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HomeMy WebLinkAbout0075 BISHOPS TERRACE lZe o r) Map ZS I Parcel Permit y House# Date Issued h) Board of Health(3rd',floor)(8:15 =9:30/1:00-4 0) �v_ II 1�b 3 Fee* Conservation Office(4th floor)(8:30-9:30/1:00=2:001) ice, Planning Dept.(1st floor/School Admin. Bldg.) �• �tHe .. Definitive Plan Approved by Planning Boa d � 19 •- R �MASS. ARNSTABLE ` Building Permit Application ' 11,6 TALLED IN CoUpL1A C Project Street Address VWTH TITLE 6 Village TOWN REG Owner 14 }5 �. GHQ yti/L 5 Address .5/`f!'per ly e .Telephone ^Permit Request Z X y y 7 First Floor J to square feet Second Floor square feet Construction Type Estimated Project Cost $ 3f,.0 OQ, O.O -.Zoning District Flood Plain Water Protection Lot Size lIJ�O (o,y Grandfathered ❑Yes Iolo Dwelling Type: Single Family �1_ir Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes <O On Old King's Highway ❑Yes No;f 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__r_New First Floor Room Count Heat Type and Fuel: WrGas ❑Oil ❑Electric ❑Other d Z- ee/Z 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 UNo If yes, site plan review# Current Use Proposed Use _ P z Q e,,& r �4L Builder Information r Name&D,&! //I�jQO1/P,�1fG,Yl"' ,T/ ,��elephone Number __Address •�s�' License# O f O A% g 0Z•Gg9/ Home.Improvement Contractor s Worker's Compensation#W—=—44 DOZ 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 FORT FOLLOWING REASON(S) �} IV FOR OFFICIAL USE ONLY ► PERMIT NO. DATE ISSUED " °MAP/PARCEL NO. ADDRESS VILLAGE _ _OWNER -. - . " t � ' - :• • �- � • ` DATE OF INSPECTION: FOUNDATION A Fob O h l A//A FRAME t + INSULATION. f FIREPLACE ELECTRICAL:, ROUGH FINAL' _ • - PLUMBING: ROUGH , FINAL t ` GAS: ROUGH FINAL - 1 ''FINAL BUILDINGvn r- I DATE CLOSED OUT V : ' ASSOCIATION PLAN NO. t'3 s q t 115.00 MAP 251, PARCEL 20V 175 BISHOPS TERRACE 122 BARNSTABLE, MA q1. 37.23 1� TANK EX. , DWELLING o 0O LP EX. DEC 0 BH 37.37 PROPOSED. ti 24'x24' ADDI77ON c.n 0 oV 115.00 SEPTIC SYSTEM SHOWN IS DRAWN FROM AS-BUILT LOT AREA 15,065 SF ON FILE AT THE TOWN EX. DWELLING AREA 1156 SF HEALTH DEPARTMENT EX. LOT COVERAGE= 7.6Z PROP. LOT COVERAGE= 11.59 CERTIFIED PL 0 T PLAN CROWLEY RESIDENCE I CER77FY THAT THE IMPROVEMENTS SHOWN Uf #75 BISHOPS TERRACE �tN 'ass HAVE BEEN LOCATED WITH AN INSTRUMENT 3�P 9�y BARNSTABLE, MA DRAWN: Res ? DATE: NOV. 4, 2003 SURVEY ? ROBB ,. JOB I. E00476 kh SYKES -� SCALE 1 =30 No. 35418 N DWG. CPP EASTBOUND LAND SURVEYING, INC. P.O. BOX 442 ROBB SYKES, P.L . DATE FORESTDALE, MA 02644 508-477-4511 d,n+e r The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 509-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissions 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: '� r A'� G� Est.Cost d d 7 Q Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job`under SI,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 ` S The Commonwealth of Massachusetts ( a Department of Industrial Accidents Office 9fiflY9S f92Lf9as 600 Washington Street "~ Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: Gp wiPi ;_D l.��L r location: �� ,tl/fi�0/�.5 1'�AevR. � CiN phone O 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation formy employees working on this job. n compay name ��= ����0�1'i/�/ d�� 1��s��f address: ci /! // //i�'� nhone#:�Z —ar/�3/ insurance cu.Jassocv G�✓�//"L'A/ !/�,� poliev#L✓GGJ-001Z91 a/.zpV 2-- I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers'compensation polices: companyname• address.- city- phone# insuLancrsa poliev# comRanv name addeiisn cLh"' phone#• insitrance:co... poliev# Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains penalties of perjury that the information provided above is true and correct Signature Date Print name .(J�L7 /'! ��wGf7GI/l/ Phone# 641 CIrey do not write in this area to be completed by city or town official permit/license# —Building Department Licensing Board mediate response is required Selectmen's Office Health Department : phone#; r�Other (revised 3195 PIA) 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. t 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, oa 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,contrract`for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have r been presented to the contracting authority. 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 affdavit. The affidayit 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 evert the Office of Investigations has to contact you regarding the applicant. Please he 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. 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. RE `+ The Department's address, U5!(:;T)hC1,1:- and fax ::1': 1 hS 600 Washington Street Boston,Ma. 02111 l fax 4: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 R0�I � aria�rror�cuP,cc a�'✓�aasacluiselta - Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 101014 Expiration: 6/24104 Type: Private Corporation CAPE COD HOME IMPROVEMENT Itobert Macl-aughlin 25Iyanough Road Hyannis,MA 02601 Administrator � � �,'���v...��fLC �/O'I7vmo�r(A.ueIGUUi o�✓l�laQoCLCI'LI.tJP.�b '� BOARD OF BUILDING REGULATIONS c; s License: CONSTRUCTION SUPERVISOR y y , Number CS, 010350 i Birthdate 07/23/19,41 Expires 07/23/?r005 Tr.no: 13205 YL1, 1 - , Restricted 00 ROBERT A MACLAUGHLIN' } 25 HARVARD ST S YARMOUTH, MA 02664 Administrator k. i k' RESIDENTIAL BUILDING PERNHT FEES APPLICATION FEE New Buildings,Additions $50.00 ` Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0031= plus from below(if applicable) GARAGES (attached&detached) ��yy square feet x$32/sq.ft._ x.0031= /r ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) � Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Jj�IY( Permit Fee THETof, Town of Barnstable Regulatory Services BA LE, A$S..MAss. = Thomas F.Geiler,Director v $ i639' �� ArE%6yg.. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 4D C ev wez- 'Y as Owner of the subject property hereby authorize //yJ�O�p1/Z° �,�7- -$NgA4WJTSto act on my behalf, in all matters relative to work authorized by this building permit application for (address of job) Gow 450�v-ner ignatur Date Print Name 2W-2 7/8' 3040 Sao f — — — — — — — — — — I I I I � _ p ( i I I I N T GARAGE I 23'-1-X 23'-4" I I b - — — — — — — — — — — — ( I I I 1 I I l - - - - - -M - - - - - - -$ - 070 24-9 b I HOME IMPROVEMENT SPECIALISTS ED CROWLEY DRAWING: PAGE # 1 25 IYANOUGH ROAD HYANNIS, MA 02601 75 BISHOPS TERRACE FLOOR PLAN 508-775-2815 HYANNIS, MA. 02601 10/31/2003 9-=1 IC3 [C3 EC3 IM IC3 IC3 EM E3 EC31 HOME IMPROVEMENT SPECIALISTS ED CROWLEY DRAWING: PAGE # 2 25 IYANOiIGH ROAD HYANN[S, MA 02601 75 BISHOPS TERRACE FRONT 508-775-2815 HYANN[S, MA. 02601 ELEVATION 10131/2003 III IIIIIIIIIIIIITTTTT- Hill HOME IMPROVEMENT SPECIALISTS ED CROWLEY DRAWING: PAGE # 3 25 IYANOUGH ROAD HYANNIS, MA 02601 75 BISHOPS TERRACE END 508-775-2815 HYANNIS, MA. 02601 ELEVATION 10/31/2003 FIE 1111111111 1111111 11111111 IIIIIII. LU I F-RR HIM lillilill I I I I I I I I-ITTE I I I I I I HOME IMPROVEMENT SPECIALISTS ED CROWLEY DRAWING. PAGE # 4 25 IYANOUGH ROAD HYANNIS, MA 02601 75 BISHOPS TERRACE REAR 508-775-2815 HYANNIS, MA. 02601 ELEVATION 10/31/2003 Ca 2X10 RIDGE 2X8 RAFTERS @ 16"O.C.W/1/2" ' CDX PLY SHEATHING&ASPHALT ROOF SHINGLES 2X6 CEILING JOISTS @ 16"O.C. BRACED TO RAFTERS 2X4 KD STUDS @ 16"Q.C.W/1/2" CDX PLY SHEATHING&W.C. SHINGLES 24°-0" 8"POURED CONCRETE FRONST 4"CONCRETE SLAB PITCHED WALL ON 2'X I'CONTINUOUS TOWARD OVERHEAD DOOR FOOTINGS TO 48"BELOW GRADE HOME IMPROVEMENT SPECIALISTS ED CROWLEY DRAWING: PAGE # 5 . 25 IYANOUGH ROAD HYANNIS, MA 02601 75 BISHOPS TERRACE CROSS 508-775-2815 HYANNIS, MA. 02601 SECTION 10/31/2003