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HomeMy WebLinkAbout0095 JAMES OTIS ROAD �5� ����5� � �C�-T�� �� .w� �� �. . , . s o -J i �t• • ,. oFt ray, Town of Barnstable *Permit# 4 Expires 6 months from issue date BARMABLE, Regulatory Services Fee ` -� MASS.63 `0� Thomas F.Geller,Director A �FD'A°r Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 =�IT Office: 508-862-4038 S, Fax: 508-790-6230 MAY i 6 2005 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY / Not Valid without Red X-Press Imprint TOWN c)F BARNSTABLE Map/parcel Number Property Address Residential Value of Work 60 o>a' Minimum fee off$$25.00 for work under$6000.00 Owner's Name&Address AfeYS05 Deis l�r �� Contractor's Name Telephone NumbetO'a"V- 1p�— 4mivy Home Improvement Contractor License#(if applicable) /Y Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor tam the Homeowner have Worker's Compe ation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) XRe-side ❑ 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 Improvement Contr License is required. Signature ft�b..� Q:Forms:expmtrg Revise063004' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street, 7't'Floor ?` Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:BuildingIPlumbinWIlectrical Contractors name: address: �, city �� state' zi : work site location 0411 address): I am a homeowner performing all work myself. Project Type: .CI°New Construction emodel . I am a sole proprietor and have no one working in any capacity. Building Ad dition., .• {�:• rx � � �7 eF:4♦s '� �` .si.�Y. +'�= 9',a�u:f.. .�-a,rf ,..t.�... . -. "�'w� �." ,sG;Fm.tF' �' drsa� t "'-�:; u�7an3J".'i: .'S:`,.A::.t.n."ii?"e."•'. ,}• _:" +:a:..c P:..,�`_. °....:.?-^t":t:J '`+'' :'' ( I am an employer providing workers'compensation for my employees working on this job company name* address: city. Dhoiie#: : insurance co. ali # ❑ 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: address: city: phone M insurance co. 1D0JJ9X# company name: - address: city. phone#• - -- insurance co. 011cV# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties.of a fine up to S1,500.00 and/or • one years'imprisonment w well as civil penalties in the form of a STOP WORK ORDER and a fine of siouil a day against me: I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi rdle,the pains and op riury that the information provided above is true and correct. SigSignaturee - G Date I/ a - _ lye Print name ,Y ` D O�> Phone# official use only do not write in this area to be completed by city.or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ClHealth Department contact person: phone#; ❑Other (revised Sept 2003) tl Information and Instructions MEssachusetts 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,corpbration or other legal entity,or any,two or more of ihe'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 k 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. 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. :x The Department's address,telephone.and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,71h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617)7274900 ext. 406 . ' p� SIGrJ ►J`O. GA�Q.BAGE rJR�r.IDER. I DNILNN FLOW : 110 A 3 = - II SEPTIC, TAQK = 33Ox15C>% = -49 y6-PO Ina •vv Ij U5.c- l 000 GAL. S•7+I �G+a i II o15Po5n� PI-r v5E 1000 6141-- 0 dCf � o A/�1 !'pop 1 S DGvJAt t_ AQCD - 1�o S.� I 15o b.F X 2.5 = 37 5 G:PD `. 1 T � I 5DTtO/K AREA= Ico S.F. �J' yo S.P x 1 0 ToTA1. �E51GN ' .425 G.PD. Q i ' 'TOTAL �A 1 Ly .P%-OV4 _ 330 G•Po, 1 ' :y ,, /rj FoVAJZ>4T/o^ PER.cot_ATIo�I RATE + I IN 2MIn1 o�LESs d a�14 • � 5�40 i A tf�s ��P`141 OF MAs�� FNCHARDOts DAVID �y I,I C. A.1NCl'FA E, o T 299 - A G� on Is.k:�••'a I � No.. 29976 N `+ ..�"_ I Na 24048O .o .p CIVIL�O y .p .�, w •Pp FC , �P ��, {, %Tra b4 IFS x r � P:. • ��a svA��� / Al E L -rs IT R Z�q� F4 z 57 -roQ Fue= s� Fl 67 -�o� • EL-c 57 -: In,v. ss ; Lnpxl `L 10 ov INV. ' S✓$SOIL•, "Ic DIST. INS GAL. '' S6PT�G Joao IiJV, f 0ox SSG TANK ' LEAcu _ P1T INV.. INV.- _- I'' 6.rzA�eL WITu- $�Z r • VL WASNLD fiTvNE I � I' I� �I Sam G>=2TIFtGD QL.oT PLAN ii P4ZUFI LI= LoL4-t_lot�l L10 SCALE SGAL� 1 �1 SATE ti D VJATTr7L.. , �ov�.1bA11aIJ 5No VYN P L-A►Q RE1=62E►J GE 1 GE Q-T1�Y T1AAT 'THE NEREOI.1 GOMPLYS y�ITN -CHE S I p1rL.11�1� _ A► P 56TeAGK R6Q��R.EMEN'f> oFZNE- LOT zsq -TOWN o f P RIOT I t_OCP.TE`D. WITNItJ T%A' FL.OdD PLAIN I L DATE 5'ZZ-Y�- BA-ATE2e WYE INC. R.EG I SZ��6V I..A►�a s u 2N E`(o2S 'TVAI5 PL&1J 15 NOrT E3n5c-_D ob A►J d3TG2.VILL.E IuS-rR�rn�N-r ,SvZvt-Y �- - qe or-r5ETS SuouLl> <. No-t t3E vSE.DTG Q.ETF- I►,l� �:or' �_ INE.