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HomeMy WebLinkAbout0039 SPUR LANE �O/l`: J6 Assessor's office (1st floor): _ h., Assessor's map and lot number �QOFTHETO�o Board of Health (3rd floor): fO � - c`C �eve Sewage Permit number ..... .••••. L SAWSTAO L S Engineering Department (3rd'floor): °o M q. ♦� House. number .............................#39 C-,T 0 3 �e ................. �0 YAY a' APPLICATIONS PROCESSED- 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... X > .: ;..„ r. . . .y..�.. ... . TYPE OF CONSTRUCTION .......w'�::f`�! - y a TO THE INSPECTOR OF BUILDINGS: G' The undersigned he_r by applies for a permit according to the following information: d J Location .: C� ...% .t:.......................... r `CJ�!.Y...... .. .1,)C.JIL1y(�J..���: �- J...C. !. . v Proposed Use ✓�- - - -�� . 4....: /J ......................Fire District ��Zoning District .............�..........J..................... ................... .............................C............................ Name of Owner .. l �.��Lt .. /�^ (r1.!r.tAddress !�:.`'1 1. .tea. ;( �.1.. ( /�.�1!: .. `t'C� �-,J�, ✓ /' //lam�' ����,,,, � ��� Name of Builder !►-C.. ..:<f �'.....!�! ............. � Address ..j..<?¢?�t"lam' Nameof Architect ................................................:.................Address ...................................................................................... Numberof Rooms ........../.....................................................Foundation ...-�. :.../ ... /.................................................. Exterior , . L lU l� 'I << .�1. : ..........Roofing ...�,,lr<-sEYCI-{{' ;i�'L... :� ?LST:C�: .... Floors ;?,/G.' :Cv.J... ! �(/� ✓(' E,-t...• ?` �i _ ll ,r Heating ,._. C-� :..(✓ f t-f � �i� v '�.. :..: `.Plumbing...` ? .....?...N. .... �...... .............. Fireplace ..x.. '.'. ...........................................................Approximate Cost ......�.t) Definitive Plan Approved by Planning Board __� �u_ ___.j._______19 L_�_ . Area .......•m./..t.. ....... ...-? wit, Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ra .�ru5�r k l 7 i I l 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. x � ..�. Name ....... ......... 4 . Construction. Supervisor's License .... .: •.'' ! ....r7 -t: PLYMOUTH BAY DEV A=027=022 No ..2.9.392.... Permit for 1 Z..stozy.................. 1 sin le famil dwell'n Lo.t'.. Location �.�.$....�9...Spur...lanre Laae................ ......Marstons Mills ...................... I Owner ....L)Z.ymQuth..Bay...Deu,eICID ,eUt:........ e t Type of Construction .........frame....................... Plot ............................ Lot Permit Granted .................M,ay..,23...........19 86 Date of Inspection ....................:...............19 Date Completed ..................:.:..................19 f , F I i i ti TOWN OF BARNSTABLE Permit No. ..."........... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Plymouth Bay Dev. Address Lot #38, 39 Spur Lane Xarstons dills, Ifassachusetts 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. 19 f Building Inspector 1 tPH D. DALu2 4TELEPHONEs 775-1120 leiw� GwiwiuiontD EXT. 107 TOWN OF BARNSTABLE - BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 MEMO TO: Town Clerk , FROM: Building Department DATE: s i� �� • An Occupancy Permit has been issued for the building authorized by ' Building Permit # 97,57 ` issued to� r . Please release the performance bond.dW RUILDING C` TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT JOB WEATHER CARD �l ;aw19 IT NO. ` r APPLICANT <� V ADDRESS (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO ( STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) ` DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. ADDRESS BY 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 OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2fy�s ICI �v/ v 2 lK� 3 HEATING INSPECTING APPROVALS R P ALS ' 7 z3 -HER i 2 2 a WCRK SHALL NCT PROCEED UNT{L THE PERMIT WILL BECOME NULL AND VOID.IF CONSTRUgTION -' INSPECTIONS INQIdkT.fD ON THIS CARD NSPECTCR HAS APPROVED 7HE 'JAPICUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN 9E ARRANGED- BY TELEPHONE STAGES OF CONSTRUCTION. OR WRITTEN NOTIFICATION. PERMIT IS ISSUED AS NOTED ABOVE. /HEfflC,8YCERT/FY THAT Irr/S LOT/S NOT Zoc4TEp /N Fek.,0Z FL000 HUARRLANE -' AS SHOWN ON THE ACACRAL Fk000.