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HomeMy WebLinkAbout0006 NOBADEER ROAD �a 40�74C�ee✓ i7 � E Assessor's map and lot number ............................................ *THE T ��P..�♦� Sewage Permit number ........................................................ , } Z EAEa4TAALE, i House number ..........................................: \0� ................. ;�. �o MAM 2639. 'F0 MPS p TOWN OF BARNSTABLE BUILDI G I SP CT OR ' APPLICATIONFOR PERMIT TO ............................................' 1 ...................................................... ................... TYPEOF CONSTRUCTION .......... " f/(/„ ...... .................... .................. ................................... TO THE-INSPECTOR OF-BUILIiINGS— '- The undersigned hereby applies for a perm ;t ac ording to the following formation: Ile /-a) .............................A IR Location ............. .. .... ..- ProposedUse ...... .................................................................................. Zoning District .......... ...... r ...:........................ .Fire District ............ ... Name of Owner ........ ......1....... ............ ....r...Address; ... . .. .. .. ... ✓.. G &.Address Name of Builder L-�/� 1/........ Name of Architectf. ��j .!..�!�I . .. !.c.-:.�> .....Address !f.:..l.�%,/•.. �:� �c; �•./... .�:: , r'+� >r _ A t- Number of Rooms .........:........... .....I............................Foundation +...... .f ::. .... - �G ................ Roofing C,� Exterior � -P.............................................`:........ offing ...... / - Floors = .. Interior ..,/1 ... ...... ...................................... ... ......... .�.. ...... ,. Heating ............... . .f:.�....... : ... ...... ...Plumbing ...... .�/.. .. .�...... • . . . .... . ... Ile Fireplace .....� ........ .............:......../ .......... APProximate Cost ....... Definitive Plan Approved by Planning Board -----------____------------19____--• Area .......................................... Diagram of Lot and Building with Dimensions Fee ................. .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable.regarding the above construction. Name ....... ......................... Construction Supervisor's License'/. -,, ........ �J� S L S TRUST A=2 5 0—4 .C �,( 0 No ..25902 Permit for ..l i StorX....:......... S Fami1X...Dwel ling........... Location .Lot .32.r......6 Nobadeer ajoad .; r Centerville - ................................I........................ ., .................. y; S L, S Trust 4 Owner .. ...................................... Type of Construction .......................................... ........................................................... ;' ................. —Plot ............................ Lot .. ............................ Dec. 19f 83 Permit Granted ..:.....................................19 Date of Inspection .:..................................19 Date Completed .:.............................:......19 ' Y, � .x'i�'?3 r TOWN F'BARNSTABLE . . .�,-...P-erFmis N�. � -- -----------------Io5902 • •Boil-ding Inspector •,,� • BUIST.m, S cash OCCU PAN CY�'�fPERMIT> Jsond. AV Issued ,to S L S Trustr Address I 'dot 32, 5 NobadeerxRoad, Centerville µ� Wiring-:Inspector �, Inspection date �/� �` Plumbing-Inspector 11 �� I Inspection dateIVA r _C ' Gas Inspector v C "ay Inspection date ,Engineering Department - �/ Inspection.date. , {� Board of Health Inspection date t T� 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 AND ,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �........, 7................... 14 f / ........................................................... -_ .. Building Inspector FROM - -=� TOWN €F BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahte ne,._ 36? MAIN STREET HYANNIS, MA 02MI ssas .xs s.�...a•xx.ws.w ro r o a crr.�os.�-raw<p aty.x Town.Clerk - . Phone. 775-1120 SUBJECT: FOLD HERE DATE -June 41, - MESSAGE 1984� � ...�� _ ' WOrk has,been 0 feted der Permit 25902 S S Trust. fit{[ . • "^��2•+!'