HomeMy WebLinkAbout0026 VICTORIA STREET /� � � �
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Town'of Barn�Sp
oFt"e r Regulatory Services
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toeefx 6ayrj - n - \
Thomas F. Geiler,Direcr=t 2 L !!6
" NABS. " Building Division
v�Ar 1639.t a � Tom Perry,Building Comrrussioner 1
260 Main Street, HyanniQ1GIA
www.town.barnstable.ma.us '
Office: 508-8624038 Fax: 508-790-6230
PERMIT#,�)6/ Q1 Q6. `IO FEE: $ S
SHED REGISTRATION
120 square feet or less
26 � 1 C-� cV i �c�" µ CFL4
Location of shed(address) Village
Tel V6
Property owner's name Telephone number
Size of Shed Map/Parcel#
Signature Date
Hyannis Main Street Waterfront Historic'District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature.is required)
Sign'off hours for Conservation 8i00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:042506
BUYER: Michael M® Pasnikowski and PJira .U,
Pa s r-li kows ki
55.28' f ..
Limited- survey- control - ....-
LOT 33 Location of structure is approx,
15,881 S.F. Verification by instrument serve
h Z
x
III
c, -4r DECK �W
o O�
1 STORY
WOOD
#26
DRAINAGE
EASEMENT
� 1
I j 109.78'
32.70'.
VICTORIA STREET
See Deed at Book 3851 'Page 257
for rights, covenants and easements of record.
TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION
Ma 1 Parcel A w. Permit#
Health Division . ✓'�^- � i�7`�, G 'Date Issued
Conservation Division S� l� 1 FeeTaw _
l,.. }. '���
feHeeter_ INST°ALLEDlN COMPLiIANC�a, -
'Treasurer WITH TITLE 5
ENVIRONMENTAL CODE AND
TOWN REGULATIONS - 3
ive an pP ,
e
istoric-OKH _" .-IR90 wiiofinis r
Project Street Address �'.74z9i'•/ GZ S�
ll f
Village
Owner A lkzi q• i ✓ Address
TelephoneD
Permit Request v''Z/�1 L~G2� 2. X I1 S. h ale(!�i t �P3vZ
d ,
Square feet: 1 st floor:existing _Z?D proposed 2nd floor:existing proposed. Total new
Estimated Project Cost C� ` . Zoning District Flood Plain Groundwater Overlay
Construction Type c.J D D 01 ' ¢
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Duelling Type: Single Family Y" Two Family ❑ Multi-Family(#units) -
Age of Existing Structt�ure / rc, Historic House: ❑Yes C'lo On Old King's Highway: ❑Yes, O-Wo
Basement Type: Ef Full ❑Crawl ; ❑Walkout ❑Other
Basement Finished Area(sq.ft:) Basement,Unfinished Area(sq.ft)
Number of Baths: Full: existing c2 new Half: existing . new
Number of Bedrooms: existing_ new
Total Room Count(not including baths):existing new First Floor Room Count'
Heat Type and Fuel: C9 Gas ❑Oil. O Electric ❑Other
Central Air: ❑Yes 310 Fireplaces: Existing New Existing wood/coal stove: ❑Yes M' oo
Detached garage:O existing ❑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 ❑No If yes,site plan review#
Current Use Proposed Use
' BUILDER INFORMATION Fy
Name l e 0 U-1 s Telephone Number
Address License#
Home Improvement.Contractor#
Worker's Compensation#ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR,OFFICIAL USE ONLY
-PERMIT NO.
-DATE ISSUED
MAP/PARCEL
M ' ` t .a . • _ •. - - - - •'a _ - ,mot
ADDRESS - ; T VILLAGE
' OWNER'
' DATE OF INSPECTION:
FOUNDATION (n
FRAME ,
INSULATION. � _. ,_ f - ,, ':' • • ' •~ --•
•FIREPLACE
ELECTRICAL: ROUGH_ FINAL f
PLUMBING: ROUGH ` • 4 FINAL
�- - ;
GAS: ROUGH,, FINAL
FINAL BUILDING
c !
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
�ppUco : r 1 qyv
at�3 -
�of
00. 0 ' 09
Lv
ldf) ---J O��C� �52�± V
26 /s, of
StUry
o
- i
l �
2C-25
ref 0015C food Bo". ♦��-IN OF A(Flood van-eT,Z �
gss9c
:r) PA U l' tiN
T.
hcre�y Cerw 1W Mor .age inspwn6, was.pC�pareGl�-for tt '� eRovER yl
9er�c� �ers, 7 C, N0 313 t l
c(we n, M-em aer�v in a s c a Tfm,- , �11Lr1 y 1 vs a^ pea 1"" E y Q
fwwnd, arm witKam e{Fective date of S-19-S5an& rdu locahbry op . ;s
tlw dweilir>g o%s can cmn rto }tie Local orLing 6y-laws in e¢fect� �``.`
atthe tune o�construcx%on x>it�t, res�ec�to hori�orLtal. dirrlertsiona�
Scale: 1" _
setback recLLLu irenlet 5 or is ¢tempt from vtolatwn ert�orcet r tle pater-_l 2. 5
cZfton. under AW5. General,laws .Cftapter4oX-SectL0rv7. File No.��_z��
PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise
determination of the building location and encroachments, if any exist. either way across property lines. This plan must not be
useel for recording purposes or for use in preparing deed descriptions and must not he used for variance or building plan
purposes. This plan must not be used to locate property lines. Verification of building locations, property line dimensions, fences
or lot configuration can only he accomplished by an accurate instrument survey which may reflect different information than what
is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY".
