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UPC 12543 ,a
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HASTINGS. MN
Town of Barnstable Building
t � Post This Card So That it is Visible From the Street-Approved Plans Must be-Retained on Job and this Card Must be Kept.
eaaaysrwe�e, �ib ,
Posted Until Final Inspection Has Been Made. Permit
sa �'� 1 l�Jl JllJl
t� Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-254 Applicant Name: William McCluskey
Approvals
Date Issued: 01/23/2019 Current Use: Structure
Permit Type: Building-Insulation- Residential Expiration Date: 07/23/2019 Foundation:
Location: 15 ROSE HILL,WEST BARNSTABLE Map/Loth 131-060-001 Zoning District: RF Sheathing:
Owner on Record: MUTRIE,JOHN P&JANET w Contractor Nyame: -,WILLIAM J MCCLUSKEY Framing: 1
Address: 15 ROSE HILL a Contractor License: CSSL-102776 2
WEST BARNSTABLE, MA 02668 Est. Proj`ct Cost: $ 5,000.00 Chimney:
Description: Add R-37 cellulose, R-38 fiberglass, R-19 fiberglass,and R-10 rigid Permit Fee: $85.00 Insulation:
insulation to the attic. Add R-19 fiberglass to the basement.Air seal
Fee Paid:. '$85.00
the attic plane and basement with expanding foam.General Final:
weatherization. Dater 1/23/2019
Project Review Req: Plumbing/Gas
Rough Plumbing:
\Building Official Final Plumbing:
Rough Gas:
I i
Final Gas:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after rissuance.
All work authorized by this permit shall conform to the approved application and the'approved_construction documents for which this permit has been granted. Electrical
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Service:
work until the completion of the same. fI
_. ..- �__----- Rough:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials...are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Final:
1.Foundation or Footing
Low Voltage Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed -
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final:
5.Prior to Covering Structural Members(Frame Inspection)
Health
6.Insulation
7.Final Inspection before Occupancy Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
0 N L,_•'a. 17 ..% mac, g yi -r
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Town of Barnstable *Permit
bld2� ?Z
6 no the fro issue date
Regulatory ServicesERMIT
9. Thomas F.Geiler,Director 2013 Building Division
03
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Tom Perry,CBO, Building Commissioner v
R
TOWN OF BARNSTABLE 200 Main Street,Hyannis,-MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
/ l Not Valid without Red X-Press Imprint
Map/parcel Number/2/ o� oe)e)
Pro erty Address
FaLd Z.V
esidential Value of Work 019 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
`I
Contractor's Name Via Telephone Number
Home Improvement Contractor License#(if applicable)
1SConstruction Supervisor's isor s License#(if applicable)❑Workman's Compensation Insurance
Che 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 accompany each permit.
Permit Request check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to`
ZRe-
of(hurricane nailed)(not stripping. Going over existing layers of roof)
de ❑Fence over 6'
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***N Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
equire .
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 051811
- 1
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
wwof mass govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectricianslPlumbers
Applicant Information Please Print Legibly
Name o -dual):
Addy
Mr—
City/State/Zip:
s: n
Are you an employer?Check the appropriate box: T of project
4. I am a general contractor and I � p I (r�ce�
1.7,ibzip
a employer mrith ❑ g 6. ❑New construction
oyees(full and/or pact-time).' have hired the sub-contractors
2. lam a sale proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
and have no employees These sub-contractors have g_ ❑Demolition
working for me in any capacity. employees have wormers' 9. ❑Building addition
[No workers'comp.insurance comp.
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 11.❑Plumbing repairs or additions
myself[No workers'camp. right of exemption per MGL 12.[1 Roof repairs
insurance required.]T c. 152, §1(4),and we have no
employees.[No workers' 13.0 Other
comp.insurance required]
*Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy information_
I Homeowners who submit this affdn it uxhcatmg dney ate doing at1 work and then hoe outside contractors mast submit a new afftdaeit indicating such
iContracros that ct+xk this boa must attached an additional sheet showing the same of the mAi-c mrwtots and state whether or not those entities have
employees. If the subcontractors have employees,they most provide their workers'comp.policy number.
I am an emplayw that is prmdding workers'comps cation insurance for my encploywes. Below is the policy and job.site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c- 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonmt:nt,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Itive a of the DIA for insurance coverage verification_
I do hern un the pains and penalties of perjury that information proWded 9boye is que and correct
Signature Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town officiat
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone 9:
6
---- — _-- -- — AM Massachusetts -Department of Public Safety
I,tcense:iir registration valid-forrowidul use only Board o,f Building Regulations and Standards
tie'orette exptrattbn:date If found lietuen to Construction Supervisor
0ftee of CoMumer Affairs and,Buslness Regu a*ioA3 License: CS-073395
?0`Lar4 plaza Suite 500 _r.i r.
