Loading...
HomeMy WebLinkAbout0226 HOLLY POINT ROAD a�� �, �� o .y _ ... '. �. .. �G � � - � � .. _ 3 .... .. ' F.. .. - e p o c � �. e � r. �, o , - � .. 'i ,: n .� u. N ,. .i a. n _.. .. :� o _ .i. .. r.. r � - a. ,., - .. .. t ,. _ ,. � - � � 9 '. �. � n 0 ,. a .: .. � .,. ,. .. .. _. o .. .. �. - ... ,... .. ' o' :, - - .. .. �Q �. � �, . .. � �P .. .� ... �� a .. :. �, � �. r © t' ... .. �. .. .. .. -, ., .� �. �; � ', .. ... Assessor's,Office;(1st floor) Map oZ, 02 Parcel Permit#, _ Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Date Issued d9 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Ze-PTIC rr� Engineering:Dept.(3rd floor) House# i o'L,2� /lit2,ty INSTALL �� T UST'b I19/1. LIAl yCp. Planning Dept.(1st floor/School Admin. Bldg.) t. �tV!/1�® Definiti pproved by Planning Board T0171V?I,�� . A ,� �, �' C��: _..:_� TOWN OF BARNSTABLE Building Permit Application Pr 'ect Str t Address 44 Village +Owner Address 6 G� Telephone <212f ` s Permit Requet filoSr�� �zlyw �/'a ' , 4 , First Floor square feet Second Floor square feet o� Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential 1/ Dwelling Type: Single Family Two Family Multi-Family Age of Existing Struu c re Basement Type: Finished Historic House ., 0 Unfinished Old King's Highway /J/® Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name &z22jg Telephone Number Address S License# es76 7 �— / Home Improvement Contractor# ";Ow Worker's Compensation#G$Zrl"A/ ySZ/97 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE / DATE BUILDING PERM T DENIED FOR THE FOLLOWING REASON(S) w FOR OFFICIAL USE ONLY t r PERMIT NO. DATE ISSUED MAP/PARCEL NO. r 1 f r ' F_ I { i RESS . VILLAGE ADD F _ OWNER _ DATE OF INSPECTION: FOUNDATION FRAME INSULATION s FIREPLACE, - ELECTRICAL: ROUGH FINAL } F PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUTS t , ' 67 ASSOCIATION:ELAN NO. ' ' S.+ . The Town ®f Barnstable > s Department of Health Safety and Environmental Services ; ^ Building Division 367 Main Street,Hyannis MA OMI Ralph Ctossea OT= 508-790-62Z7 Bnamng Commissionc: F= 508-775-3344 For office use only Permit no._ Date :9--- . AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERmr APPLICATION MGL c. 142A requires that the"r=nstruc Lion,alterations,renovation,repair,moderaiZatioa,coWMMM ccisting Owner ed improvement,.rzmotial, demolition, or construction of an addition to'any pre- building containing at least one but not more than four dwelling units or to sttucta t to such residence or building be done by registered contractors,with certain cwcoom along with other. requircmenM 9 gs G'}U/L, Est.Cost 2—,'-20� Address of Work: Oarrer.Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work e:cduded by IaW ob under SI,000 Building not cw=-occupied Owner puilmg own permit Notice is hereby green that: CONTRACTORS OWNERS PULLING THEIR O pROVEI rWORK OR G WITH DO NOTEHAC ACCESS TO 1"E FOR APPLICABLE HOME ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: v1 �1 motion No. Date Contractor name u OR - Owner's name The Commonwealth of Massachusetts Department of Industrial Accidents Olfleselbrest/ozOss 600 Washington Street Boston,Mass. 02111 Workers'. Compensation Insurance Affidavit Applicant-information: PTessa'P'>t�IlQ �t m.. location• f/4/--"i 7 7 -,-X— t-Z as phone# I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity �m an employer pro%iding workers' compensation for my employees working on this job. company name: -- address: • p #• �y hone - ❑ I am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below who.ha%e the following %orkers• compensation polices: m nv n de city phone# insur•anceco policy m anv name: city, phone#• in«rance coPolicy# Failure to secure coverage as required under Section 25A of MGL 152 an lead to the imposition of criminal penalties of a One up to S1,500.00 and/or one vears'imprisonment as well as civil penalties in the form of s.STOP WORK ORDER and a One 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 DU for coverage veriOadoa. 1 do hereby certif and th ns and pe es of per ury that the information provided above is true and correct Signature Print namei(�ilZ� G0// Phone#' 2. official use onK do not-a rite in this area to be completed by city or town official - city or town:— _ permit/license# rtBuildiog Department, QLicensing Board check if immediate respon3e is required ❑Selectmen's Olflee, ~ Health Department contact person phone M;_ (.508) - Other `(revised 3;95 P3A) R>