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HomeMy WebLinkAbout0340 CRAIGVILLE BEACH ROAD i -- ,. j Town of Barnstable Co y Approved Regulatory Services ''� g Fee -r,> Thomas F.Geiler,Director Building Division Tom Perry;Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: 2��`©� Name: w 7 P I ,),, i ­7—JAl� 1"�-c Phone#: �7�� ` 7 Address: �( �1)5_L4_F_ Village: Name of Business: Type of Business: L 411i Map/Lot: ? ( Z INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors, electrical disturbance,heat, glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dweal, I,the un rsign e with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc oFt�E rOwti Town of Barnstable *Permit# 2 �4 0 Expires 6 months from issue date • enxtasTABt.E. Regulatory Services Fee-42sza 9 1 t 7 3 $ Thomas F.Geller,Director 69. �0 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 'PRESS 367 Main Street, Hyannis,MA 02601w Office: 508-862-4038 MAY 4 200] Fax: 508-790-6230 EXPRESS PERMIT APPLICATION TOWN OF SAR�JS-FAB Not Valid without Red X-Press Imprint �� Map/parcel Number Property Address 0-Itesidential OR ❑Commercial Value of Work Owner's Name&Address c1 11-zie' �/ /Gc f7 Contractor's Name /�/l�/'i 1//z 7ti'S/ -- Z;4 el)�, Telephone Number Home Improvement Contractor License#(if applicable) G Construction Supervisor's License#(if applicable) ❑Arkman's Compensation Insurance Check one: ❑ I a sole proprietor the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) Re-roof.(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation.etc. Signature expmtrg Engineering Dept.(3rd floor) Map (:P 6 7 Parcel Q c� °� Permit# :3 Q 3 d2 i House#, _�q6 _ Date Issued Board of Health(3rd floor)(8:15 =9:30/1:00-4:30) `/v � �Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) SFr/ ° i � � Planning Dept.(1st floor/School Admin. Bldg.) ho` efi 've Plan Approved by Planning Board 19 ; ODE AND l EIdVIRO T14NS TOWN OF BARNSTABLE• T®� ' Building Permit Application ; P ct Street Address Yfo Village /.0 , Owner A�W/V/s Al c � � Address 3YlJ /�i�diG1Gr �rn3e/4.�� Telephone -7 /— Z 6 9 8 ,_Permit Request' -1A1 AJ AIele, a4RA 6�" � &. OZeltl t.)J1V ZZ�S First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Z Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes UINo If yes, site plan review# Current Use Proposed Use Builder Information Name 1 fZ2/. VK Telephone NumberZB Address . — N Cad 17' License# /9 r7 d L3 Z Home Improvement Contractor# le-0 7e'2 E Z!�7'; Worker's Compensation# 09 6U 6 8 Z ;2-R24 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 ov7 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE T OWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 3Z DATE ISSUED �� - } - - s, • : - ' s MAP/PARCEL NO, � ; { ,- _ •. � _ - Y ADDRESS VILLAGE" r t i OWNER DATE OF INSPECTION: FOUNDATION i FRAME INSULATION ' FIREPLACE r 1 ELECTRICAL: ROUGH FINAL t 4 PLUMBING: ROUGH FINAL } - GAS: .ROUGH FINAL FINAL BUILDING C tt i DATE CLOSED OUT -r•' t i t ASSOCIATION PLAN NO. i t ` i 6 + ... �+ I. �j {�i ,. 1. �i� i — S��, •,I r r j �—„20' ,.�, =k� '{ �' 4i �' ��. � I ��..L G .��I...�� A ".�Rfl l6 Vl t_Ly..-ll'EAGN yr�O 1, , a, ., ��, , •I � .2_..f'_.S'ED..„;.__ - Dd.�"ko� ;: : �-..,.l.D�_'�- - - �-'�- __-W tl_ .A �. ,! N - _- _ W�:r-r. �vac ry N lLc rya ae Tl.: n ��5. yy ! i ii { E I -_ j .: l..: I i t . ! j;'_ i. _ i. f I I i , . , _ � l _j _ I .., ( i- j { __.. .I _ - -• -- - - - .7.._ _ _.._ I I I , I _ 1 I , I I s - FJKX A I , N G + 1 o , ! 1 d 77 1 , I IT TO t _. w; ssesso 's map' and lot number ....: �1 . ....D..°? SEPTLC SYSTC:M-M 'T '6t '' INSTAI_�Ela IN COMPLIANCE Sewage Permit .number ..... .. . .. ... .. .......... :' WITH AP"FICLE 'II STATE SANITARY CODE AND TOWN TOWN ' O F B A R I ` °A B L E Py o BASBSTA➢LE',,i y { 9,o,MA86 ' C owaY°r�e� r DU1 .DIN'G INSPECTOR APPLICATION FOR PERMIT TO ..........V R.4 .......... .... �..M a< ..................................................................... TYREOF CONSTRUCTION .......... k.4....' ..E.�...........:...................................................................................... �..q............19..7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according ,tol the fopl'lowing information: Location .�_ :A.iG V. ... ?. C'.N..... :..........`.... / dl a{?S.� ................................................... Proposed Use .....FA.has.lTy... .......