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HomeMy WebLinkAbout0069 CAMP STREETVbq CcLmrp �k Town of Barnstable Building s BAR1MAS6�3�C'AQ BLRB♦�., t TdhUis n CaF r,d>, Sr.o That it*i s..Uz.'::i.s�blet Frorn tshe StrarweetAp:p.,r'o.v.�ed Plans;Muvstt be�R,etained o€ nrJob an6,d,.thdi,s Carda Must,�bPermit Pos Poste Whe"re a Certificate of Occupancy is Requ�red,such BuilcJ�ng shall Notbe Occupieduntil a F►nai Inspection has been made Permit No. B-19-2460 Applicant Name: Brian Catignani Approvals Date Issued: 08/05/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date`. 02/05/2020 Foundation- Location: 69 CAMP STREET, HYANNIS Map/Lot: 328-188-002 Zoning District: MS Sheathing: Owner on Record: CAMP STREET PROFESSIONAL BLDG LLC Contractor Name: Brian Catignani Framing: 1 Address: 4 LICHEN LN Contractor License; CS407685 2 FORESTDALE, MA 02644 Est Project Cost: $33,000.00 Chimney: Description: Removal of ramp leading to basement level Minor exterior Permit Fe'e: $400.30 ,_ Insulation: changes including, rotten trim and siding repair,exterlOr�painting r.`°Fee Paid:: $400.30 repair,and removal of small roof overhang at basement entrance as final: well as removal of existing stairwell at lower lantling Installation of Date 8/5/2019 new stairs with railings both sides in place Of eidtting;ramp h Plumbing/Gas Project Review Req: Rough Plumbing: j . Building Official �u �g Final Plumbing: ^, This permit shall be deemed abandoned and invalid unless the work authoraed;by this permit is commenced within sa months after;issuance. All'work by this permit shall conform to the approved application and9the approved construction documents for which permit hasbeen granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning'by laws and codes. This permit shall.be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire�Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:f Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Person g with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). �. Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: t, Final Construction Control Document To be submitted at completion.of construction by a 1 Registered_Design Professional ay, for work per the 9" edition of the Massachusetts State Building Code, 780 CMR;Section 107.6.2.2 Project Title.: Quest Diagnostics'tenant 1+it-an Date: E13419-18 --._Perrnit No. 3-1 T-1766 Property Address: 69 Camp Street Hyannis MA 02601' Project: Check(x)one or both as applicable' [ x ]New construction [ x ] Existing Construction Project description: Interior Renovation Demo of selectiv a it:tea for walls, ceiling flooring electrical devices and nlumbim!fixtures. Install new walls ceiling,flooring electrical de, ti es and nlumbiii tutu yes I Arent registered professional, Number: 2115$1 Expiration date: 8/31118 am:a design o fessional and hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning ': [x ] Entire Project [ ] Architectural [ ] Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other: for the above named project. 1 certify that 1,or nay designee,'have performed the necessary professional services and was present at the constriction.site.on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CM.R.and the design documents prepared by me and approved as part of the building permit and that I or my designee: 1. Have reviewed, for conformance to this code and the design concept, shop drawings,samples and,:other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CM:R Chapter .1.7, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with'the progress and quality of the work and to determi i ork was perfoimed in a manner consistent with the construction documents and this code. :Sa D AJ?C', Enter in the space to the right a"wet'or �c ' electronic signature and.seal,- Nr.) r ,CD > WC 1idS1 C i v 4 . t Phone number: 978.400.7732- Email: n bheinze hassoc com Building Official Use Only Building Official Name: Permit.'No;: Bate: Note 1.Indicate with an`x'project design plans,computations and specifications.that you prepared or directly supervised.if`of her is chosen, provide a description. Trial.Version-10.09 2012 f The Decisn;Studio of BTH Architects. March 19, 2018 Mr.Jeff Lauzon, Building Inspector Barnstable Building Department 200 Main Street Hyannis, MA 02601 RE: Request for Certificate of Occupancy: 69 Camp Street Hyannis, MA Patient Service Center Dear Jeff: Quest Diagnostics has requested B. Thomas Heinzer Associates, Inc. (BTHA) establish an appropriate occupancy Use Group and Load Calculations to be provided to the the Town of Barnstable with their request for a Certificate of Occupancy for the above