HomeMy WebLinkAbout0145 WAKEBY ROAD rL5 G� �
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675
01/10/06
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.313
BARNSTABLE BUILDING COMMISSIONER
367 MAIN STREET
HYANNIS MA 02601
Re: Insured: TERENCE & PAMELA METCALFE
Property Address: 145 WAKEBY ROAD, CENTERVILLE, MA 02648
Policy Number: 0837564
Type Loss: Fire (including Fire caused by Lightning
Date of Loss: 01/09/06
Claim Number: - 225709
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139,
Section 3 B is appropriate, please direct it to the attention of the writer and include a
reference to the captioned insured, location, policy number, date of loss and claim or file
number.
KAPll IA claims Division
CMA00021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
TOWN, OF BARNSTABLE Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
2001 JUN -4 AM 9' 26 5/26/2007
Form of Notice of Casualty Loss to Building
D 1/i S IflA! n er Mass.Gen.Laws,Ch.139,Sec.3B
BARNSTABLE BUILDING COMMISSIONER
367 MAIN STREET
367 MAIN STREET
HYANNIS MA 02601
Re: Insured: TERENCE&PAMELA METCALFE
Property Address: 145 WAKEBY ROAD,CENTERVILLE,MA 02648
Policy Number: 0837564
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 12/25/2005
Claim Number: 242367
Claim has been made involving loss,damage or destruction of the above captioned propert,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned insured,location,policy number,date of loss
and claim or file number.
MPIUA Claims Division
i
CMA00021
I
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
5/30/2007
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.36
BARNSTABLE BUILDING COMMISSIONER
367 MAIN STREET
367 MAIN STREET
HYANNIS MA 02601
Re: Insured: TERENCE&PAMELA METCALFE
Property Address: 145 WAKEBY ROAD,CENTERVILLE, MA 02648
Policy Number: 0837564
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 12/25/2005
Claim Number: 242367
Claim has been made involving loss,damage or destruction of the above captioned propert,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned insured,location,policy number,date of loss
and claim or file number.
I
MPIUA Claims Division
CMA00021
6C :a WV s- CC Loon
of Town of Barnstable *permit# f '�
o� Expires 6 mondhs from Issue date
Gr
�sA. : Regulatory Services FeeKAM
AS °
`0$ Thomas F.Geiler,Director
QED f A1�� Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 ®®��
Office: 508-862-4038 A-PR T
Fax: 508-790-6230 S E P 2 1 2004
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint TOWN OF B
►p/parcel Number l S�/� D�5 Oo ) c..o T f �tVST�ELE
>perty Address ` 7� �!<G-� 42a IJAI
Residential Value of Work_ , , sop Minimum fee of-$25.00 for work under$6000.00
vner's Name&Address vA-7241 A
V..
retractor's Name Telephone Number
►me Improvement Contractor License#(if applicable)
instruction Supervisor's License#(if applicable) ! !�
JWorkman's Compensation Insurance
Check one: - 1)
❑ I am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
urance Company Name
orkman's Comp.Policy#
rpy of Insurance Compliance Certificate must be on file.
rmit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
side
El .
/❑ Replacement Windows. U-Value (maximum.44)
*Where required: Issuance of this.permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contra rs License is required.
