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HomeMy WebLinkAbout0040 WASHINGTON AVE EXT. �� �1�csh�� n � �4Ve���T \ � f a r } r i'`'4� 1 `� �1 s. I •t h " t �t t � l 'tY EI '� 1 _tip If I 1 � I. r � f — y� ii r ._,•f Town ® Barnstable Permit (� Q� l � Regulatory Services Date: I E r° Thomas F. Geiler, Director �`�� °• Building Division BARNSTABLE, Tom Perry, Building Commissioner 9 MASS. 1639. �m 200 Main Street, Hyannis, MA 02601 °TEn�uv a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT. Owner: �hYC"U\j HALE Phone: 60(e 7 S — OS i f., Install at: 40 U)AStt1NC DrUi W 'EXT.—Village: H AON1S Map/Parcel: 3?116 Dater Stowe A. New/ se B. Type: Radiant/ Circulating C. Manufacturer: A0 HPAW < I Lab. No. D. Model No.: TP,'MPWo00 1 1 Dow NJ0QAVi Chimney A. New/cxis3ti �% (If existing, please note date of last cleaning) t lO ` OwlB. Flue Size (0i C. Are other appliances attached to Flue? N® D. Pre-fab Type and Manufacturer E. Masonry: ine nlined Hearth A. Materials: Cewx e-v,-I? B. Sub Floor Construction: Installer - / /// Name: ,� av i4 / Address: 170 SL lr'/� A,40"V Phone: Location of Installation: H.I.0 Registration# Construction Su isor# OR check—Homeowner Installing, no license required APPLICANTS SIGNATUR-`E_�_ APPROVED BY: eat4 �8 Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rcv 103107 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' ' 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 'ZZN(Business/Organization/Individual): nn&pq RALL Address:-- D ® 8 / . xJ City/StateLZip: .—.; 7.0 Phone.#: 6 Z 1 2 2i ,s 6 A`re yoti`an employer? Check the appropriate box: Type of project(required): 1.❑ I 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. T. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• $ 9. ❑Building addition [No workers' comp.insurance comp. insurance. 10. Electrical re airs or additions _.,required.] 5. ❑ We are a corporation and its ❑ P [2 I M a homeowner domg:all work officers have exercised their 11.❑Plumbing repairs or additions myselfs[Nofworke s' comp. right of exemption per MGL 12.❑Roof repairs l.` bIt MA_ �, . � msurance,regtured]t c. 152, §1(4),and we have no T employees. [No workers' 1�3:[46ther l tSTt�i1__LotDSrOJt-� 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 fiave 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.M 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 tip to$1,500.00 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 Investigations of the DIA for insurance coverage verification. I do hereby certify under t e pains and penalties of perjury that the information provided above is true and correct. QSi ature: Phone#: �i��©j— 6 Official use only. Do not write in this area,to be completed by city or town officiaL 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 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 e foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the of the gJ rp � g g receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the_ v 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 e of such employment be deemed to be an employer." or building appurtenant thereto shall not because or on the grounds g pp 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-contractor(s)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 bum 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 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-NIASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia i • Town of Barnstable ReguI"atory Services BABNSTABLF— ; Thomas F..Geiler,Director MA ib.1 Building Division PrfDµAyR , Tam Perry,Building Commissioner 200 Main"Street, Hyannis,NIA_02601 .- _.. .. VvWmtown.barnstable.ma.us Officer S08-862-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DA= ii JOB'L:OCA770N\ W'�TST� � rlyla ` A J number 1 street. village lage — OMBOWNI R',,:_ �1I�bw� I I+ALL �`H name home phone# work.plyone# LC/ 'uC CURRENT MAILING ADDRESS / y G .2 city/town state rip 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 Persons)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 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 codCs,bylaws,rules and regulations. The undersigned"homeowner"certifies that_be/she understands the Town of Barnstable Building Department rmnimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. of Hom'wncr Approval ofl3uilding Official - - Note: Three-family dwellings containing 3S,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 hues unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supavisor. Thti homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/hg resporisibilitics,many communities re-quire,as part of the permit application, that the homeowner certify that he/she understands the respmisibilitin 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 fomr/certification for use in your community. Q:forms:homeexcmpt �► r , Town of Barnstable Regulatory Services �_"M'B i'E'$; Thomas F.Geiler,Director 1639 ��Q+ #D, 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 S ion If Using A:Builde as Owner.of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized b this;building permit application for ( ss of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:oWNERPERMISSION Town of Barnstable -° Regulatory Services • BM WgrABLE, MASS. Thomas F. Geiler, Director, fn 39.r a Building_Division Thomas Perry, CB0 Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable:ma.us Office: 508-862-4038 Fax: 508-790-6230 January 5, 2009 Mr. L. Anthony Hall P.O: Box 164 W Hyannisport, MA 02672-_ - Re: 40 Washington Ave.Extension Dear Mr. Hall, This letter is in response to a telephone call today from the Hyannis Fire Department. On January 1, 2009 the Fire Department responded to a chimney fire at the above referenced address. While there, they-noticed.a wood burning stove and were told that it had been there for about five years. This office has no record of a permit application or inspection for a stove at this address. Please be advised that the use of this stove must cease . and desist until the situation has been rectified. Please do not hesitate.to contact this office if you have any questions. Sincerely, ---- - -- ... Ali - Paul Roma - --- _- - - _ Local Inspector 03/13/2009 08:05 5087786448 HYANNIS FIRE PAGE 01 i. Hyannis Fire Department Log Database v4.3 Cali Source 911 Time 18:41 Date 3/12/09 Alarm No. Fitter name of business here Call Back [Amy 508 685 7407 Type of Call Investi anon / Incident No. A290223 Lookup Business Name Address F4-0 --IIWASHINGTON AVENUE EXT (Louis St to Charles St Vicinity A rea Mutual Aid District 171 Lowy No. ®- High No, 65 Census 40 Report Of Smoke In The Area,Lt Cadrin Reports Possible Smoke From A Wood Stove,Lt Shutting Down The Stove,Follow Up By Fire Prevention, Apparatus Time Time Start Time End Time Timein Time Time out on Igg Mileage t2 F, Mileage at CCH service return t. 823 18: 18:45 11 1119:04 19:04 19:06 o rn U _:A N 03%13/2009 08: 05 5087786448 HYANNIS FIRE PAGE 02 RaYsoNEnttry Involved 774-Zby-4�LJ 1 Looc Option Business name lit aDW�lO) I Pl one Nlxnber ® check this box a Mike U�J I MI � a suffix Some address as Mr.,Ms.,Mrs. First Name MI Last Nome I Incident location. ) �LEI Then skip the three Wq,SH1NGTON ,qVE EXT (Louis St to Charles St AVE .A duDlloste adGrms I L.��I ..., .—... —.._ -� Street Type Suffix Ones. 1-- ­-40 NumberlMilgpost Prefix Street at Highway . L- -� Hyannis Poet otflce'eox AptfSu11oftom CRY L__ L4 - IL 02601 State U code ❑More people InVolved4 Check thle box and attach Supplemental Fomts,(NFIRS-1S)as necessary. Owner ame as pe earn ox - -� tten dnec k this box and skip Pho<�Number Local Option the(real of this section, as name ic�iTe� I �� 0 Chackthlaboxif IU�U J U suffix same amfoey se Mr.,Me.,Mrs.-I First Nome MI Last Name Inetderd locotIon I I "then eklD the titr9e duplicate a ddreas 81ro etrttlx Ones. Number/Waposl Prefix SGeet or HighWey Pool t Office Box Apt./Sul� CRY LSlste I Zip Coos L IRamat�- Local option _.. ITEMS WITH A * MUST ALWAYS BE COMPLETEDI ® More remarks?Check this box and attach Supplemental Forms (NFIRS-IS)as necessary. M Authorization 009 ni harp�e Officer In c I SipnaWro - I Position or rertk I I Aselgnmard Month Day2 Yaw Cho*box if yame as Officer in r0� =C� R I)97702 Roder E Cadrin Lieutenant___ Suppressiot') 03 12 2009 member making report ID Signature Posa(onorrar* Asaignmem Month Day Year A290223 - Exp 0, 311212009 40 WASFIINGTON AVENUE E,X'I'(Louis St to Chtulcs St) page 2 of 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT 03/13/2009 08:05 5087786448 HYANNIS FIRE PAGE 03. u Deltle Nr'lrca - III.. X 0,922 'I " 'ILlJdant 2/2009 001 A290223 I 0 ❑ Change Basic O No Activity Station InadeM Number 1 E�oauro Stela y Dale J� 70 Check this box to lndicale that the address ror this incident is provided on the witijand Fire Census Tres 40 BLocation �' ❑ Module in Began B'An.ove l,Doation Sp-wiicsnon.Use only for wiloiand fires. ® Street Address 40 I I WASt31NGz ON AVENUE EX'I' (LOURS ST TU I �? Lp� ❑ Intersection �-� ••J `••� NumberlMllepoal Prefix Street or Hiohway ❑ In front of MA J 02601 [] Rear of Hyannis ' late npC�de ❑ Adjacent to AptfsuiterRoom � ❑ Directions foss stiaa i woe,so mpolicable Dates &Times Midnight Is 0000 E2 hilts Alarms rCD Incident Type E1 Local option 531 STDO a or odor removal Check boxes K Month Day Year. Hour Min I 3 I Incident Type - .