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HomeMy WebLinkAbout0087 SPRING STREET 9 � � f - - - - � _ _ - -- - - _� i �Op1ME► Town of Barnstable *Permit# 4W5?7 HP 0 Expires 6 months from issue date Olt iAANSTABM : Regulatory Services Fee 1�15-DO MASS.9c� 9, Thomas F.Geiler,Director Building Division Peter F.DiMatteo, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEFJVHT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address Residential Value of Work Owner's Name&Address San� s l C Contractor's Name J CQ _ I nl !/� Telephone Number 6_6 7-7 Name Improvement Contractor License#(if applicable) / Q Construction Supervisor's License#(if applicable) o Eft D 7 ❑Workman's Compensation Insurance Check one: nI am a sole proprietor I am the Homeowner �•e Ql �,�G ❑ I have Worker's Compensation Insurance 91 A`rj P� Insurance Company Name 1 I"0 I ok$ OWorkman's Comp.Policy# - Permit Request(check box) a ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) Re-side " Replacement Windows. U-Value r (maximum.44) ❑ Other(specify) ti *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature ez ZTorms:expmtrg tevised121901 I Sl s 4 __ ___ __ I_.__ _ _ _ - ._....__ S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel _Q2 I - Permit# Neal4WIRMsion Date Issued bra--Division Fee02� ©© Tax Collector-,..: Treasurer 0 Planning Dept. ! Date Definitive Plan Approved by Planning Board ` f �ii�Q.C1G�l�kl Praccniatinn/Hvannjg ' - Project Street Address Ff7 S P e-c"6s 51 2C4f:7 Village My Al I S Owner 6 ( {�`l l i� S Address SCU7)e- Telephone �(71. — 1 ql a Permit Request •D� J � L ( -� 5°l l� ON i- �rJ 5Q t �.l 112.�iP D j� Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost` 10-8 Zoning District Flood Plain Groundwater Overlay �D �-- Construction Type _ Lot Size i Grandfathered: ❑Yes kN If yes, attach supporting documentation. Dwelling Type: Single Family ] Two Family ❑ Multi-Family(#units) Age of Existing Structure l� \ Historic House: ❑Yes • WNo On Old King's Highway: ❑Yes No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) - Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new %tal 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❑ A P Commercial El Yes o If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name1 Z ) /�YY� I� Ua✓mP-n " Telephone Number ` �Sl� Address flo q 5 ASP&I7p LAS J License# 0-6 16•10?7 �' CO•TU c T 6CZLs_:5' Home Improvement Contractor# Worker's Compensation# L� C ga.60 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOna SIGNATURE p ;�� DATE ° r - FOR OFFICIAL USE ONLY t r PERMIT NO. DATE JSSUED MAP/PARCEL NO. ADDRESS t °� t~ `' _ VILLAGE 71 OWNER { Y E DATE OF INSPECTION. " FOUNDATION rt "' `� .• i .. -' F t � FRAMEIV INSULATION t - FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL t GAS: ROUGH FINALS - -FINAL BUILDING DATE CLOSED'OUT ASSOCIATIONTLAN NO. ` f The Town of Barnstable; Department of Health Safety and Environmental Services FD; ►`� Building Division 367 Main Street,Hyannis MA 02601 - Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only ! 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: S L 5SQ Est. Cost 2-, LV—D Address of Work: 'sP��'t Owner's Name Date of Permit Application: r7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by taw Job under 51,000. Building not owner-occupied Owner pulling own permit � 'II 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 s I hereby apply for a permit as the agent of the owner: Contractor Name Registration No. Date i OR Date Owner's Name , The Commonwealth of Massachusetts. " - --_ Department of Industrial Accidents ?� y Office OflarnestfWaffS 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: in LL/ 1 J 4 location: city 1414 h111 S phone# ❑ I am a homedVner performing all work myself. / ❑ I am a sole etor and have no one worm in a� achy ire �iiaiiiiia/i�iii�aii�iaii ��iiiaii�iiiaiiii�iiiiiiiai�i�i� r I am an employer providing workers' com�ensati n for my employees.woziting on this job. con anv name. ::. aaare�: .......::::...: sty ::::::>.