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HomeMy WebLinkAbout1160 PHINNEY'S LANE (4) Ole Engineering Dept.(3rd floor) Map Parcel �� P rmit# at ga.Jy House# f�b Date Issued J( � �.�J ' /to Board of Health(3rd floor)(8:15} 9:30/1:00-4:30)gam. `, .ar✓� -/�eej Conservation Office(4th floor)(8:30-9:30/1:00-2:00) I L Planning Dept. 1st floor/School Admin. Bldg.) ='• � '�� SHE Definitiv lan p. oved by Planning Board 19 INSTALLDE AN11D r t ���v'c TOWN OF BARNSTABL ®WN Building Permit Application /- Project Street Address Village r Owner X1 r a n/Z 0 AJ 6 Address 116 fi Telephone , ...N. -Permit Request 'ZfGe24,^c_ E: �h.,9 c.�.,.��ir°.. �Y ,t/ �'� �X ) �2,� 4 =First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ r. /o o `'- Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family p 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.) r 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 p 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 Ll Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name te./rQ 1v► <64 L4 L 7 F' Telephone Number 7 2) Address p d AC_> X "Z License# C�5 6 3 L/O A-7'h 7 X�'Z(J) t,L F-- Home Improvement Contractor# // 0 0-2 3-2- Worker's Compensation# 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, P SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. , DATE ISSUED MAP/PARCEL NO. ' ADDRESS "VILLAGE 4 F , OWNER , DATE OF INSPECTION: FOUNDATION # FRAME INSUL#ATION _ FIREPLACE r — ELECTRICAL: ROUGH' FINAL PLUMBING: ROUGH, FINAL GAS: ROUGH, _ FINAL FINAL BUILDING ` * � C9 y F f r DATE CLOSED'OUT x t t F s t # tt ASSOCIATION PLAN NO. \ \ ;�... '• \, ; 75°0` ,'' STANDARD LEGEND 77. , / --' �? note:not all symbols will appeal on a map Iz _.. GOLF COURSE FAIRWAY 80. VJ` s 7 - DECIDUOUS TREES J J ��' � ,• _ � � .. \ '\_,-_ �" `�. .- :' -_". EDGE Of BRUSH 7 ORCHARD OR NURSERY •: `e r `, i i / ,' f• .. ` ±,,.: � CONIFEROUS TREES N. /. -\ _ MARSH AREA ' r i•'f j0. '\7 5°5 I ,_ /\�` '�2 EDGE OF WATER 1 .. I J \ GIRT ROAD 3 r e \ i.. \ i J / /• ` �'..� p�,�-DRIVEWAYS ,t PARKING LOT 1.20 A( \/6 9.0 PAVED ROAD DITCHES , _ '/ \ �`•< ''_� '•. �' PATH TRAIL • u/`/'��� 77, %' O / .. x � - J.' PROPERTY LINES i" - ,!��LOT ACREAGE 7 1U° "--- HOUSE NUMBER 7�. r J .. / :....� � ii ARC °6 y - ........ s\ ,. °1 2FOOT fONTOURUNE /\ ` '•-.,, C :�l - `� �. 10 f00T CONTOUR LINE x" SPOT ELEVATION ` 7 _ ^-�-^^ STONE WALL °2 6 69.1 ' FENCE , �. .. �Y,\/ \ `� �; s\ ,` � RETAINING WAIL .4 4°5 -F \ RAIL ROAD TRACKS x 74.9' - t \ �•� �� ._.'' _ _ a /- �, TELEPHONE POLE 0.00 3.0 �� \/ _s• STONE JETTY /\ , SWIMMING POOL .......—.. PORCH/DECK n `> -�.'' 0 BUILDINGS/STRUCTURES '\ 76 6 7 DOCK/ r t ., �r J / .. �� "'S I-y'Py PIER/JETFY F ASSESSOR'S MAP BOUNDARY T , .. _ , - .. .. ... I SITE MAP 73°1 0.30 AC / -; 9. 