HomeMy WebLinkAbout0074 MASSACHUSETTS AVENUE I
TOWN OF BARNSTABLE BUILDING PERMIT-_APPLICATION
Map Parcel 02kzt ' `"' Permit# - "139 /3
mew Date Issued 5, C
t
C ision Fee
Tax Collect
Treasurer
Planning Dept. '
Date Definitive Plan Approved by Planning Board
. r
Historic-OKH Preservation/Hyannis
Project Street Address P14 N PfSsA Ca-(LS6 ris *eA ac
Village Y�/ (S P 69J--
Owner \/ Address iOA
I- U 6011 P7,
Telephone
Permit Request ST—k1Ph?F Q F(o2a
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost 0
11,7
6 Zoning District Flood Plain Groundwater Overlay
s
Construction Type W6 figibuk::
Lot Size Grandfathered: ❑Yes - W116"'If yes, attach supporting documentation.
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
A
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: Cl Gasp ❑Oil ❑ Electric " ❑Other
Central Air: ❑Yes . ❑No• Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size- Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ANo If yes, site plan review#
Current Use Proposed Use -
BUILDER INFORMATION
Name l�/��t rlL brit✓ l>Li2ayrllnatf Telephone Number
Address A,Lq 5 ���M >_ License# (2-5
Home Improvement Contractor# 0
Worker's Compensation# ajC
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO /96 Carl '-Pees
r
SIGNATURE DATE,
- FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED - r�i' W €''' ^- ., } I • _ - _ , �.- ;^_
MAP/PARCEL NO:'
# ADDRESS y VILLAGE
OWNER",
DATE OF INSPECTION,,
FOUNDATION -
FRAME L
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: - _ ROUGH - - - 1
FINAL BUILDING _ t
•' a r s 1. • f ii$ f r+ _ S _ ' - 'r.
DATE CLOSED OUT :. '
ASSOCIATION PLAN NO.
•
r t
Th e Town of Barnstable
. � . .
� v�aWarlarc �
9 um"&& �' Department of Health Safety and Environmental Services
1 59- ,• Building Division
367 Main Street,Hyannis MA 02601
Ralph Crossen
Office: 508-790-6227 Building Commissioner
Fax: 508-790-6230
For office use only ;
Permit no. ,
1
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 re than
fo r dw lli ngrunits or to
be
structures which are adjacent to such residence or building rg
certain exceptions,along with other requirements.
Est. Cost
Type of Work:
Address of Work-
Owner's Name
Date of Permit Application: r7 v 9 g
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law I
Job under S1,000. i
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that: UNREGISTERED
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH
CONTRACTORS FOR APPLICA ROEG'HtAOM OR GUARANTY FUND UNDER MGLME IMPROVEMENT WORK DO O 2A 142A
ACCESS TO THE ARBITRATION P
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:rZ 0
D 7
Contractor Name Registration No.
Date
OR
owners Name
The Commonwealth of Massachusetts
Department of Industrial Accidents
ce off
Wsll9sl 0 .
-`h 600 Washington Street
Boston,Mass. 02111
Workers' Comyensation Insurance Affidavit
name:
ovation:
city phone#
❑ I am a homeoner perfo all work myself.
❑ 13111 a sole provrietor and have no one world in any capacity
r ary
wti...
I am an emplo�•er providing workers compensation for my employees working on this job.
��/ZLr l'f�'►�E =IGt1*jd vf—N f"r r
company name• / ■'
address: �tG�� /ILCftjxwAI
city: l..n 0 M l r OdL.3S nhone•#: Oa'�
insurance co. oiicv# WC 52,164211 i
WA
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have ,
the folloning workers' compensation polices:
company name-
address: ::.::•: ...:.
0-0
dtv: Rhone#: ...... ...... .....
insarnnce ca. . . ....... Tooliev
... .:;:::..
company name: ;::..:.::,.....-.
address•
eih- ... phone#:
....... .......:.:...... z:..:.
nsarance co. t,011m 0 .. : ;
Failure to recurs coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1S00.00 and/or
one years'imprisonment as wea as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a
copy of this statement may be forwarded to the On1ce of Investigations of the DIA for coverage verification
I do hereby certify under the pains and penalties perjury that the information provided above is&a,and correct
signatu w-�— ,,,-e� -1/- _ Date 74 3 19 9 _
Print name �R Ed E�Ci[lk- V. RAs a H_�' F ��°� none. V�D7—9$7 S
Ce.ontact
ly do not write in this area to be completed by city or town official
permit/license q ❑Building Department
❑L c--i- Board
- -- �e. �medlate rss is used ❑Health Deputment
n: phone ft; QOther
(Bvuea 9,95 PIA)
371;e �anwzzaJzluea o/ lla�uzc�uJeCla
:ir?S'RUi?TOi �.UPERV:.,9R :'�!tSf
Number:
� T�{o�onv»ro�uzJeal!/o�✓lfatr,ac�u� Restriced To: �s
> HOME IMPROVEMENT CONTRACTOR x /THOMAI CAPT_i-T
Registration 100740 :645 NEWTOWN -RO
Type — PRIVATE CORPORATION
Expiration 06/23/00
CAPIZZI HOME IMPROVEMENT, INC
�o pp�y�,�� as Capizzi, Sr.
ADMINISTRATOR 1 45 Newton Rd. -
Cotuit NA 02635
—--------- --- ✓�ie �aJJr�zzaJzuea�. o�..��raJac�uJeCLi
DEPARTMENT OF PUBLIC SAFETY
} n`' CONSTRUCTION SUPERVISOR LICENSE
i 1 Number: Expires:
Restri. .ted To: Be
THOMAS'X t'APIiZI3R.
