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HomeMy WebLinkAbout0082 MERIDETH WAY .� v .� . � �.. t � - _ . , r .. z g a i .. _ � o ., � � TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Map Parcel ,e_ Application#O�U ,A, f. Health Division t-',P,# Conservation Division = Permit# Tax Collector y_ •- _ Date Issued 'ail:4► _. Treasurer /:: Application Fee Planning Dept. Permit Fee3� I Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 182- M Mir 1)UM4 W" Village eWlUkV t LLC Owner 6;W15 t:J aE Q t PB?— 1)(!,r.9U L(;SEN)�(Address t� Telephone j2_8-43( 2 Permit Request hi l e�_= l � So - - 8 C—_ Square feet: 1st floor:existing_ proposed 2nd floor:existing �� proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation� �c�'D Construction Type Lot Size I N 4 Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family, ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes k6l No On Old King's Highway: ❑Yes No Basement Type: g 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 :4-:: new First Floor Room Count 7� Heat Type and Fuel: ❑Gas Y Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes A No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:[Vexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION -------- Name ( TA Telephone Number, - Address • C) License# C* t ILl, -1 Q 0263 Home Improvement Contractor# U Worker's Compensation.# g05A n ao`F ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO } ��5 SIGNATURE DATE I® FOR OFFICIAL USE ONLY PERMITiNO. DATE ISSUED MAP[PARCEL NO. ADDRESS' VILLAGE OWNER­ DATE w , DATE OF INSPECTION: ' FOUNDATION F FRAME INSULATION ' FIREPLACE _I F L ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 _ DATE CLOSED OUT - ASSOCIATION PLAN NO. k - Town of Barnstable Regulatory Services BAMFMBLFw ` Thomas F.Geiler,Director Mass p3ya Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvenment,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: cz nS*NW(-30 a \ d� �1 x � Estimated Cost ^ Address of Work: Owner's Name: ED��E "� J�_ FE✓� l S SE�q Date of Application: L iO 1 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME E14PROVEMENT 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 the agent of the owner: �Cy� f L(Y!P CS r Date Contractor Name Registration No. OR Date Owner's Name Q:fomwhomeaffidav .�. .,. Town of Barnstable ° Regulatory Services Thomas F.Geller,Director %6 0. 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 Owner Must Complete and Sign This Section If Using A Builder I, �1C15(�IC�k ,as Owner of the subject property hereby authorize t [ a'�tcb ___ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) . 5list INto ture of b6er Date (A Print Name QTORM&OWNERPERMSSION liik d of Building.Regulatioesaa►dStandards Hb-ME IMP vfEMENT CGWT�fCTOR i Re:gisteat �.4 358 1' # �, ps "e, billty Corp©Potion '! i -- '' G}3R#`1�1Fi't EisIT- FAO CRW1U `� j 2 '18Lk>; t14QRi+l `.z ✓if IuaMYMii ith4(l4'8• —�-� Ad#nlhlstat© 77, T IgU c 4f� s . ta^ License or registration valid.-for indivad use o41y } before the expiration date. If fouind return to: Board-ofBuilding Regulations and Standards y One Ashburton Place Ii m 130 Boston,Ma.0.2108 � p � to r� � © y • � �����,��a�CcertMedttaAn�of t�€�°: - �I�s�sgAh�setts�tare�8(!�(m�Code , �s�a�e�r-r�utio�rof�ttals-lieer�se:. ,j . F ➢ S�AAp CAL L CLWf4t 44, �I33: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations IV 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information g Please Print Leibly Name(Business/Organization/Individual): ad/E LYtil¢�dA( e 5l�L Address: City/State/Zip: 10119 O 2,63 j Phone M S 0 8 q -T `+!,a 2,9 Are you an employer?Cheek the appropriate box: Type of project(required): 1.10 I am a employer with 9 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I 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. 