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HomeMy WebLinkAbout0515 CEDAR STREET o� O ® NO. 1521/3 ARA ESSELTE A N 1_ r v �r 'G� \O 1�1 1 ► TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 U Application # C�C) I `v-7 ` J Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee (D 0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address C�� �' Village W .TA AA)3T)9 z� Owner I LO ✓�'P165 Address, 1 C��� A ` Telephone C 0/4 - Permit Request -Bo/LDaV— 6 �l %► �xl�``�� . f 5 4-ec,G4 J czp �3 12 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay UProjectaVa`luation��DUD. Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2/ Two Family ❑ Multi-Family(# units) Age of Existing Structure 1nd Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Urrull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2- new Half: existing C:�t new C? Number of Bedrooms: 2 existing —new e C)P , _ Total Room Count (not including baths): existing new First Floor Room Count'^_' Heat Type and Fuel: ffGas ❑ Oil ❑ Electric ❑ Other t u; Central Air: ❑Yes QfVo Fireplaces: Existing New Existing wood/cb al stove.• ❑Y s ❑ No Lr,J 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) l Name C�ll-d.//ye � //1-�-�� Telephone Number cs"CT)979 " 6100 1 Address �/ 1�B'Q� �%F License# F' Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR'OFFICIAL USE ONLY - Rt APPLICATION# DATE-IS-SUED ' MAP/PARCEL N0. ADDRESS I VILLAGE � .. OWNER � -• - , �y `1'; Y .r DATE`OF INSPECTION: FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL • GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT l ASSOCIATION PLAN NO." gr The Commonwealth of Massachusetts n I Department of Industrial Accidents =<rWL ' Office of Investigations I Ht U rr 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I,eLribly Name_(B ss/Organization/Individual): �� ->t Address: �� ckDA(Z, r City/Sta`fe/Zip: r;,V ,"BAa RA � Phone #: C s61) e)7,/, -e> / Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 9. ❑ Demolition working forme in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers comp. insurance 5. ❑ We are a corporation and its officers have exercised their I0.❑ Electrical repairs or additions -�equired.] 1 1. Plumbing repairs or additions -3. I am a homeowner doing all work right of exemption per MGL ❑ g P myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information, t Homccwncri who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractnrs that cheek this box must attached an additional shett showing the name of the sub-contractus and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my ernployees. Below is the policy and jab site information. . Insurance Company Name: Polity. #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 up 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ,_ I Date: Sven - Phone�6 O / � 4 d d r i Qj ciat use only. Do not write in this area, to be completed by city or town offeciaL City or Town: Permit/License iv Issuing Authority(circle one): . 1. Board of Ffealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Town of Barnstable YK�E rDwy ��. o Regulatory Services Thomas F. Geiler,Director MAS& t639,. �e� Building Division PrEo tu.{` Tom Perry, Building Commissioner 200 Main-Street,_-Hyannis,MA.02601 R'ww.to wn.b arnstabl a-ma-us Office: 508-862-4038 Fax: 508-790-6230 HOIA�OWNER LICENSE EXEMPTTON Pleare Print �JOBLOCAT70TI:____ IJ/V/G � C,CJ .