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Home My WebLink About0109 CONNEMARA CIRCLE �- `7 Town of Barnstable �— S /,dSHE T lol ° Regulatory Services Thomas F. Geiler,Director • BARNSTABLE, • v !a3 �� Building Division 1639. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6231 PERMIT# 01 Q FEE: $ 5/ 00 SHED REGISTRATION 120 square feet or less Location of shed(address) Village ; z'. �s 7 Property owner's name Telephone number f w > qoi Size of Shed Map/Parcel# Ln �r,.,� - � A Aq Si6We Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? I� / Conservation Commission(signature is required) - F(—e. Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEETHE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 . - . -,.., - `4 - —. . -.,--"-,i.--�,.0. . �-- �,,,- . .1, " .�-------:C-, I.-. .... - "..--1-1111-.C�� -..., � .,r I-,-�. , -!.%...i.,.l.,- .. . .1, --;,--u-.'�;,.,., - ,, - - --�,- - � -., --, , ... " I ,�-,.. .....,-,--,,,'.-' ......, . ':;,AV.��:%.� - .- " - -, , :,!- I� -- , ,,,.. --��ia:��.1.9� ...... � - ., " ��.:. l ,.-!;, ........ � — -��1�2 , :.. . .e.. -.. . -��*' ; , -------,.,-.�_.- I " � - , - ,, 1�.. 4 i:zp ---, -��; �� , . --- , � ��-, �.. . I I . .:,. . - . ....-I . . . .. �'..� 6 ;,.- ." .:�.,I.-. � - 1. ; I.. .... . . - � - - -- MW�7- , , - �- . . . -- ...... -. - - % ;.. .. . ,;�... 1" �. �� , .. -- - '. : � I -I 0-I -C ;"'-. ....1 � .., . ..- ",,...-. ,- I D ; 0 " . - -S . ..l . , I En a 4. � - -.. �s 6 : �,':,! - A�,q�dt �..--a. . . .- -I -. .- .*;...'. .,--- --,---., .� ;. -.-:-, . .. ,..�- .�.-. ,.....--�. - �- - > : - t - - - .:.�-. .� -_.----, - , - �1-I � �-- --� . , -" --- ,- , - - :1 ----��.--,�.- -- ,.:. ..'- , , - � -�- ,., .-- . _ - - :I -�, - - .I� .- - III,I��---..�,-.: �-., - �� ---- .". -.:.. .�:.... - ... .-., ....�I- '-. ---i-I- .. ...............�--.�.-.�-. ..,,..;�-. . : :.--- .� .e..�.:-.. . .1.....� ---. '.. .� '7- -.,.;. .� z--q �. � .-.:�..;.-1/ 1, - z9. f ` p' .� i. ..',-. :- -..., - -- :- -, �-.-- ,-�--. , �- �-, - - ,. -,, - ,--- - -,�.- �.---,-1- -.Z I� , ... - , ....- ,,- - : e�.66 - (!-2 , t :. . , i , . ii s�C 1 -z. 1 -[SATE e- /, -/� . A -E, F E - N .c. E: .e�� ;-, - = 3 O:.s . d/0 r1 - Z . ;;E, % * f 4E E '. E ! Pi THAT T14 E 8UI - D1 NG k k � A'ND- 5-� . K:OW N -�0 N r H...I SL L.' N t. -L V- A�.T't Op . T :E G: 6"UN - ANCAS - 0WN HEREON T ftA ."..1 V. 0 : E -S . C 0:N. F OI R m r•b t-.H E v1\1 OV z'1 ING B Y - A , S 0F THE' TOWN OF .... :.. ' �� /,S -.464rW 4 1 N Lc ON 5 R '.U-t T E- .;IGSEPH M . � 4w . : -.- �I,. w MQNAMNJR.. �i 8ARN-� TASLE . :S. URVE- CONSULTANTS, INC. � _ . s- .-- - - :. -- .,,.. ., .-_ �- . I , I.I �II. .,. : -. *. ... -.. .. ---. -.WE $T�'-Y -m o.0 rm! M--A 5 t�!*.-. . A * ... R -'-. - .-- � . . . I . . I . . . I I l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, Parcel y Permit# $� S Health Division TG nq Date Issued Conservation Division I Z— J'. Fee Tax Collector c ®� Application Fee rCIO Treasurer �O�V 0 Jv- Planning Dept. : AZ Checked in By 41 4 Date Definitive Plan Approved by Planning Board A; Approved By Historic-OKH Preservation/Hyannis Project Street Addmm ® n n C mA gA c . G c Village f� Owner i IC� f�A :j 1 f Address Telephone Sr O' 9 _? ) O -- I o S Permit Reque e�mo 1!c- Li j t f,1 C W •!ZA da`,.d .� iC %tC ytr A t4d PO T ,� C /A SS Too it fi42 1� CAJ r'O CK . 00W) Er�►pvz x,'st% too t_ 0 K --rc1 " s IN S ? Ff,AG Zou6 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new i/aluation 500 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size �r - Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) ` Age of Existing Structure M 7 � Historic House: ❑Yes 5ifNo On Old King's Highway: ❑Yes ;0o Basement Type: Zlull ❑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 S Heat Type and Fuel: ;6 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes C1 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 Y UUAER INFORMATION L } Name /T✓r U �A /,o 3 Telephone Number 0 7 Address Cv h n e ,AQ_A Q-ti,C.l f License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO LA4 Il44 " SIGNATURE DATE I 2 3 00' FOR OFFICIAL USE ONLY N PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRtSS VILLAGE. OWNER DATE OF INSPECTION: " FOUNDATION FRAME .j INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT W ASSOCIATION PLAN NO. i f - - N\ - ........ wuuw�...wuw.0 Department oflridustrialAccidents Office.of Investigations- ' . ' 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaiis/Plumbers Auplicant Information ; Please Print Legibly Name (Business/organization/Individual)' l� i I +L L/o-(� p Address: 01:1 n n A"'o 2A C / rL G l C City/State/Zip: 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 I 6. El New construction employees (fhr and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7. [:] Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for mein any capacity. workers' comp.insurance. 