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 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp.insurance required.] 13,�Other t . *My applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. 1 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 their worker:'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site information. + Insurance Company Name:-- TpVtz kukog t Policy#or Self-ins.Lic.#: I g qS A 033 O L( Expiration Date: ' t 57 -' 001 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 certify under the pains and penalties of perjury that the information provided above Is true and correct Signature: Date: Phone#: � 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#• NIF Grad fil 100.00' Lot #20 16, 962 s. f. � 23 19 0) `'\ 9 0 N N r �8 + e= Cq� ' Cy. 100't To May Lane 100.00' IT RIDE TH WA Y a CERTIFICATION I CERTIFY TO THE ABOVE ATTORNEY,BANK AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING,FOUNDATION OR DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO STRJIC',ORAL SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL LAW TITLE VH,CHAPTER 40A,SECTION 7. FLOOD DETERMINATION BY SCALE,THE DWELLING SHOWN HERE DOES:NOT FALL:WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #2500010015C AS ZONE C DATED 8/19/ BY THE NATIONAL FLOOD INSURANCE PROGRAM.' N !L J. �c Olde Stone Land Survey Co., Inc. 2 KELLY rn 470 County Street No.35036 v �, Taunton, MA 02780. `4' g4�ESS`��� Tel: (300) 993-3302 yD S Fax: (800) 993-3304 PLEASE NOTE: This;inspection is not the result of an instrument survey.The structures as shown are approximate only. An instrument survey would be required for an accurate determination of building locations;encroachments,property line dimensions,fences and lot configuration and .. - �. _- ___..._ ._�_:_a',,.. ..r....♦s.....in tienl ininrm B/inn nnh,nr accwccnrc man R 0 T" TZ) s Dot P� d 0 `A P e. d A P 4 � A / 4 . A - .�m I p EPT4 FOOTING -"'Q S SO NOT,)FaF-4j—,)1 ,9s Map /4/7 Parcel / O 15 Permit# Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 5 :3 °( 1 1r;Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)T Engineering Dept. (3rd floor) House# SEMC SYS z�'e 19 NISON TOWN OYBARNSTA L R r �`"- ' ;0) Building Permit Application ^°f Projec(Stre—'ddress g Village Owner Address Telephone l"�2� L '� ; 'Permit Request CJ sz! NI 4z First Floor square feet Second Floor square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use '��X VAA',JAA ,��Proposed Use Construction Type Commercial Residential 1� 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 Names e�c gip- 0IV\-At, PLft t_!JJ,,G, , Telephone Number 0 Address License# off a , 01('b , Home Improvement Contractor# Worker's Compensation# � 2a(�7��S ZQ 2,G, 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 7 r- eo O-- C c SIGNATURE (40DATE BUILDING PERMIT DENIED R THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY �PERMIT NO. � 1 d + DATE ISSUED _ t M P/PARCEL NO. ADDRESS VILLAGE � T, - • .. _ -.` �• ---- - , OWNER -, Lj r e DATE OF INSPECTION: FOUNDATION £ �' FRAME INSULATION- . . FIREPLACE- -`ELECTRICAL: ROUGH *,FINAL— ' PLUMBING: (ROUGH FINAL GAS: MUGH;. .:FINAL FINAL BUILDING _ .l71 J DATE CLOSED OUT ASSOCIATION PLAN NO. F TOWN OF BARNSTABLE Permit No. ------------_- Building Inspector Cash ------------ OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... 19............ ..................................................................................................