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HomeMy WebLinkAbout3250 MAIN ST./RTE 6A(BARN.) . st..r. rl �� �� �° �(��,. �4� �,ate•crf ".�. p�'r tutut ,\"i�k,+.r+i�f �l �., •� ,. <. .., '{. .LLY .I +.: �,1' k 1} .,. Y r•�!7f h . P `,l.',"'�. i� .,. ,.Jl. 41„a...,!l; � ,:,y :.� f:.. A'I�. FVlY�,,. Xdl,u� ) 0� ��_. �.�,f•,":r J, 'I�j. �a5?,., r 5�: •�, a, 1,er. ."ir,�?i +. t��y�r J�': ;l .� .y� �. f r., r. _,., � �,.. �11. -, .+,,.....,..t `�`R�' _.+ ,,.•. ,,n .te.. �w 1+.'�l.a JSe i �l .+- ., J� 7,Nx,�a���� +J,��J�,� .); , '+�Pr��•{iJ�{Jy �1+��'�,' "��,� ��,�, � � i ��� � t^. z ., 4`� F�t�+ t� ��e t (��jf'��t�'`t'1+�Fl��' ��t�� ��ro �S}J��`�'�" ��'•r r �}��Ir� {�'` ✓:.� - .. ,.,,++. .0 v�il�. ',s?�,��.t,��' '� .,?Y. .t 1 'ri 4�:)r,� •,,,,'lt�T���+d.O,fr���• rrf,�,,, r - r s , r 1 , P' � l i 4 e s � 4 w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,Map L Parcel 05 ( Application #__ /✓ �� I Health Division Date Issued 517�/-4 Yi G Conservation Division Application Fee Planning Dept. Permit Fee (O v Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis 16 Project Street Address Z�� M fi-I/V S 1 Village R.47 rac Owner NAIJG'' 5K4 1-774 Address 9 2S-0 K4 A-, r Telephone_- _ `J-&�g r 36,-4 - &(1 L7 Permit Request �L -�� 61 b s:F7 A-K16 Ftr-A � 1e.11 R✓j6 0IW f �6�r i Square feet: 1 st floor: existing proposed — 2nd floor: existing — proposed Total new -7 - Zoning District G Flood Plain Groundwater Overlay Project Valuation � I [ - `t�-tonstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ 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.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): 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 Ali Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name \J I iJ 1M A714 ly 0 Telephone Number 6_0 7 7 7-7 Address 7� U License # 1 7 A-AIAJ1 s , A4A 07,&0 Home Improvement Contractor# (010?11 VKNaAI'd Ml -L•.&M/ rker's Compensation # iDIZ-V0016W03S�/S ALL CONSTRU TION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO QI.�O I,tJ �r G 73 Mua caves GLiD - Ai✓/ ':T �'' SIGNATURE c DATE FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED MAP/PARCELNO. , M ADDRESS VILLAGE OWNER DATE OF INSPECTION: S_ FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL e FINAL BUILDING , 1 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kv 600 Washington Street Boston,MA 02111 . www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print dLetib Nameusiness/Or 'n,. ly (B ganization4ndividual): 1 W 10JJ LU M-iC7L_ 4 ACL MAi N W PC51 c'" Address: -1-3 6ft4A,0U`iJ4 . City/State/Zip: J4qWtJ1 S M Ik 0'Zto6 I Phone#: y V a --7 71 '- &V-1 Are ypu an employer?Check the appropriate boa: Type of project(required): 1. I am a employer with) 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New constriction listed on the attached sheet. 7. {]Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp.ins=ce.: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no t employees. [No workers' 13.4;ffier (A, W&IF comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: / `Pahl eL&fL- ` Policy#or Self-ins.Lic.#: L.y-6D 1 r07 0 O 3�;' �_ Expiration Date: /Z i Lso) Job Site Address: 311-0 A4AI.4) City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a. fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p ' and penalties of perjury that the information provided above is true and correct. Signature: Date: Jr - 23 _b Phone -7-7 I~ T-7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: IRE • � r r STA$[,E, MAM �'�fp Mpt h Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If UsingA Builder L tj wL 1 !