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HomeMy WebLinkAbout0191 WHITEHALL WAY — /9� l�hi�eha¢c� wc� J \� r.� Town of Barnstable *Permit#aMOOD&[i 5� O Expires 6 Ih s t Regulatory Services Fee , " ` snxtvsrAei•E• : Thomas F.Geiler,Director MASS. Building Division iOrEo ru<" Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY - Not Valid without Red X-Press Imprint Map/parcel Number �� Property Address Cl') IL t,�j? lAluAli Residential Value of Wor + Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address - Contractor's Name 6,49.� r GRPl7)9Iy� Teleph one Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance one: -P S CPERMIT m a sole proprietor WI the Homeowner AUG — 4 2008 have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Q/Re-roof(stripping old shingles) All construction debris will be taken to .o�'r`. ❑Re-roof(not stripping. Going over ' existing layers of roof) ❑ Re-side replacement Windows/doors/sliders.U-Value , )31 (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: J C, Ak 7 `4 T'iQ it , .,. Q:Forms:buildingpermits/express Revisedr 123107 y ., The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apnficant Information Please Print Ledbly Name(Business/Organizadon/Individud): L-7KN 6•( A o4. Address:- (off -b(z g,-T �-- - City/State/Zip: Phone-#: �` 77q - Jb A�eun employer? Check the appropriate box: Type of grof eet(required): 1. a employer an 4. I am a general contractor and I * have hired the sub-contractors 6. El New construction loyees(full and/or part time). am a'sole proprietor or partner- on the attached sheet 7• � g ship and have no employees These sub-contractors have g• Demolition and have workers' woAcing for me in any capacity. employees9. ❑Bui]ding addition . [No workers' camp.-insurance comp.insurance.$ 5. We are a corporation and its 10.❑-Electrical repairs or additions 3.❑ I �hOmeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself[No workers' comp. right df exemption per MGL 12.❑goof repairs insurance requusd.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp,insurance required.] `Any applicant that checks box 91 must also fill out the section below showing their work='compensation policy infmmatian- t Homeowner who submit this affidavit indicating they w-e doing al work and then biro outside contactors must submit a new affidavit indicating such. tCantactOFM fbat check this box must attached an additional sheet showing the name of the sub-contractz=amd state whether or not those entities have employees. If the sub-contrazwrs have employees,they moat providt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. -Insurance Company Name: 1 Wit; r � 221 174 V 7 y 12-l - Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: Gl� lrl- (Ti � A I�,,a T City/Stakmp: VA-1VA.N OaLn Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Fail=to si cure 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 maybe forwarded to the Office of _ Investigations of the MA for insurance coverage verification. I do hereby certify under the pains•and penalties ofpedury that the information provided above is true and correct Si e• C 4, Date: Phone d#• �wk-- ILA b 1 Official use only. Do not write in this area,tb be completed by city or town official City or Town: Permit/License# Isming 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 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 conhacting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conftWtnr(s)name(s),address(es)and phone number(s).along with their certilicate(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 Bp 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 gown 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 aurnber 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 onp affidavit indicating ciarent 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 fiiture permits or licenses. A new affidavit must be filled out each year,where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to buffi leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would film 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,trlephone•and fix number. The Commonwealth of Massachusetts Dgwtnent of ladustdal Accidents office of Investigations 600 Washington Street Boston,MA 02111 TO. #617-727-4900 ext 4-06 or 1-977-MASSAFE Revised 11-22-06 Fax 1'#617-727-7749 www.mass.gov/dia u r; . n� ✓/ze i�a�nmwrau�eal� r�✓vlaaoac�iu4el� .. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 123659 Expiration: 3/25/2009 Tr# 127200 Type:. Individual Gary C. Graham Gary Graham 66 Brant Way. Hyannis, MA 02601 Administrator t a Town of Barnstable WWWABLE Regulatory Services �FCMi`ys Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 Section If Using A Builder as Owner of the subject property hereby authorize �'�/g to act on my behalf, in all matters relative to work authorized by this building permit application for: 91 (Address of Job) - i Signature of O er Date W11 �' e Print Name Q:Forms:buildingpennits/express Revised 123107 Assessdrs'offiids Ost floor):a ; THE �- t Assessor's map and lot number ......�..� ..'.....�:�..�....�� . SEPTIC SYSTEM MUST BE oF o� -Board of H"Ith (3rd floor): 3 I.?R.' � '"' INSTALLED IN COIIAPLIANC SeWbde Permit number ...... ..:��.a _- TITLE 5 >; BafiasTABLE, Engineering Department (3rd floor): # :; ;3' ' ®E Aug. goo A0a WT 1�L t �i _ENVIRONMENT L "639. �0 House number . .. Ate:.. j ,..... . .. ... ,,In N REGULATIONS c Yav a APPLICATIONS PROCESSED 8:30;9:30 A.M. and 1:00-.2:00 P.M�onl :. T®� TOWN, . OF BARNSTABLE`� BUILDING -1 PE-CTOR APPLICATION FOR PERMIT TO „ TYPEOF: CONSTRUCTION ....... ... ..0..0. ........... ... l.:.0.......................................:..... :. ................ 1 " b r t ....19 ... TO THE INSPECTOR OF BUILDINGS: The undersigned her by applies fora rmit acc Odin to the ,following information: - r aS Location ....C. ........:..... ............. (. ...�. ...�.t ..4.............. ....G/�C'G.���. :............................ 1..� �... ! ...Proposed Use ..............S�., r ...............................A....... ...........................: .. Zoning District ....1. ...................:.....Fire District .....�.... -s 4., ...:........ �.. Name of Owner ........ ...� 1:� c.Address . � n � 7,,, G. ..>......I...... .. ...... t' ll t. r . Name 'of Builder ...... .:1(J�.! .��......................................Address ................................:...................:................:::.........:.. Name of Architect ..................................................................Address ........................:....... ...................................................... G.Number of Rooms ........ ..............Foundation. CJ. '4l{...... h.�1��'. `j,� Exterior ..v`l -...S. C.I .. ,J.�.S......�..... Roofing ......... .. . ....F'1 .L••• .. 4�. .........,.......... ... /Floors ..... .... ( .. ........ G�Cf..�..................Interior ...... .. ....:e�T. i'4C 'I ' �./Y.L-. .. ..1.. t�_r._�Heating.... ........ ......:/ :.:.4��:..... ..... G-S.......:........:Plumbing ...... .. C^ .1^- .................................... Fireplace ..........:........................................................................Approximate Cost ...:.... L .! ..:........ .I................. Definitive Plan Approved by Planning Board _____ ______ _Gl- cb19 Area Diagram of Lot and Building with Dimensions Fee " L'�..."7e............. SUBJECT TO APPROVAL OF BOARD OF HEALTH p pd' �? �c - �C 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 .....: 4.. .......... ... * ' Construction.Supervisor's License .. Q� c1.: ....... E,GREENBRIER CORP. %AL ; �sr.. No 30-36.0.. Permit for ..Oi�7e...Stor.Y........... �* S n�le...F'ami.ly..Dwelling............ t Location Lot 17 191 Whitehall Way :....:........Hyannis................... ti. Y nbrier Cor } ' Owner .......Gree....... P.s..................... TYP"e of,Construction Frame ................... ...... ................. .....+.......... .................. - �h /• _ J "`' j' c• ' .y Plot'..F! ....� Lot .................. ......... r j; Permit G anted .....January..:$.'........•.19 O 1. _ Daate of.Inspection....................................19 Date-Comp eted Z ...:.. ........19? f �� 7 D, �3 8 r ;- rk 5. Assessor's offioe (1st floor): r� 20 .. �!� {' QFTMftO♦ Assessor's map and lot number .................................. .............,�� Board of Mh"vlth (3rd floor): SewAe Permit number ......,. �-�... .�.4�.a. .�Z' L 216I MBLE, Engineering Department (3rd floor): '°o KU 0� House number .'t..::........................... #.).r'�•.�......A,+L'.lyi........ YP 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 ...�/...................................... TYPE OF CONSTRUCTION ...... l'� ....,f' C t. l.P................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit a ccording to the ffo'llo)wing information: Location ........... �....... ,.... ....:.. ��..... t=,........................................ Proposed Use ....:..y,).�.1/!� /P..../.;./;..! Xece...........................J............ ................................................................... Zoning District ................r' f ...............................................Fire District ....,/....... fl,/l i ................................ )p Name of Owner -� �r�.� .. �,<.r .. C/f �..Address .���,......r..... c?.2�.... �Q... '.d1. T"l Nameof Builder .......:.N,,.4,..✓..7�1..Q........................................Address .................................................................................... Nameof Architect ......... .......................................................Address .................................................................................... Number of Rooms ......�..�....................................................Foundation �C�C�..f^���1.....�Cl.!/1.C.,.�E':�.��.... Exle for J.......... (4.1.Gil ,. .5 ......r!,�.) ..Roofing .. 5......!!�. / ... .. ......................... Floors .....(,J.. .✓'7 ./_.,...../...(./...... .C,r... n. ..................lnterior .... J....... E..c`.:!..1C .......................................... � �- �. r / rieating ...........,...,......�..0...... ........�-..�.................Plumbing ......�....._....�.�.!^.:5......................................... Fireplace ..................................................................................Approximate Cost Definitive Plan Approved by Planning Board ___________ _17_C��,_ 19_ Area ......................... .J Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH `� cc--� �G 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 ........1!%�/�//l�� G Construction Supervisor's License .. .1 .. ....... r GREENBRIER CORP.. A=272-192 -2-2 No „30� 50 Permit for ....One Story Sin5le Fami1X Dwelling Location .Lot...#17 r 191 Whitehall .Way ................Hyanni s............................................. Greenbrier Cor . Owner ........................................P........................ Type of Construction ........Frame . ........................ ............................................................................... Plot ............................ Lot :-:�............................. Permit Granted January 8 , 87 .......................................19 Date of Inspection ....................................19 Date Completed ......................................19 + of f ���•.v+^4.ti/ - � ! i !A!I .n�ll�q�.�i I nn iU.l• .ww.w.1 ..,s..q a r, *}ail r� S5 ;r �+ ' �..r 1 W 9} I ` N a 't {{ I TE44,A L.L WA\ Lo7 3� Lo-r gj • IrZERTIRY THAT THE r . x/ SHOWN-ON THIS PLAN ISSN of LOCATED ON THE GROUND R013IN AS INDICATED,. ` -"� DATE a'REGISTERED LAND LEVY a ELDRE E �c�T�SI�v� E C���� CLIENT . , ,. ��d"k'PSb=a '.., ^..fr �w. r. .;' "'•n r" S-.', p`a ENGINEERS —.LANDSCAPE ARCHITECTS JOB PLANNERS-* LAND SURVEYORS = DR,.BY 4. I N t t 1 . '`pA t 88.9 WES"1" MAIN 'TFET .. CENTER,JI LLE, MA, Q2632� ��,. '. . . . - w '�� ' � 12 ► T SC ►t*E' DATE' 1J t it TOWN OF BARNSTABLE 30360 Permit No. , ' BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ............,... uv■� HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #17', 191 Whitehall Way Hvannis, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING 'INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. t-larch 2 5, 87 .......................... . 19......... .... .. ................. , ............. Building Inspector i t3 I y ..� °�. TOWN OF BARNSTABLE BUILDING DEPARTMENT MYt TOWN OFFICE BUILDING HYANNIS, MASS.'02601 I MEMO TO: Town Clerk FROM: Building Department DATE: `3�' -7 An Occupancy Permit has been issued for the building authorized by BuildingPermit #......».» J D 3 »».......»...»................................................».» issued to 1� D»..................................».# !',,�,�/�?i�z» sG 4/�¢ Please release the performance bond. c IITOWN OF BARNSTABLE, MASSACHUSETTS I, B UI LDO G" PEVRM I T DATE 1 19 ii! PERMIT ly®7 APPLICANT .)1�SV1:`:1' ADDRESS -'-` :..iJ� Y>c:1_�C•! is(1 t�I I `'i,t { 1 } IN0.), (STREET) - (CONTR'S LICENSE) Dwc )_l_Lil<..` 1 li. .i.;. t Cti;i1.!_''' 1iL-Iij±.Li.i1�111MILIR OF NG UNITS PERMIT TO O STORY r (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) t.t, T AT (LOCATION) �JL �tl / 151. 1'rllll-a.li:i..a...� 'd�i}1 i,:/ul :," ZONING DISTRICT— INi{('-i 0.) (STREET) BETWEEN AND (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) la err✓G- iU REMARKS- LA' AREA OR i J i(y • ; PERMIT VOLUME ESTIMATED COST ��5/ t)LIJ• b0 FEE 54 . UU (CUBIC/SQUARE FEET) -OWNER Gruunbrii-'r Corp• . ADDRESS BUILDING DEPT.1• 0• 1_SU'f: J ��/ C!r.il'LI�YV 1..� .�.. BY ,ter 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 CARD KEPT POSTED UNTIL FINAL INSPECTION HAS E3EEN PERMITS ARE REQUIRED FOR 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 INSPECTION TI 70 LATHE 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 3 S HEATING INSPECTIO APPRO ALS ENGINEERING DEPARTMENT L _____OTHER_ 2 .9 �y �@.b ®8 ry BOARD OF HEALTH lio WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. F.PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. 1 r V *A t=_►> Lo re , ZONE 12C-1 �.. CN. 71L-: �1RT �1L.C�-, 125, FRot "IACTF_ 30 FROr SE-CRFaC1� 4 15 SID�YA RD �i I'S'.REAR S�rBACK. LoT 'L S LOT I7 y� LoT ��DAV I D P. �!'g z� a F MARIAINO (A CIVIL 2y m No.31115 �O rGiv seer c W `Fr J5 58 100,70 Esc°vc °' T��` �w s I t\ a V) ti sT , aox -2 W r �.,� Piz IL R:52.Sb / 2S CP W�Iir PALL WAS (so, V41ca p�+.\1PTE Way) LEGEND EXISTING SPOT4�` -- EXISTING CONT01JR --- 0 --- C!:``lF!D PLOT PLAN FINISHED SPOT ELEVATION FINISHED CO'd 'oE3R LET /7 - Wlf/TC 4LL W ,�NOTE: The location of any existing underg, d sewerage, wcl,ls, or other utilities shown on this hlan .is approx= IN imate only as determined from records and/or verbal 13ARN3TASLE (Hy!}NNIS�, MA information. '1''ie contractor is respons .';le for .the verification of the existing locations in the field:`' ' SCALES � AIL Li DATE cI 12y 18G LEVY & ELDREDGE ASSOCIATES, INC. CLIENT CxRfEtJ13i2 ,_ I CERTIFY THAT THE FROPOCED JOB NO. N041 BUILD11,0 SHOWN ON THIS PLAN' ENGINEfrRS- LIIP'rI.SCAPEARCHITECTS CONFORMS T'V THE ZONING LAWS r PLANNERS- LAND SURVEYORS ()R,BY1 A.A.M. - 0 F-BAMsyzP,lj , V A S S. 712- R^'A It N S TR E ET CH. BYr' H Y A N N I S, MASS. -------- SHEET OF 2 DATE REG. LAND SURVEYOR A' r. 5.•. f i Y� r'S Y '�rr� F:.' y l. 7 77— tn '•R 3�h St f,. f 4 ��,, 1 V+4..