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Home My WebLink About0010 PASTURE LANE Lane - ) Map r Parcel Permit# - House# Date Issued 4oard of Health(3rd floor)(8:15 -9:30/1:00- Conservation Office (4th floor)(8:30-9:30/1:00-2:00) 5 I Planning Dept.(1st floor/School Admin. Bldg.) �1He rq ' De ' ' 'v Plan Approved by Planning Board _ 19 ; BARNSTARLE. MASS./ •• r r S 1639. TOWN OF BARNSTABLE, Build' g Permit Application treet Address , re /N e_ r Village 11114 S f Owner e�� ei f Address /V ,5'7"l�L�' L 4/v Telephone -1- e I.? . s Permit Request J First Floor square feet Second Floor square feet Construction Type a Estimated Project Cost $ 3 20v , (0 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 G' 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 ❑No If yes, site plan review# Current Use Proposed Use 1 Builder Information p Name file�J IA :.Q'tA- Telephone Numberd'�� . AdclLess License# a. G,,� Home Improvement Contractor# 0 7 0 Worker's Compensation# �" mid NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CON TRUCTION DEBRIS RESULTI FROM THIS PROJECT WILL BE TAKEN TO rtSIGNATUREAA�_ DATE f � BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ic�jqr .T _ FOR OFFICIAL USE ONLY _ PERMIT NO. I5ATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE. r OWNER ` DATE OF INSPECTION: FOUNDATION - FRAME - '± .' � � T ` t ! `^ ._ � •� r 1 _, _ ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS:- ROUGH FINAL ' - - FINAL BUILDING lob) DATE CLOSED OUT ASSOCIATION PLAN NO. •• The Commonwealth of Massachusetts Department of Industrial Accidents office of/nYest 9898ns 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: I'i b j° y �G' Il C� G► �� location: W y'.. S `V e ek city S( 4- vhone# ❑ I am a homeowner periorming all work myself. I �'I am a sole ro rietor and have no one workin in any ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. company name:. -- address: city:- insurance co. olicv# j 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: • cowanv name: address: city. bhone#. XX insurance ca oGcv camp anv name address: city-:. phone#. - ...: insurance co: 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 OfIIce of Investigations of the DIA for coverage verification. I do hereby certi der the pains and penalties of perjury that the information provided above' rtte and correct.signature Date Print name Le Y4' M C,Vi. 1 n q V1._ Phone# � '✓��3 IV - ofIIcial use only do not write in this area to be completed by city or town ofnclal city or town: permit/license# Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other Umsed 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applican L Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retuned in the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Inuesduallons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 The Town of Barnstable . �• + u►ansr�.a. • . �' Department of Health Safety and Environmental Services Eo '� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen 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: _ Estimated Cost o`ZD� d-2) Address of Work: Owner's Name: Date of Applica 9 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 hereby apply for a permit as the agent of the owner: Z, r i Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav Y f • � rt pf- "W;E OW CA 46 \s."t::: -sip^rt:1:'0.RsY .--.e.._'yiUY•. ... 'rl ..,. ...-- _ ._r.'.._ �_ e.. .,. .a, - .. r •,•� TOWN OF BARNSTABLE Permit No. 27042 { Building Inspector »n.a cash -- — - - PAM �g1659 VIR OCCUPANCY PERMIT Bond Issued to Ba<fSIde aaliG1.3 ng Co. Address 10 lot 19, 10, Pasture Lam, West Iivarxdspgrjt _ Wiring Inspector Inspection date A Plumbing Inspector ' Inspection date Gas Inspector~ 12 Inspection date XEngineering Department {' Y s .�� _�"�. Inspection date/�^ j" Board of Health i ,t Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. f ,� ...................................................... 19:..... .... ................................................. ...,... Building Inspector FROM TOWN OF BARNSTABLE Mr. Francis Lat teim BUILDING DEPARTMENT _ r T On Clerk '367 MAIN STREET HYANNIS, MA 02601 Photte: .775-1120 SUBJECT: r FOLD HERE 'DATE.' - November 27, 1984 $A G E Wor k has been Cleted der Permit 27042• Ba side Soil Co.) . ` - - °"Y9'�r+E 1R.vyY•.+,p 3! fin Ye'.Wn ww!"9'wa&".x-._..vs YaAt+,6•K-d�°+:+qEt,��P'MVM#fl'fi..�i!' MN`+�s.'ktu^.b^W,al�e:ve��.`»:4 Ca'i�Y er*1•a 2t.+T 4. +4lt.r+.'. Please release Bond. al!' Si1b ------ 4rV� a ift*4.wa-twow.f•.+d•'aR il .. .._ - SIGNED, DATE REPLY ! - SIGNED - 7 Nei-RM1 RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY - PRINTED IN U.S.A. _ - - SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. -a c N�vo 1 Sl 1-� /9 WG yM 7 M 72 N N 0 a =9 73 5 � f � _ r P - aS 1 w �� x ZQNF:� 1Z� • - : 1. CERTIFIED PLOT PLAN JAL # � ra� s ,.•� � L p T ' ,�� i>,q-5r�U2t=-= t✓t�J,C_ , r `ter .; •c R®BERT.. BRUCEa n x ELbkED rd £ A 8 V - -CA'6.E= �:-r�.-•40, DATE No w 1 'CERTIFY' THAT THE � ! °�! P-O W IPM THIS PLAN e3 LOCATED .: '3S e,tTERE • R LOIS, MED 3 d LA i® dQC i.@ 4s �• ..�... :ON ,THE: GROUND AS INDICATED .� IH�iIMEER SURVEYOR �Y . CO ORMS TO THE ®NI G LA WMS * � i 6 M t N'.•!7 T R E-ET DA E. r 3' ®. LAN® SURVEYOR , s,�.'.T 7 �.a,r ...•k'—s*ea�++trs+•.'..r' ,,..,_.. - �. ... •""....�,'aN olk 05 Assessor's map'and lot number .................... ... Sewage Permit number ...........b MU >4 i'•f lt. SYSTEM MUST S,_t 11AWSTADLE. House number ......................../....... .................................. , #t'J i'.`ALLED 0N CC.