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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
1,VST Map Parcel h o • Permit# ' .•
17
Health Division 77" - �� V i m'FLIA�f Issued
R® S C?�c
onservation Division � �� ���® ����°�q� ,�,� aS
� „� Fee_ �
Tax Collector
/Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address �✓
Village G✓ ` JG-
Owner ;944 e� �^'� 1� Address
Telephone �b 1 y �" o'I'f 7 7 +
Permit Request ZZ a
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new cP-&/Y
Estimated Project Coster, Soo Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size l ee6-te Grandfathered: ❑Yes O'No -If yes, attach supporting documentation.
Dwelling Type: Single Family JI/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure. 5 ,` Historic House:. ❑Yes Q<o On Old King's Highway: ❑Yes A'No
Basement Type: ❑Full ❑Crawl l_Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: ' Full: existing new Half:existing new
r
Number of Bedrooms: existing y new ,
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: &Gas Cl Oil . &Electric ElOther
Central Air: ❑Yes 04o ' Fireplaces: Existing f New Existing wood/coal stove: ❑Yes Dlo
Detached garage:❑existing ❑new size Pool:3existing ❑new size Barn:❑existing ❑new size
Attached garage:01existing ❑new size �2G 1 Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes • 93"No If yes,site plan review#
Current Use � ���� Proposed Use
i
• BUILDER INFORMATION
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY -
PERMIT NO. .
DATE ISSUED
MAP/PARCEL NO.
f
ADDRESS VILLAGE
OWNER
DATE OF INSPECTIO
FOUNDATION rl
FRAME I � _
INSULATION
Oil
FIREPLACE
ELECTRICAL: t ROUGH FINAL - I
PLUMBING: i ROUGH FINAL ° J
• P
GAS: 1 ROUGH FINAL
f ,
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
,�g�gn• "+.�+lgq�trr•�rca y�;Vrwpr+.va^'r--ra"-- sarn'.-`-ar'^^ww-.-�-- .. "4
OFIKE A The Town of Barnstable -
' ARM�Le. Department of Health Safety and Environmental Services
t6yq• `0� •
�Eo �a Building Division
367 Main Street, Hyannis, MA 02601
Office: 508-790-6227 .4 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection -
Location ��t(r Permit Number
Owner r n Q Builder
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
t ► h L -.-e dog r--,cT 6 c c, .
3 W � (L S11 �. n f"J
at -
v t L,
Please call: 508-790-6227 for re-inspection.
Inspected by
Date &
{
r .� i
The Town of Barnstable
,' � �►arrerw� •
Department of Health Safety and Environmental Services
Eo ' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 J Building'Commissione.
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.
Type of Work: G' G,' Estimated Cost L)S,0b
Address of Work: v`!
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under S1,000
Building not owner-occupied
Sown er pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME HVIPROVEMENT 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.
Date ` Contractor Name Registration No.
-3/ OR
Date Owner's Name
q:forms:Affidav
7sot34R^per j
Table JLMb(eonduned)
Proeriptive Packages for One and Two4%milr Residential Buildings Heated with Fad Fuels
MAXIMUM MINIMUM
Glazing (flaring Ceiling Wall Floor I Basement Slab Heating/Cooling
Ann'('A) U-valuer lbvalue R value' R value° Wall Perimeter Equipment Eiliciencyr
Padmge R value' R value'
5/01 to 6500 Heating Degree Dare'
Q 125's 0.40 38 13 19 1 l0 6 Normal
R 12% 0.52 30 19 19 10 6 Now
S 12% 0.50 38 13 19 l0 6 83 AFUE
T 13% 0.36 38 13 23 N/A N/A Normal
U 150/• 0." 38 19 19 10 6 Normal
V 1S•A 0.44 38 13 23 N/A N/A 83 AFUE
w 15% 0.52 30 19 19 10 6 83 AFUE
X 19% 032 38 13 23 N/A N/A Normal
Y 19% 0.42 38 19 23 N/A N/A Normal
Z 18% 0.42 38 13 19 10 6 90 AFUE
AA 19% 0.50 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY:
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2):
S. SELECT PACKAGE(Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-forms-1980303a
780 CMR Appendix J
Footnotes to Table J5.2.1 b:
' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and
basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall
area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 ft'of decorative glass may be excluded from a building design with 300 ft of glazing area.
