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Home My WebLink About0096 FIFTH AVENUE (HYANNIS) 9� �F�j �ve, . � - — _ - - "�'ll"1111111 E TOWN OF BARNSTABLE BARNSTABLE, 9� 0 pYa�e�� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................. ...... .................................... TYPEOF CONSTRUCTION ................ ....... ................................................................... .................... . ..............� (�:7...... .. .....................192. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inforrilatio ,--L W .................... Location ............ ....el)..................... ........ ..........04........ Proposed Use .. G��%`�✓ ` ZoningDistrict ... ....... .....................................Fire District .............................................................................. Name of Owne �..... .............Address ..................................................................................... Non District r* .......k.,Z... ....................Address ....... 14 .. .........r.... . ................... ..................... Nameof Architect ...............................................................I....Address ......................................................... .. .. ................ Number of Rooms ..................... ...... ...... ............... ...... /.......... .........................Foundation .......... 0( Exierior ............./4-- Q...... .............Roofing .................. ....... . .............. . . ................................. .. .... ............. .........Floors .............A). _z.ov,.............................................Interior .................04_21 ......................... Heating ................................... ......................Plumbing .................................................................................. Fireplace ......................... ............I...... ..... .............I...Approximate Cost ........................... ................ Definitive Plan Approved by Planning Board ---------------—---------------19--------- Diagram of Lot and Building with Dimensions 0 SUBJECT TO APPROVAL OF 'BOARD OF HEALTH AN Z W C-) co LU f4 b IF <Z0 z 11 co 1 U X,\1 j �j 1) �� wa`s'C) C4 -W Jt- 5z" & jz co Lj 501— I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a ve construction. Name ......... . .. . ............................................................ Hurley, John 16136 p oreh to Permit for add single family dwelling ............................................................................... Location ` &aR2 Fifth Ave. ....................... ......................... West Hyannisport Owner John Hurley ................................................................. Type of Construction ............frame.................... ................................................................................ Plot ............................ Lot ................................ i Permit Granted ........Apri1.2Q..............19 73 Date of Inspection .......�*) ........ ...........19 Date Completed ........ .... ..19 f { PERMIT REFUSED I ................................................................ 19 .................................... ....................................... ................................................................................ I � ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... pFISE roy, Town of Barnstable *Permit# Y 9 Expires 6 months from issue dated Regulatory Services Fee t C7 9� MASS. Thomas F.Geiler' Director sbJg. �0 i. "rEDru'�6 Building Division 4�� i -, J 4 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 e r, r 2004 Office: 508-862-4038 jrC mm Fax: 508-790-6230t EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY stir Not Valid without Red X-Press Imprint Map/parcel Number Property Address /q �ntiai Value of Work Owner's Name&Address Contractor's Name � Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp,Policy# Permit Request(check box) 0 Ke--roof(stripping old shingles) All construction debris will be taken to, ��5' �� ❑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 of Permission. Home Improvement Contractors License' required. Signature r, Q:Forms:expmtrg Revise053003 t H44itE►M 'ROVE' irla�baru ' Reglstr$t nxpns 19g83R • j Shp'ry A �,J�' alw�� IHON` � . 3 '��S�.P.p� � ��'� � ��&',REP► A..... °f rowti Town of Barnstable Regulatory Services s sARNSrAML& • Thomas F.GeUer,Director KAM i639' Building Division g - Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section I£Using A Builder the.subject propetty. ...._..._... .: hereby authorize _ :.. .to`act ton rny.behalf,. in all matters relative to work authorized.b7 this building.petmlt-application for: i (Addtess of Job) $� a of Owner Date Print Name s ��2 71