•INSURANCE RATE AMR FOR THE MWN QF COMMON/TY PANEL NO, EFFECT/Y 44TE", .:: R1104CRT E RAYMONP, R.r(..S GATE NOTE: NORTH ARROW NOT TO' 0 dE L/SEP FOR SO4,49 PURPOSES >, Z oox � 3� ' oo � N � J�6T �' (q 41 LP 44 C cn • 3�. r C p y A t, 173 k O A-so,c>p � Vo TN/S PLOT PLAN, WAS ' MADE FROG/ FOUNDATION Iv X*4 TION P4AN AN /NsmilmENT SURVEY AND /5 FOR THE' USE OF THE BANK GANG Y. !/NRER NO - w I IEEE C/RCUMSTANCES ARg OFFSETS TO BE OSEO FOR FENCE, WA+4L.S,. HEDGES, ETC. 0#WNED BYE ,PLYMouTN b,4 'ooim. .4*P90# EN&NEERINS INC. ROBER't 60 EAST AWL�NOLMY RIGHWAY + g ''r RAYS. E.4ST fA�t.rN&MY A4A, OZ536 T�� A&WN QY: CNECAijPtV. APPR BY: P�(,AN NG1 BOOK4807 r4GE 082 J "►_ TOWN OF BARNSTABLE �8�8 A.tJ .may C� ' o W c-1 Zoning Board of Appeals. �- CnM tom- _ Donald & Linda Proto o - J7� cn ..._... .......................................................................................................... Deed duly recorded in the - v Property Owner N, WWCC cn r V �u County Registry of Deeds in Book _...................:... d Same n - _..........................................................................................................................:............ Page ........................, ...._......................................................Re-istr . (:'_ � CZ) Petitioner ;,;-. CD Ln c) U District of the Land Court- Certificate No. ......................... _.................... Book ........................ Page ......:............ Appeal No. ._1985.-,10.9._..................................... .............................................................................. 19 FACTS and DECISION Petitioner .. Donald...& Linda Prpt.Q...._....................... _filed—petition--on :............. ......... 19�--- Lot 38;Subdivis,ion_Plan, dated April '8, 1967 requesting a variance-permit for premises at ......_LQ ....�2._.Spl] ...Lc3Ae...................................:......... in the i illage (Street) Marstons Mills , adjoining premises of (see attached list)of ................_......_..................._..._......................................... Locus under consideration: Barnstable Assessor's Map no. ...............27................................ lot no. ....2.2................... Petition for Special Permit: ❑ Application for Variance: ❑ made under See. .................J_...Appecidix...A of the Town of Barnstable Zoning by-laws and See. .................._...................... Chapter 40A.. Mass. Gen. Laws for the purpose of ...................t9M...a low...:an.._undexsized...lot.....to.:.be...cor�siderecl._a b dable Sot .................._........................................_................._.._._.................._......................................_........_._......................_..............._................._.._.......................... ..................... Locus is presently zoned in................RE Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and Barnstable Patriot by publishing in newspaper published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of. Barnstable was Feld at the Town Office Building, Hyannis, Mass., at ....... P.M. _......__.Uctolsex.._1Z,................ !9 85. upon said petition under coning by-laws. Present at the hearing were the following members: Ronald Jansson Dexter ..................._.................................................._._._.._ 1S_...._._._.. ...... Actin ... ...................._. �i.1....Nighta:ngale...... I 9 Chairman _� Elizabeth Horton James McGrath ......._.._............_...._.....__.._._._. BOOK4807 P.if,F 084 At the conclusion of the hearing, the Board took said petition unde'r advisement. A view of the locus was made by the Board. Appeal No.....19a5=109....................................... Page ........................ of ....................... On ..........................Oatcbex 17......................................................... 