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Home My WebLink About0024 CARLETON LANE � J �� _ _ �, _ � �. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION F Map d Parcel - Permit# - HpKDivision - Date Issued C�rvation Division At Fee . 00 Tax Collector • r t Treasurer wept. - Date Definitive Plan Approved by Planning Board HistePic-OKH PresWation/Hyannis Project Street Address S?3 `( A_-1—d/U A A7706 Village C�� yl u4c 'Owner �g(a,OE/tl �t Al�V Address 7;Pp,i tls mw �— Telephonog $' — D 3 q o 6Y2 (,n0) 4,9.Z - 970 Permit Request 5��i i� ��`�eo�1� (/� '12 Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project CosyH 9- .0 Zoning District Flood Plain' Groundwater Overlay Construction Type 11 Lot Size Grandfathered: ❑Yes 315 If yes,attach supporting documentation. Dwelling Type: Single Family O<Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 4*' On Old King's Highway: ❑Yes M- a— Basement Type: ❑Full ❑Crawl ❑Walkout . ❑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: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new. size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes CH'IVo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name- ! `"�—q�'!� _ l�l Z�ij �E �!'►1P12—• Telephone Number Address �la�� _ikMU3N �r�� License# C_ S O1�2 �n�u tom: Miq 3 Home Improvement Contractor# Worker's Compensation# W 01 5802 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ "T 0 ` FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ; MAP/PARCEL NO. .� � ( • -� � ' ' •' � - V } ' _ M .. .. } .. -,• _ r ADDRESS' v #i -^ -VILLAGE 1 ; OWNER DATE OF INSPECTION: FOUNDATION FRAME « , } INSULATION - FIREPLACE + ELECTRICAL: ROUGH , FINAL PLUMBING: ROUGH FINAL GAS: } ;ROUGH FINALt FINAL BUILDING l ; DATE.CLOSED OUT - ASSOCIATION PLAN NO. -=_:--- The Commonwealth of Massachusetts Department of Industrial Accidents , -- 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance davit can ' Orutahtrnr,/,%/�iii'."�ri '�////r�7////� r name: ocation: city hone it —d Q ❑ I am a homeowner performing at work myself. ❑ I am a sole prcmnetor and have no one worldn-g in any-capacity / ✓ . �.: I am an employer providing workers' compensation for my employees working on this job. compnnv name: 0"wzi H2N'r address: � Ateu 7awA/ cy pafogs #:44 e insuranceco. �ad') Sl tB- 9518 olicvt! WC {p♦✓ (1 i .11llllll6�l�i./,�1�/i/rl�//a ///•rvi!!�/.//.lG/////•ii./////.�/rr/ ///.D/// :;�•,,,�: ❑ I am a sole proprietor,general contractor. or homeowner(circle one)and have hired the contractors listed below who have the follo%%ing workers' compensation polices: eomaanv name• address: ;........:.::•...:,.:. t:ity v f...... phone tY• insurance cn. polkV f! :..:: �i/i.�;Ui//ii///.UrGiiiilrvivii/G/�ii�/iw//.11r/.IGZO/•ric�uiir/•U�///////�.i/i///air///i////iG//.1/.11l��//G///.�/!//.%�/// ///// / �/; comnanv names :::,,,:,.:.:,;•;.::::,<.,.... ..: address: ... phone if: nsurance CO. Olity t! �tt�sf.•s�it8�//////.U.//////�/GG��.////D.1/.O/.OG// // � / .// � .... .��l////.% i;&-re io secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erindnal 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 WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of thh statement may be forwarded to the OMce of Investigations of the DIA for coverage veriIIntion I do hereby certify under the pains and penalties perjury that the information provided above is&a:and correct Sipatu i->�_Jr.�.eG.�� !/' _ Date �l+l Print name rie Ed tea- V. Ril s e H lbF Jai A.TrPhoae/ �e�g-9 S 18' Fperson: o not write in this area to be completed by city or town oineW permitAlcense N ❑Bttilding Department ❑Licen zing Board tapo>ne - ❑Health Department phone N; ❑Other . (n-Vaca 9,95 PJAI ------------ ' . � bl The Town of Barnsta 9 0� Department of Health Safetv and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissiore- Fax: 508-790-6230 For office use only 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 byrefo r dw lli n ng units or to be done structures which are adjacent to such residence or buildingg certain exceptions,along with other requirements. Type of Work: W Est. Cost Address of Work: r2 / Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. _Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED IMPROVEMENT WORK DO NT VE CONTRACTORS FOR APPLICABLE HOME ACCESS TO THE ARBIT RATION PROGRAM OR GUARANTY FUND UNDER MGLO 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: O 020 8 Registration No. Date Contractor Name �iI P !17" OR ri.