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Home My WebLink About0027 VICTORIA STREET �' ' � � �� ._ �a� �G�� .: -.t. - .. _ _ G .. � - .: .. .. - � .o m ,. ,. .. 5- �, .. .. v .. 5 �, . . _ -. c� r ' P ' .. �� . .. .' lM. .. .. c ,. A .. _ tr TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 i Parcel G�l Y Application #,;)o t Health,Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH _Preservation/Hyannis Project Street Address C- � /A_ Al r t4 S�e-cc e a Villages Owner dI c Address Telephone Permit Request L,-C. ¢ lr c.�erk . c'fro T, Owe Ice Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain _Groundwater Overlay Project Valuation36F6® Construction Type TV"C /T Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) z�' o Age of Existing Structure Historic House: ❑Yes ❑ No On Old l<ing'��iHighway ❑es ❑ 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 — Number of Bedrooms: existing _new :v M 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 Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION // >> (BUILDER OR HOMEOWNER) Name ?`(/ rrSG`` TelephoneN G� � 7 `3 3 p umber S ci Ad:.oress �� t"°' �� r ( o � License #__ Home Improvement Contractor# /G 7� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FR M�T�IS PROJECT WILL BE TAKE TO SIGNATURE DATE "7 l/ �/ FOR OFFICIAL USE ONLY .R APPLICATION# i DATEISSUED a r MAP/PARCEL NO. 4� ADDRESS VILLAGE OWNER r Y r DATE OF INSPECTION: FOUNDATION . FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ks PLUMBING: ROUGH FINAL GAS: . d- -, ROUGH ,-:.,--, , FINAL 6' -FINAL BUIL_DING_° w DATE CLOSED OUT t ASSOCIATION PLAN NO. k - 4 �ofYNF, � Town of Barnstable Regulatory Services EAANSTAHLL t Thomas F, Geiler, Director MASS. Buildin Division Thomas perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 ' �rww.town.barnstable.ma.us Office: 508-862�4038 Fax: 508-790-6230 PLAN REVIEW ' Owner: h Q Map/parcel: lye ow Project'Address �-'�] Vi L+ r�a S4- Builder: hr►sov► The following items were noted on reviewing: W i wao Reviewed by: Date: Q:Forms:pinrvw s T7ze Commonwealth of MassachusettsT. Department of Industrial Accidents r 1' Office of Investigations 600 Washington Street Boston, MA 02111 www.mass go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Le 'bl Name{Business/Organization/Individual : ��P Address: 7. (o sl �..e- Ci /State �` v e 74 `ty /Zi p: �: Phone #: ®� F2. re you an employer? Check_ the appropriate box: Type of project(7eq ❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑New constrployees(full andlor part-time).* have hired the sub-contractors loam a sole proprietor or partner- listed on the attached sheet 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity.. workers' comp. insurance. 9. ❑ Building ad [No workers comp. insurance 5..❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical rens 3.❑ I am a homeownerdoing al] work right of exemption per MGL 1 L.❑.Plumbing repons myself. [No workers' comp. c. 152, §1(4), and we have no 12,❑ Roof repairs insurance required.] t. employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address:1�2 7 /0/ tC, � �=C T� City/State/Zip: �P 7 �`tivr /X Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert�under th/ and penalties of perjury that the information provided above is trice and correct Si ature: ✓ Date. 7 Phone F only, Do not write in this area, to be completed by city or town official n: Permit/License# hority(circle one): Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspectorson:. Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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, §25C(6)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, MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised thaf this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 per-nit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licease applications in any given year, need only submit one affidavit indicating current . policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog Iicense or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have an questions, P Y Yq , please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-977-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.m.ass..gov/dia 7,J 27ffice o1'co umcr'�'tfa s' -/]adi ,eS A eR,'a�ton L�Ce6s�pr ref�tstrat�on valid for mdividUl use"o`nf j _ HOME IMPROVEMENT CONTRACT before ihetexpiration date. If found return to. Registration: ,102785 '�jlpe: Office of Consumer Affairs and`Business Regulation Expiration: laza=Suite 5170 Baston,MA 02116 EDWARRz93Fi�1SON 4. Peter Johnson 7 PE;NELOPE LANE i� ;rid t COTUIT, MA 02635", Ufidersecretar Y N t vaFd Yyitfi signature +� iVias�;t�hutictts Dcp Sateh Boar d'of Builtiui Rcgul itions.utd titntl,u d� GonStruction Supervisor Ljnnse ' License, CS ..62830 Restricted to:;r`00 - PETER E JOHNSON ' 7 PENELOPLIN,- COTU IT, MA O635 ,.. Expiration: 8/29/2011 ('ununissiune� Tr#: 1739 1hopmal Johnson Door & Window 7 Penelope Lane. Cotuit,MA 02635 Office(508)237-3309 Proporsal Submitted To r� Job Name. t Job# Address ` Job Location ` Date Date of Plans G.