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�. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
�Wap , �`� Parcel 05- / _ Permit# �/ d
Np.alth Division-4 7 _ �� 02 ! 4�: �� Date Issued /0 0 0 2
Cor nervation Division o Z�. Axot Application Fee
Tax Collector aL `inAWO L
Shul ffi
Treasurer �,� AD V 0>% INSTALLED IN COMPLIANCE
Planning Dept. VWTF;TITLE SENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWN REGUL;TIONS
Historic-OKH Preservation/Hyannis
Project Street Address _ I S S c� Co ��co c.�.c�1
Village ®S }-�✓vw�
Owner .� 1+ �,�� Address Se, 2
Telephone
Permit Request -C2 co--eJk
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 10000 CJUO Construction Type Q 00 D .
Lot Size I UUy J—� Grandfathered: Cl Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family lK Two Family ❑ Multi-Family(#units)
Age of Existing Structure 3 d Historic House: ❑Yes C�'No On Old King's Highway: D.Yes c El No
'(1 \Basement Type: O'l�ull ❑Crawl ❑Walkout ❑Other
I Basement Finished Area(sq.ft.) — Basement Unfinished Area(sq.ft)
cn` •�"
,�umber of Baths: Full: existing new Half: existing �� news
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Co nt
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 F- 0 G"', Telephone Number 7-7 J 17 U 0
Address (o �t u�c-c 1�� 9 License# 6 U 7
Home Improvement Contractor# Id/j-
Worker's Compensation# 6 23 U 13 �)7 u X L U5`7-01--
ALL CONSTRUCTION iDEBRIS RESULTING
/FROM
/THIS PROJECT WILL BE TAKEN TO
SIGNATURE ���� DATE i2J yeOz_
FOR OFFICIAL USE ONLY
t
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER' !
DATE OF INSPECTION:
r FOUNDATION
i
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
LJ
PLUMBING: ROUGH >_ FINAL
GAS: ROUGH E,: ' FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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p,0F1ME►p��� ' Tle Town of Barnstable
BAReSTAB6E. Department of Health Safety and Environmental Services_
MASS. a
Y� f639. h00 -
PlE0Mp�6 Building Division
367 Main Street, Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
PLAN REVIEW
Owner: Map/Parcel:
Project Address: ��/E`T�� ��375r�i`i`�S �'`�`/ Builder: C f2 es,;-,-.e
The following items were noted on reviewing:
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Reviewed by:
Date: 6 5 Q Lo 2—
q:building:forms:review /�
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Th e,,Conimonwealth of Massachusetts
- - Department of Industrial Accidents l
_ - Office ollnYestiOOMMS
600rWashingt0n Street
- - Boston, Mass. 02111
`3 Workers' Comijensation Insurance AffidavitMIN
/
ocation: ._. _
hone#
am a homeowner performing all work myself
I am a sole ro rietor and have no one worlan in cap achy
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Faflm a secure cooers;e iv require ender Section 25A of MGL 152 caniead.to the imposition of penalties of a�e np to 51,500.00 imd/ar. .
one years'secure
coveent i re as a penalties in the form of atiptupof the O for cO nda One
e of$t1on00 a day againAme. Imidery4smd that a'
copy of this statement=y be forwarded to the Office of Investig
. thr�the-in ormaiim r-ovide"a ve-issrLs_nd-correct
I do hereby-certiJYu h-epains-and penalties-of-perjury f P
Date
Signature .�•: .,. • ..,. . .•'•' :.. ,,..•.-T�..� 70Z) '
��, •r. :Phone# ' -2 7
Print name
offlctalwe only
do not write ins ar
ea to b e completed by city or town official
_ .
