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7"ET°�.� TOWN OF BARNSTA.BLE
i BARNSTABLE, i
"6 9 BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO .. ................................ ................... .............. ..` ... .............................
TYPE OF CONSTRUCTION ...... ....... ....................................................................
...............'..................Z. /�...
,. ......197
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....... ..! ' �...t `e�t_...� u- ........ .BU
ProposedUse ....... `......................................................................................................................................
Zoning District .........T ....................................................Fire District ...f/! .. ...li � '�� -...........................
Name of Owner .C!fIAW1 ...... . ,..Address '/s`°...... %. .....
Name 'of Builder rnzo.. 14,14 ,...Address 4.?( ....... .... .....................................
Nameof Architect �c.e ........Address........... .................................... ....................................................................................
Number of Rooms Foundation
Exierior ........ Roofing
Floors ........... .................................................:.......Interior ....................................................................................
............................Plumbing
Heating �!�' :..................... ..................................................................................
Fireplace .................................Approximate Cost��J d�:
................................................. ....... ................................................
Difinitive Plan Approved by Planning Board
Diagram of Lot and Building with Dimensions
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .......
- Barnstable�� wou� � z , a r � c.u � u�u �uw �� u, �u
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13911`~ -----u- room
m ................. Permit for ---'-----4H >
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Old Stage Road
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West Barnstable
----.---------------------... �
West Barnstable Dear Club, Inc. �
Owner ------------_---------
masonry �
Type of Construction ..........................................
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-----.---------.
...------.---..
Plot ............................ �� ^
----------.. /
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Permit Granted .........June..2______lg �l ;
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Date of Inspection .....................
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PERMIT REFUSED
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--------------------.. 19
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n neering Dept.Prd floor) Map /5 07 Parcel UD 3 Permit# (0 3
� � 7
House# /�(�Q� 6Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee 6
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)
Planning Dept.(1st floor/School Admin. Bldg.) %.. �,►�,q
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Definitive Plan Approved,by Planning��oard 19
L- BARMSB LE
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address/9166 AM
Village �� . &L ZW-r a l,�
Owner . ,— l, B_ Address
q� Telephone
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Permit Request
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $ 7, -76-0.1w
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garlage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name ",YAAp_ ��n Telephone Number
77S -7762)
Address P 0 a-// License#
Home Improvement Contractor# /DR 9/g
Worker's Compensation# 3-107 4 W 097
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
SIGNATURE DATE 9Za'6/q 7
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
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r FOR OFFICIAL USE ONLY t
PERMIT NO.
DATE ISSUED
i MAP/PARCEL NO. z`
ADDRESS VILLAGE
OWNER . y
DATE OF INSPECTION: {
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING /(L - L '
ti
DATE CLOSED OUT
ASSOCIATION PLAN NO.
The Town of Barnstable
Department of Health Safety and Environmental Services Building Division
367 Main Strut,Hyamds MA 02601 `
Office: 509-790-=7 Ralph Crosses
509-790.6230 Building Commissio,
For oMce use only
Permit no-
Date
AFFIDAVIT
HOME LWROVE 9M 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
requirement
Type of Work T2t P i KP Est.Cost 1 7, M 00
Address of Work: l KD13 Q/Q <S UYO AAA'/)0 ZZ) _-)� )12,L)Si A!AAe
Owner's Name 0). IJQ,J0 Ta./i& L ea2 &.i k
Date of Permit Application: / .7
,t. I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
•_Job under SIAW
Budding not owner-occupied
Owner pawng own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE ROME ff"ROVEMENT 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:
LA7 H1&JAa.
Date Contractor Name Registration No..
OR
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7 , 1. - - t :firs Zpp�NiloHtG���+:orb✓Y�dE4.St�
HOME IMPROVEMENT CONTRACTOR
i, '; RSQ1S%18ti4D 10316
;ype - pan
ar. G3I21/98
Expirati
THEODORE L:.'HI"[CHCOCIt
THEODORE
o7r7o-a « BOX -21 -155.LISA L4
A,WnN1STflhTO' SARNS?ABLE MA .02166
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I2rheCommonweafthqfMaSSqC1juseta
Department o Industrial
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�• - OJIIedM�os�•
600 Washington Street
Boston,Mass. 02111 `
Workers' Compensation Insuraace.AMdavit
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Q I am a homeowner performing all work myself. phone 0
I'am a sole proprietor and halve no one working in any capacity F •. Al.
'❑ I am an employer pro%iding workers' compensation for my employees working on this job.
company nameo
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n yin'
address Y D
- rim !mot/ , :I��p T f e
Cj I ain a sole plop' ietor. creneral contrzelor. or homeowner(civcle.�rt;') :;rtd i�avc hired the conrrt,.4nt's !s:tcd tselo« v►f v ll�s4
the foiloee in.a «orkers• compensation polices:
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1'u�lure to secure ceverege a:required uaAer S c ion 25A of fl1Gt 19y caS lee.d 1L ti:r iaa aitiru of c(yun%; i i cc refib ee t,!o fZtzr.aR t�5t,1t3r.ikfs ; ztlnc
ue•.r yews'ir�t�riscnnsxnt rs v tit as ci�•;i pana,tt:cs ir,the Pe�rrre of c 5rt�t"1vX) Qt� ?°:s att6 a f ti::g H fs ii u pity a;T9za8 yaw A ��f sa R�,?
copy o:Li st3(cmens cast'6e rozrdeil to .e Qwce of i�:r estd l 40,aS of tz(::O dot t�vrraegd deritttas?�tr
�l C.'t?ff{'"im nr lhI rah:is aud f'd4ia'd i?w(,peYju y�f3�+!lllC.,JTyi}re'�ss1noit�p.01�4ds'»'iit abgty,it Law arnd Y!�'P<Lnt
Sigrt=re®,;L U4YA L / - ALtadDnl/ ..Aas
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Print naine :92P11111)Lf_�-- . ,, II ��1 /H`/i ��a Phpne t 7 7S- ?7/A 3
odrtciaf use ousy do notto be completed by city or town oMcial
City or town:— permitAlcense N (';Ilttiltllag AeputmeatC3Uceusiag Board
C3 check if immediate res (]SeltetspetY'a QlTlee
Oucalth Department
contact person: phone:M _ :_;j ; rsLZlbtr�
Irevned 3,95 P1A1
Assessor's map and lot number ......:.,,. -- - ........ G..
f. cosT E rot
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Sewage Permit number ....
p Z 33ABB9TADLE, i
House number MAO&
p 1639. \00
0 VAY a'4'J TOWN :OF �BARNSTABLE
h
_.BUILDING INSPECTOR
APPLICATION FOR PERMIT TOUk� Y) al.!P,,,,�P I'' \ .! U.
I... .... ... ........................................
TYPE OF CONSTRUCTION .................................. . r. t?..............................:............................................
...............-�° � ..�.3........19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location t�l f� Q .......!` .:..........................................:........:.....:...............:....................
.....................................,....................... ..
Proposed Use �� ;... _�, „I d.-............................................... --...................Zoning District .........................��.... .......................................Fire District �.� �r^aM.7 S rr/U .
...................................
Nameof Owner ...::....................... F......:....�.r ............`!........Address ....................................................................................
Nameof Builder ..............................................:.....................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..................................................................Foundation CJY\r.l EX(
d .................. .
Exterior ...Roofing
Floors Cf`r.:.;�?...::f'....-.....................................Interior ............... .!(11.C`! `P..r...........................................
.............................
Heating �.. ........^ (1�i1. . ................. ...............:�::::`.,... T!................................................
Fireplace ..:...............................................................................Approximate Cost ......... `.°.................r.,..::....:..........................
Definitive Plan Approved by Planning Board ------------_______-----------19________. Area .........
.... ... :.'...............
Diagram of Lot and Building with Dimensions Fee .... .��.:..�.��
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. [�
Name r/1;.0f/ .. .. :....
WEST BARNSTABLE,,DEE-,q CLUB A=152-3
C) fyz�a
No for ..A.DDI.T.I.O.N
.. ....... .. . .. ...... ...... .
ADD BATH & STORAGE
....... .................................................................
'\$Nocatipon' Road
West Barnstable
...............................................................................
Owner ...West....Barnstable....Deer...Club
Type of Construction ...Frame
............................ .... .. ..
.................................................................................
Plot ............................ Lot ................................
Permit Granted .... Se ember 3,... .. . ....19 80
Date of Inspection ................19
Date Completed ...... ...... ................19
PERMIT REFU ED
.................................... ........ .. .......... 19
..................................
................................................................................
...............................................................................
.................................j..............................................
Approved ................................................ 19
...............................................................................
...............................................................................
Assessor's map and lot number .. ......
. .......................... THE
�pF tp`
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Sewage Permit number .... X. SEPTIC SYSTEM �ry. I
NSTALLED I
House number { �
N CO
.........................................................................
WITH T1tlE
p TOWN OF BARNSTTZLVENTAL F �0�
' GUtATIONS .
BUILDING INSPECTOR
APPLICATION FOR PERMIT TOwPS Y I lf;... e.K........�.!V.Y ...................................
t r±
TYPE OF CONSTRUCTION ....................................... T.-.y'E!T!.)-e...........................:............................................
................. r
........3........19.. ...
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....................................Q...Ij....... .....................f.......................................................................
ProposedUse ...........f £ .. tl1..l.'.1....... ......... —... .... '...—...............................................I.........................
Zoning District ......................... 7....................................Fire District ......... . $J.Ga'�,�...........................
We S
Nameof Owner .....�.! ........Address ...................................................:................................
Nameof Builder .................Address................................................... ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..................................................................:Foundation ..............( . - .,.... .. X.ISI..I!'1.. ... ...
Exierior ..................................l....1.............................................Roofing ...................... ...............................
Floors .................... `e.:r......................................Interior .............. ..r...........................................
.....
Heating .......:.:...:... ............. ..... ......... `I,.!..1............................................. 1
Fireplace ..................................................................................Approximate Cost ..... .. 4........................
0..............
Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area -2
Diagram of Lot and Building with Dimensions /A .
Fee . ./.11....�..�....................
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 ? �,r .. .........
WEST BARNSTABLE DEER CLUB
No for JWD.I.T.10N.............
.....AD.D...B ..........................
Location Q.Id..;Stage..Road..........................
West Barnstable
...............................................................................
Owner ...West Barnstable Deer Club
...............................................................
Type of Construction ...Frame.......................... .......
............................................................................
A
Plot ............................ Lot ................................
Permit Granted ..... 3.,....Ig 80
Date of Inspection .....................................19
Date Coi-npleted ................. 19
PERMIT REFUSED
................................................................ 19
.......... ......
............ ...... . ...............................................
.............. Imp .. J......................L-....................
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...............................................
20
A p p ro ve-a). .................................... 19
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