HomeMy WebLinkAbout1851 MAIN ST./RTE 6A(W.BARN.) 1961 M a I h S4-1
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o Nam
WAQVING$ VN
F r Town of Barnstable *Permit#>`Pl (D1
Regulatory Services Expires 6 n s, om issue date
+ +
FeeMASS
1639. Thomas F. Geiler,Director
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Offide: 508-862-403 8
EXPRESS PERMIT APPLICATION - RESIDENTIAL Onrl,y Fax: 508-790-6230
Not Valid without Red X-Press Imprint
Map/parcel Number p
Property Address G� Sf✓ eV4 ily13A RZI
J'/,,,�
/G
® Residential Value of Work JS 00 J
Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
Contractor's Name —Telephone �� C
Number_
Home Improvement Contractor License#(if applicable) 6 q b 77
Construction Supervisor's License#(if applicable) CS 0 S/8p a
❑Workman's Compensation Insurance
Check one:. '
❑ I am a sole proprietor
❑ I am the Homeowner P REE:SS P E R M T
I have Worker's Compensation Insurance
OCT 9 2011
Insurance Company Name
�F BARNSTAB E
Workman's Comp. Policy#_&/rc 00 '71- d 70) 12 0 l/
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
® Re-side
Replacement Windows/doors/sliders. U-Value
#of doors
(maximum .44)#of windows
*Where required; Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
requ' d.
IGNATURE:
1WPFUSIF0RMSIbuilding permit fnrmslEXPR.ESS.doc
.vised 070110
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
kVJ 600 Washington Street
Boston,MA 02111
www.mass,gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): A`1129e0o e— F—Ram+_ -4'
Address:
Ci /State/Zi o-266$
tS' p: �f�l^{/?tMAR Z e � Phone #: S-0 8-31 a- C/i✓ b
Are you an employer? Check the appropriate bog:
Type of project(required):
1.®.I am a employer with 4• ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction
2.El am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑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 11.[I Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL
insurance required.] t c. 152, §1(4),and we have no 12.❑Roof repairs
employees. [No workers' 13.❑ Other /per s%A2?vq(L
comp.insurance required.] &- ,/1 0
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors 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 worker;'comp,policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. R
Insurance Company Name: /M4CAr S7 0^e T/1s
Policy#or Self-ins.Lic. #:_tLlC(L- 5-00 76070) 2 0/1 Expiration Date: /6 1 /2
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 imprisonment, 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
Investigations of the DIA for insurance coverage verification.
I do hereby certi under the pains and penalties of perjury that the information provided above is true and correct
Si /Signature: Date: loll l F1 1
Phone
Official use only. Do not write in this area, to be completed by city or town official
City or Town: PermitUcense#
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#:
r
THE�y, Town of Barnstable
Regulato Services
MASS 0g Thomas F. Geiler,Director
Fo►r+A�` Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8
Fax: 508-790-623 0
Property Owner Must
Complete and Sign This Section
If Usin A Builder
as Owner of the subject property
hereby authorize�`? c��rt,�e ��� -PqO� to act on my behalf,
in all'matters relative to work authorized by this building permit:
21A1,-n S'f",
(Address of Job)
Pool fences and alarms are the responsibilityof the
e applicant. Pools
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are performed and accepted.
Signature of Owner Signature of Applicant
J u ( �2
Print Name Print Name
Date
Q:FORM&O WNERPERhM S IONPOOLS
THE Town of Barnstable� � '
Regulatory Services
aAatvSM LE, Thomas F. Geller,Director
• p iKA99.
1679• �•� 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
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 form`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.
t °{ HOMEOWNER'S EXEMPTION
The Code states=tha\"Any homeowner performing wo&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
ADO CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDOfYYYY)
09/20/2011
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Blackstone Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
37 Harvard Street Suite 213 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Worcester, MA 01609
INSURERS AFFORDING COVERAGE NAIC 13
INSURED INSURERA A•E.I.0
Eldredge Frame&Remodeling INSURERS:
268 Pine Street INSURERC:
West Barnstable, MA 02668 INSURER D:
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.
LTR INSRO TYPE OF INSURANCE POLICY NUMBER A LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY -57UWE TO RENTED
PREMISES Me occurenca S
❑CLAIMS MADE ❑ OCCUR MEO EXP(Any one person) $
PERSONAL&ADV INJURY S
GENERAL AGGREGATE S
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEOULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE UABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC S
OTHER THAN
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIA ILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE S
DEDUCTIBLE $
RETENTION S $
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY ✓ TORY LIMITS ER
A ANY PROPRIETOR/PARTNER/EXECUTIVE WCC5007607012011 10/01/2011 10/01/2012 E.L.EACH ACCIDENT $ 100.000
OFFICERIMEMBEREXCLUDED? 100,000
Nos.describe under EL DISEASE-EA EMPLOYEE $
SPECIAL PROVISIONS below E.L.DISEASE-POLICY UMI $ 00,000
OTHER
Charles Eldredge is Coverl?d by the workers compensation policy.
