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HomeMy WebLinkAbout0047 OVERLEA ROAD I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel0 Application # �. Health Division Date Issued VZ, D Conservation Division Application Fee Planning Dept. Permit FeeJ� ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 'y7 0 1r-C, Village UIA It nil 1:� Owner 4M C Address Dtw k, Nvionllu � Telephone Permit Request -,fa UOY't-0 d4w-, 6 Wd ate M �Gi J 6 T d� Square feet: 1 st floor: existing fX proposed 2nd floor: existing/ proposed '` Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type f l ' k< Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structi-ire Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 9Se 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 FloorxRoom Count a Heat Type and Fuel: A as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes .kNo Fireplaces: Existing New Existing wood/coal stove: 2EYes 0 No Detached.garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: U existing:- ❑ r'u4V size_ k 4 Attached garage:existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' 1-n Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION AA (BUILDER OR HOMEOWNER) Name � Telephone Number Svc Address �, �� License# -7Ft 44 NA 026 L Home Improvement Contractor# T�13 a �u` Worker's Compensation # I F 11 3 76912-j2— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE.ONLY APPLICATION# E DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r OWNER I� DATE OF INSPECTION: FOUNDATION FRAME G INSULATION a FIREPLACE f. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. k h The Conurwnwe Ii ofMassachasem DePartn w oflnd"I&W A,,,, its ON of sfig zlionr .600 Washington StreetBoston,MA 62111 Workers' Compensation InsYu-ante -ELM=gm►/� Affidavit BtnZders/Contractors ficant information . { ectricisus/Pjnmbers . Please Prn it L Name(R�otgaa i=Tndividmo: Address: — CY` -3k cityisttju-j"�P: F A, t72G Are u appropriate bow an employer?Check the Phone#: S� � 1766 4��f I. I an a employer with 2_ 4..0 I an a general Type.ofproject actor and I : 2•r] employees(M and/or part-time}.* have hired the sub-conlxactms 6. ❑ I Mn a sole proprietor or partner_ listed on the attached sheet New consixvciion ship and have�no employees Tie have 7. []Remodeling working fnr me-in any capacity, eanployees and have worlaers' 8. @15' noh ion INC)workers'comp,insurance comp ms�ce t 9 0 Btrilding - -] s. [p addi$on - We are a crnporaiion and its 10:0 Ele�tric�l 3. I am a homeowner doing aIl WM* officers have exercised� repaus or additions myself- [No workers' or additions 11•❑Phrmbing repairs comp, right of exemption per MQ, msorance ]t c. 152,§1(4),and we have no 12•0 Rnofrepans employees.[No 13.❑Other fiA Vpliceat that cbwlm box#1 mast also fin oat the&=rum below w,'g d ice regtt=I Hommwn�who sabmit this WEdmat mdimg ffiy are lion polity their w� that c h=k � wmic and th®hire d» ®PmY-M if the sob-Tonto= " dOa d j& dc name of the id Gftftmm a� k------- g sock. �oYar, "y mastp¢zyide their yam. wica or not those ealities have Pommy MMDI= an mPkJ'e'that is provirinrg�yon►cers.,WyrpeRsafion ins �' orlon, urance or nzy emplof eex Below is&ePoficy and job site k%MMnce Company Name: / c ell qq , Policy#or Self-ias.Lic ? jJ Job Site Address; Expiration Date: { Attach a cagy of the workers'compensationpolicyCity/State/T4' Faihtre to secure declaration page(showing the policy arnstber and as regWred under Suction 25A ofMGL,c. 15Z can lead to the' eap�on date). . fins up to$1,500.00 and/or one-year imprisomment,as weIl as mrposffim of Of up to$250.00 a day against the violaim. Be advised that a civil penalties m the�of a STOP WORK ORDER and a fine �'es�ons the DIA for umuxm m cove verification.SPY of$its s[atem�t may be warded to the Office of I do hereby p and °fPe1%ury 4ka the informad°n provided above is true and correct Phone#k - 7� 006 DafB: only, Do not write in this area to be coarple€ed by crty or topt>rt vfjzczaj City or Town: 7ssnmg Anthorhy(circle one): PermitlLrcense# L Board of Health I B Department 3. 6.Other �ty/Town Clerk 4.Fjectt teal Inspector S.Phrmb' hUpectar Contact Person: Phone#: Client#:40595 ACORD,w, CERTIFICATE OF LIABILITY INSURANC2NORTHBAYAS EDATE(MM/DDJYYYY) 1ItIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IM ld PORTANT:If the certificate hoer is an ADDITIONAL INSURED,the policy(ies)must be endorsed,ff SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dowling&O'Neil NAME:CT Insurance Agency PHONE /vc Na Ext:508 775-1620 ac,No: 5087781218 973 lyannough Rd., PO Box 1990 ^ADDRESS: Hyannis,Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIc u INSURED INSURER A:National Grange Mutual InSuranc Joseph Butler INSURERB:Travelers Insurance Company DBA Northbay Associates INSURER C: P.O.Box 1197 INSURER D: South Yarmouth,MA 02664 INSURERE: COVERAGES INSURER F CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUB LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP A GENERAL LIABILITY MM/DD/YYYY MM/DD LIMITS MPF7496Y 1/25/2012 01/25/201 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY $1 OOO OOO DAMAGE T RENTED CLAIMS-MADE 4 OCCUR PREM'SES Eaoxurrence $5001000 MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $2,000,000. POLICY jRa LOC PRODUCTS-COMP/OPAGG $2,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO Ea accident ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS NON-OWNED BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS pRPOaPE�R YDAMAGE $ UMBRELLA LIAB - $ OCCUR' EXCESS LIAB CLAIMS MADE EACH OCCURRENCE $ DED RETENTION$ AGGREGATE $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY IEUB3996X81212 1/25/2012 01/25/201 X WC STA ❑ TLL pT}{ $ ANY PROPRIETOR/PARTNER/EXECUTIVE YIN EXCLUDED? NIA TURRY LIMITS ER- (Mandatory in NH) E.L.EACH ACCIDENT $500 000 If