A 02116, PETER J ICENNEII
�. 444 MISTIC DRgin
1
Marstons Mills WA 0
,riti%\' Expiration
\o.valid with-out signs€are. Commissioner 11/02/2014
Office of o -er A a rs °�
c'7 L tY . B stness egua.ion
r. IMPROVEMENT CI.. RCI W !
t?rg►siration 128922
Expiratioq: `6�', �YPe
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Po, ai..
peter I: =a'
. Kennedy -== -
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:. 444-MISTIC DRIVEy
`MARST.ON MILLS,°.,-02 ?��: 4 ....
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• -['.-`�= Undersccr�tary
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4' Op HE Town of Barnstable
Y l�.<�
Regulatory Services
saxxsresi.E,
9 Mess.. g Tbomas F. Geiler,Director
16
;Ay Building Division
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, TO he) U as Owner of the subject property
hereby authorize �� { -f k I\ 't 47 to act on my behalf,
in all matters relative to work authorized by this building permit,
good
(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 Signature of Applicant
Print Name Print Name
Date
Q:FORMS:OWNERPERMISSIONPOOLS 6/2012
Town of Barnstable
oFrHl:r� .
]regulatory Services
Thomas F.Geiler,Director
Y MASS
1639• •0�A Building Division
lfD PAP't i
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 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 foram 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 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 t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
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0�3M[>o TOWN OF BARNSTABLE .Permit No. .29282„ ,
' BUILDING DEPARTMENT
' I TOWN OFFICE BUILDING Cash
7 'Yl
63p•
J ��tcr►r HYANNIS.MASS.02501 Bond ........X.. D
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CERTIFICATE OF U5'E AND OCCUPANCY
Issued to Rabbit Realty Trust
Address Lot #3, 15 Rose Hill
West Barnstable, Meas.
USE'GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE. _
January 2 5, ,,. 19 9 0
........... ...........................................
Buildin inspector
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Assessor's office (1st floor): ,
�� .�...-..�o.( ........ SEPTIC SYSTEM MUST oFTMEto`
Assessor's map and lot number, ... .... .... `
Board of Health Ord floor): INSTALLED IN COMPLIA
Sewage Permit 'number ................... •• QS�• • f i WITH TITLE 5 : 33A 3STODLE. !
Engineering Department (3rd floor): N rb q.
_ - ENVIRONMENTAL CODE A 9 �
House number ............................ � ........ y Ar.
TOWN REGULATIONS �YP
APPLICATIONS PROCESSED 8:30-9:30 A.M. and,1:00-2:00 P.M. only '
TOWN: OF •BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION ......WQ0. :.7!�QPAA�r�............................................
............................................
........... .-.�.a 190
TO THE INSPECTOR OF BUILDINGS:
The undersigned bFjpreby appli�s1 fLoLa permit according to the following information:
�= t--1Fr _ / y�3
Location ...:......... ........ .-. .N 01J .�l��.'V�- —......../'`.'............................................................
ProposedUse ........ ).A.>�r4.t�.... ................................................................................
", 3 2 s— . =
Zoning District ......... .1-......................................................:Fire District .... .....:...... ......A�. .1!��l,.i.................................
PA��T o1gZ 1
Name of Owner '.. ��� ,1 ...T PIU� ............Address ....Ir- .:...�.Q>.CAQ....R, .. .Xicz. fKN.:.. .........
. Olgz.i
Name of Builder .M.R.,G.....o. .t.1 .T0.o?J..........Address �d BOX.���7..����=C1��1�....M.A............. ..... ...............
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .......(5......................................................Foundation .-tom` b.7....Couc-9-G-1757............................
W N%Tt:-; Ct,-DP-Q-Sq,4 1 rV C,\I.GS
Exterior Q:�-b..C..k5DNQ..0 p4�-Of P�. g P..INr�V.l-T....�\.�11.1U
Floors .....C�(a:R. -T.... WX-]D................................Interior ....SJ�-!!✓ -L...«OCR4G.-. 1:,1.11M.CC1Fk1................
Heatin .....................................................Plumbirig .... .... .....dd........ .......................................................
