The URL can be used to link to this page

Home My WebLink About0025 BARNHILL ROAD Cbdbror NO. 1521/3 ORA MADE IN USA ESSELTE �� F ............. . ..�. xi �_ ••••- �..u�Ylara.r:�tiae1'=i<<_ya�_..._ iYwLlu.,..i�.��:...�5`y�u:..m-r_._:.�.__._ _._�._ .:..__.Y___��! � _— _ __ __- __ LpF1t�E f ,� Town of Barnstable *Permit# ® ® Expires 6 nio•�w&from lame date ,,,MW„I= § .��'• Regulatory Services Fee MASS Thomas F.Gellert Director 0 Building Division QI Tom Perry, Building Commissioner vPES's PERK 200 Main Street,.Hyannis,MA 02601 Office: 5.08-862-4038 MAY 18 2007 Fax: 508-790-6230 TpwN EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY BARNSTABL.E 1) Not Valid without Red X Press Imprint V1ap/parcel Number TewAddr 2,5- b�W)4".+•— PLb ? A&1V ya�►�dential Value of Work I��4 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Z< j AlL..A1))I 1 Li. .QC) LEA W Contractor_s_Name . & L-bf LC t�tat¢ Telephone Number 2�� __ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 06 5 39 2,--' ❑Workman's ompensation Insurance Chec one: am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Reque check box) Re-roof(stripping old shingles) All construction debris will be taken to 1A4 A)5 7n-)�. ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44)- •Where required: Issuance of this permit does not exempt compliance with other tows depar n=t regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. )�Signature QForms:expmtrg Revisc063004 The Commonwealth &f'Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizationadividual): .i ,--P—b � � - Address: 2_5- City/State/Zip:�y ' AA) /4 A' 6 Phone#: Are ou an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees full and/or art-time .* have hired the sub-contractors ( p ) listed on the attached sheet # ❑ Remodeling 2. I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition i ' comp. insurance.working forme in any capacity. workers 9. ❑ Building addition o workers' co insurance 5. ❑ We are a corporation and its [N comp. 10.)RoOfTepairs ectrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 1 Lumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12. insurance required.] t employees. [No workers' 13.❑ Other 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. ZContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site. information. Insuiance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: 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 pains and penalties of perjury that the information provided boyn I s true and correct Si afore: Date: �j ` Phone# Official use only. Do not write in this area,to be completed by city.or town ofcial. 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." I 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'apartinents and who resides;therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction oi,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." . a MGL chapter 152, §25C(6),also'states that,"every state or local g ag ll licensinency 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,MGL chapter 152, §25C(7)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 Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)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 number listed below. Self insured companies should enter their self-insurance license number on the appropriate line. 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 submit multiple permit/license applications in any given year,need only submit one affidavit indicating current 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 fixture permits or licenses. Anew 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 to complete this affidavit The Office of Investigations would like 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 Investigations 600 Washington Street Boston, MA 02111. Tel. # 617-727-4900 ext 406 or 1-,877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www,mass.gov/dia ✓lee ° w�uueallli ?• BOARD OF BUILDING REGULATIONS e License: CONSTRUCTION SUPERVISOR Number: CS 005392 Birthdate -10/19/1954 Expires 10/19/2007 j Tr.no: 6265.0' R Restricted;.; I BRADFORD K HAVEN=.