HomeMy WebLinkAbout0255 OLD STRAWBERRY HILL ROAD ass �vaP � tl.�
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Assessor's map and lot number ..... �: ........ c, �*� � F7HET��
Sewage Permit number ........................................................
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House number ............: .. > .r _ Mara
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO A U171T/Uftl .............................................................................
TYPEOF CONSTRUCTION .. !U U. ...........................:.....................................................................................
.....................�� ...............
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...1!._1. /f1[I:„ .y. .. ..v.�. ..... 9�./ Lst.j. ... .�.�. ...........................................................
ProposedUse ...+ta .D.. .l).!.. ..................................................................................................................................................
ZoningDistrict ...... .....:..................................:....................Fire District ..............................................................................
Name of Owner .:m.&mC- ...� 1+Q.L ................ .....Address .....
Name of Builder r.v...0-Ho/vt.C..Ir��wov�rn�jvT .�. �! Nvv61 ,�r?.i� ....! �FA,;r�y1l
Address .......,.............. ... e...
- SE"�Citt-1tST5 l
Name of Architect .. 1'T ..........
?/.l.••.•••.•••Address
Number of Rooms ONC I�..... ..................................Foundation ...�J�CI� ( U/�C r2 1 C .............
................................ J..............
Exterior ��)/T� ��(��/� � .............. .....:Roofing .. =°9.!t��� 1 UU1' S . ..........................
......... ... .... .. .
IZr/C � � Interior Floors
Heating ?.. .."�F fr i�C� f fc; T i tly'?t:�... .JN� Plumbing .........::"`'rx`
:.......8-0A............................:.. .... ....
Fireplace ............:.................................................:.. ................Approximate Cost ......l.2 f.U.�.U......................................;�....
Definitive Plan Approved by Planning Board ________________________________19________. Area ...../ .. .,.. :......
/ 0 U
Diagram of Lot and Building with Dimensions Fee. .......................... ...................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I� 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 ... % !�,r ................
r'
` Construction Supervisor's License ............f�/.!, � �
BRAULT, MARIE A=250250-8
No ... Permit for .ADDITION.................
ling
.........Single Family.. ..............................
Location ..2.5.5..0.1.d..St.rawbeV..rr .H.i.1l..R.Oad.
. . .. .. . .. .... .......... ..... .. . .... .. ......
Hvarmis
................................................................ .............
Owner ...Marie Brault
................................................. ..........
Type of Construction ..Frame..............................
...........
................................................................................
Plot ............................ Lot ................................
Permit Granted ........November...20)......19 84
.................
Date of Inspection ....................................19
Date Completed ......................................19
t
Assessor's map and lot number ..... ..... ...... `
�pf THE t0�
Sewage Permit number .:...:...:...................... ......... .....t..... d ��
is IN =7 -
H9HBSTADLE,
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House number ........... .`..�. WITH TITLE�P A
6 90 M69.
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TOWN OF, . BARNST WLE' .
F NUILDIN-G ' INSPECTOR
. 1J1717- o�
APPLICATION FOR PERMIT TO ........� ... ......�............. ..................................:................................................. '
TYPE OF CONSTRUCTION .........................:......................................................................................
M w* .... ............. �l� ..............19..8
TO THE INSPECTOR OF BUILDINGS: ;
The undersigned hereby applies for a permit according to the following information:
Location ...!?.l ..........................................
ProposedUse ... C-PR ................................... ..................... ......................... ......
Zoning /' . ff
District ......1....: ......./:..........................................:......Fire District ...........................................................:..................
Name of Owner RIRAK ....Uftu.L7.......................Address ..... . a. ..4�T1.���.���.`:.t�. ....l.l.
Name of Builder e.(A dressy ( 1 11 �J..11� ......� yA.AK( S
F. 44 1W 14.,n/ ff
Name of Architect .................. .... ... . .......... 1 ...........Address ............................................
ON �tvl
Number of Rooms .........._.........................Foundation
Exterior (i✓h/Te t7/�R.E :..... Roofing .. /.. �IT... )Roo— ...................
U
Floors 1�� .. �X...�- �16.V�k :.................................Interior .......... ............... ..........................
. ,Heating [l��s {Ta'. l b.H!aY4 ^'....f�ft i� ..?,!; N 1umbing .....................................................:.:..... ........:...:.
Fireplace ... ...... ...............................Approximate Cost 1. ,/: U
0U
Definitive Plan Approved by Planning Board _'___________________________19________. Area ...........:... .....:......
