Loading...
HomeMy WebLinkAbout0266 BUCKSKIN PATH L7<Q alp A, W !,�14vkil M `0 _MM sad, OEM= PIT N", itl FA 'N t" AQW IN �.g R', rot tA ".J'A US x-V �ku pv� �,p j�JYN k KI BM _K;115F,� M , ;',A, WAN WN" x �t�! 9�t�,.,,,§,t��#, IS ig 0, UK 0,, AM, OR N E igq now -MR6 Q, '01,� A-M _14, WK, Fou 4 W V _,W PMU S VN55% qj­,,,.j! U�X53 NO �g 4a 0, 4*1 3 RX ,0 ,4�,jt ,,ff K�,V!�u, .,iz.8, "P, 09,4 0" Q ff sIVRA 44�� 4 �,47 0"KJ InU V, W 6- g WoKl .3 e,mW �,nzv, c 4,1�qv A.0 n ON w Ali�, w=Of ? ,iz �­A tum lot too J z, --fill S, Zoi, .......... Q w"Y' XMIJ r, INS y,r 0 Wev RED l Assessor's Office(1st floor) Map / I Parcel - / C/L e '*Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ,Da A ssued Board of Health 3rd floor 8:15 y 9:30/1:00-4:45 ��'�/ /O 44 �" �e 0�66,,06 Engineering Dept. (3rd floor)(House# IS, THE r ' 4 Plannm De . floor/School Admin. Bldg.) `"a- g , . 1st g)P t ( SE; PgN y � Definitive,Pl roved by Planning Board .,- 19 6NSTALLE s L'A CE _ 1 TOWN OF BARNSTABIMVIRO MENTAL CODE AND TOWN REGULATIONS , / / Buildine-Permit Application Project Stre ress A0v Village C�Z741 7-, k V1 Z Z-, r "` Owner `T77g04'a 1,�Ilhd Address' /Telephone r /iermit Request 3 � First Floor t w-square feet ash Second Floor square feet Estimated Project Cost 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 Builder Information Name / Telephone Number Address License# 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 CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIBIWOR THE FOLLOWING REASON(S) FOKOFFICIAL USE ONLY PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. t ` ADDRESS" ` VILLAGE OWNER t r Y DATE OF INSPECTION: FOUNDATION FRAME ; �,,ti�`� ��:� N•�,.r `r Vir`"."., lll� = ` '; INSULATION ' r FIREPLACE • ; ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH "' FINAL GAS: R - ROUb--I ,r: FINAL FINAL BUILDING ` '° -� " ✓ i E DATE CLOSED OUT ASSOCIATION PLAN NO. t 1• ' t - The Commonwealth of Afassachusetts Department of Industrial Accidents 4 Office 0/18yeSl/yal/0/IS 600 ►i ashingtot .Street Boston, Alas. 02111 r Workers' Compensation Insurance Affidavit Annhcant tnformahonc Please PlkINT:legtw ¢, e r 2(✓ /lJ g tion: 0 45' I am a homeowner performing all work myself.' (t Imyam a sole proprietor and have no one working in any capacity 1...::. Svc-��ro•;`•t ";'.'i'Z7 1 i" V `sQ"r Y+,.. ..... .. ..!T'. vh`Xt.^:w±p11'i•?�^.t wo==p,`e- rJ I am an employer providing workers' compensation for my employees working on this job. ompw name: address: -city.: phone#• 1 insurance co. policy# 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: .. .... .. ... .... company name: address: cite: phone#• insurance co. police# ,.,. n.. ,.. yrts s'. ;.:,�ARte�,-Y•r-..:-?Sp+.�',Hgr�x •��::�;-�1�ti.-xar:F,CR*J1tr¢�• t75�+_�+=r;wn-r!3v+-�.;�!R:s-�v""_y;`,��_r. L:r.��13u....,..rL'J...4..4Yi'i.:.-_ _.:i+SLS:YJ13i•�a_ _ �� company name: address: city: phone#• insurance co. icy# Attdc_h addition f n..._ �f al sheet t „ua`�,.+e aX. ♦ ,+S K:.�" W __,_......__._..___......_.7...-.a„i,. �.atia3•�.r�:,assvar� �i-�y- `�• - - "sort.0 .,,wcao>w7,rR4 F11ilure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do 1 ere4cefMit, r the sins and penalties ryuty that the information provided abov is true and'correct.ignaturel� ' Date t�Tint nam r 4 ///�® hone# ��O 77`��1�/ 0..7• tollicial use only do not write in this area to be completed by city or town official + city or town: permit/license# nBuilding Department oLicensing Board check if immediate response is required oSelectmen's Office Dllealth Department contact person: phone fit; nUtlJcr } ; �,�,>: r. (revised i!T 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 enipl(tvee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An einpl(tver is defined as an individual, partnership, association, corporation or other 'cgal 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 dwellino 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 1'52 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 perforniance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. _..� ;" t i r- w, *. z♦ r -7 7 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. ."qRsQ+sp�.DKR+SPT�"tS�"'�'s' ':x.•�'!9wh-+a.z.••ra„n 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 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. � u The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents _ Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I TOWN OF BARNSTABLE • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P 'ase print. 101161 OB LOCATION 'Number Street address Section of town "HOMEO 0 7r-fi Ilel :..... I Name Home phone Work phone - PRESENT MAILING ADDRESS ._ ._ ty .town State Zip code The current exemption for "homeowners" was extended to include owner-occupi. dwellings of six units or less and to allow such homeowners to engage an in: dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to r side, on which there is, or is intended to be, a one to six family dwelling attached or detached structures accessory to such use and/or farm structure A person who constructs more than one home in a two-year period shall not b considered a homeowner. Such "homeowner" shall submit to the Building Offi on a form acceptable to the Building Official, that he/she shall be respons for all such work performed under the building ermit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the Building. Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Departm t minimum inspection procedures and requiremen• and that he/she will comp th said ,proce s and requirements. 