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Home My WebLink About0016 HIGHLAND AVENUE �� 0 L� \ JOSgPH D. DALUZ TELSPHONEs 773-1120 Bui/ding Commissioner Y' i EXT. 107 TOWN°,OF BARNSTABLE BUILE)ING INSPECTOR TOV!N OFFICE BUILDING HyANNIS, MASS. 02601 F July 21, 1989 \ ti k. Mrs. Marianne Barth 16 Highlands Avenue Cotuit, MA 02635/'r ' RE: Nursery School/Cotuit Federated Church Dear Mrs. Barth: To ensure the continued safety of the children the following items must must be taken care of prior to the. Fall opening of the Nursery School: Smoke -detectors must be installed in interior stiarways. ,Massachusetts.Building Code 434.5.1.2 A manual fire alarm system must be provided. Massachusetts Building Code 434.10 Emergency lighting must be provided in all means of egress. Massachusetts Building Code 624.4 When correction have been made please contact this office for an in- spection. E [/ 1 Y Very truly yours, x Alfred E. Martin " 'Building Inspector AEM/gr cc: Cotuit Fire De�artmr:nt x • Engineering`Dept.(3rd floor) Map_ 3J Parcels Permit# L4 House# !bate Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30). -Fee 0 Conservation Office(46floor)(8:30- 9:30/1:00-200) ` Planning Dept.(1st floor/School Admin. Bldg.) SINE31 - �- Definitive Plan App o lanning Board 19 • BARNSTABLE, •� / 1�� Ee3 ,TOWN OF BARNSTABLE Building Permit Application 6 i Project Str e'tAd ss Village r Qc M Owner ) Address Telephone - - Permit Request I�p_(LU aS a First Floor - ' square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name A 1 C-4C_5 Telephone Number a Address 77M (/r C re-1 License# Home Improvement Contractor# Worker's Compensation# (,(�, J- /�!,/�'� at• 5 OW NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �J FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS , _ .{ .. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME a . -� ,_ , _ _ - :_ � �::• INSULATION i FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINALy GAS: ROUGH FINAL FINAL BUILDING e DATE CLOSED OUT i ASSOCIATION PLAN NO. _. The Connttonivealth of Alassachusetts Department of Industrial Accidents ' office ollttvestigatlons 6U(I {f'ashiarton Street Boston. Ma.u. 02111 Workers' Compensation Insurance Affidavit �pplic•tnt information• Please PRINT Iebi�l j�; '-'� �- �'��V--, •'� - name �O CAS �d �✓lGe►�zl1 loc•ition• 11 T1g aSan W city C'C�� ✓1b� Phone# I am a homeowner performing all work myself_ I am a sole proprietor and have no one working, in any capacity I am an emplover providing workers* compensation for my employees working on this job. contp•tny name address: city: �/►� �thone#• / C' insurance co 4, /LV 4-oI' n nolicv#u r 1 am a sole proprietor, general contractor,or homeowner(circle are) and have hired the contractors listed below who have the following workers. compensation polices: company n•tmc• address: cirv: Shone#• _- insur•ince co comP•tnv nninc address: city phone#- insurance co. Policy# Attach additional sheet if neccssaty,..::�•.,` >--.,._ ...': =;i;• — -777=.'T i,;;:: Failure to secure coverage as required under Section 25A of niGL 152 can lead to the imposition of criminal penalties of a tine up to 51,500.00 andiur one.cars•imprisonment as well as civil penalties in the form of a STOP AVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement may be forwarded to the OlTicc of Inycstig2ti0n5 of the D1A for coverage verification. I do herchr cc t'tint r t! pins r penalties of perjun•that the information provided above is true and car ect. • Date SIn_na[Url Print name y1l� ____ Phone# --4 oRcial use only do not write in this area to be completed by city or town official city or town: permit/liccnsc# t'tl3uilding Department C3Liccnsing Board 0 check if immediate response is required �Selectmen•s Office : C]Ilcalth Department contact person: phone#; MOther R (rn,se3 i:r"I'1:\1 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for their employees. As quoted from the "law". an emplirree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrpl(rer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased cmplover, or the receiver or trustee of an individual , partne'rship. association or other legal entity, employing employees. However the owner of a dwelling house haying 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 hous 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 small withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for an• 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 insurance requirements of this chapter ha, been presented to the contracting authority. ��-.�_.r�.._.__........r�. ...._...r...w�r-..r�-...... •.w T.. l.. 1.., Applicants -- wit completely, b t checking,the box that applies to your situation and Please fill in the workers' compensation affidavit p y, � � pp ) �. �e numbers as all affidavits may be submitted to the Department of Supplying company names. address and phone p Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The a 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 Investiaations has to contact you regarding the applicant. Pleas( 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. ♦••iv vn T-..�-., ....-.......v:....... .-��+wer..rq..:-��-�.v..- -,w....�......-+t1r•.�w+..�+e�,ewRAl.Msu^ `.,�+n'•w'w�+w—..-�..�.q'YTmIVrJ!'!t'+.^.1^v-�ywwiw�a�....-..n-. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 eft. 406, 409 or 375 i °F THE ti The Town of Barnstable • BARNSTABLE. • 9� MASS. 1��' Department of Health Safety and:Environmental Services iOrEn a►o'�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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. Type of Work: /—Est. Cost �S Address of Work: Owner's Name 145 Date of Permit Application: / 1 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: 7 Da Contractor Name Registration No. OR Date Owner's Name