19 85............. The Board of Appeals found Mr. & Mrs. Proto presented their petition for variance reliefat Lot 22, S ur Lane, Marstons-Mills in an RF zoning district - said lot N2 of an acre_ contains The Petitioners purchased Lot 21 in 1974 and in 1978 they Purchased Lot 22 for the future use of their children. The area consists of developed lots of ccmparable size. The Petitioners own no other land in the area. In September of 1978, the Petitioners submitted a letter to the assessor's office requesting that they would like to keep Lot 22 as a separate lot - it is taxed as such - they have two separate certificates of title. There is well water at the site - no Town water available. Dexter Bliss made a motion to grant the relief sought by the applicants based on. the evidence submitted - it was their intent to main- tain two separate lots - as separate entities, since 1978 - seconded by Elizabeth Horton. The Board voted unanimously to allow the variance relief at Lot 22 Spur"Lanel Marstons Mills to allow relief, would not adversely affect the neighborhood nor derogate fran the spirit and intent of the zoning by-laws. AJ. .......0....................... ............ ................................... Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty"(20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Qj Si-ned and Sealpde/; I da . vc / ...... ........................... ..... ................. under the pains and penalties of pei ty. -I: Distribution:— PropertyOw'n;r� - S... ....................................................................................................................................... Town Clerk It N . - Board of Appeals Applicant M AS -91 Town of Barnstable Persons interest Building Inspec ic Information Publ ............... B ................ Board of Appeals Chairman Nov 19 85 BOOK480 7 WGE 083 PARTIES IN INTEREST 1985-109 DONALD & LINDA PROTO Meeting of 10/17/85 Robert N. Degrange 63 Spur Lane, Marstons Mills, MA 02648 Michael Sexton 25 Spur Lane, Marstons Mills, MA 02648 Edward Stover Spur Lame, Marstons MilZs, MA 02648 Stephen J. Daniels 128 Highpoint Rd, Marstons Mills, MA 02648 Ronnie D. Collins 46 Spur Lane, Marstons MiZZs, MA 02648 Peggy D. Orr P.O. Box 608, Marstons MiZZs, MA 02648 Edmond S. White Newtown Rd, Santuit, •MA 02635 Albert L. Curtis 150 Hollow Rd, Santuit,MA 02635 Kenneth Cosmidis 50 Heritage Rd, W Yarmouth, MA 02673 Paul F Cannon et ux 139 High Pt., MArstons Mills, MA 02648 Natalie M Santos 149 Highpoint Rd, Marstons Mills, MA 02648 . Mary E Denneny 22 Sunset Ln, Buzzards Bay, MA 02532 John H & Cheryl Deighan 47 Chippingstone, Marstons Mills, MA 02648 Mashpee Planning Board Yarmouth Planning Board Sandwich Planning Board + TOWN Ola gARNSTABLE '� ^ 1i ZONING BOARD OF APPEALS!) tt, e�' , h..t NOTICE OF PUBLIC - HEARING UNDER ZONING BY :� e ZONING BOARD OF APPEALS bEETING OF • OCPOBER 17,1985 To all Persons deemed interested dr atfected by the�� APP !'under Seca 11 of Chap.40A of General Laws of the'Commonwealth of:Massachusetts r and,all amendments thereto!you are hereby notified that:!' :• •�i.,:t U'r. ;w;( 'Appeal No:1985.107,'7:30 p.m.:'Alfred Dellicicchi has appealed's decision of.� the Building Inspector and petitions for a Variance from intensity Lot 142 Huckleberry Lane, Marston Mills in an RF zoning. regulations at' A public hearing will be held on this dishrict'rl�!"i `"" Appeal No.1985-108,7:45 m: Petition. 7:30 p.m. ,. ,• ;.... the.Buildin Ins P• Bessie E. Hinds has appealed a decision of,.* g inspector and petition for a Variance from intensity regulations at„ Lot 24 Mitchells&Pitchers Way,Hyannis in an'RB zoning aistrict:,4�: -,+,, A public hearing will be held on this petition at 7:45 p.m. ` I Appeal No.1985-109,8:00 p.m.:Donald&Linda Proto have a •a lion of the BuildingIn PP�ed a deci=: Inspector and petition for a Variance frvrt,intensity.regula- tions;at Lot 22 Spur-Lane, Marston Mills in an RF zoning district:.�;V:"!'A public hearing will.be held on;this petition at 8:00 P.M. !` T- Appeal No.1985-110,8:15 p.m.:Philip Ierardi has appealed a decisi of the t, ( Building Inspector and petition for a Variance from intensity 32 Hawser Bend, Centerville in an RC zoning district; ' ula a ^+'t sJ A'public hearing will be held on this petition at 8:15 +''-Apparl No.198S-111;8:30 p.m;:Arthur`Pappas.has appealed to the�Zoning)N Board"of.Appeals and petition for a'Varianbe'td alter a lot line which will result { rn a garage not.in conformance with setback ttquirements`af'1424:Mail.St;;tl�'� :Cotuit'in an RF zoning district.': ' ° r ,++,Y+A publirhearing will-be held on this petition at 8:30 p.m..