HomeMy WebLinkAbout0841 OAK STREET (CENT./W.BARN) Sq I s- - .
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UPC 12543 : a�v
No. 53LOR �ce rr��
WASr4NGS MN
A Town.of Barnstable *Permit# 6?,0`V40 113
Expires 6 months from issue date
Regulatory Services Fee 40 .?o
• MANS ABM
MASSi63q.39 Richard V.Scali,Director *MBS PERMIT
�0
.etED MA'I to
- - --- - -- _ --
Tom Perry,CBO,Building Commissioner AUG 18 2014
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 V 00FRA 8'
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
a166>3 `0 r Not Vafid without Red X-Press Imprint
Map/parcel Number 3 fi 6
Property Address FYI �,q/� S'j G(,,,[j,�l-tzx�s i A i3 1G�
❑Residential Value of Work,/$ �',ddO 1tf Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address W14j?L
Contractor's Name YA' 71> 6Aj_ZN0ii--e> _! z Telephone Number ??-e(
Home Improvement Contractor License#(if applicable) /ol'6/7p Email:
Construction Supervisor's License#(if applicable) Ci 7
Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
WI
am the Homeowner
have Worker's Compensation Insurance
Insurance Company Name AYsoe,a i� n1.o vrnJ?s �,ds
Workman's Comp. Policy# DA-
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Requ st(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toA,,,gS- /,?hnI4 Sl�OAl
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
6e-side
[]Replacement Windows/doors/sliders.U-Value , 30 (maximum.35)#of windows G
#of doors: U'
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
•Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
r qu ed.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
l �
f �)
THE To Town of Barnstable
Regulatory Services
�awxrt MASS. Richard V.Scali,Director
16;9.. Building Division
Tom-_er-ry;Building-C-ommissioner
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 A Builder
as Owner of the subject property
hereby authorize ZMARC2 (&n,ye-A u to act on my behalf,
in all matters relative to work authorized by this building permit application for.
-h� &/ Z�W1i�/x
(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 ignature of Applicant
Print Name Print Name
Date
Q:FORM&O WNERPERMISSIONTPOOLS
Town of Barnstable
Regulatory Services
P�oF roryy Richard V.Scali,Director
° Building Division
MAS&rE Tom Perry,Building Commissioner
��� 200 Main Street, Hyannis,MA 02601
ATED µAI A www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
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 requirements.
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 shah 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 2.1S) 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:\WPFILES\FORMS\building permit fonns\EXPRESS.doc
Revised 061313
. ..... . ...
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Die Ct�mrrzarrfci�t ofassc�e}iuss
Depw,ft ent of_hsdr.�soi I Accidents
- u�_rzf�rl�stzgr,�iaru
Bmtorj.MA 02- 11I
wfc w mmos ga�1dia
W,orkerss' Compensat€Ql L suranceAffidavit:Biiifders/Contraactors/ElectriciansTlumhers
A.pp'U.c-ant lafarmation Please Pant,Legibly
Narric(B �o anizatio dean_ Zc.>',�;z C t2.c�( 4 u
A:dress= t I UCO D S r D� ��
Cf y/Staf:eJzip_ 0066 F�honc.4 2'y of 3 �eFy
Are you an employer?Check theappxopriata bow Type oiect r
I at=>;a,�eneial ccmtractor and I Y�of�' J C�e�-
1.❑ I am a employer with 4-_ � 6- ❑New cant uctifoa
employees(fall andlorpart time)-* lif°ebiredthe mb-contractors.
2_�I Rtn a sole proprietor or partner- listed on the attached sheet Y- ❑Remodelling
ship zuA haa,e no employees These sub-contractors have g- ❑Detnolitioa
working for me in.any � �c ci �_ er aploYmes and have workers'
�Building addition
[?Vo vrorkess' comp_in�tranr a comp_msuragcel p_
die 1 5_❑ We am a corporation and its 10-0 E,ectrical repairs or additions
h officers ave exercised their
seei Ii�_❑Plnmbin airs or additions
3.❑ I am a hAmt�n�doinb all work g� .
