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HomeMy WebLinkAbout0029 WINDSHORE DRIVE i �I i ;r �oFI►te r � ®dvn 0� Barnstable 'Permit# O Expires 6 mont fr n 'ssue date Regulatory Services Fee RARNSPABLE, + r� MASS, 9 Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www,town.bamstabl e.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 Wt,km�>>�1O �L�J ��LtAtan3ti� [Residential Value'of Work �4 0_0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&AddressOt_ a-t vy Contractor's Name . 1�J i✓t�l Telephone Number SOBS Sc> L41, q L-j Home Improvement Contractor License#(if applicable): Construction Supervisor's License#(if applicable) E�Workman's Compensation Insurance. X-PRESS PERMIT Check one: ❑ I am a sole proprietor D❑ ,_ 2009 ❑ I am the Homeowner []�I have Worker's.Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# 41t:2 3! S 3 3 is `/ 0 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)'P"' ,Re-roof(stripping old shingles) All construction debris will be taken to 4aAt-oy ni ❑ Re-roof(not stripping. Going over existing layers of roof] ❑ Re-side #of doors .Replacement Windows/doors/sliders.U-..Value (maximum.44)#of windows *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 &Construction Supervisors License is . ..required. 3 SIGNATURE Q�� Q:\WPFILES\FORMS\building permit forms EXPRESS.doC Revised 090809 The Commonwealth of Massachusetts 'Department of lndustrial Accidents O,j,�tce of Investigations 600 Washington Street Boston,MA 02111 www.mass govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ' Please Print Legibly Name(Business/ anization/Individual): Address: , City/State/Zip: M 4 ® (0 �p i{ Phoae#: - Itre ypu an employer?Check the appropriate box: 1. I am a employer with_— 4• ❑ I am a general contractor and I Type of project(required): employees(hill 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. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have worker's' [No workers'comp. insurance comp.insurance.$ 9• ❑Building addition required.] 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. Plumb' myself ' ❑ mg repairs or additions y [No workers camp, right of exemption per MGL 12 Roof insurance required.]t c. 152,11(4),and we have no ❑, mPa employees.[No workers' 13.❑Other comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonr stion. t Homeowners who submit this a@idavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating ouch. $Contractors that check this box must attached an additional sheet showing the name of the sub,contrsctors and state whether or not those amities have employees. If the subconowton have employea.they must provide their workers'comp.policy number. I am an a nployer that/s providing workers compensation Insurance for nry.employees: Below is the po&y and fob site information. Insurance Company Name: Lx i3e J4, , Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address:2!P1 c `(E►tvt�h S City/State/Zi P Attach a copy of the workers'compensation poUcy 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 up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fire 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 DLA for insurance coverage verification. I.do hereby ce under the pains and pen es of perfpry that the information provided above true COMM Si tune a Phone#: �� Uf c l use only. Do not write in t area,to be comp ete y c or town official City or Town: Permit/License# Issuing Authority(circle one): t. Board of.Heaith 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector, : , 6.Other ti - Contact Person: Phone* � , WED 14:28 FAI 588 -;812i 8 DOWL' EG & 0?.N EIL 16 1001:DOl .r 1/14/2009 9:'S,9 PAGE 002/002 ' LMG t �Mut ual Croup LibP" Mutual. PA Boo<S►m Dover.NH 0382'1-SM Tcicpbmp(8013j653-78513 Fax(603)-245-5330 14,2D09 ' 'i•J w1i H.9LLSQUAItE ' X-MOL'IF3'. M 02840- CeMffeateat Workers Compenaatim rsummoo ....""red) QLrMKC-,LLY g PERWRINE LANE SOUTH YARMOUM MA 02064 v Number: WC2-$1S 338801-0Z8• Eff ctiret 1yf 25f 2008 7BXr-iMtiC n: .12f 28/2M afforded under lW%dcets Conrseanytxon