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HomeMy WebLinkAbout1390 BUMPS RIVER ROAD 177 Ili"4"�r!- ya MINIM—; f 41� �jl Am b- ilWv�t .i.", W M M" L, v",�,U Afxf� *Ii�f' ���, � i" �1­11111­ 5'A V�5 NO ­11 am, NOW WOKO 050 Woman N _AW MOMM V N�Z_iJ mom -a map -P4A;TP All RNRY "O"A T` 04, . .............. M,_ iogwWC MY OM�,j vi,% N 3,1,�21�ii 444D,-IM7 11,AS _Ig Uh Al 41-H WB SP A ws�jj,vt'Axg goo AIM a-- �W ,V 1:q RX 6 All ............. gl� p I,g mm"n, 11""I R, of C,4� ---------- 'MOANS MMAMS OWN "VAP.,." , Vij..... u; ­V1;11;1` qi, _6 A NOT R-INAMA Vllk't WOUR Uwwm ­ '. '­­­ ,­�11,18�,, 1 1 ­--y---muf -,-%, - I�, --a—M MEIN ng MAW own wi�,;i ap- 0". IRA lot IMERZOOMITH N W , oil ........... �lx 4�U' _n UCT"I X__6 4 1�4 "A l7,�;,!,,�� IV, 1.11­_;"" , � �4, -own- "HOW"M, mug""" v;,; "Ay jqv PWP -6-WW"T cup Aql�%,K�!;��i�lXL;7 A.- A A $$mum =6 yam My yi ir .................. SO, Town of Barnstable *Permits Expires 6 nwn x from issue 4 Regulatory Services Fee ISOnc, Thomas F. Geiier,Director wilding Division ?114 �� Tom Perry,CBO, Building Commissioner �O N 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79.0-6230 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY Not Vand without Red Y Press I nprint Map/parcel Number Property Address l s C �.) et, $ z C,-,I G i U �l C a tE J QResidential Value of Work / cL 0•o d Minimum fee of$25.00 for work under x6000.00 Owner's Name&Address L C,/0140 U CC i o LIJ S11 LCnrr'C<Ui l C ��'7, O C�r� Contractor's Name 0 (r Telephone Number Home Improvement Contractor License#(if applicable) 13�b Construction Supervisor's License#(if applicable) / ❑Workman's Compensation.Insurance Chegk one: I am a sole proprietor ❑ I gun the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [ -roof(stripping old shingles) All construction debris will be taken to o/ 5 i i u^S��C ❑Re-roof(not stripping. Go g over existing lay rs of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. e "R*Note: Property Owner must sign Property Oevn.er Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: /✓t^ ✓ I CAUsers\decoilik AppData la l\Microsoft\'\'indows\Temporary Internet Files\Content.Oudook\lNff7NB41L`,E.XPRESS.tim Revised 100608 lift tchusctts_ pe)itrt Board of Buildin.r I meat of Public S; ctl Construction�SRe"ul`ttions and Standar License: cs Supervisor License tls Restricte 80579 d to: 00 JOSEPH W POWERS 130 FULLER RO CENT ERVILLE, MA 02632 ('onmrLesiuo�.r• E zViratio n: 6/5/2011 Tr#: 17417 I • �� .. istration valid for indiviilul use on1Y Licens; or reg „ iration date. if found return to: Re ulattons a'�d Standards before the exp .S roam o{'Building g.. Re ulations and Standards ENT CONTRACTOR I 13oarc!:,t'Building g 1301 HOME IMPROVEM one A:L1burtun Place Rm Y ALi.02108 Regi,tratlo_�139619 TO 131937 ` Dosto:., E ,Expiration 7/2812009 412 DBA17 _.: ION %rl. —�— �— }pc POWERS HAV NOVA. �'_ — y w Not valid without sic POWERSOTJIE RE nature: A 130;:ULLER RD p lministrator C NTERVILLE, t,'A 02632. • IL Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-6230 e . Property Owner Must Complete and Sign This Section If Using A Builder LI ,as Owner of the subject property hereby authorize Cto act on my behalf, in all matters relative /owork authorized by this building permit application for: v - (Address Job) . r Signature of OAer ate tea( to 4 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\LowRMicrosoft\Windows\Temporary Intemet Files\Content.dullook-WY7NB4IL\EXPRESS.da: Revised 100608 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington,street ' Boston,MA 02111 h www.mass.gov/dta Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A2plicant Information Please Print Legibly — j Q Name(Business/Organization/Indivii9dual): �J.n O C f a/C `S .1 G Gn C C n O Aj I T6 n J Address: ) ,36 rh City/State/Zip: GcP►r ay 14, d4. Phone#` Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors ❑New construction 2.VI am a sole proprietor or partner- listed on the attached sheet~ 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers 9. ®Building addition [No workers'comp.insurance comp.insurance. required.] 5. ] We are a corporation and its 10.