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HomeMy WebLinkAbout0004 DUNASKIN ROAD ! 4 Town of Barnstable *Permit# )" 0 Expires 6 months from issue date Regulatory Services Fee n , . or • Thomas F. Geiler,DirectorXPRESS Building Division l m � Tom Perry,CBO, Building Commissioner mAY 14 2007 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us T&NNeC}` WkNMABLE Fax: 508-790-6230 EXPRESS PERMIT APPLIOATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 4 D u n ag K l n �j [Residential Value of Work }�T D• r " Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address I c I a Pctkf5 Contractor's Name 'j Telephone Number Home Improvement Contractor License#(if applicable) I J 10 .Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Che one: [�I�am a sole proprietor ❑ I am 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) Cl/Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof] ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. ***Note: Propery Owner sign Property Owner Letter of Permission. Home Ir�tprove ent ontractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Town of Barnstable ti Regulatory Services sn � � Thomas F.Geiler,Director. � nss. MASS. � �A 039. PfDMP�°' Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable..ma.us Office: 508-862-4038 Fax: 508-790-6230 Property bier lust Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby authorize 11 I X-A to act on my behalf, in all matters relative to work authorized by tu building permit application for. (Address of Job) Signature of Owner Date Print Name Q:FORM&OWNERPERMISSION 1 he Commonwealth of*Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, M4 02111 nq w.Imas&gov1dia Workers' Compensation Insurance Affidavit:.Puilders/Contractors/Electricians/Pluffibers Applicant Information Please Print Leg ibl Name (Business/Organization/Individual): J Address: City/State/Zip: TNUVU, F N f' NjA l .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 loyees (full and/or part-time).* have hired the sub-contractors6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8•. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions - required.] officers have exercised their - 3.❑ I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs oT additions s myself. (No workers' comp, c. 152,§1(4),and we have no 12,02-froof repairs - insurance required.] t employees. [No workers' 13.0 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 tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers compensation insurance for my employees. Below is the policy andjob site inforrnatioi 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- ify Land r th pai an penalties of perjury that the information providedb'oIv is tram and correc Signature: Dater Phone#: -"OOP 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.Boprd of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Insp r 6. Other Contact Person: Phone#: ✓2ce Z°�rrvrr�aizur Board of Building Regulations and Standards HOME lTmOVEMENT CO License or registration valid for i Re Istratioh CONTRACTOR before the expiration date. If found,retuvidulrn to only 24310 trQn Board Of Building Regulations and Standards rf One Ashburton Place t�i4idual I Boston Pn 1301 ames Curley =� _, i l I ,Ma.02108 Imes Curley /� � `, t�17 17 Fuller Rd. mterville, MA 02632 Administrator Not valid without signature I l �: . . The Town of Barnstable 9. Department of Health Safety and Environmental Services h Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION V- Location of shed(address)` v%1% a e- Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) 311h 5 THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedmg Assessor's offioe (1st floor): A sessor's map and lot number .............. .................... ��` iC[ �r,eFTHE toy♦ �ard of Health (3rd floor): �• a t!:,," 1 f �� s�f.�Ab o� ewage Permit number ........... ' ..............•.........• •....... ... WiTt`;"I TITLE 5 >; BABasTABLE, i Engineering Department (3rd floor): r63q. \0�� House number ................................. .........�..�L �f'..� ... TCr'jv69q REGULATIO'N,1 �o APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-,2:00 P.M.. only TOWN OF BARNSTABLE BUILDING INSEPECTOR �� P �. o pc.� 10,A APPLICATION FOR PERMIT TO .....�1 ?.................C?......:K...."......... .................................................................. TYPEOF CONSTRUCTION .... ................................................................................................................. ............. O..'2-. .................. �.. ..19... TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a permit according to the following information: CZ Location ..... ....y.... ?.....AsvF 1...G��x .................................................................................. ProposedUse .... ti,........................................................................................................................................ Zoning District .................................Fire District Name of Owner �4►�4..P4tT c ....................Address ... V.