HomeMy WebLinkAbout0010 BLACK DUCK LANE l o �1 a.ck�kc.tc ��� ��
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Town of Barnstable
TMEti Regulatory Services
c� Richard V.Scali,Director
B"NniKass`m '� Building Division
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'OtEo Mpg a Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.b.arnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT 0 S bE 1150 FEE:P $35.00
O�G
SHED REGISTRATION 1"
RESIDENTIAL ONLY
200 square feet or less-
Location of shed(address) Village
3
Property owner's name Telephone number
ax ID
Size of Shed Map/Parcel.# - I ty]i
6 C�
Si t gn Date
•• eQ
M
Hyannis Main Street Waterfront Historic District?
Old King's_Highway Historic District Commission jurisdiction?
You must file with Old King's Highway
-Conservation Commission(signature is required)
Sign-off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM'MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:040914
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Town of Barnstable Geographic Information System August 12,•2015
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DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:237 Parcel:009001
boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:CHARRON,NICOLE F TR Total Assessed Value:$471500 Selected Parcel
1"=100'may not meet established map accuracy standards. The parcel lines on this map
are only graphlc representations of Assessor's tax parcels. They are not true property Co-Owner:NICOLE F CHARRON LIVING Acreage:1.00 acres Abutters
boundarles and do not represent accurate relationships to physical features on the map Location:10 BLACK DUCK LANE
such as bullding locations. Buffer
t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Mai* f Parcel 0 w 1 Application #
Health Division Date Issued l 1
Conservation Division Application Fee CXJ
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address 10 16l�IIc /JULll_ iv
Village ,�,If�— L2 ,Q cp f � g
Owner I( Le W,oTf'roN Address
Telephone &�--? —qTo 363T
Permit Request
���-s�r� ���--� ��� Sty, P��1-c -�-3►�.,��-1�IJf�1�� �� �ex.-Fe� ����
1
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation L-1 S00 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
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 stoves ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing a new;-`size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: -
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 2 � ;
9
Commercial ❑Yes ❑ No If yes, site plan review # a
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name C CD T_,-j s A 4�-au-. Telephone Number SC9-77S--/,;-/
Address Ll l: S V11 ✓n aA t"t License #
I�y��✓N�S �-• C��-C�y Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
c
APPLICATION#
c' DATE ISSUED
Y 1
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
f
r DATE OF INSPECTION:
FOUNDATION
1k
+' FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
} PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
1
r -
FINAL BUILDING
t
DATE CLOSED OUT-
_ r
ASSOCIATION PLAN NO.
4
C
i
V.C S t X.1 '1 1 S t
HO
US IN 0i"M .... ...Al
C012"N-11)
_J P"J-1. .". I
HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE:
PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE
THE APPLICANT HOME OWNER.
I 1\11COLE hereby consent to and agree that weatherization work may be
done by the Weatherization Program of Housing Assistance Corporation( herein after referred as
"Agency") on the property located at:
jc> (ILAc-' r-Z
The weatherization work done will be based on programmatic priorities and availability of funding and
it may include all or some of the following measures:
Weather-stripping&caulking of windows and doors,insulation of attics, sidewalls &basements,attic
and other ventilation measures and possibly replacement of badly deteriorated windows.In
consideration of the weatherization work to be done at my home I agree to the following:
1. 1 give permission to the "Agency"its agents and employees to travel onto or across said
property with such equipment and materials as may be necessary to perform weatherization
work on said property.
2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bin for the
weatherized unit on an ongoing basis for no more than five(5)years after the weatherization
work is completed.
I have read the provisions of this agreei'hent as listed.;akd freely give my consent.
Home Owner: (Signature) 4A
Date:
Agent: (signature}
Date: 1 f I/ i
HAC approved Weatherization.Company: co
Caliber Building&Remodelin( Cape=Cod1hnsulatioina Cape Save Creswell Construction
Frontier Energy Solutions Lohr&Sons Peter Smith Resolution Energy
Rock Solid Construction All Cape Insulation
r
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{
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L;APE COD
I,N S U LAT IONNEW S £` _ :
EIBEB BLASS SEAMLESS SPRATEOAM SUSPENDED
BATTS GUTTERS INSULATION CEILINGS
1-800-696-6611 { ; f T C i !
y Town of Barnstable
I Regulatory Services
Building Division
a 200 Main St
{
Hyannis, MA 02601
Date:
Dear Building Inspector
1
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed&
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements.
Property Owner
PropertyF Address Village
{ N�cj\e C-n\A C OQ 10 al" b cu l-N• ley, r�s
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
f Ceilings ( ) ( ) ( ) ( ) ( )
Slopes
Floors
Walls
Si rely
f
I He E ass` y Jr, resident
{ Ca e C d I ulation, Inc.
I
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map � � Parcel 06 t' O Permit#
Health Division Date Issued r YR
Conservation Division Fee
Tax Collector
Treasurer o
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address &ec� Ocic,/i A—
Village g3 Sow
Owner S,>J1.) tc.,Jce Address
r
Telephone
Permit Request 4
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Estimated Project Cost 2�M Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl O 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: 0 Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size
Attached garage:O existing ❑new size Shed:❑existing 0 new size Other:
Zoning Board of Appeals Authorization 0 Appeal# ! Recorded❑
Commercial ❑Yes 0 No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name FRASER CONSTRUCTION Telephone Number
Address 71 TARAGON CIR. License#
Home Improvement Contractor# // 6
Worker's Compensation# ! �X
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE /��/��
FOR OFFICIAL USE ONLY
, � `� .r .- r •i � " ate« ? • I . , `' ' I -
PERMIT NO. �
DATE ISSUED
MAP/PARCEL NO.
r oo-
ADDRESS e ` VILLAGE ^.
OWNER , .t _ ► _ �sf #
FF
DATE OF INSPECTIOP3 E • T ,�F �, :4 �.
FOUNDATION f
_
FRAME
INSULATION -
FIREPLACE
r
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL �-
FINAL BUILDING
DATE CLOSED OUT - -
• f i f K 1 i r � r l
ASSOCIATION PLAN NO. ,
e Town of Barnstable
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Buiiding'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: Estimated Cost o 40 0
Address of Work: /0 -)a�, ow
Owner's Name: __,te_7)AJ CQ
Date of Application: 3
1/A-2
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
E]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 as the agent of the owner.
Date Contractor Name Registration No.
OR
Date Owner's Name
q:fb=s:Affidav
'"`r �` !l:�•:. %1+-k,F..:._;r .. r.'-`, . ; l'"'"""'�"'.""*. "�^. � .,,•Y�^5.... T. � -w..,e�.;-,... -f.7. . "All
•' of a TOWN OF BARNSTABLE Permit No. .30722j
BUILDING DEPARTMENT
TOWN OFFICE BUILDING 0
Cash
HYANNIS,MASS.02601 Bond ..
CERTIFICATE OF USE AND OCCUPANCY
Issued to Great Marsh Trust
Address 10 Black Duck ?'sane
West Barnstable. IAA
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY-THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
February l9, 19 88
Building Inspector
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
:
.rF�L"�a�f eta. il,. �� - :e }t-..; � W i `) _P ��� ��Sr"�,'� �.w `+-�ret-i .. •
L ♦ '
�_1, �`411 .Z � } . _ � � �Fwe� aa�' ��,� ��i4 f� �� •1. -mill—
/7 _
DATE 19 ( F) PERMIT
/ APPLICANT ,),`,tit! ii. Ali Lill'II '.r inc. ADl ,S iCl.',-0r NA I.�)(��}f? L) •�C?/[+. .
_ (N0.) (STREET) (CONY R'S LICENSE)
NUMBER OF .I
PERMIT TO tiU:i.Id (1:Je':il.�l'I -,q . STORY CJ�..7��y;. _ = r('l�. U c 1.�..L_11i'. DWELLING UNITS
(TYPE OF IMPROVEMENT) NO.* (.PROROSED USE)
J
lot 111 lU 51. tC�t i1uc '�':`..` rig: 3: i�1 TteY.olT1 DISTRICT
—
(NO.)(LOCATION)
(NO.) .• (STREET)
BETWEEN AND �y`'
(CROSS STREET) (CROSS STREET) -
_ " LOT
SU�IVI3l6N_. LOT BLOCK�'�—SIZE
\" BUILDIW: S TC BE FT LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
1 / FT, WIDE BY
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 1
„ (TYPEI
ARIfS:
ftEA OR _ — lUJ ''sy• : �w'st, ;ul
IOLUME '� ':ESTIMATED�COSTv.� �r FEES
(CUBIC/SO RE' EET); °" y.��.y-.-='�.-a.-.�..-x..-....�`'c'C„•, i Y'> ,wyy� '`'�
l.L"fr i..L Ai11^ - ll 1 '.1
OWNER - BUILDING DEPT.
iirii. _ .J r . .... ., ,. -.: 1)f.•: r ':.il ._Uil�' �r3 r ci.� i?