�A1�✓ )����G`5 - number' street village n "HOMFOWNEFZ"f�L�iL,p 1�1a'WP (q a" ) 4r] G- - name home phone# work phone# CURRENT MAILING ADDRESSi � city wn 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 SuperYisor_ DEFIJ\TI'TTON OF HOMEOWNER Persons) 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 constrgcts 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 be/she shall be responstble 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/shc understa.6ds the Town of Barnstable Building Department m nirnun inspection procedures and requirements and that he/she will comply with said procedures and requirements. C_Signatirrc of Homcownd-----T__/ ' Approval of Building Official Notz: 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 homeownCr performing work for which a building pern it is required shag be exempt from the provisions Of this scction(Scetion 109.1.1-Licensing of construction Svpcnrisors);provided that if the homeowner errgagcs a person(s)for hire to do such work,that such Homeowner shall act as supervisor. litany homeowners who use this cxmnption am unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q. Ru)cs&Regulations for Licensing Construction Supervisorx,Section 2.15) This lack of awarrness bftcrr rrsulrs in serious problems,particularly when the homcowncr hires unliccwrd persons. In.this ease,our Board cannot procccd against the rmliccnscd person as it would with a)iearscd Supervisor. The homeowner acting as Supervisor is ultimutc)y responsrb)e. To ensure that the homeowner is fully zvn=of his/her rtspoTmbilitics,many communities require,as part of the permit application, that the homeovrrrcr certify that hrlshe understands the responnbilities of a Supervisor. On the last page of this issue is a form currently used by several tD"s. You may care t amend and adopt such a fomr/eertifrcation for use in your community. i Q:forrns:homccacmpt "`41 IRr Town of Barnstable Regulatory Services pNMI Thomas F. Geiler, Director 1619,.$QED µlb J"`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barngtable.ma.us Office: 509-862-4038 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 nutters 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. Q:FORMS.0 WNERPERMISSION S I ST. r E Pc A nl `c o R W & �1cLt- S A JJA� cH, wt q � 57 b7 o o.c A N i 5P r 5A �o N Io�sA�,•o �30 -.� (11 or 66 7css PIT-, `� -T�� , S t L Vtr%J OFDo 0 MgsS Qi � HARR L N ,o o.26575Ik p FsS/OPJAL C> SIJCLC FAMtt.y Oft^1. I+J 6- �n//3 f3Dtl�1S� 1V o GA)�36C I< 0) SPaSAL S'eP7' 1 R jK CVUL. (Z1s-3 !0' p/ SP o 13 A` PIT (Dtz-wi-3 6-1 kA S 11 G A 41 �1 1 'Z�O� -f 'Z 0 },/ ti s L A 0 WL`I A LA s l i a' o -1 SA/vo X �'Pr' fiU. fl��w�0 �',�- L. gANn. , r'1fi'. 7 fzof7g -c7 x a x} D X2_ a GzB owG. •.�Zo� - F'i ■ MMEMEMEMEMMMEMES■MME■ -- M ■■■■■■■■■■■■■■■■■ VA ON MEMOMMEMEMEMEME MEMEMEMEMEMEMEM MOMMEMMMEMEMEM ON ■■ ■MMMMMMMMMMMMMMM■ ■ ■■■ ;:I M■MMEMEMEMEME■EMMEEM ■ ONEMENEMEMEMMEMEMMMEME MEMMEMEMMEEMMMMEMEM MEN MIEN No Hillumillm mom MEN RIJIL11111 IMMEMMMMEMMMMMMMNMMME■ , ME■■E■■M M■MMEMEMME■■ l� M■■■MEMEME ■■■■■■SEEM ■ ■ _ ■SEEM■■ ■ MEMO ME EM■■ ■ MEEMMMM ■■■E■■■■EE ■ ■E■■E■ ON EME lm�mmmmmmm M ■■■Room MEM■E■ E MENOM■■EE MEMEMEMEMEMEME ■E , MEMME ME■■E■E ,o3 ® ■■■M■■E■■IMMENSE■M■ ©_ ■��� ■ ii ■■■ ■■■■■■MMEEEMOMMEM NOON No No - ■■ M■MEMMEMEMMM `: moo. - ■M� ME EMEMEMOMMEME �-,.� ME M MMEMMEMMEM■E ME ■ MMMMMMMMN No on ME MEM v ®Nmm ■ ■ MEMENEEM ■MMEMMEMM ■■■MEM MEMMEMEMEME■ ME■EME EMEMEMEMMEMOM MENEME � MEE M■■■E MEN ■■■■■■■■■ ■■E I MIMM■■ 0 1 't - - • i G ; . . 11 • �.. ek »,� .� _� l i �°'^ � *• _ n� ., _ �. _ � ��� �, p .. .. _ d .. � � .. - �A ;;� �` } �' ; /J Assessor's Office list floor) Map `G `� Lot 0���_.�C f r' Of P rmit# ,.5 9 _it .�'"" Conservation Office 4th floor %� E. Date Issued Board of Health Qrd floor �p i EngineeringDept. Ord •House# J , W °� i •' SEPTIC SYS ICE Planning Dept. (1st floor/School Admin. Bldg,): � �rALLED I i CE 'Definitive Plan A rove&i Plannin Board M Ni 19 6NONMEN AND (Applicationsprocessed 8:30-9:30 a.m.& 1:00-2:00 p.m.) TOWN REGULA71®NS - r •.r :.