�M (TV ,as Owner of the subject property hereby authorize V d V /'t ./its 0 to act on my behalf, in all matters relative to work authorized by this building permit application for: 32S - CM Al PJ . (Address of Job) �°Z 3 Signa e of Owner Date �.l fit/ ru r Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. J C:\Users\decollikWppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 Aco DATE(MM�YY) �� CERTIFICATE OF LIABILITY INSURANCE 1212=015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(s), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). CONTACT PRODUCER Risk Strategies Company _NAME: _:_ Judi March 15 Paceila Park Drive, Suite 240 PHONE 781_961-0325_ .. __._ _j uc,M±e) _ 781.336�4420_- Randolph,MA 02368 E:M ��_`AM jmareh(�risk-strategies,eom _ - INSURERSS)AFFORDING COVERAGq _ -_ .. _ NAIC! _ WWW.risk_strategies_com - - - - _ _ INSURERA: Travelers INSURED INSURER B:_ Marine Lumber Operator, Inc. — + nMsurMERc:_ DBA Marine Lumber Co., Inc. 134 Orange Street INSURER o Nantucket MA 02554 ,IN8URERE: — INSURER F COVERAGES CERTIFICATE NUMBER: 27795128 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN N MAY HAVE BEEN REDUCED BY PAID CLAIMS._ ILTR -- —AtIDCS1ffR POLJCY EFE POLICY EXP ~Mn TYPE OF INSURANCE POLICY NUMBER M1DDMfYY ' MMID COMMERCIAL GENERAL LIABILITYi I EACH OCCURRENCE S MANLUE TO REATED i 1 r -I rance CLAiMSMADE RE € car ) 1 I I f MED_EXP(Any"per L S _ PERSONAL&ADV:INJU_RY S GENL AGGREGATE LIMIT APPLIES PER: 1 IL.GENERALAGGREGAT.E POLICY I_ PRO- LOC I PRODUCTS_COMPIOP AG_G!SJEC �. 1 s ! OTHER _ _ - CA INED SING U IT 'S AUTOMOBILE LIABILITY (Eg @aadept)_-. - i - ,BODILY INJURY(Per person) i.S I ANY AUTO I I I ALL OWNED SCHEDULED 1 I BODILY INJURY(Per accidert)'S _ r .:AUTOS I- 'AUTOS NON-OWNED I I I PSk6PEfffY 15 AMAGE— HIRED AUTOS l—j AUTOS S , i �1 UMBRELLALIAB' _ OCCUR , I EACHOCCURRENCE L 1,EXCESSLIAB — -M-L.CLAIMSADE! I 1 AGGREGATE •E _ I DED I RETENTIONS l I 6KUB0167NO3515 12/18/2015 12/1812016 ✓ '.4TATLI E _ ERH A I WORKERS COMPENSATION - -- - �AND EMPLOYERTLIABILITY YIN. I EL EACH_ACCIO_ENT_._S 500,000 ANY PROPRIETORIPARTNERIEXECUTIVE I NIA! f I S0D,DDDI OFFICER/MEIABEREXCLLIDED? FN i E L.OISEA_SE•EA EMPLOYE S __ __ ,_ (Mandatory In NH) 500,000 H yes,desm�e under E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS below 1 I I I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD M01;AddEponal Remarks Sehedub,maybe aft&md H more epaeo is reQuRrM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marvin Design Gallery THE EXPIRATION XPIR TIinnTHOTAT POLICY PROVISIONS. NOTICE WILL BE DELIVERED IN 73 Falmouth Rd. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE Mike Christian G/�((ff�•` a 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 7795228 1 MARIN-2 1 12.24 15 M.C. Certificate 1 Judi March 1 22/23/2015 1:28:26 PM IBST) I: Page 1 of I Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-091884 VINCENT J MAR0O II 58 LIBERTY LANk off, , MARSTONS MILLS " Expiration Commissioner 01/24/2017 CvZ1e T�'omoncaerf/w a1'C/lamov/naelZ3 ffee of Consumer Affairs&Business Regulation ` License or registration.valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 160991- Type r,l 10 Park Plaza-Suite 5170 Expiration: g/17/2016�, Supplement Card Boston,MA 02116 MARINE LUMBER,OPERATOR,INC VIN MARINO 4e 134'LOWER ORANGE•ST ,. NANTUCKET,MA 02554* Undersecretary lAid without signature SS i r F�RC pti BARNSTABLE FIRE DEPARTMENT y' P g'�yc susy�o;V 3249 Main Street—P.O. Box 94 :Col. Barnstable,Massachusetts 02630 1927 `..- 508-362-3312 `" • -••- ' FAX: 508-362-8444 Robert M. Crosby Francis M.Pulsifer FIRE CHIEF DEPUTY CHIEF rcrosby@barnstablefire.org fpulsifer@barnstablefire.org December 29, 2009 Mr. Thomas Perry- Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02632 Dear Commissioner Perry: In accordance with MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of an assembly use group occupancy with an exit door with an inward swing at: Dolphin Restaurant 3250 Main Street Barnstable, MA 02630 While on an annual inspection at this occupancy, I observed the rear exit door with an inward swing. Your department has this occupancy listed as an A-3 use group with the occupant capacity for the structure is listed as 123 occupants. Thank you for your attention to this issue. Please feel free to contact me with any E questions or concerns at 508-362-3312. = 51 s cC _7V1 Respectfully, r� --a Francis M. Pulsifer rn a Deputy Fire Chief www.barnstablefire.org TOWN OF BARNSTABLE SIGN PERMIT I ' PARCEL ID 299 031 GEOBASE ID 21119 ADDRESS 3250 MAIN STREET/RTE 6A ( PHONE BARNSTABLE ZIP LOT PARCEL BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA PERMIT 750.41 DESCRIPTION 20 SQ FT DOLPHIN RESTAURANT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND � CONSTRUCTION COSTS $.00 753 MISC_ NOT CODED ELSEWHERE 1 PRIVATE , 0 Mass. ED MP'� BUILDING DIVISIO BY fl' DATE ISSUED 03/02/2004 EXPIRATIgN' DATE 30 Town of Barnstable .