nature
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House# /'ys �Z r Date Issued ' 2 O !�
Board of Health(3rd floor)(8:15 -9:30/1:00-4-3M -7 ee 2��
Conservation Office(4th floor)(8:30-9:30/1:00-2:00)
M MUST BE$;",.,i1RgQ-Ft SEPTIC
u ,
INSTAL MPLIANCE
Board 19 5
INWIRO CODE AND'
TOWN OF BARNSTABLE, TOW AT➢tlNS
Building Permit Application
Project Street Address /�/� lnI`tyK C-6 y R o A
Village 'y/Vf f},e$TONS A4 I L L �}
Owner �12C--/U M&T-C LICE Pr�mEt� Address
Telephone
Permit Request B v i a./J ,+ /Z A,X t Z If 1y<pieS6 STl4tiC�
First Floor square feet Second Floor /�� square feet
Construction Type Gvaah
Estimated Project Cost $ V A o"6 G fZ l 6-0 0 - 6--o
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 Cl Yes p-NoF On Old King's Highway ❑Yes Ergo
Basement Type: ull ❑Crawl ❑Walkout ❑Ot 902&nt'
Basement Finished Area(sq.ft.) -) - �?['� Unfinished Area(sq.ft)
Number of Baths: Full: Existing 2, New Half: Existing New
No. of Bedrooms: Existing New
Total Room Count(not including baths): Existing_Z_New ti First Floor Room Count
Heat Type and Fuel: ❑Gas it ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing ZNew Existing wood/coal stove es ❑No
Garage: 2-Detached(size) �-� fC 4 Q Other Detached Structures: ❑Pool(size)
A ❑Attached(size) (warn(size)
❑None hed(size)
6/. 6/L ❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes LalGo If yes, site plan review#
Current Use ,�t ct_ �:UA - �11
Proposed Use
Builder Information
Name �U LA&C9 0wwi-Q 0— Telephone Number
Address CteS Ct-V�_ ` 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
i
SIGNATURE DATE I-A
BUILDING PERMIT DE FOR TH OLLOWING REASON(S)
A- U/,
/� Ze�
ppp-
FOR OFFICIAL USE ONLY
PERMIT NO. `�O
A
DATE ISSUED
MAP/PARCEL NO.'
ADDRESS VILLAGE A
OWNER
DATE OF INSPECTION: '
FOUNDATION
FRAME
P y •
INSULATION
FIREPLACE `
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH
qq FINAL
GAS: NRdUGW- ! FINAL
t FINAL BUILDINs C
DATE CLOSED OU -
fn n
ASSOCIATION PLAN NiDf
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4 The Town of Barnstable
= The
of Health Safety and Environmental Services
639. Building Division
367 Main Street,Hyannis MA 02601
'Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
1
TOWN OF BARNSTABLE Permit:
SOLID FUEL STOVE PERMIT Date:
Feed
Owner: Phone:
Address - - _ _ Village
7
Map/Parcel: 3 ��� Date:
Stove -
A New/� _
B. Type: 7Radi )Circulating
C. Manufacturer: Lab. No.
D. Model No.:
Chimney
A. New xisting (If existing,please note date of last cleaning /99
B. Flue Size
C. Are other appliances attached to Flue? A,1j
D. Pre-fab Type and Manufacturer
E. Masonry: Lined/Unlined
Hearth
A.* Materials:
B. Sub Floor Construction:
t
Installer
Name: Address:
Phone:
Location of Installation:
APPROVED BY:
Please make checks payable to the Town of Barnstable
*This constitutes an official stove permit after inspection,photographed, and approved by the
Building Inspector
Stove.doc
0
e own of Barnstable
�. ABM ; Department of Health Safety and Environmental Services
t639. Building Division -
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
TOWN OF BARNSTABLE Permit:
SOLID FUEL STOVE PERMIT Date:
Fee-k j a
Owner: Phone:
Address: / Village:
Map/Parcel: — (30, — Date: �:,7
Stove
A. New/i ia*
B. Type: CirculatingC. Manufacturer: _ Lab. No.
D. Model No.:
Chimney
A. New xisting (If existing,please note date of last cleaning j&4 99
B. Flue Size
C. Are other appliances attached to Flue? Ald
D. Pre-fab Type and Manufacturer
E. Masonry: Lined/Unlined
Hearth
A. Materials:
B. Sub Floor Construction:
Installer
Name: Address:
Phone:
Location of Installation:
APPROVED BY:
Please make checks payable to the Town of Barnstable
This constitutes an official stove permit after inspection,photographed, and approved by the
Building Inspector
Stove.doc
e Town of Barnstable
Th
• ,�sttsr,►st�. •
�' Department of Health Safety and Environmental Services
1 •`° - Building Division
367 Main Street,Hyannis MA 02601
Ralph Crossen
Office: 508-790-6227
Fax: 508-790-6230 Building Commissione
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 contracto with
certain exceptions.along with other requirements. —
Type of Work: ' Est.Cost
Address of Work:
Owner's Name C
Date of Permit Application: 7
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
t_41ob 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
SIGNE -NDER PENALTIES OF PERJURY
I hereb apply for ermit the age the owner-
Date r Name Registration No.
