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0050 RUSTIC LANE
50 'R�-s+r� t,a�e _.� _ _ _ J � — - � � f Town of Barnstable oFt"E ra,� Regulatory Services TO / �F B kNSTABLE Q` Thomas F.Geiler,Director . } �� '" �T"B ' ` Building Division �� 10- 53 i639. a Tom Perry,Building Commissioner ED MA 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT#,---XO l,L FEE: $ Ul SHED REGISTRATION 120 square feet or less 9,3 VJ Location of shed(address) Village W�V-A sv� -s (2� I Property owner's name Telephone number . Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? 1 Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 r i A ..,-.. _ . N .� . .ql , . . . y N�F .o5c..riE 'L aAv)D 0A/ J } - .%., s. `�IQA ' + `1 k4 a ir �: T ! 0! �j O ' v LOT J D : r Q `, Ll -LoT 33 ��m,,m.m",�,_�",...�--,��,-,.m:1',,,���M I Im:,'m:;�,�,.�;I�I._�:-I:,�.m-m',.._,,.mm...t.'m�,��'.�,'.-M.z.I%,-IMt,�.,.m.-,.�I�'m,,�:.....,,,-.�-.r,m�,�m I t m;"m 9,I;.m I,M�.�M,.:,Mm.m:.,.��,�:._;:�I,1�m�'m'..:�I�.t:��,,:m'V�I,�Im-�",)-.,,..�.m,..mm::..�I��,m,m."I.,.,0Z''m�,m a,���..�.-I'I�.I�.m�'I.tm m.I.m�:I..'..mm:....�I�I*mI':I:.,I���.m,';...m:,�.m:I.1_I�m.m M%.,I,�I�I-.a.-.::��I�.-I,m";,I.,:.Imm.,m�-m,�m.I..:.,m m..,l'II..�.,�.��,.1!d�.m�!j,..�m..'m�:'�',,r,m mm.m�.I'-:I).I.mm,M,�:m,,t."m;I:�m�.:-..I.,mI.m m I�m�':..��.�.,.:.I.��II:m m,.I'�:I I.,::"..".I.�I..:�:..:'.-�i...,'-�',.:.i'mmI;'4.*-m:I'_i t v D O ,":,�m�i-.�',�M�,-"..-"`.,-�,''._":�I;"...�-'m',,,.;;�,%;mi,A���,-,.:.:,�.m:-M,'-!m,-',�-t,.�'�:.'a-',.,,,-��,-!:�7.,-,,.l:,�--M,9..�-,�-�,,-,-�.,�.1�.:..�,!t:l'..-,:.".,:,�,,:_",'"�,",��,':,".��'m.��I-.1',,-'�-I�,'c.'m-,,,,m1,..--_.�-I,_..�-'"�.--.��',"',,',,,.."�-,-1�z...���.-�*,.,;,Im,--�1,.,.,�!;;t-.,'I'..-:�.m:,.,m;,�-I,..,�.'m'-t.'m�.m"r;�-'I4',mm....�m'i-`,���F...�'-.-.-,.-_m'_;�,.-1:,.,;,,m.'..I�'M,--j,�;,.,.:...�,',mm,.I,.,�,m m,m.�I,,,.-�--.1',_,'m.-'.I.-�,-,��:...�.z-�,i,''.-,%:�m�.-:�,,c I.-',1.,-�7�.�:._ �.mp.*.."�I 0.m''.t.m:.m_t""I..:-I'..m'.7�:..1.:�'�I��I�'.��..-.I."..z.. r .,T 1 r i. . .. -:V t 'm t J r .�.mow, : } ` ki i - O d 3 GIi. $l 4 �t D"W c g. f ;m _ .. Y<:'i 1 'a 3 ✓ . ".< ( PC ,! 1 4 d S S :. w 3 - � 2QJF_n k '�� . . s r !(?$-QOC� S t .'I QO F I.✓/DTN ,' c a zQ'/ i� /I(� IwOFAfq �T S'�t�C' ,s CERTIFIED PLt7T PLAN -BRUCE ,' k. ' f ' v DRED y[/// er r _Rusr�� LA,.iE //Y,g n/,S T_t''.?;-�/' .III .J T ._�. '�"i�:�IV� P_Mtm,.I",�,��_.:�,�m.,-1,,�-,..'r.-m.M M-",,��,",�"�.�..,',".�,,..;,.-;�`.m',,�,�:I-...',m:-m��*.�."��.�"m m:F�,l!..-1L,�m M;`"9I'.'j;m*.,��',,,--�.;,';-..�m.".!!'',._''�t'�,-"��,.'-t I.,"'-*'.-,".;t I-�?,.m,,,,-..�:I-�m;,��,-�i'._,"_,��,Z!_��".,",L,.-,.�I:..',;�T.�.,�,-".,,,,m.;,���'-,-'�.�''.I:::'� 1 �o� LDT O _ — — -1-. NO su n 1 _ 1 N i. I�.�l"-.-.-,-_t�-,6IS'i-'-."-j?�3-1?.".1,_,',-'1-z;9,1.'-:,.--"..4.., .��A$g , t 'a SCALE, i 6' DATE ,px/ G ry-- ' .,.�,r,m-..-AI.-,I..:,m��'�-.I':m,.m,mM.I'1'�,.I t�..I.�.�!,.,mm�.�m:'',m-�Im�m 1'.:,'I%-��..'m,..��,m,�,,,*'.�,:.,7i,-.N��I;'�m I;.��0�,=n.,'".'".m;t..l-t:..,'..._:,:��'9.z.m.�,1"II";"I'FI I I-,.,.�:.�",_..-,m,�..�t M..�-,:1Izu�.��,m,�m.m-�,;-,,m.Im.�;�����..t::,Ii...,m.�".'-,'7.4'.m:'M.:-.'.;��.�-'., M m�''�..M.m.."m:%'.':.,m',,.I-I-I-m,,t�,-,m I',.I:m:-�,",m m r,I�..I,_':.�m-.�m.-.�"�:-'�*I�.��'.`' ' . ' �8ars,fl, 1 CEIRTIFY THAT TNT trsrs¢►!' : g1$TII REDS R 0I u p z, 4�IS t•,, " ".. �61�®l�Id r N TW19 PLAN 1ffi LOCAT p. ` eNM Q� 833,(� ®N .THIS: GROUIdD A9 IhIpIC�►�' CI AND n : CIVIL'; _: L A It} ` * Ad01NE.ER SURV Y�� ,J,��s ,gYs `„ !�OP�FOI�I�i3 -TO T6�1: XQNIND L.A1�;� �3, ."! F 8ARN$:?A13L , MA . #!._� � 7 { a .tnAIN srtREz - ,... -", ,. �Pi '. , ,_ w. �_ __ . ATE � `v. �:,a�IniUV :. �: . ,., F C I ,r a Assessor's map and lot number C Symm MUST 1E Sewage Permit number // qq INSTALLED IN COiiFPL19�I�CE 0... ...1... WITH A3"TI;,^Iv E 11 STATE ypF TIIE TD�y ®� ®� rl a '�3I1J.. i • MAWSMULL O MABL 9 BU d® S IRG INECT®DR amPYp I APPLICATION FOR PERMIT TO ..ZPA.17:':%?-.VG.T.....�1A.G-.LL.....rL4,Ml.LY.....QW.L.L.LI 4........... TYPE OF CONSTRUCTION ..... IZGI/.V =*.................................................................. ...19..................19..4. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: I, I I Location ... V..?�l.G.... 1.��kt........ .Y .�tl.l�7.Pb.�. ........LOT....*.C7.................................:.................................... ProposedUse Vw.Sc,LI. ,114.............................................................................................................................................. Zoning District ... �.'. .....TO...... .Q�....,l.�q...�.'�......Fire District .............................................................................. __ Name of Owner Qt�t4�.rrA,....��...�1�'..Q.iJ'.&.�,E..................Address 4z'.�!��"GSt.�.....L ?L'.rL...Q1P...��.�'.fi..T�....(�.1..�..... Nameof Builder ...................................................................Address .................................................................................... Name of Architect G.k4.A.tZ�E4...40Q.17.QLs..................Address L2 Gl. L4. ..r.... ...... �- •1 Number of Rooms ..............................................................Foundation .IQ.....I:.A.I�.R.�L�....!/QG.T�. 2................. Exierior . 4.RI/s.I/.m.Li.......Roofing .... . Floors .....Interior �a.h.. .F#�t, , '.144 .............................................. Heating _ 0.�....4lJ.Q�I—ee .............. ............ ...................................................` 2 o� Fireplace .�.�.X...�S.ti.. .. .. ......................................Approximate Cost ..:.�.1..�.Q.Q................................................ Definitive Plan Approved by Planning Board ________________________________19________. Area ..I-S.....`a�....f T-- Diagram of ,Lot and Building with Dimensions Fee ,l 3a"..... ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable jregding the above construction. Name . ............ ................................. No I.6907.... Permit for Dwe.11.i.ng...... ... ....... .. ........ ...... ... . .... ............... Location Rastic Lane..64r-�� ?P, ............................. ..................... ............... .......................... ................................. Owner ....Anne E. Goodale ;i .............................................................. Type of Construction ..............Frame ............................ ................................................................................ Plot ....M88.....Lot...62 Lot ........5P................... Permit Granted ....FabrUaI7..Z?............1974 Date of Inspection ... ...... .......... Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... �.- Approved ................................................ 19 ................................................................................ ............................................................................... 7169� " 1 � 63 r � . v. 7ecic 1 dY 10 _... _ • lON 1 IE.D.2m _ -�— o f13 -� 0 J Offi 4 N to LtViAs QM ST2_. rC�o ram: . ce 16. 41 t p �I'ZO!`�D�iE,t7 41,4aLt- Fz,MiLY 44gu,;E-- � 4✓, - 6. '�!.. t ak v.rASS. ti r Ly - �Y _ Ma{ 188 Lo2nT mL.E.4 �!!! ��Vj�'/f/'.►� �oopoLL ©•1•Q. �2cwT "6 dSTzQv cLLf- MA4/7_ a �t r Town of Barnstable *Permite�- ' �{. Erpires 6 months from issue date ° Regulatory Services Fee /V • �ruvsrnsiE Thomas F.Geiler,Director 1 .•� Building Division - a v Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us 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 Z 6 a� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 9rTcy, VE'1 �5 -0=�1C� Contractor's Name � c\`- Telephone Number 5D S J 6-1 7 0 15 Home Improvement Contractor License#(if applicable) o o\ ❑Workman's Compensation Insurance PERMIT Check one: - , - s - rietor I am the Homeowner MAY 3 02��$ I have Worker's Compensation Insurance p TABLE OF Insurance Company Name Workman's Comp.Policy# = ' Copy of Insurance Compliance Certificate must be on file. Pemut 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 Replacement Windows/doors/sliders.U-Value ° (maximurn. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. **.*Note: Property Owner must sign Property Owner Letter of Permission. A copy'of the Home Improvement Contractors License is required. SIGNATURE: \ ildin ermit forms\EXPRESS.doC _\WPFILES\FORMS bu Q �P _ Revise020108 ti PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/30/08 TIME: 12:38 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200802889 PAYMENT METH: CHECK PAYMENT REF: 2010 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le "bl Name(Business/OrganizariowUdividual): Address City/State/Zip: Phone.#: SM�60 7-6J Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I 6. New construction . employees(full and/or part-time).* - have hired the stab-contractors 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, ❑Demolition working for me in any capacity. employees and have workers' y ❑Building addition [No workers' comp.•insurance comp•insurance t required] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions self o workers' co right of exemption per MGL 12.❑Roof repairs ce insuran required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'mrnpensation policy infam ation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Z--Mtractors 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 providt their workers'comp.policy nm-nber. 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 criTrial penalties of a fine tip to 31,500.00 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 Irrvestigations of the WA for insurance coverage verification. I do hereby WdMs.andpenalties of perjury that the information provided above' a and correct. Si afore: Date: Phone#- � . �J e�� 159 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: PermitJLicense# 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 Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to 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 esentatives of a deceased employer,or the ed in a joint enterprise, and including the legal re r of the fore oin en a g g P g g• g g J rP 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 on;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 (Le. a dog license or permit to born 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 C6mmonwealth of Massachusdts Department of Industrial Accidents office of Investigatims 600 Washington Street Boston, MA 02111 TO. #617-727-4900 ext 406 or I477-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable �OpIKE T ti y� o� Regulatory Services " Thomas F.Geiler,Director BARNSTABLE. * '. . 9 MASS. $ 16yq. Building Division TfD IAA�p Tom Perry,Building Commissioner , 200.Main Street, Hyannis,MA 02601 . www.town.barnstable.rna.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: � �1 .4,n \ JOB �!F L LOCATION: �T / .- /J e-T number \ street 11age ..HOMEOWNER..: \\ _.o? 3 W 7 O c� 3 name home phone# work phone# CURRENT MAILING ADDRESS: P D ®� bt" � �J `� &A city/town " state zip code The current exemption for"homeowners"was extended to include ownei-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: DEmmON 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) ti The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws;rules and regulations. a ned"homeowner"certifies that he/she understands the Town of Barnstable Building Department pe ' edures and requirements and that he/she will comply with said procedures and meowner . 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, :hat 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 fomJcertification for use in your community. r r . oFV r Town of Barnstable Regulatory Services BAPNST"IE� Thomas F. Geiler,Director $A i639. `� rF16.39,a Building Division Tom Perry, Building Commissioner 200.Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 i Property Owner ust , , Complete and Sign is Section If Using uilder as Owner of the subject property hereby authorize �C C \\ to act on my Behalf,. in all matters relative to ork authorized by this building permit application for: ftf'NnVj bras (Address of Job) Si re of Owner Date = A G Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. . r Assessor's map'and lot number ...................... �. . '�' hrLIST� WE SEPTIC S t f :t' ..'ss�i4 evr M QvO�T E rOa INSTALLED . � -3Y . Sewa e`}Permit number WiTHT ' rlfy� v - - + Z BARNSTABLE i House number ........................ �..���.......,......... ENV, Y '°0 B& ...... 'P'OWN �',-�51�" �? TOWN OF BARNSTABLE a BUILDING 11SPECTOR I &Si s :'�?' APPLICATION FOR PERMIT TO ....C ....t��.............. r..... .` �,.... 4 ,................ TYPE OF CONSTRUCTION ..... 1 :.... '�'-� ..................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ..., .....(...,J 5.l .. ......� ....... . +�.CLi/lSll.l.S......�c..... .. ............. ProposedUse ...... .5�� V C..e. ................................ ........................................................................... ................... Zoning District ..................... ..f ................ .................Fire District ........1�. 4 y- .dJu(I.L.5............................................ I - Nameof Owner ....... dc... L .........Address ..............1c� ....................................................... Nameof Builder ....................................................................Address .................................................................................... Name of Architect �..... .. o. C..............Address .................. .................................... Number of Rooms ............... ..............................................Foundation ......... L?'Cr�t.�x �. G.. ��'. c ...... d .......... y,�`5 G ,QQ� I'I Exterior .......�,."t.�.G V ..:,�..�:..:........��`r....................Roofing ................'.1:-f� .�.vat........................................ Floors ..........1/ '.M.u.1.....�....C.... 4.{._pC.-t......................Interior ..............&1-yp.S1. xy.......... �� Heating . CT..'i........ .+.................. ..Plumbing ........... .�L ....:=....'1.. 1 ...:.....�... 7 � 1 Fireplace .........►,J!r��.1�C�4,.... i .... .tz c.6.................Approximate Cost ................5. t G .. ............................ ........ Definitive Plan Approved by Planning Board -----------_______-----------19--------. Area sk 13 .... . `. ...... .. ...... .............:.. Diagram of Lot and Building with :Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 1 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 .... ... ... ............................... Construction Supervisor's License .....>. ..,l�.5.......... BAYSIDE BUILDING CO. 0 .26278 ..... ................. ... One.. Permit for ...........S single Family Dwelling ............................................................................... `� Wt 50, 50 Rustic..Lane ' Location ....................................... ....................... ....Hyannis ............ .......................................... .................. ayside Building Co."" Owner .... ............................................................. T Pe 'of, Construction Frame Y on .......................................... . .................................. Plot ............................. Lot...............e.................. 'Permit Granted .. Apxjj..jQ....................19 84 Date of Inspection ...:..................................19 Date Completed .......19 Ito Asses*sor's map and lot number .......................... ................... THE Sewa ge.-Pe it number 4 . ARNSTABLE, House number ........................ ............................ NAM t639- 0 M TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................. .............................................. ............. TYPE OF CONSTRUCTION ..... ,,Z.-.,=t,,-.�.......................................................................................... ... . ....... ....... .. .......... ........ .........1 q.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 .... 1 616, n�;L(-�, o�) ( Location .......il.-f ........1......4.0.c.............. Lill.4�toz% ............................................................ P-oposed Use ....... .............. ................................. ............................. ................................................................... Zoning District .....................��.. .....................................s Fire Distric ............................................ Name of Owner ....... ............. ....................................................... . SD.........Address Nameof Builder ....................................................................Addre'ss .................................................................................... .......... 0 ...............Name of Architect .....a........ ...............Address .... ............................................................ eq .i1........................ Number of Rooms ........................Foundation ......... .............................................. Exierior ....... --...... .................. .......(-.....................Roofing ................ Floors 4- ......... ..... ......................Interior ........ ................. nterior .............. L)v A ............ .................... HeatiHeat ................... ..........k............... ng .......... ...... ............................. ...... ....Plumbing ............... . .. Fireplace ......... ;;5E. . ............I........ .....................Approximate Cost ................. .......... . ............ De-'initive Plan Approved by Planning Board ----------------------------- Area ...... ........ t ............... Diogram 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 regarding the above construction. Name .... ..................)................................................ Construction Supervisor's License ....A aw .......... BAYSIDE BUILDING CO. A=288-062 aZ$'$-Olga No 2627; Permit for One Story ........Single..F.aaUy...Dwelling...................... Location ....Lot„K,.....50„Rustic Lank,,,,,.,, ..................... ........................................................ Owner ...Bayside Building.Co.,,,,,,,,,,,,,,,,„ Type of Construction .FV.QAe............................. ................................................. .............................. Plot ............................ Lot ................................ Permit Granted April 10, 1984 Date of Inspection ....................................19 Date Completed ......................................19 /e� �d / z —/7 — �� V IN I .. � I � . . 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PLAN 19 I,ocATEa a�X`4 r, }" E®19TERED ,� RE018TEl� Q � � z�a �«- Q s U1 � � s3•,•,,. .� OM THEri�ROUND AS, INpICATECI AEU ..e fi 4 r FtF rr { fi' '�' P`T�t'" :ht y� ; EN4INEER BURVEY�9 t �, .�IY F 3�n , r 4i0 QRIIAS TO THd± ZONING :LA�/wl i � t ask ti . '.�� �, � ,� OF�r A1iN�TABL' MAt3S. " t T I a'M A 1.N" a T`�R E E :�' ICY# °' J °` t x. f ,>."b 7 4 „! 7 © 1('�1] a7/.�II 9 X .."t 4l f A .. )I 5. R.i '" �'I"''� �.^�,. f R •":(:"S t, 3Y�7 'v h M 'Y I '"Y` i: "-..-•::/. .... � °`:r..__. rf� t': ! ,3 ..1 :1* ,h 'i' �T:'F �'t 1 .''E ��)! /r .. ,.. > � �:., "`` , �w ^ . ��� A E REQ. I. N� �U�tVEYQR `- °' x„T:•,.wss�+�':rX'r.-,F..,,..,a.rc& c'N?+'F a,`4^..,,.. . ..., ., . . ..._. ., - . - .� �• ..,.,. -:�.. ro.:` ,rs + .4. is°.aLi %� t0. ''voirne �- TOWN OF BARNSTABLE _26278 +. Permit No.< ------------_- Building Inspector { 7°°"TAU Cash ■dam ----------- OCCUPANCY PERMIT Bond ----------------�1 -y Issued to Bayside Building Co; Address lot #50 50 Rustic Li 94 Hyannis Wiring Inspector r � � �" Inspection date Plumbing Inspector� f Inspection date f / Gas Inspector ( r —CW w Inspection date ,1 / r� Engineering Department —`�/s�?sl✓ ' o..1 Inspection date�i —'9—I1 Board of Health. ,... to ,i I�vt Inspection date ui 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. f Building Inspector tr' .L``. -`-'�v"-.t�Y'"'..••a�v=•-' e4A./.".� �,,c-.._ �f3 -�` S }fit ^Y�r �F'""w-, r tr _ '?h'�•��s�'+-"- � ar'r`^tJt �� �y '��.� t :t�T ', ' -s 4 fit, °teaa -r MOWN O� B�►RNS ABLE, ASS: 1 �'1 nSMjf�Lps�� �cs{ i• ` :.: - r .. ..I� � �tAfb"t �f de�(q: I' �.�9� yL Ai TH ;'`IS TO- CERTIFY THAT',,A'PERMIT IS HEREBY GRANTED'_-T } (PROPERTY NEW (ADDRESS) •••~�~ ,, rF F i I L�aae ti•. _. ` _._..__ _.__._. _ ...._ ny.M r, i t r i ,fa[yl I + ',�- `1 UILD)y° IALT l.•. •w - IRBPAIR), �t � l �;fj#,"• li 1 y - :'Y 1 .............. . .. .. 8 ......INOL:..r ..... ....._ r 1 �APPI O MAT IZ61-.:', r a p� , 15 �ryrs _._ R66T.AND' UM ERI - •• - IVILLA06) •� i..JrLrY� V VV _m -NAME'OF�BIiIL E OR CONTR TOR ` � , APPROXIMATE C -17 Sl F � �, 7 (` HERE AGREE :TOyCO,NFORM„TO., THE''RULES AND ±REGULATION_S OF THErTOWN r'l lot " ° z �;p� :�OF BARNSTABL , REGARD_ ING .THE. E- ,CONSTRUCTION •, -' - , �-µ AD , (OWNS w4(CONTRACTOR)t _- _ r 1•`; v 4UILDING INSPECTOR q'y Subleet`ao Appremli of Boards if Health .RR`y1,i��x�S,��.,�a�;rt�1L:i9aRrl�,itdtui».70+4.:�'• os.s�'.,�li%��k>a�R:l�;!II.-aE...�1!:1'iukE.a:(r�a�..�_�a_k.�...._,�rt. e::Jnw.,�,-....�.. '-:�.i..�.k__.W.S.A'�•2,.�._....:>„o.,,..c.�F�-e�-;i.�u;�3/(�ia�Cl�*�'���&�d..R� e,< • �i ����� /� !� lr �� ,/ 4� ,� > > � � , e �� � � ,.:� .. :� .� �. � � y �_ � yoFTHETp� TOWN OF ,BARNSTABLE ��P yin I BA$xgTe> E. : ASSESSORS' OFFICE � MA86. ape, 1639' CEO MAY a\ 367 MAIN STREET, HYANNIS, MASS. 02601 775-1 120 BOARD OF ASSESSORS DIRECTOR OF ASSESSING MARY K. MONTAGNA ROBERT D.WHITTY ALFRED B.BUCKLER GLORIA W. RUDMAN l- - I .a�', r� .tea:-.+�/�4. ..., � � � — - I V P � ""V 1