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HomeMy WebLinkAbout0185 BARNSTABLE ROAD /85 �t a rrs-I-c�.iv I e �' �� ., a �� 1 r,. TME Application number� / 3 a50 ................................................ O� .....................NAM ..................... BAPMABM ®, Building Inspectors ()A-4....................... Mld 1 Date Issued....1., ta.......................................... S�P .� o �o,�_ � � n _ IN8AR(���ABLE Map/Parcel...............!..... ... ........................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 8 e R F't Cd YES N UMBER 47�-!WAUV%mber—c-5-0 VILL GE Owner's Name: i�� `� 7?�57— 7 Email Address: Cell Phone Number V Project cost$ 3.,�,®®,Q 0 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize rom Holploke to make application for a building permit mi accordance with 780 CTA Owner Si gnature Dater TYPE OF WORK 0 Siding Windows(no header change)# 0 Insulation/Weatherization 0 Doors(no header change)# .Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name QA&d S HOLA , Home Improvement Contractors Registration(if applicable)# �.� (attach copy) Construction Supervisor's License# 107252 (attach copy) Email of Contractor H (�JA i'a hone number " ALL PROPERTIES THAT HA W STRUCTURES OVER 75 YA?l AS OLD OR 1F THE SUBJECT PROPERTY/S 1N �...r�..v.• .vv.v.vu• *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3.30 pm4.30pm.Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date 01 3 U /m All permit applications are subject to a building official's approval prior to issuance. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE- Individual Reclstia'tsit E it n IN- — 09/11/2021 THOMAS HAGU,E .'' D/B/A HAGUE C jt THOMAS HAGUE`\' 7 CURVE HILL RDA SO.YARMOUTH,MA 02664 Undersecretary Commonwealth of Massachusetts 5� Division of Professional Licensure Board of Building Regulations and Standards Constr 't ti`%i rvisor CS-107853 E-5 Tres 10/28/2009 - THOMAS HAGUE � a 7 CURVE HILL=ROAD SOUTH YARMOUTH.Ii 644 �1`0 �NO . Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesdgations .'600 Washington Street Boston,MA.0211I. ww►vmass gov/dia Workers' Compensation Insurance Affidavit: Bwlders/Contractors/Electricians/Plumbers Applicant Information ` ' Please Print Leably Name(Businessiomanimwon/Individual): Address: '7 C�-1:r(/`e /"7 r�tll ` - - City/State/Zip: S, Y4 4 `t Phone#:' 7 ��- ' 00 Are you an employer?Check the appropriate box: . • Type of project(regained): 1.❑ I am a employer with-. 4. ❑ I am ageneral contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or pa-time listed on the attached sheet. 7. ❑Remodeling ship and have no employees ,These sub-contractors have 8. ❑Demolition working for mein any capacity. employees and have workers' . 9. ❑Building addition [No workers'comp:insurance . comp:insurance t i s , required.] 5. we are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work II.❑Plumbing repairs or additions myself[No workers'comp. right of exemption Per MGL 12. o6f repairs insurance edL]t c. 152,§1(4),and we have no , employees.[No workers' .13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'.compensation policy information. t Homeowners who submit this afiSdavitindicating they are doing all work and then hire outside contiectors must submit i new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers.'comp.policy number: I am an employer that is providing workers'compensation insurance for my'employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-fin.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 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under epains and enahles otf aft ay that the informadonprovided above is true and correct. Si Date: 1 � Q//7, , Phone#: -7.7 Q q� Of 4cial use only. Do not write in thls area,to be completed by city or town of 9ciaL City or Town: Permit/License# Issuing Authority(circle one): 1.-Board of Health 2.Building Department 3.Cityfrown Clerk .4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person hi 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,§25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone mrmber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance 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 you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the mrmber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 pmmit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pennit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax nu nber. ' R • ' The Commonwealth of Mawr&-usetts Dgwtmmt of Industrial Accidents ' Office of Investigatac>Ens 600 Waangton Street Boston,MA 02111 - Tel.#617 727-4900 ext 406 or 1-877 MASSAM Revised 424-07 Fax#617-727-7749 VAM.mt ss.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# 007 O 1 a. 1 q Health Division Conservation Division � Permit# Tax Collector Date Issued CD- Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKHj �- Preservation/Hyannis Project Street Address I 6�h1.g: CGQ Village ZAM110hIr #'f 71S, ) / ,4 Owner P&44"-t— a&xl�z� Address / 5 Telephone 60-f— 7 3 Permit st 12x/� Square feet: 1 st floor:existing proposed 2nd floor:existing 65W proposed Total new. Zoning District Flood Plain Groundwater Overlay Project Valuation Jam. �D ° Construction Type Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family © Two Family ❑ Multi-Family(#units) Age of Existing Structure 7�5� Historic House: ❑Yes a'No On Old King's Highway: ❑Yes LgNQo Basement Type: RKuII ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) � � Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing-3 new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes &k Fireplaces: Existing New Existing wood/coal stove: ❑Yes t:fNo- Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: . _.. j Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ c_ a Commercial ❑Yes l�No . If yes,site plan review# Current Use Proposed Use r BUILDER INFORMATION Name Telephone Number J,4- 775" 7�3� Address ��J�f/ �'1`/�6�E ,� � �c License# Home Improvement Contractor# M_ 4 Worker's Compensation# ALL COSTRUCTION DEBRI RE LTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE a } FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS r VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL s t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ; FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t �.► ► Town of Barnstable Regulatory Services . MASS Thomas F.Geiler,Director ib3g, ,b� a. pTEo,r,,�► Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 F"-: 508-790-6230 PLAN REVIEW Owner: T Map/Parcel: Project Address Vke . milder: The followingitems were note`on revie'win : g Reviewed by:_ , Date: 0 -7 Q:Forms:Plnrvw ri f The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations d 600 Washington Street Boston,MA 02111 & 5� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl -Name(Business/Organization/Individual); . / Address City/State/Zip: `f Phone.#: Are you an employer?Check the appropriate bog: Type of project(required):. 1.❑ I am a Y emP to er with 4. I am a general contractor and I 6. New construction.. employees (full and/or part-time).* have hired the sub-contractors listed on the a 2.❑ I am a sole proprietor or partner= ' ttached sheet. ' 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp.insurance comp.insurance.# �3.dquired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers'comp. * right of exemption per MGL 12.❑Roof repairs insurance required.]t _ c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the.section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. 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 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 ce under the pains and pen i s of perjury that the information provided above is true and correct. y� �Si ature: Date: l�h Phone#• i0 775f 6T✓� r0f,ficiale only. Do not write in this area, to be completed by city or town officiaL wn: Permit/License# thority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,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 receiv oLtnLstee 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, §25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance 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 you 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,__ please do not hesitate to give us a call. The Department'saddress,telephone and fax number: _ .The Commonwealth of Massaehuse0A.`„ Depaent of Industrial Aoeidents - 4f ee of Investigat m 600 Washington Street Boston, MA 02111 TO. #617-727-4900 ext.406 or 1-977-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia Regulatory Services Thomas F,Geiler,Director. 9 6 P, `,+� Building]Division pT�D Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.town•,b arnstabl e,ma.us Fax 508-190-6230 Face; 508-862-4039 Permit no. Date AFFIDAVIT HOME IlYIPROVEwMNT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION IVIGL a 142AreTes that the"reconstruction,alterations,xenovatiozi,repair,inodeznizatioq conversion, improvement,re(D= demolition,ar construction of an addition to any pre-existing owner-occupied - building containinS at least one but not more than four dwelling=its.or to structures which'are adjacent to such residence or binding be done by registered contractors,with certan exceptions,along with other requrrements. Tyi f work: '7 ✓/7 i G�2��' Estimated Cost J 0, k. Address of WorA ry , pyyner's Name: Date of Application ' I hereby certify that; RegistratiQu is sot required for the following reason(s); []Work excludedby law ❑Job Under$1,000 0B g not owner-occupied caner pulling own permit Notce is hereby given that: oVNXRS FUL' 'G TE EIR OWN PERMM OR DEALING WITH UNRE GISTERED CONTRACTORS FOR,APPLICO PROGRAM OR GUARANTY UNDERMGL c 142A. ACCESS TO TSE iMITRATI N SIGNED UNDER PENALTIES OF PF,RIURY I hereby apply for a permit as the agent of the owner; Contractor Signature. RegistrationNo• Date RZAeJAZW ' Data Owner's Signs e Q�yP{iies.iQrms:homea#ndav ' gay: 060606 -THE)�� Town of Barnstable yP, Regulatory Services BARNSTABM : Thomas F.Geller,Director y Mass. �+ 1639• .� Building Division HIED a g 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 J� Please Print DATE: / � U 1 JOB LOCATION: 1 S number // street ` village "HOMEOWNER":a A m&1 Z 11ne- J o g 7 7Q90 name Q l home phone# work phone# CURRENT MAILING ADDRESS: l O J4WA5! /K n IJ �S & d city/town Lstate zip code The current exemption for"homeowners"was extended to include owner-occu-pied 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 and-ursignud'tolneownel"ceftifies that heshe-maderstauds the Town garustabi --- _ - minimum inspection procedures d requirements and that he/she will comply with said procedures and rTeements. Signature of Homeowner T 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. o Q:fomis:homeexempt r • r 1. �_ � � i •�t -i' � 1. .. � /" .. �` '� •Yn r M` i f 9 ° % t$ 3 s 4 I } 6 a � r i f £ r i 1 a s. 2 F r i �/[ b— t 1 J A'ssSessor's map and'lot number .....:..... ....... THE Pti'69 STE MUST Be �ewage Permit number ....... .... ... . .. ..... / . . .... ro ♦� [� ®a� TITLE 5 Z B9BHSTa LE, i House number ................... .. .... ...�.......................:. �^I ENVIRONMENTAL 0 AIPY p" TORN ®F BARNST-L9E BUILDING.'' INSPECTOR . APPLICATION FOR PERMIT TO r'"i ( ,.1. :..(.. / ................................................................................. TYPE OF CONSTRUCTION .... �..�. .r.:. ©��4� .1: ................................................................... TO THE INSPECTOR QF yBUILDINGS: -The undersigned hereby appliet for a permit according to the following; informatio Location .... . �n's.1. .k.E.......e .. .. . .. ... ......... ...... ............................ e 4 / 'Proposed Use 0 �c� 1�. ... .t�. ...��U.!�......... .. .... >� gal �h5........................................................... s s, ,Zoning Distract ..... .... .. ... ...............:....... .:...... °... .Fire District ...: C .................................... .. ,..Y...... 1 .. ddiress ...-. Name of Owner �a. � .......��.C. .... l.77....' � .SS.l.t4��1. ...(/SG{..: / Ny/S Name-of, Builder ....:0.L0.0.P.../�.......................................Address ..........t.........................:............................................... :Name of Architect .... .lQ../LC'..C�........................................Address s, Number of Rooms .......... ......... v... .....,................. ........................................... Exierior ...,2/.Z.5QJ ........./..c`, 5........ ..... ...:.. 5 ..............Roofing l..f?...U. l .. I,nv.s.:5.................................. .In� Floors ......��.n.....�.P.r.�`.......�.....�!.1..�......................... tenor_.,....,w..,.............................................................................. Heating ................:.....................................................:...........Plumbing ......................:............................................................ fireplace .................................................. C7' Appf,oximate, Cost ..... 11�..Q.f?.�2.................... Definitive Plan 'Approved by Planning Board ___ ____________________ __19 __. Area ... �rU.... ..........�........ 'Diagram of Lot and Building with DimeMions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t f 51 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations o&then arnstable regarding the above construction. Name !v .... ..... ....... Construction Supervisor's License .................................... ROLFE, ESTHER No 276,26 ADD SOLARIUM j ... Permit for .................................... ........ Single Fan-Lily Dwelling ............. ................................................................ Location .....185...Barnstab.le..Ro.ad................. .......... ...... . .. .... .... Hyannis ............................................................................... Owner ........Esther............. Rolfe.................................. ...... ...... Type of Construction .....Frame .............................. ...... ................... ............................................................ .Plot ............................ Lot .............................. -4rmit Granted ......March 21, ............19 85 ....................... ,'Date of Inspection 3............k*..'9 'Date Completed .......................................19 svo/,7 J/ 3 9`o2 I�tssessor's map and lot number ............................... of?NE To %fyAewage Permit number ............................... BARNSTABLE, MASS. House number ......................I...... ........................................ 1639. TOWN OF BARNSTAKE J BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... .......................................................................................... TYPE OF CONSTRUCTION ..... ....... ................................................................... .............................. ......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ..................................................................................................... J Proposed Use .... _ ........ ........................................................... ZoningDistrict ....................... ........................................Fire District ....... ........................................................... Name of Owner ........9, de...........................Address ...L�.�7......i...... . Nameof Builder ......0)..C. . ..........................................Address ..................6................................................................. Nameof Architect ..... .......................................Address .................................................................................... Numberof Rooms .......... ..............:......................................Foundation ...... ............................................... Exterior ... ........................................Roofing ....... ......C..J.q .................................. Floors ...... ..........q........t.,.I.c..........................Interior ................... ................................................................ Heating ..................................................................................Plumbing :................................................................................. Fireplace ..................................................................................Approximate Cost ...... .......................................... Definitive Plan Approved by Planning Board ---------------------------------19--------- Area .... Diagram of Lot and Building with Dimension's 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. Name ................. ..............6. ......... Construction Supervisor's License .................................... ^~/L,E, z�uzzEu A=JlV—jUZ � ^ No ...... Permit for — ...... ' ........................ Location RQ'Id-----.. ' .................=^,===`s.............................................. � ' Ovvner —. ___________.. . . . ` Type of Construction ..ZraM.--'..------. ................................................................................ Plot ------m--. Lot ----------' ' ' ' Permit Granted ....... '2l°----.lq 85 Doteof |nopection ------------lV ` Date Completed ...................................... � � - - ' _ � � ���� •i` + X0, Wdod D Ec K Ld +� Ed 177w ca/e 1�, 0L"vF— �� FOIIN�AT/ON t) n BULK yeA d. L-J + t3o ?5xgo t pvT � ua , To 3HfUiSrAbiz Ra