HomeMy WebLinkAbout0116 WINDSHORE DRIVE �/� �r��{.shor� _
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I
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Town of Barnstable *Permit#
Q Expires 6 months from issue date
Regulatory Services Fee L35 ,
Thomas F.Geiler;Director PRESS PS
RMIT
Building Division
Tom Perry,CBO, Building Commissioner APR 17 2012
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403.8 TOWN OFRARpg�t
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number'
Property Address ^ 1 ,(�/► ! !
/1 Y � n C1 �1n r'1 f P 1 1r ���G�n/� 1 �• 1 to R ,
Residential Value of Work L:�6�� Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
ALI AA P+ 6
Contractor's Name c Telephone Number
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
❑ I have Worker's Compensation Insurance
Insurance Company-Name ;
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must.accompany each permit.
Permit Request(check box)
�] Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken tom
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers.of roof) `
3
❑ Re-side ❑Fence over 6'
#of doors 'Z
Replacement Windows/doors/sliders.U-Value 0 3 0
(maximum:35)#of windows 7—
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 cop of the Home Improvement Contractors License&Construction Supervisors License is
requi d.
SIGNATURE:
'Q:IWPFILESTORMSIbuilding permit forms\EXPRESS.doc
Revised 051811
I
c/
-1 + `°'
The Commontveahb of Massathusei f
DepaphnmtofIndushialAccidena
Off we of Imestigadons
600 FPaoington Street
Boston,AA 02111 .
n v:mas&grrvfdia
Workers'Compensation Insurance Affidavit:Builders/ContracturrrsTlectricians/Plumbers
Applicant Information Please Print Legibly
Name(Business.�Y�.,��,,i�, 71
"'b��'���1- Sa�� C7C2►n nc>0�,
Address: 11 , W r d s w b C-
CiW tate{Z p_ ( t?Z to c3 Phone 4 7 -'S(oz` 3(ogq
Are you an employer?Clieck the appropriate boa: T o#project r
4. I am a Type ( equired).
1.❑ I am.a employer with ❑ general.contractor and 6_
employees(full andlna part-lme)-* have hired.the sub-contractors ❑New construction,
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
s These sob-coutracturs have- trip and have no employees ❑Demolitior!
working far mein any capacity employees and have wodrers'
9. Building addition .
[No workers'cow;insurance comp.insurance,.$ ❑ g
mod.] 5_ ❑ We.are a corporation and its 10.❑Electrical repairs or additions
3.X] I am a horneommer doing all:croak officers have exercised their 11.❑Plumbing repairs or additions
rr
`` yself [No wcrkm.'comp-' right ofexemption per MGL 12.❑Rmfrepaim
insurance require&]3 c.152,§1(4�and we have no
employees.[No woricers' 13.0 Other'
comp insurance required.]
'Any app&=&zt checks box#1 mast also fill out the section below showing th&wozkere com4mmsation policy ioformstiwm.
I Homeowners who submit this affidsrdt indicating they are doing 211 work Lud dm hire outside contactors mac submit a new affwdaw k indicating Such.
?Contactors that check this box must attached an additional sheet showing the name of the sub•cnmftxtoas:aud:mu whethm or mat those entities have
emphriees. Ifthestab-contactors have employ-%they must Provide ttwir workers'comp.policy number.
lam an empinysr that is providing workers'compe►tsalion,insurance for my employees. Below is the policy nand job site
information.
Insurance:Company Name
Policy#or Self-ins.Lic.4: Expiration Date
Job Site Address: CitylState zip:
Attach a copy of the workers'compensation policy dedara#ion page(showing the policy number.and expiration date).
Failure to secure coverage as required under Section 25A of MGL e. 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 fine
of up to$250.DO a day against the idolator., Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA far insurance coverage verification.
I do hereby cartr; under the_ its andpenahNes ofpiedury that the information,provi&d a is taus and correct
Si tore: mate:
Phone#_
}� area,to be completed by city or town official
Q ciai rise only. Do not acrrts in this a .