�1B+h M?F'♦ '9��.A.i`1vR.6 T4Y t.r'V1'9�w i."'#�-+E�+P ajrw!`Y.ti--rA:vwe.+sdla..�.wp•'+§wv'B Please release Bona. rnifisz�q...Ad�.tt-rr�brs}.•«.s�a.err.�" .. - ' 11 SIGNED DATE - - - _ _ REPLY Ne7.Rmf r RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY `• _ • r ; PRINTED fN U.S.A. - SENDER: SNAP OUT YELLOW COPY-ONLY.SEND"WHITE AND PINK COPIES WITH CARBON INTACT. j. v _ - - Q Q .; t AI a N ZZ-1725 - I I. N 1 " ( �D IJQ. � . � ( Za, 0� , n _ >1,-• _ put.401- Ttoo Cyrzl ���,aTlvr.! I.. 0ri=,tYie barciis of my knowleclge9 ,'riformation and - �-�T Z r`Io �nr7��t� u b®li�f� Y �L aertify to G��JT�t2�I ��aR,.lsra-�>rE M f r 1that.,`as a`,result of a survey made on 'the ground 2 t:G r• find' that , ,b'he t cture(s) are located on. the, site as The t tler� lines rind; lines of occupation of. the °�X 00I �,Q, e l-M�uT sit® are a8 rghoWYl. here on o Of MqsX ;'She site -is `:situated- in Flood ,Zone Lava C.' ��a q�yG °r aQomtuxiity. 26nel. No, ZS'000 / o4 ?-, Date: o �+ WILLIAM M. �, a WARWICK y d 19771 p Vlilliam E'. Marwick 91tLy t,� CISTEQ�®Q , - �DpwPev®Aaaa I c Asse.s or's map and lot number � .. Ca�'- d �oF TN Tod f�/ , 1,�:age Permit number f.3�/.A.. .�.1. .!.. ������ ��� �� s OM �p INSTALL %TITLE Z BABd4TSDLE i �,. House number ............................................ �rr...........:.J. ..... i9 �,�9� �o raea y?f 5 0�163q. \0� DYAD+ Ro TOWN OF B �����A�f�.��E BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... .(./...C. ..(. . .. ..................... ............... TYPE OF CONSTRUCTION .. .. . .... �J� ................................................. X TO—THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permi ae ording to the following i ormation: Location Z., / ProposedUse .. SI... �. .v.!.1....1...4. ... 1..(.. . ...................................................................................... Zoning District ..........y`.. .(......................................Fire:_District ...��.................................................... . �.. r....( ...�./.Address).�� �._/V! 1/.... "�� ./ Name of Owner I <r r/f . .. ddress ..... ......................................Name of Builder ........................ Name of Architect,/ '1 ®�.....!�.41l?`......Address � Number of Rooms .................... ..........................................Foundation t....... ....��.- Exierior ._....���` °'("'1"".............................................:'.........Roofing ...... �1 ............................ l � y Floors .................Interior .............. wY�....... Heating � ..............................::.:...Plumbing ........ ... ............. g ............. � j+r ` Fireplace .............................. ................... .......Approximate Cost ........ . S!C/...�.......:......................... Definitive Plan Approved by Planning Board ----------—___-------------19__-_-_. Area ....k�..� r �.................. ' Diagram of Lot and Building with Dimensions Fee ..... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH E �\ 5 t � t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. . ... ..... ................................. Construction Supervisor's License T i S L S TRUST No 25902 1...Story............ 4 - ' ..... Permit for Single Family Dwelling . ............................................ ............... Location ...........................................Lot 32, 6 Nobadeer Road. _ r ^ ...... ,:, j. Centerville .......................................................... .................... Owner .S...L' S:...Trus:t........... ... ................. Type of.Construction Frame ........................................ .. Plot Lot ..may .......................... Permit Granted ...Deq.t...12a. ..............19 83 r �. Date of Inspection ....................................19 1 �. Date 'Completed (/ 3./v................19 / iti: J Q Map' 0 - Parcel r Permit# .� O O House# ' - �~- E Date Issued - toard offiealth(3rd floor)(8:15 -9:30 ee ®Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) _ Planning Dept.