HomeMy WebLinkAbout0878 SHOOTFLYING HILL RD 79
w ,TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel ly Permit#
Health Division G j ' � i ` Date Issued L �
Conservation Division y ��``00 Fee L�
16
Tax Collector ��tom+ /� .
SEPTIC SYSTEM MUST BE
Treasurer . - b [ 0 • INSTALLED IN COMPLIANCE
Planning Dept. WITH TITLE 5
` E NMENTAL CODE AND
Date Definitive Plan Approved by Planning Board - J p/''`�T N REO9,LATE Ol S
Historic-OKH �' Preservation/Hyannis a
Project Street Address Gr1 /
Village Ttr v!
Owner 1 Address
Telephone 7 5—
l3 S
Permit Request � AV 4Ch ��•,
Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new G�rJ
Estimated Project Cost 35 0& "toning District Flood Plain Groundwater Overlay
Construction Type
x
Lot Size Grandfathered: ❑Yes ❑No 'If yes,attach supporting documentation.
yDwelling Type: Single Family.A Two Family ❑ Multi-Family(#units)
Age of Existing Structure U Historic House: ❑Yes 24 On Old King's Highway: ❑Yes .41 o
Basement Type: W Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area•(sq.ft)
Number of Baths: Full:existing new Half: existing new >
. r .
Number of Bedrooms: existing t 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: q existing ❑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 dL
Name le, �� Telephone Number 7•
Address ee License# +�
P Home Improvement Contractor# l0 e� 7 6 '
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE �� 0 Q
• FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED t a
MAP/PARCEL NO: M� � s t .� y `' � '�, ,. '• ., ' ' '; .- _, ', •
ADDRESS _ VILLAGE
OWNER
f ' 'f. .F , � ram^ ' • - � +, _- S •{ s A , v �, � F
DATE OF INSPEC rltd" is
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH ►" ' - FINAL ' t
PLUMBING: ROiI �" _ FINAL
ar c, s E,�. f t• t a1 Ai r `f j
GAS: - 'R0U,�Z, FINAL i r
' m �
FINAL_ BUILDING :
i.
DATE CLOSED OUT
ASSOCIATION PLAN NO. & '
The Commonwealth of Massachusetts
=-ems .
=••� Department of Industrial Accidents
== - Ofceollasesdgatloos
_ 600 Washington Street
- - Boston,Mass 02111
Workers' Cam ensation Iasnrance Affidavit
r :gNOXIM
Q Oq�
name:location 1/'�4/o3 c._.r
hone#
city
❑ I am a homeowner Performing all work mysem
am a sole i� is ac
'�///❑////G/%////////////% ��rietor and have no one working
,°"••',;•"'"",�//O/,�y//G'� �� any hy
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❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contactors listed below who
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as order Seetlon ISA of MGL 152 em lead to the impoaiotl°a of ctfmind penalties ota Sae ap to 51,500.00 and/or
Faflnre to seeme coverage regdred
o�yam,hnptisomnmt�weII ss dud penalties is the form ota STOP WORK ORDER and a t]ne of 5100.00 a day against tne. I IIaderstaad that a
copy of this statement may be forwarded t°tLe Ot�IICe of Iavestl�ti°ns of the DIA for coverage verfflcstion.
1 do hacby certify c pauct a:td penalties afP�J�'that the information provided about is .mid concd
Date
Signature
27
Print name A 101,11 30
�� �6
"Noll 011111
oiicial use only do not write in this area to be completed by city or town official
permitNcense# ❑Budiding Department
city or town: ❑Licensing Boaal
❑Selectmen's Omce
❑checkif immediate response is required ❑Health Department
contact person:
phone#; ❑Other
(tented 9/95 PIN
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°F THE Ape
The Town of Barnstable
&UMSTasM
9� M�; ��� Department of Health Safety and Environmental Services
�Eo +A Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
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:
Q !�t C� Estimated Cost S—G
Address of Work: �1
Owner's Name: / D
Date of Application:
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
❑Owner 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 the a t f the wn .
Date ontractor Name Registration No.
OR
Date Owner's Name
S
g1orms:Affidav
,
07re �ommtoxeuea�If o�✓vCaaaac`tude�a
BOARD-OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number-'CS 062830
E:zpkes-i)8/ W001 Tr.no: 2642
_. _-- — Resfrieted`To: 00
PETER E JOHNSON — _
s 97 BAXTER ROAD.
HYANNIS, BAA 02601' = Administrator '
. . • � GTE�� �.��«�
HONE INPROVENENT CONTRACTOR
Registration: 101185
Expiration: 07/02/2000
Type: Individual .
