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UPC 12543
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HASTINGS, MN
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COMMONWEALTH
TOWN OF B
APPLICATION FOR CER
Date
In accordance with the provisions of the Massachusetts State Buil
Inspection for the below-named premises located at the following
Street-and Number:
Name of Premises:
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other govern
License or Permit !
Certificate to be Issued to:
Address:
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_Town of Barnstable Blilldlrig
!Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
ni.eAsrnsLe = -
IPosted Until Final Inspection Has Been Made. Permit
Where alCertificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-20-901 Applicant Name: Anatoli Sivitski Approvals
Date Issued: 03/24/2020 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 09/24/2020 Foundation:
Location: 29 TROTTING BRED LANE,WEST BARNSTABLE Map/Lot: 152-055 Zoning District: RF Sheathing:
Owner on Record: CROCI,JOHN P&JUDITH W Contractor Name:, ANATOLI SIVITSKI Framing: 1
Address: 29 TROTTINGBRED LANE Contractor License: CSSL-106040 2
WEST BARNSTABLE, MA 02668 Est. Project Cost: $9,700.00
Chimney:
Description: replacing roof 1 I Permit Fee: $49.47
1 r Insulation:
Project Review Req: r Fee Paid: $49.47
Final:
Date: 3/24/2020
Plumbing/Gas
t Rough Plumbing:
s —� ,_ ��� �.�Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within`six months after issuance.
I All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas:
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 Final Gas:
work until the completion of the same.
-----+-"'f 7 Electrical
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: Service:
1.Foundation or Footing .�
2.Sheathing Inspection � r Rough:
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 Final:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
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).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map �. Parcel �� Permit#
Health Division d o Ae � � $� I I���ate Issued
Conservation Division + �� -7 131 ®--R Application Fee io,
Tax Collector Permit Fee
`r�P T IC SYSTEM IAUST BE
Treasurer 1 :CTALLED IN COUPUMCE
Planning Dept. TITLE 6
�':�O
Date Definitive Plan Approved by Planning Board E Z"EIVTAL CODE ANDTOAN REGULA T.Jot.;
Historic-OKH Preservation/Hyannis
Project Street,Address 29 / 4' ,Ic4mj 4.41V2
Village �. ��-.► -is
Owner c.,26&,�!V (?fbS, J&/a Address
Telephone
Permit Request eArIA.Fe :�-C-pem) lfLr-e� OZ' A)-ry 6e,,At L,2f Z4.2,j&t �nf
Square feet: 1 st floor: existing T-7 d proposed 2nd floor: existing —79A proposed Total new----
Zoning District Flood Plain Groundwater Overlay
Project Valuation Gu' Construction Type GU
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
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 ❑Walkou ElOther 01
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing_ new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: XGas Cl Oil ❑Electric ❑Other
Central Air: ❑Yes o Fireplaces: Existing _� New Existing wood/coal stove: ❑Yes No
Detached garage existing ❑new size Pool:❑existing ❑new size - Barn:❑existing ❑new size —�
Attached garage existing ❑new size Shed:❑existing ❑new size__..__,Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes, site plan review#
Current Use �/l Proposed Use 5-44V
BUILDER INFORMATION
Name imi o Telephone Number
Address S License#
Home Improvement Contractor#
Worker's Compensation#41 C1-56uQ KA9 Ova
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO &5*6oly-e 1&
SIGNATURE DATE `7 �U D
i
FOR OFFICIAL USE ONLY
.PERMIT N.O.
DATE ISSUED
MAP/PARCEL NO.' ~
v
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
j ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGHI FINAL
GAS: ROUGH 3 FINAL
FINAL BUILDING
DATE CLOSED OUT tr,
ASSOCIATION PLAN NO.
1
RFAL ESTATE
487 StaOon Avenue
South Yarzt MA 0e
�CeO(�fp�u�smess(508)568-8157 DEBORAH j{ANTOR,
9142664
)715-6305
Fax(508)398-0684 _ ABR, SRES, CNE
Mantor@TT�te.com REALTOR®
Toda e.com
Webstte debseOscaPecAd com MLS.
Read My Reviews At:
www.auow.com/profilZ.t,_KantoT/Review
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,T►►E►, The Town of Barnstable
o.
WNSTASM Department of Health Safety and Environmental.Services .
MASS u
%63 Building,Division
fD M►y .
367 Main Street,Hyannis,MA 02601
508-8624038
508-790-6230
PLAN REVIEW
Owner: "65<-Mav-\J (z5nem Map/Parcel: l5 2- 05-5
Project Address: n bm Lk) Builder: �'r' C
The following items were noted on reviewing: I
C)) 1�e-e-d S42-C-C'I"C�Cs or)
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W--x7- -L uwPAS lE
.Reviewed by:.
Date: �! 3 .s
�FSME, ;T6,wn of Barnstable
Regulatory Services
L swxrrsresr.�, _ Thomas F.Geiler,Director
9�plan �"��� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,M.A.02601
Office: 508-962-4038 Fax:. 508-790-6230
Permitno.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which.are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. ]
Type.of Work: � NO�J Estimated Cost
Address of
Owner's Name:S�'Mo✓»y f 9U�^/
Date of Application:
I hereby certify that:
p Registration is not required for the following reason(s):
[]Work excluded by law
[]Job Under$1,000
[]Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENAL Ve,
I hereby apply for a permit as the agent of the ownr:� � �Z
Date' 001
Contracto acne Registration No.
OR
n,+e Owner's Name
The Commonwealth of Massachusetts -
- Department of Industrial Accidents
Ot/tce atiQyestioatloos
_ 600 Washington Street
- ' Boston,Mass. 02111
Workers, Coin ensation Insurance Affidavit
A AO
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❑ I am a homeowner perfomiing all work myself.
❑ I am a sole 'et and have no one worl� in ca a%01//
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❑ I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who
have the followin wOrsers co
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Off as �dred mtder Section 25A o[MGL 152 can lead to the imposition of criminal penalties of a tine IIP to 5 ersta00 and/or
Fxgure to secure coverager� er�slties in the form of a STOP WOE OVER and a fine of S100.00 a day against me. Iunderststnd that a
one years,imprlsonmeni as wen as c"p
copy of this statement may be forwarded the Oice of Investigations of the DIA for coverage verification.
I do hereby certify e and naUies ofped ury that the information provided above is trru and correct
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city or town: ❑Licensing Board
o$e]ectinews Office
❑check if immediate response is required ❑Health Department
contact
#; ❑Other
person:
Uni"d 9/95 PJA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the `law", an employee is defined as every person in the service of another under any 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 legal 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 section 25 also states that every state or local 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 any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 in the workers compensation affidavit completely, by checking the box that applies to your situation-and
supplying company names,*address and phone numbers along with a certificate-of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of fimuan_ce coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested., not the Department of Industrial Accidents. Should ygu have any questions regarding the"law'or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permrtllicrose number which will be used as a reference number. The affidavits may be retmmed tr
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
RX
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Once of Investlgatlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
i
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BOARD OF BUILDING'
N '..i
REGULATIONS
License: CONSTRUCTION SUPERVISOR
f '
I y Number:-CS O45416
i y:
-8irthdate_09/07/1965
• Expires:09/07/2004 Tr.no: �n
;.� 941
Restricted'.- 00=. -
MICHAEL T FITZPATRICK- a
PO BOX 154 r
FORESTDALE, MA 02644
Administrator -
I
�� ✓tie �omvnao�zurea/.C�i a�, vcaa,s���ae�
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 129598
Expiration: 10/01/2003
Type: Private Corporation
Fitzpatrick Home Building Cc. Inc.
Michael Fitzpatrick
8 Jan Selestion Dr. _
Sandwich,MA 02536 '` K
Administrator
Town of Barnstable
Regulatory Services
vsexx e,cm
Huss. � Thomas F.Geiler,Director
0 9. Building Division
'OrEC AAAI
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
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 / c 2 D/ , Ir. to.-act on my behalf,.-
in all matters relative to work authorized by this building permit application-for:
(A ess of Job)
3
Signature of OTzTelr Date
Print Name
Q:FORMS:OWNIWERMISSION
N
OPP
RESIDENTIAL BUILDING PERIVHT FEES
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
J y square feet x$64/sq.foot'= to x.0031=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq. ft.= x.0031=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Iuground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
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LXIST(l�IG- t-1�u�E
FRIEDLINE& CARTER ADJUSTMENT, INC.
