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Home My WebLink About0033 SIMPSON AVENUE 33 Si,'�'t�Ss'� A✓2� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes Parcel Iv,, Permit# G �i Health Division rMi ON- � � �� Date Issued Conservation Division Li T ive 9 Fee t25 Tax Collector t SEPTIC SYSTEM MUST >0 Treasurer ' INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND TOWN RECULATIC" Date Definitive la Ap roved by Planning Board MNHistoric-OKH Preservation/Hyannis . Project Street Address 3 3 /:�,Pso.J �yE ( �o !owe (�•ur PiZ �N��ncln�c. Village 1 Owner e ow I Addr s ` SIo/9H uYs 4C -/,*II CONCIr4 Ml1¢ Telephone 91 S 3 4,J 'Permit Request Eh1ak-c,e �kr_+f, I Fh l� scut half Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type t..� Gnt, Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 0 ' Two Family O Multi-Family(#units) Age of Existing Structure a Historic House: &Yes ❑No On Old King's Highway: ❑Yes ff�o Basement Type: ❑ Full O Crawl ❑Walkout lather -I-X f- f/ c,•/�i, � Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: I Full: existing 1 new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing S new First Floor Room Count 4- Heat Type and Fuel: ❑Gas 0 Oil ❑ Electric ❑Other At.k c Central Air: ❑Yes l No Fireplaces: Existing Kota New Existing wood/coal stove: 0 Yes �lo Detached garage:O existing ❑new size ho Pool:O existing ❑new size no Barn:O existing ❑new size m o Attached garage:0 existing ❑new size No Shed:O existing ❑new size Mo Other: Zoning Board of Appeals Authorization •❑ Appeal# Recorded❑ Commercial ❑Yes - ❑No If yes,site plan review# Current Use Proposed Use Sg BUILDER INFORMATION Name-Dgu f S F M S Telephone Number So G 34 7�/ Address 3 6(h ioN S f License# DG 19 3� 3- 4 Home Improvement Contractor# 10 94-73 0067 Worker's Compensation# Abrre ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Dc,M SIGNATURE DATE FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED MAP/PARCEL NO: Y f ADDRESS VILLAGE , OWNER ` . r DATE OF INSPECTIOiw FOUNDATION i FRAME K 4 - INSULATION FIREPLACE _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH 4 FINAL .� GAS: ROUGHi + FINAL y ` FINAL BUILDING ' r DATE A-(-)SED OUT 4 ASSOCIATION PLAN NO. r r Maloney Kathy From: Anderson Pat To: Maloney Kathy Subject: FW: Building permit for historic structure Date: Tuesday, June 08, 1999 7:55AM Kathy-Don't forget all the buildings on the Barnstable side of the Yarmouth Campground are in the NAtional Register of Historic Places. Please sent the applicant over to me. How's the tent permit coming along? Thanks From: Maloney Kathy To: Anderson Pat Subject: Building permit for historic structure Date: Monday, June 07, 1999 3:10PM map/parcel 347/001. 33 Simpson Avenue (Yarmouth Campground) Proposal is to enlarge bath, enlarge back hall, add storage shed (attached to cottage). Ralph asked me to run it by you as the building is 120 years old. Page 1 of WE Tom, The Town ®f Barnstable a�►aivsrnais. * . Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW 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. Sf � Type of Work: 4�=-,tz a r r_e b a+. a F,l s-4 Na It Estimated Cost S/o o� Address of Work: 33 S i h., Seri L4 ygyM� �� a�,,►� Y� ,� Owner's Name: H vMiCe - /V71 /JC4sn II Date of Application:_& I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law FiJob Under$1,000 0Building not owner-occupied C]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 c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: &14 A5 Ellt/.J AJSnh C roa4►C,< +Y C)14 73 D to Contractor Name Registration No. OR Date Owner's Name q:fortns:Affidav PLAN OF LAND IN BARNSTABLE AND -YARMOUTH 35030i Nelson Bearse, Surveyors Richard Law February 10 ' 1'967 W E co/f, A1/ Pi/ipm4/ IrA. '• ✓r e101. : NoE°�Q:/5•'E CCA .D. I Ssie r44 O •y sc�JO`oa, o .G.e. • i 7S n • "�: of K �K�� SB8-OB�P/ 'E � �. Cx 3s .� �.l t `�'"9.73 ev Hy It .♦ _ yC.0. O o / ♦ �1 v . 11 ®® \\♦N 111 \4• I 0 bq two co tq � � '•+� _ �1 11 11 11� \\ �• �.a N• 0 � `\ 11� / �SPf f/ Am \ 4 ��/ 2 1111� \� 6�n >t`0 t�/_\MCA P GROUND�I/lam �o v i)ll / 4i /HOC \y� 1`N i• ° y �'1ti I :POND f �l�l j s` "' � J p rk cq, N /0°� 10• OOti .o c8 :�0�rbN ' C.B. Zf( t / tie \0%0 0 . f ? ro /off �aDxe� c y 5/,36 VI CJ 4 �` C.O. I V7Z=/4=P0"W C0 OZ • � III .blFl�E_SN:/�y �, , � I %� i.e• 5 - 56•.os.' t 6. . 