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Home My WebLink About0065 THREE PONDS DRIVE ACTIVE TOWN'OF BARNSTABLE BUILDING PERMIT APPLICATION �1 r y Map_ .,,Parcel Permit# 7 Q a Heaf#-BtYision Date Issued Conservation Division Fee Tax Collector Treasurer P +- Sept. Date Definitive Plan Approved by Planning Board E His w4&-9*+-I Prewar i�r�is Project Street Address 69 5 Village Owner (� 1 1 V y (�' )l� # Address 3�0 aw a y//fie Dd( Telephone Permit Request i A!Gz lel�!' - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation c21 (o 4. Zoning District Flood Plain Groundwater Overlay Construction Type �J Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family �U/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3 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 O o If yes, site plan review# Current Use Proposed Use r BUILDER INFORMATION Name 04�I a ' cat-��--• Telephone Number h Address /6 leiJ i0W A-1 4 , License# ��d 1-2 7 C-r Home Improvement Contractor# Worker's Compensation# LO Q-I?qq to LO/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C M"i[? ./t k4zc�,_c SIGNATURE _ �� DATE 0 Ln FOR OFFICIAL USE ONLY PERMIT`NO. DATE ISSUED S TJ MAP/PARCEL NO. ADDRESS r ';VILLAGE * OWNER- DATE OF INSPECTION` FOUNDATION , FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL m GAS: ROUGH FINAL F FINAL BUILDING - v y65 � C DATE CLOSED OUT _ ASSOCIATION PLAN NO. The Town of Barnstable 41 9� � Department of Health Safety and Environmental Services '°ram, ► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 i Building Commissioner Permit no. f t 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 buildin&be done by registered contractors,with certain exceptions,along with other , requirements. 1 Type of Work: l Estimated Cost L,16 �l /I�l�n Address of Work: (Y s �� 1-�1'laS Z)�ly� Owner's Name: (y� mC mL1 hdYl Date of Application: l f ht 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 agent of the owner/0&0 - Date C O M1E tractor Name Registration No. OR Date Owner's-Name q:forms:Affidav l The Commonwealth of Massachusetts Department of Industrial Accidents 4 -- ofliceo//nyest/gaUoos - 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit §: nam - C location- city j Y;919 d-Z-6-3m2 phone# 2 / 5 J lYc)3 I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name: �a� ��ez t .�`�niPlzv yi! pyw T city:_ C O%L 'r, Ai (o3 15' phone# l�� r insarantx>co 6�R+�ii�T S' policy# O I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who h;:,:- the following workers'compensation polices: c4mnanv-name: address:. ciw phone.#.: Insacantx cos,: < ::. policy# comnanymame. address. city: phone# insnrantzsv: policy# Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 andm? one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepains and penalties of perjury that the information provided above is true and correct Signature Q Dw�p �, �CLg Q Date L U� Print name ' �lC"Irle L� KL V• AS0 H, L I�- dr— C.htr Phone# Fcontact ly. do not write in this area to be completed by city or town official permit/license.# r'1 Building Department t�; oLiccnsing Board mediate response is required Selectmen's Orrice r Health Department : n: phone#; rlOther (mimed 1/95 P1A) . - i :! � n sw.•.v t 4 NONE IMPROVEMENT CONTRACTOR iRegistration: i r I0074Or I BOARD OF BUILDING REGULATIONS Expiration: 6/?3/0? License CONSTRUCTION SUPERVISOR 1 Type: C " + Number CS 057032 Private Corporatio �. §V; G� aY _ a CAPIZII HONE IMPROVEMENT, Thom Ca izzi I Expires Q9/26!,Z, Tr.°no: $742 i ADMINISTR-L I64S N2YtOD Rli,Coluit r S(. a- RestricedaTo:"00. �I MA THOM 02635 AS X CAP12�Z1:JR 280'PERCIVAL DR: .' d W'B.ARNSTABLE, MA 02068 Administrator {t oo��BOARD OF�ING REGULATIONS `"'� :JIiQ aon�na DEPARTMENT OF PUBLIC SAFETY License: CONSTRUCTION SUPERVISOR Number: CS 007454 t u r4' CONSTRUCTION SUPERVISOR L"ICENSE - Number Expires," i I ` ReStrtCted 1os Restricted To:-00 } I CAPIZII • �' I THOMAS FREDER1(,k V RASCN III I 1645 NEWTOWN RD 0 °* i166@ BOURNElOI COTUIT, MA 02635 Administrator PLYMOUTH, NA 02360 j I pa �.. .� -- t TOWN OF BARNSTABLE 20u i Y. Permit No. _---------- { Building Inspector Cash , »afeTw 7 �FD Y0.Y OCCUPANCY PERMIT Bond -_-------------_ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Suffolk Realty Trust Address Box 308, Centerville, MA ,+ .,.:gin tc *•f, �� r,- D. (,enteY""��.� Wiring Inspector Inspection date ' Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. .....................................................7 19......_- .................................................................................................................. Building Inspector Assessor's map and lot-number .� „. Xelz" 0 I.. *THEr0� , Sewage Permit number �,f SEPTIC SYSTEM BE ............... 1.. ....:......................... MUST INSTALLED IN COMPLIANCE2 33A"STADLE, H ARTICLE House number ................. ......................................... SANITARY A COD II STATE 9oc "639: ' RE�lJL E AND TOWN aMaY°'' TOWN' ''OF B�A,RNSoAsBLE BUILDING JAS' PECTOR APPLICATION FOR PERMIT TO .........Suffolk Realty Trust TYPE OF CONSTRUCTION .......Single..fame.ly...R sideatia.1...........................................................:. October 11 , 1978 19 JO .THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...LOt..# 38 Three Ponds Drive Centerville,,,,,Mass0,chu; Q; 115........9•2(3.2......,,•„••,,,, ...... ........................................................................... .... Proposed Use ....single...family residential :.......................... Zoning District ..sin.1,e.,,family•.re..... :n ial•••Fire District ................... Suffolk Realt Trust Name of Owner .....................................................................Address ...P...Q......aox..aC.S......G ant P..z'minP, -..MA.... Nameof Builder ...........Same..............................................Address .................SF.Me......................................................... Nameof Architect ..................................................................Address .................:.................................................................. Number of Rooms .......Seven..............................................Foundation ......PS�ar. d...C.QZ1cret.e................... .. .............. Exierior .... e „s)jingle .