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HomeMy WebLinkAbout0130 SEVENTH AVENUE (HYANNIS) /tea c�ev� � �� 1O�.c_. �o ,. J 1 , F- 136 /j— Z TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4 Parcel Permit#, Heanth Division Y 4 Date Issued VZ� Conservation'Division Application F e " :Tax Collector` _ � _ - _ Permit Feed' o Treasurer M SEPTIC SYS VMUS E -Planning Dept. WSSTALLED IN MPLI CE Date Definitive Plan A . WITH TIRE 5 .. � Approved b Planning Board pp Y 9 OMRONMENT CODE5ND rn Historic-OKH Preservation/Hyannis TOWN REGIL4ATIONS Project Street Address /3 c3 ` :7 4 Ll d C•r, �,� Village &5fA.,/N/,Aozr j ' z Z A/z',0 Yr,p ozF . Owner /CATh je&S i rc= Address ba&,T7 /1/S9tn.w7-o y imn dz-CV g- Telephone Permit Request &el-4e , ki-rraPA/ OA6..rler.r FLadccrA r of e e 7-o IAIAlrer glp�d2.1 APr^JC0CA— /� X/Te'vYdL P c1 .l�J S,4 1 1i h 11 Square feet: 1 st floor: existing /o f%r. proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size _ Grandfathered: ❑Yes A ❑No If yes, attach supporting documentation. 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 4 Basement Finished Area(sq.ft.)' 'A' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new t Number of Bedrooms: existing new . � Total Room Count(not including baths): existing ' new First Floor Room Count Heat Type and Fuel: ❑Gas_ ❑Oil . ❑ Electric' 0 Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new'•siiert Pool: U existing .O new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ a Commercial ❑Yes ❑No If yes,site plan review# , Current Use Proposed Use f - r BUILDER INFORMATION Name 0CPA.VS1 p a Telephone Number 56, 7 7/ 0 , . Address 02 1? T)-,0-xrrvxl D&-- License# AJauaS. ►'»A 11 aGa) Home Improvement Contractor# f®c /Z.l Worker's Compensation# /1c t,u C 5, cj 7 Z q 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO/�i2e 1JAST-9 ' 6 TG_AN T r k&eer SIGNATURE424�� DATE _ YAY/0`f Lbc�cr 00 aAJC--/Z FOR OFFICIAL USE ONLY s PERMIT NO DATE ISSUED y MAP/PARCEL NO. i ADDRESS VILLAGE ...tit 4� OWNER ' I DATE OF INSPECTION: FOUNDATION FRAME y INSULATION 9 FIREPLACE ! - 1M ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH _ FINAL E,t GAS: ROUGH! � oc FINALFn ' FINAL BUILDING , ti DATE CLOSED OUT m s - s' ASSOCIATION PLAN NO. m j f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 0 square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE J&o square feet x$64/sq.foot=6© x.0031= q7 plus from below(if applicable) GARAGES(attached&detached) (_square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00 (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost '7% 'Comm,oni ecdth of.�I�assachusetts ' e • Department of Indusfr'iai• eeidents' b00 Washington Street _ . Boston;Mass•.bZXX1, Workers, m ensation:nsanance Affidavit-General Businesses j' WON well addrEss: t i• (� 6l�1 • h e stale. A ,+�'rtJ • address 3 � ' �'�� D RestaurantMEa IBat�g �stablis met ' El work site localde fltil 33usinas s e. []Retail❑ Autos etc.)' 17 �•a sole�roprxetor andl►aveno onb []p ce[�Sales Cmd dingR•eal'Est e, 11 working `capa to ees(full& �rt�tune) Offer •r.%%%%%%/%�� �%// cbm�ensation for my em�li?Yees wo f . IlS1R on this Sob•, ,, �'• . leers' 1 g .,.ti ::'t • ,;: '.:� :?•, t:• • +. m•�J31 yer providin vfA? L r i 1 ;, .. . •;:�.; ;; r, `: .• , 7 0 � ;. .t.. s "f,i '�(' t •i •�' y�,• �' ' •.rj L'•;51.�},�7.f:� ;+'• „•.al•, :•.. =s � i�. ..• Y7:•F• d•' :1 7��,(L��{{•-•�-�.'r.•' ':! -''•��rr f:5, .r.I. r:•. r `y,.,7•.i '(r i`:T::'•.f': • , r t'LL: ''i` ' Ili t ta%"+"•,td. L. r.•? � ,= ••':�'L':1,:•l'�4:;is iY�• t5,1l�.,; ,t .. :+�.: •'•'' itt�,• _'C•ei'yr: ,'•7''.s.. 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II'!i.^ •n.,'L:P,''1•• bt 'et;.,.}�s: ,.,•+r+ts:' ';t:1•T t: ItF ..�A:.}; M , r. •a'rU' .jhL�;:t 1�'4�.e+':`. �h":'.,• /� •` ti" tf „ .t•.• 3'I�M1�?Jf M S', t,•�K�+:f,.".• . ',y•{(4jiL+ 1 Cl' ;t• t• •, i i+.;•F•rr':,•.°i:'t'"'':�;•� t 1,� t•• s, 1`Tf,�yl�' ''.11i7�, +, •••I••n,w,,i�,l, 'ti }t: '. ��� ///Nxl is a to�1,SOOAO sw or iiisitraricr- + osition of crimSnalpcnaYn�of a tw np FaOure to secure cove ea �s r Cc penalties inn A of MGL TO can lead to the a Yerifiaation. r a at the foYm of e STOP WOE ODF'R and a fino of S100.00 a day against undcratan t it ICU earn,lmpriso ' of theDTAfor eoverag vita Y be forvnrded to the Office of Invrstigatiom � , copy of this statement msy ' der h ains and ald perjury that the information provided above is free arcd corm I do hereby certify Dat0 t Signaturehone# Q�," print 71BM ofi-ewwe only de natwrite in this twee to be completed by city or town ofrlci8� [Building Department permft/iicense# []Licensing Board city or town: ❑Selectmen's Office ClEealthDepart t , [}•cheekif imme��response is regLtu'ed '[]ether,_„_____.