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0024 PINE VALLEY ROAD
U � . _ . _ --- - -_ . - -_ 5D`b ZO W 0 9/a9 TOWN OF BARNSTABLE Building �tHE T°w 201501792 * aAMS`rABIX, I Issue Date: 04/08/15 Permit 9 MASS. 1639• Applicant: MCCARTHY,MICHAEL J Permit Number: B 20150704 ArFD MAC a Proposed Use: SINGLE FAMILY HOME Expiration Date: 10/06/15 Location 24 PINE VALLEY ROAD Zoning District RB Permit Type: RESIDENTIAL INSULATION Map Parcel 248070 Permit Fee$ 35.00 Contractor MCCARTHY,MICHAEL J Village HYANNIS App Fee$ 50.00 License Num 58633 Est Construction Cost$ 1,600 Remarks APPROVED PLANS MUST BE'RETAINED ON JOB AND WEATHERIZATION&7"CELLULOSE TO ATTIC THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FOURNIER,ALFRED J&NANCY L BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 24 PINE VALLEY RD INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY.OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY O ERMANENTLY. ENCRGACHME ON PUBLIC-PROPERTY,:NO_ SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,I STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATIO RPUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC�WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS.' 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION, PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 'MU R BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health 7 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � '� Parcel 0 7D �r ._!"�gti�g �� (. Application #a Health.Division _Date Issued Conservation Division Application FeetY Planning Dept. Permit Fee ��0 . 00 Date Definitive Plan Approved by Planning Board 111":s_TI i' Historic - OKH _ Preservation/ Hyannis Project Street Address q c_h Village N V Owner c 4 .-o Address s.r Telephone Permit Request 4-- 7 4-. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation — Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. / Dwelling Type: Single Family .O' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Constr-metion Telephone Number Address PO Box 52 License # West Dennis, MA 02670 Cell (508) 280-6964 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 91M SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. R II S: .E BNCINBBBING OWNER AUTHORIZATION HORIZATION FORM (Own is Name) ' owner of the property located at: �-f yo- I IBC j Zoe (Property Address) I , r,r,,-r 00 (Propefty Address) ' hereby authorize ' ► `C— (Subcontractor) an authorized subcontractor for RISE Engineering,to on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. O ees Si ature Date RISE Engineering 6 Dupont Avenue South Yarmouth, MA 02664 �y Massachusetts -Department of Public Safety Board of Building Regulations and Standards . Cun.�tructiun Supervisor . License: CS-058633 MICHAEL J MCCAR ' PO BOX 52 W DENNIS MA ( 67 " "t Expiration Commissioner 04/10/2016 ' ¢� SJ•ac t'lecJe��- Office of Consumer Affairs and Business Regulation x 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY _._---_------_------___-_-- --------___—_. P.O. BOX 52 ------ - — ------------------ WEST DENNIS MA 02670 fi Update Address and return card.Mark reason for change. Renewal Employment Lost Card SCA 1 Co20M•05/11 ❑ Address ❑ �_� 'E Pto Y ❑ rq: The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 ii*liriunass govIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/FIeetricians/Plumbers `. Ayplicant Information Please Print Letaihly Mike McCarthy Construction Name(Business/OrganizaticrOndividual):_ PO Box 52 Address: West Dennis, MA 02670 City/State/Zip: CSIpg§§#3 HIC-169393 Are y u an employer?Check the appropriate box: Type yp of project(required): 1. I am it employer with 1 4. [l [am a general contractor and I 6. []Now construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole propridtor or partner- listed on the attached sheet:t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I L[]Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),'and we have no 12.[]R °f repairs insurance required.]t employees.[No workers* 13.Q'Other comp.insurance regaired,] *Any applicant that checks box#1 must also fill out the section below showing tbeir workers'compensation policy information. t Homeomers who submit this affrdavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub•contractm and their worker;'comp.policy Infnnatioa. lam an employer that Is proyhring nvarkers'cornpensadon insurance for nsy employees Belofp lr the policy and job site information. Insurance Company Name: Policy#or Self ins.Lie.