Diagram of Lot and•Building. with Dimensions Fee ��
...............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Ir
live-
SAO., /�/l 'Pu
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 ............�/..� Q
BRAULT, MARIE `
27249 ADDITION
No ................. Permit for .......................
............SiNc ..E ly Dwelling..................
Location 255 Old Str4wl ry j ,�]••xZOad r t
....................HXannis.......................
_
Owner °!Marie Brault.............. E
Type of Construction ZZi .............
........................................
- • - . ....... • ....
.Plot ........... . .L....••• . Lot ............. ... ........... -� ,Y --__..._ ... _ . .. _ �,..-_.._..__._ .. _.._.� - _t. • '
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Permit, Grant Nted Ovember 20, 19 84_ ;
Date of InspecV .... � 1`9
,�. Date .Completed ... ..... ....�... ?...............190
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an THE
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TOWN. 'OF 'BARNSTABLE
BUILDING INS,PECTOR
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .............H.11.A!Y��(:�.A... ..q !�.y..�q...........................
-ee PA
Floors '12 "
.......... ..............................................................Plumbing .............?!o.......................................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
| hereby ognao to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. v '
"
. /
Nome .........
�
' Construction Supervisor's License ......... ...!'�� .............
No ..... ........... Permit for ....................................
. ...............................................................................
Location .................................................................
...............................................................................
Owner ..................................................................
Type of Construction ..........................................
...............................................................................
Plot ........................... Lot ................................
Permit Granted .................................
........19
Date of Inspection. ....................................19
Date Completed .......................................19
X
Assessor's 'ma'p,,and lot number .... ....... t Bpi TN E
Sewage�, Permit number ........................................................
33AR"33TAD E,
H 'se number ............-/;r,-�,S 4� N"&
ou .............................................................. 039.
0M
TOWN 0 ARNSTABLE
BUILDINGr 110PECTOR
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APPLICATION FOWL PERMIT TO ........./421 ..................................................................... . ..........................
TYPE OF CONSTRUCTION ......... U¢7.. .......................... ...............................................................
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........................ ..................I q..A.
TO THE INSPECTOR OF BUILDINGS: t
-The undersigned hereby applies for a permit according to the following information:
Location ............. Iq 1XV1 04 0..... f
14 2
................................... ... ..... ............................. ..,.......... ......................1.....................................
ProposedUse ........... ....................................................................................................I.........................
ZoningDistrict ........................................................................Fire District ..............................................................................
", P�Y N,
Nameof Owner ..... ....... ........Address ....................................................................................
Name of Builder .............Address .....................................................
Nameof Architect ............ ...............................................Address ....................................................................................
Number of Rooms .......... ..........................................Foundation ...ROJZC�eQ........< !2 1: T't f......
"I.Exterior ...(L)..1.4.,..1 /..r7....(_ r 0....4. .. 11........).�. Y._.f.2..14.. ........Roofi ng .... 671 .-...I....2....VO... s
69i./..W.. o
. .
�vl
......V4t�a!�.........Interior ......... .......a/,�q vq�L
Floors ..... .. .........................................................
Heating ..................................................................................Plumbing ............. ..........................................................
Fireplace ......... ............................ ..................................Approximate Cost .......... ......................................
Definitive Plan Approved by Planning Board --------------------------------19--------- Area ..........................................
Diagram of Lot and Building with Dimensions f l Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 "....f.....( �K ......... .. ........
Construction Supervisor's License .... ..........
`
�
. No ................. Permit for ------------
~ ,
------------------------.—' |
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Location -------_—___________—. `
'
--------------------------.
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Owner ------_—_____________—
Type of Construction ..........................................
'
--------------------------'
-
Plot ............................ Lo/----------.. �
�
Permit G,onnaJ -------------]V
Date of Inspection....................................l9
Date Completed ....---..`^------..lV
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)ingin8ering Dept. (3rd floor) Map iR,60 Parcel 0 Permit# a 9
House# ��"� Date Issued ' �9
Ro.� a _r rT__ .t i�_a tti� _�-`4.�C Q•Zn/ LQ ) t. Fee S. (U' U �Z4,(-- du�u1��
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• BARNSTABLE.
TOWN OF BARNSTABLE
Building Permit Application -
Pr 3feress
Village .
Owner . e Address
Telephone Dt7 .-
Permit Request
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $
S
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 o If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name • Telephone Number
1 Address kb „ License# C) ]�7
Home Improvement Contractor# ('7
10 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
SIGNATURE DATE J
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
i
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED*'
MAP/PARCEL NO.