rzsyself [No ivory'Corp- right of e�t onper MGL 12 of§ (� rt goes
c- 152, I and we Katie no,
asic�tranrereCl¢lred.11 I�_I�O.thez prU [Q;
employees_[No workers'
comp_insurance regiit .j,
'Any appIkm that checks box 91 mast also fill otrt ih—_section below dw-x g Yheir wo3cm'coapess&dou policy iazffiredios_
t H-neawnc.s cbo sabtrit this affaiva mffcxtm:K taey are&mg aQ nnic and then b m oxide c-atxacmrs must sobo}>i a near a i d is it such-
C',ontmclvts 8a4t ch_ack this bmc must attached za sddid nsI sheet showing the nay of flee sdr�drxtnrs�m3 stsiP schathet ocnnt tl ase des Exave
enPloyers_ ia sib contractuis hire emgtIa}ees,che}mast provide tt�_r worSers'comg.policy nwnber
lam an eratpLoyer thrrtzsprm icii tvorke-rs'cortzpRrtsrli�.n irr�rtrurtce far txxr entpInyee� �sLorr is tftepoliry and j.ob ails
irt�"otmafia*t_ ,
Insurance Compan.(Name:�,S4Smc L A lr) �o V&i7 C �it/SCi r A
Policy4rrSelf iaR_I1G �� tLL2/p.�� � d(3f� FxpiratioriDate= Z %
Job SitesAddress: 9q/ DALE S/ Cif�vt5tafelTsp�l�tyN.�iAJ31� oa66�
AttacTx a copy of the workers'compensation policy declaration page(showing the policy n-aurber• and expiration date).
Failure to secure coverage as required under Section 25 A of MGL c. 152 can lead to the imposition ofcnrainal penalfies of a
f n P up to$1,500.0a andlor onL-year Imprisonment,as well as chit penalties in the form of a STOP WORK ORDER and a fine
ofup.txa$250.00 a.day against the violator_ Be advised boat a copy of this statement:maybe forwarded tea tb Otlice of
Itmestigations of floe DIA Bar insaranct,coverage tietffication-
I dri herebj c rarrcier the pants and penalties afper�ury thatfhe irtforraa#ian provz�abvsre ir.tnta and correct
& -
Simal : Bate: /
Phone-9: y
(JD c.-ral use otr£y. Do rroi wiritff in this urea,to be camplet'ed by city or town officiaL
CitF or Town: Pm-raiitffacease i€
Estrin Aatharity(cirde one),:
1.Board of Health 2.$thug BJepartment _,CitFT,own Clerk 4.Electrical Inspector S.Phrmbing Itasp'ector
.6.C kther
Contact Person: Phone#:
6
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."
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 Iegal representatives of a deceased employer;or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the -
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such.employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth, for an.y
applicaurtvpho has not produced acceptable evidence of compliance with the insurance.coverage required."
Additionally, MGL chapte'r'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' corapensaboa a Edavit completely,by checking the boxes that apply to your situa on and,i.f
necessary,supply sub-contractors)name(s), address(es).and phone number(s)along with their certificate(s) of
insurance. Limited Liability Companies(LLC) or Limited Liability Palmer-,hips(LLP)with no employees other t}aan the
members or partners,are not rem-ed to carry workers' compensation insiL ante- Lf an LLC or LLP does have
employees, a policy is requiye:l Be advised that this affidavit may be sibmiited to the Department of Industrial
Accidents for confirmation of insun-ance coverage. Also be snre to sign and date the affidavit 'I12e a,.idavit should
be retumed to the city or town that the application for the permit or licz se 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 i ne Department of 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 provZded a space at the bottom
of the affidavit for you to fill out in ldh-e event the Office of Investigations has to contact you regarding the applicant-
Please be sure to fill'in the per i`/hr-c se number which will be used as a ref rence number. In additim an applicant
that must.submit multiple per-T-ait/liceruse applications in any given year,need only submit one affidavit indiczting current
j policy information (if necessary) and under"Job Site Address'the applicant should write"all locations in (city or
town)."A copy of the affidavit bat 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. 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 burn leaves etc.)said person is NOT required to complete this aihdaNat
