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HomeMy WebLinkAbout0094 CARRIAGE LANE �-- . o 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 �fYr SO) ypi TN E TOWN OF BARNSTABLE d�Q yew 'I • EJHB9TAML$ �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 r 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 � ~ - | / \ No —.16r�76.. Permit —�l /2—otnzy�� �.� �.� �-���— ' } "i^*gl= ^a"^i+y ~^w=^ ug -----........ ........ .... ......... ....... ------.. ~ . ^� . . `1 Lane Location .--^^�������-------^----- ^ . � Barnstable . ' —.---------------------..:. Royal Acres Owner ----............._____�����..._....~�� ' . / ^ . frame �. Type of Construction .......................................... ^ ....................... . ' �lr7 Plot ............................ Lot .......... ................ perm't Granted ,r� ""'= of Inspection" "�' �p Date afe6 ' . ' . . . . - . ` PERMIT REFUSED ----._---------------. lq ------------.-------------- ^—_---------------.--------. ~, —.—.---..—.----..~—.----.--.�. — -------------------------., .~ . . . ' ^ ` . ' - Approved ................................................. 19 ^ ^ . ----------------..-----.---.. ' ^ , ................ � � � . U ' ^