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HomeMy WebLinkAbout0100 WEST STREET n TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map 3 Parcel' Application r� Health Division ' Date Issuedtop Conservation.Division Applications Planning Dept. Permit Fee 2,7 Date Definitive Plan.Approved by Planning Board 1 Z// Historic.- OKH Preservation/Hyannis Project S,t reef Address 1 00 NJ Village °' Lo Owner >_ A F1qu LT. Address. V/3 L 6rr9J)FJ g- ('!Str�l t[ Telephone co - iF:z D.-O 33�j' Permit RequES S'►U iN L 10, 4 i t-dpa6 At V06 G_£. ► 4C.0S�Y"7-22ic � /Zk_t r4 r 'h-�va✓�a'�3NVA � Square feet: 1.st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation .2Se0d -66 Construction Type Lot Size 0 o 83 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family W/ Two Family ❑ Multi-Family(# units) Age of Existing Structure 3 I YQS Historic House: ❑Yes W o On Old King's Highway: ❑Yes 211110 Basement Type: ❑ 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 t, new First Floor Room Count Cry Heat Type and Fuel: 2/Gas ❑Oil ❑ Electric ❑ Other Central Air: U es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑//existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: G�'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 -� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name D EE P 7 - A Telephone Number 5�0'49-'12_0 6 3 34-- Address J/ �rZ��r� License# 10 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Ze0 r` ; FOR OFFICIAL USE ONLY N' APPLICATION# ------------ DATE ISSUED MAP/PARCEL NO. ; ADDRESS VILLAGE s -.OWNER , , t ,DATE OF INSPECTION: ..FOUNDATION - .. _• _ , FRAME INSULATION _ 3 23 b9 y 'FIREPLACE s _ _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 'GAS: ROUGH } FINAL FINAL BUILDING 1,414110 u DATE CLOSED OUT ASSOCIATION PLAN NO. n t; The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information Please Print Le ibl Name (Business/Organization/Individual): rLl2T Address: /ate City/State/Zip: t 2"fhoae.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am.a general contractor and I employees(full and/or part-tim.e).* have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9, ❑ Building addition [No workers' comp.-insurance. comp. insurance. squired.] 5. ❑ We are a corporation and its 1.0.❑ Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.[j Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.El Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and thcn.hirc outside contractors must submit a new affidavit indicating such. zContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employers,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job 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 tip to $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 violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under h pains�alrtd n ties of perju that the information provided above is true and correct. Si ature/ �V PC Date: ' �'©e Phone M Official.use only. Do not-wrile in this area, to be completed by city or.town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Berard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector.5. Plumbing Inspector 6. Other Contact Person: Phone#: Town of Barnstable �0*SHE r, Regulatory Services BA AB Thomas F.Geiler,Director Building Division �IFD 1�ya Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: rL — A Gt 0 I-po. JOB LOCATION: /190 L0 number street village "HOMEOWNER": rRaben is). S—k* Y 20-6 33J name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners'.'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFT NTPION OF HOMEOWNER Person(s)who owns a parcel of land on'which he/she resides or intends to reside; on which there is,or.is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned-"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department inspection procedures and requirements and that he/she will comply with said procedures and gments. tgnature of Homeowner Approval of Building Official I Note: Three-family dwellings containing 35,000 cubic feet or larger will be.required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1o9.1.1-Licensing ofconstivction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption aie unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimate]y responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/ccrtification for use in your community. °FTHEt � Town of Barnstable _ : Regulatory Services RAM �AB ' Thomas F. Geiler,Director 019. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable cFTME ra�ti Regulatory Services Thomas F.Geiler,Director s `" MASQ-LE ' Building Division Eo39.,t e,`�� Tom Perry,Building Commissioner a -tea 200 Main Street, Hyannis,MA 02601 <_' N n www.town.barnstable.ma.us W LO o z Office: 508-862-4038 Fax:'S08-Z9b-6230 ca y: _ o0 r y� �i c.n M PERMIT# cool. D V FEE: $ ' SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number /D Size of Shed Map/Parcel# 7 k� 4 1 �-> 4i2naturea Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for.Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAYBE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 Map , „ Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size ■ ■ Zoom Out S I M I N I E N®In K139005 9 13901 124 q 35 � y 0. ,z- 139090 p 19 1. W 115022 0 #379 F' 139088 h f, tJ 100 W ti 1 139073 tl 19 f 10 - 36 F et 139071 q SO Set Scale 1" =i36 , ' I Aerial Photos_ ___QI I MAP DISCLAIMER (.nmirinhf)nnj;_,>nnA Tnoun of Rnmefnhlu RA All rinhfc men—A -Q-4 no—fin—nr rnm, h //www.town.bamstable.ma.us/arcims/a eoa /ma .as x. roe ID=139066&ma arback= 4/27/2009 ttP� Ppg PP P p �p p rtY PP �.. .� ,^ �• - • -�.� ., a --..+tiT +. �,,i• ..�_ '.r -v -4".._'Y•_�+.v-'t Assessor's map and lot number .............. ...... S�,wageo Permit number .� L4 ! TOWN OF BARNSTABLE :�� Z BAHB Am 9TLIlLE, i � '� " 39- BUILDING INSPECTOR i to MAX a' �^s VC APPLICATION FOR PERMIT TO .......................... ...........................•.�................................................................ ' TYPE OF CONSTRUCTION ...................................................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: - 0 e.' "' C, i�1-�2 u/Location .............................. ,.................I........ ....................................................... .......................................................... • . 02.".r.c Proposed Use ................ ................................. .. ..,................................................................................................................ .J J r Zoning District ............. t ..........d...............................Fire District ......... ry-� ............... J ....... ... .......... !!......... . . ..... ........... .... ..... Nameof Owner s � �� '"`�" osy..... ...............................................................Address ..........................,..............,.............. . .. ...... Nameof Builder .......... .....7.. ............... .....Address ........................ ..... ................................................ Name of Architect ............ ��rvri f.................................Address ................. ��t-!'r„ Numberof Rooms ..................................................................Foundation ............. !• ....................................................... XExterior ........... /............................................Roofing ........................QI....... ............................................... _. Floors ( .............Interior .............._..... 4............ ..... G. .'........................... ,4- gCL4 Heating ..: .J.. ............A.e f...... Plumbing .........!..... :. C ......................................................... Fireplace .....r..........�!t-.' ......................................................Approximate. Cost Cl S Definitive Plan Approved by Planning Board -----------_------_-----------19�±�_ . Area ......................... Diagram of Lot and Building with Dimensions Fee � ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH x .2 L " b 0-4 I 3z a-2) I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. "T Name .......................................... ............................ Grey,~ R, '_ — _ /ry 19592No -----.. _. � ' ' miuele Immi,ly .......................................... .... ........................... \Aemt Street Location ........................................... ' , ?�' Omterville _ , -----.�............................................................. ' . R. =° GrkyO.Wn er ar------- . rame Type of Construction ........... . I....................... ^ . ` � . Plot Lot . ' �Permit Granted Date of Inspection ' Date Completed ^ ^ ^ . . ............................. '.. ........ . ..... .��.------.. ' ............... .---_--._,.............................................. Y . ' ..—.~-----.....---_.—.-----..--. ' ` ' Approved ................................................. lA ' ----------------------^---, ' ' -------`---------------'—'^^' ' ' . . � , Assessor's map and lot number .......� -.................... SEPTIC SYSTEM MUST BE Y� i7 INSTALLED IN COMPLIANCE Sewage Permit number ..r......v.`5........................................ WITH ARTICLE II STATE L: SANITARY CODE AND TOWN . Q�OFTNET��` TORN OF BAIMSYN BLE B6HHw LE, • "b 9•=`�am� BUILDING INSPECTOR 0 APPLICATION FOR PERMIT TO ......... TYPE OF CONSTRUCTION 0 �G '"`l•• •••..•..•.• TO THE INSPECTOR OF BUILDINGS: The undersigned hereb� applies fora permit accordingto the following information: Location 11 � .. ....` .. ................ -+.. . / 1 ......................................................... ProposedUse .............. ..