The URL can be used to link to this page

Home My WebLink About0000 SANDY NECK 1 s o a"IlkiNiw•�oaQ O MC Z 0-1 � of N M c7 T 2 M O o' �z 9 i e o I �\J a !� i' �; � r y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map ' Parcel Permit# Health Division �� 1 L�3 T U-� ,i.� 's ° RtiS�ABf E Date Issued Conservation Division P 1: 1 1 Application Fee Tax Collector Permit Fee Treasurer 1 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address &GZvAl B-;�_ACN, f 4"b y Village 2i 61.17—pl31_f Owner l it/ 44 �.4�2NS7744cf Address Telephone Permit Request I`/2Pc-r ,gyv k yS ' c /d �k I!o TE�pOk.OyL y nTbA�7 S c N 8 1!e Ax 8 3 n !4►'yt , 7Z-/V j3 Ad" Pg£ �z1 q/u3 (°" / 3u P //o eo,64 in•Q d!2 J_Y"Dkl64 kAdOfAe— ZZ/J)� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cl 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 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 ❑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 14 0 a4l M. ^4X& 71t.4�/M BUILDER INFORMATION Name ?97XI2d'4,1�/ ALf, Telephone Number 7f/—�.z9-Slow Address /3 9 Su y4 n/T3 A/ fT License# L'-t' B6 o Z of WAIV c t4f 8 TS,/Z_, 44 r4 U i 97g0 Home Improvement Contractor# Worker's Compensation# 74)70 lY4 0/2_0a Z, ALL,CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO _ 114 ; SIGNATURE DATE el7l, 3 ?� FOR OFFICIAL USE ONLY i i PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS r VILLAGE ; OWNER DATE OF INSPECTION: p FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i, GAS: f.' ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. q I t } i rt'l tra a of Itame RC.515tand� � `'} x REGISTERED Date Manufactured • i �S Tf,4 Issued by F, � .�,,• F FABRIC I �� . •:� NUMBER TOPTEC, INC. Z/12/00 1905 N.E. Main Street ��r! �,I,�,� ;•..•oP 3�.o2I - Simpsonville, SC 29681 , This is to certify that the materials described are inherently flame retardant. 11 .- sCh ? ALAi'tt"-PAA yCENTPER t. to I Name 139 SWANTON ST -�— Address MA 01890 City WINCHESTER ' State Zip Certification is herebyjmade that: The articles described are flame-retardant, approved and registered by the State Fire Marshal and that the fabric is`in conformance with' the laws of the State of California and the Rules and Regulations of •t�.A r ' the State Fire Marshal. Fabric has been tested and passes NFPA701-96, CPA/84, ULC109, MVSS302. ^1- ; Method of Application: 1 Description of item certified: FUTURE MID 30x15 BLACKOUT WHITE - The Flame Retardant (Process Used WILL NOT Be Removed By Washing. 4 TOPTEC, INC. MODEL TU3015NSC 1 * = j Name of Production Superintendent SERIAL# 204250 D • ' 'JL i Cerfif trate of iftame REGISTERED Date Manufactured 9 �Sr�4 Issued by '4 ,,�•�V CAU10 �c•O FABRIC NUMBER TOPTEC, INC. 5/24/00 2 1905 N.E. Main Street 31.02 Simpsonville, SC 29681 This is to certify that the materials described �-, - are inherently flame retardant. , Name PETERSON PARTY CENTER Address 139 SWANTON ST 4 . -. . + City WINCHESTER State MA Zip 2890 Certification is hereb made that:y' roved and registered b The articles described are flame-retardant, approved g y the State Fire Marshal and that ";Y, the fabric is in conformance with; the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Fabric-has been tested and passes NFPA701-96, CPA184, ULC109, MVSS302. ethod of Application: C Description of item certified: FUTURE END 30x30 BLACKOUT WHITE The Flame Retardant Process Used WILL NOT Be Removed By Washing. TOPTEC, INC. w/` MODEL TU303ONSE - SERIAL 203385D Name of Production Superintendent # I lip �. y`. �..y`.. ;... ; •, yam• les jerttftc t REGISTERED Q ` uc� ISSUED BY ; APPLICATION :_ ANCHOR INDUSTRIES INC. DateolManufacture 4/12/95 NUMBER EVANSVILLE,INDIANA 47711 MANUFACTURERS OF THE FINISHED Order Number It F121.4 AET Q`� TENT PRODUCTS DESCRIBED HEREIN 087340 This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable) and were supplied to: Z e i is PETERSON PARTY CENTER INC 139 SWANSON ST 4 WINCHESTER MA 01890 Certification is hereby made that: iut The articles described on this Certificate have been treated with a flame-retardant ': approved chemical and that the application of said chemical was done in conformances a with California Fire Marshall Code, equal to or exceeds NFPA 701, CPAI 84, ULC 109; The method of the FR chemical application is: %Iu I Serial#: --- 8021000 (0001) popi�: Description of item certified: 0; FI EX? TOP 16WX16VLWW Flame Retardant Process Used Will Not Be Removed By U , Washing And Is Effective For The Life .Of The Fabric r,, \: WIN a«l Name of Applicator of Flame Resistant Finish Signed: TENT AR�T—ANCHOR INDUSTRIES INC. I/j • •.r a ..r ..r �,r „r ..r w .�„r ..r ..r ..r ..r ..r �r ..r ar �.r ..r ..r ..r � �r a �\� I The Commonwealth of Massachusetts - - / Department of Industrial Accidents 9xCe 0110057/galloos 600-Wash ington-Street - - Boston, Mass. 02111 Workers' Compensation insurance Affidavit ran tc4 n arms on.----� e2sr :t'.4r name' location: city phone M I am a homeowner performing aU work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. y� companY name: 1 «f'11)AJ ��/1.7 Z'-1 V7/1f- address: % _PPVX n/1-0n/ _f T city: llylly�!�/✓�-1-r fz— M4 Z,, �j 1 c� phone M: 7k/' Z?4— insprance co. �" 4 poli ,YN 70%z-) i yG l> %2- (] 1 am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: sQmparivnxmc: 3ddress: _ _ phone N: _ insurance cn policy N company nature: address: city: phone N. insurance co. ooli�yN Attac •a aitsoa■ -z tstnccc ace .� Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1-S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me_ 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. /do hereby certify under the pains and penal[ies of perjury that the information provided above is true and correct Signature �r1iLG� Date Print name ,IA'VIVf- I Y34 a/VT- Phone q official use only do not write in this area to be completed by city or town official cirr or town: permit/license M t-IBuilding Department 7 OLiccnsing Board 0 check if immediate response is required OScicetmcn's Office 3 OHealth Department contact penon: phone q; —Other iM v..o.a riot rr�t