"p ertnit/license# OBuilding Department
city or town:
❑Licensing Board
❑8ele_trten's Otflce
contact person: � '
I
Information and Instructions
Massachusetts General Laws chapter section 25 requires
was eii
employers Oprovide m eof another under anyany for tcorttr'act
employees. As quoted from
`law , an employee is r3'P ,
.of hire,'express or implied, oral or written.
association, corporation or other legal entity, onany two or more of
An employer is defined as an individual, Partnership, _
the foregoing engages
in a joint enterprise,-and including the Legal representatives of a deceased employer, or the receiver or
trustee of an individual,partne1�P, association or other legal entity, employing employees. However the owner.ofa .-
dwelling house having not more than three apartments and who xesides 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 appurt
enact 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 6r renewal
of s license or permit.to operate a business or to constructthe insuran es in the coverage commonwealth
qu red. Additionally,neither the� h�
not produced acceptable evidence compliance-with
commonwealth:nor any°f its political subdivisions shall enter into any contract for the performance of public work u 7
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
7.
authority.
Applicants
please fill in the workers' compensation affidavit completely,by checking
of insurance as lies all affida your vits may be
�PPly�°0��y��,address and phone numbers along with . .._... • . •
submitted to m Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
is
date the affidavit. The.affidavit,should'be returned to the city or town that theaanppli a 1e 8ding the"]a permit or w"or_if yQu
being requested, not the Department of Industrial Accidents. Should you have y qu gar
obtain a workers' compensaticinpolicy,please call`. a Depaitaierit atthe ni nber listed below:.
are required,to -;
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Departrnent has provided the a space li alat theb Please
affidavit for you to fill out in the
event the Office of investigations has to contact y regarding PP /
�"^" ~.bei wluchwi�Lbe used a's a iefeieace number. Tlie aff$avits mayiie'r �to•..
be sure,to isi e.petautllicense ,:_ ......
' the Departm'eat bY� !or FAX unless othei arrangements have been made.
-.
' Investigations would like to thank you in advance for you cooperation and should you have any . .
questions
The Office of Investig. ,. ... . t T"
please do not hesitate to give us a call. _
s address,telephone and fax number.
The Department'
- The'Commonwealth Of Massachusetts
Department of Industrial Accidents
- puce of lnyesttgaticns •
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
ii. «17) 727-4900 eat. 406, 409 or 375
I
°FZHE TOy� Town of Barnstable
Regulatory Services
9ARNSTASIX, Thomas F.Geller,Director
9 MASS.
i639. aim Building Division
Tpp Mpy
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Fax: 508-790-6230
Office: 508-862-4038
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 contractors,with certain exceptions, along with other
requirements. n
Type of Work: Y���-J N��� Estimated Cost
Address of Work:P coc�o
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reasou(s):
❑Work excluded by law
❑Job Under$1,000
❑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 hereby apply for a permit as the agent of the owner:
�L``� o
Date Contractor Name Registration No.
41
OR
Date Ovrner's Narr_e
Roof Beam[99 BOCA National Building Code(97 NDS)1 Ver: 5.05
By-Joe Madera , Shepley Wood Products on: 10-23-2002 : 12:48:06 AM
Project: MOGFLYN-Location: ROOF AT EXT WALLS'
Summary_;_
5.25 IN x 9.5 IN x 15.0 FT,/level 2 Wolmanized Parallam-Trus Joist-MacMillan
/Section Adequate By:268.3% Controlling Factor: Moment of Inertia/Depth Required 6.15 In
Deflections:
Dead Load: DLD= 0.12 IN
Live Load: LLD= 0.15 IN=U1179
Total Load: TLD= 0.27 IN= U663
Reactions(Each End):
Live Load: LL-Rxn= 656 LB
Dead Load: DL-Rxn= 511 LB
Total Load: TL-Rxn= 1167 LB
Bearing Length Required(Beam only, Support capacity not checked): BL= 0.58 IN
Beam Data:
Span: L= 15.0 FT
Maximum Unbraced Span: Lu= 0.0 FT
Pitch Of Roof: RP= 0 : 12
Live Load Deflect. Criteria: U 240
Total Load Deflect. Criteria: U 180
Roof Loading:
Roof Live Load-Side One: LL1= 25.0 PSF
Roof Dead Load-Side One: DL1= 15.0 PSF
Tributary Width-Side One: TW1= 3.5 FT
Roof Live Load-Side Two: LL2= 25.0 PSF
Roof Dead Load-Side Two: DL2= 15.0 PSF
Tributary Width-Side Two: TW2= 0.0 FT
Roof Duration Factor: Cd= 1.15
Beam Self Weight: BSW= 16 PLF
Slope/Pitch Adjusted Lengths and Loads:
Adjusted Beam Length: Ladi= 15.0 FT
Beam Uniform Live Load: wL= 88 PLF
Beam Uniform Dead Load: wD_adj= 68 PLF
Total Uniform Load: wT= 156 PLF
Properties For: level 2 Wolmanized Parallam-Trus Joist-MacMillan
Bending Stress: Fb= 2088 PSI
Shear Stress: Fv= 177 PSI
Modulus of Elasticity: E= 1740000 PSI
Stress Perpendicular to Grain: Fc_perp= 385 PSI
Adjusted Properties
Fb' (Tension): Fb'= 2464 PSI
Adjustment Factors: Cd=1.15 Cf=1.03
Fv': Fv'= 204 PSI
Adjustment Factors: Cd=1.15
Design Requirements:
Controlling Moment: M= 4376 FT-LB
7.5 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear: V= 1167 LB
At support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus(Moment): Sreq= 21.31 IN3
S= 78.97 IN3
Area(Shear): Areq= 8.60 IN2
A= 49.88 IN2
Moment of Inertia(Deflection): Ireq= 101.84 IN4
1= 375.10 IN4
Roof Beamf 99 BOCA National Building Code(97 NDS)1 Ver: 5.05
a By: Joe Madera , Shepley Wood Products on: 10-23-2002 : 12:48:28 AM
Project: MOGFLYN- Location: RIDGES 1
Summary:.- _
.25 IN x 9.5 IN x 15.0 FIf/level 2 Wolmanized Parallam-Trus Joist-MacMillan
Section Adequate y: 4.2% Controlling Factor: Moment of Inertia/Depth Required 7.26 In
Deflections:
Dead Load: DLD= 0.18 IN
Live Load: LLD= 0.26 IN = U688
Total Load: TLD= 0.45 IN =U404
Reactions(Each End):
Live Load: LL-Rxn= 1125 LB
Dead Load: DL-Rxn= 792 LB
Total Load: TL-Rxn= 1917 LB
Bearing Length Required (Beam only, Support capacity not checked): BL= 0.95 IN
Beam Data:
Span: L= 15.0 FT
Maximum Unbraced Span: Lu= 0.0 FT
Pitch Of Roof: RP= 0 : 12
Live Load Deflect. Criteria: U 240
Total Load Deflect. Criteria: U 180
Roof Loading:
Roof Live Load-Side One: LL1= 25.0 PSF
Roof Dead Load-Side One: DL1= 15.0 PSF
Tributary Width-Side One: TW1= 3.0 FT
Roof Live Load-Side Two: LL2= 25.0 PSF
Roof Dead Load-Side Two: DL2= 15.0 PSF
Tributary Width-Side Two: TW2= 3.0 FT
Roof Duration Factor: Cd= 1.15
Beam Self Weight: BSW= 16 PLF
Slope/Pitch Adjusted Lengths and Loads:
Adjusted Beam Length: Ladi= 15.0 FT
Beam Uniform Live Load: wL= '150 PLF
Beam Uniform Dead Load: wD_adj= 106 PLF
Total Uniform Load: wT= 256 PLF
Properties For: level 2 Wolmanized Parallam-Trus Joist-MacMillan
Bending Stress: Fb= 2088 PSI
Shear Stress: Fv= 177 PSI
Modulus of Elasticity: E= 1740000 PSI
Stress Perpendicular to Grain: Fc_perp= 385 PSI
Adjusted Properties
Fb'(Tension): Fb'= 2464 PSI
Adjustment Factors: Cd=1.15 Cf=1.03
Fv': Fv'= 204 PSI
Adjustment Factors: Cd=1.15
Design Requirements:
Controlling Moment: M= 7188 FT-LB
7.5 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear: V= 1917 LB
At support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus(Moment): Sreq= 35.00 IN3
S= 78.97 IN3
Area(Shear): Areq= 14.13 IN2
A= 49.88 IN2
Moment of Inertia(Deflection): Ireq= 167.29 IN4
1= 375.10 IN4
Multi-Loaded Beam[99 BOCA National Building Code(97 NDS)1 Ver: 5.05
By:Joe Madera , Shepley Wood Products on: 10-23-2002 : 12:53:23 AM
Project: MOGFLYN-Location:-GABLE'
Summary:
5.25 IN x 9.25 IN x 12.0 FT /level 2 Wolmanized Parallam-Trus Joist-MacMillan
"Section Adequate By: 98'.8% Controlling Factor: Section Modulus/Depth Required 6.82 In
Center Span Deflections:
Dead Load: DLD-Center= 0.12 IN
Live Load: LLD-Center= 0.12 IN =U1240
Total Load: TLD-Center= 0.24 IN= U598
Center Span Left End Reactions(Support A):
Live Load: LL-Rxn-A= 563 LB
Dead Load: DL-Rxn-A= 727 LB
Total Load: TL-Rxn-A= 1290 LB
Bearing Length Required (Beam only, Support capacity not checked): BL-A= 0.64 IN
Center Span Right End Reactions(Support B):
Live Load: LL-Rxn-B= 563 LB
Dead Load: DL-Rxn-B= 727 LB
Total Load: TL-Rxn-B= 1290 LB
Bearing Length Required (Beam only, Support capacity not checked): BL-B= 0.64 IN
Beam Data:
Center Span Length: L2= 12.0 FT
Center Span Unbraced Lenqth-Top of Beam: Lug-Top= 0.0 FT
Center Span Unbraced Length-Bottom of Beam: Lu2-Bottom= 12.0 FT
Live Load Duration Factor: Cd= 1.00
Live Load Deflect. Criteria: U 360
Total Load Deflect. Criteria: U 240
Center Span Loading:
Uniform Load:
Live Load: wL-2= 0 PLF
Dead Load: wD-2= 40 PLF
Beam Self Weight: BSW= 15 PLF
Total Load: wT-2= 55 PLF
Point Load 1
Live Load: PL1-2= 1125 LB
Dead Load: PD1-2= 792 LB
Location(From left end of span): X1-2= 6.0 FT
Properties For: level 2 Wolmanized Parallam-Trus Joist-MacMillan
Bending Stress: Fb= 2088 PSI
Shear Stress: Fv= 177 PSI
Modulus of Elasticity: E= 1740000 PSI
Stress Perpendicular to Grain: Fc_perp= 385 PSI
Adjusted Properties
Fb' (Tension): Fb'= 2149 PSI
Adjustment Factors: Cd=1.00 Cf=1.03
Fv': Fv'= 177 PSI
Adjustment Factors: Cd=1.00
Design Requirements:
Controlling Moment: M= 6744 FT-LB
6.0 Ft from left support of span 2(Center Span)
Critical moment created by combining all dead loads and live loads on span(s)2
Controlling Shear: V= 1290 LB
