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HomeMy WebLinkAbout0438 OAKLAND ROAD ��� G� ��� �, _ _ _ _ r r Town of Barnstable F'THE Regulatory Services Thomas F.Geiler,Director B"R" '. ` Building Division y mass. �+, 039. `0 Tom Perry,Building Commissioner fD MP� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 y . . � II PERMIT# O D 3 2 FEE. $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village M Tc , (bv -7 -7 o Lt Zy Property owner's name Telephone number Size of Shed V V Map/Parcel# YLA fi 6 Zy I a Signature Date �, NO Hyannis Main Street Waterfront Historic District? 1J Q Old King's Highway Historic District Commission jurisdiction? N U Asa Conservation Commission(signature is required) • f `-- Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. t THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 Page 1 of 1 272098 #461 _ w � 272021 t1479 /272010001 272D97 N 96 M�462 s, 272099 N 449 272103 272020 i N 438 it 467 ` 272011 271014 271015�',t, 421 {. 271130 Ae l N447 http://66.203.95.236/ArcIMS/output/AppGeoApp_gisweb7960378845.JPG 6/24/2010 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel d Application# �� / ���O� Health Division WO a1 Conservation Division Permit# Tax Collector '°. Date Issued 6 Treasurer Application Fee 00 Planning Dept. r Permit'Fee a �� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project StreetR�VAU Address Village Owner 73-oh 1 Ul 2. �j tcK_ Address q9-A0qI _ Q 120CA10 Telephone � 1 Permit Request Ab 1 OI'l �(� �(, 1 r1 Clo 2-OxIL2 o e F•� v �� c>a-0Q, > Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new ,Zoning District Flood Plain Groundwater Overlay �f Project Valuation brU Construction Type i Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwellin T e: Single Family Two Family ❑ Multi-Family #units) = Age of Existing Structure Historic House: ❑Yes No On Old King's Higg way: des 0 Basement Type: Cull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing I �— new Half:existing new 0 Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: -OGas ❑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*xisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION tt Q� Name e W��1 Oam t—��o Telephone Number ® U Address \Uu -Q,�l��( � �f1 __1 License# l � `�l y h, "�(� 1 i � Home Improvement Contractor# P1 1.KA SUS Worker's Compensation# r t � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE v i FOR OFFICIAL.USE ONLY PERMIT NO. ^ DATE ISSUED r " MAP/PARCEL'NO. w ADDRESS VILLAGE, OWNER DATE OF INSPECTION: �'a C'" px— FOUNDATION 6 v s6-7 FRAME ^� � I INSULATION cV�� 7 � O S -7 P� I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J� °ptHE?i Town of Barnstable . Regulatory Services s i 9 sn MASS. Thomas F.Geiler,Director �A �b;q. ♦0 �Ec�na�s Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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: � ��tQ� Estimated Cost 06 Address of Work: L_b O1L. rI.CJY �o T�o Owner's Name: 'OL Date of Application: � ' 1 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 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 ppl f r a em-it as the agent of the owner: (a )G\J 12i iC�`�►�1� to Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav f A R j.Z G 21 Home Improvement Inc. " I, Gary Gustafson'Production manager Of Capizzi Home Improvement, hereby authorize Lisa Haworth, to',sign onmim liehalf for permit apphcations'filed ahrough the town. w i W ' ... r(. .: .." It .a ...Z•... ` ... ^/.'