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HomeMy WebLinkAbout0168 HARBOR HILLS ROAD { �� ��h� � i . : � , o, r� P �� � . �_ �� o 0 e ,� o O .. _. 5 Y i0-0 J b�Py�F7NET��♦o� TOWN OF BARNSTABLE i SARNSTULE, i "6 ,•� o y BUILDING , INSPECTOR � aY°'' APPLICATION FOR PERMIT TO � � C TYPE OF CONSTRUCTION .......... :....... .. ........ �............................ 19 ..� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information Location ...... / f.... . . ProposedUse ..,C�L.t.. .................................................................................................... .............. Zoning District ........ ....%.. .'............. ......... .......Fire District .�°�....�....................................................... .. .. .. .. .. .... ..... �O Name of Owner . ...... ..... .................. ... ....... .. .... ........... ddress .. S Nameof Builder .. . . ......... .... ... ................... ... .... . ddress ......:.............................J........................................... Nameof Architect .........:........................................................Address ...................................:...........................:.................... Number of Rooms ..-. . ... .. ....................... ...Foundation... ............. ..... . ....................... ...... .. ... . . .................. .............. Exierior ......................................... ............. . . ..Roofing .... .. . .... ...;( :...................................... Floors . ... ... . �... . ... . ✓........:...............:Interior ........ . H e a t i n ...........Plumbing .� G9�� Fireplace .........................................................Approximate Cost ..... . ....T/"d Definitive Plan Approved by Planning Board ___________1_"_=__a_-----19 Zz Diagram of Lot and Building with Dimensions 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH. 1387 BE •f C Dt ,1 .l P I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name eko...............li '. .. Theo Construction - - � one otoznr �^ ' No - ....... Permit for .................................... , - - sizucI� � - ----'`--^^^--'~'-^^'-`---'-'-^`^--' F Harbor Hills Road Location— ---^-'----'------------ -'---^^--------^^---~-------'--' ' Them ="."" -.--.-------.-.--.-------' . me Type of Construction �raConstruction -.-_-----------. ' / / .........................................................^--._.--, . ��� . � Plot Lot ~~"^ � -'-^-----'- '----------' | � \ Permit Granted ..... .16.-'-]g7� / � ------. -.. � . \ Dote of Inspection ....... � ""= C" "p==" � ~ Y � - ^y PERMIT REFUSED � ^'-'^-^'—',....-..~^.---._.- 19 / � .--.....-.-----.-..._---.-..-.----' / ' ^--'-^'~'—''—'-~^----^'~'`'~'-'----^''' � ..,..........,_...'...'.......,','..,^,,,.......,...,',,,`......_ ` '-'-'-^^-^-^-'^~'--'-`^^^'~^^~^^'-'--^^ Approved ................................................. 19 � . ^ --------'-'------^^^^^-^---`^-' , ----.-------_..-----~-~..-..^.- ' | � L :_ ..... ._. ._. .:_._ ._. FRONT s 1vE of 4 x6:1 AG�. �'. . ;•" .• _ . • . card 1NS Al.l..� 5 1JD►M . NDDRE.S:� . . . . DUII—DE.R5• W AVA' + 4C5DR.�. . ' • U A-"E P F_ R M1-T. ISSUED •._._ ..._. '.......::.. ._.. ._.. elf REVERSE SLUE FU-VUKr3. EXPANSION FOR SYSTEI.18 HIM FIT �: . six% ' • i. r , I 1, i ' Posl`f 1uN`or W�1.1: ' POS11 'ION A't Mu. MR SYSMIS 111TH LEAciumi FI1CLbs 57 sit% Assessors offioe (1st floor): :.O 1, N E d Assessor's ma and lot number .....ec�d.�.......1 ..°`r"Eton p •• _ �.€��� r�e l �n��t.''e ��Q how Board of Health (3rd floor): Sewage Permit number .7°-a(:fj7............................... � Z BASMAIILE, i Engineering Department (3rd floor): i 1 M `�}"" �� TA� ©�p*�V V '�o �0m0 ASIL •('louse number ...................................................................... . �L�E���:'taim RESULA7 ''�OYay6}9.a• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............ C.' !1`v................ TYPE OF CONSTRUCTION ` ................................................................................................ = 1....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap lies for a permit according to the following information: / r Location ..(... ... ............� rZ �c�,.......~ /.. j�/.j........ .. G............................................................................. ProposedUse .............. .................................................................................... ZoningDistrict .......... ......T✓.........................................Fire District .............................................................................. Name of Owner .. ... .......�...... . ff�nv...........Address ....�.�..8�. Name of Builder ���.✓ :: ... .� •C ,-..-.................Address 701 f} 1 Nameof Architect ............................................................... Address .................................................................................... J - . Number of Rooms ..................................................................Foundation .... Piv. 6 ............................. Exleyior ....................................................................................Roofing .................................................................................... Floors .........W- 6-Qa.....I...................................................Interior ........ ............ .. . ............................................................. Heating ..................................................................................Plumbing .................................. .............................................. Fireplace ..................................................................................Approximate Cost .............. ............ ...�..:........ ............... Definitive Plan Approved by Planning Board ________________________"_______19________ . Area ...................... Diagram of Lot and Building with Dimensions Fee ..DG SUBJECT TO APPROVAL OF BOARD OF HEALTH f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable Arearding the above construction. Name .. ...... . .................. Construction Supervisor's License , . 1 . NAUGHTON, ROBERT 210 Add Deck 31/- No ....... Permit for .................................... Single Family Dwelling ......................................................................... 168 Harbor Hills Road Location .............. ��Zaa4n4:s 6rt .......................... ................................... ar Owner ...............................................................Robert Naughton . Fracne Type ofXonstruction .......................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted 87 Date of Inspection ... ................................19 Date Completed .......................................19 .y, Assessor's offioe Ost floor): Assessor's map and lot number ..... ......d Board of Health (3rd floor): q �,,' ,�` L Sewage Permit number .-{. n9 tf7 01 °' " S / • •... ........................................... Z BAH39TdDLE. i Engineering Department (3rd floor): °o 039. \e� Housenumberl ........................................................................ �nmpr° APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN -OE BARNSTABLE BU`I-LDING INSPECTOR APPLICATIONFOR PERMIT TO`:.......... .. .. .. ..................................................................................................... TYPEOF CONSTRUCTION ........... t�- �,,�T ............................ ................................................................... / .. . Q ; TO THE INSPECTOR OF BUILDINGS: 4 The undersigned hereby ap llie/for a permit according to the foliUing information: Location ....... ..... .......�.. ........................................................................ ProposedUse .............................................................. N ,l ZoningDistrict ......... �.......� ..✓.......................:...................Fire District .............................................................................. Name of Owner ..�.. . ... .. .. ...... .. .,...........Address ....a � � ��.:C�:..-�.�i�'�.... /U........ -12 Name of Builder ... ...... �., ...................Address �' .+...f!.. A-9-0-1 Name of Architect ..........................?f.�...._....:......_.. ., ..........Address V........................................ Number of Rooms .:::.. ............................... . ... ...................Foundation ._. Exterior ............................................................. .....Roofing Floors ......................................................................................Interior .................................................................................... Heating ...........................................Plumbing ..................................................................... /<.............................................. Fireplace .......................................................................Approximate Cost 5 .. :' ..... ....................!......... .. ........... ................ Definitive Plan Approved by Planning Board -----------------_------------- 19________ . Area .....9A�.e<...................... Diagram of Lot and Building with Dimensions # Fee DG . SUBJECT TO APPROVAL OF BOARD OF HEALTH ` ; 3 h� / I 1 { { { d / f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. s Name ........... . .......................................... t Construction Supervisor's License .................................... , NAUGHTON, ROBERT =227_100 =s 31210 Vd. Deck Permit for ...... Single Family Dwelling Location 168 Harbor Hills Road We. rt ............................................................................... Owner ......Robert. Naughton.................... Type of Construction ...Frame ............................................................................... f - Plot ............................ Lot ................................ Permit Granted ......September 21 , 19 8-7 ....................................... Date of Inspection ....................................19 Date Completed ......................................19 r Engineering Dept. (3rd floor) Map -22 a 7 Parcel . f Q �g Permit# y2s1� House#- Z44 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee, S �as Conservation Office(4th floor)(8:30-9:30/1:00 2:00) Planning Dept.(19t floor/School Admin. Bldg.) BIKE rod D2&ree�t ed by Planning Board 19 BARNSTABLE. 