HomeMy WebLinkAbout0080 SECOND AVENUE (HYANNIS) � S e-ccs�G�-. 1�v E�..... �
--- TOWN OF BARNSTABLE
BUILDING PERMIT
PARCEL IDS 267 011 GEOBASE 1:1) 16824
ADDRESS :80 SECOND, AVENUE PHONE
iX Hyannisport ZIP . -
LOT 97 & 99. BLOCK "LOT SIZE
DBA DEVELOPM T DISTRICT HY ,
PRRMIT 10451 DESCRIPTION VINYLIDING
PERMIT TYPE BSIDE TITLE BUIPING` PERMIT fflep.aftment of Health, Safety
CONTRACTORS: S COTT`S-SIDING and Environmental Services
ARCHITECTS: F
TOTAL FEES: $50.00
BOND $.0p Qi►
CONSTRUCTION COSTS $5,280.06
434 tRESID ADD/ALT/CONV 1 PRIVATE T..
MASS.
OWNER ANDERSON ROBERT, CARL i6gq. A�O�
ED Mfg
ADDRESS SECOND AVE
W HYANNISPORT MA ✓' �`
BUILDING DIVISION
DATE ISSUED 09/19/1.995 EXPIRATION DATE BY
DIVISION APPROVALS FOR
CERTIFICATE OF OCCUPANCY
I
TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION
BUILDING: ' DATE:
1
COMMENTS:
PLUMBING: ' _ DATE:
{ COMMENTS:'
ELECTRICAL: _ DATE:
COMMENTS: i
GAS: DATE:
COMMENTS:
CONSERVATION: DATE:
COMMENTS:
OKH: DATE:
COMMENTS:
HISTORIC: DATE:
COMMENTS:
FIRE DEPT.: DATE:
COMMENTS:
OTHER: - DATE:
COMMENTS:
y
TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE
COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIMEj-
TOWN OE BARNSTAB;LE
BUJI:I.DING PERMIT
PARCEL IDS 287 011 Y'0.90,BASE ID 1.8824 .
ADDRESS 'j30 SECOND AVENUE ti PHONE.
W_ Hyanniapor ZIP
t -
LOT. 97 & 99 BLOCX, LOT SIZE
DBA DEVELOPMENT DISTRICT 11 ,
PERMIT , 10481 DESCRIPTION 'VINYL" SIDING 1
PERMIT TYPE BSIDE TITLE BUILDING PERMIT Mep-Attment of Health, Safety
, CONTRACTORS: coTT's~ SIDING
and Environmental Services
ARCHITECTS:�
TOTAL FRES ' $60.00
BOND $.00 r
CONSTRUCTION COSTS a $5,280.00
434E 1 . REBID -ADD/:ELT/CONV. 1 /pAIVATE_ P,44 ' srABI.Fti *'
t MASS.1639.
I
OWNER ANDERSON ROBERT CARL
ADDRESS SECOND AVE
W HYANN I SPORT RA BUILD ^ DIVI IO
3"} DATE ISSUED 09/19/1996 EXPIRATION DATE BY y
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THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY.STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR_
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS:
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ' ,u'
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND
THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE
1:,FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR
2."PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS , ELECTRICAL INSPECTION APPROVALS
1 1 1
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2 2 2
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3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
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2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
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WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS I
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE.ARRANGED FOR.BY
VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA I
TION. NOTED ABOVE. TION 508-796-6227
I
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BUILDING
PERMIT
Assessor's Office(1st floor Map t Permit#
Conservation Office(4th floor) - Date Issued q —
A$oard of Health(3rd floor)(8:30-9:30/1:00- 2.00) 91 —1 Gc1
Engineering Dept.(3rd floo House#1
Planning Dept.(1st floor/School Admin. Bldg.) B
• BARNSTABLE. `
Definitive p ed by Planning Board 19 MASS,
TOWN OF BARNSTABLE
Building Permit Application
.Project Str ress �d �tcu�•�C sw
Village we,.57- ,wy,
Owner 911 16 , AA1 rX eft�ntr/ Address _11M e.