At right support of span 2(Center Span)
Critical shear created by combining all dead loads and live loads on span(s)2
Comparisons With Required Sections:
Section Modulus(Moment): Sreq= 37.65 IN3
S= 74.87 IN3
Area (Shear): Areq= 10.93 IN2
A= 48.56 IN2
Moment of Inertia(Deflection): Ireq= 138.87 IN4
1= 346.26 IN4
L CATION OF PROPERTY LINES MAY NOT BE ACCURATE STANDARDLEGE,ND
NOTE:not all symbols will appear on a mop
---------------------------
Q�Z� GOLF COURSE FAIRWAY
�� M r EDGE OF DECIDUOUS TREES
/�
2� _ - EDGE OF BRUSH
ORCHARD OR NURSERY
v v v v EDGE OF CONIFEROUS TREES
MARSH AREA
/ — — EDGE OF WATER
DIRT ROAD
DRIVEWAY
E--PARKING LOT
Imo--PAVED ROAD
— — DRAINAGE DITCH
- - - - - PATH/TRAIL
PARCEL LINE
MAP 110 MAP#
21 < PARCEL NUMBER
aleso E—HOUSE NUMBER
} MA 12 2 2 FOOT CONTOUR LINE
MAP' 122 R� 1@ 10 FOOT CONTOUR LINE
• ;� Elevation based on NGVD29
5 (sS 4 `,•�4.9 SPOT ELEVATION
-� � [ ovro STONE WALL
110 ,��- ✓1 -X—X- FENCE
RETAINING WALL
RAIL ROAD TRACK
i
STONE JETTY
(J SWIMMING POOL
j PORCH/DECK
�j 0 BUILDING/STRUCTURE
DOCK/PIER
----------------- HYDRANT
6 VALVE O MANHOLE
------------------ o POST 0" FLAG POLE
T O W N O F B A R N S T A B L E G E O G R A P N 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T o SIGN ® STORM DRAIN
N PRINTED SCALE:IN FEET *NOTE:This map b an enlorgement of a *s NOTE:The portal lines are only graphic representations DATA SOURCES: Planimenia(man-made features)were interpreted from 1995 aerial photographs by The lames o TOWER
1°=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE
w y ' 0 15 30 National Map Accurory Standards at this do not represent actual relationships ro physical objects Corporation.Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards 4 LIGHT POLE o ELECTRIC BOX
1 INCH-30 FEET+ enlarged scale. on the mop. of o scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessors roz maps.
` �1ce �Jomvmanurea� a�✓�aasacluiaetta
IBoard of Building Regulations and Standards
lugHOME IMPROVEMENT CONTRACTOR
Registration: 100718
i Expiration: 6/23/2004
Type: Private Corporation
MOGAN&CO.,INC.
Francis Mogan,Jr.
68 JOYCE-ANNE RD.
Centerville,MA 02632 Administrator
I
BOARD•OF BUILDING'REGULATIONS
icense: COIYSTRUCTIOWSUPERVISOR
Number.,'CS 026071
h,
9. Expires 10/03/2003 Tr.no: 6750
�— 6stricte_d: 00
FRANCIS E MOGAN
68 JOYCE ANN RD
CENTERVILLE; MA 02632
Administrator
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BA,YTI- V- AYE "G-
REGIS-Tt3ZED LAwx=p SUeVE�fozs
TI-I05 DL-AW (S �"IOT BA'SEU- UN- AW- USTE2V11-16 c� ArCASS.
ItJsTQt1ME�JT SUiZVEY TNt= UF�S�rS 5�-loWUD APPLI CA.tJT ` � /[
KbT BE USCo To tit:TEV-mtw • LC>-r LIMES �t�E V(.Eftc--
Assessor's map and lot number ..e............:'......:F..............
{. n SEPTIC SYSTEM MUST BE
! LLED IN COMPLIANCE
JNSTA
;3 Sewage-Permit number ............ �L......................... WITH ARTICLE II STATE
SANIT
TOWN OF BARD"TXTowro
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Z BA&B9TADLE, i „� y
""` �, DUILDING INSPECTOR
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APPLICATION FOR PERMIT;,TO ............ .. ...................................:.......:..
