HomeMy WebLinkAbout0057 SUMMERBELL AVENUEIlr6 S :
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TOWN OF BARNSTA.BLE.BUILDING PERMIT APPLICATION
Map W,_: Parcel Application#
Health Division Date Issued lo dr
Conservation Division Application Fee 1`� •�
Tax Collector Permit Fee 1!�
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address .57 SV0A1KVZ%MLL Aug
Village CT1 IGVALLLZ- / tZ„a sTA�t.0
Owner KICAAAPLi C MW 'PtU3eqZ Address 4 CN'C"Vakocr LIV . VUALfA�t.E .
Telephone
Permit Request VEs9%#J& C— '1?Ac6• "'/ MW Cb�AfLSK«tC,i�
Scam►-eoom AooV*Ttou jUSTku Z)V)e 2KZ VJ I JA004 iAJ N,aI.F Biz N
CA
Square Square feet: 1 st floor:existing I WO proposed ZDa 2ndAeerreMing proposed =Total new-' Zo$
Zoning District Flood Plain Groundwater Overlay �- ' SC�e:en ,Fbac.El
Project Valuation ®�► Construction Type WC00'FQAAkG
Lot Size Grandfathered: ❑Yes' ❑No, If yes, attach'supporting documentation.
f2
Dwelling Type: Single Family ZTwo Family ❑ Multi-Family(#units) '
Age of Existing Structure .3J'+�QS. Historic House: ❑Yes Lit O On Old King's Highway: ❑Yes WIO
Basement Type: ®'Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) C7 Basement Unfinished Area(sq.ft) (OCO
Number of Baths: Full:existing new — Half:existing 1 new
Number of Bedrooms: existing y new
Total Room Count(not including baths):existing b new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other PO
Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Yes [B�fVo
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_A thor' tion ❑ Appeal# Recorded❑
}_
Commercial ❑Yes CO - If yes, site plan review# -
Current Use S'UM,MA, Proposed Use S%3eA fie.
BUILDER INFORMATION d
Name C��S�oNS Tele hone Number �b- �^� rl'�Q ZQ
p 2b 1
Address 12 Ut O A CI�C',Lts License# 05A376
`'"Y%kSotzl' MA. gCLAq Home Improvement Contractor# b
Worker's Compensation#
ALL CONSTRUCTIM DEBRIS ESU=HIS PROJECT WILL BE TAKEN TO��cS��•L�
SIGNATURE DATE Q "0-7
i
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL N0. rs -
., ADDRESS , -. • . '
VILLAGE
OWNER
' DATE OF INSPECTION:
FOUNDATION - w
`v
FRAME ?2 014
�_
w ,
INSULATION '
FIREPLACE
ELECTRICAL: ROUGH FINAL
' PLUMBING: ROUGH FINAL', '
} GAS: ROUGH FINAL =
FINAL BUILDING '
y' DATE CLOSED OUT
ASSOCIATION PLAN NO.
l
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111 .
www.rnass.gov/dia
Workers"Compensation Insurance.Affidavit •Builders/Contractors/Electricians/PIumbers
Applicant Information Please Print Le 'bl
Name(Business/Organization/Individual):. 'Et��SlO�S
•Address:
City/State/Zip: Phone.#:
Are you an employer? Check the appropriate box: -Type of project(required):
1.❑ I am over with 4. 0 I am a general contractor and I
loyees(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 g• []Demolition
working for me in any capacity. employees and have workers'
[No workers comp. insurance
co insurance.$' 9 �]Building addition
required.] 5. We are a corporation and its 10.0 Electrical repairs or additions
'3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL '12.❑Roof repairs
insurance,required.] t c. 152, §1(4),and we have no
employees. [No workers' A3.0 Other
comp. insurance required.] ,
*Any applicant that checks box#1 must also fli 1 out the section belowshowing their wgrkers'compensation policy information.
t Homeowner;who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such.
�Cdntractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or notthose entities have
employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. ,
I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site
information. '
Insurance Company Name:
Policy#or Self-ins,Lic.M Expiration Date:
Job Site Address: 'City/State/Zip-
Attach a copy of the workers' coipensation policy declaration page(showing the policy number and expiration date),
Failure.to secure coverage as re fed der Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 d/or one- ar riso= nt, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a ag ' t e vi tor. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of or' ef—aye verification.
16 hereby ce fy.cnd r a a d penalties of perjury that the information provided above is true and correct:
Sienature: r Date: - "0 7
Phone# �0�`
Official use only. Do not write in this area,'tb be completed by city or town o�ciaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
EtO`'�L Town-of Barnstable
Regulatory Services
* zmwswm Thomas F.Geiler,Director
MAM ,,�7��„„
ib39• B1ffldiUgr.)D1VIS1Un
plED MA'S� -
Tom Perry,Building Commissioner
200 Main Street; Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-7.90-6230
Peimitno.
