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Home My WebLink About0031 COTUIT COVE ROAD .� - 3 � , �, �. � � ... r 1 I .t Reba, TOWN OF BARNSTABLE Permit No. t Building Inspector »n� 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." 1 issued to Seaside Associates, in(Address Lot #32 31 Cotuit Cove Rd. Cotuit Wiring Inspector � �,;�. �-t-+- Inspection date Plumbing Inspecto + Inspection date Jt Gras Inspector v* U F 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. C ...................../..............`T .. 19_�` I .........................................../ . .. _ - f uilding Inspector - f � Assessor's map and lot number %T E Tod Sewage Permit number :.. SEPTIC SYSTEM N1U- V INSTALLED IN COU j- H9HH9T/1DLE, L1AItl':9� House number rb� � WITH TITLE 5 a`�e Cray 0"�0 1 n�, `*Ak LODE AND TOWN OF BAR �" I . ra��E,T,oN D.UILDING INSPECTOR- APPLICATION FOR PERMIT TOjl?.. ..... . .. t c � .�C...pno� .... TYPE OF CONSTRUCTION .... .......!&074 .... r . ............ .......19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appliesfor a permit according to the following information: Location .... ....................... .... ..................................................................................................................... f ProposedUse .... ... .. . .. . .. !7V? ...........................................................................................................I......................... Zoning District ......... .................................... ....... ................Fire District ........................^.................................................... ��ff - 7% Name of Owner CA/� 4.. .. ... . .. lh.�, ........................Address ... ..d`?.:...... f!j............... Name of Builder ? <... ,. ... Address ........... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ..........................................................................Interior .................................................................................... Heating .........................................Plumbing ......................................................... .................................................................. Fireplace pp A roximate Cos. ....0��"51112e......................... ....... /� x 3� Definitive Plan Approved by Planning Board ---------------_---------------19 . Area ............................. ............ d Diagram of Lot and Building with Dimensions Fee ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH (,�7 Rio (a �J 7-1q/K M M Poo L 1 i I hereby agree to conform to all the Rules and Regulations of Town of Barnstable regarding the above construction. Name . ..... ....... . .......... . . . ... .......................... JACOBSEN, WALTER No 23281- . .. Permit for .91A.1d............. ........ ... .......... ... Swimming..Pool.................... . ...... ..... CD k-, Location Cove aQA.d...................................... .................! Qwmai.t....................................I.......... Owner t.Q;V...JAC.0bserl...................... Type of Construction ....V.y.naa,/.S.tea.j......... ...................... ......................................................... Plot ............................ Lot ................................ Permit Granted ..... .............1,9 81 Date of Inspection ....................................19 Date Completed ......................//:7 19 !WIT REFUSED ............ ...... . .............................. 19 Z' .............. .................................................. ..............t.. .......................................................... 7t ............................................................................... ............................................................................... Approved .................................................�19 ................................................................... ........... ............................................................................... 0/14 Assessor's map and lot, �� rests number ... �.._..... .S"......�f............. - THE- Sewage Permit . number+ . ....../��..�3.aaM t.*:.met r-> w�Q� �♦� I BA"STADLE, i House number 90 MAea ..................................... p 639. 