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Home My WebLink About0339 WEST BAY ROAD 339 WEST BAY ROAD NAUTICUS MARINA e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map Parcel 01 Application #C?. ,! /. Health Division Date Issued ZZ l l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board g)I I'Adi1 Historic - OKH Preservation / Hyannis Project Street Address _33 Village O ��I e. Owner elrlw U 11 � ,T -e- Address (Po (Y) Telephone ✓v - W - -I b*3 A Permit Request 1 I re- Q S n Q Ls . "Ce uri gin - C e " can "Wy i n aC " Square feet: 1 st floor: existing proposed 2n floor: existing proposed Total new Zoning District nn Flood Plain Groundwater Overlay Project Valuation 3d� Mtruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 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: ❑ Full ❑ Crawl 0 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: 0 Gas ❑ Oil ❑ Electric ❑ Other !' i CD Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wopd/coal stove ❑A ns ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: 016xisting newt size_ I Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 1 Ord Zoning Board of Appeals Authorization ❑ Appeal #_ _ Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# _ Current Use _ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ J C � _ Telephone Number 50 I Address j' Y �3 License # 0 1 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO_ "1 �u 5+c-r SIGNATURE _ DATE + t FOR OFFICIAL USE ONLY S 3= e APPLICATION# DATE ISSUED !-:)Zi,:-:-kj 5 _ ' ..- iMAP•/PARCEL NO., ADDRESS ti VILLAGE '`_"OWNER. DATE OF INSPECTION: �T"-;FOUNDATION!01A` r FRAME s, a INSULATION,Y-.A!f._`,, FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL Y? DATE CLOSED OUT ASSOCIATION PLAN NO. i 14 The Commonwealth of Massachusem Department of Industrial Accide,& Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affida'vit: Builders/Contractors/Blectrician.s/Plumbers Applicant Information Please Print Le 'bl Name (Business/organi2.hon/tndMdoa[): �J wee l,Q, Address: 0. bow, ca.31 L City/State/Zip: �n's, M� �OQ Phone #: �`Q F[No ou an employer? Check the appropriate bur. am a e to er with Type of project(required):mp y 4.,❑ I am a general contractor and I(full and/or part-time).* have hired the sub-contractors 6. ❑New construction am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodelinghip and have no employees These sub-contractors haveg, Demolition orking for me.in any capacity. employees and have workers'workers' comp.insurance camp.insurance., 9. .0 Building addition . required_] 5. [] We are a corporation and its 10.0 Electrical repass or additions 3.❑-I am a homeowner doing all work Officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' camp. right of exemption per MGL 12[ oof repass insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other camp. insurance required.] *Any applicant that checks box#1 must also M out the section below showing their wori='compensation policy information.t Homeowners who submit this affidavit indicating they ale doing all work and thm hue outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the suti- employ coatreehors and state whether or not those entitios have ees If the sob-co nhsctors have employees,they mnst provide their workers'c off number,omP.policy n I am an employer that is providing workers'compe information. nsation insurance for my employees. Below is the poFicy and job site Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Sob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violater. Be advised that a copy of this statement may be,forwarded to the Office of Investigations of the DIA for-instuance coverage verification. I do hereby_certF u the and enaffies q f perjury that the inforwtafion provided abov, is ue Dare: and correct sienarure; qn 'u (I _ Phone# I V FOZther only. Do not write in this arsq to be completed by city or town of ciaL n: PermitUrease# hority(circle one): Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector ison: Phone#: I �TME Town of Barnstable Regulatory Services . �" fASNbTABIi f yes Thomas F. Geiler,Director ` Building Division Tom Perry,Euilding Commissioner 200 Main Street,Hyannis.,MA 02601 www.town.barnstable.ma.us Office: 50"62-403 8 Fax: 508-794-6230 Property Owner Must Complete and Sign This Section If Using A Builder T , as Owner of the subject property Hereby authorize y aSI�- to act on mY behalf in aIl'matters relative to work authoiized by this building permit 33 (Address f Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. . Signature of Owner igna.ture of Appfl rt � C Print Name Print Name 1a Iu (( Date QT0RMS:0WNERPER v0SI0NPo0LS i r �• (YIassuchusetts- Deportment of Public Safety / Board of Building Regulations and Standards Construction Supervisor Specialty License I License: CS SL 99138 Restricted-to: .RF,WS JAMES CURL'EY ' I 287 FULLER ROAD. I . CENTERVILLE, MA 02632 I i I Expiration: 1/28/2012 Commissioner Try:'99138 y Boa d of Building { ,-„�,guJ,alinns:a.n.d..SG ndaFds-- —L� or "gis ratT on��aIi for indi Mu-1 use only HO E IMPROVEM NT CONTRAC R before thee iration date. ' found eturn to: Re st_ratiioh ._1.24 0 Board-oi~Bui dinb RgfflXt1Tf -and-S andards -• One Asbburt Place Rm 13 E ra4ion=-g4j-2 Tr# 1 0873 Boston,Ma 0 108 Type:Andi'vid.al James urley James urley =� 287 Full r.Rd... ._.. - , ' e, A 02632 Administratorr _ of yali without s=� re . I