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' TOWN OF BARNSTABLE `permit 14o --
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Building`'Inspector r cash-
O,CCU PANCY. PERMIT. Bond ` " -
Igsued to ,,. Address
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Lot .I3e 300 bditriho;§I•1-rWay. Nyanni s
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Wiring Inspector f�/�. Inspection date
Plumbing Inspector,�*Pz f !-'A Inspection date
Gas Inspector �// Inspection date
yEngineering Department � � '�� „ fr= � A! z,Inspection date/.
Board of Health'` ._�p,� ��b,_� • c^yr�9�Jl1er Inspection date
THIS PERMIT WILL NOT BE•VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED.,BY, THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION_119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE. -
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Building Inspector
- - FROM vi
-1 TOWN OF BARNSTABLE
Mr. Francis- moo. _ BUILDING DEPARTMENT
Tbwn Clerk � " `4 �Y367 MAIN 'S TREET HYANNIS, MA 02M
Phone: 775-1 t 20 1
SUBJECT: "
`l` ..FOLD HERE -
..DATE - -
WESSA0E i
Work has been cozr letec3 under Permit .#27145 (AIirer Washincrtm)
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Please release& :��.„. ,rart. �� R�.�
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REPLY
• - - SIGNED _
Ne7•RM1 , RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY
• PRINTED IN U.S.A.
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.
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CERTIFIED PLOT PLAN
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AZI QGEfffig1NffAINQ Cf�•lN �x►rz�rs7 .3±-F .i CERTIFY THAT THE
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CLII�t�T SHOWN ON THIS PLAN 19 LOCATEO
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CIVIL LAND CONFORMS TO THE ZONING L.AW'S
EN4IN:EER ' SURVEYOR lit. BY <
OF BARNSTARLE MAliS
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Assessor's map and lot number ................... . . . .._ �oF?NE'
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Sewage Permit number ..... .1..:... ....................I �� ♦�
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Mouse number � d �!Q/Yy� SEPTIC SYSTEMIs q MAO& .
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TOWN Rr�i �ai1'dd9�.�V�i,T11�„Jd6�e�. .
BUILDING � INSPECTOR
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APPLICATION FOR PERMIT TO All
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TYPE OF CONSTRUCTION ......... ......... zy'.X.., ... .... ..:........
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fora permit acco in to the following information:
Location .............G....�..�... 4 ate..................... . :4e 6',1 L..�...... .. �%. !✓ �:�
Proposed Usef✓'G ``� .....
7-7
�. �??.............. ��~.:............
Zoning District .......... . ..... ........... ......................................Fire District ........ ............. "lr! .:..............................
Name of Owner .�'•/�? �.... ... '�/ 'l?► .�::1 ...Address .� G. i..%G` '.�..... l : � �.
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Name of Builder /'yl Ii/►?�! ". '..�?` � --`. ........Address
.. 4'.`P�....( .... .�j ...............................1 �z�>�✓:.�
Name of Architect -: ... ... ..........:........Address ...:....(..:::ry.G: :...r...................................................
Number of Rooms ..............7................................................Foundation s.....( lGs/—........ �%�?�1[�G C�..............
� !z;�- ,- ;.............�Roofin � -f c e5
Exierior ....... /:.......... g ........ ....�:.................
�.......Floors ... �.,:; .. ,G✓k:4:: .:.....L �C .. ..111 ,.�lnterior ....... ................. :...:...........
HeatingT /..................................................Plumbing -
Fireplace ...........................................................Approximate Cost ........`T'.. :..� 611 ............j................
Definitive Plan Approved by Planning Board _______________________________19_-______ . Area .....!P .....:..................
4' - eo
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL, OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to`conform to all the Rules and Regulations of the Town of Barnstable rdZjording the above
construction.
Name .... .............................. .. .....
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Construction Supervisor's License :4%j.-�1:.,� ?G .:.....
6*jPHINGTaN, ALMER
Permit for
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Single Fami
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..fit.B,...... �R..?`?? �i?eJ.�..W�
Location . y.,.,..,...
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.:...........HYS......................... ...........
Owner ....A]mer.R4 PhlAgW}...........................
- Type Construction Frame...............................
.............:.................................................................
Plot ............................ Lot ................................
October 84
., Permit Granted ..2:?��• ''
Date of Inspectio .................:.` l�019
Date Completed �4-?fir:: .......'. f..l'9�
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Assessor's map and lot number. ..... .............!.......... THE
Sewage Permit.-.number ...... ...........'.. .................................
EAMSTABLE• i
House number ....... ........
J �:... ............ 9 ruse
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Op 1639. `00
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TOWN OF BARNSTABLE
BUILDING INSPECTOR -
APPLICATION FOR PERMIT TO ! " � All��/ �
........4.4./..G. m�. . ................ ........a......y................ ... x..........................
TYPE OF CONSTRUCTION ......... Y,Gd�- ........d!..Z.. �` ......... ......_~,��....... ...'.........
........`�..G.G.....2................19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereb�a lies for pJr permit according�o the following information:
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Location ............ a... .. ..r�.,3.................... .. e..17� .� .C...a... �
<... ,.
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Proposed Use .......�... G n,........ /I/G � ... '.:......:......................... ..
Zoning District ..........f..-...jJ............................................Fire District .......................�!ell ? /t ..................... ........
f Name of Owner ... .....,. .... ;�fy/Gv .4.........Address .......... ............ :. .....
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Name of Builder �i9.lNJ�iq-!r'L-�;...�z.'.4J��!1:. .......Address .../�•.f�.. �';.;(••'...... ... ............>..�-�:...��Gs»iJ
................. . .
..... ... . .. ..... ......
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G Name of Architect ........................ .._.,............... Address ........,....
.....,./..:.......... .....................................
Number of Rooms .....:....... 7................................................Foundation ....... I �O..............
Exterior ..............-1,,�1�r... ..............,................Roofing ..........:. �Z.....:...... .... `�"............:............
.Floors l�, .��ra /��.>.. �.:. u
`?�....... ........(.�.,,!.�.:..G...:. ,1:.��s).....•Interior .......�r/�
......... . ..... ..........................................................................
".1
Heating ................ .............'..............................................Plumbing .......... ............. ....... ...............................
Fireplace .✓/(O/'..........................................................Approximate Cost ........`?'..G1r...
Definitive Plan Approved by Planning Board _______________________________19________. Area ..........................................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
- d
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re"garding the above
construction.
• Name .....�. .�..�....'�a-':.... ..(..�..............................
Construction Supervisor's License .<:,3 ... ?. :.....
-
nASHImGuN,
No .27I45—.. pe,n`� for ..��.. ................
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.......��o9�e.Fsoo& . ....
' Lot B 300
Location ----�----.��t��?�ll..�a�.---
. . .
-----������....---------------..
Owner .. . ---------
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Type of Construction ---EKE��------- ' -
----.'----.----------------..
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Plot ----'.---' Lot ................................
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^U�±o��� 25
Permit Granted ----------.�--.]A 84
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Do*� of Inspection ------------.19 '
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� kF TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Maps(( Parcel 2)0 4 Permit#
Health Division s I 9-KD //-1 Date Issued 1�9- v � e ;2-
Conservation Division iWO 0 Application Fee
Tax Collector O Permit Fee Y_?0, Q d
Treasurer �`�
Planning Dept. V4'Z;-i"m;L D €1 Coo 1PLIA6e;C
Date Definitive Plan Approved b Planning Board Vj',a�f TITLE 5
PP Y 9 EM@�'17,0 T,P,,21ATAL COME ANE
Historic-OKH Preservation/Hyannis T0'6jr l EEC-ULP,T10% 'S
Project Street Address 00
Village
Owner tS")�,1�,�a �n, S, ti-tL41_ Address
Telephone
Permit Request ifl y. I L
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation"off,�00 Construction Type beLot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No
Basement Type: 41� ❑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 -J. new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil �lectric ❑Other
Central Air: ❑Yes W o 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❑ ` '
f
Commercial ❑Yes ❑No If yes,site plan review# t
sr.
Current Use Proposed Use
c�
BUILDER INFORMATION
Name�I JOKt..0 Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
t FOR OFFICIAL USE ONLY
PEkMIT NO.
DATE ISSUED
MAP/PARCECNO. -
%
ADDRESS .� r - VILLAGE
OWNER .• f
DATE OF INSPECTION: ;
FOUNDATION j
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL_
GAS: ROUGH FINAL
FINAL BUILDING
t �
DATE CLOSED OUT.,
ASSOCIATION PLAN NO.
r j
�. _ The Commonwealth of Massachusetts
- Department of Industrial Accidents
_- - Office 0117Yes1192MMY -
600 Washington Street
Boston, Mass, 02111
Workers' COME ens ation Insurance Affidavitnam-
ocation: �4 --
- iphcne
ci I am a homeowner PeaOrming all work myself
Q I am a sole ro 'etor and have no one worldn in c achy
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:insuraa�e,c'o«.F:�h•::}:•.t:�:):4:<t+,: .i{ {{.;ak:.r:::r.:.... ,
Failure to secure coverage is requirednnder Section 25A oFMGL ME
MEMON
152 carilr 11 ad.to the imposition of crimimt7.penalties of a lineup to$1,500.00 md/ur
one years'impti+onment as weI1 as dull penalties in� nvesf aatipnspotthe DIAiorco eMgeynerification.
copy of"
adap a;ainstine. Itmders{soad.th'sit a' - ,. .
fhis s fat�neatmsp be forwarded to the Offi of I £
• � er u rh the-information- rovidedabnue_isscue_ati�carrect -- .
I da kereby�erfzfyunzlerlhe- airss-and penalties-of P.
Date
Signature .,. • ..t: , .;.• .ti; ,,,..•• .,1'Z�-a 9�c/
• ,, �-, .. 'i•� . • ;�, ..Phone# -�- '
Prat acme
omcw use only do not write in this area to b e completed by city or town oMdal -
p eanii/iicense# OBuJIding Department
or t _ ❑Licensing Board
4ty own: ❑Se?ectnet s OfSc_
cantsctpe.rson: '
.Information and Instructions
camp sachu5e s Geneir
eral Laws chapter�152 section 25 requires all employers tooprrovi servi de workof ers'
underanoyteontract
is.defined as everyp .
nolqyees.._As_Quofed fromtbe"law , an employee
ire,'eXPress or imp a Oral or
►n employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
ie foregoing engaged in a joint enterprise,'andlncludingthe Iegal representatives of a deceased employer, or the receiver or
castee of an individual Partnerships as or other legal entity, employing employees. However the owner.of a
lwelling
house ha.-ving not more thanthree apartments and who zesides therein,•or the occupant of the dwelling, . .. of
another who employs per to do maintenance, construction or repair work on such dwelling house or on the gxoima3s or
3uilding appurtenant thereto'shall not because of such employment be deemed to be as employer; ,
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance 6r renewal
buildas
of a license or permit-to operate a business
ante to construct
with the insurance coverage in the s gccired�Additionallyth for any pneitherthe a h
not produced acceptable evidence of comp i
subdivisions shall enter into any contract for the performance of public work un
commonwealth nor any of its political til
table evidence of compliance with the it mane requirements of this chapter have been presented to the contracting
accep
alIthorlty. ,';:.:. .. :, .. ... • .. ,. •. �. ..' r,•• ..
Applicants ;.,.
fi11 in the workers' compensation affidavit completely,by checking the box that applies to your situation and•
pleasea certificate of insurance as all affidavits maybe
supplying company names, address and phone nlnnbers slang with - ce covers e. Also be sure to sign and '
submitted to the Departrnent,of Industrial Accidents for confirmation of insuran g
date the affidavit. The,affidavit shoald'be returned to the city or town that the application for the permit or license is r'
artment of Industrial Accidents. Should you have any questions regarding the"law"or if yQu
being requested,not the Dep olio lease call the Depaitmerit at the aumberlisted below::'.
' d,-to otr}aiiia�torkeis cAmpeasatioixp y,P
ale reY 1.1-Te -
INS
City or Towns d
rutted legibly. The D artcneat Izas provided a space at the bottom o��lie
Please be sure that the affidavit is complete and p has to contact y regarding the applicant. Please
t the Office of investigationsou re ar
ou to ell out in the even " ie're' t •,:
affidavit for .permitl�'�cense iiuinbeY�vliicliwtlLhe used as a reference num'�'er,�Tfie•affd'avits may.
bcsuze,to izithe _ j- liavebeeniliade:'
artrn ` bye or FAX,unle'ss other arrangements
..��,,..
the Dep " eration and should you have any_guesti.ons•
of Investigations would like to thank you in advance for you coop _, _
The Offic6 ,. 11
please do not hesitate to give us'a call.
�t's address,telephone and fax number:
'rheDepartm f ThCCommonwealth Of Massachusetts ,
Department of Industrial Accidents
' puce at investigatlan� ,
6N'Washington Street
fZME Tom, Town of Barnstable
y� ~°^ Regulatory Services
'* saarrsT"LE. 'mass. Thomas F.Geiler,Director
0 ,�e,`�� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 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.
Type of Work: e k Estimated Cost a S 1 u
Address of Work: va
Owner's Name:
Date of Application: 1 ��
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
❑Job Under$1,000
OBuilding not owner-occupied
TK&r 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 permit as the agent of the owner:
Date Registration No.
g
Contractor Name
OR,
IS b
DatA Owner's Name
Q:forms:homeaffidav,
I•d
..d s
The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:_
JOB LOCA ON: S W
nupber r street village
"HOMEOWNER":
name home one# work phone#
CURRENT MA]LING ADDRESS: Uz o.
city/town 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 responsible for all such work performed under the building permit.
(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 minimum inspection procedures and requirements and that he/she will comply with said
procedures and requirement .
S�1
Signa�ire of Xomeowner t
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 EXEMPTION
The Code states that: "Any homeowner 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 the homeowner engages a
person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see
Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in
serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
- unlicensed person as it would with a licensed Supervisor. The 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 homeowner certify that helshe understands the responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community.
O:FORMS:EXEMPTN
15
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CERTIFIED PLOT' PLAN .
b< pG/+rj 6,ejorc
BRUCE
EL.DREC1 �}
sue._ 'k+� y;t`��"°�• �,
�CAI.E� /.,_. DLO DATE. 10�24�& 5�
AGE ENGINEE�,IiNQ C4.N� 3p s7 .3f,F' V CIERTIFY THAT THE ciUi✓ , 7< �
- - �UENT/4oc SHOWN ON THIS PLAN 19 LOCATOEC
IwOI; .TAR 0� fR 41�I T�IR1»0 ®a Ia0., ... ..» ON "THE GROUND A:S : INUICATECi ri.E�U
N — _ -- - -
1J Z-
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j
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` 41Ir
JFM PAINTING
® ® interior/Exterior
' P.O. Box 2862 • Hyannis, MA 02601 mom
(508) 771-1608
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Home Improvement Contractor Look Up
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Reg. No. Applicant Street City =Ejjje Zi Name Title Expiration
133704 CONSTRUCTION 17 CDR.IRCEq HYANNISPORT MA 02601 McMOR OW, OWNER 7/31/2003
Total of 1 Records
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Back to Home Page
BBRS Privacy Statement
http://db.state.ma.us/bbrs/hic.pl 9/17/2003
76y 6
F �
17.
SO S-
7 ;3 7 v
> 7 fr Aga y
I
E .ID 16851 k.
PHONE
ZIP
LOT SIZE
OPMENT DISTRICT HY
ADD MEDIA RM/MAST_BDRM
BUILDING PERMIT ADDITION
Department of
Regulatory Services
ar ZNE t�o�
1 PRIVATE Me LE. "
sa
QED MIS A
BUILDING D SION
BY
EXPIRATION DATE
7
DIME A Town of Barnstable -
' '1�' Regulatory Services
BARNSTABLE' ` Thomas F.Geiler,Director
�.1639. a � Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
September 23, 2003
Friedline&Carter Adjustment, Inc.
436 Main Street
PO Box 338
Hyannis,MA 02601
RE: 300 Mitchells Way, Hyannis '
Map 291 Parcel 304
Building Permit#65819
To Whom It May Concern:
No inspections were done at the above referenced property regarding this permit. Per your
request, I inspected the deck on September 16, 2003 and found numerous code violations:
780 CMR 117.1, and 780 CMR 3603.1.3.
The permit holder assumes full responsibility for the workmanship.
Should you have any further questions please feel free.to call me at 508-862-4033.
f
Sincerely,
David.Mattos
Building Inspector
.'V-25-2002 01 :23 PM 5087711608
P. @ 1
JFM (,Oqplv a4 9 ON
ROOFING -SIDING- RLMODEjuNG
17 CIRCLE DRIVE - HYANNIS,MA 02601
508-771-1608
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