OR
Date Own s Name
The Commonwealth of Massachusetts
1111-1 Department of Industrial Accidents
..... .. Office 9"BlyestigetioBs
- 600 Washington Street
Boston,Mass. 02111
� .- .
Workers Com ensation Insurance Affidavit
name: i A.,C,
location G� v" L
citV M r`` �� hone 0,Elor —
am a homeowner performing all work myself.
❑ I am a sole roprietor and have no one working in any capacity
%%% %// %%/%%/// /,,;,
❑ I am an employer providing workers' compensation for my employees working on this job.
com nny name:
address:
city nhone#:
insurance co.
niicv#
❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who
have
the following workers' compensation polices:
i
com any name:
address:
....:. :...........
dtv
phone
nliiv
insornnce cn.
cam anv name:
address:
,... phone#: .. ....
dtv
X......
insurance c(i..
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or
one years'imprisonment as well as civil penalties in the forth of a STOP WORK ORDER and a fine of 5100.00 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 c tjy tin r the airs d enaw of per ry that the ' formation provided above is true,and correct.
Signature
Date
Print nae Phon V
e
m
omclal use only do not write in this area to be completed by city or town official
perntitNceate a QBuilding Department
city or town ❑I.Icensing Board
❑Selectmen's OMce
❑check if Immediate response is required ❑Health Department
contact person:
phone#-. ❑Other
(tMim 9,95 PIA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
` Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy, please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the peimi license number which will be used as a reference number. The affidavits may be returned io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents.
Office of ImlestlgNons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
• TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print. .
DATE
JOB. LOCATION_ `V,4XCAj1
Number Street address Section of town
"HOMEOWNER" �%/2F�G� of- � -1��2- � � .... . . ..
Name Home phone Work phone -
PRESENT MAILING ADDRESS /YS- W,4k- Erb D,g p / Q-2S7a-WS r'1l A-4.S
C-3-tyitown State
Zip code
The current exemption for "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sy who owns -a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one or two family dwelling,
- attached or detached structures accessory to such use and/or farm structures.
•A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Off icia_
on a form acceptable to the Building Official, that he/she shall be responsible
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes . responsibility for compliance with the Stat
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands . the Town of
Barnstable Building Depart3me inimum inspection procedures and requirements
and that he/she will compl wit . said ce ur and requir ents.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if
Home Owner engages a person (s) for hire to do such work-,that such Home Owner
shall act as supervisor. "
Many Home Owners who.'use . this exemption are' unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) .. This lack of awarene;
often results in serious problems,, particularly when. the Home Owner hires
unlicensed persons.. In this case out' Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home ' Owner actin
as supervisor is ultimately responsible. ,
To ensure that the Home Owner is fully aware of his/Fier responsibilities, mar
communities require, as part of the permit application, that the Home Owner
certify that he/she understands the responsibilities of a supervisor. On the
last page 'of this issue is a form currently used by several towns. You may
care to amend and adopt such a form/certification for use in your community.
25
4) Special Permit Uses : The following uses are permitted as
special permit uses in the RC-1 and RF Districts, provided a
Special Permit is first obtained from the Planning Board:
A) Open Space Residential Developments subject to the
provisions of Section 3-1 . 7 herein.
5) Bulk Regulations :
ZONING MIN.LOT MIN.LOT MIN.LOT MINIMUM YARD . MAXIMUM BLDG.
DISTS . AREA FRONTAGE WIDTH SETBACKS IN FT. HEIGHT IN FT.
SQ. FT. IN FT. IN FT. -----------------
FRONT SIDE REAR
43560 125 --- 30 # 15 15 30
RF ' 43560 150 --- 30 # 15 15 30
* Or two and one-half (2-1/2) stories whichever is lesser.
