HomeMy WebLinkAbout0100 ALDER BROOK LANE i
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UPC 12543 '
No.3LOR
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
1 �,2 AID /Lt
Map ParcelApplication #
Health Division Date Issued a
Conservation Division Application Fe
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address /�4O L-DF�D)C60 I
Village-bli_�joor&4 57T 14
Owner . d �"r�I ��et k i . Address Sca°c%:n—
Telephone 3 lc� yD 7
Permit Request apl4ce, 1<_,060 "JU0s '
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Totew
Ab
Zoning District Flood Plain Groundwater Overlay
Project Valuation / "Construction Type co �
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach s kZhtatioh.
Dwelling Type: Single Family f� Two Family ❑ Multi-Family (# units) 4
Age of Existing Structure r Historic House: ❑Yes XNo On Old King's Highwi es ❑ No
Basement Type: ;Full ❑ Crawl ❑Walkout XOther W11 ' !D #0(1%e Ukda—
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing J1i new Half: existing new
Number of Bedrooms: existing new
Total Room Count (not including baths): existing new First Floor Room Count
I
Heat Type and Fuel: ❑ Gas V Oil ;V Electric ❑ Other
Central Air: *Yes ❑ No Fireplaces: Existing 4—New Existing wood/coal stove:*Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: O 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 Voiorl ���N—fy t� �• Telephone Number
Address JGo �� rid �+ - License#
w.`
S kc` �� 6 6 ?l Home Improvement Contractor#
Worker's Compensation #
ALL ONSTRUCTION DEBRIS RESULTING FROM THI PROJECT WILL BE TAKEN TO wvbA4-e
SIGNATURE DATE 71Y A
FOR OFFICIAL USE ONLY
's APPLICATION#
DATE ISSUED
s MAP/PARCEL NO.
S
7 '
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
�FF� OUND AT;I.ON!t: 5�AA07- 6—�z-,y _
FRAME '
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
s
GAS: ROUGH FINAL
f
FINAL BUILDING -
DATE CLOSED OUT
ASSOCIATION PLAN NO.
j
G J-
-
lne t-omnwaweaun gmassacnuse=
Deparment of Indus&W Accidents
Office of Investigations
600 Washington Street
S`
Boston,MA 02111
www.mass gov/din
Workers' Compensation Insurance Affidavit: Builders/ContractorsMecfricians/Plmnbers
Applicant Information Please Print Legibly
Name(Busmcm/Organizatim&dm&aI): d Pr� �F�w� •�'_
Address: �` o r�1�P�r�t v\
City/S`fiatelZip: j,���G►��S r� �_ Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.El am a employer with 4. ❑ I am a general caatwtor and I
employees(fun and/or part-time).*
have hired the sab-contwtors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees' Tie ors have 8. ❑Demolition
working for me in any capacity. employees'and have workers' 9. ❑Building addition
[No workers'comp.insurance comp.insurance l
reed`]
5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
NqL& officers have exercised their
3.KI em a homeowner doing all work 1 L❑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 l7ec.� ;?Co P
employees.[No workers' 13 / Other
Comp,ffisur►nce required.]
*Any.applicant that checks box#1 mast also fill out the section below sbowing their workers'compensation policy infannation.
t Homeowners who submit this affidavit indicating they are doing all work and thca hire outside contzrtnrs must submit a new affidavit indicating such.
tCortractors that cheel'this box mast aftached an additional sheet showing the name of the sob-conhzctors andsla.f--whefer or not those entitirs have
employe¢ if the sub-conhactws have employees,they must provide their workers'comp.policy number.
II am an employer that is provk&W workers'compensafon insurance for my employees Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.# l Expiration Date:
Job Site Address: �G� �1�1 PF!J�7� �l / �- VI7 5, ] 6 J City Si�/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 a 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 violatgr. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insm-amce coverage verification.
I do hereby certify under the msd penalties of perjury that the information provided ove is true and correct
S' ' Date: 9 /
Phone#:
Offzcial use only. Do not write in this area to be completed by city or town official
City or Town: Permits icense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector
6.Other
Contact Person: Phone#:
Information and ]Instructions
Mm&w1 setts General Laws chapter 152 regoaes all*employers to pmvide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any cow act of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other Iegal 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 th e
dwelling house of another who employs persons to do maintenance,construction or repair wulrrk 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, 925C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license of permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced.accepiable evidence of compliance with the insurance coverage required."
