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HomeMy WebLinkAbout0007 EISENHOWER DRIVE - - ,� t �_ Town of Barnstable *Permit# 261-7S T Expires 6 months rom issue date PERMIT Regulatory Services Fee �o� ® g rY Thomas F.Geiler,Director MAR 12 2U07 Building Division OF BARNSTA'BLBom Perry,CBO, Building Commissioner ~��` 200 Main Street,Hyannis,MA_02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint 1 Map/parcel Number, Property Address 1h�"�-�� � a- 02-4� 3� ❑Residential Value of Work ? �(2, Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address U dbL nut Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec one: a sole proprietor F the Homeowner e Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Q Re-roof(stripping old shingles) All construction debris will be taken to Wa ❑Re-roof(not stripping.. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A co y of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Comnionwealth of Massachusetts Department of Industrial accidents , ��y`" � Of,face of Investigations• �I 600 Washington Street . ' Boston,MA 02.I.7-1' ' . fVwOmmass gov/dia ' Workers}Compensation Insurance Affidavit; Builders/Contractors/Eiedtridans/Plumbers' Applicant Information p please Print Le z'bI Name(Business/Organiiation/Individual): �04' �✓LJ�P ` II.PY�� AMclress: City/State/Zip: Phone.#: L. A--ao '� I Are you an employer? Checkthe appropriate box: :Type of pi ojeet(required)`.. I;Q I am employer with 4• [] I am a general contractor and T uired)'• leyees(full=d/oz part time),*• have hiredthe stab-contractors 61 ❑New construction . 2, am a'sole proprietor or partner= listed on the attached sheet ...[]Remodeling ship and have no employees These sub-contractors have. g, �]Demolition. i?rorking for me in any capacity. employees and have workers' [No workers° comp,insurance camp, insurance,(' 9, []Building addition required] 5: ❑ We are a corporation and its I0•[]•Electrical repairs or additions -- '3�I-am ahomeowner-doing-all-work�:— --officers-have exezcisedtheiz 11:❑P bingrepairs or additions - myself.[No workers'comb, right of exemption per MGL insurauce.required.]t c.. 152,§1(41andwehaven'. I2, aofrepairs . employees, [No workers' .13.Q other comp.insurance required.] *Any epplieant that checks box#1 must also,fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all woik and then hire outside contractors mutt submit a new affidavit indicating such. tContraators that check this box must attached an addidbnal-sheet showing the name of the Pub-contractors and state whether arnot those entities have employees. Ifthe subcontractors have employees,thaymust.providb theiF workers'comp,policy number. lam an employer,fhat is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name Policy#or Self-ins.hie.#: - . ExpirationDate: ;ob Site Address' City/State/Zip; Attach a copy of the workers'�cgmpensation pglicy declaration page'(shovving the policy number and expiration date); Failure•to Secure coverage as required under Section 25A;ofMGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator, Be advised that a'Copy of this statement maybe forwarded to the.Office of Investigations of the bIA for insurance cove—rage verification. I'do hereby cent der the pains-and penalties of perjury that the information provided above Is true ttnii correct: Si tore: � • Date•. � 'Q Phone#; � � f Ofj[•cial use only. Do not write in ibis"area,.tb be completed by city or town officiaL' City or Tdwn:' Yermit/License# Issuing Autliority(circle.one); 1.Board of Health 2,Building Department 3., Cify/Town Clerk 4,Electrical Inspector 5, Plumbing Inspector, 6,Other Contact Person: Phone#: Massachusetts General*Laws chaptir.152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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,parinership,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 onthe.grounds or building appurtenant thereto shall not because of such employment be,-deemedtobe an employer," IZ(3L chapter 152, §25C(6)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,MGL ohapter.152,§25 C(7)states'TIe ther 6a commonwealth nor any of its political subdivisions shall enter into any contract for,the perfamiance Of public-.work until aceeptable evidenze-of comlpli ce tyitls'tbe insurance' requirements of this chapter have been presented'to the contracting authority.." Applicants f Please M out the workers' compensation affidavit completely,b checking the boxes that a ly to your situation and,it mP Y, Y PP a necessary,supply sub-contractors)name(s),addresses)and phone ntrmber(s)along with them ceztrfic tes() of , insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no-employees other than the nrembers'or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to theDep'artment 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 req=" ecl to obtain a workers' compensationpolicy,please call the Department at the number listed below. Self-insured companies should enter their . self-insurance license number onthe appropriate'line. City or Town Officials Please be sure that the affidavit is'completa'and printed Legibly, The Department has provided a spacq at the bottom of the•affidavit for yeti to fill out in.the event the Office of Investigations has to contact you regarding the applicant, Please be sure to fill in the permitllicense number which will be used as a reference number: In addition,a=r applicant that must submit multiple permit/license applications in any given year,need only submit ono affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in�_(citynr town)."A copy of the affidavit th4t.has been officially stamped or marked by the city or town maybe provided to the applicant as proof-that a valid affidavit is on file for future permits or licenses. -Anew affidavit mustbe filled out each Year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (La. a dog license or permit to brim leaves•eto.)said persba is-NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for.your cooperation and should youhave_an.1i questions, please do not hesitate tti give us a call. The 1)epaxtroent's address,telephone-and fax number.. o COMMOUWWth Of M$Mchusws Dtpartmgat Of MUSW4 Accidents ' B64=4.MA 02111- Ta.0 617-727-00.0 ext 406 Or 1-V7-kfASSAFB Pax*617- 7-7'70 Revised 11-22;06. WWWMA a6v'/fia b OQ Ar E The Town of Barnstable • anaxsraBM - 9e� MASM ��' Department of Health Safety and Environmental Services ArF059. A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 31, 1996 \ , TO WHOM IT MAY CONCERN: The house at 7:Eisenhower Dr-r-rveLLm_Cotuit ita preexisting non-conforming structure and,if damaged and destroyed,can be rebuilt within one year. Sincerely, Ralph M.Crossen Building Commissioner RMC/km FROM : ,PRO.GR;ESSIWE APPRAISAL SERVICE PHONE NO. 508 238 4794 P01 (0913o PROGRESSIVE R.E. APPRAISAL SERVICE State Certified and Licensed R.E. Appraisers P.O. Bvx 1266 559 Foundry Street Faston, MA 02334 So. Faston, MA 02375 October 29, 1996 Mortgage Corp. of the East TTl 1600 Falmouth Highway Centerville, MA 02632 RE: Appraisal Report.Dated October 16, 1996 7 Eisenhower Drive Cotuit, MA 02635 Horrower: Woodbury, David & Katherine ADDENDUM The Guhiec't property is loCated in a Residential F zone which requires a minimum lot size of 43,560 s.f. (one acre). The subject is legal, non-conforming to current zoninS requirements which is typical to the marketplace with no measurable adverse affect on marketability or market value. According to the Barnstable town Building Inspectur- Al Martin(509-790-6227),the subject property can be legally rebuilt to its original footprint within one year if destroyed by fire or natural disaster. MA Certified Res. #354 _ /jll ( � TEL: 508-238-4176 FAX; 508-238-5321 To: 9,15087712025 From: GMAC-RFC Faxlink 2 10-29-98 4:22pm P. 1 of 1 ) ,GMAC RFC Minn Noris, M e take Boulevard � Minneapolis, MN 55437 (612) 832-7000 Residential Fundina Corporation RFC LOAN DOCUMENTATION REQUEST ** REVISED * DATE: 10/29/96 Lender Loan Number: TO:. MORTGAGE CORP. OF THE EAST III . Attention: UNDERWRITING 800 HINGHAM. STREET RFC Loan . Number: 1533068 ROCKLAND MA 02370 RE: WOODBURY DAVID E 7 EISENHOWER DRIVE COTUIT MA 02635 The above referenced loan was pended by RFC underwriting for