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HomeMy WebLinkAbout0065 SUNNY-WOOD DRIVE V Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 3 -Map Parcel Permit# <7 Health Division Date Issued o 17000 Conservation Division Fee '2 Tax Collector (� 16 v Treasurer h ' . Planning Dept. M Date Definitive Plan Approved by Planning Board ` p. Historic-OKH Preservation/Hyannis Project Street Address I r- Village Owner Address I&CA 0,0 Telephone t"1��'� � '54�;4>&z c0ce Permit Request j 15-�1-1 Q,5 °��'� les re- PIve GJX !l h a���/�t e /c. Z S4/ e G re,S CV Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay c� Construction Type �J Lot Size Grandfathered: ❑Yes ❑ 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 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number 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: 0 Yes ❑ No Detached garage:0 existing ❑new size Pool:❑existing 0 new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use //// BUILDER INFORMATION Name d C-�ceaJo� M.e ►t ,�ov�N��T Telephone Number =25Z �_/Q 7 Address I JC 7.6 License# �O7� 0 rle cAs, 0 26 yS- Home Improvement Contractor# _42?63) Worker's Compensation# I-L 31S - 031 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO urA SIGNATURE DATE 4' FOR OFFICIAL USE ONLY , PERMIT NO. ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , OWNER A°= t DATE OF INSPECTION: FOUNDATION ' FRAME , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL " GAS: ROUGH FINAL } FINAL BUILDING f4� DATE CLOSED OUT 61 - ASSOCIATION PLAN NO. t l The Commonwealth of Massachusetts Department of Industrial Accidents = = Af ee of/oresdooffaos 600 Washington Street Boston,Mass. 02111 Workers' C sation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole parietor and have no one workin in ca achy I am an em 1 r roviding workers' compensation for my employees working_on this job. ::: comaanv named•>a .� r '� »::.;' :':::: .:. ::::;.:';. ::;:.:;:;.:;': '. $ ............ hone new-A ct _ .....: .......: .<...':.: ansurancero. }. .>. ahcv:#':.: ❑ 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: com an name. ,:: adtess ..................:::.::::::;.;.:.;:........... t l ?•::<•:: :::......................::.......::............................................... .......:.�::::.Y :::::::.�:::::.:.�:::.. .........:................::::::::::::.: :•: .:::::::.�:::::::.� ::: �:�•::: ::::::::.:::::.::::: :;; >:< .;:,.;;;;>.:;:.;::.;,:.;,,,::;;;:.;.:.:..;:::.:::::.:::. :.. ...._............ . ..... ol! X. .�.... sa ramp: .:..... . address:; X.a on ..::::.... .... W. h oli Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crlminsl penalties of a Hue ail to$I,500.00 and/or one years'imprisonment as wen 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 t e pains and pen ury that the information provided above is true.and correct Signature Date `a 3ZZ) , e� �� Print name /'c�-.5 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 ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person. phone------------------------- #; - ❑Other (tnnW 9195 PIA) 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. Applicants fi 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 along with a certificate of insurance as all affidavits maybe t" 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. 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 fill out in the event the Office of Investigations has to contact you regarding the applicant. Please - - be returned to be sure to fill in the peimit/license number which will be used as a reference number. The affidavits may 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents ®mce of ImlestlgatlOns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 - The Town of Barnstable • snxivsrest.e. • MAM ,m Regulatory Services Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date t0 3 loy AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION 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 thanfour 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: S�r) re Iro Estimated Cost ood Address of Work: S'%1 v� G.)00 pr- Owner's Name: d 444155ELS Date of Application: 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 agent of the owner: 3lov �D All Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav A^ ' sb _ .-J.L.{- �.yt m-.+. u.� �.. •L L"`.g.. "4-WVCC'Y ' � �1ce �oonmaa►uisealQ� o�✓�.cuaac/u�ael� � ,. OEPARTREENT OF PUBLI.E.SAFETY CONS'RUMON S�PERVIS08"IICENSE Nu0Ieq Expires: A�sfr�gg4 T�... 00 E� FENT:S;;`DRUSHE;LLA 48 HILLCREST OR I HARWICH. MA 02645 �+ s1c f=1,Q pra �a5%00 = tiv "M 4 � 48:NILtC, EST 00 � R .sdo' A#ftYPGN�1'4A 0264 � i z�/ Assessor' tC s' map and lot number ....... ....3 .. , , ......... .............. 0*THE .............1 0 HE V Sewage Permit number. .... ...... ...... SF-PAC SYSTERA MUST BE .-IMS[ALI-ED IN COM, 33AUSTULE, PUANCt- MAS& House number .........................4.37.................................. WITH TITLE 5 O 1639- Cf"',E Y-U OF BA ' 1. 10" TOWN RIV- T A-BALIZE4,1S B.U1LD1N,G*. INSPECTOR APPLICATION FOR PERMIT TO ........Q.0.a,9.tr.UQ.t...Sirigle...Bamij.k,.P,wa 1.1 Lng............... .. ......... TYPE OF CONSTRUCTION ...........I.....W-o-0 d...Frame ...................................................................................... .... .......J-anuar-y...31..............19......85 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......Lot ..43........�MT!13Y.'.XQ.Q.d...1).r............Hyanniz,...MA......................................................................... ProposedUse ............................................................................................................................................................................. Zoning District .... ........ .............................Fire District .........Hya=ds.................................................... Name of Owner q.�-pK�i.qo.rn...R.e a.11Y...T ..........Address .....7.6.5...Fajmouth.�..,j.cj......Hy.-Lnn..j.S................ .. .... ..... .. .... .. Name of Builclerl�ranco Reqj_.��Qtpt.e...1).e.V 7 ..C.oAddres ........Same..................................................................... ...................... A. s Nameof Architect ..................................................................Address ..................................................................................... Numberof Rooms ..........S.iX................................................Foundation .................P.,.c..................................................... Exierior ..Q!4P1?.QAr.d...9,nd/Qr...Shinglas................Roofing ......Asphalt...Shingle.s.,................................. Floors .........QPX.P.Q.t.............................................................Interior ............Shee-tro-c-k................................................ Heating ....... ...................................................Plumbing ....TWE)-ax)f)per................................................... Fireplace ...............None ..............................Approximate Cost ......$..0.t.0.0.0...0.0......... .......... Definitive Plan Approved by Planning- Board -------------------------------19--------- Area ............. ......... k. 'D 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 above construction. Name 2.. ......... ............ Construction Supervisor's License ... ..... CAPRICORN REALTY TRUST I No 2815 ...... Permit for,...��e...Story . . ............. Sin le Family Dwelling Location Lot 43, 65 Sunny—,Wood Dr. . ................................................... .................. .............................................. Owner ....,,,Capricorn... .......................................... Realty Trust Type of Construction ......Frame............... .................... PC ............................................................................... Plot .............................. Lot ................................ 85 Permit Granted ..................19 . ...Z2 Date of Inspection /,��j 9 Date om 1-7ted ....q; 19,f .......... w 2 3 Assessor's map and lot number ............................................. � OF THE Sewa a Permit number ...._�� �a..............^r:..... 1 = d�Q� ♦� • Z BAUSTABLE, i House number ......................................................................... rasa a 'E0 MOX TOWN OF BARNSTABLE BUILDING LD U IHG INSPECTOR APPLICATION FOR PERMIT TO ........ ................................ TYPE OF CONSTRUCTION wood Frame ................ ................................................................................................................... TO THE-INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......L©t... ... .........SUS;xIV,.W.Q.0.c?.. DX...........Hva.nn1.1s ...N"A........................................................................ ProposedUse ............................................................................................................................................................................. Zoning District .....R.,.Ba.........................................................Fire District .........HvLaXmd— .......................................:........... Name of Owner .CaDr;1co.rn..R.eat tv„.tr.tS ..........Address ......7.��. 5..:p l.mf+;a.;ir1;1... '.d._ .jym., . .............. ..... - _ Name of Builder i'raneo...Read...Estate �E'V ....( oAddress .......Same............................................................................ .. ..... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..........S?:X................................................Foundation ................??.,X. ................................................... C1a ) sQArd ,P d/r r...SS.h. .n Ie.r.................Roofing .......Asr.r:�,7.+..:�jk. n.,x?�r✓ r Exterior .........�?................:.... -'r' d....,........................................ FloorsCarpg�:t.............................................................Interior . ^" ^C.. .........................:...................... Heating ....... .-- ...!.._.t ...................................................Plumbing .. m.f,.a 3� + s. ................................................ Fireplace Norse ................................Approximate Cost ...��.e.000 .00 ................................................. Definitive Plan Approved by Planning Board -------------------------- 10 �..Sp.s.....f,,a., ------�9--------. Area ....:...... .. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH . 1 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 ...A..f ........... Construction Supervisor's License ........................../..o:....... CAPRICORN REALTY TRUST A=273-23�2 a 73 - 23a No ..�g:.:5....... Permit for ...One Story Sin le Family Dwelling ...f............................................................. Location ....... ... Lot 43 65...Sunny. ... ... Wood Dr... ...... ............... . ........ ........ .... Hyannis 3 ............................................................................... Owner C.apricorn. . ...Realty. . ..Tru. .s..t ............ ...... . ........ ...... . .... .... . .. Type of Construction .........Frame ................................. ................................................................................ Plot ............................ Lot ................................ Permit Granted .....July 3, 19 85 Date of Inspection 19 j Date Completed ......................................19 1 r. i TOWN OF BAIINSTABLE . 28151 Permit No. -------------------------- Building Inspector cash --------------------- • +mow , _ OCCUPANCY PERMIT Bond --------X----- -0% Issued to Capricorn Realty Trust Addres''s Lot #43, 65 Sunny Wood give, Hyannis Wiring Inspector / �,y[� Inspection date ,^ 77 Plumbing Inspector\ � y�� �V Inspection date v v Inspection date Gras Inspector �/'�/..�f'.!,�� i �!, ,�/ �'� .__ �F �"��•"�' t✓_/_ /F Y Ile XEngineering Mepartment Inspection date/- Board of health �� 'ram _ 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. 19 _.....�........ .._.._..._......._.� Building Inspector c 0�.. .e. TOWN OF BARNSTABLE BUILDING DEPARTMENT ! ssaaer : TOWN OFFICE BUILDING rua .639. �� HYANNIS, MASS. 02601 n'Fo rr,�r►� - - MEMO TO: Town Clerk FROM: - Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit $k._..... ...... ...._.._..................,............................................_......._.................... .». ...... ._ ..._ issued .to 4,r l--1�.�.�.._ . . L ......��. ... Or Please release the performance bond. S 77� N � �:o'N • 3?ou ,2 - L-07-43 N PLOT PLAN THE STRUCTURES SHOWN WERE `�H of tiigs�q LOCATED ON THE GROUND C. cys IN ON v:!'/.�'-`/ /- /y o FRANK WHITING Z9l' .. No. 29859 grl .L' "lu ! - MP/�'il SS. THIS SKETCH IS FOR PLO T PL AN PURPOSES ONLY AND SHOULD NOT 8E USED FOR ANY OTHER PURPOSE. f CAP E COD SURVEY r►'OFESS/ON.QL LAND SURV&tOR CONSULTANTS 3261 MAIN ST.iROLITE 6A PROJECT NO 03 - BARNSTABLE VILLAGE, MA 02630 v- (617) 362'-8133