#: vWL W-Go►X57- HA Expiration Date: Job Site Address: �( �t �(�J City/State/Zip: 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 ofMGL c.152 can lead to the imposition of criminal penalties of a tine 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 fur insurance coverage verification. I do hereby eerttfy tt d e pa a enallles ofperjury that the Information provided a v is true and correct �/ Si lure: D Phone#. Of,j ew use ono. Do not tvrite in this area,to be completed by city or tonm offlciaL City or Town; Permit/Lleense# s Issuing Authority(circle one); } 1.Board of Health 2.Building Department 3.CltyfPown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AcoR�� CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 07/10/2014 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If 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 01962-001 NQUPCT Bryden&Sullivan Ins Agcy of Dennis Inc ON.Exit): (508)398-6060 1 a No,: (508)394-2267 PO Box 1497 �Sss: So Dennis,MA 02660 — IN RER(S)AFFORDING COVERAGE _{__NAIC# INSURERA: A.I.M.Mutual Insurance Company I 26158 INSURED INSURER B: Michael McCarthy Construction Inc N UR R : P O Box 52 INSURER D: West Dennis,MA 02670 INSURER E: I 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 1A1-IICH 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. ILTR TYPE OF INSURANCE POLICY NUMBER 13s MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMI E Ea occurrence CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMPIOP AGG $ �OLICY WEC I 0C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS ~ NON-OWNED PROPERTY DAMAGE P i $ AUTOS de F— $ — — UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ yyp I KDDEEERRDgg ooMM RETENTION $ ARMS $ ANND EMPLOCYERS�UABIUTY X A IIMITS OER A I AOFFIgROPRI�J ffP&J{yBFWECUTNE Y� NIA VWC-100-6017656-2014A 7/17/2014 7/17/2015 E.L.EACH ACCIDENT $ 500,000.00 (Mandatory in NH) ``uu E.L.DISEASE-EA EMPLOYEE $ 500,000.00 D� bAffiON OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thieisch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD � ' �a SEPTIC SYSTEM USN � Assessors map and lot number .......... tS� NS1A LED IN CO PLIA '.. Eros Sewage .Permit' number y'�% ! -'. �� ........ �yp�p�.y �p5� y�WITH ?�g��y+' g� d�'� ♦� E�g7#•9i"9 H�9R^�iIENTAL COD Z tiBy�9TSDLE. i House'' number. ..... . . . ..... .... :... i . 4 �� 'a V, "6 9 O U t 3 0�r MR-4 TOWN OF BAR�NSTABLE BUILDING :INSPECTOR r,�, APPLICATION FOR PERMIT; TO .A.4D..P.:...........�/j. ..: .®....�......... F. • _ � .. _ TYPE OF CONSTRUCTION .........S�t�®5?. .:.:.:.. ' '................................... .................... .............. ! r 1 G ..a�a.............196Ll TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a -permit ,raccording,to the fo llowing information: Location .. .`i......P.� PE. ..VA!7.L.=.[.......iQ..Q.!D...�. ..... �,3... ...' .......... ......:......:...................... Proposed.Use ..c d a �''� . f . ....... ..................... Zoning District .Fire District Name of.Owner r¢l �.d }!�!`t'`�c��...FDv2Nt .! ............ ........Address .��. ......................................... U" Lze �f!) ..... JJ Name of Builder a�:�(Z�. �..., f?cx s //of Ty,h.,l. .Address .��cfs•.e91J7'•e IAA f'�(��uvrS j!Ll�G26o / Name of Architect Address ..:.................: Number of Rooms".:.Qti: -................................:.......:........Foundation ..:.... J..?`'... ................. Exierior ! A!`'!. .:........ :............................................Roofing .......! .S.p.t%ct L "...................................................... .Floors ...(2e ................:...........................................Interior ..:.. ............ - - :..�.......t ',Heating tJ� .................:......................:....._.............Plumbing ........�. ..........................:............:..........:.,.......:.... • •'- ... Asti. A-j) . ostFire lace ...........................................................:APProximate C ........ , O.............................................. Definitive Plan Approved,by Planning Board _____________________________19________, Area ..'2.. ................ ......... Diagram of Lot' and Building wi'thrDimensions i Fee ....... ................... . ....... SUBJECT TO APPROV L OF BOARD OF HEALTH • vv� .f i '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 ................ .... ...................... Construction Supervisor's License ... . .... �y FOURNIER, ALFRED &- NANCY 2619 3 ADDITION No ......... Permit for .................................... Single Family Dwelling =, r" r ..................................ki................. r. 24 Pine Valley Road t sr ` Location ..... . ................ Hyannis _ ....... ...... .... .... :........... -,- E Alfred Owner & Nancy Fournier , ` .. ..... .................................. ........ f Type of Construction ....F.rzLme... .`......... , . f ,�: ;�_ �: •` Ij _ �_:• _ _ . t ,- � • c, ., _ _ r ,,;. � i " # • ....a..... ..... ... . .. .............t........... ��!•' � �^" 1 �{ 1 Plot . ` �. Lot':'.'