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 tax number_
The Common—al&of Massachla&�is
DepaAmcnt Qf Indusirlal Accidents
Qtee of Tves %any
600 Washington Siz»t
Boston_MA 02111
D�1,AL 617 727-49-00 W 406 or I-R77 MkSS-AFE
Devised 4-24--07 Fax# 617-727- ,L9
' ��id'P�.1313S�govF de, -
' ', Client#:42932 2GARNEAURI
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE`"MIDD)Y "Y)
8/08/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.if SUBROGATION IS WANED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
_
Dowling 8r O'Neil PHONE 508 775-1620 N,.5087781218
Insurance Agency E-MAIL
973 lyannough Rd., PO Box 1990
ADDRESS:
SURMS)AFFORDING COVERAGE NAIL S
Hyannis,MA 02601 PI
NSURH2A:National Grange Mutual Insuranc
INSURED Richard Gameau DBA Richard Gameau iNsURER B:Associated Employers Insurance
General Carpentry&Remodeling IMSURMC:
P.O.Box 476 INSURER D:
West Barnstable,MA 02668 wSURERE:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE nu B POLICY EFF POLICY EXP
R POLICY NUMBER
A GENERAL LIABILITY MPT9860C 1211912013 12119/2014 EAcH occuRRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY PREMiSESOEa Wince $500 000
CLAIMS-MADE 51 OCCUR LED EIP(Any one person) $10 000
PERSONAL&ADV INJURY $1,000 000
GENERAL AGGREGATE $2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
POLICY JJEEGTT LOC $
AUTOMOBILE LIABRIrY COMBINED SINGLE LIMIT
accident $
ANY AUTO BODILY INJURY(Per person) S
ALL AUTO AUTOSU� BODILY INJURY(Per accident) $
HEED AUTOS
AUTOSwN� PROPERTY DAMAGE $
Per acad.
$ �I
UJIBRELIA LIAB OCCUR
EACH OCCURRENCE $
1:Eo
XCESS LIAB CLAIMS-MADE AGGREGATE $
I I RETENTION$ $
B AND E its COMPENSATION ERS'LILIT WCC50050105232013A 2/19/2013 12/19/201 X we srATl! oTH-
AND EMPLOYERS'LIABILITY Y/Nsi
ANY PROPRIETORIPARTNER/EXECUTNE E.L.EACH ACCIDENT $500 000
OFFICERWMBEREXCLUDED? O NIA
(Mandatory In NH) EL DISEASE-EA EMPLOYFA$500 000
I/yes,describe under
DESCRIPTION OF OPERATIONS bebw EL DISEASE-POLICY LIMIT I S500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required)
Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements.
Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the
coverage provided by the policy provisions.
CERTIFICATE HOLDER CANCELLATION
Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Hyannis,MA 02601
AUTHOR®REPRESENTATM
®1988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S135332IM135331 JM1
Office of Consumer Affairs and Business Regulation
10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 166170
Type: Individual
_ - Expiration: 5/5/2016 Tr# 250433
RICHARD P. GARNEAU JR.
RICHARD GARNEAU JR.
P.O. BOX 476
W. BARNSTABLE, MA 02668
--;'Update Address and return card.Mark reason for change.
n Address CJ Renewal Employment Lost Card
SCA 1 % 20M-W11
tIM Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS4009714 '`
:rr.e
RICHARD P.GAVREA ' �•
PO BOX 476 '
West Barnstable 16IA 02668
Expiration
04/Q4/2016
Commissioner
n G��
. 10-3 i •05
Town of Barnstable *Permit# o o 04
Expires 6 monthsjrom issue date i)
Regulatory Services Fee
Thomas F.Geiler,Director �
Building Division /+ 'YS Pl:n
Tom Perry,CBO, Building Commissioner 1
200 Main Street,Hyannis,MA 02601 OCT 3 1 2005 v
www.town.barnstable.ma.us T�wN r F
Office: 508-862-4038 ax: �A3�LE
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
rr -- Not Valid without Red X-Press Imprint
vlap/parcel Number 2Ito d�
?roperty Address_ \ `f�it'�f� LZ ►�71��� "t 6 Z 6 6 f
Residential Value of Work*!-: => Minimum fee of$25.00 for work under$6000.00
Dwner's Name&Address PC e L
e(Ak C)AA,'!� 15�. (;I- - 9V'
Contractor's Name Telephone Number '1 111n
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
eck one:
I 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 Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to�.�'4✓l
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows. U-Value - (maximum.44) JOIN
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required.