- i Ak2NHILL RD 8ARNSTABLE, MA 02668 'j; - Commissioner Board zruea` o�✓j of Building Regulations and Qel g Standards HOME IMPROVEMENT CON } topRegistrato nd 104513 Expiration; 7/14/2008 Type:::DBA- G eCa BradfordORD K.HgVEN:°. ,RPE >-.:-.NT RY �. Haven 25 Barnhill Road W.Barnstable, MA 02668 DePnty Administrator - Application to ,\� C V 109 .199 OPPpS 0PE'�~pp EMo'�' � E� Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri 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 Q 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: Q Fence ❑ Wall ❑ Flagpole Other Aew,)e 6kZwMV ?yC<. (Please read other side for explanation and requirements). _ TYPE OR PRINT LEGIBLY DATE I ADDRESS OF PROPOSED WORK oZs 13AQ^1NIL-1_ IzD ASSESSORS MAP NO. /09 OWNER BRASF&" C41 kJc.r)A/E ASSESSORS LOT NO. /6 HOME ADDRESS 25 65At1,1J r1 Lam' TEL. NO. 967— —$2"8¢ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). �.¢� aTTAG`✓C.� S e�CE d AGENT OR CONTRACTOR '�'�" �� VA 1/rd TEL. NO. 36 Z 991R ADDRESS Z5- C,J AQ„,✓ wiA 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). ' Alt7A LL ;o l3Z)L G,Qow✓t� 5 �U vial ow k", Signed Owner-Contractor-Agent Space below line for Committee use. Rec6ved-b -H-D`C"�""�'m r C fi i " Date `'� Date t The cafe s hereby a . MAY 2 41996 Time _. -1 b, LlL g-`tnin!OF 3A� RkUSiASLE _ QLD KING'S UHMA Approved ❑ IMPORTANT: If CertificaKeis.approved, approval is subject to the 10 day appeal period provided in the Act. n i e N Town of Barnstable $. Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOW SIZE TRIM COLOR . DOORS COLOR SHUTTERS COLOR GUTTERS DECK �R.C�SSc C� �/2�cA714! .j GARAGE DOORS COLOR SIGNS COLORS FENCE COLOR , r a NOTES: Fill out completely, p y, including measurements and materials/colors to be used.' Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified" except for new homes, but should show all structures on the lot to scale. SPECSHT r PLEASE SUBMIT THE FOLLOWING INFORMATION AND/OR MATERIALS `* BARNSTABM WITH YOUR APPLICATION TO THKOLD KINGS HIGHWAY COMMITTEE 9 MASS. s619. �0 QED MA'S A . THREE (3) OF EACH IN THREE (3) SETS APPLICATION:' All sections must be completed SPEC SHEET: Complete applicable information PLOT PLAN: Show all structures on the lot and any proposed additions/changes. Certified plot plan for new homes only DRAWINGS: All Elevations and.please include Landscaping plans for chanizes in existing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBMITTED: PICTURES: Of area(s) affected; Street view for additions/changes. SAMPLES: Of materials/colors (i.e. color chart) THE FOLLOWING FEE(S) MUST BE SUBMITTED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE CERTIFICATE OF APPROPRIATENESS $20.00 CERTIFICATE OF EXEMPTION $10.00 CERTIFICATE FOR DEMOLITION $10.00 OR REMOVAL As of .January 1, 1996, the applicant will be responsible for their legal advertisement. Please anticipate an invoice from the Barnstable Patriot that will be your responsibility.to pay. The actual cost of the advertising fee will reflect the length of each ad.' WE SHALL.BE PLEASED TO ANSWER ANY QUESTIONS REGARDING THESE APPLICATIONS: PLEASE CALL GWEN BROWN AT 790-6285 APPINFO a,pp�l�r2'C��RD►�R�Ra S1 CtZ[2rcr_�n� IZaVETL FILE l'YJ� 1612R8 "*OEr=b lax:.3m, 272, SC&LE: r--5clL b&m. -duLm it Is 4"o 112SpEC�IO - LOC 55 2*05 LO'O 56 i 'ZCA- 55,2621:5..r. W-25 .2 scoR9 _ g i buweLurss bECK f g 1;G O i 67 zS . -- 253.36'. ..... j � 1 •i Loc 55 E'mx: Boscoa Fivacenns SuIt20S t ctev lFo 02dZ tbis Platt E' &s seen P t'o L BOLE, Sorel W XbRaShM V A80W,8Al2K ��tM OF y cM &jnllrr7 Sf'20wa ba2eori 6S a= mLL iti. °a P U1, °yam &$P6GdL.F6.n2-&-Fioo6 hmW26 dRea► FOR dw—, i Ov wtW an eFF mve &,Nm or:8'19/85 �srE S� the Loca=n of the 4CxL1 m& appea 2S comw va COMOMMCD C'ZE iomL zorxm eva- aws tr2— ' Efmcr, zot2en2 cormoaxme& wrct2 lspecG co } no dtmErzstona►L saecuipernet2CS.. oms .puma as or- t1 ade FOR memra6U'2G- oRPOZOeS MFOIZCJ6E »z Pr ePWjM 6666 om &=lupmor2s. -tca=M of prrope%2c"- Ali , 1tI`'VQ lYT ��1TC. urzE a1j1wmiom, 6c IL6lr2G OFFSEOS, FOXe* Olt loc ClJ imiu oor2 n N:-i uE acaxTn. sr2e6 LLZ�6��"9 �� - Ot?LvJ� � art 2CCU�:E t � f�OVE-I�TY?ASS� 02339 „� MOM 611 826-?l86 Asscssor's Office(Is t floor M O Lot — Permit# J�Ro Conservation Office 4th fl Date Issued Board of Health Ord floor Engineering Dept. (Ord floor) House# SEPTI ; UST BE Planning Dept. (1st floor/School Admin.Bldg.): INSTALL LIANC+E Definitive Plan Approved by Planning Board 19 DE MD VIRC� (Applications processed 8:30-9:30 a.m. & 1.00-2.00 p.m.) Mr TOWN OF BAMSTABLE Building Permit Application 4r Proiect Street Address Village (.�9, � ✓�✓i/STi'J/3L� Fire District rw (honer 894 1\ 1- 4 � E Address Zr ��l Lei r. Q� l3rd„2'✓ -'Telephone 36 2—"9�43:t • �� r' Permit Rcauest: - Zoning District 4�7 Flood Plain Water Protection Lot Size Grandfathered Zoning Board of ApMls Authorization Recorded Current Use h'�, Oov�, .P Proposed Use e Construction Type /�17r�ti- EaistinQ Information Dwelling Tope: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths 3 No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel .Z)Ij o'-1 Central Air A/C) FireDlaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information 1�N ��tl Name � Telephone number &4 Z_ Address License# J?2- �42v Home Improvement Contractor# /n �) 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&V DLA/n P 1 6 Pro'ect Cost Fee SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 59a 6 G 1 FOR OFFICE USE ONLY I ADDRESS 25 Barnhill Road VIIdAGE West Barnstable OWNER Brad & Christine Haven DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED<'Our',, ASSOCIATE PhAg,. 0- 5 ? a:M a a 11.02194 17:02 186177277122 DEPT INZD 9CCID 0,1oo-1. 0 rl'�ajiac4cthc1b ��. •�'�Wit, cc�� / / e1Japartntetd 01J-ndu.6trica1—,4ccidenb 600 Wa,AZV ,,Sh+ l James J.Campbell &ton, ///am zc" 02 f f f Commissioner Workers' Compensation Insurance Affidavit with a principal place of business at: (Gm/stawizip) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Polity Number I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor,,general cowaaor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number 0 1 am a homeowner performing ail the work myself. !under<_Lzm!t at copy of&i<_statement will be forwarded to d e Office cf Irvestipdons of d;e DIA for coverage verification and that failure to secure cc.crage<<rEgJared under Section 25A of MGL 152 caI lead to the Imposition of criminal penalties consisdne of a fine of up to S 1,500.00 and/or ore years' imprLonment as Well as civil penalties in the fort:cf a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this 41 day of �D�lFij GP- 19 9 �' Licensee/P� rmittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVER7INFORMATIOTI C : 617-727-4,900 X403, 404, 405, 409, 375 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY to!r too- ` OF ONE ASHBQRTON PLACE MASSACHUSETTS BOSTON;MA 02108 s cc NN EE A UTI N EXPIRATION DATE CONS T 4115P E R V I S O R C , 10119%t 99 S EFFECTIVE DATE UC—NO. FOR PROTECTI )N AGAINS RESTRICTIONS THEFT, PUT RI HT THUM NONE , �39 r 1�6/3fl/1993 005392 PRINT IN APPROPRIATE g; `-" 2 BOX ON LIfENSE. 1ADfORD K HAVEN BARNH ILL R 9 �' � SS q 03�—y2-3178 s BLASTING O ERATORS • MfST BARNSTABIE MA 026 r �—�9MUST INCLU E PHOTO.: PHOTO(BLASTWG OPR ONLY) (� D� F �0.00 NOT VALID UNTIL SKGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED•OR•SIGNATURE OF THE COMMISSIONER- DOB: j1 I 2 5 10119/1954; THIS DOCUMENT MUST SIpN NAME IN FULL ABOVE S WVRE�ENE CAARIEDON THEPERSON NATURE OF LICENSEE J�: 4 r ' �V THE HOLDER WHEN `='AJ� OTHERS-RIGHT THUMB PRINT GAGEDINTNIS OCCUPA ER I - INPROV6Eff . r �4NTRA pR INDIVIDUAL T $r� ord 04 a�'nstabl0 H4 02' 16 ' • "Yid` I m '4 uca -c- sRabmgb s1 chAlszlr)s b N m Fl i Le r)o- 1612A8 EEb't3K-5331 Pa G&:2T2 Scwe,: r--SaL'bAmt 4" e ILL012,�GNc 112�prGC . OrL, F tom 55 2gq.03 -55,2(o2T.-. I I IW-25 2 SGOR� _bweww g beCK 8 � r-oura�ior� � Loc; - ot �. 