HomeMy WebLinkAbout0060 BAY SHORE ROAD (po 'Bcu� S home T`�c2,
- Town of Barnstable *Permit 30?` `3�
Expires b months from issue date
Regulatory Services Fee 1-3 s,
• Inxxsznsi.E, •
htnss Richard V.Scali,Interim Director
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number —7A'Y' O 07 A
Property Address
�]Residential Value of Work$he DO 0 • D 0 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address DSe 0 4.4-1
Contractor's Name /�i[11 Q A L V 12 TO AX Telephone Number S b 8"3 to D
i
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
® I am a sole proprietor OCT 112013
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
TOWN OF BARNSTABLE
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders. U-Value (maximum.35)#of windows d�
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
Elwnail:
,,. . ... .... ....
The Commonwealth of_Vassachuseas
Department of liukstrial Accidents
1 QKwe of TxxYvestgations
600 Washington Street
Boston,M,1 02111)
wwmmass goWdia
Workei-s' Compensation lusurance Affidavit:Builders/ContractorsMectriciansMumbers
Applicant Information Please print legibly
N.a=(Ilosmessldrganizatioollndividnai):i{ k N of Et I`t l,L L 1
Address: (0o
C WStat�e/Zip: 5 �t�.�. 4 o T -7 7 S D-(o
Are you an employer?Check the appropriate box Type of project(r���:
I El I am a employer with I sa a contractor a nd I 6. ❑New construcin
employees(fultand/orpart4ime}* hae�'��su$���2-❑ I am a sole proprietor or partner- listed on the attached sheet y- ❑Remodeling
ship and have no employees These sub-contractors have g- ❑Demolition
w � forme many capacity employees and have wxkers'
9_ ❑Building addition
[No workers' Comp-insurance comp.insuratice_t
required-] 5. ❑ We area corporation and its 10..0 Electrical repairs or additions
officers r 11..have exercised their airs or additions
3_/XI am a homeowner doing all work ❑Plumbing repairs
myself [No workers-Camp- right of exemption per MGL 12_.❑Roof repairs
insurance required.]F c. 152,§1(4),and we hati'e no
employees_[No workers' 13..❑Other
comp.insurance required.]
*Any agpticavt that checks boat#1 mast also fill out the sectioa below showing their wotken'compensation policy i+*fi+mutwar
T Homeowners who submit this aiadim indicating they an doing all woA and then hire outside contractors mast submit a near affidavit indicating rnrh
lContracmrs that check this bmE must attached an additional sheet showing the name of the sUb-contricom and state whether ornot those excaties have
employees. Irthe sub-contractors have employee%they must provide their worker'comp.policy number.
I am an employer that is providing worken'compensation insurance for my employees: Below is fhe po&cy and job site
informatiam
Insmaace Company Name:
Policy#or Self-ins-Lic. FxpiiatioaDate.
Job Site Address: Citylstate/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 o€MGL c, 152 can bead to the imposition of criminal penalties of a
fine up to S 1,500.0D 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 i surance coverage veriEcation-
I do hereby cacti nnder tka pains and pen
paltf�ies ofperjury that the information pratdded above is hue and correct
Si ttxe: tom. Date: /o
Phone# J`-0Y- 77Y—
OJcial use only: Do not write in fhis area,br be completed by do or town oficiaL
City or Town: Per dtUcense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.CitygGwn Clerk .Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone U.-
6
V
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral orwritten."
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 Iocal 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-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have r
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. 'I1ie 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 permitilicense 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 hike 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 number:
The Commonwealth of Massachusetts
Depaitnent of Industrial Accidents�';a `,_.s
Qf£iice of Xnvestiptions
600 Washington Street
Boston,MA 02111
Tot,4 617-727-4900 ext 406 or 1-877-MASWE
Fax 9 617-727-7749
Revised 4-24-07
wRvw.ma,ss_gov6dia -
BIKE� Town of Barnstable
r
Regulatory Services
i"xrtscesr� Thomas F.Geiler,Director
SEC.AA'I 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
a HOMEOWNER LICENSE EXEMPTION
DATE:
Please Print
JOB LOCATION:
number street village
..HOMEOWNER":Ae a wove Tr?!, C
name home phone# work phone#
CURRENT MAILING ADDRESS:--(,P
LA . g.nrN1*S. ��} aa6e., l
city/thNkm state zip code
The current exemption for"homeowmers"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 !` \j
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended id be,a one or two-
max`%S t �A_:
family dwelling,attached or detached structures accessory to such'use and/o"r farm.stmctures: 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}he3Sta�e 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.Sig#tar6ofHomeowner
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 persou(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.