SIGNATURE..
Q:Fomns:expmtrg
Revise071405
' Application:to-
JPNb4PPbE,�tP ..
Old Kings Highway Regional_Hist Tic District Committee
in the Town of Barnstable for a
CERTIFICATION.OF EXEMPTION
Application is hereby made, in triplicate,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 photo-
graphs accompanying this application. C t
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSED WORK ��k • ASSESSORS MAP NO.
i
OWNER ���— ��� .ASSESSORS LOT NO. 0
HOME ADDRESS y 1` � TEL NO.
AGENT OR CONTRACTOR
ADDRESS �O� �VV4� • TEL. NO,
This application is for exemption of proposed exterior construction on the ground that:
❑ (1) It will not be visible from any way or public place.
[g (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved, show,
ing location of existing building.
SIGNED
Space below line for Committee use. . Owner-Contractor-Agent
Received by H.D.C. The Certificate is hereby
Date
Time J
By Date 1A U (L 1
Approved ❑ The categories of work entitled to exemption are listed on
Disapproved ❑ the back of this form.
( , ✓1. U/097LIIZOOmvemd O�i/!/LQ4dt llldC�6.Y.
' Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
`A
Registrati-d
�ratio-n= 27/2007
f.7, e" ItYdividual
dF .ram
ItARL W.-MAKI .
a
KARL•.MAKI
} 841 OAK ST
r W.BARNSTABLE,MA 02668
Administrator
✓/ie TOaivma�zu�eci 'o;�✓t�aaaae%uael
I , BOARD OF BUILDI G REGULATION$
xis �z sl.icense CONSTRUCTIOT S&ERVISOR z
r�,� r -�lumbet� S; � w 089533• e
_ 1975
Tr no 9833
W ,MAK�
„P O BOX
BARNSTABLE 366�
1 _ -
1J
l''
Town of Barnstable
Regulatory Services
STA" Thomas F.Geiler,Director
Building Division
fD MA'S
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 A Builder
I o� i ,as Owner of the subject property
f
hereby authorize r,�0 �ll �il�i / to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of Owner Date
Print Name
Q:FORM&OWNERPERMIS SION
(� �Assessor's map and lot number .....�..........1....n........; / `� r �Q� E
Sewage Permit number )
.. t04o d w
i BARNSTeDLE, i
House number ..................'...................................................... 90 MMa
O 039. `0
TOWN OF BARNSTABLE
' BUILDING INSPECTOR
�e i,r + Ll!!�.Z1 i7i : S7-6,Q
APPLICATION FOR PERMIT TO .................................................................................. ..........................................
TYPEOF CONSTRUCTION ....................n an. 1......'.....:°. ........................................................................................
......................."..........°.........19.....f..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .............................................................:.�.................:.a..h1: ............................�.�.�......?....:...
ProposedUse .......................................1 i t„n c'[......................................................................................................................
� :'� ..... t R ,r1l ;a; hl
Zoning District - t ., . ' " Fire District
Name of Owner .......;:?'1.... .....TC1...ET .n.... .......Address ..7R.L...n?a...`;t.........................................................
N' ; E rl ;
ame of Builder ........:...........r.....:."1:....................................Address ........amn..................
..................................................
Name of Architect �....�.`..:. Address
Number of Rooms .........." ....................................................Foundation :gfni !fr...no.n.0.-ne...+...?...............................
Exterior r!� �r: ::'i/ nr,�l wh i r nl nn Roofing �nT,ha,l + q:^'n rn fia
.............. ................................................... ................... ............ ...... .................................
t +1 rra+±lt
Floors ........�............................................................................Interior .............f?.�`?.....:..:.........................................................
. r r� ^r,n-� �r�
Heating i Plumbing .. . ` ^
Fireplace .........................'s.........................................................Approximate Cost .........:, r1r�f ............................................
Definitive Plan Approved by Planning Board -----------_______-----------19 . r Area
�a
Diagram of Lot and Building with Dimensions Fee ..... .... .
