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HomeMy WebLinkAbout0099 MEGAN ROAD 9�i /�/�,� � . � - -� _ _ . _ 'i I 1 ' I i ' Q �✓- �G _ 75 SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE o� '`- WITH ARTICLE li STATE SANITARY CODE AND TOWN REGULATIO"°S QyoFTHErp�y TOWN OF BAR.NSTABLE BARNSTABLE, i 1639 �•� BUILDING . INSPECTOR `r APPLICATION FOR PERMIT TO ................... .................................................................. TYPE OF CONSTRUCTION ......... Pa ........�.....:................... ...........o d .............................. .......................................................................... Z .............19.V TO THE-INSPECTOR-OF-BUILDINGS: The undersigned fhereby applies for a permit according to the following information: Location ...... ....................... t....... ............ ..................... .................................................... �ti,� .................... Proposed Use ......�........ .................. f. . .��.?.........>�/...........41.L���! � ........ Zoning District ....... ... el- O .. ....................................................Fire District ....... .1.................................. - r• Name of Owner .... / /� ,�/�G ' ✓Aciclress !� �� .... ef1............................... Name of Builder fr............................'................`......Address .......�e ..r ..............� r i Nameof Architect ..................................................................Address .................................... t........................................... Number o 1 „��f Rooms .......... .:.........................................Foundation ............ Exlerior ..` ...... .� . ... ......�L ................Roofing 1.0 - o // ,l / /. ......................... Floors ...-.......... ./:!....................Interior .... ......... fit .. -��iGt . ................ . Heating .......Cw. .... ......... .....................Plumbing ....../....................................................................... Fireplace ................ ..............................................................Approximate Cost .... .5 ...��� ...................................... Definitive Plan Approved by Planning Board __ �� 19 Diagram of Lot and Building with Dimensions ;2 SUBJECT TO APPROVAL OF BOARD OF HEALTH 1157o .V I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard' g the above construction. ;? Name .... % ........ ............. ( / \| 16317 one story fmgle familidwelling -------------- . ' Road Locohon (1--...........-------------- ( { Hyannis � --------.-----,------------ � Owner ---'m�1liam Daoey^_Jr°__.__.. � ' Type of Construction ...........J�naoo______.. � � � -----^--------------------- ' P #l22 �� _____.____. �� ____.~..___.. ` June 18 �q ' Permit Granted ----..,--------]q '~ ' ' . � ) � Date of ] ......... lV ' /up��vc"/ --------- 1 Date � � < Completed ' x \ , ' PERMIT REFUSED � | .----._—.---,.--------.. lA' ' , ' � --------------------------' . ' / ' '--~---------------^---'----'' � .-----.--.-------------.----- ' ---------~--------^-------'' � � / Approved ,'--------------- lA ^ ---------------'-----'-----'' ` -------`--------------^---'' ` / . �.. ���_ ' - � k _ y ` n o� � 3 zs� Q u•..v.977 na,.r 3 C. tol ol t :R. TI t' ED PLOT PLAN pATE — /��7-� - `.R yy NiS /LL.o �.r�s EGo20�C.o `09T'.c�3A•2•�/5"T'AB4E .eAE:G4r7,oey P I6 7� OF OEEOs /w /=Li9 ,BCoC "Z!e Z r ioi96E 3 7 0 ATE . 1 14EREBY CER. T1FY THAT THE, 8U [ L DING= RE` LAND E -Offt Sffi.OWN 0-N: rH1S: ..PLAN 1S L.00-ATE.D O. N:.` T E. . .G `ROU:NG AS .S. HOWN- :H•E: RE: ON. A, N' D.