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HomeMy WebLinkAbout0079 BAY VIEW STREET � .C-, r �r Assessor's office(1st.Floor): 342-010 Assessor's map and lot number ? of THE f0 Board of:Health(3rd floor): ( Sewage Permit number 90-430 1' /, v i asas: Engineering Department(3rd floor): ,� _ rus 9rsnc t House number 79 00 <",63q. Definitive Plan Approved by Planning Board 19 �0 Nil d' 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 Move house -� .d TYPE OF CONSTRUCTION Frame ; September 19 19 90 ,TO THE INSPECTOR OF BUILDINGS: ;The undersigned hereby applies for a permit according to the following information: Location 79 Bayview Street, Hyannis Proposed Use private office P VPRD Hyannis Zoning District Fire District Name of Owner Cape Cod Financial Planning Address 78 North Street,. Hyannis ti Name of Builder Owner Address AKRO ASSOCIATES 48 CAmp Street, Hyannis �a Name of Architect Address Number of Rooms `' 4 Foundation concrete Exterior cedar shingles Roofing black asphalt shingles Floors carpet Interior patticle board Heating gas Plumbing cast iron " yes -. not usable $15,000 Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee SITE PLAN. #31-90 FV4 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 Supervisor's License CAPE C2iiiliiw D ANCIAL PLANNING A=342-010 No 34002 Permit For To Move House �. Remodel to Office Location 79 Bayview Street Hyannis Owner Cape Cod Financial Planning Type of Construction Frame Plot Lot Permit Granted October 11 , 19 90 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/1/ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. r Map- , Parcel v - Application # 02 oC I QQ7 Health°Division Date Issued �- .6(J Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ; Historic.- OKH Preservation / Hyannis S Project Street ddress 7e? v�Q Village ' Owner ,G /� Address Telephone Permit Request Se WOOF- leek, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed To nevi Zoning District Flood Plain Groundwater Overlay Project Valuation �.SaO Construction Type we� T__ 1' Lot Size Grandfathered: ❑Ye ❑ No If yes, attach sup orting t cur ntation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) rn Age of Existing Structure % Historic.House: ❑Yes 9No On Old King's Highway: ❑Yes A.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 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) V1Name �CR Telephone Number n - coOOb Address / P License # Home Improvement Contractor# 710 53e; Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ,APPLICATION# e. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME I INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL " FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 6.00 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Legibly Name(BusinesslOrganizaiion/Individual): Address: City/State/Zip: fF. Phone.#: Are you an employer? Check the appropriate box Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.KI am a-sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [Nocomp.insurance t req workers comp.insurance 10. Electrical repairs or additions required.] _ 5. ❑ We are a corporation and its ❑ P • 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12 g-Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] "Any applicant that checks box#1 narst also fill out the section below showing their workers'con4m ation policy information. t Hmr=wners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have =gbyees. Ifthe sub-conhwtors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: jAg D. Ka A04, Policy#or Self-ins.Lic.#Z1 S Alfif - o;�&"17�o / Expiration Date: tY Job Site Address: I UcLQGJ Gpe�•� Ci /State/Zip Attach a copy of the workers' compensation policy diclaration page.(showing the policy number and expiration date). Failure to se'cure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 WA for insurance coverage verification. I do her under the pa' s d penalties of perjury that the information providedd'abov zI tru wand correct Si afore Date: C9 ✓ 6/� _ Phone-#: .St0 CO�ylA Official use only. Do not write in this area,to be completed by city or town official- City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: 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 representative's 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 certificate(s)of insuran0e. 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 that 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 nuraber 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license 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 license or permit to brim 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 any questions, please do not hesitate t6 give us a call The Department's address,telephone-and fax number. The C6mmonwedth of Massachusetts Department of Industrial Accidents Office of Invests tiaras 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4-06 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia oFtKEr Town of Barnstable Regulatory Services MASS.iE ' Thomas F.Geiler,Director �p i639..� �� lF0.19 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section , If Using .A Builder < L, � a� LL as Owner of the subjectproperty"'- hereby I, .� � � -� � � ,j 1 authorize 71cuxa 5 Co ld rie, � / to act on my behalf, in all.matters relative to work authorized by this building permit application for: J Address of Job) ��scrS x Signature of Owner ate b�C� cif L�l Tint N me If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable mop tHE Tp�� Regulatory Services sAxxsrear a Thomas F.Geiler,Director S, MASS. Building Division rED �A Tom Perry,Building Commissioner . 200 Main Street, Hyannis, 02601 wmy.town.barnsiable ma.us t Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print �f DATE: fJ JO LOC B ATIO t'Z numb r r stre9t llage "HOMEOWNER": ame home phone# work phone It CURRENT MAILING ADDRESS 5y2 �l city/town state zip code The current exemption for"homeowners'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess-a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER -1; Person(s)who owns a parcel of land on which he/she resides or intends to reside; on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) F The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and Tments. Signature of Homeowner Approval of Building Official c Note: Three-family dwellings containing 35,000 cubic feet or larger will be.required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1,.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t, Map• ` 2,' . Parcel 0/ i j , Permit# �' Y Health Division D`LI30 5121f 03 ' � B�C�ate Issued itJ f't'fk O � Conservation Division F i 1 Application Fee Aso I co Tax Collector a� o� f- C2 — Off.— s/o2Cf�o;3 - Permit Fee � �r 0 Treasurer L_ — /(� 01 °lSi��,a SEPTIC SYSTEPJ ST,a�o IN Co► us �E Planning Dept. MPL14NCIF Date Definitive Plan Approved b Planning Board EAMRON .T�C 5 Y g TOWN REGU ®®E�I n Historic-OKH Preservation/Hyannis a Project Street �..i Address �l r4�i LAA Village l 3 - Owner CQk 4-0.5)p Address Telephone Permit Request — S �i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District - Flood Plain Groundwater Overlay Project ValuationI Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. 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 a Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half: existing new Number 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 Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:0 existing ❑new size Q';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 BUILDER INFORMATION Name kkcZz Q6A—(0 Telephone Number I Address License# C S &&k—_6�I j In Home Improvement Contractor# Worker's Compensation# ALL CONSTR� S RESULTING FROM THIS PROJECT WILL BETAKEN TO vo D-JJ , 0"., SIGNATUR DATE 1 FOR OFFICIAL USE ONLY �' { PERMIT NO. f 4 / O-r -DATE ISSUED t . MAP/PARCEL NO. ADDRESS VILLAGE - OWNER f DATE OF INSPECTION:- FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` `GAS: ROUGH % '• FINAL . FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. % '` r— The Commonwealth of Massachusetts 1 - r Department of Industrial Accidents ► Office 8111,05119,8 iofs . t 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: l nVA&C-12 Q rJ O location city phone# ornim I am a sole r rietor and have no one workin in an ca aci I am an em to er roviding workers' compensation for mY employees working on this job. MEW ❑ P....y.:.:.P.:::.:........:::::: :com an .:name::;::>>z:. ; :,... ::. • ::. s es.adr �rG . tl :•::::::::::.... ...::..::•:::::.. ... .::.:•::::.::::::•.;:.::.::.:.ram ..:: ..:: ;::'.>•:�:>:: It ��is •aitce. G ❑ 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: > ` " 2±':.; ?2 < ? 2 >;`: :';: ::` 2 >? ;%Y; ;f :€:s2�>:<:::: :`: :;:52:.>:.;<;:;;< <:;>;< ::::;;:i ::y;;:;::R: :::;:;:;.;, :....... :corn an n........:.:....................... .:.:::::.::::..:...:.::.............:.:.....::.:.. .......... . :mess.......•.::.:�::.::••;:;:.;:;•::.<=�:;:<:.;;: :;;•;:.;::;:;•:::..�::• �. ;• %E:#ti:'. :':.:�';<' is i; ' :;:;: :+::::"`:>!::::'::'::;; ;t'<:'::}::<':;;:%:'.:5::?:'>+'';:•'•:: 0n. t 2ii:i: `•:'+`.:'t: ::':S+lit :.:..�:::::....:::...::::..:::.:.�:.::iii::::::.v::::::::::::•i::•is:•::;•::::::.:iii'r:..:•ii:-::i:ii:-::::•:•::•ii:.;....:•:.-::••:::::>:.:•:::•>.:;;:>:}:•>:<•}:•i:•i::•;;•::ii:•iii .f. N. ..... ... ......... ...................:..........:.:::•:':.:-:n�.�.�::::.. ...............................• n.:.:.�:.. f Y.J{r.:.y3:v.:i:v::Sl:.: :Tii';;> }:iiiiii:{•:ii:{{•iiiii:?•i}i}ii:•S:;iii•?:iii:^i;•i;?:•iii ;.: i .. .........:..:.... .........::: ..::.....:......... hbII t <:e z rinrririte Faihua to secnre coverage s,required under Section 2SA of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 verification. I do hereby certify nder the pains Penalties of perjury that the information provided above is truo and correct Signatur Date t) Print name 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 Cl checkif Immediate response is required ❑Selectmen's Office 011ealthDepartment contact person: phone#; ❑Other (revised 9/95 PJA) _ r 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, 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 section 25 also states that every state qr local licensing agency shall-withhold the issuance or*renewal of a license or permit to operate a business or to construct Vuildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required:.Additionally,neither the commonwealth nor an 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 permit/license number which will be used as a reference number. The affidavits may be retuzned,t`n 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. f The Department's address;telephone and fax number: t The Commonwealth Of Massachusetts ,Department of Industrial Accidents Office of InvestlgaUans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I °f-(HE�°� Town of Barnstable ti Regulatory Services M MAss. Thomas F.Geiler,Director a Fp39.�A`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 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. Type.of Work: k— S` Estimated Cost 4 Address of Work: tm \V2 w w 1-11 Owner's Name: it Date of Application: q PPli .��a' J- 01 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 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 c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: _ S•}� Date Contractor Name Registration No. OR Date Owner's Name °p1HE Tp Town of Barnstable ' Regulatory Services * BARNSTABLE, • v Mass. Thomas F.Geiler,Director o;a. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder h `� \7 �` as Owner of the subject property l p P tY hereby authorize &Wc 1 On a-( y to act on ray behalf, in all matters relative to work authorized by this building permit application for: 1 Ue , b-0 ( ddress of Job) Signature of Owner Date Print Name Q:FO RMS:O W NERPERMIS S ION I D.OARD p License: CONSTRUCT BUILDING REGUL4T1QNS ION SUPERHISOR Numbe` 068561 Tr.no: 2708 R 1p BRUCE E MOT 1 16 HEMLOCK AYE; r S YARMOUTH, �, .,, Administrator E , 1 TOWN OF BARNSTABLE SIGN PERMIT D 342 0 0 G PARCEL I 1 EOBASE ID 24918 ADDRESS 79 BAY VIEW STREET PHONE Hyannis ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 17298 DESCRIPTION HEART CENTER (35 SQ_FT. ) j PERMIT TYPE BSIGN TITLE SIGN PERMIT i CONTRACTORS:ARCHITECTS: Department of Health, Safety � - and Environmental Services -TOTAL FEES: $50.00 j "'IND4 THE NSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BAItNSTABI.E, I MA83. OWNER CHIOTELLIS, LAVINIA i639. ADDRESS SEAVIEW AVENUE Y A OSTERV I LLE MA B�TILDING D�fVISIQN7 BY - DATE ISSUED 08/15/1996 EXPIRATION DATE ��h� i _ � �� �1 � � " ��_ � J I � I � . � � � I � i � ' i --- - ,PERMIT NO. : rr r DATE: TOWN OF BARNSTABLE BUILDING DEPARTMENT 367 MAIN STREET ` o ` o-?) HYANNIS, MA 02601 APPLICATION FOR SIGN PERMIT J /� APPLICANT: �L (> N. 11 �' ASSESSOR'S NO.. DOING. BUSINESS AS: TELEPHONE � '' Zd SIGN LOCATION Street/Road: 74 -CAj , p2: Goi ZONING DISTRICT: OLD RINGS HIGHWAY DISTRICT? yes no PROPERTY OWNERm Name: Address: 52 P aei< :ST , City: _ \4 1, nni -s State: ` ' YA Zip: Q I Tel. No.: SIGN CONTRACTOR Name: I`( Address: �21 ©L� V)A\�/\.l City: �O • 1l 1Ad2, State: WA- zip: 02(D y Tel p 6 . No.: DESCRIPTION DIAGRAM OF LOT SHOWING LOCATION OF BUILDINGS AND EXISTING SIGNS WITH DI3MNSIONS, LOCATION AND SIZE OF THE NEW SIGN TO BE DRAWN ON THE REVERSE SIDE OF THIS APPLICATION. Is the sign- to be electrified? yes no NOTE: If < 'yes, a wiring permit is required.) I hereby certify.that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning ordinances. -2 Z y� - Date Signature Of owner/Author' d gent For O;.fice Use - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Size (Sq. Ft.) Permit Fee Approved Disapproved Date Sig ature Of Buil O cial HISC4 r Ic [.I .:J_ - 7 t I . ;.. . ri 1-7777. UL p. NQ o I F F t. F Y 7 tw � 25 7c.'b � . — '1 T � � •r I i ,� j t u i 1 � t I ilIF- .� ./` �' £. It P • jBvj tL a rr * . m TOWN OF BARNSTABLE SIGN PERMIT IiPARCEL ID 342 010 GEOBASE ID 24916 I ADDRESS 79 BAY VIEW STREET PHONE Hyannis ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 24626 DESCRIPTION. HEART CENTER (24 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL .FEES: $25.00 BOND $.00 Ox CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * ; * BARNSTABLE, • MAS& OWNER CHIOTELLIS, LAVINIA 1639. �� ADDRESS SEAVIEW AVENUE ED Mlr►I OSTERVILLE MA BA ILDING DIVISION BY DATE ISSUED 07/25/1997 EXPIRATION DATE 91 r '� Depnt drd SeNi4 3 I iT& F ��. 6 M Stctet, ApplicationYfor Sign Permit 3 a - 0 C) =Applicant: L�A\) c 4 y cTE -L k S Assessor_'-s no. Doing Business As: CZ� C��n�-�Z Telephone Sign Location streettroad: l o P PIIV-\C VVI Zoning Distrct ! Old King's Highway District? yes no� Property Owner o Name: ��7` l C i®� �,L� S Telephone 7 7 �® Address: i Sign Contractor-. Name: Y" C O Telephone Address: (o,�) d 7-\C) n\Y-\ Village Sd �/ f�:f 0,7- Description Diagram of to showing location of buildings and existing signs with dimensions, location and size of the n€, to be drawn oa the reverse side of this application. Is the sign to be electrified7 yes no (Note: if yes, 4-wiring permit is requir( I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is coitect,and that the use and construction shall conform to the provisions of Section 4-3 of th TowkofBa1.4 rn. le on�ng;Ordinances. agr'w s _ 441 of,OwMMuthorized Agent 3g. `� x `° 5 'r, s� .,£' -a & M '�Y ' "bt"°-ry anxFt'��-'�' �'�' .. ,� .ir _'` r_'*',"5 ;# r}. •. +-r, .7y'C e6C� ,.� °' � ws +.tq.�.ti�'Fi ppP'" F ;< s-' -. .ad+c "Y a�,.✓ sa. �a 'a•^` ..:.... .ate-LPR1lYixW O� w(/ r. - �W1Wi..` �` Saga ���� �V W+zR,�xy'i-►,�'c;.� x r f i y 5 ��sa � vt _'t s s' 1 Yud� '�' 01 i.. ." .� � ' Inc. P.O. BOX 134 63 OLD MAIN STREET SOUTH YARMOUTH MA 02664 TELEPHONE (508) 398-2721 FAX (508) 760-3130 r All ©N � I g TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 / `� Permit# - 5-( � ( 3 Health Division 0& Date Issued 2 (�`�200 Conservation Division Fee s 0. 0 Tax Collector ;o�1 n, Treasurer '7 �-�f I1-�b/ SEPTIC SYSTEM MUST BE 7 INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE S Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address -7 s-,77Z,6-g Village 5 Owner e i e C « 2 I fry Address � � u �� �AA,k' Telephone '2-7 i��lZ Permit Request 70 /hauz e,- '{V SJ/4 91� ilayj ct.,A s rO✓nt! oS-4e aA (�,5 (.4t( S1xe-e.