®Electrical repairs or additions officers have exercised their I L Plumbing repairs or additions 3.01 am a homeowner doing all work ❑ g myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy ntamber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information- Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL'c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certl nder a pains and p allies of perjury that the information provided a ov is true and correct. Si Lure: ✓ Date: Phone#: 7 1 1 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: G� Assessor's Office(1st floor) Map A -Parcel "ermit# r� q Conservation Office(4th floor)(8:30-9:30/1:00-2:00) CD V; Date Issue a / Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) 0 4, - Fee — SEP71C SY Engineering Dept.(3rd floor) House# % �11I��, UST Si ALL.E LIANCI Planning Dept. (1st floor/School Admin. Bldg.) Definitiv A proved by Planning Board 19 �� i TOWN R TOWN OF BARNSTABLE + Building Permit Application Project et Address I'3�i t� �Iju,,,,��5 j�;yc•✓ (�� Village C �C-r v d k t_G Address'Owner S w�� �� � .� Telephone r 7 5 0 1 f 7 3 nn r tt n Permit Request t.ti;��n �r l r')v� ►k �4;� -t-�v c��i�-�- a�s-�c.�I Y\c..--A ' 3 First Floor ^ )Liu square feet Second Floor I `-tou square feet Estimated Project Cost $ it 4UU Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use -C 5 0 fc.1-1��` Proposed Use Construction Type 9j o,,AQ h- unar Commercial Residential Dwelling Type: Single Family v Two Family Multi-Family Age of Existing Structure T I.oU Basement Type: Finished Historic House;°'-. Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) 17 First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name ��-�,,,.��,� E: PyoGc -, A,r, Telephone Number -_7 7 5 27 60 Address y�1 I2 �_ �,.-�„ License# a C 0-7 T _ �c ✓�y:�iL. A o�L3� Home Improvement Contractor# /06-2/ Worker's Compensation# G/?_ /v u 3 73/if ly4.o�Sv 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 DENIED FOR THE FOLLOWING REASON(S) f e FOR OFFICIAL USE ONLY _ 4 6-1 PERMIT NO. y j . DATE ISSUED _ MAP/PARCEL NO. - ADDRESS VILLAGE r OWNER t , DATE OF INSPECTION: FOUNDATION FRAMEek.7 INSULATION ' FIREPLACE„ ' ELECTRICAL: ROUGH ' FINAL PLUMBING: fiv CjROUGH FINAL 1 ' GAS: 6^; 0gC4H FINAL FINAL BUILDII (�I t — DATE CLOSED OUT��F t I ASSOCIATION PLAN NO. ! � i ' i � I � � ��� � 4 1 � � Il a � : 6 b _!Jae tA gOr r , 1 1 Wit: i / I 1 r — - LIN i { I 1 r r 'q A: FG4 , : : { j 1 • � 1 I i FL;00OL ` --.: .._. :_._._' ._, ;: _NFi!^/.L.O�f�F% �oN GEX/eR•�M.€ GNU- Gvsror7 A4rce e„ x 'eia '4 1 Z � rG23 1 5 i --- --- __.. °._.—t- �--'—�--- V i ' --.;--+- - ----'-'�-i__ I T�,"1�i IF`•—�(e���M1er�,+�$L'r4" - - -- - -' ;--- : _ _. a � vU 50 !>l 3 The Town of Bamstable • , � Department of Health Safety and Environmental Services sue¢ ,� Building Division 367 Main styes,Hyannis MA 02 I Ralph Cros= office: 508-790-6227 Building Camm F= 508-775-3344 For off Q use OdY permit no. Date AFFIDAVIT HOME IMPROYEM=CONTnACrORLAW I SUppLEMENT TO PERWr APPLICATION � _ modernization,wnversion, that the"rzconstmcuon,alterations;renovation.rep= er _� MGL a I42A regains etion of an addition to to s which imprvvemcnt.,remonsl, demolition. or cansttuare ad• bniIding containing at least one but not more than four dwelling u_Its Orbong with atha to such residence or building be done by registered caauactozs. ttquiremeats �- �t'w. e y�..�n . Cost l' E/Uf� Type of Work ,w s Address of Worts: i y 0 r Owner.Name: .� Date of Permit Application: 1 hereby certify that: Registration is not required for the following r=son(s): Work excluded by law Job under SLOW Building not ow=-eccapied er vaiimg°wn pt Notice is hereby gi%=that: CONTRACTORS OWNERS pULLING THEIR OWN P FOR APPLICABLE HO ERNQT OR D RICG DO N0'TEHA ACCESS TO THE ME D�'RO D �M�c I42A ARBITRATION PROGRAM OR GUI SIGNED UNDER PENALTIES OF PERMY rmit as the agent of the owner. I h�}ry apply for a pe L 40 G� JY /�o7/ 5'G `�,'`.`-+� >Zegistration Na Date Contractor name OR ' 1t4NEINOVENENT CONTRACTOR i FL�f� U CORPORATION' * 's_ nation � 0. . 6/23%98 - rasnc s"'A"' AOMINISTRAI B8Y Laney ntervtlle�;11A � �.S.- _y<'.:/itC U/O'IYl/!IZO4tlUEaGLiL`O�i/l�G(1.d6�lLC6QBt�6 DEPARTMINT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number:,'' Expires; Restr' 00 �FRANCIS E ROGAN Sow -A( y 442 BAY Lid CENTERVILLE, NA 02632 • ,r---- .