►.,4S�4-0... 1q�,? ..r.4 v1 :. Name of Builder ... ...................Address ...t-19... -C?4��-.0.A.�l,t..�(l.'..CIE�!(��44?.lu�....... Name of Architect ..aA!4kE1.4..... ..............Address ......USjEfWNA. .................................................. Number of Rooms ........k.........................................................Foundation ....u?.` ' .......5.(9.! �C>...'tti.11 1.111.4..... Exterior ...V.1�4y—L-..S.1Ptr.--Av...............................................Roofing ....�kS�. 3!--� Floors ...F>IyA j-OOD............................................................Interior .....I�r�?vQ.L.............................................................. Heating ...h.10.!J-Q ................:.............................................Plumbing 1 ........C�... h� 1J.-�.r............................................................ Fireplace ... Y' ............................................................Approximate Cost .................... ........................................ Definitive Plan Approved by Planning Board ________________________________19________ . Area t4. �5.1..=..�. �...... Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH f� 01 I Z�ota►V9�C _ � ,Q � 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. SQ4Tt m. Name ...t. ... . ..... ............ ............................................. M lti34l eq1� Construction Supervisor's License ................. PATTERSON, PATRICIA z. 31358 Build Porch ' ;. No ................. Permit for .................................... Single Family Dwelling r- ¢. .......................................................................... 4 Dunaskin Avenue (Lot A�-1) Location .............................................................. ` Centerville ` Owner Patricia Patterson Type of Construction Fr.ame .... ............................ r. ....................{ ...................................................... Plot ........................... Lot ................................ � I E` " 9 --4 � Permit Granted ...................October..........:�....�....19 8 7 1 =• . Date of In p ction ....................................19 Date Completed ......................................19 C. R n Assessor's offioe-(1st floor): ` _ �- � y p�/ C*THET0 Assessor's map and lot number .... ....`.... . /...:..— e Board of Health (3rd floor): --7 .�� � o� Sewage Permit number .......................................... ..... .. .. >; Baaa9TABLB, S Engineering Department (3rd floor): �o MAO& ♦� House number 0 39 �0 l_^ 0n ,sues6 .........................................y.....`�.!.."�.....: CEO YPY a' APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00' P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR i APPLICATION FOR PERMIT TO .....�W.kA......p���-kA....-.... ?.p v............��� . ........................................... TYPEOF CONSTRUCTION ..... ................................................................................................................. O....�-C-� 19 .7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: `1 (�4)u , i�Ctii.� 4.W. e... ... +--�'�R-�� st. ................................................................................ Location ..............n..............� .....................� p ................ ... ProposedUse ... ......................................................................................................................................... Zoning District .... "....�............................................................Fire District ....�r.��..^JTE�'i;a.,l.!R.,�-�:.�.C?iXC^s)%L-f►.c......... Name of Owner .0L'tCPLiI.C.,4.A..PAI.[.e 1(1 ....................Address ... .-i..�Ue to :t.�...IA�J :.y. ��•��T v�l�� r Name of Builder �. ``- o..1^.,v#. �:..,. ., ►r ...�-.:......°..��x'�"t.... .. ......................Address ...�'r.A..... ..,(.. .....��.�.+6►...+�d..�!�,.y.�,.1i<.<..�`'� ...{rr...-....... Name of Architect ..QLl.'t4%.o ........ ..............Address ......0.5 .................................................. Number of Rooms ........ ........................................................Foundation .... r......... 11, J� ...... Exterior ...4/.i►: f 1-.. ,1..1C�.................................................Roofing Sid !