>: ��t-- --- _ -- er insurance co:: W ;: oNcv# 10 O 1 ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following ers work ' omp censation polices - t :. cotan8 nv n a m_e address.. _:.....:... ,; : ::.::::::« ::<::::>:,;:.Y:< .. . :<w. ........ ..................................._........ ... ................:................::::::•.::::::::.:::::,::...................:...... :::::::.::::. :::::.. :::.::.:.::::::..:::::.�:.�:::::.:�..::::::.�::::....�:::::.�::::::::::::.�::.�:. ....................::::: w!:t�:'Wi::. ........... .. .min•`i::' ::,,::•i::v: .. ... ... :•iYY:• y}iJ,:?:ii : ; ; i'!':i?,:•:iY:i'isi^i?;>:':is^Y:^ii'+:4:^::i,`::,,i?:i:i?i i;::<.iY,.j:ii:i�:.:,::?i:<i:;:;:;:;::<j; `i�::::>ii:':<Si:::J::::::iiii:v::::iiii :iiij?:v:ii:iif5:: +.•,:4:{?:$:i�i:� >:iiii:�i:�:v.;?.;::.;:'::�'�'i:vi:i:��::�::;;y::::�:;:;::�:::::�::`;:ii'{v:i:i :i::'S�i:?�:i!ii:4i:i:: ....................:.................... risntance.ca:..__................................. _..:......,....... ................. .:.:.,..:..:,,:::...........:,...... olrcv#•,,;':;.,:;,;;:>..;:.;:!;<.;:;<::;;.;:.;:.:;« :.:::::::::::: ... . anv name: XX coma ........... :.::. ...;...:...: tidies . _. . ............ :........::::..............._.. nsarance co. :;... ollcv#....:.:,,:.:::,:..,::....:.::,.:... Faitme to secure coverage sea required under section 25A of MGL 152 can lead to the imposition of crminal penalties of a Sae up to 51-00.00 and/or ass years'imprisomnent as weR as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day aga"me. I understand tit a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verifimtion. I do hereby ceerrs under the pairs ardP enald es ofpe6ury that the information provided above it&u.-and coned Signature l� 4 /C C c,C c Date /S otIIdal use only do not write in this area to be completed by city or town ofildal ' city or town: - permit/license# • Q$tfldhrg Department CILicansinzBoard (]check if lmmsdlae response isre4m �Sdectrnea'ss 0lIlce ❑Health Department contact person: phone#; _.:-(:)Other (rei 9/95 PLC ���, ✓.fie V�omv�no�uveallJz ���t�tt �_ ti DEPARTMENT Of PUBIit SAFETY CONSTRUCTION SUPERVISOR LiCENSE Number .; Expires; 9q Rentr�cte , HOMErII1PR0 E ENT R k� ' ! all TiloMIPIlli 1.3 <, O ' WR60stration 100744 _ ` 1oO`NEWTOWN RO �7ype ��PRIIiATE40RPORAT+ION K COTUIT, MA 02635 CAPIZZI HOME IMPROVEMENT;ZINC ` r � r fi G� t�cy� 1 45 Newton`Rd .aADMINISjRATOR �`. � kkk d*.rr �:�� i I-.`.m..,*`; y � �' �lte 'LrI09)YIItP9t!lleQf�t O��!/!.ClJdQ�l4e['�i3 �. I� 4 DEPARTMENT OF PUBLIC SAFETY 1� ,r CONSTRU&TION SUPERVISOR LICENSE tlti Nu ber 'k Expires: 1 Resfhttied flo.. It THOMAS % _CAPI22I'JR f It. . �;,.;r.,`288 PERCIVAL OR 42I W BARNSTABLE, MA 02668 ✓he �O'I)t0)t0'It.(I/CQ.(.!/t O�/I�GCAId2!,itUJP,�u '! DEPARTMENT Of PUBLIC SAFETY ^j CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Aestticted ioe y@@ �. ., r FREOEkICE V 70ASCE III rItU `'1@6@ BOURNE RO* PLYMOUTH, MA '0?366 L , i 'engineering Dept.(3rd floor) Map Parcel 0 c;2 ' Permit# t o?4 �� House#- Date Issued Board of Health(3rTfloor)(8:15 -9:30/1:00Iwo Z�' Fee a , f Conservation Office(4th floor)(8:30-9,30/1:00-2:00) ""'" "� O �-/Planning Dept. (1st floor/School Admin. Bldg.) _ 114E `APPLIC A SEWER Defini ' e Plan pproved by Planning Board 19 0pNNE ROM THE $D14N Fluou a0 sq TOWN OF BARNSTABLE (� Building P it Application Project Street ddress 0 Village LL Owner �e,4 —� _Q,rs Address •.S b�Lh kA I1 Telephone I q Z V ' -Permit Request c,e, i,/1 / :First Floor Q�l y square feet Second Floor u/� square feet Construction Type bj00� Estimated Project Cost $ q:264 ' Zoning District Flood Plain Water Protection Lot Size A iox �1� Grandfathered 1h Yes ❑No Dwelling Type: Single Family LR"*' Two Family ❑ Multi-Family(#units) Age of Existing Structure 1::4 6 t Historic House ❑Yes No On Old King's Highway ❑Yes No Basement Type: )0 Full ❑Cra 1 ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 41 Number of Baths: Full: Existing New �� Half: Existing New A,/dN No.of Bedrooms: Existing -j New. Total Room Count(not including baths): Existing_ New U/V2 First Floor Room Count Heat Type and Fuel: ❑Gas 3@ Oil ❑Electric ❑Other Central Air ❑Yes ONo Fireplaces: Existing 0 New n Existing wood/coal stove &'Ves ❑No Garage: ❑Detached(size) N L�, Other Detached Structures: ❑Pool(size) N /9 ❑Attached(size) /v ❑Barn(size) -kI 4 ❑None fUKhed(size) ❑Other(size) ry�� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial • ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR TH FOLLOWING REASON(S) FOR OFFICIAL USE ONLY �IL PERMIT NO. � u _ DATE ISSUED MAP/PARCEL NO. ADDRESS R VILLAGE OWNER ` DATE OFrINSPECTION: FOUNDATION FRAME — - INSULATION,s - ! -y� � >.• _ � °~ y , FIREPLACE ELECTRICAL: ROUGH FINAL, PLUMBING: ROUGH FINAL i GAS: ' ROUGH FINAL c ' 2 FINAL=UILIINGiZ ! f DATE CLOSED OUTS ! c ASSOCIATION PLANWO. --_--_- The Commonwealth f Massachusetts :: =• Department of Industrial Accidents = � * 600 Washington Street Boston,Mass 102111 t Workers' Compensation Insurance Affidavit °named ,/ location: 5 5elvtAc, Z�Qitv 44 H w N ii Is hone# ` Z I am a h meowner performing all work myself.• ❑ I am a sole proprietor and have no one world in amp ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. companv name: address: city: phone#: insurance co. policV# ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comvanv name: - address: city: phone#: ....:;..:::<: Insurance co :. :. :.. oliiv# companv name: address: city: phone# insurance co. ..:. :.;;>:;:.::..::::::;:.;; .;; <:>:::: <;<. oliev NMI Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tlne of 5100.00 a day against me. I understand that a copy of this statem be forwarded to the Oftice of Investigations of the DIA for coverage verideation. 1 do herebtc thep,4ins#ndpenafties of perjury that the information provided above it trap andN -) � cone si tore • Date l� - ac Print name 65 E E-r I—b L A QJ+!Z 'S official use only do:noeis area to be completed by city or town official city or town: permit/llcense# ❑Building Department ❑Licensing Board ❑check if inmt��cs ired ❑Selectmen's Ofttee ❑Health Department contact person: phone#; ❑Other (MA"a 9/95 PJA) Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the=: employees. As quoted from the"law",an employee is defined as every person in the service of another under any co= 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 c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rece—wer trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a 661 iug 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 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 renev of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h. not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 1171 Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if voi 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 th, 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/licease number which will be used as a reference number. The affidavits may be returned io 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 Ofllce of ImlesugauOus 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) .7274900 ext. 406, 409 or 375 The Town of Barnsftble ' 'wM �' Department of Health Safety and Environmental Services Building Division 367 Main Stress,Hyannis MA=601 , Ralph Crosso Off= 308-790-C= HuiIdiag Ccmmissio::: Fax: 308-790-6230 For otIIce use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT"CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION KGL a 142A Muires that the "reconstruction, alterations, renovation, repair, moderniruion- conversion. improvement, removal, demaiition, or construction of as addition to any pre-esistiag owner occupied building containing at lost 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 c=ceptions.along with othe uirementL . O �PttsEst.Cost ✓Type of Work: LL / kddress of Work: CJ Zwner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reasou(s): work ezciaded by law Job under SIAL _Ohdiag not owner-accupied wner pulling own permit Notice is hereby given that:OWNERS .PULLING THEIIt OWN PERMIT OR DEAIMG WATT UNREGMTERED CONTRACTORS FOR APPLICABLE IMPROVEMENT ROGRAM OR GUARANTY TIM UNDER MGL 142A WORK 00 NOT � ACCESS T'O-ME•� SIG,IIED UNDER?MALT=OF PERMY I hereby apply,fora,permit as the agent of the owner. Due Contractor Name Ration Na OR �( Owners i ame v v Date • TOWN OF BARNSTABLE ' BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P ease print. DATE JOB. LOCATION P�, S r (' titi 11. ' Number Street address Section of town �11ROMEOWNERn � � 6Q�� �✓ n ) • I Z �7� - GCS) Z 1 , Name Home phone Work phone . PRESENT MAILING ADDRESS Nu ' 02 U. . 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 such homeowners to engage an in- dividual 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 re- side, 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 Officia. on a form acceptable to the Building Official, that he/she shall be responsiblf for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands . the Town of Barnstable Building Depar inimum inspection procedures and requirements and that he/she will comp wi sa ' r cedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. • i HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owne: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarene� often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " wner� actir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Fier responsibilities, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. . 1 The Town of Barnstable _KE � Department of Health, Safety and Environmental Services Building Division EL4JWST'BM ' 367 Main Street,Hyannis MA 02601 MASS. 1639. Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Building Permit Procedures for Re-roofing l. Building permit application form must be completed. 2. Historic District Commission approval required if color or type of materials are changed for any properties located in a Historic District: • Old Kings Highway Historic District(north of the Mid Cape Highway) • Hyannis Main Street Waterfront Historic District(See map for boundaries) 3. Application sign-off required from the Tax Collector- 1 st floor Town Hall Treasurer- 3rd floor School Administration Building 4. Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. 5. Workers Compensation Insurance Affidavit must be submitted. If Commercial, a license is not required- ONLY a permit and workman's comp form. 6. Home Improvement Contractor Affidavit must be submitted. (Residential only) 7. Home Improvement Contractor's License copy(or homeowner's license exemption) must be submitted (residential only) r 8. Fee to be paid before permit is issued. , r r t PERMIT Rev 6/29/98 t SHED REGISTRATION �1 location of shed(address) rt property!wnerL� size of shed V •L r signature date Old King's Highway Historic District Commission jurisdiction? THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN shed /j? Q g \ '~� STANDARD LEGEND ( � �` '--a - "'�� O• note:trot all symhds will appP.m an o map AC' "Z— GOLF COURSE FAIRWAY 4 -- DECIDUOUS TREES -� r I r r I I / / / / __ =�) EDGE OF BRUSH L ORCHARD OR NURSERY / 1 CONIFEROUS TREES --_ / l I / ./ � �1 MARSH AREA __ .� EDGE Of WATER DIRT ROAD 3 ❑/ \ / t(// \ "'WMS O. 1 2 /t PARgNG LOT 111/ J / ���-------PAVED ROAD -?�L DITCHES - / PATH/TRNL � PROPERTY LINES T$--PLOT ACREAGE ARCELL NUMBER HOUSE NUMBER 2 FOOT CONTOUR LINE 10 FOOT CONTOUR LINE x"' SPOT ELEVATION ASTONE WALL 0 . 