Dyes, CRIPTION OF eOPERATIONS below E.L.DISEASE-EA EMPLOYEE $500 000 EL.DISEASE-POLICY LIMB $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 )(2010105 g ©1988-2010 ACORD CORPORATION.All rights reserved. #S91071/M91070 1 of 1 The ACORD name and logo are registered marks of ACORD LS1 VE Town of Barnstable r t Regulatory Services s MASS. Thomas R GeHer,Director •Fp Mfg - Building Division Tom Perry,Building Commissioner 200 Mast Street.Hyannis,MA 0260, W W WAO-wn.b arnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign,This Section If Using A Builder r lie %r�e y - ,as Owner of the subject.property hereby authorize to act on my behalf in all matters relative to work authorized by this building Pit application for.. . v leva s �AddrESS fro �` S" of er ate Print Name If Pro e _Owner _ .Y. is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q.FORMS OWNERPERMISSI0N t 1 0 M C A ens umcr A T airs&Bdsiu ego HOME IMPROVEMENT CONTRACTOR Registration• ,128086 Type: Expiration: 2 /2013 DBA VSKAY ASSO(R == t JOSEPH BUTLER.'•E ;:_` 91 SOUTH STREET"; -' - SOUTH YARMOUT4Mk3604` Undersecretary Massachusetts- Department of Public Saret., Board of Buildim-, Reumlations and Standards Construction Supervisor License License: CS 71488 JOSEPH A BUTLER PO BOX 306 h E HARWICH, MA 02645 Expiration: 5t24/2013 (',nunis.i•mcr Tr=: 16906 l l 1 I �( } fj 1 ' i 9 f r Otl� vT-4 -- - • - _ _ a 7 _ - 1 4 i l l 11 � 1 t � • 'tn e own o a e f - e�►arver�. Department of Health Safety and Environmental Services Building Division 1 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 i Ralph Crossen Fax: 508-790-6230 Building'Commissioner 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: AA &&(A Estimated Cosf � �U Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law E]1ob 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 R"ROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UN R PENAL OF P Y I hereby apply for a permit as the agent weer. /h C/ —a e ontractor Name Registration No. OR- Date Owner's Name q:forms:Affidav i ne L ommonweau icauseas .�. -'---- _-: Department of Industrial Accidents ONCS 0111nivestigatloos r 27 600 Washington Street i Boston Mass 02111 Lw Workers' Com ensation Insurance Affidavit name: Ge, location: ouaJea I.AAA-t, AG:7 city phone# ❑ I am a homeowner performing all work myselfg. p ❑ I am an employer providing workers compensation for my employees working on this job. comnnnv name: address: :::. :...:::•:...:;.. .. city phone#: insurnnce cn. niicv# Q I am a sole proprietor, eneral contracto or homeowner(circle one)and have hired the contractors listed below who hale the folloning workers' compensation polices: con nnv name! address: - city hone oiicv insurnnce ca. ....:.: ....: comnanv name: ;,.. address: dh- phone#: insurance co. //////////�, FaIIure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminsi penalties of a fine up to S1,500.00 and/or one vears'imprisonment as well as civil penal in the form of P WORK fin ORDER and a e of 5100.00 a day against me. I understand that a copy of this statement may be fo ed to OMce of Inv g ons of the for coverage verification. I do hereby terrify un e p en u th n provided above it true and correct Date Signature > _ Print name __Phone �<� Ccontact use only do not write in this area to be completed by city or town official. own: �permitNcense 0 ❑Building Department ❑Licensing Board k,,:,eon response is required ❑Selectmen's Office ❑Health Department person: phone k; ❑Others_ (m uen 9,95 PJAi Y I Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thee. employees. As quoted from the "law".. an employee is defined as every person in the service of another under any caa�- 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 rece:se: 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 c. 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 or renewa. 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,neitherthe . 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 comracting authority. Applicants PIease 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 insuz-m c 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. 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 pe mi license number which will be used as a reference number. The affidavits may be rctiuned fo 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. 1,17 The Department's address, telephone and fax number. 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I I 5 1 SUN cv —17 a u f i f i DN. FLOOR PLAN 2Ka a 1e3" O,G. i` EFA 2x4 BTU IDS 5/4" T4G PL.YNOOD EXi ST I NG ;2x l C SUa LOOR e'--P.T. "N 12 ....._....__........................._............__._......,.,3;. i NEV4 4'-0" MIN Ga"ONCTUBE j 7 _ a: 5084201637 04/21 '99 07:51 N0.600 01 TE OF DATE(MM/DD^ ............. W; X A0,411tp 04/2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fredericks Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0. Box 427 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 1046 Main Street COMPANIES AFFORDING COVERAGE Osterville MA 02655-0427 COMPANY (508) 428-8999 A TRAVELERS PROPERTY CASUALTY INSURED COMPANY Stephen J. Giatrelie 106 Cape Drive CCMPANY C Mashpee MA 02649- COMPANY (506) 47713586 D ::7777777777 ...........RIO,ME THIS IS TO CERTIFY THAT 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 SJ9JECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO I POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMtDDI" DATE(MM/DDI" LIMITS A GENERAL LIABILITY I GENERALAGGREGATE $2,coo,coo x COMMERCIAL GENERAL LIABILITY 680-865Y8960 05/15/98 a 5 J 15/9 9 PROOLICTS-COMP/OP AGG $2,000,000 CLAIMS MADE lIX7 OCCUR PERSONAL&ADV INJURY $1,000,000 OWNER'S&CONTPACTORSPROTJ EACH OCCURRENCE $I,coo,000 FIRE DAMAGE(Any one fire) S 3o0,coo �_j MED EXP(Any one person). S 5,000 II AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED ALTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ Ir—I HIRED AUTOS I I BODILY INJURY -OWNED AUTOS I NON 1 (Per aceicient) PROPERTY DAMAGE GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT j$ ................... AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ {UMBRELLA FORM EACH $ OTHER THAN UMBRELLA FORM I $ A WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY THE PROPRIETOR/ 6NUS-497XI92-5-98 11/05/9 11/05/99 H ACCIDENT $100000 r I INCL i PARTNERS/EXECUTIVE , 1 7 DISEASE-POLICY LIMIT 1$100000 OFFICERS ARE: IX EXCL DISEASE-EACH EMPLOYEE 1 111100000 OTHER DESCRIPTION OF OPERATIONSiLOCATIONSNEHICLESISPECIAL ITEMS GENERAL CARPENTRY, RESIDENTIAL AND LIGHT COMMERCIAL. WORKERS COMPENSATION INSURANCE 15 PROVIDED THROUGH THE WORKERS COMPENSATION INSURANCE PLkN OF MASSACHUSETTS THROUGH THE TRAVELERS CORPORATION. A CERTIFICATE OF INSURANCE WILL BE PROVIDED BY THE TRAVELERS WITHIN 5 DAYS. 77777M ..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town Of Barnstable, Me EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To MAIL Building Department 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Towl Hall BUT FAILURE TO MAIL SUCK NOTICE SMALL IMPOSE NO OBLIGATION 00 LIABILITY 257 Main street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Hyannis MA D2601 AUTN ED FIEPRESENTATIIYE -1 AC-ORRii......,03 k'�*.3 i'G � y ,.,, h`�,�.�. }. 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RN BOARD� ✓� �C/)OiIYI/I)Z(Y/ZU/BCLGUL O�i��i s ': iy , BOARD OF BUK.DING REGULATIONS 2 License: CONSTRCPCT-ION SUPERVISOR 3 Number CS O49915 " Expires. OT/21/2b0(1 Tr.no: 6696 i Restricted:To: 1 G E ' {{' STEPHEN J GIATRELIS f 106 CAPE DR MASHPEE, MA 02649 Administrator r � ts'T.•y?,^y',�iY'T''?`P..i't`'eey`a�.,-r:.,:x�e^,�.r•r��.-r,-.-r+as<.�.a.rn.e� - ` • vs...a•c�ca7mA-..,.o.+o.` ..*..�,os�.-.>u�c,c.•«�asi.:%�<`�.,.: scii:::�-r <S`ft+c;�,t;f>,is t s,+� it ik433>i >ta C,t2St,ikt,ltY.`>2 2t,�.Rt t <.:.<>.+2ri?t sK tiik?3Riti2a tit2jt 2 t,i{.r.`k+, � ✓fie i�ooicsKanuiealDi o� t ` '`122sitttt?2f fstCf;k+2)iQ}i?tiii;ii<2R l HOME IMPROVEMENT CONTRACTOR Registration 125460 Type - DRA Expiration 12/22/99 Y ? STEPEHN J. GIATRELIS, BUILDER 1 _,,,STE�PHEN J. GIATRELIS ,p �-MMO` CAPE DR ADMINISTRATOR MASHPEE MA 02649 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r/ - a Map l Parcel Permit# Health Division ►(l/' Date Issued �7` '-95 Conservation Divis' -2 r%�� Fee �� Tax Collector o 2��yz Lv,._ti�'� Y ' . j� `EE c a INSTALLED IN COMPLIANCE Treasurer 4 -1 �ITH TITLE 5 Im"';.11RONEVIEN IAL CODE AN Planning Dept. I7' N RE,ULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH . Preservation/Hyannis Project Street Address Village a Owner r- i Address1 Telephone Permit Request 41 114,10L SrJ1A &V W1 ix Square feet: 1 st floor:existing proposed o I 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type '6t dot Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family. 2 Two Family 0 Multi-Family(#unitYNc ' Age of Existing Structure Historic House: ❑Yes l� On Old King's Highway: ❑Yes V<o . Basement Type: ❑Full ❑Crawl 0 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 —0 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas 0 Oil ' ❑Electric ❑Other 11VA / Central Air: 0 Yes ❑No Fireplaces: Existing New 'NO Existing wood/coal stove: ❑Yes ❑ No Detached garage:O existing ❑new size Pool:0 existing ❑new size Barn:O existing O new size Attached garage:9"'existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial O Yes ❑No If yes,site plan review# - Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address Az. 1121LO at i License# <'AldSh4 d XA 04 0,1"1J, - Home Improvement Contractor# � Worker's Compensation# ALL CONSTRUCTION DEBRIS R SMTING FR THI ROJ ILL BE TAKEN TO SIGNATURE DATE ` FOR OFFICIAL USE ONLY _ PERMIT NO. t • t s " ' F DATE ISSUED MAP/PARCEL NO. ur ADDRESS r , VILLAGE. OWNERS-' ,_• � - F ` � - .. ,• , DATE OF INSPECTION: FOUNDATION — 4(A FRAME y j INSULATION FIREPLACE — ELECTRICAL: ROUGH FINAL a - r PLUMBING: ROUG Q FINAL i; GAS: 'ROUGH FINAL} ` ) w FINAL BUILDING 4 DATE CLOSED OUT ' sv C°3 = ( `. ASSOCIATION,PLAN:NOZ GeV tJ ti + Era ft1 S ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel f A, ,7, Permit# 7 a Health Division 7.5 D' te Issued Conservation Division 0, 101u�O 0 ' fit? R Application Fee i o� Tax Collector ���J ..-o k t� �-- '�0 0 3 Permit Fee Treasurer Q ( '— L— 1ONO VIgI�---- Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 0 ,V e r1 ea, Village ~S PCO r n Owner _]CQQ IIA i A V Address (9 4 ti%S POW Telephone - Permit Request -e,�J� U - `S6/," ( Lascd II d" r"e la i ® y� CA Caw Sc4" r G'r (Alk,l( k4,S H, 6,0_ Lf, OL_)t. W4,11 ,i,s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain -Groundwater Overlay Project Valuation c)O D 0_Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Cl Two Family ❑ Multi-Family(#units) �z Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full,: Cl 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:�aQ 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 Telephone Numbe Address / K7 O(A S License# Home Improvement Contractor# ' Worker'sCompensation�# W � 3 �f' 00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SI NATURE iti DATE �' S FOR OFFICIAL USE ONLY 5 - k PERMIT NO. t DATE ISSUED --MAP/PARCEL NO. ADDRESS VILLAGE OWNER i L y ' DATE OF INSPECTION: � FOUNDATION I'sr 1 FRAME ' INSULATION li FIREPLACE '. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING � V , DATE CLOSED OUT ' ASSOCIATION PLAN NO. r r r . r �OFIMErOk'y Town of Barnstable Regulatory Services sAarrszA13 ' Thomas F.Geiler,Director lEo 39.3� 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. 