. .. �.M_ ! +[- Signed ' 4 ; �oc�7 Gary G stafso' Date: YT aw 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547 ENERGY CONSERVAT10N A ILICATION FORM FOR LOW-IUSE Rl,311JENTIAL NEW CONS'I'IZUcnoN mud ADDITIONS 780 CMR Appendix J (effective 3/l/98) /y 1 Applicant Nantes Site Address: Applicant Address: _ Cityrrown: / Use Group: Dale of Application Applicant 1'lione: r Applicant Signature: _ Compliance Path(check one): I'rescril►live Package(LImiled to I-or I-family wood frame buildings hemed with fussil fuels only) Package(A iltrouglt KK from'1 able J5.2.1(1): l(ea(ing Degree Days(i WI)ej) from Table 15.2.1a: (fur Ilems d. through 1., fill in all values that apply flour -fable J5.2.Ib:) : a. (cross Wall Area sq.fl f. Wall R-value b. Glazing Area' sq.R. g. flour R-value Li- t. (3laiing%(IUU x b a) % h. Uasentenl wolf 11- J. Glazing U-value U- :. i... Slab Perimeter e. Ceiling R-value It- j. Ideating AFUE - EJ Component Performance: "MaUual'CraJc-off"(Limited to wood or-metal framed buildings unly) Climate Zone(from Figure 16.2.2) (J Zone 12 C) Zone 13 0 Zone 14 Allach ]rode-Off JVorhheel from Appendix 1, (nnd RVAG Irade-Qff ffrorlblreel, if applicable) (� MASchecA Sollware Attach Compliance Iteporl and hmpeclion C'hecklisl ptitnouls. [] Systems Analysis OIL, Ej Renewable Energy Sources ,.. Allich Mass Registered Arcbil.ecl ur f:ngineer Analysis ALTERNATIVE FOIL ADDITIONS ONLY: a.Gross Wail'+Ceiling Area,; srl.R. b.Glazing Area' sq.R. e.rclezing%(tU0 x b+a) % ITION will► Glazing % (0 up to 40:e may Use 780 CN1R Table J 1.1.2.3.1 below: ntnklniiiia�'v-�au� nl n-y:ioa FeneflrttUoa Celli � �Yill _floor _AuementWo Sleb re,lmetar,UetNh 0.'J�� R-J7 Il IJ n-19 n-10 R-10,4 n (_] "SUNROOM"dddidon (greater than 40% glazing-lo-wall slid ceiling gross area) Attach"Consumer lufotmraliun Furnt"froth 780 CMR Appendix D. MUMPS Name: official's Signature: Applicalion Apptoved [] Denied d Dale of Approval/DeniaL• Reasons) for Venial: (provide additional details as needed on backside) t notes o61t2nti Ulazing Arta may be either hough Openbtg or Unit dimensions. : ' Clienbi'47298 CAPIHOM L4 O D- CERTIFICATE OF LIABILITY INSURANCE � DATE(,wALD,YYYY) �: =RowcER N Oii091Qe THIS CERTIFICATE IS ISSUED AS A MATTER 01114 FORMATION Rogars 8,Gray Ins, Agency,lnc• ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.0. Box 1601 ALTER THE COVERAGE AFFORDED RYTHE POLICIES 3ELOW. South L7ennis,MA 02660-1601 INSURE) INSURERS AFFORDING COVERAGE 111,41AIC I' Capizzi Home Imprnvsment,Inc. IrdSURER=- National Gunge Mutual Ins, Co. WSURER B: American In*.amatlonal Gr Capizzi E��Cerprisas, Inca 1W Newtown Road INSURERC: Cohlit,.WIA 02635 INSURER D; IiJSURER —�' COVERAGES T HE PCI_ICIES OF INSURANCE LISTED_D BEL OW HA`.=BEEN ISSUED TO THE INSURED NARjE0 A&O'�_•=0R THE POLICY PERIOD INDICATED.NOTNITHS W U NG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUVENT'A'1 FH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AF ORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AI!THE TERPAS,EXCLUSIONS AND CONDITIONS OF SUCH POLICES.AGGREGATE LNII T S SHOW`I MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR N TYPE OF INSURANCE ?OLICY NUMBER POLICY-FFECTIVE POLICY EXPIRATION AT fZV 7YY AT°iMM/ !YY 'LIMITS A I I GENERAL LIABILITY MP010707 06108106 06/08/07 EACH OCCURRENCE $1 000,000 X I MMERCtAL GS\ERAL LIABILITY I DAMAGE TO RENTED CLAIMS MADE 5x1 OCCUR PR- n fEa I ti,ED EXP(Any ens gers:n} $1 Q Q00 PERSONAL aADVNJURY S1,000 )00 r GEN Er.AL AGGRECATE $2,000000 GFrI'L AGGREGATE OMIT APPLIES PEP,; I 'PC+LiCY JECOT !G^ PRODUCTS•COMPICF AGG $2,000 0100 AUTOMOBILE LIABILITY ANY AUTO MMSINED SINGLE LIMIT $ ! iEa accident) I .ALL OWN EDALTOS - II SCHEOUL ED AUTOS BOOIL'(INJURY $ lPsr perscn) HHIRED AUTOS f—�NON-OWNED AUTOS BODILY INJURY $ PROPERTY DAMAGE $ iPer ec deN) GARAGE LA31L17Y AUTO ONLY•EA ACCIDENT $ .ANY AUTO OTt-ER THAN EA ACC S AUTO ONLY: I EXCESSIUMBRELLA LIABILITY I EACH OCCURRENCE $ OCCUR, ❑CLA!MS MADE I AGGREGATE 3 DEDUCTIBLE - - ....... _... RETEN7ION $ WORKERS COMPENSATION AND 1764953 12(251Q6 12`251Q7 Yr STATU- GTH• , . Efd PLOYERS'LL+.B!LITY TORY IMIT' ANY PROPRIETOIZ?ARTNEFttFXECLFTtVE E.L.EACH ACCIDENT l $5500,000 - GFFiCc�lb"HaASER'EY.CLUOFD? i If yes,cl-xye under E.L.DISEASE•:EA EMPLOYEE $500,000 SPECIAL PROVISIONS to OTHERcw ELL DISEASE•POLICY UMJT $5M,000 OTHER DESCRIPTION OF OPERATIONS;LOCATIONS!VEHICLES(EXCLUSIONS ADDED BY EN DORSEMENTI SPECIAL PROVISIONS