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CERTIFICATE OF OCCUPANCY
PARCEL ID GEOBASE ID
ADDRESS 20 VILLAGE LANE PHONE (508)362-6795
WEST BARNSTABLE, MA ZIP 02668-
LOT 3 ' BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT
IPERMIT 20613 DESCRIPTION SINGLE FAMILY DWELLING (BLD' PMT #19693)
( PERMIT TYPE B000 TITLE CERTIFICATE OF OCCUPANCY
[CONTRACTORS: Department of Health,Safety
ARCHITECTS: and Environmental Services
I
TOTAL FEES: � I
BOND $.00 Ox
CONSTRUCTION COSTS . $.00
753 MISC. NOT CODED ELSEWHERE
# iAEIV3!'ABLF. +
MAS&
OWNER NICKULAS BUILDING CO. , 039' i
ADDRESS Eli
P.0_BOX 502
BUILD 'J&wbIVI ON
WEST BARNSTABLE, MA BY
DATE ISSUED 01/21/1997 EXPIRATION DATE
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
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OF;.BARNSTABLE
f t BUILDING.PERMIT _ ti
-PARCEL ID 000 000 070 GEOBASE `� z
: ADDRESS - 20 .,,VILLAGE LANE ,• PHONE (508)'362-67!
WEST BARNSTABLE,s MAa. . >- •'>' ' 'ZIP 02688—
LOT 3 BLOCK LOT SIZE
' DBA DEVELOPMENT DISTRICT
PERMIT 191593 DESCRIPTION SINGLE FAMILY DWELLING(SEW.PMT.#96-546)
. PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT
: CONTRACTORS: N I CKULAS BUILDING CO. 6f
Department of Health Safety
' ARCHITECTS: �y:: � •
and Environmental Services
TOTAL FEES: $341.00 "
BOND'__.:,_._.__.-. .... ._..�.�_.,...—.....�._..__.�....___. _ •' THE .
CONSTRUCTION COSTS — .p 00_ Ox
101 rSINGLE FAM HOME DETACHED - 1 PRIVATE P +
. ASLE,
OWNER NICKULAS BUILDING CO. , 463"
ADDRESS
P-O.BOX 502 SIO.
WEST BARNSTABLE, MA BUILD
BY
DATE ,ISSUED l /199 DA -T
2/03 8 5,�,•EXPIRATION TE . ,.:.
.�Li.ti.�Gi3l�ikkr2�k,xi:;C" ... j ' ''... • -. .. _
Wnr
_THIS PERMIT CONVEYS !<�», $ P ' " v THEREOF, EITHER TEMPORARILY OR PERMANENTLY
CROACHMENTS ON PURL. r r �VD MUST BE APPROVED BY
ALLEY GRADES AS WELL d'3; Tf'i'""� ""�`�'° + t"4'11 '°�• + +s.,a... +
PERMIT DOES NOT RELE/ rTO W_ N {�F SBA R_N STAB E� } * `1 '
MINIMUM OF FOUR CAL : rat r;/'�/w�QQ ' p g n `""^ C D x s
FOR ALL CONSTRUCTIf. 1�►❑AGn�+ {o�F".� WIRING v�i° L.
j/ A R s
1.FOUNDATIONS OR F( # -- t- �+ %W r �':�;"<»'0"I
2. PRIOR TO COVERIN, -; ,PLUMiBING � BUILDING _ WN_: gpRNSTABLE
(READY TO LATH). ,, ?� ` t�Y?-Tf�"'; l i£ 4T0�`, OF+a (RING
3.INSULATION. <�=,,`��1 r i -Y L� c� F� r+eet, lr. iE t�ILYGAS ' Av ;� WIRING
4.FINAL INSPECTION B ' (( // _BU
BIN
Pos
BUILDING(INSPECTION APPROVALS nPLUMBING INSPECTION APPROVAL.
12- w-56
2 2 f ►jN 2 ��[G
06/P,;o rc'I /T q Ap
3 1 HEATII�NG INSPECTION APPROVALS ENGINEERING DEPARTMENT
101 (iS H
/1� �/�R
2iLl/llt v`� Ip_F EAC,TH
'A/
OTHER: n !1' SITE WAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
0!20-000 -O70�en� or—
Assessor's Office(1st floor) Map Lot
Conservation Office(4th floor) Date Issued
Board of Health(3rd floor)(8:30-9:30/1:00-2:00) • c9—r)
Engineering Dept.(3rd floor) House#1 n n, � �
I ip '�'d��"� UST BE
Planning Dept. (1st floor/School Admin. Bldg.) '7, ,T ALL 1 LIANCE '
Definitive Plan proved by Planning Board 19
�~ / 9 V1t�®N ®®B AND
TOWN OFF ARNS ABLE T® N. ATIOn
Building Permit Application
Project6treedress e�' ,P4 33 Cf 2,r
Village i_?G/
Owner /eJ /� ,�G�i�i Address 1,4
Telephone
Permit Request
I
Total 1 Story Area(include 1 story garages&decks) /6 square feet
Total 2 Story Area(total of 1st&2nd stories) square feet
Estimated Project Cost $
Zoning District Flood Plain /y U Water Protection C�
Lot Size G�za (� Grandfathered ?
Zoning Board of Appeals
i Authorization Recorded
Current Use r u/ �� Proposed Use
Construction Type r_l(R'((GP ✓C,��
Commercial Residential
Dwelling Type: Single Family {/ Two Family Multi-Family
V1 Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway
i
Number of Baths `L No.of Bedrooms 3
Total Room Count(not including baths) First Floor J�
Heat Type and Fuel f Central Air Fireplaces /
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information p
Name 'C �f Telephone Number ;?p 6Q
Address License# 2
c✓ Home Improvement Contractor#
Worker's Compensation#
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 DATEez/ A�
BUILDING PER IT ENIED FOR THE FOLLOWING REASONS)
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. `
ADDRESS VILLAGE
OWNER
f
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE -V" 04 �1
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING See lu aTp S o4-C To s5u gyp
V
DATE CLOSED OUTS:' ;
ASSOCIATION PL --N NCf,
f
IKE♦� The Town of Barnstable
BARNSTABLE. ' Department of Health Safety and Environmental Services
MASS
t639. Building Division
367 Main Street,Hyannis,MA 02601
ao
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
" - 0
Type of Inspection
Locationi( A u ,.t,,, PermitV.Numbei C ('ok
Owner Builder
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
J
Please call: 508-790-6227 for re-inspection.
Inspected by
Date
( __ 1*4
The Town of Barnstable '
A, f, BARNSPABLE. Department of Health Safety and Environmental Services
MASS.
1659. �0
QED rAt.+" Building Division
367 Main Street,.Hyannis, MA 02601
j Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection 4— +Aj yt
Location -Q0 t), tf�4 4 (? 0�4 -�P _ Permit Number l C/ 3 ;
Owner Builder 0 c c -k t S
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
1' � y e r K MVP 9c05 -r6 `7--a_, a y Sn j o-r" P
n-74
- A,
f� l
ov,? A ry e- U.)b 13 l P/1 ` l'-G C�' (t�i
Yee-
-Please call: 508-790-62277Ao r reeinspection. t
ti Inspected by
f
Date �l/ 0 1 /?`7
i
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is
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Comin-onulaaAk of Ma6sacli"delb if
600 W k,.#W &*d
f fin, aeaar��lfe 02f!f
.Fames J. eff _
• commissioner
Workers" Compemtfon ftnnr nce Affidavit
Joease z j ,
with a principal place of business at: "�•
• (a�nrsea�zt�
' do hereby certify under the pains and penalties of tfsst:
() I am an employer pravidmg workers' oompe"S tion coverage for my employees W!
. this job.