1 � 4 Type of Work: Gtn4ls Estimated Cost ���0' 0 Q Address of Work: Owner's Name: TOsIOn M CA Mcke, Date of Application: D 3 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 UNDER PENALTIES OF PERJURY I hereby apply for a permit aas' the agent of the owner: 6old —soAcr_,wi�4 Date Contractor Name dRegistration No. OR -Date Owner's Name ea idav Q:fomvs:homff The Commonwealth of Massachusetts M _ - Department of Industrial Accidents -�= ' — OfIICC Of/lIYBSI%981%OBS 600 Washington Street Boston,Mass. 02111 Compensation Insurance name: rfilV l9 /Xiy location: ci S M,/A- 016 14-2 hone# �e� ❑ I an a lWineowner performing all work myself. ❑ I an a sole rietor and have no one workin m' ca achy %/%/////%%%/G�/%%%///G�%///O/%%%%%%////%%%%/G%%%�%%%%/G�%/G%%%O/GO//%O%% I am an em 1 rovidin workers'co ensation for e 1 es worian on this'ob. P g mP...............:....... ?Y..mP:°3'e..:.. .::.::::.::::g..:......::.:::� :: :.,.::r:..:}Y?:: • a e�;<>':<:l o' �':;<::::;:;<::>:;. ::}::>.?::. .: ::.... 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Fwhuv to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of aidnal penalties of a Mine up to$1400.00 and/or one years'imprisonment as well m 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 c . under the pains and penalties o perjury that the information provided above is bww and coo red Date 0/1 Qb signature n �-•� p. Print name rillo-yr IMF 1 ,�(.�,N Phone#1 J 8 Is WON. 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 []check if Immediate response is required ❑Selectmen's Office c0ews th Department k y phone#; ^ ❑Other contact person• acvi6aa 9195 rla) 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 engaged in a'oirrt enterprise, and including the legal representatives of a deceased employer, or the receiver or the foregoing gag ] 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 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,neither the of its political subd ivisions shall enter into any contract for the performance of pu blic work until wealth nor an p . common y 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 ` the D artment of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and to y submitted permit or license is date the affidavit. The affidavit should be returned to the city or town that the application for e have any questions regarding the"law"or if you being requested,not the Department of Industrial Accidents- Should you ' ensation policy, lease call the Department at the number listed below. . are required to obtain a workers comp p c3' P 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 permit/license number which will be used as a reference number. The affidavits may be returiiod'to the Department by mail or FAX unless other arrangements have been made. tions would like to thank you in advance for you cooperation and should you have any questions. The Office of Investigations . please do not hesitate to give us a call. Iye Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0Mce of Investigations 600 Washington Street Boston Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 i °FTMETa,,, Town of Barnstable ti hP °^ Regulatory Services = BMWSTAELL ' Thomas F.Geller,Director MASS 9�'OTep Mp�•`� Building Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I J® ,J iV6 H _�.. . .:........._..,as.Ownes..of the,subject property- hereby authorize f':�/F3�/Z ./y• f'�Ei�a/ /� ��i did s�G� .. : . .to°act on my.behalf,. in all mattets relative to work authoiized.by.this building-permit-application for: (Addtess of job) Gr !� 6 Signs a of Ownet ate , C 6L%,UC1 .6- Print Name � � I , I __�___► � _ _ - - , _.___fir r I _____1 ,� it 1 j 1 1 __ _- F -I--�- - ot ' r i '. III it II ail i �i ^� � I � --;---i ! '- -�-�� 1 E_ f I_ ' i � E I i ��._..1._.�__-i -�----�-----?---. �----;---j_-�-_-�-.-� I__--;-._. !_,.�L l____l__�._}_--�-i I.J V1 1 tat p i --------------- I --4-4 --A i J F J I 1-Y- - r IL It- fill a-N -------- 1 -44- .�!_ --�--- i i ► i ;" i ► I j _� -� I_ `;_ I� i i i � I I i. { C0- C),Ot/ , . i � I� �I � Ill , ii � _II IIIII - I _ I III II 7 � � 11I, i III , � I i� ; ICI i i - i I I � � t� 37P ,�32e a �f T- •�+ ,ems0o-ev r PLOT PLAN OF L A ND 'TO rHE BES-r OF MY KNIO I_1::,17GE, rHE BU.ILDIIv L OCA 7-EZ,7 IN 1--i ON THIS PLAN 15 AS 17 Ar7UlLL.Y CATS rco' A AV. BA F�1�+'.�° TA BL E -- MASS. mA r X r u IJmFQmfs rA rHF ro.wlV lax' L.'A f?,,vs rA at-E zo)vxlb,v, !.;- , EGULA rZON., REGARDING YARL`� SEr8Ar-*,kS" PREPARED �C� _. ..? DA rE:0CT /;;I- Isas scZe s'-- ter. CAPE & .I-S'LAA,r`?a SURVEYING FL GOD ZONE � F TE,Q j ICK - T -- MASS. d E a - F Q� /V 9" S� .30" d✓ t i,9 Ap c I i d v } �XI$� 1'� 41 a o I 44 OD :•- ch I PLOT PLAN OF LAND ` . •ro rHE wsr OF my 1rAvMLEm& rw FAArzow LOCH rED IN I SNQM/V OW rM?S PLAN Ss i s xr ACTUALLY EXIsrS AIVO , — BA l4NS TA�L E — NA S,S. { rim r Ir CONFOR a r0.rw row OF mAmuaL.E Z REIXArMAW6 RkMRDXAOV YAM SE 34CKS' `tt OF PREPARED FOLD p q OA AaPi,it Zb , ! 6 Q DAVID ' g CHARLES u+ - _ ..- l►�!V __ - - - - - M.L.S. SANICiCI VA RPRI.L 2(0 . JBW SCALE` !'®4O' Fr. ' 28085 CAPE C ISLANDS SURVEYING � FLOOD ZOAC •(i �.�, C/STEM" �O i O c., TEA ricKEr — MASS.: sr , a(< A5 µ r . � : THEAssessor's office.(1st floor): OWN-CLERK ... k�STaB�E "ASAssessor's map and lot number . _. toy WQ o Board of Health Ord floor): ^SYSTEM Sewage Permit number .. •••t 6 APIt,Co Engineering Department Ord floor): o House number .... . ........ ..... :- :. .!1�:7........... WITH T TL APPLICATIONS PROCESSED :8 30-'9:30 A.M. and. 1:00.-2:00 :P.M. only'"' ENVIRONMENTAL CO . 'OWN REGULATIONS _ TOWN OF B"AR-NSTABLE H I L D I N-G,, I N S?E OT 0 R Ra _ AP PLICATION FOR PERMIT TO S�.NG,�.e... /..�. ......T`IN. �— ... .. ... . .... .......... n ,TYPE OF CONSTRUCTION l 'd`v 1...�1.1....... .:�:... .:.f':��.