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Town of BarnstableBuilding r xnr Post This"Card So That it is Visible From the Street-Approved Plans Must,be=Retained on Job and'Ahis Card Must be Kept 1 ` )Posted Until Final Inspection Has Been Made, ° iaat°` Where a Certificate of Occupancy is Required, rermit such Building shall Not be Occupied until a Final Inspection has been made Permit No. B-19-1657 Applicant Name: Alessandro Costa Jorge Approvals Date Issued: 06/03/2019 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 12/03/2019 Foundation: Location: 286 BUCKSKIN PATH,CENTERVILLE Map/Lot: 191-123 Zoning District: RC Sheathing:' Owner on Record: Alessandro Costa Jorge Contractor Name: Framing: 1 Address: 286 Buckskin Path Contractor License: `x 2 Centerville, MA 02632 " " Est. Project Cost: $4,000.00 Chimney: Description: adding a deck off my 3 season room. 22x16 with 7 footings relocate Permit Fe $ 145.00 the door from side of 3 season room to front x Fee Paid $ 145.00 Insulation: Project Review Req: FRAMING PLANS REQUIRED AT TIME Of FRAME INSPECTION. Date: 6/3/2019 Final: Plumbing/Gas Rough Plumbing: x Building v Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afteriEissuance. All work authorized by this permit shall conform to the approved applIication and the}approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work. f, Service: 1.Foundation or Footing "' 2.Sheathing Inspection ;. .�°" Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lirnng is-installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection final' S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: - Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: r �IHE p Application Number......:....................................................... U4L I 0 MASS. Permit Fee.......�.Y .................Other Fee........................ TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by..... . .......................on... >( /.`.......... BUILDING PER HT Map........ .. ...........Parcel......./:07�..................... - -_ APPLICATION ,,,,,` Section 1 — Owner's Information and Project Location Project Address-2 8 6 8 uC ksk r n R Village Ber71Ar111-_,Ze Owners Name /�,�5�a cosh ,rg Owners Legal Address City cr-,Y? 4�/Z Z,L� State /-r� �3 Zip 0 2 6� Owners Cell# '��y ,fz� - Z E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty Elm Fire Alar Rebuild EO Deck Apartment ® Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description 0, C 14P_ M V 3 ,-? ee-,f - w Ock,4-e- C- DOOC Jh ( !30(:f S 9 1 a, a Application Number.................................................... Section 5—Detail Cost of Proposed Construction ong Square Footage of Project Age of Structure Dig Safe Number J # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed d Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No T act—el.tPA- 1 1/1 G/9n1 Q B Application Number........................................... r. Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number . License Type Expiration Date r - Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date - Section 10—Home Improvement Contractor Name Telephone Number r' Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your HIC... Signature Date Section 11 --Home Owners license,Exemption � rt s 'Home Owners Name: t S S o �- Telephone Number 22 3,72 2 Cell,or Work-Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor-in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation r7y,77M and the Town of Barnstable. Signature Date 0 5 -?1 1? APPLICANT SIG NATURE_�� w (Signatures r ate off'- l Y Print Name-- A550�o Cos 6P Telephone N ber"' 1 �i _ 'Y z?