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HomeMy WebLinkAbout0074 THREE PONDS DRIVE f7Y T)ztzz Pe,�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` Map 17-3 Parcel Permit# ' I r Health Division .e`'7` " !ie�, Date Issued a( Conservation ion Fee ivi Tax Collector L/ll(��y ASEPTIC SYSTEM MUST 6E �� 1��1 -Q j INSTALLED IN COMPLIANCE Treasurer. WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AID® TOWN REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis , Project Street,Address /% Village Owner V, &KM11L/M ,11d I MI-Y , (X4X5 Address 1�/0r/D(r? XK 'k✓fLa_-SL£ / 9 Telephone C-79-1 ;k 3S_ 7 oZ0141513 y�aZ Permit Request 6Qf�L�CE s/Dg� cG 5;P11z/6 ES, "A'.fCE f�/•r/DDwS t�r���¢�D�,�}"f.� lv.r/POwS `z/yJd 1�£ Uti DD�J v- � 0� k/!T P. 7, ) 74 o!! Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project CosP35lbaD. Zoning District Flood Plain Groundwater Overlay Construction Type�h Lot Size 93/ 73� 5 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure do Historic House: ❑Yes XNo On Old King's Highway: ❑Yes Alo Basement Type: ❑Full ElCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) / c� Basement Unfinished Area(sq.ft) co Number of Baths:, Full:existing ✓ new Half:existing new D 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 I/r New 0 Existing wood/coal stove: ❑Yes Apo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing _❑new size Shed:❑existing ❑new size Other: W£6X f X/5f1416BP0? 5/1-E " '?LJJVd L"4e&JAO Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ygc�d � X�p Commercial ❑Yes No If yes,site plan review# Current Use /,�/�G� �� /G Proposed Use BUILDER INFORMATION Name b'kL)6#L4X1 AIC_ ; -�J55UY O26U6"lephone Number d?` Address o2 /9�0�� 56a.° T" License# OJ6(K--) � lC 1yf- 0d&t1,6 Home Improvement Contractor# ®® J Worker's Compensation# �'C g 63`1 � el_ c v - y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S - :r_& �il SIGNATURE DATE T FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED- MAP/PARCEL NO. r �. � e�"� i I`.n « !,' , • .. -r .l C _ .' :k a •• ` � ADDRESS .•r "` s,YILLAGE OWNER Zap DATE OF INSP.ECTIQI: 1, r FOUNDATION FRAME INSULATION -, �1 r• 3 - .• -#� J FIREPLACE ' .. .i - ,� - _• _;� -. .. ,.. - . ELECTRICAL: ROUGH FINAL { , PLUMBING: ROUGH'' ° FINAL i. r GAS: Y ROUGH .' FINAL FINAL BUILDING ' DATE CLOSED-OUT ASSOCIATION?LAN NO. BA8i�187'A13LTi Department of Health Safety and Environmental Services �o u Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 _ Ralph Cr6ssen Fax: 508-790-6230 Building'Commissioner Permit no. Date a/ 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:iWedt Si���r� �tw(ftde w Gj gacev19� Estimated Cos�?'� Gms(le- y�jr/a� v`r/cY�i�i a c �QCP �,rio'Td cam/ Address of Work: Owner's Name: Xaai y L.lzcro Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law [31ob Under$1,000 Building not owner-occupied DOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVE WM WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UND PENALTIES OF PERJURY 1 hereby apply fora it the en o owner. 0'l,0 0 AQ- v /,J C, 0 39� D Contractor Name Registration No. OR Date Owner's Name q:fomis:Affidav Department of Indtartial Accidents -__ �� Olfica nlloyesugat�ons 600 Washington Street Boston,Mass. 02111 ` Workers' Compensation Insu�rrance Affidavit name: location- b S� City t)hone# ❑ I am a homeowner performing all work myself. ❑ I am a s��ollle��aaroDrriiee/tor and/have�no oneworldn�����i��n���a�av ��%///�%////���%//b(///i����/////��/�i%////���//////////'////���/�����//�/ �I//���///%.v//.G!//�%/.vi/.�(/.�:✓Nsti%/.f/i%Ii���%.(/.GG�/.(//�/////����///�///�i/i'i/rr... I am an emplover providing workers' compensation for my employees working on this job. comonnv name: address: — Go city! ?r/� � :�� t%`0 l� phone#: insurance m. 20ficy# f ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the foIloning workers' compensation polices: comaanv name: :,..... .::. address: dtv: phone#• insornnce cn. 2011kV# ::.:.....:.:.<: :;: .;;.::.•>a::- .. . > -- '//,l(//i//:%:%///////.%/////.(lG.?/.il///////////.l(////.G%///,l:ll/.(l✓/Ll�i�flG,'ill///////////,l(///////////%///////.G(///.