2 1 rl O 2 C --I FENCE RETAINING WALL RAO ROAD TRACKS O.O Q A C a TELEPHONE POLE \ t -, lVl H 4 ❑ 8 / Q 7 o= IMMINEPY ` U � SWIMMING POOL _ 1 PORCH/DECK I _ 0• BUILDINGS/STRUCTURES / HI4i DOCK/PIER/1Em ASSESSOR'S MAP BOUNDARY 0.18 c / SITE MAP / l 8 /� /� O.O vn A � T.O.B.6EOGRAPNIC INFORMATION SYSTEMS UNIT \ �\ SCALE:in feet t #7 0 20 40 I INCH=40 FEET N o J I • p W E j 2 5 TI mElnm•dp Is� ' O 1 NON:TXEPA9DAMMF54EYAREN RTNINAEFRESERTAlIDN50T PAOPERII'BOUXDAPoES TREY AAE NOI TPoIE LmbIlOMS mA 3.0-91 �� VEGETATION,iOPOGRAPNY AE10 PIANIMiFIRiC DATA INTERPRETED 1 / � ,_____`` _`` ! FROM 1989 AERIAL OYfRFO6H75,PNOiOGRAPXYAT I"=800' MAPPED AT 1"=100'.PARCEL DATA DIGEDTED FROM 1"=100' 7 _ __ I EN6INEERIN6 ASSESSORS MAPS 1995 2 y � � THE TOWN OF BARNSTABLE 2 5TABLL N ASL 1639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....9/.v.... ....................................................... TYPEOF CONSTRUCTION ...A(ldwl.................................................................................................................. ............19--7/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......OP7...4r.l*'F...SAf rw. ........ . ....................................................................................... ProposedUse ...... .......................................................................................................................................... Zoning District ..0?e6......................................................Fire District .......................................... Name of Owner ...........................Address .4,z ... a AV7.- .................... :2 % Name of Builder krWA.71�4-:e......Address ..q.. �i4... . ................ J�Name of Architect .................Address ..................'x..//.., Numberof Rooms ...... ...............................................Foundation ........................................................... Ex.ierior ...S. .z 4/c..........................................................Roofing ...... ................................... Floors ....t'al add .......................................................Interior.......................................................Interior .......&Y..WAII..................................................... Heating .....ly-;� ...................................................................Plumbing ........10.................................................................... Fireplace .....A/.5 0.....................................................................Approximatt- Cost ................................................. Difinitive Plan Approved by Planning Board ------------------------------19--------- Diagram of Lot and Building with Dimensions /V. 1-H PROPOSED METHOD OF PROVIDING FOR 133A N I WATE �N R SUPPLY SEW,G E ,/5POSALAGE , E�_7 D Ilip N Jr 6Ar NSTABLE-' BOARD OF H f 4000 '40e- Add I hereby agree to conform to all the Rules and Regulations of the dToB*arnse re rdin the above construction. Name .. .... ........ .. ... .. ....................... ..... .. .. ..................... Watters, R. H. Jr. r 13EC 31 1971 14127 No ................. Permit for .R !.f!a.K1.....� .. C�!��....R.q q/.W................................................ Location A 7..4-r1ir4.'.....S�r.e,.2:'rl............... .........1lgftlls............................................. o :v may I �Pf t� Owner Type of Construction .1a1 a'd.01 *lot .......... ........... . Cif ............ ............... {� 1 i Permit Granted ......Au� st9.................19 71 +" Date of Inspection ........19 4 �� Date Completed ........... ....19 PERMIT REFUSED ................................................................ 19 .............................................................................. f .................................................. ........................ .............. ............................................................ r { . ..................................... 4pproved .............................................................................. ..................... ..........................................................