Additionally.MGL chapter 152, §25C()states"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
PIease fill out the workers' compensation affidavit lete by checking the boxes that 1 to our situation an if
�mP comp lY, g apply Y �
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLCM or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit 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 nmmber listed below. Self-insured companies should enter their
self-iusii m,oe license number on the appropriate lore.'
City or Town Officials
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 permit/license number which will be used as a reference number. In addition,an applicant
that must submif multiple pen it/license applications in any given year,need only submit one affidavit indicating can eat
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(I e.a dog license or permit to bum leaves etc.)said person is NOT required td complete this affidavit
The Office of Investigations would hike to thank you in advance for your 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 Javestigations
600 Wash�n Street. '
Bostort.,NSA 02111
Tel,#f 17-727-4900 ext 406 or 1•-877-MASUM
Fax#617-727-7749.
Www Revised 424-07. s -pWd
T l �
E Z Barnstable Old Kings Highway Ifist®ric District Committee
= 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784
APPLICATION, CERTIFICATE OF APPROPRIATENESS
Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter
470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs
accompanying this application for:
Check all categories that apply,
1. Building construction: El New ❑ Addition ❑ Alteration
2. TyRe of Building: 2 House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other
3. Exterior Painting,roof 0 new roof 2"color/material change,of trim,siding, window, door
4. Sign: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other
6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other
Type or Print Legibly: Date 6 L 1 q
NOTE All applications must be signed by the current owner
Owner(print): ( o3 ( f X1 , 'rAP Telephone#: 603—3zE—CF01
P g M 3AAj • Map Lot# Zll o
Address of Proposed Work: IOO LL'7� g2001C Village
Mailing Address(if different)
Owner's Signature
Description of Proposed Work: Give particulars of work to be done: NCB Jam' t Dt P63 F 00r7,
Agent or Contractor( rint): I Telephone#:
Address: =ZO SH C A
Contractor/Agent'signature:
A O"e D For cornnui tee se only. This Certificate is hereby APPROVED/DENIED �
V C Date Members signatures
JUL 0 9 2014
Town of Barnstable '
Old King's Highway
Committee
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Q:\Boards and ComnussionsNOld Kings Highway\OKHAppkrationAOKH DRAFT 2011 Cert Appropriateness DRAFT.doc
Town of Barnstable
Old King's Highway Historic District Comn ft''OOP BARNSTABLE
KAM, 200 Main Street,Hyannis,Massachusetts 02601
(508)862-4787 Fax(508)862-4784 9
MINOR MODIFICATION TO PRIOR APPROVED W
DIVJ C N
972 CAD?Rules and Regulations, Section 1.03(2),
1.03: General Procedures
(2) (a) Only minor changes may be approved by the Committee without the filing of a new
application and a new hearing. Minor changes include alterations that can be done without a
detrimental impact on the overall appearance of the project such as altering a single window or
door change or a minor change of colors. All minor changes;by amendment will require the
local Committee's or its designee's approval.
Submit 2 copies of the application and supporting materials and documentation
Applicant(s),print name Tv b+rAddress rmve
� L
of proposed woy�l�'r!�!"vd�C' !o� � j�S � 1' e-r�•S v o���i
House No. Street Village
Assessors Map and parcel no.
lea vlo
Date of approval of Certificate of Appropriateness DEC v� I
Proposed Minor Modification:
'jc
b
-
- _— - -
r i
Signature of applicant:
Print name: K.L•r r T. FJS,.%-,,Q5j tel no.Get 90 f"t�'f
APPROVE ISAPPROVEDi signe CHAIRMAN
ATE:
CC: BUILDING COMMISSIONER
t
C:IDocumenu and SeuwgsWecoUikUmW SeutngslTegwrary Internee FikilOLKI VKX Minor:Modificauon Form 07.doc 1
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Town of Barnstable
Regulatory Services '
��oF roiyy Richard V.Scali,Director
Building Division
r Tom Perry,Building Commissioner
1639- ��� 200 Main Street, Hyannis,MA 02601
QED µ°pa www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
JOB LOCATION: le,,, /��'� !��It /01
number street village /
"HoMEowNER7: Pospl. 0 S fr y 'o Lt�:� so Sr 5 �6 fr
name .� home phone# work phone#
CURRENT MAILING ADDRESS: OC> '4a yr 4 r -1
tqA-
d �J
cityhown state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,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 Official 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 State Building Code and other applicable codes,
bylaws,rules and regulations. _
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of HorneowMr
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
i. HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shaft be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner 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 t amend and adopt such a form/certification for use in
your community.
Q:IVJPFILESXFORMSIbuildmg permit forms=RFSS.doc
Revised 061313 '
r � Town of Barnstable _
Regulatory Services
I'$' Richard V.Scali,Director
1639. `0�
Building Division
Tom Perry,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 ABuilder_
I, ,as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for.
(Address of Job)
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
QTORM&OWNERPERMISSIONPOOLS
PROJEC
NAME: , 5' d`..'� �� •�o�o�S `� c�L
I �
ADDRESS:
PERMIT# 1 U��l
PERMIT DATE:
M/p•
IN:
LARGE ROLLED PLATS ARE IN:
BOXzo
SLOT G2-
Data entered in MAPS program on: W << s t�
BY:
q/wpfiles/forms/archive.
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Town of Barnstable
f
Regulatory Service. WN OF RANSTAB Thomas F.Geiler,DirectorBARNEMAB LE
MASSI'B' Building Division 1013 JIU11 241 p 1 2.
Tom Perry,Building Commissioner 37 nn
200 Main Street, Hyannis,MA 02601 r
www.town.barnstable.ma0
Office: 508-862-403 8
Fax: 508-790-6230
PERN nT# l3 E:
SHED REGISTRATION
200 square feet or less
V e)VIV�
ti - �/l/� 0 U'51444---
Location of shed(address) Village
FfA Ot4,uo .
Properly owner's name Telephone number
U w
Size of Shed Map/Parcel#
Signature Da
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:304:30
PLEASE NOTE: IF YOU ARE WII'fflN THE JURISDICTION OF ANY OF THE ABOVE
COMNIISSIONS,THERE MAY BE A REVIEW,PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
'IDS FORM MUST BE ACCOWANIED BY A
PLOT PLAN
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Town of Barnstable
Old King's Highway Historic District Committee
200 Main Street, Hyannis,Massachusetts 02601
(508) 862-4787 Fax(508) 862-4784
CERTIFICATE OF EXEMPTION
Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter
470,Acts and Resolves of Massachusetts, 1973,as amended,for proposed work as described below and on plans,drawings,or photographs
accompanying this application:
Date /0 t'3 Address of Proposed work, Assessor's Map and lot#
House# l0 C7 Street/fi Icbj- b/'00/� ! 4 . Village: W /3-r le,
This application is.for an exemption of the proposed construction on the grounds that work:
❑ will not be visible from any way or public place
i
Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission
❑ Other i
Description of Proposed work: rn:e 5��`c��o+� o F /0 �X L a 5 e�
i o yid-3r� [��e -tie .r�
�eria�' �111�� C��a� ��le��'r,kiio S �` Kj
i
Agent or contractor(please print): raH,e Tel.no. d` CJ7
Address /o,e /�liar ✓>7e1(C h
Owner(please print): '8DL `arc-� �/ Tel no.
Owners mailing address:
Signed,Owner/Contractor/Agent
For Committee Use Only This Certificate is hereby Approved/Denied Date:
Committee Members Signatures:
0
Sown of aaH'9hw1a i
plc\Co9 \ltee
Any conditions of approval:
I
C:(Documents and SettingsldecollikV ocal SettingslTemporary Internet FilesIOLK110KHExemption Form 07.doc
1
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'S^-{ '•� Application to _
SPPpNS+P�y�p,,G S
Ot MS•.PP P�
Old Kings Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: ❑ New Building Addition ❑ Alteration
Indicate type of building: ❑ House Garage ❑ Commercial ❑ Other
2. Exterior Painting:
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE TZ
ADDRESS OF PROPOSED WORK A0I9 dZ, 45A ,Nook C/V. ASSESSORS MAP NO.
OWNER Aocz �L y�'7a�' • ASSESSORS LOT NO. D/4!2
HOME ADDRESS AW, /9L069 ,64C-Ok 41Y Ir &JR/VS14 , LG TEL. NO. 362- 21k 7
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
S'&EZZ2< 7719111H 1-9/ 619SZ 641Y- RQ e)SLA 4NUV;
_C N/EL ps n oh(�u- /Q q 11,10y2 RT' fid //d rsrji
4LL/1q. jE) 19L,0t-A,_gRnc1Ic
AGENT OR CONTRACTOR 10//d Lf S /t•14=6R•�f S. TEL. NO. 96Z' ' -
ADDRESS - JCuLl /,411-4 R.D h'' is�i?/'�11�/�L� L �gsS' v.6 Ge
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed
locations of new signs. (Attach additional sheet, if necessary).