- Y2 2 ' E--mail_p nit to ��'SS 6174 0 CA(P Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval. Section 13— Owner's Authorization i I, , 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 j ob) Signature of Owner date Print Name " h e 41, ��14 y 1 , I a Q n � I 7r =� I , AL 1 i 2 $6 f3vcks ee 0�632 1 acrid w/D Ye. or equ to 2'm n./in. afore b: of�r place,.+eri I00.08, , T6r MM il a a � aV. ELEV.-99.00 ' ELEV.- N ., ..Faled EXISF. PROJECT 8 ra "-• loop uqea�1 TOP OF F O septic Tank ELEV. , sunpeoaom ' ubeiRvsffNc t w d DdDROW( _ J GR/C! RODS[ t yea t_ � t t `. t e ' LOT #42 R — � t t 1 i f 00.00, ---- %}----- + ------------ -------- _ —� — CB D.H. MD � � ,. ` �?i Z �`� � 13 � ti �.,. s� r . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information J4S5,2"/V/o PIease Print Legibly Name(Business/OrganizaEon/Individuai): C -ta Address: 2., 6 f3 uc 1 n City/StaWZip: Ce Phone#: �l 2 Are you an employer?Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition working for me um an capacity. employees and have workers' g Y aP tY• ❑ [No workers'comp.ins=ce comp.insurance.t 9. Building addition required.] 5. We are a corporation and its 10.❑Electrical repairs or additions, 3.❑ I am a homeowner doing all work. officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required]t, c: 152,§1(4),and we have no - employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. Aram an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site informadorG Insurance Company Name- Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach 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 cWginsand penalties of perjury that the information provided above is true and correct signafore: Date: Phone#• rJl' �2j- YZ Official use only. Do not write in this area,to be completed by city or town official 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 Contact Person• Phone#• 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,p5C(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 numbers)along with their certificates)of insurance. Lmuted Liability Companies(LLG)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation im=ce. 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 • L e^�rdth^+�e���r^r;f y^„?Te requ�ed to obtain a workers' iI!QLSLC1At HCGiCicittS. �llvutcsyvii uade j`l�St?GiS ruE,— o compensation policy,please call the Department 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 in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pmmit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permitilicense 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like 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. The Commonwealth of Massachusetts Department of Industrial Aoddenfis Office of Investigations 600 Washimgtou Sh=t Boston,IviA 02111 TeL 4 617-7274900 ext 406 or 1-9 -MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mamgav#d1a Town of Barnstable r tllllil �. t.: _ Post Tfiis Ga ft ible'From,thelstreet A `roved PlansMusu on:Job anc3=th'is:Card .ust be Ke t Frosted Unt91 final inspection tias Been Made - ku ° Where a Certificate.of.;Occu a e ~is Re u�retl such:Buildi °shall o be Occu �edTung#..a F na#Ins ectian.has been made. ! Permit Permit No. B-16-2117 Applicant Name: Cheryl Gruenstern Map/Lot: 191-123 Date Issued: 08/18/2016 Current Use: Zoning District: RC Permit Type: Building-Solar Panel-Residential Expiration.Date: 02/18/2017= Contractor Name:• SOLAR CITY CORPORATION Location: .:286BUCKSKW PATH,CENTERVILLE _ Est,.Pr;oject Cost: $9,800.00 - Contractor License: 168572 Owner on Record: DIOGO,�FABERSON � � Permit Fee $99.98 Address: 9 PLEASANTVIEW PARK AVE i j Fee Paid �$99.98 HYANNIS, MA 02601 8/18/2016 Description: Install solar panels on roof of existing house,with any upgrades,if applicable,as specified by PE 'n Design;To be y interconnected with home electrical system. 