L� I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF"rHE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPRA:rmN DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO'AAR- i lr DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER,NAM ED TO THE LEFT,BUT FAILURE TO 00$O SHALL IMPOSE NO OBLIGATION OR DABILITY OF ANY KIND UPON THE INSURER,iT$AG uITS OR - REPRESENTATIVES. - .AUTHORJZED REPRESENTATIVE ACORD 25(2001108) 1 Of 2 26435 0Rtllr4' O ACORD CORPORATION 1983 L _ ine uommonyveairn of ivassaenusetts Department of Industrial Accidents Office of Investigations 600 Washington Street f Boston, M4 02111 ^ S'y w7w.masS.govldla Workers' Compensation Insurance Affdavit: Builders/Contractors/Electricians/Plum:bers Applicant Information Please Print Legibly Naine(BusmesJOrganizaton/Iachvidual): ... Address:. 1b45 Newtown. Road Ci IState/Zl�p: Tel. 4?8-9518g800-262.5D60 ore#: e you an employer? Check the-appropriate box- Type of project{required}:. I am a employer with s _ 4- Q I am a general contractor and l 6 Nerconstnicfion i employees {full and/or part-time).* have hired fare sub-contractors 2.❑ I am a.sole proprietor or partner- listed on the attached sheet $ 7. 0 Remod eling ship grid have no.employees 'aese:sub-contracto.is have &. D.De oiition worg:for me any capacity. workers'comp msimnce. g- Q BuiZdina addition .[No workers' comp- instaance 5. Q We area corporation.add its required i officers have egerclaed�ineir io_0 Elect i�ai repairs of additions 3.� 1a_J6d1omeowmrtloing all work nghtOfex,errFption Per MGL II-IPliitabiugiepaus or additions myself[I�To wor3�ers' oiuP- c i 52,.§I(4},and wet ave-no I2_Q Roofrepairs insurance requrra]# • .employees {No workers° I3 Q Other coarp ;rStrran ce required * Y applicant tbat'clircks box#L must also fll,out the section below sho¢nng tlieu workers co to policy uifoimahon f Homeowners who subazit8iis affidavit mdrestcng they aie sub>ait a new affidavit indicating such XContracfors 8iat cfieck thus boa must ettached an additional sheet showing$ie name ofthe sab mntractors:and fllea_woikeis co olic mforrnation _ ... I nrrm an employer that isprovu�ing workers',compensafion_uzsurance for my Employees Bdow is fhepvlicyundj0 site Policy#or.Self-ins. Lic. q Expffation Date. V Job Site Address;. Ci1yySta&Zip: tfach a copy of the workers' cozrxpensation policy declaration page(showingthe policy nninber and expiration date). aihire to secure coverage as required under Section 25A of c_ 152 can lead to the impositiou of criminal peijalties of.a . ine up to$1,500 QO and/or'one-year impfisoizment, as well as civil:penalties in the form of a STOP WORK OKi?EIZ;aid_a..fine )fu, p to$254 4[3 a day:ag31I2St the itii ttir B,e:adv s, that'a copy ofthis statement may be forwarded to the Office of nvestigations of.1he:DIA for IRE'u1ance coverage ver%fcation do hereby ce under the painsaz dpenalties ofpe ' ry thritYlze inforrnaYion provided above is true nnrl correct . �i :ature` Dater hone T: of wl ial use only. Do not write in this area,to be completed by city or town official- City or Town: Permit/Licease# lssuing Authority(circle one): 1. Board of Health 2-Building Department 3. City/Tbvo b Clerk 4_Electrical Inspector 5.Plumbing Inspector 6. Other i j �\ J1ie 1°am��zrnzusea� o�./�cr���acfuiaedZa Board of Building Regulations and Standards License or registration valid for individul use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100740 One Ashburton Place Rm 1301 Expiration-- 6/23/2008 Boston,Ma.02108 Type:::Supplement Card CAPIZZI HOME IMPROVEMENT, I . VARY GUSTAFSON 1645 Newton Rd. Cotuit, MA 02635 Administrator t valid with t sig ture Board of Building Regula ions and Standards One Ashburton,Place - Room 1301 Boston. Massachusetts 0210 Home Improvement,Contractor.Registration Registration: 100740 Type: Supplement Card - Expiration: 6/23/2008 CAPIZZI HOME IMPROVEMENT, INC GARY GUSTAFSON 1645 Newton Rd. COtUIt, MA 02635 Update Address and return card.Mark reason for change. Address Renewal 0 Employment ❑ Lost Card ✓fie Ui oanirr�ru;uac�`C�i a�✓�r�uaelZa Board of Building Regulations and Standards Construction Supervisor License License: CS 74640 B i rth d ate: 11/29/1975 Expiration: 1112912008 Tr# 6430 - Restriction: 00 GARY GUSTAFSON 8 SHORT WAY SANDWICH,MA 02563 Commissioner I 116 501 EX. SHED a REMOVE EX. DECK Q p CH < , 20 43' 0 3 BH .20.02, PROPOSED EX. 16'x2O' DWELLING ADDITION 0 MAP 272, PARCEL 103 TANK 0 438 OAKLAND RD. No HYANNIS, MA lV 0 LP , 116•50 SEPTIC SYSTEM SHOWN IS DRAWN FROM AS-BUILT ON FILE AT THE TOWN HEALTH DEPARTMENT CERTIFIED PL 0 T PLAN URNICK RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN OF k4S c 438 OAKLAND RD. HAVE BEEN LOCATED WITH AN INSTRUMENT �P`' s9 HYANNIS, MA SURVEY. o� yJ, DATE.' 4-10-07 DRAWN: RBS ROBB ,,, JOB #: E00761 o SYKES -., SCALE.1'=30 No. 35418 EASTBOUND L.� 6 °��ssF I �� LAND SURVEYING, INC. t L P.O. BOX 442 ROBB SYKES, S DATE FORESTDALE, MA 02644 508-477-4511 4- Page 7 of 7 CAPIZZI HOME IMPROVEMENT.INC, v SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS I:ETTER Ok AVTH©RIZAT 6N tO APPLY FOR A BLALDI G P.ERI��T I,FATHER JOHN URN''ICK-OWN TIDE PROPERTY LOCATED AT 438 0 AKLAND,ROAD,IN HYANI+IIS,MA:SSACHUSETTS. I IIAVE AE7TI EI IZEI1 . CAPI I HQM IltitF3 0 E it TO ACT AS. 1Y AGENT TO.AF'FLY FOR A BUILIIING.I'I ItMIT TN A:CCO ANC.E III 78t .0 T I ASSACT`Ugi Tm 9TATI UI ING' CODE: I CiIES:Y FER�VIISSQN TC? LESSEE T�;APPLY Ff)R.A EETTLI)IT FEITI ACCORI3ACEITk 78Q Cam, KA ,SAC 5 ,: ,x lo i SIG ATtJT2E.,OF,a1 ' ER{S} QVNEIt''S ADDRESS: 38 LD-ROAD IANNS,'M `46 0W W'S TELEI' O E 5— 77 45I. I I LESSEES ATUM LESSEE'S ADDRESS: LESSEE'S TEL` PHO2ttE; j APWCAN $-STGNATUR j i. AFPLICAIT'S ADI�RSS.;, IC4ta�vz RcI.,Cott, V63 ` APPLICANT'SEPIOI� F. RES-'ONSIBLE OF CER 1 0 KISPONSI°I3TE QII ICER ADDRESS n� x RESFO�aSBLE OFFICER TETEpIIQ 'E: i i V i L. I LIZ r", GL Li chi 1 FROM 'CONCEPT To COMPLETION ■q�-46N/BUILD HOME IMPROVEMENTS -&-ACEMODELING REPLACEMENT ROOM ADDITIONS WINDOWS&DOORS - KITCHENS VINYL SIDING 8� S ALUMINUM TRIM • f m HOMES FuLL SERVICE FING ESTABLISHED IN 1976 IMPROVEMENTS 7��zaZ�- A JLI 6-AS ` MA r Boo -52,5GCO P 4 2- RODUCTION -• . HAWORTH WWW.CAPIZZIH• • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel -. " Permit# `~ 57�� Health Division Date Issued Conservation`Division Fee Tax Collector¢. Treasurer k Planning.Dept. ' Date Definitive Plan Approved by Planning Board Historic='OKH Preservation/Hyannis Project Street Address t 13 Village f'�ZAP t i S •. W= - Owner q(�`�� Ff 4�txw/Cl- Address � S�e,:-7- Telephone 79 5 - 6 g 5/ ' Permit Request !S ��z �/'r A�cJ t, . e,6 ay i7.5 a ON 4 a f 7—A-6 e= a 5�'a p�Oi,e i b Square feet: 1 st floor:exiting proposed 2nd floor: existing proposed Total new Estimated Project Cost �• �'J Zoning District Flood Plain Groundwater Overlay Construction Type , \Lot Size Grandfathered: ❑Yes O'No' if yes, attach supporting documentation. „ Dwelling Type: Single Family Two Family 0 Multi-Family(#units) 'Age of.Existing Structure Historic House: ❑Yes _,, lo On Old King's Highway: ❑Yes , Mo Basement>Type: ❑Full 0 Crawl ❑Walkout ❑Other Basement finished Area(sq.ft.), Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new s 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: 0 Yes ❑No Detached garage:❑existing ❑new size' Pool:0 existing ❑new size _ Barn:O existing .o new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size, Other: •Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No -If yes,site plan review# Current Use Proposed Use 4P�zz BUILDER INFORMATION Name i2�'Dm.-i�.� %� �N Telephone Number : Z Address / S J`kW /� License# eS Q 7J 7 Y.2 Z4S 657eF 3.1- 4oa ; Home Improvement Contractor# 7y6 Worker's Compensation# `d LW B�Z ,->JCS 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Vow &ryet t ` SIGNATU 1 DATE - } FOR OFFICIAL USE ONLY - � .r ,ter - '' � 0 ", • - - • M -, , . i r PERMIT NO. } . 