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HomeMy WebLinkAbout0255 OLD STRAWBERRY HILL ROAD ass �vaP � tl.� ,e�`� - - - - - - / D / �G � �jf �o. ' co�i l �SGti e �N^ o u( p✓c)c4ev eg p� � /d CJ hav a. A)a Lf ve� a r Q r a u c v.c '��T" '• Ln e Praj �cl y 1• Assessor's map and lot number ..... �: ........ c, �*� � F7HET�� Sewage Permit number ........................................................ .� fix Z 33AUSTAMLE; i House number ............: .. > .r _ Mara O i679• \0� r 0 MPY 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 bE.i�s/R rtcJ R T,9 01, r; Rot I� 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, i House number ........... .`..�. WITH TITLE�P A 6 90 M69. a' pcf 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. • ' 3 Permit, Grant Nted Ovember 20, 19 84_ ; Date of InspecV .... � 1`9 ,�. Date .Completed ... ..... ....�... ?...............190 D. • Y Ay 'z � . � � an THE 039. em 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 tTl APPLICATION FOWL PERMIT TO ........./421 ..................................................................... . .......................... TYPE OF CONSTRUCTION ......... U¢7.. .......................... ............................................................... (AA t ........................ ..................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 ------------ ~ , ------------------------.—' | ^ . Location -------_—___________—. ` ' --------------------------. `- ~ Owner ------_—_____________— Type of Construction .......................................... ' --------------------------' - Plot ............................ Lo/----------.. � � Permit G,onnaJ -------------]V Date of Inspection....................................l9 Date Completed ....---..`^------..lV � � � � . ` � � - ^ ` ' � )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�� ii �(KE rd_ 19 ' • 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 I _ .ONTRAC �R$ t 7R • 2®gu at` Ong ; °om477, �W S� s :�sachuse XV 2i�? RI ' M ii� t ^� ON I wf�_ Expiiaffd �IIRACTC SHE moo—F J�4azYsr * � w T't^��f!��•�,��ai9 a%,YW.Zl� M � ;"'` se ;`o '- x ��ImYarweth TIA 02673 x�c R r-k :f it # TOR ! 44, /lie`�omvnwryu..ea� o���aaaaelcuael�i .` ' t�tgir?^"T Fc',TC L Ll �. IP N �. r ,. 4YPdRA� a, liTl Lli xF mal t W Y0.1i il. A r e 1 t+ -1 YJ . 1 _ TZ / I l = —- RertpNLcri ICA � o� _ l�" C.�X ..:art;� ,, i►?(-� _ -.. . Z`'��-" r:- t' :u A LA Tit Qfa0v*0 .7X v, � i - • G�Pro�Q ,3/ X 4 DO SCALE: '. APPROVED BY DRAWN BY DATE: L',� �� ✓•. �'PI E1 DRAWING NUMBER TER V 4L_ CMARRETTE PRO-FORM 91 ov r PRINTED (Ni 990N CRARPRINT VELLUM