✓Telephone
/. Permit Request
Total 1 StoryArea include 1 story garages&decks square feet
( rY g g ) q /
ZTtal 2 Story Area(total of 1st&2nd stories) 9�' square feet
timated Project Cost $ 7v
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Ito,
Bu' der InformationName eeac. J`p,—'r S S, ,.�e Telephone Number 7s��33
/ddress >� �y�., S 5" [,c ae e_ ✓14 :/License# dl q B�
42&,9 3 /"Home Improvement Contractor# /d.3 %
worker's Compensation# 7:Z Cv Z Aw 4 2 Z`1'>3
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.
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. 10451 w ,
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DATE ISSUED Sept 19,. '1995
MAP/PARCEL NO._ 267.011
80 Second Avenue !
ADDRESS RBhxxlx2xxtxAmAHxxox VILLAGE W. Hyannisport, MA i
OWNER Robert Carl Anderson
I
DATE OF INSPECTION:
FOUNDATION
FRAME
r -
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING': ROUGH FINAL
E 4
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
_
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Assessor's map and lotnumber --------------
� Sewage Permit number ..........................................................
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' TOWN� �� P� � ��� ��^ �� �� |�� �� ]� �� ��^ ��]�u |
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' � BUILDING
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� TYPE OF -.����. -----------..��------.------.--------..
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for o permit according to the following information:
Location ... -..-����zzv ...... ........................................
ProposedUse -.. -----------------________.,_,,,.,,,._,,._____.-__..-----
Zoning District .. -\~,/LG,==".....................Fire District -------------------------_
Nameof ,mo - .............................................................
Nome of Boi|de, -- -'A66rea --.������0���------------------
~._� ' `
Nome of Architect ----------------------Ad6res -------------------_--------
Nombe, of Rooms ---------------------.Foun6o/ion ---------------.----------.
ENerior ----------------------------RooGng ----------------------------
F|oors ----------------------------..|ntericv ................:...................................................................
�
Heating ---------------------------.Mum6ing ------.
Fireplace --------------_------------..ApproxmoUe CostYL5.�..��.............._____.,_,___,_
Definitive Plan� . by Planning Board lg--_-. Area ^..4., -- u �
�,
Diagram of Lot and Building with Dimensions Fee ...... . �9e
__
� SUBJECT, TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and
Regulations of the Town of Barnstable regarding the above
Anderson, Robert C.
0
1626
No .............��.. Permit for ..,, add to garage
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cu2r
Second Ave.
Location .......... ....................................................
..........................Wept Hyannisport
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Owner Robert...C....Anderson. . .......................... ... ........... . ....
Type of Construction frame
.................................................................................
Plot ............................ Lot ...............................
Permit Granted J ® 73
Date of Inspection ............. .......... ..........19
�y t
Date Completed .....I�. . ....[ ....19
PERMIT REFUSED '
................................................................ 19
...............................................................................
...............................................................................
i
............................................................................... 4
Approved ................................................ 19
...............................................................................
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...............................................................................
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°= The Town of BarnstableRAJUW `-
9,$ Department of Health Safety and Environmental Services
161
Building Division
367 Main Street,'Hyannis MA 02601
Ralph
Office: 508 790-6Z27
Building Commissioner
Fax: 508 775-3344
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,.remo%al, demolition, or construction of an addition to nay 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:
/Address of Work: �e cow J fiv e
1/Oamer.Name: eoienT dt y,CeSdK/
/ate of Permit Application:_ �, fs
I hereby certify that:
Registration is not required for the following mason(s):
Work excluded by law
_Job under SI,000
Building not owner-occupied
Omer pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHi1NREGIblrxxD 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 (;ewe, so-rl
I hereby apply for a permit as the agent of the own .
�'s 514
S'e
Date Contractor name Registration No.
OR '
Date Owner's name
The Commonwealth of Alassachusetts
Department of Industrial Accidents
Ofl 9811=0921/ores
611/l Washing
Street
Boston.Mass. 02111
Workers' Compensation Insurance Affidavit
,A-pphcrnt_i6 6r.:.ation• Please PR(NT legltily_�pa
name:
locition• -
City nhonc#
1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
1 am an employer providing workers' compensation for my employees working on this job.
company nnme•
address•
city: phone#•
insurance co policy#
lam a sole proprieto ,S neral contractor, r homeowner(circle one)and have hired the contractors listed below who have
the following workers comp sa 'ortp�rices:
�comp•tn�•name• �O"r'r � � i�2C
address: �d �A e,3
ST
L'_oM McRct i
ineurnnce co 1 7`1— T*20 �nelicp if `i 7 +c✓2 H 6 2 L'y 7�i
y.. v.- �cn�x`:�• -n�ara:�r,r.7•_TereaFn, ,y7 ;4•-;me.Vrr�ee+ n.-r�r.,�.+yerx: said+tle +,^?y+-^::9: ye^;".�S
.� .. -- .., _...:ia.a• �.�:.t+.. �a, ',•.ts�llC7lLfrl
company name:
address-
city phone#•
insurance co posy#
:Atiach sdditionsl'shcet if neeess ;. .:: a�.,...
Failure to secure coverage as required under Section 25A of A1CL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification.
I do hereby certift undr re ins Zanpenalties of perjure•that the information provided above is true and correct.
Xisnaturc ✓Date JtO7 9�
Print namet�eAA,e �G-drf yf'hone# 5VT "7S 2 —33�
o(fici26use onh do not write in this area to be completed by city or town official
city or town: permit/license# r•IBuilding Department
(]Licensing Board
O check if immediate response is required (]Selectmen's Office
(]11ealth Department
contact person: phone#: MOther
(revised 3;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 enrplt�ree is defined as every person in the service of another under any
contract of hire, express or implied. oral or written.
An emplm er 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 dweilinu house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another Nvho 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 even,state or local licensing agency sliall withhold the issuance or
reneival of a license or permit to operate a business or to construct buildings in the commomvealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionallv. neither the commonwealth nor any of its political subdivisions shall enter into anv 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.
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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 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.
:2.• .. .. !R. R 1>it. Si': u1 tom',sy., 'L'ft 77
.
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 till 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.
.w.;s-ar...++.+r•+.rn.s.wv* Z+--•..+.wow.ov.Rwn+v re!v.�...�nv+��+•�w-
The Departments address, telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations =g
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 eat. 406, 409 or 375
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
A- �F-
DATA
coats
Siding & Remodeling Co.
Gene Scott phone (508) 752-3388 70 James Street, Worcester, MA 01603
�Ou!$e
--.. ....� :1fiP. L��arswvuntYl c�.:l' acv4�a,�tGt s 11696
%h��' � - yr '� :i." ... .=t�:j,., ,r •n eS.Y
a HOME IMPROVEMENT CONTRACTORS REGISTRATION
Board of Building Regulations and Standards.
One Ashburton place -- Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
Registration 1.03740 Expiration 07/09/96
Type _ Q6A '
HOME IRfROVERW CONTRA(
Soott 's Siding
Registration 103740
type - DBR
Gene A . Scott 70 .lames Street Erpiretion 07109i96
Worcester MA 01603 Scott's siding
w 4ene A. Scott
ADMINSrwATOR 70 ?aees Street
Worres4er MR O1b03
TRANSMISSION VERIFICATION REPORT
TIME: 09/18/1995 16:08 ,
NAME: BARNSTABLE BLDG DIV
FAX 1-508-790-6230
,TEL 1-508-790-6227
DATEJIME 09/18 16:08
FAX NO./NAME 97902385
DURATION 00: 00:38
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