HomeMy WebLinkAbout0407 PRINCE HINCKLEY ROAD -Rd'
�Ic�"1 Wi h c� I� f nc1�Cf�
Town of Barnstable
Regulatory Services
9 B" . - Thomas F.Geiler,Director
1639.�Ec over°i Building Division
Elbert Ulshoeffer,Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
1 211/®K
SHED REGISTRATION
120 square feet or less
Location of shed(address) Village
C �,A P-1 r`s J N. A k1 rTO M/ S"o S -
Property owner's name Telephone number
lb !x / z ` /70 176
Size of Shed Map/Parcel# -
Signature Date
Hyannis Main Street Waterfront Historic District? tic)
Old King's Highway Historic.District Commission jurisdiction? YJC.)
Conservation Commission(signature required) "' y0ec--
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PICOT PLAN
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Q-forms-shedreg -
7v 170
1.7
4
Y
;r FTOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION
Map / Parcel /v' F Y Permit.#
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Health Division Date Issued "
Conservation Division Fee ' - �° PQ
Tax Collector"
Treasurer ; (ii�Gc�- C� vL�I�Z�dd
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 0
Village—Jvp,/1°erv'c & Ii r -
Owner P_ o�q Q 2: Address
Telephone d - y f 0 '
Permit Request
14X a �
Square feet: 1 st floor: existin 400
proposed 2nd floor:existing proposed Total new
Estimated Project Cost 00 0 O Zoning District Flood Piain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family UK Two Family O Multi-Family(#units)
Age of Existing Structure Historic House:. Q Yes 4N0 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 ❑Oil O Electric ❑Other w
Central Air: ❑Yes " ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No
Detached garage:0 existing O new size Pool:0 existing 0 new size Barn:O existing 0 new 'size
4
Attached garage:❑existing ❑new size Shed:0 existing ❑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 Telephone Number Z6 S
&_ 1? j
Address ��2z c� T! f 0 License#
l "a-m4 ! - 2-4 ali, Home Improvement Contractor#' 1� �! � 6 0
i - /
n`kdV j l Le ��� Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C� Cc!'iil.J'
A
SIGNATURE '` / DATE
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED '.
MAP/PARCEL NO.
i._ADDRESS, i +• _ VILLAGE r- '
OWNER
DATE OF INSPECTION'_ t R i
FOUNDATION
r � FRAM_ E .• - � r �.. •�. ! 4 _ � � r• I ,. ;� Y c r .. - � ,� - "" ' '• !
r INSULATION
FIREPLACE
FINAL ELECTRICAL: ROUGH
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
g FINAL BUILDING . k "_ i 's } • r
c _
DATE CLOSED:OUT, t ,
' ASSOCIATION PLAN NO.•
own oi i5arnstaDie
9\ 6 m�' Department of Health Safety and Environmental Services�` .
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-8624038 Ralph Crossen
Fax: 508-790-6230 - Building Commissioner
Permit no. G
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: r //A
Estimated Cost F00 t
Address of Work: Y.-Z1 %rI e-VA
Owner's Name: me--O? 4-14
Date of Application: r a .in -� re^.-e)
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
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Date Contractor Name Re stration No.
" ^ ,� p7i m. OR "
Date Owner's Name
q:forms:Affidav
r
TOWN OF BARNSTABLE `
Permit No. ----•--------'._`_'-w....
-
I � = Building Inspector Cash
. .s•o
OCCUPANCY PERMIT Bond ..
Issued to Address
i0c iibj 4UJ mince hinckley Road, Centerville
Wiring Inspectors . Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
Building Inspector
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.`,,�►�G�C-. FAM�LY - 3 BE.OR�oM t ,. : � �
r�Q". GA¢P�o►GE 6 D[=a.
c�A%LY+FLovV s IIQ x 3 '3�G.P p�1
5EPT1G TASK;= 330x150y. = q91 b.P. .r
uSE 't000' GAL. �! � � � •' � _ �� f��.. t
' yplSPosAL. PIT v6E t 1voO COAL. } ' • * k �U
ego 5.>~
TortA 4.. �RSIGN -4z 5 G P'D• U1 `� FIT' '
{ ToTA�. DA14.Y' FLOW! - 330G.00
PC�
•• LAT10W RA?E IIN `VAIN orLESS „�,
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s R04ARD PETERA.
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REF E1ZEW GE $
CE aTIFY THAT 'f HE t-DU►JDATIDLI �j1rOVYN ,
N�Q•�W GOMPL.'(S WITH-TNE S 1 o�L11J E LOT
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Toww OF �pr'1l��1'a�1A AND 1S I4cr rLAI.� I 2 /�lau
LOGATED 'WITNIQ TN,6 FL000 airs PLe►11J t !j
- DAT1r, l c ��--� gAxTEiZa WYE- INC.
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Tu1S vLiO.l l 15 N� f3n5t�D o►d AN 057SMVILL���• MASS•-
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t� is ' �vNA �NL
►l--- MM ijSED"�'O DETER.?f\IQG � o'r" �. {NE�j /1PP�IGA►J I"
its
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'sor:s map:and lot number'..:. 70.. ..._..�� O ;,� l � Iwage Permit`number .................. WITH
J+��li.. M Z BJHB$3ADLE.Ji '�
House number ...... .. V .. .. ............. . ..... . ... ' r', e C 9' MA848 �4
4 TOWN, OF ' "BARN STABLE..
BUILDING INSPECTOR h
APPLICATION FOR PERMIT TO....: :....................................................................... ..
TYPE OF CONSTRUCTION. ..... : :a. -............. .......................
...............................19....�..
.4 °` 4TO•THE INSPECTOR OF BUILDINGS
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�The undersigned her by applies for.a permit according,to the following infor ation:.`
ri Location ........ te
ProposedUse ............................. ...................................... ......................................... ................ ..................... . T`
Zoning District"•....:...........::........... :....:.... :..........::..:.............Fire. District .................
.f .1... r
-Name of. Owner .: ........ .................... . . .... ....:. :..Address ...... ...
a.
Name of Builder' ........ ......• •••...'.........................Address j
rName of -Architect................................... ...........................:Address ...............................:. ........`....,.... .....................
Number of Ro ms ....Foundation', :./ .........
Exterior .. .... : ...: ..... / ......................... :......Roofing �.., :...
4 � �.Floors ....... ...:......:�.. ........... :..: ........................................Lntenorr ,
'ri'eating., ....�/`,,.. /� ..... .. Plumbing ....`. ::::.. . ...... ..
Fireplace , � .. .... .. ...................... ... .Approximate Cost ...... U/. �r
f(
Definitive Plan Approved b arming Board .___ 19 ______. Area � v
------- -
� v
'Diagram of Lot. and Building with Dimensions 'Fee ' Q
SUBJECT TO APPROVAL OF,BOARD ,OF HEALTH 5 `
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to 'conform to ail'the Rules and Regulations of the Town of Barnstable r a ing the above
construction.
Name ............::...
•�
Construction Supervisor's'License
ATN E..
27421 �-' One Story ,
No ................. Permit for ..... :.
„ Single Family Dwelling
it ............................... ............ y.. ., ._, u "`�• • ', ' - y
Lot 63, 407 Prince!.Hih-ck' ley Road
Locatron ..
..... ....................................
Centerville a
... ............................... _ ... t
,Owner Alan E. Small.... y ,
r= Type`of: Construction ..........................................Frame
.. .. ............ ... ......... .. .... ....................
Plot ... ..................... Lot` .... ...... t
January ll, 35
Permit Granted
r 19 `
Date of Inspection ..:................... ..19 .
f• Date Completed L . .19; +. °'