�j- ,4PPLIGA►-J 1- TOWN OF BARNSTABLE �'�- Permit No. .` " Building Inspector su,xau Cash OCCUPANCY PERMIT Bond s_ �'__ k< Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ..........................................I...........1 19............ .................................................................................................................. Building Inspector y - FROM F"-' ; TOWN OF RARNSTABLE Mr., Francis Laht BUILDING DEPARTMENT n Clerk ��. w � �"�`�" '` 67 MAIW STREET HYANNIS, MA _. �,�.� � ,•. ,� -x � � Phone: 775-112D SUBJECT: FOLD HERE ' DATE MarcY1 28 ._. ir6k hav b k le ed 'UIiC i� f() 1 Q Permit Numbers for fAlan-E.--Sma �--265-3-6i,.-267ii//^F 262811.',•27418, 26282.1. and 26280, +v Y'P!ff•H iF.3•�.> '�iw +!f - Please release Bcnds. ' #Wa�r.<:.�fs,a;a��a,.y�.�F+eY<...+r-�s-w s:n a+�3.as a t.�.rr.+►e..s»+.w S)GNED 1/1 DATE _ - - J .. t. s f I-EPLY I SIGNED .. • - _ N87-RM1' RECIPIENT:RETAIN.WH'ITE COPY,RETURN PINK COPY PRINTED IN U.S.A� .1 • SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.• a I �. 1 Assssor's map and lot number •tit.- C .(.� ��� Se wage.. Permits number ........ `�.................. ';',. § • d� � . SEPTIC � S $ASH9 E i House number L.............. .. �`-'"( *: z �+ a7 A� �oi/i ��a7T 9�p i6 q L0� PLIANC T ORWX OF' BA 5i � . BVILDING INSPECTOR. 1; APPLICATION FOR .PERMIT TO ............ :... .......... r..... TYPE':OF CONSTRUCTION. �r/ ti'�►''�-. ..................p ..... .... ... ....................... ........ ..... .... .......19........ TO .THE INSPECTOR OF BUILDINGS: ♦' the undersigned hereby'applies for.'a permit according,to the following information: Location 6 /..... .,� ... %¢ G ...... .1 l-5.... C. (/��� L�S ,t�.v� Proposed Use, .:p ..... ............ ................ Zoning District Fire ,Distnct '...... .............'...... .......... ... ? .... ♦ . - Name of Owner : �-�*' ........S/41Age, ...............Address ....... C y l ,<,................................. i Nameof Builder .. :............................... :.............................Address ..................................................................... • Name of Architect ...................................... :.Address ..................... Number of Rooms .... ... . ......: :...:.Foundation ...C4/tNG1�2�G ....... ........ Exterior ...... . ..ltU r���..... ..........................Roofing pl�C Floors O•Glr� ................. .............. :.. ....................Interior ..../�'�Y:L�J,¢G� ...... ... Heating :.r..�.. ..:.. Plumbing _ Z....r 'QS..... .. a.......; Fireplace .... so�.�Y... ..........................:..Approximate Cost ....74j..60.ed ... r Definitive Plan Approved by Planning Board __ __________________________19_______. Area ��8� f0 " Diagram of Lot and. Bu.ilcling..with. Dimensions Fee .........:. �^ j gg SUBJECT TO, APPROVAL OF BOARD OF HEALTH a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules'and"Regulations of-the Town of Barnstable garding the above construction: . Name : r s . ........ ............ .......R.. .............. Construction Supervisor's License ®� ......... I�JAI,I�, ALAN E•6576 w. S r?g e.F a,Y::RF?' ........... LQc3otion, t.^'T:it. 2tSt�.!.ttt:! es"!!!t!-±! St,1�oad a I ...,.s..,ttt t?f{'^TM!4.K!c eCrR�t�t:.testt ttRt�t .ree ... 'r r1 ` .,, , - � t ;r:, � i ,' _ •,. F �Awnerb,:;� :�t+,!ta����t::tcet:a•.t:ttt .tt. � . ...... _ j •- - .� i _ � '- _ - aine �TyperofConstruction Fr.. Plot„ '�}..:. •W�.:r Lot,. . . .... � ,.. � - .. .` � P.ermitj need, June 11!.................1984 c k Date ofspeetion ..,r ...119 .. . Qate., p tpleteeo . .:19" tip; a r • ,- ! fr.;� ._.,.. A/0, Assessor's map�,Ianclilot number 74 .......1... ... ................ f /J� /��/�f 7` %THE Sewage Permit- number ........... ......... . ..... BARNSTABLE, AZ& House number ........................... ................... ...................... P63 t9. TOWN OF BARNSTABLE B U I L 01 N G INSPECTOR APPLICATION FOR PERMIT TO ... ..................................................................................... ............... TYPEOr %.VR31KW%,TION .... ................................................................................... ..... .......... ..................19. . .. ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / A�,,V) c- 1.114ZE 1-14 Location ........Z�.-. ......0. .............................................................—..................................... ProposedUse ........................................................................................................................................I......................... ZoningDistrict ........................................................................Fire District ..................................................................6........... Name of Owner .......... .........6..........Address ........C-4zelz: C��;................ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ... .......................................... Exterior ......... :.................................................Roofing ...... ................................................... Floors ........ ...... .Interior.. .............................................................. .... ........................................................................ Heating ..�.......................................66......................................Plumbing .....2........ S: .......................................................... Fireplace ..... ...............................................Approximate. sfl....-z ................ ..6......................... -qo, ..................................................... /,!�790 J-7 "" Definitive Plan Approved by Planning Board --------------------------------19--------- Area ..f.................................. Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ...(OL ..... .................................................. Construction PPervisor's License .... ........ SMALL, ALAN E. A=170-159 No 26576...... Permit for One.SWXY............... ' ......... ingle 4 a iY-Dwelling...................... J Location JPt..25..9,.....95..JameS..Qt7.S..Road ......... ................................. i. Owner ........ 7s .F...Small................`........... 4 Type of Construction ........Try:.:........:.......... ................................................................................ Plot ............................ Lot ................................ , 1- , Permit Granted Jude 11; 19 $q Date of Inspection ....................................19 Date Completed ..19.................................... . Q 7— Assessor's offioe (Ist floor): ift �J Assessor's map and lot number..... l....LI. .. .J� . rNfTO� • f • Q Board of Health (3rd floor): __ 2 SEPTIC SYVEM M '. Sewage Permit number .•..T. INSTALLED 1DS � 3anLe. " Engineering Department (3rd floor):/� �/ �,yt _,o / w� �E '00�t6}9 a APPLICATIONS PROCESSED 8:30y-,9:330 A.M. a/n'do1:000.--2:00' P.M. only, E�WIRVINMEMTAt House number ........... . . TOWN OF BARNSTABLE BUILDING . INSPECTOR iL� �' �c APPLICATIONFOR PERMIT T,O/. .....................................:......................................:................................................ TYPEOF CONSTRUCTION ...... ................................ ..... ....................................................................................... . ...... ..................................Z?19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information„ 6 �e rv� �}s Location9..�5...:.. '/� .......... .... ...... ..... .....................� .,.................................. ..�.............. ....... ProposedUse A. .:..4../�1.�?.................................................................................................... �t . env nct///ll els/� Zoning District ...... .. ..............................................................Fire District ................................. Name of Owner r�5 � � .............................. ... ........ DS ✓/.S, O �f?/b �/C . .................. o _ y k) b Name of Builder��// � � \�..Address�o �`��� ���!...... ��� �l( Name of Architect .`.............t.................. .........Address Number of Rooms ............. `� ....................Foundation ..��3h/ChP7� S L ................................. .. ..... ....................... .. ........ C44ss ors s�i /Q �S �17 Exterior ..........................................................................Roo ng Floors ... T C�.............................................Interior .. . ../ ..... Heating /...0 Plumbing .......:/ v .................................... .....................................................:................... Fireplace ... .......................................................Approximate Cost ..... .r ........... ................ .... Definitive Plan Approved by Planning Board ________________________________19__"______ . Area 1.. J ......... Diagram of Lot and Building 'with Dimensions Fee ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH 00 ` !� /y � p a p I'rhQ�u o VU K IST� 9 O � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the.Town stable rega i g th ove construction. Name ... ......... ..................... ©0 struction S pervisor's License .................................... O'Tooie,_ Preston J. No ..... 0.6.92. Permit for .........qda...fiQ.. . �?g�� f.amzly.. dwea i ng................................ Location ..............95...James...01;s...Roa.d.......... .............................Uutexvi-11e............................ Owner ..........P.xP.S.ton...f.....Q.'.TA.RJ.e................. - Type of Construction frame Plot ............................. Lot ................................ i- y Permit Granted .,,••• ....Ma 1 87 19 _ Date of Inspection .l Date Completed ......................................19 �� � r�"r • ti fx � r ir 12 , COT c1S`l Assessor's offioe (1st floor): ll ,�� '° I' Assessor's map and lot number ..z.....�..�J `/. .. Q�oFYHE tO�j Board of Health (3rd floor): fO� Sewage Permit number .................... ...... ....... . T `. ' Z 33aaa9TsnLE, 1 Engineering Department (3rd floor): House number /� o° c�aYa`e� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR PERMIT TO ..............�...............©...........................-.....................................................................APPLICATION FOR /h�N. G.1/ao TYPEOF CONSTRUCTION ...................................................................................................................................... ...CR?19..... r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information-5-N Location ? .....-jWA/P,S 02'1. 'A 6 ��.5...� ..... .... .... ..................... ..... �.� ' �-c/� ProposedUse ....:..................�-...........................................................................................,......�.........................:......................... n -mac ; // Zoning District ....��.......................................................Fire District ` eIOV ( �'l//ll�.. �S�l!U.L` f f n r f'�'S �. r�.../ ..Address .. .... !/['S.......� /,�..../�ptjCj �/� �'1//CI Nameo Ow e� ..... ..... .. .. ....... . .... ........................................................... Name of Builder s/.� �►""u`" .Address/per " ' /Y//7*5 ''l...................................... S, Name of Architect .................................................................Address .................................................................................... Number of Rooms ..........© /V Foundation ..051VCk-PTh ' � 64 `�'.......................... . ................................................................. C44 lbot Exterior ...............................Roofng .......... ...... .................................................................. Floors ...co C�T!�'....................... Interior ../....f.... ...G /'� �....Jl,.�[. P Heating /...! .. ..`. ...'...........................................................Plumbing ......./ v .......................................................................... Fireplace ...�1.0..d ...................................................,...Approximate Cost ..... . Definitive Plan Approved by Planning Board --------------------------------19_______ . Area ..... ... ....`r l ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r IJY -� 01 1 T 10 K7 IS o m /S r d J 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 Supervisors License .................................... F � F ^ ` O'Toole, PrestonJ. A=I70-159 / No ......M692� Permit for ....-- �SIM1.1y..���-lUA�.................................. 95 James 0tla Road Locohon ---------------------' ' Centerville .-------------------------.. ' Owner �zeotoo J 0'IooIe -----------'�------............ ~ , Typo of Construction ............f.rame------- ' ��������������������������. � - P|c* ............................ Lot ----------' ' ' ' Permit Gronlexd ---'J�u.yl-----]V 87 ' Date of Inspection --_ ............................ Date Completed ...................................... � ' ' ` ~ ^ ` ~ ' � ' ` ' . . «