�� •✓s'i uiJ a••i'a:e:: :� ia�r1.:.:d•:u�(li o....w.:u.... _. ..,.-... OIllce OUR 79SMOORS :.►.�, }�i �':a` 601111 ashin von Street Bustan,Mum 02111 ' �•' Workers' Compensation Insurance Affidavit 7Acant nformation� 5nli name: Ere&,n c-Ik 5 L M oGG locatinn• C. P-1 YV\-A nhnne# 75^270 [j 1 am a homeowner performing all work myself. ❑ a a sole proprietor and have no one working in any capacity 0-1 am an employer providing workers' compensation for my employees working on this job. cmmnnny nnme• r Or�G6-� It (�V d L- L . cites Cc- MA in�ur•tnce cQ I•C �- policy 1 am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors Listed below who have the following workers' compensation polices: comanm•nnme- - address: •• nhnne 0, - insurnnec en nelicr# - Lr.:ii'' �....T..�. � '.. �=—w R.•.ww�••a�'f�+►T�T/R'!�'KL,'!Tjfr_L*�.__�:a„ _ �____ �t����i��a7F�!"�S!"'r_ _ ___ _ — camllanv name' nddress- citr: nhnne#t insnrnnce Co. nosier# _ Attach additional•sheet if aeee»a`_ 7:- w ^=t.' "�„ Y �•.�r. •»»r,;�„� Failure to secure coverage as required under Section 2SA of AIGL 152 an ladthe impositio to n of criminal penalties of a fine up to S1.500.00 and/or une}•ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. 1 understand that a copy of this statement maybe forwarded to the Ofiice of layestigstions of the DIA for coverage verillation. 1 do herbr cant-under the pains and penalties of perjury that the information prm ided above is true and cvrrecL _ iignaturc �' // ate Print name /� Y c'' u C V/r Phone# 7 7 f-0 y 3 7 o&ial use only do not write in this area'to be completed by city or town official dtv or town: permitAleease# rtBuilding Department �l.1cenuing Board check if immediate response is required QSelectmen•s Office �1leaitb Department contact person: phone tlh, nOtber W IM-Add IV PJA) Assessor's offioe Ost floor): pp ��✓✓ THE Assessor's map and lot number ..�lJ. '.O.l.. ........:...... Board of Health (3rd floor): _ --�- Sewage Permit number ............................................,....:.:.... i 33AHa9TADLE, Engineering Department (3rd floor): QQa �y,� � 'oo "6 9_ e� House number ............................ ......... l...... .../././...... '� a� a MAI ,�4PPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO au! : .......6W A-f ...../"/vD U�od. ................... ........................................................................ TYPE OF CONSTRUCTION .......(,Uoo 17.....fll��l f.............................................................................................. ............................ .....19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ilv. !(..l.5................RI ✓F 2 V` �AD (1,1A/TE lR l/l[L� ................................................................................................I........................ ProposedUse ...... ..................................................................................................................................................... Zoning District .......... .................Fire District .............................................................................. �v7/(�7Z......�TfTRSF_ /�5'C> v �v �o�(t Name of Owner Address ....................... .....w(.1�.5..... ........:./.2.............. A3...... Name of Builder ...��/t.STF/Z...(�Jv�a.1�.... .... A.!.!?.Lr..........Address ....../� jjF(Q!e .. ....�f/�liGv�«i Nameof Architect ..........�0.............................................Address ..........-......................................................................... Number of Rooms U�oowr o�S7/!<c i4F��E..Foundation ...... /1/G.t?F�............................................... ............................................. Exlerior ....................................................................................Roofin . ` Floors ......v...cm............................................................Interior ...............: .................................................................... Heating A ...................................:...:.Plumbing !........../,-).! .�......e�o,...7...7 . .............................. Fireplace ......&0?'�E............................................................Approximate Cost ............V*............................