'DATE ISSUED «. .. - :'. - '^ s` . -i •- •, • + MAP/PARCE -NO. r M + r - sf .. r ,• t - a ADDRESS N. VILLAGE - OWNER DATE OF INSPECTIOI�`I 4: FOUNDATION ' r• FRAME INSULATION .FIREPLACE ELECTRICAL: ROUGH " FINAL PLUMBING• ROUGH ' FINAL " r - me f; GAS: ROUGH FINAL} F F.INAL BUILDING-. DATE CLOSED OUT - r ASSOCIATION-PLAN NO. I"r . ,. The Town of Barnstable a"axsr"st� • 9 "" % �' Department of Health Safety and Environmental Services �°r�59. Building Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Building Commissioner Fax: 508-790-6230 For office use only i 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. &Q r.� C7 rD><!6 Tr`at 6Est. Cost Type of Work:/J4 ,- J / Address of Work: 130 641CI-4-Llb (C� Owner's Name �'► %% ��` tCiG 4 / Date of Permit Application: 1 f 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 hereby apply for a permit as the agent of the owner: ell - �07 Contractor Name Registration No. Da e , et l P / 2-2,1 OR f . F_. Date Owners Name —_= e Commonwealtho Massachusetts Department of Industrial Accidents _ &We#Of/OYCsffoad0oS . - 600 Washington Street D - - �, Boston,Mass. 02111 . Workers' Co m cessation Insurance Affidavit name: location: . . city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole et or and have no one worlds in acf ,....�.*:..,—...::..1 ....�,.—.�iij:..;.:.:.��:�Z...:��ii�..,��—.::.�...%�:�.m---....:::.-.%i�:..i..i.::.,,.�:.:.,........!:.�...i..!�--.-......:;....�.i.�:......:::.:::--!..��..!...;-.-...:.�.i.:�i....:-,:::...;:,.��.:..:-.....,.'"-..]�i,.-.:.-*-.�...:.�:..-.-,,.'.:-.�.�.i..*.-..�:::...i..��—.I...'::-..-.-;.I�.:�:..-...:::...i'.!��..... :-..:-..:.,i..��..�*.,-..-.-:�....��..'...%..*.....i..:.�:�..-%..-..'.......�1�'.:.-.,.........,...-���-1:.--....]...:-...�..�.:q**-."I'll.,-.......-..:-....��%;*...-.'....:-I."...�.::i.*....-*.......:.-...i-,-i.....--.....:.:...%..�i............:....,.-'....i��.....-.�..::.....'..�.:...........".�....'.i.-...-.4-.......,.-..:.&.W..-..:..:-.,....F...A-...,::..i.-..'......,...%.'I.....1........*-..."-.....i...-....-.'%........:...`.-.X.1:...-...:.,-.*1%...::l�..:..*,...--�X:'�..*i...:...*.-::.....:*�-'...�,....-..:-.::....::.�*-.*i-...::1-.'..:.,...-.X.:....:.1.::....]:.....-'1�:::..,.-..-:.:.,."..:...:..:...."..:-..:....-...-....iX."..-:-...::,..,....:.:......:-...I..:....�'..`-...:-'..-.:*:,.-..i....-.........."........-.".'.;-,......:"'.....:,.-'......:.-.L*....I�...;.-...:.'..*.....I.:.-'..::.,-i.1..i..-.".....,-..,..�..,.�.......:.........:.--.'.'1�.-...'.:.i.......-..,.,.-.'..,.i....I.':..:-.....:,.-'.:.,.�..-..:..........,-.'.'P.1........:..;:--.*'...-..-*--.:.*...:...i1....-..:,.,-....�...'.:..::....--.-",.X.:.....:....i.......,....1.........:..Xi-.*....---..,.-:�.-.,..-..:...:..*...-.-.,.:....i...:..::...1..---....:...-...*-.'..:...—:....,.-.,.,:.1.1.......]:"........,--�...x-......i::........,....-,...,...-*.].A.:-..1....,-,.-,..:....1-...i....*-...-....:,.:�....i-i..:*:.1.-..:.....:-.-..i.:....-..-...":......-....i..:,...1!..-..,.,'...,-,.-".:-.:...5i:...,..,...:...*4::...-.--'�.:..:.,'-:�......:....:..-::..*....i.:...'..::'.,-..,-....,.......:,..�..-':.....,:...i:,,..:`..-- ...........,.::...:.,.-...,..;.....�"i. :i:.....:"I.,.....,..�..:.. .:....*.*.:::.'..i..:....&-..'*...:i:.:...::--.*.:,...':..i:...-.:.:i:...,:......:.:.:.:::.....&-.'..o .�:i:....1.-.....`.--:::...'.........:..�:::.�*1........—,,-'..:::.i......,.-..—.,:-.::�:.�*1..I...,...:�:.'l.:.......;.i..''.:,...-l.'...:..:.:.-.:..X....:......�:..:..:,*:.:.*.-:I...::...:..:.:.....::.i7... -:.:..!`.*.....:..I.*.�:-*:.....,..:-:--.,..:--.-,....-.'..:.:..,..*]..:........:...,-..:.....�:.i..*--:..:..�I.,...::.:�..-.,...:... :.:.:;:.:']*......:�.:.:..Ixi:.:.`..:.:7:...;:.:::�....:......X::'....1l.....::.::-�:...-....�-.ir.-::.......::!..�!1:.,..,.:�..i.-.-]*i�......�:�:-:*ii.....�j...-".,'.,:i.:...:::.-:.-]*�-!......�..-".'...ii:-...-.-...;�::.si::.:..�....��..:":'1,:-.*:,;�..�:.X.;".-::.i:...��.-:.. ...�:::':...:�:i..:�i.-::.....I*-b�...�:....�:::,:.-,4:,.:.-.I�.*..*.',..-....—i�......,,i .*.:,:........