- d•rFj !,; z '� + Appeal No.1985-112,8:45 P.m.:.Independence Park,Inc.,has appealed to f.:the:Zoning Board of Appeals and qt petition for a Special permit and Variance toi;;i; construct a 2700 square foot office building at Lot 69 Indepen enoe Drive tot :F)yannis in a Highway Business and Business zoning district, s :'., .• `' fi,A public hearing will be held on this petition at 8:45 .•z These hearings will be held in the second floor hearing room,New I prm Hall ` t07,Mam Street,Han ! jr,,. Hyannis on Thursday evening,October 1J"1985 '9lir 72 ��4}iirt ••+'.. , �� ltil{j .. .,rl�('?"1"}y^.ie' 1..r 1,+V'�?.. . Z itf d'.' By igrde[Of the,Zoni �'_,• [;,: (• i{ !,.� :e ng Boaid of Aplxals + r x r 1'• •r f4 { 6:r? LUOwlKE P.:LALLY;r Zoning Board of Appeals r. +� y• j ir;:t:,,+^is �xl 1 }, adman Barnstable Patriot �_+•; ''I''!'; io-'''i,,!#�::•l1=;Y 1 ',:. .: .October 3 and 10 1985 — J i f�l fT_.t7�'• � Y V /Wyk rW^- 'WR V 1 S0339 _10 2i.�1SIJ3� Hd31S Eh 7► h7 gel OA,����i��a icsBasr.Ph office (1st floor): ' �J� `TNE T ... Assessor's map and lot number :1................. 0 • Board of Health (3rd floor): =- SEPTIC SYSTEM M Sewage Permit number ................................................ ....... INSTALLED IN COM LE, €ngineering Department (3rd floor): WITH TITLE 'oo Mb House number 39 6.TS. ENVIRONMENTAL CO APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.., only, Tinmi REGULATIONS TOWN OF BARNSTABLE BUILDING INSPECTOR S � APPLICATION FOR PERMIT TO � — q TYPE OF CONSTRUCTION .......:��-W�! K...�... ..... . .. .......................................................................................... a< . . .. 1....,9.�:� TO THE INSPECTOR OF BUILDINGS: The undersigned heceby applies for a permit according to the following information: Location Ar ...A :...... ............ ....... .... .. . ..... .......C.....(���!Q !'! .. ... . r r ProposedUse ........ .. ...... .. ..... .. .......................................................................................................................... i � �+ Zoning District ........ .1J............................. .......................Fire District .........fir.... ............................................................. I �.. . . ... .-. . ..... ...... .. � �Name of Owner ........ ress . .:.. .. Name of Builder . ..... ess ... ..................� .. ........ ............................................................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...........7.......................................................Foundation .... ..: ................................................ �Q—..........Roofing Exterior .. ..................1'. t v`�!. ............. ... .a........... ... Floors .. ...... . . .. . . ........Interior 4-4 ... '.... ) `/� Heating . ........... ............ ......... ... .......... .......................Plumbirig .... ....... ... ................................................. Fireplace Approximate Cost.......f Definitive Plan Approved by Planning Board _��_--{--------19 F-- _ . Area ��� l 3 Diagram of Lot and Building with Dimensions Fee fl. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Vo r lal) C/ 131 � I , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tow of Barnstable regarding he above , construction. � Name ..... .... ............ . ,... ........... ... .............. . Construction Supervisor's License. . .: . ...... ... .... ....... 745_ PLYMOUTH BAY DEV A=027-022 *nO� N 29.3$2...... Permit for .l z..story................. .....singla..£am ily:.Awelling.......................... Location .....�.9..5P.v.r..Lane................. _,- Mays.tons..Mil1s............................................ Owner ..Plymouth. Bay,,,Deyelopment Type of Construction .....€raine.......................... I ................................................................................ Plot ............................ Lot ................................ Permit Granted ....................May...23.......19 86 Date of Inspection ....................................19 Date Completed .......... '�1.