HomeMy WebLinkAbout0091 PITCHER'S WAY up,
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f TOWN OF BARNSTABLE
BUILDING PERMIT
PA ''EL AID 289 003 GEOBASE ID 19350
ADDRESS 116 FROST LANE PHONE
Hyannis ZIP
LOT BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT 9Y
PERMIT 8599 DESCRIPTION CONSTRUCT SHED
PERMIT TYPE . BADDS TITLE BUILDING PERMITD SHED
department
of Health, Safety
CONTRACTORS: PROPERTY OWNER ,ARCHITECTS: and Environmental Services
,'
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TOTAL F ES: 4 $50.00
BOND $.00 Ok
CONSTRUCTION COSTS .$2,800.00
753 MISC. NOT CODED ELSEWHERE 1ARN3TABLE,
a
MASS.
0.19.
OWNER -CASHMAN, MARY G A
ADDRESS 6 PARK STREET #4
ENFIELD CT BUILDI 'G IXISION
DATE ISSUED 0'?/10/1995 EXPTRATIOI�° DATE BY � ,��►.r''1...-''
DIVISION APPROVALS FOR
CERTIFICATE OF OCCUPANCY
TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION
BUILDING:* DATE:
i COMMENTS:'-- `• +
PLUMBING: ` _ DATE:
' COMMENTS:
ELECTRICAL: DATE:
COMMENTS: +
GAS: DATE:
COMMENTS:
CONSERVATION: DATE:
COMMENTS:
OKH: DATE:
COMMENTS:
HISTORIC: DATE:
COMMENTS:
FIRE DEPT.: DATE:
COMMENTS:
OTHER: DATE:
COMMENTS:
�i
TURN THIS IN TO THE.BUILDING COMMISSIONER AFTER ALL SIGN-OFFS=ARE
COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED ATTHATTIME.
TOWN OF BARNSTABLE
BUILDING PERMIT.
PANEL ID 269 003 GROBASE ID 19350
ADDRESS 116 FROST LANE PHONE:
Hya.rnriis ZIP.
LOT BLOCK LOT SIZE i
DBA DEVELOPMENT DISTRICT HY
PERMIT B593 DESCRIPTION CONSTE&JCT SHED
PERMIT TYPE BADDS TITLE BUILDING PERMIT. ADD SHED
i Department of Health, Safety
C09TRACTORS: PROPERTY OWNER and Environmental Services
ARCHITECTS.- -
TOTAL FEES: f $60-00
BOND $.00
CONSTRUCTION CO STS $2,800.00 '
753 MISC. NOT.--CODED ELSEWHERE enRrtsrABILE, •'
L MASS.
OWNER , MARY C�CASHMAN
�Fp
ADDRESS. 6 PARK STREET 44 �
ENFIELD CT
BUILD,!.G I QON
DATE ISSUED 07/10/1995 EXPIRATION DATE B w-
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR,ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
THIS CARD KEPT:POSTED UNTIL FINAL INSPECTION
1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
kyjiNOTN META TM
PUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
.a
2 2 2
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY.
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-,
TION. NOTED ABOVE. TION. 508-790-6227
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11:02'94 17:02 '$017 727 7122 DEPT IND ACCID 14101
-.; l�0%32JYLOi2(UPLZLt`L of 4JaJJac1zu_4ettJ -
- ��Rrti,tenf o�J'��riLdL../VcciR61� j
600 YVwLayton S`m1 l
James J.Campbell &ton, // magwtlte 02f I f
Commissioner
Workers' Compensation if surance davit
eaot�asedpamarse)
with a principal place of business at:
Aw-
(Cwbst"JAv)
do hereby certify under the pains and penalties of perjury, that:
I am an employer providing workers' compensation coverage for my employees working on
this job.
Insurance Company Policy Number
() I am a sole proprietor and have no one working for me in any capacity.
() I am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
Contractor Insurance Company/Policy Plumber
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
() I am a homeowner performing all the work myself.
I under_t<nd:,_t copy of&is slternent will be forv.zrded to the office of investigations of the D1A for cmerne verification and that failure to WU:
coverage:s rec iced under Section 25A of MGL 152 can lead to the imposition of criminal penalties consistin¢of a fine of up to s 1,500.00 andler,.
yea:s' impriserraent as well as civil penalties in the for.of-a STOP WORK ORDER and a fine of$100.00 a day against me.
Signed this y /5— /#ST day of 0Z,-AA?-- 19
Licensee/Pe itte Building Department
Licensing Board
Selectmen Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
-n TnI r)r 7 A"XTO� A nT T' OTITT nTN7r DWD NIT T -I
: The Town of Barnstable
• SAWXUBM
tee$ Department of Health Safety and Environmental Services 1
163
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crosser
Fax: 508 775-3344 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-eadso 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: —EsL Cost
Address of Work: -
0%mer.Name:
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under SI,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 hcrcby apply for a permit as the agent of the owner:
Date Contractor name Registration No.
OR
Date Owner's name
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fflCssessor's Offic2''(lst floor) Map �C o Lot y�C7 `3 C9 Permit#•
Conservation Office(4th floor , S '" Date Issued I_ J O 96—
Board of Health(3rd floor)(8:30-9:30/1:00-2:00)
Engineering Dept.' 3rd floor House#1 �� a
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�- SEP MUSS' BE
77 t 19 IN STIA 0 A 'LlA CE
TOWN OF BARNSTABLE . aIvcONMENTAL CbDE AND
Building Permit Application TOWN REGULATIONS
Project Street Address 0// P JC HE R,5 PV A Y
Village H Y,A/V 11/1 S
Owner M f R Y G AS H`M lfily Address '. 94' PI-Te,11-0A5 why
Telephone 7 ]3 -
Termit Request Bc ill d t h q c/e c k and sh•e d '
Total 1 Story Area(include 1 story,garages&decks) 2 oZ O square feet
Total 2 Story Area(total of 1st&2nd stories) square feet
Estimated Project Cost $ _e::�7_R_yn
Zoning District Flood Plain Water Protection
Lot Size Grandfathered?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway V
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name OaJ Telephone Number
Address License#
Home Improvement Contractor#
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
SIGNATURE DATE ,�
BUILDING PERMIT D IED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. #85
E ATE ISSUED J y' 0, 9;95 `
'MAP/PARCEL NO. 2W03/ -
ADDRESS 116 F qsi Lane VILLAGE Hyannis, MA 02601
OWNER Mary G. ' Cshman
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION ,
'FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING `
)2�lg
DATE CLOSED OUT .
pu
ASSOCIATION PLAN NO.