Loading...
HomeMy WebLinkAbout0426 LINCOLN ROAD EXTENSION i i ���, vat _ TOWN OF BARNSiAABLE CERTIFICATE OF OCCUPANCY (FAMILY DAY CARE SERVICES) PARCEL ID 271 032 003 GEOBASE ID 17986 ADDRESS 426 LINCOLN ROAD EXTENSI PHONE HYANNIS ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 87272 DESCRIPTION FAMILY DAY CARE PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 p1F CONSTRUCTION COSTS $.00 756 ,_ CERTIFICATE OF OCCUPANCY 1 PRIVATE � Ont +► BAMSTABM * i MASS. 1639. Ep NIA� BUILDING DIVIS,0 BY DATE ISSUED 09/30/2005 EXPIRATION. DATE TOWN OF BARNSTABLE BUILDING PERMIT '* PARCLFL ID 271 032 003 GEOBASE ID 17986 'R ADDRESS 426 LINCOLN ROAD EXTENSI PHONE ' HYANNIS ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY I PEEMIT TYPE BREMOD DESCRIPTION RESIDEENT ROOM ALTB/ACONEMVEN�.' CONTRACTORS: LE BOLUF, JOHN A. Department of ARCHITECTS: Regulatory Services TOTAL FEES: $97.02 BOND $.00 OFTHE CONSTRUCTION COSTS $23,232.00 ' 434 RESID ADD/ALT/CONY 1 PRIVATE LE, ; MASS. 1639. FD MA'S BUILDIW D ISION BY I DATE ISSUED 08/29/2003 EXPIRATION DATE TOWN OF BARNSTABLE - BUILDING PERMIT PARCEL ID 271 032 003 GEOBASE ID 17988 =~s ADDRESS- 426 LINCOLN ROAD EXTENSI .1° PHONE HYANNIS ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY , PERMIT 71131 DESCRIPTION 11 X 22 ROOD / BASEMENT PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY .- ,m CONTRACTORS: LE BOLUF, JOHN Al Department of ' ACxITECTs: Regulatory Services TOTAL FEES: $97-02 BOND $.00 O� COSST UCTION` COSTS $23,232.00 434 RESID ADD/ALT/CONY 1 PRIVATE MASS. V, 16 BUILDING DIIVISION ~ F. BY / ! I! DATE ISSUED 08/29/2003 EXPIRATION DATE G2X THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,.EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED + FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU FOR - ELECTRICAL,PLUMBING AND M FOR ANICAL INSTALLATIONS. (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. S DNS. � 4.FINAL INSPECTION BEFORE OCCUPANCY. I � • ® e BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELfECTRICAL INSPECTIO APPROVALS 07. y A/S I)tIN z � 2 2 3 1 41EATIhG INSPECT APPROVALS ENGINEERING DEPARTMENT j I 2 BOARD OF HEALTH II OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I W C rn - r •� TOWN OF BARNSTABLE Permit No. .--_---24767---_--___ 1 �� f Building Inspector Cash OCCUPANCY PERMIT Bond --_----- _--� l� Issued to Williw '".,Swift 'Address �. 1 lot #3 f 426 Lincoln Pond ExtL-. Ii�nnis Wiring Inspector �e° Inspection date Plumbing Inspector �Clc��'( f1 Inspection date Gas Inspector' } y Inspection date Engineering Department. ��j� r � ��[` Inspection date -- ✓Board of Health '7 t -/rr 3 j r/ ) Inspection date, t r ` 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. ...... ................... 19 _ ................................... _._....._. ... J d Building Inspector s ssor's map and lot`numb�r Q�ofSHE ��G� � Toffy Sewage Permit number ��? ..... .,.............. , �� y� `* W,.+ �„ R.{ ` ,fa} RARNSTSBLE i House number .....:1... ... . :..:.......... ="� y O MENIAL l:tr a �. moo i6 q• i0rE0 Mar a` _TOWN �OF ,rRARNSTABLE BUILDING � 111SPECTOR �rr APPLICATIONFOR PERMIT TO ................ .1. z4 .....................:....................... ....................................:.. :. TYPE OF CONSTRUCTION .... Q .::. ...::.. i� .. L..r.`..�............................. / ......0.15.......... ..19M TO THE INSPECTOR OF .BUILDINGS: The undersigned hereby applies for a permit according,to the :following information: Location` . / .... ....:.. s� ✓.....!