HomeMy WebLinkAbout0058 ENSIGN ROAD —S
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 141 Parcel 1 Permit# f�Ll�, O,,;?
Health Division Date Issued
Conservation Division `1C,
� -!\-I Fee
Tax Collector
SEPTIC SYSTEM MUST BE
Treasurer INSTALLED IN COMPLIANCE
n9p WITH TITLE 5
Date D ' ' ued bP1 nning Board ENVIRONMENTAL CODE ANDTOWN REGULATIONS
His one-
Project Street Address 58 6vr5irk- a.
,
Village 0,P&J6[vc L6
Owner tR"rincLa Sop Z,=— Address 58 EAS►L, . Qa4 Lru'&t ct.
Telephone -Og- 11 Zn— 3 S&,o
Permit Request TKsfq at_ i Zgt(.t, I«.lac m�& Pn Lg== i 5A-J— cat s l,'ui ilc. 4 Lto wl.i r�
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost Zoning District Flood Plain Groundwater Overlay
Construction Type s.
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'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 0 Oil 0 Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size
Attached garage:❑existing ❑new size Shed:0 existing 0 new size Other:
Zoning Board of Appeals"Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name rrte�fi cam},1� , _ (-�, ,T.✓ c Telephone Number kb- 7,3
Address 5! rL(wyA- License# a5 7 Z Y
OLt81 Home Improvement Contractor# GCS 3 g�
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
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SIGNATURE V• ✓4- tn�� �,�nttb�t(� TE _ y- 6 -�
y r, FOR OFFICIAL USE ONLY
PISRMIT NO.
DATE I '§UED
MAP/PARCEL NO. _
ADDRESS :n VILLAGE ..
OWNER'
DATE OF INSPECTION: ;
FOUNDATION
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FRAME ,
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INSULATION
FIREPLACE
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ELECTRICAL: ROUGH FINAL F
PLUMBING: ROUGH FINAL
GAS: ROUGH —�.1 � FINAL
FINAL BUILDING y H I
DATE.CLOSEIOUT r n •- -
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ASSOCIATION PLAN NOa.,
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The Commonwealth of Massachusetts
� = -- - Department of Industrial Accidents
• _=�. —= Office ollfiV85 811619s
_-- 600 Washington Street
Boston,Mass. 02111 -
��=f`` Workers'_Co m ensation Insurance Affidlavit
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name IM2L CQ✓A-
location.
city -� AA,(-X� MCL O ZI 85 phone# AM-L 3 Z-9 9?/
❑ I am a homeowner performing all work myself.
❑ I am a sole pmprietor and have no one working in anv capadtv
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em 1 rovidin workers' compensation for my employees working on this job.;;:::::::: :...... ......
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insurance co.: .. .. . . d
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' co e..n..s.atio..n. o:li:ces.::
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n�arance�co.. -
gapure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of eriadnai penalties of a Ste tip to s1,5o0.00 and/or
one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Sue of$100.00 a day against me. I understand that a
COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is&w and correct.
Signature �°--. ✓ '-- Date -e
Print name Yra�!K W aLL Phone# -2 3 Z-5'9 S/
official use only do not write in this area to be completed by city or town official
or town: permdtNcwe# ❑Building Department
city ❑Licensing Board
Qselectmen's Office
❑checkif immediate response i,required ❑Health Department
contact person: phone#, ❑Other
(tensed 9/95 PIA)
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��"" •e TOWN OF BARNSTABLE Permit No. ----------_---------
—_.
{ Il,vIT.X ' Building Inspector cash - -
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• ----- -----
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OCCUPANCY PERMIT Bond
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 Address
Wiring Inspector Inspection date
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.
1 s......_ .........._..�... ..................
Building Inspector
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IJ rrr-- ; ALL"ATUP AL' RE-BnA i►.I
lJl-�D15?VRB ED logo FED"T' FPOM SK.Jr-�L'i-JETT
21,ieR. U1uLs5's A I-crvicE oF.i"-EeJT 15;FILE'n Q(7
Pep THE STATE VjC--f'L.Fka, 05 A -r.
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WITH It THE 5G�0-�rEA R F�ooD
��. BotJND,42--{ A5 -DEFIti1ED 8`Y
THE WA714Zr IA L. FLED o4 svRA*-CG
PLAkt-s RnP- Ta_4E CpLJI-jT--( .CF
SA P-OST-A-eL.E, MASS. Z =,,i (C
FN3o6, 19eL Is,DOo s.
WIDTH loo '
F.S• B.
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3►�SN OF
o� J°" CERTIFIED' PLOT PLAN
a 0®
LOT S! N
14 � GENT,E�1//LLE
NEW CONSTRUCTION ONLY : /STE��pQ'
TOP OF FOUNDATION. IS y-z FEET su IN
ABOVE LOW POINT OF ADJACENT
ROAD.
SCALE: DATE : oe-0`5
ELDREDGE ENGINEERING CO.IN I CERTIFY THAT THE
CLIENT�a-WEEK' SHOWN ON THIS. PLAN IS LOCATED.
