HomeMy WebLinkAbout0281 OLD STRAWBERRY HILL ROAD ad
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L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map s Parcel 6_ee Zz Application #
Health Division Date Issued 3 `I `f
Conservation Division �� Application Fee
Planning Dept. Permit Fee 1 w
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street Address c �
Village /
Owner Address "_d�OAP4
Telephone ,j l� 'a , ;P— fu ;L.s7
Permit Request 26r,.WQ x
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning.District Flood Plain Groundwater Overlay
Project Valuation &06,0 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documerittlation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑`Y'es O 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: ❑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
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Nam Jo � r�� Telephone Numbed��_e
Addressc-Aff/ &1 S7.�i4tr� ' r • License#
Home Improvement Contractor#
f Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SI ATURE DATE
:x FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
' MAP/PARCEL NO.
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•
ADDRESS + VILLAGE
t-
OWNER
DATE OF INSPECTION:
;�FO.UNDATION�t;�.- •,.;;,.4 -;. ���U��.�
FRAME
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INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
' 600 Washington Street
Boston,MA 02111
www.mass gov/dia
Workers' Compensation Insurance Affidavit:-Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/oro nizafion/Individual). '�
----------------
Address:
City/State/Zip: 4'. ca ' Ze)% Phone#:652� t <. I
Are you an employe .°Check the appropriate box: Type of project(required):
1.El am a employer with 4. I am a general contractor and I
employees(full and/or part-time).
* have hired the sub-contractors 6 ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g• 0 Demolition
working for me in any capacity. employees and have workers'
[No workers'comp, insurance comp.insurance# 9. ❑Building addition
;aquirecL] 5. We are a corporation and its 10.0 Electrical repairs or additions
3.ERII am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself- [No workers'comp. right of exemption per MGL 1�.0 Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
*Any applicant that checks box#1 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.
Contractors 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 the policy and job site
information.
Insurance Company Name.-
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/zip-
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$1,50-0.00 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 co e e verification.
I do eby c er th pains d es ofperjury that the information provided above is true and correct.
Si ature. ;j Date:
Phone#:
Of use only. Do not write in this area,to be completed by city or town gfj`zciaL
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#:
-Information and Instructions
w�
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto this statute,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, §25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
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 permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each.
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your 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
Deparlment of Industrial Accidents
Office of Investigations
600 Wasb!Von Street
Boston,MA 02111
TO.#617-727-4900 wa 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 4-24-07 www.mass.gov/dia
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NEAP ENGLAND LAND SURVEY
MORTGAGE INSPECTION PLAN
PrQfessiOnal Land Surv'eyars NAME STEPHEN PETfIGLIO --u—p
25 SUTTON AVENUE
T
Oxford, MA 01540 LOCATION 281 OLD. STRAWBERRY HILL ROAD
PHONE: (508) 987-0025 HYANNIS, MA I V
FAX: (508) 284-7723
SCALE 1°,50' DATE 3/22/2013
REGISTRY BARNSTABLE
BASED UPON DOCUMENTATION PROVIDED, REQUIRED MEASUREMENT'S WERE CERTIFY T0:PROSPECT MORTGAGE
MADE OF THE FRONTAGE AND BUILDINGS) SHOWN ON INS MORTGAGE OF
INSPECTION PLAN. IN OUR JUDGEMENT ALL VISIBLE EASEMENTS ARE '`;9 DEED REFERENCE: CERT 188788
SHOWN AND THERE ARE NO VIOLATIONS OF ZONING REQUIREMENT$
REGARDING STRUCTURES TO PROPERTY LINE OFFSETS (UNLESS OTHERWISE PA CK PLAN REFERENCE: LC -PL NO 25306-e rt
NOTED IN DRAWING BELOW) NOTE: NOT DEFINED ARE ABOVEGROUND M
POOLS, DRIVEWAYS, OR SHEDS WITH NO FOUNDATIONS. THIS IS A
MORTGAGE INSPECTION PLAN, NOT AN INSTRUMENT SURVEY. DO NOT USE NO, 6151 WE CERTIFY THAT THE BUILUING(S)ARE NOT WITHIN 111E SPECIAL
TO ERECT FENCES, OTHER BOUNDARY STRUCTURES, OR TO PLANT FLOOD WIZARD AREA SEE FIRM:
HEREON I$
COMPLIANCE WITH NLOCAL ZONING OR OF THE EPROPERTYSHOWNLINE OFFSET EITHER IN c aFCISTE4 2500010005C im. 8 19 85
REQUIREMENTS. OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION /
UNDER MASS. G.L. YqZ �LAMTITLE VII. CHAP. 40A, SEC. 7. UNLESS OTHERWISE FLOOD HAZARD.ZONE HAS BEEN DETERMINED TIY SCALE Al D 3
NOTED. THIS CERTIFICATION IS NON-TRANSFERABLE. THE ABOVE NOT NECESSARILY ACCURATE. UNTIL DEFINITIVE PUNS ARE ISSUED
CERTIFICATIONS ARE MADE WITH THE PROVISION THAT THE INFORMATION BY HUD AND/09 A VERTIM CONTROL SURYE1r 15 PERFOR Eq.
PROVIDED IS ACCURATE AND THAT THE MEASUREMENTS USED ARE PRECISE ELEVATIONS CANNOT BE DETERMINED.
ACCURAYELY LOCATED IN RELATION TO THE PROPERTY LINES.
>s6 JZ,
DSHED
LOT 771281
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4 � �
0' 25' 50' 75' 100' 150'
REQUESTED BY: COLLINS k CABRAL
DRAWN BY: CBC Mao
CHECKED BY: ALB SCALE. 1"=50'
FILE: 13MIP1737 —-
Page 1 of 1
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http://www.town.bamstable.ma.us/sketches14/18245_18861.jpg 2/25/2014
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Town of Barnstable
°-' Regulatory Services
* Thomas F.Geiler,Director
16P 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
HOMEOWNER LICENSE EXEMPTION
Please Print
JOB LOCATION:
number sheet "Wag;
21 f o
-HOMMWNER".
name home phone# work phone#
CURRENT MAU JNG ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or Iess 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"assures responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
e and `homeo es that he/she understands the Town of Barnstable Building Department minimum inspection
i and r d that he4e will comply with said procedures and requirements.
0 omeowner r
Approval of Building ial
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 persoas. 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. i
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 he/she 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.
C:\Users\de.collik\AppDataUzcal\ty =softlWmdows\TemporaryintemetFtles\Content.0utlook\QRE6ZUBN\EXPRESS.doc
Revised 053012
Town of Barnstable
Regulatory Services .,
Ix ss �* Thomas F.Geiler,Director
6 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 Usim A Builder
G
as Owner of the subject property
hereby authorize to act on my,bebA
in all matters relative to work authorized by this building permit r
(Address of Job)
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner ' Signature of Applicant
Print Name Print Name
Date
QTOR.MS:0VNERPERMISSIONPOOLS 62012
s -1
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- ��
YOU WISH TO OPEN A BUSINESS? �
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which
you must do by M.O.L.-it does not give you permission to operate.) Business.Certificates are available at the Town Cleric's Office, 1"FL., 357
Main Street, Hyannis, MA 03501 [Tovvn Hall)
a- DATE. Fill in please:
APPLICANT'S YOUR NAME/S: Att5ovk v cw\
BUSINESS YOUR HOME ADDRESS: 61BI 0d:Sh-aWk_Viyy kill Ad
Jp. I 5�4,,-y S I ru A 0% 1
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+ > TELEPHONE # Home Telephone Number �c3-yeti `��i
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�'r+? F .r
NAME OF CORPORATION:
NAME OF NEW BUSINESS A I15cn Ac` Q_ TYPE OF BUSINESS
IS THIS A HOME OCCUPATION?
ADDRESS OF BUSINESS DI a MAP/PARCEL[NUMBER C� - � � (Assessing).-'_
When'starting a new business there are several things you must do in order to be in compliance with the rules and.regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST G®TO �®®_Main St. - [corner of Yarmouth
Rd. & Main Street),to malce sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. .BUILDING COM R'S OFF[
This individual had be n inf6rm d. f ny er it require ents that pertain to this type of business.
MUST COMPLY WITH HOME OCCUPATION
�-� Au , ize ig a r RULES AND REGULATIONS. FAILURE TO
COMM COMPLY MAY Ji IN FINES.
h r / 'V zw
2. BOARD OF HEALTH
This individual has e n i f rme r irements that pertain to this type of business.
uthorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING.AUTHORITY)This individual has en infor ed o tie licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
Town of Barnstable;
Regulatory-Services
°F T H E r°k
P� ti Thomas F. Geiler,Director
°�
• Building Division
w BARNSTABLE,
v MASS. $ Tom Perry, Building Commissioner
�prEo (a�� 200 Main Street, Hyannis;MA 02601
FVFvw.town,barnstable.ma.us
Office: S08-862-4038 90-6230
Approved.- QW
Fee:
.]Permit#i I 1 o
HOME 000UPATION REGISTRATION
Date: f� '
Nauic: , A 1 t So✓l 0aV-('I'1: P,holl. #:,5-8 �/PW
Address:'—�PJI oldS�ie".Citao y �1'// YY/ Village: dychn S
Name of Business:— hSOv� re9 55'�� � — ------ --= _--------
iT_ --
Type of'Iiusiiiess:,drq ';C_ Map/Lot: ;:�"5-o ®�oZ
INTENT: It is the intent of this section to allow[lie residents ofthe Tol•I'n of Barnstable to operate a home occ•upatiohl
1�ztlhin single Family dwellings,subject to the provisions of Section 4-1.4 of the Goniiig ordinance, provic(ed that the activity
sliall not be discernible from outside the.dwelling: there sliall be no increase in noise or odor;no usual altMLtion to the
premises lvlhich Would suggest Mything other than a residential use;no increase in tr Me above hiorimal residential volumes;
and no increase in air or b�rouluhi'titer pollution.
After registration nilli the building Inspector,a ctlstonlaly liome occupation sliall be permitted as of right subject to the
Following Conditions:
a The acti«ty is carried on by llhe permanent:residerht of a single f unity resideutia(c11A�elling unit; 10MtCd Widlift
that dwelling unit..
Such use occupies no more than 400 square feet of space.
There are no external�dte.ratioiis to,the dw&II.ing which are not cusoniary in residential hilildings,.vld there is ,
no outside evidence of such use.
No trlfFc 1{dll be generated-in excess of tiorn i residential volunies.
_ The use clots not.involve the production of offeihsive noise iibratio.n,-smoke, dust or odierp�u•ticular11latter,
odors,electrical disturbance,heat,ghue, (humidity or other ohjectiouable effects.
'I'he:re is hio storage or use of toxic or harardeiihs [uateri,ils; or flaiiiniable or exfilosivc materials,in excess'of
;nornl'd Ilouse] old'quantities.
- Any need for parking genentecl by such use shall lte met on the same lot colitailiing the Custonruy Home`
Occupation;�uul`not'1lztliin4he required front yard.
• 'f'here is 110 exterior storage oi•display of materials or equipnient.
"There areno iomrnercia(vehicles related to the Customary Houle Occupation, other th.ul-one t,iih 61 one
peck-up truck not to exceed one ton capaci[y,and one tr-ailer.not to exceed 20 feet in length and not to
_'exceed 4 Ilres,Parked on the same lot containing the Custoniaiy Home Occupation.
• No.sign sliall be displayed indicating the Customary Home Occupation.
Q i If the.Custorhisuy Hoiile Occupation is listed or aoverlised as a business,the sircel address shall nol be
Sincl.uded,
No person shall be employed in the Custcini�uy Home Occupation who is'iiot a permanent resident ofilhe
retelling unit.
I, (he undersigned,la,i� rear(and agree tt' It the above res6 fie lions lorin} borne ticcupatiou I aiih ie[g,iistenlig.
Date:
a
Town of Barnstable
°F1HE r
°.� Department of Health,Safety and Environmental Services
BAMSZABLE.KAM ' Public Health Division
200 Main St.Hyannis,MA 02601
�pFGMAa
Office: 508-862-4644 Thomas A.McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
i
May 27, 2003
William Branton
281 Old Strawberry Hill Road
Hyannis, MA 02601
EMERGENCY CONDEMNATION AND ORDER TO VACATE : s
Finding of Unfitness for Human Habitation,and
Determination of Immediate Danger
t ,
The property owned by you located at 281 Old Strawberry Hill Road, Hyannis,was
inspected on May 27, 2003 by David Stanton, RS,Health Inspector for the Town of
Barnstable, after receiving a call from Hyannis-Fire and Rescue.
Based on the results of that inspection,the Barnstable Health Department finds that the
dwelling is unfit for human habitation. Pursuant to M.G.L c. 127B and 105 CMR
410.831 (D),the Health Department further finds that the conditions within the dwelling
are such that the danger to the life or health of the occupants of the subject dwelling is so
immediate that no delay may be permitted in making this finding.,
The following violations of 105 CMR 410.00, State Sanitary Code Il: Minimum
Standards Of Fitness For Human Habitation were observed:
105 CMR 410 750• Conditions Deemed to Endanger or Impair Health or Safety (1)
"Failure to comply with any provisions of 105 CMR 410.600, 410.601, or 410.602
which results in any,accumulation of garbage, rubbish,filth or other causes of- k
sickness which may provide a food source or harborage for rodents,insects or other
pests or otherwise contribute to accidents or to the creation or spread of disease.
There was a large accumulation of garbage,rubbish,filth and other causes of sickness
present at the location, including large amounts of human feces. There was a large
x`G amount of flies also present at the,said location: n 3
Based upon these findings any and all occupants are hereby ordered to vacate and the
landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this.order.
If any person refuses to leave a dwelling or portion thereof,which was ordered vacated,they may
Q:/health/order letters/housing violations/281 old strawberry hill rd hyannis
be forcibly removed by the local Board of Health(M.G.L.c. 127B), or by local police authorities
at request of the Board of Health.
Furthermore, anyone who fails to comply with any order of the Board of Health may be
subject to fines of not more than$500. Each day's failure to comply with an order shall
constitute a separate violation.
Once vacated this dwelling may not be occupied without the written approval of the
Board of Health.
Note: This is an important legal doe went. It may affect your rights.
Signed ,
Thomas A. McKean
Director of Public Health
CC: Marjori Durkin, occupant
Hyannis Fire Department
Barnstable Police Department
=TOb Building Department ,
Cape Cod Hospital
Q:/health/order letters/housing violations/281 old strawberry hill rd hyannis
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fNET���w TOWN OF BAR.NSTABLE
Z IBA"ST"LE, i
,639.am BUILDING INSPECTOR
� PY p''
A
PPLICATION FOR PERMIT TO ...............................
......... ....................................
TYPE OF CONSTRUCTION ................................................ / .......:............... ...................................
-�..%.......................� al 3 19
7�
TO THE INSPECTOR OF BUILDINGS: p��I
The undersigned hereby applies for a pererrmit according to the following in ormation: ,
Location la�� 4/ ... .........��` �� � � ��
............ .........w.............
Proposed Use ..��..�....t...........���H N� lr /`�
........ .. i p
Zoning District ..........................................Fire District
Name of Owner ..L` °! /.. '..J.. ..G-!...: �dcfress .... �®...GZ/... �� ..° ..........
' ,.�. / ,/ �...........� s r
Name of Builder ................................ .............................Address ............ ...........................................................
Nameof Architect ....:9........................................`............,..Address ....................... ..........................................................
Number of Rooms ........................... Foundation � c............... ... ..../ "
Exterior �VXO� '¢ ' oofing ........../o. !:�: '
f................
Floors.................. .Interior ..... ... .............. . .........................................
Heating �� �/�. ..................Plumbing .......... .....................................................:............
r9'� I
Fireplace ............... .................................................;.... pproximatP Cost ......: /�e... . `
Difinitive Plan Approved by Planning Board ------ v _19_20
Diagram of Lot and Building with Dimensions ��
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1rREGULP
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IV1l1ST gE 4j
COMPLIANCE
11 STATE
E AND ► r r
1 OI
�Y
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I hereby agree to conform to all the Rules and Regulations of the Town of Barns ble regarding the ove
construction.
Name ........ .. ... ......... ..... ............ .... ............. ... . ...
-�
Dacey, Alliam E. Jr.
. -6
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No _���*�"^.. permi+for__mram..wtwz�r___..
' single y
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Location_ ---.—..—.,.---~,-------.. ,
Wuznis '
_---.-----...—,---.----.—.—.--.-
William E. Dacey, Jr.
Owner ----^--------~'------''—
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Type of Construction ----�xo�----------
—~.~.—.---..--.—,--~.----..,--.. | `
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Plot ............................ Lot ---.��:-----.
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March
2 ��
Permit Granted --..��.��-----.--]g ^~ �
Date of Inspection ..... —. ` ---l9 `
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Date Completed —°��� —..:--lg
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PERMIT REFUSED
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Approved .................................................. 19 '
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Permit number
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TOWN OF BARNSTABLE
DEPARTMENT OF HEALTH, SAFETY AND
ENVIRONMENTAL SERVICES
LIEN DIVISION f
X"%"EEP OUT
UNSAFE STRUCTURE
UNINHABITABLE
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