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HomeMy WebLinkAbout0081 PINE RIDGE ROAD ' die � a _ :, . / �, Assessor's offioe Ost floor): / y� %, I Et Assessor's map and lot number ...✓................�....... .. f. . �Q�°� Board of Health (3rd floor): `�C ` Sewage Permit number ....... ............................................ q >; BA"STADLE. Engineering Department (3rd floor): 'oo 1639. 0m° Housenumber ........................................................................ 'ED UP a\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M..Jonly ` /- �►� TOWN OK/ BARNSTABLE , B.ULLDIHG INSPECTOR APPLICATION FOR PERMIT TO Al 5G(�EE1JE i7 1�O R 1 'CO EY.tSTI Ca a IP:7L) G TYPE OF CONSTRUCTION ......W.D.0.i�..... R.6.ME k ............... '� 3-,------I9.q 7. .__......,TMO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...g�.....`..1NE..... �`1OCHE..... . a.�....C.O .1.T...................................................................: ✓ ................. ...................� Proposed Use Q'�(�S 0 N A l.. ................................................:.................... ....................... ............................................................. ZoningDistrict ........................................................................Fire District .............................................................................I 1 a4. mvR��� 9isC.o �� gaoorc rG MA oa16o Name of Owner ,\?........NQ...d[..............................................Address 3A.................��L�...Z>>'�.N...�.�.QN.�..........�... 'Name of Builder ....................Address Name of Architect ^'t a�... O TI`N .T..............................Address .f? T. !` .9.M A.'................................:................. n .....................................Number of Rooms ........................Foundation �.�t-......5p NQT�.�.B5..........................'........... . ..... Exlerior ... 0. - 1-).�.NEaLE.......................................Roofing .Ptr'«+.1?.Nl�: rt .... .l. Ud- »...........`..................... Floors ....W,ca.c .l ................................................................Interior C,C CAN ................................................................... Heating .......................... ......Plumbing Fireplace ................................................Approximate-Cost ® / Definitive Plan Approved by Planning Board ________________________________19-_____-_ . Area ...../..��.....5..........:.... :. .r Diagram of Lot,�nd Building with Dimensions Fee .......t... -0 SUBJECT TO APPROVAL OF BOARD OF HEALTH -F I6, rN ) PoRGN ioo yyyy / 4 ?.O RC H too y 0 wr OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t I hereby agree to conform to all the Rules and RSgu I'ations aFlthe Town of Barnstable regarding the above construction. 1 f,�-� .✓ NaMeeta^ ........ ............ . .............................. Construction Supervisor's License .................................... VISCO, ' LUCIANO & MURIEL , a Y/f A=018-041 No 31146 Permit for ..Addition .. .Single Family Dwelling Location .....81..Pine Ridge Road ..... ............ Cotuit .....................................................................I......... Owner ....Lu-Lalto...&..Mur.iel...V.isc.Q.... Type of Construction F.rame............................ _ ...................................... ..................................... Plot ............................ Lot ................................ Permit Granted ...September '1 , 19 87 " Date of Inspection ....................................19 Date Completed ......................................19 r ' f r r 'f Assessor's oap st floor): / f C, ®IN ® �;� = ^,`°° THE m Assessors ma a and lot number .........��.�...�,yl. ,,,�, �����` toy♦� Board of Health (3rd floor): ..'.� .:.....I .. ..y........ WITH TITLE 5 • Sewage Permit number ....... .. Engineering Department (3rd floor): rwAVIRONMENTAL CODE ""I. N LE, . House number ........................................................................ TOWN RECULATI®N!S °°'�o'9*Ar e� Av APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only, �C� TOWN OF ' ,BARNSTABLE BUILDINGS., ,NS PECTO R APPLICATION FOR PERMIT TO ..:a �..... C.R ENE.J7...Ld RGik... O..'7&K' TI.N G.... EW.l 1. ..N.G TYPE OF CONSTRUCTION ......W.Q.0..