PETER EDYARD JOHNSON
Peter Johnson
G� �o-7f N18AXTER RO
ADMINISTRATOR HYANNIS Mp 01601
I
y
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10
a
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MAP192 I+o�STAINDARD LEGEND:not all symbols will appear an a map
55 GOLF COURSE FAIRWAY
864 EDGE OF DECIDUOUS TREES
EDGE OF BRUSH
ORCHARD OR NURSERY
--T-V V EDGE OF CONIFEROUS TREES
f MARSH AREA
�'/ •••- EDGE OF WATER
__= DIRT ROAD
MAP 192 tl E-- PDRIVEWAY A
-___-- PAVED ROAD
/ � � -_-- DRAINAGE DITCH
PATH/TRAIL
PARCEL LINE
# 407 xaeno-<----MAP#
0 21--PARCEL NUMBER
#,aso —HOUSE USE NUMBER
�7 2 FOOT CONTOUR LINE
y MIA 2 , ---le-- 10 FOOT CONTOUR LINE
92 ,` Elevation based on NGVD29
���/// _ 4 t ;/a.9 SPOT ELEVATION
Q�L �Q/ � � %•; oc=�o STONEWALL
81 ( (/\ \ -X—X- FENCE
1A 1\ t w e RETAINING WALL
PAIL ROAD TRAIX
STONE JETTY
SWIMMING POOL
PORCH/DECK
__---- -
0 BUILDING/STRUCTURE
-°-�- DOCK/PIER
HYDRANT
e VALVE O MANHOLE
0 POST (D HAG POLE
T O W NI O F D A R N S T A B L E O E O 0 R A P N 1 C 1 N F O R M A T 1. O N S 'Y S T E M S U N I T .a SIGN ® STORM DRAIN
If PRINTI0_�iN FEr!N N T *NOTE:This map Is an enlargement of a **NOTE:The parcel Ines are only graphic representations DATA SOIIRCES:Planimehia(man-made features)were interpreted from 1995 aerial photographs by The James 0 UTILITY POLE
r, 1'=100'scale mop and may NOT meet of properly boundaries They are mot true bwtinr;and W.Sexall Calpany.Topography and v getaft were interpreted tram 19B9 aerial photographs by GEOD ❑ TOWER
w e 1) 20 40 National Ma curacy Standards at this do not represent actual relationships ro physical object Corpomtlon.PlanlmeMq to re plly,and wlletatron wan mapped ro meet National Map Aavmry Standards
110=40 FEFF* enlarprml on the map. or a sale of 1°=100'.Parcell ines were diigil from 2000 Town of Barnstable Assessors tax maps fi LIGHT POLE o ELECTRIC BOX
-H:\Barn\lsh,ea\Sitemaps\M192.dgn Apr. 12,2000 12:25:58
1
Assessor's offioe .Ost floor); p 9C SYSTEM MUST BE
Assessors map and lot number' l nn sir' LLE® IN COMPLIANCE �P o�Twe To�,o
Board of Health.(3rd floor): WITH TITLE 5
Sewage. Permit: number ..................... ��...... t1' k 3
J I ENTAL CODE APO = BAB.a97'ADLE, i
/� MM6
EngineennB3e�artmernt (3rd floor): �/ v;;. �� E����ICS 'oo i639• \0�
House number ..F-7... ......... .. .... �e r a.
YP
APPLICATION$'Pli: ROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR /
APPLICATION FOR PERMIT TO .... U ( /. ........PQo.f..................................................
TYPE OF CONSTRUCTION .......... ..........4rA4 ........... . ......................................................
....................1 .. :.. 191
TO THE INSPECTOR OF BUILDINGS:
c
The undersigned hereby applies for a permit cording 4o the follo inch informati
Location ....�-?s.......... .. ..... ... ... .... :... .... ..... ��.
. .... . .......
ProposedUse ............................................................ ............'......................................................................................................
Zoning District A.-D.1......... ....., ..............Fire District !............,..l ........
Name of Owner��.�.L p/ ...�••u. L/...........................Address M.... .r�.�l.. /�!v4C..... .....� ...f
Name of Builder
(...!.../ .. ..... Address . ....... .....
Nameof Architect ...........................................:......................Address .................................................:.. .................................
Numberof Rooms ..................................................................Foundation ......................................................................:.......
Exlerior ............................... ...................................................Roofing ....................................................................................
Floors ............................... ..................................................Interior ............,.......................................................................
r
Heating .............. .........::..........................Plumbing ................... _
.....................................................
Fireplace ..........................` .................:..................................Approximate Cost .......... e
.... "... .1�..D.......Q.0...................
Definitive Plan Approved by Planning Board --------------------------------19-------- . Area .../........!.. ..36 .. ........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
C
1 �
I
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.
......................
Construction Supervisor's license .��. .,.;.?.u......
KEOPP, CAROL
No 3Q939 Permit for
Accessory to Dwelling
......................................................................... f Y
Location 878 Shoot Flying Hill Road
........................................
Centerville
..............................................................I................
Owner Carol Ke op p
............................................................Type of Construction ................Frame...... ...................
.................. ........................................................
Plot............................. Lot ................................
Permit 'Grand ......OA!Y l ..e 9 87
Date of Inspection ............................
Date Completed ......................................19
o ;.I
Assessor's offioe .(1st flodO:
FT MET
Assessor's mop and lot number't..� ..,.. ...d 5..... ...K'. Quo o�♦
Board of Health (3fa floor): fO�
ICE i
Sewage .P,ermit,.. number ......�.... ...:..�-7.. .........:.....:."�. �ti�/ S
f MABISTADLE
Engineerl )g ,teRartm�nt (3rd floor): /l z �a
MAX&
House nY�nber '`� �.yJ � i6}9• \e�
APPLICATIONS''`0R'OCESSED 8:30-9:30 A.M.r and 1:00-2:00 P.M. only
TOWN-._,OF BARNSTABLE w�
BUILDING INSPECTOR
j�
Poo,APPLICATION FOR PERMIT TO .... . ..[l.l:�d/............ .............................................................................
TYPE OF CONSTRUCTION ...........1.:.. .... . ...:..............
.... �v ............. ......................................................
•. ... .................... ._.........19- -�
TO THE INSPECTOR OF BUILDINGS:
o i
The undersigned hereby appli s for a permit a cording ,to the foll ing informatio?
Location ....Z2_7c� 1...... .. ... ...... . ...... ..... ...... . ... ...l.............�."..,�,. ..........
F... t✓/
ProposedUse ....................................... ......................................................................................................
ZoningDistrict
J`
.�..........................�.�...�G..�. ..............Fire District .. 9-0
........�+. ..............................
Name of 0wner.r� ... �r . ...........................Address �/�� v. 7 !!l l.`,1 fir'.!C!J...,... .... ..
, �z
Name of 1B-urlder ': `c%./..�= �< Address .... 4 :1.� ...
Nameof Architect •........::.........................................................Address ..............................................:.....................................
Numrber-of Roo� ms
..
Exlerior ..........'...... Roofing _
.. ............................................ .....
I Floors �. .�-...:. Interior
4 ................. ....... ........ ....................................................................................
Heating ......................................................... .. ...Plumbing ,
Fireplace Approximate Cost
..h. .
Definitive Plan Approved by Planning Board _______________________________19-------- . Area /`� X 3d
....................C ................
Diagram of Lot and Building with 'Dimensions Fee .... ...............................:
SUBJECT TO APPROVAL OF BOARD' OF HEALTH
ou
� y
OCCUPANCY PERMITS REQUIRED`�% N� JDWELLINGS
I hereby agree to conform -to all the! ules an,d, Reguatiotns of t Town of Barnstable regarding the above t
construction. r
c 0
Namec \ .... .li,...r. . . .. a,.. 1.r. ...........
'Colfistruc ibn� upper v,sor's License �.1.. .:
KEOPP, CAROL A=192-045
No 30939 Permit for ..; Kimming Pool
Accessory to.,.Dwelling.„.,. ,
Location .....87.8...Shoot„Flying_..Hi11...Road
Centerville
Owner ...Carol...Keop.p..................................
Type of Construction .....F cast.Q.......................
Plot ............................ Lot ................................
Permit Granted .....JulX 1 ,................19 87
Date of Inspection ........................:............19
Date Completed ......................................19 l
_ 1
r
e is Offi f Parcel Permit#.
Date Issued
��a�lth (Zrr� floor) , at 0 U
oorl(8.15 -.9:30%1:00-4•d5� Fee
l J Engineering Dept.(3rd floor) House#
' - • :. BARNSTABLE.
MASS.
, rE0 MAC�
r
TOWN OE BARNSTABLE _ I, t ,N'�
Building Permit Application
4etreedress
Village C W n.At?. w
.,Owner 'LCrb\ ('•t'cj YYi%5�,� Address SGWYiQ�
Telephone
Permit Request Q,"C-cb�
First Floor square feet
Second Floor square feet
Estimated Project Cost $ a
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House kf O Unfinished
Old King's Highway d
Number of Baths No.of Bedrooms
Total Room Count(not including baths) =6- First Floor
Heat Type and Fuel IV::� Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name Z., �� Se� Telephone Number,rU
Address p -, lU License# d G3 4`-�S,7
/ Home Improvement Contractor#
<�o, Worker's Compensation# 7 c;3 142,
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)
FOR OFFICIAL USE ONLY
PERM NO_
SU r
DAL
MAP/ AR L NO.
