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0422 WEST MAIN STREET
III ,� I IKE Town of Barnstable .�, Expires 6 months from issue date Regulatory Services Fee y24 Ztf * r * Geiler,Director • saxtvsrasi,e, Thomas F. , Mass. 039. �.� Building Division ACED MP'�� Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.nia.us Office: 508-862-4038 Fax: 508-79II=6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY _ / r Not Valid without Red X-Press Imprint Map/parcel Number as% a � CQ Property Address t/.Qa &A;S'f Ma-2; 1t //i�✓I�N� -- OrResidential Value of Work �Wq Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address I`ddu A XCC a Qt� ' q (-n Ld esq Mai'A s WY-4d4;S Contractor's Name e�t�S�)06 �A e � Telephone Number Home Improvement Contractor License#(if applicable) /.) � ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 'P ESS PERMIT ❑ I am the Homeowner 21-have Worker's CompensationInsurance JUL 1 2008 Insurance Company Name 1 f d ed Y °' OF B"R N STABLE Workman's Comp.Policy Ll ©& Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [�Re-roof(stripping old shingles) All construction debris will be taken to L-�(�n ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ' ❑ Replacement Windows/doors/sliders.U-Value (m um.,A *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 nt Contractors License is required. copy of the Home Improveme SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 F'M tf • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation-Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organizationnndividual):�,B.SE�� .,/.4G/tt - D Address: LA KeLdyo4 art City/State/Zip:AA?-we c 4 M.A. Da(, q S Phone-#: 0 O_3 y ` Arse y ox an employer? Check the appropriate box: Type of project(required): 1.L`J I am a employer with 4• ❑ I am a general contractor and I 6. ❑New contraction 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'. 9 Building addition [No workers' comp.-insurance comp.insurance.t require] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or addition mysel_ [No workers' comp. right of exemption per MGL 12,6Roof repairs c. 152, 1(4),and we have no 13.❑Other insurance Iequire, .]t employees. [No workers' 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 submt this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. Y__Mt=tors that check this box must attached an additional sheet showing the name of the sub•contractors and state whether or not those entitirs have employ-- if the sub-contractors have employees,they must pravidt: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. f Insurance Company Name: l I&A�� Policy#or Self-ins.Lic.#: W C a z^t S 3 4.a 1? 74 ®4, 1. Expiration Date: 2` fy f Job Site Address:q c-k O eS4 tM,4 114 6+ City/State/Zip: �. A iS /1 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to socure 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 WA for insurance coverage verification. I do here rtify un a ams-and penalties of perjury that the information provided above is true and correct. Si afore: D Date: Phone# Official use only. Do not write in this area,to be completed by city or town officW City or Town:' Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk C Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• '' r 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 of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificates)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 L.LP 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 Towu 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. addition, Please be sure to fill in the permit/license number which will be used as a reference number. In a ddi n,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 io 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 Massachusotts Dcpaztmont of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 TO. #617-727-4200 ext 4-06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06. www.mass.gov/dia 'I - t oftHergi, Town of Barnstable " Regulatory Services Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02661 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 61fl�iNC� as Owner of the subject property hereby authorize Ja JAe-4,4 to act on my behalf, t in all matters relative to work authorized by this building permit application for: (Address of Job) r - ALA h/ Signature of Owner t ate Print Name. Tf Property Owner is applying for permit please complete the Homeowners License ExemP tion Form on the reverse side. , � N . z Town of Barnstable - optHE Regulatory Services satuvsTear9. . Thomas F.Geiler,Director MASS. ��� Building Division PIFD MA�p Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 ww v.town.barnstable.ma.us Office: S08-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building 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 