� TOWN OF BARNSTABLE 1 ) Building Permit Application -AN Project Street Address S 1 `C c tJ(A2 !(' I���y L.cr,jg'-( G - r Villa'e cue S+ Fire District L) (►,to ( � y , �hvncr W (;� ,,,, .t Address 51 ,5 C e-o q(z gJ� Telephone Permit Rcaucst 1 1 �, C 6--i Zoning District ,f Flood Plain Water Projection t) 9 Lot Size Grandfathered f Zoning Board of ApMls Authorization Recorded Current Use Propgsed Use Construction Type F E:istine Information Dwelling Type: le Two family Multi-family Age of structure -1 25 ' Basement Woe Historic House i Finished' Old Kin g's Hi hwa Unfinished ✓ Number of Baths 3 No of Bedrooms 3 Total Room Count(not including baths) 11 First Floor Heat Type and Fuel 5- Central Air Fireplaces ) 1% Garage: Detached — Other Detached Structures: Pool Attached Barn None X Sheds Other Builder Information Name Telephone number Address S 1 C t b AV" 'koi License# Home Improvement Contractor# Worker's Comp&nsation # t NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Pro'e t Cost Dd .�� Fee U• OQ SIGNATURE DATE G I BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) PERM T� FOR OFFICIAL USE ONLY PERMIT NO. �s000- DATE ISSUED MAP/PARCEL NO. f0.9 • 016 A ADDRESS /� VILLAGE LiC�1GrC./ OWNER L DATE OF'INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT (ol 30/9 s- 4A ASSOCIATION PLAN NO. r 11;02'94 17:02' V6177277122 DEPT IND ACCID Iz00: dy_ Co�32�noczcupa ll. o WalJacli..tcsettj ' aUoPartirteitt o�.,9,t�tria[../�►ccident! 600 VVa4myton.S'tm+ t //�� ton., M acmwsth 02f 11 James J.Campbell Uoa a� - Commissioner S Workers' Compensation Insurance Affidavit bi with a principal place of business at: (c�cyis�zfa� do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. insurance Company Policy Number I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number l am a homeowner performing all the work myself. I t:�derstand t at.--copy of this sltement will be fo-e.zrded to the Office of invesdl;ations of the DIA for coverage verification and that failure to secure cove-age:s rec ;.ed under Section 25A of MGL 152 can lead co the imposition of criminal penalties eonsistine of 2 fine of up to s 1,500.00 and/or en= years' impri<onrnent:ts well as civil penalties in the for:of a STOP WORK O DER and a fine of S 100.00 a day against me. S' ed this / 1 day of 19 Ci Licensee/Permittee Building Department Licensing Board Select hens Office Health Deparunent TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 T-nL77,T Or RADNTQTART r PUTT TITMr 1317PMTT # - - . + Applicaddri-Ad' 9 7 pMEGM�E QT • V O°r Old Kings Highway Regional Historic District Committee . G. in the Town of Barnstable for a CERTIFICATION OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo- graphs accompanying this application. TYPE OR PRINT LEGIBLY c DATE ADDRESS OF PROPOSED WORK �� - U A J� ASSESSORS MAP NO. I nq OWNER -� ROOK 5 Van � �` ASSESSORS LOT NO. (o HOME ADDRESS 5 �el� A2 S� �LV A61r. TEL. NO.50k 3C, AGENT OR CONTRACTOR 5 e-1 F' ADDRESS TEL. NO. This application is for exemption of proposed exterior construction on the ground that: (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved,show- ing location of existing building. i,� 1'1�( \ lot �. od ^�-a•r- � W`^�idZ.o-A o� �.�in-ea..�u�+-C�-�a�il.S %aIt y s x L" L' D SIGNE Space below line for Committee use. Owner-Contractor-Ag nt Rec'eived,bly==Hr`D_.C. '---',The Certificate is hereby �e � 9 Date Timei tPBARNS QL�7 kilG'S MG; �AVE By Date Approved The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. i LOT 67 25•00 o` � 2 w :.#515 DECK I R t1� � o w �- LOT 66 o 00' 0 LOT 72A LOT 65 o RES. ZONE.- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Onl TOWN: WEST RAENSTABLE _ - REGISTRY OWNER: RICHARD BURCHILL DEED REF: �B�/s� _ _ -BUYER: _'ILL1AM�RO�S�ITZL — DATE: �9�5_ PLAN REF: 301 99_ _SCALE:1"= 40---FT. I HEREBY CERTIFY TO B4tYBBQ2TQIY MOBTIA�GE_ L THAT THE BUILDING ��1a�H �f YANKEE SURVEY SHOWN ON .THIS PLAN IS LOCATED ON THE GROUND AS o EAU! yam. CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ __ CONFORM A. TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERM J W y 40B INDUSTRY ROAD TOWN OF _ BARNSTAE& -________ -_AND THAT $o NO p� MARSTONS MILTS, MA O2648 IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD '�ss�OEGtSTE��s��`' TEL 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED 6/�/_8B_ NqI LAND FAX 420-5553. Co unity-Panel 250001-0015-C 0-04 THIS PLAN NOT MADE FROM AN INSTRUMENT 16638 GGM P L A MERI EW, SURVEY, NOT TO BE USED FOR FENCES, ETC. -1 Q Y N T U. aio� I W � D LU i 0 3 �J O 00 0 0 . D i . t c� r i i� { i f { `t J i f _ � Jf ' 1 1 •J � '•R f Ko L 3 0 PD _ � o o� Q 1` �s i i c p ......-......... ----------- --- s r V The Town of Barnstable • a►RrrsrnsrE • " peg Department of Health Safety and Environmental Services tt659.t9� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date 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: Est. Cost ±5 O Address of Work: Owner.Name: Date of Permit Application: O f— ` 1 I hereby certifv 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 hcrcby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR ' U6 Date Owner's name • TOWN OF BARNSTABLE ` BUILDING DEPARTMENT HOMEOWNER LICENSE .EXEMPTION Please print. . :. ...- DATE JOB. LOCATION S 1 S C n S t' AA wJ Number Street address Section of town "HOMEOWNER" W , S _ Name Home phone Work phone . — PRESENT MAILING ADDRESS Uj 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 such homeowners to engage an in- dividual for hire who does not- possess a license, provided that the owner acts as supervisor. DEFINITION OF. HOMEOWNER: Person(s)- who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwellinres. g, 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 Officia on a form acCaptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes :responsibility for compliance with the Sta Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will compl with s id procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. iA HOME OWNER'S EXEMPTION The codde'`state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section - (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such ..Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of �a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home ""wrier,' actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. a To pa bete Time WHILE YOU WERE OUT M 7 of w5 /S Phone 3 Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL mess age C� 47l: /cs Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400SETS CARBONLESS Assessor's map and lot number ...................................... G OF'rNE to Sewage Permit number ....... .`........... ..(*...l.r..:................ d SEPTIC SYSTEM MUS House number ..................... -1. r eaasTSI1LE, .......................................... IIIISTALLED IN COMPLIA. 039. WITH TITLE J �0 Mix a TOWN OF BARNWmacrig CODE AND TOWN REGULATIONS =1 BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO .�,-lT!'f °T!4'UC.Z . .l Y.2 '" '),//. . ........... s'.............. ............... ... TYPE OF CONSTRUCTION .......woo` .......... .............................. .......... ..... ........ . ... ................................... ............ 3�.....................19..74 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L.+tffr.4...........#.. S.1.S........Ce.f. G,.Q_......5 flee .......�...... ..t...... .................... cc Proposed Use' ...