436 Main Street, P. O. Box 338
Hyannis, Massachusetts 02601
Tel. (508) 771-3232
FAX (508) 790-2344
TO: ( Building Commissioner or Inspector of Buildings
( ) Board of Health or Board of Selectmen
O Fire Department
TOWN OF BARNSTABLE
TOWN HALL
BARNSTABLE, MA
RE: Insured: BROSNAN, Rosemary
Property Address: 29 Trottingbred Lane
W. Barnstable, MA
Policy Number: H0325488
Type of Loss: Water
Date of Loss: 8/26/2002
File#: 94338
Claim has been made involving loss, damage or destruction of the above captioned
property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143,
Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate,
please direct it to the attention of this writer and include a reference to the captioned
insured, location, policy number, date of loss and file number.
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above by First Class Mail.
R. M. NEGUS
Adjuster
10/15/2002
Assessor's offioe Ost floor):
Assessor's map and ibt-number ...�./. !Y ..... ..
Board of Health Ord floor):
C `
Sewage Permit number ....... .................... •••••.....9 � Ti1" SEPTIC SYSTEM � 3 MLe
Engineering Department (3rd floor):
Z.q. -. O.
House number ..................................... . .... .:............ - ra'
�r IE443TALLED IN C
WITH TITLE 5
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00 2:00 P.M.'only C VlR®NIIAENTAL CODE ,
Welli
` !
TOWN OF BARNSTAf tEGULATOMM
BUILDING INS"PECTOR
APPLICATION FOR PERMIT TO .....$.Uil.d...1.. 112...S.t;ory............................................................
TYPE OF CONSTRUCTION Wood...Frame...........................................................................................................
/'Y)AX 87
............ ..................................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....LCQt......�9. 2.8 7- g7-T/n/'�t� J2 F� Lam)- /-c W . Bs�a2N. r✓I•s:
........................................ ................................
iProposed Use ....Dwelli.ng....................................................................................................................................................
Zoning District .........R.F.......................................................Fire District ...... /o
.. ...............................................................
Name of OwneS..
L. ...
S Trus. t.................................................Address .....H.y.sAnni.5.j....�.,................................................
.. ....... .....
Name of Builder .....Lebel-.Sol,lows............................Address .....H.y.anXlis.r....MA..................................................
Name of Architect ...NOrthslde,,,. . . . ....................Address .....X.ax'mouthpar:t.,....MA.....................................
Number, of Rooms ......6.........................................................Foundation ....P.Q.Llr.e.d...C.0a cr.e.te..................................
k
Exlerior ...Cedar...S,hingle.s............................................Roofing Aapbai.t..................................................................
s
Floors 31.4...T&G...Plywood............................................Interior ..She.e'tr.o.ck...........................................................
Heating ......GAS....................................................................Plumbing .....PVC...and...Capper...Bath s..cz).............
p y ..........Approximate Cost .....6.0..,.00.0.............
i Fireplace .........Ma.S�nx. ............................................. f
Definitive Plan Approved by Planning Board -_Sv_�_y_.-_./---------19_g_G . .�- Area /L/S! :.0...... ...................
Diagram of Lot and Building with Dimensions See S.lte Ple -,Qat
Fee .............
SUBJECT 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.
Name .. .................................................................
Construction Supervisor's License ......0.4.3.41.5...............
L S TRUST i5 Vtt
30952 lZry
No ................. Permit for ....................................
Single Family Dwelling
..........................................................................
Location Lot # 69/28 29 Trottingbred Lane
..........................
West Barnstable
w........................................................................
S L S Trust
Owner. ..................................................................
Type of Construction ..... Frame
...............................................................................
Plot ............................ Lot ................................