6 MA-f a\ TOWN OF ' BARNSTABLE - BUILDING INS?ECTOR APPLICATION FOR PERMIT TO f„� f/ �/........Y„...."...4,1!.. TYPE OF CONSTRUCTION 1!<!/X'!�!...;1A•ti12PL.. �....P.o/...��0 -�?� .... f............ .......19 J/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies forrva, permit according to the followingoin.formation: Location ....................................................... ProposedUse .... ..................................................................................................................................... a Zoning District ....................` Fire District ...... ............ Name of Owner ....... � .....l` ..�n.....................Address 9 . Name of Builder �1afp. 7?t/%1�1�.�F�!?8! ft`� ':..Address .r�.�.. ........ 1 �? ?f?4............. , . w Nameof Architect ..................................................................Address .................................................................................... } Numberof Rooms .....................................:............................Foundation .............................................................................. Exlerior 1 ....................................................... ...+'...............................................:...............................Roofing .....,..................... Floors ...............Interior •.................................................................................... ..................................................................................Plumbing........................ Fireplace `.........................................:........................................Approximate Cost .....�.�..� :?.. ?......-. .................... ' Definitive Plan Approved' by Planning Bogard -----------____---------------19--------. Area X Diagram ofe-ja-•and Building with 'Dimensions _ Fee SUBJECT TO APPROVAL OF..�BOARD OF HEALTH ` 7-7 , J s ti W K 1 M /6)(34( M Poo'L F I ! . L o�3.2 t . I hereby agree to` conform to 611 the Rules and Regulations of the Town of Barnstable regarding the above construction. ��. 11 ems` Name ..........................................f^V,.F•0i(.......................... JACOBSEN, WALTER CE9 i 23281 Build No ................. Permit for .................................... Swimming Pool ............................................................................... Location Cove Road ..... .......................................................... Cotuit ............................................................................... Owner Walter Jacobsen .................................................................. VIAIYL Type of Construction .Vy.n-a-l/S tee l......................................... ....................................§� Plot ............................ ...............%................. Permit Granted ... Y... ................19 81 Date OT lnspectio�....................................19 Date Completed ..... .......... .....................19 i / PERMIT REFUSED ................................ .. ...................... 19 fi ........... ... ..................... . . .......................... ........... ..... .................. f..... ...... ............................................................................ .......... ...................................................... . ....... .. Approved ...................... ......................... 19 . ............................................................................... .. ............................................................................... MAssessor's map and lot nu.mber x� n ............................................. age Permit number ......................... Lowe ALU SA"STAXLE. House number ............................ .................... . CO3 --�. tjo t639- 7 - W P 0, Mp, TOWN OF BAIN, F BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... -0.5�0. ....... .... .. TYPE OF CONSTRUCTION ...........��6240-., e.........................................................-- -Ia . a,5......... TO THE INSPECTOR OF BUILDINGS:' The undersigned hereby applies for a permit according-to the following information- Location .......... .. ............... . e e� ProposedUse .........J .L.4slill.AV..