HomeMy WebLinkAbout0022 NARROWS WAY cc�� �.A(z FZ G c�S 1N'�`�' '�.
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Town of Barnstable *Permit#S�,5-7 l�
pU� � ti Expires 6 months from issue date
Regulatory Services Fee
v RMINSTABLL
MAE& $ Thomas F.Geller,Director
i639• ♦e
Building Division
Elbert C Ulshoeffer,Jr. Building Commissioned s PRESS PERMIT
367 Main Street, Hyannis,MA 02601w
Office: 508-862-4038 J U N 6 2001
Fax: 508-790-6230
EXPRESS PERMIT APPLICATIEN OWN OF BARNSTABL
Not Valid without Red X-Press Imprint
Map/parcel Number �a`1 0C3 00
Property Address
CIResidential OR ❑
Commercial Value of Work
Owner's Name&Address
N
�1 a p�„� C /—iu�L� Telephone Number
Contractor's Name T-- `
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
Mworkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
v
Permit Request(check box)
[5-Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
Hance with other town department regulations.i.e.Historic.Conservation.etc.
*Where required: Issuance of this permit does not exempt comp
Signature
expmtrg
TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION
Map i Parcel 0 0_3 —0 Permit# 47S
Health Division 10&_ i� r Date Issued
Conservation Division Fee
�L
Tax Collector Qi
Treasurer SEPTIC SYSTEM MIST BE
Planning Dept. INSTALLED IN COMPLIANCE
Date Definitive Plan Approved by Planning Board WITH TITLE 5
ENVIRONMENTAL CODE AND
Historic-OKH Preservation/Hyannis TOWN REGULATIONS
Project Street Address L&W_wl &./
Village
w` �B c
Owner W��1.O1 Address
Telephone ��'�°� n�
Permit Request_C �^ 2 &u /gip 00.��.H� w-rM�
Square feet: 1st floor: existing Afft proposed Q 2nd floor: existing �14- proposed Total new
Estimated Project Cost 01 DDD- Zoning District Flood Plain Groundwater Overlay
Construction Type G
Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family U-- Two Family ❑ Multi-Family(#units)
Age of Existing Structures RD Historic House: ❑Yes UAIC-'On Old King's Highway: ❑Yes ❑No
Basement Type: Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) L12 Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing IV new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing //I- new b First Floor Room Count /V0q
Heat Type and Fuel: as ❑Oil ❑ Electric ❑Other
Central Air: es ❑No Fireplaces: Existing N7O New Existing wood/coal stove: ❑Yes o
Detached garage:❑exis'ng ❑new size_� Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage: existin ❑new size Shed:❑existing ❑new size Other:
9 9 9 9
Zoning Board of AppealZo
�Ifyes
n ❑ Appeal# Recorded❑
Commercial ❑Yes � , site plan review#
c
Current Use Proposed Use
L 1 BU LDER INFORMATION
Name 4 Telephone Numbers
bu
Address �)( License# 043SS 6
Home Improvement Contractor# (3/3`7 7
z6s; Worker's Compensation# �TC,K
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE to —to —06
FOR OFFICIAL USE ONLY
PFJMIT NO.
DATE ISSUED
`r g
MAP/PARCEL NO. -
ADDRESS VILLAGE
OWNER ?
t - -
� rt
DATE OF INSPECTION
FOUNDATION
r FRAME
4 ' INSULATION
i
FIREPLACE
ELECTRICAL: ROUGH r- . FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH •'" FINAL .
,a FINAL BUILDING
t
DATE CLOSED OUT
ASSOCIATION PLAN NO.
T '
t
1
i.
I Be LeUMMU"weaurc =w
Department of Industrial Accidents
- 011lceol/mrest/ga�ioos •
600 Washington Street
- - Boston,Mass. 02111
` Workers' Compensation Insurance davit
r
name C/l/Mi
location
city l G�' phone#
❑ I am a homeowner performing all work myself
I am a sole p or and have no ane worlds in any aci
I am an empi providing workers'cormpensatioa for employees workin on this job.
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Fafinae to secure coverage as required under Section 25A of MQ.M can ind to the imposition of erlmiaal penalties of a fine up to S1,500.00 and/or
one yem'tmprlsomnent as well as dvfi penalties to the form of a 5?OP WORK ORDER and a tine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Ofirce of Investigations of the DIA for coverage verification
I do hereby c fy under p ' and pwaba ofpalury that the information provided above it&W.and corned
Sigaat<ue Date 10- w 40 0 _
Print name s`� Scab �a � rhone# C,( c?