�t` '°' o Regulatory Services Thomas F.Geiler,Director Building Division 039. '°rEn met a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 a lice: 508-862-4038 Fax: 508-790-6230 Tax Collector—Lk ".Y 164 Treasurer Application for Sign Permit. - Applicant: .,�Cll Assessors No. - Doing Business As: �GZP 1�/ ��sT y�•�r!— Telephone No. 5a8-36Z- 6610 Sign Location Street/Road' 3.2,5"D _MAIA/ S7: X/fi2i✓S77 4 A/9 AW � g Old Kings Highway? QNo. Hyannis Historic District?- Yes/No . Property Owner " � _. �'►�ITNTelephone: z . Name: •._ . ` SOB �6 Address: 32So E.. /LI f1-�.v sT.- �ffi�NS�L �,4 Village- -,Sign Contractor Name: Telephone. SoQ-9-99- 0S- Address:` `'7(0 % %�OrS� /r Village:. Description Please draw a-diagram of.lof showing location of buildings and existing signs with dimensions,location and size of "-- the new sign -This should bg-drawn-on the reverse side of this application. Is,the sign to be electrified? (Note:If yes, a wiring permit is required) . AISTN@ I hereby certify that I am,the owner or that I have the authority of the.owner-to-make this application;that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town _ . : of Barnstable Zoning Ordinance.:. .:__.._ - :... Signature of Owner/Authorized Agent:_ A-" Date: Size: cD ' fNc6Fc`$ �( y�/' /,/CITES Permit Fee: 3 Sign Permit was approved: Disapproved: Signature of Building Official: Date: ►v/}/� LCAf Cf5NJ kb t- to' A,13 - AMIDON e� COMPANY, INC. O WOODCARVERS/SIGN MAKERS ( , 376 RTE. 130 P.O. BOX 681 SANDWICH, MA. 02563 (508) 888-0565 rr99 _ } M V film p m 14* 0 9ic0 �eg9 Abo F9t�SA o;Uc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 3(o J /Map l Parcel •0:S '1 Permit# n Health Division Date Issued 9 `✓ Conservation Division Fee 0 Tax Collector INSTALLED IN COW,�,--WANICE Treasurer �'�� �p@TH TITLE 5 Planning Dept. 1 ENVi RON MENTAL CC,5E AND TOWN REGULVOCHS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 050 IW,4)A1 SI 't -f-,+t I-P village T;—�' AQV3 /�U--e- Owner , pwe r IU y Sln r A TR,-S Address S;6-t tZ Telephone 0"66 ) 0 Permit Request yen 4« �YZ-U✓T cxl x I QOA►�L tQaT y�Q,� ��Rh2 Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new w Estimated.Project Cost Zoning District. Flood Plain Groundwater Overlay Construction Type ' Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ 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.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new , Number of Bedrooms: existing new Total Room Count(not including baths):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 BUILDER INFORMATION Name M AZZ(1 L A, P OO&A Telephone Number �aQ ' 98 ?C! Address }76, H t —)_V. License# (5 S 713 V in A-2my n, t l C i 1114 Ua(1 `/g Home Improvement Contractor# Worker's Compensation# (-X ALL CONSTRUCTION DEB G FROM THIS PROJECT WILL BE TAKEN TO �Un'��Z) V t� / V`� t 14 SIGNATURE DATE . FOR OFFICIAL USE ONLY _ PERMIT NO. i DATE ISSUED . MAP/PARCEL NO. a41 4 - _ r ADDRESS VILLAGE - OWNER , DATE OF INSPECTION; - FOUNDATION i FRAME - INSULATION , FIREPLACE } ELECTRICAL: ROUGH FINAL + - PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT `� ASSOCIATION PLAN NO. 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION S Map R Parcel ,Permit# 3 3 N Date Issued o Fee 0,0< 0 O Tax Collecto Y _ . /oj/If Treasurer �I Historic-OKFVnA, reservation/Hyannis Proje Sfree Address !� (o 1 ..Village Q C A-40 C Owner �&i !CA f Address i r i Telephone .Permit Request �'7-R 1 P 1�co—RcyF E�aSbA'J ka)F � ► o • i ....� fir, �c� � r5 �' •�� � Gia. . Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost o�—Zoning District Flood Plain Groundwater Overlay Construction Type 1�1 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type:.Single Family ❑ 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.