52 HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: .Three family dwellings 35 ,000 cubic feet, or larger, will be requirec to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for whiq'P­w-a:-Fnild. permit is required shall be exempt from the provisions of this section (Section 109. 1.1 - Licensing of Construction Supervisors) ; provided tha• Home Owner engages a person(s) for hire to do such work, that such Home shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are asst= the responsibilities of a supervisor jsee,Appendix Q, Rules and Regulat: for .licensing Construction Supervisors, Section 2.15) . This lack of awF. often results in serious problems, particularly when the Home Owner hire unlicensed persons. In this case our Board cannot proceed against the inlicensed person -as- it• would with licensed`•Supervisor: The Home"t�waer as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities communities require, as part of the permit application, that the Roke •Ow certify that he/she understands the responsibilities of a supervisor. 0. last page of this issue is a form currently used by several towns. You care to amend and adopt such a form/certification for use in your commun.. S d � LOT41 LOT -hse.__ 77 `� �- - - - - °° d�� LOT / - - - - - 400 o x o LOT IQ ao� 58 LOT 39 LOT 57 RES. ZONE.• 'RC" This MORTGAGE INSPECTION Plan is For FLOOD -ZONE "C" Bank Use Onl T04YN: REGISTRY OWNER: ROGER _S & JANET _M._ROE ___ __ DEED REF: _6466�12 _______BUYER: _ANTHONY S_PINO SR._______ __ __ DATE: 8� 05 ______ __ PLAN REF: 24 z 67 _ __SCALE:P _30_' _FT. I HEREBY CERTIFY TO SALE _FIhE tYtORTGAGE CORD - vOi ---------THAT THE BUILDING �� ` q� YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAULA. CONSULTANTS SHOWN AND THAT ITS POSITION DOES __ CONFORM MERITHEW TO THE ZONING LAW SETBACK REQUIREMENTS OF THE No.32;)9co 40B (SUITE 1) TOWN OF _BARNSTABLE_____________AND THAT INDUSTRY ROAD ,o9oF '`ate IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD esS�� c MARSTONS'MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_8�1985 _ gNOSUFNE��'' TEL: 428-0055 Co unit -P nel #250001 0015 C FAX: 420-5553 �G•__ ____ THIS PLAN NOT MADE FROM AN INSTRUMENT 17355 DPC PAUL A. MERITHE�Y, S --- SURS?Y, NOT TO BE USED FOR FENCES, ETC. Y a F it \ l f I , r i it , - • . z % Ply � l��. 3Yo _ 5 �_ 0 ©t� �� to �AP6e5 t--at ,�. 8/0 b I . �.( RD V � 5p c=� s On Cm eA , r ' nee a r� l I �� I 1 ��,� A c � YA Dec r r I �O Ja on cepG lue�� �Q /1iye AL 2 on ceA:'ei� &ON a vaiv Tce . bo t 0,n Cen f eR j , }'CiC�GQ T n su �L�1U./I coil S t�/xS h — P X$ vi5t I�c,n ��5 �a�s�s) p Z" i �, gs..Qn�, U be h 0/1' Jr' '�LQ Qos AL ,tQ Sf� Iee �a s ,*T"E�°�� TOWN OF BARNSTABLE EARNSTADLE. i ° M6 9 BUILDING INSPECTOR �a war a• If 140� V APPLICATIONFOR PERMIT TO ........ .. . ............................................................................................................... TYPE OF CONSTRUCTION ...............!�..............�!........................................................ .................19 TO THE INSPECTOR OF BUILDINGS: -The undersigned hereby applies for a permit according to the following information: Location .........�i : ...... ..... ' ..................... ........:.............................� ................................................ ProposedUse ...+...: - .ra"�.. ...".;.`�^....... .....�.�"•................................................................................................ 10 ZoningDistrict ..................::.................... .....41..................Fire District .............................:............................. .................. Name of Owner .............................. ,.. ....Address ......... ... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ............. .............................. .................................. Number of Rooms in.......................................Foundation Exterior .............. F '?/..............................................Roofing ....... .. Floors ........� ..:........................................................................Interior ........._.......... ............... Heating ..... ....w ...?, .1, •�1.a...............................Plumbing ......... ............ ,.,!.................................................... Fireplace s *..... ..........................Approximate Cost ......... Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and. Building with Dimensions £ O LL (n m W O M. CL f� m o n < 00 04 o � o _jm < lot >� z0- W OO wCly W � W I­- _J -I W r0 O z G W X to \V I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ?':... ............... 100,• A Small, Alan DEC 3 1971 14211 one story No ................. Permit for .................................... single family dwelling Location Path...................... ...... - .,1 Centerville ............................................................................... � ,,,, Alan Small r" rr` Owne ................................................................ 1' frame Type of Construction q w Plot ........:................... Lot .......... 0........ .. ... Permit Granted ...August 31 19 71 Date of Inspection ............19 Date Completed ........ �� ...........19 _ �� R PERMITIyCFUSED ................................... 19 ............................................................................... -� ................................................... ........................ 1 ......... ................................................................. s ............................................................................... Approved ................................................. 19 i..................................................................... .................... ......................................... f