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 foitr dwelling units or to strictures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. r*
C ,V �odM IQo2tNA00r nag . V
Type of Work: C Q UO+ �L�CT G1 L Estimated Cost o O .
Address of Work �$0o(m&k&.LL AVM
• Owner's Name•
Date of Application: Q'3"0 7
I hereby certify that.
Registration is not required for the following reas on(s):
[]Work excluded by law
[]Job Under$1,000 *'
[]Building not owner-occupied'
❑Owner.pulling own permit
Notice is hereby given that:
OWNERS PtTL MG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVENtiff 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 p 't as the,agent of the owner:
q"5-u 7 .010,SA& TXV�l Vqol
Date Contractor Name Registration No.
OR
Date Owner's Name
tioF >�,y Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
39- Building Division,
TomPerry, Building Commissioner
200 Main Street, Hyaunis,MA 02601
www.town.barnstable..ma.us
Office: 508-862-403 8 Fax: 508-790-62 3 0
Properly Owner Must
Complete and Sig
n. This Se� g , coon
If Using ABuilder
as Owner of the subjectproperty
• J
herebyauthorize to act on my behalf,
in all matters relative to work authorized by this Molding perMit application for: .
S-7 Sv A Aj c
(Address of Job)
-07.
S, atnre of Owner Date
Print Name
QF0P W-s:0WNEUERMISSION
PLANS.. 332/23 & 241,149
LA1VD COURT PLANS' %o
121I4-B & 14323-8 �� A
NN
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RES. ZONE. h'C" This
MORTGAGE INSPECTION Bank lUse�Only, FLOOD ZONE
THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY.
TOWN: _CEN 'CR- LE___-_____ REGISTRY OWNER: _JOHN J_& M. LEE H_EALY__=_______
DEED REF: _CERT_73014_-_____ BUYER: _MICHAEL_F_ & KATHLEEN R_POWER _ ______
DATE: 8� 00_ - __-__ PLAN REF: SE_E_A_BO_ SCALE:I"= _30 FT
I HEREBY CERTIFY TO ARDITO SWEENEY STU,SSE ____ �MOf YANKEE SURVEY
_R_0_B_E_RT_S_0_N & D_U_P_U_�__C._____THAT. THE BUILDING '
SHOWN ON THIS PLAN -IS LOCATED ON THE GROUND AS PMUL CONSULTANTS
SHOWN AND THAT ITS POSITION DOES ___ CONFORM A.
TO ,THE ZONING LAW SETBACK REQUIREMENTS OF THE MfRffllplM 40B (SUITE 1)
TOWN OF ___BARNSTABLE_____________ INDUSTRY ROAD
AND THAT
IT DOES_ NOT LIE WITHIN THE SPECIAL FLOOD HAZARD MARSTONS MILLS, MA. 02648
AREA AS SHOWN ON THE H.U.D. MAP DATED_2�X2/9 TEL: 428-0055
_Co _ it -Panel '_2 0001_0011-D _ _ FAX: 420-5553
_ _) THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY �129247 L�II
P A. ERITHEW PLS NOT TO BE USED FOR FENCES, BUILDING PERMITS, ETC.
� � .._ .,,_"�� fie �o�remaizcvea/,l/'a�✓Glaaaac�u�aetla
toard of Building Regulations and Standards
rl;onstruction Supervisor License
Licenses,CS 68376
Birthdate t8%a 9/1959
-Expiration 8/19/2009. Trlt 3616
Rjest�cUon
DAVID P SHASTANY-�-,
12 VISTA CIR
MASHPEE,MA 02649 Commissioner j
(� oar�=
NO Ora
ated
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.57 SUA.AUZ'-?-,eLL C R-4-07
BUILDING&RENOVATIONS
(508)428-9929
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AM&ONS
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BUILDING&RENOVATIONS
(508)428-9929
,-.,r �, _ ,.� -�. f`..r ��..�,•y-,. ,;.t.....� ,p .-oi;, ' ....ri;...r+i 2 J-s;.��/` �/�_•�. , � "�.-Y"�`Yr-.:. �tom.-_ �. ..-.----
f ,
Assessor's map and lot number .................
cF TNF To
Sewage Permit number ..Ql{/..
Z SAHd9TADLE, i
House number ...................... ' 9 MA8&
.....1.................. �p 1639 ♦�
6 ..
i�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... - : :`. .: ......: . .c; ✓ ....................................................................
TYPEOF'CONSTRUCTION ...................................:.................................................... . ..........................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .................... ... �,, ... L � ............ �.... ...
ProposedUse .......................... .............. ........................................................................................................................
ZoningDistrict ... ............ ............................ ... ....,..........Fire District ...................................... ....................................
Nameof Owner , ... ... ...� .: ,t; 1� v Address .........I..........................................................................
Nameof Builder ...............f�. . ..................................Address ....................................................................................
Nameof Architect ............... ..............................................Address .................................................. ..............................