mentioned building. Use Description: There is a change of occupancy Use with no change in ownership with this request, The existing building is one and a half story mixed use building. The proposed use of the space is for a patient service center office on the first floor. The basement is used is unoccupied with a primary use of storage. The first floor has (2) draw rooms; (4) handicap restrooms, a break room and a processing area. The building is constructed of wood with clapboard siding. The building is not sprinklered but has a fire alarm panel with devices throughout. The first floor has four exits directly to the exterior of the building... Building Occupancy Evaluation• current Code: IBC 2009, 8th Edition of Massachusetts Amendments Use Group: Business Group B Construction Type: 5-13 Sprinklers: No Building Area; 6,520-sq. ft. First Floor Tenant Space;: 1,854 sq. ft. pg'1 538 Electric Ave,Unit'#i Fitchburg,MA:01420 (P)918+400-7732 www.btt assoc.com B.Thomas Heinzer Associates,Inc: Design Occupant Load:32 people First Floor Tenant Space.: 22 people Exits Required: 2 per floor Exits Provided: 4 Exit Capacity: 180 people per exit If there are any questions do not hesitate contacting me directly at 978.400.7732 Ext. 102.. Respectfully, � 3 .l 7 S tir Brent ThomasHeinzer, R:A. B. Thomas Heiner Associates,.Inc. Po 538 Electric Ave, Unit#1 Fitchburg,MA 01420. (0)978-400-77.32 www.bthassoc.com DEMOLITION AND TEMPORARY GENERAL ODN5TRLKMON NOTESI)eugn Smdi_o of ___.. _.... .wm.. ... ....-,. � .v;rv,awxrre wnrrtwsre:s PKOTECnON NOTL5 7r NTH= Architects TNI f ' \• \ `,...•\\. .\\ \ \ 3 \ b � e v..nnw xro wrxuArn ' \ \•\ \ \ \ \ \�, \ r-- E]FLOOR PLAN DQv1 XnON KEYNOTES: roe r .x.�n.xoey�l,w.�r�.reee Lill] a \\\ \ \ \\ \ \ \ o u«rx�ra ��.oEow�w�r.:,e��..,,<•r���rn�: orz �.mor, QUEST DMNDSfICS sna® ,.SrrE.d,x�5 Ksr RENOVATION cwuva>oM uww�an n.c.�ramn� � o TmT a nGr 0 0 0 o a o LL5 xal 6r- - _ .,a,ur.�rvcc<.s i2 iv cf ���5-cf 5 4 0�o 15.30.)!" } ea `F..r fB CNv1P51PEEf ....... 5""' uws.<nemar,.rmss,es=7 r_lrrtn M'MIMS, _. _ , N w+® M?llNmCDPB�IPLLIIQifRgN , s:tiaraisa •.eF w,o�.kta • :�ssrerz nrtars �i;i - +owr x u YpIKE15,NY1�10 / •� , r — � y n .". c.mauraw,J/.neiio,rwaiet acYl wD -w F4—!--3•�Y`=Et1.__ x mr,�c�o�rw wow ve.evcm<r,•o Hme.=e nssrea •••�•••—•�• ': CONSTRLKIION DOCUMENTS .. -i3 ram• .. - ..- -NEW AND ®I 7 } DEMO FLOOR a Io•.a- Irs--s.r—a3�:• ,;•-ssf<. 5 ,,,,�,.,3.� _5 ke rts..�, PLANS _ S I sr 'ki ; — ..... s.. _. ' rAe W Ypaw WN71 R"JOM ..EfARAN� O 2l_f .. MSf cve ixcww � o a 2�_f A101 92 r ..n i . Town of Barnstable B1111d1 .�nxs iPost This Card So That if is Visible.From the Street=Approved Plan's'Must be Retained on Job and this Card Must be Kept �, 4 '"^ Posted Until Final Inspection Has Been 6 °' , :' i r a63� Permit Where a Certificate of Occupancy,s Required;such Building shall Not be Occupied until a Final Inspection hes been made # a.�. ..._s.mu i Permit No. B-18-658 Applicant Name: Andrew Kenyon Approvals Date Issued: - 03/12/2018 Current Use: Structure Permit Type: Building-Sign Expiration Date: 09/12/2018 Foundation: Location: 69 CAMP STREET, HYANNIS Map/Lot: 328-188-002 Zoning District: MS Sheathing: Owner on Record: CAMP STREET PROFESSIONAL BLDG LLC[ _ Contractor Name--,LEONARD M POYANT Framing: 1 `6. Address: 4 LICHEN LN Contractor License: CS=024491 2 F FORESTDALE, MA 02644 " Est Project Cost: $700.00 Chimney: Description: Installation of 2 white MDO Boards 16"X 42"on both sides of Permit Fee: $50.00 exisitng freestanding sign. I - } _, Insulation: No wall signage proposed. + a Fee Paid:" $50,00 Date;v 3/12/2018 Final: Project Review Req: , Plumbing/Gas , Rough Plumbing: A _ - - Zoning Enforcement Officer Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months`after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shalfbe in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for"public inspection for the entire duration of the work until the completion of the same. , Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building a;..nd Fire Officals; ire provided on thispermit. Minimum of Five Call Inspections Required for All Construction Work -el Rough: 1.Foundation or Footing 2..Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: , "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i Town of Barnsta 1 be .:RECEIPT * HArwsTAW4 0 NAM 200 Main Street, Hyannis MA 02601 508-862-4038 s63q Application for Building Permit Application No: TB-18-658 Date Recieved: 3/5/2018 Job Location: 69 CAMP STREET,HYANNIS Permit For: Building-Sign Contractor's Name: LEONARD M POYANT State Lic. No: CS-024491 Address: New Bedford, MA 02745 Applicant Phone: (508) 577-9612 (Home)Owner's Name: CAMP STREET PROFESSIONAL BLDG Phone: (869)359-9558 LLC (Home)Owrier's Address: 4 LICHEN LN, FORESTDALE,MA 02644 Work Description: Installation of 2 white MDO Boards 16"X 42" on both sides of exisitng freestanding sign. No wall signage proposed. Total Value'Of Work To Be Performed: $700.