HomeMy WebLinkAbout0112 CONNEMARA CIRCLE //•t OvImoeIndAt Cif,
oFt► T�,ti Town of Barnstable *Permit# 01'82
Expires 6 months from issue date
RaxwsrnBLE, : Regulatory Services Fee
v ,' AM
� Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner ^PRESS PERMIT
200 Main Street, Hyannis,MA 02601 J U L 1 2003
Office: 508-862-4038
Fax: 508-790-6230 TOWN OF BARNSTABLE
EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 13
Property Addresszz .
❑Residential Value of Work Z�
Owner's Name&Address
Contractor's NameTelephone Number
Home Improvement Contractor License#(if applicable) /X C' .Z29
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
e� CJ ne:
L
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name b
Workman's Comp.Policy#
Permit Request( eck box)
Re-roof(stripping old shingles) All construction debris will be taken to /'m o v,
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter f Permission.
rovement Contrytor§,LiceW is r uir
Signature
Q:Forms:expmtrg
Revise053003
°FfHE Tpk, Town of Barnstable
Regulatory Services
• saxxsrnsI E' Thomas F.Geiler,Director
039.
Building Division
Tom Perry, Building Commissioner'
200 Main Street, Hyannis,Na 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I as Owner of the subject pxopexty
hereby authorize _SAKE �5 0 ��!L
- y � _ . to-act on my behalf,:-
in all matters relative;to work authorized by this building permit application-fox:
(Address of Job)
(dA
S e of Owne7 I Date
Print Name
Q:FORMS:OWNMERMISSION
1
. � ` �aa"aaclzuffe
" Re ula€'onaud6tan;arils'
Board of Baifdi\g g 1
I `ME Aw � EMENT C CTQR
.6e,f$ a_IdL. 19983
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M,+
ff ° ��, 1 dA/ / - 1��3 �73
A4�essof� map and lot number ..........:...............................
SEPT1C SYSTEM MUST Bt
INSTALLED IN COMPLIANCt
.....f Sewage Permit number `� ............................. WITH ARTICLE II STATE
..............
SANITARY CODE AND TOWN
QyoF114Etoy♦ TOWN OF BAR -S'TX 3LE
BAflHSTADLE, i
039.
O•Fp M Or
�-I
APPLICATION FOR PERMIT TO �vi I.............................................................................................................................
TYPE OF CONSTRUCTION �� ........................
........ ...............19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location i .....�,�t. . . .
ProposedUse �..` l` ' C................................................................................................................................
1K.Y ...............................Fire District .................L�I a (!d �`► ►!....�.
Zoning District ............. .. ...................... ...........
Name of Owner ....... .......V........` `"` Address .................
Nameof Builder ............................................:.......................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
n� Cc�.c _
Numberof Rooms ....../r ......... ..................................................Foundation ...... ...... -...... .............:..................... ................
Exterior ....... �n............:1.! �N L•��. ...Roofing � �.��.........�~...�.�..��..�.��./........
r ,
Floors ..........�.. I'+>r'.: ..". .................................Interior .......... .:" \.... ':. .. ..............................
Heating 5 l .......................................Plumbing l
. crtr-CJ
Fireplace .................................................Approximate Cost ............ CJf.......................................
Definitive Plan Approved by Planning Board _______________________________19________. Area .........4? ...........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�i
I a
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above .
construction.
Name ................. ................
Smith, Jame K.
. /
Ll
Permit for ....... ....... '
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Locatio ��,�_Cox�**uu�ra_~ircle______.. ^
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- �
Hyannis
.............................................................
James K. Smith �
[^wne, ---___________________
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Type of Construction ------on —�razm
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-----.--------------------..
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Plot ---------. Lot ------.�.! ....... ^
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Permit Granted — ` |
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Dote of Inspection ,� ' ----lQ \
Dote Completed ComcJ
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PERMIT REFUSED
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Approved ~--------------- lA
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