HomeMy WebLinkAbout0042 MELBOURNE ROAD
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The Commonwealth of Massachusetts
-- - (" Department of Industrial Accidents
_ r_— OIiICB01/Of�S7/9�UOOS •�'
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
n co
city phone#
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
com ap_ny name.
address: >
_.
city. phone#.
insurance co: q. pohc #
am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
company name:
address:
insurance co. -,�. 7i.. .✓� pohc�# l���GtI�F� � 8
company name:
address:
city: phone#:
insurance co.
!Tftac *a Itiona: et: gecessa_
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 S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification.
I do hereby certify under t San penalties rjury that the information provided above is true and correct. 9
Signature 31L Date
Print name O C Phone tt
r�,: official use only do not write in this area to be completed by city or town official 4
F
�. city or town: permit/license# nBuilding Department
�• Licensing Board
i (]check if immediate response is required Selectmen's Office i.
HoRn
CjHealth Department
contact person: phone H; nOther
Ir"ised 319�PIA)
dp�
The Town of Barnstable
MPMAZIM
1659. �e
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-775-3344 Building Commissioner
For office use only
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 ftl/7,rl) Est. Cost_
Address of Work: !�_ ��� T3�/,P�✓�' �1�r1/�1/-r
Owner Name:
Date of Permit Application: — 9s_
I herebv certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000
Building not owner-o cupied
Orwmer 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 hcreby apply for a permit as the agent of the owner:
8�s�sr zzi
7-0
Date Contractor name Registration No.
OR
Date Owner's name
- I
I - I
; HOME IMPROVEMENT CONTRACTORS REGISTRATION I I
oard of Building Regulations and Standards I
One Ashburton Place — Room .1301 I
Boston, Massachusetts :021.08
HOME IMPROVEMENT CONTRACTOR I -----------------------------
Registration 100740 Expiration 06/23/96 r
Type — PRIVATE CORPORATION
I HOME IWOVEKNT CONTRACTOR..
Y,Relistratiom A00140
I
Capizzi Home -Improvement , Inc . I Type - -PRIVATE CORPORATION.. II
Thomas Cap i zz i , Sr .. I ENpiration 06/23/46 1
1645 Newton Rd .
Cotuit MA 02635 Capizzi Hose IrproveNeNt, Inc
Thomas Capizzi, Sr. i
W f� Newton-Rd. I
I ADMMTRAMR CotUit NA 02635 j
I
• ice\ V/.! W./�"/„'� �V-� J ,
Restricted to: 10
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE I 10 - Role
Nreber: . Espires: lirtldite: 1A - Won eelr
CS 146189 10/29/1196 10/21/1148 16 - 112 WHY Notes
Restricted To: 10
.d1...L. DAVID N IEBB
Can ISSONM 100 PLUM NOLLON RO
I E iALNOUTM, N 12536 zalc
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Assessor's Office;(lst floor) Map, Lot 3 ermit#
Conservation Office(4th floor) Date Issued ��o2`S 9J`�
Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) " Fee 7,�► ��
Engineering Dept. (3rd floor) House#1 dZ SEPTIC SY ELI1US►4 as:INSTALLS . LIA SCE
Planning Dept.(1st floor/School Admin. Bldg.) - W1
Definiti Ia pproved by Planning Board 19 EIi�MON DE AND
TOWN � IONS
TOWN OF`BA . STABLE
Building Permit Application .
Proj(ctS reet A ress Cg �LZdVill
.Owner Address
Telephone
-Permit Request
Total 1 Story Area(include 1 story garages&decks) square feet
Total 2 Story Area(total of 1st&2nd stories) V 5- u feet
Estimated Project Cost $ U, &oo
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
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Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type /��Oi:) 1'9c!T
Commercial Residential l�
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway .
Number of Baths No. of Bedrooms 2»
Total Room Count(not including baths) el First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached. Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name _ /r7 Telephone Number
Address 17—41W License# G Ufa/89
�i / �Lf /✓ y'�G�— Home Improvement Contractor# /Gd 7 SSG
1 T T Worker's Compensation# e)g tv�lv q3 CT�-
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 5ve J,ZS%gs�
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
9,933 ,
PERMIT NO.
DATE ISSUED 8/2 5/9 5 f 1
MAP PARCEL NO. 268 234 s
ADDRESS 42 .Melbourne Roadi J VILLAGE '-Hyannis
OWNER Patrick Dohert ~'• '
DATE OF INSPECTION:
FOUNDATION
�-
FRAME �7 , /37 / A K`+1�
INSULATION -
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: 'ROUGH %`FINAL
R
GAS: `4ROOGH `FINAL -
FINAL BUILDING
DATE CLOSED OtY # I'l rf
ASSOCIATION PLAN NO.'
M r
141 27375
TOWN OF BARNSTABLE permit No. L
e -------------------
{ ]PAUn.0 Building Inspector cash 1
7 �Yl • __________________ ___
i070• `�
OCCUPANCY PERMIT Bond _--_
Issued to Janine Wilcox Address
Lot 36, .42 Melborne Road, nest hyannisport
Wiring Inspector 1�/ _ Inspection date
Plumbing Inspector, t �.,'� Inspection date /
Gas Inspector Inspection date r,
Engineering Department Inspection date
Board of Health 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.
..............................................., 19... ..........:�;,l.
- Building, Inspector
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TOWN OF BARNSTABLE
BUILDING DEPARTMENT
_ IMSTAIUM = TOWN OFFICE BUILDING
rua
HYANNIS, MASS. 02601
I
MEMO TO: Town Clerk
FROM: Building Department
DATE: June 4, 1985
An Occupancy Permit has been issued for the building authorized by
BuildingPermit $ . .27375.�_...__ �......... ............ . .................................._..................._........................
issued to ...... ............ .�..........._... _....Jane.... :Wi1Cox
.. _..................................................._._...._ _.. . . . .__�
Please release the performance bond.
r
Assessor's map and lot number .......... ..................... .. ... T11E
pp �oF rod`
-Sewage Permit number .......... ...
t 1 Z SASHSTADLE, i
' ,`House number —/ ``� r} 9 NAG&
........................................... ,,ssue�
_ oo'E0 MAY a.�9
'N TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...:................................. .......:Y:::....•..,............ ...............; ,.. .........................
a Q �
TYPE OF CONSTRUCTION �!C.�.�� �........... l�lti... m:......... ............................................
U C/
............... ........ ..�.................19.. .T
TO-THE`INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...........3.�'.......... �L�G/L ........ '��f1.N N�S . 5. ..:.................................
.................................................. ........................
ProposedUse ..✓C/N G Le..... j?'1/L.,/...........................................................................................................................
Zoning District ..................efi..............................................Fire District ..............(.: O .
Name of Owner .L1 N� .. SOX 4/
Address .. '
-�2 S 7 CAA a�'rtl
Name of Builder .(� ... /`...�... .....-S.I. Address .....5..'�n.......................4 .... ........ ...............................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..........`L`...........................:.-....................Foundation ......... > ! C�;r� -
. .E.;............................................
Exterior ....C! .!1�.�.. .........� ..D A. ,.....................Roofing
..... ........... ..................... .......................................................
Floors ...... 7 !A/ 7—
.... ..� . ..................................................Interior ............... ... .............................................................
Heating ........ .................................. ............. . ..-f................1. ..............................................
av
Fireplace ...... v ............... . .... . .......................Approximate. Cost A.Z,/5," ......................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ..........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF,HEALTH
f
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.
Name ... /, `h ...... �. ,l
Construction Supervisor's License
{
WILCOX, JZQO0E ^ `
A=268-234 `
No --�!�.—. Pannitfor ..One.......�����----..
Single Family Dwelling
�����.........''�_��'����'��''��������
Ixzt 36 42 &&a]J»ozoe RoadLoco�on'-----�-------^--------.
