HomeMy WebLinkAbout0126 WILLIMANTIC DRIVE / `�J i
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`7"Et°�.� TOWN OF BARNSTABLE
i BABB9TULL i
"6 9 BUILDING - INSPECTOR
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P70dAy
APPLICATION FOR PERMIT TO ....... . ...................................
TYPE OF CONSTRUCTION ............*c>.tP.,W......`; ...........................(./........................................
........s/. a.............................9.
22,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby ap I* for ampppermit according to the following information: _
Location .....P ��...... *l.�l.... . . ,� ..... �C��7........ � A,..l � .../!� � ��.............................
ProposedUse ......./.. . C_...... � .........................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ...... ....Address ....r..?zz...
Name of Builder ........ 1...............Address
................� ...
Name of Architect ...............��:................. ............ .�............Address ...............�.� ......................,..... ...............
Numberof Rooms .................C9...............................................Foundation ........ ....................................
Exterior ���C�a„rs.,Qy,. .� : �.. .�,1;06,4,. ! ............Roofing ......A—„1•3,v�•L; ! .............................................
Floors ...... 1C.uct...........Interior ...........,& /� •,,,�G --r................................
47
Heating .. . .4 �� .. ..! ,. C ,•r�' .�/t!;. ..PIumbing ........... 1'.-Z.T:6............................................
Fireplace .................. .....................................................Approximate Cost .....yJ .OP0.......................................
Definitive Plan Approved by Planning Board ------------_—_____-------
19
Diagram of Lot and Building with Dimensions --ore S�
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ....� r,...... 'l.lr ..............
Mason, Thonas l{, �
No
one story-A�����- Permit for ----.---,�---
�
____����.�..��.����..�~����^��______. |
7
Willimantic Drive
Location --.................!........—..........------' �
'
Marstons'
Di]LIo �
----^--------~------------..
Thomas H. Mason
Owner ------___________._____ !
' . � !
/
frame
Type of Construction -------------.-
,
----.—^—..-----.----.--.`-----' �
Pk +10
Plot ---��-----.. Lot .___........____.. /
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�
�2 ��May
Permit Granted -~ �
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� Date of Inspection A��'� �=�r ����-
�
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L Dote lA �
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PEWIT REFUSED
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----'--`~~^^''----^^''----------
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'---,..—.—.—.-,..--~.—.~.,—..—.—.~... ^ �
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Approved ,--------------- lA
--------------------------'
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---------------------........-
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Assessor's map and lot number ..A '
:
' @+ SEPTIC SYSTEM MUST � �TNeTp�
Sewage Permit number—¢..' 0...J �: `• INSTALLED IN COiOAPLI
= WITH TITLE 5 .
House number .:... .:. : 9TADLE,
/��........w�!!��.�s�is......��..................�. �r�vi�olVMiENTAL COD ;� a �
i 0 t639' �0
TOWN REGULATIO.
TOWN OF BARNSTABLE
r BUILDING I"HS:PE T R r
APPLICATION FOR PERMIT TO � �.d� "' `: ... ... ......... ..................................
TYPE OF CONSTRUCTION ........../G .
............19.. �.
TO THE INSPECTOR .OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....1.z.`.......G?..�1��.....t�:. . .......os..... �rrsRo�s 1 J.s
.... ..................................................................................................................
ProposedUse .............. ..... ......'` 1............................................................................................................................:..
ZoningDistrict ..........................................................................Fire District ..............................................................................
��e )c \�C�1aCc1SOYJ Z6 U•W'.,.rz-v. wrstorvs
Name of Owner .......................................................................Address ....1........................................`QC......�..................\.s.
2 sr6e n
Name of Builder' ...V!!K........�e,.�c.,�kr.4S..............................Address ......37.......°Y rrt.. h.�.r �rrrS?aa•� .....(.........
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ................ .......................................Foundation ......e-f e .
Exterior ................./..-e/......5iai.1........................................Roofing ........AA ..........................................................
......................Interior ....... .....t kf:-! .!�nh........................Floors ...............C�''^�....................................... ........................
Heatingt°I! ...... ..wcrccil..................................Plumbing ..................................................................................
�?aa. .�. .......A Approximate Cost . —Fireplace ............ ..................................� PP j.......................................'T
Definitive Plan Approved by Planning Board -----------_-__--____ - 9 ----. Area ......./ / S
B-4
Diagram of Lot and Building with Dimensions Fee .............. ..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
l�Pr cep '
it
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of;thneT, n of Barnstable regarding the above
construction.