-ner's Name /re Lairinaoauuea��. o`��'l/lauac�rJseCr' C.ItU TIOii SLI F V 0 Et?: Nu rib er. v � ��re �nomnnonuieal�o�✓ua�uu-�Luaella 'e 5 t f 1P d T�J: 1 3� � W'HOMA CAP"ii HOME IMPROVEMENT CONTRACTOR R�egistr n fi00740•._ ,5�� NEWTDWt. RD ' Ty eP — PRfVATE-CjAPORAiION 1)Tui' Hfi r°E E,,X iratitio 06 23/00 CAPIZU*HOME IMPRO MENfi; IMC,`-` as_C.ap.i.z.z.i-,�'Sll r. ADMINISTRATOR ib4� 11 Newton Rd. Cotuit MA 02635 --_------- tie �aJJranaJuueal•/� o��-lfa�ac�u�eC�; `- DEPARTMENT OF PUBLIC SAFETY t J - CONSTRUCLION SUPERVISOR LICENSE t Number: Expires: Restricted 'To: 88 THOMAS z -'C'APIidI JR %u -'280 PERCIVAL OR W BARNSTABLE, NA 82668 - - �E ✓lle -Cr10 JJ79Jla9LU�e!!(C� O/..•I�JJfLC/JCL.iP,C.lti DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPFRi'ISOR LifENSE Number: Expires: Restricted To: ao _ -RE�E,?3.Ca V'`RAS'C1 II- i060 BOURNE RO PLYMOUTH. MA 02360 r ;. to } ��'�r� •, t�. • � • , ifs'( ' f ��" • ay atn �rA I hI 40 r F 'q ez IS rA 65' A e . A "r 111 y 1 HEREBY. CERTIFY THAT TIME E"L.AN OF s_-A��u � ST RUCTURE • STRUCTORE`SHOWN HEREON WAS LOCATED _ 'BY AN `ACTUAL° FIELD SURVEY ON 0 + ,, 'W_;'7,•,197�` AND CONFORMS TO THE 'ZONING ,BY-LAW OF THE.-TO'PN OF �� / ': MASSAC11UJ-ETTS. IN `:. `a.'»;�-ref>?i _ram'�j�! .__—_... .�-i./•-' %ra'!.;+�C MASS. i s ,REGISTERED LAND ^ARV � '.. 197� OF Mgss C..AL.E: . I"= l/p ' i� r 7Co. 7. o WILLIAM _45 + w DATE H. t • ...-t A o. BRYANT � . '` No. 15727 'AF'I_: COD SURVEY CONSULTANTS R F A DIVISION OF I;OSTON SURVEY CONSULTANTS, INC. 0R FIOUTE 1:3 I{YANNI�, MA_� ,. }. Y ' i Assessor's map and lot number ...194-.?30....:........... 4 t f 621 OPTIC SYSTEM MUST BE, Ch �? 2 � INSTALLED IN COMPLIANCE Sewage-Permit number .............................................. L`, """""" WITH ARTICLE II STATE I RY JC�ODE AND T011 N �FTHET� TOWN , �11 � OF BA.RNW ALE c i i.w ti.a a TAB LA : t' TH 1603°9`. O:M � BVILDING INSPECTOR c3 APPLICATION FOR' PERMIT TO ........ ??g ,e... .... ly..9I?. ...S O��...d,YQl3.7.a. z1�;. ............................... -TYPE OF CONSTRUCTION : .............00d •� ...... as.....0...........................19.76. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot 8 on Carleton Wav in Centerville .............................................................. ............................................ Proposed Use ....Single familyr....single...st.°.?'y..hmq.Jg tja...Feta.QhQ.d..ggx'gzQ............................ ZoningDistrict ...............R.........................................................Fire District ..........'Q....................................................... Name of Owner J• Albert Bassett ...Address Box,.33 South YarmouthA,,.Mass. Name of Builder ....................................... .........Address ............................................................ ....................... Same Nameof Architect .........Same...............................................Address .................................................................................... Number of Rooms .........fO.ul'...............................................Foundation .....F.Q'L1ned...Conare.te................................. Exterior ........T hite...ceder...SbingLes......................Roofing .....As.phalt...wind..s.eal.s............................... Floors ..........IIPI*h.ite...94.k....................................................Interior ...1'. .....SYl('.etFQCk................................................. ........ Heating ......FOrc.e. hot water ...Plumbing ...AIX191A...�?atih.....s3....;'.�. tr.41T'4'.5............................ P Livin room .........Approximate Cost ....2s *.QQQ.................................. ... .......... Fireplace ........... ......g................................................... Definitive Plan Approved by Planning Board ---------------------------------19________. Area ........gS34....5.....:........ ) QO Diagram of Lot and Building with Dimensions Fee .........� -................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ; construction. Name . ./ ....................................................................... Bassett, J. Albert r q-8466 one st iNo ................. Permit for..................................... tingle family dwelling ............................................ ............................... g a i. Carleton -9Wjr.L4&C5 Location ..... .......................................................... Centerville ............................................................................... J. Albert Bassett Owner .................................................................. LT- ci C frame C" 0 Type of Construction .......................................... ............................................................................. IF r- tPlot ....!..................... Lot ................................ co Permit Granted ......... June 17'-� 116 19 C, C Date of Inspection 19 0 Date Completed .......19 10 PERMIT REFUSED Z-1 ......................................................... .... 19 L4 .......................................................... ................... ............................................................ ............... ................................................................................. 4 C-4 ............................................................................... Approved ................................................. 19 ............................................................................... ................. ......... .................................................. �'+,r:P x'�}•-�e r,..v^ ,i�:e'Yv ;�,r1.�'h—'1.•.a...�*�,'^,im;•'F�"y•rn!•�„tis+w^^c: *ti..,J•��5.,f,:.,,a+.�':.,..e.l�-1�•'�r-r� '^j'r�"i,n•.f ,.h-.,��t.;�..o. .�,_ .,w,y � .,+�:.:M••w-'�•�:e+?.�y*�,m+�..,r=4,"�iG'c`+.•,G+yN� a Assessor's maps and ..lot "number .. .`7 r: t1 _ M Sewage, Permit.'number ..:. .. ..... •........ �Q o Id TO if 0a -4 ,0, g,.,BAHHST"LE..o t� a; APPLICATION, FORS PERMIT TO •.....:xaLZlr�1e•• •S'••'€am 7 v„nine• s§?iwvr r3ti om.1. 117a . VTo oc� TYPE OF CONSTRUCTION' ... ......... ........ ....................................... a. TO -THE INSPECTOR OF BUILDINGS: : The undersigned"'hereby applies for a, permit according to the following information: . Lot S. .on �C,arleton Na �n Centerville ' Location ......... .... .................•:......... ......... .... .... .................................. ... . ......... ...... p Single �"amr .LY, . single ' story 1�oria tvai f h 4 r t'Frhp,i p:�rin� Proposed .Use ...... ..... ... .. ..... . ............................................... Zoning District .......... L. ..Fire District ....:� U ....... ......... .... .. J•./ A lb� rt ryeett Address I3UY SU'uth Yarmouth ��s� Name of Owner ...I............ ............ Name of Builder ...... `ac°...12a�3 ......Address. . Name of Architect .Address , Number of Rooms four.....:...:.................:..............:....:Foundation ...:.1?�t��r�ri:..:r,nrt�rai-.+....... :: „Exierior �11?hite...C_E.-'�.or..`�.f"L•lnelf� �.. ....Roofing �.�t�1is3"t,F ,2t{x�r� :•�A�.t: Floors ......:.-White-..ti��l�......:......::....:.' .:..... I ....Inferior ��t....rh tr` `.'. . ..Q..... Heating Roroed Y1JW water ' i �tir��iR, .h�tl� ; ; ; ^4x�1�rH•r� • ................................................... ............ . ........ ..Plumbing ... ..:........ ..... ..... Fireplace .. .................Approximate. Cost .... ........................................ ✓° 5 .. r. ------ - 19_ Area f. t .....-�Definitive Plan. Approved by Planning Board _ • Fee �. "" Diagram 'of Lot and Buildingwith Dimensions 0 SUBJECT TO APPROVAL'OF BOARD OF, HEALTH 1- ,col I hereby agree to conform to all the.Rules,and.Regulations of-the Town of Barnstable regarding the above construction. ] 4 4- Name . ....... ....... .......... ................................... .._1' Bassett, J. Albert A=190-230 &8468 v one story, No ................. Permit for .................................... single ia®ily awelling JI".................................................. ............... �Ja Locaii'an Carleton 4r............................. ...............�.. Centerville ............................................................................... J. Albert Bassett Owner .................................................................. Irame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ..........#.....8................. June 17 76 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ...................... ............ ..... ........... . . .... .......... ... .... ......... ved ........w......../. 5 ..... 99 ...............•............................................................... `J S{/ d