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HomeMy WebLinkAbout0093 MELBOURNE ROAD 9� /C1e%u��v /�' --- — - _ - - - — Town of Barnstable- *Permit# Expires 6 months from issue date 'c. Regulatory Services Fee Thomas F.Geiler,Director X-PRESS PERMIT Building Division ©� Tom Perry,CBO, Building Commissioner O C T 1 6 2006 200 Main Street,Hyannis,MA 02%WN OF BARNSTABLE Y www.towa.barnstable.ma.uus 6ffice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION. -. RESIDENTIAL-ONLY - Not Valid without Red X-Press Imprint Map/parcel Number Property Address OJA3 4�6L& 1Jjff Residential Value of Work °ST,.�5a Minimum fee of$-25.00 for work under$6000.00 + Owner's Name&Address�L X J`® �'��S 73 AY74 UR A'4 141 . Contractor's Name Telephone Numbers 44 --�2d: d- Home improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workmen's Compensation Insurance Che one: [�I ram a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name , Workmen's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Qe-Re-roof(stripping old shingles) All construction debris will be taken to ��ia/ 7)1-16� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value ( •44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. opy of ome ement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Deparhnent ofhidustrfal Accidents Off ce of Investigations- ' : 600 Washington Street Boston,MA 02111' l www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/7Elec4iciaiis/Tlumbers j lrsliemt Information Please Print]Leeibly Same(Business/0rgaaizati0nan&v1du4'- Wdress• amity/StateJZip': d' ;����1 Phone t xe you an employer?Check the Appropriate box:. ,Type of project(required)-.-, ❑ I ana a employer with 4. ❑ I am a general contractor and I •6..❑Nsw eor<struction gees(fall'and/or part time).� - have hired•dle sub-contracbars . U- am a sole proprietor or par!uer- listed on the attached sheet t 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition workers' comp.insurance. g. Building addition working forme in any aapaciiy. ❑ • o work6W comp.insurance 5. ❑ We are a corporation and its . [N � 10.❑ Electrical repass or.additions requbed] officers have exercised Their ❑ I am a homeowner doing aIl.work . right of exemption per MGL _lY.❑ Plumbing repairs or additions Myself:[No workers' comp. c. 152,§IN,and we have no 12 ofrepairs insurance required.]t employees.[No workers` 13;❑ Other , camp.insurance required.] ,Ay applicant that chedm box#1 must alm fill out the,section below showing Their workers'compensation policy information: - 3emeowaers who sabmittWo effidavit indicarmg 1hey an doing&U-work and @ua hire outside conttact=must submit anew affidavit indicating such ;ontracwn that check this box must attached an additional sheet.showing the name of the sub-contactors and their worktrs1,4aW::poUg infm=tiom am an employer that is providing workers'compensation insurance for my employees.'Below is the polity and job site. formation. - tstuance•CompanyName: olicy#or Self-ins.Lia#: Expiration Date•_ �b Site Address: - City/State/Zip: ►ttach a copy of the workers' compensation policy declaration page(showing the policy number and-expiration date). 'afiure to,severe coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of dr'imind penalties of a ine,up to$1,5KOO and/or one-year imprisonment; as well as.civil penalties in the form of a STOP'WORK ORPM and a fine f ,p to$250.00 a day against the violator. Be advised that a copy ofthis statementmaylic forwarded to.the Office of avestigatidw of the DIA for insurance coverage verification. 'do hereby certi der the p p of perjury that the lnformadon provided al ove is true and correct: 'i ature: Dated d 7 �-? Shone#• t. 9-.7�8 official use only. Do not write in this area,to be completed by city.or town official, City or Town: Permi tUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• °FtHE r Town of Barnstable Regulatory Services SrAsi eMASS Thomas F.Geiler,Director Argo 9. " Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, X SO ul�L 6 , as Owner of the subject property hereby authorize L� 'c p)25�5 'x/ to act on my behalf, in all matters relative to work authorized by this building permit application for: 173 &aUPA�L a,), t A)15 In4. (Address of Job) d4--4 6&4' 1 di- No'— XM-41-- %Ole Sigm e of caner Date Print Name Q:FORM&OWNERPERMISSION • f �r r vx rt ..sT t ;✓ftC a��r� .