HomeMy WebLinkAbout0023 CARLETON LANE T� �..
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N TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION'
Map f Parcel 2 3 3 Permit# /
Health Division i t r: Date Issued lip
Conservation Division Fee
Tax Collector
Treasurer =
Planning Dept. t
• t - • < . `ma`s. `� t ..
Date Definitive Plan Approved by Planning Board '
Historic-'OKH' k Preservation/Hyannis `
-rlieafM. �c'
Project Street Address 21 Co •
Village
Owner kG y Ueslie Wa,# `-s Address
Telephone 509 - -71 L.7- 2/5'Z ;
Permit Request /'.rQ<5�I%!? �!7 /-?o � -S7�YJi�i'Y7 c l�/d Phil-?�s/.r.1
r � 9 S 9UG�/1-P/J • . .
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Square feet:,1 st floor:existing proposed 2nd floor:existing proposed Total new'
Estimated Project Cost 900— Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ,❑Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family C Two Family ❑ .Multi-Family(#units)
Age of Existing Structur 3CJ V/S Historic House: ❑Yes VI-0 On Old King's Highway: ❑xYes U- o-
Basement Type: M Full ❑Crawl ❑Walkout 0 Other
Basement Finished Area(sq.ft.) ` Basement,U nf inished 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 S
Heat Type and.Fuel: ❑'Gas ❑Oil ❑Electric U Other
Central Air: ❑Yes /o Fireplaces': Existing / 'q�l`1 p g �(_f) New - Existing wood/coal stove: El Yes Q<O'
Detached garage:l�existing ❑new size` PooL ❑�xisting--O new size Barn:❑ Oag-0 new,size
Attached garage: existing ❑new size Shed:.❑e4sting�new size Other:
. •rare
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number
Address License#
Home Improvement Contractor# .
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNATURE DATE DATE U�
FOR OFFICIAL USE ONLY
PERMIT NO.
+ i. r - r - _y?. T + A _ i ^' •r a 4,_ `r -r- .. „ r r7 .r
DATE ISSUED
MAP/PARCEL NO:' Y �� r _ • a
, •# , ^ ' ° � s , ,'_ +• a, - —' - t .. I - ._t - r - .tee F
ADDRESS ;• - _?.VILLAGE
}!
OWNER,
.
VI
DATE OF INSPECTION: ^_
FOUNDATION
•FRAME
INSULATION — s
FIREPLACE
ELECTRICAL: ROUGH' FINAL _ ?
PLUMBING: ROUGH + FINAL
GAS: ROUGH FINAL
FINAL BOILDING
DATE'CLOSED OUT ' ,• , .
ASSOCIATION PLAN NO. _ i ;
f ` _
- The Commonwealth of Massachusetts .
=s= — Department of Industrial Accidents
,� Jai^:• «..' --
�� ,� ::-: -, , •_ _ Olt�ce of/m�estlgatioas
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name: /7CU4, q- ES 1/ W7 zJ
location 23
city ] 2.VUl — /Th Dhone#
I am a homeowner performing all work myself.
❑ I am a sole rietor and have no one worlds in anv capacity
/00
workers' compensation for�y employees working on this job.:: <:>
❑ I am an employer providing:..:::.:..::;.:;:;.;comp::;-;:.:.;::: ...;::: >::::::;<::.::..::.:::.;.;:.
COMP anv name:.
:::...
...:....... ......
city.
h
insu rante co. o cv
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
' compensation polices:
the following w ..........mp . ,......::::..P ..::::::..�::::::.. .. ::..::.. ..... ....Xx
v Ham
tom an �
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::::•::::•:::::................:.......:::.:•...:... ....:::.............::•
address.
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.......:::::::::: ::::::;::: ::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;:::::::::::::::;;::::;;;��:;;;:;:::;;;:•:::::: a-#ton::
::.::. :.:.::::::::.:.:.::
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. .. .. ........ .
insurance co ;:::>:::<:>;:;>::<::«<:;:>:::<:;;;:.;.:;.:.;;:.;;;:.:.::::.::.....:;...:,:..:::•,:;:::::.....:............... .....
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address:
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one:
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cttv :.... :.........:::::::....... .::::::::::.;.;;:::;..>.:;;;::.::::::::.:.:::.