�............................................................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ....... Address �Qq �II�U./�E 1 f..� 3C Name of Builder Address 6�1,6cq.A. Nameof Architect ..................................................................Address .................................................................................... S .............. ......... Z Number of Room Foundation .............................................. Exierior ..... Nee- ....................Roofing .... .......... VI-ill;f. ......... Floors ....... ......................... ...........................................Interior ....... Heating ....... .6- 12.............................................................Plufnbing ............ . .......................... Fireplace .........v 4142.....................................................Approximate Cost .......... ... .............................................. Definitive Plan Approved by Planning Board --- 1-6---------194-9 . Are. Diagram of Lot and Building with Dimensions Fee ....... K ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Name ... .. . ' SEASIDE ASSOCIATES, INC. / . . .2��/�- Permit ~^^^ � ~ ~^ Single Family -----------------' -- l�ot #32 31 Co B�. Location -- - '- ` --------------''t�^----'' Cmtuit -----r-------------------- ^ Seaside Associates, Inc. ` ' Owner .....c.......................................................... ' Type-of Construction ..�� ".......................... ^ ' . . . ;'-------------------------. , ~ Plot�^.......................... Lot ................................ _ � . � ~ June 3 ' ' ' ' 81 Permit G,onos6 -------.��-- -lV ' ' ` - Dbte of Inspection -----.~�^�^��-.nJ uqm, ` ERMIT REFUSED . . ` --- g ` ^ . ---- ---.. ' ^ ............... ---.. - -^' ...,-''� -� -'l.^-'--'—'----- . Z5 . ' -----.��.xn�----------..' ' .................. ' Approved ................................................. 19 ----------.--~-~...--_-~---. , -----------.-.. .................................... ^ ^ , !�4ssessor's map and lot. number ............ ...... ......... .......... 9THE TH Sewcige Permit number ........................................................kA ZV �2, House number .3�............� ��. !.!.1....� .'.� ...� .�7. ?� 9�BaaM M ^ O `i 39 \�00 �ajF 0 MPY a' j, TOWN OF -BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO s? ,.�. . ./..-!;. � ra ... ! ...... TYPE OF CONSTRUCTION ......... . !!;�''a.�' Y'� �..... .............................................. .............. ....40. ........I 9V _TO THE INSPECTOR.,OF BUILDINGS.,?, r 'fix . . The undersigned hereby applies for a permit according to the following information: Location ........... 4--l'.�.2........ ��7` ^.. r "? .. �L, /l,i .. ProposedUse ........ ../,:....1 ..................................................................................................... .............. ZoningDistrict ...........................:..............................................Fire District ............................................................................... Name of Owner %��P.1.r\ t ........��.�' 's. .Address (.�?. �... .. i!!I! i4/1 .• /�j �- - Name of Builder Acldress ;�—. _ C:7. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................ ................................................Foundation / C ......... ........ Exterior ...... ,,,.� /p..... !_ �?. .r..� ...................Roofing ... / o . �/.,. ... /`J. ......... .. f,� Floors ....................................................Interior .....i........... ......a.................................!........:............... Heating ..n...�L..............................................................Plumbing ............�--�,.. �;.� ... Q.. �? ......................... Fireplace ..:...... ! !.....................................................Approximate Cost ...........? .`'r.�.... .r� e Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area � �- ....�.: .. ...... Diagram of Lot and Building with Dimensions Fee `�-�� 1..U. SUBJECT TO APPROVAL OF BOARD OF HEALTH 00 Y Y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name - a ...:.. .y ...... SEASIDE ASSOCIATES, INC. --_-__--_� ` ' 33164- Permit for ..Ooel/2S.t�z No ---... — _ .��__S ' o l!�_I�.a�i.l��..D�elliog[___. . Location .Lot.