- Ir...... Floors ..... .......f�.i �. /d.:.1,rlf'�D...................................i.........................Interior c.t� Heating ..lr ,.? !,? 2 ...... ..........Plu.mbing ...: .t�;.i: A,.....4r.............................................. \ ............................... ... Fireplace ..........Approximate Cost 1S(1T) .... - .................................................. ....,......................................... 1 Definitive Plan Approved by Planning Board --------------------------------19____ �.�� ___ . Area ...� ..) ...=. ..I�p...... .v v..................... Diagram of Lot and Building with Dimensions Fe . �..t SUBJECT TO APPROVAL OF BOARD OF HEALTH Q I 7 Ac►G pivo s 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. tr� I L �"�tAi''1i 1 kMo Name ... ............................................. � - C 1 Construction Supervisor's License 3 ................ PATTERSON, PATRICIA A=228- 5 ` '6 Q..3.1. 58 permit for ...Build P9rch r Single Family r-D-we .1 nq Location .....4....Dunaskin (Lot lA) Centerville ............................................................................... Owner .....Patricia Patterson- ............................................................. ' 0 Type of Construction ....F.rame......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......October.,29.......19 87 Date of,Inspection .....................................19 Date Completed ......................................19 /6n/, �� � b�Qy�F.THE?��yw TOWN OF BAR.NSTABLE Z BARNSTABLE. i D 9 BUILDING INSPECTOR RFD MPY a' APPLICATION FOR PERMIT TO .....Ago....6..N....... T�....�K�/��....... TYPE OF CONSTRUCTION .....LA.O.0.b.....t l&Al SFr.. .................................................................................. /`711.2 C.lf....s5Aj...........19..7.4 TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the following information: Location ...... ..'�1............-1�11/V.�.Sa�I�K........f?.v�...............�'..,`nl.T� ........J �P,S.S.r..................................... Proposed Use ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ........ )z z . ...�.:i'P.t.�..l.� Address ..�.:.......17 .......U.J.5/.l4?.SAC.I/.'� h�.(�,�.......4'�/.Y...T�le.V Name of Builder W4.I, aP..K...j4Er....StAt: ..1).C%-g-...001`"/'Address ... 014LI..,....la"-T. .......�l�.l�l�l1��.../`r(�ss. Name of Architect ( .1 /- .......... .�N`LD... .............Address ...QU.R it..... NGs!... ..............fff4. �►ltC .../�69tS. j Number of Rooms ... ...... 0-.../,3�...1�D.2.S`1�.:................Foundation 4?Pe Exterior YLLJAOD....5AV446.44: ..............................................Roofing /9.5 /{t�?4 ....5?' J.d....., ........... FloorsVil.O.Pb........................................................................Interior .�y....kY. .fir .................................................... Heating f�o..l.:...: f9✓.f4T. ? ...........................................Plumbing .t.% ......!'Jl/4�51f Fr .. ...P y.� .�.. Fireplace ... /.4./ .G..s.............................................................Approximate Cost .. /�f3.'. ................................................ Difinitive Plan Approved byAu"& 18Eg_M-EM40D-O OVIDING FOR � ► Diagram of Lot and Buil,$VjjAWirrWrrAiji SUPPLY,SEWAGE DISPOSAL _ AND DRAINAGE IS HEREBY APPROVED _/`� e a MI -OF BARNSTABLF, \ 2 � .. +t4 77 EX►$TINE DWEIl�.111( ` `SAD 1TIaM (� O . y3`-6" �ouE vK� �100 64 . 71 Dv NA 5�l 1 N AVC- hereb agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NaG. ............... Patterson, Patricia DEC-311970 No ....1�97O.. Permit for .. a..to single........... f family dwelling ............................................................................... Location 4 Danasldn venue ............................................................... Centerville ............................................... , Owner Patricia..Patterson. . ............... r ' .................. ............. . .... Type of Construction frame + r ................................................................................ Plot ............................ Lot ............................... f ( Permit Granted ......... ?? .6................19 74 Date of Inspection . V ...........�.1...19 70 V. Date Completed ......................................19 \ i PERMIT REFUSED j .............................................................. 19 ................................................... . ....................... i ............................................................................... , ... Approved ..............................................._}9 , ............................................................................... ., /01 NI w Wm TM I s 4 4- 209229249 t . E `W tam :. `. 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