'After January 1, 1999,glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units: center-of-glass U-values cannot be used.
' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating,sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between
the conditioned space and the ventilated portion of the roof.
'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction.
'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
or garages). Floors over outside air must meet the ceiling requirements.
`The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
described in Note b.
'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a
NOTES:
a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c) If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
-- - The Commonwealth of Massachusetts
- Department of Industrial Accidents
Office 911airOM921ioes
.. p � 600 Washington Street
� Boston,Mass. 02111
Workers' Compensation Insurance Affidavit.
name:
location
d2's7� e ',
city L✓ �� 1/L�s �1�. d - <�- _ A
hone
12 I am a homeowner performing all work mvself.
❑ I am a sole proprietor and have no one working in any capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
comonnv name:
address:
city phone#•
insurance co. polim#
/////////////' ////////////-----///%
I am a sole proprietor, general contractor, r homeowne. circle one)and have hired the contractors listed below who
have
the follo«ing workers' compensation polices:
company name:
:.::.::. .:........
address:
dtv phone#- . . .. ..... ......
insurnnce co. aliiv#....... ... ...
i/ii/////////////////v////////r%///////ir////////////////r�////////i////////////////////////%///////////////
comnanv name: :.... .....
address-
city- ... phone#' . :. ;:::;.....;;:;>:•::....:::::..
......:...
insurance co. oiicv# ;:.:.:.::...:...:..•:::..;,
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Me up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SIo0.o0 a day against me. I understand that a
copy of this statement may be forwarded to the OMce of Investigations of the DU for coverage verification.
I do hereby certifyyif under the pains anddd penakies of perjury that the information provided above is trap.and correct.
Signattue Gf�6rG9`i/ Date
Print name �`�c' .� /�`, 5 e1� Phone
oilldal use only do not write in this area to be completed by city or town official
city or town: permit/license ft BuildJBoard
Licensing❑check if immediate response is required ❑Selec❑Healcontact person: phone tt; ❑Othe
([ewes 9l93 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 comer-
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 recmve:
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 renews.:
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,neitherthe .
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
i 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 permit/liccnse number which wflI be used as a reference number. The affidavits may be retuned 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 IQYesduatloas
600 Washington Street .
Boston'Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 eat. 406, 409 or 375
0
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See Book 3589 Page 133 for rights to Irving L. Adler for granting of easements, `
5' in width and 10' in depth, each adjoining lot to private ways, for utility \
purposes. ( Sidelines of each lot adjoining the private ways)
*See deed for any other easements, if applicable. ^ ' 1 MORTGAGE INSPEC
BUYM CAJ \�-G w I Kor+�g r JuSP.�.� LOCA7F9 IN
TD liffff(CAT'G � =sl�NCS lhoRT�� Co �
AND rTS TrnE NzuRERS. MASSACHUSE
#I COMFY THAT I HAVE E7tA010 THE PROa=AND tiff EAIADMOS SHO"DD
OONFM M Tiff ZDNMO LAMS AND AMDMMDM L-.(FRCNr.SATE At MAR YARD SETBAOC
ONLY OF 3A(2N ST/�.f�L.E *" DONs1WIT DEED
I FURWER OER IFY TNAT 1NL4 PROPERTY IS rlor LOCATED N THE PSTABUMM FU= �C4
NAZARD AREA commuNITY PANEL NO-'250001- -I,C DATE 6-1 q- 8SG —
EXAlANAMON OF THE RECORDS 6 MADE ONLY SIBSEOUFM TO THE QED DATE OF 1W PAGE
LATEST OW AND DOES NOT NCLLA7E VI7rVYll10 1ilE AOWRACY OF Tiff D®DESCRIP1fON
PREVIOUS TO nS DATE OF REOORD. OW.NO.
