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HomeMy WebLinkAbout0004 CAP'N LIJAH'S ROAD 4' Ca�u .0 j�6 S P�p� — — - — —�— r�s� eC . 1 alzZhN THE r� Town of Barnstab a *Permit# Expires 6 months from issue date Regulatory Services Fee �3, • BARNSTAIRB ' MAC' $ Richard V.Scali, Director 1639. �0 ArFp�,�p I _ . Building Division PC Tom Perry,CBO,Building Commissioner X-PRESIk M� 200 Main Street,Hyannis,MA 02601 OCT 1 www.town.bamstable.ma.us 4 2014 Office: 508-862-4038 TOWN OftV �6B o EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY LE Not Valid without Red X-Press Imprint Map/parcel Number IProperty Address ❑Residential Value of Work$ `� �� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address / obt n 06r(- l ; ll� Contractor's Name Telephone Number Home Improvement.Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner - I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property.Owner must sign Property Owner'Letter of Permission. 'A copy of the Home Improvement Contractors License&Construction Supervisors License is req SIGNATURE: `Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 061313 CIA The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street = Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): AM Address: City/State/Zip: P ( Zl e Phone#: J`�CO�= -7ylr 51?0 Y Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I - * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). _ 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 in any capacity. -employees and have workers' A " 9. ❑Building addition [No workers'comp.insurance comp.insurance.: required.] - 5. ❑ We are a corporation and its 10.[1 Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their I LE] 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 41 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. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. 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 certi unde epains andpenalties ofperjury that the information provided above is true and correct. Signature: Date: one#: #: f5c)8 ' Z L9r�z Y. t Official use only. Do not write in this area,to be completed by city or town official City or Town: Pere it/License# Issuing Authority(circle one): f 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f c 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 a to er is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more mP Y P P 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, §25C(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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. 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 Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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 burn 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 Accidents Office of Investigations 600 Washington Street Boston,MA 0211.1 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia J • 1AnN3fAMASS.BI$ • , 619. Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L , 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 Job) ' Signature of Owner Date Print Name, If Property`Owner is applying for,permit,please complete the Homeowners License Exemption Form on the , reverse side: I ' MQAWPFILES\FORMS\building permit formAsmokecarbondetectors.doc. Revised 050412 f Town of Barnstable � Regulatory Services pU Richard V.Scali, Director ' Building Division sexxsrresi.$. Tom Perry,Building Commissioner Mess. ae;q. 200 Main Street, Hyannis,MA 02601 �Ec www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /f Please Print DATE: I�' /7 �/`/1�/� / � Q /� JOB LOCATION: q 0//1�/U ` 1,l S r ,�i �u (I t n mb/be�r) y� &!�j street village ..HOMEOWNER : /" 60 7 f d name home phone# work phone# CURRENT MAILING ADDRESS: -5(�q t r�/nn& city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work j2erformed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sign re of Homeowner I I Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, j as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 151 FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. 11 DATE: �r Fill in please: APPLICANT'S YOUR NAME:. PC kf , BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number: NAME OF NEW BUSINESS oet- Ovtie— -:Hbme E -(-{`) - TYPEOF BUSINESS 6 M era4P— IS THIS A HOME.OCCUPATION? YES _ NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS C/QP'iU C }� '5 tq MAP/PARCEL NUMBER. �i9 ©Z6-:3 When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM S10 ER'S OFFICE This individu I h s b- in e-'I o0fH permit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Auth i ed Sig re**COMMENTS — COMPLY MAY RESULT IN FINES. : 2. BOARD OF HEALTH _ This individual has en infor e t e e it requirements that pertain to this type of business. • ' Authorized S gnature**, COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has/ ee" inform ,of the ice, r quirge `e�jis that pertain to this type of business. Authorized i nature**_ COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00,for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L':: it does not'give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1n FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter: DATE: Fill in please: APPLICANT'S YOUR NAME: tC BUSINESS YOUR HOME ADDRESS: �/ /4�i9//U Lr t -5 CD n ul��� bg,-71 N55 0 Z63Z TELEPHONE # Home Telephone Number: '• - NAME OF NEW BUSINESS TYPE OF BUSINESS � ?