CERTIFICATE HOLDER CANCELLATION
Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Building Department DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 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 26(2601108) ACORD CORPORATION 1988
Barnstable Old Kings Highway Historic District Committee
200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784
KAM
APPLICATION, CERTIFICATE OF APPROPRIATENESS
Application is hereby made,with four(4)complete sets,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 all categories that apply;
1. Building construction: ❑ New ❑ Addition VAlteration
2. Type of Building: IdHouse ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other
3. Exterior Painting roof ❑ new roof color/material change,of trim, siding, window, door
4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court j Other,a,
6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ §ther
Type or Print Legibly: Date & -�2 O
NOTE AM applications must be signed by the current owner �7�r—
/ M
Owner(print): !it Telephone#:
Address of Proposed Work: l��S'l �%A -134 Village , Map Lot#
Mailing Address(if different) , A- 6 8
Owner's Signature
Description of Proposed Wo k• ve particulars of ork t e done: PJOa r'�oU.ci
-� ACC C-7 GUI' 1
Agent or Contractor(print): E&IRe P , n Pie o d1l Telephone#: O �'7 &'i 6 s—
Address: .V G .f A'A e .S-r "O�
Contractor/Agent'signature:
For co 'ttee use only. This Certificate is hereb APPRO D/DENIED
FIE ENED
D MemberssignatresC
JUL 2 1 2011 Lf
-TOWN OF BARNSTABLE y
HISTORwill-
IC PRESERVATION /�orM /t//nd� huc �n�J�/�,Qr�lff�'f0�'
--� G �h "�il oY�. wi� -� ha we 6,W
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AUG 10 2011 1
QABoards and CommissionA01d Kings Highwa�AOKHApplicadonAOKH DRAFT 2011 Cart Appropriateness DRAFT:doc
Towm ref Barnsraoi�,,
0.1dl Ko�7vng's Highway
C� m�a��
CERTIFICATE OF APPROPRIATENESS.SPEC SHEET Please submit 5 copies
Foundation Type: (Max. 12"exposed) (material-bric cement other)
Siding Type: Clapboard Z shingle other
Material: red cedar white cedar ✓ other Color:
Chimney Material: Color: ec�
Roof Material: (make&style) w�-� Color: (V,'e V
Roof Pitch(s): (7/12 minimum) (specify on plans for new buildings, major additions)
Window and door trim material: wood other material,specify
Size of cornerboards size of casings(1 X 4 min.) color
Rakes Ist member 2nd member Depth of overhang
Window: (makelmodel)A eK"e -WO material 6 L c- i e color 7 A i
(Provide window schedule on plan for new buildings, major additions)
Window grills(please check all that apply_:
true divided lights_ exterior glued grills_ grills between glass_removable interior None
Door style and make: 'I m r)6 JA / ��Icf material ,4 &Z s Color: a/A C
Garage Door,Style Size of opening Material Color
Shutter Type/Style/Material: Color:
Gutter Type/Material: Color:
Deck material: wood other material, specify Color:
Skylight,type/make/model/: material Color: Size:
Sign size: Type/Materials: Color:
I
Fence Type(max 6' )Style mate. Color: ppeOVED
JUL 2 1
Retaining wall: Material: BL-SQ 2011
TOWN OF BA
Lighting,freestanding on buildiWSIORIC PRE6EA\10 10eating sign mown of Batnsh bey
o10— :
'OMM ,ac
OTHER INFORMATION:
THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED
Please provide samples of paint colors,man acturers ro ure of windows,doors,garage door,fences,lamp posts etc
Signed: (plan preparer) _ Print Name /,I/�� J G��C�4/
2
QABoards and Commissionld Kings High CertAppropr amness DRAPT.doc
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Town of Barnstable Geographic Information System July 25,2011
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DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:216 Parcel:032
boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel
1-=100'may not meet established map accuracy standards. The parcel lines on this map Owner:SULKALA,KARL A&MAUREEN C Total Assessed Value:$301100 ,
are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.60 acres Abutters + F
boundaries and do not represent accurate relationships to physical features on the map Location:1851 MAIN ST./RTE 6A(W.BARN.) �fJ
such as building locations. Buffer �//
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INIPM
Office of Consumer Affairs&Business Regulation
Construction Supervisor License � OME IMPROVEMENT '
' CONTRACTOR_
License: os 10*802 — '''=
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VVESTBARN8TABLE. MAO2O#8 —''--- ---'--��
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License or registration
egi tra n date' If found return to'
before the expiration ulation
Office of Consumer Affairs and Business Reg
lO-Park Plaza-Suite 5170
Boston,MA 02116
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Not valid out signature
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Assessor's map and lot nu �G.-.3 : /f'�� 4� �L�a2— 1 S y' 77
7 / SEPTIC SYSTEM "MUST DE
(9lp ��NSTALLED IN COMPLIANCE
Sewage .Permit number ............................. ....................: .