1om,I-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, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certification for use in your community. i . NOTICE - NOTICE TO TO a EMPLOYEES .ri EMPLOYEES - The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts,02111 617-727-4900 - http://www.mass.gov/dia As required by Massachusetts General Law,Chapter 152, Sections 21, 22& 30,this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: LIBERTY MUTUAL INSURANCE CO NAME OF INSURANCE COMPANY PO Box 9102 Weston, MA 02493-9102 1-800-762-5026 ADDRESS OF INSURANCE COMPANY WC1-31S-342974-038 04-26-2008 04-26-2009 POLICY NUMBER EFFECTIVE DATES MARK T VOKEY INSURANCE AGENCY (508) 945-3535 NAME OF INSURANCE AGENT PHONE # PO BOX 1247 WEST CHATHAM MA02669 ADDRESS OF INSURANCE AGENT JOSEPH JACINTO DBA SEASIDE, 3 LAKEWOOD DRIVE EMPLOYER ADDRESS EMPLOYER'S WORKERS'COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and'reasonable hospital and medical services in accordance with the provisions of the Workers-Compensation Act. A copy of the First Report of Injury must be given to the injured employee.The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury.In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TORE POSTED BY EMPLOYER Nlas.achusctts - Dcpartrncnt (it'Public tiafct% (� -t�ammrviur�ea� t .-%[aoJac,�uc6p�6 �i B(ru'd of Building Re-ulatirrns and Standar'dS Board of Building Reg Construction Supervisor Specialty License ulations and Standards License: -CS SL 99163 HOME IMPROVEMENT CONTRACTOR Restricted to: RF,WS Registration 138539 Expiration 4/11/2009 Tr# 128737 JOSEPH JACINTO Type. DI3A 3 LAKEWOOD DRIVE HARWICH, MA 02645 i SEASIDE ROOFING AND SIDING JOSPH JACINTO 3 LAKEWOOD DR E 'HARWICH,MA 02645 Expiration: 10/7/2011 Administrator ( uuuni..i�uicr Tr#: 99163 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 269 032 GEOBASE ID 17338 ADDRESS 422 WEST MAIN STREET PHONE HYANNIS ; ZIP - a LOT BLOC{ LOT SIZE _ DBA DEVELOPMENT DISTRICT HY PERMIT 33599 DESCRIPTION MARCHANT MEDICAL SUPPLY (16 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS; and Environmental Services TOTAL FEES:r $25.00 BOND_.. ._ . $;00. . TlIE CONSTRUCTI6N COSTS $.00 "�•� '753 \'-MISC. NOT CODED ELSEWHERE * BARNSTABLE, • MASS. ED MA'S UILDING DIV SIONI" (BY, DATE ISSUED 09/25 1998 EXPIRATION DATE`- �-�`� G ,The Town of Barnstable -� Department of Health, Safety and Environmental Services MAMBuilding Division µ�Ct 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector 33619 9'9(� -1,Q Application for Sign Permit Applicant: Assessors No. �4 Y,a Al Doing Business As: j�/�C JT / /E°�/�i3� uyP�y Telephone No. 75® / Sign Location Street/Road: '? Zoning District:_/�/g Old Kings Highway? Ye�Hyannis Historic District? Yg6o Property Owner Name: / 4/4� /iE'©, `iE� Telephone: �J ���/�/ � Address:, 0� /14W.(141 c5� Village: AINV"wi. Sign Contractor Name: �lb t1 �� Telephone: 775-26 D i c Address: 73 C�=��� �� Village: �6�J5 c Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Y /No (Note.ffyes, a wiringpermitis required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. 4 Signature of Owner/Authorized Agent: �� /t.A �r P,G.� Date: 1 17-1-11 D y 1 Size. jD ! /4 X p Wi�e` lI Permit Fee: ��a5 Sign Permit was approved: Disapproved: Signature of Building Official: Date: A• 1,��� Signl.doc V 9/�3/yam ' fjte y 60SUP LTI D T„ - 4 Q G 3®" o � Proposed sign for: Marchant Medical Supply 422 West Main Street. Hyannis, MA 02.601 Requirements: 1. Photographs attached 2 . Wall sign 3011 x 96„ x 3/4" White background, Black letters 3/4" white painted plywood,black vinyl letters cross section shown at right 3 . No bracket, attached to building with screws 4 . Sign application attached i _ Note: Replacement of existing sign from Nahatan Medical Supply. Back side of same sign to be used for 1 Marchant Medical Supply sign. f pRn d � � Ct M Proposed sign for Marchant Medical Supply 422 West Main Street Hyannis, MA 02601 Requirements: 1. Photographs attached 2 Wall- sign 30" x 96" x 3/4" 0 White background, Black letters 30 3/4" white painted plywood,black vinyl letters cross section shown at right 3 . No bracket, attached to building with screws 4 . Sign application attached _ Note: Replacement of existing sign from Nahatan Medical Supply. Back side of same sign to be used for . j Marchant Medical Supply sign. ,u w Maloney Kathy From: Crossen Ralph To: Maloney Kathy Subject: RE: need SPR?? Date: Tuesday, July 14, 1998 7:38AM No, only a site plan showing the garage along with his building permit application. From: Maloney Kathy To: Crossen Ralph Subject: need SPR?? Date: Monday, July 13, 1998 5:40PM 1422 West Main St, Hyannis Owner says he's in HB zone. Downstairs is a store, upstairs is an apartment. He wants to add a 2 -3 car garage for storage for the apartment to use. Does this require site plan review? Let me know and I will call him. K (Mike Falkson 781-440-0740) � Page 1 TOWN OF BARNSTABLE, MASSACHUSETTS BUI-iLDIN ` ' MIT r _ DATE '' - � 19 PERMIT APPLICANT ADDRESS •i}ra::J ti!i i (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO ( ) STORY - NUMBER OF OWELIING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) ' `'- �' ZONING DISTRICT '- INO.I (STREET) — BETWEEN AND e (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: .. _�i J. . ! AREA OR VOLUME "` '"') '' ESTIMATED COST y l.