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Home My WebLink About0030 IRVING AVENUE 3 d �� y -= ngineering Dept.(3rd floor) Map c2v Parcel OO:I Permit#— 350 0 G s .. a House# 3� Date Issued Z� Board of Health 3rd floor 8:15 -9:30/1:00-4:30 Fee., Conservation Office(4th floor)(8:30-9:30/1:00 2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE DefinitivePd,ress y Planning Board 19 BARNSTABLE. TOWN OYBARNSTABLE 'f° Building Permit Application Project Str Village ( C Po(Lfi Owner ,j--S-, SkS�p0, . Address f. Telephone Permit Request Cd--f-C First Floor s�aPefeet Second Floor square feet Construction Type Estimated Project Cost $ (9000 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 Flraser-Construction Telephone Number Address Cotuit MA 02636 606 408 2092 License# Home Improvement Contractor# Worker's Compensation# We `/9,-) '3G3 d 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) _ /Jgpm • / S �- FOR OFFICIAL USE ONLY _ PERMIT NO. 1 DATE ISSUED- MAP/PARCEL NO. ADDRESS VILLAGEi OWNER ' ► `^ DATE OF INSPECTION: FOUNDATION FRAME � - •} � r i . r —J e � � ! 1 INSULATION � _ .! r � �„ _ _ 1 / _ _ I • ; - FIREPLACE ELECTRICAL: ROUGH , FINAL PLUMBING: ROUGH , FINAL GAS:, ROUGH FINAL FINAL BUILDING -- _ DATE CLOSED OUT: + i t q ASSOCIATION PLAN NO. 1 ' x ' The Commonwealth of Massachusetts • Ti_ , ),g � Department of Industrial Accidents ::-: '== Office 91INYO ASHODS ..... ; 600 Washington Street Boston,Mass 02111 Workers' Co m ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in amp ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. companv name: _. address. .. city phone#. insurance co. policV# /////// // // / ❑ 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: company name• address: ; dh* phone#:... Insurance co .. ,.:.., . company name "' :':'` `•' :.... ....... . ... address: phont # ... insvrenceca ::: ,.:> olicv# ..,... >;;. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of a hntnal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification 1 do hereby certify under the pains and penalties of perjury that the information provided above is true.and correat Signature Date - Print name Phone# 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 Office ❑Health Department contact person: phone#; ❑Other�� (ravaed 9/93 PJA) The Town of Barnstable Department of Health Safety and Environmental Services ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date bid.9% 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: gapzwEstimated Cost Address of Work: p 'T�( V 1 tN 2 a kN-k Owner's Name: (�cz- fir a cat` X Date of Application: 1 I )� 1 I I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under$1,000 OBuilding not owner-occupied [30wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. % i Date I Contractor Name Registration No. OR Date Owner's Name q:forms:Attidav n i lZe Y 1 f/1 ` MOM` >IMPkOVgi1 ENt 'C0NTRACTORS• RE GI O�J� " E3oard of E3ux,',0i;ng t s Rgulaxon ' and 5t n.adaxds 0.5_766 � y °sAr Room 1301 r Ones A�huY:ton .place £ x '` k` "$' Mas=achu�t�tts ''-02108 r `�� ►! yflc�-P " •t, E3osty, MONIES I<Mp,ROUMEi�dT COh1 ,=RACTORr qvkRej� tratxon 112536 '1, :m Ex t parat�xon 04/06/97 f, +w�,�"; �w _. 1 a',,s4.•.. '�' r;. � a v r ` a C� 9! ��A t S:. ;. } i HOME-IMPROVEMENT CONTRACTOR -Regis 112536. �rI�EAN �C ERASER t -Registration f, v "sDEANf C .. FRAMER r� I. .TYPe DBA a Expiration 04/06/97 x `71'JARRAGON ;CTR'r ;r ; 7 MA,. 02635EU DEAN C.ERASER DEAN C FRAS, ee t,7I TARRAGON CIR . 4 _ STRATOR- ADMINI COTUIT NA 02635. a k The Cotnnionovealth of Massachusetts lir Department of Industrial Accidents . oficeol/orestloat/otts ; , ,.. . i 600 fl'adhingtin Street ��' � •' �' Boston A1ass. (1 111 Workers' Compensation Insurance Affidavit Ariri11c Yn nformat on 1F.7 Please PR1 ! Location city l![°� �1 �� . phone# y0� e7dS� 0 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity L...., � - r ... ...e I am an employer providing workers'compensation for my employees working on this job. many name• I'�� oc � Ca-rShWc.,TI�I1�-r rtddress: 17 I l fitz v9 t^n-1 QX city: Co phone#• i suet cpolicy ... .... C] 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: company name: atfdress: city: thane e! insurance co• Rolicx# a .. !..».•�ra,,..r..�¢a.- -�.....:J¢i=- _-:njaa�a*rr•a•'^1'•-t:"•«" •7.• .:;c-^•+ae „ ,T . e++r.• :!✓•'�4!�'Sw. ..,.�.•,�..�,,...,�, a.rra.s comnan�•name• • address: city phone#• insurance co. Rnlicy# .Attach sdditional_sheetit'aeeessa 'w =;�r ►•ter • �� • -�M= Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or oneyears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement mad•be forwarded to the 011ice of investigations of the DIA for coverage verification. 1 do herebt•certify allies of perjaiy that the information provided above is/rue and correct Signature ate Print name —��jj Phone# •r official use only do not write in this area to be completed by city or town ollicial city or town: permit/license# nBuilding Department C3Licensing Board p check if immediate response is required (3Selectmen's Office [31iealth Department contact person: phone N. rJOther (revised 3,95 P1A)