HomeMy WebLinkAbout1160 PHINNEY'S LANE (12) v
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Engineering Dept.(3rd floor) Map Parcel
- House# l Date Issued 3 `9
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)j��—.O--�-
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 11 Iwo Dl n o r,
Planning Dept.(1st floor/School Admin. Bldg.) `" � SEPTIC ������� �•
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Definitive Pla r ed by Planning Board 19
VMRON ODE AND
TOWN OF BARNSTABLE ® B �°®N�
Building Permit Application4' G!
Project Street Address y` l
Village
Owner Address O ''
Telephone
Permit Request
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 Telephone Number 7 f Z
Address
License# c::�, v 6 3 q
Home Improvement Contractor# L/Z 0 ZI -f
Worker's Compensation# 4!_22.,'2 e�0-2, 3s01
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULT FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
s FOR OFFICIAL USE ONLY
PERMIT NO. ~
DATE ISSUED
MAP/PARCEL NO.
- .ADDRESS VILLAGE
OWNER _ r
+
DATE OF INSPECTION: r t t r
FOUNDATION a '
FRAME
r
INSULATION
FIREPLACE a _
ELECTRICAL: ROUGH ,FINAL d
PLUMBING: ROUGH FINAL
GAS: - fi ROUGH } FINAL
p ,
FINAL BUILDING
DATE CLOSED OUT A
ASSOCIATION PLAN NO.
d ,
7 5.0 STANDARD LEGEND\ \. 77.0
--' note:not all symbols will oppeoi on a map
0.
` \ \
GOLF COURSE FAIRWAY
t .
11 \/
_8 #1167 / / DECIDUOUS TREES
4 ,
•\:, /\ f .! _ - \ `` _ � .., OF BRUSH
� �` - r �` /•\ ° Kl° ORCHARD OR NURSERY
3 � �•�"7 3
CONIFEROUS TREES
I MARS"AREA
\ \75.5 _ _ \ .0 GE OF WATER
I EDGE i
1� /
i..•:. �T .... � '� DIRT ROAD
p w, ` J r
\�?� ! 3 r s I J / /' DRIVEWAYS
/\ \ r ( / I /• PARKING LOT
---_.1/ I 1.20 AC \/C(]°!7I �.. PAVED ROAD
O 1 fU DITCHES
PATH/TRAIL
— /\
< 7° �' -7 PROPERTY LINES
LOT
70. ., H
EAGE
r
ziOUSE NUMBERARCfI NRUMBER
��..� -><• / -. 06 7�. I�L.......... 1 FOOT CONTOUR LINE
10 FOOT CONTOUR LINE
'.., '.:.�. :•C J - -- - '•�•/ 73 X" SPOT ELEVATION
E 75.2 \/
E 9 1 /\ .... STONE WALL
.4 ,
, FENCE
,y \/ .�:4 `. �, /._. RETAINING WALL
,
,
_ �..� •, ,G,-' '� - � < - RAIL ROAD TRACKS
_
y /.74°5
\/
,
7 4° TELEPHONE POLE
0.0O'AC •\% /•\67°VJ .-.... STONE JETTY
SWIMMING POOL
30
/j
PORCH BECK
;3
/
.. \ _ 1 �
r1,
,
Ga BUILDING
S/STRUCTURES76 _
7 DOCK/PIER/JETTY
ASSESSOR'S MAP BOUNDARY
i�
Ir J.
�.
j ,
,�h� SITE MAP
Y\/ 73.1 0. 1
4 r86 - 9
/ 7.a �� ,9 �' '� 7 , #1/
0 '�; I.O.B.GEOGRAPHIC INFORMATION SYSTEMS UNIT
#?d .30 AC 0.32 AC
< � 0.30 AC -. 10 \/ 11 n -- Jr SCALE:in feet
8 6
r 37 31Q3 #15 /'\ 71°1 #21k/
0.41 /•\ 7,1e1" 0 50 100
g
`1 #34
s _ rr N
r 1�
,, a 1 /•\
2`e W E
\ _..