TNIS COMPANY is NOT RcoocmEAF FOR ANY MDDIIURIS MADE SUBSEQUENT TD'ME P20000
DATE O/THE LATEST DEED OF REO- rPT.
W OMAR KMDNCS ARE qWW LESS THAN ONE FOOT FROM TIR PROPERTY LDM IT IS ADVISED
PLAN BK.-
THAT A MORE PRONSE SURVEY BE MADE TO VU41Y TNESE ULAMW40AOM PLANT/ _
TNIS CERTQ cA=N IS BA4a ON THE WCATION OF SURVEY MARKW OF 01W=Aft DOTS
NOT REPRESENT A PROPERTY SURVEY
mis CERTIFICATION TO BE US6 J2-4 GAGE PURPOSES ONLY. SCALE'
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I
e Town -of Barnstable
FAME
�o Department of Health Safety and Environmental Services
Building Division
BARNS'A1314 ' 367 Main Street,Hyannis MA 02601
MASS.
� 39. `0�iOTFD 0
MA't A
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
HOMEOWNER LICENSE EXEMPTION f
QG? q Please Print
DATE:
JOB LOCATION: 0271
number street y village/
"HOMEOWNER": (o(� 5U�'
name home phone# work phone#
CURRENT MAILING ADDRESS: .S��^-
city/town 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
require ents.
Signature of Homeowner
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.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner 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 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 to amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEMPT
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As sor's map and lot number .................... ,
roq'P�of THE T��O .
Sew a Pe mit number .,�
•••••••l��y•..��. •:•• y•:��l�L SEPTIC SYSTEM MUST B
INSTALLED IN COMPLIAN BAHBn9eTa LE,
House number ....... ��....................................:.......
WITH 'ARTICLE It STAU-° °o t679 0�
SANITARY CODE ANQ TOWN,, 0M0
TOWN OF BARNSTAWLAE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO �,.0A41.'°'1' -./.. �'�^""— 't L� f,G ....
... 4 ..................... a ................
..... .... ... .... ... .
TYPE OF CONSTRUCTION
................ .�'...j ..........19..�..
TO THE INSPECTOR OF BUILDINGS:
v �w :a a si a# �t";4a'
The undersigned hereby applies for a permit according to the following information:
Location ...3.Y..�ier•s....................1....... Q�....� .....................S......S.......... ...................................................
... �QQ / ........................Proposed Use ........................................................................................................
Zoning District 6`) .................Fire District wo
Nameof Owner ........... � ...............................Address .................................. .............d......e ...?.........
Nameof Builder .O Address J............ ....... ......................... ......... y.................................. .................. ....,. .
Name of Architect ^ S' e41,1L'.`................Address ! '�"............ ....[�...............
Number of Rooms .........0 �� .................Foundation
� ^
Exterior .. .. .........:... .... .....................................................Roofing ............. .................... .................................
Floors . ..................1.................................................Interior ....................................................................................
Heating .. % ,!/.... .... .................................................Plumbing ...........................................
....
Fireplace .. ........................................:........................Approximate Cost ... ,1. ................................................
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ... .1.. 7!"......................
�--'
Diagram. of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
ry-
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name/` �if► ..4/ ..............................
G
7-7 7
Campbell, Robb A.
1189.... .......add to dwelling:
Permit for y
• b'
.... ..................................................................... .'
Location ............34..KX.'a,ati...WaY.........................
.......................... ...................... 4
Owner .............RQpb..A ...Q=PbQ11..................
Type of Construction .fx:6t ...................
y
Plot ............................ Lot ................................
{
Permit Granted ........April..11..............19 79 x
Date of Inspection ..................................:.19
Date Completed ............... , 19
PERMIT REFUSED
..........N. n .................................. 19
a. .. e: .. ..................................................