` T N..AT 1.T Oo4a C O N..F.O R.M T .0 THE Z0_NIN. G 8Y t_AAWS OF THE TOWN OF B�?2-.SST-vacs c E W,H E N C 0 N S T R U C=T,E_0 loBEPff ARM ,BA R. NST'AB'L, t, -URVEY CONSULTANTS, u WEST Y4A.t Vie►9 U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map.1— Parcel LcA Permit# Health Division � 1 lb 2- oK- Date Issued Conservation Division Application Fee 00 ,i (�I �S�a d n o Tax Collector c,�D L9 O� '— CJ {��— � I ' Permit Fee y Treasurer {� /J��g SEPTIC SYSTEM MUST BE 1 INSTALLED IN COMPLIANCE Planning Dept. 1iYiTFe TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REOUL T`OM Historic-OKH Preservation/Hyannis Project Street Address llq e Gi C,,A.,) Rj a Village 0 V�'x IU 1J i > Owner C A Address �� Telephone (( J 0S I / Permit Request h Go c�2 %SCE e 'rca rt c k 1141` eo c� Square feet: 1st floor: existing proposed 2nd floor: existing proposed ' Tot&ew 00 Zoning District_ Flood Plain Groundwater Overlay Project Valuation A /- OC-;, Construction Type w Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting doc mentatig m c I Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) v Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No 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 Q ' 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 ❑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 Name N 3 I I ' 114 C :I d 10 Q Telephone Numb J �__0 _ tS��i 7� Address P © 7��� License# C_ S C)-7 T"[ 7�( c s," Ed&0644 �25 1� 1,Aome Improvement Contractor# Worker's Compensation# ALL CONSTRUC ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � S SIGNATURE DATE w.. ♦ ....E r FOR OFFICIAL USE ONLY PERMIT N.O. _ DATE ISSUED :3..= MAP/RAP GEL NO. ADDR`ESS• `. : VILLAGE " < OWNER " I DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL"nj PLUMBING: ROUGH •," FINAL - - GAS: ROUGI ? _ FINAL . FINAL BUILDINGS � ' i R, y "s L DATE CL"OSED OUT . ASSOCIATION PLAN NO- . L ' . i r The Commonwealth of Massachusetts .-... - Department of Industrial Accidents _- office ofinsestigations . ._ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i name:• 1/4/lj It- I I location: ` lu ti �' ci 4, 1 5 phone# -560y ❑ Laiff a homeowner performing all work myself. I am a sole r rietor and have no one worki>1 in an ca acity I am an em to er roviding workers' compensation for my employees working on this job. • name <•::>>:::::::>..: •: :;;.;;:.::::.::.::.;.;�;;:.;::::;:.:::.:.;:.::.:;:�::..:::.�::.�::::::.:. ai1Pe hone# <:? xxx X. ........... city a ..................... Arts-ranee>¢a:;:<:::::;;;<::;;,::<::««:>::::»;:;:s,:;:;;;>::;:<.<.::>>::: : ::<::.::.. ...:;.: It ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the ' n olices: kers com ensatlo ollowin wor Uo m an;:name ;:. ................. .::..>•.:.. ..::.::::.::::::.. :;: ::>::>:;:;:�::�«:<:;>;::<:<:>:<•>':':;s:.;�:.::;::;;::•:: ..: .:. is :: Ames:::::: :<::<:?:::><:»>:: ::::>:::«:;:::>:;:;:<::»:<:>:�•_>::>::>•:<:>:::<>.......... ..... .......... c an n :address:..: o #ha .: . . : ,...:; :.. . .. .:: ��. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil 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 Office of Investigations of the DIA for coverage verification. I do hereby certify u e pains enalties of perj that the information provided above is truo and correct Signature Date CA,0 /®'� Print name A) Q C /r/ C k ue Phone# "C 360 — 5�COV official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: Phone#; ❑Other (revised 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 also states that every state or local licensing agency shall withhold the issuance orrenewal 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. i City or Towns 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 pi number which will be used as a reference number. The affidavits may be retinrned tr+ the Department by.mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 Town of Barnstable Regulatory Services A � % BARNSrABLE, ' Thomas F.Geiler,Director y MASS. g Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. Type of Work: peery�ilAed Estimated Cost D©O Address of Work: Ct a I Owner's Name: erC4 Date of Application: 7i O 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 UNDA PENALTIES OF PERJURY I hereby a for a pe 't as the agent o owner: I- �� � S d 7�° 7' Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav ,lam+ I 7� 11 � �� �• I } 1 1 fff i 3 t .