�._m.... Building Inspector _ - FROM r— 1wVVN OF BAR STAB t Mr. Francis Lahteine SUILDI G DEPARTMENT ' Town Clerk - 367-MAIN STREET HYANNIS, MA OM Rhone: 775-1120 SUBJECT: FOLD.HERE 4 ' DATE . January' 4j 1985 MESSAGE r • Work has been comb feted under wilding Permit #26347 {Creative Homes Realty}. 4 Please release Bond.. DATE - {J REPLY 5lGNED Ne7.RM1 ^ RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.' I a fifGHARD �GJ, A. < BAXI"LR �, r Na; 2'4480 , i• ^v L 7- 0 C+4 T/OA/ Ce�:-71V7-2—:r iff l41Z/I - f I,OWIV yE,2E0,(/'COMOL YS W/Thy SCA L / LSO OA7:e 7'-1-lE ;S"/oE.C/ic/E AA1,P SE7-B.4 Ck �EQlii.2EMENTS of T/,/E TowNaF 4"J.-e J, ,9A X TE,e e,t/Y+E ///C TiS//„5' P.C.i4///S .t/oT BASED DN.A�!/ .2EG/STE.2EI� L�/O S!/.�Y6S'b� 0�.45'ETS.SyvJ✓.YS�v� .t/o7' B�'' A�.�,L./C.�/y"�,�,�,4T1 sr��b�r�s��� . OE"TE+P.M/,,l/E A-,;)7- At t,. Assessor's map-and lot number-0/4/7---� THEj Sewage Permit! number �'4 L7.......4`` .. .. �- e�P ♦� s pia 7 �6s �i� t it q -BAUSTAnLE, i L1Y . s i 39 House number .... ... .. .... ....... do ,.a ga �yg g " T O.WN,,' O F BARNS� r A;B1 rBUILDING ��LNSPECTOR e ' ' uild APPLICATION FOR PERMIT TO.....:...B............:.................. ....................:....................................................... :....:'. ; TYPE..OF'CONSTRUCTION...................1^tood. .:Fr:ame... # ..................................................................... Val- d ., 3.................194p. TO THE INSPECTOR OF BUILDINGS:.. #^ ` The undersigned hereby`applies for .a permit acc'ording,`to'the following information: ` Location Lot 20 .Mered_ith :Way Cen'tervi11e� ;Mass . ..... ....... Sin Dwellin ^ Proposed Use ... le......'F. a......mil...Y..................... , ...... ................. .... .::............................................. Zoning District .......RC Fire District'... C, ........................... Name of Owner Creative Homes,.Rea.l.ty: Address ..,1047 Rte :28 'Hyannis , Mass ......................... , Name of Builder Vt.-g ..............:.:.. Address L�`..�!)..�'!t ,. d � '✓t^' ..................... , F , Name of Architect .................................................. ......: ,:Address .....................„.......... Number of Rooms'.................�. .......t.............. ,....::., .:.:.....Foundation �. q . Exterior ...(1-4x4?+�` �f^�C�'� +- Roofing ........ ., .... .. ................ ..... .. �t Floors / z �•,,,.�'?-'�.....�...................................... ........:Interior• .........� .:................................................. >> //�^ y� ......... Heating � ./.... . �li.v'....... :Plumbing, :.... 1 Fireplace Approximate. Cost :!,... ... �......... .Y-.. �,.... ....,. .A. L z✓ ..... Definitive Plan Approved by Planning ,Board-__ ________ :________ ______19__:____. ' Area 1� Att _... . .., d ...... Diagram of. Lot and Building with: Dimensions Fee .... .. �� .SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _r I hereby agree to, conform to all the Rules and Regulations of the Town of Barnstable regarding.the above construction. Name Y.1..... ........... U Construction` Supervisor's License CREATIVE HOPES REALTY Nof 26347..:. Permit for ..One Story............. 3..S4r1gle�..Fanitly..Welling...................... i r Locatiori .. .. .c:..: .. ` K� l.id ......... - { r .. .... .Crean � -• �- •�•' � '� �' � . .: Owner V-4..HQW5.. lty............... 4 R Type o Construction ..Fr'ame........ ................. . ..if. .............. `.... ^............................ Plot ..................... Lot ................. ........ Permit Granted .. April 25. ..............19 84 Dat of Insp ion' ......... /.......19� r Date Complete .....�//. ;... ...1.� t v s