W. Hyannisport |
----'----------^----'------''
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ne
Owner —.Jay —V"oo—_______________
I��anea
Type of Construction --------------
/
--.-----------------------.. \
Plot ............................ Lot ................................ .
'
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January 2, 85 `
Permit Granted -------.------lq
' .
Date of Inspection ------------lA '
�
Dote Completed ...................................... �
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FOR � �lTIME
— DATE
M
pHgN�Li `.
OF
f�ETU�NED
PHONE vZ '..YQf3f BALL"
AREA CODE NUMBER EXTENSION
PL�A�aL�CALL-
MESSAGE t
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g TOPS FORM 4006
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Assessor's map and lot number ............................................ THE
yoF toy
'Sewage Permit,umber ..... ''
/ Z BARNSTABLE, i
House number ..................1.�..:.T..I. ......... SN1,0111VIND3HNMOI
yo 039
TOWN OF BARNS TABB � �. � ,
03
BUILDING I SPE� T0R `
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APPLICATION FOR PERMIT TO •••••• �•• ••..............
TYPEOF CONSTRUCTION ............... ........ . .. ..... .. ... ..........:..........................................
................. .................19. T
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to th following informs
3 I�67BG�A� ,.-z� N Mfrs.
Location ...................................................................................... /�.N.......... .............. . ......................................
ProposedUse ...... . .....................................................................................:....................................
ZoningDistrict ................. .............................................Fire District ............. ....Q..................................................
Name of Owner . .......�G -B/<.............Address . W. �� ! .!'! .....
Name of Builder W1I-C-0X ����C. �S Address S ...............................................
................................................... .....................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .........46 ............................. Foundation .........�.. Sri ....................................
J ... ...Roofin /! ? T/2�
Exterior .......................................... .................................. g ............ .. .. .... .. ................... ................................
//� �, � �� r
Floors U e- �..................................................Interior
: ........................ ....... . ......................................................
Heating .......!.... ............."��............7...-?..............Plumbing ...... .............. .......F!..............................................
0
/51
Fireplace ......... .................................................................Approximate Cost ..............? ............................... z..
Definitive Plan Approved by Planning Board ----------------------_---------19________, Area ��4(�.t17: ... ... .<....
Diagram of Lot and Building with Dimensions Fee .... .y...... ..................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
E
Y�
f
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I~ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ..... ..........................
Construction Supervisor's License .... ........ ......................
vWILCOX, JAYNE
....27375.. Permit for ...........Story..............
Single Family..Dwelling
....................
............ ..................... . . .................. I�
IAt M 42
Location ...............�...........1
�{ �..vVes ..Hy 1n74spQx ........................... =/rt' �,^ c "
Owner ................................... ''
i-7
Type of Construction ....Frame..................:........
te
4
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yPlot ............................ Lot ................................
Permit Granted ...J..an.....uarX..fir..............'19 85......
7-
Date of,Inspection ..........................'.:..'.... 1.4a.:.._.....,.;
Date Completed �. d
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Wit? N '•, r `J
Lot 37 T
1-6,x4' I it
w/l Stone
:. 150 S.F.=301
rL
2 ',,)tch
--sins
D. 43
G�`3 T T,ot 36 11.5.
rq 10030 Q
0 'JJ k AUFM�,
WIM8 Existing 0 '3 000
LU
Found . Uf
4
fl . 20.3
< Mi
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I-LI 41
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Lot 3 5
UAK 3CAL! iv- Int
DATE
WETCH PLAN OF LAND IN HYANNISMA33.
F 0'R
CHARLES MARKAHIAN
Being lot 36 as shomYon flan titled
Strainhtway" and recorded in plan ,book,
250 page 143 Barystjble Re7istry of Deeds.
Elevations shown are in feet above water
in test pit .
