Loading...
HomeMy WebLinkAbout0289 MEGAN ROAD �8� � �� Town of Barnstable Regulatory Services a'` A KSS. Thomas F.Geiler,Director � MASS. 1639. Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# � 3 ,zL� FEE: $ SHED REGISTRATION 120 square feet or less VA VIV 1 S Location of shed(address) VAfage Property owner's name Telephone number y Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? // ,4 Old King's Highway Historic District Commission jurisdiction? � A Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:083001 M 1 NK toz, 1 , ' dl - 770• � O 4 h 1-aT W , C RTI IT PLOT PLAN SCALE: � `30' DATE ✓aLY /o• /17s AXE F E R E N C. C:. 3'/YolT/�l/ ow G A.vO cor✓.e7- At DATE KE.REBY CERTIFY THAT THE 8UILDING_ REG. LAND 511.R aor,.yOR SK.OWN ON': .THIS PL /CN IS LOCATED 'ON T14Lt 6RO'UNVD AS SHOWN HEREON AND TFl,AT IT � � CONFORM TO THE �P`�HOF* Z4nUNG 8Y - LAWS O.f THE TOWN OF WHEN CON 5 T R U G T E D: �� GEORGE' c, BARNSTABLE SURVEY CONSULTANTS, INC. WEST YARMOUTH, MASS . � S:U,O Engineering Dept. (3rd floor) Map Parcel ��l ermit# ogaZ House# v2 i --Date Issued 4 — l s f 9 7 Board of Health(3rd floor)(8:15 -9:30/1,00-4:30) Fee 2 T-1. r Conservation Office (4th floor)(8:30-9:36/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) ��ME goJect ive Plan Approved by Planning Board 19 BARNSTABLE.MASS165 TOWN OF BARNSTABLE Building Pe it Application Street Address c� � LD% Village GNn ki;s Owner be-OA s `ad I K y Address ' Telephone Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 2-2 b ,S_ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name_,LDpCt/y­, C-Azt� Telephone Number Address '7 1 T p,#I fa:� C t/7- License# co i_, � ni-pq Home Improvement Contractor# Worker's Compensation#We'_/S S,,�;? '36 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 -- t SIGNATURE DATE / A BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) o R FOR OFFICIAL USE ONLY ` PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE - OWNER DATE OF INSPECTION: - - FOUNDATION L , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:- ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i d,tt+e The Town of Barnstable • aAaxernEM • 9� MAM10� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 E Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230' Building Commissioner 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• Est.Cost Address of Work: l2 Owner's Name Date of Permit 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. I Date Contractor Name Registration No. OR Date Owner's Name T/tc• Cummumrcult/t qrAfassuchusctts w � '•i..iT•� •rt 'j• r Depart»lellt of Illdustrial.4ccidents OcEallmrest/gatlotts i,�j' __;•:�+s b(!U l f'ashinr tu►l Street ` : ,••�r'`a ;, Bustu►l. Alas: (12111 Workers' Compensation Insurance Affidavit Plc•tse PRINT lei '�"""�'��~����—� —•�+ �liPlicint information •• •�•_ _ dL121Y._, Gv✓n citynic� /ri� nhr,n•ft I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity r.L. I am an employer providing workers' compensation for my employees working on this job. ennrn cnc n rmt �riclrccc- city nhnne f!• lice # ' [I I am a sole proprietor, general contractor, or homeowner(ci(clrcie otte) and have hired the contractors listed beiow who the following workers compensation polices: comnnrn• n•rrnc• adtirrcr sin•• nhnnc a• nniic� # incnr-cncc rn • t•7_ .••.►,-. __ �• r —- •l: a _- - �- -__�-•---•ram. nm :cm• narnrc addresc� rite•• nhnncr nniic�•# �^ incur•tncc co _ Attach additian21 sheet if necessa_ry •=•• :�r' "�i''•�'•Si - rr. ."� �� =� �_yt�•• .w.:.z Faiiurc to secure_ era corrc as requhr_cd under Sicctton_SA of ti1GL I53 can lead to the imposition of criminal penalties of a line up to SIS00.00 ands unc cars' imprisonment as well as civil pcnaltics in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that copy of this statement mad' be forwarded to the Ouse of investir.ations of the DIA for coverage verification. 1 do herchr crrti in t/rep us nut tapirs oJprry'un•that fire information prodded above is true and comet. Sianature Date Print name !"v� in.P�t� G"�%d Phone; official use unh_ do not write in this area to be completed by cityor town ofliciai cit)'or tmvn: ncrmit/llccnsc it r'tBuilding Department ❑Licensing Huard check it immediate response is required ❑Selectmens URcr � 011caith Department r Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for their niplovecs. As quoted from the -law**- an einplgree is defined as every person in the service of another under any ontract of_jiire:''cxpress or implied. oral or written. .n elrrpinrer is.defincd as an individual. partnership, association. corporation or other legal entity. or am, two or morc . is foregoing_ en�-aged in a_joint enterprise, and including the.legal representatives of a deccascd emplover. or the ,cciver or trustee of an individual , partnership. association or other legal entity, employing employees. However the •vner of a dwellinu house having not more than three apartments and who resides therein. or the occupant of the .ecllicn�_ house of another who employs persons to do maintenance , construction or repair work: on such dwelling hous oil tine arounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. 