�#23-3l_Cotoit.��!�_Rd. C i - ---..---.-------.----,-------. . ~ Owner _S!��.�i�l.e...As.s.o.ciat .r..I��: Type of Construction. ..��--_-----.. � ^ ` ' ' , ' � / ' i rc,mn Granted ^ . . uon, of /nvpec / ! . -~- ' ""'e C="p'== . ` ` "==MIy =="=S== ` / -----.--.--.-----------. lV ' . ' . ........... ................ . . ---------. ' � | ---''~=~�~� ----'~'----------` � ' ` -----------..--------------. � � ` . -----''r-----'-----'--------~' ' . ^ - ^ ' ` Approved ................................................ lV ` . . � � � ' —'------------~.----------.. . . ` ----------`.---------~----.. ^ . �_- � J .. Assessor's map and lot number ....................... - oiTuetc Sewage Permit number .......... ..... Z NARISTABLB, i House number 3 �..................... ' MAGI .... �O i 39• Y0, a� TOWN OF. BARNSTABLE BUILDING INSPE-CT0R APPLICATION FOR PERMIT TO .......... ....... . ..................................... JI . . TYPEOF CONSTRUCTION ......................... . .�........................................................................................:........ ................ ..L�.. ./.Q.........19.17 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �,orulf Location .........1,1 .��....JZ—.VA. ...........4(,(0.T.01..`......................................:........................................................... ProposedUse .......... �. �.�. P�7......T!. ..........:.............................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. .`` '' Name of Owner W&T.t- .�r.... �i'V................Address C.rO.�(�t!... �I�9.:: Name of Builder �..4. ..�I�g�f�,bll�XeSE'h�..`f. 4-.:-.:Address ... . ... f�A/Jl1f��?.�... ......M .�A�: .t ........ 1 I Nameof Architect ........mjin................................................Address .................................................................................................................................................... Number of Rooms ..................1..............................................Foundation C?1. .. 1� �C -0-4az.-'�-' .... . / ........ .. .............. Exterior .....................�q.t2&.,7..............................................Roofing ........ ./ ................................................................. Floors Q.? .7.L-.�......�, .�...:tn ..d...............Interior ............v Q .(Z� .I.IAJ.0..................................... .................. . Heating .............P.6.1.....W.AllCrC..V.............................Plumbing` ..............N.I.A.. ..................................................... Fireplace ..............:...................................................................Approximate. Cost ..............�?. .. . ..................................... Definitive Plan Approved by Planning Board ---_-------_______---------19_______. Area ....... .. .................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH -6- PLOT 'PLA iJ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable egarding the above construction. � Name �1f'.Q ..1/0.. ,..... .�``. '.°S, Construction Supervisor's License .....U.�.��„1.< .... ' JACDBSEN, WALTER No26415 Permit for Enclose Breezeway .................................. Sin gle Fainil Dwelling.......................... .................. Location 31 Cotuit Cove Road ... ............................................................ cotuit ............................................................................... Owner Walter Jacobsen .................................................................. Ty�e d Construction ... ............................. ................................................................................ Plot ............................ Lot ................................ Pemit'Granted ...10...., ........................19 84 Dat4 of 7Inspection ....................................19 a'Dt, 66mpleted ........ 19 e1*1 ....... • - r �f Assessor's map' and lot .humber �......<.:...1..,,..- ` ........� *THE Sewage /.. C6l `• Sewage Permit number ... ........................... �p +®� r • I' AEU LL House number .....:............... ....... L pYa9. ' TOWN OF-BARNSTABLE F J. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ...... �. ly ..........................:.......: ............. ...... .............. TYPE OF CONSTRUCTION n , . ........ TO THE INSPECTOR OF BUILDINGS:, The undersigned hereby applies for%a permit according to the following information: location-.: ....../,..ifJ.l.. . .... L:.nA.1 ......... &/„7pq......................................................... ................................... 4 ProposedUse .........Jn I y I„&Alp......r?,IZm. ................................................................................................................. ZoningDistrict ..............�............................�...............................Fire District ................................................................................................... Name of Owner WNLTFI�.,. mT A .Name of Builder ....47P16r......Address ...7• ?'.. n,n)/"�1,7, #:I.. ? .....:' t.f 1Ja9,n1i`!'........ Nameof Architect ........ .1,..1................................................Address ...........................................................! Number of Rooms .......::,.� ...... �E a% ....... :. vt/.:n ,............... Foundation , Exterior .................. ` �,�t?1n7S 7............................. Roofing ........ J/lQ................................................................. �.+ t� Floors ............... Y .! < .. T3..... 4..Q. ...............Interior ............,Yy?n1.r1 ?r tti,l h..................................... /. 1 Heating .............4'�C?.~+ ....I$Nt ..............................Plumbing ............../ 1 4 ..................................................... Fireplace ........... ... .. .......................... .A !p .............. .................. ...... Approximate. Cost ......... >f/�/�. .................................... ------19- -_. . . . Definitive Plan Approved by Planning Board ---------------—____ Area ........ ...................... rxv Diagram of Lot and Building with Dimensions Fee ............�.�......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH .. ems'. � „�,-•�,,,.,,,�>•�-''._^i"'..,�^ram�s;l v �: l� I• f f % _ 77( 7 • , ti e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS °z I hereby agree to conform to all the'Rules and Regulations of the Town of Barnstable,regarding the above construction. Construction Supervisor's License .....U7•j U..... JAC BSEN, WALTER A7--5—37 No .26415 ; permit for ...Enclose Breezeway ......................... Single FamilX Dwelling ................ ....................... Location ..3.1-.Cot.qit..Q.qve.....Road.................... ... ...... ...... .. ...... ........ cotuit ............................................................................... Owner ...Walter...Jacobsen.............................. ............. ................. Type of Construction ...Frame....... ................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...1.OZ.--...................19 84 Date of Inspection .....................................19 Date Completed .....*.................................19 i � r ti JA \1 ' r\! ICI `J ' o 7 + i 3'z. of / 4/ C-�V r,: r L or 1,; hereby 'Certify that the 'lot sad 7 MORTGAGE SURVEY tructure *shown on this plan are. rayt located in the special flood a-Azard aria as delineated by the 1"=40' May 3p,1 81 musing and Urban Development SCALE DATE :.'..vision of the F.H.A. 1-certify that the buildings and lot lines shown on this plan are t . aproximately located on the ground ,a s shown hereon and that they have � 3O OF Mac .::onformed to the Zoning and Building ti ..:UW S of the Town of Cotuit when o LAWRENCE G� onstructed o EDWARD HUGHES "A Plo.24054 ixiw.-. � 4 c�srE�`y� i.i.5t,er•ed Land Surveyor ho suRv� riL,ston, Ma. 747 0232 i t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' Parcel. 37 , T OWN OF BARNSTAkeEnit#. Health Division 14 Ito k 9, 0` Date Issued 2` a � - 5g Conservation Division S, o p a- 2� 2 (' �� 0�-' -121Fee Tax Collector d l<4 WI P l y - ,8 Treasurer Planning Dept. WITH TITLE 5 WITH CODE Ai',.- Date Definitive Plan Approved by Planning Board 'OWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address co 4,,1 `1" co v-.P— P—d Village O d i' i P MA , 0,? 