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Home My WebLink About0016 MARSH LANE - _ _ -- i< 7n� �t� � — — _ _ � � - - , °Ft�rqk, Town of Barnsta er t Expires ti ntoqtbs frond sue dat Regulatory Services Fee l� BARNSTABLE, v MASS' Thomas F.Geiler,Director 1639' ♦�' plED MA't A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 C www.to wn.b ams table.ma.us s Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid.without Red X-Press Imprint Map/parcel Number ` Property Address Residential Value of Work-M. C��[ A*A Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name � (� L I `/l� Telephone Number p S_ G � �1 Home Improvement Contractor License#(if applicable) zo L Construction Supervisor's License#(if applicable) X S PERMIT ❑Workman's Compensation Insurance Check one: APR 2 6 2010 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE I have Worker's Compensation Insurance / Insurance Company Name A k Workman's Comp.Policy# c/ Q / `f -l 2— Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(stripping old shingles.) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) (� Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other H town department regulationsi:e istonc,-Conservation,etc:- -" : --" - - ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is red. SIGNATURE: r Q:\WHILESTORMS\building permit forms\EXPRESS.doc Revised 090809 �YHEr Town of Barnstable Regulatory Services ' mmsrrABLE, Thomas F. Geiler,Director 9Q 1 ,0� - 39. 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_Ths Section If Using A Builder I, J4m er �,��f as Owner of the subject property hereby authorize �46 ti AR R(,5" • l �= to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) sign e of era Date ' Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERP ERM IS S I ON The Commonwealth of Massachusetts Department oflndustrial Accidents ('` Office of Investigations f? 600 Washington Street c Boston, MA 02111 wwm nxass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �G�/(�t'� ' Address: City/State/Zip: PhMe Are you an employer?Check the�a propriate box: Type of project(required): 1. I am a employer with �a 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees (full and/or part-time). 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 me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance,l 5. ❑ We are a corporation and its ME] Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[VRoof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other 5%xjdic+l��' comp.insurance required.] IAJ 'Any applicant that checks box 41 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 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 for my employees. Below is thepolicy and job site information. Insurance Company Name: C; 1 . . Policy.#or Self-ins:Lic.#: MCA P�I��'l �Z Expiration Date:, Ail J.--� ®� Job Site Address:�� City/State/Zip: y7� 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 der the pa/ins and penal ' f 'ury that the information pro vided,above is rue and correct �S i ature: Date: 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#: L 3 Client#:646400 2NORRISEB ACORD- CERTIFICATE OF LIABILITY INSURANCE 5DATE(MMIDa /21/2009rryYy) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION` Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.__ 973 lyannough Rd., PO Box 1990. Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# ' INSURED INSURERA: Acadia Insurance E.B.-Norris&Son., Inc. INsuRER6: 138 Osterville-West Barnstable Road INSURER c: Osterville,MA 02655 INSURER b: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS DD' - POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE(MMIDDPM LIMITS A GENERAL LIABILITY CPA005234520 05/03/09 05/03/10 EACH OCCURRENCE $1 OOO 000 _ X COMMERCIAL GENERAL LIABILITY DAMAGE TO REN TED I Curren a $250 000 CLAIMS MADE FX_1 OCCUR MED EXP(Any one person) $5 000 41 .- PERSONAL&ADV INJURY $1 OOO OOO_,:.- GENERAL AGGREGATE $2 OOO 00.0. . ._.. GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS-COMP/OPAGG $2000000... POLICY PEA LOC _ A AUTOMOBILE LIABILITY MAA005233820 05/03/09 05/03/10 COMBINED SINGLE LIMIT40. ANY AUTO (Ea accident) $ ALL OWNED AUTOS _ BODILY INJURY $1 OOO OOO X SCHEDULED AUTOS (Per person) r X HIRED AUTOS _ BODILY INJURY $1 OOO OOO X NON-OWNED AUTOS .w � - � � (Per accident) e � PROPERTY DAMAGE $500 000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ _ RETENTION $ $ A WORKERS COMPENSATION AND WCA021246412 05/03/09 05/03/10 - X WC STATU-• OTR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $SOO,000'7. ANY PROPRIETOR/PARTNER/EXECUTIVE - - OFFICER/MEMBER EXCLUDED? NO EL.DISEASE-EA EMPLOYEE $500,000; It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - Officers are included under the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. -- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP-IMTION. Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN, 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$QS_HALL_ Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGEN,TS_O.R=_:._= REPRESENTATIVES. __- AUTHORIZED REPRESENTATIVE - - `7 ACORD 25(2001108)1 of 2 #S57998/M57992 L31 O ACORD CORPORATION.1.9.8.8 f - - _- Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 9==M 1"z1 _=�% Registration: 102014 Board of Building Regulations and Standards mh IV Expiration: .6/30/2010 - Tr# 268470 One Ashburton Place Rm 1301 Boston,Ma. 02108 Type: -.:Private Corporation ' ERNEST B. NORRIS.&SON INC Craig Ashworth J :: 138 Osterville W.Barnstable rd. Qa� Osterville, MA 02655 Administrator Not valid without signature Iassacb�isett - Dclt trhTi nt of Public Slifet.N Boiau-d of Building Re�mlatioiis.and Standards . , Construetion,Sapervisdr License License: CS 15851 Restricted to: 00 m < CRAIG N ASHWORTH 138 OST W BARNSTABLE F ,, F OSTERVILLE, MA 02655 f, �_. -5 f Expiration:' 9/28/2011 Comm Tr#: 3091 w I , a: 1 .j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ,�,`+ Parcel Ann Permit# R LIL,P.?U r n'7'.: T OBT4 Health Division , I v � Eie i .: ,,, T.,a„�izv cEWER �� , �.L c�: t ,: Date Issued ha CON8,T1 JC`i'fox�Vli�Iq PRIOR To Conservation Division a 1 nv Fee_ &0!Z3, e/o Tax Collector Treasurer ► r',d�4s Planning Dept. Date Definitive Plan Approved by Planning Board ;m Historic-OKH Preservation/Hyannis Project Street Address 16 f's !.. ��✓�-►�L Village L4`?&,1,j'!j c S Owner�t,s �. S Address Telephone Permit Request $ a 4 r r a(e-11 �Ca� lli_celt z�7 Square feet: l st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost 4/ (>O-b Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units Y ) Age of Existing Structure Historic House: O Yes ❑No On Old King's Highway: ❑Yes ❑No ' Basement Type: Full ❑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: ❑Gas ❑Oil ❑ Electric ❑Other. Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No ` Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size Attached garage:0 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 BUILDER INFORMATION Named(r�"L V / Telephone Number 0 Address V ^�f ��0 x - License# �� D � > 6 6 2, Home Improvement Contractor# �� 9�2 . Worker's Compensation# ALL CON TRUCTION DEBRIS RESULTI G FROM THIS PROJECT WILL BE TAKEN TO � o SIGNATURE DATE FOR OFFICIAL USE ONLY-_ PERMIT NO. 5- .' DATE ISSUED MAP/PARCEL NO. .� ADDRESS VILLAGE v p OWNER DATE OF INSPECTICfiIaT-:. FOUNDATION r . FRAME s INSULATION 'FIREPLACE ELECTRICAL: ROUGH FINAL f} PLUMBING, ROUGH FINAL . . GAS: ROUGH FINAL FINAL BUILDING {• DATE CLOSED OUT t t 4' ASSOCIATION PLAN NO. - - Z STANDARD LEGEND' f NOTE:not all symbols will appear on a map ,- � `�-----,..xw; GOLF COURSE FAIRS^<V , 1 � EDGE OF DECIDUOUS TREES / h ; EDGE OF BRUSH -" � ,..�- ,'- 1 ....... .... ........ ORCHARD OR NURSERY EDGE OF CONIFEROUS TREES MARSH AREA EDGE OF WATER DIRT ROAD \ E—PARKING LOT \. I .�--PAVED ROAD- — - - — DRAINAGE DITCH — — — — PATH/TRAIL .,.... PARCEL LINE MAP 1I0 MAP# 21-< —PARCEL NUMBER #1860 a HOUSE NUMBER 2 FOOT CONTOUR LINE .............Eft 10 FOOT CONTOUR LINE Elevation based on NGVD29 -MAP 3 j 4.9 SPOT ELEVATION �C STONE WALL x. X. FENCE - RETAINING WALL I RAIL ROAD TRACK - STONE JETTY1 6 SWIMMING POOL ` f PORCH/DECK C ] BUILDING/STRUCTURE t_h DOCK/PIER HYDRANT - j .............. e VALVE O MANHOLE A o POST O ' FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T SIGN ® STORM DRAIN N PRINTED 5(AtE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James w ' '1k °� 1"=100'scole ma and may NOT meet of roe boundaries.They are not true locations,and W.Sewall Company, Ta o ra by and vegetation were interpreted from 1989 aerialphotographs b GEOD 0 UTILITY POLE n TOWER P V PPhVP9P 9 P V 'up- 1 0 10 20 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards s I INCH=20 FEET* enlarged scale. on the map. at a scale of V=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. LIGHT POLE O ELECTRIC BOX y } BI.. 10 °F IHE The Town of Barnstable BARNSrABM - MASS. Department of Health Safety and Environmental Services 059. � Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissions: Permit no. Date i 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 ' exceptions,along with other such residence or building be done by registered contractors,with certain ep g requirements. C Type e of Work: ' — t� �tv✓►"�� timated Cost � Address of Work: 6 Owner's Name: F`'S- Li Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law Job Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a p rmit as the agent o e Con to Name Registration No Date . OR Date Owner's Name q:forms:Affidav ni gnv ONE INPROVENENT 1ONTRACTOR �er ��p 9i�atioa 1f1613 : .Exp lion l/02/2000 BA 4 Y'- = CNAEI:;YIIIANI.:CONSTR x_ ...�� Y� NAEL ruVILLANI w ON6 POND RDD x;. nonniNi... RSTON_MIL . DNA�02061 '� �' _h A� I '' � � ✓�ee�o�nmwn�oea�c o��QJcu'�iuvella t'a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i t Number CS 057662 BI rdxb = r ;Y�l01/1959 ues.06/01l2001 Tr.no: 10611 estricted To: 1 G ^� MICHAEL J VILLANt PO BOX 2144 Vo;; CENTERVILLE, MA 02632 Administrator __-t' " The Commonwealth of Massachusetts U Department of Industrial Accidents office ol/osestigations 600 Washington Street _- - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit O name: location: 0 r P5 0 / ci � � / hone# C2 L6 -� ❑� �I a homeowner performing all work myself. L�l am a sole r rietor and have no one workii in anv aclty I am an em to er roviding workers' compensation for my employees working on this job. O P..Y.. .P.: :::...:...:.. . . ... xx :. coin anv name. atlitress. Sim phone# X. ;:::,.;::...::........ . ahcv# .:.: X. .400111111111111111111 I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have , the followingworkers' compensation p ces: ::.::.::::.: . . :::.: ..::...:::.. .. ..... ...:.: .. >:<:::; �. , coin anv>name: >. address :::...:. .. A � y 70 X. ca anv natne - address. ' one#. .... .. city` /�/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Ofilce of Investigations of the DIA for coverage verification. I do hereby ce, the p ' and p aloes ury that the information provided above is true and corre y' Date � . � o Si _ - - - Print name t ( . IY Iry` Phone# Q d rd C) official use only do not write in this area to be completed by city or town official city or town: permitilicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 engaged 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. / 117 /111 City or Towns 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 p ermit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 gfflce of Investigatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 k ESTIMATED PROJECT COST WORSSHEET Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) square feet X S25/sq. foot= PORCH square feet X 3201sq. foot= DECK J� square feet X S151sq. foot= 1 F OTHER �'� `� square feet X S??1sq. foot= Total Estimated Project Cost o03 _9909,cy a , Assessor's map and lot,'number .......3a.. .-.. . . ..bZ.... THE yoF toy Sewage Permit number .... ........... d � • 1 BABHSTABLE, i House number ................r...... NAM .................................. yO /c✓� ,s�1639- p ypY Or• \. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...:..f. ' Vic;. Tt�+ �. T......[.`./ 1 c✓.............................................. ....... ... ....... TYPE OF CONSTRUCTION ................L/,! - ........... .. �/z, ,!,Z-::..............19.f� • y. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according too the following information: Location ....... a; ,{ . ? ......"`!' .......... `lwd.!f !? .5......................................... ..`............................. ProposedUse `. ! /.. L-f ........ /.................................................................................................. ` _ &46W,,WZZs Zoning District .......................:................................................Fire District .................. .. ......./.. Name of Owner ..'l�4Jr '." /li i% -6t-Z4?� (:M:Address .f.. ... +�� -�i�3�..��:... ��,�!....Cr!. !1. ...... Name of Builder . fit•;I�`? .... 1? � �y r tt�t ...Address .........T' A Nameof Architect ..... ..........................Address .................................................................................... ........... .. ....... � ,�".,l'�................Number ofRooms ............... Exierior .... .sl, e11.1� .... ,. 1� � �/ ? ��- �..Roofing .........%�/ �/ .... ��x` /e!� ?.� �'�....... r, Floors ........ ......t `� ?:...............Interior .......... .................................................. ..... Heating ! .. .....