�.: Zoning District ...........1� -...............................................Fire District ....... ,�/{�... J/ Name of Owner .U.I.W.AM....� .................Address .?�?�5�..!c'/�.a:�.,s,yPoG'i i i►► .............. Name of Builder .. ... ..:....:....Address P..?S...X........................... t e ..�.... .... Name of Architect ...........................:......................................Address ........................ .... — Numberof Rooms .......................��. ......................................Foundation .............JAO........................................................ Exierior ..�-`?. .4� '...: �� � ... 1�1 .................Roofing .....�'w�a.4� :ia.1.� :..�G?�►.f !=?^ �Sd d�ICdc . Floors -! ...1.. ?........................................................Interior ....._ :-E.a.e-T A�.P.CK............................................. Heating ..PZ9,,rrSx_.,i>..... ...... .La?........................Plumbing .....d.. .... fib ; S..9..?`).!�)............................ Fireplace ...................:�.0....................................................Approximate Cost Definitive Plan- Approved by Planning Board ________________________________19________. Area /..V. .. ..... ... m?..:.. 60 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH -I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ...... .� -? ? .................. .. 1 Ryan, William A. 18003 r dormer No ....................Permit for'... .`.. ........ . ...... .....................'................................ ; .. _• Y ..1 ~ + ' ' r, Location .....,Craigville Beach Road c ...... ...... ... ... .. _ ..................................st HyannfsPort.................... Owner l r^ r .a ,J William D. Ran ............................... ........................ T'P a of Construction frame Y .............. ..... ^....... . ....................:................... Plot ......:.............. .... . Lot ................................ Permit Granted October 17 ,19 75 Date of Inspection .. v...... `19 �. Date Completed .�1 ..l.Q .... a....19 I i. PERMIT REFUSED 19 .............................................................................. , ............................................................................. . i ....................................................................... ... ............................. .........................:.............. 4 v, Approved / 19 r 1 ,. r 1 ............................................................................... L t Assessor's map and lot number �P ..... �'1 +/ / 7Y Sewage Permit number ...... 7NE?p�yon TOWN OF BARNSTABLE i 8ARNSTAME., i 9�M BUILDING INSPECTOR O�FPY p' � APPLICATION.FOR ..:PERMIT TO ..... ..(::1�... Mc h� S...C. .................................................................... TYPEOF CONSTRUCTION ......... t e.Arn...P....................................................................................................... 1-7 !.....I.C�h .. ............19.7. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location C:`X!q t«V i,LI C J .�r1t +... (�J?:. �U�a'I hh. �3 ��s �5.1('.C'?C. �.................................................... ..... .... .. ..... .. .. .. ... F c�,, !I_v / ,. � . ..-. c, �: _ , >m Tr t.aal. :^: tJ I.J Ansc;n-.f Proposed Use ..... .... . ... .... ZoningDistrict ........................ ....................Fire District ................ .............................................................. CAA+6ujc�4E. 1[7F/.CH Name of Owner �.�.I.t.,t.;t is n,. �Y+O,J......... .......Address w F`�T 14 v/3-1.., i s Qry T 1 . Name of Builder k'F)QhJ.P.Ir!4:....��,��Tac '.t ... �?R..:.........Address ...................................................SrON� t��tc N {17Ag? Name of Architect .........:........................................................Address .......................... Number of Rooms .......................��......................................Foundation ............. . Exterior ..f^?.M.l : .:... . gyp-mac. _ �, Q i` '.o ............................ .. ....................Roofing ........., r Floors L.4r ,?c 7. F ?� ........Interior ......:. .a? Joe-T 1Z 0 � ................................................ ............................................................... Heating .. ',................ra ..Plumbing rA-.oC . I. of.K : .