; ,
........ ....... .r.„
......... ... .... ...................................... .....
y t,
......... ;.. _, .... ..... ........................... ...................
Approved ................................................. 19
........................ .................................................. 4
...............................................................................
A.
As,�"ssor's map and lot number
THE
'�',�
Sew a ,p rmit number .......L!!�� t. ....P....�! .y.. �!>l •
`0
/ Z BAUSTME, i
House number .SAS&,
.............................................. 9p0 039 0�
�0
o Mix a'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... h/ xa..D`..... /wit � ::..... :L` { :..;......
TYPE OF CONSTRUCTION ........��' 1.?.��. ... ......................................................................................
................ .... .... i...... .....19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
3." � - ��✓4 `/ /o f/ �'� /yJf eS7a,US /J1/4k s.
Location '
ProposedUse .::..::..:.. <:..:.., �� 6x. .:..............................................................................................................................
/ ) Fire District w° l3"Zoning District ....... .............................................. ....................................................................../........
12
Name of Owner :. i7+2...'.......C�.[y�i..r, .....................:.Address .. S...l..Kz.�......�..... ..': .:�j<f%�%` r.Y;r ......
....... .
-2 u ,9
Nameof Builder .................�...............................Address ....................................
Name of Architect .............���L�....5......�? '�. ...........Address ...✓!'�..... 1:- ,rt. ..`.:'..:.:../ .............................
v
Number of Rooms /1J 'r...................../.. .................Foundation ...... ::.................... . ....'�:................................
Exierior ...-.:�.: r� ✓ :.....................................................Roofing ........:'. �1 .... L` ...../ ��z':%.. ..........................
v
*;. .................................................Interior
Floors
.a =
Heating ..................................................................................Plumbing ..................................................................................
Fireplace '.................................................................Approximate Cost ............: - ...............................................
1
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ...y.!.(o....................
Diagram of Lot and Building with Dimensions Fee �i�
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 .. .:.. : /.......' !< `:: ' :......................................
Campbell R�bb «'
. -�� .
` ' ` ���� 1.'=128-7
�
—2—II.-8-Permit for --� ! to �*'������""---
_
'' W��-------' ---'------ `
~'
Location -- 34. Way. . .. .
LA
~
-------.`==`�=�==.^^°^��----..`---. .
ovvnar
e
of � . '
Type
'
Plot
Permit Granted
uo�e o* / .
_-
uota Completed '
_
.
PERMIT EFUSED........ '~ r
�'' �,�'���^
.
- ^�
—.-----... —'''/^ e —^''^---^^^
/
`.___------..-----. 19
Approved
'
'
-------..-.---......—...—.......--
----.------.-----~...—...........
�
/
SEPTIC SYSTEM M
INSTALLED IN CO
TOWN OF BARNSTABLE
BUILDING INSPECTOR
.......................VF..............19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
74
SUBJECT TO APPROVAL OF BOARD OF HEALTH
+1 L60
. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
.
| hereby agree to conform to all the Rubs and Regulations of the Town of 8ornuhz6|o regarding the above
construction.
mmn' me ...............
'
^��/
Construction Supervisor's License '^«.�'����—'��---
|
|
CAMPBELL, ROBB
No ..2.U.M.... Permit for ...SWIMMING. . J. O.O.L....
. .... ... .. .... . ..
........................
Location .....34...Kri.9.0.
i ** **Way—*" e
es;+rB a ,"15fe
Nr; a$..............................
..................
Owner. .......&(?.b..Q4gigbel.l.................................
Type of Construction ............ ......
!.1......................................................................
Plot .......................... Lot .......................
Permit',Granted .......September 9, 85
1 -,Gra ........................
Date,of Inspection ......................... .......
Date Completed ............ 19 rd,
>
a C
qu �D
*THE 0
Sew% ..... . ........ ......6?
1639..
