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HomeMy WebLinkAbout0081 PEACOCK DRIVE 'D Assessor's map and lot number THE c t Sewage Permit number .......5-5.�.�� ..J 'INST^t�9_LED iN COIAJ'L!if,s0,?C7�" WiTH TITI E Z BABB9TABLE, i House number .......Y�.a............��...�...!Q'' ............. ,a.rR�VIRO�41MENT'AL CODE 9�ND 9 1639 TOWN REGULATIONS A'Eowara� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................. ........................ `' . ................ " ..................... TYPE OF CONSTRUCTION ..... ................................ ........:................................................. ..t............1../...........19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to they following information: Location ..... ....1. ......Te.. {OCb� �.' �N!l./1.(5.... 19'2 ............................................ Proposed Use ...... . Zoning District .......� ...........................................................Fire District ..... .!�.................................................. Name of Owner ....... ................... ............:.......................Address ............ .!........... .... .... .5....... Nameof Builder .....? ?... .. .. .`e.................................Address ............1 .. .......................................................... Name of Architect ...:5..........r..Y � . ........................Address v� Number of Rooms ........-�.........................................................Foundation ......`... ......� ................... Exterior ..�—� ............................Roofing `.......A. 4A4................................................... Floors ... .. J . .. .i. J..............................................Interior .... d . .�. .�..... !..N j— .A- T V ii rr / - P 6 Heating ..........R...................... ...! .............................Plumbing V.�..............� � I1 Fireplace ...�.O .'L.kl�.................:j61.aa c..�........:::............Approximate. Cost ........ ?.�.�..���..r.D�................... ... .... Definitive Plan Approved by Planning Boa�d �_` _ 19� __. Area ,! / V Diagram of Lot and Building with Dimensions Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Q Q I� �I iy by OCCUPANCY PERMITS REQUIRED FOR NEW DWELLIN(5S I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......`... .... .. ........1.... ... Construction Supervisor's License .... .. .. ... BAYSIDE BUILDING A=248-269 F t No'.'27. . .7.4.6 ... Permit for a•.....5toxyr...sin.gle ......::fazai.l dwal-I-I d• Location ...LOt...#13A.........$�... �.a�ock..I�r. West HYannisport............................... Owner ...DAY-.ide...Buildin ^ - Type of Construction frame , ........................................................................... Plot ............................ Lot ................................ Permit Granted April...1.1,.........19 85 - .. ; _ •_ Y^ Y ��. Date of Inspecti ....................... ............19 Date Completed .....1 �1Gt �.......19 i e i 1 t �F GS � r t - L d �J -71 o 12 In A 4 9 :0 A/' cj 56u7ZZZ; /, E T°t� � U` Mq�s9c CERTIFIED° PLOT PLAN ROBERT FJ > rL DB. UDE mG 1� No 19uri7 <, IN u SCALE: 3O DATE S � .,� 9, 5 V GGN6i FOB e.� CLIENT I CERTIFY THAT THE ``° St$T:EREO REGISTERED SHOWN ON THIS PLAN IS .LOCATCO JOG. go. ON ON THE GROUND. AS INDICATED Ate ; F M`CLVIL LAND CONFORMS TO THE ZONING LAW$ '^ EHOINEER SURVEYOR OR.BY' ... f: € OF .BARNSTASLE, MA88. `Tt2- MAI N STREE.T.. H.Il CY$ ...... . _y w HYANRIS, MASS.. SHEET.,! OF p EG. LAND SUI owRVEYOR. - • Town of Barnstable *Parrot# A77. Expirm i monahs fmn issue dare s g Regulatory Services i Fee ,may, Thomas F.Geiler,Director Biiliding Division t �- Tom Perry, Building Commissioner . -P ly hT L e i tin' y . 200 Main Street, Hyannis,MA 02601 MAY � 3 2005 Office: 508-8624038 Fax: 508-790-6230 TOWN OF SA NSTA ALE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Vafid wWwut Red%Press Imprint dap/parcel Number A q Z 1 'mperty Address_____ 2.q C.n C.J� V') t- W ` q h 1 C -Pe V-1- 59 Residential Value of Work L4 goo d O. )wn_er's Name&Address G e-r 4 L d A 9n U C_I h 3G M4, b '-1 y2 uoZ-c5erS� . ,Mq ;ontractor's Name `cam cj r-I I n e,Qt cl R 4 Telephone Number. S"©Sr _S`6 S-Z dome Improvement Contractor License#(if applicable). /h 7 U C> construction Supervisor's License#(if applicable)_ n ]Workman's Compensation Insurance Check one: �I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance nsurance Company Name Workmaes Comp.Policy# 'ermit Request(check box) E Re-roof(stripping old shingles) All construction debris will be taken r 41,,y t✓ g L V j ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U Value ' (maximum.44) S *%=required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.E t fic,c msmation,etc. ***Note: _ . Property Owner must sign Property Owner Letter of Permission. ' Home Improvement Contractors_License is required. signature t v\ G, ►:Forms:e MtM At ,per 7k� h f4VLf4 f v uq + �\ $ rdpf�Builc}�n_g Regulations and Standards B • �` �'`' ENT COORAC$OR �'� �ic�e ser �•NSTRRl1C�Tl•'Nk�SUP1E.RUA�,,,1�SQR F�QII� IM �(F 107740 006 — -drship Landing � � P• M: 0 5 6' _ SS 9s§ ,�►A A9 — ::in�strato ru�is on r `' t �. Town of Barnstable Regulatory Services ILUNSrAMA ` Thomas F.Ceder,Director g $sue Building Division NIP�p is Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 L, Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder � 1 I LP L �'✓ ,as Owner of the subject property l P Pam' hereby authorizea4-)m)s.4 ca to act-on my behaliy in all matters relative to work authorized by this building permit application for: C,o �. �. (Address of Job) Signature of Owner Dale Print Name The f Massachusetts Department of Industrial Accidents _— Office of Investigations __ V 600 Washington Street, 7`6 Floor Boston,Mass. 02111 �._ Workers'Compensation Insurance Affidavit:Building/Plumbing/Electrical Contractors � �s A�ulieanf+i i t z� '. fi � Ple c� > f'e 1 RRYW- 1 name: h,n l r-�(Yl e-Q C- S 6 Vl address: RI P e.a C l C9 < city ghl S state: lM CA zip: ohone# work site location(full address): ❑ 1 am a homeowner performing all work myself. Pro ect T e:j yp ❑New Construction❑Remodel Er I am a sole proprietor and have no one working in any capacity. �1ac��•�z.�;,,l:,r„; .�.�., � _ BuildingAddition x:..... .'i r:a-': .. a�:Ytis �.'.�'a'Kjs,,'pZ;',?§',y. tiP'q•: if4. "'XV'.'tRir:�"�.`,l.i?s"dIY..A..a:�t;•; rra:::s �,n�•n..,..:c.+Yt .;•x:+^E-av =:y. .r... �] I am an employer providing workers'compensation for my employees working on.this job. company name• address:' city: phone#• insurance co. olic #P .e:ii.1'Y•F''1f'1>'.[ N'iG+1�%'anl'8t1{If.Y!.IHa7:'+.4;.i'd: i�4:i2-51'v t�.�.: .: 1vA�. +b:iie:. ./i4:.:.1....::: :T:- : ..u..::b::..$iEit:4. �i::.:it�i '�C�:s.?y r:^,tt 1x .. .':G.�e�Cc:.,.-_ _.,:�':•'�`:g,"!.R..L'?:isoi!�.ra;�.a:f.ui:.:H`.,:sG:!-���.+,i�.<..�::hi$�'�i:i"a`i.7;7.F��. ❑ 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: company name: address' city: phone# insurance co olic ,;jk_:1..4,. r•IS;: . •t�`•a: .d 4�i.}'-r aK+-7•' ::fir(' �'. .; =1i. U.�2: •..y.. . company name: address* city: phone# insurance co. d ho aF heeta �'" 1�ktlacfi�y"'d t i <tiec sa_ ',N•'��' �•�., _<;�'� .... .4,;y fu ,,�. .. - . y... .....T;-.�...,..0 .. rG: - - .. . �7....':.i.OiYLTi9Si::ff :'Ph: air:'•a, z:6'.rw YF��TT �! y� �d� �,•....:"!P'i:::.d:G:'.,:I.(1:•. ' .. :� . .�7: rly�t'a'p",, ...�'.. s�;. iG s... .-'.. ria�:: ..�,.....;.. 7 ' ;7+r°!�1+ '9' "x.; :'''.:`• °yt1``d'S?y:W''' "aa Failure to secure coverage as required under Section 25A of MG 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 under th`e�p,,ains and penalties of perjury that the information provided above is true and correct. Signature R� �1`\ C r, 1 Date (' Print name G l� }\� C� Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑check if immediate response is required ' ❑Licensing Board ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revind Sept.2003)., , _ 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. r� *taFk.. 4�. r '' �y �wr,•. J S' asx w,a` ,,,: ltix+r£. �.yr„�' •w * +. P'r .fr+;. .. .W,:.'.y.',n '" '. :..'/.,. f r�.i1,•, -e;sSFMfv,L�.+.:•Jk-::.w't... ,.," . 7 :... - .w�.i {. -•.1:: ..M 7. \..,. �: f'.-i.-......1.^•-� •7•. 5.. I.::S.... :i d. rv�x�J:?-�.".i.s!' .`:�' 15 �.. i•G+' .daz;.'F'e:✓:�r'ta,.'"�':;^'::..J_�h'i?'..,,naiF`, '. ...::1xd.�'� Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,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. �q ".T;'?F.�'•'-� ,ram' r-•;s $.Y;c.zr'9ti: :'.�/�.iN".:.a:$`::. %.ii':7i: `it^„a,:t�lav i:a �.•:.r,......+r..r:'`.�,J+:,;;,.`.u.,!.,�.•'�+y `:. , s., ''?"�ri -= a+,,.,.,a�,.�..e.+-. O":: .� T',l� .d'• � 'pr ' .'�.:' �' - �.• q: `S�i.',.'4�`:�fa�' ' ., ��'�.., =v:r?� '`9' crta': }.,w;('. q'C'•a1`di;: �q='w;i''i .1- �',.? ,��:. �+¢� ..a� r1�r'.:4k. .y �'.S•.'-hd4.. _ .'.. _ .. £_..�R, ..i. n'&, st't."Jai �raetsCe.:�.urcS��$+-i�. . 3• City or Towns Department has provided a space at the bottom of Please be sure that the affidavit is complete and printed legibly. Thepartm p p the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. �•,F%o. rat .fir.: :•dc^. 'n::i„KC- v.;rati:4.Ta., ry�t94 ,x.} , ? " >a ,x. '. y7 ( if$r.. :.