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Home My WebLink About0151 DOLPHIN LANE r _I J ` Engineering Dept.(3rd floor) Map- Parcel / ��,, Permit# * House# ZA-/�'a Date sued - : 9 2 Board of Health(3rd floor)"(8:15 -930/1:00-4:30) QD o2�5' if 9 Fee P 99048 g) SEPTIC SY STE 19 INSTALLE , IANCE WI TOWN OF BARNSTABL �I�®�� q � C �� " TOWN REGULATIONS Building Permit Application Yec c!J Q L��//� �}/►�f£ ` . Village Aooa/ Owner PAn9/a Lh► CA 19C'x/0 /`lip c Address A'Zry a' J I?oe*T N��G Telephoner-T-O 8 � / `' �'� �� /YI A• o / ��;® Permit Request P_/A PL,/?-e�' 12o77/L/V CO2,'VAA �f��'Ibc✓fz �'L�/Lc,��C ��fr�/P��S •�4.i ,�o��rl.e�2 �.z s�e�lf-��s2� First Floor 9&/ 's ��' square feet Second Floor �DOs�� square feet Construction Typej Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family U10' Two Family ❑ Multi-Family(#units) Age of Existing Structure p Historic House ❑Yes &No On Old King's Highway ❑Yes eNo Basement Type: EfFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /,-) Number of Baths: Full: Existing �2 — New Half: Existing New No. of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing s New First Floor Room Count 3 Heat Type and Fuel: ❑Gas )fOil ❑Electric ❑Other Central Air i❑Yes JdNo 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 ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name /��p�/ � 3, /,4j�-s!tiz L C Telephone NumberC,5'6 k, Address License# /124-TS< e0o'C015— t/�r ry 3, •y/4, a Z 6 Home Improvement Contractor# 10,5'6'a( Worker's Compensation# _D-0/9. 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 FOR THE FOLLOWING REASON(S) fi _ .40 ' A ;. nn pax S�, r . 3 FOR OFFICIAL USE ONLY PERMIT NO. r ' !J•, ( SC1- t,,,, . i' � t ' �.' - _ ^,r DATE 1SSUED� - MAP/PARCET,NO. ADDRESS OWNER DATE OF INSPECTION: FOUNDATION FRAME " • r,. . INSULATION ` FIREPLACEto ELECTRICAL: ROUGH F' FINAL? ' PLUMBING: ROUGHfr�: : FINAL f 4` y, GAS: ROUGiI`, ` FINAL FINAL BUILDING DATE CLOSED OUT-' Jltr ASSOCIATION PLAN NO. erne The Town of Barnstable • asexer� _ . ' �0g Department of Health Safety and Environmental Services ram • Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission. For office use only Permit no. Date 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: -V/Ve 64/ �n� '%'W T2;d Rot-Cost 6 �� Address of Work: YiM�/j Owner's Name P4/n Aza Date of Permit Application: )9 7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. 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 SOME 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. �, v Date Contractor Name Registration No. OR . Tltc...Cunr»rutrtt�cufru o�' 'tfusracliusclts, Dcpurf»rr11 w1 Of 111dMIricl,4ccidctrts 600 !t ashbig m in Street 4. Workers' Compensation Insurance Affidavit AElic:rnt`infnrmatitin� /'('Ic:tse k'RiNTTeSb _ name, Rl e,�A-/L/J 4� fts}S�l/ `z f�AS4-L L'4®,wl?z Incatinn� nZ 5 /i-Vi)xnez`-11 o� -i,' ;X 6eAF / cite• phone B 2 X" J 5`3 C1 1 am a homeowner performing all work mvself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my empiovees working on this job. rnRttInnt• vinme: adrlrrcc• ' cirt•� phone Ih incur-ittre rn. nniirr 0 M 1 am a sole proprietor. general contractor. or homeowner(circle oue)and have hired the contractors listed below who ha the following workers compensation polices: cmmnhnt• Ratne! atitlrt•cc• cite phone t+• in�iir�nrr• rR _ _ nniirt•!! CRRttt'1Rt• R11nC' atitlrrcc� -itt•• phone Ih. ncursnee co ppiieyis lttach additional sheet if necesiary:...... ►.r"+�••� «li":...=•T� • •',� �".• ••ram. •r»• .i...�.+r...• �...s�s ... s.� +•�rv..�w. ••riiurc to seeurc cuverace as required under Section 3A of 51GL 152 can lead to the imposition of crimtnai penalties of a tine up to SI300.U0 andlur net cars'imprisonment a. well as ciyii penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day apainst me. I understand that a opc of tltk%Iatcmcut ma%- be forwarded to the OlTce of Investigations of the MA for co%vmgc verification. ' do hercht•cerrift•under the pubis aad pcualties of perjury drat the information provided above is true and corrrect ^•:aturc �'� Daze 7A?/p 5 'Tint name kQ f c444a a 3 f1Ci9-Serf s Phone*C�g�j fl^ ✓�3 nfticiai use unly do not write in this area to be completed be ate or town oMcial cin•nr town: I MUidllccnse# rrlluiiding Department QLicensinc Board L- eleetmen's Once ►- �check itimmcdiatc response is required �ealth Department phone#: rMther�� contact person: � 4 Information and Instructions Massaeltuu:tts Genuml Laws chapter 152 section 's requires all employers to provide workers' cntnpensat3011 ., . M a%%7.an em lue ee is dcfincd as every person in the service of another under t� the. 1 p . etnplmcrs. As quoted lrom . . contract orhim. express or implied. oral or written. An c•»rpinrer is dcfincd as an individual, partnership,association. corporation or other legal entity. or any twv c tite fore, mal enua�=cd in a joint enterprise.and including the legal representatives of a deceased c niplover. or t. receiver or trustee of an individual . partnership. association or other legal entity. employing employees. Howe owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of d d��cllins ltottsc of another who employs persons to do maintenance, construction or repair work on such dwclli or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an,em -cry state or local licensing agency shall Mthhuld the issuance MGL chapter 152 section 25 also motes that ei rencival of a license or permit to operate a business or to construct buildings in the commonwealth for sn applicant who has not produced acceptable evidence of compliance with the insurance cover ge required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contact for the acceptable evidence of compliance with the insurance requirements of this chi. perforniance of public Work' until been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation supplyingcompany names. address and phone numbers as ail affidavits may be submitted to the Departmcnt_of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the afiida ► re � affidavit should be returned to the cit}• 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 rec to obtain a workers' compensation policy. please call the Department at the number listed below. City or-roirns . Pie--se be sure that the affidavit is complete and printed legibly. The Department has provided a space at the both the affidavit for you to 1-111 out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permitilicense number which will be used as a reference number. The affidavits may be retu. the Department by mail or FAX unless outer arrangements have been made. Tice Office of Investigations would like to thank you in advance for you cooperation and should you have anv que pierse do not hesitate to ►Live us a .._.. .. ... _''�� ...7- . .T1ie:De pariment:s address. telephone and fax number. a `- Mie Commonwealth of Massachusetts Department of Industriai Accidents _.. office of investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 - --- - dnc Ann ,... :7•; f r r - • x �"'��HOME�INPROVEMEN��CONTRA`C�OR�e� ....... �;,et.-`5'.`.�i Y`4•tga.:.4t�'N'! ?t-f.+ Y �i "ROO IStrat 10MI055211 f s �Ezpiration � 01,�:1198 ""- . �� .sf' -��,} HAS�ELLHOMEIMPROVEMEl1'i� rr �ICHAROt&MASKEtL� �o staNMR "nn �N 02b0i DEPARTMERT Of PUBLIC SAFETY _ E4• CONSTRUCTION SUPERVISOR LICENSE i 1 Ruaber:.- Expires: . ' Restricted.To: 00 >' RICHARD B BASKELL -A � 7 PORTSIDE DR HYANNIS, MA 02601 '.': oFTMETOw The Town of Barnstable yo Department of Health, Safety and Environmental Services URNS AABIA • Building Division eTFo 39. a`e� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: �-eb 7, 1990 02 Name: 1 1 A v i an r Le Phone#• 5-of -7'�S-D`)C0 a- Address: hr�yrnl 5 ,IT cam- • Village: Barn s+n U , Type of Business: U)eb (fie5rG►-, oL_ph 1c5 Map/Lot: (a Gam'1 S(o 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 m 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 dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: \ Date: Homeoc.doc J01A The Town of Barnstable Department of Health, Safety and Environmental Services ,� = Building Division Ids¢�,� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 V Ralph Crosser. Fax: 508-790-6230 Building Commissione Home Occupation Registration Date: &Y't l Tf Name: ' fC Address: /5/ Ibink i n L.an� Village: a n[ -s Type of Business: -( Map/Lot: a/0K .1 ��5f s INTENT: It is the intent of this section to allow the dents 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,glue,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 opacity,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 undersigned,have read and agree with the above restrictions for my home occupation I am registering. Date. The Town of Barnstable Department of Health, Safety and Environmental Services ne , " Building Division TF p 5�a�0� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: '13 `91 Name: Ma rfa-n' nz Ay)e r tVl 0 S Phone#: 5 dB• 77S 0Y(0 oL Address: /S/ DD oA h".. /G4.412 Type of Business:• oI nIt Les W b PSI 1 Map/Lot: o� - 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 of 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 undersigned,have read and agree with the above restrictions for my home occupation I am registering. 4"Applicant: Date 13 'GI q Homeochoc i