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HomeMy WebLinkAbout0062 CAMP STREET c� �- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C� Parcel 1EY 606 Application#CQ_Q OCCO Health Division Conservation Division Permit# Tax Collector Date Issued s 6 Treasurer Application Fee / Planning Dept. �C„$' p(P •� no-Qw L Permit Fee 1 d t CV Date Definitive Plan Approved by Planning Board Historic-0KH Preservation/Hyannis `P ProjectSEnn Address (od T VillageS + Owner &I( diolas "V Ai OP✓" Address Im 02 S • ��l�n.� Telephone Sdr" 7�S— 70 dlL4 Permit Request For goo ci �ter uJizzp c<=0aCNe- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio "Construction Type Lot Size Grandfathered: ❑Yes ❑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 ❑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 BUILDER INFORMATION r Name 'r tt� ✓cye Telephone Number 7 Address l ct �Gu PIS Ia /Lei', License#_CS C)&(oaf 3 spa A W-S Home Improvement Contractor# . /,b L37S 7 Worker's Compensation# 760V l g301 X05 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �G�y�n�t 1► St'. SIGNATURE g V 09k2 DATE y i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN NO. t -coomVIUMM, ;w Il old . _ . ' ! ` 1.. COS. Rage ftno' 1037, 57 4' ' 1 ' d Br S f { - tor „ . anyan n, ,,Is, 'NI'A Or260,1 ,r a Jill { x n e: k a S •�R . .. x mot' ,t +� i t,�.+" y.1' 'a'4'.?� # '1!•i;, 'T!� r gj j! :. OARD Of 1BUILDING-1 REGULATIONS ��t � f ` 'I '�1 � . OR 3.'!'dot a i Y b r S 006643 Oat 111,955 -. 66,3 t ` e BRAD '0�: aL' . 190 LOTH ROPS LANE, o m issil� r' _ r The Commonwealth of Massachusetts Department,nf Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers e ' Applicant Information Pleas Print Le�bl� Name (Business/organization/Mvidual): s n c n mf_ AOM e Address: 1�1�f lr S �0�2 Rbo City/State/Zip• n i S A Z 01 Phone#: 50�-` Are on an employer?.Check the-appropriate box: Type of project(required): 1 I.am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees full and/or art-time .* have hired the sub-contractors ( p ) listed on the attached sheet $ 7. -Remodeling 2.El am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their. 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself:[No workers .comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp.insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: �- t Horneowners who submitthis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ZContractors that check this box must attached an additional sheet showing the name of the.sub-contractors and their workers'comp.policy information. Iam an employer'that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name:. T Al m 1 f_U J T CV 116 vi C a CO . Policy#or Self-ins.Lie.#: ^? Od 3D a U Expiration-Date: .5 I aw Job Site Address: (14 S?' City/State/Zip: Attach a copy of the workers':compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500•.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce s and penalties of perjury that the information provided above.Is true and correct Si afore: Date: ,Phone#` `7 �' S F? 7� Official use only. Do not write in this area,to be completed by city or town offx1aL City or Town: Permit/license# Issuing Authority(circle one): I.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: R +of. epars � u ry ,Px 713 ■ Strip shingles from rake boards at top of both stairs. ■ Replace broken plywood and trim as required & re-shingle. ■ Area appears to have been hit by something heavy. ■ Replace a couple of missing shingles on roof. Screens ■ Install screens in windows as desired and supplied by .Millie: ■ Repairs to screen extra if needed. Contract Atnc j00.00 Deposit Upon!: Date Job Start 1 Upon Comple j. Note: Any changes in the contract during the duration of the-project which results in additional monies due will be paid in full to the contractor at the time of the change. I authorize Sprinkle Home Improvement to act on my behalf in all matters,relative to the work to be performed on this job (i.e. ermits, applications etc.) if necessary. J High Hopes Co dos uthorized Signature bate Brad Sprinkle Date Contract # � Celebrating 60 years in.business this-year!.! 2 _ r pla rP `01 IN `.... .- ..,•. ems- .5:`'- -' - _ t -.. ..., w t SUN. 'J.cdfaZ:s_ y:5ERM_-R.I.M.. MUTUAL INS�7 _- N0.801__P.2f2 JL�a� _ CER C A �l INSURANCE. E OF V RANCE ISsvE DAT-fMe- V? Y) MODUCER TH4 CERTIFICATE IS ISSUED AS A AZl &R ZW M& O 1,ANLI C01 ESS NO RIGHTS UPON THA CERTD!'ICATL HOLM. THIS CERTIFIC TF4 Bryden&Sullivan Im Agency DOES NOT AMEND,EN'I'FND OR ALTER THE COVERAGE,LFE' M=BY TU�% Inc POLICIIRS]&FLOW. 88 Falmouth Road COWANUS AFFORDING COVERAGE i 'f Hyannis,MA 02601 � i i INSURED Sprinkle Home Improvement Inc COMPANY A.Y.M.Mutual Insurance CO 199 Barnstable Road LZTITR A ' Hyannis, MA 02601 COVERAGES THM IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW KAYE BEEN UED TO THE INSURED NAIUD ABOVE FOR THE POY Y PERIOD INDICATED,NOTVVCMSTA LADING ANY REQU1M14F.NT.TBRM OR CONDI'I'lON OP ANY COMMACT OR OTHER DOCUM&NT WrM RBSPECTTO%WCH THIS C ERTMCATE MAY BE ISSUED OR MAY PBRTAIX,THE I2NSVVJjC 9 AFFORDED BY TH5 POLICIES DESCRMED HEREIN 1S SUBIECT TO ALL TJ�B TERMS, F XCLUUONS AND CONDITION$OF SUCH P01.ICW. LINUrS SHOWN K4Y HAVE BEEN REDUCED BY PAID CLAIMS. i CO roucyZF6=1VE POLICY EI MUTIO LTA TYPROFvwwu= rOLSCyNobom AATWR ,WfDD" DAY'800"9/YY) � GEWMAL LIABILM GRfiBULAGURSOATE S COMMERCIAL QVNRRAL LWITI CY PRODUCTS.COMNOP AGG. $ �3��IMSWADS�DWt PMOKAL&ADY.INIURY $ "ws&CONTRACTOR'S PRO'r. i �Y—�CK OCCMUNC13 S AFIRE DAMAGE(Awry are Gro) s ;MEP D.EXPSNSB Um on potmi) f AUTOMOBas LIA311 rY OMB1tti£A SINGLE ANY A{JTQ i L1M1T S ALL OWNED AUTf)$ I pODILY NUUAY I SDIfLEDAUT05' I I , (hrpofwhn f i NIROD AUTOS i BODILY INJURY $ NON'OVuNBD AUTOS I fJbr naai0en0 I RAGR LIABILITY ?XOPERTY DAMAGE S RXf1idSLJARII,IIY I "CR000VRRaNCE S ��;Z%N APOIM I ACCRUCAT5 S UM ULLA pORM OR9t8,R'S CATION ANDMLOTERY I A7RiD1Y X I IAI<3LlTY M EACH AOCIDSW I S OOO 9f144943012005 ,OS/13/2005 03113l2006 AR1n'eRIE INa. tli.D�JLISD-ppLTCY Lgvlrl' s 5 A 000 . [i@ICGRSAitB CL I fiLDi4fiA98—FACHSMYLAYRb (YIHbA 16CRMIOX OF O?YRA'4ION&II OCATIONS CIA i/�II SOIAI rrKMS CERTIFLI:A7'E HOLDER CANCELjATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED B ORE THB BRAD SPR�LE WMATION DATE THEREOF, THE ISSUING COATANY WML END, AVOR TO MAIL 10 DAYS WRFI`I'"NOTICE TO THB CERTIFICATE HOLDER TIA)4 D TO T= LEfir,BUT FAILLM TO MAIL SUCH NOTICE SHALL VeOSE NO OBLI,0ATION OR 199 RARNSTABLE ROAD LIABIMY OF ANY KIND UPON THE COWANY. ITS ACiENTS OR il.T3P7RESENTATIV&S. AUTIfOW..0 AXPR$SUNTATIVU HYANIYMS, MA 02601 Assessor's offioe (1st floor): n� ����1L *1NEr Assessor's map and lot number ............. �.... ................. o�♦ Board of Health (3rd floor): w�P �+► Sewage Permit number ....:�� ........................................ Z BAUSTADLE, Engineering Department (3rd floor):6� +o YA"I House number o i63q �0 ........................................................................ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................\ ...�� .c�'�.t........... cC . TYPE OF CONSTRUCTION ........................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............6. .)........... N'�1�.....S .......... 1! 11/.N.�S ............................................................................ ProposedUse ............................................................................................................................................................................. ZoningDistrict ......... ............................................................Fire District .............................................................................. Name of Owner . .. ..yf !U fS... � /VOS� �Add'r�sAOflT Y�LCf,Gc1 /9Xl�K ,. ....................... ' ................................................ !US Name of Builder 7'/Z.?.9VI ..............................Address ............ ......................... .............�.... ..... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ......Approximate Cost — Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ............. Diagram of Lot and Building with DimensionsU �L Fee ..... ......... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....v..... ... . :.. ............ Construction Supervisor's License aZ-7 ?7;T�./ HYANNIS EAR, NOSE & TI-ROAT ASSOC. , 30817 Demolish Dwelling No ................. Permit for .................................... Frame ......................................................................... Location 62 Camp S.treet. ... .... .. .......................... Hyannis r .....................................................................I......... " Owner ..Hyannis Ear, Nose & Throat Assoc. ................................................... Frame ' Type Hof+,Construction .......................................... :. .... ................................................................ Plot ............................ Lot ................................ Permit Granted .......June...4.1...............19 87 Date of Inspection ....................................19 „ Date Completed ............... .. ................. P Y III 2 - � h J r Assessor's offioe (1st floor): Assessor's map and lot number ....... "....../..........�.�................. Board of Health (3rd floor): n,2^�♦, ,: o Sewage Permit number .............................................:t,..... Z BABd9TSDLE, Engineering Department (3rd floor): 6g �o MAM& i639 House number APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................. . .`�'..! `[.