COLONIAL LAND SURVEYING COMPANY , INC.
269 Hanover Street - Hanover, Mass. 02339 - Phone: 617-826-7186 . Fax: 617-826-4823
_ The commonweaun
Department of Industrial Accidents
_�; �=•'-' • �� 011lce oflm�esti�atioos
-_-a 600 Washington Street
F -— Boston,Mass 02111
Workers' Com ensation Insurance Affidavit
name:
location
art/(� �'I 6 08
city .e�1 hone#
am a homeowner performing all work myself:
❑ I am a sole rietor and have no one woridi m my achy
%%%%%%//%% /////%/%%/%//,%///////.%/////////////O �'�/ O�/�� � /% �
I am an em lover rove workers' ca mention for my employees worldng on this_job.
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:.::..:.......................
om anv name:
si
r-
...........
oiicv
insurance co. ,
❑ I am a sole proprietor,general contractor,or homeowner(circle one and have hired the contractors listed below who
have
owlnworkers co t nsa P�...............:. .,. :.::::.:.. :.:::::.:.:::.::.:::.;:..>:;:.::::. .:;::.::::::::;;.;;::.::.:.::::::;:::::::,;>
the foll g ..................:::: .. .:::..:«:.; ;.:::.. ;:: :.;:.;;::;::«:...:,,.:::::::::.;;;:::::::::::::;;;:;.:::::::::;
OWN
coin an n sine.
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.........................................................
.............................::::::::::::::::::::::::..................................................................................................
..... ...... .............:..................... ................... ......
.. .... ..........................:................,ter....... ..........:::.:............. .. ..... .;:.:;:::::;.;::.:::.;•.::;;:;.:;::::::::.;�.�:::...:.
anv nam :::......:;.:........:......:..:..
:::::....::.:::
address..
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........,.........................:.
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insurance co... %//
Failure to secure coverage as required under section AMA of MGL 1S2 can lead to the ynpositioa of crbniasl penalties of a fine up to 51�00.00 and/or
one yeses,tmprisomnent as wen as civic penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification
I do hereby certify a pains ngnalties ofperl that the information provided above is true co d
LI)
Signature
Phone# a
Print name
u , / �'
official use only do not write in this area to be completed by city or town official
persnUMcense ❑Building Department
city or town: ❑Licensing Board
(3gelectmea's Oftlee
❑check if immediate response is required ❑Health Department
phone#,
contact person: � �
F 1HE t°�
The Town of Barnstable
* BnxNsrnBM •
9q, : Department of Health Safety and Environmental Services
1659
AfFo ,�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.
9
Type of Work: J�CeiO�CL�'-C/YI�'A Estimated Cost
Address of Work: �- !D y � � �� •�
Owner's Name:
Date of Application: �� w
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
Date Owner's Name
q:forms:Affidav
g
Buildin Division
SrASM ' 367 Main Street,Hyannis MA 02601
i6?9.
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Comn; -
HOJIEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street /village
"HOMEOWNER'�
name home phone rt work phone#
CURRENT MAILING ADDRESS:
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,provided 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 hermit.
(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 procedures and requirements and that he/she will comply with said
proced s and requirements.
Signature of Homeowner
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 0�70N
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,maav 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:F0RMS:EXE111MN
Assessor's map and lot number ...............
41
Sewage Permit number ........... .....
YJAWSTAXLE. •
House. number ..........Z(re.................................................... V, NAM
•
039.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
f
00
APPLICATION FOR PERMIT TO .. 4-�'/ ..... .......D
- ......M.. .... .......................4.............................
TYPE OF CONSTRUCTION ...... .....................................................................................
(r .� . . ............
TO THE INSPECTOR OF BUILDINGS:
The undersigned ereby applies for a permit acc rZd*ng to the foll(5wing informatiorV.
Location ................ .....................................
Proposed Use .... ...................
.......... .... . 3 .1. .....lake, c<
....................
............. ........D................. ...
............
Zoning District .... N....................... ..Fire District %.�� �� ...........
Name of Owner m e ................. -33....Address .1 ....14......................................................
Nme of Builder .................Address .......................................................ed.....................
Name -�eSu (+ beck , I. olo,-m
Nameof Architect ..................................................................Address ............................... ....... ................ .......... ............
oms Foundation Y Number of R
............................
Exterior .. ...... .........
(A ....................Roofing ....... ....... .. ...........I................................
...... .......
Floors ...... .Y.... .. Pa... ...............Interior ............ ...........................
l ........
Heating .............�J )...............................................Plumbing ................................................... ...............................
Fireplace tck.. M E . ........... ................Approximate-Cost ........ ...................
oa
Definitive Plani Approved by Planning oard -------------------------------19--------- Area ..........................................