�
, .,... 0.28 AC -
0.29 AC
1 - 1 g /
._ s
""�" 'v• Flll:bar'E9n phu°W S+96
37 AC�,
/ r'
�+ '; #33 \//� NOTF.THE PM(FI FINFS ARE ONLY GR/PX1[REPRERNTATIONS OF
PA.IFAlle0UN01RIEI,TNEY ARE N0i 1lOF lOG710N5 m1A 9 7 9/
--> .....
sl
i
VEGETATION,TOPOGRAPHY AND PLANIMETRIC DATA INIERPRIIfD
# .* ""'<; J FROM 19D9 AERIAL OVERFLIGHTS,PHOTOGRAPHYAt I'—RDO'
/ fit) 0 AC
\� 11 ••....� `�.'; r ENGINEERING ASSESSORS MAPS 1999
036AC c' #58 1 /
�` / I: 't MAPPEO At 1-100'.PARCEL DATA DIGITIIED FROM 1-100'
0. 2 ACAT
Z X P T /6,,Ive.
Orr
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WE
. .� The, Town of Barnstable
ELAMSMM
MASI
9� 16 9. 10�' Department of Health Safety and Environmental Services
ATEDMA'�p Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
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,alongD with other requirements.
0 0_71 o do- 'At r
Type of Work: iO•7, &X ie ..¢a Est.Cost
Address of Work:
Owner's Name h4� J1�+_
Date of Permit Application: %D 4q, A-P,6
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 age of the owner:
bati Contractor Name Registration No.
OR
Date Owner's Name
er
The ConnnotiHealth of 4lassachusetts
`ayi Department of Industrial Accidents
t" !
t _ 0/ficeol111MOS SMOOS
'V% 600 1i'ashiu-r►tun Street
Boston, Mass. 021,11
Workers' Compensation Insurance Affidavit
APO m t
m
location:
citv line
/t
rJ I am a homeowner performing all work myself.
1 am a sole proprietor and have no one working in any capacity
! IF 'wq,9a !. �:?T ':R ?BTJ TAaY't'r-" 1'�'.T�' '- T.'�^wy"t+!.� lT _ - _ ^°a r M'✓.+!.,",Y.'!e�s�„'..'•t.wRe-.?.,Cr
I am an employer providing workers' compensation for my employees working on this job.
company name:
•td d ress• '
city: phone#:
insurance co. policx!!
1 am a sole proprietor, tracto or homeowner(circle one)and have hired the contractors listed below who have
the following wor ers' compensation polic
Comoan•name:,
address; �i� 0 �2L��
ET�
a insurance co. / L licy#! �Ct�a 7 Q
a'S�
r , _ .-... :�t:.ry'« .}y�ac__�r,s... '1••-�'• * �':t„'L._•r;'T.^".atr"-a�ti•'���i.'T7!�r�r...rg�RJr.';.�r ^.;cij4',�!�:._-.r•-a+.. re�,, -,`at;Ya.i+.x
_........_...._.ter_.- ...___• .. -._a- ..u. .,..."- r ,nit"� � '''" s..:YYroiv:.►•
compare name•
iddress-
city phone#•
insurance co policy#
Attach addi_Bonal sheet if tiecessa//'� _ :._ � • �.`�'ara"f�;� �.'• =..,.,'.£.;•."+ .: �:." ��=="� „-
.w�rr:�Lr.l.allWit�.t`%s/s:'Y�••_••,1. �,�•••'• .11Y.4M- •JIL1L rY 6L
Fuilurc to secure ct►wcrage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 r!o lierehr certlf under the pains and nnUies ojperjurt•that the information provided above is true and correct.
Signature Date, �/
Print name Phone#
r: official use onh• do not write in this area to be completed by city or town official
city or town: permittlicense ti r'IBuilding Department
Licensing Board
check if immediate response is required OScicctmen's Office
[311calth Department
contact person: phone#; nOther
(revised N95 P1A)
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