HomeMy WebLinkAbout0032 WEST HYANNISPORT CIRCLE 3� GuzrrH+m�.��s��- ec
*Permit
Town of Barnstable
s•. F THE Tp Erpires 6�gmmonths from issue date
,,,�,,B1� : Regulatory Services Fee s
r� MASS. Thomas F.Geiler,Director
039. �0
'�Fo►�+' Building Division X.PRES FTE ` .
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street. Hyannis.MA 02601 w N O�f 7 2 0 0
11
Office: 508-862-4038
Fax: 508-790-6230 TOWN OF SARIS iABI
EXPRESS PERMIT APPLICATION
2 Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address2
Residential OR ❑Commercial Value of Workc�°ti�
Owner's Name&Address
Contractor's Name t � - Telephone Number� 76 ` LIS
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
ErI have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy# to(A 10 O G2_$00 6—
Permit Request(check box)
�e-r o*of(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc.
Signature
exptntrg
•
�lae
Board of Building Regulations and StandArds
License or registration valid for individul use'onl}
F. HOME IMPROVEMENT CONTRACTOR j P
before the ex iration date. If found return to:.
Registration. 128957 Board of Building Regu!,tions and.Standards
One•Ashburton Place Rm 1301
s Expiration 06/1412003 ;
r Type Individual Boston,Ms.02108
Oliver Kelly
Oliver Kelly
i .. 503 Main SLUM 8
i Yarmouth,MA 02673
Adibinistratclr �A Not valid without signature
21
THE
TONN OF BARNSTABLE
BARNSTABLE,
NABS
1639-
BUILDING, INSPECTOR
APPLICATIONFOR PERMIT TO ..............................................................................................................................
TYPE OF CONSTRUCTION ......................................................................................................................................
.............................
TO THE INSPECTOR OF BUILDINGS:,
The undersigned hereby applies for a permit according to the following information:
Location 4A.7.......
ProposedUse ...................................................................................................................................................
ZoningDistrict .........................................................................Fire District ..............................................................................
Name of Owner ...........Address
Nameof Builder ................... ...................................Address ..... ................ .. ......................................................
Nameof Architect ..................... ........................................Address .......................................................................... ......... .
1
Number of Rooms .........7
...........................................................Foundation ...... .........................
Exterior .....W. .............................................Roofing
... 5. .............................................................
`
Floors ...... . .1p ...................................... jo ..1 Interior ....
............................................................Plumbing ........ .........................................................................
Heating /.........<./-
Fireplace ....... ............................... .....................................Approximate Cost ..... .....................................:..............
Definitive Plan Approved by Planning-Board ------------------------------19--------- /�/o O �'
00'
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations off/thhe T...wn of Barnstable regarding the above
construction.
Nam. .................. ............ ...............................................
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Jackson, log (
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I6o66 I 1/2 mtoznr
No .................. Permit for —.---........--.......-
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West Hyannisport Circle . '
Location— ---------------------'
=wan�^i^port ^ .
--------------------------'
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Lee Jackson
Owner ---____—_____________— '
!
frame
Type of Construction --------------
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Plot ---------. Lot ---'�.�-----.. '
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4 19 73 �
y� Date of Inspection —�^�—�
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PE0MM REFUSED ' |
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Approved ................................................ lA
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