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. Assessor's office(1st or): A/
Assessor's map and t num 1�10 t�
Conservation `� ('-r ���w� ♦w
Board of Heal„ d floor): �h j�''�.
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Se�ag�n�rtii mbar j yo rua
,engineeririg Department(3rd floor): o �e�o.
House number
Definitive Plan Approved lanning Board tg SEPTIC SYSTE ST BE
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APPLICAT S PR CESS D 8:30-9:30 A.M.and 1:00-2:00 P.M.only; INSTALLED IN COMPLIANCE
WITH TITLE 5
TOWN OF BARNSTABLW N ENTAL CODE AND
BUILDING DIVISION
eA FOR PERMIT TO �.
TYPE OF CONSTRUCTION '
;* 19 = 6(J
TO THE INSPECTOR OF BUILDINGS: /
The undersigned hereby app' for a permit cording to the foll&Z�v
'Location . I)(A'
Proposed Use `'�- ,5 1
Zoning District Fire District
Name of Owner��1(�N b Address v 7 13 ����r
Name of Builder Address / J
Name of Architect Address
Number of Rooms Foundation
Exterior c+�.0/q'1?/ Roofing
Floors C/'rI/p® Interior Y 0JAW-Moo,
Heating �« # Plumbing 0. `✓e
Fireplace U Approximate Cost �&,4 d "Now
Area
Diagram of Lot and Building with Dimensions Fee
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
r
Home Imrpovement Contractor Registration# Construction Supervisor's License# 00bL�-7 2
LN
12/95 -3-7-7�8�°166.058
Permit For
277,gay Lane, Centerville �.
� John Brooke � � r'r .� •
Owner ' h _ 4
Type of Construction {
Plot t � Lot
v '
Permit Granted '•19 -e
Date of Ins coon - ` `-19
Date Completed 19 ,« '
Mtn l�i± z ✓ - y •
• S �`i �4� • T - .
T•,
Failure top0otoaseOerrent
COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
OF Ly ONE ASHBORT'ON PLACE PotasaaohaNttoStatsBuUdlnB
Coda fs oaf"far rf" atfon
,,. mAssACHUSETTS BOSTQN;MA 02108 ottrnBagol
L I E N S E CAUTION
EXPIRATION DATE CO.NSTR• APERVISOR
�•?' ` FOR PROTECTION AGAINST
01 /10/19 9 6 �_� �. I � �i EFFECTIVE DATE LIC-NO.
RESTRICTIONS THEFT, PUT RIGHT THUMB
NONE `'r 06/30/1973 006422 PRINT IN APPROPRIATE
E° BOX ON LICENSE.
lZ GUY M COLETTI €I
1,z
15 LONG CIRCLE BLASTING OPERATORS
2 w �= CEN7ERVI �.L MA 0263 - MUST CLUDEPHOTO.
�I m n i
PHOTO(BLASTING OPR ONLY) l{ -
Fb.0 00 i E
• ,+ NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
HEIGHT_ : 6qD-OR-SIGNATURE OF THE COMMISSIONER
rn/
•ti
THIS DOCUMENT.MUST f 1 •/. SIGN NAME IN FULL ABOVE*SIGNATURE LINE
CARRIEDON THE PERSON'` SIGNATURE OF LICENSEE
THE HOLDER WHEN
"I-
OTHERS ,
-RIGHT THUMB PRINT GAGED IN THIS OCCUPATI� : �, ISSIONER '
401
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ROVEM Y� VOW
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� � � 9 tratlon102b83v
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Expiration
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' ,} m," eville 11A02b32FR �
. B„ ,, The Town of BarnstableMMZ
16.19. `e$ Department of Health Safety and Environmental Services
++ ' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Permit no.
Date
AFFMAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMITAPPLICATTON
MGL c. 142A requires that the"reconstruction,alterations,reaovadon,repair,modaairation,conversion,
improvement, remml, demolition, or construction of an addition to any pre-pdstiag owner occupied
balding containing at least one but not more than four dwelling units or'to which are adjacent
to such residence or building be done by registered contractors,with certain exceptions,along with other
requumnents-
T3pe of Work: �6�Wl f� Est.Cost 3d IJ0 -D -.
Address of Work:.Z 2Z (7 (A hCC'.4lJL
Owner Name: (-(fd
Date of Permit Application: cJ�
I hereb%-certify that: ,.
Registration is not required for the following reason(s):
Work excluded by law
Job under 51,000
Building not owner-acaipied
O kmcr pulling own permit
Ncticc is hcrcbN-given tha::
OWNERS PULLING THEIR OWN PERMIT OR DEALING 1NTH UNREGISIERED CONTRACTORS
FOR APPLICABLE HO\, IE IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE
- RBITRhTIO':N FROG:�.�--\;OR GUARANITY FUND UNDER MGL c. 142A
SIGtiED UNDER PENALTIES OF PERJURY
1 hcrcby apply for a permit as the agent of the owner: ,
67 (z
Date Contractor name Registration No.
a
OR
Dat Owner's name
11/02'94 17:02 $61 7 7 277122 �� � � DEPT IT'D ACCID zoo
Cotjunonuleattiz. of YWa1Jac1zu6ett
�a artinenE o�.�•ndc�triaL�cccdeitf�i
P
600 1/VaeLyton. h� t
James J.Campbell &&n, ///aMac"tfa 02f f f
Commissioner
Workers' Compensation,Insurance Affidavit
with a principal place of business at:
ee�r�sexe/ua)
do hereby certify under the pains and penalties of perjury, that:
() I am an employer provid'mg workers' compensation coverage for my employees working on
this job.
Insurance Company Policy Number
-; a sole proprietor and have no one working for me in any capacity.
1 am a sole proprietor j:�
or homeowner (circle one) and have hired the
contractors listed belowove workers' compensation polities:
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
O I am a homeowner performing all the work myself.
I un.derst<nd t :t z copy of&is st<tement will be fomzrded to d.e Office of Inves[isztions of the D1A for coverage verification and that fzilure to secure
coVerage as rec_,ired under Section 25A of MGL 152 can lead to the imposition of criminal penalties eonsistine of a fine of up to s 1,500.00 znd/er cn
yezrs' imprisonr..ent as well as civil penalties in the for of a STOP WORK ORDER and a fine of S 100.00 a day against Mc-
Si ed thi S��L day of r 19
s y
licensee/ ermittee Building Department
Licensing Board
Selectmens Office
Health Department 3 /4
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TOWN OF BARNSTABLE Bi;ILDING PERMIT
N
:UDDER �� 5, NOTE. ALL STRUCTURES ARE E'
BAY EXCEPT THE 4 POSTS P
4"X 4" . POST:
Locus FOR THE FLOAT.
EL. 6.0
5.0'
1/2 CHAIN
TO PREVENT
LOCUS MAP _ GROUNDING -
� E.H.W. 3.5 '
P.V.C. ROLLERS'
SCALE 1 25,000 =
M.H.W. 2.5
MIN. ELEV. 1.6
ASSESSORS POLYETHYLENE FLOAT (-TYP)
MAP 166 PARCEL 58 ELEV. = 1.10' EXISTING GROUND
ZONE
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RD-1 & A.P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- - - - - — — — — —— —— —— — — — -- -- -� -_ —o.s •
CHAIN DETAIL TYP. OF ALL POSTS AT FLOATS %
. 0
• .0
SECTION B-B
SCALE: 1"= 2'
0 1 2 •
•
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Z
N = Q
d m 00 N d 00
I I ,
0i
PROPERTY LINE I ~
ml
\ 65't
B 5.0't I I k
(NI 4 I 4.0'f
2 X 4 DECK HI ` 1
0 2 ( 4 X 4 POSTS ` 2 X 4 2 X 10 5' CEDAR PQ1•.T 2 10 I
X 10STAIRS _ j
A / 2RAMP 3 A T
5.0' L— FLOAT 2 X 10 2.5 DOCK 2 X 10 PLATFORMI —J I 4.5'
/ 2 X
ciI � 2 X 12 JSTRINGERS
4 X 4 POSTS t 44 X 4 POSTS 5" CED R POSTS
�B � � r < �
( DOCK BOX( , -
10.0. 7.0' 3 4-.0' i- - - 7.0 I 4.0' -- 11.0' 5.0'
PLAN
PROPOSED DOCK
SCALE: 1" - 6`
0
f
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2" >
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= 10.0' 7.0' -•` 3 4.0'
g
ELEV. 5.3 g I
ti 2 X 4-�•-
i
E.H.W. = 3.5
M.N.W. = 2.540 bl\
� ,
i
• M•L..W.• � •0.00 5" CEDAR POSTS
E.L.W. = -0.5 • .
- - - - - - - - - - - - - - - - - 4' X 4" POSTS
TIMBER PIER
EVEL 5.20'
OVERALL PLAN
, t
_
:( GRAPHIC SCALE
( 0 10 20 40 I
;• i ELEV. BASED ON M.L.W. OBSERVED 0.00'
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1 I I I ' Q
j I m MARGARET A. TRENTIN
`V `� `O � 29 JEFFERSON AVE.
3 • I o I I I SHORT HILLS N.Y.
lo 7078
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~o I C.B. I _ C.B.
m FND. S88'41'40"E FND'
+ IR
FLOAT 65
51'f DOCK k S AIRS 74.50' S72 S3
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1 � I ( N 4 82
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SOFT MUD
AL 919
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LOT
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— _ SLOPE I �i
M.H.W �� OF�LOP' —
5 E
C.B. 264.00' 45.00'
FND. S89'44'00"W
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RbNALD S. & ELIZABETH A. HAMBLY
BAY LANE
CENTERVILLE, MASS.
2632
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41992
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° PEi1:R. �,
I SULLIVAN
1%.29733 '
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PLAN OF LAND
g IN
(CENTERVILLE)
BARNSTABLE MASS .
FOR
X 10"
JOHN P. & DIANE BROOKE
SCALE: AS NOTED DATE: JUNE 30, ,1992
,' SECTION A— A BAXTER & NYE INC,
REGISTERED LAND SURVEYORS
SCALE: 1 "= 5' CIVIL ENGINEERS
❑STERVILLE, MASS,
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