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): 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 4 Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 214es ❑No If yes, site plan review# (Arrent Use Proposed Use,. BUILDER INFORMATION Name �} \ ,A �'u % (1 i All Telephone Number L Address `7 C� w K r n�v.1� (��:. License# �� MA'Q' -�otv M �� C/ — Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEER ULTING FROM THIS,PROJECT WILL BETAKEN TO b a 2 t5 SIGNATURE DATE \ LA I Z J 9 7 - FOR OFFICIAL USE ONLY . •PERMIT.NO. i. � �' _ , �`'- ; ' w r ,�, -- ." - • . DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE OWNER .�I DATE OF INSPECTION:;�� FOUNDATION ' a , FRAME INSULATION - FIREPLACE - ELECTRICAL: ROUGH i FINAL PLUMBING: ROUGH -FINAL- GAS: ROUGH ` FINAL ` t FINAL BUILDING DATE CLOSED OUT r• ASSOCIATION PLAN NO. : Engineering Dept. (3rd floor) Map Parcel Q `3( Permit# a( House#. _:3 2 C7 Date Issued Z Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) THE Definitive Plan Approved by Planning Board 19 BARNSTABLE. MASS TOWN OF BARNSTABLE vp Building Permit Application Project Street Address Q Village V� Owner N3NNC-X_ �J�(I�t Address '-�db1 M�41tt➢st \gUF_ Telephone -7, (D(0 c) Permit Request '_yT0,kP, RePAIA c^ First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Z00c) oc Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ 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.) 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 ❑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 ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name G o-i L &, 7o Telephone Number 508 7 75 CR 1-1 Address I On -rpw1o9 RD License# �pi0('A, Home Improvement Contractor# 1 19 95 Z Worker's Compensation# WCU CQ_23 3Lf7 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 DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY A� 1 PERMIT NO. DATE ISSUED i MAP[PARCEL NO. , ADDRESS } VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE i' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH •FINAL GAS: ROUGH// �y FINAL _ FINAL BUILDING T--�'7?S DATE CLOSED OUT ASSOCIATION PLAN NO. Assessor's Office(1st floor) Man' ! -)Jet o5l Permit# J y70 Conservation Office f4th floor Date Issued l"Board of Health Ord floor Engineering Dept. Ord floor House# � � Planning Dept.,* Ist floor/School Admin.Bldg.): i „ 8TAN, 1 Definitive Plan Approved by Planning Board 19 i6 9 �o Md (Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) TOWN OF BARNSTABLE Building Permit Application f, � Project Street Address Village Aaa /U n 6 Ic / Fire District //�� ( wner /�/ tni e- Address Telephone Permit Request: Zoning District Flood Plain Water Protection Lot Size Grandfathered Jim Zoning Board of A eals uthorization Recorded Current Use e Propgsed Use Construction Tyne Eaistine Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old Kin 's Hijzhwgy Unfinished 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 Telephone number Address �+ �c) License# P J `C v C r'T Home Improvement Contractor# Worker's ComMusation # 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 TO4A5-411e,' U XProject Co-~ 1' Fee SIGNATURE _ DATE / BUILDING PERMIT DENIED FOR TIM FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY aCq o3/ ADDRESS � /�GL/� Sl VILLAGE ' _ 4 OWNER , DATE OF INSPECTION: FOUNDATION FRAME INSULATION } ' FIREPLACE ' ELECTRICAL: )ROUGH FINAL ' J PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r , r ' I .r " lam - • FINAL BUILDING: DATE CLOSED OUT: J i ASSOCIATE PLAN NO. t Y M 61,V /,AN N � , 4 a F. �.J Zs.. r f ._ • y 1 1 1 1 `t.l ry T�n�.. •� Y—. ►-. _ .... - - _ .... AC':'-ts«w''argyt�. r __ _ ..- - r_ « _...�_ _. -• _ A 1 S d t jk \. all, y V IL � jo F E 1 f/l { 44 ' r R i .. t ' A e }1 r t 1 I � I t i + �� i _. _rj .. --- - -- - - -- - - - r c ___ ._ __ _ - __ .� -. �- - ,--�. � _ -.. ____�— - _._ -__� _ .._. _. _y .,`� F iY ` � ' � ". .. _ #i _ _ ___ _ ._ .. _ ___ _._ .__ u_ _ __ __ ___ �1� _ ._. _--- _ _ _ ..... _._. __ .. _. _ _ �� ,_ �y. ..` .,� �_. ,.. 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