HomeMy WebLinkAbout0151 BISHOPS TERRACE �� �/��� 4�������_
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4 Engirikering Dept.(3rd floor) Map _a S', Parcel off® O 1�4ermit#
House# /cal P_ii Date Issued
Board of Health(3rd floor)(8:15 2 9:30/1:00-4:30) - Fee ' s—
Conservation Office(4th floor)(8:30- 9,30/1:00 2:00)
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Planning Dept.( t floor/School Admin. Bldg.) THE r
Definitive Pla oved b Planning Board 19
Y g BARNSTABLE,
MASS..
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rF0 MAC�
TOWN OYBARNSTABLE,
Building Permit Application r
Projec tAddre s S� tbia s nArF C ,0 te �Z
Village k& 1
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Owner ; lqf" r; Va "A 1 tv 1 Address 146 6 Sov t q STrx e
Telephone ° So'F- - 2 i `2.;L a
Permit Request P-E fLo-jr A SA;,ca,116 r rL�a S-L 11��of
First Floor 00 square feet Second Floor ,4 square feet
q q
Construction Type Cti y v
Estimated Project Cost $ 600. C.,
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
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: JZjFull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) —'0 Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing B New Half: Existing New
No. of Bedrooms: Existing 3 New /
Total Room Count(not including baths): Existing New First Floor Room Count S
Heat Type and Fuel: >Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes o
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 13 n.��A) G� �A n Telephone Number SU �L 2—
Address ;L QZ L,A,;,J Q XQ License# S 1 1
►ti».v.s C�.� M�� Home Improvement Contractor#
Worker's Compensation# U J 1 O 3 o it 3
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 W •s' d3 t
SIGNATURE ,� ], DATE l 31 ✓
BUILpING PERMIT DENIED FORT E_FOLLO IN�EASON(S)
FOR OFFICIAL USE ONLY ,
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PERMIT NO. µ E
DATE ISSUED
MAP/PARCEL NO.
ADDRESS i VILLAGE
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OWNER
DATE OF INSPECTION:,
FOUNDATION
FRAME
INSULATION
FIREPLACE r _
ELECTRICAL: ROUGH ' - FINAL r -
PLUMBING: ROUGH FINAL
ROUGH FINAL
GAS: -
.
FINAL BUILDING 3 a7)
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1 Y S
DATE CLOSED OUT
1
ASSOCIATION PLAN NO.
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`'�;' �'d'. ✓�e _%�o-�»n�aa�uoea,�l1. c�_:���d.tac�u:�ell�
OEPARTNENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
Number Expires:
Restricted To BB
�-;�ytd�,/BRIAN D"'NARRISON
12 LELAND ROAD
� .. BREWSTER, NA e2631
F.
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The ®wn of Barnstable
.�
eg1 Department of genith Safety and Environmental e3-ylces
a�f BuIlding Division
367 Main Strom Hyannis MA a2601
Rauh Gee
Office: 503--,90-62?7 ` Building CJ.
Fax: 509►90-6=0
For office use only
Permit no.
Date . AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
t SUPPLEMBNP TO PERMIT APPLICATION
MGL a I4Z.3 requires that the "reconstruction, :iterations, renovation, repair, atoderni=tion.
conversion, improvement, retuovai, demolition, or cmistruction of an addition to any pre-existing
ining at least one but not more than four dwelling Waits ar to
owner occupied building conta
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements
Type of Work:
P'e TLO a!=-I to Est Cost G /0 _ e-
Address of Work:
`-ri -y t t ti vV r
Owner's Nurse �`"'
Dace of Permit ;application:_� L-) S i_
I hereby certify that:
Registration is not required for the following resson(s):
Work excluded by Iaw
_Job under 51,000.
Building not owner-occupied
Owner puffing own permit
Notice is hereby given that: M E
OWNERS PULLING THEIR OWN PERMIT OR DEALING WTTH UNREG
CONTRACTORS FOR APPLIG,B HOME IMPUROvEMENT WORK DO A AND UNDER MGLo I4Z.� �
ACCESS TO THE ARBITRATION PROGRAM OR G
SIG,IED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Cintractor Name tratioa No.
Date
T11 t' C11111111 U1111'C11 11 U 1ISSQL' 11I.ti C11.S
Departlllcl1t of lndzurrial Accidents
011i=0111Y=19atlons
6XI tf asliingt!»1 Strcer
,•4: �.���� � +�. Bltstulr..'1l/lss: 031.11
Workcrs' Compensation Insurance ARdavit
ilililirint inforniatinn —� Plc•tse 1'R(NTiiiv
ieb;
rn I�G.tli�l S r l d•r f N, avt 1
Inc^•inn• is- c,P 'r Ta rvr
city• /{i 1 )'1J-nJ!Ju 1 S t` "hoot
I am a homeowner performing all work myself.
I am a sole proprietor and have no one workings in any capacity
' .•.. .�..�r_•_��.I�.��_...__���'1M.�.�.7'.�.R]ww.wr•.�'T�aT •
I am an empiover providing workers• compensation for m% employees working on this job.
rn m w-i n-' n t m c t L Ir,nr l`'V ry c tq V VS w ,
addrrcc• 1 L-t b
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in-mrnnrrrn �N lI �ys (�� Ev l�hUy� jf�.Jl`l, nolicr0
i am a soic proprietor. -eneral contractor, or homeowner(circle one) and have hired the contractors listed below whc
the tollOwin^ workers' compensation polices:
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cite• "hone a•
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...� � .. � _�_. �•":•r'.._ _ _ _ram`.-��Z�T..r_-..�..•i: + _ .rt* - ��`• ___.
cmm��n� n:trnr.
nfldrrcc-
rite "hone 0•
in-mr^nre rn neltc�'
1tI1[h 9dditionai sheet if nCCMIM i e' ari. •• ��r - •r - -_ ��•L•••••�•�•_•••v: "��`��
F:niurc to secure cnrcrat:c as required under-ectton LSA of A7GL 152 ran lead to the imposition of erimmai penaities of a line up io 51au.uu anuiu.
une 1 cars' impnsnnment as I+cil as cicii penalties in the form of a STOP NVORI:ORDER and a fine of SIn0.00 a da}•against me. I understand that
cop} of thin.t.itcmcw ma% be fury arded to ttte Office of Im•estic2tions of the D1A fur coverage verification.
i do hercnr cerrift•uatier the pains and penalties of perjun•that the information provided above is true and correer.
cicnatur.
P;irt:,amc >LIOR
�t' rt,(L,1 f�tJ Phone#
(�
' ��tTiciai�sc only du nut +•rite in tltix area to be compacted b)•cat)•or tot+•"otTiciai '` •
° city or tn++n: permit/license>3 r"ttluildin,Department
OLiccnsintt Board
_ check if immediate respunse is required [:Selectmen's Ufrcc R•
Ctticaith Department '
contact ncrstin:
phone 9• r-Uthcr
Information and Instructions _
Massac!iusc,:s Gene::il Lzws ciiapicr 152 section 25 requires all employers to pmvide warkers' cnmprns:,ticm
emnlmvees. As quoted i�om the "fati�".an ejjzplurer is defined as ever}, person in the scn•icc of :uiothcr once-
coronet of hire. =press or implied. oral or Nvrincn.
An einpiorcr is dciincd as an individual. partnership. association. corporation or other ie-ai entity. or any two n-
the !urcuoiti`_ cn_n_cd in a joint enterprise. and inc'udin_- the le'=- i representatives of a deccscd employe:. or
rec.-n-e.r or uilstce of an individual . Partnership. association or other legal mitity, employing employees. Ho«e•.-c
rn+nc- oaf,a dwcllin;: house haying not more than three apartments and who resider therein. or the occ::nant of ate
d��c!lir:�, house of::natIler��•ho emplovs persons to do maintenance ,construction or repair work
on siICii d��ei!ii:_
or on the __rounds or buildirlL appurtenant thereto shall not because of such employment be deemed to be an e^
MOIL ai;inicr '5= section -5 also states that cl-cn• state or local licensing agency shall withhold the issu nnce o:
of a license or permit to operte a business or to construct buildings in the commonivezith for uny
u.nt who lens not Produced :lcccPtable evidence of compliance with file insurnncc coverge required.
.AC.- Cnaily. :icitiler the commonwealth nor any of its political subdivisions shall enter into any contract for:he
pc-:1)rnic::cc of public work umil acceptable evidence of compliance with the insurance requirements of this
hcc:: arez:nicc to the contr-ctnly authority.
Appii=nts
('iccse :ill in :!ic workers' compensation affidavit completely, by checking the box that applies to your situa:io:1 :.:
suooi� i�c coir,zany :tames. address and phone numbers as all affidavitsmay be submitted to the Der rrnc^t of
n� ;riai aca:mac::ts poi confirmation of insurance c0\•emcee. Also be sure to sign and date the affidavit. 71te
a. it iioui, be -ctun:ec to the cin.ortown flint the appiication for the permit or license is being 2questec.
r :tic Jcoc- :;ie::t Jf !Ildustriai accidents. Sliould you have any questions re_zrdin- the "law"or if you are req ::
oC, wC.'lets' coinpe.:sa:ioit Policy. please ='I the Department at the number listed beio%%,.
Ciii• )r Fw ns
"e::�_ :7e -u-e ;!:a: :hc affida� it is coinpie:e and printed' !egibly. The Department has provided a spate zt the �+o.,:,,--
the ,.- gat it or ou to fill out in the e:•ent the Oftice of Investigations has to contact you re_arding die appiicnt. F
be _ : :o rill in file oe.^Tiiviicense number wilich will be used as a reference :lumber. The affidavits maybe return;
::e =c:.,,nie::: bN• innii or FAX unless other arran_ements have been made.
of'livesiiaations would like to thank you in adyancc for you cooperation and should you have any que_
co not !:e_==e :o _!ye us a c�ll.
i:e Decartm"ent s address. teieriione and fax -lumber.
The Commonwealth Of Massachusetts
Department of Industrial Accidents -
Office of Investigations
600 Washington Street
Boston, :Via. 02111
fa,. 1: (617, 'Z7-7749
"-=900 c�::. 406. -if, :or -
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il .�l��z;_'`sri77-��C 3Js �L�tiFl
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Town of Barnstable
P O� Expires 6 ntbnths from Issue dale
Regulatory Services FeeMASS
s679 161 Thomas F.Gellert Director
' ��0
Building Division
Tom Perry, Building Commissioner
200 Main Street,.Hyannis,MA 02601 -PRE .: .. "
Office: 508-862-4038
Fax: 508-790-6230 J U L 1 9 2.005
tA
EXPRESS_PERNIIT APPLICATION - RESIDENTIAL, ONLY
Not ValidrvitkoutRedXPresslmprint TOWN OF BARNS 1 LLC
:ap/parcel Number
'opertyAddress
�6b-N ;
]Residential Value of Work Minimum fee of•$25.00 for work under$6000.00
wner's Name&Address Aon` A�m6l
q\iAyin \ ,-�
. . 1
,ontractor_s_Name . W Q Telephone Number ��d�S �{0�,`8 to 'ol i �p
[ome Improvement Contractor License#(if applicable)
;onstruction Supervisor's License#(if applicable)
]Workmen's Compensation Insurance
Check one..
0 I am asole proprietor
❑ the Homeowner
Ef+I have Worker's Compensation Insurance
nsurance Company Name
Vorkman's Comp.Policy# b oZ l S
:opy of Insurance Compliance Certificate must be on fide.
?ermit Request(check box)
B-Ie-'roof(stripping old shingles) All construction debris will be taken toe5�� C
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
[] Replacement Windows. U Value (maximum.44)-
'where required: Issuance of this permit es not exempt compliance with other town department regulations,ix,Historic,Conservation,etc.
***Note: Prgobrty O er si Property Owner Letter of Permission.
vein tractors License is required.
Signature
QFonas:expmtrg
Revisc063004 �`
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Y` .. �;C:G �`�f"` � 1������. .`SLL..,•+ -. 9°t 2 ya'�-J3k Nd t
'9 vk F
,
35 Peep Ttia Rd.
v Cen#ery lle MA 02632
N (508) 420-6216
r cell phone 774-238-2938
PROPOSAL UB D TO: WORK PERFORMED AT:
`gym Barnstable Housing Authority
` { , x -:ATT.•David Hart I51 Bishop Terrace
146 South S#. Hyannis&M 02601
43 f
Hyannis MA 02601
ra ,
Cell phone 508-280-5702 E
We herby propose to furnish the materials and perform the labor necessary for the
f - completion of the following;
- 'New Roof }
- Remove 1 layer existing shingles
Install 8"drip edge
- An—stall ice &water shield at edge
Install 151b. felt paper
" Install Certainteed YVoodscape 30 Algae Resistant shingles `
= 1
Color of,choice( 1 ,,
R�lace plumbing boots
r
Cut ridge&install cobra vent
W Storm nail all shingles
f���� All debris cleaned daily .
Price includes material labor&dump fees
3
All material is guaranteed to be as specified, and above work to performed in
accordance with specifications submitted for above, and completed in a substantial
workmanlike manner for the sum of Three-Thousand Six-Hundred&Fifty
Dollars($3,650.00)with payments as follows;full amount due upon completion
r Any alteration(s)from above in in extra costs will be added under written
agreement, and become eactr c over and above signed estimate/agreement 3
�=
RESPECT`FU S
Signature 7-12-05 -�
ACCEPTANCE OF PROPOSAL £
The above prices specification& conditions are satisfactory,we herby accept � #
you are aut rized dot and pay m nts will be as specified above.
T
Signatures) �
Date:
r This pro oral may be withdrawn y said company if not accepted within 30 days
lowt/� c ,
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b '• r ems. � .
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Board of Building Regulatio S
HOME IROV and Standards -
EMENT CONT
RetFaftoi�_ 12 RACTOR
— 6480
a 006
j iidual
MARK
® MARK HERBST ;wl
35 PEEP TOAD ;rJ
RD'
CENT
ERVILLE,MA 02632 Eel
_ Administrator .
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