�?/.Rl�./L.......� <oc .......................................................................................................................... f � 46aj H'4,�.n. -7 .......................Fire District .................................................................... Zoning District ... ./.....'.... Name of Owner ... ! ...t�/`t.�?.�s ............................AddressP4 F-'. ., z7 S:v .....�........ . .......... Name of Builder .... � .........................Address .....................�..... ...........u............................................... Nameof Architect ........M.. ......................................................Address .................................................................................... Numberof Rooms .......1.........................................................Foundation ......... .....x.3�................................................ Exterior . 7 . a(.!!t-5/es......Roofing ..........�s$ ................................................. Floors .......'Pill.. •.•............. .Interior ............... �U ..�,!r~i .t.... .. r /aa-'�!*... ................. . Heating ....: /..�L................. 1�.........��a �..................Plurnbing do. . .......... ..........:....... ......................................... ...........i6....... ........... Fireplace .... .. ..................................Approximate Cost �.®�� Definitive Plan Approved by Planning Board.-----------_______-----------19_______. Area ....... ..ad� ............... Diagram of Lot and Building with Dimensions Fee� ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 32 r � '(� ._- K4— G. i ti I hereby agree to conform to all the Rules and Regulations of the Town of ` Barns ardiWtve construction. ..... .a ..Name .. . .... . . ............... ............ Babson, L & W 11 21603 1 1/2 story -o ................. Permit for .................................... single family dwelling i ............................................................................... lot #6-6 Cedar . - -- Location ............................515......................St.............. - West Barnstable r ` L. & W. Babson Owner .................................................................. frame Type of Construction .......................................... ! •f ...................................... l .r �✓ T _ - '+' /�; ' Plot ............................ Lot ...........#66.............. Permit Granted ...............................August 30 : 19 79 - r ....... T . Date of Inspection / + J ..��... :�.19 • i 1 Date Completed , ; P IT REFUSED ............ .. ... 9 f t .. ,C.a .... `,. :: ......................... , ................ ' .......................................... ' C13 Approved�....... . ....................... 19 . �........ .. .�. IE .p ` N, fwn 41 is _ �.�:i :� =•L�-' ,ill, ® - �� � ..i'i• � it. ice= 1� Inlill ' - - Air- 1"1111'1,11'� �(t fit. .; >�1 SP os q L S Y 9 i r,►, A-v Q . ... . S IrE PcA C � DA2 ST. n1 s' 6 S A QD VA 57 f H Ft u.FL -67 F oo'o 1,1000 CAL $ 7.y , N I c rAua 14 30 RrsF„v� N vt r\„J n 3(, Do D ��PN OF�ygs�q g HARR L N ) ,o D.26575 p / UI �p.CFG/STEqL���k/ FSS�DNAI C> 5/JGt-E rAAlILj 01.jeL 1� I+-J tr '413 J3DR--�SJ . lV o GAA36G tr (D) TPDS�I Oil )L.4 T-L o = l a x 3 = 3 3 D ts-,� CL 3.3 o G•� n- X l-5 ti �{•95- � J{tS- 0 0 vo o L. 1R>✓tt O,.SPa3 �ti rD sr 63y: �c , Zto€? } �-' STo Pl�►s LAN?rfly AsgDc. LAs� la' of= sANo x PP f-FPCT)V LZ _ 7 12- CAPr ),4 7 o?Al. CJ1P � , ti7DGG-W. TOWN OF BARNSTABLE Permit No. _ 21603 e Building Inspector cash _ OCCUPANCY PERMIT Bond _ x __ "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." Issued to L. & W. Babson Address Box 753, Sandwich, MA lot #66 515 Cedar Street, West Barnstable Wiring Inspector Inspection date Plumbing Easpecto Inspection date Gas Inspector ;& Inspection date Co Der— /Engineering Department Inspection date ' THIS PERMIT WILINdT4E VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ................... G _, 19.1Z�— .......... ... ... ..... ... .__ P BuildingInspector • 'w 'G TOWN OF BARNSTABLE Permit No. Building Inspector f gas& Cash °""Y► 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." Issued to 1 • + Address 753; Wiring Inspector r G/r ;/ T Inspection date Plumbing Inspector `���,,-c� t r�` / Inspection date' Gas Inspector .-�' •— i4 , " Inspection date 7 1q `-' / f ,,'Engineering Department , •'•' � �' ,r' 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. .............................� _�. .._, 19.......... ...............!+..........Building Inspector __ FROM F TOWN OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahteine 367 MAIN STREET Town Clerk HYANNIS, MA 02601 Phone: 775-1120 L J. SUBJECT: FOLD HERE , DATE -Nov. 20 1980 MESSAGE Work has been completed on Permit #21603 (L.' & W. Babson) . Please release Bond. SIGNS Nwa\[-S DATE REPLY SIGNED N57-RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY I PRINTED IN U.S.A. • _ ! TO ...� - TOWN OF BARNSTABLE Xj BUILDING DEPAR' MEMT . Mr. Francis Laht*nd �- _ 367 MAIN ST41!EU Town Clerk WYANNIS, MA 02601, Phone: 775-1120 SUBJECT: FOLD HERE DATE W«« Nov. 20, 1980 , ,M ES,$.A G E hTork has rbeen completed-on Permit #21603, (L. & W. bson) Please release Bond. y ! � SIGNED j ff lJ�f DATE,j; _.�.u--_ - ! __ .-.- -•• _ y. - ..... .. --ry. .. .I y ,4, REPLY 'u , .j +yam N. ♦�44�h w.. •. - � . . � � (� ..e F '#.� SIGNED _ y 'l` *i-�. 4 7 " ��• 77 Ne7-RMt' RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. f r, ,PERMIT PAYMENT RECEIPT "TOWN OF BARNSTABLE BUILDING DEPARTMENT - 200 MAIN STREET HYANNIS, MA 02601 DATE: 10/12/10 TIME: 15:47 -----------------TOTALS----------------- PERMIT $ PAID 50.00 �AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 ,APPLICATION NUMBER: 201005156 PAYMENT METH: CHECK PAYMENT REF: 1608 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' a Parcel o Application # �� Health Division Date Issued Conservation Division ` >' Application Fee10 Planning Dept. °P e Date Definitive Plan Approved by Planning Board =r Historic - OKH Preservation/ Hyannis �' z� �/ S -7 0 Project Street Address S G CPA jz Village Owner LZ Address 9 B S- C&DA&' S T, Telephone C Permit Request D l Z AP ll�J� vv rrN tit) raaTOP 0l:::� e /xlr Lr �5 Square feet: 1st floor: existing 4168 pro ed floor: existingq4' proposed 909 Total new loo Zoning District Flood PI in d Groundwater Overlay P d _ Project Valuation 60 C)O 2) C t t Type W 60D l f2_11q &E Lot Size randfathered: ❑Yes L?lo If yes, attach supporting documentation. Dwelling Type: Single Family. : illivo Family ❑ Multi-Family(# units) Age of Existing Structure 4LZ V& Historic House: ❑Yes Qf�o On Old King's Highway: ❑Yes VNo Basement Type: W(FUI1 ❑ Cr 1 ❑Walkout ❑ Other Basement Finished Area(sq.ft. V Basement Unfinished Area (sq.ft) ��_ Number of Baths: Full: e ' ting new U 6 06 Half: existing 06PIS new 104)6 Number of Bedrooms- 2- existing O new Total Room Count (not including baths): existing 46 new First Floor Room Count Heat Type and Fuel: M(Gas ❑ Oil ❑ Electric ❑Other o Central Air: ❑Yes YNo Fireplaces: Existing New Existing wood/coal stye: �'es ❑ No 0 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existinjE�u rI size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: s i Zonipg Board of Appeals Authorization ❑ Appeal # Recorded ❑ CD Commercial ❑Yes ¢`No If yes, site plan review# m r Current Use P?I,, IJt���Ll��" Proposed Use TW6 APPLICANT INFORMATION ' .(BUILDER OR HOMEOWNER) ." Name � M Number Address S u;- .C4 D/sfi_, ---,;7P J License # t�1 haw ��/'� �/� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �1,?h -d - .` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED.- NAP/PARCEL NO.,, ADDRESSILLAGE OWNER �} DATE OF INSPECTION: FOUNDATION"l: FRAME I _ INSULATIOK.:i FIREPLACE ELECTRICAL: ROUGH FINAL` PLUMBING: ROUGH FINAL . ' GAS: . `,�:`� ROUGHsd FINAL 6FINAL ,DATE CLOSED;OUT ASSOCIATION PLAN NO. I UA TOWN OF BARNSTABLE OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE STATEMENT OF UNDERSTANDING As property owner/contractor/agent for the construction at: No. Street Village Map Parcel no. 1(-)6-1 d Only minor changes may be approved by the Committee without a new application and a hearing. Minor changes include things like moving a single window or door or a minor change of color. All changes by amendment require the Committee's written approval. A request for change must be submitted to the Committee in writing. Approval must be obtained before incorporating the change into the project.' For more than one revision to approved plans, a new application for a Certificate of Appropriateness must be applied for. Failure to comply with approved plans may result in the Building Department issuing a stop work order or denying an Occupancy Permit. I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS. I l t I Signed: 1:tJ J Date Owner/Contractor/Agent Signed. { Ch 0 d King's Hi ay { "C�- C-0ocuments and SettingsldecolliklLocal Settings I Temporary Internet FilesIOLK110KHStatement of Understanding 07.doc of sHe roomy 27 P^ •1 o Barnstable Md Kings Highway Historic District Committee 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 • B.VIHSTABL.E- M.LSS y�p i679. 4`0m Jf0µT` APPLf CATION, CERTfFICATE Off' APPROPRIATENESS Application is hereby made;w th•foiir(4)complete sets;for the''ssuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New VAddition ❑ Alteration 2. Type of Buildin. : 10House ❑ Garage/bam ❑ Stied ❑ Commercial ❑ Other 3. Exterior Painting, roof lfa new roof ❑ color/material change, of trim, siding, window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: W- 1 10 Address of proposed-work: House# Street:GC-06p, Village "8&4)�Y�Assessors Map Lot# I o l v Description of Proposed Work: Give particulars of work to be done: 2 XJ 6)<6a or/246" 00 J 5 S[�_�1�P DUS6 (QLe-::P o�Q�LI t aC= EJ�15T Agent or Contractor(print): e�1 Telephoner#:: Address: Contractor/Agent' signature: (,f .QlL '? NOTE All applications must be sign�e7d b 11 curr, f o>vner Owner(print): C�GLL Y1� 1SI� � Telephone#: (Snd 17 /6— flan) Owners mailing address: [�d�l�'71�i Owner's signature: (111 For committee use only. This Certificate is here A-PPRO _ ?Date Members signatures D @ d I JUL 1 S Any itions o a al: TOWN OF BARNSTABLE APPROVER—� - HISTORIC PRES AUG 1 1 2OIO � Town of Barnstable Committee 1 Q:IGMD-Groups!O(d Kings HighwaylOKH New ApaIOKH Cerr Approprio,cness 07.doc Town of Barnstable Old King's Highway Regional historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18" exposed) (material -brick/cement, other) Siding Type, J 4 I 0(7 fZ material: we`d L 7- Q,CLJ a417) Color: IV d L Chimney Material: p-' Color: Roof Material:. (make & style) or: T(ZI t7-040D Trim material Color: &JH17e Roof Pitch:'(7/12 minimum) Window: (make/model) 54/2j6$ -ydd material�,e> gNr< Ie4Aolor WfiJ7`e- Size(s)! /oy W�N t.