9• ❑ Building addition [No workers' comp. insurance 5• ❑ We'are a corporation and its 10.❑ Electrical repairs or.additions required,] officers have exercised their 3..9 I am a homeowner doing all work right of exemption per MGL ILM Plumbing repairs or additions myself:[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees.[No workers'' 13.® Other c JA c, 1,'r e�a�! comp.insurance required] u ®a o *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 tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. f am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - Insurance.Company Name: Policy#or Self-ins.Lic.#: Expiration Date:' Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500•.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP'WORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. [do hereby certify Us ' s nd penalties of perjury that the information provided above is true and correct Signature:. Date: 1 Z 3 � =-o Phone#: Official use only. Do not write in this area,to be completed by city,or town officiaL City or Town: Perm!VLicense# Issuing Authority(circle,one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4..lElectrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• Information and instructions Massachusetts General Laws chapter 152 Tequires 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 avpn ir�yi��al,..p�Mbp,:association,porporation or other legal entity,or any two or more of the foregoing-engaged in a joint enterprise, and including the legal represeniaiives of a deceased employer,or the ' receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howe er.,*e 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 woikvn 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." ter 152, 25C 7 states"Neither the commonwealth nor any of its'political subdivisions shall Additionally,MGL chap § ( ) enter into any contract for the performance of public work until acceptable.•evidence of compliance with the insurance iequirements of1his chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if.' necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(I,LC)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 Deparicaent 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. lf-insured companies should enter their . Se 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 mber which will be used as a reference number. In addition, an applicant Please be sure to fill in the permit(license nu 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..Anew affidavitmust be filled out each year.Where a home owner or citizen is obtaining a license or permit not telated 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 9f jnvestigations r. 600•Washington Street- . Boston,MA 0211 L. r `Tel.#617-727-4900 ext 406 or-1477-MASSAFE Fax#617-727-7749 Revised 5-26-05 vNm mass.gov/dia is of 'Uri 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 - Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. '1�+pe.ofWork: �el�Ct iz ��" S S �,a &imated Cost Address of Work:-J C! 6,0 a �- owner's Name: . O A f� ,J I to S Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ER7ob Under$1,000 []Building not owner-occupied MOwner pulling own permit Notice is hereby given that: UNREGISTERED OWNERS PULLING THEIR OWN PE ITO�R�'ING W R'ORKDO NOS HAVE CONTRACTORS FOR APPLICABLE HOME ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date Owner's Name Q:forms:hameaMdLv I Town of Barnstable �ZtAE Tpr,_ p� o� Regulatory Services t Thomas F.Geller,Director Building Division s639- �e "�fo nno't s' Tom Perry,Building Commissioner 200 Maier Street, Hyannis,MA 02601 wvmtown barnstable.ma-us Nice: 508-862-4038 Fax; 508-790-6230 HOMEOWNER LICENSE EXEMPTION j Please Print j DATE' ° j0B L:OCAM 4'0 � s-4-t- "A� e-- i� � village umber J street "HOMEOWNW., i home phone# work phone# name �j CURRENTMAII.,1T10 ADDRBSS: �Cityr-� n state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire.who does not possess a license,provided that the owner acts as supervisor- DEFINITION OF HOMEOWNER person(s)'who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs•more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be r onsible for all such work verformed under the buildin¢hermit. (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 min5finspeodon rocedures and requirements and that he/she will comply with said procedures and req S' Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EnhOTION The Code a;ates that: "Any homeowner perfomring work for which a building permit is required shall be exempt from the provisions provided that if the homeowner engages a persons)for hire to do such of this section(Section logo a-Licensing of construction Supervisors)' work,thaf such Hommwwner shall act as supervisor:' Many homeowners who use this exemption are unaware that they are assuming the responnbilities of a supervisor(see Appendix�,ly Ryles&Regulations far Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problem,p wheq the homeowner bins unlicensed persons• in this cane,our Board•cannot proceed•against th e unlicensed person as it would with'a licensed Supervisor. 