••••••.......•.....,••• •.. .••• •...... Roofing ......... halt•..shingl•es•••,•,•••,....................... Floors carpeting over underlayment •••,Interior ......skim-coat plaster„ ............................................. ..... Heating forced hot water oi .... ...b plumbing ..............pvc ........................................ Fireplace brick and block •,••,•.,•,,,.•Approximate Cost 35,,,OQO,00••... ............ ..... ................. ...... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .........13.oa.g......f.t.... Diagram of Lot and Building with Dimensions fee .. ................... ................:........ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 � '°16.1 I hereby agree to conform to all the Rules and Regu ationbf the Town f Barnstable regarding the above construction. Name ...... 0 ....f .............. Si# Realty Trust No ..... Permit for ........?,2e story ....................... single family dwelling ............................................................... Location ..........65 Three Ponds Drive ...................................................... Centerville ............................................................................... Owner ............Suffolk Realty Trust....................... Type of Construction ....................frame ...................... ................................................................... 'Plot ............................ Lot .........jQ.Q................ F4rmit Granted .....oetoblar---16.............19 78 Date of Inspection ...... --19 Date Completed 4A J 9 z4r PERMIT REFUSED .................................I............... ..... ........................................................................... ................................................................................ ......................... .................................................. Approved ................................................. 19 ............................................................................... ................... ............................................................ Assessor's map and lot number, .� . —''..'. ' c ...............w< C9. (}f f��,j/ / _ / �'!-r / fJ ' fyoF THE . .�' Sewage Permit number .....C......................,.............................. SARIST11DLE, i House nu rhea '.:.................................................... 9 �p 1639. Ir up( TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........Su"folk _fealty Trust ........... ............................................ TYPE OF CONSTRUCTION ...... Z nrr 7 c... ?m; 1 v...1 rsp; A�n i-;.c`:.1............................................................. October 11 , 1978 19........ TO THE INSPECTOR OF BUILDINGS: I The undersigned hereby applies for a permit according to the following information: Location ...1,0_ -;- �...'.'hree !• onds 1�rive C entervillp. s..;4`-q Ar1ij1cattc 07f' �7 ProposedUse ....�i•nale...Lam lv resident �;..l.....................................,..........................................................:..... Zoning District ..single amily .V.-S.►.den.t. ,a 1. Fire District ( c?nf:Ar�ri 1 P_nC A,-tr; 1 �••.••..••........••• Name of Owner 5u: folk - ealty Trust Address �' �� Rn,r �C1 ror,# or�T, 1 o 10A ................ . Name of Builder same .............••....,•••.•.Address came .......................................... ................:................................................................... Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ................. �.............�� et�Ve11..............................................Foundation .....??n��rn r~nrr•............................................. Exlerior ...cF daC s..1lnales Roofing asphalt shinales ............................................................... .................................................................................... carnet ..ng over underlayment Interior ......skim-coat Dlaster Floors ........................................................................ .................................................................... Heating t� }Yc.t �:��lte.r by ui.l g nvr_ ....Plumbin .................................................................................. Fireplace o..n.e.....b...1...C..c...�.:..........................................Approximate Cost ...... 0 .................................... Definitive Plan Approved by Planning Board ________________________________19--------. Area t '1m czrr t.:.. Diagram of Lot and Building with Dimensions Fee .......................... �Q ..... :.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH C . ASS ' ' '� j r r �I U w I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above- construction. r- 1 Name ........l . ...................... ..... .. .. I - 20675 one ot No -----.. Permit for -------...�.�--. sin " ;� family dwelling � .....................~�................................................... Location —..��..Tbree .Pnodo^Drive____. Centerville —'-------'-------'----------' Owner --D—uf�oIk B I � Tr—uat—---------..�.—� -- — . Type of Construction -----�rame--------- � ^ Plot Permit Granted ......Q---bo-�ex..1.6......19 78 � PEI IT REFUSED ` ----~ . ............................................ ' ' ' ------1~ ....................... .-~ .'. �'�'�'. --^~—~---^—~^~^'—'—~—^^'—^^--Approved —"~' ................................................ l9 - � -------'-----~'-^--^~---^'—'-- � ----'----'--^'-----^^—~~~—^^^'~' ` � �