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HomeMy WebLinkAbout0042 MEGAN ROAD "M..d 0 PTI PSY MUST -117,�'.:, -7 �7 INSTALLED IN COMPLIANCE 7� ;j0 WITH ARTICLE II STATE SANITARY CODE AND TOWN REGULATIONS. e�Q�of7HETo�♦� TOWN OF BARNSTABLE Z BABBSTABLE, "b 9 ON ,,� BUILDING INSPECTOR Cp� pYa. ay a � �� s APPLICATION FOR PERMIT TO ....................................................... ............s/ ............................... TYPE OF CONSTRUCTION `i ... , ,'� ................... ........... .. ...................:....................... ..., 7............................. 3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........G:�".!....... ����.. 1� s �r.................... .......... .: ....... Pzev Proposed Use ..... ...... �t�` ©� r ................................ . ......� ..... Zoning District ...... .�.. .. Fire District � '��� /.. ........................................ ...........�Xvv................�. ....... Name of Owner ..4�v.. ii.'�G✓...... � ...:+( {.Address ...t:r7� Name of Builder ...................................................................Address .................................................................................... Name of Architect y....Address ..,,........,�' .............................................................. ........................................................ ............... Number of Rooms ........ . ..........................................Foundation .. ice.... .............................. `� Exierior .. ....:...... ............. Roofing ............. ..................................................................... .................Interior ......... ................................................... �2?�... .. ......................................... Floors ... . � /Heating .... ............ .........,�'Y..... Plumbing .................................................................................. Fireplace ......................:...........................................................Approximate Cost .......;?.2�q................ .... Definitive Plan Approved by Planning BoardAl ____(�__r__19___7 2 Diagram of Lot and Building with Dimensions _ SUBJECT TO APPROVAL OF BOARD OF HEALTH J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstpble regarding the above construction. Name ..... ... ............»................ G Dacey, W1IIlazo E. Jr. j one No -. Permit for --.. . --. / ` . ' ^ single family dwelling -----------''`------=—'-----' ' , Locati Road �rr .---------------------Hnni . ^ ......................��......� .............................. ............. ' Owner .......WiIIiam._E. I .. �u: �__.�____. frame Type of Construction -------------- ' ----------.----------------. � . ' . � Plot ............................ Lot ..................1#lIO_.. + Permit Gro — ...... .-.{Ma�.21----.lP 73 '. . / � Date ofInspection .. ../'.. lA � ' ^ Dote � |e�a6 '� �� lg Completed —.�r��.� ----.� �- ���^� _� ~~ - °-n~G«& PERMIT REFUSED lg ' -----~_................ | ~ � . . | ' .'/------------------------- . — > ^ _._______,___._____________' . . | `^^*� ' ^ � +-------------------------. — ---------'-----------'-----'' ' ~ "~ ~ ~b— � Approved ................................................. lQ � ' --------------------------. . . - ' -----_-------------------- ^ . y - _ -.-� .y lil. - _ -T x - a 3 - 4 - O.` _ ll�. O . . . , _ - . . . . .. z - It�-.I",:I.--.�I—-.�-�.II:-,-".l-.L.-.I..�-1��"f.-1��...,-.��-.-,,�.-,�-..,'.I--..1-­II��-,.�-..."-,"I-..',I�-...I:,,...,.�I.---�-:-...,::�;..��..I,I1-.,�,1,�.-,-��,,-�.,-.