Permit,Granted ...July...6.!...................19 $
r
Date of Inspection ....................................19
Date Completed . r l...i. ....�2.........19 .
d• �'I I--�7/�-7
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JOB # 85-309
CERTIFIED PLOT PLAN
PREPARED FOR:
LOCATION: TROTTINGBRED LANE BARN .
I SCALE: 1=40 DATE: '7/1/87
REFERENCE.
LOT 69/28 PB 420 PG 96 LEBEL / SOLLOWS
I HEREBY CERTIFY THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON.
BUILDING CONFORMS TO SETBACK REQUIREMENTS '`�HOf
OF THE TOWN WHEN CONSTRUCTED. ARNE4-3 c
a �
OJALA
down cape engineering
CIVIL ENGINEERS �� E
LAND SURVEY005 ? fh
ROUTE 6A YARMOUTH MA DATE PEG. LA SURVEYOR
�..... ..,r...:^:Tra.s,, .,,.-,�... -,w r - ,r.,_� .__ ..�4.r�..-^`-rT.�+'+w r.,:�—+�..'.'•^'.^;.^..tea ti, .._�"+.-,.,>•v..w "� Y'S...J`..^4' .+�-.,,'�•. *+. �c,�+s ,.._ ..
TOWN OF BARNSTABLE Permit No. .39.?52
• BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
t639. X nn.
'tour HYANNIS,MASS.02601 Bond ........I!. .��.
CERTIFICATE OF USE AND OCCUPANCY
Issued to S L S Trust
Address Lot #69 & 28 29 Trottinabr_ed Large
West Barnstable. Mass.
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.
November 17 87 `
..................!..., 19................. ............. -. I ........ ..........
Building Inspector
i
DA,E
C0;,'7 i 1iUriT 101,' OF ROAD BOND
BUILDING PERi•1IT
The undersigned owner/contractor hereby agree to maintain their road
bond in force until the following work items are completed to the
satisfaction of the Engineering Section of the Department of Public
Works.
loam and seeishoulders as soon as
weather permits. .
other (explain)
LOCATION
I NE ntractor
NGINEE G AU ORIZAT N
TOWW-* BARNSTABLE MASSACHUSETTSPERMIT
A=152' 3:4.. �152-034
DATE July 61 19 137 PERMIT'INQ
APPLICANT TnC,} j... ADDRESS '._ U 4 3.415
.. "7 �'�" (NO
(' TREET) (CONTR'S LICENSE)
PERMIT:TO, NUMBER OF
�ji i-1 rl-Dej ILIAC* ( . •. ) STORY Ci 1 1"1f !� r'iif(Il \/ I:WP ! 11( DWELLING UNITS
TYPE OF IMPROVEMENT) T— N �� (PROPOSED SE1
ZONING
AT (LOCATION)'-T.9 # r39128 Tro1-t(I�'rlrTflTed Y Fine W. Barnstable DISTRICT—FZ�
.. 'IND.1 ISTR ETI .. ... ..
BETWEEN '' AND
(CROSS STREET) (CROSS STREET)
,...LOT
SUBDJVISION. • ' LOT BLOCK SIZE
BU ILDI NG'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:;." ...Sewa!jf? #87-293 �
i3ond
.VOLUME ,-' { "' - PERMIT
ESTIMATED COST $ '60;000-,A9 FEE 128 50
w . (CUB /SQUARE FEET) h
! /1
l OWNER.::;;.;....`.?.1`.�ii d
BUILDING DEPT.
ADDRESS. i7.e- 1• > /:
BY
ADDRESS. — -' .,;...,..:_•
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMP
THIS
LY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST AI
AT
® PROV'ED BY THE FROM.THE'DEPARTMENT OFIPUBL CRWORKS- THE EET OR L ISSUANCE OFEY GRA ES ATH THIS DOES.NOT-LL AS DEPTH DRELE RELEASE THE APPLICANT FROM THE ON OF PUBLIC SEWERS MAY CONDI7I
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ,
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED,,( AND THIS PERM PERMITS HERE APPLICABLE
REQUIRED
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN 'ELECTRICAL, PLUMBING AN[
t) ALL CONSTRUCTION WORK:
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVER
STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMB'ERS(READY TO LATH). FINAL INSPECTION H�4S BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO-,IT IS;. VISIBLE FROM STREET
{.• ELECTRICAL INSPECTION APPROVAL:
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS
2 2 77
2 e�71
EATING INSPECTING APPROVALS REF GERATION INSPECTION APPROV
3 9' 1 ENGINEERINC
i
Y .
OTHER 2 �.,3 Ll Or,T' `� ", `(, 2 B p F HEAL
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL-AND
IF CONSTRUCTION iNSp�CTION�INDICATED OIJ TH
INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS'OF DATE THE .CAN B
Assessor's offioe (1st floor):
Assessor's map and lot number .....:.:::.. ..... .. o FTNET
Board of Health'(3rd floor): _
Sewage Permit number .....:.......:..:. ........ .29 t 33AUSTGDLE.
Engineering, Department Ord floor): �r °oe,�b 9• \e�'
✓House number .............................................:........................... 'FD YAY a'
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 .....A14ild...1...1/.2...Story...........................................................................
TYPE OF CONSTRUCTION Wood...Frame......... .....................................................................:........................
....................................19. .....
I '
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....Lat.....!r . 8. 7 >_vT� . --- p W�..... Z .. ....i � ..................... ....9..o..•2...N........../.Y...7.•..S..►
............
ProposedUse ....1.at!dQA.2..i.tl1... ..............................................................................:.................................
Zoning District R R F O
.....................................................Fire District .......��.........................A........ .............................................
Name of OwneSLS„Trust.................................................Address ....H�7c3]RAi.S.r...M.................................................
Name of Builder .....Lebel. .-.Sollo. ws............................Address .....HyanXU-5.....MAs.................................................
. .. ....... ..........
'A Name of Architect ...Northside.•,Design
Address .....Yarmouthport....1 .....................................
Number of Rooms ......;.........................................................Foundation ....Pour�deQonCrete
. ...........................................
Exterior ..:Cedar...Shing&e.s............................................Roofing Asphalt..................................................................
Floors ...3/4...T&G. Plywood ......................Interior ........................................................
Heating ......GaS....................................................................Plumbing ,,...PVC...An.d... QRj?!a r•...Aath5,..4.. ).............
Fireplace M4.9Qn7ry......................................................:.Approximate Cost ...... ..............................,,,,,,...............
Definitive Plan Approved by Planning Board __Sv_I`r/------Z--------19_ _L . /�/.� - Area /D.
Diagram of .Lot and Building with Dimensions SQL .5.'t Fee 1'
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Relf
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.
Name � ......`.`..............................................
043-415
ConsYruction Super'visor's' License .................................... .
- r
S L'' S... TRUST A=152-34 152-034
No 30952 Permit for...1 ...StorY............
Single Family••Dwllinq„
-Lot #69/28 29 Trotti r ed Ln.Location
. W. Barnstable
........... ............................................................
Owner S L S Trust
..............................................................
Type of Construction ..•Frame..........................
Plot ............................ Lot ............`..................•
Permit Granted ...........Jtt1Y..6 A............19 87
Date of Inspection ....................................19
Date Completed ...........•...........................19
I
t _ .. .. .. , v;,�.�:... � :- �.- ...-c.:....- �-......_ .,..... :.r-:—.a-_.�.;...._�.F_.-.,-..M..,.:,'..wr-v- "<ve^"�.,, nr- wn-r r�..y..W. - a. •- _ r ,
f
c�TMEro
FFM
TOWN OF BARN STABLE Permit NoA. ?9 2 .
.......
BUILDING DEPARTMENT
Cash
TOWN OFFICE BUILDING
� i6jq�'�tour HYANNIS,MASS.02601 Bond :.....V..........
CERTIFICATE OF USE AND OCCUPANCY
Issued to S L S Trust '
Address Lot #69 & 28 29 Trottznabred Lame
West Barnstable. Mass.
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. /
November 17 87
.......................!.. ., 19..........
Building Inspector