City or Town: PermitUcense#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3.cityfrown Clerk L.Electirical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
6
�tME� Town of Barnstable
Regulatory Services
M AM. E ' Thomas F.Geiler,Director
059.+a``� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA.02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION•
Please Print
DATE: 1 /1-7— n'
JOB LOCATION: 4A As L 1)
W nnuum+ er street n ? n image
"HOMEONER": n n o n, _ 7 LA`D 3(9 -J(a d
name 1 1 home phone# work phone#
CURRENT MAILING ADDRESS: I
4 O-Ani S
ci /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 requirements and that he/she will comply with said procedures and requirements. .
SignpKreofHom_'ftXNner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code -
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as"supervisor.
Many homeowners who use this exemption are unaware that they are assuming the,responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner 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 form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\ENPRESS.doc
Revised 051811
* iARN9TABLE, •
039. 'Town of Barnstable
prEO NIA't A
Regulatory Services
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 F Fax: 508-790-6230'
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of Owner Date -
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the .
reverse side.
QTWHILESTORMS\building permit forms\EXPRESS.doc
Revised 051811
O-��3
zo °FINE r° Town of Barnstable Permit#
ir
Regulatory Services Fee
s 6 month om issue date
. -
+ BARNSrABLE,
v MASS. •� Thomas F.Geiler,Director
ATED MA'S A
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.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�� � �� , � (:An C)C=e ���- `4 Q_rs f\X
Residential Value of Work 1.Sbi> Minimum.fee of$35.00 for work'under$6000.00
r`— I_
Owner's Name&Address VkV\ C—:)
Contractor's Name e.1 Telephone Number —77q
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
PERMIT
❑Workman's Compensation Insurance X.-PRESS
Check one: �y .
❑ I am a sole proprietor )U N (11
rlI am the Homeowner TOWN OF BARNSTABLE
I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side n
#of doors of
�] Replacement Windows/doors/sliders. U-Value tom, (maximum .35)#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.
SIGNATURE:
QAWPFILES\FORMS\building permit formsEXPRESS.doc
Revised 072110
. The Common wealth of Massach usetts
Department of Indmstrial Accidents
� , Office of Investigations
600 Washington Street
4; j Boston, MA 0217471
r r www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): (No n
Address: \ 70 r t k
City/Sta.te/Zip: �4 a n n � I 4\A c7L(o o 1 Phone #: -7 q -7,(c2S „ a y
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2. ❑ I,am a sole proprietor or partner- listed on the attached sheet.t ?•. ❑Remodeling ~
ship and have no employees These sub-contractors have 8. ❑Demolition 1
working for me in any capacity. workers' comp. insurance. g ❑Building addition`
[No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
required.] officers have exercised their
3. ] 1 am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions
myself.[No workers' comp. c. 152, §](4),and we have no ]2,❑ Roof repairs .
insurance required.] t employees.[No workers'
comp. insurance required.) 13.❑ Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowner;who submit this atbdavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tConhz=rs that check this box must attached an additional sheet showing the name of the sub-contractor and they workers'comp.policy information.
I am an employer that is providing workers'compensadon insurance for my employees Below is the policy and job site
info attar. `
In nce Company Name: -
olicy#or Self-ins.Lic.#: Expiration Date:
b Site Address: City/State/Zip:
A ch a copy of the workers'compensation policy:declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead.to the imposition of criminal penalties of a
fine 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 fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the.DIA for,insurance coverage verification.
I do hereby c fy under the p and penalties of perjury that the information provided above is true and correct
Si attire: Date:
Phone#:
Official use only. Do not write in this area;to be completed by city or town offtciaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
r
• - J
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 certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to'obtain a workers'
compensation policy,please call the Depar went at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the-affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out iii 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 permitAicense applications in any given year, need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would hike 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. r�
The Commonwealth of Massachusetts ;
Department of Industrial Accidents
Office of Investigations'
600 Washington Street
Boston,-MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MA.SSAFE
Fax# 617-727-7749
THEr�0
Town of Barnstable
Regulatory Services
Thomas F. Geller,Director
Building Division
�Eoj k Tom Perry,Building Commissioner .
200 Mani-Sire A
�_.yes,MA 02601 . .
Wwsr-tomb arnstable_ma-us
Off e: 508-862-4038 Fax. 508-790-5230
HOMEOWNER LICTA`SE EXEhfPI701�' °
Plesse Print
ATE (� 11121 it
J n JOB LOCATION: l (`
11` , �l l n W I S t3
number street village
name home phone# work phone#
CUR.RENf MAILING ADDRESS: ��� �n 1 t1�l. r y Dr I Ltq—
a pawn states , ap rAdc _
The current examption for"homeowners"was extended to include owner-occupied dwc zs of six]its or less and
to allow homeowners to engage an individual for hire who does not possess a license,prodided that the owner acts as
supervisor.
DEF71 C)N OF 130MEo7vh'ER
Person(s) who owns a parcel of land on which he/she resides or intends to'residc,on which.tbere is, or is intrnded to
be, a one or two-fannily dwelling, atb ched or detached structures accessory to such use and/or fans structttres. A
person who constrgets more than 6nc home in a two-year period shall not be considered a bomaowner: Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be
resporisible for all such work performed•under the bw7ding permit. (Section 109.1.1)
The undersigned`bomcowner"asstnncs responsibility for compliance with the State Budding Code and other
applicable codes, bylaws,rules and regulations.
The undersigned'homeowner"ccrUt;s that,hclshe.understands the Town of Barnstable Building Dcparlment
rrriTrr"rlm inspection procedures and rg t;rrrr=ts and that he/she will comply with said procedures and -
re ts. �
Sign of Homcgwrrer ��.' _
Approval ofBuiIding•OtUcial .
Note: Threc-family dwellings combining 3 5,000 cubic feet or larger will be required to comply with the.
State Btulding Code Sution 127.0 Canstruction Control. '
HOIa:owRER,g EXEIy mbx
.The Code states that "Any homeowner perfmning work for which a bmIding parrot is required shall be =' npt$inn the provisions
of this section.(Section 1 D9.1.I-Licautag of canatroetion Suparyiscrs);proyidcd that if the hmnCaWMrr engages a pason(s)for hire to do such
work,that such Hame6wna shall ad as supervisor.-
=y homcawrn=who use this.==option arc tmawzre that they are unmurng the msponstbslities of i supervisor(see Appendix Q,
Rules&xegula dons for Lice*+ng Caastrvetien Superyisms,Section 2.1.5) This lack of zwa=c=Men r=ulm in serious problems,particularly
vhcn the homeowner harts=licensed parsons. In this caste,our Board cannot proceed against the unlicensed person as it would with r licensed
;upervisor. The:homeowner acting as Supayisar is ultimztely respons bla
To ensure that the hameowncr is ALOy awarc of hisJherresponnbnlitics,many communities require,as part of the permit application,
•rat the homeowner ccrtLfy that heshc understands the respaanbt7i tics of a Supervisor. On the last page of this issue is a•form c==tly uscd by
:ycral lawns. You may care t amend and adopt such a fortrs/cav5cx6on for use in your community.
THE r ti Town of B arnstable
Regulatory Services
i A/AT MA RTC j -
' MASS- $ Thomas F. Geiler,Director
A. . . _ Buildi
ng Division ,
.
To m Per rp,BuiIding Commissioner
200 Main Street,Hyannis,MA 02601
www.to w n.b arns tab l e.ma.us
Office: 508-862-4038 Fax: 508- 90 2 7 -6 30
Owner�Mus t *`
. Property •
m 1 e to an
d,P ..._..-{. _ d° Sx 'This Section .
If Us
.LYZ A Build er
as dwuer of the subject.'
hereby authorize to act on rap behalf,
in all matters Mkive to work authorized by binding permit application for.
(Address of Job)
Signature of Owner Date
Print Name
If Property Owneris applying forpermitpleasecomplete.the
Homeowners License Exem tion Fonn on :the reverse side.
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h.k:'r BL- USCD To DGTCZM -LO"r l.tWt=S. - .
a A y s9r's map and lot.'number / / ........... ...... Z
SEPTIC SYSTEM MIDST BE
F
Se m ... ........ INSTALLED
G; g WITH -A 'TITLE li STATE
�o�t Ero TOWN OF B A UN-�s�9- 17K]i K�,�;
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' 39 `•� ,..5 BUlLDIH Q Ar G INSPECTOR
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A'PLICATIOI ;FOR; PERMIT''TO .... ..... a �� '.... .r.................................................
