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HomeMy WebLinkAbout0251 PHINNEY'S LANE M i '1 ¢'�✓ ,dF.,, 0 I n. .,. # i FL ,•sx.., a+• , RAC' 4 a , .�. - �Ip/,�` eo� ..,, .r .'..E. +.$ n. T'' ' r, , o.. rs �. 11',M1; • .77Y� "e z t r .� ,� r �`'��r+• t Y.�W qey +i -�I' I r;m't're `'`�' '.k.+ Ld i] �l ji,�� .. F t -il• t;. ir..° {, ll�� iy� a. r 0 'tc , _ ,:� �1'. r,{M, l�' !S a ..l,,., .r"Y4 np a"f' �y� Y � ip.^•��C� �tw �•-y,�" .F T`k�➢i 1��`l ati��'p�vg 5 �34i.,�� V;N.; I�� �I . Y'�'"�H_ Lra.'Fy °ryk,•', ,I. ?'P - r - ' a'TN o , 4L r: •< a f . V a - i'YH�r• c , , • i t , n ' `F !�. tl ul ' • ' i pp , y, " r n Town of Barnstable Building Sr IPost This Card�So That rt is.V�sible From the Street-Aproued Plans Must be;Retained on-Job and this-Card Must be Kept y� •.��� )Posted;UntilFinal Inspecti-on Has Been Made. � � Pe1 �t t lWhere a Certificate=of Occupancy is;Required,sash Building shall Not be Occupied until a Final'Inspectiop n has been.inade Permit No. B-19-2652 Applicant Name:' IHS Building and Remodeling`Inc. Approvals Date Issued: 09/04/2019 Current Use: Structure Permit Type: Building--Deck p Expiration Date: 03/04/2020 foundation: ,ys of4l� Location: 251 PHINNEY'S LANE,CENTERVILLE_ Map/Lot: 230-162 Zoning District: SPLIT Sheathing: Owner on Record: SHAMSI,GAIL&MUTAHAR S Contractor Name:' .IHS Building and Remodeling Inc. Framing: 1 Address: 14 INDIAN RIDGE RD Contractor License: '190612 2 STOW, MA 01775 Est.Rrofect Cost: $ 10 000.00 Chimney: Description: remove existing deck Permit Fe�e: $ 110.00 insulation: Frame and rebuild 16x13 deck(same foortprint as existing) ` Fee Paid:; $ 110.00 Project Review Req: NO CHANGE IN FOOTPRINT. Date { 9/4/2019 Final: Plumbing/Gas Rough Plumbing: i.. -- - --�:..,-• t i Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application aind the approved construction documents for,which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public•inspection for the entire duration of the Final Gas: work until the completion of the same. ! Electrical - The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for.All Construction Work: 3 �f/ Service: 1.Foundation or Footing - Rough: 2.Sheathing Inspection _ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �) . Application Number.............................................. ................. Dcpr Permit Fee...... ... . 0- .......Other Fees....................... ... ....C) 9. Total Fee Pai To 11VA1 d......... ...... AR ............................................ .... 0,,8 TOWN OF BARNST3piftLe Permit Approval by.. ...................On... I......... BUILDING PERMIT D 0 1 (p a Map........................................Parcel............................................. APPLICATION S 6,1-7— Section 1 — Owner's Information and Project Location Project Address C r57, ph)*hn �s L Village leek V-/ Owners Name 9-koj-)7,5-1 Owners Legal Address- Ci State zip Z- 36 E-mail t-MSAW-)�,S','Q e Owners"Cell# 9 3, Section 2 — Use of Structure Use Group �_ F-1 Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet Single Two Family Dwelling Section 3 —Type of Peimit EJ New Construction El Move/Relocate E] Accessory Structure E] Change of use ❑ Demo/(entire structure) F❑ Finish Basement El Family/Amnesty El Fire Alarm Rebuild Deck Apartment Sprinkler System F-1 Addition ❑ Retaining wall Solar El Renovation F, Pool ❑ h3sulation Other—SpecirfY----------------�-�� Section 4 - Work Description Removes -21C(S+in!3 c6c�— T-+-A.+.A- 11/1 1CMA1 9 Application Number.................................................... Section 5—Detail Cost of Proposed Construction J0 4G-0 Square Footage of Project Age of Structure - Dig Safe Number # Of Bedrooms Existing cL-- Total#Of Bedrooms (proposed) a-- 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring 0 Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ; ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public - - ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: S y� Cy,e� i D�e��'S I am using a crane C Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed. Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated: 11/15/2018 Application Number........................................... Section 9= Construction Supervisor Name A'C1.a,#-C/ Telephone Number . � � Zip �Address S Z Rcc wOoA Dt. City � Po � 60� License Number D 9YI?3 License Type . Expiration Date Contractors Email V/C ka&c( .I ks b CM _ 5 ,(°o r"- Cell # I understand my responsibilities under the rules and regulations yor Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and. documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name vtioCSr_0 Telephone Number ? Address S2 fit. c&Wc�od City 6 —State. /4A Zip 02-iS 44 Registration Number 1?0 6/c� Expiration Date '0�2 1 d 0�f I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR an a of Barnstable.-Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilitiesunder the rules and regulations for'Licensed Construction Supervisor in accordance with,780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and'' documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name Pe4a t_d T-1 Telephone Number 77V—F 36-665C E-mail permit to: r.i CCh GLV cl a l kJ b u; /dim, ew r- Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department Conservation , For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print.Name 11/15/2018 Last updated: I Signatures The Si-natures that follow constitute confirmation by those signing_ that they have examined and understand the Contract Documents and agree to be bound by the terms of these documents. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! This agreement is entered into as of the date written below. Muta ar Shams] ner 19 -------- ��-L — -- (Si�_I ature) (Date) (Printed Name) IHS Buil id elin" Inc, Contractor ____ 7/31 /2019 (Signature (Date) Richard Peckham, President_ (Printed Name and Title) Psi fie 9 r Legend Parcels e _ Town Boundary K ' — Railroad Tracks 210124 r `k. 230006 v Buildings. N 39 _ a - ..�. Approx.Building _ x t _ 5 ? Buildings h t14 230007 T Painted Lines 230008 Parking Lots #271 a 1 Paved r a R "�r�. -• .",�o �•- °` •" .i' Unpaved Driveways 2:54101)' �� 44 Paved U � Unpaved. ° r . Roads Z2 Paved Road S`5'1 Unpaved Road 9s fir, - �\\ s �lJ_ '- .. Bridge .1 ."� s•'°' 13 Paved Median xt l�.c+k' ts'E2 a r '� Streams r Marsh Water Bodies 230002 #22�1 v. ArEA + " - - . s N t 23€1107 V #2,56 229097 �.� #242 ■ � - Y "' Map printed On: 8/15/2019 This map is for illustration purposes only.It is not Parcel lines shoHm on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026o1. O 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 ° reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 42 feet cartographic errors or omissions_ gis@town.barnstable.ma.us 9/4/2019 Details Licensee Details Demographic Information Full Name: RICHARD J PECKHAM, JR Owner Name: License Address Information City: Hyannis State: MA ipcode: 02601 Country: United States License Information License No: CS-094193 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 6/12/2019 Issue Date: 8/10/2011 Expiration Date: 7/29/2021 License Status: Active Today's Date: 9/4/2019 Secondary License Type: Doing Business As: Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents r httN s://mad I.mY license.comNerification/Details.asp x?result=2e2520f1-c23d-43f6-9d12-cd55d7038680 1/1 9/4/2019 Office of Consumer Affairs&Business Regulation-Mass.Gov :Y ss. 9/ 0-- ffic1R-e ,:,-.df Consumer a Affairs Regulation r t HIC Registration Complaints Registration 190612 Registrant IHS Buiiding and Remodeling, Inc. Name Richard Peckham Address 32 Buckwood dr City, State hyannis, MA 02601 Zip Expiration 02/09/2020 Date Complaints Details No complaints found for this registrant You can also view arbitration and Guaranty Fund history. Back To Search https://services.oca.state.ma.us/hic/IicdetaiIs.aspx?txtSearchLN=190612 1/2 9/4/2019 Office of Consumer Affairs&Business Regulation-Mass.Gov Site Policies Contact Us @ 2018 Commonwealth of Massachusetts. Mass.Gov®.is a registered service mark of the Commonwealth of Massachusetts.. https:Hservices.oca.state.mo us/hic/licdetails.aspx?txtSearchLN=190612 2/2 The Commonwealth of Massachusetts Department of Industrial Accidents U.ffice of Investigations ; 600 Washington Street Boston,MA 02111 . www'massgov/die A Workers' Compensation Insurance Affidavit:Builders/Conti'actors/Electricians/Plumbers Applicant Information Please Print Legibly N1iIDe(Business/Organization/Individual): 4 ` Address: C t 1 City/State/Zip: aj-vIiS`."A ©1` Phone#: 77V Are you a-n employer?Check the appropriate bog: ' • `. :Type of project(required):,`- L 4. I am a general.contractor and I ] 1.®I am a employer with 3 g 6. New construction employees(full and/or part-time).* - have hired the:sub-contractors: M 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These subcontractors have ship and have no employees 8: ❑Demolition-. working for mein an capacity. •s employees and have workers' y � Y P t3' 9. Building addition _ [No Workers' comp.insurance comp:insurance..#. . required-] A 5. ❑ We are a corporaon'and its ,10.❑Electrical repairs or additions_ e exercised their offs cers have exercis .1 1. Plumb' re4 airs or additions ork- P ahomeowner doing all w .. 3.❑ I am g T of exemption per MGL "- myself.[No workers comp. 12.❑`Roof repairs insurance required.]t C. 152,§1(4);and we have no M� s employees.[No workers' 13:❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information., A- t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ., I am an employer that is providing workers'compensation insurance for my employees. Below is the polky'acid job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: A WC- q0(2-7036q S.'-c?0'7A Expiration Date: l02®0 Job Site Address: 5l �? 5 'L A fCity/State/Zip: e,`Jl1`l2 /'u/�� -6,M 3 2 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date)., Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to tine imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP•WORK ORDER and a fine 'of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' I do hereby certify under the pair penalties of perjury that the information provided above is true and correct: u, Signature: f ~ . , 'Date. Phone#• �-77 q 9 3 4 6.6 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): , 1.Board of Health 2.Building Department 3.City/To"Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Informationt and In tructions Massachusetts eral Laws chapter 152 requires all employers to p de workers' compensation for their employees. Pursuant tc this,an employee is defined as"...every person iii service of another under any contract of hire, express or implied,b7l or written." { An employer is defin "an individual,partnership,associate corporation or other legal entity,or any two or more of the foregoing engag a joint enterprise,and including the 1 representatives of a deceased employer,or the receiver or trustee of an in 'veduel,partnership,association or o er legal entity,employing employees. However the owner of a dwelling house ving not more than three apartmen and who resides therein,or the occupant of the dwelling house of another wh employs persons to do ce;construction or repair work on such dwelling house or on the grounds or building., thereto shall not b of such,employment be deemed to be an employer.". MGL chapter 152,§25C(6)also that"every state or lo, 1 licensing agency shall withhold the issuance or renewal of a license or permit to o rate a business or to nstract bwldmgs in the commonwealth for any applicant who has not produced ace table evidence of co pliance with the insurance coverage required." Additionally,MGL chapter 152,§25C( s"Neither the mmonwealth nor any of its political subdivisions shall . enter into any contract for the performance f public.work til acceptable evidence of compliance with the insurance requirements of this chapter have been pres to the con g authority." Applicants Please fill out the workers'Vcompensation affidavit pl ly,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address( d phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or L' Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' ensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affi ay be submitted to the Department,of Industrial Accidents for confirmation of insurance coverage. Also a sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for th penmit o license is being requested,not the Department of Industrial Accidents. Should you have any questions ' g the w or if you are required to obtain a workers' compensation policy,please call the Department at the ber listed low. Self-insur-ed companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed I gibly. The Dep\mnumber. as provided a space at the bottom of the affidavit for you to fill out in the event the Office f Investigations tact you regarding the applicant.Please be sure to fill in the penmitllicense number wJA be used as a In addition,an applicant that must submit multiple permittlicense applicationgiven year,need only \shoul ffidavit indicating current policy information(if necessary)and under"Job Sits"the applicant shouldlocations in (city or town)"A copy of the affidavit that has been officiaed or marked by the cimay be provided to the applicant as proof that a valid affidavit is on file forrmits or licenses. A nt must be filled out each year.Where a home owner or citizen is obtaining a r permiit not related to s or commercial venture (i.e.a dog license or permit to burn leaves etc.)said s NOT required to comdavit.The Office of Investigations would hike to drank younte for your cooperatiol ou have any questions, please do not hesitate to give us a can. The Department's address,telephone and fax number:.. The Commamw th of Massachusetts IIepartment of tiustrial Atx�idents ` 0► ce of vests ions .. .6M n Street Boston, 021.11 - Tel.#617-727-4900 ext 6 or'1-877 MA_SSAFB Revised 4-24-07. 'Fax#617- -7749 www.mass.gvv/dia T AC ® DATE(MMIDDNYYY) `� CERTIFICATE OF LIABILITY INSURANCE 05131/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pol)cy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Toni Davies GH DUNN INSURANCE PHONE (508)759-3132 a Ne: E-MADDRESS: allusers@ghdunn.com P O BOX 99 INSURERS AFFORDING COVERAGE NAIC A W.WAREHAM MA 02576 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURERS: IHS BUILDING&REMODELING INC INSURERC: INSURER D: 32 BUCKWOOD DR INSURERE: HYANNIS MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 409279 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUER im POLICY NUMBER MAMAIDDY EFF MPWDDY EXP ffYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMATO CLAIMS-MADE1-1 OCCUR PREMISES TED PREMISES Ea oxunence) $ MED EXP(Any oneperson) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JET LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Peracddent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ r $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? NIA NIA NIA AWC40070364382019A 05/06/2019 05/06/2020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits Will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govRwd/workers-compensabonfinvestigations/. CERTIFICATE HOLDER- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Falmouth ACCORDANCE WITH THE POLICY PROVISIONS. 59 Town Hall Sq AUTHORIZED REPRESENTATIVE Falmouth MA 02540 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD a Engi ) Map Parcel Permit# House#. 2. S" ( Date Iss d -4:30) Fee Go� 0=2:00) - , P dg.) JINN oard 19 _ BARNSTABLE. ` 039. TOWN OFBARNSTABLE 'F"��'�� ; Building Permit Application Project Street Address �• ,� //V/?/Y -k- V illage G7 Al ,��: .l Owner e-i 7;,f Alf'/2 51-IV�OP lf'- f ,I Address Telephone 7 �/ -! S� -7 Permit Request S %Z/ o? 3`/Z c- lzoylf, , -First Floor square feet Second Floor i square feet Construction Type Estimated Project Cost $3 /f Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No welling Type: Single Family Two Family ❑ Multi-Family(#units) ge 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name �� :3 G �� ✓ Telephone Number - 7 5- L,� 7 7 3 Address cam... 13%, Z,.� ee, License# 1. �'n-fib v l f �cb 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 CONSTRU ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREG / t' DATE ;.A/ _Z4 r BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) qhefC FOR OFFICIAL USE ONLY PERMIT NO. r A )FATE ISS,UED?. MAP/PARCEL NO is �. _ j - • . - " ADDRESS �� c ' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE - c ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s GAS:. f ROUGH FINAL FINAL BUILDING " DATE CLOSED OUT L ' ASSOCIATION PLAN NO. p 1 (r' Assessor's offioe (1st floor): _ 7i IC SYSTEM MUST BE FTHET 'M'"GILLED IN COMPLIANCE �o o� Assessor's map and lot number ........................................ Q Board of Health (3rd floor): WITH TITLE 5 Sewage Permit number .......> -.�..�.. .... .�IWF ONMENITAL CODE AF9 �' ..... Z BAUSTAM, i Engineering Department (3rd floor): u Go7 'Z VAM REGULATION S 'oo "A}9. \e0� House number ............................ ..5.........Zz .L......... .K� '°rF a• 0 ypY APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......�40V.............. . ...................................................................... TYPE OF CONSTRUCTION ............... .. .... . .................................................................. ....... b ,.. ....�.5`... t 9sa TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... 5. ...... ......................................................................... ProposedUse ............................................................................................................................................................................. Zoning District ................ ..........................Fire District -o ..............CC ............... ...... ............ ............................ Name of Owner`G .. '� . .1�...�,..�?1 ........Address .G... ...�.fl ` \�5,.�1:�.. Name of Builder . ..............Address Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .....................................................................:.............. HeatingPlumbing ....................� /....................................... Fireplace ...................................................................Approximate Cost ........../u ........................... .......... ini iv Def t e Plan Approved by Planning Board ________________________________19________ . Area .......... o...... .............