52 i E3 R 253.36 - +' r Lou 53 00-gIFi, SomI sl r2Ra►shm &l A6owa,BARK tIt OF M� CoMn2L1WC1 d OF:W. BbPnSZABLr- o. tt w L an eFFe(mve &Nz or-'8 J l9/as STE 9 the Locamorl of d'2E &)r--wr>G dppeNzz suRv�'�o IM CODFORn2..CiO MC-10ML ZOr2 M EJ-1.6WS lr2— Effea,- Zt)Y2Fr2 C0r25CMXME6 W102 IESMCU 00 Wojwnra.L dtnw:nslorial_. coin w1:xY2er2rs.. =ams P1anu)a,.s non ma e- FOR I�va6inG- lo . . i ni Z1 PaRses mroQuee�ri PReI�r� deed bcscRiaclor2s, vea>«Icamon of pw " 11I"VQL 0na pw-- ticFence* u2E dnslom, ionG OFFSEcs, 012 me corlF*Z Q:aZor2 rn-.41 oe a comP1JSYy06 Z6L 9 hm zeec— on � �t2 2oC�a zci dP1 OM 611 626-7186 �. Assessor's offioe (1st floor): '`/ / tME Assessor's map and lot number / �` G...... °� rO�4...... ........................... Board of Health (3rd,floor): ppiy, y 93 L •�91V�q-� Sewage Permit number ......................:...............`L. ............. Z Baaa9TODLE. S Engineering Department (3rd floor): �{. MA 9 House number ................ .................. ... }'.... 02 a�•� oo �639• .. .........................,.... APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00, P.M. only TOWN ,: OF BARNSTABLE BUILDING INSPECTOR G;o,�o�� APPLICATIONFOR PERMIT TO .. ...... .........................................`....................................................::..... TYPE OF CONSTRUCTION .. e p ... pM ........................ .........19..E\. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................................................................................................................................................�.. ProposedUse ...!'eSr ............................................................................................. ........................................................... Zoning District .J../.....................................................Fire DistrictBw* .�! ....... .......... ......... .................. ` Name of Owner .....�-....n!AK .............AddressJ........:....(.........."! .... Nameof Builder ...... ............................................Address ...... .................................................................... Name of Architect .,,,EJtJ AFT-fQCv ......................I..............................Address .................................................................................... Number of Rooms � EEc�covMS To(pl On1'� Foundation ..Cttk 1.......... J �')��......................................................... o ... Exterior .. � b .... .. ...��!.!� .1-......................Roofing ..... lF- Floors / y�l//1 /.r. ...................................Interior .... ..t"`Wd ............................................................ ................`;� . . I-------�. Heating Plumbing Fireplace ..................................................................................Approximate Cos' ................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area ... ....................... Diagram of Lot and Building with Dimensions Fee 7! . 7 ....... ..... ....../... ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH / � f ` I I 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 ...., ............. .............................:........... . . 9 Construction Supervisor's License ..d 3 ! r` / !� IG HAVEN, BADF ' K.�D , �=lO8-OI6 i 30592 � Build Garage ^ Kb.----'� Permit for ------------ � Sioole Family Dwelling � | ------------------------ 25 Barnhill Road / Location ................................................................. / � . W. Barnstable ' -------------------------- . ^ , Bradford K. �Ownerne, -------____� Haven ___________ Frame ` ' Type of Construction .......................................... ------_------------------- ' . ^ ' Plot - �� ' [ ---------� ------.----' ` ' April l 87 � ' Permit G,on�s| --'_-----'�---lP ` � Date of Inspection ------------lV ' ' Dote Completed .......................................lg � ' . MAI 1 ,061 7 A49 . ' i . - . - ' . . . . � . ^ . . ° v . - ' . ` ----'' ~`~Irv,= ��»��^ oyn or .J ioT • Y� � Cf3'a. th i 1 , F" P o T- PZ o9� Nh l etc:arr F=y rWar-• 7t/� egS'/s Tin/G Lg,�'�j'T ��fh/Gz'T/ Fo:,eiDAs7o•• -$A&wni der 77-PJ 1%G9a, / .SLPT. 30 /rjg/ 54',+44- Lp�A7'��'7� DA/ �'7fb� G'A"�✓esD �'.'�. 3/•Io1nlN / • P h7�'✓r�n/ Aw.D 1744r .i7" G1i�✓ro ss 1 7 1�� C'. �. -S6/o2T� jn/C. �dry'B�fr�sc �'E.�}../��.cn-sh�✓TS Oc /T,��' 7)trb1N p� DL�7✓N/.S10 .`aGr7J7 3C /r a/ �+�.D .S✓ Vc�yoi�/ i Application to eQJ��GPO VtH 90 PNS+OE�`'lNP EPpS Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri 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 91 Addition ❑ Alteration ,n f Indicate type of building: ❑ House 14 Garage ❑ Commercial ® Other ��L' W•�1��'^►- 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 �v' ~ ADDRESS OF PROPOSED WORK _ S S�QNriicL`rZA (�1 "HQ PrN' ASSESSORS MAP NO.� OWNER RLKAPF-Ok—b K• ASSESSORS LOT NO. HOME ADDRESS 24 284k"I"- IZD Lt1, Z?Ak TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach haadditional_sheet if necessary). AGENT OR CONTRACTOR ,��ao� I,�XIUE'�✓ TEL. NO. ��z--OMI ADDRESS 1,1J ,�,�}�2^/• 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 .& Owner-Contractor-Agent Space befow.line,,for_Committee use. Rece'i''ved by ff,tUD.C. "y — Date The Certificate ' hereby ate 3 _ Time BMAR 1' i9sa, 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): / �i �THET p f 4.' / Q `Assessor's ma and lot number ....:. ...Ch. .. .....C.�..�b.'.... Board of Health '(3rd floor): ` L e� Sewage Permit number ... . 193 . �NLi� ,e 9 p/ ........,.�.........:........ ..l H:........:...... rI �'1b�Tl� SYSTEM�TEM M Engineering Department (3rd floor): / 0STALL.ED IN COM A �, House number . �e...............:............ .......................................... WITH TITLE 5 °'tea 39. APPLICATIONS PROCESSED 8:30;9:30 -A.M. and 1:00-2:00 P.M. only ENVIRONMENTAL CODE ' TOWN REGULATIONS TOWN. OF BARNSTABLE BOLDING INSPECTOR t , APPLICATION FOR PERMIT TO .. ....jtk4W4 TYPE OF CONSTRUCTION ..N!Q®1•�.....F&P. .......................................................... I ....................... �..:......,9.. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location fl�'l�f�/LGA-b AA 8Gvrt; 1311� ............................. ................................................................. ProposedUse ... 51!^ ...............................................................................................................................................:......... n, I Zoning District ............. .1./.....................................................'Fire District .........G(/....... 1/[ ................................ Name of Owner&4b�4Oa....t n!!.• YS .............Address Name of Builder ...... ..... ...............................Address .... . ... lj aF"R v Name of Architect ..................... ......................Address ............ Number of Roomse .C�t�n"5 `nodal 0 1�......Foundation-.-..—. F > ...........................................:............ Exlerior .. �-�6. �... -r...5�!`..... V !.....................Roofing .....i?.$ !ti!JL........................................................... Floors .................160cfti .-(.:.L.....................................Interior .. ......................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cos$jj -,.M. Definitive Plan Approved by Planning Board _________________________-------19-------- • Area ..1�... ............................. Diagram of Lot and Building with Dimensions � 9 9 Fee ,.......,�l..!.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 / Construction Supervisor's License ..a.a3 9 ........ HAVEN, BRADFORD K. 30592 Build Garage No ................. Permit for .............................. .......S.incjle...Fam.i.ly...Dwelling.,........ Location .....25....Barnhill....Ro.a.d................. W. Barnstable . ............................................................................... Owner Bradford K. Haven ................. ........................2..................... Type of Construction ......Fr.dMe...................... ............................................................................... Plot ............................ Lot ................................ Permit Granlid .........Ap.r.i..l...,..l..............19 87 Date of Inspection .................................. 