� - 7 2k � Doitl3,66 1V1jNlr Door style and make: VJ D material Color: Garage Door, Style 'JU OV-6 Size Material Color Shutter Type/Material:. Color'. ` Gutter Type/Material: Color: W N 1 rjj Decks: material Size. . Color: Skylight, type/make/modeU: �1l�N� materials : Sign size: d06 Type/Materials: Color.: UU JUL is 2010 Fence Type(Max 6' ) Style .0e)N6 material: Color: Retaining wall: Material: 8�4t, TOWN OF BARNSTABLE ORIC PRESERVATION Lighting; freestanding YJQ W bj on building - D}J illuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows rage door, ®rs, a fences, laihp posts etc APM� ADDITIONAL INFORMATION: AlIG112.0100-TV Town of Barnstable way [�n'mmittaa Signed: (plan preparer) print name Gcl6LG//4f'►'r f� li/Vf tel.no.(�?�dr �(��dD+� 'Location of application: Street no: Street C R. g f u . %�(,QI?��&A,�� M. VillageJCZ 2 o Assess / a is map and lot numbertot �TNE '�'a� .......:.........'.... ..... ..... G /G7 � oTo n Sewage. Permit number ....... s......................................... d ....� ( ......................................... 1i B8 MABTa LE, House number .........:....... �........ r Apo,t639. ♦0 �E0 MO a\ . TOWN "OF BARN-STABLE 1 I BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....4-.!?? r: Z" u� �/ ' Oe-` i............ ............................. TYPE OF CONSTRUCTION ........l OOo�`...�e'o `:N.' ................................... J........................................1.... .3v ............ ...........................19..�y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a.permit according to the following information: L off' • , Location ( ...5 A.:`............�:2 r� r�. .......J j• ,!�t...........": C. Q n �� r1 �: P ProposedUse .. /'v, G /T" f •-e!d!/.� ....................................................................................................................:...... Zoning District .. i <kJ�tiT,,S„T'A.'1. ........................Fire District .............................................................. . ,(� i4.� hsa�' P,6, 2s.3 ' �i,-•x..�vrcGJ . 4W h Name of Owner Address Name ofrfiBuilder `F-U.) � ,C J. 'Q .........................Address . . ... ....... .......:........... "............ ......... !............. Name of Architect .0 a Address.........:........................................................................... Number of Rooms ......7.......................................................Fouridation .....F......... ................................................. /T C f� !.✓��..... .......Roofin «..1i ...Exterior ...v g ........................................................... ... ✓1 n .Interior l�lU ,C,> i. `..- r)Ia.4 �P Floors /.:R......:........:...:..... .,........................................ ............................... Heating >�U ��. ............•......Plumbing _ `.� .. .. !�.` ............... .............................. ........ . .. �.`. .... 00 Fireplace ..)Are.................................................................Approximate Cost ....�.yi.,�i. ................................ Definitive Plan Approved by Planning Board ---------------___-----------19 .: Area. .......................................... Diagram of Lot and Building with Dimensions Fee r ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i i-J �aV J " 1 � � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Name ..;u ::.� " ....... ".................................................. Babbou'. L & W !A=109-62 , \ ' \ ' 21603 l I/2 story ' No ................. Permit for ---..=-------. ' single family dwelling --------------------------' 515 Cedar Street _ Location ------------.--------.. _ West Barnstable ----'---------------------- ' . . L. & W. Babson . Owner ' ` frame `,- of Construction � � ' ^ nv/ August 30 ` ` ~ ' - Permit ` uo/e of / ^ uo,� . . PERMIT FUSED ` . ' ' o | i '.l� .----� ' ' ......................... � ................ ' -.. ---./..�' ..~---. lA Approved� — ' 7— ' ' � 'r—''---^--------^—'—`------- � ' - . / --------------.------.~..—.-- / / | � '