__ phone#; contact person: tsev$edSepL2003) __l • • • , ' •• , ' , •t,• , • • , • • • • • •P • ' , Znforxria ion and Zgstructfons al Laws•chaptcr 152 section 25 requires aII employers to providc•workers' eompens I. far .their. Massachiisett$ pier, •f , .. ,•`:" Ioyees; ,As quoted•fromthe `lsw", an employe is.defined as every person m the service o another undo any contract Tied;oral or w.ntten. of fire;express or it , e»s inyer is defixied as an mdmdual,partnership, association, cozporatien or other legal entity, or any#wo or rngre of An F ed in a joint enterprise,and including the legal iepresentatives of a deceased,employer, or the receiver or the foregoing enga8 . •. g entity, " Y trustee of,an indtv�d��partaerahip, association or other legal enti employing to ees. 'However.the owner of a dwelling house havivg•�ot t<iore than three apartments and'who resides therein, or the,occupant;o the dwelling boos a bf other �oyspersbris to do maim ce) =tr�ctibn or repair work on such&welling kiou§e,cjr on the grounds or errant thereto shall not because of such;employment.be deemedto be An.employer, ,•, . 'building aPP ,-, .. •► . • :;'. ..'• chapter.152 section 25 also'states fhat'every s°tate'or local licensing'ageney shall withhold the issuane�dr renewal MGL p ers it to operate a business or to construct buildings in the.cOninaonwealth for any applicant Who has of a license or P , not produced accepny.o fevfpontical ubddiivisioons with enter in o any eontractgfor theerformance of public work until coinm'onwbalthnor.any•of zts political s acceptable evi•dnce of compliaiisie with the insurance requirements of this chapter have been presented:to the contracting - authority: . Applicants ••• t a Iles to our situation.,Please • Please€ �e Workers''eon�ensation a€Erdavit completely,by checking the box that pp , y supply company name, address and phone munbers along with a certificate of insurance as all affidavits may be submitted tQ the corTanent•of pndustrial�,6',dents-for confurnation of insurance coverage, Also�be sure to sign and date the affidavit. The affidavit should be returnedto tkie city or town that the application for the permit or license is being not the pepartroent 6t l dustrial�,•ccidert . Should you have any questions regardrn the'"Iaw"or if'you are requested, a•yyorkers'•corr�ensationpglicy,please call the 1)epaztmemt at.the nimber liste�;below• xequu ed to oltam • , „ , , . City or Ttlwns • , • • . leasebe sure that the affidavit is c lete and Tinted le b1 : The D arlmenthas rovicled a space at thdbottoni of the P omp p � Y eP p�. . . ., affidavit f�you to fit o-at k-the event the Office of Investigations has to contact you regarding the applicant Please.. b e luxe to fi11;n?the pernnt/licens a number which w�l be usecl as a refert ace number. The.a davits may be returned tQ• gemeuts have been made, `'' the D* * *i' ' -t W. oT p•AX,uuleSs other azran • ,. 4 •.. • ,4 •• •..� ••• f Investigations would like to thank You in advance for you cooperation and should you have any questions, The Office of Investtg .. • esitate to give us a call. ' Please do noth address,telephone and fax number: The Depent . ; • - The Commonwealth Of Massachusetts Department.of Yn•dustrialAcci.dents , . Bice of 1�eslil�ells . 