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Home My WebLink About1160 PHINNEY'S LANE (3) AW70, Engineering Dept:(3rd floor) Map 'Parcel— Permit Permit# 3 7 House# awv- �"� V&e Issu A Z Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Fee _16 ab Conservation Office(4th.floor)(8:30-9:30/1:00-2:00) rr SEPTIC SYS UaT BE Planning Dept.(1st floor/School Admin. Bldg.) 1NSTALLU PLIANCE Definitive Ian Approvedby Planning Board 19 ENVIRON DE AND 46 TOWN OF BARNSTABLE ®WNs. IONS Building Permit Application Project Street Address ( !Ca D i dy&g_��' tAAJC a ! Village Owner . Address G( Telephone Permit Request s-cs eK/ S' m/� - L) e , K l D r -PT_ K`f dv?4 btGA-Nlf b62IGi/ic. 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 E ' Builder Information Name w < <L S C44 � L : I Telephone Number '� Address &-rK 2-06 License# 25-6,3�zo C01 `R-y l(-L, � ©7-,Je?,-2-- Home Improvement Contractor# /l'Z O�g Worker's Compensation# (A)ZA-lo o Z 39 21M 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 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE + �' OWNER -DATE OF INSPECTION: y FOUNDATION , -+ - FRAME y INSULATION FIREPLACE ELECTRICAL: ROUGH .FINAL + PLUMBING: ROUGH FINAL- GAS: .ROUGH FINAL FINAL+BUILDING }'• - + �' t + DATE CLOSED OUT ASSOCIATION PLAN NO. i 77 7 5.01 ' STANDARD LEGEND / •" / , \ ,^' /\ - note:not all symbols will appem on a mop 0. A� i -^� GOLF COURSE FAIRWAY p '1 •'�^ (,.)�'� , #1167� �•i '`•:;j. k. _. DECIDUOUS TREES ' \ "' ;`-i _' ;-`:'-�• _ .,.. EDGE OF BRUSH - - ti . ORCHARD OR NURSERY CONIFEROUS TREES I MARSH AREA P -78 A.... 7 5.5 / , _ _ _ /\ '�2 ��, EDGE OF WATER 1 \ DIRT ROAD 79 `N _ / DRIVEWAYS �l" / PARKING LOT 1.20 AC \/69.0 PAVED ROAD DITCHES .��` PATH/TRAIL .�� 7 7 PROPERTY LINES PRO E l S a C /�• LOi ACREAGE r \\ 7. ,` , I,•! �\/ 7� � HOUSE NUMBER 1. NUMBE 1771 ARC L R .3 !, / \l 2 F CONTOUR LINE ... i ] \ , 10 f00T CONTOUR LINE 73 x�. SPOT ELEVATION \ _^ 5. ,\ 69.1 /\ E STONE WALL 2 4 ,` �/*- � •, _�>,_ t� FENCE �., �;... .� ��-' •• RETAINING WALL /� \. " 4 �:., -c1' L ROAD : : ;'...T � TELEPHONE POLE i`; <• _ - STONE JETTY - _ SWIMMING POOL / �' .' , PORCH/DECK � r,3O •'� '• i../ ,.... ,,, ,. BUILDINGS/STRURURES \ 7�' ....\ s_ - I DOCKPIERJETTY ASSESSOR'S MAP BOUNDARY I n t ` / , 7 , .-r 30 AC y 73.E �� . -SITEj MAP - T3pc �#17 0.32 AC \\ L'. T.O.B.GEOGRAPHIC INFORMATION SYSTEMS UNIT `.\g 2 , #2a....,...• 1 _ 4 T. r� 6151 7'l01, 1$3 / 0 AC �� (� \, 1 Q SCALE-in feet 3, \ #213, 0 00 0.41"A : y 72e \ i N 0.28 AC _. �" 91 — 1 #441 l� ,� , •' 0.29 AC S NIT:b r'dy Ww 5696 37AC, —C #33 \ L �] 1 NOTF:7NF IARCFI IINFS IRE OXITGWNIC RFMF5FXt170X50F ' 1,A # II I PROPERTY BOUNDARIES,THEY OH NOT TRUE LOCATIONS mih 8JA1 i / \... // I VEGETAIION,TOPOGRAPHY AND PWIIMETRIC DATA INTERPREIEO 12 # 1, i i �' __ FROM 1989AERIAL OVERFLIGHTS,PHOTDGRAPHYAT I• 1100' \` 0:30 Af is = 013LAC ; ; ; < ' .. PEOALL'=I PARCEL DATA 0IGIDIIOFROM I'-100 i i ,'' I / \ ' `�� _. 1••�..... •'� ........ •,.t .. - .. a FINLINCEAING ASSESSORS MAPS 1989 /�c '� 0: 2Af . /' #58 I i X PT /I`ve. Ll4h�r� J j�J t�l y � ;q s � , cn pC Cfi m tn .. - Q� A V w. 0 s+ CJ] []D by y Ol ry OF THE IOYY . � The Town of Barnstable • BAaNSTABM 9 �.a639. Department of Health Safety and Environmental Services �A �0 rED Meg" 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,along with other requirements. Type of Work: /0,T cF x io ..¢ter Est.Cost Address of Work: Owner's Name —,_a, Date of Permit Application: %0 41 A-P 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: Jr� .� 2c2Z l5at6 Contractor Name Registration No. OR Date Owner's Name The Contntonivealth of Alassachusetts Departinew of Industrial Accidents 1 office ollnvestfyallons 600 11'a.vhinhton Street Boston, Alas. 02111 `-' Workers' Compensation Insurance Affidavit A.,.,tc,...... �'r....,.,•..,.,. Please PRINT l'ebtbl� .., name: location: city nhone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _ L .ts..•;'�,_ .�„`:�. 'r+7e�-+•.alpee�+r�!�Ey_�" R7�°3�'^,.wT'iy+!,ee;rrr!.�,eq�••..,�y�y..tTr _ - ,�, s. `rrer,'w'�'T'rr+.''�� .:...a,,:. :.:._....�'�'''�O_s..' _.•..,: :.�..�r�.,,. . _. ._..�.... ice. .� .� . n.s I am an employer providing workers' compensation for my employees working on this job. company narn - address: city: (hone#• insur ce,go, Volie•# I am ole proprietor, tracto or homeowner(circle one)and have hired the contractors listed below who have the following wor•ers compensation polic company name!- 6/ address• 14e)OA&-Y� 454� phone#city: . 'ncurnn e c li # 0 —? ^4 - .. K.77'«'.S'.�`?1„a*.'e-r,s;'�. TY,a f"t.:J^4,.. T.� :mi _ :�t�F7!tfA!: ,japDn T �ra;xZsVU.i qa.1•Ta'�:ai. ..K...•-"'--•.r ��w.�........'-'- .-�....�J.'Y' _ • ��' �+.Lir.Y.ulc company name: --- address: - city: phone#: insurance co policy# Atiach additional sheet if neeessar- 41i'2 ,,+_w�tr r¢.c^tom it!{ �'• £;�e.wiy.,o. y'; �,,.M �� •..• _ _ _ Failure to secure coverage as required under Section 25A of MGL 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 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the OMCC of Investigations of the DIA for coverage verification. 1 do ltereht certif trader the pains and nalties of perjun'that the information provided above is true and correct. Si=nature Date ,Z/ Zl Print name Phone# offcial use only do not write in this area to be completed by city or town off cial + city or town: permit/liccnse# t"IBuilding Department [31,icensing board I]check if immediate response is required OSclectmen's Office [:)Health Department ' contact person: phone#; nUthcr (revised 3,95 PJAI.