the following reason(s) . Please provide the item(s) requested below to assist. Underwriting in assessing the loan risk and loan acceptability. PRE-PURCHASE * COMMENTS:PROPERTY IS ZONED LEGAL NON-CONFORMING. NEED REBUILD LETTER FROM THE COUNTY STATING PROPERTY COULD BE REBUILT IF COMPLETELY DESTROYED. THIS LETTER MUST BE FROM THE COUNTRY. WE CANNOT ACCEPT A LETTER FROM THE APPRAISER. Please return a copy of this letter and all items to the .underwriter listed below. If you have any questions regarding RFC LOAN ## 1533.068, please contact: DAVID JAROSCH/CREDIT RISK ASSOCIATE Phone # 612-806=6644 Fax # 612-832-7124 TO: Mortgage Corp East October 30, 1996 From: Town of Barnstable Building Inspector Concerning: Rebuild of a structure in a Legal/Noncof_orming Use As previously stated, a residential property in a legal, non-conforming can be legally rebuilt 'to its original footprint within one year if des- troyed by fire or natural disaster. Please call with any questions , phone #1-508-790-6227 . Sincerely, Al Martin Building Inspector, Town of Barnstable -7 � 't� J o ,c l a DEN O Uo 1-0 on a t o '7 00 10 C9 - 7�Q ice( O 4 L q L E OF W A t RCIUD v SMITH J�• ( 4 w 1 TV' _jig- _�_•�---�----;�-_ �---_ -70/ 4""-._'`��__- ---•-yyr-mat` -- N 4 0 0 I'l0"Wc Sd p1%T•Qok 15' 41 zs a o Q C 160OC-IAA Cowc 40 77 6"6 a �.o�.tc• L�r�r P� r SE PTf C. T^W r. �LdAw a c z Ft' , p n � rs OL-0 C-�f2OUFID �3. 0 , „ o SvBSor Lf8 I ►J .ITI�', `SST PLRF'OV-MCD 4P91L1000 3 E3�.aRooMs� t►Ul.�i'P � 33 D w++�.� 41 CAW rie rI ro Ur T Try K 1 O rC I O x l , o = b y Ipp � IPVS _. 4 >( (.KloKZ. 5 _ 600 6r TOTAL CAPk iI--4 19ROof V 700 Ur PD Now - D►sPos�. SysT� ���i4+�1�.D r ►.} i �YIlU� 3J• TAT PIT%4E TOWN OF BARNSTABLE Permit No. ----------- Building Inspector { '%"'r`a Cash h ------------------------ OCCUPANCY PERMIT Bond ----___________________ t "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 Address 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. _........................... 19....._ _ .................................................................................................._..........._ Building Inspector SEPTIC SYSTEM MUST BE Assessor's map and lot nu ��.9...�...g. �:.1�...... INSTALLED IN COMPLIANCE f THE tp� d' - ij�, WITH TITLE 5 Sewage Permit number ........................................................ 1 ENVIRONMENTAL CODE BAWSTAXLE House71number •' T E ULATIONS 9, M"a Ak 1 TOWN OF BARN'STABLE BUILDING INSPECTQR_­. . . APPLICATION FOR PERMIT TO ................ .. TYPEOF CONSTRUCTION ......................1 f 0�............................... .... ....................................................... 1 .... ,, ... .......19 IE -TO THE-INSPECTOR OF BUILDINGS:' The undersigned here y applies for a permit according to the following information- . , Location .... . .�... ,. ..� 1 �,� . '.. °'. �y... '4 e .+ f! `...�, ✓ 0. ProposedUse � �� ./.. ................................................................................................................... ZoningDistrict .............................................:...... ��..� Fire District ................a........................................... Name of Owner �.a.��........e�'�.. ..............��...................Address ......... Name of Builder ,✓ , . - `............Addresss...�li/�� �N; hj� �`i`1 ..1 ;. ��✓' �la. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................Foundation ( z " Al" Exterior .. eR�. `... /. ..+� .:..........................Roofing ........ .i &A.1 `✓ ....4_. .................. Floors ..........6511 .....................................................Interior ......... . �- ' Heating ....... .... _............. ... ... ............Plumbing ............!�n...✓5p)hls........................................ Fireplace ................/� s ......................................................Approximate Cost .................. ... .............................................. Definitive Plan Approved by Planning Board -----------_______-----------19________. Area /` �'................................. ........ Diagram of Lot and Building with Dimensions Fee f >a. �� SUBJECT TO APPROVAL OF BOARD OF HEALTH �� k L 2, ^^// 7 j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................... F HARRINGTON, RUTH { No ..2.1.926.... Per*ait for '.....a n �••RamiiY.. ........... vzeJ.1 i. g...1.......................................... 1 Location ........? 0•�">..Eis.embower...Drive..... Cotuit ............................................................................... Owner ...........Ruth..Harri4gtora Ruth..Harri4gtoa...................... r Type of Construction ........F.rame F.ram&...................... ......... ................................................................... Plot ........................... Lot ................................ F i Permit Granted .......... AInuary...1.4.,.......19 80 Date of Inspection Date Completed ...................... ...............19 k 0"Oat PERMIT REFUSED C- ..............I............................ ..... ................ 19 ✓ r ru to Approved / .............................. 19 /........ ..® ..... .................................... ................... .................................................... Assessor's map and lot numb&r,..:?..!" ...�... THE .... ................. Sewage Permit number .............. .............................. Z BAHBSTOALE, i House number ....... .....:. �. 'o rb 9 0� .......................... ......... 3 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................ /.�..�............:�.........:................�..... . ................................... TYPE*OF CONSTRUCTION /161 . G Y- ........................................................................................... ............................. ............$ !..... .......19.. � � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permitt according to the following information: Location .... ........................................................ *�� r . ..���, ProposedUse ................ .......................................................................................... Zoning District ................................................. .....................Fire District ........ / J/ � �� Address ��'"� .�tl•`,r�(� 1 1.+te�ti"!'`, Nameof Owner .;............ ....................... .............................. Name of Builder e <C� � 'rt" �+• .............Address/ �!:�✓�/f" �� �Ii'� �, .5�...{...sty''. �f�r �L ltiT Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... .......................................................Foundation f 't' ,� d� +� Exterior �r J ,Ja! ........................Roofing a' °ef `r................................................ ............ ......... ,t Floors C.... .! ................................ Interior ......... ° .................. ...... ..........Ab .................................... Heating /.. ' Plumbing '.+ Fireplace ................\!o: ......................................................Approximate Cost .........: � Definitive Plan Approved by Planning Board _______________________________19_______. Area '(' l Diagram of Lot and Building with Dimensions Fee ...... . � ....................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ^� , � LK2Z 3Ss I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... : !.. :::. .' .......: ..!=! ........................ 39 ~84 r No —219.2-6... Permit for — — ----.D.WQ ................................................ ,� Location ...�e�..+z—.F-ismxhowe,—�Qpi-va--'' . . ........................ ......................................... Owner ---.R4tb- ------- ',p= of Construction^ ° .............................................../.............................. � ' ' ' Plot . � re,^.. Granted" ^ Date of |n --------lV Date Completed ..............)......................19 PERMIT ...................... .. lg .................... ,l .--.--.--.----- � ` ' . ............................................................................... � '--^--`----'' '^'^—'--^^—'—'^'~—''��^—i ' ---_-----...'—..,..---..--.---.—... � iApproved ................................................ lg ----~--'-------~'-----'-----'' - -------------'----^--^—^^—~^^ � ^ �