DR•SS - a VILLAGE Lq -
OWNS'
DATE F IN PECTION:
FOUN ATION
FRAME' —
INSULATION
FIREPLACE . � r
ELECTRICAL: ROUGH OTINAL f t
i
t' e
PLUMBING: ROUGH NAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT k { d $
ASSOCIATION PLAN NO.
r i
,
The Town of Barnstable
' 9,S Department.of Health Safety and Environmental Services
616� Building Division
367 Main Strut,Hyannis MA 02601
Ralph Crosser
Office: 508 790-6227 Building Commissions
Fax 508 775-3344
For office use only
Permit no.
Date
AFFIDAVIT T
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MC k 142A ieqtt ures that the ftn=. nstrucdon,alteratirons,r- mlion,rCpW,m on,W11VCM0r4
red
improvement,.n=o%-4 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: //.��
Est. Cost
XE
Address of Work: �`�
Qaner.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
Omer pulling own permit
Notice is hereby given that: ONACTORS
GISTEFtED
MP
OWNERS PULLING THEIR OWN PERMIT OR DEALING
DO NOTEHAACCESSCONTRA THE
FOR APPLICABLE HOME IMPROVEMENT' WORK
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for permit as the agent of the owner. :
Date Regis
Contractor name Registration No.
OR '
Owners mate .
The Conum01114'eahh of Alassachusetty '
Department of htdustrial Accidents
:3 �. -��• � office ol/osestlgalfells
600 11 asbitr;;ton Street
tt 4; 46
' Boston,Alas. 02111
Workers' Compensation Insurance Affidavit
nlsant information• PIeA�e PRINT-legibly �'�'
name•
to •ttion-
city nhone#
0 1 am a homeowner performing all work myself.
0 1 am a sole proprietor and have no one working in any capacity
0 1 am an emplover providing workers' compensation for my employees working on this job.
comanny name,
address: L�:;_�.• .. ---
may nhone#:
incur•tnce co RhlicL#
,Jgam a sole propriet eral contrac o r homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
comlinn n ®:.
addres
D
nhone,
�u _Sc Co. i �h �G �c> 7t3a3
c6inyany name: —
address:
city phone#:
incur•nice co policy# _
;Attach additidnal Sheet if nee ;-: s»: _'f.�-"y"+_+c 4FF-`�' ::"`c';w.r "^ ��—.M
I.Hurcto secure coverage as required under Section 25A of n9G;,1S:c:a ieau to Ze iirul•.a+sbtion of crimiaai pea$aies of a ime u�to ai.500.or and/or
one rears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a
copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification.
I�Sianature
do herebr cerdfj•under the airs and penalties ojpeljuq•that else injornwtion provided above is true and correct
a/ y u ✓Date
/Print name v Phone# T�
ofrid2l use only do not write in this area to be completed by city or town official
city or town: permit/license# nBuilding Department
�L.icensing Board
0 check if immediate response is required 13Selectmen's Office
Health Department
contact person: phone#; nUther r
..T..,.,,.,...... ,
( ued 3.h5 P1A)
1
/ee �iovvnzoozcuealC/ o�,i�laa:,ac/uuteCZa �
Restricted To: 90
J
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE 90 - None
Number: Expires:
1G - 1 & 2 Family Homes 'Y
Restricted Tac 00 Failure to possess a current edition of the
Massachusetts State Buiilding Code
RONALD L ALE%AHDEA is ca a for revacatia of this license.
Wuuonn r. ">. , DEBORAH DOANE
cck. EASTHAi{, y4 02642
I
J The Town of Barnstable
BARMANKAS& , Department of Health Safety and Environmental Services
1659.
t BuiIding Division
367 Main Street,Hyannis MA 02601
Office: 508 790-6227 Ralph Crosses
Fax~ 508 775-3344 Building Commissiai
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 say pn�iag 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: Est Cost
Address of Work:
0wrter.Name: a
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
BuiIding not owner-occupied
Owner pulling own permit
Notice is hembv green that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH L9NREGI�EIIED 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 hcmby apply for a permit as the agent of the Darren.
Date Contractor name Registration No.
OR
10. 4ff
_ llamrr's name �, ,