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Andrew Kenyon 3/5/2018 (508)577-9612 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $700.00 Date Paid Amount Paid. Check#or CC# Pay Type Total Permit Fee: $50.00 3/6/2018 $50.00 Master Card:XXXX- Credit Card XXXX XXXX 8560 Total Permit Fee Paid: $50.00 Quest TM O DiagnosUcs' r 1 i 5 I 4 W 69 vs' .. ,. rCo .. � . ... r �d rx - m. v ci LA- h, .. .. ...^ ...: p ' ®. O v 1 I Loc#: 4349 o e s 69 Camp St. Hyannis, MA. 02601 We Brand Your Places&Spaces y m , 4f'%`, � .%T✓/yam ♦ "max � � i .; � �».-�. �� R�:y yf. � } • w . . �'� 6.g�Camp S'�ree��— '• .M; 1 JJ 4 • 10 3jAlt u• " WO , •+a ' rn w � E • SITE PLAN - .;., •..:, _ Ori final 263458 to I 1II ro12/0 0I NH WOM AK Gil! ►►►►►I ►I I► ►►DTMSTM W"toIO►II m I► II wTfaMAN ::` • • • • . . - . . • ,• Wit' •►I►•► f 1► ►1 42 40 1/2" A' s 3/4,, 32 5/8" 1" c =taluest 1 Diagnostics- --- I211116 3/16"Black Border WHITE MDO BOARD WIDIGITALLY PRINTED LOGO&GREEN VINYL LETTERS QTY.2 SCALE:1"=T-0" x Y4 i ' rt G.COSEO,D.D.S. _: ..' R G OSMEnC AND I OSMEf7C AND R ftATIVE DENTISTRY R ATIVE DENTISTRY Quest Diagnostics 0 EXISTING PROPOSED Drawing prepared by: .Drawing prepared for: Rev#: Req#: Date: Req.By:.Dim By: Revision Description: are the axcUW of ICON,Any matftiwd use or duplication 's not Lo Camp St. 4232 Quest Rev 1 000000 Notes Rev#: Re Date: R .B: aam, a s Hyannis,MA.02609 Loc#: ro , Diagnostics' X X File Path: ..4349 - ..I .. ActiveMPOUNTSOQuest Diagnostics\Projpct_4232ILocations14232_4349_Hyannis_MA: P9.3 i f . We Brand Your Places&Spaces LANDLORD'APPROVAL FOR,SIGN DESIGN DOCUUENTS' TO: Icon Identity Solutions RE- Quest Diagnostics 69 Camp Street Hyannis, MA 02601 LL Name: E�)AA.)" ST t�,u " >rr�c C•a v, n sr?+t�i' �:��e�t , > -i �ii(;C ;� tC , LL Address: ./ .%_�i;��, j s•vt , �,�; � ��/ a �"4"�f w LL Phone: - Y' I have reviewed the attached Sign Design Document and IT [,,Y(have initialed each page indicating my approval of the Sign Design Document as submitted. �ave made notations on the sign design documents indication my concerns. I approve the Sign Design Document as noted in the package to be returned to ICON. have attached a letter with additional requirements. Id .tion, I hereby give notice to the sign permitting authority that I approve the Sign Design Docupients as submitted. f/authorize the sign vendor,�" � g , ICON, :under contract with Quest Diagnostics, and their representatives to make application for and secure necessary permits, remove any existing signs andi I the new approved signs. nature Name &Titl (print) Date . s Icon 1247 N. Church Road, Suite 2 856-359-9512 Moorestown, Ni 08057-1153 www.iconid.com St C ■ ■ ■■■■ .. •■aim■ ■■MINE MMO �— � ■ ■ ■ ■■ ■ ■ ■ ■■�- ■ ■ ■ ■ ■ ■ ■0■■I i I .. �■ ■ ■■■ ■ ■ ■ ■I ■, ■ ■ ■ ■ ■ ■ MEM&NEERE01 m■ ■ I.■IA■■ a r a ■■\.N■■■■ - ■ ■Y:A■■■ C C \ ■fib - ■�I ■■■■ lam. ca ■ ■■■ ■sMME A■ ■ ■ ■■ �+ � MENEMIN ■ ■ ■ ■ �— INN— ■ ■ ■■■ ■ ■ ■ ■ _—-- ■ ■ ■ ■■ mimMEMEMIS min minim ■ ■ ■ ■ �mmommommon ■ ■ __ r •r r• . C CCC / C CC C ■ ■m REM ■ ■ ■ ■MEMEMMEM ■ ■ ■ ■ MOORE MEME ■ ■ ■ ■ ® ■ ■ ■ ■ ��� _ ■ ■ ■ ■EMENEIIINME - ....._ .. ■ ■ ■ ■ ���� ■ ■�■ ■ �� Dior®O.COE®C�E9�dE0 man ONE ■ ■ ■ ■ � ■ ■ ■ C _"�ii�� ��®EOE®1OE®mE��Efl ■ ■ ■ Aim VEMEME EMMEDFASIUME � ■ ■ ■ 1 ®I.C®1IiE®DE��® ■ ■.■ ■ ■ ■®°� ■ ® . . . 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I orrA. _ „�.`.�'a___-_ ;�,axa a,wnas ro wucl � ~•Y��,?t ' .., .u.nrm ee.rnven.s,sence.w.Kn.xs spa 4 j 11jj ' . n i i .a+rccws ax.ra wa2erte,.sa[urtm as j'Rrl ��r � ���e � iw55reu w`fnr Y.romK.wwC.ar�wrtl ronw mK Nru5E6'«LLB.YSRxrED T.rmtKtD w'Dr<P,_rXvr l3tx .tedR FIRE ALARM INPUT/OUTPUT : .��° r gS,g a'xs ,rta .r oram.ro,r. m, mourn° MATRIX F3F' F Far F�v T e� ado 3 Fca", �a s��: ;moo QUEST ar.� .rzuaarmaa,5,r� DIAGNOSTICS RENOVATION ®�arrce,mae. oY�55a� Mw.�Mn.�ww>rt.wruxa>9w,.�U,��«.�� .ram e.ecewac. ©avx.. o.w..,�ro•Mo,auxona oP.as. ..,onccR.w.Srex<oK, - woaw�r wia� _ �eunam¢c. n.r.mwa mm,mamurnonmrow -rRa+ce erne rarer aseui,.w.�.WF.wrt oc.,gn wm.axn rnron.w*ewm. 100)50ROAVE YOnY m w] CONSTRUCTION DOCUMENTS awnlunc ELECTRICAL& FIRE ALARM NOTES AND DETAILS awn. AE000 . ».rz. _ Pun arG nzfvrs iaw+rGscrm�n>' The D-gn Studio:of I.D. 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The Design Studio of �,•_„ ,:.,s,..,^ Da5WG CONMON5 NOTE$ �,Y'T a vws r. a ttw� T azvr •A 3/-0�•.13^a ewrr ? 