�'/l�//////C ////�/% ' /: comnanv name- address- phone#� ... insaran cc co. :... ::...:.::; .•,.: :::..:;;...:..:. .. sill v# :.:....>:....:•:,.::.;.....:: FaUure to secure coverage as requited under Section 25A of MGL 152 can lead to the imposition of ertmtnai penalties of a fine up to S1,500.00 and/or 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. 1 do hereby ce �&,7 alries ojperjury that the information provided above it tnr dcorrect Siotature Date Z Print name �LD/� �/_Ot/z� G. � Ph=# ?6 (C3 tIIdal uselanky do not write in this area to he completed by city or town official ty or town: perntitNcettse# Building Department 0Llcensing Board check if Inbnediate response is required ❑Selectmen's Office Health Department ontact person: phone#-. ❑Other (trvuea y93 P1A) i Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation f6r th employees. As quoted from the "law", an employee is defined as every person in the service of another under any of hire, express or implied, oral or written. An employer is defined as an individual. partnership, association, corporation or other legal entity, or any two or more c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recce i•e: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds c_ building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew, of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha< not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither.the . commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracdns authority. ------------------- Applicants PIea_se fill in the workers' compensation affidavit completely, by checking the box that applies to your siamtian and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Departrnent at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to coact you regarding the applicant Please be sure to fill in the permitllicease number which will be used as a reference number. The affidavits may be rctraned io the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Ofitce of Nvestloadoas 600 Washington Street Boston;Ma. 02111 • fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 l oarns tab I a ): / Address: 74 Three Ponds trivet Centerville, N-A Registry of Deeds , County: Barnstable Book: 7288 Page: 340 Plan by Eldredge Engineering �Co_ , Inc. ' Hated: Oct. '23, 1978 /} Plan Book 328 Page: OOi° � I ' hereby certify that the structures shown on.. this plan are locates on the ground as shown, ana that they confflrmed to the horizontal Dimensional requirements of the zoning ` laws of- dimensional *" the Town of Barnstable when constructed, or ' exist in adcordance with Mass . General Laws L- l i Chapter . 4U A, Section 7 . . , hereby certify that the structures ce_ not iie \ as shorin within the Special Flood ood Fsa:.ard Zone on the Federal Emergency Management Acency , �rnsuranCrlood e Rate 13r of SarnS~Z� er MA , i { Comsr,unity Panel Lao. - 250001 OOiSC REMOVE � �� - Effective Date: August 19, 19E5 : o.rE �� _ K y'"w Recisterec Profcss onzi.l Lana Surveyor F y \ This mortgage insc�ect-on plan was not made f=oae -� \ an ; n5 t-ument survey, and =s intended for the use of the ortgaQee for sortgage purposes onl j_' mortgageeate\ _ Under no circumstantes is this plan to be used for determining` the location o€ property lines, - \ for specia permits or variances , or to be used l "� to establish the location of fences, walls,. �- hedges, or additions- Certification is to BayBanks Mortgage Corp_ lr : . TH,RE MORTGAGE, iNSPcCT 0 PLAN J � 11273 RO j�jD c3 c S CEN TER V_It f Y ,44 cA+� z5 �._ Sfl ' Date: August 1 /'IA. _ Scale: 1 DWoffs � �t0"'� ��- GraJCS JEFF KALAJIAN - METRO SURVEYS , DRiT41 BISHOPS FOREST DRIVE g 4 - Ito143 WALTHAM, MASS . �•g�� 2J - ft.Z��8'1f Dbfetj z .... w.. WE I .fir Nxy�, ix t to171Y X /ST/�G 77 --LILX Y RAVES - i s d �Otlgt�t Zr�QdX_ • four r `{p��So��TLBC. �Y a X /5 7-1,41 G fA/ PE CK Loo il� PIAU A 6AL1LX l q R vas 7y Tf� o��s �A, 155531 r DFPARFMFNT OF PUBLIC SAFETY 155531 �! ONE K IIE,URI ON PLACE. RM 1301 Bt].,l UN MA 07.105-•161E3 I l i CONSTRUCTION SUPL-RVMOR LICENSE Nurrlber: f.x i r'es: Birthdilte: CS �'6E�70 02/:1�I/ 'F94;G1 ��faA/992`i Restricted To: 00 pA00 JOSEPH V OLOUGHLIN ` Y11 I v 1908 PO BOX 2020 04 I'on o?Jc ,_-_-- E BENNIS, MA 02641 Keep t:op for receipt: and change of address notification. I I HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards t One Ashburton Place -- Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 100398 Expiration 06/16/00 T�f��.., «lnt��l �,,.✓rs Type — PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR Registration 100398 J . O 'LOUGHLIN . INC . Type - PRIVATE CORPORATION Joseph V . O 'L-oughlin R_ EKviration 06/16/00 S 2 Harold St J. O'LOUGHIIN, INC. Harwichport. MA 02646 i G� seph V. O'Loughlin roM:o 2 Harold St ADMINISTRATOR Harwichport MA 02646 I „�•"' •e TOWN OF BARNSTABLE Permit No. --------__----------------- �' Building Inspector »�*+� Cash g 1670• p 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." .iy r� lav i..'C�„ Issued to � ����"�'•� Address Wiring Inspector Inspection date - Plumbing Inspector Inspection date Gas Inspector Inspection date Zn6a,c—i-o Aora*tment 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. ...................................................... 19......_ _ .................................. ....................................._......................._._._ Building Inspector ul { J V' a �� y CJ r � it to N +r i a !� ? RO©ERT �G0 ao y f g P. ,n V, a s M BUNIKIS •3 No.8420 >+ t( L• f1 _aY.... , 't �/ T? hG�Aj - t CERTIFIED PLOT PLAN G,OT /3 TNi�c NEW .CONSTRUCTION ONLY : — TF� �TOP OF' FOUNDATION IS FEET 9N ADJACENT Axle°� 3 fAJOL MASS10 l 5, ROAD. r SCALE: / ''_ ¢D�DATE : . .I L 17-43EL- I CERTIFY THAT THE -----..-__.- CLIENT SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED 1 CIVIL I LAND JOB NO. �7oOg' ON THE GROUND AS INDICATED AND ENGINEER SURVEYOR DR. BY /a _ - CONFORMS TO THE ZONING LAWS OF 13ARNSTASL� , A�SS. r. 03 33 NO. MAIN ST 712 MAIN ST. CH SY` n �� 31z, O. YARMOUTH,�MAS.S: HYANNIS, MASS. SHEET OF DATE REG. LAND SURVE'YOR -73 Assessor's map and lot number ......... ....1../.................../..1.. SEPTIC SYSTEM. MUST BE 'THE T�r4 I`. Sewage Permit number' D '�� /�- � �� ...... ................................... INSTALLED IN CO�1PL IANC ITH V ARTICLE 11 STATE Z nuiTADLE, i House,, number ........... .......... .. ...................................:.... `. �' 7tI CODE AND: T®W f� 400 ^y MAB6 ..,./b i63q. 9� . /t'" �':�� ���N.S., �•-".�...-.� TOWN `OE �ARNSrI'AELE BUILDING �11H,SPECT0R APPLICATION FOR PERMIT TO ....a ....... ...... ............. TYPE OF CONSTRUCTION . / f ...1.........................................19. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it according to the following information: Location ......L�d.i �.....! .... :rk't ,ei'i/ .. . . . . .� � .... .... .... .. ....� .¢.. r.�. ....... _... Proposed Use ....;5Xn.9c:- ...... /W.e.GIG .................................................................. -...... 1/9 Zoning District .........r ......................./............................Fire District 4�'"'F: .f4a ..... t/���........... ...... .. .. Name of Owner y �....�,c.� �4.............R... .......Address Nameof Builder ...... . ...............Address ........... ..........:...................:........................ Nameof ..........................................................................Address .................... Number of Rooms ........ /***,,**,*,,*,,*******,,** . Foundation .......-3*.4... .... � L... ............ ......... ....... Exterior Ad&.......... ..�..!.L.4.......0 ..�.6�5��UL.......Roofing ...... ... . . ............................................ 4 Floors ......e�.T. .........................Interior ......I')A:�--115-7.................. ...................................... g /.. Plumbing ....... ,. Heating ° .......inD.. ......Cr,-��.. ..... .............................. C ..... ... .... . . .............................. Fireplace ............/ ...........:...............................................A roximate Cost ......�� % C� O �......0..Q...................... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ........ 9.. .q. ...t ... Diagram of Lot and Building with Dimensions Fee . . ................. b .. �.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH Pf I hereby agree to conform to all the Rules and Regulations of the TowWofnstabl egardin a ove construction. Name ....... .. ................ ................... LebeIj W.boU las W g� A=173-L7 1 '• i�lo 2.�.136....... Permit for Bmild-s' gl®. ... ......family...dMgj ing............ ............... vocation 7Y..Tbr.eLe..P.ands. .... ..`.. ....... Cantexuille................................ ti ; Owner ...PQ..U1aS...W—Lzbel............................ Type of Construction :..Wood••Brame................. i .............................................................................. i i Plot ............................ Lot .......................... Permit Granted .... ar.ch..2.7.... ...1979 ` _ Date of Inspection �. 19 ; Date Completed' . �... .... .. � ........... PERMIT REFUSED y .............................................................. 19 i ................................................................. ...... r 7 ................................ .............................. .. .... _4' ................................................... .................. • r ............................................................................... r �• 6 Approved, ............................................... 19 x k t .. ...... ............. ........ .. 7� �y. � Assessor's map and lot number .............................. . Sewage Permit number 1 �J��.......................................................... Z BABBSTADLE. i Houj-'e number 7 ............. r MA86 �p 1639. `e0 i mix a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... u�� r"�e..o. ......1 *?.���� �� ?�:.............A..'..�.."�..°.f� ... .... TYPE OF CONSTRUCTION .... 4 C �t�N.....................� 1 ..........................................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... 4'?`.... .f ........% /!r�- !X� � Ifi/......ela, 7ZcY'v) ( W l c _ r•. ..... ........... _ Proposed Use ...... '..............`"........... ...........................�� .... .................................................................................... � ll f � / � t //Zoning District ....................................................Fire District >> r Name of Owner, ...r; ;.. r �r'K. ... ...�. ..... .Address !?X. J A 4/ .✓„ .........................` � ...... Nameof Builder ...... `?... ...?�..............................................Address .............?�. ....................................................... Name of Architect ..........Address "`"•-- ............................. .................................................................................... Number of Rooms ..... .....................................................=oundation ........ � ...L ..` .. .��,:.. ............................... y��1 e4, '� Exterior .tK/1�)........:::........ ....�.��.:�-�...�..a��.......Roofing ........�......,.........,..._...r................................................. Floors 0Gt, .4— Interior ......��r ... .......................................................... .......... ....... Heating 7� .................................Plumbing ....... ?v/1i ►�J t4 F't ' ............................... rp. ........�. . ....... Fireplace { Approximate Cost ............................. r. ...................... ........ Definitive Plan Approved by Planning Board ________________________________19________. Area Diagram of Lot and Building with Dimensions Fee ` .: r 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. } Name .......................................................... f ............... LebeI, Douglas W. A=173-L71 � No G .— .Permit for ........ ^ ^ � . —'----.. .---.~'.................................... Location —2hree:.�und-a.Jld................. ......... — ------Csuutermilla------------ oug . -----------. ranted Permit --- of Inspection— _ ------ ' /ERM . _ ----. lA / ''' ----------'' ................... �.��.----------. ` .--......—�---~—....—.---......---... . � .--.—.---..------~......—..---.—. � ^ � � ' ---------------... 19 Approved -------'-------'-----'—~~^—'^- ----.-----------.----..^--...... �