�. � ......via..Z11........................19.. TO THE, INSPECTOR OF BUILDINGS:-; The undersigned.hereby applies for q permit according to the;following information: , Location ...L.QT....tc?...... G�'�' : .:L . . .. I I .i4.YV14.1.1G��T i"l.. Proposed Use ..:.. L.f1.?..�'7.LG :.:�A1�1.......TIA.. .. ... ............. ...... ...... ........ .. . ........... ' Zoning District ..........................................r.......: .,.......:.... Fire .District ..... ............:.... \..:..... ' t Name of owner ..... R. ` .. dress ... Name of. Builder /�f?Z''hh:.. ��T-(..aJf' ...�7Address� �....... .:. ....... .��2rA"l0.LI.: e. .... ...........Address /" Name. of Architect ............... ...X..................... ... ............. .... ...............:.......... ..........................,... .... , . , . ..Foundation ..... p'lJ.�:� .�{.:.: Numberof Rooms'...: ..:.................�............................. ...., ..;.�©•• ..:...... ........ .... Exterior ..:... :Z.Q. .....J.l,f.tr".('x:L ..................Roofing' .......I.........ys.e. .....4. 7 ...... .. Floors W v� '. !4.le.�� .......,....._ ....... Inferior ........... k�e ...Cll......... ........ c _. Plumbin .....:. L�C.. Heating 4?'.R ,1 ... ... -.................... g' !--�eNG!' ...... Fireplace ........fe�.�,...............................................................Approximate Cost. .............. ........................... J Definitive Plan Approved by Planning Board :____M______ _a:-------1 9&"6___. Area Diagram of Lot and,Building with Dimensions Fee. ..........4 ... SUBJECT TO .APPROVAL OF BOARD OF .HEALTH . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ,Kslt 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 :aAQ1 .. ...... .. PPF,/AwFFEi, J00N J. No ...2?38.1.... Permit for ...Two...Story.................... . . ...... Single Family Dwelling ............................................................................... Lot #6, 47 Overlea Road Location ................................................................. ...............e....Hv.ann.i.s.por.t................................... Owner ........John J. Maffei .......................................................... Type of Construction .....Frame..................................... ................................................................................ Plot ............................. Lot ................................ Ma 21 8 6 Permit Granted ...........y , ... ..........................19 Date of Inspectionlez .....e9l ..19. Date Completed ......................................19 r r IP: n5 JCsFPH 0 DALU2 TELBPHONE: 776-1120 Building Commissiontr EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 March 8, 1990 Mr. John Falacci, Development Coordinator Presidential Homes, Inc. 10 Seaboard Lane Hyannis, MA 02601 Re: A=287-154 lot #6 47 Overlea Road, Hyannisport Board of Appeals Petition #1989-82 Dear Mr. Falacci: This office is in receipt of your letter re the deck located at 47 Overlea Road, Hyannisport. Please be advised that you have the right to appeal the decision of the Board of Appeals to the Court within the time period. allowed by the law. The only other alternative is to remove that portion of the deck that is within fifteen (15) feet of the property line. If .I may be of any further assistance, please contact me. Very truly yours, Alfred E Martin Building Inspector AEM/gr q)zkCnt'iarq Oow, Inc 10 Seaboard Lane Hyannis, Massachusetts 02601 (617)778-0784 March 5, 1990 Mr. Joseph Deluz,- Building Inspector Inspections Dept. Barnstable Town Hall Hyannis, MA 02601 Re: Hyannisport Sun Deck Dear Joe, - The Z.B.A, recently denied our request for a variance for sundeck on the Hyannisport home, located on Overlea Rd. Therefore, I would like to meet with you and our contractor, John Maffei of Cammett Construction, to discuss the different alternatives to bring the deck into conformance. Please advise of the earliest meeting date available. I look forward to meeting with you. Sincerely, _ John Falacci Development Coordinator JF/cf cc: John Stephenson, Attorney John Maffei, Cammett Construction Log: 90-200L I TOWN OF BARNSTABLE ZONING BOARD OF APPEALS VARIANCE DECISION AND NOTICE PETITION : #1989-82 PETITIONER: PRESIDENTIAL HOMES, INCORPORATED At a regularly scheduled hearing of the Barnstable Zoning Board of Appeals , held on December 7, 1989, and continued to January 11 , 1990 , notice of which was duly published in the Barnstable Patriot and notice of which was forwarded to a-11 interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the petitioner, Presidential Homes , Incorporated, petitioned for a variance from Section 3- 1 . 1 (5) , Bulk Regulations of the Zoning Bylaw. The petitioner' s property is located on Overlea Road, Hyannis , MA as shown on Assessors' Map 287 , lot 154 . It is in an RF- 1 Zoning District and does not lie in a Groundwater Protection Overlay District. The petitioner, Presidential Homes , Incorporated, has applied for a variance from Section 3- 1 . 1 (5) to allow for a deck which encroaches twelve feet into the required fifteen foot side yard :setback. John Fallacci , an employee of Presidential Homes , appeared on behalf of the owners of the property, Joseph and Gloria McCarthy. Mr. Fallacci stated that the encroachment was unintentional and occurred during construction. The petitioner was unaware of the error until the transaction between the bank and the McCarthys . The bank detected the error. Relief is being sought based on hardship due to the topography of the lot . A U.S. G. S. Topographic map was submitted. It was stated that the McCarthys purchased the property in May of 1989 and an occupancy permit has already been issued . The one-story house on the property was built prior to the encroaching deck . Gene Burman stated that he felt the violation could not have occurred without knowledge as the intrusion is so great . The petitioner must have