. Y
Fireplace .......YES......( IJ��Q ..............................�............Approximate Cost ...'..I.Q.O.rL�DGI............................................
a& , �s /
Definitive Plan Approved by Planning Board _____ f _________ ____ Area .... . ...... !.. .1
Diagram of Lot and Building with Dimensions Fee
JECT TO APPROVAL OF BOARD OF HEALTH
I
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. C
Name .........................................
MYe-OXU P. t111�r-
Construction Supervisor's License `o�qC) •
RABBIT REALTY TRUST
o ...29282.............. Permit for .... 0 ....... .......
Single Family
........ ............
...........
dwelling
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j
Location ......Lot 15 Ros Hi
................ .. .... ................
West Barnstable
...................................................... ... ....................
Owner ........Rabbit...Realty...T u.s.t...... .. . . ........ . ....
V� .............
Type of Construction ......Frame.........................
..........................
........................... ...........................
Plot .......................... Lot ................................
Permit Granted .......................19 86
Date of Inspection �- 4�-Vaw.........19
Date Completed
.........19.
1.�4A
Assessor's office (1st. floor): 41- _
Assessor's map and• lot number .6 ¢ OF THE t0
... ti� .l.....i.. .h•C.:.......... V
1. ��Q.y�♦�1
'�•Board of Health (3rd floor): /
Sewage Permit number ...................��_C�...-. 339BHSTSDLE, 7
Engineering Department Ord floor): r. 900 639• e0�
House number .:......................... ad`
APPLICATIONS PROCESSED 8:30-9:30 A.M. and. 1:00-2:00 P.M. only
TOWN: OF BARNSTABLE
f BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..s.�.QE t -( IVY 1 L ... ..........z....S �2 CA6?t
TYPE OF CONSTRUCTION ...... 45? L7: .. !►��
....................................................................................
........... ..- 19............. a
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
CZos� t�t_ /
Location ................Y-.......................`. ,......: .:. A+ ,.4e, ^t!l�t�' .. +.......f...��....'3..............................................
Proposed Use ........ �=5� ���; ..................
Zoning District ............ ..........................................................Fire District ... .:.,L�P20.�.S.1 -(.� ....
�a►qz 1
Name of Owner ..�w7. t.t�..�d— ..d?:! /.... ,��.IUS"T.......:....Address .. ? :...!� ............
olgz
Name of Builder, ......C.o- P.R.SD.QA'1.:D.J..........Address r;: -�...MI. A..................
Nameof Architect ..................................................................Address .....................................................................................
Number of Rooms .......(.........................................................Foundation Tt-
WJ-1 N-r Ct a7P�(L SH I rV CrI;ES
Exterior Ch..�F.�pQ..�'l..Pin. 2. ............................. Roofin g ...fh�1...434- ....: 11.?\)-�L...k:._.............................
A
Floors .....� 2i��<s.....` ..t-17. ,� ......Interior
Heating ..'A-1. 1...x.(7A................. .....Plumbing ...�1�Z �U�T1aS
Fireplace ..... .�� �. 3� .Approximate Cost .. �....�10(?0.�. ..... ..��.. ................................ a� �s o .. .............................................
Definitive Plan Approved by Planning Board _______U___________�_________1�9 Area
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Named. .:'\..... ?C.1 . .........................................
tUPr-
Construction Supervisor's License ���
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RABBIT REALTY TRUST A=131-60T—/
No .292.82..... Permit f6r ..............
Single Family Dwelling
...................................................... .......................
Location ......Lot...#.3 1.5..R.o.s.e..H.i.11................
........................West....Ba..r..n.......sta..b.....le
.... .........................
Owner ........Rabbit Realty..:�K�!§:�.
.......................... ...............
Type of Construction ....Frame............................
................................................................................
Plot .............................. Lot ............................
y- --1
Permit Granted ..........M..a.I...........................19 86
Date of Inspection .....................................19
Date Completed .......................................19
1111117
*N�>D TOWN OF BARNSTABLE Permit No. .2928�
BUILDING DEPARTMENT
I ■,.,n I OWN OFFICE BUILDING Cash
T 7 .Ma ..
67D• j
'Maur HYANNIS.MASS.02601 Bond {/
CERTIFICATE OF USE AND OCCUPANCY
r
Issued to Rabbit Realty Trust
Address Lot #3, 15 Rose Hill
West Barnstable, MQas.
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
January 25....... 19 90
... ........ .� .��'...............
