HomeMy WebLinkAbout0137 BAXTER ROAD TOWN of BARNSTABLE
CERTIFICATE OF OCCUPANCY1. `
PARCEL ID 310 060 GEOBASE ID 22630
ADDRESS 137 BAXTER ROAD PHONE is
Hyannis Z I P -- i
LOT 292 LC BLOCK LOT SIZE i ...:
DBA DEVELOPMENT DISTRICT HY
PERMIT 18754 DESCRIPTION (BUILDING PMT # 17034) I :
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety ,.,
ARCHITECTS: and Environmental Services '
TOTAL, FEES: I j '
BOND $.00 1ME r
CONSTRUCTION COSTS $.00
753 MISC. NOT CODED ELSEWHERE * j
MASS.
OWNER LEMAY, SHERRI A i6g9.
ADDRESS 137 BAXTER RD
HYANN I S MA BUILDIN UN� IW. .
BY
DATE ISSUED 10/23/1996 EXPIRATION DATE
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TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY I '
PARCEL ID 310 060 CEOBASE ID 22630
ADDRESS 137 BAXTER ROAD PHONE
Hyannis ZIP
LOT 292 LC BLOCK LOT SIZE _
DBA DEVELOPMENT" DISTRICT HY
PERMIT 13754 DESCRIPTION (BUILDING PMT it 17034)
PERMIT. TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY I ;
CONTRACTORS: Department of Health, Safety r,
ARCHITECTS:
I �;
and Environmental Services I .
TOTAL FEES:
BOND ,,00
CONSTRUCTION COSTS $.00 i `r
753 MISC. NOT CODED ELSEWHERE * BARN31'ABI.E, ► i f`' i
A
OWNER LEMAY, SHERRI. A 1639.
ADDRESS 137 BAXTER RD
HYANN I S BUILD�I�TG D V
BY r '
DATE ISSUED 10/23/1996 EXPIRATION DATE
. I
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- 4,;'^;,i.,
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR I ",•
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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. I ,
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED.ON-JOB AND I
WHERE APPLICABLE, SEPARATE y
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION
PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF.000U-
ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE
ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
,,,,PnQT THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 2 �.
I
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
I "
SITE PLAN REVIEW APPROVAL I a
OTHER: I •. ,>
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA I ' .
TION. NOTED ABOVE. TION. F
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TOWN OF BARNSTAME +:
BUILDING 'RMI*T*
PAiii;EL ID 310 060 GEOBASE ID 226'30 1 1
' ADDRESS 137 BAXTER ROAD PHONE
Hyannis LIP
LOT 292 LC BLOCK �```" LOGY' SIZE
DBA DEVELOPMENT DISTRICT HY
. PERMIT 17034 DESCRIPTION REPAIR DAMAGE FROM FIRE
F%ElUlIT TYPE BREMOD TITLE RESIDENTIAL AL`I'/CONY
CONTP. C11'0RS: LIIMATAINEN:, WILLIAM ' Department of�e Ith, Safeti
P.riCF:ITECT:,: and Environmenta ServicesV
TOTAL FEES: $62. 50 Im
BOND $.00 ...
CONSTRUCTION COSTS "' =0,000.00
434 RESID ADD/FlLT/CCONV 1 PRIVATE P Q EBARIV$1'ABLE.
OWNE,,n LEMAY, SH. ��RT A A.
><639. Ao
C7 C: ^
.:1..7 r
E`�L'i)F,F�__•.� 7 BAXTrR R,1
BUILDING DIVIS
HYAN N I S MA BY _
DATE rSSUED 08/05/19Ju EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERM NENTLY EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUA CE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND
FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SE ARATE
THIS CARD KEPT POSTED UNTIL FINAL INSPECTION
1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE INSPECTION
CTION PERMITS ARE REQUIRE' FOR
2.PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AN MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
I 4.FINAL INSPECTION BEFORE OCCUPANCY.
asIN I ,k M
BUILDING INSPECTI APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL-5
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2 2 Ca-Z 3'°r 2
3 1 HEATING INSPECTION APPROVALS A' GINEERING DEPARTMENT
2 C- 2 9 _.9 L" y, BOARD OF HEALTH
C. ,,
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTtON WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION: NOTED ABOVE. TION.
� Engineering Dept. (3rd floor) Map Parcel QG - Permit#
House# f 7 Date Issued
Board of Health,(3rd floor)(8:15 -9:30/1:00-4:30) -- C�6
.Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 5 (. ER��SET FRO RWM
M THE
VISION p.
Planning Dept.(1st floor/School Admin. Bldg.) CT'ION TO THE
Definit' e Pl Approved by Planning Board 19
R BARNSTABLE. `
TOWN OF BARNSTAELE
Building Permit Application
Pro reet Address
Village "�/�C� /
Owner V `i� C� Address
Telephone' 7 9 9- — O S-0,�_ CH- ) V,:;,10-1907
Permit Request 0 1 4e0 �'-h cc .n
First Floor square feet Second F1oQr square feet
Construction Type G
Estimated Project Cost $ ®, r1'11-0
Zoning District Flood Plain . Water Protection
04Lot Size Grandfathered Yes ❑No
Dwelling Type: Single Family 2J Two Family ❑ Multi-Family(#units)
Age of Existing Structure / 9 S.S- Historic House ❑Yes No On Old King's Highway ❑Yes 2J.No
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
No. of Bedrooms: Existing New
Total Room Count(not including baths):-Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name J/� �j/ Q n�/v Telephone Number 7 9 — ?3 0,3
Address�' ;J `��y� / (� � �� License# C?Df off
Home Improvement Contractor#
Worker's Compensation#
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 BE TAKEN TO
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
L D
FOR OFFICIAL USE ONLY
PERMIT NO. • .q_c>?
' r
DATE ISSUED
MAP/PARCEL NO. "
ADDRESS VILLAGE '
OWNER „
DATE OF INSPECTION:
i
FOUNDATION
FRAMED` 05! ~Y r
INSULATION
FIREPLACE
ELECTRICAL: ROUGH -FINAL
PLUMBING, ROUGH FINAL
GAS: Po; ROUGH FINAL
04,
FINAL BUILDING
DATE CLOSED OUT _
r`•
ASSOCIATION PLAN NO.
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A, {
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°: The Town ,of Barnstable
MAM Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 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: 46 s�S��1� '�"
i' Wma Est.Cost o� d 1 D 00
Address of Work: 132 �19-k ALd
Owner's Name LJ
Z42212:�Z
Date of Permit Application: CP
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
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 hereby apply for a permit as the agent of the owner.
Date Contractor Name Registration No.
OR.
Date. Owner's Name
_�. 40
The Contntotmealth llf Massachusetts
__ •«:l: :... y�r Department of Industrial Accidents
' �, ' i•a' 600 R ashinguin Street .
Barron.Ada=. 02111
�-' Workers' Compensation insurance Affidavit
— - -- --
I am a homeowner performing all work:myself.
I am a sole proprietor and have no one working in any capacity
1 am an employer providing workers' compensation for my employees working on this job.
semn•tm•name• -
atidres�• .
city phone#-.
insurance►o noliee#
I am a sole proprietor,general contractor, or homeowner(curie one)and have hired the contractors listed below who ha,
the following workers' compensation polices:
commnv n•tme• - -
address:
city- phone#! - - - -
insurnnce ce peiicr#
�•mm�anv name! - --
address:
city: phone#t
insur•tnce co neii #
:Attach addlilonal'sheet itoeeenary_..^�*�.:-..�^�- �"^'r —'r' - '- ","_' _'...rt � .,� _n7
Failure to secure coverare as required under Section 25A of h1GL 152 can lead to the imposition of crimtaal penaides of a fine up to SLS00.00 and/or
une years'imprisonment as well as civil penalties in the forts of a STOP NVORK ORDER and a fine of S100.00 a day ageing me. 1 understand that a
copy of this statement may be forwarded to the Otiice of lncestigatioas of the DIA for coverage verittndon.
I do heriebr certifj• der the pains and penalties ofperjur}•that the information prorided above is true and correct/
Sienature �����
Cl.7�GfG ate
Print name Phone# E-— 93 d
oiiiciat use oniv do not write in this area to be completed by city or town ofliciai
city or town: permit/licetue# RBuilding Department
pt.icetuing Board ►
(3 check if immediate response is required CSeleetmee's Orrice
_ 311calth Department
contact person:
phone IN -- Other
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 emplitme is defined as every person in the service of another under anv
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 fore_. Zn enga�- in a joint enterprise, and including the lei-al 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 dwelling_ 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 a
or oft the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that even,state or local licensing agency shall witlibold 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.
7-77
,.
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 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.
Cite or•rowns
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 Investiaations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
Tile Office ofInvesti=atioils would like to thank you in advance for you cooperation and should you'have any questions,
please do not hesitate to aive.us a call.
Tile Department's address. telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 N\'ashington Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone 4: (617) 727-4900 ext. 406, 409 or 375
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