known he was very close to .the lot line . Mr. Burman wondered if the Board, by granting the request, would be excusing the petitioner from a self- created hardship. Mrs . Nightingale agreed with Mr. Burman . FINDINGS OF FACT: . Based upon--the information presented, the Zoning Board of Appeals made the following findings of fact : J . The parcel of land slopes somewhat substantially toward the rear of the lot and this effects the ability to exit from the rear of the house without benefit of a deck; 2 . The grant of variance relief, as set forth in the Plan submitted to the Board, would not be substantially detrimental to the surrounding neighborhood, nor would it be in derogation of the spirit and intent of the Zoning Bylaw; and 3 . To compel the owner of the property to reduce the deck so that it would conform would represent a substantial hardship to the petitioner. The vote on the findings of fact was as follows : AYES: BLISS, BOY, JANSSON NAYES: BURMAN, NIGHTINGALE - for reasons stated above DECISION : Based upon the information presented and .the findings of fact, at a meeting held January 11 , 1990, by a motion duly made and seconded, the Zoning Board of Appeals voted to grant the relief requested with the following conditions : 1 . There will be no further encroachment of .this deck or any other portion of the property into the side yard setback involved; and 2 . The deck will remain an open deck and no portion of the deck whatsoever will be enclosed, nor will any further additions be made that will increase the intrusion into the side yard setback. The vote was as follows : AYES: BLISS, BOY , JANSSON NAYES : BURMAN, the intrusion was self-created and should be removed in order to comply with the Zoning Bylaw. NIGHTINGALE , believes that the petitioner has not .shown. variance conditions , i . e. there are no conditions relating to .the shape or topography of the lot . The petition is denied by two negative votes of a five member Board. t• f I Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringing-an action within twenty days after the decision has been filed in the office of the Town Clerk. V� C ---Irman I, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the . above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this day of 19 under the pains and penalties of perjury. i Distribution: Property Owner . Town Clerk Town Clerk Applicant Persons Interested Building Inspector Public Information Board of Appeals 775-4020 AREA CODE 617 DRANETZ, DUBIN & STEPHENSON ATTORNEYS AT LAW 456 BEARSE'S WAY HYANNIS. MASS. 02601 MARSHALL M. DRANETZ RICHARD S. DUBIN JOHN C.STEPHENSON May 2, 1986 Building Inspector Town of Barnstable Main Street Hyannis, MA 02601 Re: Lot 6 , Overlea Road, Hyannisport, MA Dear Sir: This office represents Presidential Homes , Inc. , owner of the above described premises. Please be advised that this property has not been held in common ownership with any adjacent property since at least- June 1978 . "Accordingly, it is the opinion of this office that the premises qualify .as buildable under the Town of Barnstable Zoning By-Laws. Please contact me if you have any questions in regard to this matter . Very truly yours, 3ETZ, DUB & STEPHENSON '�� J n C. S ephen on, Esquire JCS:ges Assessor's office list floor): ti r Assessor's map and lot number ............................................ Board of Health Ord floor): �y Sewage Permit number€ ........ ..............:::... ....... ...{.. rat .G; APR 2w p U : MUMBLE. S Engineering Department (3rd' floor): �' 9 Mnea House number i.......�.::) ..... oo,�ie39a`e� 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 ...�.?.1.2.0,3..e.....Fn., ,l 4 � ��G/'Y!-` :......................................... TYPE OF CONSTRUCTION ..........�. ..,..Q.©..!>.........�. /�m,e �osu C,P c% P................... ................... f �.... .-.. ---------------------- r�C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordingg to the following information: Location ... IQT....(........t,.....</..,�'�..�..��:ta�� t�l �... ��0°—��.....:........�-!.: �.�.►llmd.,Lf.- �T".............. ProposedUse .... �'1 d..d1�..�"7.�... ......r}�> :......... ................................................................................................... Zoning District .... .......................'...........Fire District .............................................................................. Name of Owner .�.h..� r, ., '/: .`.............Address ..21 .�..,- .?.R ... ..1. .1.... ................ ................ Name of Builder r.�,v.�_....e /� �` f7.t JJ �X.... .........._.A.,......w...l...Address .......................................... Name of Architect .. .............Address ............. ................................................................ i ..................... 11 ::. Number of Rooms ..................... ...................... ..........Foundation ................�..F1,>. '. t E'..T................................... ..... . . Exterior ......( .�11..... .1-!..! "'. '.�-� . ........ .`.......Roofing ' �.�. v o C�q (fit Interior .h.e..-e-7 Ec d C Floors ............... ....................................................... ............... ............................................. Heating ... ,i.z.. ....Plumbing .............3..... ......................................... Fireplace lk.,A.............................................................Approximate Cost ..............I!.: .a.U'' ............................... U" Definitive Plan Approved by Planning Board -___- ✓)�' --_'_'_ _ -----f 9�( Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH `0 7 � t yx ♦ Y� 3 ,w 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. y Name ........ ..L...: ... gg.... ...... Construction Supervisor's License ....... MAFFEI, JOHNJ. A=287-154 *29381 Two Story No ................. ..Permit for ....................... ............ Single Family Dwelling ............................................................... ..... ........ Location Lot #6, 47 Overlea Road ................................................................ Hvannisport ..................................7............................................ Owner ......John J. Maffei ............................................................ Type of Construction ......Fr.ame......................... ................................................................................ Plot ............................ Lot ................................ 21, Permit Granted ....M......ay..............................19 86 Date of Inspection ....................................19 Date Completed ......................................19 %b ��/� )'0' Application number 6 ��................................................ d� BUILDING_ DEPT. Fee.................. � . ..............:.............................. MASS s AUG 17 2020 Building Inspectors Initials..... ............... Mld�` Date Issued. . ..�. .. .. .AO........... TOWN OF BARNSTABLE "" "' "" --,, QQ Map/Parcel...........`.1.1..t.5q............................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATIERIZATION PROPERTY INFORMATION Address of Project: 47 Overlea rd Hyannis Port NUMBER STREET VILLAGE Owner's Name: Joseph McGlinchey Phone Number 857-360-1414 Email Address: Cell Phone Number 600 Project cost$ 17, Check one Residential X Commercial OWNER'S AUTHORIZATION BUILDING As owner of the above property I hereby authorize �" `' ?020 to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TABLE TYPE OF WORK 0 Siding 0 Windows(no header change)# Insulation/Weatherization Doors(no header change)# Commercial Doors require an inspector's review X) Roof(not applying more than I layer of shingles) Construction Debris will be going to S&J Exco Dennis CONTRACTOR'S INFORMATION Contractor's name BelCape Construction, INC Home Improvement Contractors Registration(if applicable)# 198000 (attach copy) Construction Supervisor's License# 106040 (attach copy) Email of Contractor belcapeinc@gmail.com Phone number 508-685-9720 ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR/F THE SUBJECT PROPERTY/S/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8.00am-9:30 am or 3:30 pm-4.30pnc Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number 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 To t Signature Date O APPLICANT'S SIGNATURE Signature Date All permit ap lications are subject to a building official's approval prior to issuance. 4 An alteration or deviation from above y specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents:or delays beyond our control.Owner to carry fire,tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on. above work to be taken out by BELCAPE CONSTRUCTION, INC.No lien or security interest will be placed`on the- residence as a consequence of the contract. Owners who secure their own construction-related permits or deal with unregistered contractors will be excluded access:to the guaranty fund. This Contract not valid unless signed by Company Represen "tive Acceatance of.Estimate The above prices,specifications and conditions are satisfactory and.are hereby accepted. BELCAPE CONSTRUCTION,INC is authorized to do the work as specified.. / Contract total $ 1700 (}'acceptable; initial here: ` U Paymentwill be made as such: 10 Deposit 1/3 $ 6`0i Start day payment 1/3: $ COO Upon completion 1/3: $ Date: 7 ° 2� Signatures! Note:No work shall begin prior to thel signing of the tract and transmittal to the owner of a copy of such contract. You,the buyer may cancel.this transaction at any time prior to midnight of the third business day after the day of this transaction. Accepted By: Date: THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL: 47 Overlea rd Hyannis Port �bt, FL MAW f L : m NO W, /,M- w{•.w a ,_.s -r,-yss;��Fy'b'w +,��xl�,w-(L 4��,..,, §:s, L "ya9/s�..;. �,ia�s��a' MgNil Oy OEJO Was m on Street Su a 75 : �,�y: Y BoStOrlM M psa IUSettS OG.� *s *a- Horne Improvemq afraCtor aegis& on s 'r 3' ; f t xn NeYawXsoki• '} - f t. S < ? -� rB9kCiAPE CONS9TRU. 5 7 Il/lLYf�N, VG�1 -L nz a s 1^- t J• 4 £ ,�.- t y Jk i Y {� Ylv?lf[W Cia an�R r� - .,�:t? ice` 71 - f n . ' 5, 'Iif@Try!, , „� �s a ��� �� +Rp1/EMEiLLT L R a 4,` � r Registrat on yaud for inc�iyrclual use onty � w a-- ` r r f ,+ t; P 'CExtiotr yes Xr :: befo��tf�e expiration dateIf found Fetum to on` x� c �� <� ` F r- Qfflce of Consumer Affairs and B`usinesss Rulati t 1J18/2022 1000 Washington Street> Suite 710 w n r °Boston`MA UkIll rMR BElG,4P�{ ,tifilbili! x , ' ..tt�°"'�'`.�'�'} ,fii3�RFldi+✓$��-Ofam,t `^ sfr 5ye a' e,ems'BUR,IA ff m �t �r5s, trn t vaiid Without signature , , *� Wall p d'Se "xv iY',, C+" k" q,� '€ Mkt 4 n x it x �+� 'a''`w� � �� � ���-z»��r Sw,... a"' �,.�•.*� S .-�x�. r''�"�� ���M�� 3 } 3 {` - >tr '.�u�, at z.�-_�..� �i r., ::- i }•i` • k ss L _tit., s` { i'�+ ..a'�.t� ,�; Commonwealth of IVIasSachtlsetts Olvision of Professional Licensure Board gf.Bui(dtng Regulations and,Standafos t t 5i;�r+:+. si Pia��}ta�'�'�� 8! .a':'S F.