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HomeMy WebLinkAbout0200 COTUIT BAY ROAD i i 7 , n 1 .. s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel o17 Permit#. Health Division Cailef en Date Issued Conservation Division h} . _ Feeor Tax Collector l Treasurer an CC — 2 SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONVENTAL CODE AND Historic-OKH Preservation/Hyannis Project Street Address D O l O I c� c l ►�/�� Village Owner 6 Rya y/u Q Address 5G,1VyQ- Telephone 14 a O Permit Request S Gr^� e�11 9�L h t)U--tC -OLVL 5)' N C CCal'e- -e-1 V IQ6 aTi y Square feet: 1 st floor: existing proposed l 2nd floor: existing 0, proposed Total new 1 Estimated Project Cost Jp 060 Zoning District Flood Plain Groundwater Overlay Construction Type U604 Flry-,_R Lot Size ca CV: Grandfathered: ❑Yes 34 No If yes,attach supporting documentation. i 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: AFull Cl Crawl ❑ alkout ❑Other Basement Finished Area(sq.ft.) Z- Basement Unfinished Area(sq.ft) Lo Number of Baths: Full: existing C new .A)a -Q Half:existing ��, new /(.6/tP_ Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing _new_ First Floor Room Count Heat Type and Fuel: ❑Gas •,X Oil ❑Electric ❑Other Cy A, c�_e•t^ Central Air: ❑Yes ❑No Fireplaces: Existing -a New A)SAAP Existing wood/coal stove: ❑Yes VNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:,Kexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes ANO If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name(—e.20SeW e I I6A-t01' "W 1nQ4R1AIephone Number -5©'j— `J ao' a`10y Address 2), t oa e rs Se License#Ong & q /H6r-r" 72),d i /M 4(5 f11fa(� �c�� Home Improvement Contractor'#' (c 1 k Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO d`/v SIGNATURE DATE —_TIg FOR OFFICIAL USE ONLY P8kMIT NO: DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTIOp v FOUNDATION FRAME 64- INSULATION FIREPLACE ELECTRICAL: ROUGHS FINAL PLUMBING: ROUGH FINAL t ' GAS: ROUGH `' "" FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r rl Ti 1 1•J'� o I 10 �4710 f n OF %A CER7 I FY THAT TH I S PLAN*' IS I N ACCORDANCE 'WI TH. CURRENT ZONING LAWS OF THE- TOWN -OF BARNSTABLE 4.1 ' MASS. REGIS ERED 1RCHITECT 1 i i - n � . ^ J ki � z i C� i I l G V, -- (Itx / / f - `-! Or. r 1 • 1' • j i � i I Gl� C� o- c — Iti t," MAI � t•t,/ J t.r`,.J,.�11J! lid V` TO - �J e I own of arnsta-re esaNerwmx. 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 Building'Commissioner Permit no. I 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: N-" fl Q AJ Estimated Cost If)6�6 Address of Work: Owner's Name: le I- k Or,t AAX . Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law E]1ob Under S1,000 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 gent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:fbr ms:Affidav The Commonwealth of Massachusetts ==— Department of Industrial Accidents Office nllnaestigations 600 Washington Street Boston,Mass. 02111 aii��iio,•��aiaii�iii•,,,,�••��iiii�iiii i / /% Workers' sation Insurance ffi davit name: 1 ] 2�A�ica�nFitrtfnt'�tlt7�[.�;,���/��/.���������� � 'r����r,,,,,,/,,b,_,,,, ✓�!G ®S�.e C.J-Q, / G`�A�Q i C.°(?/Ytp d��L location: city i phone# I am a howner performing all work myself. I am a ��oo rietord have no one workin in tiny ca achy� %%%%%%%////%%Iam anmployer providing workers' compensation for my employees working on this job. comnnnv name: address: city phone#: insurance co. nniicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: comnanv name, address: city: phone#: insurnnce co. policy#.. :......:..;.. :.:.... comnanv name- address: citri- ... phone#� .. .. insurance co. :.. olicv# ::::;::;.:;;;.:::::;:::::: ::;;<:..;;:.::•:>::.:..;:.<.:.::.: //%//%///// Faflure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DL1 for coverage verification. 1 do hereby cePlflnder the pains nalties of perjui v th a information provided above is truce and correct Signa=e Date _ Print name 1'� �`U C`P �tr `�'�'' C / Phone N oiticial use only do not write in this area to be completed by city or town otIIeial ci v or town: permit/license# ❑Building Department ❑Licensing Board ❑ check if immediate mponse is required ❑Seleeanen'a Ottice ❑Health Department contact person: phone#, - ❑Other (M-Awa 9,95 NA) 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 coan-.z-. 