�............................Plumbing ........... ........................................................... Fireplace .................> l pY.....................................................Approximate. Cost ...........4.,t .................................... �f' Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .......`.211 .... ................. Diagram of Lot and Building with Dimensions Fee ............ /J... SUBJECT TO APPROVAL OF BOARD OF HEALTH Iva, p� i9�J CP la l . �2% wit� irk 0 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 ..a. c4ki .. �t� , II Construction Supervisor's License .1 :��. ...... ......... OUKERBLOOM, RUSSELL A--324-012 No ..... Permit for .BLtild,_Gar499,....... Accessory to to„Dwelling......................... Location .Mr. 16„Marsh_Lane....................... ..................Y.ar???i.. ......................... ..................... Owner .......Russell Oukerk?.l4S .................. Type of Construction :FX'aM.............................. ................................................................................ Plot ............................ Lot ................................ r . Permit Granted ......October 4.............19 84 Date of Inspection.....................................19 Date Completed ......................................19 `r Assessor's map and lot number �y ..... .....a. P THE -, �pf To/r " f Sewage Permit number SEPT IC SYSTEM MUST 8�" . House number ` ° = BAHB9TADLS, S ...................... .7...................................... C° �� f��J l4' l"`u MA/a d AIC IN.a`�t�LLED IN COIF." LIAi� :oa t639 WITH TITLE 5 a' TOWN OF BAR NaS?TAB ` I ' BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........C/ 'X-S t7 t .......6.R llb.��............................................... TYPEOF CONSTRUCTION ................ .................:....................................................................................... ................ . D ............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /6 A�z,-5.1......`6......... ................................................................................ ProposedUse ............ �� ` .�� .....................................................................................:.................................. ,�/�� ' .... Zoning District ....................... .�.�. .:�':"................................Fire District .................. /,44 /[•�J�................................. Name of Owner .,14;![��v..Es��....�U� ...Address .,�1�.. �1� .. �... .1y,.,fg _ ...... Name of Builder AnIP-6.... k .... ....Address ....d� .. �. '� ..... l Y�t��...... Name of Architect ................�.M..................................... Address .................................................................................... Number of Rooms .................1..............................................Foundation ............. Exterior .... ?� /.. .... , f�' ... /,/Vi�P� ��..Roofing .........T1�?� lT... I'/ L ....... a! Floors ........ .......� ...............Interior ......... z .................................................. y Heating .......... .............................................................Plumbing .........../V ........ Fireplace 1tv .....................................................Approximate. Cost .............i6j&-Z).................................. Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ...... . � Ir ............... Diagram of Lot and Building with Dimensions Fee ......../l�4 .. SUBJECT TO APPROVAL OF BOARD OF HEALTH ,"00 ti T 6 Q , �I,a t 5 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 .. h; . Construction Supervisor's License .G �fi.• � OUKERBLCOIVI, RUSSELL 27060 BUILD GARAGE No ................. Permit for .................................... Accessory to Dwelling ............................................................................... Location ....lj6..blarsh..Laraejjse..O..3.5............ 0_1 ...................Hyamis............................................. 4) 1 11 Owner Russell Oukerbloom - 4 4y ...... ............................................................ I Type of Construction .............................. Al Ol . .................................................................;.................. Plot ............................ Lot ................................ an r1q Permit'Granted ........ 84 Date of Inspection ..............................t......19 ,-Date Completed ................. I 9 � C", Al 01 J_0r_