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200 Main Street, Hyannis MA 02601 508-862-4038
tom° Application for Building Permit
Application No: TB-18-138 Date Recieved: 1/16/2018
Job Location: 22 BELDAN LANE,CENTERVILLE
Permit For: Building-Insulation- Residential
Contractor's Name: Craig P Bishop State Lic. No: CS-109777
Address: Sandwich, MA 02563 Applicant Phone: (774) 205-2001
(Home)Owner's Name: BROSS,JOHN S& MARY E Phone: (508)957-2196
(Home)Owner's Address: 22 BELDAN LANE, CENTERVILLE,MA 02632
Work Description: Air Sealing&Weatherization
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Total Value Of Work To Be Performed: $1,040.00 0
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Structure Size: 0.00 0.00 0.W
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I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be-shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate'to the best of my knowledge.and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Craig Bishop 1/16/2018 (774)205-2001
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $1,040.00 Date Paid Amount Paid I Check#or CC# Pay Type
Total Permit Fee: $85.00 1/16/2018 $35.00 XXXX-XXXX-XXXX- Credit Card
_ 3464 '
Total Permit Fee Paid; $85.00 _.._ 1/16/2018 $50.00 X70oc-xxxx- - Credit Card
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SEPTIC SYSTEM MUST
'`Jawage Permit number .....096'r...Aa/ a..3/;z yf'r2
INSTAI1ED IN COMPUA
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House number ........................ ` ......................................... WITH TffLA 5 , NAG&
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TOWN OF BARNS9 ` :*,z TIONS
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ry ...............................
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' . TYPE OF.CONSTRUCTION .........................Q... ......�. .:;......................................:.:..........................................
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
GLocation ......... n��&?.pl/..... . . ....................... ......el�/p�✓ . ��✓ � ...4. � ,�;������ . �`.........
ProposedUse .......✓.� .4 ... ......... .............................. ...........................................................................
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Zoning District ............... ....Fire District C......... Nl......... ?1 �.............................
Name of Owner �...� ..,.�/.�............C/.."4:`. .......:...Address ....�,'1�'.....1 ..... .... ........................
Nameof Builder ......Y&nc- ..........................................Address ....................................................................................
.Name of Architect :.................................................................Address ....................................................................................
Number of Rooms.............. ..........................................Foundation ....................
Exterior ......... ifl ................................................Roofing // ..................................................
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Floors C .6!✓..!!!��1�.....................Interior .......,�/�ll:.... ...............................................
Heatingli� .... �. r.....:.............................Plumbing ....�/ !/ /� �...........................
Fireplace ......xlt/ ..........:..................................................Approximate Cost ...... ()........................................
Definitive Plan Approved by Planning Board ----- _ ----190 U. Area ...l .. ..................
Diagram of Lot and Building with Dimensions / Fee ...... . . .3.... '......................
SUBJECT TO APPROVAL,OF BOARD OF HEALTH 20
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....
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GREENBRIER DEVELOPMENT t
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Type of Construction ....Exams......................... , _ '
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Plot ............................. Lot .............:..................
April 4 , 80
Permit,Granted ........................................19
Date of Inspection ....................................19
Date Com leted 19�Q
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% PERMIT REFUSED
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Approved ................................................ 19
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Assessor's map and lot number ............... .........................
SewVe Permit number
t 33AUSTABLE,
House number ..................... MAS&
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... ......CIv
.............................
TYPEOF CONSTRUCTION ..............................................................................I.......................................................
.................. .........../..................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......... .. 4,2
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.......................................... ..... .......................... ...................................... ........................
ProposedUse ....... ...................... ..........................................................................................................................
Zoning District ........../( ...................................................Fire District .... .............................
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Name of Owner .............Address ...... .......................
Nameof Builder ...... .............................................Address ....................................................................................
Nameof Architect ...................... .................Address ................................ .............. ......... .......................
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Number of Rooms ........Foundation C.......................
Exterior ............... .. ..............................................Roofing ..... ................................................
. .... . ......./
Floors .......... , / ./A , ......................Interior ....... ...............................................
...........;..........
Heating .............................. .............Plumbing .....................................
Fireplace ....... ...............Approximate Cost .....
..... .. ..... ... ...
. ...........................................
Definitive Plan Approved by Planning Board lg.--. 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 ..................................................................................
GBE�0BIlIEIl DEVELOPMENT A=189-3I
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22096 ' O�� Story /7K�
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TOWN OF BARNSTABLE Permit No. --------------------
Building Inspector
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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 n-;_ry._�r♦i_ri .ter '"�;-,\7p�^Z^r'!+�a7,- Address
Wiring Inspector Inspection date
Plumbing Inspector 1j f� Inspection date
Gas Inspector Inspection date
Engineering Department 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.
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