HomeMy WebLinkAbout0180 CASTLEWOOD CIRCLE /�d ��.�
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\ Assessor's Office(1st floor) Map Lot l.'10 Permit#
Conserva'tieti Office(4th floor) Date Issued
Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) �'(�, Fee
Engin ring Dept. (3rd floor) House#1 C �
Pla ; Dept.(1st floor/School Admin. Bldg.)
Deft ' ive Plan Approved by Planning Board 19
q f6T9.
TOWN OF.BARNSTABLE
Building Permit Application
Project Street Address �
Village
Owner (C el- / X Address
t.Telephone �-7 k r= L7i ���
Permit Request
Total 1 Story Area(include 1 story garages&decks) square feet
Total 2 Story Area(total of 1st&2nd stories) square feet
Estimated Project Cost $
Zoning District C — Flood Plain 'Water Protection
Lot Size Grandfathered ? eCs
Zoning Board of Appeals Authorization_ Recorded
Current Use Proposed Use 1001,
Construction Type 4 6
Commercial e J- / Residential
Dwelling Type: Single Family l/ Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished l _/
Old King's Highway
Number of Baths No.of Bedrooms
Total Room Count(not including baths) 5— First Floor
Heat Type and Fuel E,�'A Central Air Fireplaces
Garage: Detached. Other Detached Structures: Pool
Attached �— Barn
None Sheds
Other
Builder Information
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEB RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE I— DATE Z—��`�f
BUILDING PERMIT DE D FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
.r
PERMIT NO. 9174 t
DATE ISSUED 7/2 0/9 5
MAP/PARCEL NO. 272 036,
i t
ADDRESS 180 Castlewood 'Circle VILLAGE Hyannis
Eric & Mary Hubler r
OWNER
DATE OF INSPECTION:
FOUNDATION
"FRAME
INSULATION
f �
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
t -
FINAL BUILDING 7--Z-t
1
DATE CLOSED OUT t
o
ASSOCIATION PLAN NO. '
i
- -�
' �apas't�et<1 c�.:a�raG�al.�A
a Mamachadelb
co 0/.
--a
600 Wu riiyton. tmd
James J.Campbeff &&n, //laew4.u& 02f 11
commissioner
Workers' Compensation ltssssranoe Affidavit
' . caotosod�l
with a principal place of business.at: A: -
c�nrstmsjv)
do hereby certify under the pains and penalties of per uy, that:
C) l am an employer provid'mg workers compensation coverage for my employees work
this Job. }
Insurance Company Policy Number
O l am a soie proprietor and have no one wonting for me in any capacity.
() I am a sole proprietor, general eontcaaor or homeowner (circle one) and have fired
contractors listed below who have the following workers' compensation policies:
insurance CompanylPolicy NU
Contractor
Contra
ctor Insu
rance Company/policy tau
Contractor Insurance Company/Policy Nu..
t am a homeowner performing Fall the work myself.
1 endent:nd at a cot:y of&,is s=te:nent vnll be fo.�xrded to Me 0Mcft of lmnsdpdcns of the OTA for coverage vetiaation:and that faiiv
co:e•:ge as re=i ed under section ZSA of MGL 152 cao lead w the imposition of C"h-Al pondsies eottssdat:of a fate of UP to S 1,500.0
years' impri:oar. M as well as cmi penalties in the tom:cf a STO P WORK ORDER and a Me of S 100.00 a day apim mc-
Signed ti is day of
A
Gcen 1 ittee Building Depa>Rment
licensing Board
Selectmen 0irice
Health Deparment
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. The,Town of Barnstable
m .� Department of Health Safety and Environmental Services
Building Division
367 Main Street,HYaaais MA 02601.
Raipii Ctt�a
OSce: 508-790.6227 .
Building Comt
Fax 508 775-3344
For office use only
Permit no.___--_
Date
. AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT-TO P'ERbW APPLICATION
MGL c. 142A requires that the-reconstruction,alterations,renovation,repair+mod on,conversion,
improvement, remm-4 demolition. or construction of an addition to airy pm-edstillg owner occupied
building containing at least one but not more than four dw ding units or to soractnres which are adjacent
to such residence or building W done by registered with certain MRpdons,along with other
Type of Work: Est cog---
Address of Work:
Owner.Name:
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
)ob under SI,000
H ' g not a�waer-ooarpiod
. pullizIg own permit
Notice is hereby gRea that. c
OWNERS PULLING THEIR OWN PERMIT OR DEALING VMH UNREGISI'E1tED COI C,
FOR APPLICABLE HOME McROVEM1ENr WORK DO NOT HAVE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A
SIGNED UNDER PENALTIES OF PER
I hereby apply for a permit as the agent of the owner.
Date
Contractor name Registration No.
OR
Date f Owners name
TOWN OF BARNSTABT,S .
BUILDING DEPARTMENT
COMPLAINT/INQUIRY „ PORT
Assessor's No.
�s geed BY
Date
st Name
ORSGINATOR - Street"
- State Zi
Villa e .
Tele hone: Some _
Work
Descri ti-on o
.COMPLAINT l ✓ Of CLV41
INQUIRY
Requestor's Signature.--- /� -,
COMPLAINT Street Address- �Q ��
LOCATION _
OFpIC£ L75E O?7LY ,
9S Inspector
INSPECTOR'S Date _
ACTION/
COMMENTS
FOLLO e:-U=
hCTIOt:
I1:F0. 7,TTACIJED
DEPF,RTy.:.2.T FILE YELLOW - INSPECTOR
COPY DZS:RZEL'TZ027: PINRWFITE- INSPECTOR (RETURN TO OFFICE l:GR-)
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