HomeMy WebLinkAbout0860 PUTNAM AVENUE \ cFGO �ic�narcc Ac
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Assessor's map and lot number ......... .......... cF T
THE
Sewage Permit number ........ .:%'S.......:. .,f ..............
1
Z BA"STAKE, i 9 NAB&
House number .. .Y�.4 /.�...... . �. .... ..................... ft
�p 1639. \00
,s�0 YFY Or•
l TOWN Of B ARNSTABLE
BUILDING INSPECTOR �
APPLICATION FOR PERMIT TO ........L .V.1,. .......................:..............................................................................
TYPE OF CONSTRUCTION ....... ...�:...... ......................................................................................
............................. ....� 19 E3
TO THE INSPECTOR'�(DF BUILDINGS:
The undersigned hereby applies for a permit according`Tto the following information:
Location........?.5?�'AA.!�......�.0 �.Pkv.:� .............................
..........................................................................
ProposedUse ....... ).. ...................... ..............................................................................................................
Zoning District ...........f.a. .............................................. Fire District ....C...OA.L.,-A ...........
Name of Owner .eA.nA.... Address ......5-�........V,,-A M tnl �. !`n...............
Name of Builder ' !_M ..............................
.......................... •Address . OAK.... ....... ...�. Ar.. .
Name of Architect :.........................Address ..... ...........I ....... ..........................................
,
Number of Rooms ..........�....................................................Foundation ...`..&�n j....................... ......
Ex I e r i a r �..........►j. . �c-a..,X......... .........Roofing .......! ,.....................................................
Floors .......C..: n...? ............................................'............Interior ... ............................................
Heating _............................................................:....Plumbing ...: .: ... .................................................
Fireplace .....M-,'.......:Y..........................................................Approximate Cost,--o- ..�ak� ............................. ............,....
rr
Definitive Plan Approved b Planning Board -------------------_-----------19________. Area ) ........................
<y
Diagram of Lot and Building with Dimensions Fee //.... .,. !. !. ...............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH rt
F
1
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 ................ �.�' ,.. ..,�..;�;. ...................
Construction Supervisor's License .. ... .OL........
BRADBURY-y CARL A=40-6
No ..24:9.46 Permit for .,,,One Story '
................
Single Family Dwelling
.....................................................................
Location ....8 6 0 Pu.tnam. ...Avenue. . ................
. ....... .. ....... .. .... ,
Cotuit
............................................................................... ,
Owner Carl Bradbury
...............................................................
Type of Construction .....Frame
...............................
................................................................................
Plot ............................ Lot ................................
Permit Granted ..,.,April 13, 19 83
Date of Inspection ....................................19
Date Completed ......................................19
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TOWN OF BARNSTABLE, "' permit No Z-9 6
Building ,inspector —
sensa.m ' Cash
....n - ,
spa � • _ '• ; ?
, ,, OCCUPANCY
':PERMIT Bond
Issued to Carl Bradbury Address
8.60 Putnam 1wionue, Cotuit.
'`f - _. _
Wiring Inspector ' � � '• Inspection date I .
Plumbing Inspector„r Inspection date y
�. �r +�
Gas Inspector Inspection date
t
X Engineering Department - , ' Inspection date12
» �-
Board of Health ;w_ Inspection date f , %�
THIS PERMIT WILL fNOT;BF VALID, AND THE`BUILDING SHALL..NOT BE OCCUPIED UNTIL
SIGNED BY THE 'BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN E'
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.'0 OF'THE MASSACHUSETTS STATE
BUILDING CODE. t `
.............. ....».»
Building/Inspector
• o
A'ssessor's map and-lot `number .......... ...... d1
/..�..,..... ^ f?NET
Sewage Permit number .........�.�.:�.: �..... .�r�.^! '=" C S
.. �. t. .r� Z BAHMA E. i
INSTALLED i�°�
House number .......... . .... ..... .:........ f. T ,& 9�0 "b `���
w. �^ g t q.
ENWNUL
NTAA s war
TOWN OF BARNSEAVC11�.
BUILDING INSPECTOR r:
APPLICATION FOR PERMIT TO .......16.Q..1.l._.............. ...........................:..................:.......................................
:..
TYPE OF CONSTRUCTION ......P. .. ... ..... .WM........................::.:..........................................................
............................. . �., .. .19. .3
TO THE INSPECTOR OF BUILDINGS:
The undersignpped hereby applies for a permit according to the,following information:
Location .......f..V AA^1 ....................�.gtv.,4.............................................................................. ..............................
ProposedUse ....... .................................................................:............................................................:...........
Zoning District ......:....R. .....Fire District Cad.
