HomeMy WebLinkAbout0075 OAKVIEW TERRACE '75 0��, 7 e,:,, �
- — -
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' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map d Parcel UU<? Permit#
.1.
Health Division - Date Issued�,
+ r ' • ! �
Conservation Division � � � • Fee \�
Tax Collector A A ' C-'_
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board '
Historic-OKH, Preservation/Hyannis ,
Project Street Address G ZL
Village / i'S Q �e5
Owner �/ ,r� ` o�or��i/a y ��'�� -Address /� �� w� f�g �� �i�o�6�f.�
Telephone �� ���S "
Permit Request:��.'� t'l'nr •
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost .26-oa ' Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family 0' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: mull ❑Crawl ❑Walkout Cl 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
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 0 No
Ddtached garage:❑existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size
Attached garage:❑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
BUILDER INFORMATION
Name yet. cJc�aD T�� Telephone Number c3�F- 7 7
Address 7V r License#
Q Home Improvement Contractor# I/9 9 7 1
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -A�,
SIGNATURE DATE
• — FOR OFFICIAL USE ONLY
♦ ' - • s r - r j' • e
PE$MIT NO. '
DATE ISSUED • Jf } • .' '
MAP/PARCEL NO. =
- ' � )VILLAGE � ' • - � ` --
ADDRESS - —
OWNER
DATE OF INSPECTION
FOUNDATION
FRAME
INSULATION _
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL _ s
FINAL BUILDING
DATE CLOSED OUT
• ASSOCIATION PLAN NO.
EVE
The Town of Barnstable
• �xxsrr►si.E. •
� Department of Health Safety and Environmental Services;
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-8624038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
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:�r���� 0 p��p —� Estimated Cost ��
Address of Work: c.-e'
Owner's Name: L��G
Date of Application:
I hereby certify that: -
Registration is not required for the following reason(s):
ri 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 hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
�`
_ The Commonwealth of Massachusetts
��:: -_'-
=- Department of Industrial Accidents
-= fiffee allfivesoffadeos
. 600 Washington Street
- . Boston,Mass. 02111
-- Workers' Com ensation Insurance Affidavit
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name: / >e,
location �y �A S H I � r,
ci lam/ de"' hone# 77s-'- 7�U 7
❑ I am a h meowner performing all work myself .
�am a sole rietor and have no one worku in achy
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❑ 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:
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I IF"IN
1110/11
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$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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.
I do hereby certify wider the pains and penalties of perjury that the information provided above is true and correct
Signature Date ,7 9,� % — -
Print name ti Phone# ,5d 7- 7.7.1=���y SJ
official use only do not write in this area to be completed by city or town official
city or town: penn"cense# ❑Building Department
. ❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; _ ❑Other
(devised 9/95 PW
Information and Instructions
r
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 lies to your situation and
�P applies
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.
7117
WINNIA
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 Oiii /license number-which will be used as a reference number...The affidavits may be returned io .
the Department by mail or FAX unless other arrang®eats 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
Me of Inllesdoodons
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
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SCHOFYELD'HOH AlJN:
SHDM A SCHOFIELD.A
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Assessors map and lot number .�V............�K7)..e.- 9N011V1n0 �M®,,
-�- FTHET�
(INV 3d031VIN3W 91 `♦
Sewage Permit number -101�... ................................
9 31111 HIM
House .number ... �G 3�A�dW03 Nf sT11DLE,
............................................................. � � 163 9
39 isn 11 wnl&g 5 0 MAI
�r•
TOWN OF �BARNSTABLE_-
BUILDING IN PET S CR 0
APPLICATION FOR PERMIT TO .....
TYPEOF CONSTRUCTION ......... ,.. f..... r::..................................................................
C�� ...(1...................19... �
TO THE INSPECTOR OF 'BUILDINGS:
The undersigned hereby applies for a permit ordi to the following information:
Location ...!t��`?� ..S�Sr% ........ .. ............... .......... 7- w--4 ...�.�....... ...
Proposed Use . .....................................
Zoning . District .........Fire District �� ...... ..... ........................................ .... ......... ................... ..............
Name of Owner ... . .... .. .... .. . ...... . .flies Address ...,�ycl .. yl ......... ..
Name of Build40.�Iza..... K-C...6. .. ... ........................
Name of Architect ............................................................
Numberof Rooms ....... ......................................................Foundation ..........ie..1..........................................................
Exterior OE'1.. ...................................Roofing ..........�.✓....... ............................... . ...................:
Floors /y ...............................................Interior ....................................................................................
Heatind ......t': �................ �%v�............ ..:Plumbing ......:'"^ :n6e-. -.....................................
Fireplace ............. . ...................................................Approximate j... ...... ....
Definitive Plan Approved by Planning Board --------------_---_-----------19_______. Are ......... ..... ..... .... ...
Diagram of Lot and Building with .Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the own of Barns able r ng the above
construction.
4 Name ............:L: J..... ./../. . ......... ... `/......
CAPRICORN REALTY TRUST
No .2335...... Permit for One St(L/yV/
. .......... ...................................
A�.........Single. . . ...F,am.i.ly. ...Dw.e.l.1.i n.(j...........
.. .... .. .... ..... .. . .. ....
11 F
Locationi
*' Lot #42 75 Oakview Terra6e
................................................................