6 s s Owner Address 3 Telephone 5-6$ U a-O C) 331 Permit Request A/ ��N <X i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation (0Pa o (7 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Q Two Family ❑ Multi-Family(#units) Age of Existing Structure / g g � Historic House: ❑Yes �O On Old King's Highway: O-Yes ❑ No Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing at new Half: existing new Number of Bedrooms: existing new 1— Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas zal ❑ Electric ❑Other Central Air: ❑Yes Q o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage g ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:fexistingo ❑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 ,�( ri�Z� Telephone Number v Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RES.ULTIR6,1FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREJN�� DATE �� 2 • FOR OFFICIAL USE ONLY b` PERMIT NO. DATE ISSUED MAP/PARCEL NO. • a ,ADDRESS VILLAGE OWNER a 6 DATE OF INSPECTION: FOUNDATION r` FRAME g INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r , PLUMBING: ROUGH FINAL = GAS: ROUGH FINAL FINAL BUILDING F 5 DATE CLOSED OUT • t ASSOCIATION PLAN NO. 9 The Commonwealth of Massachusetts =•= Department of Industrial Accidents _—" 600 Washington Street = - - - Boston,Mass. 02111 — Workers' Cow ensation Insarance Idavit name Re A,A 5Jel 1 uJ D ocati 3 ( C.,citv Co i"u i +- O 26 3 S idione# 2-1—am-a homcowner performing all work myself: ❑ I am a sole pevpnetor aad have no one wa>iaag is aay tm this'oh workers for 7 ❑ I am as tmplayer providing ca�ensatroa my emo�rlayas '. .�!.�«•: ;-.>-:: ....... ......:......:.:...:.:..:.•,w.tvvn•.:.v..:.X^:4•>..vvw{4}:•)M^,^:4::.:.:{.v.:): ... .. .... � •'w•v�l+�•Q;•.. ..\•::::-:.?•..,...::,;:.i>i::�l} :....... ........ ..............vv.,.a,J....... .:�....................rv:: .. ...C<STr.• .. .::........ ....':{}•::f;;?•::??.)r::i'•r%:-)'r)):•ii}):-T>:?}•. r...........r.........:-n•:.:,•.•>:•:.....n....-.:..,.y.......�rarT:.:::,f_r..:�:::::{.;,. >rn .,•..... b.�.. .. :.rn-.v..•:.:::• ..::....-:':>: .t..... ..:;.t. .a ....;...,.,:...}.......n•...t.. ..r.,... .,. .. . ... .... .7i.{rw.a•;).{•:':::r:'::;:,4::�:::<?;o)'.:)xy:>.;.:!:�::ii::r;:;>:;:::i:�i:•i:::::.. .•:::r.�?::5.,+::x::.::P•::.,;:.;.. ?�r.:•:::. .t?X•:: b �..,4.:x+.::we)�..°• � .+k•' :•:r>y.:;?.y:.;••;:�;:;:::::;•:5::::��i`:c:�:�:�.;;�>:.;•: :v........ 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T�iK� 'i�\ageoz ,.,„:gicon;•:::S,V:r.`ai�i:*zy;:�.w.-:-:...+::;'�: \•:y t....yp......, .4>:.^•r::.;�:.>i:a)r3.'-}::'?6::-Jwaaa:!b.uSa.C::; , ;?2w);y-' i.:>� .-�Jc.Z \}:r,.:..::.):•;s.;.:,. ,.,fir+...,•.:..:::.:.{n.rarY>. �•,, i;:�•.� \::x =?n�`�i�titi:',,. i.��>;'`.?:::;x,:..'..'...:.:.::: .)gg`J x-:,Ky'ia:a•},,-:,^?�•0.'�,K-..�� t.£b'7 .;$`.�Eq�.�y.'•.�c '�4"?v°c�Ca'z'?�,•my' .}: FaOue to secure� of �erBeCOf�Q��Ca��O�a d remMee � yea impsisonewssmancivapnaMesineheformofaSrOPW08KOR=mm"da�ccnwmadayapimtma I=dmbdG,"a CCU of this statemmt msf be forwarded to the Onke of LU=dptt®s cf Gw MUfcr cvwmW va'ftldm I do hersbq the paw:mrd ajp iMacion pmvi&dttbaaie it rr�e mrd earn ihdr p Z I'siatasme s Ee��! y ®33g oindai use o* do not writs in this area to be completed b7 cOy ortem 90" .� P q OBs�t pep■rtlamt dtf or town: Qmcoxint Board ❑dzeckittmmediate response is regoired ❑Sde�'s Otnte ' _❑HmdihDepas=md conma person: pie �pther 4eziro 9/95 PJAJ Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for flit:: emplove-.s. As quoted from the "law", an employee is defined as every person in the service of another under=Y c°]O-- of hire, e:cpress or implied, oral or written. An employer is defined as an individual,partnership,association, corporation or other legal entitY, or any two or more o: the-foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the re=1 'e: : trustee of an individual,partnership, association or other legal esmty, 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 vdnic an such dwelling house or on them^ c: building appurtenant thereto shall not because of stub employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local-licennng agency-shall withhold the issuance or renews.; 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. Addit m=AY,new-"ram commonwealth nor any of its political subdivisions shall eater into arty tract for the performance of public work ua,:il acceptable evidence of compliance with the insurance