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HomeMy WebLinkAbout0018 CHRISTINAS PATH Ili Chr ;54� 11!}� �IMI ® App licatio number....................................................... Fee..... 0.. ........................................BAMNSTABM ` AUG 13 201 g Buildin Inspectors ectors Initials-5. D.................... 63 \A N c..,� 8 ABd Date.Issued...............N.�B. Map/Pa ............... rcel...... "......I y..i.............:........... TOWN OF BARNSTABLE - F EXPEDITED PERMIT APPLICATION: . ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Q h Address of Project: C �. s' �✓�r �� � �/L L NUMBER STREET VILLAGE Owner's Name: ,�/I��/�L/o � Phone Number2Y Email Address: Cell Phone Number I/Cn Project cost$ w Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize 7- � � -✓ �/'' to make application for a building permit in accordance with 780 CMR Owner Signature: Date: •TYPE,OF WORK © Siding Windows (no header change)#s E 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 /�® �f�a s" t CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# /70; 341 (attach copy) Construction Supervisor's License# 6S 0,�35� G3 (attach copy) Email of Contractor Phone number � l9 77 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. Pr APPLICATION NUMBER................................................... *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 Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. 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 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel TyP e g Testin 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 All permit applications are subject to a building official's approval prior to issuance. r The Commonwealth of Massachusetts Department of Industrial Accidents 4.LSV Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information c; Please Print Legibly Name(Business/Organization/Individual): Address: - City/State/Zip;!-'�/a-U-r&,4J 1 e G t' Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and 1 ployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction _qm 2. I am a sole proprietor or partner- listed on the attached sheet. 7. .0 Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working.for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance. 10.❑Electrical repairs or additions required.] 5. We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their I LF1 Plumbing repairs or additions myself. [No.workers' comp. right of exemption per MGL 12. oof 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: / 7 Z Cj Job Site Address: -,��� City/State/Zip: �— Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and enalties of perjury that the information provided above ' true an correct. Si ature: `�/�� Date: - 7- Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other _ Contact Person: Phone#: r 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 engage&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-contractor(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 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 number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington.Street Boston,MA 02111 Tel.#617-M-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www,mass.gov/dia Commonwealth of Massachusetts. Division of Professional Licensure Board of Building Regulations and Standards / Const�yfCtk%i§Pl!.rvisor CS-035693 �r ¢ INAires:01/18/2020 DAVID A.WOODS ° ` . 43 MATTHEW4VAY - MARSTONS M`LtfS Mq Commissioner CjV_ Office at Consumer Affairs 6 Business Regulation HOME IMPRO -MENT CONTRACTOR ? Individual ,,, _,_07/30/2020 DAVID WOODfl — '' DAVID A.WOO �, =<=� 43 MATTHEW WATT=?*' MARSTONS MILLS,MA 02648 Undersecretary Registration valid for individual use only before the expiration date.if found return to: Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,MA 02118 1 { Not valid without signature i Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,006 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(517)727-3200 or visit www.mass.gov/dpl ntc uvw RUI AI'I'UN:IMIJvbLY OR NEGATIVELYAMEND,EXTEND ORALTER THE.C.OVERAGEAFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sh AUTHOR® REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT- if the Nerti(irate holder is an ADDITIONAL INSURED,the poilcy(les)must have ADDITIONAL INSURED Provisions or be endorsed. If SUBROGATION IS WANED,su*ct to the terns and conditions Of the policy,certain polio may require an eTTdorsertTelTt A statement on dos co'"cat do"not