91/1,s+crsr+— � 91R� C'9iR- - �� rDC a. ,. — 4 4 E<:rfrtnE6 O". O O 't ^ O ® ® ® Archifects �-----------r-r- e 1•-x va' J`• ------------------- I FCC 1 L: , S .....r'a3.r v ±r 4• E 01�3f MOMMUN6RAl-=T - a •, - QUEST ae'a DIAGNOSTICS v-�JI; "IRl rasw"IR"` W. Jfe• sur'. S,,e.aur. raJir ci)r: ra sta' nl/z•; ra Jfe• b1r'1 rs RENOVATION j - Fe cAAvsl>ozr . El W60PDAE To H 1I xY:r un' t, Y-r r-3 iR'_ Ire sM'3a• n.iva_ ..:ur � CONSTRUCTION DOCUNTENTS .. .. ...._--- , - EXISTING 1ST - - gT I FLOOR PLAN lr-103R• k I c ----------------- �i YY 33J6"W.bl FE Yd>/S 3'-3w b e 33 x/B• ___-11 15/n" rn — —Ti Ia'b J,�6' ;; Y-T �i 10'-il• ,J'-IlJ<', ' 161b,�,Y�wiwk ........-._............._..._p.�....._.._ .........___...................... ........._.._......... _� ......_........ .u�_ .........._ �T..._ .._..........._....._...,�_.._._._............................�.a. .--..........__.... AR1O o �, _� 1 ,[Y Town of BarnstableBuilding Post This Card.SoThat it.is_.Visible-From the StreetApproved PlansMustbe;Retained on Jgb'andthis Card Must be Kept 5 ? a Poste ��clxUnt�l Finalflrspection Has Been Made 3� r `T j smitWhere a,Certificate=of Occu anc .js"Re u�red,such Buildm <shall Not be Occu ,ied,unt�l"a Ftnal Inspection has been made z � Permit NO. B-17-3766 Applicant Name: Brent Heinzer Approvals Date Issued: 12/13/2017 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/13/2018 Foundation: Commercial Map/Lot: 328-188-002 Zoning District: MS Sheathing: Location: 69 CAMP STREET, HYANNIS Contractor",Name:k.. BRENT T HEINZER Framing: 1 ))2!. S Owner on Record: CAMP STREET PROFESSIONAL BLDG LLC Contractor License: CS.074213 2 i , x Address: 4 LICHEN LNProtect Cost: $85,000.00 Chimney: FORESTDALE, MA 02644 Permit Fee: $773.50 Description: Interior tenant fit-up:Work includes selective walls,,ceihngs, Insulation: flooring,plumbing Fee Paid $773.50 lumbin devices&electric device Fin al: / removal/replace/addition to the existing building systems Date 12/13/2017 CJ Project Review-Req: Plumbing/Gas 'v ✓ Rough Plumbing: r�� �ti '• N BuildingOfficial v Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authoed'by this permit is commenced within six m�ont r hs�after issuance. Rough Gas: All work authorized by this permit shall conform to the approved applicatwn and the,approved construction documents fM hich this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structur60hall be in compliance with the local zoning'by,laws and codes. This permit shall be displayed in a location clearly visible from access street or4road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building an�dFire Officials are:provitled on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work- Rough: •, Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Q~`'�"i� r ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map . Parcel <C S Application # IA S 3 Health Division Date Issued . Conservation Division Application Fee Planning Dept: : Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address-=!,,;_2 C Qua Village HA CL VA v1 Owrni `�Q� 7�cno,b�4It.� Addres L. r ne Telephone_ Permit Request ro i ` cu 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay �Projec V luat s . c7 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 Historic House: ❑Yes ❑ No On Old King's Highway ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other + Basement Finished Areas ft. Basement Unfinished Areas ft Number of Baths: Full: existing new Half: existing new - Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name- C4 (- n0 0elephone-Numbe' ' Address"rp. O . bDX q q 7 License.#-G S -7 � I5 J i �i(�- D a �7 Home Improvement Contractor# Lo 3 9 / Worker's Compensation # =ALL CONS..___TRUCTION..DEBRIS.R�- UL-TING-FROM THIS--PROJEC__T�WIL_-L`BE TAKEN"TO -Q( oaq SIGNATURE—"� ` DATE-�-a ��0 c�'� } .r t r" II - FOR OFFICIAL USE ONLY " APPLICATION# -_DATE ISSUED L ____MAP/_PARCEL N0._. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: i_FOUNDATION: FRAME _INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _Y PLUMBING: ROUGH FINAL ROUGH {-VP F FINAL y '.�,FINAL B.U:ILDING ). : 'F s L '? DATE CLOSED OUT Yt i • ASSOCIATION PLAN'NO. f i r j The Commonwealth of Massachusetts Department ofbtdustrial flccidenis Office of Investigations' ` 600 Washington Street Boston, MA 0211.1 lvww.m ass.go v/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricians/PIumbers Applicant Information Please Print Ise ibl Name (Business/Organiza6onffndividual): Adctress' City/State/Zip: Sq,,Jw oxgq2> Phone.#: Are you an employer? Check the appropriate box: 'Type of project(required): 1.❑ I am a em to er with 4. 