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*Permit
' ToWn of Barnstable
Expires'6 months from issue date
Regulatory Services
Thomas,F.Ceiler,Director
BuiYding.Division IL
Tom Perry,CBO, Building Coromissi iP®ESS PERMIT
200 Main Street,Hyannis,MA 0260
www.town.ban&able.ma.us 99��g
Office: 508-862-4038. - DEC 6 g`3? 508-790-6230.
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
TOWN:OF BARNSTABLE
Map/parcel Number l
Proprty Address 30
[dResidential Value of Work Minimum fee.of$25.00 for work under$6000.00
pOwner's Name&Address
�o is
Contractor's Name `\ Telephone Number . Iy Tt✓ " (!
Home Improvement Contractor License#(if applicable) IS
Construction Supervisor's License#(if applicable) 'tl 1 `
❑Workman's Compensation Insurance
ChA one: `
am a sole proprietor
❑ I am the Homeowner`
❑ .I have.Worker's Compensation Insurance
Insurance Company Name
Worhan's Comp.Policy'#.
Copy of Insurance Compliance Certificate:must.be on file. i
Permit Request(cbeck'box) ;
-roof(st �
ripping old shingles) All construction debris will be taken to o D
ZR�
Re-roof,;(not stripping; Going over existing.layers ofroofJ
❑.:Re-side
-.`Replacement Windows/doors/sliders..U-Value (maximum.44)
*Where required:•lssuance of this permit does not exempt compliance with other town,deparimentregulations,i.e Historic,Conservation,etc.
***Note: Pro rty Owner si PFoperty Owner Letter o. f Permission ,
•
A co of the o e Impro ement Contractors License is required`
SIGNATURE:
Q:Forrraxx mtrg E
Revise661306'
yC)p 7HE Ip�
Town
of Barnstable. .
sT�e egulatory Services
qcb 16 �� Thomas F. Geiler,Director
AIfD '�A $"ilding DIVIS10I
Toni Perry, Building Commissionur Y.
200 Main Street`Hyannis,Na 02601
)"'W-town.barnstable:ma.us
Office: 508-862-4038' t
i ,Fax:, 508=790-6230
tty owrlcr 11�Ius fi
C- nVete and Sign This Section
if US,
ng`A Builder
as (Dvmer.of the subjectproperty
herebyauthorize (� Q ?
to act on rny.behalf,
in all matters relative to work authorized'b
gFermrt applic2ti0n for:
3 0
dress of o fie,
( b�
Li�Signature of Owner
Date
'bow
Nat Name —
WOR.MS:OWNERPERMISs JON
. .,The COMMOnvealth oflifassachiUsefts
Departrnettt ofd"nd'restrialAccirlents
affce at rn—,zYgatiarts
x 600 Washin Stan Street
Boston,M4.02-11-1
wwrP.M ass.gov/dia
Workers'ConipensaiioA Xnsnr nee Affidavit: Builders/Contracfors/Eiectricia
Applicant Information ns/Plumb ers
Name usiness/Or Pease Punt Le 'bI gan;zation/Indvidual)
Address: Dt�l
City/StaWZip: n .
Phone.# . ,�' V _ E-
Are you an employer. heck the appropriate box:
1.❑ I a cnzployer with. 4. [� I am,general contractor and I ) .
_ Type of project(required ;
am a hole(full and/orp have hired the sub'contractors 2. Tama'sole proprietor or partner listed on the-attached sheet. 6''�New construction _
ship and have no employees '7 Q Remodeling
,These sub-contractors have:
working forme in any capacity employees andhal�e workers.' 8' ❑Demolition
[No workers'comp.insurance comp.insurance.$; 9.. []Building addition
required-]q d] 5. e'.. ,, ❑ wear,a corporation and its I0. •
3.❑ Lam a homeowner doing]ill Work
officers Have exercised their []Electrical repairs or additions
anyseli [No workers' comp. right 6f exemptionper MGL 11'0 P bing repairs or additions
insurance se.quirad.] t,. P. 152, §1(4),and we have L 12. Roof repairs
employces. (N' yyorkers' .13.[]Other
comp,insurance required.]
*Any applicant that checks box#1 must also fill out the section belowshotiving their iyotkcrs'
t I3omcowncrs who submit this affidavit indicating they arc doing all work and then hire outside contractors must
orrrpcasation policy inforrnahon
Contractors that check this box must attached an edditionalshcct,bowingthe niunc of the sub contractors and state whether or not employces. If the sub contractors have e submit a new affidavit indicating such.
orployecs,they must prmidt thou Workers'comp.policy number. those entities have
in7 an employer'that is providing]Porkers'compensation insurance for my employees Mow wis_thepolicyantijob.site, .
Insurance Company Name: J
_ Policyi _ •
#or Self-im.Lie.#:
Expiration Date:
Job Site Address:
Attach a copy of the workers' compensation policy declaration page(sho cyzn City/State/Zip:
Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead topoItcy number and.expiration date),
fine tip to S 1,500.00 and/or one-year iraprisoi inent,as well as civil penalties in the form o,f a STOoP of c
of up to,W50.00 a da a riminal penalties of a
tisane era e copy WORD pRUER and a .fine
ay'against lator. Be advised that a co oftLLs statemeritmaybe forwarded to.the,Office of
Investi ationr of the WA tins
cation.
Ida eby certify. d the pa' -an en o er'u ,that the information Provided ab
1`P l O p o •is a an
d.correct
Sienattire: ,
0 Date:
Phone#: � - - _
Official use only. Da nai write in this area,'to he completed by city or town., cial .,
City or-Town: - t
Issu Perziiit/License#
zng Authority(circle one); '
I:Board of lie' 2.BuiIdin De
6. Other: g Pertinent 3. Ci(y/ToRn Clerk 4.ElectricaIlnspector S PlutnbinQ F
G
b Inspector
Contact Person.
F 'hone#:
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ssessor's ma and' lot number �, ................. ...4 p ................. �. TNEt
SEPTIC SYSTEM MUST BE �Q o
wage;Permit number .......:.� �....... .1�...... . ............. e
j ( 'STALLED IN COMPLIAN
/ •
® WITH ARTICLE II STATE, = BaBasTABLE,
House number � ......::...... " 9 ""Ba
..................................'.......... SANITARY CODE AND TOW t639•a�e�
REGULATIONS. °"pr
TOWN. ®F_..BARNSTABLE
RU11DING', I•HSPECTOR
APPLICATION FOR PERMIT TO ..�4`?+S. tl e C�`' °i ''....
-�'r(_
............ ....A.........).!
TYPE OF CONSTRICTION !�� C-C/A1C'
a ................................................19 .
TO THE INSPECTOR OF BUILDINGS:
kf The undersigned hereby applies for a permit according to the following information:
Location . :' J .� !'�� .0 a�:.. .!�.. �� ��,�.C. .. ..... .................. ................:................ .... y -
Proposed Use ............ �r�C�r.......:.......4'.'!9..� .........clu.tr............W?e T� ...... � .r�..S�.....
Zoning -District ..........R.0 ........C.&,.C'4. 1..... ...........Fire District .....C'", �;; e �St'esvl..�.l.4...............
Name of Owner.. l Spa Address iJ `` �e 4�ti .... �'`t' Jle—
.V��Il................................................. ................ ............. .......
Name of Builder YA !`�` ...................Address 3� /Jf` �✓C�� Al�.a e c v.
.:... ... ..................). ....... ...........
Nameof Architect ..................................................................Address ....................................................................................
S'1ti✓� C tS� G r
Number of Rooms .....................i.....................p........]...............Foundation ...: ..........r.........................(.^............./.......................
Exterior ..40y ......$ 41. .... .:..CL Q•�p1�jar ...Roofing ....... S'. `^?+? ............fl.'�..: !„C�;S..................
Floors Cam° cil! ..................................................Interior ...... �:e.Pk..V..aLk.............................................
............. .
e- Plumbin Al
Heating .......................................................... g ................ ............................................
Fireplace ..:.... ....................................................:......Approximate Cost �f3 Definitive Plan Approved by Planning Board ________________________________19________ . Area ....�.7f.S ...............