3 975 kW 15 Panels JB-0263184rf A -= Project Review Req : Install solar panels on roof of existing house,with any upgrades,if applicable,as specified by PE in Design;To be interconnected wifhh m oe electrical system 3�975 k1N�15Panels JB-0263184 J Building Official This permit shall be deemed abandoned and invalid unless the work authored by this permrtk s commen' d w,ithm six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documehts which this permit has been granted. All construction,alterations and changes of use of any building and structures"shall be in compliance with the local zone by laws and codes. This permit shall be displayed in a location clearly visible from access street or>road afnd shall be maintained open for public inspection for the entire duration of the work until the completion of the same. s The Certificate of Occupancy will not be issued until all applicable sign,'atures by the�Building and Fire Officials are provided on this permit. Minimum of Five.Call Inspections Required for All Construction WorkAl JI: 1.Foundation or Footingiv e A 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue Iimng is,installed s. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. 0/i1 _JE "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). S �- Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT F. e4l: � I, .. t l►�l�s To,� n Of�3ai astable` . mit C Z� a t rJ' Expires 6 inonths from issue date lZeiulatory Se�-vices Tee ' Thomas r.Geller,Director F�I ' 'Building.Division. Tom Perry;CBO, Building Comniissioner 200aMain Street;Hyannis,-MA 02601 w ;•,F; r }: www.town.barnstahle,ma.us Office: 508-862-4038 r t'� ► . Fax: 508-790-6230 EXPRESS PERIYII'I?, PLICATION - RESIDENTIAL ONLY - Not;Valid without Red X-Press Imprint - Map/parcel Number�96 Property Address J>�����F. �I 1' �K� y 1. r [Residential Value of WO'IEA0 i- y. `.,a� .° Minimum fee of$25,00 forwork under$6000.00 M Owner s Name&Address 1� 1�-1 IC. _ �f' 1�a�ll •l9Ll I ' . m IKU Contractor's Name y �, Telephone Number. q O 41E (J Home Improvement Contractor License#{if applicable)I t i 143 � u A Construction Supervisor's License'#(if applicable - � ❑Workman's Compensation Insurance _ Che one: ,i Gr�sr ain a sole proprietor, ( ❑ I am The Homemmer. �r°t Ll��� I have Worker's Compensation Insura �' YS TOWN OF BARNSTABLE, Insurance Company Name L . Workman's Comp.Policy# Jill Copy of Insurance Compliance Certificate must be1r`'o`n fle. Permit Request(check box) ;' �Re-ro.of,(stripping old'shingles)''All co.",ns'ttrii(ction'debris will be taken to W ❑Re-roof(not stripping,',Going over, i4��jlexisting layers of roof) ~ Re-side i .� r ��� �!r - ❑ r z,Tl? ❑"Replacement Windows/doors/sliders U;Vzlue (maximum 44); *Where requtredi'Issuance of this permit does not exemptio pliance with.other todm de artmentre u]attons'i.e.Historic Cons` atio P B 6 n,etc. ***Note: Property Ory �st si r,operty caner I;etter of Permission. A co the Ho e I rove` ;ant tractors License is required., SIGNATURE. Q:Fomts:exptntrg Revise061306 '.. i ' �j •;" - pfINI r°'Sy ;�'p'p3 R Of'l�arnsf ble. y - a q,-*gulatory Services a +' r 1AENSTAHT,E, • - - `Thomas F. Geiler,Director SAT id39 ,�� Buil ding DIVISiort Tom Perry, Building.Commissioner: 200 Main Street, Hyannis,MA 02 60 1, ' "'W-town.barnstable,maxs, Office: 508-862-4038 Fax: 508--790-6230 "Properly Owxl 'r Mus YComplete and Sigma TMS Section 'If Tjong A`Build-er • - t�a it r S � P as Owner of the sub�ect.property x hereby authorize �� r, to act,on my behalf in all matters relative to work authorized^b this boil Y ding permit application for: (Address of rob) ✓d- F Signature of Owner's ' i , ; Date r r t � i} Print