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1n3amnc
Failure to secure coverage as regalttd ceder Section 25A o[MGL 152 can lead to the imposition of criminal penalties of a 6ne up to si soo.00 and/or
one peas'imprisonment aswen penaltiese Once otInv of a STOP WO
estigations of DIA fRK or coverage ER and a 8ve�tiScaflon of 00 a day sgsizut me. I understand that a
copy o[this statement may
1 do hereby certify under the pains and penalties of perjury that the information provided above is trsw and correct
Signature V4��1��,
Print name L e s!i e Ala 1� Ph=# vr08 7 7/ 2/5 2
omdal use only do not write in this area to be completed by city or town oincial
city or town: permitllicense# ❑Buadbag Department❑Licensing Board
❑Selectm�em's Mee
check if immediate response is required ❑Health Department
phone#;
contact person:
Other
------------
(teased 9/95 PIA)
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The Town of Barnstable
• aniuvsrnsz.eL • De
9 A spartment of Health Safety and Environmental Services
En �,� Building Division
367 Main Street,Hyannis MA 02601
Ralph Crossen
Office: 508-862-4038
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
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 than four 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:
{'1 re14�/'I9 /'o o�i-&L Estimated Cost
�7�,�� � L /
Address of Work: 23 ear-Le b1n
Owner's Name:
Date of Application: Z mall too
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
86wner 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 theaegeat-e owner.
Date Contractor Name Registration No.
Z � Q v OR G?Q�itO
Date Owner's Name
q:forms:Affldav
The Town of Barnstable
Department of Health Safety and Environmental Services
Building Division
i 4
BAMSrABM " 367 Main Street,Hyannis MA 02601
MASS.
039.
ArFD MA'I A
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
HOMEOWNER LICENSE EXEMPTION
/l Please Print
DATE: 2 M�j V O 1
JOB LOCATION: 23 ca-k le &-n Lam Gl
number street village
"HOMEOWNER": Say y/Lesl/e wa/lerJ 709 7-7/ 2/S 2 508 79D la 7SO
name home phone# work phone# (CeS h e)
CURRENT MAILING ADDRESS: 22 C'a-r'l f�m Z&k?e—
een_/_P_ //le M14
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units
or less and to allow homeowners to engage an individual for hire who does not possess a license,provide
d
that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is
intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or
farm structures. A person who constructs more than one home in a two-year period shall not be considered
a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the
Building Official,that he/she shall be responsible for all such work performed under the building permit.
(Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and
other applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedures and•requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply
with the State Building Code Section 127.0 Construction Control. t
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the
provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a
person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see
Appendix Q;Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in
serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit
application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEMPTN
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st s HEREBY:,-CERTIFY THAT THE'
}'1 -t��! C)F L:1IND a STFZUGTURE
s STRUCWRE.•S,HOWN HEREON WAS LOCATED
i gam" BY4-AN -ACTUAL i FIELD. St;1RVEY ON , ON
pr'*.ay Z7 197 AND.: CONFORMS TO THE
i r, ZONING ;:BY LAW;•OF THE 'TOWN..0F ��o I' // C_.-7 Lam.moo.✓ �.a.vc
' P
if `4c'3�r�cSra3GC-"•, MA9SAClILISETTS.i i' IN
fi k� i �L✓/ �s��3� 4 MASS,
REGISTERED LAND -S OOR
;CALF . 197�
� aJt�
+k ` " WIL"LIAM ���; C/eP COD SURVFY CONSULTANTS
o. r�
wdY 1+ . !? Y _
a �+ ' a BRYANT + "' A CIS"S'•ON OF F30STON SURVEY CONSULTANTS,INC.
r;at#°`'i ' '" {{ ,✓ .uq1\ Nc.15727 � ROUTE .132
G)STE�!v�`` HYANNIS, MASS. ;
wJ Ass map and lot number ...a90..233 �j j� -Y �_ 7
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1, SEPTIC MUST BE
SYSTEM
Cr ,n
SewagePermit number ..................� 13 IN C0�l1PLIANCE
..........�...............•........... INSTALLED
WITH ARTICLE II STATE
OWI
,� oF2cee ro"A c TOWN OF R A R L
EA&49TADLE i
nl q
e�ypY BbIt N INSPECTOR
'o1E' Or••. c� r•,�
r.;
APPLICATION',FOR PERMIT TA .......8irl.gIV.:fatJ.l17..Qne...story...diae.11 ing.................................
TYPE OF CONSTRUCTION .4�.........Wood frame
Mai:..20...........................19.76.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........Lot...#ll Carlet•on..La? e....i. ...Cent. xvx.J. . ...................................................#1.1... ............................
Proposed Use ....Single family,....one..-At-ory,JR;Ul,...att.ac.h.e.d...garage.........................
.........................
ZoningDistrict .................R...C...............................................Fire District .............Cm.0.........................................................
Name of Owner ..J.e...Alb.Qxt...$a.SSet.t.......................Address ..BOX 33 South Y'aem,outh,•••Mag$•,
........ ..... ........