Number of Rooms ..................................................................Foundation
Exterior ....................................................................................Roofing ....................................................................................
Floors .................................................................Interior ....................................................................................
Heating ................................`......................................:...........Plumbing ..................................................................................
'AFireplace ......................... ....................................................Approximate Cost . .0), .- .................................. h?
Definitive Plan Approved by Planning Board
--------------------------------19--------. Area A
..........l.. f
Diagram of Lot and Building with Dimensions Feed
SUBJECT TO APPROVAL CQF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . .. �..�.-�.—�,,M ...�,:0.:..,,.... .............
- -T
HEALY, JOHN J. & M. A=226-42
lop(
No 23111:+ Permit for A D••TION
ADD TO DBK..................... . ............
.................. .....
Location ..s4�illt'�e �7... �.Y.�t1L1�...
................ ....�w�,;,../. 4 ........
- r• .
Owner .....4?.Q ri.:.� ,....bc..M.....�Ieal ..............
Type of Construction ....F.rame........................
Plot ............................ Lot ...............................
i .
Permit Granted Mai 13{........19 81
Date of Inspection ....................................19
Date Completed ....................19
PERMIT RE SED
.........................................
..................................... ..................... 19
.................................. ........................................... .
r
...............................................................................
......... --f.: --.............................. . _
Approved .......:........................................ 19
...............................................................................
:.
Assessor's map and lot`number, ,' ........... - •- � �` .�., �. '' ~'® `
s i s�Gtr� FYI ST P ��THE
T�I�
Sewage Permit number
a
' Z BAWSTADLE, i
House number WITH TITS 9:.................................................................... ENVIRONMENT —�; oo 1639 ♦�
g.,, .. . 'EO NAB a\
F,
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO :....'»Q.. C.....................
TYPE OF CONSTRUCTION .. . . ........ .......
.. ..1...::.. .....
...19... !
TO THE INSPECTOR OF BUILDINGS:
The' undersigned hereby applies for a permit according to the follow' g ,information: r `
Location ................. :.`. .... �r.. ..C.. C :`���e� .��. :C'............. , / � Y� k:...
ProposedUse ............. .................................................:...............................................I.........................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ,.•+, .N�n,ejFNs'p,�\—AAddress ............... ...............................................................
Name ,of Builder ................ ass......................................:.Address ....................................................................................
Name of Architect ......................................... '.Address
Number of Rooms ..................................................................Foundation ..............................................................................
Exierior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interiorr ....................................................................................
J.
T ' `A6-a—i ng-x�` ..-77'*-.`;:: ...:. `......: ;......... PCumbJng ..{ .. ..... ....... .................:...... ............. ..
....
J Fireplace ..................................................................................Approximate Cost . . ... ...... ../..(
Definitive Plan Approved by Planning Board ____________________ v�d • -r'
- 19 ---. Area .......................
�0
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. _
.
HEALY, JGH 1 J. & M. �!..
�No Permit for ............. R
.......... TQ...DE1ZK........................................
locatio . ...Surun.. rbe1.l...A,ueA•ue.............. s .
171
.............................................. ...
' John J. _
Owner .................... & P1. Heal.......................y................ _
r ti �
Type of 'Construction .......Frame.. ..................
�P.lot ............................ Lot ................................ R
"�PermitGranted May .1.3'.. ...?l9
Date of•Ins ection
Date leted Com �.;1:9
p --
PERMIT REFUSED
. '19
.. ..............
ri
......................................................... `
..... :. ............................................................... k;
VD
Approved '19 �
............................................................................... ��
..................... .................................................. f
. 1
I HEREBY CERTIFY THAT THE EXISTING STRUCTURES
SHOWN HEREON WERE LOCATED BY'AN INSTRUMENT
1
SURVEY ON OCTOBER 1 9TH, 20071 AND EXI5T ON
THE GROUND AS SHOWN.
VINE AVENUE STONE BOUND (held)
Q�
e
N45°30'001W I 1
1 0.00'
N44030'00"E N44030'00"E
1 5.00'
30.00' 00M12'
00' —j
N
cn EXI5TI NG
1 I 1 2" DIA.
I I _ Qn 50NO
O w TUBES (typ.)
O N — O O
m - O a
10 O N
PROPOSED
z I AP N 2 2 6-04 2 v ADDITION CB/DISC (held)
I+ .
/I5.00' 30.00' 90.00, - j
544°30100'W
,5-r)` SUMMERBELL AVENUE
ASR
V U LT JOB No.: 07233
IN DATE: 220CT07
GRAPHIC SCALE BARNSTABLE, MA55ACH U5ETTS SCALE: I" = 30'
30' 0' 15' 30' Go' r PREPARED FOR
REVISIONS, INC. . .,
( IN FEET)
I" = 30' hood Survey group, Ilc
land surveyors - engineers �
18 route Ga - Sandwich, ma
Ph: (508) 888-1 000 Fax: (505) 833-52 12 22 Q V
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