(19t floor/School Admin. Bldg.) SEPTIC SYS UST BF . INSTALLED IANCE Definitive Plan A ' ved by Planning Board 19 W CStree E AND TOWN OF BARNSTABLE' To%5 �S iBuilding Permit Application Projedress --� �p �,4 p ! i Village Owner C' 14.-J o f 1'3SOdress k gtAA e •Telephone 7 s- ^ a. y _ Permit Request ' First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ '1.500,o 0 , Zoning District Flood Plain Water Protection Lot Size c{c Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes On Old King's Highway ❑Yes 6<o 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) YAttached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes & —oo If yes, site plan review# Current Use Proposed Use 5 �r Builder Information Name l� %N 01"e i`�'b cad —"Telephone Number Address 4 c l°1,°�C 1^ License# 03 q 4 0 /v`2 ,/40me Improvement Contractor# _ O.2 Y 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 J3-f ns �l c d� /J k SIGNATURE DATE 2 BUILDING PERMIT DENIED FORT FOLLO G REASON(S) A • }, FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE DATE OF INSPECTION: .. s FOUNDATION FRAME INSULATION' ` y -. . r. — }� W , �. _• V .' FIREPLACE ELECTRICAL: ROUGH. FINAL PLUMBING: AW79UGI FINAL tot 4`o • GAS: !=I�UG� ;" FINAL � � -' - - .• R � - � e ," FINAL BUILDIN-% 0 X DATE CLOSED OU F 1 ASSOCIATION:PLAN NO; 4 ' ' The Town of Barnstable Department of Health Safety and Environmental Services ; •`° Building Division 367 Main Street,Hyannis MA 02601 Office: 50S-790-6227 Ralph Crossen Fax: 5OS-790-6230 Building Commissions For office use only Permit 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. Est. Cost 4Z S 0 Type of Work: --"'Address of Work: �a Owner's Name Ct r ate of Permit Application: S 2 2 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,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 hereb apply for a permit as the/agent of the owner. Contractor Name Registration No. D to OR Date Owner's Name The Commonwealth of Massachusetts =1- P-. -. Department of Industrial Accidents Olfe.of/nyestigations _ 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit in name location: q 41 r city J L.f.&ta%&.A �R e vhone# � f g ❑ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any cgy achy ❑ I compensation for my employees working on this job. am an emplover providing workers' com any name: address: city phone#- insurance co. olicv# /i/%//////// ///////////////////////////////i//i////////////////////////%//////// ❑ 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: address: dtr. phone#• insurnnce cn. cam any name:address- hone#: dty _.... insurance co. //ON Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to SI.5O0.00 and/or one vean'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OlUce of Investigations of the DIA for coverage verification. I do hereby certify r t e pains and penalties of perjury that the information provided above is truo d correct Date 2,L _ S _ Signature Print name CC33 use only :nole in this area to be completed by city or town official own: permitilicense# Muilding Department I,leetuing Boatel s required ❑Selectmen's OMcek if immediat ❑Health Department phone#• ❑Other i person: (tewea 9 95 PJA) 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 returned io 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 Olflce of lmlestlgNons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 � 2 T- (�- � us F � v � ��F,. ` {R�Qesr?O . Cc a "{k�E. 1 r D/�0 J e d �e C `C- sx(" ::,Ap PAI — ID 4 I �` � ,� � ./� �rrl' �� % • ' 'ice . . sue►�;, 1 7 • AMR NOR �Xlf WI �oo�wsKaaet�m o�./ubaead�i�aeA2 MURM ax HONE IMPROVEMENT CONTRACTOR ���. �Registration"1'114`48 � TXPezINDIVIDUAL.s ; EA (ration ]12/29/98 }F°4�4• �� ywK n� ��''�i'elj�ev[y'"+,gt���$kF�a19 s . 9v��fl`tyt,,.49 y�'S-y t`1��� �� `-�C-:44ft�,d�d�`t •k 1 � }`.xSROBERT MORRISON { ~4ELVItLE RD . '�a •N x 1fARttNW MA 42664 , 1Fa {1DMINIST��R,§ yy, a 4`x�6 r?,i'#a • GTE -��� lr� y�✓G���� � DEPART NT OF PUBLIC SAFETY CONSTRUfflit'SUPERVISOR LICENSE - `�- Naaber = Expires: t -4 RestriTo 00 '��x ROBERT �NORRISON 49 ME[VIILE RD ' A S YARMOUTH, NA 02664 • t f