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HomeMy WebLinkAbout0536 COTUIT BAY DRIVE k n ' s n , _ n ��� _ i 1 �' - �. r � ��I q fl -� ^ ��G"°r ` �" �� r �_ neering Dept.(3rd floor) Map 42Parcel �"��L�Permit# House# J � Date Issued o Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)' Fee S� Conservation Office (4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE rq Definitive Plan Approved by Planning Board 19 I BARNSTABLE. S TOWN OF BARNSTABLE °rteNw+>�� Building Permit Application Project Street Address TS 6 6iuN &am ok. 15 Village - -- C'041 ,� tm V3 ; . Owner & G-n no2 '�5,5" ddress c 4 Telephone Permit Request _ 4/© kf• First Floor . square feet Second Floor square feet Construction Type xx Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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: Q Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.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 Q No Fireplaces: Existing New Existing wood/coal stove Q Yes Q No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded El Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name T,,eAK) df1�.t�-l/) Telephone Number Address 7/ l t+2 o4S 0-Y 1 C f/t License# Home Improvement Contractor# Worker's Compensation# y5?3 .j6 aQ/� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO yCf/Ji?2Cr'Jf'l'I SIGNATURE DATE �- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) Vm ,}A FOR OFFICIAL USE ONLY PERMIT NO.rE � DATE ISSUED ` r MAP/PARCEL NO. ADDRESS VILLAGE - OWNER- i DATE OF INSPECTION: - FOUNDATION FRAME ,i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH 1 F/INAL FINAL BUILDING ` /°DATE CLOSED OUT ASSOCIATION PLAN NO. l of WE rq . . °: The Town of Barnstable • eutnisr�►ste. • MAS& ►`e� Department of Health Safety and Environmental Services 059. Ear Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: ll[ ��rrJ� Est.CostG�� �— Address of Work: �� �'�l / ,Og Y Owner's Name /Ule 4 Date of Permit Application: 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 as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name The Cumtnoulrealt/r ojAtussucbusctts Departnrc111 of Industrial Accidents ` OJliceoliUMfgalions wit.r �' tS!/// if'asltin,tun Street Boman. Ma.u. 02111 Workers' Compensation Insurance Affidavit �lililiER information: name: Lle Ww CHN, ( ^4tyk nhnne ❑ 1 am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity -�... �. 1 .rT- ••_.w_..�.�:7.r.o..'-.'►'�fTC T'�wn'l!►`=`7T. . ..w��w.w�.�....r.y...r....��.w+r.. — ►.�.�......r..__r.... I am an empiover providing_workers' compensation for.my employees working on this job. v m y 7 enuman na e: �✓LC -F/�. ( " -/w( �:ktzN,% address• �.tie! cin•: shone#- insurance co. ��1/�%t/l�t� i/ ��t' nt►lic� # we ❑ 1 am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnatn• name: adtirest• cln•: ,fhnne : insurance cn. Polio•# emmnanv name- address- cin•• phone#: insurance co nolicy# Attach additional sheet if nee css!.ry =:s • +�- �� ��"""%^ '% 'r`'� y—+-- '; ^'`�~'� �"— F:�iiurc to secure ctrverage:ts required under Section ZSA of t11GL 151 can lead to the imposition of criminal penalties ol'a lineup to S1.500.00 andiur une •cars' imprisonment:ts WCH as ciVil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this st:ttcntent mad be forwarded to the ORcc of Investigations of the DIA for coverage Verification. I do bereft c(YDL as d pet !tics of perjun•that the information provided above is true uud correct.• Si=nature Date Print name b4� �� Phone# ofliiciai use un1% do not write in this area to be completed by city or town official �• citA.or to permit/license# r•ttluiiding Department C3Uccnsing Huard L check if immediate response is required OSelcetmen's Once l.. 011calth Department FrF contact person: phone ft: r•IOther 5 i. 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 empl({ree is defined as every person in the service of another under ally contract of hire. express or implied. oral or written. An enrpinrer is defined as an individual. partnership. association. corporation or other legal entity. or any two or more . the foregoinu engaued in a_joint enterprise. and including the le-al representatives of a deceased employer. or the receiver or 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 dwellin�#v house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hous or oil the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter i52 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 ltas not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the 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 ha 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 as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coyera`e. 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 youare required to obtain a workers* compensation policy. please call the Department at the number listed below. Citv 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. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to aiye us a call. Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston,Ma. 02111 fax #: (617) 727-7749 ' phone #: (617) 7274900 ext. 406, 409 or 375 Assessor's map and lot number ........ .. .C� ...... ��; �'"�2 ' 77 v Sewage Permit number � ...................... .............................. T"ET° a TOWN . OF BARNSTABLE � b�Qy •;y0 r; ro .o BARNSTABLE, r"6 ; 0 M e0� }-� BUILDING INSPECTOR •� Aj�• n�a' ti Y+ J r'-i > r) 0 • `'' _ cgnstzuct a si,nale farm l,v dwe],l c�[ APPLICATION FOR PERMIT TO ......................................... .................................... . . ;;wood frame/solar heated TYPE OF CONSTRUCTION Auaust l5 .................19..��.. +, Y TO THE INSPECTOR OF,BUILDINGS: The undersigned hereby; applies for a permit according to the following information: 2' Lot 2SP Cotuit Bay Drive, Cotuit , NIA i + Location ....................................................................................................................................................................................... -Proposed Use ....Since f......amily private residence .................... ............................................................................................................................................... "1 b C-1,, COtuit ZoningDistrict .........................................................................Fire District .............................................................................. R. L.I)Seaberg Associates, Inc. Name of Owner ,Y........Address ....D..... ldl #-, ;t MA. f96745 ........... C.......... ..... ....... Name of Builder R.....j.. !?al? ' A agnc" Tn( Address .......: awn , .._..,.. . .................................................................... Name of Architect .Richard L. Seaberg ...Address A Washington St. , Norwell, 141A 02061 .................. ................................................................ Number of Rooms 9 Foundation .boUred co..... ...... .... .. .... ....................................... Exierior 1�.00d Tramp :flood Cedar .................................................................................Roofing .................................................................................... Floors hardwood/carpet.........................................Interior Drvw. 1.1.................................................... ................... .................. Soler plant and oil-fired Heating ',. - -..............................................................Plumbing .....PVC s nar code ................. ........................................................................ Fireplace V943......................................................................Approximate Cost ..$E10 ,000 Definitive Plan Approved by Planning Board _______1/6/___-----------1975___. /l Area -.2-_-5 �a�.ar.c...ft-..... t�4 Diagram of Lot and Building with Dimensions �'��*�° Fee ..................�.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH !� SEE PLAN ATTACHED r? 1 � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......................... ...................................................... . R.L. Seaberg Associates,, Inc. & Bradford W. 8lakelay . ^ / it' A=55~42 ^ ^ ^ �� ` ~ 19698 No .................. Permit for ...................................... a1oglm family dwelling . .-----.-----._—.-.'---.--~----- Bay Drive Location —.--.-----------------. cmtuit —~'------'-----------------'' i Inc �L Bradford W. Blakeley ' _ ~~^~' ------' —' i ',p= of Construction^ ` ` .............................................)................................. Xr/v/ , . Permit Granted . Date of . uo/e Completed19 ` . '_- . -----...........................-- ' ---' ----' U ^�. -----.,---.. .................................. ^^ -- — ��..�� ........................ -- ............................. . � Approved ''--------------- 19 ' -------------'—^`^^^'--^~~^^--' --------^------------^^^^^~^'' | ' ` | | ' | ' . ' y"VCHN Permit No. _____ TOWN OF BARNSTABLE 19698 10/27: 77 __—__—____ t : Building Inspector S 71a13TAU . Cash . rua --------------- OCCUPANCY PERMIT Bond _ —_-- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." R. L. Seaberg Associates, Inc. Issued to Rradfrard W Blakel ev Address BOX 341, Cotuit, MA 02635 lot #22 CotuitlBay Drive, Cotuit Wiring Inspector �� Inspection date ��z� � Plumbing Inspector �/ , 'n Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. /J `��..1..3.. �9 �• : ................... '. .. ........................................................._..............._........_._._ / /Building Inspector �"�`Twr TOWN OF BARNSTABLE ____ Permit No. ___ { »�T� Building Inspector ...