# 100 Ft . along Routes 28 and 132 .
i
Ag
PART X: STABLE' REGULATIONS : ,:: •��
ADOPTED 4/1/721 BECAME EFFECTIVE 4/12/72
REVISED 7/15/93
BOARD OF REALTR'
STABLE REGULATIONS
1. Under the authority of Hassachusetts General Laws, chapter 111, Section
155, no person shall erect, occupy or use for a stable any building or land
for the housing of horses and/or ponies in the Town of Barnstable, unless such
use is authorized and licensed by the Board of Health and is in compliance
with the zoning By-Laws of the Town of Barnstable.
2. The license fee for each horseb/or pony e effective alJulye 1 established
c calendar
Board of Health and said license shall
year and shall expire on June 30 of the succeeding calendar year,
3. No stable may be cotfr within
the Town of'Board of ealth BarnstableThe con construction
stable license "is first obtained om
of stables shall be in conformity with the Barnstable Building code.
4. stables shall conform to the following:
(a) There shall be at least two (2) windows in`:' every stable.
(b) There shall. be adequate ventilation in every stable.
(c) Each stall shall be of adequate size so that any horse and/or pony
shall have room to comfortable lie down or stand up.
(d) There shall be adequate drainage either natural or artificial.
(e) All flooring in any stable shall be acceptable to the Board of
Health. o
5. Land on which horses or ponies are pastured shall be fenced in such a
manner as to prevent any damage to abutting property, trees or shrubbery.
6. No person, company or corporation shall erect, occupy or use a building
for a livery or horse or pony stable for the keeping of horses or ponies
unless such a stable or building is more than 200 feet from a church or school
building and is more than fifty (50) feet from a building that is used as a
dwelling or home.
7. owners of stables housing horses or ponies must clean the manure from
the stable at least once each day. - waste matter shall be disposed of in a
sanitary manner, and shall not be accumulated on the property.
8. No horse or pony shall be allowed to be pastured on any land unless said
area is fifty (50) feet from a home or dwelling.
9. No person, company, or corporation shall allow a horse or pony horse or
pony to be pastured on any land unless said area is fifty (90) feet away from,
a private water supply well. A fence shall be erected to keep horses and
ponies at least fifty (50) feet away from any private water supply well.
6
i:"i....
use a
occupy or
10. No person, company, or corporation shall et
ivery or horse or pony stable the keeping of horses or
building, for a l
h stable or building is more than fifty (50) feet from a
ponies unless auc
, private water supply well.
stockpile manure within 100 feet of a
il. No person shall store, dispose, or
private water well.
owner or keep of a horse or pony must provide stabling facilities
s
12. Any P
for same. No horse or pony shall be allowed to remain out of doors at all
times, without having access' to proper shelter.
13. Any person, company, or corporation engaged in or desiring to engage in '
the business of slaughtering horses for the purpose of rendering them shall
apply to the Board of Health for a license as required by the Massachusetts
General Laws, Chapter 111, section 154..
right to make
decision
14. The Barnstable Board of Health
ineserves regard toe health or houeingnconditions
of situations or problems that arise
that are not covered by this set of regulations.
15. under Massachusetts General Laws, chapter 111, section 157 anyone
woo
ho
violates the provisions of these regulations shall be punished by
five dollars for each day such to suspend The rnstable Board of
Health also reserves the right Pend or revoke licensee previously issued
if continued violations of these .regulations occur.
I
c
p
�i'.tQ.-- /�• a
Brian R. Grady, R.S.
chairman
L
uean G. RaW R.S.
i
Joseph C. Snow, M.D.
Board of Health
Town of Barnstable
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Assessor's map and lot number .....
..y l ..
♦: f V (� D P�O�THE Tp�t
Sewage Permit number {�. ...... L IWX 8VMM MUS
STABLE, i
House number .........................................:. M� 6 rb 9"
3
MAY a•
TOWN OF BARN NS
BUILDING INSPECTOR
Co : �fi sTvy� /4 d, t
APPLICATION FOR PERMIT TO ................�1.S.�K.!.......................X................ ................,�......................!.�
TYPEOF CONSTRUCTION .........!!gn.d......� r q.wA.. ...............................................................................
.........S ......L ............1927
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for apermit according to the following information:
Location ........ x4.K b�J.......(?d............(....!.14.± . d N/s........41.1 1.5...............................................................