��Phonel—l - L G Fax# Architect We hereby propose to-fi>Wish the materials -ird ^^ the labor necessary fgr e cPnrpletioir of "Tr P An Z7 CPO 41 ,r �- ,,,'I We propose hereby to ish material and labor-complete in accordance with the above specifications for the sum of: $ ADD G Q G Dollars with payments to be made as follows. SSGC i Any alteration of deviation from above specifications -y� f) 1- e-r �J G A" Respectfully P c 7 involving extra cost will be executed only upon S G written order,and will become an extra charge over Submitted and above the estimate.All agreements contingent - upon strikes, accident or delays beyond our control. Note-This.ptnposal may be withdrawn by us if not accepted within days. Acceptance of proposal The above prices, specifications and condi' Signature satisfactory and are hereby accepted.Yo authorized to do the work as specified Payments will be made as outlined v Date of Acceptance G Signature �� G `a' / d5�•,�ot�� ga-/ �''�c®t� lnr'��./� lv�j�r r�vl7®owe / �ooQ•►c��c�a®� z5 4"e e% IV Ac Page 2 of 3 r K14 TO . , 0 PTO r. 28; 14, 22- 1 . 22 24 eAS BF 96 23. 4� E 1 , G�/OrT Gr9c 7C �/oc� As Built Cards: Constructions Details-Map/Block/Lot:148/041/'-Use Code:1010 F Building Details Land Building value $155,900 Bedrooms 3 Bedrooms USE CODE 1010 Total Improvements Value $173,199 Bathrooms 2 Full Lot Size(Acres) 0.39 Model Residential Total Rooms 6 Rooms Appraised Value $106,700 Style Ranch Heat Fuel Gas Assessed Value $106,700 Grade Average Heat Type Hot Air year Built 1983 AC Type Central Effective depreciation 10 Interior Floors Carpet Stories 1 Story Interior Walls Drywall Living Area sq/ft 1,658 Exterior Walls Wood Shingle s Gross Area sq/ft 3.520 Roof Structure Gable/Hip Roof Cover Asph/F Gls/Cmp Outbuildings&Extra Features-Map/Block/Lot:148/041!-Use Code:1010 Code Description Units/SQ It Appraised Value Assessed Value BRR Bsmt Rec Rm 240 $1,100 $1,100 FPL1 Fireplace 1 story 1 $3,300 $3,300 SHED Shed 80 $800 $800 Sketch Legend Property Sketch Legend C!!�Prtnt AOF Office,(Average) FTS Third Story Living Area(Finished) SFB Base,Semi-Finished -diiredly BAS First Floor,Living Area FUS Second Story Living Area TQS Three Quarters Story(Finished) (Finished) BMTBasement Area GARGarage UAT Attic Area(Unfinished) (Unfinished) CLP Loading Platform GRNGreenhouse UHS Half Story(Unfinished) CANCanopy MZ1 Mezzanine,Unfinished UST Utility Area(Unfinished) FAT Attic Area(Finished) MZ2 Mezzanine,Semi-finished UTQ Three Quarters Story (Unfinished) FBM Finished Basement MZ3 Mezzanine,finished UUA Unfinished Utility Attic FCP Carport PAT Patio Outbuilding Listed UUS Full Upper 2nd Story(Unfinished) FEP Enclosed Porch PTO Patio WDf(Wood Deck FHS Half Story(Finished) REF Reference Only WKO Wood Deck Outbuilding Listed FOP Open or Screened in Porch SDA Store Display Area 887 views since 4.4.11 Contact Director of Assessing Jeffrey Rudziak P 508-862-4022 F 508-862A722 8:30a.m.to 4:30p.m. http://town.bamstable.ma.us/Assessing/propertydisplay.asp?sear... 7/11/2011 Assessor's map and lot number ...I+ ... ..... y C THE Sewage Permit number ... 99$33TADLE. • • House number .............. .. ..... .. .. .......p.......................... tea• 9 MA06 .° �.. Gp 1639• \0� M: MPY�' TO N OF BARNSTABLE BUILDING INSPECTOR c . APPLICATION FOR PERMIT TO .....................P v �� t �4�............ .... .... ....... ........................ TYPEOF CONSTRUCTION d.. ......... 'I ....... ..} ............................................................... XF .7..............9.�.3 TO THE INSPECTOR OF BUILDINGS: + The undersigned hereby applies for a permit according to 'the following information: .�.� D C f� l ,p Location .co..i.......7......�1 c/ok.)-A.....J.�.......!��.... ..... �.l,lt��........................... Proposed Use .........5-//1 `1. . ... 1'� �,.� ..... .t4le////t y q ,y...............;� Zoning, District ........ .. f�/.Pr 7�-L..1.........................:Fire District ��r ��-` � 1/ A ....................... .... ............................ ......... Name of Owner .... �1f !.`.CJ; ..fi.��.. .. .............Address .........1 t..d...... C' fi Me"..........��... 44� Name of Builder' .......... .�C�D.!:1..................Address ................. Name of Architect ..................................................................Address Number of ............Foundation ..... RV � . .4.. r P Cle �` .. Roofing Exterior ........a. ... ..... ...... ... ...... c . ..................... ........... g ......� ....... ...... ................ Floors 7 V11. p� .Interior ... J `PF' �C. .... .............................. Heatings::.. . .. ...4V............................................ ........................................................ Fireplace .�!-�d............. i .� .� ..........................Approximate Cost ............�..." ........................... Definitive Plan Approved by Planning ard -----------_-------------------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I 4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To f B rnstable regarding.the above construction. Name ........................................... Construction Supervisor's License ..()............................. COOLIDGE HOMES A=148-41 `4 25206 One Story No ................. Permit for .................................... ' Single Family Dwelling ............................................................................... Location Lot 7, 27 Victoria Street ............................................................... , Centerville ............................................................................... Owner ..Coolidge Homes ............................................................... Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ June 17, 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 �a76 } �• TOWN OF BARNSTABLE 2 3 Permit No. _---------------•--------- t Building Inspector .rwa Cash ------------—- -- �~ OCCUPANCY PERMIT Bona __-_---_-__X_-___.. . o Issued to COOLIDGE HQt4ES Address Lot 7, 27 Uictoria Street, Centerville 1 Wiring Inspector f f Inspection date — - - V , X4;�� Plumbing Inspector/ � �' ' Inspection date V �. Cras Inspector !� - Inspection date 10 X Engineering Departmentxfz 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. Building Inspector I _ ••Assess 's map and .lot number ...4.0.... .!.... } . THE . Ube• c% ro Sewage Permit. number ... ..--.... .. �.. �. i; tr ;°�P"" ♦� �g y+. «. InES 0.ai�e�F� � Z'898H9TADLE, i House' number •.............. .................:......................... l '3" 90�h:M Lt is lTr� TITa�E.J O i6 9' \0� . . - TOWN. OIF ,. ', AR'NST �P�. LaELA " r' . BUILDING . NSPECTOR- Cl :. APPLICATION FOR PERMIT TO (.P�.... �. I � �� ........ . ., . Aso � . . �.. �. TYPE OF:CONSTRUCTION V ......�...... ( .............1903 ' TO THE INSPECTOR OF BUILDINGS: _ The undersi ned hereby , applies for,a -permit according to"-the following/�iriformation: Loca ............... .�f. . .............................................4....... ............ • Proposed 'Use ..........5(i... .............. �F// il. ............................. , /f I ..... ..... Zoning District ��fa � �„ .Fire District ®� /k�(// . ..... ...... . ... Name«of Owner ... UrOf.!.. ..1...6�:. .. .............Address ....... .,°:.6..... ��t /11�L Name of Builder .. . .. C 0..e% ................Address .... .. ........... �1.. ............ - .... \.. ' Nameof Architect .............. ................................................`.Address......................................... .. _ ................ t Number of om � . :. .<?.Yl.. .• . ................. ... ..........Foundation ... �......... le Exienor Gr.. ,l ..:.Roofing .�.�� ..... �..... ..1... ........................... i ...... �j.^ �. ............... ........ i /tom Floors ............. ... ....... ....... ..... ..................Interior ....:.�!?.� •�.•C•�.................................. /A . �� Heatin Z, ... �/... - .............Plumbin � ....................:.......:."`. - g .. ............................... g .... Fireplace <<. .. ...... C .d'.� ...... Approximate Cost .. J:.� C9 C�.............. ...... .... Definitive Plan Approved by,Planning. and __________________________ �, .J...�:....5 -- 9 --=-• Area :. Diagram 'of Lot and Building with Dimensions Fee . . ........... .................. . SUBJECT TO APPROVAL,•OF BOARD OF, HEALTH N® OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r r I .hereby agree to conform to alb the Rules and Regulations of the4n.s.ta.ble regarding the above construction. • s: Name .... :: License .. ...lbsoo Construction Supervisor' ............................. COOLIDGE HOMES + 'allo'� 25206 Permit for .......... Single Family Dwe.�,j, 4 = _ ...... ... Location ....tot...7.c......2.7....`h.� ox za...S.treet Centeryi 11Q...................... k Owner ...Coolidge...Ho??mes. Type of•Construction F9149le...... .................. ..... ................. ...... ............... r Plot ....:'......... Lot . ........................... - G^ All Permit Granted June 17, 19 83 7 • . - Date of lnspectio ."........ ....... ....19 •.;' _ , Date' Completed ..... <, 4:".0.�f ...:19 v i s' L 51a. 39 7 Lo� I / 17, Z64 4j K ^ F0Ll(J� U G�4 A—!a- = d7faTL� BE t rJ6 Lc 7 is 3 r�c�W rJ I►.{ P� �K 35v Pa 5 5 .,� .�-i�re�Csy GE�cT/F1� rNAT TYKE t3v�t.Di+c/6 ssiow.v o�v rs.Iis o[.�a� iS LOC�91"Ea o�v rs�E r M/I./�•,t./ Goa/' TL�[�CTED. , ;� ,,, i`�� !mot/ G<1 L Z- E-,e 1 t7 c. `rn)e Mo UTH , MA s s. art