Name of Owner .^.\..... r..p.�...1�J�. .. ....Address U.M,+�j l.0 .?:�. ! . A t:^1�4 h.S�kn...............
........... ..... ✓,
Name of Builder 4 .. , ..... ....... .............................Address ........ ......... r....... .... ........
F
Name of Architect ..1d ................... .........................:Address ..... ........................................
Number of Rooms .......... 0................ :.....:.............Foundation ...1..@try ...................................... ..............
„Exterior _ '"..�.. Roofing ........` �8, � ....................................
Floors ...... ............Interior ...
Heating '^.�........ .............................. Plumbing'..... .: ..... ..
Fireplace .....D, ....................... :................:.................Approximate Cos :�.0�..�.Q.Qa.................. ....
tDefinitive Plan Approved by Planning Board -----------____---------------19________ Area' .. ®.......:................
Diagram of Lot and Building with Dimensions Fee .�. .....................
F 1
SUBJECT TO APPROVAL OF BOARD OF HEALTH
s 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 ...
Construction Supervisor's License :..�:Q.: .�?. .1�...:....
BkADBURY, CARL
Ito
I
24946 One Story
a ................. Permit for ....................................
-'- Single Fami"YrDwelling
............................................... .............
860 Putnam Avenue
Location ............................................ ................
cotuit
Owner ...Carl Bradbury........
............................... ....................
F.
Type`of Construction ................Frame.. ............
. . ................................................................................
41 Plot .............................. Lot ...................... ...........
IQ
April. 13, 83
Perm it,"Gra n,ec! ................... ....................19
Date .
of Inspection .....................................19
Date C§mp'leted 1 9
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\ 1&4a 4�o SUR��
CERTIFIED PLOT PLAN
L=:rr I/L - P jT"4m A\/EQuE-
��NSTRUCTION ONLY
C�-U IT
TOP OF FOUNDATION IS 1:5. FEET IN
ABOVE LOW POINT OF ADJACENT � j`,�S"T,��„�. A,�'
ROAD. SCALE, I " 40 DATE T
4Q6 E'NQ ff Ca&0 1 CERTIFY THAT THE
CLI.LNT SHOWN ON THIS PLAN IS LOCATED
IEGISTERED REGISTERW . 8219 ON THE GROUND AS INDICATED AND
CIVIL LAND JOO NO. ;
CONFORMS TO THE ZONING LAWS
ENGINEER SURVEYOR DR.9Y, OF SARNSTABL , M SS. cczm
@,C�•E agues
Ch.NY$ _.._.�.._
712 MAIN STREET a� ha/83 - -
H YA N fr IS,, MASS. BHERT!.,Of,.,..�.. DATE RE LAND SURVEYOR
�pIKE ray, Town of Barnstable *Permit# S
Expires 6 months from!issue date
snsrnet.>; Regulatory Services Fee
xtv
MAM
%639. 0 Thomas F.Geiler,Director
ATFOMA'tA1� `y�
Building Division m P5'?t
Tom Perry, Building Commissioner
MAY 1 08 2005
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 TOWN OF BRR�IBT,gBLE
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address $[3(� 1;)V r I4/K qv'-z-- LO �/t% 19746,1
Residential Value of Work 6-Pon Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address G4 fd L -,Q,-4 1p xg 1.1 pz;°�V
Contractor's Name C, L Telephone Number X7
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ Len a sole proprietor
M 1 am the Homeowner
❑ I have Worker's Compensation Insurance _
Insurance Company Name lb tt=Z:„ r;t
1
Workman's Comp.Policy# '
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re- of(stripping old shingles) All construction debris will be taken to
Re-roof(not stripping. Going over , existing layers of roof)
❑ D
Re-side ' 'A �" � IDS
❑ Replacement Windows. U-Value (maximum.44)
*Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: . Property Owner must sign Property Owner Letter of Permission.
Home Improvemen tractors License is required.
Signature r
Q:Forms:expmtrg
Revise063004
The Commonwealth of Massachusetts
Department of Industrial Accidents ,
-- v--.
Office of Investigations .
600 Washington Street, ;rh Floor
Boston,Mass. 02111
Workers'Compensation Insurance Affidavit:Buildin lumbin lectrical Contractors
s� `x
name: OAR L zl!2 680 rk
address � / (�
city ✓�!' state' ��1 -J S zip• M 9� /phone# —, 2 S `"r�gg l'
/p�
li
or •e location(full address :
I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel
❑ .
