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Town of Barnstable . RECEIPT
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200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-17-1076 Date Recieved: 4/14/2017
Job Location: 320 SEAPUIT RIVER ROAD,OSTERVILLE
Permit For: Building-Insulation-Residential
Contractor's Name: TODD LEDUC State Lic. No: CSSL-106019
Address: East Greenwich, RI 02818 Applicant Phone: (401) 965-8578
(Home)Owner's Name: PHEENEY,HERBERT S&PAMELA L Phone: (508)776-8088
(Home)Owner's Address: P O BOX 1037, OSTERVILLE,MA 02655
Work Description: Air sealing and insulation of attic,kneewall floor,common walls,and crawlspace.
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Total Value Of Work To Be Performed: $6,000.00 =-
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Structure Size: 0.00 0.00 0.0w M
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: todd leduc 4/14/2017 (401)965-8578
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $6,000,00 1 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 4/14/2017 $85.00 XXXX-XXXX-XXXX- Credit Card
8065
Total Permit Fee Paid: $85.00 .....................
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2 SEAPUI V" RIVER ID ®;uTERVILLE 4112/ -
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320 seapuit riverosterville
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -
Map Parcel Application # C
Health Division Date Issued
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Conservation Division Application Fee J
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board f
Historic'- OKH _ Preservation / Hyannis o C;
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Project Street Address _32O Jr_A_P0Cr R1V6k ROAD
Village �H AP,?y c
Owner '?A M "?kkt£f- ES Address 32.0' Se-A MEr 91 y'6 �.
Telephone
Permit Request �w1 rnr�n►a�lr �} vv1_ �� nti�T Rf_-PLACE. EX 1STi Q U-
sw L rvt M.►N f. �Do L . �,�C 1 ST►�\r �ENC�1 I�mL �Ar\t�SyR.E "r'O REdnA 1�111�
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation a 15 y Construction Typed •�c .���--� Gz
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 ❑ � On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ZOn/V
Fp
Basement Finished Area(sq.ft) Bas ment &Nfthed Area(q.ft)
Number of Baths: Full: existing new �Ow : ex!sA S new
eq
Number of Bedrooms: existing _new RNsrgeC�
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—
g g g �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)
L Name u40M OX)AX6 R d BOB�L (o�Telephone Number �f7�� �n -SZ I Z5
Address to 7 nr\1 S lbaw£ License # CS - O A 01 q 1
i LL6R_JX_A, 1 M 0 b{�Zl Home Improvement Contractor# 10 J O 6 y
Email 6 CU 13mni yr-A ik4 ?oo IS o C o iM Worker's Compensation # wC 00 5 iB 9 10 9 S
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURES DATE
FOR OFFICIAL USE ONLY -
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APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
44
ADDRESS VILLAGE -
` OWNER - -
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DATE OF INSPECTION: -,
FOUNDATION '
r FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
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PLUMBING: ROUGH FINAL -
GAS: ROUGH FINAL
l` FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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