Nameof Builder ...$AMP.................. ...........Address .......:..:........................... ..............................................:..........................
Nameof Architect .S.aMe...............a.........................................Address ....................................................................................
Number of Rooms ......... ® .............................Foundation ..PourAd...9.JQ1.RX1P.tQ....................................
Exterior whit.e...cede.r....shingles.......................Roofing .Asphplt..V�.3.nd..aoal....................1...............
Floors -..........white ' oak ft sheet rock............................................................ e ... •• ..........................................:....
,
Heating .......forced••hot water.................................Plumbing single bath.....3•••fxture
.........A Approximate Cost 25 000}
Fireplace :.....�-.�..Y.�-Xl$..5.'.RA171...................................... pp ..........a.......:........:............l.........
Definitive Plan Approved by Planning Board _______________________________19________. Area ��.f�d.A7.. . ................
Diagram of Lot and Building with Dimensions Fee / '
. ............ ................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
-
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... .....................................................................
Bassett, J. Albert
;ry ' 18444 : one story,
.............. Permit for .................................... s
single family dwelling
1 _
f .
...... .... .................... .................................... -
Location....Carleton:Lane
............... .�
Centerville
............................................................................... 4 _ ^ 0 C7 Z:
J. Albert Bassett
Owner ...........'...................... e� c c2
frame r J
r Type of Construction
x w _.
i r t
I.. ...... ..................... ....................................... O t• c.
Plot .. ....... ..... Lot .......
C: C'
Permit Granted J n ..$.......` `=`19 76 v
Date of Inspection y7 7� .... ..:19
a 5 �-� f
Date Completed ........ ..
PERMIT REFUSED
:...... ....
®r
.... .................... ....... ...................
..................................................... ............ C .)
.•.. :!
................................. .......... ..... r` t7 ri r
.................. .«-
i
Approved ................................................ 19 n.
.+.
.......................................... ............................
...............................................................................
Assessor's map and lot number � '3� ,!')C fly, — �—..........................................
Q. 1
Sewage Permit number .....................................................:....
yoFTHEro�4 TOWN OF BARNSTABLE
ro
t BARNSTABLE. i
Y 9 M639 =�Y DUI=LDING INSPECTOR
�EPY a' ..
APPLICATION FOR PERMIT TO ......` ??"� .........................�1 nr�r nrr7 inn „
TYPE OF CONSTRUCTION ..............,...........Mood......fra........m
..............................................................................................
av
......T..... 2.0 r
TO THE INSPECTOR OF BUILDINGS:
Thg undersigned hereby applies for a permit according to the following information: ,
Location ........r:�.!' -'11 Ce.rle on Lane In Centnrzr•i l'1'e ...............................................................................,........................................................................................
Proposed Use ....S 7,T':'!'lG...f family. One....`'t'o?'.`?....5a;1?...E tt r....h...ri..." ...R.................................................. t
Zoning District R �' ......................Fire District C
.................................................. ..............................................................................
Name of Owner +7• A1hP.rt TIMu.cPtt.......................Address Sox 33 goutl, `T�3pmouth. fans .
Name of Builder ...2UMe.......................................................Address ....................................................................................
...
Nameof Architect Soma.......................................................Address ....................................................................................
Number of Rooms f'Lve .....Foundation =Owed concrete
.........r ............................. ................. ..............................................................................
Exlerior `ahite ceder shingles ...Roofing ..:lgnhal t�ind a(3a
................................................................................. ......................
:,h.LtC, Cak Interior .,?:�� ,,sheo' roc!,'
Floors ............................................................................. ....................................................................
Heating ........'a'Cec ti;nf t r er ....................Plumbing ..... ?..... t? ........:?...: :.Lli .....................
....................... "
Fireplace 11 .' _ n.nn' .....................Approximate Cost ....2— CEO
............................................................. .................................I......I...............
Definitive Plan Approved by Planning Board,_______________________-_______19________ . Area ... ... ..............
4
Diagram of Lot and Building with Dimensions Fee .....
/ M's
............... ........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
� 1
� � s
I
' I
I hereby agree to conform to all the Pules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... .....................................................................
I V
Bassett, J. Albert A=190-233
No ..18444 permit.for .....one story,
r
single family dwelling
.......... ............................................
{
Location .......Carleton Lane
Centerville
...............................................................................
Owner .........J....Albert Bassett
..............................................
Type of Construction .....................frame
.....................
...................................:...
#11
RPlot ............................ Lot ................................
Permit Granted June 8 76
` Date of Inspection ......19
Date Completed ......................................19
Ir •
PERMIT REFUSED
Ili 19
d.............. .........................................
t
............................ ...... .............
l Approve 19
i .
�.
.................... .........................................................