I am a sole proprietor and have no one working 3n any capacity. Building Addition
�u:._,"�'�-. f. �i-`'��`n,Ts�`rater°.��'��3�spn��,+L•.�"-".�'..'a'X.a';r<3:'';=''.d.�:�}�;,,..7. :A.�`a-r>1:�=�'',r..°;r'•?.`.'�-"a�K".:`,`:� ,:.°�s'�s•::�'.`a�X'...;�
❑ I am an employer providing workers'compensation for my employees working on this job.
company name-
address:
rt
city
nhone#:
insurance co. oil 11
❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have.
the following workers' compensation polices:
company.name:-
,
address:
city uhone M
insurance co. ------Dolisx#
coin an name:
t
address:
city phone M
insurance co. of #{ t
Failure to secure coverage as required under Section 25A of MGL 352 can lead to the imposition of criminal penalties.of a fine up to S1,500.00 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 theta
copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify and the a'ns and pe !ties of per' t the information provided above is true and correct
Signature r Date
A
Print name Phone#
Econtactperson:
nly do not write in this area to be completed by city or town official
: permit/license# -[O]Building Department
❑Licensing Board
immediate response is required ❑Selectmen's Office❑Health Department
son: phone#; ❑Other
03)
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Information and Instructions
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. Please
supply company name, address and phone numbers along with a certificate of insurance 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.
IN 1111411
gig
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 permit/license number which-will be used as a reference number. ,The affidavits maybe returned to
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.
Fx
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street,7`h Floor
Boston,Ma. 02111
fax#: (617)727-7749
phone #: (617)727490.0 ext. 406 .
nFROMTOWNOFBARNSTABLEBUILDINGDEPARTMENT367MAINSTREETHYANNIS.MA02801Phone:775-1120Qjo4-u-i-j-LMr.CarlJ.Bradbury15ElmfieldRoadFraminghsBn,01701jSUBJECT:FOLOHERETRAMK860PutnamAvienue,CotuitDATEMarch23,1983MESSAGEAtrailermaybe used as atemporaryconstructionofficeonlyandisnotto belivedinduringconstructionofyournei^hccne.Pleaseadvisethisofficeoftheecactuseyouplanforthetrailer.REPLYJosephD,nnTiiy^BuildingCoBmissiciterRECIPIENT:RETAINWHITECOPY.RETURNPINKCOPYPRINTEDINU.S.A.SENDER:SNAPOUTYELLOWCOPYONLY.SENDWHITEANDPINKCOPIESWITHCARBONINTACT.
CmI-C•/SAO/^Rom/r?ACSiS>/7i>//TPapRC/ZJ?,/9^3/>o/=Kg£>^iw2,^/3i//*-or^C//i^s^cTcro^.//9/>9T'OyotR^TO0/3ry9/A/^7P^RmtT/^cP.dcC^ys/=£>/*-^oy^^jor/Cy9^A/^£y^Soyy^iBtoouo^k,TooSt^OOt^^/^o-Coa/STAocj/oa/d7=/^iy-OuS/Y^cye/^^/kiBfOOy/^ScuS-^t^OP/T/^mtTS^tS.^u^/-^ca/^^7"/^?^f£^L/^Kt^y^Oyy^yyO(Pjc/^^uy^y^e/T*p0f7^^yyy»yco/vr^xi&r•T^O/x^*yC'^^^y^/^^^ytnCz^y/r^/Xy*yi^j^ss./f^sooTJ:^fX/^i.r//C-jTxy^/!T>^oy^f-'/^yy>/3i^*c.o^Ayo-^O/Xck.HcvsC/^fXer*^/^c.T€>s/f^yotyuyc>ut^O»/<*5"a//3/7~TH^X"/9-^oty^^^/itXSO^^uyouo^iBy9-T^y^^c •"2^*^pATSS^JSsO'^o/^/P/90/L./9^3T4>/rg-^oyu^^/9g~3.ytrs.'/Reuieu/ft~u/3i?Loc,i^TeiO'Por/)^y9/y^CoTo/T^x^oy^oStRT-g/^Tf//iA/K.\y&tyi^fs-xiy^uct4C^JZ.
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SUBJECT:
rOLO HERE
Carl G,Bradbury
15 Elmfield Road
Fransiugbani,MA 01701
mjums
September 29,1982
n
J
MESSAGE
FROM
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
367 MAIN STREET HYANNIS, MA 02001
Phone:775-1120
Enclosed please find a copy of Section F of the Town of Bamstable Ztming By-law.
Whai you are ready to locate your constructicn trailer on the site please contact
this office for a temporary permit.
For your conv^ience I have enclosed an application for Building Permit and an
instruction sheet and also the necessary fort® from the Board of Health,
REPLY
Joseph D«DaUtz,Building Caosissioner
RECIPIENT;RETAIN WHITE COPY.RETURN PINK COPY
PRINTED IN U.S.A
SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.
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