ADDRESS '' VILLAGE 1
OWNER
DATE OF INSPECTION: E
FOUNDATION r !_
FRAME
INSULATION z
FIREPLACE
{' ELECTRICAL: ROUGH f FINAL _ ti
PLUMBING: ROUGH FINAL
f
GAS: ROUGH FINAL,
FINAL BUILDING .
DATE CLOSED OUT
F
ASSOCIATION PLAN NO.
it - . 'l • . .`.
•Jar��� r .
Tile Conrnronl"cttltlt of.1fassachusctry ;
•rr . ;-._. Dcpartnrurt ojltrJustrialAccidcrrts .
t
1• ;:� . �, _ OlficEallavesffgat/ons
\.�_;" _ '•�' 600 !f ashin,tun Street
Et)-vu)". Alas. (12111
Workers' Compensation Insurance AMdavit
Lliipiic�int'infortnatitin• - �� _PliTm PRINT Ie;t_ijj"- �—�• - -
T Iff MN M
y
I am'a domeowner performing all work myself.
j I am a sole proprietor and have no one working in any capacity
['i I am an empldver providing workers' compensation for my employees working on this job.,
p� J rr �• 11
cnrnn rm n•amc• /\� r C.
A L M 1 1 1 nhnnc
incnr-incc cn VE— R A 6
G I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed Mow who h.
the following workers compensation polices:
cmmn•rn%• nntnc•
•tdrlrccc•
city, nhone H,
Holier s!
incnr-inrc rn
conionn%• n'rmc•
addrecc�
citn•• nhnne it•
C '
incurnnce cn
Attach additional sheet if neccs_ia_ry- •=..•"" :—� ,_ , --,; "' 3:• "". ''"'.'=:"c"""'' ' ^ '"' '``�"''." -_..,•_.�..•:. .• -
Failure to secure ctteerat;e:ts required under Section 25A of AIGL 152 can iead to the imposition of criminal penaities of a line up to S1.500.00 andru
unc cars' imprisonment as well as civil pCnaltics in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that.-
cope of this statement may be fyrn•arded to the Office of Investigations of the DIA for coverage verification.
l do herebr cerrift•tinder lie pains nd penalties of perjuty that the information prodded above is true and correct.
Si=namrc Date
Print name Phone
ofiiciai use univ do not write in this area to be completed by city or town official
city or ttrn•n: permit/license i# Mudding Department
Licensing hoard
C: check if immediate response is required 0 sclectmen's ot'ficc ►_
�. C:ticauh Department
contact Person:
phone#: nUthcr.
iniormation anu instructions
Massachusetts General Laws chapter 152 section _'5 requires all employers to provide workers- compensation for their
employees. A quoted from the "la��", an emplgree is defined as every person in the service of another under any
contract of 1';ice:n'express or implied. oral or written.
An emphorer is defined as an individual. partnership. association. corporation or other legal entity. or ally two or more
the foreaoiit�, em_aged in a joint enterprise, and including the le al 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 dweliing house having not more than three apartments and who resides therein. or the occupant of the
dwellina house of another who employs persons to do maintenance , construction or repair work on such dwelling hour
or on the _urounds 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
-ene��al. of a license or permit to operate a business or to construct buildings in the common«-calth for un-
ipplicant who has not produced acceptable evidence of compliance swith the insurance covernge required.
-%dditionall.,. neither tite commonwealth nor any of its political subdivisions shall enter into any contract for the
)erformance of public work until acceptable evidence of compliance with the insurance requirements of this cliapter lta
:een presented to the contracting authority.
:hhlicants
lease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
ipplyin__ company names. address and phone numbers as all affidavits may be submitted to the Department of
Idustrial Accidents for confirmation of insurance covera`e. Also be sure to sign and date the affidavit. The
"tidavit should be returned to tite city or town that the application for the permit or license is being requested.
m the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required
obtain a workers* compensation policy, please call the Department at the number listed below.
1
Itv or Towns
_ase be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas
sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
Department by mail or FAX unless other arrangements have been made.
:e Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
:ase do not hesitate to give us a =11. -
.21
e Department's address. telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 «'ashinbton Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or 375
h.
dFTM°
The Town of Barnstable
� $ Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissi�
For office use only
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. V
Type of Work: Est.Cost y d
Address of Work:
Owner's Name
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by lair
Job under S1,000.
_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
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DRAWING NUMBER
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4L_ CMARRETTE PRO-FORM 91 ov r PRINTED (Ni 990N CRARPRINT VELLUM