HomeMy WebLinkAbout0335 BISHOPS TERRACE .ems Ba/,� 7��•
� _ - ACTIVE
c
I
•�
i
'��
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 5 Parcel 1�78 {7yyppy��[ Permit#
Health Division 9 3�� �' / 0/�� Date Issued A-/
. �� � 1 � ,�
Conservation Division Fee7
/
Tax Collector ,,� iy, ..�..7119I Uf (A, Rio 6 2's -iliareal�<N Flo w
Treasurer /�IZ90 SEPTIC SYSTEM MUST
INSTALLED IN COMPLIANCE
Planning Dept. WITH TITLE'S
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL MENTAL.CODE AT,
TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address .-:2->3 J" T31sopy5 1C P4(� --
Village
Owner �,�N� �, 1�zEU,1 Address
Telephone
'Permit RequestIZ��� ID 2 x 1 -51r-�IIl
rA&W oc-uy, No eGerpn . , Nta AUtMf;1N(>
K)a P(7/2&
Square feet: 1st floor: existing proposed 160 2nd floor: existing proposed ® Total new lid Q
Valuation Zoning District _Flood Plain Groundwater Overlay
Construction Type S'" A �Y
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
J
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 \-A�(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes \-2�rNo
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 J <�L9
BUILDER INFORMATION
Name S,C- .MQ6 F�1�D C2Dmn� Telephone Number 598 31-25 ( 46D
Address k n o nt S ! -, Wa License# 0 70 99 3
1,1�� A ok J Home Improvement Contractor#
Worker's Compensation# _ rJ 5 CT 3
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Cori 5 f2FE7-
ars 6a0 (HAVE V (2-C)LLOER �Ut YY1 PST �25
SIGNATURE DATE 7 /S O l L I
}
FOR OFFICIAL USE ONLY
y
PERMIT'NO. -
DATE ISSUED
MAP/PARCEL NOS -- '
ADDRESS 'VILLAGE '
OWNER`S --
DATE OF INSPECTION; -
FOUNDATION
_ -
FRAME
INSULATION "
FIREPLACE
ELECTRICAL: ROUGH FINAL -
PLUMBING: ROUGH -FINAL
GAS: ROUGH -'FINAL A _
y FINAL BUILDING
DATE CLOSED OUT '
J
ASSOCIATION PLAN NO.
F
e:.
The Commonwealth of Massachusetts
N _ Department of Industrial Accidents
Office of/ayesaffatioos
r" 600 Washington Street
Boston,Mass. 02111
Workers'Com ensation Insurance Affidavit
name: 1� ��Ni� y,�.>;i �� IF—W r�7�
location S34� 13r_�ADPS ��
city �� 1`�� V1A b�� yhone#
❑ I am a homeowner performing ail work myself.
❑ I am a sole p7nelor and hEM
no one working in any ca acity
%% %/% %%/ %% �% %%/%%%%%/%%%/% /%�am an emplr providing s' Com1) sauon for my employees working on this job.
company dame: CkA--� t'") 1�[:)C�MC
address city N% `���.,r�, A 1� /`, 1.�`ram c:l phone
m
insurance co. olicv#
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensauon.polices:
company name-
address:
dfir phone#-
insurnnce ca. '
I nsu/rnnca/r////////ii/a///i//////a/,//////a//a/iii//o//////iaiii//io//�////a�a�/a///a/////i// / //i///,/l/m//G;.
...
company name:
address:
dtv phone#:
insurance co..
oiicv# . : ........ .... . ..
/��/ / //%/G�/%.
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or
one years'imprisonment as well 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 statement may be forwarded to the O e of Investigations of the DIA for coverage verification.
1 do herebv certify under t p allies of perjury that the information provided above is truo d co eat
Signature Date ��
Print name Q�, 1C AJ Li 2_.CQ(N 2 - Phone#
ofiltial use only do not write in this area to be completed by city or town official
city or town: permitNcetse rt _ ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑other_
(rrmw*95 P1A)
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.
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 along with a certificate of insurance 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.
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 peiaiit/license number which will be used as a reference'number. The affidavits may be returfiR io
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.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents ".
Office of Im O81398tlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
i
. iL►stvsrw�*�, .
The Town of Barnstable
ALUM �e� 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 Commissione
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: ,,AA rQ Est.Cost/, Q
Address of Work:3J ►
Owner's Name-
Date JC�1 ®� y i _e 1 A
Date of Permit Application:
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 PROGIRAM 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 Owners Name
PLAN 25306B, LOT 70
ASSESSORS 251-178
i5c3_29'
SHED
c 6 r
h Y , C-- / p
rj
s
ry Q
u � S° � TEPs �
f / Ex. WO r r p i
1. try E17.e xIn
rn r. . 5(Y
raWER s
N
i 152-4_'
a 1
f' y
i
-FISI MA
_ 4 '
PREPARED FOR �
I CERTIFY THAT .THE IMPROVEMENTS SHOWN ��y � ` sa}e . E a :i--
�,WC ,�#� f1- MARY JANE JAB US KIEVE
'HAVE 8E U LOCH T E� 8Y AN IP!S TRJM€NT SI PVEY. 9 :L
e
1 s s y_,� 7-19-01 SCALE: 1° =2S'
r: r
-/ tASTSOUND LAND SURVEYING, INC.
R088 SYKES, P.L.s. 41 MEETINGHOUSE LANE
F .y'k=. a.a 1,
SAGAMORE BEACH, IAA
XiE
• j�C39_Loc
58
END 63Gbrn 15!Z
• (�) lZ" D►A� �-t�°` �E�P '�`S'G� w�,aNUJt�YZS � d,
4 XL4 -Pas-cs w l c nLv ?\.bTEs
F6ac-iA
aLl
rA
L
,
LAYOUT 1"I.-ANIj WALL 5EC-1 I0I\!5MIM////-
cxls rn�I�13un un Iu
............
-- - ---------
JF iJ
(lvinY) S 51
o i ct
r -
to ---- ----- -- ----- --
�+I 11D10 Cilf)I::IJ/(L.I.(G)
,
Dbl ! ? -.....
I
h� J L_Ivl I3 L
r
^>.T a 131 }'✓/ L �-- � _—_ 5 ALUM.I'n111=1.I'Inf•IGI 1: t? )a z'.J
GONNCGI9101Vn1_L;iIUDS) $
1111)10 f-i 001'PL AN Jit.7b" £ `f 01:k001'1 nl ILI ri 1 r`3 '
;• ) (A'IAX) !,51.:.17 nl_LOWAULF I OA( st' , n,•
fn13LC I"OI I nIILI OIlls)
---
yt!,'`,')-t) , s-.I :} � � _ . I^III�IIIiII IP,I t31.01'L• I:1:3_._.._�` ;4 , I j, �..-rui ��l�r.
j 5I UDIO FKONT`N/\I_I_(13) (�' 1KA1.1 0M(OPTIONAL)
nli-QWARI. I,IV[_ LUnD T/11>I L I UI:_'16 I �f ll,t:_(1��I1I'I 12_f_(, 01 LL: ;!Pi�PI -- \Lul,l Lluuly ,I
00of,.C i`Wfl,wOIVI -
l0 bo f c)1 ',+>I )P I O I GI• 1)I JI - I'71' bJ I,iI'
-- ----
;i
E�
IJ IIC _ hiC•II I I )lir ll rla IrLI:I:Dc L\ , _
Tu 'ti
4)J'I;.I'IJ rl'I 'I j'1:1,7111 <I,JiiI:.1'JI 1'i �I J'I_I'c .)
--'"— - ---=-- _ fiL.IVIIJi:f L OOR(Jhl:;ILL s:a
N.0'I'I`Jf'01� JIUDI c...� s, ".}t'r.".V:+r .y Eil-'GHOWWI'111DOOR
_ 0('0115 I LUCI 101 J , (,r 1,1�.� N-001:(:IIAN1J1c1. I I( \r
,.' N ,.51'ILUG'I'UY,AI.f,IISI Ilil.P )1�nCl.CUMI'RI51- f.WIL10 LOADB•:90 I'Sr 10.AI313KI:VIn I I/t11J r,: t. \:I )
c P01'130 kll'I I LXI'U;3L11'1=n,13,C IJ
G063'I'G ALI1F�111JIJM EXII'lJ(i1QN,i I'I'OVIDI'D I'I-----_•..-_..__. as
` b,VliAP LOADS=::i I'SF Ulil=d?0,0) I IIII 11'OIJ a sos, L I_(I ....
l-
) c _ 13,DOORANDs7JIIJUOI'JIOCA1IOt1G YJ .YlIFII701V ❑o.ls:, I�
AI LOVVN31 h IOnOJ AVEnK LSnJI U Ill'Ohl 4VIrl„_Sf li'IIJOVI h'lI1LLlOhI :� !. lYl'IGnI �)I UI+10 SGC I ION
II II I f)i01 yo 11IC U1.I'IMnll:LOn W-5 :\I;L IIJII_h(;I In)!t l°AI31 I.. U U:(1.17111II I. C (nl L
('< 101'fU
r
i
1-
tl ( )
OK I111 7 OAbnl,71 nl•I/IlO. /.(;1./\.»LIIIiI:4V/\LLS,\I:19 IIt,=116flEYCOM 13 PANIHL!5
3It(./f..l'SI1_ILr 'fOCICAI=f-1311,'IfiII:I1G'1'UIZnI. II.1'ILhf,Flr,l•IGL"AI31..1.;UJI'fIII'nldta.5, l=1'G=I'UL'fiIYREI•It:I'nPIC1.S ;'' ct1'Z'I+iTj;j)i{!1' I'I;OJCC'I: i)Illr,n "t,a "_`---•__..._..__...._.... ._-__...__.
t C CIOR: ,..
I'nh1U.5 VVII I 1 ALUbIIWU64 51:IIJ5 1301dIJC'.U'1'p (S.4VIV71 I CII'f3-N/nl.l-Ivli\Y'VAI:1'I'liil: 11=:'1'hllf,L-Ir11.l.1'-fiI:0lCl=f•1 .��
FIONI:YCUbll3/l'01-Y✓IYI;I IJI:CUI;I-t3(�',4%a" POOR/VVILd00W LAYOU'1 UI'7U 2,11`L Al.Uld I I-1-IF"I hlliR )��-�„ X �2-2„
),
nIJD G"'I'I IICI blliSSCS.). (s, U.AU'I'FIUI:IIIcD I=Uf:I'S1='I'I I:RL.II'IlJ(i U/hl=U1'I`I fIhIJG r<;.,;, Jqs ;,f,
c: _ c - 1 J.;r,SfIlI1C7(111AI. E ;.__ .._ ...._..._.._._....._. c' - C"I
9
AOJACI:N'f FANC1.5 AkC CONNU.C;fGI iU ILI(> OCAL.Cr:U(�I OPJI Y', f'�r-I'OtJI•IO.i!k+O.I UUI 4osz4 - — J(U DIO L-NGLQ� Uf.L_
VINYI.CLCAT,r)OI;I le, "1; trf`• `' I'=hnrlLl. ': 0;�;9 p/,.. I7R/w-/I Y 01h1G 1,10.! _
:.; rr=rt_cr ` !.; r:F•:,-:4 :1.. GIN1_LAL=, A n
1'• ' ;\I_Ulvl.=AI_UfrIIIJUh4t,M SC/\LC'1"_,50"
L\ E '+i,�•.Q 1 � D\I1=:Ii/2'%/2000
1\
\
Assessor's map and lot number ..,;Z�1-.../..,7P.....A� 7,, �ovF�TN'E rod
�Q o
Sewage Permit number ... .......... SEPTIC SYSTEM MUST
1 INSTALLED IN Co
House number ........................................................................ WITH TITLE 6 °o rb 9-
ENVIRONMENT CODE AN 0raYa�
TOWN OF BARNSTAN TIoNS
i
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......Construct„one car..,g,arage,.and breezewati-
..... ................r....................
TYPE OF CONSTRUCTION ..............Resident. . . ial...wood. ....fr.ame.............................................................
..... .... .. ............... ..... .... .... ..
C,
.......2-2...Jay......................19!&
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............3.3.`j...hisho.pa....L'axrac.e..... ya.X1ai.S. ir lk....................................................................................
ProposedUse -Ciro.x'.c'lge...........................................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ...Li ka.. 1Ubawy.................................. 335• P
....Address ....... .. hi.sho. s...yerrac.e............................
Name of Builder .Brail.ey...huilding...Co.................Address ......4.7...CCt=Lty..S Plat...St...'Ly..r... .,a...........
Name of Architect .� 7..�..45.'... a..Cl ,e.....Q.R.........................Address ......................Game....................................................
�r
Number of Rooms .................iWA....�.2).................................Foundation .....#3CO.0...Raur.ed...concrete.................
Exterior ............Clapho.ard-Itood...shingl.e..............Roofing ........#23.5..Asphal.t............................................
Floors ...............Cancr.e.ta...................................................Interior .........1/2.1.1....She.etZ'.or-k.......................................
Heating ............ ..............................................................Plumbing ...........4,�/k..............................................................
Fireplace ..............................................................Approximate Cost ....
Definitive Plan Approved by Planning Board ________________________________19________ . Area .......5..2...s.q......ft........
Diagram of Lot and Building with Dimensions , 77
9 9 Fee .......i.....:.......... ......... ........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Z S'=a o fi
;d
o- 33 Pro no 5cd t><i S►•,�� At
P L
rQ
110
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
DUBOWY, MIKE
No .223.62... Permit for ,Additi.on... .. ...............
5inc le Familx Dwelling.............
Location .335 .Bishop„Terrace
...............HYapAi.s.............................................
Owner ..Mike Dubowy...................................
Type of Construction Frame .................
7
Plot ............................ Lot ................................
Permit Granted ....July 23, 19 80
Date of Inspection ....................................19
Date Completed .................a..7r?z.....19
N S tSPERMIT REFUSED
..1�.... .0.�TL--V................................
19
......... ..:.. .............................................
.�. S. ...............................................
.......... ......
a .............................................
r. m
°D s
rn
Approve7.................................... 19
...............................................................................
...............................................................................
Assessor's map and lot number ....:........................................ E
Sewage Permit number ....... ...................
................................
33AUSTAXLE,
House number
HASIL
1639.
0 MA
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... n- r
.............................................................................. ......................................
TYPE OF CONSTRUCTION ...............I............... .............1 6....
.................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Locatio
n .....................................................:',.c............:.."............. ........................................................................
ProposedUse ...............................................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
;7
Name of Owner .................... :............................................Address ......?.z 1.....-4
. ..............................................................
Nameof Builder .... ...................I .............Address ................................................ .. ................. ..........
.Name of Architect .......................Address ......................�:rrin
. ............................................................
Number of Rooms .................... .
.n '�PrP, TIr-i-o-vI
..... ........................................Foundation .......................................................... ....................
Exterior ...................... Z.,. .-%�.............. � "C I � - �,Z; ,�a r%, r-1
7...... ...........................Roofing ....................................................................................
Floors .........................:.............................................................Interior .......... -.4.............................
Heating ..................................................................................Plumbing ............... .................................................................
Fireplace ................ .................................................................Approximate Cost ..................r................r..................................
Definitive Plan Approved by Planning Board --------------------------------19--------- Area ..........................................
Diagram of Lot and Building with Dimensions Fee ........ .........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
y' - . �,
cL
I hereby agree to conform to all the Rules and Regulations ofi the Town of Barnstable regarding the above
construction.
Name ......................................................... .........................
Ebb
A=251-178
DUBOWY, MIKE
22362 Addition
No ................. Permit for ....................................
Single Family Dwelling..............
Location ..33.5...Bishop....'�e .1; ��..............
.................... . ..........................................
Owner ....Mike Dubow.Y....�............................
Type of Construction Xram ............................
Plot ........................... Lot ................................
Permit Grante ........July•••23............19 80
Date of Ins ection ....................................19
Date Cor4leted ......................................19
PERMIT EFUSED
................................ ........................... 19
*.."...
....... ......... ....... . . . Q.........................
...............................................................................
Approved ................................................. 19
...............................................................................
...............................................................................