--:.I:':,-....F-�.I--�,--�;---:-j w j�:,­�:-:-II-:,..-�-�:,I-I�,�:..,.*-�,.�..I.�.I�-,._�-..,,'.I,.,,..--��-..:.-1,.,-,,--.-I,,:�:�I I..:%�I.:....I�I.-,.'�'�A;.-..�I��,--�I�:,_.:.,::-..,�-.,�:;%., .. -. � . _ -.:. :.. :..r-t ;� .._ ,- , - L a T L09 - l 2r /z /6 9 . 3:,' 49 ;2 ,- 1► =a ,O , A „3 Q Q Oi i - Q N �" 0 le a} l` , \. -: 1 1 a 1 .. .. .. .. - - '' M1 /6 T. 3 44. . . , . , . E9:2TIFIED PLOT hLAPei LaGAT ►#oN: f�YftNN/s 5. A L E:, 30 0:ATE 3 /6 73 R E.F. E R E N,C-`£ 9eC/iVG ,L-OT' 79 //O AS s.f+10►�VN _ °6nv., LAB! OP' `` ),'A./VNt W/L LOWS" - S / " RECORDED IIV BAR/VSTABLE . R GESTRy. � . Off` D,�FD.S -. ATE,: . '' -- r .HEREBY.: Cf RT'.1 FY THAT THE 8U1 LD ( NG AEG LAN.O- :SU .RYEYOR .. . . 5.HO.W. N ON TH`IS ' PLAN' AS ,,L0CATED ON T H.`E :_GROUND A S SHOWN WE R E O N " A N O : TH-AT .1T DOES_ C0NFORM TO THE -1--- ,��}� OF 7q.� tO.NING BY .- LAWS ' OF THE TOWN O. F . ;r :,.I I BAR/V477ABL- C W.HEN CONSTRUCTED. \ - b i►t C_ . � ARNS:TA'BLE SURVEY CONSULTANTS, 1N-C ' a 'c� : x � WEST YAR1►AOU ' .p I S � ��'� -, - . .. = T oFn ra,. Town of Barnstable *Permit# a-3 e ,� Expires 6 months from issue date sz m = Regulatory Services Fee C KAM 9 039. Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT Office: 508-8624038 Fax: 508-790-6230 OCT 1 7 2003 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number, 2 3 Property Address 2 U An rm 14,1 f. �sidential Value of Work AT Owner's Name&Address3-n-tr i l , , 4rr)- 02.9-Gr-03 4danioiz o- OQ of Ct2ntractor's Name Telephone Number 5D& � C `6 �,,S6 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance . Check one: ❑ a sole proprietor [�Ii am the Homeowner ❑ I have Worker's.Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) []'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side 2 Replacement Windows. U-Value (maximum.44). M *where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. . ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contracto License is r uired. Signature' Hf Q:Forms:expmtrg Revise053003 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. L Map =2./G-2— Parcel Permit# Health Division ?Y -7 2y s Date Issued Conservation Division Fee Tax Collector iL Treasurer ftffi§UVOTU UST BE UAR IN COMPLIANCE Planning Dept. Le Date Definitive Plan Approved b Planning Board �NTAL CODE-AND PP Y 9 � - �,;.., `� TO" I REGULATIONS ; Historic-OKH Preservation/Hyannis Project Street Address �� / �Z�✓ c17 Village tea✓/� /� _ Owner Addresses d�✓G `7 Telephone Permit Request 1 Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project;Cost ® - Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes,attach supporting documentation. Dwelling Type: Single Family Ul Two Family ❑ Multi-Family(#units) i Age of Existing Structure- Historic House: O Yes L'No On Old King's Highway: 0 Yes 0 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 O No Detached garage:0 existing ❑new size Pool:0 existing .❑new size Barn:(3 existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# 'Recorded❑. Commercial ❑Yes Lf No If yes,site plan review# ' Current Use Proposed Use BUILDER INFORMATION Name Z -l—n &Vzoo/ A Telephone Number, 962 J Address //P �.r W4—W T UTA) �� License# '7-- At P '` Home Improvement Contractor# ,e4 Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE FOR OFFICIAL-USE ONLY - .L PERMIT NO. _ -' r. _ • ', k� �'. { DATE ISSUED — MAP/PARCEL NO.,. cz :, r+ • _+ �; ADDRESS : • f —VILLAGE ' r, OWNER r ' + ` 4 ' _~ s f + 4^ t - ,•J. .