— -if '280 PERCIVAL OR
W BARNSTABLE, MA 02668
- ✓lee '6o9JZ JJ709z(l�e(Lllli O/v!//,(Z<id211/I CCJP.C�J
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR iiCENSE
Number: Expires:
ZOORestricted To: Be
_ FREOERICK V RASC6 III
060 BOURNE RO
PLYNOUTH. MA 02360
�F..�+""_'ri.-•-�. -�v.--��,..�^^•„w-.ter- -�-"-...-.....�.^+- -..._- �. � -- - '-�^'.^.ram-�-• +^
Assessor's map'and lot number '
Sewage Permit number ............................... .�. � .............. ►1'
o °%7NET° TOWN OF BARNSTABLE
• B9SBSTADL&.•
M6 9 RWKDING INSPECTOR
APPLICATION FOR-PERMIT TO ..... ... .......... ...................... .........................
TYPE OF CONSTRUCTION ............... .............................................................................................
.........� ............................ !
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...../),I� SS .CAvs'IrTT,• O �!�. ..................... : !.N../4r... ��'.�........................................
Proposed Use .............. � .1. .1..�!a
. ... ...�.......................................................................................I.........................
-1
G
�C �` e��/M,l
ZoningDistrict .................:,...:.................................................Fire District .....,....�.✓..............e1*.................................................
Name of Owner Toting ����......... ......Address er• e to/� �;xoeNt t/ !-'r
...................... ,Q ,.�i.............. .� ................
.......... .
Name of Builder ...4.6/"wr.......1.!..!....../C 77....Address ... rTeee�,+^.h° a/ds' .9 ACE
Nameof Architect ...................................................Address .................:..................................................................
Number of Rooms ........../.......................... ....................Foundation ....... ............. ..QC . .. .....c..
....................
Exterior �- .................................Roofing ....../.9 p ! . .................................................
Floors .��.............................................................Interior ........5�G�• rG C
.................... ............. ....................................
Heating .1. ...........................Plumbing ............ ..: .C ...................................................
Fireplace ..................................................................................Approximate Cost
Definitive Plan Approved by Planning Board --------------------------------19-------- Area .5-sPZ..... ..............
.Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH ;
qP
ti
V
SP
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....,.............................................................................
,John Berry Jr.
17242 �� RemodelNo -----.. Permit for —�� �� en�GL..............
........................
�
�
Location .. ---.
� �
\ �� '
-----------~............................................
. � ..
Owner ............ ........................
_
/
Typd`or�Conmrucion ---.W�������----.. _
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�
' �
' - � --
Lot— ---------. _ ................................
°.
4 July 3�'-� ' ' 7 �
` .
` Permit Granted --------]����—'...A
^ .
�r
� Date �|nxpechon ------. ~~�� —.��g �
. °
` Date Completed — ,{.��.���—��..]g
' l�~ '
'
~ -^
PERMIT REFUSED � -
~~' �
,'� .�----. 19 -
—.—.�'. --^----...---
' .--------.---.------. ------. '
^—_—.--..--------.—. .. �
" ,'.
` ............................................:........... -----.—
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' »�!
.-------..-------..,....�—..---..
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. -~ lV
Arr'~`~~ ------------'.---
-----------------.—.'..—'-----
- '
----------------------^^^^^—
|
. ..
Assessor's map and lot number ......
7 ... , t
Sewage Permit _number ..............
°f7HE.T°�o TOWN OF BARNSTABLE
Z BASISTADLE,,i
1639 o w BUILDING INSPECTOR
� a °'•
TO ......... ....�. l.�c:Vp.�..........�,;�-.....
APPLICATION FOR PERMIT ..•• •••••
r � s�
TYPEOF CONSTRUCTION ............ 1 ?.(,...A............................................................................................
........ v �� .... '.. ................19....Y
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....:!�`�f1 S.S e41Ya
.�. .v r r-7- ... .........................................: .r'��. ..... d P. -........................................
..
Proposed Use ...............:
7 .......................... ...:. .............................................
Zoning District .. sS Fire District .....fir Y &A" x,`...............
Name of Owner t oh"l Rre F11, ; t�'�=
...................I...... .......................................Address .............:............................:.:................. ...................
Name of Builder ... (..9.�r• .r~ ...... :....... f`et/T....Address ... f a/?s )t ........
..........................................:.
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..........
...................................................Foundation ........Q ......... '�s!d c '.
...
Exterior s C............S_A i<v� l"3'.................................Roofing '..... ''' e T""
........ .................................................
Floors O� �<.............................................................Interior `1 G�..�.../. c C �r%
Heating ............Plumbing .............
Fireplace ..................................................................................Approximate Cost ........ Q. .............................................
Definitive Plan Approved by Planning Board ________________________________19--------. Area .a -... ...............
Diagram of Lot and Building with Dimensions Fee ' ,. ���... .................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
d {E SS
1f �
t
/Y5 _
v, c
C
31
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. ...... ..................................
John Berry Jr.
No ...17242... Permit for .... ffUtAioenn. &„R „ del
........................................., .i�se -S.. . ��..
Location ...Iass.••Ave.•,• t .........
h/S
Owner ............John..BerzyT..Jr.........................
Type of Construction ..........S&Lagles...............
................................................................................
Plot ..287...21............. Lot
. ................................
July 30 74
Permit Granted ............I...........................19
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
................................................................ 19
...............................................................................
...............................................................................
Approved ................................................ 19
................................................................................
...............................................................................