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Home My WebLink About0128 SIXTH AVENUE (HYANNIS) ti G oft r� Town of Barnstable *permit# 69 7 CO �.e Expires 6 mionMs from Issue date ,,, ,► . : Regulatory Services Fee 3 S, 0 o KAM %63 � Thomas F.Geder,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 IV-�S'/v�/b,a ffice: $08-862-4038 Z10/V/140l uc: 508-790-6230 SOO? /V V EXPRESS PERMIT APPLICATION - RESIDENTIA , Not Valid without Red X-Press Imprint ;arcel Number— 6 rty Address ALL ;sidential Value of Work 0 0 — Minimum fee of-$25.00 for work under$6000.00 is Name&Address /n/►,�I/�/?/ �`" dAIA A, /,2 e- la �dl!A/1i �S�O.dAT r actor's Name Telephone Number Improvement Contractor License#(if applicable) ruction Supervisor's License#(if applicable) Drkman's Compensation Insurance Check one: I am a sole proprietor I an the Homeowner ❑ I have Worker's Compensation Insuuance nice Company Name man's Comp.Policy# of Insurance Compliance Certificate'must be on file. it Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side (� Replacement Windows. U-Value o y (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. tuneIF 3s:expmtrg D63004 t - ;engineering Dept.(3rd floor) Map Parcel Otg�(. . Permit# r- House#R Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee W-9, Conservation Office(4th floor)(8:30- 9:30/1:00 2:00)1 - '' f Planning Dept.(1 r/School Admin. Bldg.) THE rp Definitive Pla Appy- y Planning Board 19 r ; RNSTARLE MAS& ' 1.39. TOWN OF,BARNSTABLE Building Permit Application Project Street Address �� /07}-�- Sl i (I'? Village Owner Address L [. ,t1 tE Telephone '7 77 ciZ -Permit Request ��i� First Floor square feet Second Floor , square feet Construction Type Estimated Project Cost $ 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 V Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Da° 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 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 Builder Information Name ' gam. �� Telephone Number (,25 Address �y? - E �,"� License# L� eo(, Home Improvement Contractor# 120 3_62�L Worker's Compensation#ML&I n�� pne) 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 DATE p,- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. .. DATE ISSUED. MAP/PARCEL NO. ADDRESS VILLAGE' € t r OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL-' - PLUMBING: ROUGH FINAL ! " GAS: ; ROUGH FINAL . FINAL BUILDING _ DATE CLOSED OUT - ASSOCIATION PLAN NO. e • E e = THE r, �� The T'® ®f Barnstab•� •V � g� Department of$enith Safety and EnvironaneIItal:Servtces Building Division 367 Main Strttt,Hyannis MA 02601 Rahn Gnss e Office: 508-790-6Z277 r BuiIding C.-,- Fax: 508-7,90-623 0 For afftce use only Permit no. Date AFFMAVIT HOME M PROVEMENT CONTRACTOR LAW Stipp EMEINT TO PERMIT APPLICATION MCL c. 142A requires that the "reconstruction, alterations, renovation, repair, moderairstion. conversion, improvement, removal, demolition, or constriction of an ditton to any dwelling r& ar to owner occupied building containing :It feast one but not more contractors, With structures which are adjacent to such residence or building be done by registered certain exceptions.aiong with other requirements. � o'Type of Worst. Est. cast /Address of Work: Owner's Name Date of Permit Appiication: I hereby certify that: Registration is not required for the following renson(s): Work excluded by saw _Job under S1,000. _Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WTTH UNREGIST _P E CONTRACTORS FOR APPLICABLEGRAM OR GUARANTY FUND UNDER MGL a 142A HOME MWROVM= WORK Do NOT � ACCESS TO TSE;um'TRATION PRO SIG,IED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of "e mme Cjnt r Name Registration 1`io. ra Date 1[' Deparl1T1e"I of 1»dustrial.4ccide Its 680 if a.vIihiglalr Street 4 �: B(tatulr..11u�a: 03111 Workers' Compensation Insurance AMdavit fo'rntatiori Plc'tse I'RfNT'led+hiv�� / Warne• e� Inc inn U� -•7� 7 1 am a homeowner performing_ all wort: myself. am a sole proprietor and have no one working in any capacity - . �� _.,,..�.-...��r-----.-+++tea..- - - ......,. ---------•--- I am an empiover providing workers' compensation for m% employees working on this job. cnfitwi R1' n imt ' •lfllirr•c. nhnne 0' - in�nrnftrr ^n nn11CY# [ I am a sole rroprie•or. general contractor. or homeowner(circle oizv and have hired the contractors listed below ' fie c (he "oilowing workers' compensation polices: cnmr:mN, n-iinr• - '1(I rl rr«• flt n+lnne�' - in<nr^'Irr rn nnlict st _ _ rnnl.n.r•nl' n.'l in l•' nfidrr— rin•• nftnnc t�• in�nr^ncr rn noiic�'� Atiach additional sinect if necess'arv-- :.c• ._... -.d:'• ••Y ^..�....��.-.—.v• •` �aie�� •r.. .�• F:M urc to secure cin-crnac as required under section_'.cA of NGL 152 can Iead to the imposition of criminal penalties of a line up to 51.500.00 anuiur tine cars' impri.nnmcnt :is %,ell as citii penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. I understand the t copy of thi.Nmicincitt mas be furnarded to the office of Inn•cstitations of the DIA for coverage verification. i do herenr crtriit'uitcir r ctral'ics of perjun•brat the information prorided above is tr 'and correct. c 0 Oat p s^^a.urr t/ Prm: ^amc Phone; ��rTiciai use only do not write in this area to be completed by cin•or torn oCliciai ` i t cinv ar tnwn' permitilicense is rttluildin_Department L ❑uccnsinc Board 'Selectmen s 0MCC r — check if imincdiatc response is required ❑ C' ' riiticaith Department phone tt• - nUthcr� cone:;t nersnn: Information and Instructions Vlassac.':usetts Gene-if Laws cf:aPter I5z section _'s requires all employers to provide workers cc III Pcrs::tiI'll em;,ioyces. As yuotcd from the "la��'". an enip urrr is defined as eti•er}�person in the service at anc,ther unccr:;:: cot::r.:ct of hire, express or implied. ornl or wrinen. *. An empim-er is defined as an individual. partncrsnip. association. corporation or other Ie%a1 entity..or any Iwo or the :orc_oin�_ engn_t.•d in a joint criterprise. and inc'udillu the 16 1 representatives of a dcccsetl employer. or :c MCC:.N'er or mistee.of an individual . partnership. association or other legal entity. employitic'employees. Hots e•. m%•r'.cr of a dwelling_ house !tavin: not more than three apartments and who resides.therein. or the occupant of:i:e d%%c:!in__ !louse of another %+•ho employs persons to do maintenance , construction or repair wort: on such dwe!lit:: or :.it the _rounds or building appurtenant thereto shall not be=use of such employment be deemed to be ::n en::: WIL Jiarter !52 section =5 also states that CI-Cm state or locnl licensing agency shall withliuld the issuance c l of a license or hermit to cipertte a business or to construct buildings in the commul"vealth for and• .c::nt N%-lio leas not produced acceptable evidence of compliance ivith tits in eovera;e requires. neither the commonwenitlt nor any of its politics subdivisions shall enter into any contmct for ae per: .rtnc::ce of public wort: until acceptable evidence of compliance with the insurance . quirements of this he=:: prczz::ted to the contrcc:inc authority. a{�l�iir:atts f!z:asc :ill in die workers' compensation affidavit completely, by checking the box that applies to your situ:: ;,n c: zompany names. address and phone numbers as all atfdavits may be submitted to the Department of .-�ccicicnas for contirm:.tion of insurance cove age. Also be sure to si;a and date the afRidavit. 'fire Ehouid be returned to the cin- or town that the application for the perm it or license is beinc re-liuestez. �::c Jeca tme:a of Industrial .accidents. Should you have any questions re_rrdine the "law"or if you are req c �c:�::: c .ycri;ers' compe:aatien policy. please il the Department at the number listed belo%y. C:n- )r P!e��c e urc :ha: the affida� it is coinpiem and printed legibly. The Department has provided a space at die 'Or-,:,- the „ ;a�it for you to fiiI out in the event the O rice of Investigations has to contact you re_srdin^ the applic:.�t:. be _ . :o till in the permidlicense number which will be used as a reference number. The affidavits may be re:urr: :)Lpa^zme::t by mail or FAX utt!ess other arrsn:=:nests have been made. : ic.•'. of Inyesti=ations %vould like to thank you in advance for you cooperation and should you have any que_: pi_:Ee --4o not hesitate ro _�ye us a coil. i address. telephone and fax number. The CommomveaIth Of Massachusetts Department of Industrial Accidents office cf Investigations - .- 600 Washington Street Boston, Ma. 02111 fax 0: (6I7) 7_7749 _ ,i;enc =. 6 i�, --=900 cxr. -06. '11O or - . TOR HOME IMPROVEMENT CONTRAC.w Re9istrati°DIVIDUAI 2 Type " IN 11/30/91 Expiration FIELD ..;: ...:.... .,.. PETER 0 �IEIU 6701��STYPDq 80X � gpMINISTgATOR �: CO�UIT Rn O26Y�,.�°�,t' �y 1 , Assessor's map and lot number .,�. 7.1.....Q..:.�:...... is � tHE • � F r o .t PyO SevOage -4rmit number .. ... 8 f Z BAUSTABLE, i y House number ...� ........ . ::..... 'o rasa �l' � O i639• `e� 0moa' TOWN- OF BAR NTABLE RUILDIH.G. INSPECTOR - r APPLICATION FOR PERMIT TO .... ...4 TYPE OF CONSTRUCTION .......:...... .. .......................... Y [ 22 .. ........ram... .. ....:......19... .� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordiln'g to the following information: Location ....`...a. .......�.. ki...... YP...........iL.?....4.. ......... j............................................... :�:. :orlf� � .aProposed Use ........... ..f..... ...... ....... . . ... ... ... . N... ....A. �o u 2 ... �f� ay gn, ZoningDistrict Fire District `....................................................................... ................:............................................................. a Name of Owner . :. �'l a.�GaS��...: �Q..Address !. !GP.....Q/.... :.;:.....��•..J.�rr�.lrr. Name of Builder' ................Address .........41 .1. .........................:..................................... Name of Architect .............V..1..Iq.......................:...................Address ............. ........................................... :................ Number of Rooms V� ......Foundation Exterior ..............ce.-iA.',......fl............................Roofing ........:.....�.S.Q..�?:..................:.:................................. �. Floors .............................P..o.g . .o..................................................Interior .......... HeatingG4f .......Plumbing:..........................................................:......... F.......... ........................ Fireplace .....................................................Approximate Cost : ...'f.. .t....:... ............................... ............................. x p Definitive Plan Approved by Planning Board ----------------------------------19-------- Area Pipe, ........ BOG . Diagram .of Lot and Building .with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ra,2'tJT OCCUPANCY PE MITS FEQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... : ......... ..... t WALLACE R. JR. 23910 REMODEL. .......... Permit for .................................... f Attic to Living Space ............................................ 128 .6th Avenue Location ................................................................ W. Hyannisport .................. ............................................................ V�allace Moroski, - Jr. Owner .....i............................................................ Frame Type of'Construction .......................................... ..................................................................... Plot ............................. Lot ................................ March , 26, 82 Permit,Granted ........................................19 Date of-,Inspection ....................................19 . ........ Date ......;VeV.., 199s, • r Assessor's map and lot number `?`.. ........iff........ yOF THE To -- SevV`age-::,Sermit number rzl..: BAHB9TeI1LE, i House number Q � ......:. ( .,.. ..... Mann ................. ............................. s639- � 0 N Or. TOWN OF BARNSTABLE BUILDING INSPECTOR r r -Ze4 �J1 �......� :..:..: .....:��:�: �APPLICATION FOR PERMIT TO _ ,..................:.......... TYPE OF CONSTRUCTION .. . .......... ...... < ........................................ ............. �' } ...........19..... ., TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit }according to the following information: Location `� �* r f �1 A, •,N r:f �`4 r? l fiI A f j. 1....................... ................V//........................................... ... . ............................................ ................................... Proposed Use ...............Q P./.4Z,................................................f il d2 ,�? r i�tr/.....' ..... .......... .'.............,...... ZoningDistrict ........................................................................Fire District ............................d.................................................... Name of Owner u,a ,(. :...... ....�......�..5..... >.... Mess .r!..! !?%!.. a' a...tJ,i� ........•� ;............................ Nameof Builder' ............. !... ?....................................:......Address ......... J! ,.................................................................. Name of Architect ............I... . ...........................................Address ............N...............................................:Number of Roomst `�' ...........Foundation 1 dt Exierior +" :?........... i �r��f...........................Roofing ...... ............... . . .....;..........�. .............................................................. Floors al.� r er v✓....i`.::'�.:... :i... ::.::...: ..................?Inter,ior ........ ......!•'��' /. Heating (t Plumbing ./�7l�' .....�.�............ ..............:............�..................................................... Fireplace ..................................................................................Approximate Cost ...............:.........:.........I............................... 1) Definitive Plan Approved by Planning Board ________________________________19________. Area ........... . ..... .... :. Diagram of Lot and Building with Dimensions Fee .. 4-`�. ............... ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH �f -'s (njJ x •e. : a4e ,fT OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ! .:..... :....!. Y?/ ,....................................... MOROSKI, WALLACE R. JR. A=245-89 l aye- 9q 23910 REMODEL No .. =�i^......... Permit for .................................... At to Living Space ......... .:. ................................................................ �, Location ..12g...6th Avenue .............................................. W. Hyannisport ............................................................................... Owner ....NId 1.1.dG�.. AXQS�C],s...s7 X.,.......... Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .March 2 6.a................19 82 Date of Inspection ....................................19 Date Completed ......................................19 0