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 recemer c: 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 renews: of a Icense 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 . 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 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 submitted to the Department of Industrial Accidents for confirmation of insurance 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 Deparrnnent 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 reaaned io 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. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Imresugatlons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat 406, 409 or 375 r� V� a i \V 7 • .A4 1 °c t � ..� �S. i •'"a.+ Mrr.... 9u• .:wept � . .'' �. 'r1'c, i�•�.`� a. err•r. ;:. • " DEPARTMENT."OF PUBLIC SAFE'AT:4;. CONSTRU SUPERVISOR LICENSE j ' `.Nu 6 r': itpires:` Birthdete: CS 8 93 W62711999 0812711954 le BRUCE OS NEII MARSTONS MILLS, NA 02648 •L";�-.;p;.,. F' 1 •.��' ., � i. •rye t' r • 1 y ' 3' v ,a f yam: P w u x f HOME-IMPROVEMENT CONTRACTOR :Registration 102615 TYPO - PRIVATE CORPORATION Expiration 07/02/00 :.JAMES A. COYNE; INC. Y ,Bruce E. Rosewell• 'Mid Tech Or ., : ADMINISTRATOR W Yarmouth MA ► �;: 0 2673; .r THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH �� ..OF........J*424-110'v*.................................................... r T No............. FEE �ttt u k Permission is ereby granted---, - ............--------------............--------------------------.............------.........--•••-----...... to Construe ( or epair ( ) an n vidua a ge is sal S at treet as shown on the application for Disposal Works Construction r it Dated----- 7.............. ....--------•-•-------------•- 2 Board of Health DATE .. . ......................................•-•-••--••-• FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r. - • ray'~ ~ gr .. .�� Lt ' ' '`.'1 f,'1;.i,r f ' •?3..,i yr ( a.ED AR k ., No. 381 o i 07/c� % b'osron; IUAGS. '. P�f(+�ro'... r � ;.��•'' "on of I CERTIFY THAT- THIS PLAN IS IN ACCORDANCE `W:ITH•. • , CURRENT ZONING LAWS OF THE- TOWN -OF BARNSTABLE r �•I•Q. MASS. REGISTERED RCHITECT L ,: Assessor's map and lot�number .................. STEtt/I MUST BE �. 6 INSTALLED IN COMPL;ANCF - j Z WITH ARTICLE 11 STATE , Y Sewag Permit number ............. .... ....................................... SANITARY CODE AM TOWN y �QofT"ET°�o - TOWN OF BARNSTABLE iAWSTSDLI: i BUILDING ' INSPECTOR O , APPLICATION FOR PERMIT TO ...C ...................................... - (.�� . .........................:............................... TYPE OF CONSTRUCTION ..........�................ L ............... :� , ................19........ C TO THE INSPECTOR OF BUILDINGS: The undersigned hereb applies for a permit to the following information: Location ..........4.�.�..1...7................. ........... .. .... ..... ... G..0 ........................ ........................... Proposed Use .................. : ............................................................................ ........,. ................................................ Zoning District cov%4--.�T g ............�.`.,.... .................... .....................Fire Distract ...... ... ...... L.J.) Name of Owner ........ . L . . Address , Name of Builder ........ ''"y�. .. V..'..Ad ress ..............1...%�Z .i ` ........1.,1.� .. Nameof Architect .............. ..............................Address .................................................................................... �o� Number of Rooms .................. .............:.......jec ..................Foundation .......... . ........ Exterior .............. �( emu(....... �'...... .:...............Roofing ..... .. v, .... Floors ..............0 .. .. . .....4..... ..«:�............Interior ......... ../.. ..�`..�. ........��!.�.. Heating ........az/.................j• )... ..�.�..........................Plumbing .........(J�....�L �. Fireplace ..U. . ...................................Approximate Cost G ......................................... Definitive Plan Approved by Planning Board -----------______-----------19________. Area v"- � J I Diagram of Lot and Building with Dimensions Fee ........SoA64! ....