TOWN .,,OF BARNSTABLE
BUILDING INSPECTOR '
APPLICATION FOR PERMIT TO ......
ell
TO THE INSPECTOR OF BUILDINGS:
'.~~'_— T6a un6emignoa hereby applies for o permit according to the following information:
|~` ' Location __ ���� _ ^�� ���� _�� ^ ___� __ ___________________
' 1
/ |
� . Proposed Use '.� . ... .{—______^___________._____________________. �
/~7
Zoning District -------'�.././-------------.Rne District ----.(~�/ — ...................................
Nome of n�, / / �� A66,eo ^�/u' ' Jv�� w'
| u� '^��/^r���---�=^� x�x �`=�,---- "" —"`--.=^.,.,=^— -----_-----
| v�3 /
Nome of Builder. l '��.......................Address ...��q4y.. --'
Nome of Architect .------------------.A66res _'��.-------_................................................
Number of Rooms .......---.....................................................Foundation —'__�----------------------
�
Ex/e,ior --.��------------------------RooGng ,------------_-------------.—
Floors --.. --'__--------------------___..
Heating —'_--------.----------------'F1um6ing --'_�--------------------_—_
�__ 60
Fireplace ------------'.--------------'Approximate Coo —'��!����'-----____,______.
`
Definitive Plan Approved by Planning RoonJ Area �--..............e....................
Diagram of Lot and Building with Dimensions Fee ........;9�'���___._____
SUBJECT TO APPROVAL OF BOARD OF HEALTH
-
!
*
°
| ' `
| '
�
�
'
L OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS '
/
| hereby agree to conforni to all the Rules and Regulations of the Town of 8onnMn6le regarding the above
construction.
Nome ................
' -[crim,uc/ion Supervisor's License —.--'����....---
|
CAMPBELL, ROBB A=128-7
No ...2P3�L. 'Permit for ...�Wimming..)�Q.q I....
...........
Accessory., ..........................
..........I......
Location .......34...Kri.s.t.i Way,,,,... . ...... .
... ...............
es..... ..........
. ........... ........................
Owner .....................am p.b.ell.......................................
Type of Construction .......F37. P.........................
.................................................................. ...........
�Plot .................... Lot ............
Permit Granted .. September 9,...................................19 85
Date of Inspection ....................................19
Date Completed .......................................19
—8�b
d'4"''�!'.•�^�.+F�'�i,.�+vim.. ��--�.-�..-�•.wP�..r OW,
-- _.>.�•-W.••.`^-�_'+.��:•.,^,•-' '.W.¢>:"�.+.�rr-�•+v.+�A
k- r's
7As nop and lot number ..F..?1 a / D(
MMT BE
r,
INSTALLED ST COMPLIANCE
IN A 1N
Sewage ,Permit number ..,...DEC .C�.:....:....................:........ WITH ARTICLE It STATE
SANITARY CODE ANC T
°`THET°�. TOWN OF: BA.RNSrX9ft
Z 'BASBSTODLE, • �=
DUILDINO INSPECTOR•
MA86
9aoo pY a\e�� �' 1 '
APPLICATION`FOR�,PERMIT TO � lL:�......D..f�... ��IL-.r...AN4" �. .......................
TYPE OF CONSTRUCTION GC�QI� .. ��N/ ..�iZila7� .C� -� .. i !� f, �r.47......
................19.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .�..fC.f ✓..-57....
Proposed Use ... ! �r ................. _ ..........
Zoning District ... .....................:....................................Fire District ....Q,� 14�. 1tr�. ................................
f
��,6,5...�r...G. �f! y9 ..1�..4 Name of Owner . .. 1 � •,••• � GG...Address
Nameof Builder ..... z. ............................................Address .................................................................................... '
Name of Architect .... ..........................Address ....................................................................................
��.......................
i
Number of Rooms 7.... �`�- � '` r,4e.....................Foundation .14...
Exterior<GAD.% Le�Odlfi�//b�GGf Roofing ... ,f �S! GI
.... .....................................................
Floors ....4' !'��G ................:........................................Interior ..J. 'YraJ GG.......................................................
Heating kt_nvl..e................................................Plumbing � �Y.�l,....1. �i ............................:...........