0 I am•a general contractor and I P Y 6. ❑New construction ,�,/employees(full and/or part-.tiroe).* have hired the sab-contractors .2.N I am a soleproprietor or'partiler" listed on the'attached sheet T. 'Remodeling ship and have no employees These sub-contractors have g. '❑Demolition workin for me in an ca aci employees and have workers' g Y P tY• 9. ❑Building addition [No workers' comp.•insurance comb. insurance.t required.] 5. 0 We are a corporation and its '10.❑ e Elctrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑goof repairs insurance required.] t c. 152, §1(4), and we have no414 employees. [No workers' 13. tber S comp.insurance required_] 'Any applicant.that checks box#1 must also fill out the section below showing thcirworkars'compensation policy information t Homcowncrs who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContactors 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 far 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 inDprisonment, as well as civil penalties in the forth 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. .(do herEby certify nder the pains and penalties ofperjury that the inforination pro.videdrabove is true and correct. Date: Phone #' Tol�—IN 4_ 91(0 5 Dffuial use only. Do not write in this area, to be completed by city or town official City or Town: Perrrut/License # Issuing Authority (circle one): 1. Board of Health �2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Information and instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their erriployees. Pursuant to this statute, an empfoyee 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 ajoLo 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 dwellin house of another who employs persons to do maintenance,construction or repair work on such dwelling house g d to be an em to er.' or on the grounds or building appurtenant thereto shall not because of such employment be deemed p Y 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 15Z, §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-conti actor(s)name(s),•addiess(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 in members or partners , are not req aired to carry workers' compensation insurance. If an LLC or LLP does have employees, a.policy is required. Be advised that this ai�davit 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-insurancc 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 Office of Investigations has to contact you regarding the applicant of the affidavit for you to fill out in the event the Please be sure to fill in the permit/license number which will be used as a reference number. fo 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`fob 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 (Le. 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-number: Tho Commonwealth of Massachusetts Depaitment of Industrial Accidents (office of rnvestigations, 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-72777749 Zevised 11-22-06 wwwmass.gpv/dia f t."- Massachusetts- Department of Public Safet} 1 Board of Building Re ul ttiitns rid'St.4ndartl5 i. . a'. Construction Supervisor License .. License: CS 79151 A iJ. I CHRISTOPHER M DESTEFAN 50 SANDWICH ST#2, PLYMOUTH,-MA 02360 Expiration: ,9/17/2012 1- Commissioner. Tr#: 1826, " LL�f"C �ommz ur 'y L►cense or registration valid for indrvu use on a Office o onsumer airs mess ev,a ion z g rdl only before the expiration date. If found return to HOME IMPROVEMENT CONTRACTOR. ,T e. Office.of Consumer Affairs and Business Reg"lutton, i Registration 466399 Type: f Expiration: Individual: 10 Park Plaza-Suite 5170 ! Boston,MA 021.1 > ; C TOPHER IVQ�mnii_ EVO rxi t 1. CHRISTOPHER [$S-TISFAPIO 50 SANDWICH ST , =� r ��i ��—_<•,1 ;a PLYMOUTH,MA 0236Q,_ %J I Undersecretary _I Not valid withoutsignature '' IIH*E Town of Barn-stable Regulatory Services ' BARN6TASL.l; � Mass. �+ Thomas F. Geiler,Director 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 Complete and Sign This Section If Using ABuilder I U a v) as Owner of the subject.pmperty hereby authorize ✓ to act on my behalf, in all matters relative to work authorized by this building permit application for: +Y Address of rob} S' na e of 06er Date Pnnt Name If rope -Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. h fzni?U(z nv^jPv P P R v iQczin'Tj Town of Barnstable �oFV r ti o Regulatory Services BARNSTAst.E, ; - Thomas F. Geller,Director MASSL Building Division PrED +� Tom Perry, Building Commissioner 200 Mairi.Street, Hyannis,MA_02601 R-wv.