Diagram of Lot Vn'd Building'wifh Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and ReguGfions of the Town of Bairnstable regarding the above/
construction.
Name ..... . ...... ....................11�........... el.-;,,2r�ft....... ........
Construction Supervisor's License .................... .................
COOLIDGE HOMES A=148-62
25104 One Story
No ................. Permit for ....................................
Single Family Dwelling
......................................................................
Lot 26 i
Location ..................33..1...............V.. ctoria Street
..........................
Centerville
.................................................
Owner ......Coolidcje Homes
..... ..........................
Type of Construction .....Frame... ............................
................................................................................
Plot ............................ Lot ................................
Permit Granted .......May 24,
19 83
Date of Inspection ....................................19
Date Completed ......................................19
7ol
6
l
('16
Assessor's map and lot number
SYSTEM MUST 61 0*1 E
-UAN(
INSTALLED IN C01tA.r
Sewage Permit nAber'..A. ... .....:7.... /..............
WiTH TITLE 5
- -(- )E At- MAUSTABLE,
House, number ........... .............................................. ENVIRONMENTAL if MABIL
039-
TOWN �S
-zTOWN- OF BARNSTABLE �� ���/�,�
BUILDING , 11N S.-PECTOR
-S A ��...."TO .. .....D..Y�.....
APPLICATION"FOR PERMIT f!q..... .......� &�114J.. . . .............................
TYPE OF CONSTRUCTION ...... -v ...............................................................
F-0-4--e.......................
L)
..................... 19
.. ........ V.
TO THE INSPECTOR OF BUILDINGS:
The undersigned ereby applies for permit ermit ac d' 9 to' the fall ing in orrpatioN
p f
33
Location ................. ........ ... .......................... ... .............. ..... ....................................................
a jcc
..... .... ....... ........
..... .Pf.....e............
Proposed Use ....... ........7 . ......
M.J�.td.al.--D.......
..............
Zoning 'District .... ........ ...... ....................................Fire District ............
��S LA
.............................. ..
Name of Owner .....yil�.... /A.La.�..................�Aciclress Jlq.........................................
Name of Builder ............. ....Address 7 I.f. ed ...........
Nameof Architect .............. .....................................................Address ............................. ..................................................
d
Number ovfRU ........... . ...........................Foun ation .Q
Exterio
r ,......I.............. ..R* �fing ....... ...................
0
t
r .
f..�� �.!/ .................................
J. .....P ......... ..........Interior' ...
Floors ............ . ..
Heating ......... .... .. ... .........................................Plumbing ..................................................................................
5
Fireplace . ............................Approximate Cost ...... .....ocq.....o..........
................—
12-77.
Definitive Plan Approved by Planning card -------19-------- Area .............
'Diagram of Lot and Building with Dimensions
Fee ..............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR, NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the T of B s able rega ng the, above
• construction. T� f ABa I ega ng the a Wbo.v e 4V
Name ..... ..... ... ....... ... ...... ....... ................ .......
Construction Supervisor's License ....................................
COOLIDGE HOMES
1`tt 25104 One Story
VNo ................. Permit for ....................................
.........5.ijag.le..;E A]Ai ly...PKqU.iAg............
Location
Lot . #33, 26 Victoria Street,
................................................................
Centerville
. ...............................................................................
�* • _ : � = .
Homes
Owner C
oolidge
I.......................................................... .
Frame
Type of Construction ...........................................
.............................................................................
Plot ............................ Lot ................................
May 2 4, 83
Permit Granted ........................................19
Date of Inspection .......19
Date Completed ....R10'X7 AU. ....1.........1'9
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~= TOWN OF BARNSTABLE 25104
Permit No. -----------------------------
sns Building Inspector cash
n ------------- -
'""' OCCUPANCY PERMIT Bond --_--_X-
Issued to COOLIIDGE HOMES Address
1'
Lo� 33, 26 Viototia Strut. C'e?n tartrz
Wiring Inspector �l i --Inspection date `
Plumbing Inspectorf r �� Inspection date
Gas Inspector a ,�'n G4-� Inspection date 7
X Engineering Department % . Inspection date
Board of Health t,f J � „ 'f-Inspection date
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.
Building Inspector
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5
4
28"
2.625
SEPTIC TANK
r
} END OF HOUSE
BACK OF HOUSE 13.7 37.0
16" TY
13.75
142.25
28„
94.75 96.00 89.00 - 94.7 .40.2
18.50 20.50
CENTER OF THIS JOIST MUST
LINE UP WITH CENTER OF DECK
TO ENSURE DECKING BOARDS
SEPTIC TANK OVERHANG 1 1/2" OFF BOTH
ENDS OF DECK
0
20'-4 1/2"
57.00 ..... TO END OF HOUSE
JOIST AND BEAM LAYOUT
END, OF HOU`
BACK OF HOUSE
116.00
142.25
8„ DIAMETER FOOTING
48" DEEP
TYP. 5 PLACES
94.7 96.0 94.75 �- 40.2
18.50 20.50
SEPTIC TANK
57.00 244.5
FOOTING SEPTIC TANK LAYOUT