ADDRESS BY
r THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE O.C�CUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY. .
POST To Z RD- SO 1T IS VISIBLE FROM STREET
BUIL G INSPECTION APPR VALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS _
.
Ars��8- d.
HEATING INSPECTION APPROVALS ENGINEERING DEP MENT
t Utz �0 3J f c r TO i.,wA I v L�
K
OTHER BOARD OF HEALTH
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
a
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� 23.10
�� C O N C
84-t FOUNpgTI0N —
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8
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LOT 1
:�z 43►5 to 1 5, F
v
. Lx1 � �0.'13►
?1.00►
b0•Ao AA
PREPARED FOR JOH N S. LAKE
CERTIFIED PL 0 T PL AN '
LOCATION- _p.,BAPNSTABt_E MA55•
SCALEa"=5()' DATE MA` 19t 97
REFERENCE: LOT -1
P. B. 413_ P. �9
L. C. P,
FLOOD ZONE "G" � ` � cEC
I HEREBYC£RT/FV THAT THE BUILDING - LoV. JR. rl
SHOWN ON THIS PLAN IS LOCATED ON THE }17607
N
T
GROUND AS SHOWN HEREON A D HAT I T �pSyE p
DOES. CONFORM TO THE ZONING su
BY-LAWS OF THE TOWN OF BARn15ThL!F
WHEN CONS TRUC T ED.
LOW & WEL L ER, INC.
7/4 MAIN S TREE T ZY 87,
YARMOUTH, MASS. DA TE __�,
' ,>"P , ffice,- st floor),' L
"(1 .. -r ,SEPTIC SYSTEM MUST f` %THE,
`. map. and lot number ... �o o�
iA'STALLED IN COMPLIAN �Q o
(P.Wth (3rd floor): c ' WITa'I TITL J
ermit number �r7- 1�.r.. :, ...........
ring Department (3rds floor) -` " " ' °kIVIRONMENTAL C®®i Z 9Sd Ta
.r 9� L �
... . TOWN REGULA9 N'S� 6.. . ..number ..:............. ... ' s 00'�oYaY a
\00
F' ,{. f -
LICATIONS PROCESSED 8 30=9:30*A.M. and 1:00 2.00 P.M.t only -
TOWN 'OF BARNSTABLE
B UIL D I N G. I N SPECTOR
4 APPLICATION ,FOR .PERMIT TO ' ......... .. S................... _��• . ................. ........
TYPE OF' CONSTRUCTION.. .. .....`.........:... t
g 19 --
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according, to the following information:
Location �.........................................
............... \..................\...................................4. . .............. ...
, , .
Proposed_ Use ............. ................................................:......::::....:.....................:.......................................................................
Fire District ............:.•Zoning District ......................... ....:.1.• ........, .........................................
...........................
Name of Owner `t^�'S� c .. t..................................... . �5.....�Z��,c6
............................................:...................,.....Address ,..:..... ... .:
Nr
Nameof Builder �..........................Address :...............................I ...............,..............................
..Name of Architect ............. ...................Address ........ ......... . .►.................... ...,..........................
Number of.Rooms .:........�''�.... .......:.........................................Foundation �U �4 �1 �..�ne�
.........................................................................
Exterior .. ...................Y...............Roofing - � .... �.......................................•
....... .......................... ...............................Interior ................`... .........,Floors ......... _ ........ ..........................:............
��,.• �,
•
Heating .........h5 g �—....Z...... .............. .......................................
Fireplace ................................................................................:.Approximate Cost .�.........V.;UO .................... .
Z\3 /
Definitive Plan Approved by Planning Board -- - ----- ------19 '' . Area /.�a,-�" .......................
Diagram of Lot and Building with Dimensions Fee ............................
SUBJECT TO APPROVAL OF"BOARD OF HEALTH
F -
OCCUPANCY PERMITS REQUIRED FOR NEW,DWELLINGS
I hereby agree to .conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name,,--, ............................
Construction Supervisor's License .....a7, ,g11............
Great Marsh Trust t
30722 1 1/2 story
No ...... ..... Peimit for E
single family dwelling a
aa .......................................................
`' § 10 Black Duck Lane h
Location .......
*� Barnstabl`e '
.. .............................................................. -
Owraer4 Great Marsh Trust
.. . ............ a _
Type of—Construction frame
.. ......L ........ ......... .... ..................
a
Plot' Lot ................ ... _
Permit Granted May......... .....19 87
Date of Inspection . �...... .19
Date Completed- ...`....19
8
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