'GL cha*Pter 152 section 25 also states that every state or local licensing agency shall tvitlihold the issuance or neival of a license or permit to operate a business or to construct buildings in the commonwealth for any plicant who has not produced acceptable evidence of compliance with the insurance coverage required. 1ditionally. neither tine commonwealth nor any of its political subdivisions shall enter into any contract for tine -fornnance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha :n presented to the contracting authority. plicants Ise fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and olvin_= company names. address and phone numbers as all affidavits may be submitted to the Department of lstrial Accidents for• confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tine -40vit should be returned to the city or town that the application for the permit or license is being requested. tine Department of Industrial Accidents. Should you have any questions regarding the "law- or if you are required Main a workers* compensation policy•, please call the Department at the number listed below. or Tmvns 4ze be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of .ffidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas ire to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to )epartment by mail or FAX unless other arrangements have been made. Dffice of Investigations would like to thank you in advance for you cooperation and should you have any questions. :e do not hesitate to ;,give us a =11. _ .�.....�....,..,. -�_.�...,-.-...r.,............. ..�...._.,�._._-7. Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents i office of Investigations t" 600 R'ashin;ton Street Boston,Ma 02111 fax #: (617) 727-7749 -. phone 1": (6I7) 7274900 ext. 406, 409 or 375 f k s y' dr G ate- /2 ,F C E R T I FI E D PL ® T PL. AN . L O C A T t 0 N: SCALE. DATE R E F E R E N C E T" 'DATE HEREBY C E R T I F Y THAT T H .E B U I L 0 t N G R E'.G. �L AN D S U r V E Y O R S H 0 W N O N. . T H IS P L A N i S: L D C A,T E D " O N p HE G1R0UND. .AS S HO..WN HE RE0N.•: AND .. �.h a T t-9 A'T. .t i. ��ac C 0 N F 0 R M : T 0 T H..E' ZONING 8Y - LAWS OF THE TOWN. 0F. s WHEN C .0 .N S.T R U C T E D. ��Eoa^~ � ,�� f LCiWa 1P Is'' d CD ZARN•STA. 8LE. 5URVE;:Y CONSULTANTS; INC. WEST' YARMOUTH 'MASS Assessor's map and lot.. number ......... .7.Q�c7 �' SEPTIC SYMA I'WSl` 8E INSTALLED IN MRr?KIANCE, Sewage Permit number ....... .. ..............................., It'HlyT _.,.~. I MATE SAN ITM51Y COME &RD-'SOWN Qy�f7NfTp�t TOWN OF BAR -��TABLE ' 1tt Oi i BAHHSTADL1C. M6 9 BUILDING INSPECTOR r 'FD MPY a' G APPLICATION FOR PERMIT TO ...... ........................ ... .. . ................................................................. TYPE OF CONSTRUCTION .?. .............. ... ........ .....S............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for roo�,permit according to the following information: Location ........ .......: �,,< ..... ..... . . .. .. ............ /���C-;7................................. ProposedUse ... .14..... .......................................................... Zoning District .........IC.ff...............................................Fire District ..../.1��f'/�'ll-�l. t. (_ r... . ... ..��...r.....Address ....��.z-. Name of Owner ............ ......... • .•• Nameof Builder .............. .......................................Address .................................................................................... .............r,... �r f/ .. ............. r r r r Name of Architect .......................... .....:...............Address .................................... .................................. ...................Foundation / F Number of Rooms ..:............................. .............. .,,.............. ^ .......4 Exierior ....... 1.. ..... ................Roofing .........C. & . .. ... . Floors ........!0& G,4.01? CY...:...... ..:.....Interior ....1. ./.... . ............................................................. Heating ........... .......................................................Plumbing ......... ........................................................... . .. Fireplace ........................Approximate Cost ......i9!z.� ..................................... Q Definitive Plan Approved by Planning Board 59I---19J�QZ_`. Area /�.v........... .... . ... . . . Diagram of Lot and Building with Dimensions Fee .......... . .. ... ..... ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name ............. .. .. .���.�. ,............................... ... .. Dacey, William E. Jr, � � No l78�� pe�r6�-.~�~--moe � ��----.. -----". ---. ` � � ....................... ' �- e � Locoho�/�/�. .Aqa�-----------' . . ^ . -------.yxe*ex+e---................................ Owner. ---�1ll��nl.Il^. 'J��---. 'I ^�' ^ ' Tvoo --.�fzm�m-------.. ' . ^ � . --- ---------------------' #lg � Mc� ------^--'. �� ----------' ' ~° ' ~ ' ~ ) + Permit Granted ---'u�o1� ��� 1p 75 -----� ---.. , Date of Inspection . —..lg ' ' +_�/y_x� �� � Do�, Completed lA --l^^—+—=---' � . ���&�� ������� ^ . -�� ~' ~ ~�� ' —.. lP ^ � -----_------------- . ------------------ ' � ^ ° -------. ^ . � .-----^------'-----'--------' /. � .—.—.----.------,..-----.---... � . ^ ] �` ^ ^ ' ( ~..------..-..--..----..—~_--_,,_ - ~ 'Approved ---------------.. 19 r . .------'-------...----..~---.. ^ -----------------..—~...--...,, � ` - Assessor's map and lot number ........ l.....^� .- Sewage Permit number �a THET��y TOWN OF BARNSTABLE o � 33AR35TA33LE, i 9 OWL 6 9 WILDING INSPECTOR APPLICATION FOR PERMIT TO ...... �` �'!/ - i h r Ze�.......................................................... E / TYPE OF CONSTRUCTION ......... 11�" ,cif./, ............................................................... ... .......................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... -- ..........................................7if%/I / •.............�`!�!1-a�/ 9�t.fl�C!I................................ .n `#Proposed Use �: / r , ,.� (. ., .fi .�r.............................................................. .. .. ? ... ....... Zoning District ...........e,.......................................................� � G /`�%C9�.�%✓�i'.�!!�r / Fire District ... /.j Name of Owner .. % z f .. .�i��1is' C�'-....Address ....:j.. f1�+....1/!2... ..... ....! Nameof Builder ......................................................//...........Address .................................................................................... Nameof Architect ..................................................................Address ..................... ............................................ Number of Rooms .................t...............................................Foundation ....%r` './.,a.., .. s'� Exierior ...-%f/}' 7X-t' �iT {'I/i✓.'/ �' a, (a',i'��f.3� ........................................ ... ..............:. ...,.... Roofing Floors � ........Interior ...... .. 4 ...... �� Heating ........... ��/ 1 ......................................................Plumbing .........!J. .................................................... Fireplace ..............:..../ 1�C ................................................Approximate Cost ......fC'.. :-` � �................................... Definitive Plan Approved by Planning Board ____f - _ _ __19 Area ............<!. Diagram of Lot and Building with Dimensions Fee ..................( y ��� SUBJECT TO APPROVAL OF BOARD OF HEALTH V1 r /-7 / � J 6 ��o ti1 Caj lti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................:.�',•.......... .: .............................0 Dacey, William E. Jr. A=291-251 �q No .....175AZ.. PeF&'t for .....one„AtMi�...... .. ................. ..... Megan Road Locatio."Q?q.........i.. - 1 ::;....................... ....... ......... Hyannis ................................................................. . ........... Willia E. Dacey, Jr. Owner ............................ ..................................... Hyannis 2-a* W-�......... ory"", ....... .................. . .......... frame Type of Construction .......................................... ............................... ................................................ Plot ............................ Lot ..........#13..................... Permit Granted ............Ju.. ....22.............1975 Date of Inspection ..................)................19 Date Completed ................../................19 PERMIT REFUSED ................................. .................... 19 ............................................................................... ................................................................................ ............................. ................................................. . .. ............. ..................... Approved .................................... . .... 19 ....................................................................... ...............................................................................