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HomeMy WebLinkAbout0084 ALLYN LANE • I/ ..r. . 0 ,V. • ,, 1 I, t r �.kl + N(t r a. F + r sY s i Hy '$ r � �s r +..ks$�'f rn i Yy,Fars ' y J rr.';rtr l I. .� r Ct r t. `1' S �-r v -t:;.!. 4 F r .,,,Zi.A�' Z iy Y�' frig. �' .',}of k F 4 t�ti ' iFF r'N -C'S +e A, s ';:'1 k r, �..�:..:, ,1. f. 7 1,. ji.,1,',',1-,Vg,''''',1.'2.:'"i'i.V.:',.'i ... � .,. . ... . .. ... ... i--,-. . P�, ...., a.� . emu. . :, , _.L. ,.. t • , ,:.., ,. :. a � . o-r •, - , . . .. '1` . "-t.,, kv.n ., . , , ., . x ... .1 :,. �r ,- ,. '... ...: a.. .. E ..t:.t:... a .+�r ".. :.. . . �.... ..... .... ,..,,. .,... < . „" .:::.,,,,, ... ., t .,4: . _... �- ,.: , ..,. : f- . rt r',1:.. � . _ ,. L. .,.... .;�,. ti, .. r ,.., .. _ - .. r .,<i*, F .. .sa y n` ,.�, ;x:n r.. Ft`,,u t�+ v.,,,a" ... _. . ,. ,. . , � F s;.:k.. a .�+�4 w. Y.,h .e' k �.4 { r 5�:.. �i r ?'.z � b �.:3} e , it i »ry,�€"�. { r4 - ra '` ,+ y +'. r �� '.nY '` ` ,� :.:,-,::,;.3...i,-,....,-..„ y�'Y y - � ;,::: i . �' ^1.��+F�'�'`fn.5�r t.�.e�f F t�� fx � � , �yv a :-::::.::....t,,, �r . • • • • a 3 y n p ' . - • ... • u .. - - . - . {i Town of Barnstable ijou ° : •E : Posted Until FinalSo Inspectiont i- isible--From the Street'-Approved`Plans Must be=Retained on Job and this Card Must be Kept a Post This Card So That it is .e5a I Has Been Made ng Ma+' Where a,Certificate of Occupancy is Required,such,Building shall Not'be Occupied until a Final Inspection has been made. i er IlJJ Permit No. B-20-2228 Applicant Name: James Diede Approvals Date Issued: 08/18/2020 Current Use: Structure Permit Type: Building-Sheet Metal- Residential Expiration Date: 02/18/2021 Foundation: Location: 84 ALLYN LANE, BARNSTABLE Map/Lot:t 258-075 Zoning District: RF-1 Sheathing: Owner on Record: NEWMAN, DOUGLAS F&SUZANNE BAK Contractor Name:',JAMES M DIEDE Framing: 1 Address: 4 FROST CIRCLE Contractor License: 101 2 WELLESLEY, MA 02482 " ;, Est. Project Cost: $20,000.00 Chimney: Description: install 2 HVAC systems 1 ERV with all new ductwork v, Permit Fee: $85.00 Insulation: Project Review Req: INSTALLED AS PER 2015 IMC. Fee Paid: $85.00 Date: // 8/18/2020 Final: - -'-' � /v / Plumbing/Gas Rough Plumbing: i ------- Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by thil permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the lapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoling by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road air d shall be maintained open forublic inspection for the entire duration of the Final Gas: work until the completion of the same. -, ._ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:f Service: 1.Foundation or Footing y 2.Sheathing Inspection } Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Ors .�`-, Final. �� Lim i—$e..rr ,0* Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job arid this Card Must be Kept .._ i BARIVSCh6l$ ` Poted Until•Final Inspection Has Been Made " •,",t 'y, `+ . ` + ., Permit � ct659. " :1/17hs:er9a Certificate of Occupancy is Required,.such Building shall Not`be Occup ed until? Final Inspection has been made ., _, r� -z .< .�n ... Permit NO. B-20-1047 Applicant Name: richard andrew prchlik • Approvals Date Issued: 06/30/2020 Current Use: • Structure Permit Type: Building-New Construction-Rebuild After Expiration Date: 12/30/2020 Foundation: Teardown Map/Lot: 258-075 Zoning District: RF-1 Sheathing: Location: 84 ALLYN LANE, B9RNSTABLE Contractor Name: RICHARD ANDREW PRCHLIK Framing: '1 Owner on Record: NEWMAN, DOUGLAS F&SUZANNE BAK Contractor License: 135897 2 Address: 4 FROST CIRCLE •Est. Project Cost: $420,000.00 Chimney: WELLESLEY, MA 02482 ,k� Permit Fee: $ 2,242.00 Description: rebuild home to original plan after fire necessitated;it's demo.. i Insulation: Fee Paid: $2,242.00 Project Review Req: Add a smoke detector at the base of the'stirway to the Date: 6/30/2020 Final: second floor by door to garage. Basement and first floor need /? one smoke detector per every 1000 square feet. � --,K /� (7 Plumbing/Gas 9 - Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months'after issuance. All work authorized by this permit shall conform to the approved application and the,approved construction documents-for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: r work until the completion of the same. t` rw Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:i Service: 1.Foundation or Footing R h: 2.Sheathing Inspection i • . ou g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) • 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Perso cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department �-- -4.- ! All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: —E.,,,.. I rots, Town of Barnstable Building - a�xrssrna�e 'Post This Card So That it is Visible From.the Street-Approved Plans Must be Retained on Job and this Card Must be Kept , ( Posted Until Final Inspection Has Been-Made. '` ,„ ; ". Permit , • ��D" "` Where a Certificateof Occupancy is Required,such Building shallNot be Occupied until a Final Inspection has been made ) Permit No. B-20-414 Applicant Name: RICHARD ANDREW PRCHLIK Approvals Date Issued: 03/10/2020 Current Use: Structure Permit Type: Building-Demolition Expiration Date: 09/10/2020 Foundation: Location: 84 ALLYN LANE, BARNSTABLE Map/Lot: 258-075 Zoning District: RF-1 Sheathing: Owner on Record: NEWMAN, DOUGLAS F&SUZANNE BAK Contractor Name: .RICHARD A PRCHLIK Framing: 1 Address: 4 FROST CIRCLE Contractor License: CS-080591 2 WELLESLEY, MA 02482 Est. Project Cost: $ 15,000.00 Chimney: Description: A FIRE DESTROYED THE EXISTING HOME BUILT @2003/2004. THE . Permit Fee: $ 125.00 NEWMANS WOULD LIKE TO REPLACE THE HOME AS ITSTOOD ON Insulation: Fee Paid:+ $ 125.00 THE EXISTING FOUNDATION-THIS IS FOR DEMO ONLY AT.THIS Final: TIME . Date: '�� 3/10/2020 Project Review Req: PLAN TO USE THE EXISTING FOUNDATION WHEN THEY wl/` _� Plumbing/Gas REBUILD Rough Plumbing: ---- - - ',,,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. r _ •'( Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: u . Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. - Final: "Persons-c acting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). R� Fire Department ' . .- Building plans are to be available on site c All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: % v i'l . �3' ,:► �7 �•1 Application Number .7.( 0g ' BARNffrABL.E, = BUILDING DEPT. tifA8 $ Permit Fee I Other Fee s639• �� �� '" FEB 13 2020 Total Fee Paid • , TOWN OF BAKKg+561 k E ,le.� 3 1 a/ , Permit Approval by On BUILDING PERMIT ( .i Map..... ... . .Parcel APPLICATION Section 1 — Owner's Information and Project Location • Project Address tJ K Atti4 i r� Vill e Owners Name & )c u z.... / e,Jp1AI4 SCANNED Owners Legal Address MAR 0 9 2020 City State Zip A, i' ��. N1 Owners Cell# 7 t, i , ? q • 1. '7 7a41 E-mail vZ I � ai 4�4 e 1 . i Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet D Smgle/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use [ Demo%(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description P , i A 't�aNi , Ci'517 I cue `�JiL( 'e� 'h/2eia 11-if_... tacit-- Lite-, iv '� Trig-- gyp- i"1'" , 024 of_ 6-rif,kg ft0A-17,41-10A.--ri---Ak t< ,r-e:74.7.-1- Tp__---Allr-04(..K-f--"‘ T act nndsterl• 11/15Y)M R Application Number Section 5—Detail Cost of Proposed Constructs n4Ac600 Square Footage of Project aU Age of Structure '7 Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) '47/1 110 MPH Wind Zone Compliance Method '❑'AYIA Checklist ❑ WFCM Checklist 3 esign Section 6—Project Specifics la6Viring ❑ Oil Tank Storage [Smoke Detectors umbing, ©`Gas ❑ Fire Suppression U Heating System ❑ Masonry Chimney 0 Add/relocate bedroom I . Water Supply El Public ❑ Private Sewage Disposal ❑ Municipal [ ‘Site Historic District ❑ Hyannis Historic District Er,s'ld Kings Highway Debris Disposal Facility: , 6n„1- - I am using a crane ❑ Yes 0 No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side.Yard .` Required ' _ Proposed Has this property had relief from the Zoning Board in the past? El Yes ❑ No Last updated: 11/15/2018 • Section 12 Department Sign-Offs Health Department Zcniag BOW(ifrequired) Historic District 0 Site Kan iteview(f required) 0 Fire Department 0 Conservation 0 For commercial work,please take your plats dine to the fire department for approval. . Section 13--Owner's Authorization t u k NE NC)rvti •DoJkiLk9 `f *LIEOniki4 ,as Owner of the subject property hereby authori to act on my behalf, in all matters relative to work authorized by this building permit applicarion for; Sk eLLYN LkNE lZa'ei-►srAf S- (Address ofjob) Signature of Owner date 5uzo•►+1E ti N\ w.uaa cas F 44Ewnn►., Print Name • Las&updated:lin 01ffi. PHILBROOK ENGINEERING 107 BEACH STREET re' Project: 84 ALLYN Lane DENNIS, MA 02638 Project No: P20-01 1-508-385-8682 Date: 10 February 2020 BUILDING REVIEW/LAYOUT NOTES Reference Description L tc60-9th IRC 2015 Narrative: The existing 1 Family 1-1/2 story custom home w/2 car attached garage has Appx. J suffered extensive fire damages to the main house roof, 2nd floor, most w/MA interior walls,the covered porches and small portions of the 1st floor frame. Amends Essentially the building has been declared a total loss with the exception of the foundation. The foundation is intact and has been inspected for both fire and any past or latent structural damages. At this time none exist as the foundation was found to be sound and intact,still braced by the 1st floor frame and remarkably dry without standing water or much dampness. For purposes of this work the total house rebuilding will best be classified as reconstruction IAW Para.AJ101.2. Para.AJ102.1 MA Amend stipulates that all work being performed shall not cause the structure to become un- safe or adversely affect the performance of the building. As applied to the re-use of the foundation considerations for unsafe, insanitary or overload- ing will be addressed. Unsafe -as in normal new construction the site is a nuisance hazard and is currently secured from entry. As demolition and removal work progress barriors or fencing will be needed until such time that the•fall-in' hazard of the open foundation is secured. Insanitary-the foundation will become fully open to the weather. There is a certain amount of fire detris that needs to be fully cleaned out of there. As the fire water did enter the basement there remains a ring of the detris that should be cleaned away to prevent future odors and mold. A through cleaning and sealing of all the exposed concrete surfaces will be needed. Overloading -the existing foundation is fully backfilled and as noted above is fully braced by the 1st floor deck. The deck will be completely replaced so temporary foundation cross-wall shoring will be needed to keep the lines straight and the walls plumb and safe for entry. Care during the final deck removal will be essential to prevent springing the foundation walls. Note: Nothing identified to date exempts the requirements for observed conditions IAW Para.AJ102.11 MA Amend - Latent Conditions. Should such conditions come to light or appear unsafe or unserviceable then further corrective work might still be required according to those findings. Respectfully submitted, `� 4SH o F s<. O ITALIANS QSAO • T VARNUM GN •HILBROOK ��: T. Varnum Philbrook, . MECHANICAL \ No.30690 \-cts.t+ "iSrER� �(0, "�0NAL ENG� • Office of Consumer Affairs & Business Regulation - Mass.Gov Page 1 of 2 I Mass.gov Office Affairsand " egulation illusiness HIC Registration Complaints Registration # 135897 Registrant RICHARD ANDREW PRCHLIK Name RICHARD PRCHLIK Address - - 68 PILOTS WAY • -_-_ - _. -- City, State Zip W. BARNSTABLE, MA 02668 Expiration Date 05/16/2020 Complaints Details ;No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search Site Policies `' Contact Us https://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=13 5 897 8/1/2018 • • NOTICE , _=- NOTICE �*s c' TO =�y' TO AMMER EMPLOYEES -e EMPLOYEES AHy �5�e The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114-2017 617-727-4900 - http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: AmGUARD Insurance Company NAME OF INSURANCE COMPANY P.O. Box A-H, 39 Public Square, Wilkes-Barre, PA 18703-0020 ADDRESS OF INSURANCE COMPANY MAWC194572 02/06/2020 02/06/2021 POLICY NUMBER 1 ADP Boulevard EFFECTIVE DATES AUTOMATIC DATA PROCESSING Ir Roseland, NJ 07068 800-524-7024 NAME OF INSURANCE AGENT ADDRESS PHONE# Main Street Building LLC 68 Pilots Way West Barnstable, MA 02668 EMPLOYER ADDRESS 01/02/2020 8 EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY) DATE 0 0 MEDICAL TREATMENT N The above named insurer is:required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the ser- vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER The Commonwealth of Massachusetts • `,—__ Department of Industrial Accidents t'i.=5,,=,4/ - .Office of Investigations -_; _�". 600 Washington Street •. — z'• Boston,MA 02111 '=_mot A-. www.mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lepiblv Name(Business/Organization/Indi 'dual).'hV GV,r,v154,41_(1,- ►d+11 ki kirtL("�`. di t., ,i ,,, . _ Address: Gt `yam kilki . City/State/Zip: \ , . U,' a6,�1— Phone#: �i 1��- 1i()• (0 7.5 Are;an an employer?Check the appropriate box: • Type of project(required): • 1.Dr I am a employer with -' 4. 0 I am a general contractor and I 1��/ employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. Femolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp•insurance,t required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.0 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 mast submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. , I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. AVII ,���Y� Insurance Company Name: a�p A` f (; yV'1�1,(A G 0 t] I [0� Expiration Date: r Policy#or Self-ins.Lic #: L Job Site Address: Zi ,it LIA) L, '( City/State/Zip: 1. '1 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb c ' er the pains and penalties of perjury that the information provided above is true and correct: Signature: Date: /'/O - 2 • Phone#: 45E7b •2w• bC • 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.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 L 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 iri 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 civil 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 chall 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-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 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-MASSAFB Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia 10121/19 Customer Inquiry / Work Order By: •Date: I 0 ✓ Day: SvN Time: �' '4 Account 1876 Location 84 ALLYN LN. Owner NEWMAN, DOUGLAS & SUZANNE Meter Loc. Owner2 Book 2 Seq. No 805 Street 4 FROST CIRCLE City WELLESLEY State MA Zip 02482-2336 Phone 781-237-9844 Cell Cell Sewer Customer No Msize 0.63 Lread Cread New Rai : je a' Metr Ser No 18449447 03/18/19 09/13/19 /7 Metercode ERT 1981 1988 / 98 k 0 Ert. No 20820697 Meter Inst. 12/03/03 Usagel 7 Usage2 1 Usage3 11 Usage4 740 Email suzinewman@verizon.net Notes 5/8" MTR. BK 2 SEQ#661 Cell#(Suzy) 781-724-2709 Caretaker [� FIR I—I Meter Replacement 1 1 On 0 Off Repair (l DIG SAFE Mark-Out EJ Other New Ert: New Meter No: New Reading /cei/s- e/v Ordered by: Phone No:depy Done By: Date: O diO 1 • nation loro l March 3,2020 84 Allyn I n.Barnstable This letter is to notify-you that the meter at 84 Allyn Ln,Barnstable has been removed. There is however still an active gas line on the property from the main to the riser,located outside the structure. This letter DOES NOT preclude the excavator or homeowner from calling 811 before commencing any„ work. State law requires anyone planning underground excavation work to notify local utilities by calling 811 to get your underground lines identified for you prior to doing any digging.The call to 811 is the- LAW and must be made in advance of starting work.This confirmation letter of a as cut-off DOES NOT relieve the excavator.of making the call to 811._it is a State Law requirement If you have any questions,please feel free to contact me at 781-907-3728 Thank you, Colin Galvin nat>ionalgriid Gas Connections colin.galvin@nationalgrid.com 781-907-2958 WILLIAM ALLEN ELECTRICIAN BUILDING DEPT. MAR 0 9 2020 TOWN OF BARNSTABLE 508 360 2727 March 9, 2020 Lic.#13699b wallenelectric2000@ gmail.com To whom it may concern, 251 Main St Centerville Ma On January 14, 2020 the 4/0 triplex service wires supplying the house at 84 Allyn 02632 Ln. Barnstable Village were disconnected and abandoned. If you have any other questions regarding any other possible concerns, please feel free to get in touch with me. Sincerely William Allen • Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Friday, February 28, 2020 9:17 AM To: 'CREATEBUILD@ME.COM' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-20-414 Applicant, Please be advised that the above application has been reviewed and the following is noted: 1) Utility shut off letters not submitted for utilities. (780 CMR R105.3) The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may appeal to the Building Appeals Board within 45 days in accordance with M.G.L. c. 143 § 100. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon(a�town.barnstable.ma.us • • • .�._,_ _ i,..... vt. :, ',,-,, '' i - .:.:. , I ,,. ._ , ,,. .i ..., L. . 1 ,,,„, . , . ill.: ' - .- -1 . . , . , . . , . _ T -, , .1.:111,1''' -•-• . .14 s 1 1, 1' oW''.°Ill: _. 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MAR 1 0 2020 Tcri \I F bARNSTABLE f • Application Number Section 9- Construction Supervisor a tRRName i �t©K," -12(l.c.4 tAle_ Telephone Number 511 U 2 ,c)' (0 - Address 6�, a.„2 v., ,A4 City 4 r�rM State p4 fi" Zip of(a G g License Number (h°0170511 License Type CS Expiration Date C Zi ?o)_l Contractors Email CJ ki•,to &. i . Cava Cell# 5Ut-7 (229 6-- 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 z documentation required .y 780 CMR and the Town of Barnstable.Attach a copy of your license. Y � Signature Date I•]l)is Section 10—Home Improvement Contractor Name` l' ' -- i-u,+_. Telephone Number - z�•(,2.4 t; Address 4 T,, kQ'( City 1i. r State 304- Zip 6E Registration Number I.35-0q7 Expiration Date ,lr--'.17. 70 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and 1 documentation re uired by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date I•Io•Zv Section 11 —Home Owners License Exemption i/14 Home Owners Name: '1;760to 4- <074 � Vilik,‘•( . Telephone Number Cell or Work Number •79A- 12-A f . 27o1 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 SIGNATURE Signature Date i•10 P Print Name ,ve.. Telephone Number `.24462: � r E-mail permit to: G'I?-rvaL-b.e2�1416 kmi LLast updated: 11/15/2018 Section 12—Department Sign-Offs • - " Health Department ❑ Zoning Board(if required) El Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation El For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name 0 3 • • • Last updated: 11/15/2018 UPCt \ Keep the INSURANCE' Promise- Monday, October 21, 2019 TOWN OF BARNSTABLE BUILDING INSPECTOR 200 MAIN ST HYANNIS, MA 02601 a O Re: Insured: Douglas &Suzanne Newman Claim Number: 19MA00008248co 147. Policy Number: UMH 413794302 yp Date of Loss: 10/20/19 Date of Report: 10/21/19 Cause of Loss: Fire Loss Location: 84 Allyn Lane, Barnstable, MA 02630 To Town Building Inspector: NOTIFICATION OF LOSS Pursuant to Massachusetts General Laws Chapter 139, 3B, we are hereby placing you on notice of a loss to the above captioned dwelling. The loss may have resulted in a safety hazard or is unsafe for occupancy. Sincerely, Cindy Tatro, AIC Servicing Claims on Behalf of UPC Insurance Company Ph: 727-316-5242 Email: claims@upcinsurance.com If this document contains an excerpt from a UPC Insurance policy and it is provided here for information purposes only. This excerpt is not the official version of the policy. The official version of the policy is the policy issued to the insured on the policy effective date(the"Policy). In the event there is inconsistency between this document and the Policy, the Policy shall serve as the official version. 1 All rights and defenses of UPC Insurance and its affiliates(the"Company)are reserved. No act of any Company representative • while investigating this claim or defending a lawsuit shall be construed as waiving any Company rights. The Company reserves the right to deny coverage to you or to anyone claiming coverage under this policy. The Company does not,by this letter or otherwise, waive any rights or defenses. P - 0 Box 1011•St.Petersburg,FL 33731-1011•1 888 CLM DEPT•Claims@UPCinsurance.com•upcinsurance.com Page 2 of 2 1 IW S.tea+R A'N y . SWORN STATEMENT IN PROOF OF LOSS PURSUANT TO S.817.234,FLORIDA STATUTES,ANY PERSON WHO,WITH THE INTENT TO INJURE,DEFRAUD,OR DECEIVE ANY INSURER OR INSURED, PREPARES,PRESENTS,OR CAUSES TO BE PRESENTED A PROOF OF LOSS OR ESTIMATE OF COST OR REPAIR OF DAMAGED PROPERTY IN SUPPORT OF A CLAIM UNDER AN INSURANCE POLICY KNOWING THAT THE PROOF OF LOSS OR ESTIMATE OF CLAIM OR REPAIRS CONTAINS ANY FALSE,INCOMPLETE OR MISLEADING INFORMATION CONCERNING ANY FACT OR THING MATERIAL TO THE CLAIM COMMITS A FELONY OF THE THIRD DEGREE,PUNISHABLE AS PROVIDED IN S.775.082,S.775.803,OR S.775.084,FLORIDA STATUTES. Please provide the following information regarding your insurance policy: NAME OF INSURANCE COMPANY NAMED INSURED(S) POLICY NUMBER AMOUNT OF POLICY LIMITS AT TIME OF LOSS DATE ISSUED DATE EXPIRES INSURANCE AGENT Please provide the following information regarding your loss: 1.Claim Number: 2.Date of Loss: 3.Time of Loss: [a.m./p.m.] 4.Property Address: 5.Cause of Loss:Describe the cause and origin of the loss: Please provide the following information regarding the above described property: 6.Title and Interest: [My/Our]Interest in the property involved at the time of loss was as follows: 7.Occupancy:The premises described above was occupied at the time of the loss as follows: 8.Names of Mortgages/Lienholders: Other than the insureds and any and all loss payees indicated in the policy of insurance,there are no other persons who have an interest or lien in the property involved,except for above named mortgage or lienholders,except: 9.Please list other policies of insurance which may cover the loss: Please provide the total amount of damages claimed for your loss: Coverage A—Building: $ Coverage B—Other Structure(s) $ Coverage C—Contents $ Coverage D—Additional Living Expenses $ Coverage E—Loss of Use $ The Whole Loss Total: $ Deductible: $ Whole Amount Claimed Minus Deductible $ The loss did not originate by any act, design, or procurement on your part; no property has been concealed, and no attempt to deceive the said company as to the extent of the loss has been made. The undersigned certify that the statements and information contained herein with respect to the loss reported are accurate and truthful to the best of[his/her/their]knowledge and belief. ^' 1 ^' ci ?• r?irt * _r • a9e?lltot$ py, Mt n , Subrogation— To the extent of the payment(s)made or advanced under this policy, the Insured hereby assigns, transfers, and sets over to UPC Insurance, its representatives, affiliates, and/or subsidiaries, all rights, claims, and/or interest that the Insured has against any person, firm, corporation,and/or entity that may be liable for the loss or damage to the property for which payment is made or advanced. The Insured hereby warrants that no release,settlement, compromise, or agreement has been given and/or reached with any third party who may be liable for damages to the Insured with regard to the claim being made herein. The furnishing of this blank form, or the preparation of proofs by a representative of UPC Insurance,affiliates,and/or subsidiaries is not a waiver of any rights. Signature of Insured Signature of Insured Print Name: Print Name: State of County of Sworn to and subscribed to before me on this day of ,20 Notary Public, State of Florida Personally known, or Produced: 2 10/22/2019 House fire in Barnstable under investigation-News-capecodtimes.com-Hyannis, MA APE ODI_l11 .S House fire in Barnstable under investigation By Mary Ann Bragg Posted Oct 20,2019 at 3:43 PM Updated Oct 21,2019 at 7:17 AM BARNSTABLE—A three-alarm house fire on Allyn Lane that started on Sunday afternoon remains under investigation by multiple agencies. At about 1:30 p.m., firefighters received a report of a blaze at 84 Allyn Lane. When they arrived, crews found about 75 percent of the two-and-a-half story home was on fire but the residence was unoccupied. "The homeowners were on the scene," Barnstable police Sgt. Michael Riley said Sunday night. Riley said no one was injured,but did not comment on the investigation. About 50 firefighters from six surrounding departments came to help out and the fire was contained in about 90 minutes, according to a statement from the Barnstable Fire Department. Fire crews remained at the house for several hours putting out hot spots. The fire appeared to have started at the back of the house, on the ground-floor porch, according to a neighbor who walked through woods to the backyard. Flames could be seen moving up the side of the house. Firefighters focused their efforts on the second floor as yellow smoke billowed from the roof. Both the first- and second-floor exteriors were fully charred, with water dripping from the roof. Smoke drifted above the trees, and was visible to boaters in Barnstable Harbor. https://www.capecodtimes.com/news/20191020/house-fire-in-barnstable-under-investigation 1/2 10/22/2019 House fire in Barnstable under investigation-News-capecodtimes.com-Hyannis, MA The three-bedroom home was a total loss and the fire department estimated about $520,000 in damages. The house with an assessed value of$1.5 million is owned by Douglas and Suzanne Newman of Wellesley. The cause of the blaze is still being investigated by the fire department, Barnstable Police and state police assigned to the State Fire Marshal's Office. Staff writer Ethan Genter contributed to this report • https://www.capecodtimes.com/news/20191020/house-fire-in-barnstable-under-investigation 2/2 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map abv Parcel 0 pplA ication#�� "�� 1. Health Division Date Issued 9 Z`1 t'" PP O%Conservation Division / Application Feege€ ,S0 Planning Dept. Permit Fee v .CD Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address e4 ALL'tPj LAtJe '�� M . 094,90 Village 1..e� Owner S ft (6 � f� MA'I Address RtS+Clilcie sky mAso204 . Telephone t)2 — 4044 Permit Request '10 i'J t L . A W'eptiO t O" G Rooki0 Ha.tiCC/at1/41CRETE 6V tt.imckto m/GPA d- ice peg ATIACI4CP PcAkiS• \x/ t317 --c< 005 0 Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Zoning District RF— � Flood Plain Groundwater Overlay Project Valuation 4 J , onstruction Type Lot Size 4533Q ;per-. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: dull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) t.VA Basement Unfinished Area (sc t Ni/A Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new , Total Room Count (not including baths): existing new First Floor Ream Coin tme Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woad/coal stg e: Q,'Yes 0 No Detached garage: ❑ 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 Aut ization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If yes, site plan review# Current Use 91t4 —CMAILV Proposed Use 9iKI6t- f L7 APPLICANT INFORMATION AMORNI5 (BUILDER OR HOMEOWNER)Name 5 GWECO. 1iJC. Telephone Number (F303)2-A.7406, Address 0 liETVSUG RD. License # e5 02-QQ q JO. 9(LRtCA A44 • °IOW Home Improvement Contractor# H1 C 15 IiL9JAiktJ2 , Worker's Compensation # V/CA 0 1362'9 -tc ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO g C - wo. 9/aER/Ca, MA. O,&v2 'I SIGNATURE /�k/%;r deeee►.:411P DA - , -- -- - - - FOR OFFICIAL USE ONLY -APPLICATION# -. -- • ,. , .. . . - DATE ISSUED ..._. ......._ . - ,•• s -. MAP/PARCEL NO. -. ,.... . . . . , . ., . . , .--,. _. . . . . . , ADDRESS -.: ,_ • • •VILLAGE . , --, . . . OWNER . , ... , . , ... , .. . " i " ..,I ,".•.: - ,- . . - . . DATE OF INSPECTION: ... . ... , , . , . JPEOUNDATIONtwmimmilc-i-Q.nmipriq,, . . . , - , . • , - FRAME — '''- —- — --'•"-- — , ' . •. _ . s .. - IINSULATION, p .- •-.... • —• • ' . - , ,.. . FIREPLACE s . ELECTRICAL: ROUGH „ , -FINAL -• . - --- - . . . , PLUMBING: ROUGH FINAL ..., . . . . . .. . , „. .. . GAS: ROUGH • - FINAL - • - - ..' , -, , FINAL BUILDING - ... -,. .. . .. •.. , . .. . , . DATE CLOSED OUT _.. . „. ASSOCIATION PLAN NO. -T. ., -.. . . ., ,- -, ..- , . . _. .. ,. . . . . CLEAN & CLEAR® PLUS46 ,,., •i CARTRIDGE FILTER ._. "*". •,,, .....„3, .,.: fy , ,,. . l i Ii€ir,.. 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Y J-N� .? .,� 'p& w. .. 1 $f iP ¢'h'x "i:K l ,9.W. r k..... ,..: .A Model r:v v •'Filter Area •Vertical�z .;Filter '''"%''Flow Rate,GPM 'Turnover Capacity Res (Gallons) Y Number f''.- Sq Ft. Clearance Diameter « , . �,� , r �a � �,x . , Res.. Kar...41 iforokgi1Qhrs° r ok CCP240 240 56" 21.5" 90 90 43,200 54,000 64,800 i CCP320' 320 62" 21.5" 120 120 57,600 72,000 86,400 CCP420' 420 68" 21.5" 150 150 72,000 90,000 108,000 CCP520' 520 74" 21.5" 150 150 72,000 90,000 108,000 'NSF Listed °Required clearance to remove filter elements •°Mazimum flow rate • AVAILABLE FROM: + PENTAIR 1620 HAWKINS AVE,SANFORD,NC 27330 800.831.7133 WWW.PENTAIRP00L.COM Aft Pentair trademarks and logos are owned by Pentair or one of its global affiliates.Clean&Clear°and Eco Select'are registered trademarks of Pentair Water Pool and Spa,Inc.and/or its aifdu led companies in the United States and/or other countries.Because we are continuously improving our products and services,Pentair reserves the right to change specifications without prior nai,:e. Pentair is an equal opportunity employer. pumps • filters • heaters • heat pumps • automation • lighting • cleaners• sanitizers •water features• maintenance products