Hyannis
............. .................................................................
Owner .....C.apr.ic.o.rn...Realty. TKM§t.
.. ....... .... .. ..... .... .. ..
Type of Construction .....Frame.......................... .... .. ..
Plot ............................ Lot..................................
Permit Granted ....August.
. ...10, 19 81
.. .. .... .....
Date of Ins jfteof-��/,r/ ...............19
Date Completed ......... P?.....V9
All PERMIT REFUSED
19.......................................................
C, Cu
.............
:z ....................................................
.............. ...............................................................
t
......................I..........................................................
.................. ......................................................... -Ile
Apo-roved ................................................. 19 ..te
.......................................................................
.............................................................................
7.
Assessor's map and lot number J�a ..
...�..� .,.. ... Q�0*THETOE
1_~mber .................................Sewage Perk it n
r Z 33AUSTAXLE.1
House number ................ ........................................................ 90 rasa
O 1679• 90
0 MAY a�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
r� �+`�l a'1f/ �' l
APPLICATION FOR PERMIT TO .....,�...,........... •r � /•,�d,.,•:.�:f❖�� � ,��'�?iC�__..
TYPE OF CONSTRUCTION �!'� ���.�
..:. .....Z...6 ...................19... .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......... �.7�� /!�/!t....... ,?st �i{ •J....
Proposed Use .. ../.X. �t....... �l� .t �?'l r/f,(�.. }•� p.................................... ......... ..�..... ........ ..
p � ......................................� ... .Fire District ..... �. j/•.. .....!Y(L
Zoning District ...�.. . 1� �. ..........................................
�,�? t?. '?. ,.,. . . ! � t;f!.. .��%1�-! Address /��'�' �v (1./. �f lf ? .. ... !4`,(•ll.!
Name of Owner . . ,�
Name of Builder t/• !!. (•4A'd'd ess ...../............ ../,.........U...........//...........................
.Name of Architect ..............................................................`..Address .......................... ..........................................................
Numberof Rooms ........ �f..........................................:.....Foundation ..........�... ,,.......................................................
Exterior ..:..T., ,t l�.,,hIOl/ ?(��!.......................................Roofing .......... --�. ............................................................
Floors (k� �..+�. ?. ...............................................Interior
J ......... �j i?
Heating g ..........................
Fireplace .......... T .... .............................Approximate Cost ................ J ��.... �...... .
Definitive Plan Approved by Planning Board -------------------_-----------19________. ................
Diagram of Lot and Building with Dimensions
G'
Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...... .............L!�1 ,��/s?t' .. ..........
CAPRICORN REALTY TRUST A=268-287
23355 One Story
No ................. Permit for ....................................
Single Family Dwelling
...............................................................................
A'o Lot #42 75 Oakview Terrace
Location ................................................................
L Hyannis
...............................................................................
Capricorn Realty Trust
Owner ..................................................................
f
Type of Construction
Plot ............................ Lot ................................
August 10, 19 81
Permit Granted ................................... ,
Date of Inspection ....................................19
Date Completed 19
PERMIT REFUSED e
.......................................... ............. 19
.................... ........................................
............................. .................................................
6. 0. ......../....................................................
Approved ................................................ 19
............................................................................... /
................................................................................
.�` •'e ; TOWNr OF BARNSTA 3LE Permit No
t Building'Inspector i
saa»T.aMs
�
CCU 1( A P:ERNI1T B_
No.building,nor stru6turek4shall l e erected, and,no land,i.buildmg or structure shall be
used for a..new;..different, changed,. or enlarged use j-,ithout a�Buildiug Permit.. therefor
first having been obtained from-the Building Inspector.,No:bizildmg`shall be occupied until a f
. certificate of occupancy- has_beenti"sued by the'LBuilding, Inspector " '
D
Issued to Ca7YZC0AT$ R6 alt-,V 'I`rLtS `',,A�ddressA' ;3 Te1n�71 �� 1 ,, .m c ttPi1 y
r ' Wiring Inspector ,, '^� s Inspection date yt^
Plumbing Ihspector,PEA f-- � Inspection date
Gas Inspector ,')Q �7 f- �•` ` Inspection dated-u
gEngineering Department :' r `� r %; ;Inspection date .' 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'
REQUIREME'�TTS . � -. •
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Building,
. p`ector
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CERTIFIED PLOT PLAN
o r 4z ,,kV-1 E-W
NEW CONSTRUCTION ONLY = + A/ YA /✓W15
TOP OF FOUNDATION IS &- FEET IN
ABOVE LOW POINT OF ADJACENT
ROAD.
SCALE= /,�=50 DATE=5"
A P?i.cv f ��dND Tioit/
D � E EN /NEE' I Q � N G 1 CERTIFY .THAT THE
CLIENT SHOWN ON THIS PLAN IS LOCATED
EGISTERED REGISTERED JOB NO: 0047 ON THE GROUND AS INDICATED AND
CIVIL LAND ,•y� CONFORMS TO THE ZONING. LAWS
ENGINEER SURVEYOR DR.BY .._..w.._ VIM_
RN S A8 E, MA88
CH.6Y: P.6 712 MAIN ST. 'MYANNlS; MAS$. BHEET
5Of R ®. LAND BURVEX4 ;