IS NEITHER INTENDED ' ' 1a 90 ANTiAL ISSUE ELK NO.- DATEµ ,:DESCRIPTION BY FOR, NOR SHALL IT BE USED FOR AS-BUILT FOUNDATION PLAN—LOT 3 MORTGAGE LOAN PURPOSES. STRAWBERRY HILL ROAD N BARNSTABLE, MASSACHUSETTS ' FOR DALE CROWDER — l Z• SCALE: 1• = 20' JOB NO. 1464 I CERTIFY THAT THE FOUNDATION t „' SHOWN ON THIS PLAN IS LOCATED - ?..,_'Vy ON THE GROU DICAT "j U• 1A7 y .\ <) LEVY, EUMGE Ec VAGNER ASSOCIATES INC. ti F ersKW uNDSteFB 8CR1I M HMOLAID SURIMRS ADAtE REGI E ED LAND SURVEYOR �� 889 WEST MAIN STREET •CENTERVi1.1.R MA ozssz x T l'' JT t=t ✓�florJ _� i�ir��a� �1 s�TiC�I SFr Fl r-�� f Fr A2 PE F-t_f u: 'r ar 1 ar 0( N)i }•/fE{7Q-01..� .1`i1i1 O OO k*K�1Er1 rlr�_f_Ir�✓ r QLr AllO CHA G 3- Vic' _ itL• P p a a 70 BARNS TABLE .z f 0@1ding Impecdon Dep rtment cZOLO DEkZ NEW ENGLAND DESIGN #3..S-rRRw(3E22y b ro,� 3 - _• �, h Q � v t f I 3 CA.L 4 7� ii Y rl f r fi--'•�• I r I �, -4 yi I n rI �i r y Y � I rw I I Y ✓ I ' l 20 FT. MIN. TOP OF, , FOUND. SOIL T E S T EL. = yr-.L-`.�- 10 FT. MIN. 410 GATE OF SOIL TEST CONCRETE " CLEAN SAND WITNESSED BY Tc PI COVERS 4 SC 40 P,yC PIPE PERCOLATION RATE MIN INCH MIN. PITCH 1/8 PER FT. OBSERVATION HOLE I OBSERVATION HOLE 2 CONCRETE %! 4" CAST IR N PIPE 12 COVERS 2�� ELEV. =LAYER OF ELEV. FOR EQUAL, MIN. 1 1/8"- 1/2" WASHED PITCH 1/4 PER FT STONE 77, FLAW L INE N EL = `� MIN. * _ 14-f EL._ '• 2�Ci EL = °= LEVEL 1, E L. Q. DIST. EL. _ _ _ EL = 0 0 0 0 w WATER AT 44 , EL.= WATER AT EL.= BOX - > 3/4 - 1 1/2„ •v° t� c GALLON WASHED STONE 0 0 � �00 . 00 DESIGN CALCULATIONS SEPTIC TANK , IA_ ° o PRECAST LEACHING NUMBER OF BEDROOMS BASIN OR EQUIV. GARBAGE DISPOSAL UNIT , 6 DIAM. TOTAL ESTIMATED FLOW SEWAGE DISPOSAL SYSTEM PROFILE c GAL./BR /DAY x BR.) 3��� GAL. DAY NOT TO SCALE REQUIRED SEPTIC TANK CAPACITY 411 5 GAL. ACTUAL SIZE OF SEPTIC TANK I oco GAL. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL = LEACHING AREA REQUIREMENTS . OBSERVED WATER TABLE / / ) EL.= SIDEWALL AREA 'r 6AL./S.F. BOTTOM AREA GAL./SF LEACHING CAPACITY ( BOTTOM+ SIDEWALL) 9 ,: GA , . .. r, - 4 1 � , t4 3 ,aX .oxbxta) LEGEND' RESERVE LEACHING CAPACITY EXISTING SPOT ELEVATION OOXO EXISTING CONTOUR - -- - 00- --- FINAL SPOT ELEVATION ® NOTES: N FINAL CONTOUR SOIL TEST LOCATION i. ALL WORKMANSHIP AND MATERIALS SHALL. CONFORM TO O.E.O.E. ® TITLE 5 AND THE TOWN OF % ;`+' RULES AND ,U UTILITY POLE —0'W ��=W REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TOWN WATER CATCH BASIN 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO � ® y WITHIN 12 OF FINISHED GRADE . 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME. 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 1 I OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING L V MIN FRONT SETBACK SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING. MIN. REAR SETBACK 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE MIN. SIDE SETBACK SHALL BE MORTARED IN PLACE. 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH �fl4c ,At11 DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO r�ll OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. A.}� �v � i `�', APPROVED : BOARD OF HEALTH „�-I., Lp_ ter: �. lo�,o ydG 11.._ Q • IJrIviT`� r�t (�I�i`r 3 IS' tll! Gc�N - - wr DATE AGENT d 041 t PROJECT LOCATIONS D;60K �! Plop f - ,� a ->'�CJ ,; o� y y �-�.�v Tom'V '.,/I V� �•�"- F./'� APPLICANT: �� ( 12 � I Boa)� �]4••� Q �? /i'1/'C'��'.�"�ST,�^ ��C l�':-' '.�, - ----�'' T! v I11 _.._._.__ • � � LEVY E LORLOGL, 8 �AGAIER ASSOC //VC f -� 1 I I .� J ,_- � ` n , ENGINEERS - LANDSCAPE ARCH'TFCTS PLANNERS - LAND SURVEYORS 889 WFS1 MAIN STRFFT CENTERVILLF, MA 02632 LOCATION MAP JOB NO. 1 29 Z SHEET I OF I