} 41, kt DATE OF INSPECTKJV { ._ •; t FOUNDATION 1 4• y FRAME +` INSULATION t _ FIREPLACE {. ELECTRICAL: ROUGHx FINAL PLUMBING: ROUGH` FINAL GAS: ROUGH, • FINAL FINAL BUILDING,- DATE CLOSED OUT ` ASSOCIATION PLAN NO. •r,.. _ r,_iJ \ %`Ja ntom. L , 60t? Boston, Mass. 02111 Workers' Compensation Insurance Affidavit 4D41licant information TPrc�sc�'RITV`I`regt Y= - nic: o n •o 7 CM phone J O 1 am a homcowner performing all work myself. 1 ant a sole proprietor and have no one working in any capacitN. CO I ant an employer pro%iding'\�"orkers' compensation for my employees work-ing on this job. %2z , city 2.,e� 3�.j ohonc #: y 9�/ tntur incc ca _L Z7 / / 7-72 oIicy it o9Lk" 8•'3 z —4Fz 6 Q l am a sale proprietor. General contractor• or homco��-ner(circle one) and have hired the contractors listed belo\% «ho hay. the follo«ink_workers' compensation polices: t;ainnan�• n. <r ohanc d: t11 li • # m nnv -hone#•City- insur # ` fic(siddTtfoti"(x MIT REES.Iir r .,rn ct sag 04 aadla� Failure to secure coverage as required under Section 25A of ti I5 tGL 2 can lead to the tmposuaoa o►crilamai penalties O r one}ears'Imprisonment as Well as Civil penalties is the form of a STOP WORK ORDER and a fiae of S100.00 a day agalhst me. I understand"that a copy of this statement may be for„arded to the Office of Investigatloas of the DU for coverage verificatioa. !do hereby cerrij} uR r iris an cnaI * of perjury that the information provided above is true and correct. Stgna curt �J/ J Daze Print name Phone official use only do not,.rite in this area to be completed by city or town official eiry or town: permiulicense X -Building Department OLlcensiag Board Qsclectmen's Office check if immcdiate response is required Qltcatth Department phone a: _ -Other�— contact person: _ _ • 1 The Town of Barnstable asaxsuILL • 9 M ����' Department of Health Safety and Environmental Services rEo r� Building Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione.: 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. Type of Work: �3i.�t 1? �98� Est. Cost ©0 Address of Work: Owner's Name s��7LA/ r � 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 hereby apply for a permit as the agent of the owner: Date Contrfctor Name Registration No. OR Date Owner's Name O • N n n ,•I�I y ,^ rr .p O "p l7 N p LU I- U( (-( 10 rr ;O O T • �'�• N N �-( �'• O N O f r Z U) ICI < O < S 3 N ri J I(1 `� r(1 7 1- n -I S O cD l> fr N T III (-a (11 O ►-( O lJ O O Z 77 fp -h -K O � (' a no -I O •0 N I I nl O �l UI ]D fD -o ON (A C O W (�_ •H 0 O O O T �• < u� . o z u ( - m • v ;u -I - c � � rr :3 Z rn O -I U► D IT] 0 o UI 1 n m x v N o N o -I 7 N f- -1 N W N (u ]> f r n G r� 1 0 0 0 . . �) rr O. O. O O U! L6 O N O0 N \ r-a a fn W CO W H \ O In Lo O ( • rr -I , II • 1'1 1 1 �' --� .o� •-. z 1--. C� .. /�w NNIIIIIOIIIIII o v �•: C� !V, �� a II � � � 1.1 -r �� Cl .-- f.• � 1 � QI n1 �� • I t.• 11.=� �, - \ , 1 c.1 1 1 , o . If located in OKH or Hyannis Historic District-Certificate of Appropriateness required unless same color/same materials specified on application Map/parcel number Sign-offs from: �- Tax Collector (r]� Treasurer grof squares of shingles or square footage of roof to be shingled Elspecify stripping old shingles or going over old roof. If going over []how many roof layers existing now Owhat size are rafters? What is span? Complete dwelling information for the Assessor's Dept. -if known Workman's Comp. form Home Improvement Contractor Affidavit(RESIDENTIAL ONLY Home Improvement Contractor's License OR Homeowner's License Exemption(RESIDENTIAL ONLY) Check expiration date on license COMMERCIAL WORK-No License is required. LY Fee q-forns-PERMrrSI Rev 6W8