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HomeMy WebLinkAbout0000 MITCHELL LANE OFTME ram, Towne of Barnstable *Permit# ?6 YYS• Expires 6 months from issue date BAMS.,BLE, : Regulatory Services Fee s MASS. � Thomas F.'Geiler,Director �A 1639. a�0 e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 X-PRESS PERMIT Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL My7 2004 Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number l o g 033 Property Address d rn r l C- 8 L L /- f't"/ i✓i S KResidential Value of Work �O Owner's Name&Address R l4L-P It 00 d Ad 04 wde-' Contractor's Name ,• Telephone Number Home Improvement Contractor License#(if applicable 4.4 cf Construction Supervisor's License#(if applicable) ` O R�4 ❑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# Copy of Insurance Compliance Certificate must be on.file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to r F ❑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.Hjstoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 r K , Town of Barnstable Regulatory Services BARNSTABM ' Thomas F.Geiler,Director HAS& 9 i639- `0 �'°lecMv'�a 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 This Section If Using A Builder as Owner of the subject property hereby authorize /q 1QTt►''A G N to act on my behalf, in all matters relative to work authorized by this building permit application for: ® /n t T C 14E L �qNc (Address of Job) Signature of Owner Date Tint ame S ry r Q:FORMS:C WNERPERMISSION 1 f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A/j V Map •�d �. .Parcel b O 3 C,�, ; Permit# �� 1 Health Division s'/4 - / �� rj. / r ,e �/ � i�1vST ALE `$ /� Date Issued Conservation Division ? Y � I i'j 9: 13 Application Fee Tax Collector L Permit Fef Z2 .SS. Treasurer Planning Dept. APPLICANT MUST OBTAIN ASMit CONNECTION PERMIT FROM THE ENGINEERING Date Definitive Plan Approved by Planning Board' CONSTRUCTION,DIVISION PRIOR TO Historic-OKH Preservation/Hyannis Project Street Address C7 i G E-EL L_ m I TIC,ifetA. Village fJ 114A--'iN� S Owner Riqk-P d 04 6 Address 0 Telephone S o _-2 7 A7 Permit Request 66-1 dko 4%5 It-, CTC hLa R i 296 Nc Square feet: 1 st floor: existing ic� proposed InF— 2nd floor:existing proposed C7 Total new Zoning District Flood Plain -Groundwater Overlay Project Valuation ,5"v a Construction Typed s hzs -rxo uz Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family UK' Multi-Family(#units) Age of Existing Structure VR-J Historic House: ❑Yes @-t4o On Old King's Highway: ❑Yes ❑No Basement Type: AFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) --- Number of Baths: Full: existing new © Half:existing new Q Number of Bedrooms: existing o'L- new 0 Total Room Count(not including baths): existing ` new First Floor Room Count T Heat Type and Fuel: ❑Gaffs C9'Oil ❑Electric ❑Other Central Air: ❑Yes ®'No Fireplaces: Existing New �- Existing wood/coal stove: ❑Yes M-NT 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 BUILDER INFORMATION Name fip-1ro-A p9C#-4Fc.•0 Telephone Number oq 69 f Address "7d-0 /I,,�,,�- S i, License# 03 / O Nc S , S 1 (S 6 l Home Improvement Contractor# O Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I-CSU utt- Gov SIGNATURE DATE i x: FOR OFFICIAL USE ONLY PERMIT NO. ` .r DATE ISSUED MAP/PARCEL NO. ADDRESS' . 'VILLAGE r OWNER i DATE�OFINSPECTION: FOUNDATION / 1 FRAME Q 3' / R S /O Y 91i D INSULATION D 3 Za 6 /0 f ICY O k , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' ?, r GAS: ROUGH it�'~' ` � FINALS ' cct=_ C FINArL BUILDING / ✓r~ 0 /��G S�f co DATE CLOSED OUT. y. Ef ro /.•ASSOCIATION PLAN NO. �}- i, .� t) The Commonwealth of Massachusetts Department of Industrial Accidents —_ -t �I6s sllsd�s y - j 600 Washington Street Boston,Mass. 02111 Workers' Com ensation.•Insurance Affidavit-General Businesses name: address: t�. d /h/3 , `„ S city i state: e! AS zip: O.4-E.O, . phone# work site location(full address): T S w�'9`� ��i4+✓�� s i' e4fim_a sole proprietor and have no one Business Type: 0 Retail�RestaurantBar/EatingEstablishment working in any capacity. ❑ Office EJ Sales(including.Real Estate,Autos etc.), ❑I am an en to er with em to es(full&part time. ❑Other I am an employer providing workers' compensation for my employees working on this job. is:'- a'• company-IIaine� phone,#•:`:, .insurce.co:: . . ._..:.... . an I1C. ..;:.. .... :.. . . . .