confer d"to the cwfflcaW holder in lieu of such endorsemengs). PRODUCER NAeIE JIM HINDMAN Schlegel&Schlegel Ivor Broker PHONNE o.Ejtk5�-771-8381 N.. 508-771-0663 34 Main Street ADBRess: schlopliTu West Yarmouth,MA 02673 ma8•con INSUItEIMAIWOROMCOVERAGE am# INSURED INSURERA: NGM INSURANCE COMPANY 14M INSURER B: TRAVELERS MARCOS SILVA INSURER C: DBA EMERSON CONSTRUCTION 67 SEA ST APT 11 INSURER D: HYAN MIS,MA 02601 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED. NOTWITHSTANDINGFOR THE POLICY PERIOD ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 1IAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMIT$SHOWN MAY HAVE BEEN REDUCED BY PAID CLARIAS. LTR TYPEOFIpSURANCE gum POLICYNUMBER LEM X COMMERCIAL,GENERAL LIABILITY ® EACH OCCURRENCE $ 11000,000 � OCCUR o S 500,000 A M�ocP one g i0,000 MP7 937ST 11/09/18 11/09/19 PERSONAL a ADV INJURY g 1,0001000 GEN LAGGREGATE UwAPPLIESPER: $POLICY PR GENERN-AGGRECAIE�� El LOC OTHER: PRODUCTS-COMPIOPAGG g ,000 $ AUTOMOBILE LIABILITY COMBS IT $ ANYAUTO OWNED SCHEDULED BOOfl.YRURY(Part>e�) S ONL Y ENO� BODILY INJURY IPer ) S AUTOS ONLY AUTOS ONLY V ace7dant GE S 1 $ UMBRELLA LIAR OCCUREXCESS EACH OCCURRENCE S tJA6 CLAIMS41ADE AGGREGATE S BED I RETENTM$ VIORIERS COMPENSATION R p $ AND EMPLOYERS'LIABILITY Y I N STATUTE gt ANY PROPRIETORIPARTNERIEXECUTIVE B (Mand RDrEhmm In NH) EXCLUDED? � NIA WC-1.073205 04/17/19 04/17/20 EL EACH ACCIDENT $ 100,000 yes desmbeNu� EL DISEASE-EA EMPLOYEE S 100,000 - CRiPTIONOF OPERATIONS bebw EL DISEASE-POLICY umrr $ IM000 DESCRWUON OF OPERATIONS I LOCAITO S I VEHICLES{ACORD 101,Addidanat Remarks Sdodide,maybe I If eme apace Isfequivem MARCOS SILVA HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAKCEU.ED BWORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEUVERED IN DAVID WOOD ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORCMD11EPRESENVITIWE DAIANE BENFICA ®1988-201SACOO CORPORATIM Ail righis nswvae ACORD 25(2016103) The ACORD name and logo are M91stered marks of ACORD , R Town of Barnstable _ Building e x Post This..Card So�That�t<is,Uisible From.th.e Street A� 'roved,<Plans Must beuRetamed on Job and ths,Gard Mpst be,Ke t �,= � s6jQ' n,:•r =y v 3%;�. = u�Y,. ,n„ :4 / e�' ,r a, ��,'< ,h.:d 5, _ :'. Permit R Where.a.CertifiCate<of:;Occ�i anc �is�Re ulred such Bu�ldm �shall�Npt be pceu �ed;unt�l aFinal Ins' ection<has been made .:: ..�-�"". `''',.,». .zk:.�., �=.�' 3f _ :' �% p�...„. Yr,., ,,q.. .`�..8aa,..«<:&:.'.,.�� u.t ..«,g�a ':zvc�: vz�. �?e_p"as::. ,,C;".,,•�.'"°` ,..,. a.;��..�._:: a��.;=' .�a�«�,,::�'�..: Permit NO. B-18-1218 Applicant Name: Jonathan Whipple Approvals Date Issued: 05/16/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/16/2018 Foundation: Location: 18 CHRISTINAS PATH, HYANNIS Map/Lot: 250 141 Zoning District: SPLIT Sheathing: Owner on Record: SAH ARBINDA K Contractor Name 10NATHAN N WHIPPLE Framing: 1 C retractor License V,-S 078683 Address: 18 CHRISTINAS PATH y 2 CENTERVILLE MA 02632 EstProiect Cost: $5,000.00 Chimney: Description: Insulation.Air Sealing.Weatherstripping Insulate attrcflatPerm��t Fee: $85.00 Insulation: Am Project Review Req: `3 Fe Paid $85.00 Date 5/16/2018 Final: fttk �r �crn Plumbing/Gas ' 7 f Rough Plumbing: Building Official V111 Final Plumbing: ;. °. This permit shall be deemed abandoned and invalid unless the work authonied bythis permit is commenced within si months after issuance. Rough Gas: ,f i. All work authorized by this permit shall conform to the approved applicationVand the approved construction documents for�which this permit has been granted. All construction,alterations and changes of use of any building and str.66fbresk'shall be incompliance with the local zoning by laws and codes. Final Gas: � A ,2% y y This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for�publlc inspection for the entire duration of the work until the completion of the same. i t, o' Electrical � ? ' Service: The Certificate of Occupancy will not be issued until all applicable signaiu s the Buldmg and,Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work.k lilt, 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 _ Legend s g • ! x Wig Parcels ":Town Boundary �5 k234Tq€► \ 25 t2291QC1 _� 251233 ` Railroad Tracks 251223 '251236H00 �#115 ' = �#124.' .. #672 { # Buildings 2aQ14' TQ� #10 Painted Lines 25009 Parking Lots . KE Paved 3 #135 2 1W4�€tioQ. `#112 I Unpaved t25Qp97 Driveways 250158' ! I-- #1Q5 E �. V Paved Unpaved Roads d l -- -•.. T�" t 0 Bridges FA Paved Roads 250145700 Unpaved Roads #93 — Streams Marsh Water Bodies . 