Fireplace A/145 54/_!t11.n¢ ti, ft! .. ' .........Approximate Coso#,.v2oj..a ............................ .
Definitive Plan Approved.by Planning Board _ ,a,-----------19_ ®. Area
'7S Diagram of Lot and Building with Dimensions Fee ..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
50, 6q ,
SEpT�G
17 T B�GGSS PObC_ � � -r:kom WELL-, '(0
25- �• 1 ®,
7G" Zy,
657' 35;oS¢ N
�� � ► S T f w.C} R- Z 9"gam
Y 9�oZ•
} F•D L L `/
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....: . ....� . ........
Campbell, Robb Allan
touz� "
F/P %-
JM a ...17160...
:�� ... Permit for 1...1./2...s.t vy
...........sin le famil dwellfn ..................
Location ....Kris.t-i...Way.. .... .....................
.............................. ...............................
Owner ..............Robb...Allan..CgTp�l..........
........ ...........
Type of Construction .............frame...................
. ................................................................................
Plot ............................ Lot ..........t.13................
Permit Granted .........June-.20...............1974
Date of Inspection Akh.....................19
Date Completed
PERMIT REFUSED.
..................... ..... 19
.....................................
...............................................................................
. .....................................................................
............................................................ ...................
................. ......
.................................................
I% ..
Approved: .......................................... 19
. ...............................
...................................................................
................................................................................
`.. oW, jQ
Assn ssor•'s*map and lot number ..1 ,......................
Sewage Permit number ..(Q. .:..................................
TOWN OF BARNSTABLE
Z BARNSTABLE, i
,ems
"b 9 BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....19 •..•....••••••.•••.•.
TYPE OF CONSTRUCTION L.MGI!� .. i !
we ...1...r.................19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: V
Location .e4z!.1....23 /�f�if�/•ST/ GrJ�¢ !. l.,t�.. ? .f�ES,.../!�i,�f/�'S'TC Y .•fr7/L�% ......
ProposedUse ....................9..................................................................
Zoning District ....................Fire District ...�...5. ��L
.. ................................................ .............................................
Name of Owner �j�... LG.giy ia/ LC....Address w, ..�.....
Nameof Builder ...S L,.12F..............................................Address ....................................................................................
Nameof Architect ... '..................................................Address ...................................................................................
Number of Rooms 7.....r�......... ...........................Foundation �'�/� *�� • l '
ExieriordL'�l>IID�Il�7„ Gt�t�TG �� 1/� '�GFf......Roofing ...SSA/:�i9G.T....................................................
Floors12/? .T-..........................................................Interior,
` Heating G .r .� ............... .....i.:......................P:lumbing......e � �..�!S?7Ti!r`.........................................
,.
f� T 1 y 7-dG T��/1� CrS!/�J/Y " f 2 O. d?1Z)
ti
Fireplace �..... ....... �y..........Approximate Cost .....:...,......................." r
;oVV
Definitive Plan Approved by Planning Boar __________191__O_ , Area qiG✓ r
Diagram of Lot and Building with Dimensions Fee ........... .:..............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
27, Wiet 4- Aw"
AY'
op
AGO/
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
y�
Name
Campbell, Robb Allan
-
'
'
_l7l6�— Permit for -- ..... `
- m1om
s
Loco/ion�`~ ���' ��� 1—. ��.
_ -- � `.
�
�������'��� .........................
Ovvne, ---��6.b..AllA1a. ----' �
Typo of Construction ..........f rAMe..................
`
-----~--------------------.
Plot ............................ Lot ----------''
'
�
Permit Granted ---'June_2O____.)g74
Date of Inspection ------------lQ
Dote Completed ------------..lV
PERMIT REFUSED �
-------_------------- lV �
`
'
--------------------------.
�
\r i
`
—'---~^-------------------''
, ---------------------.----.
' �
�
--------------------------'
�
Approved ................................................. lV
'
--------------------------''
-------------------------^''
'
`
-