� .o.... t�.y ......... ................................... Proposed' Use .......1�J ,��s .........:................................... .......... ........ Zonin District ,,pper�. ..a...... .g �..n.�J� ..........�.............................Fire District ......... . ..... . .................................... Ndme of Owner ...........Address n . ........ ;.7 � .. Name+Yof Builder' ..........j111A1!1 f................ ....... .........Address 41::�'< 4.....5..?.. 1 ............................................ Name of Architect .................:........ ........................................Address ......... ................................. ............................. Number of Rooms ...... ......................................................Foundation .� � 1 .. . ............................... Exterior ......,5!`z!! c (, ..........:.......................Roofing.. ,................................................. Floors .��U.: ............................ ..Interior ` ..../�:.sIr4f. ................................. Heating ..................................................Plumbing .0.: � ...................:..... .................... ...... Fireplace ... ., ...... . ... . ...................................... ..Approximate Cost OW............................................ h Definitive Plan Approved by Planning Board __________________-_____._____19________. Area ."'Oooe �1.. ./......:....... Diagram of Lot and Building. with Dimensions Fee Se.. SUBJECT TO APPROVAL OF BOARD OF HEALTH r 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, %......... ........................................ GIFT, WILLIAM, F. ' f I-No`. ...767.. Permit for .One Stor Single Fami1X Dwelling 4 Location Lot #3 ....4.2. ... 6 Linco. . ln...........R Fxt. ^ . .. .. .. ....... .... o. d _ 11Hyannis p ~ ................ .......................................................... I , �,•Owner . W lF ..F..... h?7L fit.:.................... 'Type' of Construction, ..F.xrame........................... • Plot ........................ Lot ...........?:...... Permit Granted February 1,,..........1'983 Date of lnspecti r 'l.. ...... f!............19�j Date�Cmpleted .. .9•, .............1S1 ...� •gib•- r � P f f-4 ' • , .Assessor's map and lot number � ... .;.............��-•. � CF THE TO Sewage Permit number .Q.-��.. .`5. ........................ Z 3398ISTOHL i House number .?"c ................................. ....:.. ..........: 2639- r i TOWN OF . BARNS_TABLE BUILDING INSPECTOR APPLICATION' FOR PERMIT TO ................ ...............: ........................................ Sr,01?................................................ TYPE OF CONSTRUCTION ... . . / ! .......: `.x��;:�, ,, ;! D ............................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .° ! ..."..3. ..... /if•'C.�� !1 .., f� 9' ... ...... � % ?i it !. ................. :..... 1 •• Proposed Use v ✓ � Zoning District .. '•k:;. .:.......................................................Fire District Name of Owner <�, 1/�`// ti7 ,,�✓a.�!/:f-✓r............Address C v'<J !i ✓ ci */; Name of Builder. ............ .r `?!. ............ . ..........Address ........................................... Name of Architect ....................................... .........Address Number of Rooms .......:�7............................................:........Foundation ....��T �{� �i� Exierior . �...... �i �1!llt;r`�. >:.......... Roofing .:!...................................................... Floors .....,............ .........................:..:.....................................Interior .......�,..... ��'l f �� Heating !` .....:.. .... .............................,....:.....: ....... Plumbing . .,..�,„�',✓,f�........................................ Fireplace ....... '........................ ... ............................Approximate Cos _5�2<2 ,,:. ........................................... Definitive Plan Approved by Planning Board ____________ ________________19________. Area !'' Diagram of Lot and Building with Dimensions Fee . :. s. ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 .. SWIFT, WILLIAM F. A=271-32, d s ,No 2 4 7 6 7.. Permit for ... ne....$.t.Qr.Y.......... ...Single..Family..P..We,..],�pWe,.jLjjUg............ Location .Lot ,....42.6...J i.UC.Aln...Ro.ad ................ S............................................. Owner William F: Swift Type of Construction ,....Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ...Februar 1 8 3 ............. �' .......19 Date of Inspection ....................................19 Date Completed ......................................19 �r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 71 Map Parcel Permit# / 3 Health Division 5_ Y 25.03 5� 3J2o� � L�� Date Issued d,-7 Conservation Division �,f5t Application Fee 00 Tax Collector Permit Fee 6 7R i Treasurer Planning Dept. OWALLED 10 CO3PMXCm- VMTM.E$ Date Definitive Plan Approved by Planning Board '' 01.4r19ENTi4i.CODE ANC Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address! /arm 17,6 r„ l Village Owner Address Telephone Permit Request --7-0 t,.,7/rh P 4°')- x w rx Ze s 77 ii Square feet: 1st floor: existing ').1G proposed 2nd floor: existing '�- proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 4,eyp,�2 Lot Size Grandfathered: 0 Yes -L?�No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 . Multi-Family(#units) Age of Existing Structure d Historic House: 0 Yes rgNo On Old King's Highway: ❑Yes JNo Basement Type: O Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing 0 new Number of Bedrooms: existing_ new 0 — Total Room Count(not including baths): existing new ) First Floor Room Count Heat Type and Fuel: Gas ❑Oil 0 Electric 0 Other Central Air: 0 Yes No Fireplaces: Existing 0 New 0 Existing wood/coal stove: ❑Yes �JO Detached garage:O existing ❑new size Pool:O existing ❑new size_0 Barn:0 existing Cl new size G Attached garage:0 existing ❑new size _0 Shed:0 existing O new size_Other: �) Zoning Board of Appeals Authorization 0 Appeal# Recorded O Commercial O Yes Qlo If yes,site plan review# _. - Current Use t✓_ Proposed Use a 0 0., 4414 BUILDER INFORMATION Name Telephone Number _- �7S? 01,70cf Address-3iP/��^��3_r�e05 License# _0 l 7 l 1 Home Improvement Contractor# Worker's Compensation# — Jr0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE e FOR OFFICIAL USE ONLY v PERMIT NO. DATE ISSUED r } MAP/PARCEL NO. •zf ADDRESS VILaGE , ' OWNER r S (I t J 1 DATE OF INSPECTION: FOUNDATION . FRAME .- z fx"1 O A 91/o 4 3 -,or INSULATION lnld' y D FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING ' DATE CLOSED OUT . t ` ASSOCIATION PLAN NO. r f r k 0 t L 4 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 �S o Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE e`Z square feet x$96/sq.foot= `3 a 3� x.003 1= 7 ° plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= I x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft` >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS Open Porch __x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney —x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Fee projcost lee Vanvnw�u�ect/f!.o�./adaacuaeka Board of.Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Reg rstration!`\1-1.7872 �xprrata'on 124212004 o °' Tyipe�g Indrvtdual ' IOHN A.LEBOEUF JOHN. LEBOEUF f r 35 PRINCESS PINE Rfl z - +," �� , rr✓ HYANNIS,MA 02601 Administratu �E n Ode�=�;166601 � M1 s _ , Lieese: NSRIPT ' S` PER�WI ( RA Nuhnlber i 0 @Q"t61 Brrt�109h3(7L1I�fA EXpn, � 11I2pD3 Tr.no 5357 JOF�N+�A ALE-B(��,IJF �•� Y A`drrsrntrrdr s The Commonwealth of Massachusetts :_ Department of I.ndusirial Accidents — office 9f10yesaffatloos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit NEON=��������� name: , location: � � . Phone# city ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workin in ca achy workers' co ation fo mY a es working on this job. •� ......... ..... ....:::::.r::::v::::::::...:::.::•i}}•::w.:.....::::•.v::::.};•:.vvvp}:•:}:;O.i`i:'L�i:<?:<:::?:?:-i;};�:!�Y.P}}}5tiwi?i+<+?i an em 1 rove g .......... .........:.::: ..:::::::.:..:... .... :::.:.:..... .......:............. {.:{.:;'.}.::::.}'.;:.: :. .............::.::... nnm. ...................... iv4 NX Mgmggoo — havehomeower(circle one) and have hired the co ' compensation polices ..................::::::.:•::::::::.:.:{:{::::.�:..:.:,•:::..::.}:.:?.}:;;,•:.:;.:.;;•}:•::>:{»:<:�<:>.<:>?�:»>::»:».:A: ;>,:;>,>:�:L;..?..:..:::::. n workers co P...........................:...................................:.::::::.::.r.. e follows .................::.::...................... ..: ..... . •}??ti•};•}i::�:L:;:>::i:}::?'?�4:?i?fill�'�SSi}:':ii�ii::;:4::i:}:'::�:'i}:.�:•}}.�:Y}i}}}i}:.}:^}'!:}}:•�::'::i::+}.�.:....... an n: e.::..:::.:.......:.....:..........:.. _ X. r.::x:r:•::?::.v:.w:::.{;•:;;.;......v.....vx:{??{{{.}n.....:n.}.,.v..v-v.}v:;:}fY-..,.,.::.;.}:i: ::::::.:.}}:4:J:•i;vi:;•};iiirii}}:L:h::n:,:.- •'S?}:•y}:?t............................'::::::::::::::::::::::::::::::{?:':}}i:•}}•.v.v:vnv:::.v.}v:::::::::•{:n;...w::•?r.:..:.;........:.v.;..;:.;.. .. ..:: ....... •:i•:v:i}i:'..:.:....n......;•.x:i}ii}:i�:�iii'r::::}::}i::•{:{�;�:j�iiY:b.. .n.;.:..:..f r.v'.. 4r 4rn:.4iv,{y.w.:;!• • .address:....... .............. ,{,-{-::::.-.�::::.:::r:....:::.•r.}:.::.:..,•::.::'.:<?i.:,,.;:;:::::�.r::.v...::•:;+.� r..�,..:z}:.r rs...:::..: .. ... .... ..... .......:............{,•:................:::::�-..........:^.:.; -..,.....,.::.::.,{.,;;}.;;?.}:kvv,•:.}•:::.}}:{•:r,ri.}•rrvx?{{?A:;;.2 C;}}5;%h�+,.}. . .. .... .................:::...........:.. ..L••::::::::.v::r•:.v.:{•::•..{^::::::.:-0.}.�:•}:•}::?•}:•}i:........:.vr:;}:,+.•:::::::•:.;.:•.?{•}:•:.;::r}••}::J:;;•}}:.v•:::•:i:.:•.i•:••}:}.{•}ii"r�•}:•ii}fir}::;:�;: .r. ......... ..... .r.r.r..r. .....r. .....v. ......................:::... r:�::•:::.... ........ w...n•:{{..::•::•:{:. '-. r....:::::.v}:v}:•::.},}•::.i:•:..;\x.:?::.+:;\., a�r. :::::.}:::::.:::::::::•::...........,.Y:}�...:::.•:::::::::::.::}:::.:.:r:.}:.}}}::. •.�:::::.�.:?;;.:.r:,::::.�:.:::.::::�:.:}}.�:.:,•.�:• hone.#,....,. ...........:...................... ................ ........... ..... ...... ..,......:.....v::v.......•' nn ..........r..v:v•w::r;..•{•:?{>.•:�•.v.• ,5,}i'y:.•,>.:r::;{:{Li;::: .. ... ... .. ......... ..... .......:::::::• .:::w::::v:w::::•:{.}i:J:::::.}}:?{{•:..... ........... n::•:?nw:v}::}.;.........:n.nx-....r.... •....................................n.r.... ..n....,........ ............................... ..... .....-......v.v:::::::....................n...;..:.w::;;....v::... v.......:. ••:.v:::::..•::•:.v::::n}Yrr{{.};•{.{:??''y' .: ,:;:•:J:?{{{{ti;!•: ............ .......... .............. .......... .................................. .....-..... .v,,..: +v�+}}:tiff{?:..••.. vfi:�n;p,:.. ........... .......... .r.......... ............ .....................:v::.v.: ......-•::::v.v:::v::::x{{::::.:. i.. ...:..vv:..v:•:.r.:w:;.• r.v. }y .Y... .JK:-0.•4{:::v:;i:; ; ......................:.................:.....r...vn•......r...........•................-............ ... ..:.:.v.•• ,i.....v....v:.v.• ...L_:•.+.x::.v: ,..:... ....:..:. ..:.::::::.......... ...... ..... .......... .... ............ .:v::::::..............:::::.v:::...... ........ .....:::..:...::•::?•:{•}}}rv:............r:::;�:{{::,..... ....r.....:::..•.?..{:...,v:y%}:y.w•o•..irYY•i::•}}:?2�:;: .r1-. ..}..y.} ..................v::::::.:v:?4n... ..• ..:.... x..............-....:•:::::::.v:::::.v:::is{wn:�:•:::::.v:.v........,, .:...........::n:•:::v.v::,v;;; .n..; nvn.-•:::::::•:::v::v::v::x:•:,:•.0:.•:::}::::: w::::v:v.v:::::...................... YMUMM, :::::::.:::::::;:::....................,.:..:::. . :.:.,. :.:...............:.::...................:::::. :.:.,.............,.................,...:::::.:.:. . #> »>"•r {%ti lr ............... .::.:{::...... ............... ....;.,..:.......................:... X. Faitmre to secure coverage gored under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,S00.Q0 md/o one yam,imprisonment as weI13s¢vn penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against and I mad a rwar�ed the 0MCe of Inv atiotn of the DIA for coverage verification copy of this statement may b fo � I do hereby eerti he p ' an enalties of perjury that t e to orm n p d above es tnsp and correct Date - Signature Phone Print name eT�✓� omdal use only do not write in this area to be completed by city or town official city or town: permittlicense# ❑ceding Department ❑Licensing Board response is required ❑Selectmen's Office ❑check if immediate reap ❑Health Departraent contact person: phone#; _ ❑Other (ycvised 9195 Pled 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 c ' the box that applies to our situation and lion affidavit completely,by the checking pp Y Please fill in the workers compensation t 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 to the c' or town that the a cation for the permit or license is ,. a affidavit The affidavit should be returned city PP ,.. date th 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 mP please 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. 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. /////////�////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////O///////////////////////////////////////////////////////////////////////////////////////��///�////�i, The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents amce of invesugauans 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 Town of Barnstable Regulatory Services 'AR'' t1MASS. Thomas F.Geiler,Director 163,99.tA 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 �e Zj— 1 i as Owner of the subject property hereby authorize �1Lj, l _1���� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signa e f Owner Date Print Name Q:FORM&O WNERPERMISS ION Town of Barnstable Regulatory Services �BAMSTABL&g Thomas