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Home My WebLink About0285 PINE RIDGE ROAD t .� Assessor's map and lot numbe�r . ..�.Q.../�V.�.�. .:( �" ' �0,*TNETO�� Sewage Permit number ...................�1.. .. � ¢..r,�.. o0- • Z BAUSTAXLE, i House number 9 MAB6 � p 1639. `00 'Ep YFY�`• TOWN OF BARNSTABLE BUILD"ING INSPECTOR U:f�! �r... �� !!�...... ......�.� .f................APPLICATION FOR PERMIT TO ... ��` .....fl.... ................TYPE OF CONSTRUCTION ....... ................,........................................... ............� .f.,`/f .........19...0. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordingto the following information: Location ........ ... .� ... ��". ,4. ......#-z�A. ......... ................................j ..... !% i�...................... .. Proposed Use .. r .. .... .... T \ Zoning District ...............:.1................ ... ...... .....Fire District .......... s.��....:.�4...: ......................... ................. r f.� ,,,JJJ G. . X........r..�.. Name of Owner.4ti:'......� ..... ........ .. ........ ....Address ..,... . ,....... . ... � ... Name of Builder, r -'.. ...... ............ .Address .....! ....... Ott ..�..�.�.:...: Nameof Architect . .` . .............................................. ............................................. ......... ............................... � r` . -.......................................... Foundation .. Number of Rooms .............. .... .s::�i;�/`l!•j.��....................,ti. ...:�:��.`'yx,at.'1�. ............ 2 Exterior .. � � ram............................ ...Roofing . ...� 1.�:.................................................................. Floors1 Interior .............................................................................. ...... .............................................................................:.. Hi�ajing -..........................................:.................Plumbing ........ ... ..... ................. ....... ........ Y Fireplace ........ ....:.....................................................Approximate Cost ...... .............:.....� ................................. Q e ; Definitive Plan Approved by Planning Board ______________________________19-------- Area ... ! . ............................ Diagram of Lot and Building with Dimensions Fee .............................. 1 SUBJECT TO APPROVAL OF BOARD OF HEALTH sOdr APO ' I 3 � 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. Name .,t..................... �. . . . ........................ Construction Supervisor's License .. r� �'., ..l. ....... ROSEN, DR. STEPHEN L. A=018-019 No 31.430,... Permit for ...Enclose EQ;;gh .......... ........... Location ..... $.`�...ZiRQ...Ri.d. .e...RO d........ ....................... ........................................ Owner .......PK......5te h.Q.n..r!.....RA$.Q.11...... Type of Construction ....Fr.aMe......................... ................................................................................ Plot ..:........................ Lot ................................ Permit Granted .........November 20,19 87 Date of Inspection ....................................19 Date Completed ......................................19 i ' P Assessor's map and lot number pF THE TO Sewage Permit number ................ f ® �� Co Housenumber..................................e. ..Y.............................. T L co a MAX TOWN OF BARNSTABtu U T1®jS BUILDING IASPECTOR . -APPLICATION FOR PERMIT TO ................. .. :. .......... # .y...... ........ .... ...............................:.......... TYPE OF CONSTRUCTION .......0�...:.a'/..:. ................................ ................../ �.t��.........19.... r� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ~ Location ........ ...4?.. ......: �'Yl- :....... .. ......., .................................,....../h�:is'u//...................... -� ProposedUse ..... .. .. . .... ............. .......................:......................... ..............I.......................... .... ... ........ .. f.. �j ZoningDistrict ............ .�7......................................................Fire District .......... ........ .........�................................... Nameof Owner :.... ..... .... :...........................Address: ..: / �:... ... . ...... ......... Name of Builder . ., '� ... ........... .Y� ...............Address .... .... ..... Nameof Archit ct ............................................Address ........................................... .................................... Numberof Rooms ... .............................................Foundation ..... ... ................, . .!.. .......... C E% . ...E . v . xterior .... .................................. fg ....... ..... ................................................. .." ...................................................................Floors ...:. ...�................................................... ..............Interior ...... Heating Plumbing .............../y�iQ� �.................................................... ...�.>-.6(: ............................ Fireplace ......... .......................................................Approximate. Cost ...... ...................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area .... ......................... Diagram of Lot and Building with Dimensions Fee .►.."Y............... SUBJECT TO APPROVAL OF BOARD OF HEALTH r � 71 ' xrz�rsT�•u � . �� I�DD � 1"�Dr`' ALP 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. Construction Supervisor's License .. .: .. .fJ........ ROSEN, DR. STEPHEN L. • No 3143 ... Permit for ....r;Kkq.lo.s.e...Por.ch .... .. .. .. .... .. Singg- ... ng j .................. .......... Location .... ...AQad. ................ .......................................... Owner ........a-K.. ....Ste hen L R.o.s.e.n..... Ty5p. of Construction .....F.rAMQ....................... ................................................................................ Plot ...f....................... Lot ................................ Permit Granted ...... November '20...............................L 19 87 Date of Inspection ................ .....19 Date-Completed .............. rr........ ...19 M tj r Engineering Dept. (3rd floor) Map Parcel Permit# s House �00--) Date Issued , o Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Z Plaliat 1st floor/School Admin. Bldg.) •-��. ( g) �E�1'�C SYBE DeApproved by Planning Board 19 INSTALLED t �,�e Vic: TOWN OF BARNSTABB ` Building Permit Application Prddress .2e9j� /��0-0-"IF/�S_ _6p Village ��es 7— Owner 4& 1!-! Address Telephone Permit Request (1)AJ Z zol"4101Cie First Floor square feet Second Floor square feet Construction Type - are 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 L o On Old King's Highway ❑Yes t: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 M ?,2i 7A Telephone Number Address /�4�5'r ii '�N� � �j" License# 46`7drff 2 Home Improvement Contractor# ODV ;W07 Worker's Compensation# 410 ^eWAI 9� 41SF 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. DATE ISSUED ` MAP/PARCEL_NO. ADDRESS . VILLAGE , { OWNER E t DATE OF INSPECTION: FOUNDATION FRAME 4 INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH! FINAL GAS: I --ROUGH FINAL _ FINAL BUILDING,* !, DATE CLOSED OUT , ASSOCIATION PLAN NO. ° ,per 07 I -\ Vi p 7 � t OME .IMPROVEMENT CONTRACTORS REGISTRATION :Board 'of Building Regulations and Standards One Ashburton Place .- Room 1301 . . I Boston, °Massachusetts 02108 t HOME IMPROVEMENT CONTRACTOR ��' ""'-""--'- -!--- Registration 100740 Expiration 06/23/98 Type - PRIVATE CORPORATION DOME IMPROVEMENT CONTRACTOR I, R, istration 100740 CAPIZZI HOME IMPROVEMENT, INC. t Type - PRIVATE CORPORATION WNW,EMM Thomas Capizzi , Sr . Expiration 06/23/98 1645 Newton Rd . vW I Cotuit MA 02635 i CI'.`IUI HOME IMPROVEIENT, INC Thosas C,;Pi?Zi, Sr. 67v! Noton Rd. t ADMINISTRATOR Cotuit MA 02635 I i \WKI 'J DEPARTMENT + ONE ASIiBUR 4kkC-IONiSUPERVISOR LICENSE = f*Expires: . ; -r-1-A I9V+X WdAPIziI.EJR:- , 2NSIt 81� A. hA` 0266a t �. a ° TX it•'1 ly.`;1 '.1••:. ... :. -.'-. .. 1 The Commonwealth o f Massachusetts r _ „i; :1c Dcparttncnl aJl�rr/ustrialAccirlents � - .. Office oliavestigations 600 li''rishinvon Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit n,ime: � location: AE cih C ��T1//J /'`/�✓ d Flo j�S� phone# 2-9— I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity :.h.�a� :. P J;a.•`.nl��.�'•.�'- '".�7"' 1.;:`,_ .a�,''.r�.�s- .u: _ '..fit..•.` c.:,,:.�_.::i.:i�..r '"'"�...s. I am an employer providing workers' compensation for my employees working on this job. company name: address: city: phone it insurance co. �' .��1 7��C��1� police# 416' At 1 3k1 N'.'Sal'^'r!in ;—Q^' �•n...Y-- +.•._,��..e:_._. ._::.:�_.._..�.:..� I am a sole proprietor,general contractor,or homeowner(circle one)and hav:hired the contractors listed below who have the following workers' compensation polices: company name: address- phone#: insurance co. policy# as-._.._...:..« _.V1�.._.. :J t`:.uY.L3:tr...ai� :�b.�r.liaA.:1.:^: -.6..0_-.iJd�.� - --:i SY.L.IW �S:.^� '••_• - _ ...M..G.i�.. company name: address city: Phone#: insurance co. policy# ,. .. iAttacti additional slicet ifncccssary.,r_; �rc fi.:�G s .•::.�„�r:n,':>;:u�.�.��,.�=--�r . tiu�= a;;;��M's�tx�_. ,t�� .;t•�.,.;,�_..�"r'„ Failure to secure coverage as required under Section 2iA of NIGL 152 can lead to the imposition(.'criminal penalties ora fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a rote,ors100.Oo a day against me. I understand that a cope of this statement may he forwarded to the Office or Investigations of the DIA for coverage vcfiGcation. 1 do hereht•certifi-tuider pains and pe !ties of perjure•that the itt,fortnation provitled a ove is true and correct . Si=nature Dzte Print name Z �� —� Fbone# ' official use unl do not write in this area to he completed by city or town official - city or town: permitAicense# rlt3uilding Department []Licensing Board [: ❑check if immediate response is required []Selectmen's Office []Ilcalth Department �contact person: phone Other '=_ -- ...,..+-i.. �c-�-+r,..+r;--'�-tr _ r_._=�n-r�t-.-.--•i.:.T_.,_..,a•--:r...r•„s-..---•-rr �eS omscd 3'1A P1A) . The Town of Barns . . S�`c : : Department of Health Safety and Envwoniaentai Binding Division 367 Main Street,Hy=wis MA 02601 Ralph Ctm= Offices 508-7go-6227 3m9ag Commissionc Fwc 3D8-775-3344 Tor dE=rise Daly - pcnnit no. Date �O� AFFIDAVIT NTRACTOR HOME SIIPPLEMENT` TO PERhIITEBIENT O AP'PLICI�ZIONw • ction,alterations;Mlavation,rq air,mod�a MGL that boa of as addition to,any 0*= occupied �P udts or to wh6A are building containing at least one but not more than four d�rdliag with certain aoccptios� along with other to such resideacc or building be done by registered contractors, i tequiremem ` Est.Cost s - 'Type of Work:aS ' � f_ Address of Work: el Ow-ncr.Namc: Date of Permit Application: ' ,91 I herdn certify that: Registration is not requirzd for the following trason(s): t Work codudal by law Job uader SI,000 Building not owner pied Owner pulling own pcMd Notice is hereby gi<ra that: OWNERS PULLING�R OWN PERMIT OR DEALING DO N�gp�CCESC SST TTO�� IFOR AFPLICABLF HOME IArlPROVF�FUND �MGL c I42A ARBITRATION PROGRAM OR GUARANtY , SIG;IED UNDER PENALTffS OF PERJURY I hereby apply for a permit as the agent of the C%m=- p® 7f4 27 Date OR