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HomeMy WebLinkAbout0015 GREENBRIER LANE l Map o26,6 Parcel d 7-6« 60.7 - Permit# House# /`3' y Date Issued ' — � - a-V rr-\ - Board of Health(3rd floor)(8:15 -9:30/1:00-•4439) Fee -, . U Conservation Office(4th floor)(8:30- 9:30/1:00-'2:00) Planning Dept(1st floor/School Admin..Bldg.) ,THE ty, Definitiv an proved by Planning Board 19 ; ` - BARNSTABLE, ` MARk TOWN OF BARNSTABLE ,1E0 �e,� Building Permit Application roject Str Address 13''6.�.�6A �� ge ��!/llv 41,41 l S Owner Address 6,ofiC-A' Telephone ' Permit Request Rt)o op i First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ cZ y cg v 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 ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Sow L 7M Address o26'6,fNeoA License# O 111 d d-7 T/V� Home Improvement Contractor# 4a4-yqa f Worker's Compensation# 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) n IRS FOR OFFICIAL USE ONLY ' PERMIT NO. DATE ISSUED AllMAP/PARCEL NO. , , = ADDRESS `r. ! VILLAGE' OWNER S . F p f, DATE OF-INSPECTION: FOUNDATION FRAME INSULATION t r . FIREPLACE w ELECTRICAL: ROUGH FINAL - - PLUMBING: ROUGH ' FINAL - GAS: ROUGH FINAL - - - FINALBUILDING r F DATE CLOSED OUT ASSOCIATION PLAN NO. t A t i .f OfTMe t � t : . The Town of Barnstable MAAFL • searrsreate. • 17, 16 9. ,0$ Department of Health Safety and Environmental Services rFn ' 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 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: . dlee -Est.Costs ' �r Address of Work: 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 Contractor'Name Registration No. OR Date Owner's Name r r—_ The Commonwealth of Massachusetts Y.__- fly -= - Department of Industrial Accidents � � Office ofinsestigadeffs o 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: city nhone# ❑ I am a homeowner performing all work myself. I am a sole r netor and have no one working in any capacity % %%/%%/%%%%%%%%%/l�%%%%%%%%%%%%%%%%%%%%%%%%%%%%�/��%%%%%��%/O%%%%%%�%%%%%%%/ ❑ I am an employer providing workers' compensation for my employees working on this job. contpanv name address: cttv.;:: phone#: insurance co. PF Ohcv# 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: com any name: 09 CUy` address: phone insurance 'olicv# company name: — _. address: nhone#s anJnrance co.. olicv# »,. NO Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Ottice of Investigations of the DIA for coverage verification. I do hereby certify under the pains and enalties of perjury that the information provided above is truo and correct Signature Date �r�/ Print name t�1�`OlG1 4J' , �. 1ra Yam? 9 Phone# r7�.376)- 1-7 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Offlce ❑Health Department contact person: phone#; ❑Other (rmsed 9/95 PJA) rj `s 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 employee is defined as every person in the service of another under any contract . of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, 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 who 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 152 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 the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the 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. 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 along with a certificate of insurance 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. 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 ret<rned 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. The Department's address;telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Inuestigaflons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 VT - - � ✓/t6 ZOO'IR4lt69ulJEal!