�PE�,Cq......................................................................................... .................... Zoning District ............ : . ..�.l...............................Fire Distract ............ .. :. ... >�-- Name of Owner ..... ... ............ ......°� ..l. Address ........w. . ......... .. ... .................. ....! AS Name of Builder ... .` ....Addres ................9..P `^'v►�t .........Address C1�''a.` .. Name of Architect .......... .. .............�........................ .................�............. ........................................... Numberof Rooms ....................... . ........................................Foundation .........Qr.��. c .. .......................... Exterior ...........3 .. . .. .........................................Roofing ........... ..... .. .. . ............ . ........ ....................... 0 Floors ................................................Interior ......... �� ........ . 1� Gar... �� �..... .................... Heating V.... ..1........... ....../�L��!.1..........Plumbing .......... ....7.f... ............ �......................... 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 4 5 � 2p�Z 1� /q:2C.e I . k 33 9-2 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......................................�. .... ...... ........ . .... Grey, R. A. 19592 one story No ................. Permit for .................................... single famly dwelling ............................................................................... Location ...............................West Street................................. Ostervill46 ............................................................................... R, A. Grey Owner .................................................................. Type of Construction frame.......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .......September 13......19 77 Date"of Inspection ....... ...........................19 Date "Completed ......19 IRI, "/.. .. . PERMIT REFUSED .......................................... ...................... 19 ............................................................................... ............................................................................... .........................................I...................................... .......................................................................... Approved'-,.-.,.............................................. 19 ............................................................................... ............. ............................................................ • - [.. + .> . . ,. nnp 1.-.yi , _ • �•�, ._- L-0 T C f4.$. fib'/• ,. O LL ta -� LOCH (tEV 1^ 7 7 . 51 Qox ,+1 PRUL MURRAY_ t�5 1! rQ E a..• O g I • ,• ' J -- �+� = r-o UNA.�SON `l � � -�c� S J� ,r, IJO UJR-rcR51 ELE V. T� ! 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P/T j4 r, �Z D/A. -Y- T Mi/U 5; 5 /Poor o' WASHEO (,, cJ OO -�= /nivE.er 5• Zoo t- 5ro/vE s. c9 a Qz-e /IVVE.eT CA PA c'/ TY ArZOuN.O �WATG/LT/Gh/T�• I5.00.. 8oT/-� OF G.pp /N1/ER7. (c'l /NVE2T QN e G_A28AGE C- R1Aj.D�,� 1 6 S/ TE PLA&I PROPOSE D SE•WAGE ' LOCA7-1per/ 057ERytL�rr [�l A��15tRbl.F � �f? SS. ,� Lot A A� 5-3 .SEAT/G TANS 4D/ST-,2/BUT/ON 80X C$ OC/7-4-ETS) AAh/.D L.EAC.�//.�/G X>/T F0,2 TO BE OF QE/n/FO�CED CO.vC.2ET� tALO �'�n CONG'.2ET� ST,eEAJ457;/ 3000 Ps/ "/A/. 20000 LOA D r,v6 E3Y CC20 CJ&L L , 7^,A VI-0,�' GQ.�' D)21 VF_WAY NOT TO BL LOC�iTED' ' �, � T2 A40&7'�-/�I2T �A:5'S, o✓E,2 SYSTEM u/vtrE ss f/- zo T HEREBY CERTIFY. THAT THE EXISTING- DES/G�1 LO�►a/.vG /S USED.. F00VbRTt0N LaCW7 ION I S COR RECT A 5 µ i SHOWN AND Do.ES GarJ�7f�FA WITH o�'��� Mgss�.•.`4 THE. 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Q D/A.i 41A4' v/vuNOAT , EM/Eo ...•�. 4` Did•, i /O�LCACX1 - MiN o/7c,Y �4/FOOT /O"MiN /�„ %4 /ioo7 "2 Al Alirc,l ^. P/T A41AJ $, .5 or WASHEo . 1500 MC4� 00 o SrO Alr- GALLON/ /A/✓E,2T' �_. pl 'AL[.. //vVE.er CA PA C./ TY a4/ZOUn/.O SE A777/G TA,V,- l S. O 15.00 $O-OA4 OF J .G QD �WATGrLT/GNT� /NI/EZT IN E eT ON� GAr28AGE G JAJr-k6-P 9.U 20' MIN/MUM ar- _ / S/ TE PLAA1 PROPOSED S1r'WAGE LOCA-r101V mSUr- BowT QLAM QQK ! 7 r S3 SEPTIC TANAC /ST,G�/BUT/ON BOX �$ OUT4-ETS� AAJ2:> LE.4CN/NG X>/T FOB TO .5E O.F QE/�/F0.2CED CO.vC/2ETE _ D CoNc'.e�TE sr,2E,vG 3000 7>.s -! STEEL ,. 20000 ,. tfo.s� ti H-/O L.OA D/n./G .BY C2OWELL Tin yl-0, "4:� S9 LG 0W 5 7�0 C-7- �. D,e/vE WAY MOT TO BE Lo(::,4TED - yq )Z/(/J0Zf7-j/ �7'� A-;IA 7.51 O✓E_2 SYSTEM UNLESS N- ZO � HEREBY CER3 fFY THAT THE EXISTINCr DES/GA/ LO•�D/,�/G /S USED. F`ouNDATION LD ►ION I S COR RE�.T PS 9 r SHOWN AtJD Do.ES CON-'oRM LJ ITH THE 3Uf4Dl1NG• SETUACK RECIU1IZEMEN'TS �� GEORGE rV ; OF -THE TOUJN OF B A R t�STAR BLE tow,JR. L J� �'�,�QIsTEa�ca�.�' 1>A 7-E A EL1 LTt-�/ �1GE.c/T