Diagram of Lot and Building with Dimensions Fee �''—
SUBJECT TO APPROVAL OF BOARD,OF HEALTH
z z, �7
.. Gar*-Se-
o 2.tf
t8 '
q®. 0s '
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. i
` Name ....1 . ............ :.... ... .....................
. f
Schafer, David C.
ers
No-Tq�8-7...... Permit for ........ ...yjz!�..AAMT
' .
Location ........aJ. ..L4AI��..................... '
'
—.--.---°».a.ff ----------..
Owner ���i�l ��^ �{�;��t��-------
''—� '.'' ' '
| .
Type of Construction -----.fr�zoa_ ---..
. .
. --...--.---------------------
Plot — ........................ Lot ................................
October 19 ' 78
Permit Granted ......... -. lV + _
) -
Date of Inspection ./[l .`�..l9
`
-Dote Completed —.���}�.���.����--.]9
. 7 . /
~ '
`
' PERMIT REFUSED
� + , ^. 't. � - ` . . .
__...___`_....�_---_---_—_.. lg
.' ~ /
}
/ .,—..�.~---~�..----------~----...
............................................................
�,''�,��'�''�,'����,,�',''�����',,���''
^ . _ .
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,---... —'-^..—......--..—~..--...--....
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'Approved,..:'_______—.—.----' lg. . '
. '
. .
—.—`-----.--.----...,..--.—...—~.. -
.
.
-
--.-----,-----.------.......--- .
~
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.......................Assessor's map and lot number ..... ......... E
Wwagdt Permit number .........
33A"STAMLE.
House number ....................................................................... MASIL
O 1639*COTE 0 MR1 Ak.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
-41 .
0 .1, (- , - . " f' — r - -\ C
APPLICATION FOR PERMIT TO A..:...........'..:...� ......................................................................................................
C
51 /J19/- j
TYPE OF CONSTRUCTION ......... .....................4..... ..........................................................................................
................................................i 9.Z.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............ ............................................................... ............ ...... ................................................. ............................... ....
♦
...... .......................I r . . j
...............................I...................................... ...........................................Proposed Use ............ .....
ZoningDistrict ........... ............................................................ Fire District ..... .......................................................
Name of Owner .....2............ .......11 .(.......... ...............................Address .....................CA. -1 .r1..............f
-1....... oir........C.e..............
I
k t i, C, . /394 41 �eA,*l
Name of Builder ... . ......I -
.......................................................Address . ............................../....................;................. ......
Nameof Architect ..................................................................Address ....................................................................................
# (—, C1
Number of Rooms ................ I ") Z�-Lk,- :..0( Irl
................................................;.Foundation ..............................................................................
P-
- I .
Exterior ...................-1....1�,............................................Roofing ...............
Ii $ ..;.......................................:;..........................
Floors ........:................. .......................................................Interior ........:�.!,Ie.ek... f................................................
. .. .. ... .. .. ....
Heating ..........Plumbing .............A/7
................................. .....................
Fireplace ....... ......i ......................... Cost ....
...."Approximate .....................................................-
..........
Definitive Plan Approved by Planning Board --------------------------------19--------- Area ....
Diagram of Lot and Building with Dimensions Fee ...........I.... ................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
F �'l w y
C)
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... .. .......... ................................... .. .... .. ... . ..
Schafer, Avid A=190-61
. . '
W0687 garage & bormero
No -----.. Pennitfor ------------
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Loco�on ---.��{��..�/�-----------..
Centerville
. ..........................
David C. Schafer
Plot --t ........
c�t/ye rr 19........ 78
. Permit' Granted ............
Dote Completed ......../...........................19
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a'n6 lot nu,n6er ...'�'�'--
v �� �� D — SEPTIC SYSTEM MUST BE
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Savvoge Permit number r-.. ^--------_____.�_.� ' KN��NA0�LEm� �mm*n�w�= �~�^~
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House number ----- ODE A
---.���-.��..!�--------`
| ' 'ENVIRONMENTAL |
UOWN nnEGuxLA""~~^~~~
` ������7�J ���� BARNSTABLE
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INSPECTOR
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APPLICATION FOR PERMIT ..... \9&�k...........................................................
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TYPE OF CONSTRUCTION -.. ---._---.-.---------.--_-----..
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� TO THE INSPECTOR OF BUILDINGS: |
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The undersigned
. hereby o-pLapplies. U-for u pepermit�-according
ing to the follfollowing3,0 0� �
~. . . `. .iocohon ------.. � -.f / � ] �
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proposed Use ---..L���3�. � ----------------...-------..Zoning District ------.----.---------.--.Fine District -----.--.------------------
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Name of Owner .-���^'�� -- ------A66reo aD....... ......... --..
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8 � /
Nome Builder � Address =-...... � � .� � --------^ / 1
Nome of Architect ----------------------A6de*x -------------------..------__
Number of of Rooms ----------------------Foun6otion -' --C/�'I.cz�7�.--.I��x��.���
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Ex/erior -. . ---- --. --- --. -- . Roofing --. ��rm�����
----' � � � ' . .. ---- - -.-�- -------------------...
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Floors ----------------------------'|n^erior ------------------__________
Heating ............=................................................................Plumbing ---. .------..------________,.
Fireplace -------~--------------------/\pproximoteCox --. . �.�D____._________.
Definitive Plan Approved by Planning Board lA----' Area .... .��
� Diagram of Lot and Building with Dimensions ' Fee ......... ........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regula 0-onsof the Town of Barnstable regarding the above
'
T
i SCHAFER, DAVID A=190-61
} No 2.8.196...... Permit for .....r.eplace..&..extend _
fleck...oU...wda ting..hause........................
"< Location .....N..B.ayl exx.y..Lane........................
...............CenterY.?, (........................................
r
Owner .......David..Schafer•............................... ..
Type of Construction ............ p e.................... -1
Plot ............................ Lot ................................
Permit Granted ...............July..? 1....-* ..19 85 1_
's Dater,of Inspection .....................................19
..i Date Completed .f/'...r�................. b!N"
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,�r, 1.9-061.=V QIAVG `HggVHDS
Assessor's map and lot number .....� U.�..� I.. ..... F THE r
Q�
Sewage Permit number .........................................................
Z 33AUSTAMLE, i
House number .. ..0 ! MAGa
1639 \0
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... P ,a. €'?c�5 k, � .........:......................................::......
✓...�
TYPE OF CONSTRUCTION .................................................................:............../..�.:.......................:........................
.............. Y
..................19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according tonthe following`information:
Location l P y �'V 1 ..................................
ProposedUse ........... .uP G \ �. ...... ..... ... ........... ,,,,,,,,,,................................ .... ........................... ,`, .....................
.............................Fire :District ..........................Zoning District ..�....�................................... ....................................................
Name of Owner '.b.`��.0 .......SC�a� �� �7a•, r�
.............`...................Address .:..................... ..... ...,....,......`.'` ,......... Pa......... t
S1
Name of Builder..:. .......... 41.1"''...........:.....:....Address :3�....... -?`".. .! a✓.v... ......... .G.N:C...........
rH
Nameof Architect ..................................................................Address ............................................:...............................:.......
64
Number of Rooms ..................................................................Foundation ..... ......C.ax,C,,,,; :FG 5.�+^��.�4--
Exterior ....................................................................................Roofing ........( Se�.e.r.!...........................................................
Floors .........................................Interior ...............
z
Heating '—' g ........
✓
�•Z O CM
Fireplace ..................................................................................Approximate. Cost .................................................f..................
Definitive Plan Approved by Planning Board ________________________________19________. Area ....2.`{�....5°it..T. ...........
Diagram of Lot and Building with Dimensions Fee /
... �............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I
f
J �
O .
Ia'
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regula 'ons of the Town of Barnstable regarding the above
construction.
Name ..6ionS
..c .. .
Construrvisor's License (�(U�e✓�
SCHAFER, DAVID. A=190-61
No 8.1.96.... Permit for neplace.-&...e�tezid
dezik on existing house
...........:..................................................................
Location ...K..PU.�.IPUY..mane..........................
Centerville
...............................................................................
Owner ....................David-Schaf er.................
Type of Construction ..............f1rame.................
................................................................................
Plot ............................ Lot ................................
Permit Granted ...............Ju-1-Y...1-1..........1985
Date of Inspection ....................................19
Date Completed .....................................19