19 19 Date Completed ........./ ............... •- � J�7aj Q f ' TOWN OF BARNSTABLE • , Permit No. ----_----_----- ,AU>* Building Inspector .ra Cash ---- uyw , OCCUPANCY PERMIT- Bond ------ Issued to B adford & Christine Haven Address , 7nt #54, 24 Pnrnhill Rnad_ .blest Tinrnatah% a Wiring Inspector 0 _ ,�, „�, Inspection date Plumbing Inspector � � _ � �>� d Inspection date Gas Inspector V W Inspection date Engineering Department 4 '�..�r � A� ,�Inspection date L ./Board of Health �1 � �'`y Inspection date THIS PERMIT WILL NOT BE VALID, AND}THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR• UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUII.DING`CODE. /0" BuildingtInspector - f NS PR SI i r f 1oT d.53" n1 o m s3 Z?t 47fj-, N e4 - E Y RLo 7--OG �L I C�d427YF�/ 77dar TF/t= t�sTi.,l� fJ' ' Nf�/L'T/ Fpt,-JOA+770 ww .5flb6k,.'l✓ a.v 77+k/.> A7L4'. 410CAI D ®N 7WA- G' av•:p 45 .$!/Qw- SL7�T. 3d J�8/ .5 & if R✓ . � - �r c o•v.a ,s rG rt�E C..lZ. S6lo27- .SWIG. 5NZ'rq k'�"4�-�rec�ro�+.•�-s of TNt' �hi�✓ air a e's'T< s1—6• L!ca +c /'y �G* :� D E-�✓ni/5� M�$5. 10 A SSC4sor's map and.lot number ......L4.:1�d.yofTNEro Sewage Permit number SYSTEM MUST'SEPTIC BARNSTABea LE, House number .......................... . ............................ INSTAILED IN COMPLIAN 3 TITLE'5 MAY Ar, TOWN OF BAR ODE No1014S BUILDING INSPECTOR APPLICATION PERMIT TO If......Qmd.l.....d44Jb.1'). ...... ................. TYPE OF CONSTRUCTION ...kC:5jJ.e4&*d.......................................................................... ................................. ...................1................. I q.? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according trthe following information: q 1319p Location ...... . .......... ..... .......... .............. ........................................... Proposed Use ....!...... ........................ ....................................I......;.................. Fire District ..................................... Zoning District ...M14 -Bam, ..............................Fire kk, Bke�V .K S6wdress 44jfor. kae ...........am) e- Name of Owner . > ... I ... ... A ..... ..... n . Name of Builder Proe .6a ....................Address ...(a I....%jf.ot....411C............. I ie .............. Name of Architect DaVe....(0,r!!?tn.............................Address .....Wl.e .9A..................................... Number of Rooms ....... ;..............................................Foundation ....Powrt&........w.n c,e-A c.......................... Exterior ClOU1... -1400fing .... ....................................................... U. .......... Floors ... ...... ..................................Interior ....iI.P.5AIM......X) ........................... Heating od......I.Irjd....k Qf,.. LAN ..........................Plumbing F ............ .. ..fll?z.... ... .... ti- f F Fireplace ..................................................a................Approximate Cost .... ........................... ................... C6 Definitive Plan Approved by Planning Board -----------—---------- --19 Area ..... .................... V, Diagram of Lot and Building with Dimensions Fee ............. 4 ...d............ SUBJECT TO APPROVAL OF BOARD OF HEALTH c � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................... HAVEN, 8RADFORD 6 CBIlISTID/E ' . .' - " - .. Permit or ...Oo.e...l /2....8to.ry ..`.S.i.o_l.e.. Iraoui ..DweIIio�I____.. . 'Location .�Lot_#54_2�5.. ll..]l�, ` _____.Wes.t_I�.��tabIe_______. � � ^ Owner 8 cI G Cbriotioe 8�]/eu -----,'---------�---- ^ ' Type of Cons/rm�ion ...�:x�4��-'.--_---. ` � ................................^--------------- . - Plot ............................ Lot .................................. ~ ' - k Granted ..Ootobe��.^.8 ............lA 81 -' Dote of Inspection -----' lQ / � .��~_. Dote Complete ' ��8&U� ��0 r ^� -----,..° ---. -.. --.. . l� �� .� . --� -- /^ .-------------------------- -_-----..---.---------------. ^ ' ,,___.________ ........................................ ---------._--------.-~----- Approved ---------------- lA _- . . ' -----.-------------...------.. ^ ^ ' . .............. ^^