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HomeMy WebLinkAbout0070 CAPTAIN COOK LANE NEW �c�;+�-, � p � � � � � ap Z'14 Parcel 14 —QAJ Permit# Date'Issued Fee ��� d� Engineering Dep . (3rd floor) ouse# ep . st floor1� BARNSTABLE. ` Live an oard 19 "'"5M i TOWN OF BARNSTABLE ' BuildinT rmit Ap lica! n Project Stre ddre V � a S Village Owner - Address ` Telephone Permit Request — First Floor square feet ; Second Floor square feet Estimated Project Cost $ / �� Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths � �� No.of Bedrooms Total Room Count(not including baths) _ First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds \& • Other r Builder Information ¢�+� Name -� y'_,Telephone Number Addres s /�(�, �(� _'_-'_ License# Home Improvement Contractor orker's Compensation# o 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 SIGNATURE DATE BUILDING PERMIT DENIED AR THE FOLLOWING REASON(S) �. FOR OFFICIAL USE ONLY - t 71 • - - • /a��,� . 333 PERMEI'NO. :— b ~r t DATE R;SU,ED MAP/FARQEL NO.- ADDRESS.',� t VILLAGE _ OWNER t f { d DATE OF INSPECTION: ` `FOUNDATION FRAME INSULATION FIREPLACE - 4 ELECTRICAL: ROUGH FINAL I ( s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL s ' (FINAL BUILDING � 24 —" k- +•DATE CLOSED OUT- f ti ASSOCIATION PLAN NO. t , f r 't`} t 1 i] �) l 1 ! �, S .-.\ / It .� al ' t / F. J. l♦ VA �1ce��mrmiovu�a�.o�./�aaaac�u.�aelta^ . DEPARTMENT OF PUBLIC SAFETY liceose ." `tinISTRUCTION SUPERVISOR udi lxpires •- R£IT��A:�CIIFF 8 EMEIAL OKAY COMMtswvKER "a ORfSHALE, MA 02611 ' T11e Conrn oll"'caltli of Atassachusetts Department of Industrial Accidents Nee 8/1"90929affs 60011ashipqu)n Street `y Boston.Mass. 02111 Workers' Compensation Insurance.AlTidavit ❑ I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. IX. / name: `�t�Y� �l�l�� l"��1(Y1�1� C 11��•P� r r r ,9 in Stqb # ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: m copany name- address• ct phone#� insurance co. policy# �r'.."{;•s-_ ...-':T.� •- — K�tC7;rti.:. ss�^l; TMTE _ .��.3!f14.: _ _1F7^_►fi!'.' .9743? r�r'�S ctimna y name- address: city: phone#: insurance n_ Rolicv# :Atiachadditionaf'sheet if tueessa •� i - ._+,+-•*�""" '�'►L' `" '^'' ` Enilure to secure coverage as required under Section 25A of h1GL 152 as lad to the imposition of criminal penalties of a fine up to$1.500.00 aad/or, one years'imprisonment as well as civil penalties in the form of it STOP WORK ORDER sad a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage veriBeatiom I do hereby cerdfj•under thc pains and penalties of pedwy that the information ptmided above is true and correct -0 tcnazure nt name M* 01A- " "Phone# -,:) Q-,z of iicial use only do not write in this area to be completed by city or town oMcial dtv or town: permit/license# rlBuilding Department Licensing Board ` check if immediate response is required (3Seleetmen's Office C311altb Department contact person: phone tl;. MOther Imised 1'9s PJA) 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 emplOce is defined as every person in the service of another under any contract of Hire,express or implied, oral or written. An emplmyer is defined as an individual, partnership,association. corporation or other ;L-gal entity, or any two or more of the fore=oiii en�agcd in a joint enterprise,and including the legal representatives of a deceased cmpiover, 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�vlto 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 i'S2 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 tilt common-+•calth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither tiie 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. ��.++-.w.e+�.-��•R..• ..^.�...'�� i.ra. ii-•^a Sri .. r�►. .• j;_,.:.1�,� .r=�-�.•"+o..'....-..- a•� lr! 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 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. �yr.,�•s�.�ser�Mf+:..�r.s s... .a !: ?-i:..l"� �,,;::}••r•�_....- .C . r7�'% J�vS. .;ti►. ,, .. 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 permit/license number which will be used as a reference number. The affidavits may be retumed to 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. t.r.4►..� . -— •..'Vi•N.ar..1r.•..... .1 .r1YY.• Y.'\..::�! i::4...1 'YM.^:- The Department's address,telephone and fax number. The Commonwealth Of Massachusetts ., Department of Industrial Accidents K.- Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-77419 phone#: (617) 77-74900 ext. 406, 409 or 375 40%Pre-Consumer Content •10%Post-Consumer Content 1 Page No. of Pages 7. 49Oft O P.O.Box 90 Y i; r" Sandwich,NM 02563 (508) 888-5114 t PROPOSAL SUBMITTED TO PHONE DATE Mrs. Priscilla French 508-775-8240 2-12-96 STREET JOB NAME 290 West Main St.-A �t. 201 Stainless Steel Relining CITY, STATE AND ZIP,CODE JOB LOCATION Hyannis, Ma. 02601 1 70 Capt. Cook Ln. , Centerville Ma. ARCHITECT I DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Installation oflapproximately 25 ft. of 10" diameter, 304 series stainless steel flexible .......................................................................................................................................:............................................................................................................................................................................................................................... ................................................................... ................ liner into fireplace chimney flue. Will include stainless steel flex pipe, top plate or support, round rain cap, removal of existing flue tiles and installation of same. .............................................................................................................................................................................................................................................................................................................................................................................................................................................. ................ • tl *Note': Not included in cost below is cost to install stove. Total would be $390.00 and will .............................................................................................................................................................................................................................................................................................................................................................................................................................................. include damper plate, pipe, tee and possibly shields. .............................................................................................................................................................................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................... All stainless steel liners installed by our company compi-yy' with Ma. state codes. Any permits required for the use of a heating appliance is the homeowners responsiblity to acquire. VP propose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: Two Thousand One Hundred Twenty-eight dollars and 50 cents dollars($2,128.50 Payment to be made as follows: Deposit of 2 down ($1,064.25) and balance due on completion of installation. One signed copy of proposal and deposit must be received by our company before an,?—,,part, can be ordered. All material is guaranteed to be as specified. All work to be completed in a workmanlike L nner according to standard practices.Any alteration or deviation from above specifica- Authorized ns involving extra costs will be executed only upon written orders,and will become an Signatutra charge over and above the estimate.All agreements contingent upon strikes,accidents delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This pro,OR be fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within 31 days. nrp of proposal—The above prices, specifications are satisfactory and are hereby accepted. You are authorized Signature as specified.Payment will be made as outlined above. tance: Signature PRODUCT 118 3 slnc.;Groton,Mass 01471.To Older PHONE TO FREE 1+&00-225.00 : . . : The Town of Barnstable 'A b ,$ Department of Health Safety and Environmental Services Building Division 367 Main Strut,Hyannis MA 02601 Office: 508 790-6227 Ralph Cross Building Commissioner F= 508 775-33" For office use only Permit no. Date AFFIDAVIT HOME E"ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,remo%al, demolition, or construction of an addition to any pre-existing owner oecepied building containing at least one but not more than four dwelling units or to structtues which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. I . Est Type of Work: — Cost Address of Work: O Owner.Name: iL Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000 Building not owner-0ocupied Owner pulling own permit Notice is hereby green that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WI'IHI3NRECI3'1'ERE D FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MCI-c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Regislion No. Date o tractor a OR ' Date Owner's name k CHIMNEY SAFETY INSTITUTE OF AMERICA jells Georgia Ave.,P.O.Box 429,01ney,MD 20832 CERTIFIED 'o," CHIMNEY =swEEpY SWEEP® 2711 Expires 2 9 Name Keith Cliff Flan sandwich Chimay Swaep City Sandwich State NA Attest— �� THE COMMONWEALTH OF MASSACHUSETTS i • �\ Board of Building Regulations and Standards lion No. One Ashburton Place.-Room 1301 Boston, Massachusetts 02108 n Registration No. Application for Registration as a Effective Date r Home Improvement Contractor or Subcontractor k Expiration Date MGL Chapter 142A9 CMR 780-6 Fotc o ttss ONLY Date 1-16- 10 1. Name I l.1` Wff J " Print the name of the individual or bWnai applying fo the registration(not both) Z Mailing Address PO, pa( 110 Telephone N 5d Area Code Bt umi 3. �ty��rar ll ie state l_z, ©a5t�3- o 4. Street Address(if different) State tip Print t and Number(P.O.Box not ptable) C.+ry S. Applicant type: • Individual ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation ❑ GLPub c 10,ss Corporation 6 (See instructions on back regarding enclosing,,a city or town registrationunder the DBA or"fictitious name"law-MGL c 110,ss 5 8t 6) 6. Federal ID Number 9 (see instructions) 7. Number of Employes CIS �iI . 9. Title of individual responsible for Home Improvement Contracts ©fit nk( 10. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? If yes,complete the table below. Use additional paper if necessary. Yes Type license or registration By License or Expiration Name of License Holder registration number Date OIL il. List all partners, trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. back) Check here if you wish to receive an application for additional ID cards for key person additional paper if necessary.(See instructions on Last Fast, Middle initial Title in Applicant Business %Owner Address 1Z Is the applicant claiming exemption from the registration fee? (See the instructions on the bads) ❑ If yes,include a copy of a cunrent Construction Supervisor license or motor vehicle repair shop license or registration. Yes13. Registration fee enclosed:$ 10,00 Guaranty Fund fee enclosed:S to certified checks or money orders-one marked"Registration Fee°:one marked"Guaranty Fund". ALL APPLICANTS 1` Include two separate FROM THE REGIS"IRATION FEE.Sec instructions on back for amount of fee INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT - Make all certified checks or money orders payable to'Commonwealth of Massachusetts" Pursuant to Massachusetts General Laws Chapter 62C section 49A,I pert*under the penalties of pertuq that my best Imowledge and belief,have Ned all state tax returns and paid all state tames required under law • Title held with applicant gnature of plicant or applicant's representative ,hit Y 3 t y � 17 � ;}} • G 3)'«`r i l.�� $d j k!t ..r d„».t ' ):.�. "�` J� � TOWN OF BARNSTABLE t, BUILDING PERMIT GEOBASE ID 18492 PARCEL ID 274 014 OAY ADDRESS 70 CAPTAIN COOK LANE x. :PHONE (508)888-5114' a 1 ZIP Hyannis - t ''i LOT UNIT 70 BLOCK 1 '�'LOT SIZE T � DBA DEVELOPMENT DISTRICT HY PERMIT 13337 DESCRIPTION RELINING OF -FIREPLACE CHIMNEY PERMIT TYPE BREMOD TITLE RESIDENTIAL •ALT/CONV - - -- CONTRACTORS: SANDWICH CHIMNEY SWEEP Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND • $.00 , CONSTRUCTION COSTS $2,100.00 Q� 434 RESID ADD/ALT/CONV 1 PRIVATE OWNER FRENCH, MAURI CE J. 039. b�� ADDRESS '70 CAPTAIN COOK LAND _ .__._ _� .,._ g ,.y „e, �r►l HYANN I S, MA BUIL .... G DMSI BY DATE ISSUED 02/20/1996 ' ,EXPIRATION DATE l i OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE. CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I, FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE— MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER 2 BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION: I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. The Town of Barnstable o�TME Permit# 3 a Massachusetts a�xerea� Date 024 9(v KAB& SOLID FUEL STOVE PERMIT i659.�,� Fee aS-O d This constitutes an official stove permit after inspection and approval by the building inspector. Owner Telephone no. Address of Property, 22 Vill eXL r Location and Stove Type 4,(� 6A, v Date: Building Inspector The solid fuel burning stove at the above location passed: failed: inspection. 1 110r11 I r11`f?ri ;-i.,1r I �..1. r;(ir.� 1 I:r1t' I r?r?'' I>1"r J 1 I'r',1 .r t,I•� Board of..Building .Regulations and Standards , `k One Ashburton Place - Room 1301 Boston , Massachusetts 021.08 HOME IMPROVEMENT CONTRACTOR - R e ca i s t.r a t.i o n 1.2 0 8 5 9 E x P:i.r z t i o n 0 3/1.2/98 93' Eo„�»,�n.,M.,Ii,G. ✓ll��.,�ti,.,Fa� ' Type F)RA HOME PIPROUMEMT COMTRACTOY Registration,` 120859 "•(1PIl?l 1 r I"i I {"I I i h11 !1 'r` ''I•If-F!" _ I ORA I T 1 1 ,.` Fx.pirat.ian 03/12/9Q F r1r P'N 1) tJo"r r,i:,i..,_I ,,,,,I f LI^; r,•'•:,�i,i Snrir,VllCll (:IIIMMEY S!•1fEP ,K IT11 A. CLIri `28 EMERALD WAY ADMINISTRATOR FORESDALE MA 02644 I 1 S a- �5 o �ckoff' 10 NNVy r (-A CAN