019. TOWN OF BARNSTABLE Building Permit Application z Prs I�� ��J/,� . ��•�.Vi � Owner Address Telephone Permit Request 5 -2/ A0 ?!C� ��,P .First Floor square feet Second Floor '�� square feet Construction Type Estimated Project Cost $ 066 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 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 cG I/� ,� ��Z�c,t�� Telephone Number Address JocG License# Q �i> Home Improvement Contractor#��J� �v 7 c:pZ 2-1 Worker's Compensation#4(J6/0 1D6 1:25�' -714 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 V SIGNATURE DATE Tom' BUILDING PERMIT DENIED FOR T FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - _ • ` F - _ PERMIT NO. - _ P _ t - DATE ISSUED MAP/PARCEL NO: t r ADDRESS VILLAGE y •OWNER DATE OF INSPECTION:. FOUNDATION- FRAME INSULATION { ` FIREPLACE ELECTRICAL: ROUGH ' ' FINAL PLUMBING-' ROUGH { FINAL, GAS: ROUGH FINAL' - - - FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t K dF� The Town of Barnstable ,g Department of Health Safety and Environmental Services to Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione For office use only Permit no. Date AFFIDAVIT , HOME 1WROVEMENT CONTRACTOR LAW a SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, 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: 09, 6d iz Est.Cost J 1 Address of Work: Owner's Name ��/���2/ /����� � Date of Permit Application: a I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 G 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent o the owner. Date Contractor Name Registration No. OR e ` Ir e _ The Cunttnu tivealth of alassachusctts Department of Industrial Accidents t 3 _ office of 111yestf9allans 6110 liaihini;trtr Street ' Briton. A1usi. U2 111 Workers' Compensation Insurance Affidavit _ ntiiic:iritinttirmatitin: P1cise 1'R11VT'lebi ilk•���- - ----+ ~- - name: Incation: city phone 0 1 am a homeowner performing all work myself. F1 I am a sole proprietor and have no one working in any capacity [I 1 am an emplover providing workers' compensation for my employees working on this job. cnnt tanV name: address• ���• d� � . Phone insurance co ^��t/ � �(/�L nniiev tl 7 1 am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers compensation polices: cmmrinns• name: address• city: phone 0• insor-incc rn. noiiev 0 cmmr)an% nntnc: addres,v tits „Phone#: insurance co, nolicV N Attach additit'nal sheet ifnecesiary .� ^- + --+ �;L - — «• '� �"'•• �._y-v: ::�... ?�-'�^"_ -'� Failure to secure cnveratm as required under Sew ct�n 25A of NIGL 152ycan lead to the imposition of criminal penalties ol•a line up to SI.500.0 ndiur une sears' imprisonment ax i ell as civil penaltics in the form of a STOP 1VORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement mai be furn•arded to the Once of Investigations of the D1A for coverage Verification. 1 do hercht•cerril•rattler ilte pants attd penalties f p 'un•that the information provided above is true and correct. Signature Date / 7 Print name �D� '�� GPI Phone 7 �/ r fficial use only do nut s.rite in this area to be completed by cin or town officialn•or tnwn: permit/license# nBuilding Department oLicensin:Board 0 check if immediate response is required �5eicetmen'x Office 1' C311catth Department , contact person: phone#; rnOtlicr. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all empiovers to provide workers' ct�mprnsation for . ,• "':r wider any •• �zr l��rec is defined as every person to the serv ice ice of anctht. - empirnccs. •4s quott.d loom the 1a�y an u p r? P . • ress or implied.contract of Dire, express Plied. oral or written. An rnrph rer is defined as an individual, partnership, association, corporation or other legal entity. or ally two or me „ „ • enterprise. and including the legal representatives of a deceased employer, or the d to a joint rp the for�_om_ cn_a�t. ) entity. employing employees. Hoa-eyer . receiver or trustee of an individual , partnership. association or other legal ), owner of a dwelling house haying not more than three apartments and who resides therein. or the occupant of the ' „ who em log s person s to do maintenance , construction or repair work on such dwelliti�_ 11 • tlt�r P d���cllut_ house of ono P or on the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an empioy MGL chapter 15� section �5 also States that eti•er}• state or local licensing agency snail withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commom�•ealth for any rho h applicant as not produced acceptable evidence of compliance with tile insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work witil acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and as all affidavits may be submitted to the Department of supplying company names, address and phone numbers 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 require to obtain a workers' compensation policy. please call the Department at the number listed below. City or *-owns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner unless other arrangements have been made. the Department by mail or FAX T1ie Office of InyestigatiOtis would like to thaiik you in advance for you cooperation and should you have any quest] please do not hesitate to aive us a call. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents a ' ... Office of investigations 600 «'ashington Street Boston,Ma.L 02111 " fax 1: (617) 727-7749 _ f�(.kA� �Sa4 ^T } ^?"'S�we""i^C"t".F`+`.•4ss;y TfY;:R_T—_ 5� �t°�'-✓Re TOammoxe%sec�Wi o���addadti[de�1d 1'. HOME IMPROVEMENT CONTRACTOR Refit§tratlon 111157 ���� ��tEzpiration �� 12/09/98 YA Y R6LOVER BUILDING CO: ' tx ROBERL GLOVER OX;7,03/185 CURTIS 606 RD F a 11DMI7N�IST�A,ATOR k AO.ONS MILLy MA 02648 � I