►MPLBAN MAG 6 q• TOWN OF -BARNS jis ��BL�� AND w ' .M-+ t ± a BUILDINGX INSP C bil W APPLICATION FOR PERMIT TO C 1 c� w ( (� z `4 TYPE OF CONSTRUCTION .... I`]J." ..:. ..............................QQ.... " '• � i..13................. "Op f,r TO THE INSPECTOR OF BUILDINGS: The underLigtec�hereby aplies for a pe mit accordin to the following formation:Location .. ...... ...... :. .. ... .. . ..........1 ..................................................... ProposedUse .. ,..�,.!� !... ... .a. ........... . ........................ ................................................................ Zoning District ...... ..... .... ......... ............. .... ..............Fire District .......... .... . ��`'!..�.... ....... Name of Owner �''�... Address .......... Name of Builder .. ?.. ............:..................................Address ........................... n U' Name of Architect .. � Address .Q. ° ........................... �. ..... ........................ .. . .. . ..,. Number of Rooms.- ...... ...... .............. .................................Foundation Exierior ............W�� .�'. .......... ................Roofing .... . J ...... ... ............................................... ...... �j i Floors ........... ..... . ....... ...... / .. ..................Interior ................................ .................... ..... V Heating .... ..... .. ... ..~.. . . .............:...........................Plumbing ...........�....�!. Fireplace ......... ..{' .rl........................................... ................Approximate. Cost ......... Definitive Plan Approved by Planning Board _______ 19 Area 13 SP...................-� --. Diagram of Lot and Building with Dimensions , Fee ....SP......................... .�\ SUBJECT TO APPROVAL OF BOARD OF HEALTH ----------------- 7TD 3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the n of Barns le egardipm the above construction. Name ...............�j. . .. . .......................... Construction Supervisor's License .... .. .......... BAYSIDE BUILDING CO. No ...... Permit for ..... ........... I r-i i1X Dwelling ............................ ;Single. .. ........... Lot 19 Location ..........................10..P.astu.re..Iane.......... .. ........ .... ......... West Hvannisport ............................................................................. Owner .......Pgy.§ide Building CO.,................................................ • Type of Construction Frame............................... . ................................................................................ Plot ............................ Lot ................................ t J A. Granted j October 1, 84 'Permit ranted ........................................19 Date ofj'Inspect Ove.)... 19 Date Completed ..... .................................19 e:' Assessor's ma and I number f, fry-;f ` ��/ 4�K A r4 9✓�`//u? so s p of numb yoF THE TO F, Sewage' Permit number ............... . . T..� Z EAHBSTADLE, i House number .........................1.6......q......... ro raea p 2639. 9� 1 �O MPY a` TOWN OF BARNSTABLE BUILDING INSPECTOR J (� APPLICATION FOR PERMIT TO n`C .,,,,, ,,,,,,,, .. -A. n TYPE OF CONSTRUCTION t 1 AG 19�—)SIPII<J.............................0..................................................................................... .. '....................19...!�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap((plies �.for a permit according t�o the following iiriifforrm�atioon:: Location .. .. ! l�,( �� °...�_ .a�t{ ?. !11!�: . .!l �/.1....�`.+��L ..................................................... ProposedUse :i ram... �:!.� ... �J. ? ? .. ..........................3 ................................................................ Zoning District .� � > Fire District ........�`%'�,! j t...r.............. ......... ................................... Name of Owner .. .! 1/1, L .,ccx!/` .. 1,� ..........Address ! ?�? ... .. ........:.<�-z, �i� L�,........... Name of Builder ,;,5 ��.. ........`.............. .................Address ............ s ::�'�-:".................................. Name of Architect ..,...............� ............... ... .......................Address ............. ....... Number of Rooms ....... ?. ............................Foundation �.�2 -> ��1-sit...(fj(--'............................... .......................... ........................ Exterior ................... ......-J....V;...... ........:....A............................Roofing ...... ... if................................................................ Floors C ► ` l( L.. .i.`1� ..................lnterior /........................1......,......... il;?fi � ............... �Heating !. ....................:.....................Plumbing ........................ lr.CG ,�•.�-,�� I Fireplace ........... ..............................................:................Approximate. Cost .l, .. .,✓.U.v.` ...................... Definitive Plan Approved by Planning Board, ----------19_ . Area ...� .............................�� .7�� J--- --- - Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t 2S 53. OCCUPANCY PERMIT REQUIRE S D FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. .;?. ... .. .. ✓l......................... Construction Supervisor's License .....}.. (. .�1.. .......... BAYSIDE BUILDING CO. > A=24$-261 27042 One Story No ... ............ Permit for .................................... Single Family Dwelling .. ... ........ Location ....IAt 19 10„Pasture Lane....... ................... -..—V!aMiSL.=............................. Owner ......Bayside Building Co................. Type of Construction .F`Y'. ............................. ................................................................................ Plot ............................ Lot ................................ Permit Granted .....October 1, 19 84 Date of Inspection ....................................19 Date Completed ........................................19