-----------------------------------------
Late : Barnstable Ward of Health
All Cape Engineering
Box 1533
Hyannis , Lass. 02601
Tel. : 70-058
Foundation Certification
The foundation shown on thQ plan is locate ,-.
on the grqWd as shown the-eon, and that it
conforms to the zonind and building laws of-
the town of Barnstable when constrimed andi
to the restrictions on rec ?rd.
TEST rIT J -1525
7/?I�,�4 Date 12/7/84
NI7. j, MOW
WATTq 2 102"
13pnd
,VA 1-6 R
Lot .37 �!
1-6'x4' Fit ` 1
w1l Stone
� 150 5.F.=301 G.F .'D .
I 2 Catch
i Basins
nJ
t..:.;- L
D-1 ( ) 100'/' i!3
1 1 � t;)
T °� Lot 36 1 `l'�
10030 F
PROFILE
Proposec c' �/ NO SCALE
W Lf 2 B.R . I
z L
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j n o M F
(Y
to
TV
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t _
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Lot ; 5.
'rLAN SCALE 1`'- 30'
t DATE 8 2)4/ 4
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SKETCH PLAN OF LAND IN HYANNI S,MASS.
FOR
CHARLES MARKARIAN
Beinp: lot 36 ..as shown on a plan titled
Si
rai-htway" and recorded in' plan book -
250, page 143 Barnstable Rec,'istry of Deeds.
1
Elevations shorn are in feet above water
in test }-it .
-----------------------------------------
Hate : Barnstable Board of Health
All Cape Engineering
Box 1533
Hyannis , I',ass. 02601
Tel. . 77c-0058
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10211 ,
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WILCOX ENTERPRISES, INC.
6 NVAGON TURN ROAD '
NV"EST BARNSTABLE, 3IASS. 02668
STEPHEN WILCOX, President Tel. (617) 362-9298
December 21 , 1984
Mr. Joseph Daluz
Building Inspector
Hyannis, Mass.
RE: : Procedure followed on Lot 36 Melbourne
Rd. , W, Hyannisport
Filled in back section of area for' foundation
about one foot in height. It sat
for
approximately 4 weeks. Then it was brought
up about another foot. A machine tamped
it down. This sat for another month.
Footings were poured. Then a 4' wall was
poured which was filled to the top. An 8'
foundation was on poured to f that.p p o t t.
I certify that this information is correct
and will be responsible should any settling
problem exist in the future.
Si c-erely,
j' Stekhen Wilcox —
c � 2,771 <
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��� -tee ✓�'~ �
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{ Oct BATH �C � Fo C�
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KITCHEN
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BEDROOM
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CLOSET
LIVING
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CLOSET
20'7
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CLOSET ice H , s
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LIVING
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100,
—207
32'7 --
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14e Pe
TYPICAL EXTERIOR WALL CONSTRUCTION:
CEDAR SHINGLES AT S' TO
32'-2' - `. TOPT END ELEVATIONS ONLY`TYVEe FATHER
/OR EQUAL BUILDING PAPER/1/f PLYWOOD
SHEATHING/2 x 4 STUDS AT 1G O.C.
12'-7'
11'-10' 9' 10'-7'
TYPICAL ROOF CONSTRUCTION:
ASPHALT ROOF SHINGLES/15# FELT PAPER/
1/2r CDX PLYWOOD SHEATHING/1r x fr
RAFTERS AT IIr O.C.
28" DOORS 7' r x er o 1e O.C.
CLOSET
A.
17'-10' 3'
r 30" DOORS I
DOWN
1 .
2' x ar O 16 O.C.
II
7'-1'
i
f
c
CROSS SECTION
SCALE:1/r=t
{� 3'
f
2'-7 1/2' 2'-7 1/2' A p I Z
Home
14'-10' 3' 13'-7' Improvement
Inc.
1645 Newtown Rd Cotuit, MA 02635
FLOOR PLAN (508) 428-915-eoo-2sz(508 428-1547
5060
SCALE:1/4=1'
ADDITION FOR
DOHERTY
JOB NO: REV.DATE: 8-7-95