� ,. � � � ' • � � ` � F Tom} � i � f 67, BOARD BUILDINGu� OF _ License Co S PERM IONS UPERVISOR NUmber�Gy, 079974 BirtFid'ate � �!97,17 Ex�rre 07f1VW Tr:rno: 79974 Restr DANdEL C MACIONE PO BOX 769 EAST FA �` MA '02536 Administrator acoRv. CERTIFICATE OF LIABILITY INSURANCE DATE 6/28/2002 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CaIfee Ins. Agcy, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE House-Account HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 336 Gifford Street (Homeport) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth NA 02540-2967 INSURERS AFFORDING COVERAGE LNSURED Daniel C. Naclone Dba Valued Home Improvements INSURER A:Preferred Mutual Ins. Co. BOX 769 INSURER B: East Falmouth, NA. 02536 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ffm TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATIONIm LIMITS GENERAL LIABILITY EACH OCCURRENCE $500 000 X COMMERCIAL GENERAL LIABILITY CPP 0100 55 9272 01/18/2002 01/18/2003 FIRE DAMAGE(Any one fire) $50 000 CLAIMS MADE Q OCCUR MED EXP(Any one person) $5 000 A PERSONAL&ADV INJURY $500 000 GENERAL AGGREGATE $1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS-COMP/OPAGO $1 000 000 X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABW TY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ TAT $ WORKERS COMPENSATION AND TORY LIMNS OR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLEWUCLUSIM ADDED BY ENDORSEMEM/SPEciAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION Town Of BaL*9taMe r�/ J• 1� � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI Bu i I d i ng Department• �v N DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN South St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,NA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE MLSURER,ITS AGENTS OR REPRESENTATIVES. AU REPR E ACORD 25-S(7/9n 0 ACORD CORPORATION 1988 Assessor's office (1st floor): a • SEP"c gym Assessor's map,and lot number ..>..:.,.. /....,`5..... IR" �' L L D N Board of Health (3rd floor): 1 ME ' Sewage Permit number t � Cj L �(d' G F}(lam y�1laTH 4YI >r 1 �•yY... GNVI OR'i1P1��! STABLE, i Engineering. Department (3rd floor): R House'nu mber ....:. .. '_ TOWN �u Definitive Plan Approved by Planning Board _______________________________19'--------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and. 1:00-2:00 P.M. .only TOWN " OF BARNSTABLE BUILDING. INSPECTOR n APPLICATION FOR PERMIT TO .... ,�a ... Q .Tr AQ N...:..............................:..............................:... TYPE OF CONSTRUCTION ........W.. : ..................:......: TO THE INSPECTOR OF -BUILDINGS: The undersigned hereby applies fora permit according to the following' information: LOT 2 Location ...............1'.1...`, .�a. :. .. .... .N. .. .e?..s:..:... ..... 4?5�..:.. 1"iC1P.A'�... ........ ..��?4�v!�Cj� �... �. . TlRHA - :.....Proposed Use � Zoning District .....:................. .. ............................................Fire Distract ............... ........ ��� \1 fl � i`� [�m Address I ............ Nbme of Owner �R ..L.........6. . ... Name of Builder ..........................................,..........................Address �. - C7 Name -of Architect ............................ ...............:`...................Address . .......,......A..:...:...:...:.;........;....................... Number of-Rooms ...................... ...:.:..............: . ......., .:. . �(, `'�' ,...... Fo.undat.ion - ............. ........... . Ex1e for ......wopp ..S.E l.N.y!�..r- 5.................::....Roofing. .' S.P. D. .l—.J........ ,.....:........... . ......... .... 1 .1:..• , Floors �... ...... .................:.................... ....Interior ............. ........ ......... ......... ........ PVL Heating ...........�J..0 i ...'���..:. ..: .................:.Plumbing .... r!� ...4 .Q. .�: ,C.............. Fireplace 1.`t.�..... ...................:...............................Approximate Cost .... �� C7L1 O p ........... Area ..... .... Diagram of Lot and Building with Dimensions Fee 1 � �. 1,4 i > , - as • off. , •� T wN !'