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Home My WebLink About0154 OLD KINGS ROAD 5v 87'�, ,,� r� 's map`and lot number ......' / /� Sewage Permit number r...2/-�....6,es......................... d� °► Z BAUSTADLE, i House number o N a SEPTIC SYSTEM MUST B � 39• e r 'P"' ' E RL�ANC �0 NO a` TOWN O F B ARNC� ° 5 '-~ ENVIRONMENTAL CODE AND TOWN REGULATIONS BUILDING` ° INSPECTOR r APPLICATION FOR PERMIT TO ?�i`... ``` >:'' ....D ............................................. TYPE OF,CONSTRUCTION ....aJ�.04.®..... y:V?'.'`� ............................................................................................. L..... .L............................. TO THE INSPECTOR,OF BUILDINGS r The undersigned hereby applies for a permit according to the following information: Location ....a:.......� L��:......... ..............................:................................................... I ProposedUse .... .......................................:.............................................:.......................................................... ZoningDistricts ........................................Fire District ��................. ............... ....... ........... .................................................... Name of Owner I-............ ....... i ...............................Address .. ..... ........ ...... ........ �� ...i.,�� . Name of Builder' .......... ��\.......� . ....................Address Dd.. Nameof Architect .............kz ` - ........................................Address ..................................................................................... Number of Rooms ..... `......................................................Foundation . m C.0 ' Exterior s ....C-o�!'. .....................Roofing ..... �. . ��? ........................................................ Floors ....'........................ ...Interior .....�G�- .V-C ....................................... Heating b ® ..Plumbin :.............................................. ar Fireplace .. :................... ..�...........................................Approximate Cost ...... .. .. ..� ............... .................. Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area .... ...................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO PPROVAL OF BOARD OF HEALTH 1 \. �- f l I f 07- 27 �� I � G OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T vKn of Barnstable regarding,the above construction. ! s 7 Name .. .. t.....0..'............ ...... ...... Buckley, Leo ...23707. ... Permit for .........one...story........ ........ . ...... ........... single family dwelling Location.....................1..5..4....O...l..d......K...i..n..g..s.....R..o..a..d............................. . ..... ..... ...Cotuit . . ............................................................................... Owner ..... ................Leo .........l Buck..e............................... y Type of Construction ...............frame.................... ...... ............................................................. . 5 Plot ... ........................ Lot ................9................ December 17 81 Permit Granted ........................................19 Date of lnspectiorw2.'/j6;A�..................19 Date Completed .....I.....19 X. Af ----------- Assessor's map and lot number .e a ..9� .: ' �O O� Sewage Permit number ......��... �.ur'i�..s.......................... SARESTABLE, House number .. '................................................... ro Mae& O i639• ♦� ON a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....� ^ 1 ..... �+ TYPE OF CONSTRUCTION .... ::::;:3.£' �' �Zd"`�...................... ............................................................................................... 11 1OJ �I ............19�:.... TO THE INSPECTOR OF BUILDINGS: - The undersigned hereby applies for a permit according to the following information: Location r�: ��'...,f�u.Cn tCE t�:......C�%.A `F ` ProposedUse ... ,�. :�.. : .............. ................................................................................................ Zoning District �C `` .....................................Fire District �»'Ct ............ ..................... ........... ...................................................... Name of Owner �^�-�' �� `...1� ........Address �? f' Y � ' � ( ........ii soh ��...... �. s Name of Builder ............ .. Address ..:.........................:....;.. .. ....... ...,.......,............. ....... Name of Architect ............LiES�'a ..........................................Address .................................................................................... ........... Number of Rooms �'4^.....................................................Foundation u ...��.L;3•�^;;vWe+Q— ............. .... ..................................:...... . 1t � J Exterioriclr?ti��... Cr \7, ...Roofing �341C' ............................................. ........ ... .... ...................•.....................•.......... .............• .A .. �rcWacS s? ' .............................::....Interior ....r-,a +K'd�.....1'.I?, ..................................................AiI f Floors ,..... � 1�4 �- Heating . �' g c^Gi9taac. t ......................................... t � I /i bFireplace `Q Approximate Cost ......................................................... .................................................. 4 Definitive Plan Approved by Planning Board ________________________________19________ . Area ...................'.......,................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r i > 1 I r n tJ 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. I ` i Name . ti �✓ " a.. ................ 'G....: . ..... ............... �Backley, Leo A=22-91 2E90 ermit for one s to single family dwelling ............... ................... .................................... Location 154 Old Kin&s Road . Cotuit ............................................................................... Leo Buckle Owner .................................. ............................. t Type of,Construction frame .. f Plot ............................ Lot ............95............... i December 17 Permit Granted ........................................19 $1 Date of Inspection ....................................19 E Date Completed ......................................19 4 t A , rzo o a 2 � qL A TOWN OF BARNSTABLE permit No. { »n.0 ; Building Inspector cash PUL • — 1" �O .6)0. P OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19.._._ ......................................................................................................