I svr of e-m fv:towir_g sta�x(sj: ,;;�>lo�s LL�bllitvflstnsix�: . Cif1 �0f7�`�lf :rf �C'd3V4�i`r`!CI-(]d-` -•f:,>n;'utv,3p Accident 100,000 Sea Acculcat ?ae vorkers'corsipcnsadon :=a: 43ilay byDilmw ' $I00A00 Etch Parson y does nctprovidc �ovcr$ge lot: --oily in;uz}•l y Dismw so0,000 pe1lcy Limits O3 MS-my ti-cr,y =bis dwe,d1e,Eitawe-refmwed poligrbolder is la-•urrd by Liberty Wow Fire[nsarnnce C.o 'Le policy listed above. :rsurance affionded by the listed policy is subject to al!the team,es_usian,-and contiitioas,rnd,lu not r 4d by ary requimmeay t04m or con&lion of any o:oter doctmmts with respect to which this sficate tttay be issued.' etificate is-issued as s.mattes of infom d;on cmly and eo:f-s r_o si#a upon y014 the aertif sate _! TN's cettificAto is noz_on.inss:tftce pcd:cy and does not amem,end,or alter the corew& '.:-Ta'3 by�iC p7,(1Cy lt5lCC10.b4YC. , pol<cv is Gtncelled before the statzd eqiratictt dater Ldbact/Miuml via endeavor to notify you h: .crt•.Cuipe?laliant >- � i L>1aM=UUTUALDAnSURAMMOROUP we . ....�esiGmeuexaeeedbyl�$FSIfI�SURiALIIv'808A�iC&l3ROL't*oemq�saaALrnmeeoa►L�Ta�ded�pr:Douemm_wala. , '.. la8tt.t8L1: '" �pdGlpe<�RCCOrC� • L,'�rEA I�ELGY SA,OPIP R LVSURMICEAGENCY INC :'EP.EGiv1�F LgNE 12EXTE"RISE ROAD :CA,TfiYAXMQy*-NIA U'-.W HYAWM ISM 0260? ulaVons an an ar s Boar o ui mg Meg tl One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 128957 Y g Type: Individual Expiration: 6/14/2011 Tr#. 28484i Oliver Kelly -- — - Oliver Kelly - 9 Peregrine lane — -S. Yarmouth, MA 02664 Update Address and return card'.Mark reason for change. Address Renewal 0 Employment El Lost Card DPS-CAI 0 40M-08108-DBSLIFORMCA108212008 ✓/- �- i 1a uea(1�aBoard oS o "fit-,gau � License or registration valid for individul use only. u HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 128957_ One Ashburton Place Rut 1301 Expiration''6114/2011 Tr# 284841 Boston,Ma.02108 rYPe:' Individual Oliver Kelly 1 Oliver Kelly777 t 9 Peregrine lane Not valid without signature South-Yarmouth,MA 02664'`' Administrator KELLY ROOFING ` 9 PEREGRINE LANE SOUTH YARMOUTH PH/FAX 508 775 4498 MA. REG.# 128957 MA 02664 okelly52nu,comcast.net LIC.#99167 AlvR lgU 6(/S7h . 29,2009 INSURED Proposal submitted to Carole Shine of 29 Windshore Drive Hyannis Ma We propose to supply all materials and labor necessary to remove and replace the existing roof at the address above. All debris to be removed to town transfer. 8"Aluminum drip edge to be installed on all eaves.(White) ` Ice and water damage protection membrane to be installed on f rst three feet of eaves and around any protrusions `Remainder of deck to be covered with#15 felt paper. 1 30 year limited warranty Architect style shingle to be installed. (Color to be specified) Bathroom vent pipe boots to be replaced with new. Ridge vent to be installed on entire length of all ridges with hand nailed caps. ,Protect all walls,windows,decks,plants and shrubs etc. during roof strip Complete cleanup of property including gutters and any nails picked up. Obtaining of town permit. At a-total cost of$3400 .; Payment Schedule; 50% at project start,balance upon completion. Respectfully submitted, Oliver Kelly Proposal accepted by, Date /2A /2009 If acceptable,please sign and return one copy and keep one for your records. This proposal is valid for 45 days from date above, beyond which please'call for verification. x ift, "' M i5tiuchuett� Dc���artmcnt of Put lic Siitet� r, of Buil in�r 4 g Regulations and Stand�rd� -� ! Construction Su ervisbr.S ecialf L rcense P P Y License: CS:SL 99167.> !; ° ReStncted to RF A 3 .. + f OL`IVER KELLY f 9.PEREGRINE'LANE x SOUTH YARMOIJTH MA02664F', z v' Exp16ation;-�9(28/2011 E. . 1 l 1 Engineering Dept. 3rd floor Ma / Parcel S� Permit# g g P ( ) P �/ ! _ House# jou eacL .9 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ` ) Fee d��n _ IS--, Conservation Office(4th floor)(8:30- 9:30/1:00'-2:00) - �� IA��"�` `s,)° t Planning Dept.(1st floor/School Admin. Bldg.) �v® �c®�r �� DeJinitPiroved b Planning Board 19 �. ��r`�� PP Y g F RARNSTABI:�: MASS. Iv®TOWN OFBARNSTABLEBuilding Permit Application Prress / '7� �s , 1, F Village___ e2Z& ,.4.0 Owner ®� � �, Address ,V Z��CL'jz-,n n Telephone Permit Request t - a- First Floor square feet Second Floor square feet Construction Type &and Estimated Project Cost $ off' Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 0--�Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 1�- o On Old King's Highway ❑Yes ❑No Basement Type: 3Tull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) — Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing—;2 — New Half: Existing New No. of Bedrooms: Existing_�2 New Total Room Count(not including baths): Existing First Floor Room Count Heat Type and Fuel: ❑Gas 6T1f----❑Electric ❑Other Central Air ❑Yes Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) one . ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name db6ki Telephone Number 0? Address License# S' / Home Improvement Contractor# Jl,7a Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING F OM THIS PROJECT WILL BE TAKEN TO SIGNATURE , DATE BUILDING PERMIT DE IED FOR ,HE FOL ING REASON(S) � � r.. - — + — FOR OFFICIAL USE ONLY PERMIT NO. 4�IL DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER • • [ 1 1 t i I A ; ' [s•e - - - [ a. - } t t .l}, - • [ f,.y: DATE OF.INSPECTION:' FOUNDATION -7 ' FRAME `' ,' ; INSULATION FIREPLACE - ELECTRICAL: ROUGH I FINAL PLUMBING ROUGH ' FINAL GAS: ROUGH FINAL - - FINAL BL=LDING ' DATE CLOSETOU, ASSOCIATI09�PJLYNeNO. i s ux'iv h tkiwil3�t4 � $ 'by g 4, u!fyAfk11 ,l�ad x Di"m � r•� A , t tl , i F { _ • • �P. �� �.: du�p 1� q�."i ui���'� :iY��fi�i�J "��` r� s'� _ • ty'l��y'� '�rI,��� ." ,r tie�l ��a l�Irt YA. y( ku i~ � g laqy I•,>��� � ffll + _ ,��Ir h���1 ��'�.:��S,I lIt IY.`l P1�q�'�I't� � �y��► I � i � Y F�� to� C 5'`.`✓• d ' p �r' !``1¢ � T��'� ",!�r*try a� i r tt 9 z� �S+ j t �I }yq,5 �I 131rtL�4i{k'�„��`{tiS?� k�'•q��y C ;my- P.MMN- t, It 1a � • � I �;t 7F }"� 9+ t•1 ({ S I r ! r L UPS D� �- a' i I t r ^\ / ( o s x i 6' h �3 I --a Jr, I i \ j f 4 i t ¢ G � '��i�yF��i „dr��" 01 ., IIMOM •FwWyv. it`y ,., y YS. )' CM w)A ......T iT'�`t iK _k �'� Ci�'�f•45. � N. ''�1ae -Parivraonu�ea�i �✓�aaoac�ircaelGs � , l . OEPARTTIENT Of PUBLIC SAFETY ' CONSTRUCT O SUPERVISOR LICENSE NU61-0 Expires: - Re try d10 x- ; ea - MICNAEI J DINOIA 32 OUTPOST"LN " - CENTERVILLE, NA 02632 lip .. airTfl!T� The Town of Barnstable 41 9RAMMAIRMS','AP-q-I ' Department of Health Safety and Environmental Services �. Building Division 367 Main Street,Hyamtis MA 02601 Ralph Cr=en Office: 508-790-6227 Building COnlffiLS Fax: 508-790-6230 For office use only i Permit no. Date AFFIDAVIT, HOME IMPROVEMENT CONTRACTOR LAW } SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: 4.i �1 -ate Est.Cost � Address of Work:, SP c - Owner's Name Date of Permit Application: °2 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner puffing own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME ff" OVEMENT WORK DO NT HAVE ACCESS TO THE ARBITRATION PPRGUARANTYRA OR GARAGUARANTY FUND UNDER MGLO 141A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of e owper. o. D to Contractor Name Registration N� tion TI�c• CIJJJIJIlU/11i'cul!/r of:lt[lssucbusctir Deplrrtnictr1 of Industrial Accidents OficP�lhyes�lgallons \�_��:{_._f • 61N1 !f uslihigwrr Street _ Flo. Btatorr..'I fuss. f12111 Workers' Compensation Insurmnce Affidavit - -- .• -- •--- - . PI P v i !tc•tnt rnf rm inn- -• - - -- - - -YZ C ncr.ri n• - n. hnn•e I a iomeowner performing all wort: myself. am a sole proprietor and have no one working in any capacity _ ....._ ___.___...---_ -,......,..._.ter� �-.s--------_•-------- I am an ern piover providing workers' compensation for my employees`working on this job. rnnrn•rns• n•trnt•- �tlrlrrcc• ftt�" e110eC�' r � incnr-tnrr ^n nelic� t! I am a sole proprietor. seneral contractor, or homeowner(circle anel and have hired the contractors listed beiow "'ho -z the Oilowin_ worker compensation police:: enm11-7711s• n•ttnr- 9[Irlrrcc• i ctr`" inciir^nrr rn neiicc'd cmmnnn% inrnr-- 7[Itlrrcc• rir�•• nftnnc i�• Helier• incur-nrc rn _ Alm"ch additional sheet if necc_aarv. �.�I• v.y�. : !..�ienr ...�. • _..T._...a�....�v: -:� ._. F:oiurc to secure co%-crace as required under hectton—"'A of AIGL in can lead to the imposition of criminal penalties of a lineup to SI.SDU.UO anurur unc 1 errs imprisonment a, %cell:ts cit'ii penalties in the form of a STOP NVORI:ORDER and it titre uf5100.00 a dad•against me. 1 understand that copy of this,tatcrncat ntnt be furss'nrdcd to the()thee of Investigations of the DIA for coverage verification. I do herent•crrrii•it/ rrir at pettaltirs of perjun•that the information prorided above is true utt cvrreet Si^r.aturc 1 Datc Print name Phone# •.'•ofTcial ux nIs• do not ss'rite in this arcs to be tompleted b�•cir.•or totrn otTciai ' f cin'or tnc n permit/license d r"Ttluildinc Department KCLicensinr. unard L chcci; if imtntdiatc respunscis required C,cicctmcn'N URcc �• ,. Cllcatth Department r contact ncrsnn: phone rt• nUthcr_�— Information and Instructions ' Ma!;sachusctts General Laws chapter 152 section '5 requires all employers to provide workers' ct►mPetis.iti0l] etnnioYces. As quoted from the "law-. an efnph ree is defined as ever}' person in the scn�icc of :utc►(l cr untie: contract of hire, =press or implied. oral or-written. An c•nrph)i-er is dcfncd as all individual. partnership. association. corporation or other legal entity, or an}' two or the foregoing cnun_ed in a joint enterprise. and including the legal representatives of a deccascd employer. or at. recci%•er or tn►stee of an individual . partnership. association or other fecal entity, employing employees. Howev- owlier of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of the do eiling house of another who employs persons to do maintenance ;construction or repair work on such dwelling_ or on the __rounds or i)uilding appurtenant thereto shall not because of such employment be deemed to be an el— MGi_ ch:►pter 152 section 25 also states that every state or local licensing agency sItalI withhold the issuance or ' 11,:t1 of a license or hermit to operite a business or to construct buildings in the conimunivenitfi Car any ic::nt who has not Produced acceptable evidence of compliance with the insurance covernbc required. ,A(iL.:ionnily. neither the commonwealth nor any of its political subdivisions shalt enter into any contract for the per,�Jmiz.ce of public work until acceptable evidence of compliance with the insurance requirements of this chap:: ace:: presc:;ted to the contracting authority. Appiicz,nts P!:=se '►1i in the workers compensation affidavit completely, by checking the box that applies to your situation Z:- su�civi _ cotncnny na►nes. address and phone numbers as all affidavits may be submitted to the Department of 'ndustriai accidents for confirmation of insurance coy erage. Also be sure to sign and date the affidavit. Tice iati it should be returned to the cin• or town that the application for the permit or license is being requested. r, :,he Department of-Industrial accidents. Should you have any questions regarding the "law" or if you are req_:- .o ubtz:n a Nvorkers' compensation policy. please call the Department at the number listed below. - Ple��c be ;ure tha: the affidavit is complete and printed legibly. T1te Department p ace at tine boric^ has provided a s tine :-'cayit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P be _ : to fiil in the permit/license number which will be used as a reference number. The affidavits may be returne -:te D,;oartnnent by mail or FAX unless other anan_e, nts Ilave been made. The Cfficc of Investigations would like to thank you in advance for you cooperation and should you have any quest: piease do not hesitate m _•ive us a call. The Dec-an;;nenr s address. teie-hone and fax numbe. Tbc Commonwealth Of Massachusetts Department of Industrial Accidents : : 13 Office of Investigations `» 600 Washington Street Boston, Ma. 02111 fax rr: (617) 727-7,749 _ ,ihune =. `61-) --,7_4900 c::r. -106. 409 or _ . TOWN OF BARNSTABLE 200b2 Permit No. -------------------�----------- Building Inspector $$400 00 �,anru Cash OCCUPANCY PERMIT Bond ---------___-_-_-------__-- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, 'or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Capevide Development Corp. Address 300 IyanouSh Road, Hyannis lot 614 w 29 Vi.ndshore Drive. Hv€iani.a Wiring Inspector r / Inspection date / Plumbing Inspecto �- — ' Inspection date Gas Inspector � � � Inspection date Engineering Departments Inspection date 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. f r . 19.. t. ......�... !!: .............................� ................... . ............................. ................. ........... t;Building Inspector P, cr � 1 } \I /CJb •v b co i loa oa • /.? A. -• .., tfAX?-E'4 w � n CEV-TtFtE17 PLOT F�./2lw . toGATto� E-lY A+�ats •. I Gt;4ZTiF14 T"AT Ti4F-- "tp+J 51.044j►.3 PLA�.J YZ F~EREI.lC. W-,-Z *o&4 COAAPLYS VJITN Tt-tE-'- SIDE.t.lW& AWE> SeTt�,ACV WC-QVi2EME:WTS OP TMe -TOW►J RA'tC, �� �' _ .�...-� .� `� BQXTEt2 �. ►.sYE i�.1G. RCGis t'c-.tZ�=n 1...A.1�•tt7 SUZ.V�.�fo�.S T�-t 15 C7�.A►1J 15 4.toT BASEC� ti+,.l A�.1 GS S EV11..t a �trC:S�r. iWSi'Cc1�E�JT SOZVV--`f .4 Ttar- U;'G-5r--rS 5l4c lJLX> pPLt C�.►•IT ` i l.1OT BL- U'SLco To DGtC-.zMii.IC ► O-r LiWaS _Q��IG� t7tS.TA , TAIL-{ FLOW _ Ilb .< S s 330 �•Ptx ;.. USA- t bC7p r POSAL F'IT • USE loco G4" " ' too% ? 2Q'k is. Ur--WA Aef=A. _ lSc 5.1=. l CxP f. w "Z S SO Sri: K l .0 _ C�.p D: i r .O M DISf[ -T ! t, P TOTAL' 'L�ESIGiJ d25 G.vD. i {'E k ,,. ! r. �O'' H 4' a 'MT&L balLNf FLcww * 3 6,P.D. ;� f } � :� ' .� , � 1 r�8 . 14 ! r 3D P2GDL&T101,1 QATE OF IN 10 `r i) I WILLIAM yG�� 1 ' /off ALA T. L I i (s N C. N Y E _I No. 19334 ) } �.I �O. , .....rs.; 1'EFt OQ. 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A►p�'W1pE' — --�-- __-- _ _ ___ M. 4.IF'11f1 f1 Y•Of J. ,1 ` .�rs�.—. r Assessor's map and lot number SEPTIC SyST � Sewn a Permit number i�ll�S I 9 ...... 4.............I�............................... � INSTALLED IN COMPLI AI.�" @NITFI CI_ ARTICLE If c"I t:- T"Ero o T'�F TOWN OF �BAR��� �rT, fp ♦w , . i BJHB9TODL& pY 1G39 BUIL:DING INSPECTOR Op•F , a` APPLICATION FOR:PERMIT TO ........A-A� ...:......:.. ✓ P.�,/�/,�(/ ........... TYPEOF CONSTRUCTION ' ............................................................................................ F L� ..K— .............19. TO THE/INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .1....... ... � ./ /� �.....getr.......r 'e6!'J ......................................................... ProposedUse .... .�� ✓..�i<.�jj�Cj�' ...................................................................................................................... ........... Zoning District .... 2 .....................................................Fire District ..�:/ `! l�..... ! /.. :?e ...6'ar......... Name of Owner ... 1 ... ..�r� ...........Address ........... IJ...................................... Nameof Builder ......................................:.............................Address .........................:................................................:......... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........e5r..................................................Fou.ndation ...........��...�®.d!C=..:...................I.............. rr............... .........Roofing .............. . � ... .. Exterior ..............��C�J... .................. .f'�!�/�'��..................................... Floors ............. /. .. .............. .......................Interior ....... . /� ; !✓. .................. Heating /'...r... ' �. �...:�............ ................Plumbing ... j.. Z-r..:......... Fireplace ...... g14 :..................................... ........Approximate Cost ........ . ............................. Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ....e��................. Diagram of Lot and Building with Dimensions Fee Z_ . ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ! d I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding the ob ve construction. : � �-�_/© 7MZ No 'l . . . ......z ............................ �`7 7 Capewide Dev. Corp. .No l�ermity for one• •s•iio .V... , s .ngle...famil�Z...dz��1.1i g. ............... w Location ....29 ..Uin:dsrh•©re •Dr• ve. ..............................Hyan i•s. ............... .. .............. Owner .........C.ap w•id•a• .D•ay. i - TYPe of Construction :.............. . ae3. ......... F, - `.... r. r Plot .............:.. ...........Lot ......... •• ..1........... t , 1 r Permit Granted............---,April...3.. 19 7£., r -.Date of Inspection .. .. ......©�. t Date Completed- ' �/�......... ......19 t PERMIT'REFUSED a ....................................... ` " r • _ � ' /.... .. .... ................ .. ........... .............. .r • ..®`�.°._.. .�.............................. ° nl Approved ... . ......................................... 19 ...... ..... Assessor's map and lot number ...............�::�...... aid /�c At j� _7� Sewage Permit number -r °*THE Y° TOWN OF BARNSTABLE V 89S$9TSDLL i 9� Q aY. \e�, BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... �.. ..`.... ......f1 :...:°.. / as.................................................. TYPEOF CONSTRUCTION ........................:............................................................................................................ { � 17 �. ,' .. ................19.f...:: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: " Location ..... .... ...!� !.•e. : r. �::.'.F .......t�...... -` :.:.�r'r1 'r : .................. ProposedUse ........ �:...:...':.//,!: ........................................... ............................................... f. Zoning District ...... ... ......................................................Fire District ..f :; e {�. ., ............................. Name of Owner ...f,{*�:lr � rf'... �� .............Address�..................'•�lr /l fa!r � . ....................................... • . r � + F Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ............................................ ....................Address .................................................................................... Number of Rooms � ...........................Foundation ........... '. r'... r..!` . ': :................................:...... f. Roofing ......................................:....... Exterior ............. ..........`.�.......................... ....�.........�,�F Floors .... _.. , ! { .� a►✓"�� �c :.......................................................Interior ........................................................................ Heating ..............'.................................:!..................................Plumbing .....................•...`... ................................................... Fireplace ............. ..'.. ..!.........................................................Approximate Cost ......... :... ........?....................................... 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. r Name-lnP.:- . ................................... Cuyew Corp. �=�7l-lZ�� | ' ^ No -.--�Q it for .......oo/a.... to -'' ' � . ' ' �� ^ � ____���g��=°- '.�wxa�}�y�e--'' - ' -''= � Location .............29'.Kin(isl*s-r-e''J)s`' e- � ...........................Hy.ai i a ' ................................. � Owner -..--/Coppw1d..-...DuaV-,- - Type of Construction -----..�r | ---- ' " ............................................................................... Plot ............................ Lot ..................#]�....... / Permit Granted --- � '.�� �]...3........... 978 Date of Inspection ---------.--..l9 Date Completed ...................................... � � PERMIT REFUSED � -'' ''y.......r '--'- � ~� ^� ---'--,�..................''--'~-''`° ---- p ' --.-~-.-...-.---..-,..--......-......-. '~^-'--^'`'~'~~'~''^^^~^'`'~`^^^'^-^--`^^-'' Approved ................................................ lA � ' '-------'--'---''-^`^^^^'^'-^^^'-^^~' � '------------'----'---^-'-^'-'^^ |