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1
r - -
` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... / ./i............................././i. .i.....................
i
� � 216
.-
^ � story-----. Permit for ..�.�����..�����.
-
` ~ _
`
�
/ single family dwelling
/ ----------------------..
'^
� 841 Oak Street
Location -----------------' —
� West Barnstable
� --------------------------. '
�
Owner -----Kar—1 I. & Jan M—. Maki--
— -------- — --
> frame ~
Type of Construction --------------
'
--------------------------'
~
P|pi ............................ Lot ..
> ----��--
!
| Permit Granted ..........&VgQ4t`..25.,--]9 78
-
| Dote of Inspection ------------lV ^
|
Dote Completed ... ..................................lV
�
-
\ `
i {
�
PERMIT REFUSED .
lV '
' —
^^^~
��. --..�°----.
. '
'
...... ---...----
/ ....................r—"'�r''�r' ....................................... �~
! Approved -------|-------..r 19
/ ^
^ ------.._--~..-----~---.
.
N '
—.���'-------..�---------..—..... �
*essoTls map and lot 'number m....... `..�:..�;.. � v �STNEtO`
Sewage Permit number . ..... ..... .�..7..................- SEPTIC SYSTENj �/j(J
WITH INSTALLED IN CCMPL� 2 MMUSTULE,
House number ...........84.�....................................................... ' APrICL N�� s
' SANIT E 11 STAr o0 639
RE I tARY CODE �' '�'�✓1' 0 YPT a'
TOWN. OF BARN "' `
BUILDING .INSPECTOR
APPLICATION FOR PERMIT TO Erect dwelling 1 a �TQR,y
........................... .. v.....................................
TYPE OF CONSTRUCTION ..................W..Q.Qd...ftame..........................................................................................
r - ,
.................Q,.IA 9w.s t...1..4.........19.3.a..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..............
.$. .I....Oak...Stre,et ...A.................(.lot:..3.).....................................
.......
Proposed Use .........PrmarX..residence...................................................................:..................
Zoning District ........ ...................................Fire District .:..... Q.St... .......:......................
Name of:Owner ...K4XI...1......sx d,..Ji,11..X....Mak .....Address ...7.8.1....Qak...$.t...... .......3.4;r ..............
Nameof Builder ...Kar.1....T.....M5,k1.................................Address .....asme....................................................................
i
Name of Architect ....Ka.r.1... .............................Address .....S.am.e.....................................................................
Number of Rooms ..........S.i;&................................................Foundation .......pQ.uXze.d....canox:ete..............................
Exierior .......01a..PbQex'd./WQ.Q.d...ShjT1g.1e.S................Roofing .............aS.??ha1.t...5h1nglas............................
Floors ........C.a pe.t..............................................................Interior ..............ahe.Qtr.QCk..............................................
Heating .....e.1.ect.r.7_c.........................................................Plumbing ...........C.Op.peX/p.1a&t.iz.................................
Fireplace ....U.S.ed....bri ck...................................................Approximate Cost .....$3,$34-9.0.00............................................
Definitive Plan Approved by Planning Board ---------------—-----------19_______. Area 1..�(c11B! J!P�"..........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTHQ��
7C ��
IS -�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. L ... P...... . GZ�r!yti...................
Maki, Karl I. & Jan M. f �
. ' . .
~- 20524 l 1/2 story
N6 ................. Permit for ------------ ^
� � \
J� single family dwelling ^�
--------------------------'
'84I Oak Street '
Location ---'-----------------.. �
-'
West Barnstable '
____.__________~___________ . w
Karl & & Jan M. Maki
Owner ---------------------- � *�
frame ^
Type of Construction --------------
—,-------------------------. �
#3
Plot ---------. �� ----------' �
�
`
�
Permit Granted ---- ��.��---.lg ?8 '
- /
,
� Date'cf Inspection --------.---'lR
� ^ '
. Dous Completed ............Y.........................lP
�
' .
� PERMIT REFUSED
' .
... . .. .
. -------------- .� — ' �—. lV _
---------.--------...''...------.
-----.—.-----------....-------.
.-----.—..------~---.—^~-----
----.-----.—..—.----..------.—
Approved
' ---------------- 19
& ---.......-------..-----_--_. `
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