Signed z(-9
Owner-Con tractor-Agent
w line for d,�omiriittee use.
. :L i.'a Vr i..;
Date The Cer • ate is hereby Date �-1 — 7
Time. -- - All'hc. SIt -
L ,,--
Approved IMPORTANT: If Certificate Is approved,approval Is subject to the 10 day appeal period
provided In the Act.
Disapproved ❑ -- --
Assessor's offioe .(1st floor): 1
Assessor's !rap and, lot number ..... ....��.`...d �...... -'� ���TE� �U �E To``
o
Board of Healafh (3rd floor): / �.. f`at�N,E® IN COMP
Sewage,:P;erm,it; dumber .... �.(...... . ........ K �_ Z 13AR33TADLE, S
,. 2 � � WITH 'TITLE 5
Engineeri �,., attrrm nt (3rd•floor): �ONMENTAL CO \e�
House nr rialaer .. .;.:...............................L 9........................ ray a•
lrr,t,;ri,: , 'OWN REGULATION °
APPLICATIONS'''PROCESSED 8:30 9:30 A.K. and' 1:00 2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING ' INSPECTOR
APPLICATION FOR PERMIT TO .......................... . � ..� . ...... „-„-,,,,,,,,
TYPEOF CONSTRUCTION .....................................................................................................................................
...... ....... ..19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........AeP............��a.z v........ .......�.�� ...................................................................
Proposed, Use .............LB-' ll� ....0-WW`0""W...............................................................................
Zoning District .............................................../..........................Fire District
Name of Owner ./I........C�-. �✓/../C ............................Address ......�1?�
Name of Builder .......W��'j �-... fl. �°4.° ...Address .... .......
Nameof Architect ...................................................................Address ................................................:................
....................
Number of Rooms .......... .........................................Foundation .............. ��. .. ................................................
Exterior .......:..:..7.,.:. �h��.;..........f'�! �71> .+u'�?i�•{ ..Roofing ................. .AW-14T.......................................
Floors ......................................................................................Interior ....................................................................................
Heating ..:..:......................................Plumbing .............. ...................................................
Fireplace' ................I.....�.....0...... .....................................Approximate Cost ...................... / /�.....c�-Q........ .........yap
� 5.
Definitive Plan Approved by Planning Board ________________________________1,9________ . Area ........... .... .. ..
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Ti
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..... . .1 ............. ..... ... ...... .. ... ..................
Construction Supervisor's License ....0/0.3YO*..'.....
GLYDON, A.
No-,�3.1000 ADD GARAGE
... ............. Permit for ....................................
Single Fami.ly..Pwe ing........
100 Alder Brook; Lane.
Location....................................................
West Barnstable
...............................................................................
Owner ....A...G.l.y.do.n.................... ....................
Frame
Type of Construction ..........................................
................................ .......................................
Plot ............................ Lot ................................
Permit Granted ............JIAI.Y...1.7..........19 87
Date of Inspection ..........'...........................19
2,
Date Completed ........... .... .W. .........19
C4
Assessor's map, and lot number3 ,...o°o ./Q
J0 Ile
Sewage Permit number ....... ........... ...... U✓� s„ C cc- t F 2 G GEC cS Gt�/TC 4
r D
` °`�"ter° �� TOWN OF BARNSTABLE
9�o M6co BUItIDIH:G INSPECTOR::`
APPLICATION FOR PERMIT TO 09OG ,04 g.;o pia �X6Ti.c
............... a`
r TYPE OF CONSTRUCTION ....... . « ..................................................................... .. ................ ,
✓••• ..................... 9���r
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...✓ F .���� .� IJ�iC'.....i4-4.-........(� 5..? �„/�ll'1. 1'�ST�.i`. G .................................
"?o 60
Proposed Use .....G? ......... ......... r'!-.e?....°�oZf/�,
e2-
Zoning. District .1�r�. ............... .........................Fire District ...........��J
Name of Owner ...cd/VG.V�Ql..............Address ....................................................................................