WITH ARTICLE II STATE
p °NARY CODE AND TOWM
TNETO�� M1 TOWN OF BARNI< � Ey � -
'
MAR STAM i
Ya BUILDING- INSPECTOR
APPLICATION.FOR iPERM1T TO ........... . ...... ` - .1./ ....................................................................
TYPE OF CONSTRUCTION ......................( .. .V...O........FR-,O-Mgt .......................................................
............. 192.3
TO' THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for )a permit according to the following information:
Location :......:.R ...: .. ........fi�........a:0..................... .:.... n.8. X..& rla af.....................................
ProposedUse .::...............�/. .. ..1.�..1..1d/.�J'..................................................................................................................
Zoning District / „.„ !z P i, ,,1&.
......::........... . ... ...........................JJ....................Fire District 4... .. .:s ,n
.:�. ....................
Name of Owner,.e. Alel....8..:. u?./ lt�................Address &r...... .�...f� l' . .........
Name of Builder :...... . ,o / f�
. �.11..�.............�.�.�.�.................Address ..&U.rel..Exav..... �`D..,.��.(....,
Nameof Architect ............................................................:.....Address ....................................................................................
t `
Number of Rooms ..............7 �.V �
Exterior ...........� .... .. ... ....................................Roofing ................ ....... ..!.. . .........................................
`A
Floors Interior ...............
�Z
Heating ......6 ......... .... .........................Plumbing .......A.....�1 Hf...................................................
V.
Fireplace ..................l...............................................................Approximate Cost ................ 3�....oo.O .....:.6 O
.................
----_19_____--. Area n�
Definitive Plan Approved l y Planning Board -----------____________ f�.J.",.,.'.0........•••••...
Diagram of Lot and •13;ui1:ding with Dimensions Fee
:. �... .....................
.
SUBJECT TO APPrVAL OF BOARD OF HEALTH
AAX
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. ... ................................
,'Sulkala, Karl A.'+
No ..... Permit- for 4..1.N§X.W49...............
....................SiPglq..4F ly..............................
Location ...MA ....FM.e....6 A....�ncoo..............
...........WA...Damatable.......................................
Owner .........Varl..A....Sulkala.......................
Type of Construction Wood.Frame...................
................................................................................
Plot ............................ Lot .......... ..
.................
i3
Permit Granted .......De.c.ember......9.......19 77
Date of Inspection ...... ....... ... ............. 9 4-J
.
Date Completed .. . .. ..............19
PERMIT REFUSED
.............................. C � -
.............../.*—* .... 19
0000oo..�
......... . . .... ..... ...............
. ........
...............................................................................
.............................I..................................................
'Approved ................................................ 19
...............................................................................
...............................................................................
Assessor's map and lot number ...........................................
.Sewage Permit number r
TOWN OF BARNSTABLE
Z BARNSTABLE, i ,
o�Ya�•� BUILDING INSPECTOR
APPLICATIONFOR'PERMIT TO .............................................................................................................................
TYPEOF CONSTRUCTION .....................................................................................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ................:....................:..................................................................................................................................................
Proposed Use .................. ..............:..............::.'..........................................................................................................................
.
Zoning District ......................Fire District /f�i`'S 4.................................
Name of Owner A� : /�I ! .(, . .:................Address �� .,•. r. ,�'.l........(I..$.....:........................
........ . _.
Nameof Builder .........:..............................!...:.:.....................Address .........:..........................................................................
Nameof Architect ..................................................................Address ....................................................................................
i
1 .uLb
Number of Rooms ..................................................................Foundation ................................ ............................................
fill I t-^
� r
Exterior r�' r l�� . ...Roofing ;n�1�!�
Floors :......................................................................Interior .....................%! :::....................................................
r
Heating t �'.! y lA ':7..........................Plumbing
............... .................... ........................................................
W ,
Fireplace ..................................................................................Approximate Cost .... _ .
Definitive Plan Approved by Planning Board -----------_------_-----------19________.• Area �U r�
i
Diagram of Lot and Building with Dimensions Fee ..................
...........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
(t
i
1
r
---`I—hereby agree to conform to all the Rules and Regulations of the•Town of Barnstable regarding the above
construction.
Name r�
*J� ..................................................................................
a.
Sulkala, Karl A.
No ... 9.&.23... Permit for ...... ..n s
...............Un UnIp.-FALI-nily.................................... (1
Location `..........� 5. ,..Rte..6�!.............................
...........................W.....BAr.mt.0.1p.......................
Owner. ..........Kax]...A,....SuAla.......................
o
l Type of Construction ......Wnod..Fx=9.............. _.
...................................................................:...........
Plot .... Lot ............ZQ............... \
s
Permit Granted ..:.....Dec ..ember 9 19 77
.... ................ t�
Date of Inspection ....................................19
Date Completed........................................19 !i
PERMIT REFUSED
I ................ .................................... 19 ,
................ ... ...........:�...................
... .��.�.:....... ......•/ ..
/• ...[... .......... .................
............................................................................... F
Approved ................................................ 19
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CERTIFIED PLOT PLAN
' LOCATION WEST QARNSTABLE • f9ASS,
3 90 / 40 . . . . DATE D 8. .9 7 7
SCALE . . . . . .
PLAN REFERENCE -vG �o r Zo
sNo wry oN A /�L9.v GF P/NE
v•vb Reeb,eD to Al/ . . . . . . r,
OF At, • . . . . . . . . . . . . . .
S
yr EDWA I CERTIFY THAT THE EX'sTiwG ,cr wpv r�ov
®WARD E KELLEY E�LEY SHOWN ON THIS PLAN IS•LOCATED ON THE GROUND
c , ti
N6.26100 CUMMAQUID, MASS, 0263' AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE,TOWN OF
Fc,sTEa�oe BAQ^'J?'9B« WHEN CONSTRUCTED.
�hv wN��
DATE Dec 9 1?77
. . . : . ..,. . . . .
PETITIONER:
c f,
�. REGISTERED LAND SUR17E YOR
TOWN OF BARNSTABLE 193.23 12/9/r r
`���°`Z�'O•.•� Permit No.
{ Building Inspector
Cash --_--
� N/A
OCCUPANCY PERMIT Bond
No building nor structure shall be 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."
Issued to Karl A. Sulkala Address
1851 Route 6A West Barnstable
Wiring Inspector � Inspection date
f
Plumbing Inspector ��� Inspection date `
Gas Inspector L 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 WITH TOWN
REQUIREMENTS.
...................................�............. 1979 -...._...j._.........._:.........
Building Inspector w~
o� TOWN OF BARNSTABLE Permit No.
°.
Building Inspector cash
'q t
°".... OCCUPANCY PERMIT Bond __ ` A
No building nor structure shall be 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."
Issued to — Carl A. Sulknlu Address
11351 Route 6A float Pamstablo
Wiring Inspector `� ,� /l _ Inspection date�-, /"'/f�r��:-
Plumbing Inspector f , 'ram^----� Inspection date
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 WITH TOWN
REQUIREMENTS. r
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�z SETBACK REQUIREMENTS OF THE TOWN OF
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DATE S�pT 7 i977
PETITIONER: REGISTERED LAND SURVEYOR
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TOP OF FOUNDATION
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, CONCRETE COVER
CONCRETE COVERS
4' CAST IRON PIPE (OR 10 MAX. ' 10"MAX.'
4"ORANGEBURG(OR EQUIV)
o ° PIPE - MIN.
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PRECAST
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SOIL LOG . WITNESSED BY
DATESS .17�177. TIME. 5 .:-0, /1- P.9vG �`1�zf'f+y! BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 r1.g5 �- �cZGc�/ P_t ENGINEER
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DESIGN DATA
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GARBAGE DISPOSAL . . *co . . (50 % AREA INCREASE)
spa 397�¢
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G�i+v2 6,?A z PERCOLATION RATE MIN/INCH
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LEACHING AREA PER PERCOLATION RATE47- . . SQ.FT.
No. .WATER ENCOUNTERED
NUMBER OF LEACHING PITS . . . . 1 . . . .
APPROVED . . . . . . BOARD OF HEALTH
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DATE . . . . . . . . . . . . . . . . . . . .
AGENT OR INSPECTOR
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