-)?i?C( IS THIS A HOME OCCUPATION? YES NO �y Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS 1 Lf—IM 15 90 v AP PAR/ CEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business� this town. 1 . BUILDING COI�IMISS NER'S OFFI -E MUST COMPLY WITH HOME OCCUPATION This individual h ee i me f any permit requirements that,pertain.to this typj;lgL $ EGULATIONS. FAILURE TO Authori d atur COMPLY MAY RESULT IN FINES. COMMENTOA 1S _ 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized 'Signature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business: Authorized Signature** COMMENTS: Town of.Barnstable Regulatory Services' �ZIiE Tp� P� o Thomas F. Geiler,Director Building Division 9 MAS& Tom Perry,Building Commissioner �'DtEp 3 All ;200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us , Office: 508-862-4038 ax 8-790-6230'' Approved. - Fee: 5 Permit#: HOME OCCUPATION REGISTRATION Date: .J`ZZ ` v Name: f V i �E f e 'l: : Phone#: V . Address: `7 CA Pr- L r J11/ 5.. 80 Village: Cbl�o I Name of Business: V s i< Tb�S IIUc Type of Business: / ON e elr Map/Lot: INTENT: It is the i itent of tlus section'to allow the residents of the Toiirn of Barnstable to operate a home'occupation within single frmily dwell rigs,.subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no mcrease in noise or odor;no visual alteration to the premises which would suggest anything other than a residential"use;no uicrease in traffic above normal residential volumes; and no increase un air or groundmater pollution. After registration wRth the Building Inspector,a customary home occupation shall be permitted as of right subject to the followuig conditions: e The activity is carried on.by the permanent resident of a singV.family'residential dwelling unit,located within that dwelling unit. + Such use occupies no more than 400 square feet of space. There are no external alterations to the dwelling which are not customary in residential buildings,and these is no outside evidence of such use. • No traffic will be generated un excess of normal residential volumes. The use does not involve the production of offensive noise,vibration,smoke,dust-or-other particular matter; -odors,electrical'disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall Abe met on the'sanne lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • 1'lnere are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet ui length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. 7a • No sign shall he displayed'indicatung the Customary Home Occupation. • If the,Customary Home Occupation is listed or'advertised as a business;the street address shall not,be 4 included.' k o. No person shall be employed in the Customary Home Occupation who,is not a permanent resident of the i" dvvelling unit. I,the undersigned,have re pd,and agree� � i the above restrictions for my home occupation I am registering. A <licannt Rp C% Date: �° 106 -n no Homeoc.doc ReV.01/3/08 P� Town of Barnstable . Approved Regulatory Services Fee Thomas F.Geiler,Director Building Division Peter F.DiMatteo,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 // Date: Home Occupation Registration �'�`1`U Z Name: UQ �/�1 ���rl Phone#: D Address: f�l _ Village: ��{�l I vt 1 /f /lam,� L / / r Name of Business: Q2W1 .d-2d e Home `JL0G?l,�"I'1 50 C>l 0 S Type of Business: !f r,Vf ;Uk 12101nLo �Q� L Map/Lot: INTENT: It is the•intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything�other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed.indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and ee with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc \. W ..4 Assessor's-thice (1st floor): )) R 1 ! ofTHE To Assessor's map and lot number ......l.. ...... " .!.:. , .. �► Board of Health (3rd floor): Q. . Sewage Permit number (.n.............. . � Engineering Department (3rd floor): ' r"°a 1aj S �� 1639. House number ....................................................................... t 0MAX0' 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 ....P(P)CG... . ''�-.i:Cogr, ...::�h�...� .j�.tn)....��':� ,,�-�` TYPEOF CONSTRUCTION ......... ! ..................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ..�,!i4� ... 1 ... h....... f. .. .(..: .....1,� ........ E^r�/1 V1..L L. .......1' 0. .Ca; .ol Proposed Use .......-:.':/! ,:z4 .':.............. ..............,......................... .... ....... Zoning District ....................Fire District .......... �.... .................... ............................... .................................................................... Name of Owner ....Rn!- j..... /lC �v...... Address � U/. ...........K... .: lf- h�/ © G✓� Name of Builder ............... ../J...`..:..- !-aA� .......Address �C' �'/it!1�!llr� ..../.3 ! Name of Architect �` ... ° JJ ..........................................�.�:.,:,.::............Address .................................................................................,.. Number of Rooms .. .,!fir!• '1!....�.Foundation `.::. ?/!>�" ...,`. �. Exterior .... % ,_ v1` i �..m�s�4f�.ff�?( ..Roofing ..................................... Floors Q //.....!................................;.............. .....,..................Interior: ..... :;:.. .r/,fi�:.. `� /5{:. .................... �,/. ............ Heating ..,.._ .�..�...... .................................................Pl�umbing .................................�r .. ................................... : Fireplace .......Approximate Cost`�....