'ihe 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 honuownea certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towms, you may care t amend and adopt such a formlecrtification for use in your community. M-A ,ne•1+errreexemnt 32 ` ci t, . � o c! s �) b o �' t z 101 Cp OAAYCA C /'-KC 2 . �p- ♦rj i'4.�' e �• � 4��eyL '�ti �. It Y� � . f i ALM Assessor's office(tst Floor):m number SEPTIC SYSAssesso �6 � - I '. � ��°ALLE® iN 0` ��a•' IX fo.,d ation(4th Floor) y of Halth(3rd floor): WITHewage Permit number Engineering Department(3rd floor): - /� � "; o trrir House number ;Y Definitive Plan Approved by Planning Board t 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only I TOWN .,! OF BARNSTABLE r BUILDING SPECTOR APPLICATION FOR PERMIT TO { / i TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the Ilowing information: Location +� Proposed Use b e Kz% Zoning District Fire Di ict y Name of Owner No U I VN C C Lo o d Address'3 tl fir, 01M C e". n4t A � r Name of Builder Address Name of Architect i Address D r Number of Rooms Foundation _ 0 n pa, ak" Exterior IIry Roofing Floors _ . Interior Heating \�I Plumbing �U Fireplace Approximate Cost ( Y i Area 1 Diagram of Lot and Building with Dimensions Fee Sal 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 �"'"t'"�"14"0 j- Construction Supervisor's License /G � McCLOUD, DOUGLAS No 36224 Permit For_ BUILD DECK. • Sinale -Family Dwelling Location 109 Connemara Circle Hyannis Owner' Douglas McCloud ` Type of Construction Wnnrl f ramp Plot Lot Permit Granted October 6 19�3 -Date of Inspection: Frame, 19' r Insulation 19 Fireplace 19' ; Date Completed 19 f , . f f t __ i f TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE -- JOB LOCATION C&K-W e A ux w rz A C! I /Z I qY A lVA 1 S Number Street Address Section Of Town "HOMEOWNER" 43 n4 A C Lea Ndme Home Phone Work Phone PRESENT MAILING ADDRESS City/Town State Zip Code . .The currentexemption for "homeowners" was extended to include owner- occupied dwellings of six units or less and, to allow such homeowners to engage an individual for hire who does not possess a license, provided that ' the owner acts as supervisor. DEFINITION 'OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be -respons;ble fnr al such work Performed unde-- the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, ,rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. NISC5 HOME OWNER'S EXEMPTION The code states that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for Licensing Construction Supervisors, Section 2. 15) . This lack of awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed person as it would with licensed supervisor. The Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. 4f . Assessor's ma and lot number U."' ...�.�? P: / / f Sewage Permit number ......2' .H..}......................I......•........ i 7M E TOWN OF BARNSTABLE y� TO Z B9HB9T11DLE, i 16 9 Ar BUILDING INSPECTOR APPLICATION FOR PERMIT TO `�l 1 TYPE OF CONSTRUCTI ON ...................... ............................................................................................................. ............. .................19?Y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location {.-.0 G N J�. ...................................................✓t � C ✓1( 'd /1, �9iy NI S ..............................._.............................. ....................... ............. ..7.......................... ProposedUse ....... -� I h'I........................................................................................................................................................... Zoning District .........Fire District ............ �..h.l`t.l�!.� 7....... —41 Name of Owner �c` `�....... �...........�?.� ......1.......................Address ..............!.� ::N:..`� ... .................. Name of Builder ...... ........ t ............Address �L .�•............ Nameof Architect ..................................................................Address .................................................................................... H. Foundation ..... U"✓L .. ...........�G�-,_C�Z�.`e.......Number of Rooms ............. .......................................... n l_ Exlerior l d �. �. � .S.................Roofing O's/)" `� S` �y )�j.. Floors ..............................t^--fi .......................................Interior ............ ... Heating .......`'::'..'