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 20 3d OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... J�- Construction `Supervisor's License ..V":✓/ ........... Shultz, Floyd & Gayle ., No .......30747 permit for .......add deck . to' single fa mil dwelling ...................................................Y.................... f Location 251 Phinney's Lane Centerville c 4 Owner Floyd & Gayle ,Shultz.,....... 1 w �; 4 ^ v Type of;Construction frame --� ' ............... r}'. .................................................... , Plot . ..................... Lot ................................ 5r •� 1 _ y 15 Permit Gianted .............M...............:........19 87 q, Date of Inspection ....................................19 .r f Date Comple'ted ......................................19 � iUll 7 x, N... A i ;� „ .. y � � �. � � 1 ! ��� �;` �� � qp � o � i� ?� --___-�� W� � � ��'d p .I ✓C.��_zc__� I �- � � � __ -_:r. 1 -� w � � , . i{ I � � � �� :., �� �EsT yoL F , Assessor's map and lot number "'" ��-73 .... .......... c STEM MUST BE D / i '.,T'ALLED IN COMPLIANCE Sewage Permit number ............D.../......................................... t7ATH ARTICLE II STATE SANITARY CODE AND TOWN �Qy�FTNEt��yO TOWN OF BARNS1'A Ju L 33MOSTADLE, i `6 - BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... ... ................................................................. TYPE OF CONSTRUCTION ......t. /:...... .!(fit ..........................................:..:.................... .................. . ..d .. ...........19.;7, TO THE INSPECTOR OF BUILDINGS: Tke undersigned hereby Mpliies for a permit accord'n to the ollowing informati Location .. 'e....... '.�/►1: ... ....4'-..: .. .. !Lf�tC . ... ... f...:.:...:fC ....... ProposedUse .... �-................................................................................................................................................... Zoning District .................................... .... ..........................—Fire District �.t:!L��x��L�c�� Name of OwnerL -LI;:... .�. . CQC .......Address ... .�.�/ C.J�-f�... :. .... Name of Builder . ./�(��.1!. ... :�..................................Address ........�...� '�z �.e �?..... ........ ............ Nameof Architect ...................................................................Address ..................................................................................... Numberof Rooms 15..............................................................Foundation .... ,© ...................... t.... ExteriorkU.........................4�'''��'...:�'.........................Roofing ...��.- ........................: FloorsI...........................................................Interior ........................................... Plumbin Heating .. :..�(.�/'Zt-C.��1............................................ g �....... c-� rti..................................................... - Fireplace .....AL.�,I..................................................................Approximate Cost�41.42,...-O.�2.o............................................ Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area l�'. - 1..���.' ........ Diagram of Lot and Building with Dimensions Fee .............. .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ti n 4. r I hereby agree to conform to all the Rules a:nVRegulatio bf_the_Town of Barnstable regarding the above construction. Name (,.......... R, I.LGM, CERL G. & WaB A. i i Noi 162 .:....: Permit for Ihrr811i1 ... ........... 1 0110. St O X R.... �j ,xy.. `. Loca n 1 .................Cek.® �e •�'�ass........................ Owner ......Carl & Marie Hallgren Type of Construction IrAw....................•........ ' f Plot ............................ Lot ................................ k Permit Granted ...Au .u...st..29.. ............19 73 Date of Inspection � .1 ...f W4 �• 1 Date Completed ...... ....... /�L/��TG I M' i ,r PERMIT REFUSED, ................................................................ 19 ................................................................................ ................................................................................ r Approved ................................................ 19 ............................................................................... 1 'r - - iF- ICH I : I $arAsta le ld E e t. I I Applroved I t� I I . ilaT- LL el r - i � T ' _- � I I I - I ► I i � L- � � � I I ;�! I � I i� j ! — I I— i I � SIC.11 d P,DDI Ld FZ -LIZ it I I I i