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Home My WebLink About0080 BETTY'S POND ROAD 'ca n('� rG i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map t Parcel D Permit If Health Division F Date Issued 1- 2,ff—d Conservation Division oy -a►se S:t Fee Tax Collector�- '' J , Treasur Planning Dept:.. .......... Date Definitive Plan Approved by Planning Board -- Historic-OKH N 1A Preservation/Ryan is Project Street Address Village Owner �r �f��L' v Address/,0101 _ Telephony;3 55/ 7'7 �� 1� /d .h3� . .�I/.l,�Ji1�Gf- DAD , Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes Cl 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 ❑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: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing Cl new size Pool:❑existing ❑new size Barn:❑existing Cl 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 BUILDER INFORMATION Name 6 s�•r/s`.�ar��i�,!/ J/1/Gs Telephone Number Address License# 4f24,e qky-_ Home Improvement Contractor# 4/Zl Worker's Compensation# ALL CONSTRUCTI N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO WE- C a-D SIGNATURE DATE /��t,� j i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS j VILLAGE OWNER DATE OF INSPECTION'S - ; FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH ;1 FINAL ✓ PLUMBING: ROUGH FINAL L GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED_ OUT F ASSOCIATION PLAN NO. , a r Commonwealth Electric Company 0 2421 Cranberry Highway I Wareham, Massachusetts Telephone ephone (508)291 0950 Novembert13, 2000 To Whom it May Conern: Please be advised that the service and meter at 80 Betty's Pond Road in Hyannis was removed on November 9, 2000. Sincerely, Karen Corr.iveau Customer Service Rep. 4 11/14/00 16:23 BARNSTABLE WATER CO. 002 arnstahle 1�r tt__> 47 Old Yarmouth Road F E K' P.O.Box 326 C U %I P A N 1 Hyarmw, MdsS:+c;Iru+atlti 0760� 032f; 5t38/775 0063 NOvr.MBER 15 , 2000 TOWN OF RARNGTAAT.F mu T T,h7 NG TNSrECTOR TOWN ITALL HYANNIS, MA 02601 XL' Water '"mr'v i crt4 05457 R0 Mt:IA-yc. Mond Ft().,d , Hyarlrn i to Dear Sir- : FIea&u be ddvi3N,9 that tho r117)oVe. Wilt(�7- Ar_rviCe ha? b?en S:llvt: off aricl th, meli�r removed from .the, hnii-qe At the repueat _ of th.r nwnr..r as 'tlir building i .-# Lo lm- t.c)rn (1-wn and rNmnvr:d from the property. Sir, _rely, Gi-c-CIL _ nr. Morse, Clerk rTar'n-it.^ble Water Co. NOV-27-2000 MON 04:12 PM COLONIALGAS FAX NO, 508 760 7611 P. 02 Energy Delivery November 27, 2000 Mr. Dick Hopper Today Real Estate re: 80 Betty's Pond . Hyannis, MA 02601 To Whom It May Concern, This letter is to confirm that there are no underground natural gas facilities to the above referenced property. This was confirmed by our representative on November 27,2000. I can be reached directly at 508-760-7503 should there be any further questions. Sincerely, • Sally&Si/c4W&rIaIII Distribution Department The Commonwealth of Massachusetts Department of Industrial Accidents °= Office offaYestfsarfeos _ 600 Washington Street Boston,Mass 02111 Workers' Com ensation Insurance Affidavit name: , location city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one working m any achy ry , 1 rovidin workers' compensation for my employees working on this job.: I am an employer p g �mnanv name �""f t3 s ' i''E�A*i :::::.........::.::::::::... . :::::.. c;:ems.....:•.:.....::::.. ... ...................... ss :itddre , . { � ................. e�tv� th, .................. phone# i>isuranceco.. : _. D/ ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have workers' co ensation olives: the following w mp...................P....._............ :::::.._::::.....:::::::::::.:::::.:....::.:::.:::._:::::.:...:._:.::::::::._: :.;:::>:::>::>::>:>;: g :.:.:::::: ::: .:::.:::::::::.:...::::::::.::.:::::..:..::::::::::::..:.::.:::::::::::::::.::...:::.::::::::::.::...::::::.:::.::.:.:.::::::. ....:..... ............... ...:.::.:_.... {:is.... }Sri%?:Yi:iii5:?hiiYiiiiii:•'.-}}:i>:iJj:??ii?•i}::.:?:•}:ri4:?n:+•'?tii•}}y:yn}?:;iGi :....:..:....:..::...::..:::...................... ...... .::.......:.......:•::::-::.:...................... - 2. ....................................... ...... ter%ti�':::�:� rr:�:�r:� :%�::�:��5`•:::�t�S:�:�r:�i:�:�S:;i:r�: :�::3:::%�:..::::.:•::.....3:=:;�r:�?:�:�:�:%:i:�:::::;��:�: :�:�:::::`::�:�::::::::: ............. ................... ...:.................:•:::•::::::::::::::...••••:•:...................•• ............_:..:�::::niii.�i:v.. yy <1I'?<i:::::i:::i':?:-x_:.;;:.•:?::::c:+:;!;;;>::::i:::;i?.,,;:::..,::::::v:..::•.:..:::;:.a;:.:::.::....... h�n181tC�CQ�': .......................:........................ .................................................. Hn .ram bII`e ........................................................................................ ... ........:+:iii?:?isi''i:<•;ii:iji::: .................................................... ............................................................................. .............. gee to secure coverage as required under Section 25A of MGL 152 can had to the impositiem of criminal penalties of a Sae up to 51,500.00 and/or am yeas,imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statearat may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify pains aloes of perjury that the'infor►natien provided above is tru.and correecct Signature Date Print name �el� �� .� Phone# —51 T-- 77 r -------------------- official use only do not write in this area to be completed by city or town official epartment city or town: ermitilicense# ❑Ucemdng OBuilding DBoard i, Hired ❑Selectrnm's Office ❑checklf immediate response required ❑Health Department comae*person. Phone#; - ❑Ofher__. orvived 9/95 PW 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 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 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. ter Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and address and phone numbers along with a certificate of insurance as all affidavits may be supplying ft Department Accidents for confirmation of insurance coverage. Also be sure to sign and submitted ep of Industrial s '; 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 p ienmit/license nambei which will be used as a reference number. The affidavits may be returned to the Department bymail 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 Invesduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375