# / I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: address: - Clty' : insurance co. :S• t comp - : v ' .phone. , city... .. .. suranP: J: bo 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$1,500.00 and/or one years'imprisonment is well as clvilpenalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do.hereby cert unde the at pe Ialt' of perjury that the information provided above is true aZ�', orrecL Signature Date � Print nameG Phone# �b 7 C� < official use only do not write in this area to be completed by city or town official city or town: permittlicense# []Building Department — ❑Licensing Board [I check if immediate response is required []Selectmen's Office ❑Health Department contact person: — .phone#;. ❑Other . (revised Sept 2M3) Information and Instructions Massachusetts General Laws chapter 152 section 25.requires all employers to provide workers' compensation for their. employees. As quoted from the I'law", an employee is.defined as every person inthe 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 mare of the foregoing engaged in ajoint 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.oceupant,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.Conunonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the coinmo nwealth 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. 92111 Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department-of Industrial Accidents for.confirma.tion 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 Accidems. 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. 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 perrnit/license number which will be used as a reference number. The.affidavits may.be.retumed 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 . Bfttce of Inirestl�atlens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 F - 'down of Barnstable ot.•ttte fogy • . • o� Regulatory Services Thomas F.Geller,Director ss ' Building Division Tom Perry,Building Commissioner. . MA 02601 ' 200 Main Street, Hyannis, • Fax: 508-790-6230 Office: 508.862-4038 permit Date - AFFIDAVIT E A1'� vEIYIENT CO HOM 7Q 1�iTR A CTOR LAW STT!'PLEMEIIIT TO PERM[T APPLICATION F lutes that the"reconstruction,alterations,renovation,repair,moderniza es o�c u led ions v MGL c 142A reg� _ re-existing OV, P yprovcment,removal,demolition;_or construction of an addition to anY P _ •, ` containing at least,one but not mole than folk dwelling units or to structures n o e1 nt to :binding r g �. •?- F2• 43 - such residence_or building ba done by Iegistered-contractors,with.certain, exceptions, requirements Cost L4 Es d- 0 timste _'type ofW&16_6Z'E�ffTz ..__.�_ s of Work: - - Owner's Date of Application: I hereby certify that: reaso s gei@tretion is not required for the following r�(): . _ nVoik excludedy law . r []Job Under S 1,000 []Btulownerccup�e - ❑00 g r--puuin ovrnpermi .. _ .. _ . lice is hereby given that: lNG WITH TIIVREGISTERED W o EAL N OR D .. -- -- RNIIT PULLING THEIR OWN PE OWNERS CT ORS F07tAPPLICAB,•LE B;OME nylpROVEMENT WORKI?0 NOT HAVE . ;CONT k< OR GUARANTY I+UND.DER MGL c.142A, - _ ACCESS TO TH:E ARBITRATXON PROGRAM - -f SIGNED UNDERPBNALTIES OF PEPiLTRY Thereby apply for&permit as the agent of the ovmer: p S 6 Contractor Name . . RegistrationNo. Date OR Owner's Name ; r F SHE T Town of Barnstable Regulatory Services S = Thomas F.Geller,Director . gpgAt9TeABL& 9 6► •�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property Cv to act on my behalf, hereby authorize in all matters relative to work authorized by this building permit application for. © rn �TC��Cw3 why (Address of Job) S"LC;L�L `f Date Signature of Own Print Name Q:FORMS:OWNERPERMISSION j ('fie�amm+onuiea/l�i o�✓�aau Board of Building Regulations and Standards HOME ll PRR 1VEMENT CONTRACTOR Rego � n �488 n t n C#2004 -- idual ARTHUR M.PAC,,, y Arthur. Pacheco `% 26 Nan cy's Ln. _ Hyannis,MA 02601 " A.dministnitor BOARD OF BUILDING REGULATIO US License CONSTRUCTION SUP Numb'- SUPERVISOR e ,C 031802 Sift d7te Qfrl251 53 y - 3 /. Tr.no: 26101 Res ARTHUR M PgtjEGZy I 26 NANCYS HYANNIS, Administrator 1557" F� 401 62" t 75" 8648' --►r-- 40zs' --- - 28�' 4" 36' --- `-- 46' -- -- 43;'---�- 27" 94" 25" -► -- 36�a' 36" —► 15"--�-15" �+- 24" -�-- 30" —tt 33" ��� e W4536LBD I — -- WD273811 m N GO RW3820BD O M N ; DB15- BWB15 24.DISHW RW� . „.__.._.._......._...............__......._............_.....�_..,......_..._..... ....--. .__...._ _ X Si N v Ei VDB30213 VB302134 Q a II Q ? w ...............................: ................................. .. (4 830FWDR0 T UC249012 UC249012 W3936BO \.. 24" -'t - 24" �7y 414" 30" 894" �+ 39" -- -- 27" 49' ►�.