regniremmy"ofthis chapter have been presented to the authority. - Applicants Please fill in the wori=' compensation affidavit completely,by cbeclangthe.baxti=applies to year sitvatiaa and supplying company names,address and phone numbers along with a certificate of iasmaace as all affidavits maybe Department of Industrial Accidents for. c�marda�a afinsaraacx coverage. Also be sure to sign and submitted to the Depar U date the affidavit The affidavit should be returned to the city ortawatha t the applim an for the peraat or license is being requested,not the Depart:nect of Industrial Accidents. Should 9'on have any questions rc arding the"law"or if You are required to obtain a workers' compensation policy,please call the Department atthe number listed below. City or Towns _... _. Please be sure that the affidavit is complete and pdated legibly. Thu Department has provide d a space at the bottom of t affidavit for you to M out in the event the Office of bas to contact pan regarding the applies Pl=e be sure to fill in the peimhlIicease mtmbes which will be used as a refeteacx niiitber. The affidavits may be remriR TO the Department by mail or FAX unless other anaageracuts have beeamade. The Office of Investigations would 19m 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 Office of lavesduatlods 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 . � The Town of Barnstable MANSTABi�. _ M,A g Regulatory Services i679' Thomas F. Geiler, Director, '°TEa r+w't . Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. 2-dam Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION repair.modernization,conversion, MGL c. 142A requires that the"reconstruction,alterations,renovation,repa over-occupied improvement,removal,demolition.or construction of an addition to any pre-existing building containing at least one but not more than four dwelling traits 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 10L 00 f . Address of Work: A u d k -'"l l�T9�I ellL NnU r-C IL Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): 17Work excluded by law ❑Job Under$1,000 OB49ding not owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WrM UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. i y O Date Owner's Name q:forms:A ffidav:rev-070601 i '01 01/,03 10:13 0781 826 4823 COLONIAL SURVEY WyNN HYANNIS Q 002/002 O � eccloll vq.N �'l ' w"-d , -amp- co-� �o ej b 2s � ��9 O 31 ?t pool dec, 218 45' oa4f. 4 f100d PMUTo.25000 Z '29 D ,4Ood) zone. C ' �� PAuI cs' h¢re6y certify -dus a .pmpar"-for �� u�sp¢cti0ri K>tg5 a T. G{NtG� (V�I,�-��_i�_�YC,�_ r5(�f/C��V^v,(�,�,�p(ss ��yiL f�y�-S�Zti��:rjf n� � � �cRO VER H A0 tv `g[� d V W 1.�. im a$PW.Ql• FJI�I!,' good, h arts cutia wi&an eirectyve dale o f 17-2 -12 and qhe locahbn, op *w dwelling d-&es conformg-W the local,Honing 6y uum in,¢ ce at *(time oF WMqn1C1i= Wi t. re4e-c,,tta h.0T I.ZOntiirl. d�>r>rtert siorluz� setha k t v%ur aunts Or LS MnVr4 vrm ViOlahl pm C�pl�1'1'Let 1x-' Scale: COC66n, under Mass- Got"raL laws alaptw,40A. -SecW�m 7. File No._U PLEASE NOTE: The structures as shown on this plot plan are approximate only, An actual survey is necessary for a precise determination of the building location and encroachments. if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not he used to locate property lines. Verification of building locations, property line dimensions. fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is 'FOR MORTGAGE PURPOSES ONLY'. WLLis COLONIAL LAND SURVEYING COMPANY, INC. u W 269 Hanover Street - Hanover,Mass. 02339 - Phone: 781-826-7186 Frax: 781-826-4823 The Town of B arnsta p 1e . Services srA6161 Regulatory b der, Director 'q, zbs9• }.