� k
k 1
/ma en, f Policy Idcanber
Insurance Company
I am a'sole proprietor and have no one working for we in any capacity
€.. 161
}ia Y I am a sole proprietor, general aomraaor or homeowner (circle one) and have
contractors asced below who have the following workers' �easatlon poIIdes:
.,z f,,.plltraQOr %GUCY
57 t
r ... l�� C �'-Z�
• Contractor `C [asztcance C. YIPoIicY
k_ Ole �2 �• - � v� G y y� �
f Insurance GompanylPoiicY
Contractor
I am a homeowner performing aff the work myself.
1 undr-a-t:nd s.'su a C07f of d2i%-S= meet wd1 be fawaded to dM OMM of iavesdpdoat of do 01A for CMWM vert6C2dW and thus
t emp at nc:.:td under S=lan UA of MGL 151=teso th to e in�oaa>dW of a�P� G(a�of up iO S1.:
.Yq=, Imp IM as well as waictes fn the town of a STOP WORK ORDER Mda f e otSi00.00 a dal►atzlnMGGmr—
tbi �G day, of
Signed s
_ Licensee!P ittee LI Board
Bing Deparcmem
Selectmens Office .
Application to
0p1N�`P��VN A% n /�
Opt
ePPNS���NN�ytt P'NGM ■ 9 {•'t 14
3 CCC ��,// v
i
Old Kings Highway Regional Historic District Committee.
in the Town of Barnstable for a
CERTIFICATE OF APRROPRIATENESS
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: S• New Building ❑ Addition ❑ Alteration
Indicate type of building: 69 House ®, Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New sign ❑ Existing sign. ❑ Repainting existing sign
4. Structure: 0 Fence ❑ Wall ❑ Flagpole ❑,Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY `I DATE JQ116 17�I1t)040
ADDRESS OF PROPOSED WORK ��' �jy �1I'agp W nc ASSESSORS MAP NO. ICF7r�
OWNERcwla6. L2>6minaASSESSORS LOT NO. _ro/7
HOME ADDRESS �O. x Sol, WI OZIo(oo TEL. NO. - 3102 CaZ.�JS
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary). '
�'�b'(�i oi% o d� 1iv116.1.1� �4 1�11woW �-f —�bht'Io�L•M�'e�,� t'1�. z52ro"1�
AGENT OR CONTRACTOR G`'lI—��G�'1 OG126E-2- TEL. NO. -77I- Bocc _
ADDRESS I c, � ' Zoy rVt��p /-t bZlo32.
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).
Ga>�e w� ad 2.• car �ja-fie �41• 'N� tfoc {�decl� sunroom , S»
dovYrter ak�ve �a.,r e`1 ralo ,, °'�." �mx�-s w.e. math h •�I� do�rn��r
Signe
Owner•co t ctor•Agent
Wce4bePow=Ii.ne f,oACommitm tee use.
r�#nte i 1
9
9 � ,T a Certificate is hereby Date
Tme
TOWN OF BARNS-TABLE
pLD KING'. to
Almroved C IMPORTANT If Certificate, is approved, approval is subject to the 10 day appeal period
_ provided in the Act.
OLD KING'S HIGHWAY HISTORIC DISTRICT
SPEC SHEET
FOUNDATION 9 " oyr c_o e
SIDING TYPE�h� fie,( ��1� COLOR �4UVaI
CHIMNEY TYPE_ r� COLOR VLA $risk
ROOF MATERIAL
PITCH t2 1 12 h/l2
WINDOWS �O/<o. ATi4 sen 1261e• �U S
SIZE Aries: Zvx�b. Za�a9
TRIM COLOR •lte
DOORS_��J�eel� �• I�sinel IS a fi=L COLOR_.W11� •tom
SHUTTERS 1 A
GUTTERS 1.11 -1 y •�
DECK Fyivk arch -- r'e�urc•Tc
GARAGE DOORS_ NA
COLOR
Notes : Fill out completely, including measurements and
materials/colors to be used.
Three copies of this form are required for submittal
D n ;J YIEof an application. along with three copies each of
D the plot plan. landscape plan and elevation planplan,: .when applicable.
•Plot plan need not be "Certified" . but shoulr
all structures on the lot to scale .
LEA NG
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