HomeMy WebLinkAbout0007 EISENHOWER DRIVE - - ,�
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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
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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
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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 .--.--.--.-----
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...............................................................................
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iApproved ................................................ lg
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