HomeMy WebLinkAbout0094 CARRIAGE LANE �--
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a
Town of Barnstable *Permit#
Expi 6 months fr a issue date
B
3 Regulatory Services F
9 1639. ,,� Thomas F.Geiler,Director
A
TOWN OF BARNSTABLE Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.banistable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red Y-Press Imprint
Map/parcel Numbera�
Property Address fX
Residential Value of Work 3 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 4 r- eP-
C 4* e
Contractor's Name !i a111W / , Q Telephone Number
Home Improvement Contractor License#(if applicable) _LZ b: ,tr
Construction Supervisor's License#(if applicable)
4Vorkman's Compensation Insurance
/ Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
QI have Worker's Compensation Insurance
Insurance Company Name /l/ c
Workman's Comp. Policy#__C�%�
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows —
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A op of the Home In f] vement tractors License&Construction Supervisors License is
SIGNATURE:
C:\Useis\decollik\AppData\Local\Microsott\Windows\Temporary Internet Files\..Contc;nt.Outlook\DDV87AAZ\EXPRESS.doc
Revised 072110
E.rq�
IARNSTABLE,
Town of Barnstable
�ArFO�A Regulatory Services
Thomas F.Geiler,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office:_508-862-4038 Fax: 508-790-6230.
Property Owner Must
Complete and Sign This Section
If Using A Builder
C_Y4 y Sd, A Owner of the subject property
f ,
hereby th a oz7ae to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job}
:Signature of Owner"'. Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse.side.
C:\Users\decoilikWppData\Local\Microsoft\Wiiidows\Teinporary Internet Files\Content.011tlook\DDV87AAZ\EXPRESS.doc
Revised 072110
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma
p Parcel ` ppion#��; t I
Health Division Date Issued a
Conservation Division Application Fee
Planning Dept. Permit Fee S
Date Definitive Plan Approved by Planning Board GlC S"-Z9 - 3rz
Historic - OKH Preservation / Hyannis
Project Street Address Lx!
Village
Owner !a,E/ Address .�
Telephone jr of 2
Permit Request J4A&Z.M.(Z,V"/ogle'l X`Wey�.G
/o Se /g zr' G
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay ' 4
Project Valuation l�dD��Construction Type �
Cn
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach RA porting d4cum�e'ntation.
0
Dwelling Type: Single Family 2-"*' Two Family ❑ Multi-Family (# units)
tom,
Age of Existing Structure Historic House: ❑Yes JdMo On Old King's ighway:-MO Yes; a<o
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other - n
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including bathe): 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
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) ;
Name Idz/ _e' Telephone Number L-,f 7
Address ; 2 !.�' �s [iC�i License # Zeo D f e E
Home Improvement Contractor#AJ'��3 La
Worker's Compensation � cc�,��G/
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
yaavgl_�944'4` �
SIGNATURE DATE
Yr` FOR OFFICIAL USE ONLY
�-APPLICATION#
r DATE ISSUED
MAP/PARCEL NO.
J
ADDRESS VILLAGE - +
OWNER `
• l i i'
r.
DATE OF INSPECTION: -
E
FOUNDATION
FRAME s
INSULATION
FIREPLACE `
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
r` GAS: ROUGH FINAL
' FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
., 7
PARMIPATING
mass save COI,�N
i S.t.tx,atMn.ay+,q�erSY€�.-a.neY - _
PERMIT AUTHORIZATION FORM
I, (_HP ISM P06M t o(Owner's's Name,
e, printed)•� , owner of the property located at:
(Property Street Address) (City/Town)
hereby authorize the Mass Save Home Energy Services Program assigned Participating
Contractor listed below to act on m behalf and obtain a building permit y g p mit to perform insulation
and/or weatherization work on my property.
Owner's Signature
Date
FOR CSG OFFICE USE ONLY
Conservation Services Group has assigned the following Mass Save Home Energy Services
Participating Contractor to the above referenced project:
-Participating,Contractor Date
Rev. 12132011
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ypi TN E
TOWN OF BARNSTABLE
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�1639-
M i
NAM
' DUILDIHG ' INSPECTOR
Opp PY a�
APPLICATION FOR PERMIT TO 64 Srg!GT...... i!!�.L ... j't!`'��L�Y.....� i�=GGice/
I y
TYPE OF CONSTRUCTION .........
....`...I../L.. .!2....................................................................
...... .............197-
TO THE INSPECTOR OF BUILDINGS:
x
The undersigned hereby applies for a permit accordin to the following information:
'l� Location ........ QT`..... ...... .1 .� �l ...... �N�.................... .....
Proposed Use ..... ........r � f�a�l ELt l'�C
Zoning District ......� E........................................................Fire District ...����s%�/�G�"
.....................................................
Name of Owner (3tGT/./..'�'lJf r.....Address .. + �... i4/iUS{`/'�. :............
Name of Builder4e ..-10.—e ..A'M7.....74'q Address ed466.1... ! � 1 5/.. � � ..........
Nameof Architect ................................................/..................Address ....................................................................................
Number of Rooms Foundation �� 4 Cwc/1CT�
........................................... ....................................................................
Exterior ....✓.;(IJ? ��. ..:yS./ /��. 6v. .................Roofing ........................................................
Floors DA-� L.42(lCT_ �rw �(eU! �..�!.l.Lr...............Interior ?�riS ,� cf�..........................
�........... . ................... .....................
Heating /4'r A TC
............. ... 14...Plumbing Q �....�... . .....J.�..�.'.G.......'✓...............�....�.../l i ....
Fireplace A` .............:.....................................................Approximate Cost .... '.® .....................
............... :.....
Definitive Plan Approved by Planning Board lI_oq-___�i-`/----_---19�_ .
Diagram of Lot and Building with Dimensions �q
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I0005� (,x�
So
Z ��a�is�-f�D ��-A6toawtf 1b8
V N F��t►s N� `3Ev�zoonJf
N q
0
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SEPTlu SYSTEM MUST BE -
.�c� r n.! -� C �17, S'a
�tav �A.,=L� IPJ Ci Y'Y I,.AN vG
Sf.' ITI%,QY CODE AND TOWN
REGULATION'S.
1
7*
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. �D
Named ---.
l�u��s �z��mt
Royal � ~ - |
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No —.16r�76.. Permit —�l /2—otnzy�� �.� �.� �-���— '
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-----........ ........ .... ......... .......
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`1 Lane
Location .--^^�������-------^-----
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Barnstable
. '
—.---------------------..:.
Royal Acres
Owner ----............._____�����..._....~��
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frame �.
Type of Construction ..........................................
^
....................... .
'
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Plot ............................ Lot .......... ................
perm't Granted
,r�
""'= of Inspection" "�' �p
Date afe6 '
. ' .
. .
. - .
`
PERMIT REFUSED
----._---------------. lq
------------.--------------
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—.—.---..—.----..~—.----.--.�. —
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Approved ................................................. 19
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