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Home My WebLink About3026 MAIN STREET 00/10 E`rrn t t- CJ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 277 41 Parcel 42 - 8°11-D/N, A lication � GC?EPPp / Health Division OCr 1 Date Issued 1a/2m//Z-1P/i?`k, Conservation Division r4A4AN To vvN 3 20�6 Application Fee Planning Dept. OF aARNSTg8LPermit Fee j lU 11I • 1,6 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ey44/1- Project Street Address 30262 Village 51 Owner s A_R L ess -s 42\13Ov/ Telephone 50;3 '? ,Z OJ 4-OlJ Permit Request 'tsv-Ao s s'Ll... JGtS`T(f�l li t* 4 SKTR-\ NA) f I ASW •lCnn2.g Vslit\, .S IU t'& W LoC P ViDi•1s, --ro Ir-!1po[ act ST1 RU Square feet: 1st floor: existing3g4 proposed 30)4 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 111610v0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 3Q0 " Historic House: .Yes ❑ No On Old King's Highway: X,Yes ❑ No Basement Type: td Full SCrawl ❑Walkout 0 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: 3 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing 0 new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r� Name �--t KUIEAC� Telephone Number Zko A243k, Address VIb. M\WM pQ_ License # C:Dt?\-Mk0 I yke-Rasorl. 1`it,Pc 021013 Home Improvement Contractor# 5 2-10 Email <l.lI Id 1 @ Ci i Al Worker's Compensation # 10002-t ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Njk:;U a 1SPi, SIGNATURE DATE it �3 ��b FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE r OWNER DATE OF INSPECTION: • FOUNDATION FRAME 'air) /° 7h7m (/2h i zoxs. dbus� 210e•C: INSULATION e FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDIN OP" 7( (710-001 DATE CLOSED OUT • ASSOCIATION PLAN NO. • • Ike Coinmoilweallh of act ..: Department ofindastrial Accidents • =F4— . pie of Investigations. ei - =- �_ ' 600 Wushuigfort t ', - Boston,M!02111 . t ,,-i.'1.: WWW"mas.gov/ria , Workers' Camlpe Insurance A davi± Staidex Can dory ctri " ns hers Applies Information Please Prim Legally Name �1 �CL.l]t4 • • Addr I0 D 1-tit©1 . e�{Sta> p: • \N e.a - •�1 -4: G� 240 4�b Are you an employer?Check the appropriate box: Type of project(required): L 71-I am a employer withi. 4. ❑I am a general contractor and I 6. ldety oon on - • employees(fall andfot:part-time).* a�ecLthe s -cvm s ❑ 2.❑ I am a sole propridnr or partner- listed en he attached sheet ;7 yRntmodertng ship and have no employees . Mese sob-contractors have & 0 Demolition woihng forme in arty capacity' employees andhave workers' R ,�, ' • [No 'comp-insurance • - comp.%n¢ mf-r 1 • . g- ❑ ,,�'�"',,�addition ] - 5- ❑ We are a corporatit n and its • 10.0.Eleafrical repairs or additions 3-❑ I azaa homeowner&lute all work officers have exercised their 1L0 Plumbiagrepairs or additions , myself[No ors'comp.. ngbtt of exemption per MGL 12❑Roofrepairs. . insurance required.]I - c-152, §l(4)andwe have n9 1 , employees.[No wonkeis' LI.0 Other comp-insorance -] •Any appfiamtHsat cbeclssbox#1 mast also ilotthe section below-doming ilie¢wces'onopersafoapolicyinfocmatioo IHomeoarners who subin Ills Effidaeli sti,,.J tbeyare doing all vrarkandfa=him out+idecvntscemunst sahmit alleVir afrulzeit ireirgirssash_ rContamfElstelecttLasbonematztt aasdditheelsheetshowciagtheazmeoftheViandswam-hetesarnottheseentxte bzse • employees.If thesub-ccotputorskareemplosaes,theyaastralsilleffirs was' -P F . • I am an employer thous providing workers'cantperzsafion insurance,for any empfa3eex Below is the policy mad job site . informratrvn Insurance Company Norse.: t's\02A 1M#.l, r 1„14M'C C.(Rc)p • • •Porficy i or Selfins-Lic-fk 1%Ai& 100021 Fapiz atianD a % lIZA 11-] Job Site Addsem 3� �Wl S"r Cp_ MA, esZgjd Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 1 Failure to secure coverage as required under Section 25A of MU.c.152 can lead to the imposition of rrirni rml penalties of a fine up to$1,5O09OQ and/or one-yearimpFisontn es well as civil permItiPs in the form of a STOP WORK ORDER.and a time • of up to$250-DO a day a nct the violator- Be advised that a copy of this statement maybe forwarded to the Office of . . Investigations oftone DIA for insurance coverage vevi-FcAtinn Ida hereby certF;fir under the pains penalties o f.perpiry fhatthe information prmadcd above is bare and correct Date_ 40 Phone 5� 2 'rl�k, • Official arse only. Do not write in this area,to be completedby city or town eicrat - - City or Toga: PermibLicense - ' Isszirtg Authority(circle one): L Board of Health. 2"Bu ng Department 3.City/Town Clerk 4.Electrical Inspector 5.PImnbing Inspector 6.Other . Contact Person Phone#: