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HomeMy WebLinkAbout0058 OLD TOLL ROAD Old Toll i �IIII �QECYCIFp�o a UPC 12543 ' No. 53LOR HASTINGS, MN °F I HWE ray. Town of Barnstable *Permit d �� 1' Expires 6 monthsfro �e date Regulatory Services Fee �- IAMSTABLE, MASS039. Thomas F.Geiler,Director ArED MA't A Building Division (� Tom Perry'CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town`.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address Gj p � ' �� I l �b�J w—'�Roy-I-?S+C 401 C VResidential Value•of Work c 7� ocv ' r2 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addressl 5 o 16 jn I I R��I�► l _�,��1� r�d-CO C0 Contractor's Name �c/� 0S td j�j'� Telephone Number Jo F Home Improvement Contractor License#(if applicable) bo i Construction Supervisor's License#(if applicable)- (� D *orkman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor FEB 2 6 2010 ❑.I am the Homeowner [�I have Worker's Compensation Insurance KICTA \ r i Insurance Company Name Workman's Comp.Policy# 5 6 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders.U-Value S (maximum.44)#of windows L *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pr perty Own must sign Property Owner Letter of Permission. opy of me Improvement Contractors License&Construction Supervisors License is /reuire SIGNATURE: Q:\WPFILES\FORMS\building permi form \FMRESS.doc Revised.090809 CAPIZZI HOME IMPROVEMENT INC. Page 7 of 7 SPECIFICATIONS AND ESTIMATES - I STATE OF MASSACHUSETTS i LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I 1 le 9-A OWN THE PROPERTY LOCATED AT 1N R MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME ROVENIENT TO ACT AS MY AGENT TO A BUILDING PERMIT IN ACCORDANCE WITH 780 C APPLY FOR CODE. THE MASSACHUSETTS STATE BUILDING I GIVE MY PERMISSION TO TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 C LESSEE STATE BUILDING CODE. MR,THE MASSACHUSETTS SIGNATURE OF OWNER: " i OWNER'S ADDRESS: OWNER'S TELEPHONE: -ESSEE'S SIGNATURE: ., ;ESSEE'S ADDRESS: ,ESSEE'S TELEPHONE: 1 LPLLICANT'S SIGNATURE: ' " � I .PPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 i 1 ' PPLICANT'S TELEPHONE: 508-428-9518 ESPONSIBLE OFFICER: " 1 ESPONSIBLE OFFICER ADDRESS: -SPONSIBLE OFFICER TELEPHONE: " i ; Board of Building Regulations and Standards License or registration valid for individ.ul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: d',''�, Board of Building Regulations and Standards .t�ReglstrAgp;% 100740 O�te Ashburton Place Rm 1301 era f2 2312010 lug Boston,Ma.02108 L ? -5 pplement Card CAPIZZI HOME :F M�, ll�� d RY GUSTAFSOt�--_�� 1645 Newton Rd. Cotuit,MA 02635 Administrator IYo vali itho.t " nature {)cpat-lintAlt Of Public — Bu:trd t;t' 6ui{di;a Rc:ta{atitin: -tntl Standards Construction Supervisor License License: CS 74640 Restricted to: 00 GARY GUSTAFSON 8 SHORT WAY r e ua SANDWICH, MA 02563 Ex=iraIun. 11/29/2010 C.,nit±,i. anrj 'ir_. 7755 i The Commonwealth of 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/Organization/Individual): . Address: City/State/Zip: Phone.#: Are ou an employer? Check the appropriate box: Type of project(required):. 1. a employer with 4. ❑ I am a general contractor and I employees(full and/or p It-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees;and have workers' [No workers' comp.insurance comp. insurance.$. ' 9. ❑Building addition required.] 5. ❑ We are a corporation and its' 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.Q Roof repairs insurance required.] t c. 152, §1(4), and we have no 13: .Other 'a employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing 3heir workers'compensation policy infomnation. t Homeowners who submit this affidavit indicating they are doing all work and.then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. j Insurance Company Name:_ `)r66 Policy#or Self-ins. Lic.#: i>•� ' i - Q� Expiration Dater Z b _ Job Site Address: /1 n t(� .) ryAA 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 imprisonmentias well as civil penalties in the form of a STOP WORK ORDER and a fine of u' 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 covers a verification. I-do-her-ehy Eertify der.-t— ins-and- enald ofperjury-that_the-infor-oration-pr-avided-above-is-true-and-corr-ect. Signature: Date: c) . ,;L_ _ Phone k — S Official use only. Do not write n t is area,�to a completed by city or town official 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#: Client#:47298 CAPIHOM ACORD- CERTIFICATE OF LIABILITY INSURANCE 1105/M/DD1YYYl� 01/05/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Nat'l Grange Mutual Insurance Co. Capizzi Home Improvement,Inc. INSURERB: ACE Property&Casualty Ins.Co. Capizzi Enterprises,Inc. INSURERC: 1645 Newtown Road INSURER D: Cotuit,MA 02635 INSURER E: COVERAGES 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 CONTRACT OR 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMBS A GENERAL LIABILITY MPB1075H 06/08/09 06/08/10 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(Ea occurrence) $500 000 CLAIMS MADE FXI OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 JPRO- POLICY LOC A AUTOMOBILE LIABILITY M1 M28044 06/08/09 06/08/10 COMBINED SINGLE LIMIT ANYALJTO (Ea accident) $5009000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSNMBRELLA LIABILITY CUB1076H 06/08/09 06/08/10 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE $5 00O 000 DEDUCTIBLE $ X RETENTION $10 000 $ OR B WORKERS COMPENSATION AND NWCC45843208 12/25/09 12/25/10 X WC SL M T OTH- ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1,000 OOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000 000 If yes,describe under SPECIAL PROVISIONS below El-DISEASE-POLICY LIMIT $11000 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #S48108/M48107 KW 0 ACORD CORPORATION 1988 i �. Town of Barnstable- j Old King's Highway Historic District Committee' 200 Main Street, Hyannis, Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 '10 FEB 25 P 4 :21 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4).complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts,1973,as amended,.for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date 2 Address of Proposed work, Assessor's Map and lot# House# Street Thisapplication is for an exemption of the proposed construction on the grounds that work: .❑� Will not be visible from anyway or public place ❑ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other Description of Proposed Work: (4 ) ) 0�- �[,Agent or contractor(please print): (� . Tel.no rr `' p qGTp Address �. _l`` Owner(please print): Tel no. �nR--A3(, ll M T Owners mailing address: G f Signed,Owner/Contractor/Agent For.Committee Use Only This Certificate is hereby Approve&Denied Date: � oZ I 1 D Committee Members Signatures: Rn 7010 FEB 2 3 TOWN OF BARNSTABI.E I HISTORIC PRESS-RVAT ON _'_ `___Any con ' ' so ` royal: Town.ng0. Old Ki ,a Highway Committee C:(Documents and SettingsldecolliklLocal SettingslTemporary Internet FilesIOLKIIOKH Exemption Form 07.doc 1 `•.�`"" •.• TOWN OF BARNSTABLE Permit No _ € r Building Inspector, NAUST.ar Cash �'"pY• OCCUPANCY PERMIT-..." Bona. No building -nor structure shall ,be erected, and n0�land,.b:ui:41ng-or structure:shall be ' used for a new, different, changed, or enlarged use without 'a:, Building 'Permit therefor first having been obtained from the Building Inspector.'No�buildiugshall be occupied until ,a, f certificate of occupancy has been issued by the Building :Inspect "or , 31 Robert-J. & Eileen S. � Linstr � ��claic *e Imo.�8,tfbTxf4Cr p Issued to Address c .- lot 483 . Old. Told. Read, bleat BarrMtab e � 6 �r 0. Wiring Inspector ;' 1,+ ,y Inspection';date 3s � -.. ,-, Plumbing Inspector,'; ! Inspectiondate 'r Gas Inspector inspection date'. Engineering Department . _ Inspection date , THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL,-NOT BE -OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE W 'TOWN REQUIREMENTS. 1 19.. F s ::.... Y .., .. .. Building..Inspector K k TOWN OF BARNSTABLE Permit No. _22375 Building Inspector $600 J0 (C�w'izinr 1 s,ar>z.ac Cash �'�0 r0.Y►'� ti _ ���('�r yr+` OCCUPANCY PERMIT Bond No building nor structure shall The erected, and no land, building or structure shall be used for 'a new, different, changed, or enlarged' use without 'a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." robert~ j. & Eileen, -2.. r,4cKinst'_ ('ter Tree . Issued to, Address y t# lots -#P3 . 5€3 Old Toll-1load, West, xrnstr1j1..e el Ilk- Wiring Inspector �" " ,' r _ Inspection date Plumbing mspectoro€ Inspection date j . r Gas Inspectors Inspection date /Engineering Department �, - � , � Inspection date,j. r . �r _r Fes, THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY. COMPLIANCE WITH TOWN REQUIREMENTS. ..�....- f� Building Inspector . . r f `•_-�< ' f �?�� 'y�� ' �� / ? 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'�•- arc rN�r. ,��• j �..� 1 1��4.1 c$ n.4-M 4 flr c- W .ee.2S ICleo Fit.• P.a. , 1 I Sri ��'� nli -rA#4K RL (3 1ANIMM PO) �-�� . PIT vVAd44pfv MAoTrHS AT Dar. cr- 4�r,,• �3.c� •�- !o' l�2' �i••L3Vr-� �- NOTE 1 iuH.OYr-- SU45o!!. � vRoviN 42A4 pizGM i3 • e3e.o Tv ew. .02(7o s7vu%m% c►= I f (!�✓ alai+ �ti ��!-C/ 7 '7 Ifilr /J tUM Gl.k'J+td SwNr�) !N N'( •AR©�+ t0' t 1f0 � sGC, OC PYT srctia mt'a Fi6R.AGa W1'(i4 G4004 ;^NW' 044M, FLpve-a. / 7 As sor'emap and lot number ......... ....�.�..............�...... �V GPI �TNE T o 0 Sewage Permit number...:............................... INSTALLED TIC SYSTEM MUST � ' ALLED IN COMPUA AWS'TADLE, i House, number ..... .......................................................... WITH TITLE o Mb a m ENVIRONMENTA 5 �o Yp9 a`e� L CODE Au TOWN OF BARNSIPV B►riorvs .f BUILDING INSPECTOR I _ / /,��APPLICATION FOR PERMIT TO ....`5G`' .Tr�!.,22 �L S. �' ram"�/ TYPE OF CONSTRUCTION ! +......��4'.Q L..... .T.s'G� ............., ..................../ � Xt . .............:j. ,c....19 .d TO THE INSPECTOR OF BUILDINGS: The un ersigned hereby applies for a permit according to the following information: XB c /'/ :r . w� /Locati . ...........� ................/...... .....r....:....... .............................................................J ct T /e l......................Y....... ProposedUse ..'....................................................................................................................................................... ZoningDistrict ....... ................................................................Fire District ..!..."..................................................................... Name of Owner 4�.Q.Bir7- T. !/Qe�r.` f.:!C A�ddres �zC � .... a l�e� .- - C,./ ...................................................�` g P! t� Nameof Builder ....................................................."...............Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ......... .................................................Foundation �O C-o c�-vT2 f��'1e vss Ku ll ............................................. .....� Exterior ......./4......Cadct.►...................................................Roofing .....� /LGt .`... .... l�a.��1.(.��`f............ ewer, Floors .........I............................................................................Interior !BSI.W..a/. ..7!:C.�!o C .........1�............ �( tl Heating I ' n`� 0 A x,,,- ....�-�....`epiumbing �Zi��.. C,W, . ...... ......... .... .... ..... ........... . . .............. .. . . Fireplace ..:......r!. ..... ..........................................................Approximate Cost 3© ®off -- ZS. �o� Definitive Plan Approved by Planning Board ---------------____-----------19 . Area /.1 .... /Z .'.,Sp �C 30* Diagram of Lot and Building with Dimensions Fee ...... .� ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 60(j, QQ IdwA/er) H(Sr 0/-�- t / 1p F-6G//N0, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na .................. ....................... McKinistry, Robert J. & Eileen S. 12311 one stork ................. Permit for ..................... ........... single family dwell* .0"............................................ .................... 58 Old Toll Road Location ................................................................ West Barnstable ............................................................................... Own.er ..'.Rober.t.-J,..&..Ei-14een..&;...HcK-instry Type of Construction ..........frame ................................ ................................................................................ Plot ............................ Lot ... 3.......... July 29 80 Permit Granted .........................................19 Date of Inspection ..19 . D to Completed .................. ..19 PERMIT REFUSED 19 ... 7, 1,40 .. . ... ... . ... CY, ..........�-.A IV,...W..�.An.). ..I. ........ ... M .............. .......... V Ap . ..... ............ ................................................................. Assessor's office (1st floor)- oFTNE Assessor's map and lot number ......fo­z—....q.;.2..... Board of Health (3rd floor): Sewage Permit number ........................................................ t SAWSTABLE. & Engineering Department (3rd floor): --r -m 6 1— VAG0 93 . Housenumber ......................... .......................................... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INS'PECTOR 42 APPLICATIONFOR PERMIT TO ..........Y.,........................ .............................................. TYPE OF CONSTRUCTION .. ............................ .sue... ..................... . .... ....................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ,applies for a--permit according to the following information: Location ....... .......................................................... ... .................................................. ProposedUse .....................................................�.. ZoningDistrict .....T ............................................................Fire District .............................................................................. Nameof Owner ...kv... . . ........ .... .... ...... ........ ...... ... ........ Name of Builder ..... ............Addr ss .............. ........................................ .................Address ............................... Name of Architect ...Address ........ ................................................. ............... ,e,,el,-,VZ 6-s- Number of Rooms ... ......................Foundation .............................. 49/_,0y_Cx x7a.4R Exterior .... ....... ......................Roofing ....... ............. ............................ Floors ....4.,e�y lw,001 .........Interior ..C�................................ Heating ...... C:......Plumbirig ............................ Fireplace ..................................................................... .........:.::Approximate Cost ...A.57.....6..0319....... ........... ........ Definitive Plan Approved by Planning Board -------I --------------------- 9-------- - Area .............. 77 Diagram of Lot and Building with Dimensions Fee ............... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 0 4me .. . ....... .......................... ....... Construction Supervisor's License ..................................... FEY McKINSTRY, R.,J. 109-079 No ...2.9.2.40... Permit for ....Add...t.a................... Single Family Dwelling ............I.................................................................. Location ...58 Old Toll Road .......................................... West Barnstable ............................................................................... Owner R. J. McKinstry .................................................................. Type of Constructio'n ....Frame............................ ................................................................................. Plot ............................ Lot ................................ April .23, 86 Permit Granted ........................... .............10 Date of Inspection ............ .......................19* Date Completed ............... ...........................19 A 7 PAssessor's map and' lot number ......... ..... .... ..................... THE .> �o rot Sewage Permit number ............................... �+ Z BARNSTABLE, House. number r ". ........................................:............... 9�O N 9 �0 3 �0 �0 Mix a' JOWN OF `XRNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO /Lc9 G!'.. ... � .�. e ..�...:�-...A//�..�.9..� ,:�... . 4 �.............. .... ..... .... .... 1 TYPEOF CONSTRUCTION ..........; . ,J.r,....�` ..........................#�.......... . ".......:..... .. —:.................. ................................ .. a C.....19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following) information: „ ,S..b.. ®/% � �ti�c! /,f/�s f............................................... C. / /•�1a � Location ...... ProposedUse ty':..//O.�.,C:.............................................................................. Zoning a District ......:L...~..............r...................................,Fire District trict ..� ...f............................................................ j� fa�i /vQ., !H�dd ess'xC '63c%.�.� ... �'e �L;,... ................../ -�(• Name of :Owner f.:�.... .....:......... .... Name of Builder '. y'.: ......... +!. 4,. �� '✓�.;A �ess�.....`:� ... ....... ..... ........... . ... .................. ff ......................Address ........Name of Architect ................................ .................... .................................................. Number of Rooms ............7.................................................Foundation ..� ....C�?„�,cs�� �� i.;. �::t ,.� �::.... .. ..... ................... < "� , Exterior 3� e�c. r ............................................Roofing ..... ....s,J �.../ ....._>' .� , r /c-:::J............. n <................... Floors t ::,,,............Interior .��/jr.. : �,//. �%�!?,!lC✓��'............:.............. ........................... ........... ... te Plumbing ..../!elHeating f' < .. � Tb z � a ....................... �. Fireplace ....ff..e.........!i+.......................................................... _._Approximate Cost .....��.. .,. . ...................... Definitive Plan Approved by Planning Board -------------------__._."""""""19__"_"___. Area; —9.t.�/76... Diagram of Lot and Building with Dimensions Fee �.....� SUBJECT TO APPROVAL OF BOARD OF HEALTH y17A-0 I hereby agree to conform to allithe Rules and Regulations of the Town of Barnstable regarding the above construction. N -Mc Kinstry, Robert J. & een S. o 7 .-�� No .....2.2.375.. Permit for lone...story........... sipgj�..�ily dwellin ............... .... .... ............. .................. Location .........58 .......0....-1 q�j e .1...Road....................... .. ........ West Barnstable. ............................................................................... Owner .........Robert J. & Eileen S. ....................................... -Rmiis try Type of 'Construction .....frame.,........................ .. .. .. Plot .............................................t .................................. ..... .................... ......., ............ Permit Granted .............July..29.................. 80 Date of lnspectioL.I..-.--.-,-.-)...............19 Date Completed ................... ..................19 .19 PERMIT/REFUSED .. ...................... .... 19 P .......................................................... ...................... .......... ... ..... ................... .... .... .e �. .1. . . .:. ca-F..................................... Approved ................................................. 19 ............................................................................... ............................................................................... 9 ALM W, TOM Pos I� + . AW ��Y� � "�� ��� ��� �f'��r�.-G owe� $�'a+-,*►I I�1 /wpr� '1 ajp� 3 IT,nnIG �5�5. sc GNPy FLOW i 3 041110 Sao 6%A P. "I"It•Ff i'C � I.q. � .flora 6r'(�. - ZN� Ic+_"'>c"a�-•�C., TAl'IiC rr rrrH > 'f a �. C,+�*I,e{ � uss �' sc �-+ " �r -� 26 wraHl% 4• d o A _ ('r>1 s 10 A )•ir 7rX 5 1.0) .471 > s3a t9►►`n � µ�' --rna A /.INt ] �-t� t'l.1 t N `p,✓r Ti�� C?N1CrivJ�L�r>E1 e � tsb.Idj TR�14 W;a.CQL. �r�����w� �'� :lr•0o + Dp N 5 h r c'c p' I ' 0 hr •ya , Ski a� '� 2St to al f 2b lr H0 hy,j N OF Mq�. �� �'� b' �!dT1�+OwtT1GN T. A *I,Z. A466 �T'i�•Kc.�{ : 2� f�• Id}bo� oy.��' s9�., q��x ti1,,y Aert 3 10 Mi4,&PpVg o�D� N�q-4�- � lid'• - -- `- ��� _ -•` �� Q4 Twirl az. �Fy� t N,l� ���3 �R 1��!F�i S1•CiP'� ---•• .�.�'�a.d 0110 ' b rt,+• ta,Is3 as I N+1• C--Lo . 50 ram, ken! P r 4L AAMMP 4- . . mow fi�'1�Y� ���olc. � � DwwwN Ca.�►Y �,., ��jj•,�.� � t� ►�1,t r ! �c I -r rs G'aA tsL, • A To r-t • 0b& .a±C ro .fiar+T,s► erg I Ct4A +w,� a-""P4q is m i ,hXO4 l a e l 434 4�',P41 I 'A Id =';-5 OF! M7 ::."i'r^i % Mt::' FLTP.Ac�r- WI7#F " Application to Old King's Highway Regional Historic ,District Committee in the Town of Barnstable for a CERTI FIICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: 4 New Building ( Addition ❑ Alteration Indicate type of building: ❑ House Garage ❑ Commercial ❑ Other So C -71 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 y 2 7M- J E, ADDRESS OF PROPOSED WORK/ 04L `?C/ ASSESSORS MAP NO. OWNER %/2 ASSESSORS LOT NO. HOME ADDRESS S�� /� '/� �� dam. L�/�2/✓J%� L:�O. _1� Z ����5 J� FULL NAMES AND ADDRESSES OF ABUTTING OWNERSt Include name of adJa' en property owners ac any public street or way. (Attach additional sheet if necessary). 7�.�,; ro: - .�_. j� '�,;-,-<f L.01 001 0 a 3 a P. AGENT OR CONTRACTOR , �Q.�: —ST✓ ��� TEL. NO. ADDRESS `Z L_4. A . 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). S'L ✓�// �'12-e cel12A17 ' c Z Sig . Owner-Contractor-A nt S low I igo-foi committ . Re ` Date The Certificate is hereby Date / 1 Time y MAR 2 7 1980N. Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ •. . r r Assessor's office (1st floor): Assessor's map and lot number : oFTNETo Board of Health (3rd floor): f SEPTIC SYSTEM MUST BE Sewage Permit number _ �Q �64ISTALLED IN COMPLIANC ....................................................... t Basa9TAn WITH TITLE 5 LE' Engineering Department (3rd ,floor) 1 90 MA°a ♦� House number ............................ . .................... ...................... ENVIRONMENTAL CODE AdVD Y'p,�e o 0 MO RI, PROCESSED -8:30=9:30 A.M, and! 1:00.2:00 P.M. only TOWN REGULATIONS TOWN, OF BARNSTABLE � °� GJ ' t BVILDING - INSPECTOR �3 APPLICATION FOR PERMIT TO � 2 .......... i���. /......................... TYPE OF CONSTRUCTION / • -T��/ �i:....... ... .......... ..... ...... /................. .......19.61 zo ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ®z ��� �� � �.. Location ..��. �................................................................:........�!�...................................................... ........... .. ............... Proposed Use ... "// .. . .. ..0 ... ...f�,.... /�%2Y�i9L _43 ....... ............ ....... . Zoning District .....� ..............................Fire District .......... Name of Owner ,/.��...................../..Address ........................................................ ............... Name of Builder ... /. .......... ...................................Address .............. /J%r �.l.. ........................................ Name of Architect ................... ..... ..............Address .................................................................................... ..... Number of Rooms ...sL ..c../ .�J7..-..v/........................Foundation .........../ ....................... Exterior ....�....C�.(�f��..... t�.......................Roofing G............ ...... ................ rpr� ... -4-0 ter- Floors �.f.�-r Interior ...... .................................................... Heating1 .-..... .C.Plumbirig ................................ ..a. ... .......... Fireplace ..................................................................................Approximate Cost ...�...... �...... .......�../......... C7 Definitive Plan Approved by Planning Board '--------------------------------19________ . Area D Diagram of Lot and Building with Dimensions Fee f'r .. ...... .................... SUBJECT TO APPROVAL OF BOARD OF- HEALTH Sb 312 �s l 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. N ..... ... .. ..... Construction Supervisor's license .................................... 77' NcKINSTRY, R. J. TF— No 2.9.2.9... Permit for ....ADD TO................... Single Family Dwelling ..................... Location ......5.8...0 1.d...To.1.1..Road........................ ....................West -B.q.r n s.tAb 1 e................I......... Owner ..........R....J......MqK.i.ns.try......I.................. Type of Construction FTAjRP............................... o f. ........... ..................................................................... Plot .......................... Lot .................................. Permit Granted ..........:Apr.i.!...2.3.............19 86 Date of Inspection .......... ...19 Date Completed ......................................19