`� .......19 J M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# i Health`bivision Date Issued 0 -2— Conservation Division Application Fee Tax Collector D2 Permit Fee Treasurer L191__7 rrf �, Q'6 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address J Village MA y�0 jV t' Owner LjutA Oj LNy, Address Telephone _ 7_�'[ k 3 7 _57y 7 Permit Request & s i Square feet: 1st floor: existing proposed 2nd floor0existing L?s X proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family a---' Two Family ❑ Multi-Family(#units) Age of Existing Structure Ap !rS Historic House: ❑Yes �11 No On Old King's Highway: ❑Yes 301 No Basement Type: 0 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 (0 new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil at/lectric ❑Other Central Air: ❑Yes bl o Fireplaces: Existing l New Existing wood/coal stove: &Ies ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use `� BUILDER INFORMATION Name C/f�2L l-1y4-7-1 Telephone Number �� �✓;J ��� Address 7/ % 6 6a-19n-2 'R 0 License# ✓�'n L. lI'Jl� L��I�Ga,L Home Improvement Contractor# �f��2 Worker's Compensation# O.VUL) 2 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i DATE l� r FOR OFFICIAL USE ONLY ARMIT NO. 9 DATE'ISSUED --r s MAP/PARCEL NO. 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[•v:::::•:•' ..... ........ .R :.. ..,/... ..J.....n k.. .... Y :....n ::..:•.y v`{. ..r.r. :.... ..,}.vn}}:v.':Snr}'?hrm}:i::4:�iQ'•:.rtXi�:is}�r:v :•n^C•::::l:v:•Y, ...:•::�,•.....:•n+.!:}.•..t:j:a:r..,v, :s ...;..rr„.L:•!: .....r:,t....r.t•.r.:...::n•::.....:.:us..br••:•:•R•:r:it•:.:.R,:...5•.}}}::::•: :. is•• ..}....,:..::: :::.:::•:•.:�:..:;t..•,.:•:}.:{.:r:r•,.v,;Rt,.•::rr:x..r:.4.}:n.,a.;{..;rR,-:,ri•::::::•:rr.:./n•;::?.'.t..::.:::•+: .,,•n•...r.�::.,::•::i.:•.;.::;: 0�(Yfr •:t•...:.,::•,:r::..;r.r:::4:.:::r:r;-%{.vv.}.,;.?.,n•...>.,,.,»....,:..R.r.4.Yr. ...r...rr.rn;,::::.t.,.,,.l.:.r{.::.............. •:w::n..:...-.. :.{r y. h 4'.' :yYR;7:}+Y,.;::}i:'.4}:4:+1.?{{4$.. 't' -• dlur a to Mecum coverage n4�� der 25A a of MGL 152 m lead to the impoaitinn of crbnh al penaltie4 of a$ne up to S1*S00.00 and/or le yei imprisonment as wen as duff penalties in the form of a nss f the IA OM WORK for coverage ER and a vneriilcation.00 a day.against me. T mider�d ebat a ,py of thb Aatemeaimay be forwarded to the Office of Investig do hereby certify the p 'end penalties. Perjury that the information provided above is trtY mid corn d • ���' .. Date ignature i Phoae# ` °riot name ofl cW use only do not wrtte in this area to be completed by aty'or town bMdal peiinitlliceme# ❑Bujdin.0 Department city or town: ❑Licensing Board ❑Selectmen's Olnce ❑.checkif immediate response is rtgmred (3Health Department phone#; contact person: r - ❑Other (revised.qns PIA) Information and Instructions 3chusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their ryees. As quoted from the "law"., an employee is defined at .every person in the service of another under any contract express or implied, oral.or written.• riployer is defined as an individual; partnership, association, corporation or other legal entity, or any two or more of ,re going engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or :e of an individual, partnership, association or other legal entity, employing-employees. However the ownar'of.a ing house having not more than three apartments and who resides therein; or the occupant of the dwelling house of ,er who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or in' appurtenant thereto shall not because-of such employment be deemed to bean employer. Chapter.152 section 25 also statet that every state or local licensing agency shall withhold the'issuance or'renewal license or permit to operate a business or to construct buildings in the commonwealth fo.r any applicant who has rroduced acceptable evidence,of compliance with the insurance coverage required. Additionally,.neither the nonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until ptable,evidence of compliance with the insurance requirements of this chapter have been presented to the'contracting ority. ' Ilicants se fill in the woikers'. compensation'affidavit•completely,by checldng the box that applies:to your situation and ?lying•compnnx,names, address and phone numbers along-with a,certificate of insu ance'as