� �� rt- Z BoaGd of Buildingegulahons'and Stan �d� .�' FIOIfAE(PAP-, ONE TRACTOR: ',,.,Y. x rc .K �`egistra_ 149475 r �craton F1 2008 ERKC`EYJ ELSEN ati f G LET fRD .: i Cb F TOWN OF BARNSTABLE Permit No. � !----------------- Building Inspector cash ---- --------- ' vo 't OCCUPANCY PERMIT Bond --------___— - Issued to Dr. Mictlael Costxxro Address Q'� j'e`771y�97^�)'!ct T�•-��-7 TaTo�,i- A: a+1nZ or�.ri. Wiring inspector Inspection date Plumbing Inspector J'/ � Inspection date Gas Inspector rrt. � /2 ` - y Y"1 Inspection date Engineering Department _r�i' � ,� , �% Inspection date ' 7 ' Board of Health � . � Inspection date n� THIS PERMIT WILL NOTE 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. ...�i 7 19�7 /.(' /� Building Inspector FROM - M� - TOWN .OF BAR1 STABLE Per.' E`ranc s Lahte ne BUILDING DEPARTMENT 'Tciwn Clerk "" 67 MAIN STREET HYANNIS, MA . 02601 SUBJECT: FOLD HERE - - DATE August 29, 1984 MESSAGE Work Bias been C=leted urkler Permit" #24540 (Dr. Michael CAstr no Please release Bird.. .9b;x:rtkWr...,a•.wR'n-H,..'?.b�Mh�k+tfAVf.fVl,iY°1LRAN#`\t�i?M-+��aA'�:1..p j . 9GNE' . 1 _ DATE REP(Y - • - � • SIGNED - - "Nei•RmI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY � } PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON"INTACT. Assessor's m and lot number ... ...... CF 1:�,-1 c?" Z TM E Sewage Permit number ........................................................F;2 . (004 BARNSTABLE House number ..... ..........;......................... NAM t639. 0 Jul TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. ......... ......... .............................................................. ... .. ... .......... TYPE OF CONSTRUCTION .............. ......... ......................................................... ...... d.:7:...1A..................194.,42 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according,'to the follow',na/information: = j 7 0 C11 k Al le- ........... Location ... .............................N.o�'. ......................................... % .................................................................... Proposed Use .... ............................................................................. Zoning District ............ ......................................... ...........................................................Fire District .......4e� % -49©.....:Address s- r Name of Owner` ..... , .................Addr s ... .. ... .f Name of . ...... ..................Address 1.0 ./ .f , ,///)) ,;,/ / j- .... .. .................. ............. ................................ Name of Architect ef�... A ..............:Add .................................................................................... . ..4.. Numberof Rooms ................%.l .......................................Foundation .... ................................................... Exterior .... .Roofing ....... Floors ............. .......................................................Interior e,C .............................:.......................................... ......42 Heating ... ...............................................Plumbing ....... . ...................................... Fireplace ..........!��..............................................................Approximate Cost ....................................................... Definitive Plan Approved by.Planning Board ------------------—-----------19--------- Area Z! L� ............./.. Diagram of Lot and Building with Dimensions Fee .......... SUBJECT TO 'APPROVAL OF BOARD OF HEALTH 12 2 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. I 1� . �& j 3--)- 3 Name ....2-.3.........ze... ...... ..................... COSTRINO, DR. MJCHAEL A=268-m250 24540 One Story — ,`50 ~. No ................. Permit for .................................... Single Family Dwelling ........................................................................ Location 93 Melbourne Road West Hyannisport ............................................................................... Owner Dr. Michael Costrino .................................................................. Frame Type of Construction .......................................... i Plot ............................ Lot ................................ November 15, 82 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed 19 s ...4 � , ` 7(0 52 N � . � N 7.4 Lr * U � 0 I J Al Zr 0 �- -7L•9b � .h` . �ocJoNG � •rS i /0,000 s• r- f L•v r S3 t- , �o //v //o OF CERTIFIED CERTIFIED PLOT ' PLAN NEW CONSTRUCTION ONLY IN TOP OF FOUNDATION IS FEE ABOVE LOW POINT OF ADJACENT 4 o su �Q ROAD. SCALES DATE , ca I .CERTIFY THAT THE CLI�NT�.....:� SHOWN ON THIS PLAN IS LOCATED gels REOISTER�O d4S NO.. _ ON THE GROUND A9 INDICATED AND CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR* OF. BARNSTAB E , 14A SS. 712 MAIN STREET CR.' 'Y :„,.,,,� H YA N R I S, MASS. BNELT ;LOF.L DATE R�10. LAND SURVEYOR r. . a�� . :...a Assessor's map and .lot number .. ............�•.. ... THE / ► Sewage Permit number ......................................(O® II S. . SEP d�Q= ♦� yy�,g�o p/��� � �e p� "��� t INSTd"fi.`.�.I �� Z � . oHSBSTe ILE House number .............Lrr ....4X,5 .................. ..... nea . .......... WITH y yL • i63.9. 0� ENVIRONMENTAL COD,.; . `'�oMnYa� S TOWN - OFBA�RNST'*B%-( ' ; BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ... ..... .....................................��..... .............................................................. �G' TYPE OF CONSTRUCTION ..... ®. ................................. �........................................................................ ................I TO THE INSPECTOR OF BUILDINGS: «w I • 7.. t The undersigned hereby applies for a permit according to the following information: Location ...� <.2 �O UY `►� .57 ���l.h.� � 1...................................... ProposedUse ... . ....................... ..............:........................................ ......................................................... ZoningDistrict ............k .................................................Fire District .. . . .. . ..l.... lV......................................... Name of Owner�':............./ h..2�`/. 0..,1. °......Address .: :�. .f.,1. .. 1 �r ..: .�2. I Name of Builder .d^ .�.�....�<.:. ........ Address .l Gf!t?..d..l.�I:.:...L. ................................ Name of Architect l..:.:... .... .... lr.!?.: Z.................Address .......... Number of Rooms .............. ........................................Foundation .... C. .(...::P/ �..: ................................... Exierior ....!'1(.<�/. ...��t�..C' I......::7( / /...........Roofing S ��a:�.. ............................................. Floors Interior ..> //. ............ /ti f ..................................................... ..... .................................................. Heating ...................S.........................Plumbing ....................... 7fY. ...................................... Fireplace .......... . Approximate. Cost . ;..........0 Definitive Plan Approved by Planning Board -------------____—-----------19_______ Area /. .... .. .. .... ... ........ Diagram of Lot and Building with Dimensions Fee l " ..... v — SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name. .. ...... .:p:..... ..... ..... �v�� 3a 3 COSTRINO/ DR. MICHAEL 24540 One St y �N 0 ................. Permit for .;................................... Single Family,/Dwelling ............................................................................... 93 Melbourne Road, Location ................................................................ West Hyannisport ............................................................................... Dr. Michael Costrino Owner .......................................................:.......... Frame Type of Construction .......................................... ............I.................................................................... Plot ............................. Lot ................................. November' • -PermiCGrant ..5....19 82 Date ofnVion .. ... ......................... Date Co plet d ..........19Vq 77z, 1z o4,0 T 4 9 i n �- �z.•9b -�. � Z ON/N4- lZ .� W f o-rt/ �jC2 tNOFp CERTIFIED PLOT PLAN a�► yG 07-` 52-- M�G3aN2ytJ6- RD 0 1Vyg�tV15 Pd R-1r NEW CONSTRUCTION ONLY IN TOP OF FOUNDATION IS�:�. FEE ABOVE LOW POINT OF ADJACEN' Sutr►� ROAD. SCALE, DATE , Q ENQ EMI I CERTIFY THAT THE f-aN rio ✓ GItI�NT. T,e„w ------- SHOWN ON THIS PLAN IS LOCATED EGISTERED RE0ISTER�O �Q RO ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR,.aY OF ®ARNSTA® E , M Ass. 712 MAIN STREET H YA N R I S, MASS. $NEL:T.L.Of_Z— DATE R 0. LAND SURVEYOR a P ' 4 ---- - - -f 50° °L IN NOLL i Lt iti A Yee 4/P06 UJ i N C 11 W. jHO�F z 7e5 r _. PR'J P j s' > !1� 7 • 74 rioLE,2 N < • `�-' L 2'y� _,)fit 1 iE?ftN?/ � ��� i �/BTE� p� -� 4osu y (f l ? �) 6., j z Z Lam? 53 7� P co. LEGEND �.q , EXISTING SPOT ELEVATION OxO �tiP OF AS, CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 --- A T �y LaT S M.c-.-r. :: .; FINISHED SPOT ELEVATION 90 j fI FINISHED CONTOUR MORSL A �No. 10951�40 IN APPROVEDs BOARD OF HEALTH �o,FscIS E����� ����� , • S�ONAL DATE AGENT SCALE, / "-.. 3v DATE, ?/ z3 LOREDGE E/VOIMEERIAIG Ca /AI "'� N " CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTMR 409 NO. BUILDING SHOWN ON THIS PLAN CIVIL LAND . CONFORMS TO THE ZONING LAB. GINEER SURV DR.BY OF BARNSTAPLE, /-MASS. T.12 MAIN STREET, CH, BY,: cJ k'E. 711 M, � M YA t�l N I S,, MASS. SHEET-. OF DATE REG. LAND SURVEYOR IV07F /F E/TNER Ts,/E SEPTIC TANk OR 20 FT. M/N• TEACH/NO P/T A.V.= MORE T.AA1 /2"BELOJOV /O fT. M/N. :BRA OEM �4 2Q'O//'�M E TER G'ONCRE T6 COliER M/".N. P S,,VALL 9E ,a.?Ot/GNT To GRA DE.�f+.✓ EXTRA CG/VCRETt• JO/TCN P/PL /yE,4VY CA ST /RO/Y COVER Sf1.4 L L L3E USE 0 . ELE!/. /O¢Z COYE/gs /F/N 17R/VE1-✓R Y COVER CL EAN SAND 4: 4~CAS 2LAYER '¢ M/N.P/TGII OIL" 1 • • " • • • • • a •• WASHFO STONE RON -r. SEPTIC TANK " , b , • • . . • • • • ''s. BOX o • 1 8r► • • • • • .•• • ?t:: - s • f b • 1 11 IEF/'ECT/✓E 1 ` • ,r '�/4+— f �2'.. • • 1 0 • WA5t/ED STONE :'.`� . . / n • • • • • • • o D PREC45 T SEEpAG E (88.5 x 2.5 /�"1 ( G r D • a. 1 • • o s� o • • • p ••v IN6iGR�' CLE{/AT/GN3 78.5 x � -o = 78 6/D a ►• • • • ' °J • • • o P/7 OR EQU/V. . . w a ELL . 94- Z /AiYERT.AT OWL D/NG IO!2- FT. PrT CAPA.CI7--( '. 5'�9 G! D 6� D/AM. INLET SEPTIC TANK /v /•O FT G�P-B . 549 = ,G p �%'/aim C SEE TftBUL..4TlON>, OtJTLET SEPTIC -rANiC v0.8 FT �s�'. 1 50%'„ //1/LET O/STi4/B61T�ON BOX /r7 0 (' FT SECT/ON OF `sROUti'O"}VV;4TE/+r TABLE [ Or/TLETD/STR/B/lT1vN BOX /00 4 FT. .SELVAGE O/S1vOiSA L .SY.ST�-'M f IA14ET LEACHI.VG PIT l y v'.Z FT 7- 54/1- •4TIDN L EACHIlVG P/'T 3 FT. f DES/GAS' CR/TERlA SCALE d//�E/v.S/oN A D/m.EN5/ON 6 FT• h'tlM9ER OFBEOROOMS 3 -D/HENS/ON G 4- FT A?'^/ GARQAGED/SPO. AZ. UN/T YES SO/L LOG SD/L TEST j TOTAL E1T/M,4reD FLOW 33`� GAL.�DAY 6S0/L TEST / SOIL TEST NUMBER aF LE'ACX/NG PITS / f`ELc`K ��� '` /`-ELFY. /0/' / p.•4TE S/OE 4--ACHI/1G.PER P/T Sig PT � I• O - Z RESG/1.'/'S I•V/TNESSED 8YJ•�� ��fix'-'��[j 4OTTOM 4Z4C'N/NG /pER � _P/T � so. FT T Ge;A /� c •'- Via, •v! PtRCC/Lrl:T/ON MATE I ^l/N•//NCN TOTAL LEACH//VG AREA Z SQ. FT. 7A /'D y SA I - / PEXCdL.AT/CN RATE A2 ,�TESERV16ZZAC'NIM6,4REA 2 � 'SQ• FT. a��3 Hof[ 5�,/�' � -... �ZH OF rygs;:�. G L e1 A // CL-GG,4-A/ �HOFM� /] Z.-.07 "7 !_.!i �iJ!'/• E= /'c,c AL G O ER�'. V1 SA N'D ' r X P 4 $ H o No.0951 o ti Q, �a�°� el-DREDGE ENG/N.EgJP/NG cc I'vc. 8TS A9o�FG15TEP�\�``' NO SURV�'y� c L 9 z,? CL 9 0, l 7/2 MA//Y ST. , A Y.4ic/N/S. "Ass. FSS/0 1- No Cr j0V o Cl-1ENT:CV57-.7?11v "c. DATE � Q G/e 0 U/VO PVA TER A T EL.E-V ./oe �vo.• ��i z � SHEET�--o� �. ,. ; j _o