�"..,:.�.I.:....,...-*.:..�..:X::.....;.:.:.....-.......i�..:...., ���:.,..-,..�::-�..�-.:.,...::i:.:.....�.:..:.�I...��:i..:,:.:..::.:�:::...i y/% �////% % %%% ////%/%/////i //%% // l%/%////%/O//�%/%%%%%%///////%%%%/ i .:.i:.:.,..I......*:.�:..:.,..:.:,..-..-.-I..:.:::..::�:.,.::..:�.,I.::�......1::.-..:.-::*.:i:.,,.,:..:...-:�.- I am an employer providing workers'compensati n for my employees working on this job. :::::::.:.:;:.::: :;: ::;. . to an name.; '' :::>:::::::z:a i .:: . '' ..:::::.:::::.:: gddress + .....::::.::. ..' ;: .'-..,.,..`g...- ::: >: :: .::.:::;.:>:.::.::.:::.::.::.::.;::.:...'.... :..:.::.::.;:'.::.::.::.::.:: ......i-'.- ci hone#: z:: ::::::::::%..%%:::>:.:» ::�..._.3 Insuranceca. allcv:# ,: ate::: <:::: .: <>:»: ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractam listed below who have - the following workers' compensation polices: .:. ctim any name. ..............%.;:::::::»::: ::::"..":.:::> ::;>::.:;:::::::>>:<:;:>:::;::::::>:::>.:::::;::::::;:::<:::»::::: D......:......... ... :z:> :: s- :::.:::.;:•::c:•::::•::: .....:... ::.::.;.::.::::: address: »<:::;'.;:.;:;;:.;; _:::.::........... ..:. ...::::.:......... ..:....::.:::..::...........:. :;_„ :.:::::::::.::::.:. ::.:...........:................................ :::;;::::.::::. ..!%.1-':.... : .................................................................... ..... •..r.:::::::::::.:::.::•:.<. .. ...........:....................................................::::<::>:•;>::•:: ;:::X:>;:;;:>:z:•:..:.:;.....................a::::::.......:..............:................:.::.......:..............:,::::.................................................................................. . .... .........................................................................::'::;..:.........:.: .................................�.w... one:# >:;::;:::»;:.::_:::::«::<::;;::;:;....::;>......>::;::: :::r:::>:::`:;>:'i;::::;.> ;::: »:«::::::;>:«<:»»>: �8%4ii:<tvW:::.... i�:;:::?i::;:?;:;is':j;:;<;i:.:+;} ;i.$<::::y:S:`.:.....:.:y;:.... jii4::::•:::iii ii:i::•::iii:::':i:.:;:):v::i?i::ii::;?::.;„i:...........:i::ii:S+iL?}::i:'i?j`:$i;::::i:�?Y'::i? :iiTii$ii?'i{:.v::• :::::::.::::.i'.::::::::w:v:::::.:•::: :•:•:ii:::^:•µ:•iiir: v:: :nn...: .;.,.:...... :::.v:.: �v.......................:..' ..........:.�:{:::.::..........,......:.�:•i:4::G•..................... .......n........................ ::::::::::!•. :•:::•i:•:i•::•:h:.............. .:.......:...:....:.............:.:..::::::.::::.•.�:...... ...........................•r.::::::::.::::::::::::::::.�:::::::::::::::::::::::.:�:.J............1...5..... .. .::::::::::::::•::::w:•:+:s:::::.v:::::::;•:.�::::::::::::•:nv:•'.::C:•.i:.l ••?•W.<i'r"r.., v:.6.�::::.:::::,v:n:v:i{..•. •..v::.v:.• ..:.::::.::::i::•ii}::... .....::::ii•i:i::--'-.-.:::^:.:::v.::....:.....is;•:::::' :.::.::.:.:.?:!iii:vii}::....;};....>;�:;!::i::: ':;: y<,viw�.O�U'................. nsnrance..ca... bI ev:#' :>..; :;•: :::•:::::.:::::::;>::.>.::.:::.: ......::: :.... ......................:X;::.:.::: :::...:.... 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Faibue to seems coverage as required under Section 25A of MGL 152 on lead to the imposition of crhatnal penalties of a Ste up to$1,00.00 and/or am years'impriwmaent as weR as dvfl penalties in the form of a STOP WORK ORDER and a Ste of$100.00 a day against me. I understand thtt a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincadot. 1 do hereby certify raider the pacer mid penalties of perjury that the information provided above it eorred Si tore , , , l Gc,-i--.tom- Date . gda r_2, . 'r�Y - u Print name f�Oa l CSC- (/ /�f 5C N Phone# / 951 ofncw we only do not write in this arm to be completed by city or town offidal . . . city or town: permit/license# rgWMhg Departmmd ❑checkif hnmediate response is required ❑Selectmen's Office _ ❑Health Department ' contact person: phone#; ❑Other I am d 9/95 PIN . E . I _ . . . . t - . . . • ta:` ict:� 70:IL i pl f JIN.