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HomeMy WebLinkAbout0058 ENSIGN ROAD —S i �1 a o F r T 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 lv 1 " 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 r . FRAME , ti INSULATION FIREPLACE n ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL GAS: ROUGH —�.1 � FINAL FINAL BUILDING y H I DATE.CLOSEIOUT r n •- - I,„ ASSOCIATION PLAN NOa., +>. Q ' The Commonwealth of Massachusetts � = -- - Department of Industrial Accidents • _=�. —= Office ollfiV85 811619s _-- 600 Washington Street Boston,Mass. 02111 - ��=f`` Workers'_Co m ensation Insurance Affidlavit r2mmwm 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 %/////%//%/%/%% /i '///// %%%/%O�'/� ////%%///%/%%%% em 1 rovidin workers' compensation for my employees working on this job.;;:::::::: :...... ...... �,fI�aman PAP g..........................:::::::::::.::: :...:..:......::..:.::.:;:;:.;.:.::::::::.:.....::::....::.:....... ::......::::.:.::.::;:::::._:::::::.::::::.:::::::::::::::.....:._: tJ ::....::,::..:::::, :::::::::...:.:::.....,::::::.:..:::::::::::::...........:::..:..:....:.:.,::.:::::::::::::::::::::::::......:::::::.:::...::::::.. .. . ;;.. .:. :.. com tiny name:. :. ...:.:..: `are ss ................... sat CV 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.:: .::. :.: :....:: :::: : . ::...: . ::. : : ; ;: : :: : ;:. : wm apv n ss:" ................... satire :.:::::::...... ::.:..:'<........::.:........ . ..... :.; ....................:.. 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OEM ;.: address: .................::.:::................ .................:::::::::::::::::v�:::::::{m:b:d}:••ii:?i4i}ii:<i:::!:iC:?i ::.Yr.• ii$:rii . ......•..... };:{??:4:•iiiii:Jii:}::•` :::::w:::r, {::•.i:j•:;{i:{ ii yi.♦ 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) / 1 �/• 1 • :.1 • •11 .�• 1 1 �•. 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I v_l ./1m/ .•/ r 111111 1 _1 II •t 1 IA 11 1 _ 111.1�• 11 I • 1l1�/11 1 • 11 •I 11 • 11-/ • •11 • w/1-•IIA 1 • �-•1 11✓..1 1 , •1 • , .� • •Y.11 •11 '• • • /1 ,11 • 1 1 • .11 Y •I • 1 Y•• 1_1 .11 •II .11 1 1 • / 1 • 1 ,11 • 1 � ■ • ���jj�j�j�j�jj��j�j���j�jjjj��j��j/ l / • • •11.I Ii •• :� f- • 1 •11 - ./1 • Y.V 11 Ilt •�1 I I I • I I 11 1 1 1 1 1 I I I , 1 ��"" •e TOWN OF BARNSTABLE Permit No. ----------_--------- —_. { Il,vIT.X ' Building Inspector cash - - A • ----- ----- Ywa —- 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 t 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. f A ti 12 Z 2-o7'41 34,83o s.P.- ell, 'y � t 41-�,C �L "L=T=; L.c r 5 rboa=5 *.resr f A-LL 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. IQ . 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 f • ti ti 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 �D b �a