all affidavits may be pitted to the Department-of Industrial Accidents for confirmation of inrt,Tance coverage: Also be sure to sign and. the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is Lg requested, not the Department of Industrial Acciderts. Should you have any questions regarding the flaw"or if you required to obtain a•workers' compensation policy,.please call the Department at the number listed below y,or.Towns : ase be sure thatthe affidavit is complete and primed legibly. The Department.has provided a space at the bottom of the .davit for you to fill out in the event the Office of Investigations,has to contact you regarding the applicant. Please sore to fill in•the peimitllicemse number which will be used'as a reference number. 'The affidavits'may be ed return t^ D artraent by mail or FAX'tinTess'othCr' iiaagftentt have*been•made:-•--- _,. -•�..._..__._ ._....... _.. . . e Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. ase do not hesitate to give us a call. :e Departmeat'•s address,telephone az}d fax number: :•' The Commonwealth Of Massachusetts' Department of Industrial Accidents ' Office of Iovesugatlons 600 Washington Street Boston,Ma. 02111. fax#: (617) 727-7749 phone#: (617) 727.4900 ext. 406,'409..or 375'. q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. (0 L Date — �' Z 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:_ '�1 0(JA-J Pr4.0 Estimated Cost U�� Address of Work: 1,01 Owner's Name: 14 Y� ti �1�}-� �,� /"" Date of Application: ��1 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 a 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit VtheaIt of th P owner: 0 Date Contractor Name Registration No. OR g1orms:Affidav :rev-122001 y i 'I x '� '' ll 'M2iON�•� •x i� -ZA 5J �f:'I� YlwF f1H S3121diH� _ IZ9^b�L+ ouyl� `�© Y: GTE ✓ a Board of Building Regulations and Standards License or registration valid f HOME IMPROVEMENT CONTRACTOR before the expiration date. If • asp., Reglstr o 9829 Board of Building Regulation! a — Ezp'lrati4 I Y07/2003 One Ashburton Place Rm 130. BA Boston,Ma.02108 r 1 'yge--D i:. Charles W.Hunt Ear entcr:U Charles Hunt a r / 79 Gerard Rd. Norwell,MA 02061 ---- Administrator Not valid without sig i FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Mmun Street, P. 0. Box 338 Hyaiinis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: —(tBuilding Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN HALL Hyannis, MA RE: Insured: BUCHANAN, Karen Property Address: ,39 Spur Lane Marstons Mills, MA Policy Number: DWO095750 Type of Loss: Fire Date of Loss: 3/18/02 File#: 93205 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. M.W. NEWMAN Adjuster 4/5/02 v o J, $ Q CD co � r rn TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a oZ Parcel Permit# - - - - OF BARNSTABLE Z4 • vv Health Division Date Issued ""i Conservation Division =2002 APR--I 7 AM 11:1 Application Fee Tax Collector Permit Fee Treasurer DIVISION QS� 0 0 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 0/ ga-c"l- fi,1� xw<<Z s . A/4- 6,;?69" Village rl"Z-,�a Owner s�?f4 /3 vC/i erg co/> Address 3/D ece.-2.-r1rn.l 144 Telephone Permit Request /Y�OUS/5 /io/QL -r01- 2 — /Jt1,Qa . 11j716/JD 2 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Fire. Lot Size Grandfathered: O Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family I' Two Family ❑ Multi-Family(#units) Age of Existing Structure /(s O-e g15 Historic House: ❑Yes O� On Old King's Highway: O Yes O No Basement Type: 01Full ❑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 O Oil 4 Electric ❑Other 1011_ecAzz __� Central Air: ❑Yes UrKo Fireplaces: Existing / New Existing wood/coal stove: Yes ❑No Detached garage:O existing O new size Pool:O existing O new size Barn:❑existing ❑new size Attached garage:O existing O new size Shed:O existing O new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes ff"N"o If yes, site plan review# Current Use 57U2rcgc, Cain �Gc�,2� Proposed Use BUIL R I ORMATIO Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ,�7�6� FOR OFFICIAL USE ONLY i - PERMIT NO. •DATE ISSUED MAP/PARCEL NO. J ADDRESS VILLAGE' OWNER o j DATE OF INSPECTION: e - FOUNDATION FRAME = INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING s DATE`CLOSED OUT ASSOCIATION PLAN NO.