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Home My WebLink About0014 BROOKS ROADPIP / oe s i yam= TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /a °7, Map -3,40 Parcel i- �� (� Permit# Health Divisior�G be A�OP.S rQ�►'«IC�,r �` Date Issued Conservation Division )8101 -5 Application Fee Tax Collector Permit Fee Treasurer— SEPTIC SYSTEM MUST BE m Planning Dept. — INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE. 5 ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS do Project Street Address6LD �1' U 20 /�^Boi�S �� Loa- n Village dsl yx.kw t` Owner RMSMyLq' KLAW10 4L IA-U2Yoa r Address Bij' N"t &E R" ) Telephone Permit Request Vr✓MQ QTLO e� OF ) All�\W OCA)Q� CQ MVV1 t.XV t d L. %gA!t_in I Vo Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type L Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 50 t 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 ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: f Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ T Commercial ❑Yes ❑ No If yes,site plan review# Current Use &A'W 00 Von Proposed Use MLtMIC i!J(A1 Atlg:aoQT OCR t0-06 BUILDER INFORMATION Name_ j:ft F�(E -WlhJb( ��i��ZirW i t�`�� Telephone Number I eco Address _396 Cites)a8 S i. License# FkLmoULM MASS 0 Home Improvement Contractor# Worker's Compensation# V JK 15*I000 6� ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 04PA APIO•! W if_E(OWRe� J 5 ' 0?a.V- iM (2430 SIGNATURE P P DATE (i'is—OLi " FOR OFFICIAL USE ONLY Ix y I , PERMIT NO. -1 DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER lj Y DATE OF INSPECTION: t FOUNDATION r J FRAME INSULATION FIREPLACE IN ELECTRICAL: ROUGHj, 5;z- ! FINAL rn > T PLUMBING: ROUGI-- Q n ate' - FINAL GAS: ROUGH-'-, FINAL t- M t"1 FINAL BUILDING ."�' o DATE CLOSED OUT m ASSOCIATION PLAN NO. z - °FZHE r°s, Town of Barnstable . Regulatory Services BpRNSTABM Thomas F.Geiler,Director NAM bA Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must = . Complete and Sign This Section If Using A Builder _4 j� , as Owner of the subject property hereby authorize eat -r � ��' to act on my behalf, in all matters relative to workauthorized by this building permit application for: Ald Address of Job) �� ® �I��o �a �d2� � 1 ature of er Date Print Name QTORMS:OWNERPERMIS SION �� a�ninto'�zui�� o��4Gada�iUde�b BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 039628 Birthdate: 01/05/1941 Expires: 01/05/2006 Tr.no: 13256 Restricted: 00 HAROLD MONSINI 204 SUMNER ST WEST ' BROCKTON, MA 02301 Administrator COMMONWEALTH OF MASSACHUSETTS 7 DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET BOSTON, MASSACHUSETTS 02111 James J.Campbell WORKERS' COMPENSATION INSURANCE AFFIDAVIT Commissioner l.1Fft 1, Harold E. Monsini sr. of Hercules. Building Wrecking Co. , Inc. (licensee/permi ttce) with a principal place of business/residence at: P.O. BOX 2395 Brockton, .MA 02305-2395 (city/Statc/Zip) do hereby certify,under the pains and penalties of perjury,that: [x] I am an employer providing the following workers'compensation coverage for my employees working on this job. AIM Mutual Insurance Company VWC 6004213012003 Insurance Company Policy Number [ ] I am a sole proprietor and have no one working for me. [ ] I am a sole proprietor,general contractor or homeowner(circle one) and have hired the contractors listed below who have the following workers'compensation insurance policies: Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number [ ] I am a homeowner performing all the work myself. NOTE:Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not gener- ally considered to be employers under the Workers'Compensation Act (GL.C. 152,sec. 10)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers'Compensation Act. I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for cov- erage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crim- inal penalties consisting of a fine of up to $1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of$100.00 a day against me. Signed this / day of ,4 Licensee/Permittee Licensor/Permittor AFFIDAVIT TO THE MagING DEPARTMENT ICER7MCATE OF DUMPING FACIIHIES I, Harold E. Monsini Sr. ewdfythatI have dumping avaiiableat Champion City Recovery 138 Wilder St. , Ext. , Brockton, MA 02301 Harold E. Monsini Sr. farther cer#iffir that the abawe4bted is an approved dames tadiky its seewd oee with ail Federal, State and Leeaf vegafedam nq u+ding damping bc8mk& Hercules Building Wrecking Co. , Inc. Nam P.O. BOX 2395 Brockton, MA 02305-2395 Addrm f 07/07/2004 16;56 508-775-0453 BARNSTABLE AIRPORT PAGE 04 141*0020U MUM Fro4STMI-OdERATIORB T-620 PAWN? F-740 J. f�rft c GAS IP a9 x Correspondence Dow o(p dx ', o(4 6DBtlqe -)-,,04 60jJn VPAC roos FMM pages m tDow(lilduding ow coverk aac� . ,►�II�� °� tac��? WAS row- i ��r.7�•� t 4a1�+11-�?17 KSrAR �Gu Oae l�IST+4it z SW8;0 hdA�090.923Q ( . 11��7it+vf��ICI•C � � �� ,p, 90/60 39ad HONA13ON38MVI SMIL96805T E9:Zt b00Z/80/10 07107/2804 16:56 508-775-0453 BARNSTABLE AIRPORT PAGE 03 JUL-W-MM FRI 12:47 Pit KEYSPAN ENERGY DELIVERY FAX NO. 17818904898 P. 01 ZOi Rtuerel00�SnCC� Mst AM& ,A 'nfU U132 Td I"?793-= July 2,2004 Susan Kennedy PAX#508-775-0453 Re:. 14 RivoksAd&25 Bradks Road rlyannis,~Mh 02632 TO Mum It May Cow m, INS 101wr iS to confirm that there ate no nnftground nattttral gas facilities to the above ref c*d properties. This was wnfimuW by our MpMcnMUVe on July 2,2004, J can be reached dirmly at 509-760.7502 should time be arty iurlher questiow. �incsrel�r, • Jo�oinx�c l?uollette Ficid Coordinator Distribution DVaUmcat 90/t,0 3Jdd HONA13ON3MV 1 5ZOILSV809t £5:ZZ b00Z/80/!0 07/07/2804 16:56 508-775-8453 BARIETA&Z AJRPUR[ rabt nZ • JUM-"-�!M4 It4W BARN5TABLE WATER COMPANY 5W 998 1313 R.02/03 earnmbte Water tbmpany d- 4T Old Yarmouth Floc Y Nyannta,MA 0=4926 Aftm vmox 5p6.�78,96s7 Fes;0�1.78G.1918 cu tft SOMM W$-MI ' l Ju=22,2004 Town oi'Hatastable SaUdiag Jugmtor TQwu lUl Hyaws.MA 02601 RE-.Service#3,10k,1413wdk Rd,Hyannis Dear Sir. Please be advised that the above wxw wrw1ce was sort off and the meter removed on 1 N41. The owner ta informed us ofplans to demolish the odstiag building. sinco ly, 4XR Jahn Radmaaker,Clerk Harmtable Water Company r 90/90 3!)Vd HONh13ON3dMdI SZStl50805t ES:Zt b00Z/80/L0