---- 384" �+ 694" 155a' All dimensions-size designations given are This is an original design and must not be Designed: 4/19✓2�la`h subject to verification on job site and released or copied unless applicable fee Printed: 4/27/2004 adjustment to fit job conditions. has been paid or job order placed. PACHECO DAEWON Fp 1 DraWins `' I RESIDENTML BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 �' p Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= SO O x.0031= plus from below(if applicable) 'GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet-x$96/sq._foot= x.0031= STAND ALONE PERMITS Open Porch. x$30.00= Deck _ - --- -. x$30.00 (number) Fireplace/Chiamney-.._s. _ _.- x$25.04 __ _ (number) Inground Swimming Pool $60.00 ; Above Ground Swimming pool $25.00 RelocatiowMoving $150.00 (plus above if applicable) Permit Fee a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _ o�� Parcel 33 Permit# 9 r Health Division , Date Issued Conservation Division ®�✓ Application Fee so oo Tax Collector - uk, Permit Fee Treasurer �-- I a al o`Z�MZ APPLICANT MUST OBTAIN A SEWER Planning Dept. CONNECTION PWO FROM THE ENOINEEBW DriM N WOR TO Date Definitive Plan Approved by Planning Board CONSTBtIO M Historic-OKH Preservation/Hyannis r, i P Project Street Address L�2A ' f Ch P L I y �. t 'C, Village Va!V/Y Owner AM-Pl bebl"z Da a coezti Address 79'C .4-1 f el.e1— Telephone 5r t2 ZZ?- 1 �?,.2 y \ J Permit Request EV-t4A, S P9hk Salo � I A-,�T��.c/C X i x-I C.^'a 1/47 77," 11✓5ui41E "I,1 S RG—5M-:4--TRo Cry !NTXV&" ¢- L,-,fu•S — 621,-G Doc, QLc dY[ VO L'a'0_o� — Square feet: 1st floor: existing proposed and floor: existing S?C proposed t-/A Total new O Zoning District lJ Flood Plain `-' Groundwater Overlay '"-- Project Valuation f -0 o Construction Type t v�c� Lot Size 5, -C Grandfathered: XYes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 65 O YES, f Historic House: ❑Yes QS�o On Old King's Highway: ❑Yes ON Basement Type: Full ❑Crawl 3r/Walkout ❑Other ©AJ P -EU I c Al P, Gala /lk B v t Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) -I 0 1:N, Number of Baths: Full: existing new 0 Half: existing O new / Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 1 new ® First Floor Room Count Heat Type and Fuel: ❑Gas Val ❑ Electric ❑Other Central Air: ❑Yes i 4 Fireplaces: Existing ® New 0 _ Existing wood/coal stove: ❑Yes XNo D�c�, arage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attac rage:❑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 Name ��-j tt-It /A, -0 Telephone Number ® l Address?61® I t'I¢► S i License# (7 / 90 tt Y47-//,L/t Home Improvement Contractor# 1 zf Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �(� — FOR OFFICIAL USE ONLY PAMIT NO. DI DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r,? . r i DATE OF INSPECTION:, •v' r �` ' FOUNDATION FRAME INSULATION - FIREPLACE 9 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH. `; -FINAL-' GAS: ROUGH i�✓� x FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f� ne Commonwealth of Massachusetts ".� -_ ,Department of Industrial Accidents _-_ _ 0lficc o!/ayesti98t�ans• 600 Washington Street 3 Boston,Mass. 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I tmdersfsmd fhat a' copy of fhis statemeld y be forwarded to the 0Mce of Investig ' enclties-of-perjury-thathe-infarmatzan prouidedabnve_is2cus arsd correct - I do hereby-e"ertifyunderth9.P. .�,.�_.. Date / r -Signature r c n � -'+ Phone# ®� 7 I C .•Punt name I omclaluse.only da not write in this area to b e completed by city or town ofrldal ."permit/license# [3BufldingDepartment ❑Licensing Board city or tOwn: .. ❑Sc-ectr:e�'s Of11c: piiGTiz r.•j - ... contact person: Information and Instructions Massachusetts General Laws chapter�152 section 25 requires all emeloyeersoairi the service workers' of another under any contract ,nniovees. As_quoted from `law , an employee is.defined as ev ryp _ _..... ...... ......... -.a f 're,'express or inplied, oril or 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 partnership, association or other legal entity, employing employees. However the owner.of a . trustee of an individual, . dwelg house ha�S not more than apartrnents 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 groizxids 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 tocal uildinlicensing in the commonwealth for any applicant who has of a license or permit.to operate a business or to constru b g not produced acceptable evidence' compliance with the into anecontract for thecoverage iperfotznance Additionally, pu,bli workun shall Y common ealth•nor any of its political subdivisions acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authoi#y. :v. . a .. .. ..' r.• ti Applicants Please fill.in. the workers' compensation affidavit completely,by checking the box that applies to your situation and 1 • company names, address and phone numbers along with a certificate of insurance as all affidavits maybe su Ymg insurance coverage. Also be sure to sign and pP or confirmation of insuran g ccidents f submitted to the Deparcmeat.of Indus trial A date the affidavit.' Tlie•affidavit should'be returned to the city or town that the application far the perrnit of license is not the Departrnenf of Industrial Accidents. Should you have any questions regarding the"larzt",otf yQu being requested, atthe number-lii tedbelol., a workers' cr)mpensatioirpolicy,Please call`tlie Depaitmeiit ale requii'ed,to obtain. FINE City or Towns Please be sure that the affidavit's complete and printed Legibly. The Department has provided the aCe at the li actottom o6M Pleases affidavit YOU to fill out in event the Office of Investigations has to contact y g �g Pp e,s for o ,' davits may. be sate to fill tli'peanrt�h�cense nunbei wliichwiltbe used as a reference numliei.� artm by 'of FAX unless othei arrangements Have been idade the Dep ^.�,,.. . ou have an estions. . ce of Investigations would like to thank you in advance for you cooperation and should y _,yam.. The Offi _, _. .... please do not hesitate to givens a call. //////%///%////%///- - --///%%///%/%/////////%////%%%�%�%%%%///%////%%% The Department's address,telephone and fax number: Y�,,... .. + ry The'Commonwealth Of Massachusetts Department of Industrial Accidents G flce of iniresilgatlons 600 Washington Street •• t' Boston,Ma. 02111 fax ff: (617) 727-7749 .. 5 '� .. . • . . • • :;ti,,,,a �• f61 71 727-49 00 eat. 406, 409 or 37 f , 11 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 4. 031802 Numb! Birt c-da 53 r try /12004 Tr.no: 26101 Gooetj- Restrteted ARTHUR M PACkI I 26.NANCYS LANES , .:% Admtntstrator MA HYANNIS. 4 _ I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions _ $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) f Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee __ _ _ proicost Gap --a V Oq<, -�- G+ . g ►�5�A�S � E '-.�'� � S��`• moo. � J. o �•.35 - 0�ov , ry� ♦ ° .�.1, 700 `4F. F. % 0,9 p9,g . 27 = ACRES Qf� . ,% c FO . �0° ` LOCUS N®r ra =L A .3G rY L INFS SWhN , #A YS J ArF T OF Pa CR• F�� MAYS ALREADY ES ®Insr OF I #AYS AW ShV#A(. t _•eta g . x EaGE REFER R. L. C. C. wLL PLAN 86 Ido. 324"4a ,a DEED 8G 'a 9fG/STEa LAND , SSE' C RTIFY THAT THIS PLAN HAS 8EE PR L ;0IFaW-TTY #IT Thy' RULEN AA69 W aF�TH Ew ��1 TSr� VOWMEA T 0� v 40 �OP `` V \ O � (�J( \\ ,..b ®. y vz r• .vyr S�'�/1 � ��►ti fv.�-•+• �v itj T�t ( •�'. •,��� � j� /!L�Y'�"��,2 w+ i..��✓� /S C 4��Jf vw tvL Ii �+Iv� U! r� '� �O ✓.1 �p}Ri � Ff pis i4vT , ii . �,, Lit .�..�. 4`*RUv+�•�1' . Assessor's map and:lot number .......... �.......................... Bpi TN E Sewage Permit number .....L6.. ................................ Z BARNSTABLE. Q House number r� NAB& \�a,.................. e, 'FO YPY p" TOWN OF BARNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO .. ... ..� 1. `'� 5�� `?' ��f........................ �1 .... TYPE OF CONSTRUCTION ...(..4i:.Q.a..S .................... ..:.. f.4.!.�''.41.... �Q...V........1.. ............19. � TO.THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . .p�... .. .. ......of'. �. ......... !..:....r.. .-S:^......©.�.:��..0� ProposedUse ............. .�9. t �'. ............. .... . ?Mtn.. ......................................................... 0 Zoning District ............Fire District yI ,� ............. ..!.. ........................................................... Name of Owner ... . .. .. . . :/�a...Address a�.2.4 .Q..�1..1�ij',1.G�1..���!�1..t�../../.� Name of Builder J !'!... =... .. ��'�Address a�.� ��r./'.:/../...1..� /� ��4�4�.� Name of Architect ..................v.�?'1� i�.........................Address S.ce.A.V ....... .. ............................ .. . . . le.................................. Number of Rooms ...( ,?^ t.�J.. ..... .. /6/9 ..... ....... SExterior .....1/V...®.�... ..... ...... ...............Roofing ... � . ...�1.L'/.1... ...:...... Floors !//• .Q.....4�................:................................Interior ................ � .E'. .. '..:...1....�.�1 r ...... f Heating ....