otndal Use only do not write in this area to be completed by city or town otndal
My or town: Building Deparknent
(]fig Board
❑checkif lannediste response is required ❑Seleehnen's OtIla
. _ ❑HesM Deparb nerd
contact person: 1��+ ❑Otiter_��
Uw=d 9/95 PUS
s
Information and Instructions
shy
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 insurance 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
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 con mration 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 peii it/licease number which will be used as a reference number. The affidavits maybe returned in
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
once of Imtesugallons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone #: (617) 7274900 eat. 406, 409 or 375
.T1e eamm ow—all/c o�.�aaaac%uaeQ2'�
BOARD OF BUILDING REGULATIONS
j License: CONSTRUCTION SUPERVISOR
Number.. CS O43556
. Blrthdafb�F12/13/1962
E>€pGet#: 12Z. 000. Tr.no: 5486
�' Restricted'To: 00
I SGOTT E CROS6Y jt
62 CROSBY CIR
OSTERVILLE, MA 02655 Administrator {
✓/e TDanvnzaiuueal o�✓�/�aaoac�ivaella.
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 131378
Expiration: 07/13/2002
Type: `
PEACOCK&CROSBY BUILDERS, `
SCOTT CROSBY
1112 MAIN STREET UNIT 7 �
OSTERVILLE,MA 02655 Administrator
The Town of Barnstable
e,uaxer�
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.
Type of Work: W Estimated Cost 20 0,�q e� i
J
Address of Work: Z
Owner's Name: '
Date of Application: (0_(0`" ai]
I hereby certify that:
Registration is not required for the following reason(s):
[:]Work excluded by law
Job Under S1,000
Building not owner-occupied
[30wner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEM 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 p rmit as the ag of the owner.
o- 10 -Do - 13 /3--, g
Date Contractor Name Registration No.
OR
Date Owner's Name
q:fonns:Affidav
Oct 16 00 01 : 07p Peacock & Crosby Builders f508) 428-3399 p. 2
-
�` The Town ®f Barnstable
.p Y
• � enrwsrf+,ece,
�� �0� Department of Health Safety and Environmental Services
° Building Division
367 Main Sheet,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790--6230 Building Commissioner
PLAN REVIEW
Owner:_C ,,7 — re i f p Map/Parcel:((001
Protect Address: �V3 � Builder:SRTA KK
The following items were noted on reviewing:
Please call 508 862-4033 for re-irspection,
Inspected by:
Date: f 1
U
gtti!ding:forms:review
Assessbr's office (1st floor): + .,' � ' �TNET f�
Assessor's map and lot number ......:.....................................'�� �4.3 ,✓R,,. ��Qo oy�
Board of Health (3rd floor): d 4
VVV ,1
S4wage Permit number ..................................................... ! BARNSTABLE. 2
.Engineering Department (3rd floor): n '40 ."6 9.
ousenumber ............................;........ �......,.. .. .................. o MaY
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO !.. :, .. &.C.. ........................................................
TYPE,OF CONSTRUCTION ........................................ .........................................................................................
116 ?6
7. .......-.. 19--.--.--
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby,, applies for a permit according to the following informati
Location .......... .. .. -jf�c� - � tzr�, .. ..........��..... .".1... .....................................
........... ..................... .................................... .... .
ProposedUse .............. ...........................................................................................................r..........................................
w Fire District
Zoning District ........... ' ............................ ...............,............................... ,..........
t M'6 YI �'� Address /,-Pla ,s�. t Y
Name of Owner �`....
Name of Builder .............. ............ ...._......F.. ............ Address ............. .... -:.....�.............
Nameof Architect ""............... .................................Address ...................................r.a-r........................................,..
* .................................................Foundation .....`- -~.C� - . .,.................
Number of Rooms ................
Exieio. ............._.....................Roofing ...........,.. :: L� -'t;.. ................................
t
Floors .Interior ...........
........... ...�.. �:::�. ...... ..mot X
................. ..........y4. .f/��t � ..� ,Heating........................ .. .... ......r.....................Plumbrng .......... .......................... .......................................
r
Fireplace ..................... ....................................................Approximate Cost ...............
�.......r
Definitive Plan Approved by Planning Board _-___--- ► -19-------- . Area - =;"""'
Diagram of Lot and Building with Dimensions
Fee ...........,<.......... ....:.:........_......
SUBJECT TO APPROVAL OF BOARD OF HEALTH
A
4'
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
y construction.
r- 1Name,...... .���'�,��/` ;; .. ....................................
Construction Supervisor's License ..... .. . ...................
A
MANN, JAMES K, IdXA=021-003,
0 .2/ 003 . oV 2—
No ....29050 Permit for ,,,One Story
......................
S il. 1.............ily Dwelling
............. . ... .. ...... . .. .. ..... .......
Locati .....Lot...2 8.,.... .2-Nm=vwn--Why
. ...........I.........................
..................... ..............................................
Owner .......James K. Mann
...........................................................
Type of Construction ,.,Frame......................
................................................................................
Plot ............................ Lot ................................