TYPE OF CONSTRUCTION .........1.....:Lr���oZr
.......:......•.............................................
.. .....,9 .,�
TO THE INSPECTOR OF BUILDINGS:
The undersigned he eby applies for a per :t according to the following inform tic �—
... ..���........ .,c�(>�V..........
Location ...G7 ....
;............................................................
Proposed Use ` d�!A..�.Q: .............. �
C� / �.........,.. ..............Fire Districtr� ...✓!.. ....
Zoning District ............... �•
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Address ........ r
Nameof.Owner ..... ,.�F�rG� e ��........... �,........... ... ..................... .........................................
�
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms .................../................................:............Foundation ........../.............. ....r.!tr..:................................
Exterior ..................... .......................................Roofing .... .... ....... .... ...... ....................................
W (V Interior ...... ......... ..�. '�—•-�—
llc.11tl� !� ��../.........................Plumbing .............�..............................................................
Heating ....... .1.. ...... ............
..............................:..............Approximate Cost .............:
.......o..................................:.......
Fireplace ................1
Definitive.Plan-Approved by Planning Board --------------------------------19________ . Area � .. •
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 twn of Barasta ere Jong the ab
construction. Name .......... .......... ............
_ .
' Capevide Development
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^ ..J.90.54.... p~'~k one �tmry
'-- [ — Permit '~ —^'—'--------' ^
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_. jAmily.."�nell ______._..
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Location --.Seth.. .m..Wa�---- '
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C)wnn& ..........
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Type.of [onutruction .......... --`---..
---..�..---..----~—...—..-------.
#l0Plot
............................ Lot ----------.. . . .
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March 31 77 '
Permit Granted — ---.]9
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' Ooto of Inspection ----l�
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^ .'^[ato [omoletb6 .~. .' 7 ------l9
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| PERMIT REFUSED
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' Approved ---------------.. R
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Assessor's map and lot number
Sewage Permit Humber .............
I"Er°�� TOWN OF BARNSTABLE
Z BAHBSTABLE, i
"b 9 D OR ,e�� BUILDING INSPECTOR
.. �'F a'
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APPLICATION FOR PERMIT TO (s, `�
. ...... �.........................`.. ..................................................
TYPEOF CONSTRUCTIO ................ ".." ..... `................................................................................
�� � ......19 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for, a permit according to the following information:
Location ..................�✓ � t y �� . : .........................................................� J- 1C.
.........
r
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Proposed Use 1
....... v ....P - ................................. ....!. .........................................-.............
Zoning District .....Z..:?.r..a,..: ......................................Fire District :: fi.;.l�l .l...... G
c
Nameof Owner �..:.:....n.....:...........y.:............ ..........Address .........,.. ....'.....................�..........................................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
�s
Number of Rooms ......................Y
............................................ .............................................,.*.
Exterior .....................................................................................Roofing
Floors .:...............................................Interior ......: ��C,P
...;/�<.�.... ..............................................
Heating r. r P ��i............ ................................Plumbing
......................A Approximate. Cost ..... .'�®r`'
Fireplace pp .....................................................
Definitive Plan Approved by Planning Board -----------_______-----------19________. Area .. .............................
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. ` P
Name ............ - .............. .. .......... ...........
,z�_�'
Ca���ldo Development .
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l9O54 � moe atory
No Permit
-----'' . --------'-''^w^'.
l fa 1ly dwelling
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ioco�on'-8.���e�b ��om6 �d".a..Way___. '
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' Osterville
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.............. wnoid —Daval t
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Type Construction —.. --------.
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---..+ .—..�----.-------------.. .
plot -----�--' Lot .......#l0..................
March 31 ' 77
,Permit Granted -------------]g '
.
Date of Inspection --'---------.l9
'
'Dote Completed ......................................
_
. . .
PERMIT REFUSED
-----.-..—^--------.--..~. 19
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Approved ................................................ 19
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