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 Town of Barnstable QF(HE rog,�o� g egal.atory S ervides • Thomas F.Geller,Director Building Division , Tom Perry,Building Commissioner ' 200 Main Sheet, Hyan� ,MA 02601 pax: 508-790-6230 p f{rce: 508-862-4038 ' permit no• D atc A�g1DAVI.T �pME DgROVENINT CONTRACTOR LAW SUp-pLEMENT TO PERMIT APPLICATION conversion, GL c.142A requites that the"reconstruction,alterations,renovation,repair,modernization, . M re-existing ow3.er-occupied •improvement,removal,demolition,or construction of an addition, any p e turns along vnth other budding containnig at least one but not more than four dwelling units or to structures which are adj scent to such residence or build'sig be done by registered contractozs,with certain exc p requ3ramts �c � tedCostS oz72 ti Type of Work: Address of Work /3d `�" , Date of Application: 5/i r I hereby certify that: Registration is not required for the following reason(* , . Work excluded by law ���rOi uG' •J`" ' []lob Under S 1,000 (]Building not owner.occupied []Owner pulling own permit No{iCa is hereby given that: pRDEALING WITH UNREGISTERED ULLING THEIR OWN PERMIT WORKDO NOT H.A.vE p NT ILS OYEME WNE IlYIPR OME CpNTFA,CTORS FOR APP�CABLE H ER MGL c.1�2A. ACCESS TO T�NITRATION pp GRAM OR GUARANTY FUND D SIGNED UNDER?BNALTMS OF PER?URY Ihereby apply for 1, ermit as the agent of the 0ner: � Registrationl�io. Contractor Name Date OR :�ir{� ��anz-rrrc»ziun�rh� r% . l��rJ.:rrclzrrJe�,tJ J Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Board of Building Regulations and Standards Registration: 100121 Expiration: E/9/20Q4 One Ashburton.Place Rm 1301 Boston, Ma. 02108 Type: Private Corporation OCEANSID`, INC. Richard Clark C/C� 217 Thornton Dr Hyannis, MA 02601 Administrator Not valid without signature BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 079043 Birthdate: 12/05/1950 Expires: 12/05/2004 Tr.no: 79043 Restricted To: 00 PAULJ PARECE 1 QUAIL RUN LANE .«, E SANDWICH, MA 02537 Administrator (�0491In110)'uueall1 o j 147, sac1 u&se& Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board o g g f Building Regulations and Standards Registration: 100121 r;�= One Ashburton.Place Rm 1301 Expiration: 6/9/2004 Boston, Ma. 02108 Type: Private Corporation OCEANSIDE, INC. Richard Clark 21' Thornton Dr Hyannis, MA 02601 Administrator Not valid without signature Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 100121 Type: Private Corporation Expiration: 6/9/2004 OCEANSIDE, INC. Richard Clark 217 Thornton Dr -----_ ------------- - - . __ _ Hyannis, MA 02601 - --- _._-.- - - --...---. Update Address and return card. Mark reason for change. APR-08-2004 10:48 PM P. 01 Npr 08 04 M i 38a, p i Town of Barnstable Re guiatory Services Ttrolttas F.Gd1er,D1r"tor 'a Building Division Tom Perry, 5QjhUQ%conssatodomir no Main strast, Hya=ial MA 02501 wwo.toan.barnstable.ls AM �Rx: Su�•790•E�23C UPlic�e: 508.86?,-4l13a PIV. Pcity Owwr mils t GMVIcte and Sign'!'US Section If Using ABuilder as C),;mar of the MNICct ptoptrty azltllo.r dC'E.G;tIf 1 Dd. .�r� —�—..�_. .--- act an myhek�alf, hemby to in rJl Er.tter,telative to wotk authorized by this V41019 Wmit application for. �- teas of Jab e2 to 4; C Owner.11 Pnni Nance 0;At7RM9:.OV1R11;R1'1�xtvUSuE��i3 —L--__ The Commonwealth of Massachusetts 57 k � ' Department Of Industrial Accidents - ��� �i 01�/cE vl/oyesUgatloQs r 600 Washington Street Boston,Mass 02111 _ Workers' Compensation Insurance Affidavit �DDli cari tTtt ormation* _- n Iocacien- cr_/ a I am a homeowner perrormins all work myself. f �L7�I am�a sole proprietor =dd 'have no one working in any capacity I am an employer prop e -+a, workers compensation for my employees working on ants boo. � • company name: address: city: c1.d�_;: !'CA / insuranceco. 1A c SG Sr'-0197-11/0 Q I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following worke. compensation polices: comoanv name: address: ci cv: phone 9- insurance co. - policy y comnanv name* add rss city hone= insurance co. Donley if ?'a.ttach 3ddtIIonal sheer if ae_ca_ -- Failure to secure coveraee as re^aircal1 . — under Section 154 a �ICL 152 can lead to the imposition of er:-loan or a penalties of a fine up to 510000.00 and/or one vears•imprisonment as -e:: as civil penalties in the form of a STOP WORK ORDER and a fine or5100.00 a day against me. I understand that a copy-of this statement mad be Ceram.arded to the Office orInvestigations of the DLL for coverage veri/ieacon. !do hereby cerrijr under tha airs and penalties of perjury that the information provided above a tr•1e and correct /0�/ Signatur: �Q'ItAtC%i Dal_ �/ Print namr � �7� " Q 110 — (� 0Mcial use only do no, +. .;e in this area to be completed by city or town ofrcial h r sir} or rn.vn: per-nit/license dBuilding Dcpartm;at 1 [Licensing 3oard check if immediate r_s-.-,, :s required [Licensing OMC— 1 [Health Department contact person: phone#: —other ~ nn h ?lei 3