5e'a0' ,��nn"�b j ctric Co/"Party I �O d •Q b o`', 1°�� l or B o �r r 9 40. . ce:•o � ' a � 3'ZD` Vendi/'0) c c, • � �1; 1ah4ok° •�o N iQS 3• yJtpc L.C• o . j; i 1 d Nth ITOW4 Ad. /yoo \�\ y kob C.a... �J l� V Locus comprises O ( �b ,' • �° P lots /-3 inc% Copy off of plan 4 00 1 t�0 ° a fllc d in R ' �o LAND REGISTRAT/ON OFFICE o t 9 rv' ti 1 0 + • 0 APR/L Z/1/96T r-- ob p a •• Scale of this plan"o feet to an inch / 1 pr``01 o �'• R.L.Woodbury Engineer(or Court`!.: _ The Commonwealth of Massachusetts Department of Industrial Accidents • = Olflce alb asuffadoes - 600 Washington Street -. '.'. c� Boston,Mass. 02111 Workers' Com ensation Insurance davit "'%%O/��%%%%////%/ %�%/O// name: a c,I J F s-.el, G M S location, /2¢ &7i:,4 j�2'- . city 7��l,G�f / 00 * �l� O�2 t.9 CT phone# SG�i .7 ' �r77/ ❑ I am a homeowner performing all work myself. I am a sole rietor and have no one workin in ca acitq ❑ I am an employer providing workers' compensation for my employees working on this job. t �11 Y .............. :: ..............::::::::::::::::•..:.:::.::::::::::::::::.::::..:::::::::::::::.::::.. ::•..: :. .. ...:.i '? :vi:i:;;y;:'t:? i:}:::: :<::::::i ::::ii:: ii'iiiiiii:isi:<!::'?:::::?.:`'? .'::i:!:::is�ii::iiY:!:i:is::i:::v::i•i:::::i':'.:::'::`:::::i.'::i;�::':*Y: .:...�:::::...........::::.."..::: ::::":::`: i:::?:>..:.,::i::::::::::::.::::::::::::::f:y:ii:4}:i??iii:;::i?i$iii :.... .::lilltllle#.... :..:.... .:...:::::.:.:. ......... ....................................... Q ! LL . ansuitince co.. `_. / ////r, ❑ 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:.....:.:::::::::.:::::.:::::::::::::::::::::::::::::::::.:.:::.:::.....X.:.......................................................................:.:.,..::...,..:..:::...::..:::::.................. m...iomoanv:name. .: .. <:»>>:>:z<:> A dbess.:.... .................. .................:.............:......:...............-................................................................:... :.}:::::::.r.-::: 4.. ..................................................................... ............:•:::::::.::::::::.r:::.:::::::.:::._: :::.::::.:::,::::::.:::::::::::::.:::.:::::::::::::::.::::::::.:::::::::::::::::.:::::.:.:::.:.r.............s.:.. 3 nor:...<,;, :...:.:::::.:.....,..................................................... :... ........... ..........................................................:..:::::::::::.�::::::::::._.'.. ::.�.�:f.-::::::::•:::::::•:::.:::::::::::::.:r:::::::.�::::::::: :.::.:::.r:.r.:::::._::.r:.rR:::?:::?i.?v: n•.r:i.: };f:::::i::R:.:•3?.•.v.S :..; trl phone#. ::::.:::::: .. :::..... ........ ................::. .......... _ A•- %:'fji: } ::'r::: }: v:::: iJi::i:is vr ?:- 'ri ::iii?::iii.ri :>.:i>i 'riTiiii} :?: ?}:L' n:. .r:.r:: : .�:.::::::::ii????:•i:0'•• ..............vr..............::...n...w::...w::::::3:::::::::?::?•;}:.vw;n•..y4v.;,...r..:::::::. ................................ v.w:S...................................... w:::.�:•::::::::::::.:.r.� :v:.r.....,:•:v:::::.r::::.:::.:.:""..::N.....::::::.rnr.....::.r::::.r-:v::.r::.:r::::r:::::::::::.r::..::::::::: .?$.r..4... .3. .::::.::.::...:....:::::::::.r:;.:::?:v.....v................................-.......................:.;.:..v+- ...}.:::::::nw::::::.r::n :.:?'.�r:.::r::::::.r::::.r.y:{:.rx::::::::........:.........y.+. ... v:.{?ti?4:?L•::4:•3:?4?:?.;},.4 f:::;r.(• vvNJi.Yr(t+nr...vnv::+r:.�...:.:..n•:....:::v:•::::::::::.�:•:.,.:..�:::................v.:........::.::.r:::::.:-:::.......................... ::..;......�......::... ...w Y"!A'>•........ ._........................... .................................... ../i................._....._. __ _ //l// ....:.:::,..::.:: camoanY:name.....:......;:::>..:.:::::»::»::::<>::><:<:::.<: .. . . ......... ...... ................... .... ... . .... ............ ...... .. rrrr...rrr ... ffiffii� ........... :.. . ... address `'e e . ;::tih ft ?? :: '<> •'?�Sii'•'vr M .:.:::.r.:::.:...........................................................................................................................:......................................:::::...........................................................i::::::.. :?ei:ir'i::;iii .i::::ii:?!::r:j i�i:?!!:ij:>:'rii:L:i}iiii..... :':.'':i:':i'r:::>.i...."