...S........... .....................Plumbing ............... ......... ..................................................... Fireplace ................f...............................................................Approximate Cost ......... rJl. .....................,- ...... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee / .50 SUBJECT TO APPROVAL OF BOARD OF HEALTH --T ' •C� �1 � � ! V l Y.� wy. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Smith, J.' }C, No -l7l92—. Permit for .....Mq..@ ^--- ........... . ...�.wel11me______.. Location .................... � ........................ ........................................ Owner ---.^J°..K^'Smith............................... � ' Type of Construction .........fraoue...................... '-- , ----.—^--------------------.. / F1c» ............................ Lot ..........#83............... - ` Permit Granted ...............J�lv.�3 ...........lg 74 Date of Inspection ------------l9 Date Completed -------------l9 � PERMIT REFUSED -----_—.-----------.. — lA. '--^-----------------------' ' � .._--.-------_----------.—.—. � ----~^''~-----------^—'------ ----.----.---.—.--------.--~—. ' ' Approved ................................................ lA ' ..............................................................................' � , -------------------~----'-- ' Assessor's map and lot number `� " � 4�, T �E INSTALLED I IA E � { WITH ARTIC E STATE Sewage Permit number ............ .... SM ITARY COM. �. y�F7HET0 TOWN- OF BARNR"Mtr i 9ASB9TAILE y�O M6 9 � , BUI`�DING IN:SP:ECTOR �o wnY a. APPLICATION FOR`PERMIT TO ................ ....................................................:................................................. TYPE OF CONSTRUCTION ..................... ............................ ... ........ ............... a t' ............ ........................1914- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ]� Location (,-.fJ ��l...��-`... ... . �. �G 1-c................ -.........F... ................................... ..................... ..................................I...... �.................... .. ProposedUse ........ -R..`.`. .. .. .....................................................................................:......................................... yy ` Zoning District ........... ....:............................................Fire District ..........Ir.J.. ................................... Name of Owner ii// �(� ................V�-........r?.�..............................Address WJ.tS�.I?ti,]a�.,.:$7 ............... ................................ Name of Builder ........ ................Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............1............................ ...................Foundation 'D Exterior ..........Ct .........4�. .l.ly. I ��................Roofing ............ Floors �ll''�+ Interior d Heating ......... .........................Plumbing ................1� . . .......:...... ............. ................................... Fireplace ................i...............................................................Approximate Cost ......... i . ................ 2_�x-3'l ........ Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......................................... /Diagram of Lot and Building with Dimensions Fee ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 n-C, C f ,�_ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Smith, J. K. c' 17192 one story, ;, No .................. Permit for .................................... ' i single„family dwelling _ Location .......... onnemara Circle .........................HXannis... ....................................... Owner ............J. K. Smith.............................. • :�. , , -� _ Type of Construction .................frame.............: , �+ ............................................................................ `blot ........................ Lot .........:1P83................ Permit Granted July 3 i... 1-19 74 �+ y Date of Inspection .......�.19 f Date Completed19 PERMIT REFUSED �. ............................................................... 19 17 ............... .................................. jr .. .......... .................................................. . ....... Approved '^n 19 �= r f fj r .' ................................................................... L� r K _ - 80•"00 � oT _ 83 s .�- oT" T �8 36. Z9.7 o . CERTIFIED PLOT PLAN I p C AT 1 O N: fys/�q•�/.�//S /ylAS S. ` S-C.A L E: 30 D' A T E ��Zlofls` R E. F'E. R E N:C E .E3:Ei N� _o'T .S 3 �9 s -.5. ,.� ZG lot C,o,u 2 T :�A`5� Z 7 o 9 1' Ff.EEB .Y CERTIFY THAT THE. BUtIDI'NG REG LAND SUf:vEY Rom: 5,H 6 W N O N T H I S IP L A N_ I S L 0 G A T.E D -0 N TKE.:.. GROUND AS .5H0WN H•E ,RE0N. AND TI AT Ir. OoEs C0NFO.RM- TO ,THE INOFMgss ZONING 8Y - LAW5 OF THE TOWN OF W HE N C ON S T -R U C T E .D. JOSEPH M. Q 6 MONAHAN,JR ti 4 BARN-STABLE SURVEY CONSULTANTS, 1NC WE-STsYAR.M0U ' WMA.SS: