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Home My WebLink About0035 KELLEY ROAD 3s- /� I� ,f - - - -- - - ------ - --- -� 4 K, S fi fit,5 r IN R ! UCTION � . v ,; CO. ZC4 , 31 3 5 esid Up and Commercial Builder f .� Eft IZATION SPPECTON IALiS,T- y _ �`- D 5 March 15, 2014 4 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201304513;Status A; Parcel 292069 at 35 Kelley Road, Hyannis, MA; Permit Type RADD and issued on 12:00:00 AM has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'OF F 9 ,Rl TABLE ` Map Parcel Application 40 ! � -9 F 1i jQ: i 6 Health Division Date Issued l Conservation Division Application Fe Planning p De t. Permit Fee 3 Date Definitive Plan Approved by Planning Board Pie ?—t 1 — 1 3 Historic - OKH Preservation/Hyannis Project Street Address Village Owner Address Telephone ,Permit Request )Ir Cc C,++.-e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation )S1GU ^ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes U40 On Old King's Highway: ❑Yes 8_60 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 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: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑inew 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy,Construction Telephone Number PO Box S2- Address West-0enn116,MA.02670. License # Celt(MOS)It"�I64 C1,911-6863 Hir_1693 51 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RES LTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7 5 I FOR OFFICIAL USE ONLY r y APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE =; OWNER w Hpx •. arx{ DATE OF INSPECTION: FOUNDATION. ' FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL w GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT F x ASSOCIATION PLAN NO. y The Commonwealth of Massachusetts Departinent of Industrial Accidents - Office of lumfiga#ions _ +600 Washington Street Boston,M4 02111 wn w.mass.govIdia Workers' Compensation Insurance Affidavit:Bnilders/Contractors(Elect6cians/Plumbers Applicant Information Please Print Legibly 5 Name(BtismessropgauizationJludiv;dual): Box,5 - West efula ,, �12670 Address: 1 Gel 2$A�bpb4 City/state/Zip: CAL-5%3A g HIC-169393 Are you an employer?Check the appropriate box:: Type of project(required): I am a contractor and I 6. ❑New coition 1.El I am a employer with 4. ❑ ployees(full and/or part-time).* have hired the sub-contraetozs 2.a I am a sole proprietor or partner- listed on the allached sheet7- ❑Remodeling ship and have no employees These sub-contractors have S. ❑Dtmtolition, working for me in any capacity. employees and have wogs' [No workers'comp.insurance comp.insurance.) 9. ❑Building addition required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp- right of exemption per MGL 12.❑Roof repairs insurance regaired]1 c. 152, §1(4� and we.have no employees.[No workers' 13.�ther comp.insurazim required-1. •Auy appiic=that checks boat#1>aast:also fill out the section below showing their worms'compeusation policy information- fi Homeowners whn subnmt this afiiidavit indicating diay are doing ad1 wml:end dLen hue outside contractors t=submit a new afdavit indicating such YContmcmrs that check this boar must attached an additional sheet showing the name of the sub-comnacmrs and state whether ornot thane entities have employees. If the sub-contrmctors bm employees,they must:provide their workers'comp.policy number. lam an employer that is providing ti orkers'compsnsudon.inmrance for myT etrrpfnyee-% Below is the pvfij7 and job sate information. Insurance Company Name: Policy 4 or Self-ins.Lic.4: Expiration Date: Job Site Address: "'5- M121 & City/State/zip: )/d CUCC 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 NfGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500-00 and/or one-year imp risotmwt as well as civil penalties in the form of STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA ce coverage verification. I do hereby cetfify ni t 8 ns japenafties ofpeduty that the information provided ahme is true and correct Si e: Bate: Y Phone#: O,UW4ffl use only: Do not write in this area,to be.completerd by city or totwt official City or.Town: PermitUcense 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 3.Plumbing Inspector 6.Other Contact Person:: Phone#: - 6 I I OWNER AUTHORIZATION FORM re (Owner's Name) owner of the property located at (Property Address) Property Address) KC-CM-4 hereby authorize , (Subcontractor) an authorized subcontractor for RISE Engineering,to ct on my behalf to obtain a building permit and to perform work on my property. Owners Signature Date - 1 Office of Consumer Affairs and Business Regulation ---- - 10 Park Plaza - Suite 5170 rf O vco Boston, Massachusetts 02116 w Home Improvement Contractor Registration - �. ' W Registration: 169393 Type: Individual ° CD Expiration: 6/16/2015 Tr# 238121 c o L Q��z��r,n IV i t f .rz, MICHAEL MCCARTHY �{ _ �' MICHAEL MCCARTHY 'n�, �� o . P.O. BOX 52 . ; r aCID F WEST DENNIS, MA 02670 o a .h. Update Address and return card.Mark reason for change. yEj o h-•-...