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Home My WebLink About0002 FIDDLERS CIRCLE r----� , - � J! ,_, ',� i Town of Barnstable *permit# �€1 Xv ra 6 nioet&s froea Inue date _ , = Regulatory Services -Fee 0 .1�$ Thomas F.Geiler;Director .— - Building Division 11-L�� Zob� Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 X-PRESS PERM I.T Office: 508-862-4038 NOV 2 8 2005 Fax: 508-790-6230 EXPRESS,PERMIT APPLICATION - RESIDENTIAL, Not VaU i Ww'Ut Red x--Press Impr1nt .- OF BARNSTABLE viapfparcel Number 'roperry Address f S Residential Valueof Work ` `t o u Minia►u n fee of•s25.00 for work under$6000.00 Owner's Name&Address ton 6kv GU Contractor_s_Na= . �� "`•' Telephone Number ! � ! 'ce Home.Impzovemeat Con{ractor.License#(if app_.,_ .ab.l.) 6431 Construction ervisor's License#. if a 'lic e ❑Woritmaes Compensation Insurance W1n one: a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation 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 PI PA i Da L& W.A ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U--Value (maximum.44)- *Where required Issuance of this permit does not exempt compliance v+ith other town department regulations,i.e:Historic,Conservatiem,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Imp rent Contractors License is required. Signature Q:FM=:expmtrg Revise063004 i f ° ��,a Board of Building Regulations and Standards License or registration valid for individul us e only HOME lffAOVEMENT CONTRACTOR before the expiration date. Hfound return to: Re istr�ation. �24310 Board of Building Regulations and Standards 007 One Ashburton Place Rm 1301 z idual I Boston,Ma.02108 I James Curley -"a James Curley 287 Fuller Rd. Centerville,MA 02632 Administrator Not valid without signa re o r , ,�E T Town of Barnstable Regulatory Services ? ' Thomas F.Geiler,Director v� 1-639. tag Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize V v` o to act on my behalf, in all matters relative to work authorized by this building permit application for: IXJ 13�J l�lJ (Address of Job) igna of caner ate Print Name Q:FORM&OWNERPERIM SION Engineering Dept.(3rd floor) Map 2 ge Parcel / -/ Permit# ;2 4 House# _ f l�Date Issued - 1 L Board of Health 3rd floor . 8:15 -9:30/1:00-4:30 7 � ( /0 9 7 ( )( ) V' r�l*-�� Fee ` Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 10 P 1dg.) SEPTIC S MUST BE INSTALL LIANCE ' d 19 � ENVIR®N ®DE AND TOWN OF BA1�NSTABLE TowN 5 ATIO S Building Permit Application /��y e r 3& Project Street Address Village Owner - A)lr- Address / A-• Telephone Permit Request '-<7EyrVr6 r7luc__ "J cc it �a x First Floor square feet Second Floor square feet Construction Type W aD D ' ' 7� *-'o 5 o77A- Bf F v S Estimated Project Cost $ /a •G 4/U Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) " Age of Existing Structure 71 a Historic House ❑Yes O No On Old King's Highway ❑Yes WNo Basement Type: ❑Full A Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) V1_41 - Basement Unfinished Area(sq.ft) s 0 Number of Baths: Full: Existing Z New�_ Half: Existing New No.of Bedrooms: Existing -�J New )!a, 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 0 Existing wood/coal stove ❑Yes 14No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) l ❑.None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use � V41'- Builder Information Name BA- 6 � , ��& e Telephone Number '1Z S - Address Q76 -2)aYZ' LA-) License# IA-r L -.;z 7 Home Improvement Contractor# 107Tv 3 Z - M 6LG 5 m 4 Worker's Compensation# WC. .35 / " /D 8? NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /Q— B ILDING PERMIT DENIED E FOLLOWING REASON(S) n T FOR OFFICIAL USE ONLY -- - . L PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS — VILLAGE — ~ OWNER DATE OF INSPECTION: FOUNDATION s — FRAME INSULATION FIREPLACE � • j r< ` _ . . _ r - ._ � 4 s ELECTRICAL: ROUGH t FINAL PLUMBING: ROUGE-'° r .FINAL f GAS.