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Home My WebLink About0534 SANTUIT ROAD ngineering Dept.(3rd floor) Map °' Parcel ; J' Permit# 79 26 ` House# Date Issued Board of Health(3rd floor)(8:15 -9:30/,1:00-4:30) Fee, d S Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �TNE rq Definitive Pla proved by Planning Board 19 BARNSTABLE. ' V. �s� r. TOWN OF BARNSTABLE-, Building Permit Application 6 Project Address Village Owners (/ Address Telephone Permit Request t t First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 01 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 ❑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 No.of Bedrooms: Existing New t 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 L�576_M C F/t- Telephone Number Address ?! l c14 License# Home Improvement Contractor# Worker's Compensation# Lzd/S/ _e% 51�13 0116 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 (o BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) i r - - FOR OFFICIAL USE ONLY . , PERMIT NO. _ f • , + 4 _ . . DATE ISSUED s Y MAP/PARCEL NO. ADDRESS VILLAGE OWNER - DATE OF.INSPECTION: FOUNDATION FRAME , •F 1 ^i F i • INSULATION t , FIREPLACE ELECTRICAL: ROUGH FINAL + PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL,BUILDING DATE CLOSED OUT '' 4 ASSOCIATION PLAN NO. _ + 1 1 The Town ,of Barnstable eg Department of Health Safety and EnvironmeIItal ServiceS Building Division 367 Main Stan,Hyannis MA a2601 Raiph Office: 508-7,90-6227 Building Co.:-: Fax: 508-7,90-b230 For office use oniv Permit no. Date r A1+TIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, moderni=ion- conversion, improvement, removal, demolition, or construction of an addition dwelling to y puma Ito owner occupied building containing at least one but not more than fou r structures which are adjacent to such residence or building be done by registered contractors, will: certain exceptions,along with other requirements. Type of Work.-.-. Cost Address of Work: Owner's Name Dace of Permit Application: l I hereby certify that: Registration is not required for the following reason(s): 1 Work excluded by law �. Job under S1,000. Building not owaer-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING 'ADZ OWN PERMIT OR DEALING WITH UNREG� CONTRACTORS FOR APPLICABLEGRAM OR GUARANTY FUND UNDER MGL HOME 04PROVEMENT WORK DO O 142A � ACCESS TO THE ARBITRATION PRO SIG;IED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the Owner. `�� trsctor Name F� Registrsrion No- Con Date e• " The Commonwealth of 4fassac•havetty Department of InJtrstrial.4ccidutts Office oflnvesligatiow 600 !i'ashittgron Street Boston. A1avx 02111 Workers' Compensation Insurance Affidavit �1hPlic:tnt information: �^ —Please PRINT lebjLr.__...._....... name• ��/'r� C location city Phone# 7 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity .. ..l+w••' _-P....w .....w.w.r.7fr M•..r.new}Tl'T�Tt;1T1 7-�•Tr .•..w1��ww. w:wa�ws.w..ah.��..s..aw.w am an employer providing workers' compensation for my employees working on this-job. Y como:tm• name: ^�JLG4ad-y\ address: city: phone#- -g insurance co. lict # [� I am a sole proprietor, general contractor, or homeowner(circle acre) and have hired the contractors listed below who have the following workers' compensation polices: company name: nddresc: cirv: phone#• incur-ince rn. —riniicv# compiny name: address: rity: phone#: insurance co policy# Attach additional sheet if necessary. =� r_ _. --J __... nece s .:a-�T.�y.• =r�_...r.�J%•L�►'Jr�r - ',.- ..�y1Y.. .�.rs.._��L�a'•'- i'.1Y!•....L.�L•...Ll:c;:�.RL F::ilurc to secure coverage as required under Section:5A of AIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur unc.cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement maA be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehv ce }'under a pt ' ' ttd penalties of per' t the information provided above is true and correct. Sicnaturc Date a Print name Phone# :.' ntTiciai use onh• do not write in this.ares to be completed by cin or town oMcial ` city or town: permit/license# t'1tluiiding Department Licensing Board 0 check if immediate response is required ❑Selectmen's Office f ' Dllcalth Department contact person: phone#: M01licr s, r ' ` ._ � . .�..._._ ...�. ._.._.�.._,-...- ..-_---�.•�-ter+.. .. _•.�..v�.«.r.�� ...,.._._.....�,.-��..'. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thei employees. As quoted from the "law". an cmpluree is defined as every person in the service of another under all-,, contract of hire, express or implied. oral or written. An entI& I-er is defined as an individual. partnership, association. corporation or other legal entity. or any two or more . the foreuoinu cnuaued in . joint enterprise, and including the le-al representatives.of a deceased employer, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. Howe\,er the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the d\%!cllin`, house of another who employs persons to do maintenance , construction or repair work on such dwelling hoL 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 N%•ho has not produced acceptable evidence of compliance swith 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 h: been presented to the,contracting authority. __..-.�-...�.. ._..�. ..��..�..w-._.�....... ..�T�� Vr�.'nIR_ _......._�_ Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying co►npany names. address and phone numbers as all affidavits inay 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 tile i e application for the permit or license s being requested. not tile Departnient of Industrial Accidents. Should you have any questions regarding the "law- or if you are required to obtain a workers' compensation police. please call the Department at the number listed below. City or towns Please be sore 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. Plea be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t 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 question please do not hesitate to give us a call. ►•-iV_-e--. _. ..._-.� .-�r.w.o..r � :+,�..... .....-rr..rrw�w...��aa...-.w.VAS••MR.�n+-+AAw+-w—.�..�..•ww..r-�wIRJr_T•'�.rvT.gllo►..�u�.._ Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations -600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 PLOT PLAN SHOWING LOCATION OF BUILDING IN COTUIT B A R N S T A B L E MASS. FOR CAPE BUILT -HOMES SCALE; 1"=40' 'DATE .' SEPT. 2, 1975 CHARLES N. SAVERY INC REG C.E.& L S. 7t2 MAIN ST HYANNIS , MASS D 5 P 6 foundation 65 4.Z'± 6? Ln 71 L oT 6 6 30,400 5.0(0 of 4r4 Z ( a ROBERT sGN hereby certify that the builainn-,exista ' P. ,)n the ground as shown on this I n , a �� BUNuc►s N� p a c n.. No.8420 Is in accardance with the zoning J�� T a� .ate re uircm!nts of the Town nf Barnstable. �� 0 SUR,e�/ Registered Land Surveyor THIS LOT IS NOT LOCATED iN-A'FEDERALLY-DES1,GN1TED F-LOOD-PLAIN-Z-ONE-- PLOT PLAN SHOWING LOCATION OF BUILDING IN COTUIT B A R N S T A B L E MASS. FOR CAPE BUILT HOMES SCALE.: 0=40' DAT E.' SEPT. 2, 1975 CHARLES N. SAVERY INC. REG C.E.& L S. 71.2 MAIN ST. HYANNIS , MASS ' 5 p• C.5 6c,;'l 84. 21' c.e 50,00' �9 foundation ( 5 4Z'+ 5i� :� G-7 Ln ri � . LOT G 6 u' 1600, 00 5. i 0 M�9�� ROPERT C\�� hereby coriity that the building �1 exists �a $UNlKIS n on the ground as shown on this plan an:i � �o."20 is in accordance with the zoning I re uircments of the Town nt Barnstable. �� ,�v'uyw% Registered L-,nd Surveyor THIS LOT 1S NOT LOCATED IN A FEDERALLY DESIGNATED FLOOD PL'AITV�Z01VE--------- - __ ., _ -7- 5-,Q E)3 Asse 'or's map and lot number (!i P��P.. .......: g ...... T _� SEPTIC SYVW IAWT .O.E INSTALLED: IN C-01WP.IAWE Sewage Permit number ........,.. � QOl '. ". WITH ARTICLE If STATE f .. ................... SANITARY C �PyoFTHE.T°�o TOWN OF BARN SA . .�.. 13AWSTULE. i Mb 9 BUILDING INSPECTOR OiO o m Or ..APPLICATION FOR PERMIT TO Cam•'`.......-:Y......... . ............... .......................... . ................ .... TYPEOF CONSTRUCTION .......................:........ ..................... ........................................................................ f..............19 7�/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the,following information: Location ......«. . .7al.T............ ,s.l........... G... III.T.............................................:................................ Proposed Use .... Zoning District � ..........................................Fire District ......� �0`-P.F�✓""' Name of Owner S..Address Name of Builder ..... . ./��.�... 1.��.... �s�.'E..<...Address .4-;7J�,�r..!�Tlr��'�..�..