-' Address ❑ Renewal Employment Lost Card s m o f a ,Nr, SCA 1 Co20M-OS/11 U p (f/e Wogn4mviuueaN?,o'C/�/fcr�aac�ccaeCr p A Office of Consumer Affairs&Busihess Regulation License or registration valid for individul use only m 3 OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: — .egistration: ,.169393 Type: Office of Consumer Affairs and Business Regulation xpiratiow ...6/:1612015:. Individual 10 Park Plaza,-Suite 5170 z� Boston,MA 02116 MICHAEL MCCARTHY,_,--,� MICHAEL MCCARTHY`` t °' 6 RANGLEY LN. SOU PH DENNIS, MA 026fi0=:%"' - Undersecretary Not valid without signature l of �a�ti � Town of Barnstable *Perndt Expires 6 months from issue date . ►srAB , = Regulatory Services Feec;,?SMASI °v 9 `0$ Thomas F.Geiler,Director PERMIT Building Division X.PRESS pERMIT AUG 2 7 2002 Tom Perry, Building Commissioner - 200 Main Street, Hyannis,MA 02601 A U G 2 9 200-2 01?fic I � &RHNSTABLE FaxT 9 -6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint --Map/parcel Number g Property Address .Residential Value of Work fGL 1 j { Owner's Name&Address 2 � � k I Ile—&10e 17 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) —4 ❑Workman's Compensation Insurance o . Check one- ' ❑ I am a sole proprietor . ;21.I am the Homeowner ❑ I have Workers Compensation Insurance __j Insurance Company Name 00 Workman's Comp.Policy# cu r— �' r*1 Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) Re-side �GGA4Tla� ��` �E�2cs 17rs?•s�4-�- ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ignature :Fomis:expmtrg , evised121901 °`T"Ep°�� TOWN OF BARNSTABLE ii i AH BHSTADLE, i ! 9� DMY- ,e�� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... ....../�..... (. �� !.............................. .............................. TYPEOF CONSTRUCTION ........... .�`f- ............................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby �applies for a permit according to the following information: Location ........J�. .....(SC �,f....... ..� d/ � /........f..l Q�l 1� ......................................................... ProposedUse ......./1..4.. ........... ....................!......... .. ...................................................................................... Zoning District ............€.t..!.!...'-.L.........................,.................Fire District /! , Name of Owner 42'✓.Z ..........Address Name of Builder .../..✓/. ......................Address ..............61e,.✓/./.. -'.......................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................../........................................Foundation ..... rJ/ r..C!... ........... Exterior ........ ...................Roofing .......f'/.''... ./. ..... ��i'7,C�' �''"......... .... Floors .....................................Interior 6 CG G'..... .. ...` �?c? /. .. .......... Heating ...........�..��.............Ile' A.z�.....................Plumbing .........../..(!�&... ............................................ � lef Fireplace .......... .....- . :��.................................................Approximate Cost .... .5K 7,,,( .....'............................... Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions 7>d I PROPOSED ME I`HUD Or i'rtU . "ANI" 'ARY WATER SUPPLY, SEWAGE DISPOSAL AND 1 RAINAGE IS H REBY APPROVED � -K3 TOWN OF BARNSTABLF, ►` BOARD OF HEALT]d ALICENSED INSTALLER MUST OBTAIN SEWA- f PE INSTALL SYSTEM. ' x 40 IVI 1 � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ............................... I.....0.............................. | ' � White, E. Gerald 14 No — _ pernnh for ...... .. / ^� __... ___________ . u��u�) . . Location --�� 3�wa� _ —.----r--_.—.-------... .....�--.—..�6��r"A,!.............................................. ' - | ' Oxwne, --'. ��.'' '--'----- Type of Construction ------.��g�.---'' } / . —.—.—.—^—~..~-----..—.--------... Plot ............................ Lot ................................ ' ` } � . Plarxh ' Parmk Granted ............ Dote of Inspection ....... --.--.—.]9 zwa�"' � ^ � ~~'= Completed � "r �p PERMIT REFUSED \ � -- -----_--------------.. lg ' ..—.—..—.—.,...—.--.—......_----.—.- . | `~~_—..-...-^—.-----.—..—.-..---. ' � / . .—..-----------.—_....-...~..----. � ^ . / . ~--'----------^'~—~^—''—~—^--'—^^' . . , Approved ................................................. 19 ' . . � -------.------.—..~~—,—.-----.. --------------------.—.---. . / . � � � �