.............. ; I '�'�,. ' .�-a; � '' j �� `' to° t'' ��-'•-•--_'—••-----..c"'1, ,' _ Permit,Granted March�2 3.,{—,.... .1.9 84 Date of Insp cti r.....�/ '.. -19 aox Date Completed n'3�.4t........* .. :-:-19 ar6ry 4. 53 !, a ;,. `' .•.•t - �"; ,z .. tr �f'te T��eG�%G�2 �/l/G�G��1LCei1P.�6 - HOME IMPROVEMENT CONTRACTORS REG.ISTRATI ON Board of Building Regulations and 301andards One Ashburton Place Room 1 Bosto n , M as sachusetts 02108 HOME IMPROVEMENT CONTRACTOR Reg2stration lOs�3t3 Expiration 08/14/94 O N Ci Type - PRIVATE CORPORATI { �f Registration 108238 Type - PRIVATE CORPORAT' Timothy R . Luzietti I Expiration 08/14/94 7 Timothy R . Luzietti 955 Rt . 132 Timothy R. Luzietti . Hyannis MA 02601 Ii®othy.R. Luzietti 955 132 . Hyannis MA 02601 ADMINISTRATOR i j z;. yl � 4 Assessor's office(1st Floor): �1 - Assessor's map�and lot number �,( ®? "- ;£ �oT THE r0` Conservation "' r' I `w ♦w Board of Health(3rd floor): i ssa»rant Sewage Permit number - ` 70 YYl Engineering Department(3rd floor): ° #639. House number ,tp ytr Definitive Plan Approved byPlanning Board 1g APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN . OF . BARNSTABLE ` BOILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Mf4l2S Ac�cJl2,iJ>�Z— L/ rl/ I/, Ld� /?D Proposed Use J I&G�&'e— Zoning District Fire District n Name of Owner i2 11M S ��, � ��/��'� Address V`'l ,,ltlif tll)ttay Ad �/Y/f/vwi,/S Name of Builder L y z i az'%T� /yam Address s11,Y1 -5 Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee yj r�i f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable ,,garding the above construction. Name Construction Supervisor's License FOURNIER, MR. & MRS. No 354 0.5 Permit For RE-ROOF Single Family Dwelling v Location 24 Pine Valley Road Hyannis Owner Mr.- & Mrs. Fournier Type of Construction Frame } Plot Lot Permit Granted September 29 , 19 2 r Y Date of Inspection 19 Date Completed 19 I t Assessor's map and lot number,!..... .'..:.�G CZ_... ................ _ THE t0� Sewage Permit number ....... . .......... 2 139SBSTABLE, i House number .......�.:�........... ............................. 9 Maea �-� 4 Op 2639•' \e�0 •EpM pr TOWN OF BARNSTABLE , BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..v .�. .......S U K 00. TYPE OF CONSTRUCTION .......4 �?. .....:.. . A '1 F............................................................................ ° ��c C .............198 ................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . .......Pt PE.....V.ALLty......&.Q!9��L... ........"Nm! ............................................................ ProposedUse ®.1`' ................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner��FRED.� .WNc�(...FOu2NlF2 Address.4Z_ PINL�.UALL :................... Name of Builder 7l4 //'?� Q. . ...Address 14 0 . S % ?60 /Name of Architect ..................................................................Address .................................................................................... Number of Rooms Oti -.................................................Foundation .... Exterior .IFl26MF.................................................................Roofing ......psl .c�..l.. "...................................................... Floors C'.........K.l,.................................................................Interior ....5'Li�c �rd�k � wno.o ....:ems . ,� ............................ ....... ................ , .. Heating S.............................................................Plumbing ........�tJ D,v�— ..................................................................... Fireplace ....tiU.....-............................................................Approximate. Cost ........,i.00O,............................................. Definitive Plan Approved by Planning Board --------------------------------19--------. Area '2. ..0......... ......... Diagram of Lot and Building with Dimensions %0 Fee ....... ...................1 ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH i #6L)s i , ,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. NameN e ......... .. ....................... Construction Supervisor's License o .............. FOURNIER,' ALFRED & NANCY A=248-70 7,6 No 26.193.... Permit for ADDITION ......S n.gle...F.amily....Dwel.Ung............... Location .2.4...Pin.Q..VAI.Iex...RQad............ ............:...Tiy..djarUs............................................. Owner ...A1.f.:e,d... LgaxiC.Y...F.Q.I.iX'?Cliex.. Type of Construction ...Fsame.......................... Plot ............................ Lot ................................. f Permit Granted .....March ............19 84 T Date of Inspection ....................................19 Date Completed ....................... ......19 /� % - r -