� Thomas F. G Building Division Peter F. Dimi atteo, Building Commissioner 367 Main Street.Hyannis NiA 02601 Fax: 508-790-6230 Office: 508-862-:1038 HObl EONNER LICENSE EXEbIriON please Print v C)la DATE: C o -r C�✓e �d�` JOB LOCATION: village number street PhD= 71 78 7$ 2,u SO6 qao 033� ' I homo work yhone# "HOMEOWNER": Dame CURRENT MAILING ADDRESS: / 110,1114 C AcQa.G3 state rip code city/town. owner-occupied dwellings of six units or 'pie current exemption for"homeowners"was extended to include vied that less and to allow homeowners to engage as individual for hire who does not possess a license,tiro the owner acts as supervisor. DF,FOMON OFHOMEOWNER who owns a parcel of land on which he/she resides.or intends t0��'°II which��is.or is Person(s) attached or detached suucttues accessory to such use and/or intended to be:a one or two-family dwelling• n a two-year period shall not be considered farm structures. A person who constructs more than one home official on as form acceptable to the a homeowner. Such"homeowner"shall submit to the Building • ding Official.that he/she shall be res onsible for all such work erformed under the building ermit. Building (Section 109.1.1) undersigned"homeowner"assumes responsibility for compliance with the State Building Code and The un _ ocher applicable codes,bylaws,rules and regulations- table "homeoarns wner'certifies that he/she understands the Town ShBmpBuwd�said The undersign requirements and that he! Department minimum inspection prose and p and req ' ts• Signature of HOtttcowner Approval of Building Official Note: Three-family dwellings containing 35.000 cubic feet orlarger will be required to comply Co with the State Building Code Section Construction EI 'nnon ON t from tho HOMEOWN permit is required shall be exemp The Code states that: "Any homeowner perforating work for which a buildingIIvided that if the homeowner en,ases a Supervisors);pro provisions of this section(Section 109.1.1=Licensing of tOastatcaoa p responsibilities of a supervisor(see person(s)for hire to do such work.that such Homeowner shall act as supervisa�re assuming the Many homeowners who use this exemption are unaware that they 2-15) This lack of awareness often ccs sts e Appendix Q,Rules&Regulations for Licensing Construction SttP responsible. Problems.particularly when the homeowner hires unlicensed persons. In this case.our Board cannot proceed against the serious p as Supervisor is ultimately mP an of the peraut unlicensed person as it'would with a licensed Supervisor. The homeowner many commttaities require.as a of this issue is a To ensure that the homeowner is fully aware ofhis/her responsibilities-responsibilities of a Supervisor• On the last Pour co�unuy. application.that the homeowner certify that helshe understands the for m cutrcntly used by severs/towers. You may care t amend and adopt such a form/certification for.use in y WYldrfi +NtyC3r!- -. IIhY:'N1'1-:01 K..: c:fAf(:-ry r+7�A:iflt.32tt+!aL:t1�,Yrfsffit6liSCSIT rh::tr.:•ttc.;,-w+M..l.:,-:4'. .t sit-wL.XLV,4s4' .velxwee�r 4++dAi16!_a.+I2:Vsit..''0!•�6'*,1.�a'-'Mai>.:x'isaf.CK �� •t' lie r r 1 t a k µ♦ ii I] if 1 - c 1✓k � I i t`� r � •, 4'+Fly i �XV/1/'iJF ' t pyr 3L r !I k J 1 ,1 FftGJ SCAB-E- OA,TE S®1 L _LOG ! NOTES _. - , - I. SEWOGE FLOW= 3 ) c c!1// r I 2. LEACl 1N%3 AREA= = i F _ ;�.SEPTfC i'ANK = a I I /v,tj� t✓� 4. ALL WORK MUST COMPLY Wj-lH p!t',5:. E-Nv;,,- JIE l T a� CCDE TITLE 5 ANC TOWN 801AF2[3 OF >1EALT"1i H riU REGULATIONS F).BRICK TANK 61 PIT COVERS Y':• 4,'!-rttlt`I 121 - F GRADE 6.THERE ARE NO WELLS W17HIN 100' OF T HIS �EaCH!raG PIT,ZkND--THRE�15 iVtfi`StWAt;t--+.-EACfiG ! i ref-THNS--WE.LL-. s/1 Ni � cLj � �A. -r r. JE!�AGE SYSTEM IS MORE: THAN 25' F;rONI :7RFET DRAINS POSER- \•� GOP" `j1�,,`` PERC RATE _ < ZDATE : Z / ` P 3 s Z Y FINISH r 7 GI:!ADC It T f•°• ��_ —r _ M -- _ ter_ - — _ - - - �'- -.._. .--- - !v -- ='s°= _ _ I N 2.— 3—,-� 44 1.,v c PILE ITCH 1/4%FT.MA i — ,.IO+� �14" T --! -ii^'� p .--" -h C 7.'. ,+ VAS';714 PV% CJ i L'la%. L oX ! i i q 1 i s c-O�.• c; EF - ly. C! F F-E a' TEE FC•M-11A,T ION ?F' ITIC TANK ! i i l ( ' `�.. rJ' ' :Fl _ 3' 7.J.t Y f3:_0:< PIT LEACHING:. PIT SEWERAGE SYSTEM PROFILE �`-- Norly,0 C164 W:iT E F; NOT TO SCArF�ll T - -- SCALE- >.T 1� �1i3fr07' 3� HARRISON Cc Vc- ER��1�iEERING .IATE ► SYSTEMSYSTEMC�r:/v rnp4c �AA FLINT LOCKE •JRIVE Llmoww- L Mae= t ._:l'�D,T1,, JGJP1.' :' JJ. 316 2. —� 'rFv-1 SEnSrL>,!�- G tj c s V Ilk) f x vo - f b� - I�R 3 00 { f it s W �xJ f / _ f 4 r ('r If 1. f♦ i' C 4 V DO 2 N �` uF f l; �w I a l fff � � ► I A2 A r 1 ! 1 I. I • f I 1 y i I 1 1 I 1 { I i I a � 1 f � 1 { f 1 1 0 p� NZ W CV ILI 0 N Cl � Co NI J r tie qj 40 tA IE It ..� Cie CT- VD 0. sa -ram+ _ _ 1 .. a ,. „�-,..w - . .....-.ter..�s^'7ras>+c^=r.a-�c.... .. - =a*-+�-+a-•'^r----*y^-"-^�'..«.�� _ _._ 1 { ICIAA M.P N "� a R 41 A . �..� sit Q w