C:\Users\decollilc\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRESS.doe
Revised 053012 t
oFE T Town of Barnstable
Regulatory Services
I E Thomas F.Geiler,Director
1639•
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
e C°oniplete and Sign:This aSection• `
,' .k •�.t
t
If Using A Builder
I, Owner of the subject property
hereby authorize YIIAIGGt. to act on my behalf,
in all matters relative to work authoriz by building permit.
G U
Zori
ss of job
Pool fencethe responsi ' 'ty of the applicant. Pools'` `
are not to be fiefore fence is in talled and all final
inspections ar accepted.
Signature of Ow er Signature of Applicant
Print Name Print Name
Date
Q:FORM&OWNERPERMISSIONPOOLS 62012
PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE
LASS I PCS I NBHDCATION NUMBE8 KEY NO.
_ 0060 .. BAY SHORE ROAD 07 R8 UNY.,
LAND/OTHER FEATURES OESCRIPTIO I ADJUSTMENT FACTORS T�, UNIT 'ADJD.UNIT
Lana By/Dale Sse D�men=�on LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS- VALUE Desghpgon CHILLI. JOSEPH I 8 MAP-
cD. FFDe Ih/Acres .-.. #LAND 1 : 192s000 CARDS IN ACCOUNT -
L 15_1WATERFNT. I X` ..2 =10 277- . . ... 314999.9 872549..M .22 :192000 #BLDG(S)-CARD-1..1 . 94:200 01 of 01
A - #OTHER FEATURE.. .1 600 OST 286800
N BATHS 2.0 U X° C= 100 7000.0 7000.0 1.00 7000 a #PL. 60 BAY SHO.RE RD HYANNIS ARKET- 265300
D - NO:BSMT S X' C=• 100 5.4 5.4 1927: 10400-8 #DL LOT 111 LC76159 INCOME
FIREPLACE U X C= 100 3100.0 3100.0 1.00 3100 B #RR -0090 0085 SE
A SHED S 8 X' 6 . C= 100 11.7 11.7 48 60D F APPRAISED VALUE
D _ .
D i A 286,800
A U PARCEL SUMMARY
T S AND' 192000
A T LDGS 94200
0-IMPS 600
E OTAL :286800
F E CNST
E N DEED REFERENCE Type DATE Reooro.o R I O R YEAR 'V A L U E
A T Book Page h'st' MO. Yr.�D S.I.e P6- AND 192000
T S C91650 1D4/83 95000 LDGS 94800
U OTAL' 286800
R
E BUILDING PERMIT
S Number Data Type Amount
LAND. LAND-ADJ .: INC ME SE SP=BLDS FEATURES :BLD-ADDS ' UNITS
192000 600 300- 826233 4/84 AD
Consl Total Vear Built Norm. Obsv.
Glass Unas Units Base Hale Atll.Hale A fVj Ag Depr. Con,. CND _c %R G Repi Cost Ne. Adl Repi Value Stones Heignt Rooms Bar_I Rms B.Ihs I Fia. I Putyw.11 F.c. I
01C+ 000 100'.100, 58.90 58.90 55 70 .24 -74 . 100. -74, ;127318 94200 .1.0 6 3 2.0 7.0
13--plion R.I. Sgeare Feel Repl.Cost MKT.INDEX: - 1.00 IMP.BY/DATE. ML' 7/88 SCALE: 1100.54.. ELEMENTS CODE CONSTRUCTION DETAIL
S BAS . 100. 58.90 1927 113500 R REA., 1940 SINGLE<FAMILY. DWELLING CNST:GP:00
T FOP: 35 20.62 52 1072 " *------27-----* ; STYLE 03 ANCH . 0.0
FFG � 30 . 17.67: 360, 6361 *---15--* ' FWD *----19--r-* DESIGN AD.IMT: OD. 0.0
-- -- --- -------- 0 --
U FWD: 85 es.50: 459 3902 ! _ 17, 17! FWD; : " 'XTER.WALLS _ 11 OOD' SHINGLES___ 0.0
FWD 85- 8.50 228 1938 ! 12 ! -12 12 EAT%Atafi _07 AS=HOT 'WATER 0.0
C INTER.FIIdISH 04 RYWALL' 0.0
fF8 650 . 65.OD 13 845 "' � � � ,
T - ----
23 -*- ----27----50-#=---19----+7-*. INTER.LAYOUT 11. OOD ° - ---. 0.01
U -- -- ---- -- --- ----
NTER:9UALTY.: 02 AME"AS� EXTE_R_. - 0.0
R ! IF
` FLOOR'STRUCT 01 OOD JOIST;
A W' ! - BASE - �: ----- `
E LODR'COVERI 05 ARPET "&'HDWD 0.0 re
E TgtalAreas Aux_ 1099,Base_ 1927: *---15--* ; 26 OQF.+.TYPE 01 ABLE-ASPH'S_H 0.0
BUILDING DIMENSIONS - ! ' ! fOUN DA7I0N 01 . OURED-01 .-CONC 99.9"
S W07 S01"WSD.-FOP $04::E13 "N04: l 17- ' _-_ __ _ _______---- -
i
3_.. SAS N17I W15 FFG S24:::E15 • 24 24: ---
N24.:W15= _. SAS,N23 E15 :S12: FWD ! ! ' .*7- -- -- - - -
N17 ..E27 :S17 W274 .. BAS ; E50,FWD. • ! ` *-- X NEIGHBORH000' 69WC" HYANNIS
13--*-----SOr-r---------* _ LAND ''TOTALTOTAL"MARKET
N12_._W19 S12 E19_ SAS ; S01 E07: ! " FF.G._i *-FOP--* PARCEL 192000
S26 *=--1.5--* _. AREA 70000
VARIANCE • +0 +310
STANDARD 25
RESIDENTIAL PROPERTY
MAP NO. LOT NO. FIRE DISTRICT
STREET 60 Bay Shore Rd. Hyannis SUMMARY
325 72
H 73 LAND /L o
BLDGS. 5 0 0
OWNOWNER .<' if.G•t��.. / 7 , /6Ce /JUu- r C rn
__.. ... .... TOTAL to G b
LAND
RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LC 7615B Deed lab nl 7a) BLDGS. 3
B TOTAL 5'0 L• ^
e LAND
BLDGS.
Hudson, Gary W. & Barbara T. TOTAL
p Xk _ LAND
t7 / A BLDGS.
J -2'7--S 1 TOTAL
LAND
BLDGS.
Cl
TOTAL
LAND
BLDGS.
TOTAL
LAND
BLDGS.
TOTAL
LAND
INTERIOR INSPECTED: �_ '9 `� BLDGS.
/ rn
DATE: �<�j �7 t ,. � On .N - TOTAL
a / KLANDACREAGE COMPUTATIONS D TYPE # OF ACRES PRICE TOTAL DEPR. VALUE
HOUSE LOT
--n mac - .:j!/- I HLANDCLEARED FRONT 01REAR
WOODS&SPROUT FRONT LAND
REAR BLDGS.
WASTE FRONT TOTAL
REAR LAND
BLDGS.
TOTAL
LAND
BLDGS.
LOT COMPUTATIONS LAND FACTORS TOTAL
FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND
ROUGH TOWN WATER 01 BLDGS.
HIGH GRAVEL RD. TOTAL
LOW DIRT RD. LAND
FOUNDATION BSMT. & ATTIC PLUMBING PRICING
LAND COST
Oonc.Wells Fin.Bsmt.Area Bath Room Base c Q
EILDG. COST
Conc.Blk.Walls Bsmt.Rec. Room St. Shower Bath ) ✓ Bsmt. D '
PURCH. DATE
Conc. Slab Bsmt.Garage St. Shower Ext. Walls
PORCH. PRICE.
Brick Walls Attic Fl.&Stairs Toilet Room Roof RENT
`e
Stone Wells Fin.Attic Two Fixt. Bath a
Floors •
iers INTERIOR FINISH Lavatory Extra
smt. F 1 2 3 Sin
s/ r/= r1/4Plaster Water Clo. Extrak Attie
EXTERIOR WALLS Knotty Pine Water Only
ouble Siding Plywood No Plumbing Bsmt.Fin. U
Ingle Siding Plasterboard AOOOO Int.Fin.
hingles TILING CC'
nc. Blk. G I F P Bath Fl. Heat "{ S ,
ace Brk.On Int.Layout Bat h'&Wains. Auto Ht.Unit {— 3
Veneer Int.Cond. )/ Bath Fl. &Walls Fireplace f— S J
om.Brk.On HEATING Toilet Rm. FI.
Plumbing �— 7 e1 Q •
olid Com.Brk. Hot Air Toilet Rm.Fl.&Wains.
Tiling �— �j 0
Steam Toilet Rm. Fl.&Walls
lanket Ins. Hot Water St. Shower
oof Ins. Air Cond. Tub Area Total
Floor Furn.
ROOFING COMPUTATIONS '
sph. Shingle Pipeless Furn. / a te S. F. a 3 2)
ood Shingle No Heat S. F.
sbs.Shingle Oil Burner S.F. '
late Coal Stoker S F
Ile Gas S F OUTBUILDINGS
ROOF 7YPE Electric
Gable Flat S.F. 1 2 3 4 5 6 7 8 91101 1 2 3 4 5 6 7 6 9 10 MEASURED
Hip Mansard FIREPLACES S.F. Pier Found. Floor 1,e
Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED
FLO RS Fireplace I Sgle.Sdg. Roll Roofing
Cone. r �
Dble.Sdg. Shingle Roof
Earth No Elect.LIGHTING — DATE
Pine
Shingle Walls Plumbing
Hardwood ROOMS Cement Blk. Electric = _
Asph.Tile Bsmt. 1st TOTAL 7J Brick Int. Finish P ED
Single 2nd 3rd FACTOR
REPLACEMENT
OCCUPANCY CONSTRUCTION^ SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL.
DWLG. /"�� //J /�l ..�.`E- _ - /g !� ! .<.Z 2 0 13 / /C1 6
' Sh ej, o4. F3 / dd —
2
3
4
5
6
7
B
9
10
TOTAL
t)0
R32t'0721. P P R A I S A L D A T KEY 238656
CHILLI , •, JOSEPH I & .
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB
192, 000 600 94, 200 1 A-COST 286, 800
B-MKT 265, 300
BY 00/ BY ML 7/88 C-INCOME
PCA=1011 PCS=00 SIZE= 1940 JUST-VAL 286, 800
LEV=400 CONST-C 0
----COMPARISON TO CONTROL AREA 69WC -- TREND EXCEEDS STANDARD
NEIGHBORHOOD 69WC HYANNIS
PARCEL CONTROL AREA TREND STANDARD
151 15 LAND-TYPE
1920001 LAND-MEAN +Oo
2868001 210000 IMPROVED-MEAN -550 250
] FRONT-FT
] 100 DEPTH/ACRES TABLE 02
1000] LOCATION-ADJ APPLY-VAL-STAT 1
LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES
COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC
FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?]
R3 5 07' . 9 P E R M I T [PMT] ACT* [R] CARD [000] KEY 238656
000000001
PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT
[B26233] [04] [84] [AD] A ] [ ] [01] [85] [000] [NEW ] [HY ADD'N ]
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Assessor's map and lot number ............................ �--. u�c u S��c•c-4 THE
..
Sewage Permit number //9 ..
Z BARNS ABLE, i
House number .....................................................................:.... s Mae&
OO 039. e0
r ' G MPY Ar,
TOWN OF BARNSTABLE C,
w.
BUILD;IHG INSPECTOR
APPLICATION FOR PERMIT TO ..... ........... a �z .!L:L! !.. r
TYPE OF CONSTRUCTION .................... .... ..................................................................................
_ A
TO THE INSPECTOR "OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...'b.. .............:: :'`. f ...":�d-t Q"........ :�� ......r..�...
Proposed Use .. - Q S E - ...... �l ACA-6- .��. ..... '...'SE, IIC'(L.... �'Po'�'�.........................
n
... ...
a.
Zoning District �` ..,,tom:.......................:................Fire Distract .............41—o(...................
......................, ...................................
Name of Owner :Y.QStP'. ...: ...... ..�.�- -'............Address .." �.... �...�"` `'�°:......4:...::a a4..............:....
J
Name of Builder ...... C . . / /C .�. .........Address ....... .. . .. .. J
....:^.'.1Q . .......5.q.....jAddre'ss! .L`�.�....... r .. ...In ,... ..U`` --Name of Architect ... ....... � .......
....'�11 -3-
Numberof Rooms .............�.......:... ...............................'Foundation ....., /fi?:, ..............0........ ..............................
Exterior ....................... ........................................L...�...Roofing ..........,...... . .. . ...7. ........................................
Floors ,T17? !..�. ...............................................Interior v
..,...p�.�.. .r........................................
Heating ............ � .. .... .........Plumbing ...........::.-�..............................................................
.....................
oz,/o - ro
Fireplace Approximate Cost .... . ............................................................
Definitive Plan Approved by Planning Board ________________________________19________ . Area r.�?!..1�- ..
Diagram of Lot and Building with Dimensions `� Fee ......_........��... .......................
��'J��
SUBJECT TO APPROVAL OF BOARD OF HEALTH (�
t
/ �E�>
GV
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t
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.
Construction-Supervisor's License . .................. ...............
, CHILLI, JOSEPH I. -' --_ . -
» _ =
~ -
-
m�L 26233 Boil- �l A/lclition - -
o -..:--.-. Permit for - --- ------
-
Single
Family Dvvelliu
'------------_.------,�-----
Location .�6O..Bay-Sbore_Ro_�______ ' _
. .
� -
Hyannis
`
........... ...............................------------
�
Owner ....Joaepb�..I�_C.hil.li.......................
~
` Frame
Type'of Construction ..........................................
-,�--------.�---------------- ' '
^ -
Plot ............................ Lot ----------'
~ '
Permit G,onoe6 .....April...ap-_--]V 84 . '
^
~
Date--of Inspection ------------lV
Dote Completed ------..------lV
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FWsisessorkap and lot number ....... ,3.a- ........r7�-G• '7 2
....... . ....... .
L�- a �� 114,-1 T 6C- C k a c✓ � Tu rUwtc SCcu - �oF TIIE r0�
U/ Sdage Permit number /.Q.. s .. P? Gt�l�t..rS d�Q ♦�
t Z 33AUSTABLE. i
House number (a.. ................................................... 9� rb7e e�
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�o MOR a�
TOWN OF BARNSTABLE
BUILDING INSPECTOR D 5
APPLICATION FOR PERMIT TO ..... .�S .�..�.......Z.........C..�..!..L.�...........................�......................
TYPE OF CONSTRUCTION ..................................................w D `�...................................................................................
P/Z f.L..........3............19.?..�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following i formation:
Location .���
Proposed Use T_ — i�412J4 E — S CCooYYl
:.................... ............................................. .........`.......................................
ZoningDistrict ..................1L..T,.......................................Fire District ................. .. .......................................................
Name of Owner � -� C NI LL 0.
. : . .. .1............ ress ...�?.o... ........� . .Q4...4L................Name of Builder ...... .......T. . ..............................Address ....... ................ ................�.............. .........
Address ...........
Name of Architect .�°.f3tR.r....M.!`.j►v.0 (�S o....... � ?...��4�. D-u�. a
Numberof Rooms ......... ..�..............................................Foundation .... . . ��.........................................................
Exterior ................... ...................................................Roofing ......... ... . .. s Fi N........ ........................................
Floors ...........................................Interior ........ ... .... . ..... .... .. ........................................
'....�Q.��..,.. l
Heati'n Plumbing
..................................................................................
....................................... . .
Fireplace Approximate Cost ...............................................................
> •
........................................................................ .....
Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area .....6..T.......... ....................
Diagram of Lot and Building with Dimensions Fee ....7,
21. ... .......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
s� c
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.
Na .......................................
s
Constru Supervisor's License ....................................
CHILLI, JOSEPH I.
k-0,2AZ3.3'... Permit for ...Build. Addition
Single Famil y Dwelling......_.
Location .AQ..Bay. Shore Road
.. .................
.................Hyannis............................................
Owner ...Joseph I. Chilli
.................................
Type of Construction ...Frm ae
............................
................................................................................
Plot ............................ Lot ................................
Permit Granted .....A P..ril 3' .........19 84
.................. -
Date-of-nspection ....................................19
Date Completed " g.......... 19
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