•�/So,/Cf�,�,��1iC/r� Name of Architect ir�i�'� .... G!:°�T.... .....Address 9.... ✓��'L' . ..!../,�/z�'.'O.W Number of Rooms ....... ......................................................Foundation law'em ..................... Exterior ..C.I=' T ....... g .. �`► . �...................... ...Roofin ....... ,��1.��. o.9�.� ................................... .... Floors ..........................................................Interior .. .T`.. /PLC........................................ �� ' ...............................Plumbing /../�TGf/ 6y �. i`i4Ty Heating !.'7.QT��.1�'........................ .(�/ ............ .................................. Fireplace .-/01410.4...........................................................Approximate Cost ............ :..................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ® ... �,Fr... Diagram of Lot and Building with Dimensions Fee ... 3 SUBJECT TO APPROVAL OF BOARD OF HEALTH i 2i 9, 3 `V J ' T I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .. ... ........ � Ayres, Kenneth R. � . . � l79%5 one etoryv �o -----.. Perm� for ------------ le fmxui dwelling� ll�� --�-.� -------.------------ w " Santuit Road Location ---------------------. \ .---~----------------.-----. � ( / �ws�um�b �K '{Jvvner ------____��..��______.. . / . / Type of Construction .......frame................................... ^ � � � --------------------------. . � ^ . . � �� } ' Plot ............................ Lot -----................. ' > September 4 75 Permit cnvo/vu ^ ' � Dote of.Inspection Dote Completed ....-----lP - l \ . . PERMIT REFUSED --------------------- lV .-------------------------- , \. —'-------------'—^—'--------' 1 \ ------._--.---.--...--,.—.--~.—.. . .. -----~----------.—.._-----. . � � Approved ................................................ lQ ^ ------,--------...~.--------.. . . ' -------.-------------.—.—.--- | ` [� � 1 Issesso s map and lot number /Y�, .. .ma c.. 7- � Sewage Permit number ...........4- y"..7Sr..'...... �%f... 'A b�Q�OFTNET��yo� TOWN OF BARNSTABLE BARNSTABLE, i 16 BUILDING INSPECTOR APPLICATION FOR PERMIT TO �{.�......................-..... ............... r::��:.............................. TYPE OF CONSTRUCTIO ................... . Q� � ............................... ... i 7� " .... .......... .................19........ TO THE INSPECTOR OF BUILDINGS: the undersigned hereby applies for a permit according to the following information: Location ........ rs?.+l ,Tl/............... ......... f� '"' /1. ............................................................................... Proposed Use " 1� ' ZoningDistrict ....... .................................................Fire District .... .... ................................................................... Name of Owner Vic., Y,�'r' "S Address /`f' �' /r.... .. .�,.� � 'f�G ►� v . G'... ! .......................................................... • Name of Builder �� ''��r ...4 'r,'� .�.... f/1�" E Address *.i' !4T1, ...........................�'��'°it✓�Ci!i! • e'�,QGF /�/G?" , !�/�E.;> Name of Architect ._............... ............�,........................Address Number of Rooms 0......................................................Foundations tirT.� ........... ............... ............................................. Exterior /��...................................Roofing ? ';, . /tr'`�L Floors �.Ct,�.T'r .......................................................Interior y �� L C. Heating ,551/4..............................Plumbing /TG'.Yt{",rs / �-.9, l Fireplace ..� �yr*.! :...... ....Approximate Cost d p �........... .........4............................ Definitive Plan Approved by Planning Board ----------------------_---------19________. Area .. Diagram of Lot and Building with Dimensions Fee r * '............................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r. � I I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ f :as::..::.... ...::!/. .%{ �........... ' . ' . � . ' ` . ~ � - ' ' ^ � ' _ ' / � . � ^ � ' � ^ ' ~ , Ayres, Kenneth R. A=7-11 single family dwelling .0 Locatiog*- Santuit Road Cotuit Kenneth.':RN- Owner Type of Construction ........fAme .................I............................./............................. 0 PERMIT R/EFUS � Ir —^' ` � lQ ...... ........................................ ^ � ....................... �