� Cash ----------- OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to ,. Address i Wiring Inspector Inspection date _ Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................... .... ......... ......... /).... ............................................. Building Inspector 1 � � +f O I '4 Y DR/ VE LOT 23 I � o o o 33-,f 188- 53 ,:�. . LOT 2/ o ti -� I � ► i LOr . 22 i v�K� e / hereby certify that the PLOT PL AN Foundation is located os shown and conforms to the Zonin r--- Or 22 I Q OF 8y Lows of the Town of '��`� COTU/T BAY SHORES URErE Barnstable. �� /N c SCHANNION 1r:6 11 COTUIT, BARNSTABLE , MASS. I . I ., ST%����'`� Sco/e / = 60 Oct. l/ , /977 - � � GRETE M. SOHANNON, R.L. S. West Bridge water _ Mass., 02 379 Assessor's map and lot number ........7✓.......`��—:`�:........ C1�� �/, 7 -�'( l SEPTIC SYSTEM � •_, n, %! - MUST EE S,ewag'e' Permit number �� ..... INSTALLED .........................�................. • N COMPLIANCE c�eel�l . �0 WITH ARTICLE If STATE 1 THE TOWN OF -, BARNS '�Jh A ,° AND TD�e�rt r' �"3a:1 � 0 BU1 01-NG INSPECTOR MAX1-4 APPLICATION FOR PERMIT TA construct a single•,family. dwelling„............••............. TYPE OF CONSTRUCTION ...Wood frame/solar heated 5S August..15..................19.77 LJ Ii • 19 c) TO THE INSPECTOR OF'BUILDINGS: , The undersigned hereby applies for a permit according to the following information: Location Lot 22"'Cotuit Bay Drive Cotuit MA 'a .........................................r....................i................................................ ...................................... �4• Proposed Use ...Singe...fami.ly private residence....................................................................................... F-1 . Cotuit ZoningDistrict ........................................................................Fire District .............................................................................. R. L.L;Seaberg Associates, Inc. Name of Owner and.-gr•adfOrd•..y1f•.•••Blake•ley.......Address ..... ......QOt..u;Lt.,...ZA. ...Q26.35 Name of Builder fit..... :....5.e.abexg..�1 sac..,....�X1�..Address ........SAMe.................................................................. Name of Architect .Richard L. Seaberg ,•.Address ..48...Washington St. Norwell MA 02061 ................... ........ ........................I........... Number of Rooms ......9.........................................................Foundation poured.....concrete .... ....................................................... Exterior .•,Wood Frame Roofing Wood Cedar Floors ....•Hardwood/carpet.........................................Interior Drywall............................................................. Solar plant and oil-fired HeatinghGt...a-ir..............................................................Plumbing .....PVC as...per:.code...... ..................................... Fireplace ....YIPA.......................................................................Approximate Cost ... 80,000.......... .... ...... Definitive Plan Approved by Planning Board _-___-_l1__61__-----------19 75___. �` Area sg..•..f t t.•... (o a o Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL. OF BOARD OF HEALTH SEE PLAN ATTACHED c I" I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction. Name ............. R.L. Seaberg Associates, Inc. & Bradford W. Blakeley 19698 1 1/2 story Nq:.................. Permit for .................................... single family dwelling ............................................................................... Cotuit Bay Drive Location ......................... ...................................... Cotuit ............................................................................... Owner ........R....L. Se.aberg..Associates,- . . . . ...Inc. & Bradford W. Biakeley ... .. . .... .......... ......... . ...... . . . frame Type-of Construction .......................................... • .......................;..................................... ................... Plot ............................. Lot .........#22................ October 27 77 Permit Granted ........................................19 Date of Inspection d.g 1............19 Date Completed .............19 PERMIT ROUSED .................................. . .............. ............ 19 ........... ................. .... . .... .................. ..... . ....... ...................... .................................................. ..... .......... ...... ...................................................... ,k1c eaf� ?)te� Approved ................................................. 19 ............................................................................... • ...............................................................................