HomeMy WebLinkAbout0113 RIDGEWOOD AVENUE i
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Assessor's map and lot;`number ......�C?;F ... ..d.........
17 �pf TH E
Sewage Permit number
"y Z HAUS'TAXLE, i
House number .................... 9p MAea
po,t639- \0�
_ SEC MPY a'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
:�< .APPLICATION FOR PERMIT TO ............... � .1�?......-.�'G�'2 ......... ..� ..... ... ...................................
f
TYPEOF CONSTRUCTION ............................................. .................................................................
............... •C� ......19. Y
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TO THE INSPECTOR OF BUILDINGS:
-
The undersigned hereby applies for a permit according to the following information:
Location .................. ! .. ........ ...........:........
...... ......................... ...................................
OA
Proposed Use ............. Y..!.U...!.e.... .WQ��lfin..
Zoning,,District ........................ ...................................Fire District ......... ............................................................
Nameof Owner .�1 C. .... v. ��zI4. .F.Address ....................................................................................
Nameof Builder ....................................................................Address ..................................:.................................................
Nameof Architect ..................................................................Address ...........................................................................:........
Numberof Rooms ..................................................................Foundation ...... �i .................................-........:.........
Exterior ..................w `-........................................................Roofing ........... .. 1�
—4
Floors Interior
��-�l,md................................... ........ ... 5� ................................................
Heating ..:: ..........���?`.-i„`!U:I✓.....:::. ......... ...... .......Plumbing ..:...:. .:J.... � .............................::.................: .
Fireplace ........ .....................................................................Approximate. Cost ...... ��„ ........................
..... ... ... ..
Definitive Plan Approved by Planning Board ______________________________19________. Area . .... ..
Diagram of Lot and Building with Dimensions 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 bove
construction. '
Nam ..... .............
Construction Supervisor's License .............
Hyannis
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Owner —.��������.—S""=' -------.
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Frazoe `
Type of Construction --------------
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� -------.—.----~--.—.—.------...
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' Plot ............................ Lot ----------- ' '
x1 `_
August 15, 84
Permit Granted -------------.lA `
' Dote of Inspection ---.-----�---lg .,
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Date Conno|a�a6 ------------.]�
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T, )_A,s19bssor's map and lot 6, E
wage Permit number
BARISTAXE.
House number ........................................................................ ro MABIL
1639-
0 MAI
TOWN OF 'BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............. ....... . ...........................................
TYPE OF CONSTRUCTION ...................... tyVirre...... ...... .................... ..........
............... ......19.1
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby app ies for a permit according to the following information:
Location ................. ..........01b".
......... ........V�-- ................................................................
Proposed Use ............. - i_
. . ...............................................0...................................................
ZoningDistrict ....................... ...................................Fire District ......... ........................................................
Name of Owner ztCl ....1g.0.0-1-4d Z 6. Address .....................................................................................
It it
Nameof Builder .....................................................................Address ....................................................................................
Nameof Architect ...................................................................Address ....................................................................................
Number of Rooms ....................... .....................................Foundation ...... ... .. ..0.............................
Exierior ..................&d. d........................................................Roofing .......... .............................................
Floors ..................... ... .. .. . . . . .........................................Interior ........ .. ................ .. ..............................................
Heating ............................I...................................................Plumbing ............1.... .a-.T .................................................
Fireplace ........................i.........................................................Approximate Cost ..... .....................
Definitive Plan Approved by Planning Board --------------------------------19--------- Area ...... ..
Diagram of Lot and Building with Dimensions Fee .........(24
M iff
SUBJECT TO APPROVAL OF BOARD OF HEALTH
X )o
AO
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the-Town of Barnstable regarding/the bove.
construction.
. ...... . .. ....... ...... ...........................
N . .....Construction Supervisor's License ..............
G, ZKOPF, RICHA)3p
_ V• �Y
�= 26842 Nerve Dwelling
ro Permit for
& Remodel/ Single Family Dwelling
Location .....113 Rid ewood Avenue
............... ..........................................