� CC^1"^C-T C R 5 F.=--5 7 R=.TION I ?e_ rtc F.�c ?a__c-s ar"c Spar ca-c j 1 .. �.� _.ti_. Cv'� 1 .0 T Q ---- --- -- - -- ------ ------ - - �:S ' _',JC 7 -0 CX , V 'II�-- inn I 7 rIQ 17CS C•-- _ • cJ I _ _16-15 � t I J • •. .. _ � �iGni9ltGriG+GIG: J�i�o.-�'.'.::JiL':Lli: TS{CXnS i Cn?T77T • ,��-,.: 24E ?UI:YSL Q% t _ U 5;7 Assessors map and lot number ........... ...... _-_ ` yoF T E P - - Sewage Permit number ......:i ../lC .. :. ..... SEPTIC SYSTEM MU , A In COM 9TAELL • House number 9 "6a WITH ME 5 039. .. CODE ,-I� e �'- - TOWN OF BARNS Oros -BUI'LDI A INSPECTOR APPLICATION FOR PERMIT TO 1 '......... .f �1...:.: .w� .� ,l �. �y...,�r 4......... .... ...... TYPE OF CONSTRUCTION ...................7 . .�........... .19../'"/ "TO THE INSPECTOR OF BUILDINGS: 66 ' The undersigned hereby applies for a permit according to the following information: Location ....... .3. ....(.!! .!¢l:` ......: f?..9. .... .......... .N..s.............................. ........................._ ... - Proposed Use .1.. ./.x. .t�. ...:i!�l/•CL,N`,QUAfi. ..... ( �.?'J.!!ll�r'. ....0... ........................ ....................................... v 4J ti1 Zoning District .......... C...r...............................................Fire District .......!Q�.Y! ...........5............................................... Name of Owner G2f.1!V....Y! ....!% 'PX.0 .................Address 7.. .... !A.!(.4A.,V51........ �/.4::�................. Name of Builder ... �.Address ,1!Cf :.rrC1f!¢/5 (? ... .......:................ r• , .Name of Architect r— ...........................Address Number of Rooms ...................... .........................Foundation Exterior ....................................................................................Roofing .................................................................................... -- ........... Floors � Interior ....... A.............................................................. Heating .Plumbing Fireplace ..........--...............................................................Approximate Cost ...v.QD i GO..................................... P Q Definitive Plan Approved by Planning Board---------------____-----------19_ ----. Area ....... .... ..®.. .. .................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APP It OF BOARD OF HEALTH 140 V 5 � g r/p,`I (9,Gk4JP -36 ro /5 I hereby agree to conform to all the Rules-and Regulations of the Town of Barnstable regarding the above construction. .....4`.......=/ ..c....... t � _ Urnick, John W. �fit No .2��Q .... Permit for ..SW;LWrci ool.... E � �..p .................. ......................................................... r Location .a8..O.akland.-Rd.......Wy nle3......... ............................................................................... ' Owner ........JQ4a..W ....Unnick.......................... TYP e of Construction r ' r ,l ............................ ............................................... _ Plot ............................ Lot Permit G nted ........ Z ..:19 79 ' Date Completed ................... PERMIT REFUSED 19 t .. ........................................ . ...........9 ............................................ M a ............................ r ........ . .. .. ..................... Tj Appro`gf Cg. ...: ..................................... 19 , j M _ f ..................... :................... t ....................•........................................................... t 1 ' Assessors map and lot number ` ' Q�pfTNEr���— Sewage Permit number ........A,r;a......I. - �u.tr Z EJHBSTADLE, O House number 7 MAO& 4 Apo,t639. 9� 'Ep vxf Ilr -- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....12 ) !LCI ,.41/ �./A/4 v� /� v J Sr , ........................ ...... •i: ..... r...........................................�........... / TYPE OF CONSTRUCTION ....��L.! !r!'!!�i✓t/ G?rf f�.