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Home My WebLink About0095 OLD KINGS ROAD or f r a TOWN OF•BARNSTABLE BUILDING PERMIT APPLICATION Map .. :.Parcel 0,:�> Permit# Health Division Date Issued ��^ Conservation Division ,p Fee �2S" ac) Tax Collector' A4. Treasurer 4 Planning Dept. y S Date Definitive Plan Approved by Planning Board ' Historic-OKH Preservation/Hyannis } Project Street Address Cf S b�i kit!-,.S tvr� E Village Owner (Yl t Q t�J ICo if7'71y►&i U Address r •Telephone Permit Request L_A� Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District. Flood Plain- Groundwater Overlay Construction Type Lot Size Grandfathered: ❑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 I Number 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 Detached garage:O 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# 4 Current Use Proposed Use y BUILDER INFORMATION Name FRASER CGUSTRUCTlON Telephone Number Address 71 TARAGON CIR. License# COTUIT MA 02635 Home Improvement Contractor# Worker's Compensation# Cc�".i /�5 4�163 6- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO )e L41 td K SIGNATURE DATE / h-1 FOR OFFICIAL USE ONLY - - - PERMIT NO. DATE ISSUED MAP/PARCEL NO. 42. s ' - ADDRESS i VILLAGE C�3 OWNER yru DATE OF INSPECTION - i ~ FOUNDATION FRAME • # +I _ •• + _ � • . * _ �.,. - � � .,� ; INSULATION FIREPLACE f t 4 ELECTRICAL: ROUGH •FINAL, PLUMBING: ROUGH FINALf GAS: 'ROUGH FINAL ' FINAL BUILDING - 1 , DATE CLOSED OUT ASSOCIATION PLAN NO. 4 4 M1 t 1 . , The Town of Barnstable KM, Department ofHealth Safety and Environmental Services w Building.Division 367 Main Street,Hyannis MA 02601 _ Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 - Building'Commissioner Permit no. "... . Date 2= AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL a 142A requires that the won,slUrstions,renovation,repair,modernization,conversion, improvement,removal,demolition,or consiruction of an addition to my pi-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are a4acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: Owner's Name: zx// -, Date of Application: I hereby cert*that: Registration is not required for the foilowlag resson(s): QWork excluded by law 13Job Under SI,000 []Building not owns-occupied O0waor rdlins own permit Notice Is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WM 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 Opp for a permit as the agent of the teener: Contractor Name Registration No. OR Date Owne's Name q:ftrms.AMdav I HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR I Registration 112536 Expiration 04/06/01 - - TYPe - DBA ' HONE INPROVENENT UNTRACTOR Registration 112536 FRASER CONSTRUCTION co ' Type - DBA DEAN C . FRASER r Expiration 04/06/01 71 TARRAGON CIR COTUIT IAA 02635 i FRASER CONSTR.00TION co DEAN C. FRASER TARRAGON CIR UIT NA 02635 r., • 1 1 1 1 I 1 1 1 �1 '• 1 M' -( �/.,r .•.,. //� „y 'i':,.y�%✓ .�y'�,�,,,,�,,.,;.iGiii/,'/"ice '%///% /i 4G4�,G/ /6}.�•..S ��_�i f 3.G;/f !�.'... � ir/./r./jj/,C�i//.!/��j Lf 1. %/%//////%//..? . k I �y464 J-j)11 -14 Lf; 1 . . 11 11 , 1 ,�• . 1 _ . 1 . 1 iw I igl� %//1�/ ■ 11 • • Y • . 1 1 1 1 1 1 11 �1 ' .! / 1 . 1 1 1 • 11• • • • 1 . 1 • 1 - N/ 1 1 1 1 1 1 1 1 i !J-L I � /„/%/////�Jl �l �• I.l.1 � 1 iiriii •rxr+^�iii/r/,�i/ii, .r ririiiui�i/i,� ri�7��*'�;;��-,,,�;:��i;;/i.,, ;,,;%"��; �/ <%.yG%'%�,c,,;v�//��77/2%,,,iii,�;�i i�/io/T7ir//i /r ��i / i • 1 • 1 :A; 1 I I i t n 1 1 1 I I� ,1 .:I ■ 1 ■ ■ 1 ■ 1 ti :��).<.�r^2+�PtxN.i�-V<'r,..:...::;...: F+�.:v :.,o.w?•r�...-.:y�>� '.yr,...lm:� �. -�;�.:.� :..:-.....� •^r�--'x-. ::x�.no' ,:xi,--:�;,s k:°xjS-s^�vacwf.`c''n" Assessor's.Office(1st floor) Map Z2 - Parcel Conservation Office 4th floor 8:30-4:30 1:00-2:00 � 0 ( )(_ / ) Date Issued Board of Health'(3rd floor)(8:15 -9:30/1:00-4:45)"W1 Fee j® , 00 Engineering Dept: (3rd floor) House# 9,S tom, Planning Dept.(1st floor/School Admin.'Bldg.) C LC , as Definitive an ed by Planning Board 19 TOWN OF BARNSTABLE r Building Permit Application Project6 reet dress 9$' ��i7 .�iNGS /CAS Village f _;W7 ///7 Owner Address Telephone Permit Request First Floor square feet Second Floor square feet Estimated Project Cost $ odb `- Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential v� Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House , o Unfinished Old Kings Highway N s Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name �,��/j ZD1 �$s Telephone Number 6!!�2z�S"y Address /� S/yie�d77h�iJ/T{� L��i License# Home Improvement Contractor# lGo Z 4V O Worker's Compensation# C7S—" d &w 43 41k— 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 !a BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) lam,. FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED .. - 4 MAP/PARCEL NO. Q ADDRESS VILLAGE .- OWNER ^ DATE OF INSPECTION: - - i 4 FOUNDATION ^ FRAME INSULATION FIREPLACE' r , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' FINAL GAS: ROUGH FINAL i FINAL BUILDINGS DATE CLOSED OUT:. ASSOCIATION PLAN;NO.' w f tNe . The Town of Barnstable IWAL S Department of Health Safety and Environmenl Services Building Division 367 Main SUmd,Hyannis MA 02601 Ralph Crossm 0frj= 509-790-6= Big COMMissiOr F= Soa-775 3344 For office use only Permit no. Date AFFIDAVIT HOME zwROVEMENT CONTItAGTOR LAW SUPPLEMENT TO PERWr APPLICATION �et�ation,conversion, MGL c. 142A requires that the-==strucdon,al=dous,renovation.=pa dng _ rc n %-4 demolition, or won of an addition tom which' ase ad3a�at building Ong at least one but not more than four dwelling units with ce�in�°�along with other to suchresideaoe or building be done by registered tequirtrneats 0067W 4D,&7- ' G � Est.Cos_ 4 dO d Type of Work: let Address of Work: Owner.Nan= i/�A'��yit-/ 11" "41" //`l'�1.��✓ Date of Permit Application: A0 _/ Z'`� s� I hereb♦certify that: Registration is not required for the following Team(* Work Caduded by law Job Hader S1,000 Building not owaer-ooeuPiod pima pdimg oars pelt Notice is hereby gi<'en that: CONTRACMRS OWNERS PULLING THM OWN PERIvl1T OR D RICG N��wrm ' ACCESS TO TM FOR APPLICABLE HOME DuIPROVEN�Nt UNDER MG ,c 142A ARBITRATION PROGRAM OR GUARANTY FUND SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. -2'" 1e v 7 ^y gegisoation No. Date OR j The Commonwealth of Massachusetts (' Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit locations city / 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 employer providing workers' compensation for my employees working on this job. company name. " address: city y[ione# insurance co: policy# am a sole proprietor,general contractor,or homeowner circle one and have hired the contractors listed below w P P elo who have( ) h e the following workers' compensation polices: company name: ' address: city: phone# _ insurance co. -,L �� .✓� policy# U� Gf/l�F� �8 .., company name: address: city: phone#: insurance co. ofi #.. _ANY �ttac�a dlfiona�3 et �necessa_ .; - : p,: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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. l do hereby certify under t s an penalties duty that the information provided above is true and correct. Signature Date Print name hone# official use only do not write in this area to be completed by city or town official 4 [. city or town: permitAicense to rnBuilding Department check if immediate response is required ❑Licensing Board ❑ P q ❑Selectmen's Office �. i� ❑Health Department contact person: phone#; MOther `+ (revised 7/95 PJAl \ i J f L F , 3 4 I I eo 5x�s,TN� �vq- 5 jS-J-7N I I : HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards One Ashburton Place Room .1301 Boston, Massachusetts :021.08 - HOME IMPROVEMENT 'CONTRACTOR _________------=-------- -- -Registration 100740 Expiration 06/23/96 r----- Type — PRIVATE CORPORATION i °17t° ��c 9l..11t HONE IMPROVEMENT CONTRACTOR. ' is"istrotioN 400140 I Capizzi Home -Improvement , Inc . i Type -.•PRIVATE CORPORATION- Thomas Capizzi , Sr . -Eapiretion - -•46/23/96 1645 Newton Rd. Cotuit MA 02635. i Capizzi Hose Improvement, Inc Thomas Capizzi, Sr. L� � �d6A3 Newton -Rd. I I AOMMTPAMR . -Cotuit NA 02635 i s� 07k o""'M V/ AV- Restricted To: 10 _ DEPARiNENT IF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE I 10 - Role ' - Rxobcr: .. Expires: lirtldile: IA - Nssoorr oily CS 146189 10/21/1111 10/29/1149 16 - 1 1 1 raoilr Roles Restricted To: 00 .rI..L. OAVID N NEBB commmsa*aa '100 PLUM ROLLIN RD E rALNOUTN, NA 02536 9 1;