�.5A.......... L G �/V �.,.. TYPEOF CONSTRUCTION ....................................` ....................................................................................... 19..a..� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............6. ........ ,4/t'1lo......ci ......... ............................................................................ x ProposedUse ................................................................................................................................................:............................ ZoningDistrict .........................................................................Fire District .............................................................................. �rc%s /l/os� �o �£�Gocv Nameof Owner .......... ..........................�......2.. .........................Ad /g,�ic ,P,o s S OG............................................`. ,.........�........ Name of Builder .. /4VfTT, F- ..........Address .. CU� /glr1! ....... VO,...Lc..t'�C� Nameof Architect ................................................................!.Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ... ................................... ............... ........................... ......Interior .................................................................................... Heating ..................................................................................Plumbing ................................................................................. Fireplace ..................................................................................Approximate Cost ......... ..... Definitive Plan Approved by Planning Board ________________________________19-------- , Area .......................................... Diagram of Lot and Building with Dimensions Fee '..... ....................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH i t _ i C OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ........................ Construction Supervisor's License .......................... ......... HYANNIS EAR, NOSE & THROAT ASSOC, hoC� A=327-189 &- 328,-184 No ...30817.. Permit for ..Demolish Dwellj_ng Frame .......................................................................... Location .....62 Cam Street ....p........................................... Hyannis ............................................................................... Owner ....•,Hyannis Ear, Nose & Throat Assoc. .................................................... Type of Construction F.r...ame... .. .. ...................... 'y ............................................................................... 1 Plot ............................ Lot ................................ Permit Granted ......June...4.................19 87 Date of Inspection ....................................19 Date Completed 19 I Assessor's map and lot--number ........ ........ C-Y cSewage iermit number ................................7.......................... °`T"Er°�° TOWN OF iBARNSTABLE Z 33ARNS*T Li, N s "6 q •0 M BUILDING INSPECTOR AY�`' �` _ rf rV APPLICATION FOR PERMIT TO ................. ... .,`!. .... ...... .... TYPEOF CONSTRUCTION ........ ........................... .......................................................................... ................. . 197. TO THE INSPECTOR 'OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location6,:?" C'...... .... . ........S'.��................... //(�7L ........................................................... Proposed Use .. .. ............... ............................................... ............................................. ..... . . . .. ....... Zoning District 3.......................Fire District ......................... .... � Nameof Owner ....P ..: 'tom G?s'�................Address ........... . ...�....—..... .................................................. Nameof Builder ................................................:...................Address .................................................................................... Nameof Architect ..................................................................Address ..........................................................................:......... Number of Rooms ...........................................Foundation .............................................................................. .................- Exterior .......... :.. ..n.......................................................Roofing ..............................................................................:...... Floors .............................:............... ........................................Interior .................................................................................... Heating ..................................................................................Plumbing ............o........f��-:�:. ............................... ....................:............................................................Approximate Cost ....................... ; ......