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HomeMy WebLinkAbout0135 WEST MAIN STREET (3) 13 S- (,c��s�- M coon S4, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� A plication # Health Division Date Issued —Z`C— P/R- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 1 �S J 4J . /M 4,,V Village AV,is Owner .7 v L i A- Y►% I L'7-0 Address /IA7— Telephone 777A . 2 2_ .0(03 2. Permit Request J�� St,, ��ni �' GL�9`SS ®�@ -4ccvn cyv) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'. ighway:^©Yes' ❑ No �. 7;_ .E Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ZZ Basement Finished Area (sq.ft.) Basement Unfinished Are w a (sq':f) �-- Number of Baths: Full: existing new Half: existing ne _:., Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roo Count wVTV 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: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# _ Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J E�'E Telephone Number so e- 30 x N.� Address 89-3 6 License # �Z }O ds -*v'4- ✓"A 02-6TV'— Home Improvement Contractor# Email , Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �P'vS T'9 � SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION# ` DATE ISSUED ;MAP/PARCEL NO. A ADDRESS VILLAGE OWNER t y DATE OF INSPECTION: c 3 :FO.UNDATIONIL104,11 AM FRAME +!INSULATION f:Aai,:1t A 111ti a. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING" DATE CLOSED OUT ASSOCIATION PLAN NO. e Commonwealth of Mrassachuse is Ilepa (tent of Industrial Accidents Office of Investigations 600 Washuigion Street Bostan,M4 02111 ivww mass gvWdia Workers' Compensation Insurance Affidavit:BuiIders/Contractors/EIectricians,/Plumbers Applicant Information Please Print IAI bly Name(�usiness/Oigauiaettndividnal}: /�/�rtoE72 �-'�r�rn �.v�.-►7 - Address: `�- t�b X 3193 City{Sta&zip: d j LL M/4 Phone#: � 6"3 G 7-U— Am you an employer?Check the appropriate box: 02-r.d-,J-- Type of project(required): 1.❑ I am a employer with 4• ❑I am a general contractor and 1 6. ❑New construction. ,pinployees(full and/or part-ime).* haiuTe hired the sub--contractors 2 I am a sole proprietor or partner- listed on The attached sleet; 7- ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working forme inany capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.1 required-] 5. ❑ We are.a corporation and its 10..❑Electrical repairs or additions 3.❑ I am a homeowner doing.all work officers have exercised their 1 L E]Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof insurance required.]T c.152, §1(4),and we have no 13.❑Other70-0 � A-10 ��t employees.[No workers' comp.insurance required-]i, •Any apphcaad that checks boa#1 mast also fill out the section below sbawing their wodtere compensation policy infmmafion. I Homeowners abo submit this affidavit indicating they are doing 21I girth=a they hire aatnae contractors oust submit a new affidsait mdicatng smch- lContractors that cheek this bra must attached as additional sleet showing the nsme of&a sub-contactors and state whedw or not those entities baste employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Jam an ternployer that is providing workers'comporLsation insurance for my enrpfoyeeL Below is the policy and job site in rmatiom Insurance Company Name: few £'eiGr`f " °4./ /104-i ,y Policy 4 or Self-ins-Lie..4: E?Soc�o i i Z Expiration Date: /4 Job Site Address: s35 ew. MA7,,W 5/: Yst-r✓ryi f ityl5tatrJ7,p: )r4wo'✓IJ, M 4 0 Z-6 J J— Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year itnprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of lu est gati=of the DIA for insurance coverage verification. I do hereby certrfy under thepains and penalties ofpetjuiy tltatthe infor+riation prot,ided a e is and correct ftotune: Date: �- f ta' 1 Phone# J�o 3 Qijicial use only. Do not write in this area,to be completed by city or town ofcvat City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk L Electrical Inspector {.Plumbing Inspector 6.Other Contact Person: Phone#: 6 0ST. M ass achu Board of B setts -Depart uildin9 Re ►gent°f public ll CorLetruc . 9ulations Safety License.. C SuPer►i.cor and Standards ' CS-09289p ;i ri.� P.OEBO N893 J TU�rR � w OSTERE olit5j7 ✓ �-'e, 't i r Cornrnission • er Expiration ' 0913012015 ' r 10/22/13 Hastings Meadow Condominium, 135 W. Main St, Unit 4, Hyannis, Ma 02601 To Whom It May Concern, I am requesting that I be authorized to replace the slider to my back patio. The contractor,Steve Turner will be doing the work to replace the slider and will be getting a permit from the Town of Barnstable. Sincerely, a Julia Milton. ( of Unit 4). 1 4 t, n , TOWN OF BARNSTABLE Permit No. _________22950 Building Inspector I swrun Cash t:. t rt OCCUPANCY PERMIT Bond NIA "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to .Tattles J. Taylor Address Centerville STn;t A4 1'15 WASP T+ia3_=! ytrept, lduama.s Wiring Inspector � �� '/"� .dlr Inspection date 4f Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. Building Inspector