�------•----: SUBJECT TO APPROVAL OF BOARD OF HEALTH DA ef (T U �x30 d��y � 3-2 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................. '`"` .................................... I Schirmer, William _ ' � . . No 1893 Permit for ^ ^' ' m ' .. ....... Cmtdt Bay -�- .. ------.------..�—�,.----. _____.,_..C.� . tm�t______~^______. _ . . Owner William _ frame,' of Construction --- '—_____.. . '- -----------------------'--- Plot ---�------ Lot ..........#99_____ � ' ' ^ / . �rom 8 77 ' ' Permit Granted — ~ —..lP ' ^. . 'bate ofInspection ~IY ..~^�---lV �^—// 8 / ' Dote Completed +/ /,/ lV - '� '/+`'f'' ---'' � , . , PERMIT REFUSED . . . -----_--^---.--------.. lA . ' ----..--------------------.. . ' . —_--.--.---~---.-----------. ` ^ | ----'—^-----^----'_'—~^—^----'' | ' ' . ............................................................ ----..— - . . Approved .................................................. lQ . ' ................... ----------------------.�--.— ' . , - ' ` ' . 1 " .'. .1..•..,s._ � . �. � 7..- _....;�-� „ . .jr'_•-..r' ....•-` y^, �,;. ��-•�-��''�-�„a..7,M,�•7'ahnrt'V_"V�•�1��.,wl""s.'V:�-a.«.ry�,�vv...,..-.....�v+y.�•.rsr..a. Assessor's map and lot number .... ........./.. �:.....f �✓ —� G — Z _� Sewage Permit number ................:......................................... T"ET°�� TOWN OF BARNSTABLE Z BAHHSTABLE, i "�` i63q. BUILDING INSPECTOR �p �9� � 'EO YPY a' APPLICATIONFOR PERMIT TO .................../............!.....n...........y........................................................................ > 7�11/ TYPEOF CONSTRUCTION ............................:.......................... .��::•:..r�"............................................................. / /.................971,� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........................ ................................................... /..... . . ......... ..................................................... �,.._c ProposedUse ............................................................................................................... ...:..........•................................................. i Zoning District ............ ......................................Fire District ...... o.!!..-`.1 ............ Name of Owner ........1.-.4 (•f•i lCvyvt... ,V/.. i .. 5,eAddress ..!..�...../ ..................... ✓ 1,, 1,.,,, `.�S Name of Builder ........�r7 �.. ' %{�,..11!„� !,..:.!+<..!..Addts ,/ % !! fit' / — 1 ..�. y ................................. / J Nameof Architect .............. .rr...............................Address .................................................................................... Number of Rooms .................`...........................•...................Foundation .......... / �u ���� LJ�t� ................................................................ Exierior .............� .,••.��' (w� ....: )G!(1 ./(C.................Roofing .! �T .................... :. n J ✓/ Floors ( .. ✓�. / �J•G l/t �'/. 5 ...............................................!.......... ............Interior ......,..,.......,............ Heating ............:... .:.�..... Plumbing ........,........... .. _ Fireplace ...�7 .. ...................................................Approximate Cost ........1G11f�`IJ -� Definitive Plan Approved by Planning Board -----------___---------------19--------. Area Diagram of Lot and Building with Dimensions Fee ' -�........::................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ?0 l�( �<-,2d' 30 at�3� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... �............. ..................� ................... Schirmer, William A=56~17 ^ � � ^ � 18934 one story No ................. Permit for ------------ single family dwelling . .------ ---------------- ���� cotult Bay Dr1 -_--..~. —.--------- �e--.--------. ' Cmtu1t --------------------------. � � Owner ___1�1ll.lmm..S.c61rmer�_______ � frame ' Type of Construction ............................ ' ----._-------------^—'-----. LPlot � . ' � Permit Granted >��a r . ' . tion\ -__ of —'r--_ . Xuone Completed . _ � � . ' . � � ............... --- � ~ —_—. ' � �c.��..�.',�� --_.. � ~~~� ~ - ------------.--.—.—��—~----- ----~----^'--------^-------'' � . � ` Approved ..................................... 19 � ' ---------------.-----.—..---. ` ' -------------------------... . � � � � �