�........ ..................... Definitive Plan Approved by Planning Board -----------------------------19-------- . Areca` ./Y�.. ... �.r...... Diagram of Lot and Building with Dimensions Fee ............ ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �J.......... .... �.�.�����...,...... , . Bemmoa° Robert ^ � No l!_19.-2—..Pe,mit fo��--a—dd b—a—thro—mm -- -- — ^ � _______,_:.�._.�_. _`_________... . . . -Location --.�...82`Cumq�'S.treet_______ ' ' ............. im �^- ^ '—^'--' -----^—` ----------' ' ' c r_^� ------"� �� rt Bemmom , ~ _, ��--------------.—.. Type of Construction ........................................... -------------------�------.. . Plot ............................ Lot ................... - May 8 77 ^~' / Permit Granted ------.:---��--.lA ' J. . . Date-of Inspection ....................................l9- . /���-~ ` ��� Dote Como�te6 ---..��.���—'----.]A ' ' � �PERMIT REOUSE0 . / . . . ~.......................................... l� * ' ----,------.—.. . _—. ` �� ----. ' '----'--------'' ----------'--' ' ~....................................................... .'-----.. r ' ~ ' .----.---.---.—.--~,---.-----., .-------z-----.----.�,__---_, . Approved ................................................ l9~^ ' . ^ ^ -------------.-------.-----.. ----------------------.-....- . ^ - ' � U Assessor's map and loft number ........................... ..c... cSewage Permit number ........................................:................. c, QyofTNEr TOWN OF BARNSTABLE L BARNSTABLE, i "6 9 BUILDING INSPECTOR. -11 .APPLICATION FOR PERMIT TO ......................................................................... .......... TYPEOF CONSTRUCTION .................................................... ............................................................................. L -- 19, TO .THE INSPECTOR OF BUILDINGS: • • The undersigned hereby applies for a permit according'to the following information: Location ............/..,,, .........4........,n°;..........'S....Te............................Jr4s!11y1.....`................................................................ ProposedUse .................... .......\......,...,. .....................................................................................................,,........................ Zoning District ........................................ .......................Fire District .....................� ........... . .......,......:...................... Nameof Owner �. ,, Q ,•, ,,-GESSO. ................Address .............— /if ... ................................................. Nameof Builder ....................................................................Address .................................................................................... `1 Nameof Architect ................... ....... ............................................Address .................................................................................... Numberof Rooms ...................1.............................................Foundation ............................................:................................. Exterior ........ ...........:...........................................Roofing .................................................................................... Floors .................................... .................................................Interior .................................................................................... Heating Plumbing ', T,�� Fireplace ..................................................................................Approximate Cost .....�/�G�bC��... .a.......,.. .. .... .:...................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ............... .^� J Diagram of Lot and Building with Dimensions Fee 9U l SUBJECT TO APPROVAL OF BOARD OF HEALTH i i Z I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. Name Besson . Robert ` No —l�9l9�— r. Permit for � . --------------------------' � Location —.—..c..62..*__^_Srr��et______.. ' ' � l .---------..^-----................................ . � Owner / 8ea~oo .�---.-----.------...----- , ',r" of Construction � � " -------------- . . -----.^--------------------.. . ,."` ` ' . ���� -------� - , . . ^ . . .. \6 77 Perm ~... ' Date � . PERMIT REFUSEDn ^ . � . � � . � -----. ' � — � .. - --- . . < � ' Approve6 ....................................... ...... lg � ^ --------------------------' ................111- � `