►P........r.A&AfM .................................................................................... ................ ........ 19.5!7. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...FS�....�\�.!NE..... 1 CpE.....,5.0 G OT1 Z..1.1................................... ProposedUse ..'s' S.D.N. ............................................................................................................................................... ZoningDistrict .....................................................................:..Fire District .............................................................................. Name of Owner LQ.Q.KNO...�.MV.R�.E.�-...�.�.S.G.�?........Address 3 gR00r Zl�. E j N � ODLM Nameof Builder ....................................................................Address .................................................................................... Name of Architect '1? ��... �. T.1`NFL.1................................Address� 7..MA!.................................................. Number of Rooms Foundation ......5.QNG.\.U.BC.................................... Exierior ...kv100Q .......................................Roofing NS-?.RA!A!-r;;T.... ................................ Floors ..... ................................................................Interior .racE. N. Healing--: v . 1 ON ......Plumbing Fireplace '".. ......Approximate Cost Definitive Plan Approved by Planning Board ________________________________19 -------- . Area ...... S Diagram of Lot and Building with Dimensions Fee �� o'er SUBJECT TO APPROVAL OF BOARD OF HEALTH 16 PORGN 177 n 100� �XI�TIN OCCUPANCY PERMITS R GUIRED FOR NEW DWELLINGS , I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. Name v,,.i VJ!!a............ ..r.... . Construction Supervisor's License .................................... - VI5CO, LUCIANO & MURIEL 3T146 Addition.. No ................. Permit for ..............................;...... ;y � F k. Single Family 1ina .4........ I .. Location ..8.1 ...Rid. .e...T?.o. ad................. Cotul-I. - ............................................................................... Owner Luciano...&...Muriel V1SCo j,. .......... . . ..................... „ k. Type of Construction ......Frame....................... + ............................................................................... E; - t Plot ............................ Lot ................................ fr e�t....1.• . Permit Granted S k. ............,..19 87 -� Date of Inspection .........19 { Date Completed ......... 1.....`.`.19 ' 1 „4 ® to! ' C` , Assessor's Office(1st floor) Map Parcel �`�`Permit# ff �; Conservation Office(4th floor)(8,30-9:30/1:00-2:00) � `" Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) S d7} Engineering Dept!(3rd floor) House# 8 J . SEPTIC'S `� ��F���BF HqS TALL Planning Dept. (1st floor/School Admin. Bldg.) Dloiecttree an Approved by Planning Board 19 ENVERON ODE AND TOWN Is TOWN OF BARNSTABLEBuilding Permit Application Pt Address ] Village Owner,. . ..5;ji f 'WIAI ,dJ—fCO Address Telephone; - t r Permit Request ! VAY tA~ ,L, 1.d .-t ,First Floor - square feet Second Floor square feet Estimated Project Cost $ 0&0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family V Two Family Multi-Family 4 Age of Existing Structure /J Basement Type: Finished Historic House A10 Unfinished Old King's Highway r) 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 ea � ,. Telephone Number Address License# cl5%03 2— Home Improvement Contractor# Worker's Compensation# 6167 0 %a11F 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 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. qq E DATE ISSUED MAP/PARCEL-NO. - • { ADDRESS k ! VILLAGE OWNER { i DATE OF INSPECTION: { f r FOUNDATION { FRAME- z , INSULATION r ' FIREPLACE { - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - - GAS: f ROUGH FINAL - { FINAL BUILDI4G4 t ~ cn iIt F r 1 DATE CLOSED OU • tr { ASSOCIATION;PL:A N(4 1 E 1 4 E i s: , // I Ole -p I I ,HOME .IMPROVEMENT CONTRACTORS REGISTRATION I �\ i' Board of Building Regulations and Standards I One Ashburton Place - Room 1301 Boston, Massachusetts 02108 I • I HOME IMPROVEMENT CONTRACTOR -L---------" ------------------ Registration 100740 Expiration 06/23/98 Type — PRIVATE CORPORATION HOME IMPROVEME)ff CONTRACTOR i Registration 100740 CAPIZZI HOME IMPROVEMENT, INC . I Type - PRIVATE CORPCRATION Thomas Capizzi , Sr . Expiration 06122/98 1645 Newton Rd . I o Cotuit MA 02635 CAPIZZI HOME IMPROYEMENT, INC Thoaas Capizzi, Sr. jZXII° v 93'`r Newton Rd. ADMINISTRATOR Cotuit MA 02635 I ONE AGIMI2 , DOSTUN, 4kuq-1ON�'SUPMISOR LICENSE =0V0q' 2t-4'!"O9/26A997 .'1 �z1 Expires: . -- '.i'4' l - �5�%X�•�,GA�IZ21EJR: _� - . 02668 The Cot unonwealth of Massachusetts :'�,l• "i: ;1:' Department of Industrial Accidents } �•'• � - .: Orrice nlia�estigatians ; : ,- .. ,; t-V i.-i:::__r, ' 600 if dshitt ton Street �' '� ,, Roston,Ala.u. 02111 Workers' Compensation Insurance Affidavit A bean tot rm tton: �-"- '••`• -� :��-.:r•r" PI ase PR �i•�l- - - - • nam : Z2 j � 4 location: city C/ V-?Y/i✓� /" ,/ f7 t,` ��p ,5 Phone# 2-8— ❑ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity L - `.♦'a'.+*r+tr+y+�•�v ar�,,,,�.vQ"?7•n.:;r........-;e— ..vim.spq.tl- .0 .M:. ^`+� m]I!!a/is•! waJ�ti�,� .fie':; `1.::f:v_ r� .«��}- .:lv :iZ./�.rl+i:i�•._::•:�.f G.:<r.r)r..i'�._._.-_..:.-J• I am an employer providing workers' compensation for my employees working on this•job. company name: address: city: shone#: j — "' � Sr insurance co. � policy# lo8 [ -.. .. ...e.' ,i'.a "'•• 4i".t'3�.,..ri-».i »-x•• Z.r,'-.-•:�m!•.s".'3 <. _.�•y��n�r+,rnnz.. ::q.,..zx"'�' ''°r"�.�.�..' ,�'.^`4y ..�,. ........t. yr. I am a sole proprietor,;eneral contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: cis\•: phone#: insurance co. policy# a._...a_._.._.......-.• _.u=.... :vw:•:utu.iy:.. ^s:rL'.YSiI.�L'.1.•.t:d.: n ASS._ •- "i;,'•. _ t•:. ail. company name: address: city: Phone#: insurance co. policy# ��Ii>ic6-tiddi _ . . •:�_�,,;m-s:::c;- ..- �"--�-.•a �-�-�t-*+q..�.._.�� .r,rr,.; .. . lions!shcef if riccessary _ =:v,ra.v� �r �s � __� �;a _ s' '# '��. t��• -�*-�%-��••-••--Y _ ...� _......_ Td�'.saslaxa:xv�::��srai.0 �trsi'�r S12as�tir _....1..-, y,>y�•._ :ds.. :.t=:J51.d�:::.af:-rY.: Failure to secure coverage as required under Section 25A of IN1GL 152 can lead to the imposition(.,'criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP\FORK ORDER and a rice of 5100.00 a day against me. I understand that a copy of this statement may he fonyarded to the Office of Investigations of the DIA for coverage verification. t do herehl•certift•iuj drrr Pains a d pe !ties of perjun'that the information provided cove is true and correct Si2naturc `% i' , Date .2 Print name /'C �� ��� Phone 5 official use only do not write in this area to be completed by eit} or town official city or toN%n: permit/licensc it uilding Department - 01-icensing hoard [: Q check if immediate response is required OSClectmen's Office 011calth Department contact person: phone#; r IOthcr - • - •" —:--.. r........-_.. .•..,.,sr.-". _..; ,. •c-•--t^�.e;---•-��--n-rrx•- fir.--„-.-r-^ _ e-•-s--:<.,—.�. (TC—C.0*t•tA) The Town of Barnsta r w"m Department of Health Safety and Environmental Serve ses9- guiiIding Division 367 Maier Suet,HT=i's MA OZ60I Ralph Cmss= _4os-7go-6227 B—g C,oxsiionc F= 508-775-33" r For office use only . . permit no. AFFIDAVIT HOME SUPPLEMENT�PERI4IITO _APPLICATION MGL G 142A requires that the"mconstracaon.alterations;ttnmwiM tepatr, o� aoazpied provemettt,.temo�al, demolition. or aonsauction of an addition tO*auY units or to wmch 0"- building containing at least One but not more than four dwelling along with other to such residence or building be done by mgistm d cantrsct M with certain a te, ttquiruaaus- Type of Address of Work: f Oamer.Name: �/4/ 't licatioa: of Petint Date APP I hereby certify that: Registration is not requ i for the following reason(s): Work excluded by law -Job under Si000 Building not owner-oceapied OwQ pulling own permit Notice is hereby g'n-en that: OWNERS PULLING TFOR OWN PERIXT OR DEALING WII"RUN"F-G15TEKEDVE CroCESS TO ' VOR APPLICABLE HOME RAFROVDAENT WORK DO NOT RA ARBIZRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ow•tter- .� 7,V, won No. nade Date - OR •