F.Geller,Director �A 059. MA'S A 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. /f Type of Work: �"rg ' `U�'� Estimated Cost d60 Address of Work: Owner's Name: Date of Application: 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: Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50•00 Alterations/Renovations C 2D Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE vl square feet x$64/sq.foot= /�� _x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1 ` , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS , Open Porch _x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney __ x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost i 4 ^ LOT L. oT Z fv3�• tA -4 t o � 1 � N T N• OKI ZQ `C' L !NCOL nr ROAD G X TE/✓S✓ON RC 7_awE : G THIS' IN SPEC110� PLAN15 FOR SANK♦ usa ow.y T04i V "61wrRY OWNER AlywpA-y R v- La&mA.F /QF L.G vr DZED'Ai F. auYER. DATE _ -x� - gG PLAN REF 3G9 7 SCiIl.k j"= 30' 1 NEitEBy CEO.TJ'y THAT y'HE Avn.pttVG SHOWN O TNI•a PLAN I9 LOCATC0 ON rwi Gaou o a!; swowry ��jN OF 1 yf�ttbCF E ' aclRvEL� �N D ITS SITTC9 I �Q>a`�_ � coa4«oJA T01"IM zOIYiNO 4AW o�' consktL.TAYITS SiT9rICK equal ;sMENT OP PAUL� E- Cp * H 7as�a��r�y c.r�. AuD DOES IVaT + tE WITIIiPt ?w a '`�pF ON�� MAKSTON 3L.(.�� N1q 6PECZA6 40:) l MAYARD A!!&A qg fSSt sHOwN C TWd H.V.0 rccopt+AP -9,yDSU� p4 LATE D �• T1415 PLRIW Nov ei. MADE PROM Zp15TKVMEAu: � vT - vAvgY, NOT To be V"p POP. FeNces, @7G. 23/S rowN O F BARN STABLE BUILDING PERMIT i, T D 271 032 003 GEOBASE ID 17086 _:ESS 4'�6 LINCOLN ROAD EXTENSI PHORE HYANNIS ZIP BLOCK LOT ;TZF DEVELOPM ,21T DISTRICTT.fY PN 1T '71131 DESCRIPTION 11 X 22 ROOM / -BASEMENT c' T TY?Ei: BREMOD TITLE RESIDENTIAL ALT/CONY ;'ON l,ACTORS: LE BOLUF, JOHN A. Department of ARCHITECTS: Regulatory Services T'0TAL FEES: $97.02 � BOND $-00 Of C10NS' RUCTION COSTS $23,232.00 RESID ADD/ALT/CONY 1 PRIVATE MASS. 039. 1d� RFD Idli'�� BUILDIr. DIVISION BY r DATE ISSUED 08/29/2003 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE t.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. a BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS EL CTRICAL INSPECTIO APPROVALS 1 J 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER. SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. f; PENTAMATION----------------------------------------------------------- 09/19/05 PERMIT NUMBER 71303 426 LINCOLN ROAD EXTENSI PARCEL ID 271 032 PERMIT TYPE BPLUMR CODE CONTRACTOR NAME M8817 JOHN F GUINZALI JR CO PRESS ESC TO END VIEW f Town of Barnstable t� Regulatory Services oF �r Thomas F.Geiler,Director Building Division ► BABMSTABLL 1MA ,�g Tom Perry,Building Commissioner \ �iOtEp MAC 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: 3 f Fee: 4 Permit#: HOME OCCUPATION REGISTRATION Date:SQ.6• Name: p( , `\ :�r�C�( 1� Phone#: Address: ' 10 �It��y�V y-t Village: ���(khrltS Name of Business: 1C111 Qo, Q^__ Type of Business:aAA Map/Lot: Zoning District_ Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; r and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right ssuu1ject i to th CD it following conditions: i • The activity is carried on by the permanent resident of a single family residential dwelling unit located within that dwelling unit. o • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and thew is no outside evidence of such use. ry r • No traffic will be generated in excess of normal residential volumes. m • The use does not involve the production of offensive noise,vibration,smoke,dust