EGISTERED REGISTERED JOB N0. ��°�_ ON THE GROUND AS INDICATED AND
CIVIL I LAND _ CONFORMS TO THE ZONING LAWS
ENGINEER SURVEYOR DR.BY: OF BARNSTAB , mos.
CH.BYr �,f,ff.
712 MAIN STREET 02.06•&t
FF H YA N A LS, MASS. SHEET L OF ( DATE E LAND SURVEYOR
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and lot number ........ 0,�13PL
0SMIRLmap, lf2— THE
Sewage Permit number ............... ..... ......... ....... 'SEPTIC SYSTEM MUST B
� ki
INST• ALLED IN COMP, 4N EARNSTAIME,
House number. ....... ................... NAM
. .............. ..... . • WITH TITLE 5 039.
Ar,
TOWN OF BA]R'NSTXBLE
BUILDING IN'SPELT 0 R
APPLICATION FOR PERMIT TO ... ........
.....................
APPLICATION ...... ... .. ...
TYPE OF'CONSTRUCTION ........... .................................. .............. ......... .................................................
TO THE INSPECTOR OF BUILDINGS:
-The undersigned hereby applies for a permit according to the following information:
........ ........
Location .................... . . .. .................. ..................
Proposed ....... F- ........................................................ ...........................................................
Zoning, District ................ .............................. Fire District ...............C�..(>............ ........ .. ..............
C�.4
Nameof Owner ....... ...........................;41.......Address ........ ...............................................
,Name of Builder.. ...........................�X.1_ .....................Address ....................................................................................
Nameof Architect .............:** .......................Address :.................................I.................. . ...........
Number of Rooms ....................6........................................Foundation ..... ........... ..............
Exterior ............... .........../ ......C--Ii� ...... .........Roofing ................
5
...... ........................................
4
Floors ...................... . .....................
. ........
......... ....... ......Interior ..........av .........
Heating .................... pt"/C C
............................. ....... .. .....Plumbing ......................&.........................................
Fireplace ......................... ..-.....................................Approximate Cost ........ ................................
Definitive Plan Approved by Planning Board ------- -----------19- 'Area ....12.1(0.41..... .............
—--------
Diagram of Lot and Building with Dimensions rz-
Fee ..........
SUBJECT TO APPROVAL OF BOARD OF HEALTH &rA
z_
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the ab ve
construction.
Name .................. ................. .... ......................................
GREENBRIER CORP.
23846 One St ry
.. ............................ Permit for ............... .
......cr
..............
Location ..Lo.t...#.5......5.8....Ens.ig.jj.. Road ,
..... .. .. .. .. . ....... ..
Centerville
..................... ........
Owner ... Greenbrier Corp.
...............................................................
Type of Construction ....F.r.ame.........................Frame.......
.................................................................
Plot ............................ Lot ................................
' March 3 82
Permit Granted ......................... .............19
Date of Inspection..................................cig
Date Complete ...... ... 19
f9
11,
ssessors map and lot number `...�............. '..%........ L � tNe of rot
Sewage Permit number -.�+. d``Q� ♦°,g ..........................
BARN TAKE, i
House number ... ..X../r:: ...................................................... yp MABa
2639. ♦�
i CEO Uhl d\
f,. TOWN OF BARNSTABLE
a
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO .......................... .......... .................. ........................................................:.........
I4 TYPE OF CONSTRUCTION • r� 0.0
FM/`'r �'-'--`- /.....................................................................................................................................
n jy
t ............................................ f ...10 _-
k TO�THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............ -.... .................. '' .......... "" ............
,�" ../ t"'t'i.:r...............:�...... ..........................
Proposed Use .............................................. •'�" ' . ..... ...... .... ....
Zoning District .. ..... .................Fire District ............ .... ...................... ................
Nameof Owner ....... .....:ti........s.................Address ........,...........................................................................
.-... .Address Name of Builder" ........................... .............................�....... ....................................................................................
Name of Architect ........................Address ....................................................................................
Number of Rooms ................................Foundation s ! A r4 2,
..............................................:.........................
Exierior f� i �i.........''�.:..... :::� - .............Roofing ...................� r .� ....... ....'............... .. ................
.:....
FloorsInterior ...................................... .........................................
Heating ...............1....................Plumbing .....................,:...........................................I... .;;.`.!`....
~�.�� f- .:�� !�
Fireplace ..........................� . ....,..................................Approximate Cost ........... .,..............,.................................
Definitive Plan Approved by Planning Board ______(5_4!� _! ________19 2__l. Area .....f' .:!.....................
Diagram of Lot and Building with Dimensions P F ���� Fee .
r0 ....................... .........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
,1
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ................... ............................................................
GREENBRIER CORP. A=147-54
No ,23846 permit for One Story
Single Family Dwelling
...............................................................................
Location „Lot #5 58 Ensign Road
Centerville
...............................................................................
Owner Gr.eenbrier. . . ...Corp. . ..
........................ ....... .... .. ..... .... .. .. .
Type of Construction Frame
..............................
................................................................................
Plot ............................ Lot ................................
Permit Granted .,,Marcel . 3, .19 82
Date of Inspection ....................................19
Date Completed ......................................19
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