~ ROUGH: k FINAL 3 i FINAL,BUILDING -TEEA DATE CLOSED OUT ASSOCIATION PLAN NO. 07/09/97 VIED 14:14 FAX 5575999 Z 002 U� �1 d' pgcw ' �✓ I-dT IaA t hYy.WD 1 �b rc,s 03L The property shown on this plan is not in a federally designated flood hazard area. I certify "wV,- SOV03 FFv6 CEW5 SgV1Nbh. 8A". T&JIb 'DMI'b �' N that the building is located pyOT PLAN on the ground as shown hereon ` and conformed to the zoning by- laws of the-VW Q of SA•PN7?Aq.6 when constructed. Scale i'1"=Ap' J1�Nl� Ca 1°t & 4nL`4 SHARON SURVEY SERVICE 289� .and Surveyors&Engineers . This plan is for mortgage edptopo <i �� to E..Me3Pbone y jt0n,am 02067 only and is not to be us establish Droperty lines. THE The Town of Barnstable 9WA%M � Department of Health Safety and Environmental Services 14 Buildiner Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commi: Fax:. 508-790-6230 For office use only 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. c � Type of Work: Est. Cost Address of Work. �--�- Owner's Name v Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. _Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I he by ap ly for a permit as the a e th f own /6(oc-3 2- Date Con for Name Registration No. f w The Coltrrllonlrclllth of atassachuscits Dc'prrrtlnc•Irt of ladustriul.-�CCIIIL'lr1S i pff!CCOJlnyest/gatlans 608 ff•ashirr(;tonStrea '•��"` ,� Boaturr. Maas. OZlll `-•' Workers' Compensation Insurance Affidavit i li�iri inf rni inri• ._.. _. ._rl I'RINT,_....^ �.._.r-- - •- .•._. - name nc.t' n• ctt� htmr:ij 42��°� 5 1 am a homeowner performing all work myself. [) I am a sole proprietor and have no one working in anv capacity .��. .�r...1..-r�-..��.....�.w�..�•�.iw.�..�r..wt•[s�"'�'^"^��".a'�..+�t�+...+�7�r.�...•�ww�•�..�`.�� ..�....-��..w`.� .....__ L•- ..ter .�. [� I am an emplover•providing workers' compensation for my employees working on this job. nni i:im• n:irnc: •itld tees• city nhnnc 0. nnfic� d �r I am �a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below who h: the following workers' compensation polices: gnmrinny naine• atirlresct cin nhone d• iniurnnrc rn cnm any nntncr •idtfresc• cin•• nhnnc it• insurance c nfic •d Attach additional sheet if nec urresiary- r �_ _., y, ,,,_�...,�,�_��.. - :�:e—•• �.� Fail to securr co%,crat:e:ts required under Section:SA of 111GL 15I can Iced to the imposition of criminal penalties of a line up to 51.500.00 andiu: une years'imprisonment:is T�,11.1s civil penalties in the form of a STOP WORK ORDER and a fate of 5100.00 a da} against me. I understand that copy of this statenictit may be funvnrded to the office o -estirations of the D1A for coverage verification. /do herehr cctrift fouler the It' s of r' .•that the information provided above is true and correct. Si__naturc Date Print name Iy�� Phone* Tz w � - .,y.r�rw�rrr �► official use unit' do not write in this area to be completed by city or town official citi or tmvn permit/license it nl3uiidini;Dcpanment r C3Uccnsing Huard E �5eleetmen s Office t check if imincdiatc respunse is required �.: C311calth Department k phone i:• contact crson: nUther LO RG ,.f r`..� N.� t W �'.-. A3N"10 t0T 1�:N NSw q t '-, _NDTS� CO Y,>" 3 � ,..� - , � � cx i ��-��,"�' -� �.�T-"y'v;."a,,�,�,x`Y •-a .o'c ,}. 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