ProposedUse .............................................................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner [H.WhY................Address
Name of Builder Alb.!✓•1f." ...T:...sp.r..1.V.l. .Y.......Address .. ... �NT.1� �.�....
Name of Architect 5 1"I1 /WSJ....�3.h4v.�............Address
Numberof Rooms ..............................................................Foundation .........1?. 4.4..j�..................................................
Exterior ....V.y.:..G........
C .wY'..�......................................Roofing ....... � .!1! J. ..................................................
J •f
Floors4)9.y. .u........ ...GC).y'..5.........................Interior ......5.....r t..........O.G... .........................................
HeatingV✓�9.r4.�....1?.7t...Q11.......Plumbing .:.................yv............................................................
yFireplace ..:...... Q.{'�..0..........................................................Approximat'e Cost .......... .f..... ...........:....%....................................
t r�
v v .a ... y.
Definitive Plan Approved by Planning Board _____________________-_____rl9 . Area ......I........ . �,fl ��.........
Diagram of Lot and Building with Dimensions ^� Fee
�• .......... ..............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name A�j. .............
L14r- LAI, f9ivL£y
A=43-5
Ndt2.16.58..... Permit for ...qdd•• ••to•dZnc,
...................;.�/.................................. .............
Locaton u w..kakeby...Rd................ ....................
......................Mar•soF►s••ht i 1 1 s..........................
Owner_ .....S anl.Qy...F,...1•.i•�►eo 1 .....................
Type of Construction ........ fr.aae........................
...............................................:.................................
Plot ............................ Lot ................................
Permit Granted ......... .....19 79
Date of Inspection 19
Date Completed ............... ......19
RMIT REFUSED
....... .. 19
fC
......... i..............................................
t-
. ..�.g. .............................................
Ws
APPro`vc ...... ..................................... 19
...............................................................................
...............................................................................
Assessor's map and lot number .........
sse .... ..............
0*THE 0
tio
Sewage Permit number ....................... ............I............. .
33AUSTABLE,
House number ....................................................................... MAM
1639-
0
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO ............ .........................................................................................................
TYPEOF CONSTRUCTION ....................................................e' ...............................................................................
..................... ..........................19.4
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...........W-,t,4 ........y........ A. VV_5
.............................. ................... .. .................................................................
ProposedUse ...................................................... .......................................................................................................................
ZoningDistrict .........I........................... .............. .....................Fire District ..............................................................................
............................Name of Owner ........................ ...............................Address
................... ......
Name of Builder ......... .................. .............. ..... . .... .......Address .........!,"."�Jq � I 1\1&
....... ................ . .... . ..............
Nameof Architect ................ ..........................................Address ....................................................................................
Number of Rooms .............................................Foundation ......... ;."c r
...................................................................
'Exierior ... ......................................Roofing ....... . .............. .... ... ....................................................................
5
Floors .......... ............... .................................................Interior ..... .......
..................................... .................................
Heating ... .............. .......... ............................ ........Plumbing ............ .......
.......................................................
Fireplace ............ ....
. .....f........................................ .....................Approximate Cost .............. ......................................................
Definitive Plan Approved by Planning Board ----------------------------- Area ...............I
.....................
Diagram of Lot and Building with Dimensions Fee ...............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ................. ...... . ............................................
F
I Stand.ey F. L i ncc'1 n A=43-5
No .2.�.�?�` ..... Permit for ....Add!•n•••to••dwe•l•1•i ng
i
i
Location .....Vakeby...Rd.......................................
................Mars.tans...MiJ.1-................................
Owner ........S.t.an.ley...F._..Li.nco l n...................
Type of Construction .....Frame............. ...........
.................................... ...........................................
Plot ........................ ... Lot ................................
Permit Granted ..........SeptembPr.....J-9.19 79
Date of Inspectio•_ . ...............................19
Date Completed ......................................19
PERM REFUSED
....... ............ 19
K
.... .. .. . .....
................ ..... . .... ...� /. . .......
................. . ............ ...... ...........................
...............................................................................
Approved ................................................ 19
...............................................................................