HomeMy WebLinkAbout0070 RUSHY MARSH ROAD /7d
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As`*essor„s;rmap and lot number ..�. . .....(.�.. ............ SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
` t `i N ARTICLE IISewage Permit number ..�........................... STATE
SANITARY CODE. AND TOWN
R.EGU 0
QyOF?HEro�♦ TOWN OF BARN§T E
i BARNSTABLE. i
NA
G 9 RUILDING INSPECTOR
pY o y a
APPLICATION FOR PERMIT TO ..... . . .. ... .. .. ...... ... ............ .. .... .. ........ ..
TYPE OF CONSTRUCTION ............V.6t.-.7ZT
.. ... ........ . .........................................................
. ., .�...............19...7-
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............:....................'.. .. ... ....... ................. ::.. .....�.v.�.l'�:v�!',�G .......�................... ...
C,
ProposedUse ...................... ....... ................................: ....................................................................................................
ZoningDistrict ..............................................:/......................Fire District ..............................................................................
�i�✓su�......a_�� "............Address .... �` .`.:G' ... . . � ....1
Name of Owner .. ... ... ...... .......................
Name of Builder .. . G�Cl..:C� , �-d ress ...... a....0 n....... ...'..°..
Name of Architect ....... .!7.5.¢.e. ..........Address .......... :... ... .....4 .4'/....1
Number of Rooms .......Foundation ...... .. '�
Exterior ..............j.b.1? ..:/e .........................................Roofing ..................' ` .' ./......................................
Floors Interior
Heating_... . ........... /.............Plumbing ..................................................................................
Fireplace ......I/........................................................................Approximate Cost ................ ......................... . ... .....
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area
.......................... ...............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Nam . ................... .............................
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_-_-�� \ .
-
\
Permit for tv��
-----.� -
�
single family dwelling
| Location �='''=---------''ncotuit
---:--' '
�
.......................................... ...................................
S. Je��m �
- '''- -'--------------------''
/
Type ofConstruction ---..������------. !
|
-----~------------' |
--'-----. . �
- .
�Plot ............................ Lot ................................ /
�
- '
Perm 16
'
Date of Inspection
Date Completed -. � ~ '
A........19
CA~-' -
PERMIT REFUSED
|
,----._----.---------- lP
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'----'----~----------------''
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^-------^^''---~-^~--^-------- \ ]
-.-.~-.,-------....~-~~--.---..
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-'--------~------'----'---'--'
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' Approved .................................................. lg `
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-------------------------~'
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map�-�—� Parcel � � Permit#
Health Division Date Issued
®p .
.Conservation Division - Fee
Tax Collector' C (�
,'Treasurer �--
Planning Dept. ►
Date Definitive Flan Approved by Planning Board • .} i
Historic-OKH Preservation/Hyannis '
Project Street Address f)l)
Village Co I(.Yl
.r.
,Owner —4 n L - Address
Telephone:
Permit Request
Square feet: 1st floor:.existing proposed 2nd floor:existing " proposed Total-new
Estimated Project Cost 6OO o Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes 17 No' If yes,attach supporting documentation. ,
Dwelling Type: Single Family - Two Family ❑ Multi-Family(#units) -
r
Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: O Yes O No
Basement Type: ❑Full 0 Crawl 0 Walkout 0 Other
Basement Finished Area(s ' t.) .' 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' 0 Gas 0 Oil ❑ Electric O Other
Central Air: 0 Yes ❑No .Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:O existing'.,O new size Pool:0 existing ❑new size Barn:0 existing ❑new size
Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other:
• 1
Zoning Board of Appeals Authorization O Appeal#. Recorded 0
Commercial O Yes O No. If yes;site plan_review#
Current Use Proposed Use
#.BUILDER INFORMATION
Name � � 9r'r �ae�rr�iw� Telephone Number
F E5 '�- NGTRU
Address 71 TAGAGON-CIR- License#
COTU I i MA- 02635 Home Improvement Contractor# //C 36
( 0 ) 426-2292 Worker's Compensation# tOC IOUQ 61 l9('�0 0
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO MC-L)P11
SIGNATURE DATE �oOc7
• FOR OFFICIAL USE ONLY
PENIT NO.
DATE ISSUED
•�I f"a
MAP/PARCEL NO.
ADDRESS VILLAGE �-�- -- _ ,1 r•�-•, '-� �•�,.,i
rw�
OWNER
# DATE OF INSPECTION:.
r f
FOUNDATION ' • 1 , . „ • . • � y � , .. ;, � � . � .. ,
FRAME • ' t {
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL f _
PLUMBING: ROUGH FINAL
i•
GAS: ROUGH FINAL. - ��
FINAL BUILDING,r
' DATE+CLOSED OUT
• a a � .f
ASSOCIATION PLAN NO. '
i
r Department of Industrial Accidents
—
afev olh91599, 180E
6O0 Washington street
- - `- Boston,Mass. OZlll
Workers' Com ensation Insurance Affidavit
name
location 7 1 149-66yl CIR
city
o MI phone#
❑ I am a homeowner perforating all work myself
❑ lam a sole 'etor and have no one.waddn in anv=ac'ty %%/0i!
1 wolkets on for my emplayees,worlang on this job.::::
I am
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in,nrance�co::: -
p rosier 8ectlma 2SA of MGL 152 can load to the imposition of criminal penalties eta fine up to si,so0.00 sailor
FARM to secire coverage ;•rMoind
one yam,U"risomneat at'as clfH pmaitta is We'form of a STOP WORK ORDER and a&a of$100.00 a day against me. I understand that a
copy of this statement may be the O®ee of l avestlgntlons of the DIA for coverage verification
I do hereby certi - P dfpedury that the in
provided above is trw rood correct
Si�ature re , Date
Print name —P v9 -e Phame
oiHdal use only do not write in this area to be completed by city or town official
d or town: r rye' r permit.2cens 0gBnfiding Department
:a CLicensiug Board
# Mdectmeu?s Office
❑Checicif iunnedWe response is ngnired'* Health Department
contact person: `�' ' ' phone#'
(mined 9/95 P1ARW
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HOME IMPROVEMENT CONTRACTORS REGISTRATION ' .
Board of Building
One Regulations and Standards .:
Ashbu
rton Place Room ,1301w'
Boston,
Massachus®tts. 02108 -
4 HOME.'IMPROVEMENT CONTRACTOR
Z.� -t -
� Registration-
rai EXpiratiOW
TYP@. 112536 .- ,04/.06/99< �„ a�,a �f:: f0`',Y Y
E ; ''..
ML
: Re9lstratioA 112
FRASER CONSTRUCTION Ron INMVMT TRACTOR
DEAN C . ERASER
8
., <`�L ��r 9 �+.F9�wia:�,yf.sa ;� ,��'TI►pe =:•pgA''�< •-;
71 TARRAGON C IR f 4" : � "�'' ; Eapiretio� "_'04/06I99 .
COTUIT MA 02635
FRASER CWSTRUCTIOR
C. FRASER
I wvon 1 TARRAGON CIR
COTUIT KA 0263.9
The Town of Barnstable
' Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no. - y
Date C/AdAQ000
AFFIDAVIT
#3 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: Estimated Cost d0
Address of Work:
Owner's Name:_. ibS
Date of Application:
I hereby certify that:
Registration is.not required for the following reason(s):
O 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.
O c�
ate Contractor Name Registration No.
OR
Date Owner's Name
q:fb ms:Affidav „
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