Naef44 .................................................
� BICHABDSO0, FRED
~ `
� 23680 ADDITIOl
` No ---.--. Permit for .-----------.. `
' .
/ -
� ___S ' o Ie.. ..D�elliJlg�___.. .
^
� Location ....l2G— d'� l tio..l})�'
'
................. ......................... _
r l7recl Richardson '
' Ovvner -----__—_____________.
,
` .
Frame '
` Type of Construction -------_------.
< ---'------'----------------' ' ^,
. .
/ Plot —..�-------� �� ----------'
� —
� December 2, 81
Permit Granted -------------.lV
' `
) Date of Inspection ------------l9
� .
Date Completed ..... ........ ' `
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Assessor's map and lot number ...............
/oz /7s
t CF THE t0
Sewage Permit number��1-�... !�:. -sic..... G..�.��/
Z BA NS'TAIILE, i
House number ...../.2 G ...... ...... 9 *AS&
O i639• \0�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION. FOR PERMIT TO .
TYPE OF CONSTRUCTION .............. ..................................................z0
........................... ............19.. .'..
i•
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to
the following information:
Location ..... ........ -A.......k .....y'w�r1,oWS..:...U.t.....5......................................:....................................:..............
ProposedUse ..............1�°"'^4y.... !1'!^ .............................................................................
ZoningDistrict ........................................................................Fire District :.............................................................................
Name of Owner ..Address ....1.a'-.......W` 'rnvvilCe �( i� jwlfStowS .lk-, i.�.
........................�.................................... ........
Name of Builder' ...!3'.^! e�i c�r4 317 t2a�r6ocrr b+✓.i 1 loe-Or"k:
M...............4...............................Address ................................. ................. ..............................
Nameof Architect :.................................................................Address ............:....:...............................................................:..
Number of Rooms ...............5... ...........................................Foundation �1,rec......5 ,crQ�e
................ ............ .........................................
i Exterior y-!!......3 ia;.0 c............. ...Roofing ........ r �lT..........................................................
...................... .... .........................
Floors l ........................Interior :..... 5�"I.I'o 6..................................................
f'... �?rs /ram w�wi ............Plumbin Heating g .......:..........................................................................
........................
sN. Q....Fireplace ......... Jo. Approximate Cost ..........�...y�...�...�.....r..........................................
Definitive Plan Approved by Planning Board -----------______-----------19_______. Area .......Hoe,.....S.Y..........
Diagram of Lot and Building with Dimensions Fee K..
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1 ,
"] A 16,
ly
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above .,
construction.
Name !. A' ' ...........................................................
RICHARDSON, FRED CA=102-175
2.3680 ADDITION
No ................. Permit for ....................................
Single Family. Dwelling
................................................................................
Location
126 Willimantic Drive
................................................................
Marstons Mills
...............................................................................
Owner Fred Richardson..................................................................
,Type of Construction' ......F...r........ame.........................
. ..................................................... ..........................
Plot ............................ Lo ................................
ecember 2, 81
Permit Granted .... ..................................19
Date of:Inspectio ..................................19
Dote Completed ......................................19
d •
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION '
Map 16 r �_ Parcel Permit#
Health Division Date Issued
Conservation Division :... �• �' � Fee
5 04
Tax Collecto
Treasure
Planning Dept. '
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address i� �R.! I 1 Mlt,�1�IC. U r JC ;
Village
Owner f Yrlk 1 K Cu i C_ Address Am f.
Telephone J 1 `i 413!)
Permit Request & Cei,v 6hint �c O�U� �+Cl%+In
801,E Gi;16�in ► ivi ck Ll "WG 6 ) 4U on
Square feet: 1st floor: existing MOO proposed `t- 2nd floor: existing "fl— proposed '0- Tot new -$
Estimated Project Cost S000•W Zoning District Flood Plain Groundwater Overlay
Construction Type 0
Logy Size 47 A(C rc.s, Grandfathered: ❑Yes .❑No If yes,attach supporting documentation.