�. •n( r4� �': F.? Yr t7kf Y. j-9 c's +YS+d]'bbK7"_it,. i,If'.0'f�:•A�fi•'r iF" i li+` -"e.•t 'p '^"'XP• 381�h: •'��' el•! A: '- a 4b 'F yy.,,,i"1b' 'S' Y'i ae '�°".�y "�. r� ,4 'a i�'�r7•yJr§k'k -ii`at.lra t: ,a•`t� R # } 'Ald3E..us'" �kA Y�h+,ii•'7mk�xw'ksr.' E' t t^Y i'Y w! P}Sr " "°� 'IN sr `•`�k xsFx+ i. tk• � .� c 8 �sr�• x^ls'stir The Department's address,telephone and fax number: The Commonwealth Of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 Z S:S" � Assessor's map and lot number .................. .. � �FTHETO Sewage Permit number .......�z S. �� .. ................:...... Z BA"STADLE, i House number ......�J............ ..r.. '?'1.......................... so rdea pow 161 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... s v 5.� ,`' ..,., 1�}��?t 1�Cc:Lf( .................... TYPE OF CONSTRUCTION ..... ........................................................ 1 (.i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ~ . CUB 61 ProposedUse ......'.� ::�.! °............................................................................................................................................................ ZoningDistrict ....... ........'....................................................Fire District ......LA.1 .................................................. 1� Sa� ���L� G 9 �?� 5 Name of Owner ................!!1 ....... " ....................................Address Name of Builder ....... ........;1.. ...... 1 .` ........Address ' ..... +Y 7� � Name of Architect i� . .........� .............................Address ............v.`.=.=r?............................:................................ �crv�C 2q..� Number of Rooms ..............................................Foundation .................................... ..... ..................... .................... ff � 1. ti,.. 1>c3�'Zl(� // �1( .............Roofing .............-,-w.....,j.............................. Exterior ..C. ....3.............l...... ?�... .�....1...................... �� �C V {{ ���, j�J �I �-! .Interior ....��S.tn..:. :�:E�wti;..... � t, N`�'. Floors ..........�,�......�............�............................................... u�.... ........ ............................_. Heating �. :..( .. ............... :.. .. ..........................:..Plumbing Lj..:...- .... r. z......'....:. ................. ....... 1 Q � 2 Fireplace ...1 .;.:i.�..<....�� ....... .....................Approximate Cost (7 Definitive Plan Approved by Planning BoardR __ _________19SY____. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH /i -7171 �iI lk OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Towri of Barnstable regarding the above construction. Name ......1.. ... .........1...... .r..`` Construction Supervisor's License ....t�?w�.k BAYSIDE BUILDING Aug No ... Permit for I..ZtoXy. ...S:Lngle ......family...C-W.e.11ing.................................. Locc?tion -Lot...#13A......al..Pe-acock...Dr— Wet H ............s.........Y.j .......................... Owner .....)�y.�ide Buildi g.................. . .......................... frame Type of Construction .......................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......... ........1985 Date of Inspection ....................................19 Date Completed ......................................19 h TOWN OF BARNSTABLE Permit No. 27745 _------•----- I nunAU _ Building Inspector Cash -- - ,; X i 16) OCCUPANCY PERMIT Bond -_�.__.- -/�--- 13ayside Building Co. Issued to Address lot #13A 81 Peacock Drive, West Hyannisport Wiring Inspector �� � Inspection date �, s-�_ Plumbing Inspector �� \ ` Inspection date Gas Inspector a Sly �,t� , � ' � Inspection date M j u q 4 Engineering Department * Inspection date. Board of Health :c7 r 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. / ✓ ._ ..................... ... _. ......... . .. .. Building Inspector 'ram z TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 ssaasr TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: June 18, 1985 An Occupancy Permit has been issued for the building authorized by 27746 BuildingPermit #...._.................................................................................................................................................».......».................. Bayside Building Co. issuedto ........................................................................................ ......................_..................................................... ._........................... . Please release the performance bond. r