506 '#93: t �y 26Q19 ° t 2541156 { �25 . 12 250146TOO s 25011� �. _ 1 1 #: 17g t � ` 3 � 'i \•�� .\ A F n g� � 3. c..y Eta E �K #100 25roc E 41.0 b } S: 250q spy140250130 is {k3 _. ..:,—.•.u...._ .: ����4`•� R'1�' �R• � ��"�..f'' .. #61 11 254137- i. 25E1113 ``� v ` # #4 r 1 #e .......... ........... - Map printed on: 9/29/2016 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable'GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026ot O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 83 feet 0 cartographic errors or omissions. gis@town.barnstable.ma.us. 0 TOWN OF BARNSTABLE Permit No. 25898 .� Building Inspector 31AW3ran Cash -------------_ --------- ----- '°6 !ago rap+►� Bond x v OCCUPANCY PERMIT - Issued to S L S Trust .Address Lot 24, 18 Cristinas Path, C �^� �-le ,�nA CS Wiring Inspector �/� � F Inspection date Plumbing Inspectorf`� w/ Inspection date Gas Inspector Inspection date XEngineering Department � ��. Inspection date—?/r 3 T , Board of Health 7f 7 Inspection date j v y'O A ! THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE'BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector FROM " 1p TOWN OF BABNS'TABLE mr: aricisvt&i BUILDING DEPARTMENT 367 MAIN STREET HYANNIS MA 020M _ Phone,. 775-1120 SUBJECT: FOLD MERE "DATE - March 12 1984 MESSAGE WV- wbas -3 F-` :h•�q ted4 , ..�e^��.. VA A"P H25Q�Q X-Y i'T d• �•� k /i^f� ti-.. 4-�i w. , ` : P _ b- _ Please release BOrbd.: SIGNED _ DATE - I REPLY .. yy _ SIGNED �N87.RM1 ' ' , r • - RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY ' PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT: Y y IQm � � • v l � 3 • Gjv ' S lo`��'Gjo^ � �c> 2 7 S � CIA N l z4. z r-2 5 zzki z5 i o 4 Z:5 3 . e basis of my knowledge, information and e belief,;. I certify to that` s' a result of a survey made on the gr6iind „ . /.z: z , I find that: The st cture(s) are located on. .the site as ah�shown. 6\� tThe;';title lines and lines of occupation of the _ t site are as hereon. ,The site is situated in Flood 2oneA/,"N Community panel. iJo.'zS�O / /OZj j1�te: 0 3 F, William ;J rwiek�1 ' 61 st 4 `f::pUti PAT Ia0 Gr--IzTIrieAT1 0 F f WiLLIAM M. ;. • ♦J T ro a V (L(.* vT A i2;N A I�Le IW A . ` c WARWICK wo. is7n 9F EO o" )AjM, M. t�JD.i2k11G�c' A55oL, 1tJG �'�y tqy 01STE�you ,A,� 0 E o hJO X- f5 o I rj vt.J T IA M A ✓"J•- v,��gtr 44a�o f Al b o4 AssepAspr's map and lot number ... .. ....... . .............. f1V , "."0. "r HE SagOdgi -Permit number .. .. . .. IN CON r- L 13ARISTABLE WITH TVPLE House numbgr ..........................Zf.......... .6.................... 14"IL t639 ENVIRONMENTAL NS�TABLE TOWN OF BAR BUILDING INSPECTOR Ale APPLICATION FOR PERMIT TO ..... ....... .... .......... ...... TYPE OF CONSTRUCTION ........0.!WS...... ....... ... .. ... . .......................................................................... ............. . ........11........ M c4s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies f information: fora Writ according� 5; t to e follow* 4P Location ............Z' ............. . .... .... �12,A��_ ...... Proposed Use ..... .............................................................. .......................... ....... Zoning District .....Q_,0.— .............................................Fire District ...... ....... ........................ ...... ........................... Name of Owner .........!!�.. ........ .Addressyq . . ... .... Nameof Builder .... ..... ................................................. .......... Nome of Architect Address Number of Rooms ....... .........................................Foundation ..... Exterior ......... .......................................................... .........................4.........................Roofing .........4�.J.57# .....................0........Interior . Floors .......... ............. ................... /.../ `_ Heating ...... ....................................................Plumbing ..... ........... hj Fireplace ........... .......................................................Approximate. Cost ............!/e 97 ..........;................... Definitive Plan Approved by Planning Board 9 Area ....../.4 .0................. . ....... Z_ Diagram of Lot and Building with Dimensions 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 Barnst e rding the above construction. he a-Town of Boarnste rding..t.h.e. above Nome . .............. . . . . ...................................... Construction Supervisor's License 6e. S L S TRUST 25898 One Story - '- No ....... Permit for .................................... Single Family Dwelling .... .... Location ..................Lot , 18 Cri s.tinas Path. ..............trs:..•��Y........ . 'WIGS... E-. ✓'' /r • r _r Owner ...........S..I'...S.........r..ru..st.... ................... . ., � - ./ .� - �!'•.f fir: Type of Construction ..Frame..•• ............................................... ................................ ✓r _h.. / ✓ k Plot .....:...................... Lot .................................. Permit Granted ..Dec.....19:r......................19 83 Date of Inspection .....................................19 r Date Completed ....................19 �. .. A ,� �,i JAY � !M+ •� ^� � . - 4� f a ice.!%��^'�v'����`✓ - y,a 4�j. Z7 N �S` r--aGf 4vT! z5. Z r21 Ia 141, z3 � - 0 tin the b rio of my kridw16dge, info�-- q�' ation and 3se1i�f0 . ., certif to : that;: e result,.of & BLirvey made on the around ` e 8t r ., find that: Bi. uture.(s) are located on. .the site as title lin g and limes of orb � pupation :of the bite -are ;se hoWn hereon, — ` �"he ei.'te is e�.tua ted ixt �'l�od acme b- munity panel: Nn. Sa / pp :.mate: o z�v ., .._...,\ V' l�.aB► I.. bJarWick i l�fJ1�1D/aTivhl G�rz rrfcAT100 OF���ii� za,00' ✓ o� yG � 7 I,v (L L,I* m A 19 1011 Al rA 0 Le— WIL IVY�+ , � g� LfAM b C 1.7 , ! doh h G'A. L WAR WICK No. 19771 JM M. LM00r1.1 MA1a'j,. F Town of Barnstable °p1HE Tpk Regulatory Services - Thomas F.Geiler,Director = BARNSTABLE, i 94,A MASS. Building Division rFc►��' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $ ' SHED REGISTRATION 120 square feet or less 12 n ba-� Cl. k z Location of shed(address) V' age +c-n L Ca 9 Q- 02- Propertyown 's name Telephone number rn ax �z Vy Size of Shed Map/Parcel# Signature D Hyannis Main Street Waterfront Historic District? d Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 F Assessor's,map and lot numbef ............................................ THE �°� TOE g6 Permit number �A Z 33>Hd9TGDLE i House number moo rb L q e '£c TOWN OF BARNSTABLE BUILD NG INSPECTOR , APPLICATION FOR PERMIT TO ... ..��................. ......................... . .................................. TYPE OF CONSTRUCTION ..... ................Z..... .F :. ..................... ................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a'perynit according to the follovyi`n information• .. ..............fit. ..,,' ....`......................... :, _...............................:............................................... Location ..........Z. ProposedUse .... � 1. >. ��..... �R.. .:. ... �y ....................................................................................... Zoning District .... ............................................,. ......Fire District ...�............................�,...... ,[, Nome of Owner ..... ../..1.... ......�.......... ....... Address jj 1. .�. ..e. r. �..` >.;. Nameof Builder �.....!.�..�..................:......................Address ... .............................................:.......... ................'.'.""� Name of Architect,?.�`.��t� j/r ./...1':~?' " ? %....Address ..`: ' : '. .. \I%.��,''fl.��v .. Number of Rooms .......... j ................Foundation ��«� ;:,, j�, � Exterior ....... :: ...................................................Roofing ........C,��.J'.L..T...............--...�.............................................. Floors ... .��.��: �. �� ..... ..Interior ............ .....................................................s .= r . .... g ...... .. .. .......... j............ �:::. �............................. f i Heating Plumbing �:...:..... `. . 1,/ �7 Fireplace ...........,(.�,,�:�j....................... Approximate Cost ..t........ %.<r. ............................... Definitive Plan Approved by Planning Board--'*---------—--———----------- Area .......................................... Diagram of Lot and Building with .Dimensions g 9 ' -Fee=.......::.:.................................. SUBJECT TO APPROVAL OF BOARD OF' HEALTH a- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnst le a rding the above construction. �j Name ...�u c ,. ? .......................................... Construction Supervisor's License6j..:.......... o , S' L S TRUST A=250- 4 f No. 25898 Permit for One Story Single Family Dwelling Ct�Sfi°r Location Lot 24, 18 erieb+zras PatiI. e r Owner S ;L S Trust y f Type Constr._ Frame Permit Granted Dec. 19 , 1983. N S p a 0 r o - y - � S f h r t I 1