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HomeMy WebLinkAbout0027 JANICE LANE 'gle JW'" 27 �ja ' 51-0117-7 SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE S � o C 7/ . SATNH ARTICLE.11 STATE ARTICLE CODE AND TOWN • P °fTHE rO�� TOWN "VX 1 N�STA.ELE i• BJHB9TOIILE, i !, "6 BUILDINGam INSPECTOR O•EPY Or APPLICATION FOR PERMIT TO .. 4; , .........7. L�Lr .:....:. A.. TYPE OF CONSTRUCTION ........ . ..........T.. .............`.. ��..............19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli a permit according to the following information: Location .. .,aLl �`� ....�,,�.. .��`1... f'I/..G` ........�� .............. . ?r�2lN ?..................................... ProposedUse ........... . . . a .. ...........�� ................................................................................ . .............. Zoning District .....// 1�4�G'( ........................Fire District Of Name of Owner 0(l�L. ......Address ..f .r....... ......... Name of Builder / � ��• ' �-°::.�., .Address ........ ....... . .. Name of Architect li ...... -4...................Address 6-V......� ..... .. ........ ... .. Number of Rooms ...........41.......................................................Foundation `✓L G.( ,,.-. .. ., Exierior .... ...Roofing ........ �. �.. ...... ... ...... ......... ............... Floors . .... Interior ....//d�.' '/�iC����:!ti...T.................................... , Beating .......................... . ...............................Plumbingk§a.....ax..... .. ...... .. �.. Fireplace ................................................................................-Approximate Cost ......��a...,��.�................�........:............. Definitive Plan Approved by Planning Board ---------- _ _ Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEAL H I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name e�,,1.. •:•••• .. ���ta�� ..... LaFleur*Development 116267 1140 ................. Permit for ....... ........ single family dwellin .......................................... ................&................. Location .......Jard&e Lam . ................................................. ............................ .................................... Owner............LaF.e.2mm..Development............. ...... . ...... ........... . ....... Type of Construction ...............;Crarae............... ................................................................................ Plot ............................ Lot ................. ........... Permit Granted ..........Jun.e...4.................19 73 Date of Inspection .........................7.........19 Date Completed ......z.............. 3.......19 PERMIT REFUSED ................................................................ 19 ............................................................................... ....................................... .................................... ................................................................................ ............................................................................... Approved ............................................... 19 ............................................................................... ............ .......... .................................................. .• -;.. � �.. + >t j r ,.�'. .:.l.y:<�,� Y r, t.:t i -,Sir ,� v' d' r• jp • � .. � „r x .a - .. Eti • )W' � <.;, s ;y �:� J� ",vim. 4RAlt lei .. •� ". _ ;. . '- � �'S �r Vie' ' _' 1 ss oo`►'' :�b �- v i F ' .+ .~ of X� lO Z •. w , , _ -� � - � •,,. _ • �:po L `' Apr , � . :. >s _ _ it 0/9 $?f tP 040 dW ppo //V ., ty c1 Cam. �N�� �y/-7 7 0 13 i• , �� - (. - � - H � •.'- 'r 4 %.S— ; 1n ' `Y .' is - , ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1�19'7 Parcel Z r Permit# 7 Z 2 6 Health Division � Z"Oc'floo a Issued 2w c Conservation Division f 2 03 Application Fee Tax Collector .%/d;3 Permit Fee- 30. B Treasurer • -- ._ •�_—� if� 'I ���` off; OYSTEM MUST SE Planning Dept. t".-:7 AL LED IN COMPLIANCI~ IMF;TITLE S Date Definitive Plan Approved by Planning Board >u;d �^� Ev'�T�L CODE ANV Historic-OKH Preservation/Hyannis TOYM REGUUTIONS Project Street Address 2-7 ill/cg Village 1s s l Cafe>�y Owner Q_2io-CP A (��ifey�{/��e—,/ 64urxr_�� Address �'/�n� Telephone 4" 7 7 t — 3 6 Y I Permit Request /3wlc,D 4 'G✓at- x � ',�C� Eiv i— Square feet: 1 st floor: existing proposed T 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation - Construction Type OT Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family 9" Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes 4No Basement Type: ❑Full O Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new k Half: existing new Number of Bedrooms: existing new l 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:Cl existing ❑new size Barn:0 existing ❑new size Attached garage:®existing ❑new size Shed:U existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes 4No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number ��` 776'" S�'G Address License# CS 0,�3;?-2-3 /2f*Ay 5 Tvx/s IGGs � D 4 ? Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOj° a�°�i9rE �y?viJ if/✓1i SIGNATURE DATE /� 0� ' } FOR OFFICIAL USE ONLY 1 PERMIT NO. DATE ISSUED Y MAP/PARCEL NO. t . v ADDRESS VILLAGE OWNER s DATE OF INSPECTION: .Co A T_0 FOUNDATION 0 !7 ®� da , y '�} ' FRAMES t N'i (� ro �� �f >�� d� sv fit/ r INSULATION y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL FINAL BUILDING n/ lk 7 / DATE CLOSED OUT ` r , ` . ASSOCIATION PLAN NO. j The Commonwealth of Massachusetts Department of Industrial Accidents ' - - exce offoaesffoatloos 600 Washington Street Boston,Mass. 02111 `} Workers' Com ensation Insurance Affidavit name Rd 1b�T ocation �0 � l /���aO'S city �� tIN taws !°�/`ta'3 , phone# 508-7Tb-S�6 7 ❑ I am a homeowner performing all work myself. I am a sole netor and have no one workingm- ca acitp %%% /G%%%%%%/%���%%%%%%%��//%/%/// //////%%%%/%%%/%%%%/%%%%%%%//G/%%%%//%%/%%%%%/%%�%%%%%//%�/%�%/////%%//%%%% I am an }y� g emp1(� rovidin workers' compensation for mp employees working on this job............ .:..: v....,.ntxa}}..},}}}:..:,,,,,4..,,......... 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U i / Faihse to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criadnal penalHa of a fine np to S1,500.00 and/or one yea",Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against md. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I da hereby certify under the pains and penalties o perj hat the information provided above is true and correct Signature / Date Print name a G 13 Eft f'Ul�Kt��� )E Phone# ���- 7 7b- 5��'7 4 official use only do not write in this area to be completed by city or town oiBclal city or town: perndtllicense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑1lealth Departruent contactperson: phone#; - ❑Other O viud 9195 PJ/a 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 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 name * 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 or town that the application for the permit or,license is . date the affidavit. The affidavit should be retained to the city PP regarding the"law"or if you being requested, not the Department of Industrial Accidents. Should you have any questions 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 permitllicense number which will be used as a reference number. The affidavits may be retarfiR 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 Industrial Accidents amce of fnvesilgauans 600 Washington Street ' Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . a . �oF�+Etoy, Town of Barnstable Regulatory Services snxr�sTaet.E Thomas F.Geiler,Director y Husa $ �Ar616 9. ,0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 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. L l) �ns� c7Toal '0yQAfr 417T CK Estimated Cost • Type of Work: t� 1, '� I Address of Work: �7 ��N l c� L/9�tlL N yi9/b A-�15 01601 Owner's Name: & R �� Date of Application:_ /dq 3 I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: l ` Da a Contractor Name Registration No. OR Date Owner's Name °FSHE Tp� Town of Barnstable ti Regulatory Services BMWSMAM TM3LE,$ Thomas F.Geller,Director 4iArec �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 b-q it-i-t4 1*6R- , as Owner of the ro subject l P per' hereby authorize /`��,3L�/L7 �e�'>'ECtf/✓/� to act on my behalf,. in all matters relative to work authorized by this building permit application for: 27 \J�NZee Z*lvrt 4A, D2-60I . . (Address of Job) Signature of CK4er Date Print Name Q:F0PMS:0VRgWERMISSI0N a I ilk: . ��TT pp h i BOARD OF BUILDING REGULATIONS k7icense: INSTRUCTION SUPERVISOR Numbers:\ 063223 " € 0Q04 Tr.no: 1555 Nil ROBERT i PO BOX 305/166 H6 MARSTONS MILLS, f;48 Administrator ( ' J Town of Barnstable • Department of Health Safe and Environmental Services p h', ■ARNSTABLE, Conservation Division 200 Main Street,Hyannis MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION 6"4et 7WrJ5_'I#_I