or other p cular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering�6'� Applicant: Date:-qly Homeochoc Rev.5/30/ TO AL NEW BUSINESS OWNERS dele.d DATE: ;r Fill in please: ELVUCjV-jX-)(P/, APPLICANT'S WEIM YOUR NAME: BUSINESS YOUR HOME AD ADDRESS: %rV\ OWN TELEPHONE Tele hone Number Home - NAME;OF NEW BUSINESS TYPE OF BUSINESS.. IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YE NO ADDRESS OF BUSINESS MAP/PARCEL N.UMBERO�7/ '-CJ .3o1 _a03 When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (cor of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING C MI SI;ted �ofr,,4iLre This individual s b n in uirements that pertain to this type of business. r ign re** - v} �* COMMENTS: s- On v 2. BOARD OF HEALTH C•!' ' This individual has b inform d he perm ents that pertain to this type of business. c .• cv Aut ized Signature** r" COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h been informed tho life nsing requirements that pertain to this type of business. Authorized Signature" COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. + Q:\CONSUMER\Lois\CA Forms\newbusfi-m.doc .Y 1 1 � Q 1 � II � n (o , K ,I�Y.:_; `".r -=_.(I':1�K'>-.-,z-vnr.- a.,c , inn..y-1..aw.cae:. 'nJ. PP•4r.'r +.^T •..ar-..T-'*wy.�t'.'t. .. .w+a.. a- .._ s +s+.!!•.'Ms.Ys,...T.Y'�-T- A.."T^^ -. . up■■unA�s ♦ - i q1 l r Olt t l\ 57X 4 �0 /� / rates \ xo �ON .Tf7C08/ inlSo�CTO ' Y � G,2-G iG 7-2557- L. 67.8 1- S8,3 32'f SuFSGv� j 54.8 �5.3 57x e� r� / t v� °fa MFb SAND TEST C8G�AV�L \ ti 144 Vil 40't ���pJ h� D`IS7 `�69't . O LA/ArEiz �58 3 �0' 77 N Lor 3�rr L EACH �. En/COUn/�2ED BEST-W2 5014- LOG tJ 0 5 /5�50,v.Fri- rANK 37 t 01 / x2 r,, �cn` _T 7-FST CENT/Fy 7;Vg7- T-AlC EXIST-/�✓G 1 70&/%/0A7-,101V S1-10WAI 014 7WIS rQ� 2/ ! �12011N[7 !-i 5 .Sf-!O/.-✓N h��.rz E�/V, NoT�*` - �o'..C17A-7?o•+s.'a �i9S6'D o.v f-��SUH� �'�'�'"l MINIMUM O3JU70463 SGf PVONT i 61 D� a REAR O V41JINOA t /V AN H O►. Ta '9 v o ! 'FlN%S*+ GaAv- A4. 2% tiL V• —�o_� WITNIM ONE. FOOT OF F11,415H GRAM OV69 LEACH AREA S s �fl�es zIt OF P6A 5?oNE F01Z S'' (1ci'M► I t "�,. COVVA Box ZMt Vttsv 5 t;GV ' y4"� STz�� PR E�/En!T' !FI lJlr�s F jZQM � �� r- -cn"`�. -' Fi IhIFIL'fiRATtii.�a ME 4�Cat►Rou M+ --z_''�V►inl. W. PI GH T , ,. , , . OR 5GI.4o I� a -It3E ' }� M/ r 12 /W►1. �� �nuc, u i� �.. i .;oWA 31-1 E 0 i000 G.7s Ilf LEAS►-t EXIS?t G (NYERf — I IMVERr SG.3., < i IV STONE S7,0 CAP GI'fY 4'nnrri S6.s o �I Wee s S • RCAJr1C I I (E-1.RS� ) I INVERT 4 �PIPC / ` �3 0 ,- '° A WATE i `o �v�-rEnn ETA , z- - pi '; t? �I�ai�l C.OMPUT : 5EPTI C. 5y5T EM CON15TRUC-110N 5 ALL CONFORM "d'O `THE M�oS6. �" .=`� �! NUM��t of ��D uooMs: 3_ R %ItSEt� EN 7AL COGS TITLE$ '' f r tD. P.0 t✓V 1 -/ 1- � THIE -rowrr.� z;.rt � D�5t la tJ �1-O�N . 3 3 0�— — WA2v Of NI�A141-4 R6r4Ub,Anor49 10), �f•�.., 1 ,� L EA GN 1 t�1 G� RA�'�- G z n�Int�.InfG� SEPTS G'fANK, DI 5TR1 �?ON 00�( J .r.�, .._� R�Q'O, LEAGI-�. GAcPA G iT�132 1PI>_ ANv L-FACM 1^I& VNT TO 88 of , P-sl tjFopcx-lv MItJ . c-oNc'9FxE ST W%Tk la=Fs► PRoPO aD hEP�G14 C,APAC.1-r 9T�L- ,� 200O,o P51 2. s s, + / . 0 iY( H 10 LDADi NCa DRtJF�Ay Nor To OF. LOC.,6CMVOv S A W$'MM U IQ LE-GoSp �+ 2,0 Ti LA �Si^ DE�t GaN LL�i�tDIhIC7 USEU � a00 LOCATION v 14YA AI,,\l MA. ALL PI P�-ro ae W�ATggTi�NT - -. - - - - - - - 5y�1'�M otJ RPIFER EN C. : .�'�R ,a f � 21�?2- Vb F1% M 8m►5F aARN97. IZC a, OF PEWS 'CE�`5 : C p►�T' t .l OK p�E-CA5"f /2'/es TAAJ. 2- # �;,¢G nA�: .,,.�983 �t1�E — — ENGINEERING Q DESIGNING o 13 BUILDING INC. DENNIS, MASS 385a2831