�„^_ - dates are the ALARM aMreys required � still L,J Aid Glvert_R@ceived same ea Alarm � 3 Shill or No 0t AlermOlatnct * Date. Alarm 03 12 2009 18-41 P� 1 ❑.Mutual aid received I I ARRIVAL reQuirad,unless canmled or tlk!ne+srttne 2 ❑ Au tic r@cv �—J ® Arrtvai * 03 12 2009 18=45 E3 SlfalSwdlea Their"ID Their Local Option 3 ❑ Mutualaidgiven stele I'��l/' CONTROLLEDopltonal,atwegrorvr'nluanroe 4 ❑ Automatic aid given [_] Controlled L—J t� I�J 5 ❑ er at given �� N ® NOne r nn um ® Last Unit LAST UNIT GEARED,reVuWd exosq wftelara aro Sit,oy lQ# g,�dy Value Cleared 1031 L12] 2009 19:04 F Actions Taken G1 Resources C72 Estimated Dollar Losses&Values Check this box end skip this section A an LOSSES: Required for'all fits if known, OpIlonal for non fires. J I 45 I Remove hazard J Apparatus or Pereorvrei form is used Non . L—__... Primary..Aalon Taken(1) Apparatus Personnel Property, ❑ Suppression 3 Contents I ❑ eLo ° MSAdw«,elAcuon Taken(2) 0 0 ��_� •..J PRE-INCIDENT VALUE: optional Other 1 , 0 0 Property �. ❑ AddiUGone!ACnon Takmn(3) Cherk box n resource counts In&&*aid ❑ ❑ received resources, Contents Completed Modules H1 Casualties (Z Non• H3 Hazardous Materials Release Mixed Use Property Deaths Injuries N® None ❑lore-2 Fire NN Not mixed Structure-3 1 Natural gas:slow leak,nb evacuation or Ha2Mat oaiona 10 Assembly Use ❑ �0 ❑ ❑Civilian Fire C;aS.-4 2 ❑ Propane gas:c2i lb.Wok(as In home BBl]gf10) � Education use 3 ❑ Gasoline: vehicle tim lank or portable container 33 8 Medical use ❑Fire Serv. Casualty-Civilian 1 0 J �� 40 LJ Residential use ❑EMS-6 4 Kerosene:fuel burning equipment a poneDle stereos 51 ❑ Row of stores ❑Har.Mat-7 Detector 6 ❑ Diesel fuel/fuel oil:veMGe fuel tank orponable Vorag 53 Enclosed mall ❑W 11 d 1ar►d Fire-8 H2 6 [] Household solvents:Homeroffice split,dennup only 58 Business&residential R@Wlmd for confirmed fires, 59 Office use ❑Apparatus-9 7 Motor oil:lromenglnacrponablecontainer❑ 60 Industrial use 1 ❑ Detector alerted occupant 8 [] Paint:from paint cane totaling-36 gallons 63 Militaryuse ❑Personnel-lU 2❑;Detectordidnotalertthem 0 ❑ Other:Special HazMa+ectione required or spGl>55 pal., � ❑ Farm Use U❑I Unknown Please complete the uaWaf form 00 ❑ (:nher mixed u5s J Property Use Structures 341 ❑ Clinic,Clinic Type infirmary 639 ❑ Household goods,sales,repairs 131 Church,place of worship 342 ❑ . Doctorldentlat office 679 ❑ Motor vehicielboataalas/repairs 161 ❑ Restaurant or cafeteria 361 ❑ Prison or jail,not juvenile 571 [3 On or service station ❑ 419 ❑ 1-or 2-fafrdly dwelling 09 ❑ Business office 182 Bar/tavern or nightclub ❑ 429 ❑ Multi-family dwelling 615 ❑ Electric generating plant 216 0 High sElemechool school or klndergart. 439 ❑ Rooming/boarding house ti29 ❑ Laboratory/science lab Z16 ❑ High school or Junior high 449 ❑ Commercial hotel or motel 700 ❑ Manufacturing plant 241 College,adult ad. ❑ 459 ❑ Residential,board and care 818 ❑ Livestock/poultry storage(barn) 311 ❑ Care facility for the aged 464 ❑ Dormitory/barracks 892 ❑ Non-maidentlal parking garage 331 ❑ Hospital 919 ❑ Food and beverage sales W1 ❑ Warehouse Outside 936 ❑ Vacant lot Sill ❑ Construction site 124 ❑ Playground or park 938 ❑ Graded/cared for plot of land 904 [3Industrial plant yard 9tib Crops or orchard O US M Lake,river,stream NOForest(timberland) ❑ 951 ❑ Railroad right of way 807 Outdoor storage area❑ 960 ❑ -Other street Look up end sorer e 919 0 Dump or sanitary landfill 961 ❑ Mighwayrdivided highway yProperty Use code only 11 P�°Pe^r use 419 931 ❑ Open land or/geld ggy ❑ Residential stre6Udr91vewAY Props Y use Dhave NOT~ad a I 1 or 2 family dwellinL j Mi�ttl rWr�oyl,Na A290223 - EXP 0, 311212009 PACE 1 OF 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT 03/13/2009 08:05 5087786448 HYANNIS FIRE PAGE 04 Attn; Building Department, Paul Roma . From Lt. Cadrin, Hyannis Fire department. Attached is a copy of my report regarding a call to 40 Washington Ave Ext in Hyannis. The reason for the caU was to heagate alve smoke of smoke pouring - from the home, when we arrived we found heavy amounts from the chimney. Our investigation revealed'that Mx. Murra was burning is t ,e third time that our wood in his wood stove, this usually is not a problem exceptthat department had responded to his home with a fire truck for the same thing. With the still air of last evening the smoke was not traveling up into the air and away from homes, instead it was staying very low and entering homes in his neighborhood. The smoke was becoming a health hazard to neighbors so 1 instructed Mr. Murray to shut down the stove immediately, reluctantly he did so. I also instructed him to not use the stove until it is inspected. He states that he cleans it regularly however evidence around the outside of the chimney say's otherwise. Could you please investigate this stove to determine if it is safe to operate? Please contact me if you have any questions. Respectfully Lt. Cadrin Hyannis FD .� 508-775-1300 I 03/13/2009 08:05 5087786448 HYANNIS FIRE PAGE 05 95 High School Rd. Ext. Hyannis, MA 02601 Hyannis Fire and Phone:508-775-1300 Rescue Fax; 508-778-6448 ko a To: L From, 6A_ l pate: i Phone: Pages: Re: CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle -comments., PL Oo 03/13/2.009 08:05 5087786448 HYANNIS FIRE PAGE 06 L9 ❑ Delete NFIRS - 1S 01922 I MAI 3/12/2009 001 A29o223 p Change Supplements Sleflon Incldern Number �U1° torte InCiOern Dete K2 Rwmrim 40 WASHINGTON AVENUI✓EXT(Louis St to Charles St) We received a call from a.neighbor reporting excessive smoke coming from chimney at this address. We responded with E-823 to investigate_ Upon arrival-we found a smoke condition in the neighborhood due to smoke from wood stove in this home. The night air is still and is causing the excessive smoke coming from the chimney to stay low. We checked the home and found a wood stove operating, the home owner stated that he had just cleaned the chimney, however we noticed it was not drafting well. Lt. Cadrin instructed the home owner to shut down the stove and to not operate it until it is further inspected by fire prevention and or building inspector. The owner reluctantly complied. BPD was also on scene. Lt. Cadrin informed the owner that this is the third call for this same complaint in as many months and that it is causing a health concern for neighborin homes. Horne owner removed wood from the stove and shut it down for now. No property damage as.a result. E-823 ret to gts after removing hazard: A290223 - EXP 0, 311212009 HYANNIS FIRE DEPARTMENT MFIRS REPORT Assessors map and lot number ..................:....................... L A L/-��o_ ,�� ifi f'GGk7// O� S�Lc/9�C - �dLGD GGc�, r Sewage Permit number ............ . a THer h TOWN OF BARNSTABLE "A°` 1639 BUI:LDING .. INSPECTOR, 9 • APPLICATION'FOICPERMIT TO .. C-�Lases ................ TYPEOF CONSTRUCTION ................................... ........................ ................................................................. -� -r t3 , E ............. TO THE INSPECTOR OF BUILDINGS: J The undersigned hereby applies for a permit according to the following information: I Location .. /' ..s?t!....L' ! a... .......... ...'sx?*-fir..../04 �� W.. ...�c�:6................... o O Proposed Use .CfCA?r4 ./..:✓.... A - '.. .... .. . ....:........................................ ZoningDistrict ,� <..........................................Fire District r.; ......./..�............ ..�.... .................. Name of Own d,Ge.,ltl. y .�.:!.'...\C¢�- `Address4//� ..... Name of Builder ....r...T �. , .� :Gl ............Address .. .. �/... ......................... Nameof Architect ..................................................................Address ..... . ........................................................................... Numberof Rooms ..................................................................Foundation .......................................................... Exterior ....................................................................................Roofing .................................................................................... Floors - .................................................................. ..................:Interior .................................................................................... Heating ..................................................................................Plumbing ................... ........................ Fireplace ...................Approximate Cost ..��' :� f o .........................:.................................... . ................. ...... .............................. Definitive Plan Approved by Planning Board -------------------_-----------19________. Area �O Diagram of Lot and Building with Dimensions Fee ..i ....... .� ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of,Barnstable regarding the above construction. No e .... .0 ..... ✓a,.... � Green, Laurie C. .& EvaY8. . . ! � ` � ��l�4 � e��lmae pat�m No � �� Permit for .---^-------' � ^ ^ ' ^ . . ................................ '^ ' Location `--.40.. Ave. Ext. . —. ------.—~--.-----.. ` . . . ^ Hyannis --------.,,—..---..—~--.------.. La�tle C. �� ��� M. �r�ms� Owner ° ° —.—.------.—,.----.----.—. � e�ma | 'Typo of Construction ----��---------- ' , ~ . —~--.---------,-----.—.----- ~ � Plot ............................ Lot ................................ ^ May 9 78 / \ Permit Granted ........................................ _ ' � ^ � Date of Inspection .........dl'�V— |* uo/e Compm/ao ------'-�~--- � . . PERMIT REFUSED l� ^~ ' --~—..—.----......_.—.--.,.. ) ^. ..-------.~—.---...~..--.—~.--.. —._~.~..—.-.—.---.—._-------.--. ~ . . . ......................... . . . --.—.,...--.—~—'—...~.--.--.----... Approved . ` ---------------- lA � --------.-----~.--..----.—.—. ' -------.-----...---~—,.—...'...., . Assessor's map and lot number ....'..................`.............1.'' Sewage Permit number �.................................t� � °.. F. THE?DPI TOWN OF BARNSTABLE FILE fob o•^ • H9HB4Te , i "6 9 �0 AM BUILDING INSPECTOR MPY a' APPLICATION FOR PERMIT TO ..I' �Zd-'sue...'' -!�.�./ ..•�, "..•�%!.• . . fn.lt .......••.••••... ...,... TYPEOF CONSTRUCTION ..................................................................................................................................... ................ ! .:......... %..... .....:. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information: Location .. lr• 1. !......(I--'..:: .' ....�-:.% ......... LrY/,.......... '.'::...:..:.......... /�!.. ...r.... .`:................. • /'i, _ � i .!e2 'e s- - • ! �f� . f ��r-t� ProposedUse ..... ............................. ............... ... ......... ..... . .... ............................................. -' f Zoning District -�-n -r�--- ........Fire District � l* -- .... Name of Owner( 4.'z:........Alli*+L-Address •r"..;:r;•.,�•.,s•..ra.. ...:..:.t.../r?4-[:............ . f �........ Name of Builder/' f. .. " ......... Address �fi "* ^�, /-'�,7 G�........... ............................. ......... ............ . .7........................................ ..... Name of Architect .............................Address .....:. ........................................................................ l/ Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. FireplaceApproximate Cost .. �l.r'f r C`.................................................................................. ........................................................ Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ...'.. ....:.:..............:..:.... ..... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. -���e Name,_1<,.. :f..... -! ��`�.f:.. .....:....... v .. . � Y Grmao» Laurie C. & Eva M. &=327~31 ° ^ 20194 enclose patio No >=°,---. Permit for -----.------. � ` � .� . � ----'' ----------' ' � z 40 Washington Jb/mmom Ext. � -�c-flion —.—.--------.,.--.------ ' uyaznuzm � ----.-----.---~...---,-------. ^ / Laurie C. & Eva M. Green ' . � Owner ..... . ' ' frame Type of Construction .......................................... -----.....—..---------------.. � ` Plot ' ` M Y 9 78 ` � Permit Granted � Date of ^~r~^ \ , Date Completed \.................................19 � � . PERMIT � ^ � ............ ' � .................................................. -- .................. / �x� ` Approved ................................................ 19 -------------^'—^~^^^^—~`^^—^''' ----------'~—'~-----^--^—^'—^' ` | '--'-