................ ......................
Name of Builder .C—f ........•....Address ..........Y! ✓..[�t''t.�.Ur�7j-
Nameof Architect ...................................................................Address ....................................................................................
Numberof Rooms ...................................................:..............Foundation ..............................................................................
Exierior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interior ...............................................................................
Heating ............. 'D-/i-� ................................................Plumbing ... .?..� % .................................................
. .
Fireplace ........., .........................................Approximate
Definitive Plan Approved by Planning Board -----------_______-----------19___:____. Area .3. .. .................
Diagram of Lot and Building with Dimensions Fee f "°.
SUBJECT TO APPROVAL OF BOARD OF HEALTH
600G f
01 �z � /
x6 (1t)o.,ek
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .........
' Glvdmo» Jon
18095
\~�
�add to o1ne^e
No -1—_—.. Permit fo, --------�---. .
family dwelling ,
............ .............. '
Lane
Loconon ---------------------' /
West Barnstable
--------------------------.
Jon Rlydon
Owner -----------------..----.
frame
Type of Construction ..........................................
G '-------'-----------------'
Lot
~~
� Granted lO ^ `�lA 75 �
- r�,m —'��/�c����--'_._�
' .
���^
�/o,= of Inspection ............................ —^:lV
`
~�,
` �oote Completed -----..lA '~
` PERMIT REFUSED
.----_--------------- lA
' .
'�------------------------..
� _______.,_,____,___,,_____._,�
�
'—'------^''--'—^------'r'--^---'
.---------..---------.—.—.--..
Approved
..........................................-- lg
'
------------------- ,
---.--.-��
-------------------.`...................
^ '
^
- -
I in
LA
2.11
146
x I
- � -
• >L A�/
�■� . �� .�1t l�o ,—r (� Y1!'ES, ��Q•USTA
f
luQ
J N 41 3
Ik
+V WurOq
]lot �N `
i
OA
-
*<�
• - L."Deca.,T -75A fZN STA$LF-
C AL
• �tr.
tAssesscr's map and lot number ...MAP.. #132. . ......Lot. . ...#10
.. . .. .. .. .
A
Sewage Permit number "........... 7...2�.............................
ypf 7NE
TOWN OF BARNSTABLE
t0
i 13AUSTABLE, i
9. DUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............7Q.n..AT.1.t;11QnY.... 1ydon................................................................
TYPE OF CONSTRUCTION Wood Frame
. .....................................................................................................................................
August..2..................19..7 3.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......off.,6A, West..Barnstable,..,Massachusetts.......................................
u
Proposed Use Residence 's L ......................................................
.............................................................. ............... q
Zoning District ... ,,Bs......,,,3.5,,Q9,Q...sq,,,,,ft t..............Fire District West Barnstable
Name of Owner Jon Anthony Glydon Address Main St. , Yarmouth Port
........................................... ....................................................................................
Name of Builder .Edmund R....Pell.etier.,.. Inc,,.Address ........Winsom Road.{ Yarmouth
........... ..... .........................
Name of Architect l 1J
..............Address
..................................................... ..........................................................,........:................
Numberof Rooms .............8...................................................Foundation ...C.QnQ. .rete......................................................
Exterior .......c.ed&r...Shy.Age..e.S...and...clapb ar.d...Roofing ..............dS.Pxla,1.t..................................::................
Floors Wa11...to...Wall.............................................Interior ytsJ 1-L_.
.............. ............................ ........................................................
flHeating .....hOt„Water '_'... �. '.........................Plumbing ................ ........ y�. .........................
...................
A $.3 0 0 0 0 ,0 0
Fireplace .....Q.xl� ::............::..:...... .:..........................................Approximate Cost .......
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ..........................................
Diagram of Lot and Building with Dimensions Fee
..............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
. �7
1
e
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name
Glydon, Jon Anthorw
16617 two Z7 No ......... Permit for ....................................
-,k;" sina e famil
.................gl dwellin
Location .................................................................
........................ ......................
Owner ...........
Type of Construction ...........frame....................
................................................................................
Plot ............................ Lot .................................
,11
Permit Granted .....September 27............... ....... .....
9 73
Date of Inspection ........ . ......
Date Completed
PERMIT REFUSED
................................................................ 19
Y
...............................................................................
7�........................................................
...............................................................................
....................... .......................................................
Approved ................................................. 19
...............................................................................
...............................................................................