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area ....... `= ......... .....`.. Diagram of Lot and Building with Dimensions Fee �© .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 7 9 c� 1 V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town f Barnstable regarding the above construction. Name .............................. !n ........ �............................ j Construction Supervisor's License .QI.f BEARSE, ARTHUR,, A=188-050 `r No 29570 Permit for .....ADDITION Single Family /Mud room...&...Garage - . . . ...... Location .....1390 Bumps River Road ........................ Centerville ............................................................................... Owner .......Arthur Bearse . . . .............................................. Type of Construction .Frame Plot ............................ Lot ................................ I 4 Permit Granted June 26, ...............................19 86 Date of Inspection ....................................19 Date Completed ......................................19 fr ,> ! SEPTIC SYS�E� MUST � cf rnE Tod Assessors offioe (1st floor). Y ` Board of STEM(3 ddf ootr)riumber. J..�`: .... ..t •• INSTALLED IN C®MPLIA 6` o r .. _Sewb,de Permit 'number ................................. t WITH TITLE 5 Engirieering Department (3rd floor) *"/ ENVIRONMENTAL C®®E ��T E. qq �hn ,(}� House number ..:.................. .....: ......../ ./..Q..:............ ` ! Tnkr3flN I I�.7M ��'°$oMpYa�e� . E� , ¢1PPLICATIONS PROCESSED 8:30*-'9:30 A:M, and 1:00 2:OOr•P.M. only TOWN �OF .. BARNST�ABLE BUILDING INSPECTOR APPLICATION FOR .PERMIT TO ;.......... ,_....G�f/� 1 � D......Roo/-I TYPE OF CONSTRUCTION ....... .:.................::.......................:.........::..............::.:..:................ ... ............................ ° 6. .19A. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for 'a permit according to the following information: Location ................... ......:..: I ✓E (Z ��f� ( j�/TE /`7 V l L g ProposedUse .......Qfti!/1/�Gl�..............................•..............:.................................:................ . ............................ Zoning District .......... .........................:..............:Fire District .......................................................................... l , Name of Owner .,f�/ �.f�......��!Q�SF........ v U E o........................Address ...../...3�1.�.........�..1.�!t.l.�.�:.... .... 1�...(.�.....� .�1�...... Name of Builder ... .../,57../<... ...... .. r..........Address .......lQ ... !4 jfF/Q!e ........ . = Name of Architect ....... ............. ;................."..Address ............. . w �/!/ 'Number of Rooms OO/mot . ......o�S?Atic:�..Foundation ................G...../ ................. Exlerior ........................................................ ...Roofin �5f !q' Floors .S v � w �_ .......I.....Dl':.........................z....................................Interior ...............^`......................................:....... Heating .........1r. .....� . .g �V!' q...: -/rd, �•0................... .......... .............Plumbin Fireplace ... ........................... t Approximate Cost ..... ` ..0 v v :................... .......... . . Definitive Plan Approved by Planning Board ________________________________19-------- . Area 7 S` Diagram of Lot- and Building with Dimensions Fee ........../.............................. SUBJECT TO APPROVAL 'OF BOARD OF HEALTH. /U fo / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T wn Barns b arding the above M1R. construction. r Name . ...... Construction Supervisor's License �Y;p 16 BEARSE, ARTHUR ; 4 29570 ADDITIOP' No ...... Permit for -Sin lej Famil Nud room & Gara e g...... x(.. .& - - i390�Bum s River Roads .............. ` ~ F Location ......................P........ .......,........... f... Centerville...............':......� ...- - ` .... ....................................... t Owner Arthur Bearse - .. ................................. �• Type of Construction ......:Frame... Plot ...... ................... Lott ............................ t � . . • Pe-rmit`Granted ..........June 26,..............19 86 a Date of 'Inspection ................................:..:19 _ Date Corriplreted .......... ..�.. `yl Sb i