�A�2.kgYL �G � Fi/z, �,�J5 p k . OCCUPANCY' PERMITS REQUIRED FOR NEW DWELLINGS I hereby 'agree to conform to all the Rules and ,Regu lations of the Town of Barnstable 'regarding the above 'construction. -4E A Name .. Construction Supervisor's License• ................. ROBOTHAM, GERALD ' 31764 ADDITION - No Permit for .................................... ..........??.gl.e...Fami.lY....Dwellinc�........... Location', .Lot,.. 1'Z2.r......9 9 Megan_ Road '.... .HY.4nnis................................... ......... _ Owner Gerald Robotham Type of Construction ......Frame....................... r. •`� - 4 ..... .... :..' r............... ...Y.......... • ""r........... Lot .::`.:.....:..:....:. ,Pot .......... ............ Permit Granted ..... .............. 88 Date of"Inspection.........:............................19 Date Completed ......... .........................19 - in Y ,. .,.:.�`,__. r. .4T. ...:. .;,EM R-:�.•. i.+c>..�.. ..r ,.ni.:Rlibwf YtL.hA•b. -t,,iR�.!'t-^5L'm.x�ty. _.. - ,. .w. ♦ �.. � .. ..r.. .. r a .. .rf ^ Assessor's office Ost floor): "?-5 % 11. f E gAssess'or's map and lot number ..Board of Health (3rd floor): Sewage Permit- number ................ ........... <.. _..!._ /J, __ t 11Aaa9TsnLE, S Engineering Department (3rd floor): ° L639- House number ........................................................................ oYPya' Definitive Plan Approved by Planning Board --------------------------------19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF ' BARNSTABLE _ BUILDING INSPECTOR APPLICATION FOR PERMIT TO U �"' '� `��� h� TYPEOF CONSTRUCTION ..................................................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the'following information: `` J Location l 3';� 1 1T . '"�l!��i �'' S �j.S 1c..�.. }.................. ...`) t.�a.....r�r��l 3t�� ................ ........... ............... " .............................. ... ...... Proposed Use .................................................'........ ...............................�... ..................... . "X. . ....... Zoning District .......................'..`�". .................................Fire District ':...::.........:.....................:..`................................... Name of Owner Address . ............... .�. ............. .............. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ................................................... ..............Address .................................................................................... Numberof Rooms ..................................................................Foundation ................................ ............................................ " �iVoo 0 �D 1�(IMF- I X.> t A LT "• Exierior ............ ............. ........................................................Roofin Floors ............................. .......................................................Interior 1 ww L.- ",s, n Heating 1 V r�-fiJ ����'T l"' g ....1 ' '. .1.:"... .... 4-11� ; jN. �t"`G......... ' .............. ............................................................Plumbin ,. Fireplace ...................�1.............................................................Appr oximate Cost ! Area ' ......r..=f..�.f�... ''y' :.'.^" '..... Diagram of Lot and Building with Dimensions Fee .� ,. '�"� .................... �..J 14 " F eta PP555 ` 110', Fa OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. " e */01' Name ........... .. �r y Construction Supervisor's License .................................... ROBOfiHAM, GERALD A=292-250 31764 - ADDITION No ................. Permit for .................................... .,..Single....Family...Dwelling......... .. .. .... .... 99 Megan Road (Lt #122) Location .................................................o............... Hyannis .....................................................................I......... Owner ....Gerald Robotham .......................................... Type of Construction ..Fr.ame............................ .Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ...March....31 , 19 88 Date of Inspection ....................................19 Date Completed .......................................19