` ' )`1 PERFEE 1`- (C URIC/SOUARE FEET) OWNER ADDRESS - if,' _— BUILDING DEPT. BY ® THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN IRE INSPECTION To LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. _ POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS G J I HL=ATING INSPECTION APPROVALS ENGINEERING DEPARTMENI v I 1 _ OTHER BOARD OF HEALIH V, 4 WORK SHALL NUF PROCEED UNTIL. THE INSPEC. LOM ?ERM17 WILL BECOME NULL AND VOID IF. CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE 70RHASAPPROVEDTNEVARI000SSTAGESOF IS NOTSARTED WITHIN NTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONS7RUCTIO ' IT IS ISSUED AS NOTED ABOVE. NOTIFICATION. T I ' .. Assessor's offioe (1st floor): THE Assessor's map and lot number ..sb. ..1� ............ Board of Health (3rd floor): Sewage Permit number ............ ............. ..1.0/'� ' Z BAHd9?dDLE, Engineering Department (3rd floor): ��Z J �000 Ay.a\e�� House number APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ... ..... �...........�..... Le' `'t................................... TYPEOF CONSTRUCTION ................ c......................................................................................... ........... ...........19. ._ . TO THE INSPECTOR OF BUILDINGS: a The undersigned hereby applies for a permit according to the following information: Location .. ........ ........................................................................................................................... ProposedUse ................. ........................................................................................................................... .....................Fire District Zoning District ..............�.............'..............'. ............ ....... :���, 5'............ .... ....................... � Name of Owner AOAL(?,'"... .... ..............Address dcr. G�' ,,aY..... �.. / �1.. .?� i.. . ................... Nameof Builder .G .. ,. ..... n................Address .................................................................................... Nameof Architect ....................... ..........................Address ........... .....y. ... ....... ..... . . .................................... Number of Rooms ..................................................................Foundationil../. � . !� Exterior . ..... . .. .. . ....et..................................................Roofing .......... .... . .... . . ... ............................................... 7 Floors .... .... . . ....................:........................Interior ...... Heating ...GrGC.................................Plumbing .......... . . ............. ........................ Fireplace ....................1...' ... ... ...............................................Approximate Cost .6z�j .... ................... Definitive Plan Approved by Planning Board ________________________________19________ . Area .. ... ........... .... Diagram 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 5�'L Cal 1 ............................. ..... NXTHAN DRUG, INC. No 3.1.4.8-9... Permit fbrl.'qgN=T-,-.-B-LDG._- ...........Commercial..................................... Location A.2.2...Ma...............................................in Street . ...................HYAaais.....................I..................... Owner ........Nathan... Dr Inc. .......... ......i4.g .1.......................... Frame Type of Construction .......................................... . ............................................................................... Plot* ............................ Lot ................................ Permit Granted ......P-e*c*emb'er....1.0.L...19 87 Date of Inspection ....................................19 Date Completed ......................................19 Assessors offioe .(1st floor): Assessor's mall .and, lot number � ..�.�.C� a-.. �Q�oF fHEtO`o Board of Health (3rd floor): MUST CONNECT TO TOWN SEWER „ SewageP,;Orrnit` dumber ... I ............1 ..... ;% ' .¢��� Engineeri (3rd floor): z �L 'oo NAB& \� Housen ry .................... ............ . h......... 0 YPy •;. , APPLICATIONS''°'PIR CESSED 8:30:9:30 A.M. '.and 1:00•2:00-P.M. only, TOWN OF BAR.NSTABLE BUILDING I•HSPECTO N APPLICATION FOR PERMIT TO ........ .. .. .�n ....... ........ ................................ - TYPEOF CONSTRUCTION ......................................... . '.lC ................................................................. 4 ............. ................................19 TO THE INSPECTOR OF BUILDINGS: r / The undersigned hereby applies for a permit according to the following information: Location .... / . ............W2 ST� � a 1.........2 , ... r ez? l �5.......................................................,...... ............. � ProposedUse ........Q,I.rx...b.p.................................................................................................................................. Zoning District .... 7.. Fire District .............................................................................. Name of Owner ....A14Avl.y,7..... Y✓.. .......,C..............Address A Asp Name of Builder �o�z`p.h......... lys..o,�l.....................Address 0Z �fCeSlVL,o ....Wr.......1%les ....cCn7rrv✓1� I .. Name of Architect .. .!"!>.��..... �........�`?.A��r .........Address .. ..Z.....C.� - r ..... `'S1i �ti�'i✓✓C�i... ................. ` Number of Rooms .......... .......................................................Foundation .. 1�5� /1�,5...................... ..... Exterior ......6/h.jr.&C..s.-V....................................... .....Roofing ...... ✓0 .......................................................... r+ Floors L� 1. ' 17f0............................... y ...;.Interior .....A/F y.l,✓���......... 1 .........,.Plumbing_............: ..... Fireplace ....................................................°......Approximate Cost ........2, goo .................................................... r Definitive Plan Approved by Planning Board ---------------------------------19-------- • Area ................. Diagram of Lot and Building with Dimensions Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ' e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction. Name .............. . . ...... ..... ... ........ ..... ................ Construction Supervisor's License k< . .t 1'... /� HATAN DRUG, 1NC. No Permit for ALTERATIONS .................................... Single Family Dwelling ..............I.......................................................... Location c.422 West Main Street ............................................. ...........Ily .............. .................................... Owner Nahatan Drug, Inc. ............................................... ................. 4 Type of Construction .......Frame....................... . ..................... ....................................................... Plot ............................ Lot ................................ ranfe'd .........july..3Q............19 87 Permit G ........ Date of Inspection ............................ 19 A, Date-Completed .........I q?( M i Cl> L7 ✓ C\) Assessor's offioe .(lstoi): —� s Assessor's ma ''a;nd, lot number ....���.... Vi c. .. p . . � ♦ . Board of Health (3rcf floor): Sewage .Pesmt' ?umber ................ j L BaaaSTODLE, Engineermg` lt: atpIgnt. (3rd floor): -�, 90 rasa yZZ &L F _... i639' �. House nr�rfJ r+ & ......... APPLICATIONS-''PROCESSED 8:30-9:30 A.M. and 1:00-2:00- P.M. only TOWN OAF %BARNSTABLE Y BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... '...� ...... .... V .. ....... ............•_ TYPE OF CONSTRUCTION . ............,......,..,....... // •........... ................. ...... .-....19 TO THE INSPECTOR OF BUILDINGS:nt The unders,ig'ned-hereby applies for a permit accordin to the following information: tIlk f Location ..... IX.. ...............✓�ST...�.I•rn..........�1`Y�:r°T ,.'� �.,iS..S............................... ........ ProposedUse .......: ... •................................................................................................................................. Zoning District ..... ..... .. Fire District........... . .............'. .. .................................................... f l/w vi cn�..... r�/ - h /3G N h r ,/ Name of Owner .... ......�... ..... ....�... C.,........::::..Address .....( �i...�t?�!rt.......�.. NOv�,moc/, Name of Builder �Qs��J�?... ... IS4n...... `` ..:. ...,Address ..../.3.�-:......z!kc°5 �° .....�Y......�^/PST, ....�r'!r�rvif� .. ... /. Name of Architect . "...!)V)....��?�............�...... ........Address ..� �.....1"�.!.✓.�.��P....r...............`!5�.....fTt!h✓�rCLi Number of Rooms .......... ...-...........................................;...,.Fou.ndation ...Ca.(rs9``':...:,w:`:....,...: Exterior ......r/., ......... ...Roofing Floors ..11.....................................................:..:...:Inior ..... Y .(,!or................................................................ . ; r4 Plum qb ing 2....Heating .e :.vl71 ..... ".. . .. �.:.i " # Fireplace .. /,cT1n✓................................................... Approximate Cost ........�. 00,12 .......................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area .................... Diagram of Lot and Building with Dimensions ., Fee SUBJECT TO APPROVAL OF BOARD OF HEALTHY ,_' .. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS <� � f IIA I hereby agree to conform to all the Rules and Regulations of the Town of ,Barnstable regar in the above construction. `-�1 Name..... z Construction Supervisor's License ... ✓.1.!�:?................... NAHATAN DRUG, !NC. A=269-032 No 31036 Permit for ..a TE.RA.T.I.QS .N ... .. .... .. . .. .... ........N.a.ha.t.an...D.r:4g......T.pq.t.................. Location' .......4.22..West,. ..Main...S.t.re.e-t.. ...........4y��iqnis .............. .................................I.......... Owner .......Na.hata ..Drj4.g.,..jjjq.?............. .. ..... ... . ... Type of Construction ...Frame......................... . ............................................................................... Plot ............................. Lot ................................ Permit Granted .....JulX 30, ............19 87 Date of Inspection ....................................19 Date Completed ........................................19 Assessor's offioe (1st floor): Assessor's map and lot number ............. yof tNe Tod` Board of Health (3rd floor): ;Sewage Permit number ......... .... ................ ..�/) Z 9AR33TME. i Engineering Department (3rd floor): `t ZZ- moo rb 9. 0� 4-Iouse number .................................;...................................... '°�Fo waY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR 4 APPLICATION FOR PERMIT TO . . ...t............ !f/u .................................. TYPEOF CONSTRUCTION ...................... 1. ..................................................................................... •........ ...........19. . .. .. TO THE INSPECTOR OF BUILDINGS: The undersigned` ...... .............. hereby applies for a� permit according to the following information: ...............Z...Location �r � c\ � ` ........... ... .. . ............................................................................................................................. ProposedUse ................5.,�....... ...P../�..,:(��,..�!........................................................................................................................... C' Zoning District i / '�........................................Fire District ................... . S- ............................... ... . ... .................... ...................... AOT&V.PP/W. Name of Owner ........:.....Address ......4.f:-�/......... �. l�/ , Name of Builder ...............Address Name of Architect, /iw........ ..................Address ......... ...... ....... ........ ....................................... r— (�y f Number of Rooms ............�................................................Foundation ..... .. �.......................................... t Exterior .i...... .. ..! ,..................................................Roofing ........'.... /..i..... .......................................... Floors ���./1)A {.........................................................Interior ......—.... .. .. . ..... . U ' Heating .......................... .............................Plumbing `� .....................................-........................................... Fireplace ....................A 11 11 .................. ...................... Approximate . Cost .6./.l:.J.l.19 .........`.�/r........................ Definitive Plan Approved by Planning Board ________________________________19________ . Area .. 1.1. ...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH fw�p r 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. TJ Name ...... ............................................................... Construction Supervisor's License NATHAN DRUG, INC. A=269-032 No 31489 permit for „Convert Bld Commercial .......................................................................... Location ....422 Main Street .............................................. .....................Hyann.is........................................ Owner ...,.Nathan Drug, Inc ................ Type of Construction Frame ............................... Plot ............................ Lot ................................ Permit Granted December , .................................10.. . 19 87 Date of Inspection ....................................19 Date Completed ......................................19 err W7 � 4 7�r ,� , , i � �� I .:. :-.,..�: -___ �.. - --�;..-- :-- . ,, yZZ �/E3T /��ti,✓ �T G C u' C i i� -�� POI S? .�� . -1 t s ,,,��`r. .•t , a, •.^, , _ , __ ,� � ' 1 ��- W .... �_ � P' 1 i � e �J J l}~C���lF E � - i i .t:. J r i 71V7 ti ��� � � �w �..�--�'" � i R7 i,� ! �` L..,, .R ''�r.. Fy, � � 1 � � .�> �� •� r _ ;. , z .���;:, �' T �ti ' P- �,� ti..� "Yin. � r• +� .�•, aw r�� - i �--- �, .� �� N. ,.. - �` ......�, p �. /���c�"r �t-����� s�P��y �z2 �r���t�-� s- � 1