Acro�x ayw 7-h'�nf-le Property Owner Telephone number Mailing address Project location �� Map/Parcel Project description The following minor activities will be reviewed,under Art.27,by Conservation staff instead of the Conservation Commission,'as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank. * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement,6"above grade * Conversion of lawns-to decks,sheds,or patios that are accessory to single family homes,as long as: -house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq.feet. -sedimentation and erosion controls are used during construction * Stonewalls(this does not include st ewalls for retaining wall purposes,grading and/or fill) /; /�Xx ` 1.- od' ea Signature Date 1ZAZO.3 Reviewe y Date gecrl=an) minoract.doc s M^y N ®-r B ccu PLAYE STANDARD LEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY �..;.....1' EDGE OF CONIFEROUS TREES MARSH AREA —- — EDGE OF WATER DIRT ROAD DRIVEWAY MAP I��— PAVED RO D PAVED ROAD MAP 30 I ————— DRAINAGE DITCH 27 PATH/TRAIL PARCEL LINE rw 21 MAP# 021 PARCEL NUMBER 5 # #367 — HOUSE NUMBER 7 — 2 FOOT CONTOUR LINE 91 f io 10 FOOT CONTOUR LINE Elevation based on NGVD29 4.9 SPOT ELEVATION STONE WALL —X—X— FENCE ----................ . \.. 41o............._... RETAINING WALL T-- RAIL ROAD TRACK STONE JETTY 07 Pam ' SWIMMING POOL PORCH/DECK 2 6 0 BUILDING/STRUCTURE DOCK/PIER HYDRANT ---------- E) VALVE OO MANHOLE i o POST O� FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M 5 U N 1 T a SIGN ® STORM DRAIN r� - M PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of o EN )parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James ❑ TOWER I"=100'scale map and may NOT meetundories.They are not true locations,and W-Sewall Company.''.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POIE0 15 30 National Map Accuracy Standards at this ant actual relationships to physical objects Corporation.Plonimetrics,topography,and vegetation were mapped to meet National Map Accuracy StandardsUGHT POLE O EIECfRIC BOX I INCH=30 FEET* enlarged scale. at a scale of 1"=100'. Parcel lines were digitized ham FY2004 Town of Barnstable Assessor's tax maps. . r �,h� P720✓Fc-T .,LP l� UWN���ppKEZS �PItO%. ' `�HxBsl�"to•ve}< $Ima 27. S'��IC.L._LRN.�i 6ewog -�„ M4 Owe View �EANRC'� i3ameLr M'Y- NIE dol /*P-troN314c tlA4b8 Sa 76-58b7 b"tna Bogs bMvre�B - l"L Pr.&k,N� ` I RLI M.IJ4 �RoTe�t OW N�i�DD2ess r CT RuTba-TGlL 27 TAVI .E LF1NE �o fox Jog P��vcszoa s �AA,�us 9�AU} o1-6Yt? yd8- 77� 'M9x;�b��a�ps FX/S�Nfr- App2oY Zf' N,c,�f !y'hndlF c�KM1E Two S-tsas Z; l"VZKE �p Rusi W RILIN6S at`PV PR.areu DEN i�oDness C, Cep-u?tfc� 27 SYthttcm CANE �y�ruocs �tv� oz.ho( P��r- 17�o[3sn r ►k`lCEtt6s�tfs Po � 3oS 1Hn�S taN 0 2►A T08-77b 5867 AVA 4 bleo Rpp&o 20' k v,t U.. I�PPFOX �acq-rroM- 5EPY9.L AssessoI. r's offioe.(1st floor): THE 4ssessor's map and lot number ......��.�+....��c��... , �"�-® h��' �� �.Q••�f �ITe�f .. o Board of Health ;(3rd floor): c� -=`° i k� MPL1A ' " Sewage Permit number :.... 'aa'. �D. ..`. ®� 5 Z BABISTSDLi Engineering Department (3rd'floor): , p F���� ®® �o� 1639 House number :.................. � .7 cU �i, 9E�'���� '°�to v a� � A - APPL16ATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00''P.M.�only+ TOWN. RE����i®�� ya ' - TOWN;l ;OF BARNSTABLE BUILDING, INSPECTOR APPLICATION 'FOR PERMIT,TO �1 1.�� ...: i .....CaF...�?C1 1.�lla�z....1�F , f........ t . TYPE OF CONSTRUCTION TIs� �l l/'{..r/��x(�/ � �'L��.. a)5 � 1.IV�Gt ............................. . ....................... --....19.C.?.:.I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location :...... .. �..�.... . . .. .......................................................................:................................ Proposed Use .............::. .............. ................................. ........................ ... ..... Zoning District �`..... .....a.......................:..........Fire Distract .................. Cl .................................. Name of Owner F•��Q).....bAVT_H.(.�J.0.............Address ...�4 ... :.. . .� ,.. .�.f-1 .,N�s............ Name of Builder 1 ss �. .. 7���-� .:G4. .( i.� • t Name of Architect ......... ..........Address Number of Rooms ......�.........•..................................:..........Foundation ................................................ Exterior ........1G �`..1.1 ..................................................Roofing ........t1.K.(.5TOV.(0.. Floors ...... j. .j.L! .................................::::.................Interior � �[�....... yam- • 1 I / ...............Plumbing 1 �ti eaoo. .Heating .. .�. .r........................................... .......... i - Fireplace ...... .. . ............................................................'.....Approximate Cost .....(5Ma............. ......... 04 Definitive Plan Approved by'�Planning Board ------------------------------19-------- • Area ........�... .......... Diagram of Lot and Building with-Dimensions Fee `.............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH . � Sic � • 3(v 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. ti I Name ..... .. .............. ........ ..................:........................ Construction Supervisor's-License ,( Z4141)........... ' GAUTHIER, GERALD ' 10897., No ......... . Permit for .................................... Single Family dwelling ti � Z7�Janice Lane, -Lot*..#.5.... Location ............. + HXannis Ownerf Gerald. Gauthier..... Y........:. F �" aj f,, . I` a ,�-. • r Type of Construction „•,Frame �t ,,• g... .K ......................................................... ` r y : •< , Plot... ..... .... Lot y ........ ......... Permit Granted June 2.3......... 1.19 8 7 .nspe 1 Date of Ic tio n'.... ........ . .....'..19 Date Completed .... .... 19' l 4 IL y ,,,", /j , Assessor's otfioe (1st floor): i • ., ✓ � CF TM E TO Assessor's map and lot number .....t.. ! ...... . ...... Board of Health (3rd floor): ,Sewage Permit number ..... � . S 33AXIST&DU • Engineering Department (3rd floor): tb 9, House number 3 `e ...................................... ' 'Fa YPY a' 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 �.lS.f..... .�i? .I�(i ..,....t .. �C! ��.h.... �'� � ...............•, TYPE OF CONSTRUCTION ...�� ����YI1..,1�-�ANJ .. X(��rit�J� /.. . ........................(.%�.- -....... � TO THE INSPECTOR OF BUILDINGS: The undersigne-d7 hereby applies for a permit according to the following information: Location .... ...!..... i(f=... , NN ...,?..........................................................................J.. _... .......................... Proposed Use al t�1(o� � 1C,`t... 1,^,1�1���........................................ .......................................................... ................................... �j ....... .........................................Fire District �, Zoning District ....................... �.................. ........................................ Name of Owner r �� . tr\� TL-! � 2-� C �� 44 :+' J(�ll .. . .... .................Address .............................�... .......... `�... ........... C. .�f .n..i -M11U'Alddress .� ..t��Y ��`� G�C� < �=n ri- r2,�1rC.C. Name of Builder -... c............• . ........... ......... Nameof Architect .. /. ....................................................Address .......................................................I............................ Number of Rooms ......P1,......................................................Foundation n................................................ Exterior ........ ..................................................Roofing ........ :7C./ ']-ILILC.................................. n!/..,^ Lam. '. C ./'Tr.. �c�r.... r.n..n1.............. Floors ......�-�...�.�...........Y!......................................................Interior ..... r-+ Heating ... #:.o ......Plumbing 1 ')! ' � CC Fireplace ...... � ...................................................................Approximate Cost .....�. � ................:: Definitive Plan Approved by Planning Board --------------------------------19-------- • Area .................... . ...............��� Diagram of Lot and Building with Dimensions Fee ........ ............. ..........6-0.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �xlsTi Nto +- 3(a 24 3Cv 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 F construction. Name - Construction Supervisor's License .n?�-�. `t-+�.1........... GAUTHIER, GERALD. A=307-275 No .3.08,97... Permit for .B14i1d...Dormer,., ..Ingle,.,fam ly,,dwe,ll ng,..,,,,,,,, Location .....7....4?A A i,g.e....14?X1e.....LA.t;... �.5�. ..................H.y.? ........................................... Owner .....Gerald..Gauthier ........................................ Type of Construction ..F.KAMe........................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ....June 2.3 , 19 87 L Date of Inspection .........:..........................19 Date Completed .......................'.............19