..................Haannis........................................... _ -
ner= . .. ....Richard Svar...zko.?.....................
ge of Construction ....Frame..........................
- ............ ................................................
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P it Granted ...August 15, 19 84 ,
Clan ...... ` ..
D bf Inspection ...:.......................ti.......19 .,.
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Y �, -� �
Date)Complete/dd ../...... �../..1.7 19eF(�
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S/NOhti.V OrV 7''N/S .mL�i�t✓ /S LOG�9TE*Z� ON 7`/0�� _, �! .
�.�ot�.Va AS'3.WO NyW NE4�E`oIt✓ R.ts.D T'/.voq r /T `
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TOWN OF BAR,NSTABLE Permit No. ---�-26842
' -:. -------------------------
t s,.�n Building Inspector Cash
_------------------------
' N/A
OCCUPANCY PERMIT Bond
RicIssued to hard Svarczkopf,t Address
113 Ridgewood Avenue, Hyannis
Wiring Inspector � Inspection date f'�f
Plumbing Inspector Jj �J Inspection date
Gas Inspector !? �J Inspection date
Engineering Department - f %�.' J� � f Inspection date
BoardF`of fH aalth ; f 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
�Erogineering Dept. (3rd floor) Map JZ Parcel Permit# 02
House Date Issued
4/"Board of Health(3rd.floor)(8:15 9:30/1:00-4:30) 044-G�"` 2-13-lYee S P. )
✓Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) L 3
Planning Dept. (1st floor/School Admin. Bldg.) - THE
oe
Deft tive Approved by Planning Board 19 �;
• BARNSTABLE.
MASS
t670.
TOWN OF BARNSTABLE IPPLICA A SEVER
CONNECTION PERMIT FROM THE
Building Permit Applic tion ENGINEERING DIUSION PRIOR TO
CONSTRUCTION.
P
Project A ress
Village ,
Owner Address
Telephone
'Permit Request d_
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost 02j
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family �J Two Family ❑ Multi-FamXNo
units)
Age of Existing Structure " (7 / Historic House ❑Yes On Old Kin 's Highway ❑Yes No
g g Y
Basement Type: ❑Full 2itrawl. ❑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 2_New
Total Room Count(not including baths): Existin New First Floor Room Count
Heat Type and Fuel: Gas _-U Oil ❑Electric ❑Other
Central Air ❑Yes 3<0 Fireplaces: Existing " New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
one ed size
❑Other(size)
t Zoning of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ o es, site plan review#
Current Use Proposed Use
Builder Information
Name Telephone Number , M oZ. — �/ 3
Address Z.- License# 0000$—/
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCT EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE �� /3 97
BUILDING PERMI 'DENIE FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. 1
DATE ISSUED ± "�
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION '
FRAME
INSULATION ~
FIREPLACE
ELECTRICAL: ROUGH FINAL
f
PLUMBING: ROUGH f FINAL
GAS: ROUGH.-, FINAL 1
FINAL BUILDING
r ? +
DATE CLOSED OUT ? '
ASSOCIATION PLAN NO_ `, ?:
°F'ME
: . � The Town of Barnstable
BnxrrsTns[.E,
9� MLAM Department of Health Safety and Environmental Services
ArFDMA'�A Building Division
367 Main Street,Hyannis MA 02601
+
Office: 508-790-6227 Ralph Crossen
Fax: 5081-790-6230 Building Commissioner
For office use only
t Permit no..
'Date-
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
C 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 re uirements.
Type of Work: oUrt�G� Est.Cost 0
Address of Work: / (tom
Owner's Name G�
Date of Permit Application: 0- . l 3 — / `7
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 ag t f the owne
Date Contractor Name Registration No.