}ii ii?: •i::i:i????;i•.4:•vw:.....:.�:::::1.:..:.:.y..:.?r:r:�::::::::::::{.}v:...:..::.?::�.:;..:.r::::•4:w?}:'::.?::::}:3�::n:.ti..:.?}.--.- .::.. V.,+..r.......... •:::.................:?!::!:::iii:;::j:{:;}:;::r:i'vie::??i?i?:?::.:v::::•...::::::.::::::i::4:v:::::4i:}?.:-:y:•::::::::::::::::.r:::. v.v.....:vw:yx::'j:y:::. ::•.:.::::..::::3:•.r.:iw.r::::::w::•:::::::::;}:::::::::::::?::.�.r.�::::::::.�:?r.�::::::-::::.�.::•::::•.................V61 . .Jj....::::::::::.::: .rr.3>..::.::•:.:...... ..::.:: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a 8ne up to s1,W&oo and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 veriflcadon. I do hereby certify under the pains and penalties of perjury that the information provided above is tar.and correct Signature 4WL ,�/,2 � Date `� �5 7 _ ZIIIZIIIIIIIZZIIIZZZZIZIZ,Zllz""rlllll-.IlZlllllllll,lllllllZllllll1111111-zzzllllll,l,ll1111111111zll,llm, Printname�Qat),J E ,42orv, y # 3(-A 9-77 1 official use only do not write in this area to be completed by city or town official city or town* . permit/license# ❑Building Depar I I (]Licensing Board ------------ ❑checkif Immediate response is required . ❑Selectmen's Office • ❑Health Department contact person• phone#; ❑Other urmW 9/95 PUS 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, constriction 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 and supplying company names, 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 peimitllicense number which will be used as a reference number. The affidavits may be retu riiR io 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of In Accidents Me of lnllesdusuens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 �A-yt� � ueall��,�(�oocvfuaeltd' '---HOME IMPROVEMENT CONTRACTOR Registration 109473 S.:Type ,:INDIVIDUAL 4, r +Expiration 09/I6/00. 4 DAVID.ADAMS CONTRACTOR j AVID F,, ADAMSt ;E G� so UNION SIT ADMINISTFWNORYARMOUTHPORT MA 02675 _ 3 4� uT r y ". # f (✓// DEPARTNENi OF PUBLIC SAFETY ; f . CONSTRUCTION SUPERVISOR LICENSE Nuober ExPires '�'. Restricted Itt�' 00 DAVID ADfl1i5 34 UNION S1 YAR01HPORT, MA 02675 �P 9 Yarmouth Campp round ' jon, In Mc Dow e FaN 33 Sii�-►PSotii ��N� � --- Qa�k GX �sfINS HOUSL New J EID sh 5' Tarmouth Camp grottndvgssociation, Jnc. Hyannis, cU✓R 02601 May 11, 1999 Mr. & Mrs . Hunter. McDowell 4510 Annursnac Hill Road Concord MA 01742-5412 RE: Request to enlarge bath, enclose the back hall, add an outside storage shed and install a new septic system. Dear Friends, As of this date the Board of Directors of the Yarmouth Camp Ground Association, Inc. , have reviewed and approved your request to enlarge the bath and back hall, put up and outside storage shed for trash barrels and tools, and install a new septic system to your cottage at 33 Simpson Avenue . This is in accordance with the plans which were received by me on or about October 18, 1998 from Mr. David Adams . I have now received written approval of your abutters, Mr . & Mrs . Chreiman and am pleased to mark you plans "approved" . I am sending three approved copies of your plans and this letter to your agent, Dave Adams, for his use and submission to the Town of Barnstable to obtain proper permits . All town codes are to be met for this work and any debris (including tree debris) generated by this renovation and expansion is to be disposed of by you or your agent via the town dump. A reminder, our standing rules say, "any EXTERNAL construction or reconstruction must be completed by July 1 and no new construction be started between July and August for the comfort of all members of the Association. " This rule must be adhered to. Established in 1863, as a place to conduct religious Camp 34eetings. J eorgani.zed 1946, as a Cottage Community, cooperatively owned by the Cottage Owners. Good luck with you project . Best wishes . Regards, FOR THE DIRECTORS, L. E. Barley, Cle LEB/db cc: pers . corres . renov. D. Adams to-��-� a t amp C and Association, Inc. Mc- Do W _33 SiiwPso�i /�� ------ (3ac�( Ex I Sf i N 5 ('t OUS C- New FY O14 f M I f I� ;�..�,•, . � shy 3� `a �r�®ugh C ImoA OuthC?- Grogiia Ll �►�s�-rH S New _. Rj5yf _FXistori5 New-- lyarmouth Camp Ground 4ssaciat;ert, Inc. New EX N.g —� New ExIsf0i.)� Le�'t Sicf� i i ` arMouth Camp Ground Ass-oclatEor?, ��;<