_.._...._ Building Inspector r pi/ o°�3 LOT r 5 m N - � N flryt; I� y �5 j::'o U►J o A T t o.N-19 ' o` !� �o, ►9 4 � 2$ ` N 22 �y 7—L— Sq-7 -/a _1 z.'W 77./ OLD e I I CERTIFY THAT THE FOUNDAT;ON SHOWN DOES NOT VIOLATE ANY �U V IvAT 1 0 EXISTING ZONING REGULMION Or- ® N CC R7-,F l6A7—f W THE TOW; OF E3AtatJ saTr,6L-C BARNSTA&L_'C M 4SSr 07 U 1 7- wa r=R C--It JR 67 G FL-A 1CL Ly 23207 � •_ "-r � ,� ` C"IsT� ,o� ch- �DSC, 'ssac. CNc ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel Permit# ( 8 �c Health Division Date Issued C��21�QQ Conservation Division�- Feed Tax Collector f Treasurer l Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ; Project Street Address. 16—q — Village 4- Owner p �Address �� I m Telephone d - ��'4k Permit Request RE--Poo - �,Ap/w Q1,2 '/,tl 9<qn Z� wa/ 35 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total ram++-� � 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 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:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Q Name on,Mtj Telephone Number 0 "-7'7 Address* License# (d Home Improvement Contractor# Worker's Compensation# 9 � A3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE d t> FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED ` r MAP/PARCEL NO: ADDRESS ' VILLAGE OWNER DATE OF INSPECTION: _ FOUNDATION ` FRAME t INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL 7 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING _ DATE CLOSED OUT F ASSOCIATION PLAN NO. , r _ � Offrca alloyes�0atlons 600 Washington Street Boston,Mass. 02111 f Workers' Compensation Insurance Affi�dda/vit%'�ririi "' / ? %////% ��ww/� ��".. name: ?iflU location - ZA city hone il �' CY ❑ I am a homeowner performing all work myself. ❑ I am a sole oromrietor and have no one working in any capacity N r ( I am an employer providing workers* compensation for my employees working on this job. comnnnvname: PAUL J. CAZEAULT & SONS address: .., ;. city: MARSTON MILLS. MA phone#: _ 428-1 1 77 insurance cn. oiicv# 199413744 /////////////////////.%//////%/////////,l/U////!//%L%/////////////%��llull%///l!//////.�G%/G.'lU////% ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors Iisted below who have the following porkers' compensation polices: comoanv name, address: dtv: phone 0- insurance cn. :o'•i` .. :o.::>xr:w:oob:'� >,.�... ' comnanv name- address. cith•- Phone t iruvrnnce co. ::::::•::.:•.;. ......... .. . Failure to secure coverage as required raider Section 25A of MGL 152 can lead to the imposition of crtat aai penalties of a fine up to SI.500.00 and/or one veara'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a lhte of SIo0.00 a day agaiast me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for eovenge verincation. I do hereby certify,vxdcr the pouts penalties of perjury that the infornutdon provided above is&zw..and corrects Sigamre'~~ Date A) -- 4-9 - pr* a Phone#_ A'I Q o fficialo not write in this area to he completed by city or town official town: pertaitNcense# QBuilding Department ❑Licensing Board response is required ❑Selectmen's OdIIce❑Health Department phone#, (Other. (tsys+ea y 95 PIAI f Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thri: employees..As quoted from the "law", an employee is defined as every person in the service of another yonder any cam- 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 cof the foregoing engaged in a joint enterprise, and including the legal repzeseatatives of a deceased employer, or the rec=vc "- 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 e, construction or repair work on such dwelling house or on the#moans c. 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 renew` 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,neitberrthe . commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work umii acceptable evidence of compliance with the insurance requirements ofthis chapter have been presented to the comrsetirg author,ty. Applicants • Please fill in the workers' compensation affidavit completely, by checidng the boat that applies to your dmatian and supplying company names, address and phone numbers along with a c mtific ate of imvir =as all affidavits may be submitted to the Department 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 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 pe=mitllicease number which will be used as a refc==number. The affidavits may be r iLid io the Department by mail or FAX unless other arrangemea A s have been made. The Office of Investigation s 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 0MC8 of Imre OSUOas - 600 Washington Street Boston;Ma. 02111 :• fax#: (617) 727-7749 phone#: (617) 727-4900 e= 406, 409 or 375 HOME IMPROVEMENT .CONTRACTORS REGISTRATION - f3oard of Building Regulations and Standards 1 One Ashburton Place - Room 1301 Boston , Massachusetts 02108 I , HOME IMPROVEMENT CONTRACTOR I ` Registration 103714 Expiration '07/09/00 I Type — PARTNERSHIP I 6�oon+nosuaeald(9f..`( du.�aa I: HOME IMPROVEMENT CONTRACTOR I Registration 103714 PAUL J . CAZEAULT & SONSROOFING �" Type PARTNERSHIP Paul J . Cazeault I Expiration 07/09/00 22 Giddialt Rd . P .Q. Box 278'1 Orleans MA 02653 ! PAUL J. CAZEAULT & SONS ROOFI Paul J. Cazeault G� �o� &�l�iddialt Rd. P.O. Box 278 ADMINISTRATOR a A 026 N ISTRAT O Orle ns M 53 1_ (�_F'f I�fi51{tiPl I 0! NIWIJA: �h. k�t)'3 101C. '1411 t•:1 :1.t}„ .:.t c,L r; ° . , .;(W;'W'1'!3(W L 1 t..i=,1\1.`,1`.. I`•!I!Ini?; i": i. X 1) i U [B5 A le:T•i.1.•4, { 1. , fl; a i.. . :�e Go�ir»auic.n�al�/ o� RJJpC LUJI'C�J DEPARTMENT Of PUR IC SAFETY ! CONSTRUCTION SUPERVISOR (TCENSE a Number: aFzollcs: Firi;,o t!: i. w CS Restricted To: NO ' 1 I 1SPIS MAIN ST . ' • I — - 1 - '9 k . s DiTERViIIE,- MA 016i5 I F Or The Town of Barnstable 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,modernintion,.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: "� — Estimated Cost 0 Address of Work: L, Owner's Name: e o Date of Application: /0 /I S I hereby certify that: Registration is not required for the following reason(s): Work excluded bylaw 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 age of the owner: Date . Contractor ame Registration o. . OR - „ Date Owner's Name g1orms:Affidav