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HomeMy WebLinkAbout0021 CLIPPER LANE q > r , o —' Engineering Dept. (3rd"floor) Map J Parcel $. Permit# House# Date Issued Board of Health(3rd floor)(8:15 '9:30/1:00-4:30) - Fee Qd _ Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE Definitive Plan Approved by Planning Board 19 • BARNSTABLE. • MASS' A TOWN OYBARNSTABLE Building Permit Application ; Project Street Address Village f Owner a Address Telephone Permit Request r -First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 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 FRASER CONSTRUCTION Telephone Number Address 71 ON CIR. License# Home Improvement Contractor#MOB) 428-2292 ��aS Worker's Compensation# 4 /`3 ,,S VS2 43 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 n?az?J y SIGNATURE DATE BUILDING PERMIT DENIED FOR THE T T O ING REASON(S) tq<2ff ; f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED , .. MAP/PARCEL NO. ; 1 k ,y ADDRESS '.�' t VILLAGE i ,, {� . . r Ao OWNER DATE OF INSPECTION:, ` ' ` � - � • 4 - �j , --•,� FOUNDATION k • t , .~ FRAME -- 'INSULATION 4 1 •. .. � _ A .. i { ' FIREPLACE , { ELECTRICAL: , ROUGH FINAL PLUMBING:° ROUGH FINAL GAS: ROUGH FINAL 4 •-• «. FINAL BUILDING ✓.DATE CLOSED OUT , ASSOCIATION PLAN NO. { 1 . .. The Town of Barnstable NAM � Department of Health Safety and Environmental Services Building Division 367 Main Sycar,Hyannis MA OZ601 RalphCrossm Office: SO8.790.62Z7 Building ding Cammiuio::: Fax: DS•790-WO For office use only Permit no. Date AFFIDAVIT HOME MWROVEMENT*CONTRACrOR LAW SUPPLEMENT TO PERMIT apPLIt.ATION MGL a 142A requires that the "reconstruction, alterations, renovation, repair, moderai=don. 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 Waits 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: ' Est.Cost �� Address of Work: Cs2i✓l�(� V! �69 Owner's Name ys " Date of Permit Appil=tion: I hereby certify that: Registration is not requited for the following renson(s): Work excluded by law Job under SI,00L __Building not owner6occupied Owner puMug own permit Notice is hereby given that•. OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE C�ihi OR GUARANTY FOND UNDER MCL 142A ACCESS TO THE ARBITRATION PR SIG,NED UNDER 1WALTIES OF PERIURY I hereby apply for a permit as the agent of the owner. D Contractor Name Regisuntion No. OR Date Owners Name i The Commonwealth of Massachusetts . Department of Industrial Accidents ffs 600 Washington Street . -- b't Boston,Mass 02111 r �� ,� „ ,,,,,,,,�/�/��/��/�����/����/ ensation Insurance davit iiii .. name: FRA ER CONSTRUCTION 'RAG ON CIF ocation: Cn11111 ci 508 42$-2292 hone# ❑ I am a homeowner performing all work myself. ° 4 ❑ I am a sole r rietor and have no one workin m amr capacity ❑ I am an employer providing tivorkers'compensation for my employees working on this job. ERASER CONSTRUCTION com anv name: address: (508 428-2292 . ::. .:. city:. nhone#: insurance co. �1 � alley# S(1 Q ❑ I am a sole proprietor, neral contractor, or homeowner(circle one)and have hired the contractors listed below wh have o the following workers' compensation polices: ......... com anv name* . address: dtv :. nhone# insurance ca • h LID anv name: address: .. .: : .:.._...,.,:.�.:.......:... dty: .. -- Phone# in�ntancr co. : , alley# Fallare to assure coverage as / g required under Section 25A of NIGL 152 can lead to the impwit(on of erhmnal Out Years'imprisonment as well as civil penaides in the form of a STOP wORIc ORDER and s Me otS1 fine00.00'penalties y ag[allot maitunders ana muse or COPY of tuts statement may be forwarded to the OtIIce of Invesdgattons of the DL for R and a fine IIcation I do hereby ce un the aims enalties of perjury that the information provided above is true,and rowed Signature Date Print name 04 ki C' [--a Phone# IN Cd tiie only do not write in this area to be completed by city or town offidal z cityown: perndNicense# QButldLugDepartment kif ltnmediate response is required �Licea�btg Board ❑Selectmen's Ogee person Phone#• Mealth Department " ❑Other 4..W 9,95 P1A) 1 7; d HOME IMPRO�EMEN, Board CONTRACTORS REGZSTRATIQ of Buiidin Resulatioris one Ashburt-fin Place and Standards Boston Room 1301 Massachusetts 02108 HOME IMPROt�EMENT CONTR . _:.._ Registration . 122536 ATOR f T)�,Pe - DBA ExPiraticin 04/06/99 - - 71W en ERASER CONSTRUCTIOa f .22 DEAN C ERAS w HOME IMPROUEMENT`CON ER TRACTOR' 71 TARRAGON Re9istretioa 11536 CIR 1, ' r COTUIT MA 02635 ' Type - .D84 4 .: '. - i �• Expirafiaf 04/06199 FRASER CONSTRUCT16H FRASER aroR 1 iARRAGOM CIR Y, L . 2635 COTUIT MA 0 Assessor's map and lot number .. THE T SEPTIC SYSTEM y Sewage Permit number �V�f INSTAUED NJ COMA ' 1 9TADLE, • r House number ......................................................................... VATN 'rp� a�� py f 9 Mass ENTAL CODE AI war TOWN OF BARNSTABL LY/ ' ; BUILDING INSPECTOR APPLICATION FOR PERMIT TO .R+?.3MWA! . . ^............................................... TYPE OF CONSTRUCTION ....AAP&...: ( .M4. ........................................................................................... ..................`A. ..................19. nF BUIL ING The undersigned hereby 7pplies for a permit according to the following iafion: r 1 Location .....AA...... I1FF:.......C'.�'�........................ ................... ............................ ProposedUse .'?sat na....�;6eA................................................................................................................................... ZoningDistrict .........................................................................Fire District .............................................................................. Name of Owner Wwrmma� ...MCA.se,4 4-4..................Address .AN.....CLL-%tft.1L... :l.. . .................................... 7tr1�. , rn'`� ?G!r!"e!.' .. ..? 0�� "s ...! �..... f7 .................. i Name of Builder Address Nameof Architect .... At.....................................................Address ... ........................................................................ Number of Rooms ... .............Foundation, Exteriorcacr...... ...........................Roofing ........ ......................................................................... Floors .....M/ Interior .. j .. .................................................... ....................................................................... Heating ..... ............................................Plumbing ..NA........... N ....................................................................... Fireplace ..:?91A.....................................................................Approximate Cost .......'a. ©............. .. Area ........ ................... Definitive Plan Approved by Planning Board _-------------------------------19--------. .. ... ..�... .. ....�x-.`.!?K Diagram of Lot and Building with. Dimensions Fee . ... ............ ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 5 S wtu- `DoXM" e� 97 1� 3R I M I hereby agree ree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .. . Name ............................... MOSELEY, WALTER .r r x No,.22 �.. Permit .for Single Family Dwelling A ................ ...... ...... ..................... ............. -36 y Location .... L4X%e..................... j ...................QeTltp.x.V.a.I.le.................................. - - Owner ...Wa1tex..1".Qap.1p'.Y%'......................... -, . t .!' `' tU � f . Type of Construction ...Fz ame cnr� ................................................... Plot" ........................ Lot ................................ j r � June 2', , "� 80 ' Permit'Granted ........................................ 19 Date'of- Ins ection .... 19 �♦ ., p l Date Completed .�.............:.........' 19 "4 1 ._ PERMIT REFUSED N 19 f .. .... . :.............................. . f Cr �. .... .. ., . ................................. :7 .................. } � 4 ............................................................. ......... ........................................................ { 4 r, `..... .. .................................................... . ApprM ed4......4..-....................................... 19 ............................................................................... s.. .................... .................................................. �x Assessor's map and lot number .. ` . .. !? ...... D o*THE o t� Sewage Permit number .��:��� .�.. ! ..A!l - ✓?!. �,c �``Q ~0 �•r 2 BARNSTABLE, i House number ...........:............................................................. 900,0�P 9 0� fO No ale TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO . 1�.:? �"f it;, •^ }i t T� R M ft ........................................................ .1Cac -k� P: a . TYPE OF CONSTRUCTION ..................................................................................................................................... - ..................��f.. ....................19{ K TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...............................(?..:...............y...:,........: .......:..•...................... ProposedUse ................................................................................................................................... -Zoning District ........................................................................Fire District .............................................................................. Name of Owner ./+!tT,1 ....AA ...................Address ...`A.�....0 �g f!F/':... . "..................................... Name of Builder Rom.q>.l ax., nt.:^ ..( c .�i S�",..Address .r .....-�w !�.�,1 Z. IC�.I , /��vi�S................ Name of Architect ....NI.A.....................................................Address ... /l} Numberof Rooms ... ...........................................................Foundation .. . ................................................................... IIyy � Exierior Y ft �' ��.,e(� J CASO ` .h1..i..............G..............s........J...:.......................:......Roofing ......../........................................................................... Floors )�,��A........................... ...�.. ......................................................................... ..............................................Interior // Heating �1 Plumbing .. /a Fireplace ..: .:.. ...............................Approximate Cost Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ............tK ,..,... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t P I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. M_-___- ' 3�= .-_--__ _-- - ^ . ��� . . .," ...°°�~^^~ Permit. for ^^ui-Id. -' � Single Bamil:� Dwellin -----^---'~'^---'' ----' Location .'2l'..0 on'' -----''' c/ -----..CQxltexvilIe.----------- / Owner . .WA1t;QX .......................... Type'of Construction I.Erame--------.. .................................... ............................ � ' Plot ............................ . . ' - . � Permit Granted ....bune....2..................19 80 Date of Inspection/^ ' | ' ~~'~ ~~ ^r~' PERMIT EFUSED ' '--. ` --.. . ..-... | . ' . -~'~+c..~\... .'- -'''' ~v` -. . '---'- ' � ..................................... ........................................ � -------^--^--^^-^'---`~-'---^'''' Approved ' ................................................ lg � -------.-'------..._--------.. ^ ---..--.�------------.-~-.....''. ` ^ ' ����� .jr 'p '70 vp ll v lk ,jjz A- -147 4t y t 'It 7 'WI It 46 A4 ;Z7-t7 jr j.NAf jk 4;L ,4 4 -4i T�7-, Aoki 4