Building Inspector
°•. TOWN OF BARNSTABLE
BUILDING DEPARTMENT
= NAR STD TOWN OFFICE BUILDING
� rua
i6J9 \ HYANNIS.- MASS. 02601
�o ror►•
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
Building Permit 9 z-- ......... .... ..._............... . �.
issued to .. .... .._. Y .ej .........._......:...
1.. sC„ose.�l.%.� .. _/ /�jG /•�j
Please release the f per ormance bond.
•_jejNKDEPT. FILE COPY/WHITE-FIELD COPY/YELLOW-APPLICANT COPY D D 4 `
BUILDING
u�` n
t TOWN'OF BARNSTABLE, MASSACHUSETTS PERMIT
Aa1,31-60 VALIDATION
DATE •'k`'" ( � ii� Ik ��': �
19 PERMIT NO. A 1,r
APPLICANT rr'i, is ADDRESSp t0. i� RIJ�' 17G. lRo " n�(; �liQ t�(}.•'rit'Ij)
(N0.) (STREET) fCONTR'S ,LICENSE)
t PERMIT TO Nil i i,! ({,o:- 1 ( i *) STORY i i'•itrl'i •I•' l ca)•(1 pp NUMBER OF
(TYPE OF IMPROVEMENT) NO. DWELLING UNITS
(PROPOSED USE) '
AT (LOCATION) T,or ;ri ZONING
(STREET) DISTRICT
j BETWEEN ('
AND
Y.+ (CROSS STREET) (CROSS STREET)
tk` SUBDIVISION LOT
LOT BLOCK SIZE
T BUILDING IS TO BE FT. WIDE BY :• w
1a FT. LONG BY FT. IN HEIGHT AND SHALL.CONFORM IN CONSTRUCTIO
TO TYPE USE GROUP BASEMENT WALLS'OR FOUNDATION
to (TYPE)
I
• REMARKS: cr:..... _ .•1,:�..1
b;
(' AREA OR
VOLUME 15{Ji! .sC(• 1 :;• ESTIMATED COST $ 100,u(jJ•o ) FEEMIT $ ,)C)•(;; )
(CUBIC/SOUARE FEET)
4
OWNER ?ail t:1C N.i::3�is j. '1 YL.si
ADDRESS BUILDING DEPT.
}' BY
�1. FOUNDATIONS OR FOOTINGS. MADE `WHERE-A`CERTI,rlCATE•CiF OCCUPANCY•IS�RE- -MECHANICAL INSTALLATIONS `2. PRIOR TO COVERING STRUCTURALIQU,IRED,'::IICH,BUILDING SHALL NOT BE OCCUPIED UNTILI
MEMBERS(READY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INS*--e..rION HAS BEEN MADE.
y OCCUPANCY. '
POST THIS CARD SO IT IS VISIBLE FROM STREET
ILDI INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELE TRICAL INSPECTION APPROVALS
z 2 V
3 H AT:NG !NSPECTING APPROVALS REFRIGERATION INSPXCT102N APPR VALS
11 1
v•
OTHER i2
W CRK SnALL NCT PROCEED UNT:L THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSFECTfONS INDICATED ON THIS CAF
STA E S OF !ASCON TRU CVED TvE V„a(oUg WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE
`TALES OF CONS)'RUCTiON. CAN 9E ARRANGED FOR BY TELEPHOK
PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
U �P C��111PttI� D� �M�SMr�tHP�S
= 1 DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION
> 1010 COMMONWEALTH AVENUE. BOSTON / p
West Ba st Cl
bl `� 19l I rn a e
(City or Town) (Date
( . CERTIFICATE OF COMPLIANCE
-CHAPTER I48, SECTION 26F, M. G , L,
i This Certified that the property located at
i
WEST BARNSTABLE has been equipped with ap
proved pproved smoke
' detectors and was found to be in compliance with Chapter 148 Section 26F, Massachusetts
General Law.