March 1.9, 86
Permit Granted ........................................19
Date of Inspection ....................................19
Date Completed ......................................19
87
• °j ' TOWN OF BARNSTABLE Permit No. -_-29050
�� = Building Inspector cash
�...a -
OCCUPANCY PERMIT Bond ---_X__-� `�
Issued to James K. Mann Address
Lot #28, 22 Narrows Way, Cotuit
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department `! Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
00,
.......... as, .............. ...... ..... .... ` ............ ._
l/ Building/Inspector
y^'Yj
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4
a'�y��•. TOWN OF BARNSTABLE
BUILDING DEPARTMENT
• _ >AIIST TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
�0 MAY M
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
BuildingPermit $k...... .s ��„ . ...................................................................._.........................................».................
issuedto .... .. A... ....1.01KIY7......................................._................................. . _. ..._ ..... ._........0 1
i
Please release the performance bond.
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
IM A , I
/ � � L
DATA
T,
TOWN OF BARNSTABLE, MASSACHUSETTS
JOB ' 'WEATHER CARD
0
CDATE PERMIT NO.
APPLICANT ADDRESS
IN 0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
I-) STORY
PERMIT TO nia DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT__BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATIONii (TYPE)
REMARKS:
AREA OR PERMIT s
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER
BUILDING D
ADDRESS L By EPT.
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
1.0
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION. RESTRICTIONS.
.-'PAINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
• I. FOUNDATIONS OR FOOTINGS. MADE.
WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL�QUIRED,SUCH BUILDING
LOING SHALL NOT BE. OCCUPIED UNTIL
MEMBERS(READY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY. " STREET
POST THIS CAR® SO IT US VISIBLE FROM
BUILDING iN�fACTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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S nAL_ NCT =R0,___ JN T:L HE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION
NSPECT�F, -iAS APPROVED 714E WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR By TELE--INE
_RUCT iON. OR WRITTEN-NOTIF 1CATION.
AGES .CF `-ONS' PERMIT IS ISSUED AS NOTED ABOVE.
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Assessor's office (1st floor):• -
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Assessor's mapjand lot number.. ........................./... ...... . /i ' o
Board of Health (3rd floor): U
4�6 a 1 - � SEPTIC SYSTEM
Sewage Permit number .................................`.................:.... . , E. Q
INSTALLED IN COM 9 L
engineering Department (3rd floor): I ' v ♦�
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House number ........................ ..o��a ...l YI..Q�.�........ WITH TITLE ��Fa M1�
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APPLICATIONS PROCESSED 8:30-�9:30 A.M, and 1:00-2:00 P.M. only ENVIRONMENTAL COD
TOWN REGULATIONS
TOWN! OF ;f-BARNSTABLE
BUILDIN INSPECTOR
'APPLICATION FOR PERMIT TO ...+...... .Y.. J. `.:...... .................................................................
TYPEOF'CONSTRUCTION ......... .....::Y..�.�.�...... ' ....................................................................................
• 6 �
............
.... ./.�-----------------------
19 ------- I
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereb ap lie for a permit a ording to the following informatio
Locationh�..41.�...17..q.............. .....(•../....... ........................................................................
ProposedUse ..............040..............................:............................................................. ....... ..........................................
Zoning District ....Fire District
�.... .......... .........C;�.................................................... ..
....
Name of Owner ...... ......./'� �..... a. .. ddress .......... ..............F` ..�!- ..... ...... ...... Z/`�
( !/.��u•:•' .../.4 ddress � � �'C••..
Name of Builder ....... .. ............. .... ..... . .. .... /`'�
�............ .....................Address ............ .. —...........................................
Name of Architect ....:...............� �--•...
Numberof Rooms ....... ..................................................Foundation ......�,c.................................................
Exterior .................CE;& ...................................Roofing ........... .... ....
Floors ..........................Interior ............. `.... J. j ................................
Heating .�'�................V�. ... ...................Plumbing ..........p't'. GZ' ........................................
Fireplace ................ , ....................................................Approximate Cost ...............� G�(,.!,4 C�
ll
Definitive Plan Approved by Planning Board ---------
__ _--19_------- - Area
Diagram of Lot and Building with Dimensions Fee Z..!.. D
............. . .....
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Cal,
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
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Name ...... ............ ........................................
� Id�9
Construction Supervisor's License ....................................
YANN'11, JAME S K.
..29050.... Permit for ...One Story,.„........
Singple Family Dwelling yI�
• l
'Lot 28 22 1\1ata�
Location-................ ..................................Y.:......... 7 -
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... ...........Coto ............................... ...............
' Owner ..... K. Mann
I
Type of Construction Frame... r -
. ..... ....
Plot'4..............................` Lot ..:............ ............. � r• Y �� .. � ' ' �, -
Permit Granted March 19, '. -,19 86 ; - �.,. _
7.
# Date of tInspection �� ... /.............19 S
Date iompleted ..... �1..19
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