# Y, � ;�•�'4t�" -r ,. �1�ts .. " 'Jrr� i (rp ` CSSL-1Q6040 fi "knmR Eirp"fires:0 %44f2Q2Q} Js •# i •Q-• VW ANAirOLI SIVITSKI�' , 2?M'L POND RD = €� WEST YAFtMOUIH'MA*02673 fir' 4 /0 ! Comtr►iSigner C4 1 t ' r Licensee Details Demographic Information Full Name:' - ANATOLI SIVITSKI Owner Name: License Address Information City: West Yarmouth State: MA Zipcode: 02673 Count United States License Information . : ' R• . p License No: . CSSL-106040 License Type: Construction.Supervisor Specialty., Profession: Building Licenses Date of-Last Renewal;- 4/10/2020 Issue Dater 5/6/2015 Expiration Date: 5/14/2022 License Status: Active Today's Date: 4/14/2020 Secondary License Type: Doing -Business As: Status Change. Reason: License Issuance Prerequisite Information Licensee: SIVITSKI, ANATOLI Relationship: Attribute Of License No: CSSLA 06040 - No Available Documents Close Window •' ` ACO® _ IFDATEIMMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/10/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: B the certificate holder is an ADDITIONAL INSURED,the polioy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsemertt A statement on this certificate does not*enter rights to the certificate holder In lieu of such endorseme s. PRODUCER cT Victoria Sharapova ALD Insurance Agency Inc. PHONE 60A Brighton Avenue 617-787-7877 FAx „617-787-7876 0,8 Allston,MA 02134 EdYlAtl comm@aldinsumnoe.com INSURE 9 AFFORDING COVERAGE NAICIV INSURER A: ATLANTIC CASUALTY INS CO 42846 INSURED Belcape Construction Inc INSURERS: AMGUARD INSURANCE COMPANY 42390 42 WOODBURY AVE INSURER c Hyannis,MA 02601 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP - LIMITS -amimA I COMMERCIAL GENERAL LIABILITY M1002952 02=/2020 2/06/2021 EACH OCCURRENCE _ $ 1.000,000 DAMCLAIMS-MADE E]OCCUR PREMISE TO RENTEDES Ea occurrence) $ 100,000 MED EXP Ar orre person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 - LOC _ PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY El jE OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY _ $ UMBRELLALWB OCCUR EACH OCCURRENCE $ EXCESS LIMB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ - - $ B WORKERS COMPENSATION R2WC181806 02/12/2020 02/12/2021 PER orH AND EMPLOYERS'LIABILITY STATUTE ER ANYOFFlCER/MEMBER PROPRIETORIPARTNER/EXECEXCLUDED? ❑IITIVE Y/N N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ - 1,000,000 ti yes,deaMbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedute,may be attached H more apace Is mquhed) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE VLfITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ^' 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AL The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations if 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): BelCape Construction Address: 42 Woodbury ave City/State/Zip: Hyannis, MA 02601 Phone#: 508-685-9720 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 3 4.. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. Building addition [No workers' comp.insurance comp.insurance.: 10: Electrical repairs or additions required.] .5. We are a corporation and its P 3. 1 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 required.]t c. 152, §1(4),and we have no employees. [No workers' 13. 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 must submit a new affidavit indicating such. :Contractors 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. Insurance Company Name: AmGuard Policy#or Self-ins.Lic.#: R2WC181806 Expiration Date: 02/12/2021 . Job Site Address: 47 Ovedea rd City/State/Zip: HyannisPort, 02632 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 hereby 77z!�7_ naliks of perjury that the information provided above is true and correct. Signature: Date: 8.14.2020 Phone#: k0,8#�gK-9720 Official use only. Do not write in this area,to be completed by city or town of kl iaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I s Ys TEM -PROFIL E NOT TO SCALE TOP FDN. FINISH GRADE� 5-0 , FINISH GRADE OVER EL . Z 1� 6� FINISH GRADE OVER SEPTIC TANK DIST. BOX FINISH GRADE OVER LEACHING PIT FINISH VARIES r r-01-1 :4 v 7.7 .� ..,w 3 OF 1/8 77 SHED PEAS TONE PRECAST CONC. OR o e. BRICK 6 MORTAR OUTLET PIPE LEVEL TO 12 BELOW GRADE FOR 2 FT. MIN. 0 -0 .6 F iz C. I. OR PVC TEES A 0 BSMT. FLR. j: GALLON EL . DISTRIBUTION BOX INSTALL ON LEVEL BASE 314 TO T 03 PRECA S T CONCRETE .0 q PRECA S T 'Jk ,40. WASHED /0 REINFORCED CRUSHED CONCRETE .4. '�00:c f, ki: STONE H- 0 REINF. SEPTIC TANK 40 INS TA L L ON L E VEL BASE NOTE: EXCAVATE TO ELEV. OR LOWER TO REMOVE ALL IMPERVIOUS MA TERIA L BENEA TH THE L EA CHING AREA REPL A CE EXCA V4 TED MA TERIA L WI TH � CL EA N. CL A Y FREE SAND Z-5" Ll? EFFEC TI VE \�6,L METER PRECA S T CONCRE riF L EA CHIM17' PIT L EA CH GENERAL NOTES ING PIT 2. ALL PIPES IN 1. ALL EL E VA TIONS SHOWN ARE BASED ON 4-5 5 114ff i INSTALL ON LEVEL BASE HE S YS TEM MUST BE CA S T IRON 4 r 1 3 OR SCHEDULE 4,., PVC. U01-2c:ry v jov 0 3. THE BOARD OF HEAL TH MUST BE NO TI FIED WHEN CONSTRUCTION IS COMPLETE PRIOR TO BA CKFIL L ING PERCOL A TION RATE.• 0 4. A N Y CHANGES IN THIS PL A N MUST BE A PPRO VED MIN.11N. 14 —_4 BY THE BOARD OF HEALTH AND CAPE & ISLANDS WITNESSED BY.' SURVEYING CO., INC. js — *40, .5. MATERIALS AND INSTALLATION SHALL BE IN COMPL IA NCE #1 TH THE S TA TE SA NI TAR Y BR0. OF HEALTH DESIGN DA TA AwcAsr cotvcRErE - CODE — TITLE Y — AND LOCAL APPLICABLE DA TE: Z4, LEACHING PIT RULES AND REGULA TIONS NUMBER OF BEDROOMS 6. NORTH ARROW IS FROM RECORD PLANS AND L ON IS NOT TO BE USED FOR SOLAR R PURPOSES a 7or yl TE J6 c- GARBAGE DISPOSAL c 7. FLOOD HAZARD ZONE To Psa, I To ps DAIL Y FLOW 8. NA TER SUPPL Y .5 v bs c, I bsv, i pe 9' SEPTIC TANK PEO 'D. SEPTIC TANK PROVIDED LEACHING PEOUIPED 0 N1 a ej A 6.r- elS 4 Md SIDEWALL AREA S. F. J� S. F. X -— G/S. F. GPD BO T TOM AREA S. F. LEGEND S. F. X /-e, G/S. F. GPD LEACHING PROVIDED = GPD L T No WAiw, PROPOSED EL EVA TION EXISTING CONTOUR SINGLE FAMIL Y RESIDENCE z . OBSER VA TION PIT DISTRIBUTION BOX !All PROPOSED SEWAGE DISPOSAL SYSTEM 4- JAMES —1 PREPARED FOR "p'0 . eo:v �-001/ J a rRAND 298F4 c.& Fo--ol SEP TIC TANK A &IME L T iT CONSTRUCTION CO . tRpl RESERVE 0 VEPL EA POA 0 LOT 6 DAV HYANNISPOPT - MASS . PIPE IN VER T EL E VA TION t CHARLEES SAWKI !:Z PLOT PLAN I DATE CAPE & ISL A NDS SUP VE YI NG, INC. SCALE., I s SCALE AS NOTED P. O. BOX 334 PL A N NO TEA TICKE T, MASS. MAP I SEC PCL I L 0 T I HSF