• �d _y i.'d f J2(p. J`!, Q©a #rl �' �y � � f �^72t✓. Nis M r�E S 1 4I X f e - (� / '•-�n, ram, U c i� ,�� u• ��+ }: U ° h p 'M WA\ .r t Lo7 "7 Vft - - ° } E I iCERTIFY THAT THE SHOWN ON THIS PLAN IS ri • LOCATED , THE { D Y 1 A. k + 13 AS IIoIIDIC T t �� �_ Zf • {• � 4 GISTEa Q �;� ,�a IA D�T • °.. EGI .. P,,x s, Aft : iwo LEVY. a ELDRE E ASSOGLATES,I NC. v CJENT } f �' Y:�G.INEERS - LANDSCAPE ARCH.IT;ECTS JOB I ��'� `�°"^ L -a Y+ J PITANN,ERS LAND SURVEYORS..""", ! , ,Z �S p^.�/gge��p *} �g�ew� _TAy _ ps�o� ep� 1p�'' �j x• � �`�y'f7�yq mr/y®° ��gyp+- i d� 3 kissl a! P ''r. .i I��I, �f�I Eb.e VHKIP.@,m Y, � n: S �Y V•� O P �i Fe�''ay.°+.w r�� � w !r 2: p .,1 .:1 .`! li! µ. _I ... •.. «. e .. r. 1 r_..,. . -,. .. 7.'#::, e.is @4 �� A.' + Wh-I l-F- {, LL. WA\ Cs�l• Lo7 317 CERTIFY THAT THE SHOW ON THIS PLAN IS ��,►�" of . r LOCATED ON THE GROUND..': Roem AS INDICATED". 341a ' LANO 7 L DATE REGISTERED LAND SURVEYOR LEVY &.ELDREDG.E ASSOCIATES,INC. CLiE,fVT C RETI 'I D PLOT. PLAN j .ENGINEERS - LANDSCAPE ARCHITECTS: . JOB NO �R$ SAND �' � �, �� • RLA► N ,7 5URVEYOR�. DR, BY ,•�. I il•hi1.}4 l' 'I '�' iiltw � ' 4 • 'N ..1. , i. ,11 889 wE§T MAIN MEET CHKQ,p:Yl CEN �J �E I LLE, M�1. •�C32 ' sME�'r.. ,.,fit~.1. sc�►LE� i DATE, 2 I e Assessor's office Ost floor): f Q < Assessor's map and. lot number .r...:............................. .... .. - o Board of Health (3rd floor): Q �T ED IN C U 8. . . 1 :,Q..:.BD 3 T Sewage Permit number ��I�` AHS9TSD , rasa Engineering Department (3rd floor): 1 / �J�• LLclL House 'number ............................ .... ..`....• Definitive Plan Approved by Planning Board ______ ___19_ Vr�� APPLICATIONS PROCESSED 8:30-9:30 A.M. •and 1:00-2:00 P.M. only _ TOWN; =0F BA- BUILDING I N S-P ECTO R = APPLICATION FOR PERMIT TO /9G✓� /%11�.Y.....7CJ.M.� TYPE OF CONSTRUCTION :f�W 'f�l A ...:::..:....................... .....:............................:............... ............ .... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. L.,:.!V/..1./... J��L..........4.�. f.: ......... ....... .............. . Proposed Use .... �.�.... ... Zoning District .......... ............:Fire District ..:........:,.:.....:..........:..:......... I Name of Owner_ l/�'/5. ��u!ldPc �5.� .........Address .� � �✓ ��C./l�i'}G,C....�y.t¢.�.. ..... .. c ................... ...:.....Address .... .,................... Name of Builder ......F� ...... .................... Name of Architect ..... Pr. :..........:Address ..... ... .... ...... , Number of Rooms ........... ........................................ : . ........:Foundation Exterior ..�r� .....sh:!.'7>/.�..................... .............. ...Roofing. ......1`'�. �° l.�r .., ! ..`S�7!.?1. 2...... Floors �'/�fJ�iP��:T.......................................:.........`........Interior ..5. .......................................... . t•� Heating 1 ... ./T�T ../ 11 .......� -5 Plumbing .......r .. - k Fireplace ...L`!Y/,5; /✓4�.................................................Approximate Cost .........1...o..Q20 ...................................... " Area Diagram of Lot and .Building with Dimensions Fee. �• : . .................... 5`7 • ti •OCCU.PANCY PERMITS :REQUIRED FOR NEW DWELLINGS I hereby agree to conform .to all the Rules avid Regulations of the Town of,Barnstable'regarding. the above' construction. NamV &xr, Construction. Supervisor's License ..............................:......• J e. SAUNDERS, DOUGLAS & DEBRA ! No .3.223.3•..' Permit. for Build Addition , .................................... y ......•... Family..Dwelling..... �:9Location ...Wkjitehall Way ..... .... ......Hya i?nls.............................. ......... r,7 Al Owner ...Doug..las• & Debra Saunders .................................................. Type of,, onstruction Frame... IA ............................................... .......... .✓, 1. Plot �/ ........ Lot ................................ ' Se tember -6 88 Permit"Granted ....... .L?........ ...........,.....19 Date of Inspection .Date Completed ................ . ...... .......`19 r V �� t '.n. - `. ,:'��. t� fig Z Y t 4� �• � '' rn Arl IN is