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MUST BE
Assessor's office(1st Floor):, _ INSTALLED
L LE®SYSTEM
IN COMPLIANCE
Assessor's map and lot nu b r WITH TITLE
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Conservation(4th Floor): ` ' 1 "'` a`I m �( Gy Y ENVIFg®NMENTAL CCU �.
Board of Health(3rd floor): j .fold% U DeasITanii
Sewage Permit number
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Engineering Department(3rd floor): r r °o �a�q. \�d°
House number , �o NO a
Definitive Plan°Approved by Planning Board r 19 '
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 1-ker
T
TYPE OF CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 3—d `� �An/ �7�T6�ZVjLLe
Proposed Use SI AIGL E- /414 e
Zoning District Fire District
.5-03 °
Name of Owner, , L / - Address ` D
�G 1/f-1114,W
Name of Builder 1J/22 144zmL , eYsrn1/1� Address_ &O'7y AVA D 2-9-�qr
Name of Architect Address
Number of Rooms FoundationNo tU,QCS
Exterior l�e�a Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost � �®, eq �
Area D �F
Diagram of Lot and Building with Dimensions Fee ®i
I
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a e constr n.
Name d'✓�
Construction Supervisor's License LA of I(V E2
CLOUTIER, ANDY
A=187-057
No � Permit For REPLACE DECK
.WITH GAZEBO -
Location 503 Bay Lane, Centerville
Owner Andy Cloutier
Type of Construction = ;
Plot Lot '
.i ;
Permit Granted May '24 -g: 9 4 `1
Date of Inspection:
Frame ' 19
Insulation 1 19r� t
Fireplace 19`
Date Completed
s ?.
S
1
C.
COMMo TH OF MASSACHUSETTS -_
DFrAIC*IAENT OF LNDUSTRIALACCIDENTS
600 WASH NGTON STREET
ales s Car=er BOSTOM MASSACHUSEITS 02111
RKERS' COhOMATION DGIVANCE AFFIDAVIT
(licensa/perrai
with a principal place of usineuhesidence ac •.
.(citylsorez
r;
do hereby certify,under the pains and penalties of perjury,that:
(] 1 am an employer providing the following workru .compenaaon covcmge for my employes working on this
job.
,23 S— D 2 1 GAR- A
Insurance Company Policy Number
(] I am a sole proprietor and have no one working for me.
[� I am a sole proprietor,gencrd contractor or homeowner(circle one)and have hired the contractors listed brow
who have the iollowing workers'compensation insurance polices
'J
Name of Contractor Insetaocc Company/Policy Number
Name of Contractor Ins=,ace" CompanylPotiry Numbe.•
Dame of Contractor
Insurance Company/Policy Number
I am a homeowner perfp=m* g all the'work myself
NOTE Please be aware that while homeowners who employ persons to do mainteaaaoe,construction or repair work on:
dw�ling of not more than three units in which the homeowner also resides or on the grounds sppurussant thereto are not general y
considered to be employes:under the Workers'Compensation Act(GL C.1S2.sect.1(S)),application by ahamcowoer for a live
or permit may evidence the legal tutus of an employer under the Workez Compenadon Aes.
I understand that copv of this statement will be forwarded to the Depar=e :of lndusarW Aeddena'Office of Insurance for mverae:
vc:irication and that failure to secure coverage as required under Section 25A d.MGL 152 can lead to the imposition of criminal pet
uza
consisting of a fine of up to f 1500.00 and/or imprisonment of up to one yea:Lid civa perialcia in the form of a stop work Orda s c's
fine of S 40.00 a(Iay against me.
'Si v ncd this.. & day of 19
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CERTIFIED PLOT PLAN
LOCATION Q��'^!sr!98c �cc�yrc�y�u � MAss.
SCALE . / �, DATE
J ,rt- �•;", PLAN .REFERENCE 3 ?•�G. . Lo?` 1`' .45 . .
FF
c;{
.5/706AV / ON A AZAiu off-
V/e w 'A114 S �4N17 Zrco2rD ex>
y
. . . . . . . . . . . .
I CERTIFY THAT THE ! �^!S. .�a�!!D ?a�!,!..
SHOWN ON THIS PLAN IS LOCATED-ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
/774 /-j, . -4 . . . . . . . . WHEN CONSTRUCTED.
. G( oVEf7&'Laol�C D,21V�'
DATE1=/G
PETITIONER:
REGISTERED LAND SURY&OR
1
Assessor's- map and lot number 41� ...../..�'.7............Mgc L -r?
J y0F THE T0�
Sewage Permit number. .......
.:.. .........:......................... SEPTIC SYSTEM MUS
INSTALLED IN COMPLI STABLE,
House number ........................................................................ WITH TITLE-.5 * M 39
�p i639.
ENVIRONMENTAL CODE a 03 a•
TOWN OF B R.NSTr �,�Tr,®�'�
A k�
$OBJECT,TO-APPROVAL 'DF
BARNSTABLE CONSERVATION,
BUILDING INSPECTOR COMMISSION '.
APPLICATION FOR PERMIT TO ..... 'Al. .......... lN� . .............:........................................................... C
TYPE. OF CONSTRUCTION. .......4 9•..o..............................................................:............................................ ,
�E . .. • .......i... ...........194?
j
TO THE INSPECTOR OF BUILDINGS:
The 'undersigned hereby applies for a permit according to the following information:
Location .�� .? .9.......... ...... ........ .� ✓ .j.............................................................................................................
Proposed Use ..:D..N.,. .........l...... �.l... ....
.................................................................
Zoning District. ........................................................................Fire District ...1�:
Name of Owner � .<...�`.. V..al. ....... i��l ....Address
..... .... .....................
Name of Builder s-f !..1-.:P4.d�zzf....ASora.IKAddress ......4� .
Nameof Architect ./ .v1�LG�.........5.1..1_(1 41......._........Address .....:..............................................................................
Number of Rooms ..................................................................Foundation (J..a..P,C-4 ......... .04'. ...............
Exterior .�'.. e..'ar ....:...��'/�.M.... ..�.�—................. .............Roofing .......................................................
Floors Rt1&ak .4?'g.P...........................................................Interior .... ......
F '`Heating t� ............................................
...::::..."_'_ .. ................`..Pllumbing v..�.�:��.......�1? �.�:�..." ��'
Fireplace ..1C.2 I ....:......:........................................................... pp Cost .� ... ..:.�r' ,
Approximate
Definitive Plan Approved by Planning Board,________________________________19________. Area .... ... ... .......... r
f Diagram of Lot and Building with Dimensions Fee 7/
SUBJECT TO APPROVAL OF BOARD OF HEALTH
011
t�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnst ble regarding the above
construction.
Name ....e- U J.............................................
BLAIR, JUDITH & WILLIt'�nl
One Stern%
Nod i32046... Permit for .......................
. �x Single Family Dwelling
._ ........................................................................ y
Location Lot #9 5 0 3 Bay. ...Lane. ............... .. ......
Centerville t
................................................. ............................. r
Owner William & Judith Blair f' I a
Type of Construction
Frame
................................................................
I
Plot ......... Lot ................................
April 28, J 81 %f V
Permit Granted ..................................,.....19
Date of Inspection �/. ..19
Date Completed ............../..:.2.....19?71,'.
7 PERMIT REFUSED
.� 19 I
�... .. .� .. a4 .. .......................
..... �.v�^...:t.C. •/• .. .. .............`..
••VVis 1!1 f
i
Approved ....... 19 '
f
....................... ...................................................
4..0..Iq
Assessor's.;map and lot number ..... ..%..........PCmv,G` 7 THE
s j
l d��,%� !f � u ' v o
Sewage Permit number ............... 1.... i.?.......................... d
f Z BAUSTA LE, i
House number .......... ..•....... ............................................... s
MAM
Op 1639. \00
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO 1. �c * ' �r f:....,.......................;.......................................................................................
TYPE OF CONSTRUCTION ....... ! '
.� . '
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .X n.!`'"2 ..............Ca....r,1........:�;A11/�...... f���O�....cll../...................:........:...Proposed Use ...! !.! ......... -t..,;/„...!...........r............................................................................................................
ZoningDistrict ........................................................................Fire District ........:................................................. !.................
Name of Owner !' 1 a, s- �C'�!€?r ...... e ...Addressit! ?,.t
Name of Builder `t/ r.!. ' .. ...: .:!Y,14 .�:� T•,eAddress !`.f..��.....,.s/''r+' � •,
_ ........ ... ........................................./.
Nameof Architect .......... . ................Address ........................................................ ..............................
Number of Rooms ..................................................................Foundation ... !?..........r..........^,. .^.71�`. ...............
Exterior .............................Roofing ....,, f� n
. ........ ..........................................
Floors � i .... .:. ."...........................................................Interior .... ...............................................
Heating ... . .....v .,...................................................Plumbing ...... :.......{ <?.RAt.�..................................
r
Fireplace ................Approximate Cost . !.........!� "�a �_" .
Definitive Plan Approved by Planning Board ________________________________19________. Area ..............................:.".:.......
Diagram of Lot and Building with Dimensions Fee ` ` ... .....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ...C� 0//"�� � '��,.. ���•�,�rJ2c..
Name ..... .... ...........................................................
BLAIR, WILLIAM & JUDITH
, 23046 t One Story
No ................. Permit for ....................................
Single Family Dwelling
..........................................................................
Location L.ot. ...#.9... .. 5.0. ... ...
3 Bay Lane. . ................ .. .. .. . .. . .. ........ .. .... ..
Centerville
...............................................................................
Owner William & Judith Blair
..................................................................
Type of Construction Frame
............................................. ........ . .. . . . ... .. .
Plot ............................ L . ................................
Permit Granted April/
.......... ...28..8 ................ 81
Date of Inspection ......�/...........................19
Date Completed ......./.............................19
PERMIT REFUSED
.............................. . . ............................. 19
...............................................................................
Al
................................................................................
.... . .............C
...... . .......................................
Approved .....I.......................................... 19
...............................................................................
...............................................................................
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