[:/.L.t/..............................................................Plumbing ....... Gf./<. /7 ... Fireplace .....................................................Approximate Cost ...C24!,,.!�a®...................................... ................... .. Definitive Plan Approved by Planning Board -----------_-------------------19--------. Area �•�....X-,-a.. ....... � Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH e1-1-7 e,�,[131 ram . X Be 1J a, J 06/ Pd 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. Nam .... �. Construction Supervisor's License .© .�i�.. .a�.r�.. Dagwan, Ralph E. 30233 ' add apartment r No .................Permit for .................................... to dwelling a Mitchell-Lane Location .............. ....................................... Hyannis Owner Ralph E. Dagwan ............... .' Type of Construction raze ,+ �. .� • � �, � � >^ �` � ,. 4 t ..... ..............................r. ............................ .„, •, �f �.` r , , `Plot ........................ Lot .. ............................. Permit Granted Granted ......Noyg? l?.t-�.1ti..0.........19 1 86 Date of Inspection .....19 / F .'Date Completed ............... ...................19 a. i . t' . .• �. f ♦ %' 13 Assessor's.-map and lot numbe ...... .......... oFTNe ro ✓ { 'Sewage Permit number''-..:':/...6 J .................:.......,................. " Z BARNSTADLE, i ti House number ................F........................................................ C ro rasa f NPY a' TOWN OF BARNSTABLE !` BUILDING INSPECTOR y . APPLICATION FOR PERMIT TO .. �- ' .��. ���Z �Y�.............................�............................ �•.................. ............ F TYPE OF CONSTRUCTION ......r �?. ..�?....................... ��"�' ��7 �/�� ....... ry. ...... ( ........... .. .... t -- H ,... ... ........�.. ............19. `....' TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies (/for a permit according fto the following information: �� Location ...2.. .. ..... . .../...�. �../�j. .`.!...�`�. i�7.F'..k !!� ���.�1�r-s ................................................../ ____' f' 1-01, ProposedUse ........... /...�' {"'............... � '.¢�'.:.::................... ..................... ............... Zoning District .......... ......... ...................................................Fire District .............. ` Name of Owner l.,r..../� ...�...� /�M �� .Address ;. Name of Builder .,........�".;..�:....(.`.........,.........�c/.................Address .....��............................. .. ...... ,. Name of Architect LS'Q`1'?�..!v.............:...........Address ............................ .r-s'`? ... ................................. . ..................... Number of Rooms ....i: .Y::- � �.... .. :....Foundation PG1/P/�/ lJ S ............... � .. ............................. "Exterior ....(/(/„d7 0 �7 �✓I ���...............Roo6g �`/J.`?.:/7 /� G'! / ... 17.�.�� i� S F oors J .112.. .....................................:.........Interior .......:. c1r .� ..` ".......1../ ''I �1 ...... ..r.v. ..... Heating ..... /..!.............................................................:..Plumbing ........./.,.. 1 // . . .'� Fireplace ....................1..1!.v....................................................Approximate Cost ... cY�44 �©� ?...................................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area x 5 �50 ... .... ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I. t�PYy/ ew7 Y�'1r�✓ r f , OCCUPANCY PERMITS REQUIRED FOR NEW—DWEL-LI"NGS___. 1� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Construction Supervisor's License .................................... Dagwan, Ralph E. A=3 0 8 9 M 30233 add apartme No ................._Permit for ............................. ...... to dwelling ........................... ... .......... .... ....... Location ...... .........................................................22W Mitche11 Lane. Hyannis ............................................................................... Ralph E. Dagwan Owner .................................................................. Type of Construction .........frame ................................. ........................................................................... Plot ............................ Lot .............:.................. Permit Granted ........November...28........19 86 Date of Inspection ....................................19 - Date Completed ......................................19 V/5 ////8 7 ,7a 0 C