3pC r\ g6 - g I' yr `` I.O.B.GEOGRAPHIC woRmATION sYsIEMS UNIT 7 � t 0.30 A( #11 p 2 w #26 O 10-- 4 SCALE:in feet „ ... - 100 / 0 0.41'A #34 ° �7 3 8 so 72.5 0.28 AC 91 - 1 86 - 1 2! ! ;' 0.29 AC I S m1 Nm°'AP 1 ✓L496 337 A( #33 4 \i, ° 1 _ lO�HOFNISAmAE5796 4 XOIE:THE PAR FI lIXFS AR ONLY OT RUE ` #� 1 P0.0PERI1'BOaNaARIfG,THEY ARE RUE 1 #12 0.30 AC J VEGETATION,TOPOGRAPHY AND PLANIMETRIC DATA IN ItRPAEIEO \.... ...j.. .. : �' \, .• FROM 19X9 AERIAL OVERFLIGHTS,PHOTOGRAPHY At 1'=800' '' \ ; r. ..::• •,� '`� MAPPINEFf RD AT I'—IDO'PARCEI DATA OIGI11hDFROM I'=IOD fNGING ASSESSORS MAPS 1989 / I #58 0' 2 AC ' " ' ,x id � Lc� Yv �j YDee,K? in fd 51' P bYlG�f(N 1 call 0 i OF�E TaY The Town of Barnstable IIAMSTMM Department of Health Safety and Environmental Services 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: 77 X/0 _¢ r Est.Cost / aZf2j i - r Address of Work: 0 Owner's Name Date of Permit Application: /0 %21 /,/., 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: 1h /2 1120ZIf bati Contractor Name Registration No. OR Date Owner's Name r The Commonwealth of ifassachusetts �+J _.A- -t;_w Department of Industrial Accidents OficeoflnyestigMONS 611(l t<f'as/rinhton Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit .pnls�n efnrmatinn� Please PRINT lebibly Asa name- location: city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working to any capacity _ L.....:a' _ ....�:::tif..t,_�-�...�,�.r:iei.:i.18t7'.'+.a�T"t .a,+RRrK.1^'��v'�,}C�A°a'.�""wa?!`T _- - •..�,�.. ,:. .r.r.�+ _•rt,.o.. f4:.rr 1 am an employer providing workers' compensation for my employees working on this job. company name• address: City: phone#• insurance co. # I am a sole proprietor, tracto or homeowner(circle one) and have hired the contractors listed below who have the following wor•ers' compensation polio - company namme midress• AOA& - #• f7 1 )W a J Q nsurancc co. L li y# (or�a !a':Sa y ^S'� -r .. ,.q:F7•« -:N•ac --r,.r.....�,,..�,,,vF .,: -r..-;!Rye•.'7�ab >.1�S7rn;rri�r:. 'a;•.?Cp+-r -r:v4•,+i^+:.:.--T •�4� •Ve- -"—?� .-._..a_,...__.�s� ..__-_....tea• ar. ^_...1- -'��-`siY:,:ie:rS.." '7�at�� 's'w^'..u+�.ntir�iCJ.:_+.a.,r:x:uic company name• address: city: phone#• Insurance co policy# �Attachadditionalshcetifrieeessar�~�4 i` �� ��+�y�; _x:,t;:ii_ r£����• � +y'���t�� . •:�.��� .—�'�'� Fuilure to secure coverage as required under Section 25A of 1.1GL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under Ike•pains and realties of perjun,that the information provided above is true and correct. Si=nature Date,�Z y / Zl /;% b Print name Phone# official use only do not write in this area to be completed by city or town oRcial city or town: permit/license# I—IBuilding Department OLicensing Board (]check if immediate response is required QSelectmcn•s Office Dlicalth Department contact person: phone M riOther Im,sed 3,195 P1A) 1 r r4l 1' c s. d> ' �� F � c \f � A�1�►Mt� ���y awn r