/L�✓l�CalfuC�tu::et HOME IMPROVEMENT CONTRACTOR Registration 125330 Type - INDIVIDUAL Expiration 11/20/99 CALVIN B. FARNSWORTH 25 GENEVA RD ARMOUTH MA 02664 ADMINISTRATOR t TOWN OF BARNSTABLE Permit No. 21878 1 ° 111Y.7T.1L a Building Inspector Cash l .i 'Oo �bso 5 OCCUPANCY PERMIT Bond _ -q0 't _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use- without a Building Permit therefor first having been obtained-from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector. Issued to Greenbrier Dev. Corp*. Address BOX 510, Gknterville t .. i nt, 07 itt Grp—pnbri;ar T,�.n¢�'�i�sf HvArn snorti Wiring Inspector l ` Inspection date f Plumbing Inspector ,� ( _ Inspection date ✓ Gas Inspector ,/ Inspection date Engineering Department Inspection date '; r THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. /► ........ ............ .......... f (Building Inspector t _ f ka `2 i a. . V a� t �., fi * a ltie :,r +. y.. -.1 .� ,,k;...'( hT ! �K.,,,. p. tya zy. I 4 '� 1 J ,; t .�"­"�W;,"Z,*.'Y-1`-1,--.!,�,'_T,i';,,,0-,-,-;­,1,1_:I rI, 4"�:,-,l'l,,,;'l!..',,�A. �ttt-;,.�!,�I��.-.II,;(-1�-;....m� ' > >., y k 9 C ,'w a t t Ik ,,.� r i:-F . ° + f t�'r 4 r 2 T :Jc 2 i"a''t "ar y q �kA rj if, n h + 1 '' t r< A�. y (I r'r' a'- _ t iA. k y l § F .'j t ) b, 1/ : k r*t�..t 4_, et ry?r A9¢ +, {dy ...''/ t1 r F ,. xis r,r �'C'u r' ! 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J c i- Ya;' � j �,.x ���-S U r ' 3ti r .,. n Q —; a �{ y L_ ui g 7 y p, n f, a p o,y r t a' { "r s° FA. 6 S r f. {jt za. r t F rk r f f. J' x e ';� X �. s 1 t.. z ,+ a ,� + +r > f 3+. b f. a r4' r i,dti r �'9 a ° k T 4 k If I y J .!'. ! : a , � +' , a y ,c I sir n r #!,' "� tF x.. , 2,} r,h e y ,¢ 4<h:F A es i?}t 1 ,j r,.L f i �F r f 1 ski '��' Yf } a '� t- J j$4 �. - 4. i �r i { '•' i 4 3 f x CERTIFIED 'PLOT PLAN r r . t 5. v 1 c k i +f + NEW CONSTRUCTION ONLY : L ,, ' . ' `# < TOP` ®F: .FOUNDAT10�1 . IS FEET . ^`� `IN :' �' `wr_ J s u r1 r %,t� ABOVE LOW POINT OF ADJACENT �' f ��i'�l �Di "•t 5 I 4 z< `r' ROAD . . ,rp *. s ~' SCALE: l xp=3 D , DATE_ j +30 1'. �< ., -1;14 L .LPE®9E ENGINE'ERING CO.IN i_CERTIFY THAT THE'FOUAID4*7 ro '� .�: ce_IENrT_W�RN� SHOWN ON . THIS PLAN 18 -k LOCATED M EGIST,ERED REGISTERED JOB NO:.:7 n Z.b CIVIL LAND - ON THE, GROUND AS INDICATED,. AND ' CON OfIMS PTO THE ZONING LAWS r•!i ENGINEER SURVEYOR DR. ®Y .14�r� :Mr 'OF ®ARKS 8 A S 33 NO M:4lN ST �t2—lModP!�ST CH- � BY1 " ?_'� r n - - - C - ,� f t. ,f ` ,* I j; SO..YARMOUTH, MASS. NYANNIS, Mass. SHEET/OF` _� D TE REB. LAND SURVEYOR`. I 1,h e1'k,1C, � .": t;. + _ '- ..; ?r¢ - 4 t _u 3.., --N +t='h: "' AsslIss�r,'s map and lot number ..... F...... ....D....� ........�L� D THE yo roe Sewage Permit number ........................:............................... cv .}� �S e�c v i�� `4 • 9TADLE. i House number In S STA ,ray,co , ,yea 9. 'A/ITN TITLE .5 ar a TOWN OF B A RDN S TA Rt"PL CODE ANE) BUILDING NS=PECT0R APPLICATION FOR PERMIT TO ... .. ....... ✓.(/G. r '.. �Ice..... .... (.. . ........:�fd..... ....ti'id��'rG� TYPE OF CONSTRUCTION ....................�1;lLG/ ...1../ .�Jr............................................................. ....... .........19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby as fora per 't accordinggt the following information: Location ....... ..... �... �'.: .al../ ..� ...... ,/�/......... . � 1 ..Grd� _ ProposedUse ......... . ...........:........................................ Zoning District 4� .......Fire District �,�� .... .. .. .. .... ... .. .... Name of Owner ......Address ....... i ...s..?/...�........� .. ....1.//.�i.. Name of Builder ...................... .......................Address ............................< .................................. ........ .Name of Architect ..................................................................Address .................................................................................... rNumber of Rooms ................... .` -.............................Foundation ... ...C�f/.f' Exterior ....................................... ...... ..................... ..............Roofing s ......... ....... ........... Floors C ... .. ....,f34..!x,.....................Interior • ........... �. Heating ............ /- . ...........Plumbing ...............�� - 4r................. Fireplace ................ ......................................Approximate Cost ............ -(,,,/............................. Definitive Plan Approved by Planning Board --------- _ _f____19 Area ...........19-1 19.......... Diagram of Lot and Building with Dimensions Fee - ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ) i 3 III I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar the above construction. Name .. ... , . . � Greenbrier Development Corp. � ^� ����� �/ ��� `~ `^ � � ' ^ � parmh for —ue story.............................. � � d�eI _ , --- ==.. `°~='.—,,,` ^.----.—�=--.---.. , ' Lane � Location --.���.. ---------. ' . . / ^^ �-------..]��/�t.. ................... ~ ' Owner ---- . ..Coro.' ~» Type of Construction ---....1�r���—.---- - ---~---------------------- ' ., . ' . � \ Plot ............................ Lot ................V........... . � . . Permit Granted ..........De!�eo��fu...lU--lg 79 Date of Inspection 1p � uo/a Completed r� � ' C . - PERMIT REFUSED � 19 ' ~ , �~ � � ............ ........................................................... mn ....................................................... ~`—~— ~''s,'----'~-`''—~--''--'--' ' ' �� ..................................................... � . Approved —..��---------.- 19 . ^ .---------..-----~...—.---.--~. . ' ^---------------------..—..-- ' ^ ' . Assessors map•and. lot number2.1 � ......... .:!......... 7 L !C THE ' )) Oi TOE Sewage Permit number ................. ..:............................... 1 BAWSTADLE, i House number �pe�ib39. \0� RFD YPY p,' TOWN OF BARNSTABLE E� BUILDING INSPECTOR ` APPLICATION FOR PERMIT TO f �" r/!' 57 ,`� ���i (��' --r�� ��' r�.. ..... ....y.`.......... ....................f........ L. f^/,fir,,�i' ✓,a -ai TYPE OF CONSTRUCTION ..................... ......... ...........................:................ ......................... ,A .............. l� �" .........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:f Location ...../&2/ .......� ......t... �: Jf �JJ'/r� 1- ;`s;a��. .r.... 1;,..... r�(1�...... ProposedUse ......... ../5 -i/. '�?�c ' .............................................................•..............�........ .......r............... Zoning District ....... ..... ......Fire District .......... !7.��a... _ ........ .... • C.,.r, ?'I�C`'r.' h�l..f.i. .`'t' {/...( ......Address ...... . ./......�..i........ . .� �...`.Name of Owner Name of Builder . ........... - `...�©.........................Address ............................ .-r ....!?"Y?.`. ................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................,....:.:........................................Foundation Exierior :.......: i .. .� ................................Roofing ................... .. ..........................................................�....................................... r / FloorsJG'�/ � .........y�.f��Yl: Interior ........... r, // ;1r. Heating ........... . ?... .. .. ..:........Plumbing ................. /! �/� ..�.:................. � fir' f � Fireplace ................. ......................................Approximate Cost .......... �............................ �- w Definitive Plan Approved by Planning Board _________Sr'� ___19-!�9. Area ........... .r.a........... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ;i .t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name !: t1a44-1-4.:. Greenbrier Dev. �=2�8-?8 . Corp.~.^ �, = � �^ �� . No ...2l-078 Permit for oue . t �--- ' — --- -- ��..�.. :�ingle family dwelling � -------------------~.,-----. . . 15 . Location . —.�^!�����.����—�����----. We ` ........................................ '------------- ' Dev. Corp Owner . ~^ ` �.---..�----�-----. � ` ' frame Type of Construction .......................................... . ` � � � Dote Completed U/ PERMIT REFUSED , � --' ^ —. ^�'*»x''z5.^=)_ ' « ^ .... '...' ' ^ �,�������_ . —. —.. ..�� .`--~--.--..-- ~ y � | / y -----"w------------------.—...Approved . ................................................ lA ' -------'—~----'----'—'—^''~'--'—' � --------.---------------..... _ N& N