OR
Date Owner's Name
The ConlntonN'ealth of Alnssachusetts
;; . ;_:_ �;_ Dt.partntc»t of Industrial Accideitts
t _
OJficeoflnvenfrallons
•�\_, ;" ' �,, 600 11 asltington Street
Boston. A1uas. 02111
Workers' Compensation Insurance Affidavit
� It a n in rm i PI P � "�'�" ""�"'•
._.__....._.. _ _..-_... ...-.. _. _._..__...._........ ..... -- -
m '
cit• n• ci
nhone
I atoaz
homeowner perf ing all work myself.
I a sole proprietor and have no one working in any capacity
.. ..•w •'.•..w• P .. r:•1NV1..s.1wV}1AT'•�R•�'',I.7Rt'l.:�P71•�R1.�.wr �..4._.w..._.N�l+.— ..
. .awn.•..L.
I am an entplover providing workers' compensation for my employees working on this job.
comnanv name-
address:
city: nhnne#• .
insurance co. policy#
1 am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
comnanv nitre:
address-
cirv: phone#•
insurance co. nnlicv to
- rL„' ,�.,, - _ "'T•:Y•'- � - -� _�r..�...�:�'^t;`7T"r T►wws .^�.r-.:,.. ..a'r-.....��.._._..--
compare• name:
address-
city: Phone#-
insurance co. 110iicv#
Attach additionai sheet if necessary %^ •�+�__ ;L.- T"e"•% ''''_� � =-' ^ "�^'�
r..iturc to secure caver:tt;e as required under Section 25A of i1IGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 andiur
one years'impri Cinment:is well:ts civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a
cope of this st. anent mac be forn•arded to the olTce of Investigations of the DIA for coverage verification.
1 r here hr erti •tinder t pals naltie perjury that the information provided above is tr and correct.
,�St_na[urc � Da e
Print name Phone it
I
fficial use only do riot write in this area to be completed by city or toe•n official
city or town: permitAicensc# r IBuildin-,Department
C]Licensin-,Board
tt I]check if immediate response is required aSeleetmen's Office t
k:. 011calth Department
contact person: P
hone#: rnUther
.sane;:.. c p14J . .. ..
information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers c6mrcnsation for the
employees. As quoted from the "law". an empl(rree is defined as every person in the service of another under anv
contract of hire, express or implied. oral or written.
An emplrtrer is defined as an individual, partnership, association. corporation or other legal entity, or anv two or mor
the fore-going, 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 th
owner if a dwelling house having not more than three apartments and who resides therein. or the occupant of the
d\vclling house of another who employs persons to do maintenance , construction or repair work on such dwelling ho
or on the �srounds or building appurtenant thereto shall not because of such employment be deemed to be an employe
MGL chapter 152 section 25 also states that even- 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 am•
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 i;
been presented to the contracting authority.
7.
Applicants
Please ;ill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names. address and phone numbers 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. Tile
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 requirec
to obtain a \vorkers' 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 o'
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple:
be sure.to fill in the permit/license number which will be used as a reference number. The affidavits may be returned ,,
the Department by mail or FAX unless other arrangements have been made.
Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any question.
please do not hesitate to give us a call. .
�..y..,-'+........ ...._.._•.,.:..... ..�...w.o.•.•r....:-��:�._--z��....__._..ten+.nrw....+ww <..w..r�va.'vr.-r.�'�e-rn�.�w...wo....
The Department's address. telephone and fax number:
The Commonwealth Of Massachusetts ,
Department of Industrial Accidents
Office of Investigations w_
600 Washington Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
✓sie �aorrrcaruueall� a�:'lfa�oac�ivael
DEPARTMENT Of PUBLIC SUETY
CONSTRUCTION SUPERVISOR LICENSE
Nutber: 1 Expires: Birthdatel
CS MH51, 11/06/1997
Restricted Ta: 00
DONALD C •TAYLOR
Uj+�•a►-� 832 VAIN ST$EET
YARMOUTNPT, MA 02675
PROVE IC CTO
trataTYpe' INDIVIDAL
�ii iat oa `�7/01/98
Male tTOO
Yanouthport,04 875
ADMIMSTRATOR s'