+vocr_ -10 rr.al rya Square feet: 1 t floor: existing proposed 2nd floor: existing qor proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Cuj2 l r2a r+4-- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: Cl Yes ❑No BaAment Type: ❑Full rawI ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new Cfkaftz-f 1vtPfAHalf: existing new z)Ale- Number of Bedrooms: existing /.r/ new Total Room Count(not including baths): existing y new S'< First Floor Room Count Heat Type and Fuel: &Gas ❑Oil ❑ Electric ❑Other Central Air: U es ❑ No Fireplaces: Existing 41,9/tt- New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size /,j Pool:Cl 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,�Kes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name�S�2 A- C�-�.�,Sou S--- Telephone Number _3� 2 q? 70 Address Ja e- License# G S 0 0 V q Z v ANUO-ck 4 US ate} Home Improvement Contractor# 1 d Qq ZY Worker's Compensation# A 1 f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO u4'-, SIGNATURE DATE Z� f FOR OFFICIAL USE ONLY f PERMIT NO. DATE ISSUED r MAP/PARCEL-NO. > �l i ADDRESS :;y VILLAGE OWNER `: ; DATE OF INSPECTION: ry i FOUNDATION " FRAME INSULATION 1 FIREPLACE _ ELECTRICAL: ROUGH",..Y > a. FINAL' PLUMBING: ROUGH- 3, FINAL _ rn GAS: ROUGHSt In FINAL FINAL BUILDING g:. in DATE CLOSED OUT t 3 R fly ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents .600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit r name: t 1�5 C�-�c Saes Z ��, e_ location: LJ city CJ-,-" A {/a,/ phone# ❑ I am alfomeowner performing all work myself. am a sole rietor and have no one workiz in anv capacity ❑ I am an employer providing workers' compensation for my employees working on this job. :.. ::: :: :::::::::::::::::::::::: : comoanv'naaie ,:.::.......................:.: ,. ... .... knstuanceco pricy# ❑ 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: . company name - ... .. :::::.:::::::::::::::�.:::...:.............:...::,........................... ..... ...... .................. ............................................ ... .. 1...... ............-......... .....................................................................................................;........................... : ........................................ ....:.::.:.::..... l/// sa name: address: city' ifitbne# . < :; r t+Iiev# ' �. Fail=to seems coverage as required under Section 25A of MGL 152 can had to the imposition of criminal penalties of a Ste up to$1,500.00 and/or one years'imprisonment as well 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 thb statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify the pains and penalties of erjury that the information provided above is&w.and comct 7 Signature c_ Date _4 Print name �` Phone# 3K C, �� oigdal use only do not write in this area to be completed by city or town official city or town: perndt/license# ❑Building Department ❑Licensing Board ❑check if Immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; - ❑Other (wired 9/95 PJA) T �J 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 eirtity, 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 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. �/����/�����������������������/�/ �/�����ii,!���, } G Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and 01supplying 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 permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. 11 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 Industrial Accidents Oftice of Imiesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 c cy S 6 —: 4 I I I .a ,.._J... 71 Witrl • .. B 44 Lo OL/ 11 t--tail •-- xx 311.4C:,;:Ll a g.' ;vlZ 10 �i�p� -� rein Xv l .l_ / a kp era �- v s _ J o xJ> T tj . tip HOME IMPROVEMENT CONTRACTOR Registration: 104428 Expiration: 07/14/2002 Type: Individual RUSSELL A. GIBSON,JR. Russell Gibson, Jr. §�MIO PINE ADMINISTRATOR YARMOUTHPOR � MA 02675 _yam::. --- -- ---- ----- - .. ,�.J.....wyf .P+!'v}..wt M.fsi{�.1N:.'f�yL'✓4.hi.+ � /.�_. �--... -�_ �. • .. . -'""`' �e`�omxmaoz�uea� o�✓�aaoac�u�aeka BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number;CS — 001952 Ezpires:.,07/09/2001 Tr.no: 567 Restricted To: 00 RUSSELL A GIBSON JR ' _ 32 MID PINE ROAD ' YARMOUTH, MA 02675 Administrator