%: . ... ...... .. .. .. .... _ . . .. ..crc Fireplace ....................: ?....................................................Approximate Cost :........................................ Definitive Plan Approved by Planning Board ________________________________19-------- . Area Diagram of Lot and Building with Dimensions Fee T ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to-conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Named ...... ..................................................... Ryan, William D. A=267-82 Arµ �^ 18003 - dormer No .......c:.......=Permit' for .................................... ..................... E Y l�ocation-........;Craigv311e Beach Road .. n . o a < -r-Q West Hyanmisport ........... ...... .............................. e> t Y Wi(.. . Ran h Owner ................. .....y......:................. o E frame T,'ype of Constructir .t7 ... ................ ................................P of ...................... ................................ 0c'tober 17 75 G Permit Granted ................::..............:.......19 c_ Date of Inspection ...............19 ' Date Completed ............:..:.....................19 µ PERMS REFUSED m ............................. ............................ 19 c ..............................' (. ....... ................................................................\............................................. o c w Approved 19 Q1 • o L ............................................................................... > . . °: The Town of Barnstable • z►ar►srAstE - 9 Department of Health Safety and Environmental Services �0r16 i9. '�� Building Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date /0—7^9;7 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: G Est. Cost 2-.eo' ®O Address of Work:J'yo aeAz 1116.e-f- Owner's Name 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 PROGRAM 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 �Contr or Name Registration No. OR Date Owners Name i' N FV 600 � JG/eeC Boston, Mass. 02111 Workers' Compensation Insurance Affidavit pr�Rs ter- : �licant information• `''- ����'�=r�--�••�=�_g�a�'�'-- name: location• f11\. phonc I am a homeowner performing all work myself. I am a sole proprietor and hive no one working in any capacity (B I am an employer pro-iding workers' compensation for my employees working on this job: om any name: 2z ' AZ;- )-)lee address: re) 7V/7— W,4 f�2� �✓ phone a insurance co _� nolic� tJBBl�If z ��z 1 am a sole proprietor. general contractor.or homeowner(circle one) and have hired the contractors listed beloss ho ha%-.g the folio«in;;workers' compensation polices: phonc H . nolicv N ,t— In<ur•1nCe Cn ` _ t�.� •Y�- _.'�'vv-.�{'�`nt�cn7.1►. - m an H. •�- poticr a _ t3CIs lal1�OCjt1l'IIt r� LM M A Failuce to secure coverage as required Hader Sectioa 25A of titCL 152 esa lead to the imposaroa a[enmtau penataa at a unc op►v�►,�./.�.�..oW/V one years'imprisonment as h ell as civil penalties is the[orm of a STOP CORK ORDER and a toe of SIl#0.6t1 a city against me. [understind that a copy of this statement may be fot�+arded to the Office of investigttioaso[the DUl for coverage verification. do hereby cerrij� un r ins an enaltiej ojperjury(hat the information provided above is(rue and correct.~� Dale /�7 Signature Print name /� e.� Phone A :- of icial use only do not Mrite in this area to.lx completed by city or town oft-teiat city or town: permitfliccnsc N FiBuildiog Department C]Llcensing Board o check if immediate response is required OScicetmea's Ogee �itcalth Department contact person: phone p; _ _ - 00ther____ 1. HOME IMPROVEMENT CONTRACTORS REGISTRATION Board Of Building Regulations and Standards I One Ashburton Place — Room 1301 I Boston , Massachusetts 02108 .. HOME IMPROVEMENT CONTRACTOR -_._________________________________ Registration 100740 Expiration 06/23/00 Type — PRIVATE CORPORATION ✓�� �W- lU : _�^_ HOu= IM,000 '?:-Ni CONIR=.CTGR CAPIZZ! HOME IMPROVEMENT , INC Reistratico 1GG14G INC .. I U�� Thomas Capizz i Sr . t -� Type ' PRIVA' CORPORATION 1645 Newton Rd . Expiration 06/23100 Cotuit MA 02635 CAPI7— HO"E -L7� jlLZS Cao1L71, Sr.-1 645 Hewton Rd-'. j Cctuit MA G2e� F . ;, �/C2 7�4)It))1lYJCUJCQIIJi Q/ i��C/lIL:Q.a: _ OEPAP,iMENi OF PUBLIC SAFETY COMS'P.UC'IOA SUPEr'.VISO� LICEySE Nueber: Expires: Restricted To: it THOMAS I CAPIZZI JP. r • " tr.;:.—.r";: 280 PERCIVAL OR If located: North of Route 6 - any work visible from outside- needs approval from OKH In Hyannis -If work visible from outside- Check to see if it's included in the Hyannis Historic Waterfront District- if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: Map/parcel number Sign-offs m: Health Conservation(if exterior work) [' Tax Collector EJ— Treasurer �— Street address ®/ Owner's name&address ©/ Permit request- full description of proposed project Square footage -proposed project Estimated project cost Complete Dwelling information for Assessor's Office (� Builder's information Signature Plot plan 2 sets of reduced (8.5"x 11: or 8.5" x 14")plans with cross section& framing schedule [� Home Improvement Contractor's Affidavit Worker's Comp form must include: Insurance company's name & Worker's Comp policy number Energy Compliance Form (" Copy of Construction Supervisor's License & Home Improvement Specialist's License OR Homeowner's License Exemption Form. Fee NOTES: CHIMNEYS Need Home Improvement License No plot plan required PIERS & DOCKS nNeed Construction Super license AND Home Improvement License Owner cannot pull own permit q-fomu-PFRMrrS 1 Rev 9/12/99 �► , The Town of Barnstable Department of Health, Safety and Environmental Services Building Division 659. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: Name: C 01. b MIA L>An �dt d� 2 Linz Address: -S1 c�- C9 V J SSE ISS Ok Village: `A A-V\ S Type of Business: �'� C o ✓` 2Ja e d�C Map/Lot: QL-7 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor: no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, 0Y1 located within that dwelling unit. �v • Such use occupies no more than 400 square feet of space. V& Y • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. S` ) • No traffic will be generated in excess of normal residential volumes. N �. i The use does not involve the production of offensive noise,vibration,smoke,dust or other particular l matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. 0W ': There is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in (� excess of normal household quantities. L)�e�' • Any need for parking generated by such use shall be met on the same lot containing the Customary Home occupation,and not within the required front yard • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home occupation. • No sign shall be displayed indicating the Customary Home occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the unde ' ed,have read d agree with the above restrictions for my home occupation I am registering. Applicant: - Ll Date: '�S a � i i �o-� __ 4 { ,� f �- , . . _ q _ . . TO ALL NEW BUSIN ESS OWNERS: ' Fill in below: ` NAME OF NEW BUSINESS:��\ -Q 11f1A�A� �o1(a TYPE OF BUSINESS IS THIS A HOME OCCUPATION? S ADDRESS OF BUSINESS C,Q.A= y •��F� QF�c� ���°5 < m �, oa6o 1 MAP/PARCEL NUMBER If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's o ice(Ist floor-Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE 14TH FLOOR TOWN HALL) This indi idual 0 in compliance and has been explained the procedures needeu to sturt a business V 44T . Building Inspector's Signature 2. GO TO BOARD OF HEALTH(3RD FLOOR TOWN HALL) This individual has been informed of arty permit requirements that pertain to this type of business. HealtO Inspector's Signstu 3. GO TO CONSUMER AFFAIRS(LICENSING AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been informed of any licensing requirements that will pertain to this type of business Licensing Authority Signature After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. Y st'W yp R T£ MTS`tJ Assessor's Office(1st floor) Map (�'� Parcel o Permit# 17 go ' Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 0 Date Issued i. (�NL Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)_ .,,,,� I„f�� Fee - Engineering Dept. (3rd floor) House# d Planning Dept.(1st floor/School Admin. Bldg.) � r BARNSTABLE. Defi tive P n Approved by Planning Board 19 _ MAS& TOWN OF BARNSTABLE Building Permit Application r�t Project Street Address.�100 </*lm //•/LG, Village 025/7G/ ZydNIf A- AI Owner ,�j� D,q ��/� ' ��yg�✓� Address Telephone -6 97•-/�4/� Permit Request e2,6W ii/,o0L,-1Z— 11-AX a,r� 2saQ,> -�R- C_ ,�iJ no2P,�d ,dd.�T�rXJyl_ �..�,�l,�.S•�,iN�n3?l W'6�-i.�A,y��� ��cc4 �W/,r..�tr,�,� First Floor tay U �.�r? ��' �SZ square feet Second Floor square feet ` ad Estimated.Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization / Recorded Current Use Proposed Use d �c✓�%��Z Construction Type Commercial Residential )� Dwelling Type: Single Family )1� 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 Builder Information Name � zz Telephone Number Address License# OS-f7 D 3 Z- C%/� i�/a,2�ri/�wd-;,a- Home Improvement Contractor# /0,0-711-6 Worker's Compensation# G,F 4 G �3 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 c 9 - ,b BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE_ONLY r - PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ! t OWNER , DATE OF INSPECTION: FOUNDATION + FRAME INSULATION ' FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING:. ROUGH FINAL - GAS: ROUGH FINAL ' FINAL BUILDINGS DATE CLOSED OUT ( ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents elute all"OS1112081" 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit Applicant m ca i n: ciz. 35 phone I am a homeowner performing all work myself. I am a sole proprietor end have no one working in any capacity I am an employer pro%iding workers* compensation for my employees working on this job. coml2any name: address: cit // phone#: insur.nnce co �T 7— IY2 policy C13�/8 I am a sole proprietor. ;eneral contractor, or homeowner(circle one) and have hired the contractors listed below who have the following worker_ compensation polices: m any na e• address: city: phonent # insurance co. lie # company name: sIIY phone it• insurance co. poiiev ff >s Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erimisal penalties of a floe up to SI,W.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flue of S100.00 a day against me. I eaderstsod that a copy of this statement may be forwarded to the Of ice of Investigations of the DIA for coverage verifiadoa. t do hereby certify under the pains an enalties of perjury that the information'provided above is true and correct Signature ate ����• �� Print name Ifa G'�� Phone official use onl do not write in this area to be completed by city or town o[flcial n city or town: YARMOUT$ _ permitAicense# Building Department OLicensing Board. 0 check if immediate response is required 261 QSelectmen's ORice E3He2lth Department contact person: ^Phone# ,(508) 399-2231 ext. riOther _ . . (reseed 3:95 P1A) . : 'I e' Town of.Barnstable K"& i Department of Health Safety and Environmental Services - Building Division : 367 Main Sued,HYatmis MA 02601 RaiPh Ctosscn CC= SOS-790-6227 Bun diag Commissione F= 5w775-3344 For affix use only - - Permit no- Dau AFFIDAVIT HOME MaROVEBINT CONTRACTOR LAW SUPPLEMENT TO PERMr APPLICATION that the_rWonscract an,alterarioas,renovation.,tcpair,mod�oni °n, MGL c. 142A tegtrires ed improvement,.Tema%-4 demolition. or construction of an addition to'any pte-existing a*= � a building containing at least one but not mart than four dwelling carts or to stzmWtres wlu'ch are dd to such residence or building be done by registered c==a=rs,with eatain �° along with other tequiremeats !` r _ Type of Work: s' Est Cost t 3.- ' Address of Work- Owner.Name: Date of Permit Application: -t�r--16 J I herd certify that: 71 i `t Registration is not required for the foIIowing reason(s): i Work cmduded by law Job under SLOOO Building not owner-0ocu ncd OwnerM�g° Est Notice is hereby given that: OWNERS PULI-ING T EIR OWN PF-RMrT OR DEALING WITFIUN1tEGISTE ACCESS �� FOR AFPLICABL.E HOME IIv�ROVEMENT WORK DO NOT EIAVE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the(niter: � �� Regtsttauon No. at name OR �7Gc � �t.�Ifllr(.LW��i�i1�Z��LO�i(iL0' iOME .IMPROVEMENT CONTRACTORS REGISTRATION i: Board of Building Regulations and Standards t •One Ashburton Place — Room 1301 :Boston, !Massachusetts 02108 - i HOME IMPROVEMENT CONTRACTOR _L------------------------- - Registration 100740 Expiration 06/23/98 Type — PRIVATE CORPORATION ���ll .�a HOME IMPROVEMENT CONTRACTOR I• Registration 100740 CAPIZZI HOME IMPROVEMENT, INC. Type - PRIVATE CORPORATION Thomas. Capizzi , Sr . Expiration 06/23/98 1645 Newton Rd I Cotuit MA 02635 CAPIZZI HOME IMPROVEMENT, INC Thaeas Capizzi,, Sr. (x d''"°-7f Heaton Rd. ACMINISTRATOR Cotuit MA 02635 401. •E'..i�'•x 1�hyL•• DEPARTMENT A ONE SH(3 UR DOSTUN, 1 •kUG-T-10 -*SUPERVISOR LICENSE i...• . .>„=F ExPiras: UO -icy-ed: , :. '. r•"i • ; , r� ftl OCIVAtt �N.Stt BU,, �A 02668 • �' ar' �`��` •Q . Vic*,��E��k =' \•