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 I1011IEOVNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code 7br- 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. DEFINMON OF HOMEOWI\ER Persons) 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 constrgcts 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 Notc: 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 scction,(Scction 109.1.1 -Licensing of construction Super%risors);provided that if the homeowner.engages a pason(s)for hire to do such work,that such Bomeowncr shall act as supervisor." lrlany homeowners who use this exemption are unaware that they art assuming.thc responsibilities of a Supervisor(scc 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 horhtowner acting as Supcvisor 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 bc/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 formhertification for use in your community. Q:fomu:homccxcmpt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r 1 Map Parcel Permit# Health Division Date Issued 10 -f 2'o Conservation.Division F ee Tax Collector CONNECTED SE ER ACCOUNT Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH . Preservation/Hyannis Project Street Address ;0 Cam`( Village t m4 Owner �i� Address 1--r"Ws t'A 0 , Cy,:A tz>a Telephone 50$- Permit Request �" -4c� ut� Square feet: 1st floor: existing 0,50U proposed 2nd floor: existing 1 U proposed Total new ValuatiofS' ;�,M-) _OG Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. A Dwelling Type: Single Family Cl Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes &'No On Old King's Highway: ❑Yes CH'�o Basement Type: dFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: f eas ❑Oil it lectric ❑Other r rrN! Central Air: E(es ❑No Fireplaces: Existing t!/ New_ Existing wood/coal stove: Cl Yes . �No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing Cl new size Shed:❑existing ❑new size Other: . Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ d` y: Commercial ❑Yes ❑ No If yes, site plan review# � Current Use Proposed Use BUILDER INFORMATION ' Name �n;5joip)[)6-a eo k Telephone Number "509:9,� — ( too Address c50 si�Ndwio\ s� :wD License# L, li 0,1366 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEB ULTIN IS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0$ FOR OFFICIAL USE ONLY PERMIT NO. ; DATE ISSUED + , MAP/PARCEL:NO. - ADDRESS - VILLAGE : OWNER t DATE OF INSPECTION: , FOUNDATION --4, S j I—7_9' .r C FRAME /j—'�C� '�:,�- ye., ✓ �'S, G�C `-�3 INSULATION im FIREPLACE ! ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH, FINAL GAS: ROUGH, FINAL , FINAL BUILDING ~ r DATE CLOSED OUT ASSOCIATION PLAN NO. oF'WE A Town of Barnstable Y Y Regulatory Services BARNSTABMAMM ' Thomas F.Geiler,Director 1 19 Building Division f Tom Perry, Building Commissioner - 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the ero subject l P P m' hereby authorize cyw-iS�'® ��T��� C� to act on my behalf, in all matters relative to work authorized by this building permit application for: O-Q- of (Address of Jo ) Signature of Ov4r Date Print Name Q:FORM&OwNERPERMISSION C lbo ON )0" 50 wv* �- To)z c +—Fp-,t,K oer- V e n+A-t. R flA5 �14yh P Q 301-o He I i! ✓lam -���.�alr/ o�✓�aooac�u�aella BOARD OF BUILDING RVGULATIONS ' License: CONSTRUCTION SUPERVISOR Number: CS 079151 Expires 1T9/17/2006• Tr.no: 59190 Restricted, CHRISTOP R M.DES O 50 SANDWICh PLYMOUTH, MA 02360•, Commissioner I ` I 7 10 �` 3= A-j � U w o 'erp� 3 ��'08 I /113 4,0 np o� 0.3 0 qY x i6. 74 �4.03 ' 8�4 S s 8.77 '4•02 i /Lo S• 2� 3 N Vr rT PIS., Q.�•F'��� '�Pi_A-�1 at= LAwD !N rlvAr l►.I15- d3PtP-a►>-rAfL "51 F- p � ��gF 2a', A Ll= s, ^St E��,1✓.L., 0 75 F�.ou-rRG-� 25`/e LSam" oT cavEEzA�S� " bc�ff5 L1oT �Qrl FI E D PLc7r PLLA►._i PE6/1 S D • 4• l0 8• GLIE�tT: DAiLaLr- I WeP5a`1dV*rP-e7WAT7AE l=XISTIrJb s : 84 06 F�"b 7c4-j sFaowjj Cots 'THIS PLA+J 1IJG• ..1bE3 W GCUFb nS -rt5 THE 1c%..1 ttJb LAw5 �t+ MU Lwla�: WL be of b/Ir44.ISTA6LE, MASS• �aNll.t.+� RAA9"�.,OZifo3�. 04 SW� f� f Assessor's office (1st floor): ? ' �, (/ (�y� F7NET Assessor's map and lot number .......... ............:�................... r .. �♦ Q Board of Health (3rd floor): a — Sewage..Permit number �t.f... .....S r'.'..`:. .... � Z Ba$a9TsnLEoi Engineering Department (3rd floor): �JS ' '°o ,"639• Housenumber ... ........ :........................................... Definitive Plan Approved bey•Planning Board ________________________________19________ . APPLICATIONS�RRO-CESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only * �. TOWN OF BARN STABLE- BVILDIHG INSPECTOR APPLICATION FOR PERMIT TO ...1 ..... � F.... �.5�'v�y �5�'m�'/'✓T ....... .................................... , iJCl9 TYPE-'OF CONSTRUCTION ........ .........J................................................................................;............................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tote following information: Location �' �/Yi/7 �lrl7�`Y'% f//t/�I/� Nam, ( ��T c,�i / ..................... .........r. ........ ............ i .... .................y. .....................,......................................................... Proposed Use .. �� Q.s..t..l.C.e......�,r- ..4.�..........:.............................................................................................................. y� f_ f� ZoningDistrict .........Z....../„�7..:..rF......................................Fire District .............................................................................. i Nameof Owner .... .!L:...... /.r ..�................. ....Address .................................................................................... Name of Builder ! ,•`% z r� 7R7—. Pft(/...Address ....���r .. ....la'!/f�,�?' ,.tyA,l`�.�'.....� � :..1! f,.�1�1�v .l.....:....................... • r ' Name of Architect ............... ......:....................,........................Address r ..........................................................................:....: .� Number of Rooms ................y # Foundation ......................................................... Exlerior ..........................................................1. Floors �h/�1.. ................................:t.........................Interior �........ ? I? c�?��l, O�� �. Heating ��c "'o7T �t1... .!.? :........:.........Plumbirig �., !y,; /. <!`/.C„f?�t�Z.'�"^'k'.:........ � ....... i .. . Fireplace ............ .. ..................................... ..........:....Approximate Cost ........`*�f'a.. Q� �..... �.. . .. ......... ~ti Area \l!....... ................. ............ Diagram of Lot and Building with Dimensions Fee ! ,!...... . ........... i � I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................� r�.........,. ',! �:�f/ ....... ..... t...... � ..... Construction Supervisor's License d .... I . t SIEGEL, PAUL A=328-188 . 002 ' No ... Permit for Re.n.Qv.a.tj.Q)ap.j.Lower Level Office ........................................................ Location ............ ...Camp. Street ........................ .............................RyAn.n.is......................I......... Owner .........P ............................. Type of Const'uction .....Frame a.me........................ ................................................................. Plot ............................ Lot ................................ Permit Granted ........July...8.r.......:......19 88 -Date of Inspection ....................................19 Date Cor6pleted ......................................19 /U0 U 111 � 'Assessor's map and lot number .............................. .� �ctiC--A %.TNE r v �f• ./! / j`- �3 _ lVj - Gda�k� obi • Q • Sewage Permit number f_�......4.................... /yi' • Z NAUSTADLE, i House number ......`.........`� y MAM 00 t639 a OR a\ TOWN OF BARNSTABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO .........C.0T.IS. r1.1ct...bjd 1..1.01a-ng.........................'� TYPE OF CONSTRUCTIONYGoxete $33i...... , J�J7J�, . ..:: i�ii '.:.............................. Oc ,ember 5......................19a 3.... .......................... TO THE INSPECTOR OF BUILDINGS: F The undersigned hereby applies for a permit according to the following information: Locations ..camp... ............................................................. ................................... Proposed Use j x ?T;.f K� . . .A_r..^.f• 5.3 C?3. .1. ..C, -f. ca. . pz0 a. ................................................ ZoningDistrict ... .....................................................Fire District .............................................................................. Name of Owner amp...5:t e.e.t..F.r.Qf.Q. Si•.0?). ......Address16.4..5...Ro ate...2. CPn.t.armJJ.1.a ..MA....... Name of Builder Pa,te-r..D3.].gEle.....$.ta..i1.fax'.s......Inc.Address 1.6.4..5...RO.u.to....2:.I�.J. ..CeYjtAr�,�?.1.10 nTa ...... Name of Architect Terry...ILuf f.........................................Address .��n.�ta�1�Ch.r. n!rP,. .................................................. Number of Rooms . 1M:..[1nits......_..........1 ...... Foundation p.ourad...Carrre+!3 ..... Exterior 'ht. r 2- La{? ..(./•c).t�/ .., `7!1/ ....Roofing s/.s Z 1,t.. ................................................................. Floors pn,u r..e.d...Cc?*,rr .P.. ..:. ?�z!%� . ',.......Interior Sl,)a tracat. ....................................................... Z. Heating :?: t. -. . .............................................................Plumbing .,� g� .rr....&..Cast iron .............................. Fireplace N/.$ .........................................Approximate Cost $ 275 000 .00 Definitive Plan Approved by Planning Board ________________________________19--------. Area ....... ............................ Diagram of Lot and Building with Dimensions Fee ............................................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I r -- 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 .`1... .................................r P .................................. y 024940 .. ..r � Construction Supervisor's License .................................... CAMIPSTREET PROFESSIONALS A=328-138 No 26289.... Permit for B.UI1.LD.................................... .. .... ... Location ..6..cam..Street............................... .................HYA31 ............................................ las Owner .... ....... Type of Construction ......) -KEIW........................ ................................................................................ Plot ............................ Lot ................................ Permit Granted .......APF"..111.............19 84 Date of Inspection ....................................19 Date Completed ......................................19 Z5 - S e �t '� SAT .5eC ST-- rD:- lp ED Ql-lu t I i i E t ► i lip 1 - � 1 Assessor's office (1st floor): P a.�...� ......!...!?..V..: v �.��TN E Assessor's ma and lot number Board of Health (3rd floor): MUST CONNECT TO 9 �Q Sewage Permit number �: ....�.f' ., .. .. .. .. i 9ABISTADLE. S Engineering Department (3rd floor):. Fes, Sao ♦� rasa t639 House number ....................................�............................... ''�aVJr - Definitive Plan Approved by Planning`Board --------------------------------19-------- . APPLICATIONS PROCESSED 8:3,0-9:30 A.M. and 1:00-2:00 P.M. only TOWN .OF BARN-STABLE BUILDING INSPECTOR R APPLICATION FOR PERMIT TO /. .p.. . . TYPE OF CONSTRUCTION ..:.....�0.0-0.................:... ..........:.........................................:............ . ............. tszv. ......... ......19�6. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies* for a permit according to the following i.nformation: :9 .. L�1� ....��f.%�t`:z`' ...... C � 1�'�U�.S....��/./.,.4...........C. Location ..... QI.... �.. ... Proposed Use ....... 5;!�......S? C. ....... ... . ..............:......... Zoning 'District .......... /..)�. .................................. ...Fire District ...................... .. .......... . ...... Name of Owner .....7 V./.... /... .1.... ........Address ................................... Name of Builder ... . .%G ��...i�.!1t`Zru� {� '2�(/,..Address D�; ./..:..[lVftO, .�SI..I>.1'..../� ../!r!x. �>1� Name of Architect .......✓.�.1 .'..:..: Address Number. of Rooms .......... ..........Foundation ........ / ... ...... r Ex1e for !/V. . .......................... ...................Roofing .... Floors .......... /... ..... ................ ...... ..........,......Interior ....... • '��... �.�% ..................:.. C'...... A.. �...... . ..Plumbin .... 415 Heating .......�d•T.� ,y."O.�C.�.i�.. � /� : ........ g C..i`L�..... .. . _. .....................:................: Fireplace .... .......V`�./<" .................... ............................Approximate.Cost ........ ?.. ..® .......... Area : ... ...... Diagram of Lot and Building with Dimensions y. g 9 Fee` ........... ..... :........... .......... OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby, agree to conform to all the Rules and Regulations Ir of the Town of Barnstable regarding the above construction. �7 Name . .. /,? ... Construction Supervisor's License .,j..>./... .... L 1 SIEGEL, PAUL ` )lo_..3.2057...• Permit for .....Ren.o.v.ations/.Lower Level �S. �. ...Q .le............................. Location .. .6.9...Camp...S.tr.e.et......... .......... . ..................H.yanni.s.......................................... Owner.....Raul...S.i.eg.el.......... Type of Construction .Ezame........................... _ .................. ..................... .. ..... ,� !_+ - • • - r - . Plot ............ tot Perm it'Gran lei .....J.uly....8. ....19 88 Date of.lnspection ..`.. I . .... ... .l_9 * Date Completed ...:.... .r . .....196C _ _ i t 3 , •/ e I :IEV q--, �.ANS I � Date; �Y p d' 0) ?3d 3�iSo�woJ hJC1o "°J 3 iv OD f I Twb 30 Y L ✓ � rf /fu 'lq � 6 1 a; VI NPr-L so F4 l '90L,(ckto Y � OL l SNV1d a F l �~S I i IdL lckt tY - I � f I YY l l�y m caz LAB b - 9-01, o m c rn J t • r • m y ' --- - - - - ` r �J 97 � t 13 , \ \oc f aD `6 O S,p�obN� T= _ 5 5 4 r , i REvjSED PLANS Date: