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HomeMy WebLinkAbout0060 EATON COURT �oD ��ToN Oo�KT `��� •e TOWN OF BARNSTABLE Permit No. 1 s�asxn Building Inspector Cash. "YL -------------- OCCUPANCY PERMIT Bond ----_______� ,f' "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 Roy McKenzie Address T.,C-, �:Zl " 'J F-i-^n Court, Cotl}i t Wiring Inspector i �/ Inspection date T �'Z�4-k Plumbing Inspector '` f Inspection date Gas Inspector , Inspection date Engineering Department r•., , /�./,C` 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 6) 7 '\ v u I � ol / Ni N � o O CERTIFIED - ' LOT PLAN LOCATION Cc�TU/T /l�l.gss FOR: .., L- !//G•O E.�2 5 S C A L E- Z 4/0 O A T E: '11�'`9'e• /9 /9SZ R E F E R E N C E 5 E/A�IG� G.v 7" SS .45 S.A/<>4co) �T /2F G DATE ~, 1 HEREBY CERTIFY THAT THE BUILDING R'E6. LAND SUR �/ E OR SHOWN ON THIS PLAN IS LOCATED ON f THE GROUND - AS SHOWN HEREON. tN DE � JOSEPH M. , 71 MONAHAN, M. .4 v 13660 #" J . M . M0NAHAN, JR . & ASSOCIATES REGISTERED LAND SURVEYORS & ENGINEERS 651 MAIN STREET OENNISPORT,, MASS. 02639 8��� Assessor's map and lot number ............................................ %THEtO Sewage Permit number SEPTIC SYSTEM INSTALLED B LE, i ' House number ... .�a.C?. Q S5 • Ili! �� ?� ..... ..........I�ot: ..... .. ..�:at.on..Ct. Cotuit, Ma � WITH TITLE i639a�e� _.� ENVIR0 MAY AL C0C TOWN OF BARNSTA �UAT,O BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........Build...dvae 1"ins. ...=...........�.�/..��Y��................................... TYPEOF CONSTRUCTION .............food frame............................................................................................. ..........3:-.$--a.s.8 2..............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .;.':: ..LOt# 55 Eaton Ct. Cotuit Bay Shores , Cotuit, Mass . ..................................................... .. . .... ProposedUse ...Dwellin�.................................................................................................................................................... Zoning District ........residential ...Fire District U� .......................................................... a .T................................................ Name of Owner Mr. &. Mrs . Roy Mckenzie Address 53..Bird St. Needham, Mass ................ ................. .................................................. Name of Builder Joseph W. ZinnO Address ...3�'...Mistie Dr. Marston Mills , Ma. D/B/A; J �c Z Builder ...................... .................................................................... .Name of Architect ..................................................................Address Number of Rooms 6 .................................Foundation „I?Oured concrete full found. ................................. ............................................................ Exterior ......Clapboar� & shin-lees Roofing ., Asphalt _ ................................................................. Floors WOOd...&..Carpeting......:............... '�16.. �Y�7`�Z' 1� U� f30 ..... ...................Interior ........... Heating ....0.l..l...or Electric ............... .....::Plumbing Yes - r� ............................ I ......................... �.................:r Fireplace ....YeA......................................................................Approximate Cost ........... 1 M(30 .00 Definitive Plan Approved by Planning Board ---------------___-----------19________. ..j Area 24 hundred ft. Diagram of Lot and Building with .Dimensions I Fe ... SUBJECT TO APPROVAL OF BOARD OF HEALTH %L t/.", �0 3 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name ............... 'McKENZ.IE, ..ROY - ; r . i 23947 One Story No Permit for Single Family Dwellin9............................................................................. i L 60 Eaton Court t Location ............................................. Cotuit ....... ................................................................... Owner ., Mif- &,„Mrs.....Ro .::McKenzie.. Frame F4 Type of Construction .......................................... .................................................... ........................ Plot ............................ Lot ............................... + k April 9, .......-19 82 Permit Granted ............................... f Date of In ec i _ _ i Date CompLeted ...............19 a PERMIT REFUSED ................ ............... 19 +� .......................... t.. ........ ............... ................................................................................ r ............................................................................... .. r. Approved ................................................ 19 ............................................................................... i .......................................... Assessor's map and lot number ......:.. ".............................. THE Sewage Permit numberr�:.`:./C5 •.... ��Q ♦� Z 33JHBST4.DLE, i House number ...1 r`} .. '. .r F +� ten,k r*x� „C.; , (;©Hilt ��i3 . r rasa F ,p....Fu �p 1639. ♦� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ ?* :rits+a?. !.�*� r roz TYPE OF CONSTRUCTION .............Kgp5 game ........................................................... .......... Q2..............19........ TO THE INSPECTOR OF BUILDINGS: „ The undersigned hereby applies for a permit according to the following information: Location ........Lot#rt 55 Eaton Ct. Cotuit Bay Shores: CoteTit, Mass * : ....................................................................................................................................................................... Proposed Use ,., Dwelling : ......::.................................................................................................................................................... Zoning District ...., residential ...............................Fire District r? %J/T� ' Name of Owner �r..�... .. rs • Ro.. iw.ckenz ie Address 53 Bird St- Needham, Mass ............................................. Name of Builder Joseph W. Zinnfl Address ...34 Mistic Dr. I'..arston i:iilig- : :a. ............... ................................................................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..��..............................................................Foundation ...poured concrete u1 1 i ound . .............................................................. Exierior ......0 $ ?board & Shingles.........................Roofing ...ASYhalt.............................................................. wood & C Y`1J@tiny Interior ....... t/ r�Ql?1� Floors .................................................... ...............:................................ Heating .......'...................Z..'�.I.......:r........................ . ........:Plumbing .......�f?r..................�..... :: `�::........................... ....V!..5....................... .......... 1100 0 000.00 Fireplace P :...........................Approximate Cost Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ..24 hundred ft. ............. .......................... Diagram of Lot and Building with Dimensions Feed .IQ2 SUBJECT TO APPROVAL OF BOARD OF HEALTHJ, Lj r � r �1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. j Name ; ,( ram:' ! '....... ... , No23947 permk\ / One Story ` � ~^.��l= Family� ' ' . ' uit -- -........ ' Owner {. � ---- � Type of Construction . " ' --------- . ^ � � � . ... � . Guided . � ` Date of Inspection Date � CompletedPERMIT REFUSEY.'i fiftv ~ � � , � .................................. g . . � ............................ ........ ....................... � I i0#0 ��� ���� ----. �����--.��..�..���---- � '--'—'�K----v�. _ -----------.---.----..—.----- , -------------^—'—'----'—'---'— Approved . � ---------------- lV ---------------''''~'---~----- ' . --------------------'~---~^'' ' � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel . O La - Permit# 3� �oscz�- Health Division Date Issued oo33 Conservation Division Fee 00 Tax Collector t •I� Treasur — ro Planning`Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis - . s Project Street Address t`orris rn, c ey: P, i Village � 6 Owner A-Ckk)ZI G Address Telephone `} �`57 i Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost &_0Dd• • Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type:. Single Family 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) 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: D 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 ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 1 _ Telephone Number Address �( _ ' �� License# 'N t� 1�+� �'ltio , �;' Home Improvement Contractor Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE , 'i' DATE I FOR OFFICIAL USE ONLY PERMIT NO. a DATE ISSUED - � : •. MAP/PARCEL NO. , A . f ADDRESS r VILLAGE OWNER DATE OF INSPECTION ' FOUNDATION FRAME !. INSULATION FIREPLACE n ELECTRICAL: ROUGH FINAL I PLUMBING: ROUGH FINAL` GAS: ROUGH FINAL FINAL BUILDING.. F DATE CLOSED`OUT • _ ASSOCIATION PLAN NO. ` a . SFIE The Town of Barnstable � Department of Health Safety and Environmental Services 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. Estimated CosC 1S 00 e Type of Work: r Address of Work: L 2 oiyv C' 6 L WCL— Owner's Name: 1 ,� ,4° IiJy`tfL�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 agent of the owner(. � r Date Contractor Name Registration No. OR Date Owner's Name q:fomis:Affidav The Commonwealth of Massachusetts r.: Department of Industrial Accidents . P • � °°-��• 01flce ot/m�est/gatioos 600 Washington Street Boston,Mass. 02111 -- Workers' Comflensation Insurance Affidavit name: location: city phone_# - ❑ 1 am a homeowner performing all work myself. ❑ I am a sole p rietor and have no one working in any capacity I am an employeF.providing workers' compensation for my employees working on this job.:: :::::::::EEL :%: ::15;::5: ::•t::::::::::. comnanvname E "is it�l� �. x /are Gar 3yf '' ;;:::;:':;:i ........... . t. ... ..�::::..:.:.....:.. ..� :::.::..�.:.::::.F .:............. :..:::::.... ,..::.:.:...........:::,,:::::::.::::::::.:.........:....:.::::.::::.:::.:.::::::::.:::.::..:::::::.::::::::::.:::::::::::..............:::.:::.:.:::-::::::.::............. address ::. "� . s1, ::: t : r� � '. .. - ..... ...... i:.:•:ii•i:•:: ....�.�.......:::... .......: ......:.... .............�j.... ........... .. .: ...... •:.. :-riR'vi?iiv?;i:ji:iY�•:i:-::•:}i::}ii:...:,"': ..:..........: :::::'f::::!'i::::i:'i:i::::i:: :::.. .. ......... .....::::::v::: ';:i. ....... ..............:i .... :...:::::: ....: ..... it".n _.. -. .. .. .... ...+E^.4.........,. .....a ... .. ..........._.. ... ..... .... :.:::. .��_...........:: .�:>'<i;is�;i;Si_:::S::R::�:i::iit::%;':iiii:iii::: city & • , .� i � shone#� :u: a ............. .. .. ....... .................... ................................:�::::.::..::::::.:.:........... .. ♦............. .......4.. ... •i}iiiiTiiiriii�::�ii:: :.: insurance co. ... : :- ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: Company: ame :.... :.::;:. :::.. . wo address ::.:::.....................................:::::::.....................................:....:.. >`�1111t X. } '> : ::::::.::::.:.::.:.........::.:.::........... citiv' x. >:>r •axk:::i:>:;: ............ ...............4i:4•i:?ii:4ii:4:•iX.!'{:i'iiiiii:....iiiiiiiiii iii:is{vi'r::r v+::ri iji.............. -i'iiiii:..... i'iiii?::i?ii:v4:'Yi::4i'i::J:i::.:.{i :�: ?:?{>.:i sir�:s i::ii:viii i:iiiiiiiiil?it i};Jii:•,:i'�:':ti: vknv J .:.:•. :..: ..::•:'::i.:::;.}}:a:v::•:4•is4i?4S<::::?:::iiiiiii:>.4•is i:.?i.....? :!i:4•:i:�?}:jy::j::<">'}::St:�::.'+ :ii:'??j::>::::;24?::>::i::j::(:i:}j::::y::?':: insurance ca . :.::.. ..,.., ... . ... ... .. ............ c an�names :: address:. .. ... Lam: v% ... a�aranc oli Faffnre to aecare coverage as required under Section 25A of MGL 152 can lead to the imposition of ctitninsi penalties of a fine to 51,500.00 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 certiffy under the pains and penalties of peduty that the information provided above is true and correct Signature 174A P-,e.,eA- Date l" t- (� �z r Phone# Print name t h PI J 42 li;_ ofndal use only do not write in this area to be completed by city or town official city or town: perndtilicense# OBuUftg Department ❑Licensing Board ❑dieckif immediate response is required ❑Selectrnen's Office (]Health Department contact person: Phone#; -- ❑Other�� ormed 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract 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 of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or 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 or 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 renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has 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 insiw ce requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplyingco an names address and hone numbers along with a certificate of insurance as all affidavits may be com pany � P � Y 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 Department 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 contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been 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 01ffce of Imlestfgallons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 ` DEPARTMENT Of-PUBLIC SAFETY j# Y� t CONSTRUU10 SUPERVISOR LICENSE ? a Uum6er Expires: CS : _ aBas �?;23�taaa Ozi'�li9S Restt� BR�O�EYE �Atl�DOGK `� f. MARSTONS IRIS, MR Rob }'.