Dwelling Type: Single Family l Two Family 0 Multi-Family(#units)
Age of Existing Structure a0wo Historic House: ❑Yes D'No On Old King's Highway: ❑Yes a<0
Basement Type: ls, 11 O Crawl 0 Walkout 0 Other
Basement Finished Area(sq.ft.) —$" Basement Unfinished Area(sq.ft) _
Number of Baths: Full: existing new Half:existing -0- new 'e
Number of Bedrooms: existing 3 new �—
Total Room Count(not including baths):existing new $ First Floor Room Count
Heat Type and Fuel: ®'Gas 0 Oil ❑ Electric 0 Other
Central Air: O Yes 3No Fireplaces: Existing ✓p g New Existing wood/coal stove: m'Yes ❑No
D size
g �Shed. Rxistin�gneRize�
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION Name C '1f'1 Cl Telephone Number 5'01 4 ?10 4633
Address 3 L CO awn b 1 w License# 0
4v-sbin MA IS 1 1 Home Improvement Contractor# 114391
,
Worker's Compensation# no em 6te,'S
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE•ONLY
PERMI`' O.
DATE ISSUED .
QQ-
p,
MAP/PARCEL;NO.
ADDRESS VILLAGE
OWNER'
DATE OF INSPECTI011:
Y 1
FOUNDATION
FRAME
' s r
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL'
-y SIT .. • �. 11�
PLUMBING: ROUGH FINAL.
GAS: ROUGH FINAL z.
FINAL BUILDING
DATE CLOSED OUT
s
ASSOCIATION PLAN NO. _ • 2 i "
r
�dptMe tq�_o� •
. The Town of Barnstable
• .�sxarwe�. •
' ��' Department of Health Safety and Environmental Services
&659. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-8624038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
_�/.24/"
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. 1
Type of Work:s--116.Alw' e" �l n�4tS Estimated Cost 6000.w
Address of Work: otkk 1 r1'lly—n�"1 C. �ri%)C
Owner's Name: I�GI,VI
Date of Application:
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 here y app y for a permit as the agent of the owner:
3 vh� wi �7Z
�
bite Contractor Name Registration No.
OR
Date Owner's Name
i
I
q:forms:Affidav
_ The Commonwealth of Massachusetts
_- Department of Industrial Accidents
0//ice ofiBy. taboos
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name: VI
location: l �U►�1��� Ave_,,
ci I ►c hone# 6Dk 20 g 3
❑ I w6a homeowner performing all work myself.
am a sole r rietor and have no one worki>i in ca achy
❑ I am an employer providing workers' compensation for my employees working on this job. :::::
companv-mumu
n
X.
f ... ?>?
a
ct
i
tnsurance'co:... ..
«'`j#�225[t' E? tI > » f 'Sx ?[ > � r? 't? to
iiiiiZZz
FIM/
❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
e following workers' compensation polices:.........: ::::::.:::::::..::::::::.::::..:.:: ::: ONE
com anv nam
a
one#'> «>»':> »> < ><><><»<<<><'•:;;•>::,
ID
.:....::::......................
...:.........
c > ::::... ....... .. ......
....... .....
..;:::...:; ;;...::'.::.:':::.;:.;:.;;'
c
lose
n�urance>eo.:.......... _ .....
Vol
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify p ' and penalties of perjury that the information provided above is truo d co ed
signature Date �3r W 7SJ �/�
Print name / ."L`. Phone# 6 6 � 7V 33
official use only do not write in this area to be completed by city or town official
city or town: pernnit/license# ❑Building Department
❑Licensing Board
❑check Himmediate response is required ❑Selectmen's Office
_ __ ❑Health Depsrbnent
contact person• phone#; ❑Other
Ormed 9/95 PIA)
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 contract
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 receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dweiling 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 renewal
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. 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 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. Please
be sure to fill in the peimi license number which will be used as a reference number. The affidavits may be returned 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
Me of Invesugatlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
HOME IMPROVEMENT CONTRACTOR.
Registration 114381
Type-. INDIVIDUAL
Expiration 09/03/99_
JOHN C. VIEIRA
32 COLUMBIA AVE.
TON MILLS MA 02698
-, _ , _ _._-. _._ ✓'ie t�omvnzaruueall�r o�../�aasac�uc:iel�r
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
Nuiber: . Expires:
Restricted To: 00
JOHN C VIEIRA
PTU-0132 COLOMBIA AVE
MARSIONS MILLS, MA 02648
I
' 148509
Restricted To: 00
00 - 35,000 cf enclosed space
lA - Masonry only
16 - 1 & 2 Falily Holes
Failure to possess a current edition of the
Massachusetts State Building Code
is cause for revocation of this license.
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.,,i �a.N+ls- ►„Ff�y({��,N ..4 �t/y�)�i�r � ��µ yk.u4
ins ' ��1
License nor,registranon valid for individual -
use'only `beefore expiration date:If found "
a return toi One Ashbu ton I'lace,'Rm'13O1}
Boston Ma.'O21O8""
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