Inspection/Testing completed on: -� `19 7O By:
s ector
IN
Fee Paid: $10.00
Receipt # a J0 KINS s CHIEF
WESY-1STABLE FIRE DE PT.
i
i (Seller's Copy)
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"PINK-DEPT. FILE COPY/WHITE- FIELD COPY/YELLOW-APPLICANT COPY Z D }
'? w BUILDINGa
TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT
VALIDATION.-
•' r
` DATE .i.:y , iO ��,-,�,���
1SI PERMIT NO.+g��_lt q28
APPLICANT ,.�-•i r !•:i•r'..,..- ADDRESS E;• H'1�}; 1 1�5. B!)'•i'•;rti b i #025998
• (NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO I'n:i ;,I Ta,.,•.) T , (_j 1 STORY L'i•' ' ! ;n I I vil;/ I l 1 Tt'= NUMBER OF
(TYPE OF IMPROVEMENT) NO. DWELLING UNITS
(PROPOSED USE) -
AT (LOCATION) ' ' i' !+' } `; r �' Tt.;` „ ZONING lop
(STREET) DISTRICT
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK SOT
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BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN;CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
. (TYPE)
REMARKS:
O'a
AREA OR •
` VOLUME 1-)l `� '�(• ••• ESTIMATED COST �''••'`/ZJIi•'''�' FEEMIT $
- (CUBIC/SQUARE FEET) -
OWNER
ADDRESS )� F. rr L;{:• BUILDING DEPT.
BY
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I FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE W .00CUPANCY ')'SIRE- M'f HANI'CAL INSTAL ATIONS.
2. PRIOR TO COVERING STRUCTURALIQUIRED,_�VCH BUILDING SHALLNOTBE OCCUPIED UNTIL
I FINAL INSPECTION
TI TO LATHE FINAL INS ION HAS BEEN MADE. I
} 3. FINAL INSPECTION BEFORE �"��
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
ILDI INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS
- — ELE TRICAL INSPECTION APPROVA�-S
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''NCRK SHALL NCT PROCEED UNT;L Ti,_ PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD
NSPECTOR AS APrROVEO '4E J a C.Ug WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE
STAGES OF CONSTRUCTION. CAN BE ARRANGED FOR By TELEPHONE
PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION,
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CERTIFIED PLOT PLAN
LOCATION 1�Y •ST.. ..�3r�✓S c?G
SCALE .l „_ h�o. . . DATE . .-,// .
PLAN REFERENCE1.!ylr-. . .�:t?l. .�-3. 7
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I CERTIFY THAT THE FX l.S.T.!!!! s o�i�✓Df�T? /3 0, 02`d
SHOWN ON THIS PLAN IS LOCATED ON THE OROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
CONSTRUCTED.
DATE .41301.96
REGISTERED LAND SURVEY R /7,2>1oi/ ou13141,q
{ i Application to
-Old King's Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS DEC 3 1 198'�
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: 1
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: [K New Building ❑.;Addition ❑ Alteration
Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑ -
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSED WORK QETi 'Ail S\ W. _2 S 0SIa_?,LE ASSESSORS MAP NO.
RA3b iT
OWNER _VV Ik05 ASSESSORS LOT
��NO. COO
HOME ADDRESS V-0• 30X 140 01Q_Z TEL. NO. ��7'1�al(C2
FULL NAMES.AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
AGENT OR CONTRACTOR h�ll�1��C C�� �i�T)�� TEL. NO. Fogg
ADDRESS �o•30x 09 J10>CiA0PD . MA, 0 'QZ 1
_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).
C
Signed
Owner-Contractor-Agent
Space below line for Committee use.
Received by H.D.C.
Date The Certificate is hereby Date
Time
By
Approved []� IMPO,RTANT: If Certificate is approved,approval is subject to the 10 day appeal period
provided in the Act.
Disapproved ❑. _ — - - '
ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION
FOR A CERTIFICATE-OF APPROPRIATENESS
The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a
separate form).
1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a
building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street,
way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition— show
existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or
alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground.
2. EXTERIOR PAINTING: An application is required for any portion .of a building, structure or sign to be painted that is
visible from a public street, way or public place. Color samples must be attached to these applications.. An application is not
f required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee.
3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within.the District, with the
following exceptions:
a. Existing signs or billboards on November 27, 1974 shall; have until November 27, 1977 to secure an.approved Certificate
of Appropriateness.
b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are
removed within three days of the event. Certain other temporary signs that the Committee feels does not'detract from
the Act may be allowed with the prior permission of the Committee.
c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are
erected or displayed.
d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the
premises on which they are erected or displayed in a residential zone.
4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a
combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc.
GENERAL REQUIREMENTS
5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town
Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act.
6. No changes shall be made from the original approved specifications without advance approval of the Commission on an
amended application filed with the Committee.
7. A separate application must be filed with each project requiring a Certificate of Appropriateness.
8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation,
chimney, siding, roofing, roof pitch, sash and doors, window,and door frames, trim, gutters —leaders, roofing and paint color.
9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon.
Copies of the Act establishing the Regional Historic District maybe obtained at the Town Hall.
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