HomeMy WebLinkAbout1160 PHINNEY'S LANE (4)
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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
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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
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DATE CLOSED'OUT x t t F s t
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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�.
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/ :....�
� ii ARC
°6 y -
........ s\ ,. °1 2FOOT fONTOURUNE
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` '•-.,, 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/
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/ .. �� "'S I-y'Py PIER/JETFY
F
ASSESSOR'S MAP BOUNDARY
T ,
.. _
,
- .. .. ...
I
SITE MAP
73°1
0.30 AC
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-; 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
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#58
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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)
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