�.ri,a C ................................................................................................................ •— r ......... .............I q...::. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the.following information: �r 3 /„o 6r I q u c/ � d 1 - Location ............................ .......................................................... .�...h�.�f:J....................................................................... /r k Sx I A/G k,901 Proposed Use 1.................................4 .. / !-....,........................................................................................-:..... r. Zoning District ......... C....�...............................................Fire District ...... A..'."L"?.s........................................ Name of Owner Y�. t� k lI r A �... ........ , ' ? A '; . ` ................... Name of Builder ....................t.........:....................................Address .;.................. Name of Architect .......-.Z.... ....Address Number of Rooms ..................................................................Foundation ....( ��t/�y!' ' .................................................................... Exterior ............... .................................................................Roofing .................................................................................... Floors ......................................................................................Interior .........................................:.......................................... Heating ..................................................................................Plumbing ........ ....�T ...................................0....................:... Fireplace ..............................................................:...................Approximate Costf�OCfi UCH .....:.............................................. ......... Definitive Plan Approved by Planning Board -----------_______----- ------19 Area .....:77�1.51^2............................ Diagram of Lot and Building with Dimensions f Fee " SUBJECT TO APPROVAL OF BOARD OF HEALTH t-"t U v-5 elk V � u i / I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name : 11 /!V lP..... ".............................. J � Oruiok, John W. &c272~103 *a -~ � No .— Permit for .SWi=ix4g..poo,1-- � ' ----.—.—~------.....—,—...—.~.--. Location .......4�8..�aklons1..Bd......B-yamni,%—' � ' �----.---~.----~._.—.—~—~-----. Owner —..xJA)1U.JW.^..lrl3j-uk---------.. ',r~ of Construction^ — ' ---' --' ' Permit Granted oota of Inspection � PERMITR./FI'SED ___ lg ' ~ ' --- ~ -----'------'---'^' '—~--^- ~~^'^`---'~''--~—^---'— . � -..—',..-- .,_---~.,..—~—....--~.—.—, � ---`--'—^'—`'---^^^'----^^^--^'^~' ` Approved � ' ................................................ lQ ----^--------'—'--^'`—^^^-----` ' x -------'--~.-------.---.....,~. . � | sst , a . r1 — � I r ' WFI I�fA R 0� rr LE-F-T :E tc-v-A-7-tn tJ �1 T IT— FM 1 1 Rl6#T £C-E ✓4-170d HOMF; imProvemerrtionthe esc-of CePizzi Home tmproveft"t emplcyees an,.,s.:!_..`.:zc!r:>. P.nycne using these conditions, ar:C;:atabuikgng wrIlwvmo: oawwwm iH� 4 ' Cc:i_;r:' s_crarings. CapiuiHome owa: ! s-cnsibdity for any and 4a - 8-07 nEvmw cmt`ccs Oi these tipwtfrasw 51+kRou A.AAL6AJE— ':fnff J�'061 ..-�67r/ . � n cmptoy2es�sutxorRe�es of Cpziz.i t-ome.mprnY2meflt. vrrww�[t NUMlER 1t 95/ plat PRIuoao 1000 CLK.O~• - 9 , c yr aY-c,° &x • t cRAull_ gPAGE- a"DJST CAV .2- a1vC(p ylt LL 6Tnn P� O '.K E 1 b ANGiiJ2 (TjO1.Y-GFrL coo - " t3l 30'c�d_x..ID 4oNC•. Pd-vy • :31a .GONG.—LOt .:F_IL,Le17 f1 ` D� I � ' seys>aaEcr�✓�J -• wc.E , y •SVPPL=�D bar CL-ItnIT 0 6 G (1�Y�7J_.GGb.'llF7( • //��1f'_ p`o 4 f. IafTkc.�=_D g� c..tPi2L� Q 9' W.._ tow (�7Z,> " v�Rr1;J ;oC slze ,o��C,CeL - J)AMP. Paoo� : GAS 'F/Rti W - �CJr,J7. SC ST9 ° �LOoR F L_.A nJ . - - rDU ADprnna PcskN - L}(�LE %f°ter (�/' � 19 ,i-c:0ok. .. �. L1-�•• 5-�` 5-�'' - - ," OA 15�F"c7- ovPK ja" &X. 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