Name` fr, �'�' Q:FORMS.OWNWERMISSION ! , ti rPiS ti §` sa 4F f ! � z 5 i : t j% i I' . ' t•tlr t �i�, � ;. jiC � t F C'r�nnrr11,01t€ealth of Alrassadiusef s l e�rrtaxer;t o; l out s it1 Accrderr#is , �., q,, e oflnvestig dens dQQ,Wnshixtgtolr,Street t i. w ' j l =3 $rsfartY, Q1 , , 1 tvr€7v.Ytaasmgmldrrr Workers Comp"e' saf a'n " nnra �fidavit:� 'rs/ nan ctEectciasPls .umbers -ant Please Print IlLegib (Busine 14 I�Tarne �l/\ „ice .onlrmdivic�al)^L (�1(1 Cityfstate/zip_, Phones 3 Are you an employer. Chectf the appropr sate bn r„ , I `' T) ofpra3ect(regnired)_: 1.❑ I am a employer with s 4:+ ; I Tuna feral contractor and i loyees(full and/or part time)_* � Ft+,r have/tired the sub'co' iors ' ,❑New 7 v Fr IistEd on the attached shee 7 Remodeltn LJ'1 am a sole proprietor or 9 lu. t . ; g . ship and ha��e;no employees ,a. ,These sub-contractors have t S- E]Iaemolitiou... - wod ng forme in any capaaty ;i: 6:.a,j employees and have,worlcers' ; s' cam -i>istiraril j tf g; ❑Building addition [No workers camp insurance ,� s t p a ,. required-] " 'i,. 1 5 l 4}'.�Te are a carpet;ati�i and its 16-M Electrical repairs or additions 3_❑ I am a homeowner doing all work- i offeers have exercised their 11..:0 Plumbing repairs or additions; myself[No wcAers'comp '` + right of e�ption per MGL 12 0 Roof insurance required]f c-152, §1(�F},and We my _ j � ❑Other r r = ecr3 OYLes-[Na urarkers' 1�� s a''la,comp-tasuranne ragtrired.] '`mayVpbamtthat checks box#1 mast also fill out the secfionbelow showing the¢waken coMPensartianpnlicg nEmInatio T Hameomrners who submit this affidavit indicating they are doing aR worse and then hie aatside contcacmn nmst submit a new afdavit ind.dir,ting sack Gnatcactnrs that check this box must attached an sdditiooal sheet sbacchg the nanme of&e ,b- coaftacwTs xnd state whather or not those eaities have employees. If the'sub-contractors hate employees,they must pzovide their workers'comp,policy number. lain arc arnpinygr t7trrt is prmidinj tt,orkers'co"mperisalfon fnsurartras for rtc*enrplayeRr. Seiotr is the pat[c}and job site irifarmah:r,rr_ •' �, t _ Insurance Company.Name IF t Policy.9 or Self-ins Uc_a. Exptiati9II I}ate: T ## 4 Job Site F ddress: ' 7 t City"Statimp: Atrtech a ropy of the orke s'c�mperisati,on policy declaration page(shoNving the pobc3+number and expiration date}. Failure to secure coverage as required under Sectroa 25A of N fGL C. 152 can lead to the i npasition ofcry.r�++�al penalties of a fine up toL54Q,©D and/or oue-yearitnittisoa>u as`well as'civil penalties in @ie fo>m'of a45TOP CORK ORDER,and a fine. , of to$250.00 a day against the violatgr_ Be advised that a cDpy of this'statement maybe forwarded to the Office of � Iirvestigations of the DIA for.` c veragea. ergcation_ I do heree4,certify rand the is ar en es a�f perJicry that the inforrrratfan prot'l ei �e' trip Land correct Sttniatrine: Bate: {.V Phone ©• 7cfal use icily:�'b not write in this area,fa be c.r,mpleted by city or town o ieiaL '^ ¢ City or Towir: " tr' F Pert ai#lLicease# Issuing Aath,.1 �(circle'one) I.Board of Health y.$uxTding Tlepartmeut 3, CitF(Fown Clerk 4:Electrical hispec#or, 5.P'lutmlattng Iuspectar 6.Other a. . l.?' Contact Person.$ ! 1 Phone#: I .,�: '� ..,�.��.�.A. ,,.f. '..tea y.3-•.,�"••r -t aw =w�-.•.`.wn _ - } - .. _ _ , _::.�'^.'='��$ � - c_r.�c'rv'*'�--�—';:'i �=,�. —•---. .--'Ta — _ - _ -"fir _ ;'-� � _ _ _ _ z tw. - 24 assachusetts -Departmerito#Public`Sa#ety =" ng Regulations _ 6 Board of Building lations and Standards Construction Supervisor Specialty . License: CSSL-099138 287 FULLER ROAD p7 Cente ville A 02632' -.0&�f `Expiration I 01/28/2016 Commissioner, �. r R. YdB�s.11 a'r1` I' { _ hu i3 ` , s ��td x " �:- .sr a �� 33 urn t ggg r ... P-' n r. r, •e. •.:is -_ -, '`-7;6 -.G i IMI-mm�'. i r t ,�. .4. t..- ' ,.,,. r :eo .. - +�. ,< • ='9•a ,:aY-�.tl r�. .�5 ,-ic v •� t i+,'�,�,-s,_a: ;^.,,s.M1 .�.e .v:; , r-•aKr n. rs:- t'G• 4: t� P':-2-. .k .:s; +���+v-r .. ,v _ ., __ .. .a^ K..3,..r +�:a,.. Y` �. .n.. ... ._... F ..t"`u. st r E �'E.. •..�_E .�. .i. G - . p:> -yrY41. < '}'. -Ia,E ^i J.. ) t�w� '� fn•.2.• .r.-` ._ ,>,...w =a! , .< .�. 'b>. - h .al -;'�a .a 1$+::Xr --x• <'1r.'g 4. ,. t .xt R. 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SEPTIC SYSTEM MUST BE INSTALLED IN' COMPLIANCE / WITH ARTICLE II STATE Sewage Permit number ......�.Y . .. ............................... SANITARY CODE AND TOWN REGULATIONS. ��QyoftNEro�I� TOWN OF BAR.NSTABLE i B9HK LE,ASL i w f o _/2/ 1639. ,•� BUILDING INSPECTOR /7 O,CEOPY Y � } .1 s APPLICATIONFOR PERMIT TO ... ... ....... ............................................................................................... ......................................................... TYPE OF CONSTRUCTION ....... ""rc.,, ,. ,,........................ ....... ..................... .. °°'..19. TO.jHE INSPECTOR;OFF BUILDINGS: y - — The undersigned hereby applies for a permit according to the following information• Location ............ ............. ... .........:...........:.. ....... ..............:... ............................... ProposedUse ... �. t.`�!....... !........................................................................................................ Zoning District ................................................. .....................Fire District r.. . F Name of Owner . Address Name of Builder ..........� .................Address Nameof Architect ............ .....................................................Address ................................................. ......,......................... Numberof ms .............................. ..................................Foundation ......:.. .. ............................... Exierior ...... ............ .......... ....................................................Roofing ....�o : �.............. Floors ...........................:..........................................................Interior .... . ......... ...' ..................................... ..• > Heating ...................................................................Plumbing ....... ;. . "....................... .. Fireplace .........................Approximate Cost ....... .„..:...... ..................................... . .... ..... Definitive Plan Approved by Plannin Board ________________________________19_______. Area 5. ® .S' Diagram of Lot and Building with Dimensions Fee /. SUBJECT TO APPROVAL OF BOARD OF HEALTH M e z d� } rid I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg rding the above construction. Name :�........ 1400-Iv............................... ~ � ' Soua]]'^ Alan E. - (& � r�242 ormy �o ..����...�— Permit for -----��.��---.. ........... .� ���.g------... � BuckskinP~+h Location —.............:................—^--------' . ' —.---.~—.. -----------. ` Owner �I�� I� . -------�''�����'.--------- Type of Construction ............f%.=.P................... . ' -----.------------------.-- � . � Plot ............................ Lot ..............#42---.. ' May22 �� ~ Permit Gnzn,o6 ----..c--------lV ` - x � Dote of Inspection ------------lA / � �~� ` Dote Completed —.. ........ ' . / PERMIT REFUSED |._.___.—____,,_________. lg < ^ ( ^ .-------------------------- � { � --_.-------..--------------. . / . —'----'^--'-----------^—'—~~-- | � -------.--------..—..--.~---~. > � Approved ............................................... lQ ` ^ --------------~..—..----.--.. . � , ----------------------^^'^^—' | � / ^