{=+ TYPE OF CONSTRUCTION � .✓?�,r— ?. .. ...�......................................................
"
... .....1.9.. (
TO THE INSPECTOR OF BUILDINGS:,
The undersigned hereby applies for a permit according to the following information:
Location ..✓ ......' 1..:� I7..(: .....�J/L-............./�, ...............
ProposedUse ...4?1. t.e—z ............. ............................. ............................................................I.........................
Zoning District .. ...Fire District . .✓ .,,,,,,,.�`
r
Na
me of Owner .........
......,/.IGICC� (�G?�a� ddress ...............................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .....fJ- ....... ................................Foundation .....
/ �.. ...Roofing' ....... W., i� ..
Exterior .....:................. J/�
Floors ......1...�^C..�.. :...�............................................Interior ......w .............'1..................................
� /Heating �
!.�.. L �.���� ��%. ........................Plumbing ..................................................................................
Fireplace ................:./...........................................................Approximate Cost ......_,R.f5.... ...................................
Definitive Plan Approved by Planning Board ----_-----------------_---------19________ ° Area ..........9.e .2-..................
Diagram of Lot and Building with Dimensions Fee
.................d............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
ti
i
I hereby agree to conform to all the Rules and Regulations of the Town of Bar sta,b�aJ regard' the bov
construction. . c-�
Capewide Development Corp.
19919 Permit for.,.....9A.P...A XQxy.. p �
&3�tgls..;f�mil�t..dw,e].ling...................... !
116 Windshore Drive _
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Location ................................................................
`....................Hyannis........................................
Capewide Develo merit +
Owner .................P..........................�.................
Type of Construction frame
.......................................................... .................
Plot ............................ Lot .......#27..................
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Permit Granted .......February 2 19 78
Date f Inspection ...................: 19
Date Completed ....... . . ... ...19
PERMIT REFUSED
r......................... ................................... 19 ^
..................................... ...................................... , A
Approve ................................................ 19
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.......................................................... .... ' .....
..................... ......................................................... r
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Assessor's map and lot number 1,) /... f''"r �' ���7 .2 `> - 7
Sewage Permit number °..........................................................
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TOWN OF BARNSTABLE
i MARHSTADLE, i
9� 117M BUILDING INSPECTOR
APPLICATION FOR PERMIT- TO ..... ' •r � � }' ............!= ..;' !` /:�^ .....................................................
......
TYPE OF CONSTRUCTION ............rrr�lr;rtkr .... ..^ ;?......... .........................................................
...........�..... ......ry..J�.............19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....................'............:.�.......` ... S.`f:.................................... ....:r::•jf...................... ...................................
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Proposed Use ....r............ ...�.......... "........................................................................................................................................
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Zoning District ........L ...i::....................................................Fire District 'r?...j:..r: �t` r-.....................................
Name of Owner ...........................................f '{f `.' ''.fl ?e-` Address ...............*. � !,'•�•/...�.................................
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Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms Foundation ......: �f
....................................................... ...................................................................
Exterior .................
-t` .! . f...........................................Roofing ................ t I ..........................................
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. -............................................Interior ......................................................r Floors .............;..f:r"::.......
Heating ..................'...... .f.'..... ." .......... .........................Plumbing ........................��........................................................
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Fireplace ' ........................................Approximate Cost ........:. i
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. /
Name "!.�..!!* ...'... "........>:.:..............................
Capewide Development Corp. A=271- ,
158 - -
19919 one stor
No .................. Permit for ........................Y...........
...... .... single family. dwellinn.................
Location 116 Windshore Drive
........................Hyannis
. .................................................
Owner
Type of Construction .........fr
.....ame..........................
.......................................... .....................................
#27
Plot ........................ L t ................................
Permit Granted ..........Fe raary.2.......19 78
Date of Inspection ............... ....................19
Date Completed ................... ..................19
PERMIT EFUSED
........................................... ................. 19
............................................... ...............................
...............................................................................
Approved ............................................0... 19
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