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.
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OARD Of 1BUILDING-1 REGULATIONS
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BRAD '0�: aL' .
190 LOTH ROPS LANE,
o m issil� r'
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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!.!
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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 �
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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 '
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�PERMIT REOUSE0
. / . . .
~.......................................... l� * '
----,------.—.. . _—.
` �� ----.
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'----'--------'' ----------'--'
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~.......................................................
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.----.---.---.—.--~,---.-----.,
.-------z-----.----.�,__---_,
.
Approved ................................................ l9~^
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. ^
^ -------------.-------.-----..
----------------------.-....-
.
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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
� .
--------------------------'
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Location —.—..c..62..*__^_Srr��et______..
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.---------..^-----................................ .
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Owner / 8ea~oo
.�---.-----.------...----- ,
',r" of Construction
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-----.^--------------------.. .
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77
Perm
~... '
Date
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PERMIT REFUSEDn
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Approve6 ....................................... ...... lg
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