� r . ...................................... / Definitive Plan`Approved by Planning Board ___e----------------------------19-------- . Area .......f.?.....�! -s ............:..... , r Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' l. Y .r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS / I hereby agree to conform to oll the Rules and Regulations of the Town of Barnstable regarding the above construction. // Name t��. .: , �. ... .�. .......................... r Construction Supervisor's License, PERRY, ROBIN R. A=192-188 No .........29556........ Permit for ..Build PaK-Agg....... Single Family..Pw!�jjin&............... .................................... &ocation ......A..qap.'R.L.U.ah.' .... .S...RP AA............. .....................Centerville................I.................. Owner ........Robin....... ......R....:.P rry........................... Type-of Construction ......FX.ame......................... ................................................................................ Plot ............................ Lot ................................ ' Permit Gran June 24 *ed .........................?..............19 86 Date of Inspection ....................................19 Date Completed ........................................19 K• #-' SEPTIC SYSTEM MUST-BE Assessor's-office (1st floor): �� _ g INSTALLED IN COMPLIAN ',Fr"erot Assessors map and lot number ...... ................................. v Board of Health (3rd floor): WITH TITLE 5 Sewage Permit number ........:. �: t�. ENVIRONMENTAL Ckr ........... ... .. BAH39TODLE. Engineering Department (3rd 'floor): `' J S, TOWN 'oo M639• TRIP House number ............................^.... S APPLICATIONS PROCESSED 8:30.9:30 A.M. and, 1:00-2:00 P.M. only i TOWN ;OF BARNSTARLE BUILDING INSPECTOR APPLICATION FOR PERMIT TOE!.���.....�:. t fU� .........C. .0 -Am 0,... � ' . TYPE OF CONSTRUCTION ........... ................. ...................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �E'r✓1 E v`l CL,� C �d Location ....... ......V/Q �....l/....... f1 ...I.l!..H... .....l..l '........................�Z...................... ks. �a .r�.. .4.T.......... Proposed Use ....... ./ 7./� G.y?7 ................................... ... .......................................... Zoning District .................... ................................................:..Fire District ......................................v . .. ................................. / �; Name of Owner .... 4? ..It........ . ....... .. .✓�. ...................Address 0 Name of Builder � . /�] '../�� � .. Address Nameof Architect ....��.................1�............... .....................Address ................................................./....................J......... - ,.. Number of Rooms .Q��„fLlr�j.....� ..,..�....T�...Foundation .../�.�rs�°......". Exierior ...6 ✓ �?c 7.44 �! .� Roofing ,. /.. � �................. . J.� Floors ... .........................................................Interior ... .. Heating ................................Plumbing .................................................................................. Fireplace ..............................................................Approximate Cost ..;l a ............................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ....l�..e..v.U ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH „ �N 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 [/ •f1•�• %yy�� 2� .......................... r Construction Supervisor's License d.!./..1:J(1/"2.`,�,?" PERRY, ROBIN_R. F- ;k , No. 29556? permit for Build Garage r ............................. t ' Single Family..Dwellin 4�Ca 'n Li•ah's Road l:�Jcation; .f. ..P._.........J................. 1 'C .....................Centerville r�. + 5 ........................ ........ ..... Owner ........Rob... . R. Perr y..................."........ Type of Construction ..Frdme........................................ - 2 .... w _....... .............. e ................._................. " r oPlot `s.................. ~Lot ................................ 1 I 4 Juner 24 86 Permit Granted .....................'.......... 19 W f- Dat of IGspection "... .............................19 r_F -�. Date Completed -..........�7 19 -w 4 As§*sor's -anap and lot number . /`/!1/ t.... �2<..,....1..8. ......... -76 PTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Sewage Permit number .......................................................... WI I !'.''TILE II STATE r Sr:NITA If ( r)nF j"E.T°�� TOWN OF BARNSTABLE Z 33AH39TIBLE, i "b BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...4.,Q.r6+AAAC-( ...... ............. TYPE OF CONSTRUCTION ............I.AJ.A.0.a......-k y.:GIIYYIR.:...............................................................(.............. ....................... ?r.:.c �.........19-IL TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /1 Location ... .. .1,��....... L ........ L..Y.1.l..2... --u.'.�...,... ... .Q-. 5................................ ProposedUse ...... !. 1C ............................................................................................................................................. Zoning District ...........�..M....................................................Fire District 1. 'f 11.Q4 Name of Owner 4.............Address ......a a. .....1..4.Y..�.Q Name of Builder ...........:-7�aY.Y.I�Q.......................................Address ...................4:.Q!YYt.l2............................................. Name of Architect ............ ✓5. .1/.Y.YM..�.....................................Address .................... '.kS.A,............................................ Number of Rooms .. ..... ................�...............................................Foundation ....�:Q.......� �(.-. Exterior .....-r' ......1..o &.r...... wo d. ........Roofing ....0�.3.�?. eLb.......A-m.p.h.0—LY............................ if I �' Floors .......I.......... ..I....................................................Interior ........ .a�..... .{ L................................. Heating .......... ...W..A.......YtH......q.o-5............................Plumbing ............L,41....... ..CC .. ................................. Fireplace .......... LQ,.4C..................Approximate Cost ..............�44. . .............t. .. ..... Definitive Plan Approved by Planning Board ______________-__-__19________ . Area Q/ Diagram of Lot and Building with Dimensions _�� (=�,, "-e O SUBJECT TO APPROVAL OF BOARD OF HEALTH U 1 � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. his e e ...................................................... ........... Telleg-a-Ferrone Associates, Inc. is 18574 permit for 1 1/2 story, .................................... single family dwelling ........... ..., .................................................... P� Lijah Road Locafion ................................................................ Centerville ............................................................................... Owner .............Tellegen. . . . . -Ferrone. ..Asso. . . c.iates. . , Inc. . .... . . ........ . ............. .. . . .... . . Type of Construction frm ..................a......e.................. .................................................................. Plot ............................ Lot ................................ , Permit Granted August 10 19 76 Date of Inspection .. ..... ... ...........19 , Date Completed /.l .. 12.................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number ..... .G'.-�.........�. .......... r ' _ Sewage Permit number .......................................................... --A �Qy°f'If"Er TOWN OF BARNSTABLE i BABH9TADLE. i "6 9 BUILDING INSPECTOR am APPLICATION"FOR ~PERMIT TO ...C'.�C:.!��:. .........#:......r..:!C?.�.....�n. �^:...�.. f .. '?...... . .. . ..:^:: ........... ... ..: TYPE OF .CONSTRUCTION ............ .......................... ....... ............19. /. t' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according7to the following information: Location ..1, l..`�.?. (In ! +..p!......�...� �.n G� lK�f.......�..r..!^ Z..u...:.S.a.f..��.�...........�4n: ?:............................... J ProposedUse '!...a . I................. .......... .!. ..................................................................1......................................................................... Zoning District G t. Name of Owner.fl..t p!y. . ^..... .:. r!'t`u.:F.............Address ... :?. .... �,ns, YS: �?,n, �.!'..k�� :......�.p!....n �' Name of Builder ............ ./ .... ................................................... .:............................................ ...... ress ................... Name of Architect ::!!!.! Address n ^"" Number of Rooms j................................................Foundation ... (1" h!t.r k. ( / /b h , n Y?f�i.�1e �� -�...� �i L� 44 11�'�11 i E Exterior ...... ?........ ... . . ., ......... Roofing ................................ Floors .. . . . .................. ..............Interior ? ... .. . .................... rf ..U................................... Plu ` i .�e r 14, Heating ..!a? a. ....1 . ..................................... m ........6.01.h.4.......... .............. ......... Fireplace ...............Approximate Cost I i �....`... Definitive Plan Approved by Planning Board --------------------------------19________. Area ..................................f........ Diagram of Lot and Building with Dimensions ���__—Fee �.........1-D "!` ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH I X G `l, ti i �� 12•> I hereby agree to conform to all the Rules and Regulations of the Town o—Barnstable regarding the above construction. r N .......................... .,....... ......... L1 � Telce8Jan-fmi:roue Associates, Inc. . / A=192~188 No ...l857�— Permit for ,l..l�.2..ntmry�__.. . - l�J dwelling ' � -- . ,............................................ Location ' -------����t����ll;�---__—____. . . ' C)wone, --- .�aaoc1a�eo^ Inc. - Type of Construction - ` ` . _ ---------. ' . ' ' ` Permit" Granted ` ` ' ' uo/a of Inspection ......... .........................19 . ""'e C" "p='=" . , . . ` - PERMIT . � ' ' [ . . � . . ' ....................... ...................................... ' . . ^ --~---''.`^^—^—'' ---'—'----'^---~ � . .,.----.---. —.,.8-..,.---.—...,---. ' ~ . ` , .--.. ��. —. -r-�r�rr�� —�---'' — —''�----'- . . ` . . . d Approve lg / � � ----------------.. . ' -------.--'----.--.--------,�. � ............... ...................... ........................................ ` . � . f.4711 2 EX 5T1i.� 40,1 11_07- .G.Z% ZONE - T<C C C� SF- SACK-S - �'° c© ' ,=.eon,r 31 S/LL ELF.✓--`--FEET A80✓E P©.CJ,j) RL O 7- oL A /V SCALE DAT& PLAN e—Or 1N Of GE I A14260Y CEPT/FY TAIAT Tf*E EX/�57- Is TE �Q� /NG FOUND.7'/O/ LOCAT/pN /S Q2ZQ tiRV .45 SHOWN 4VD-_ OAS___COA1,9OZA f t� lr7 THE $U/GGD/NG SETl3ACL'.T2EQUiEEM�icJJ'\ OF 7 T TOWN �v 3 z✓o c.�owEc.� { T.a yc.o2 co. r 4C1 G• t,./�/ /-29 3 _ 8 4V1e e_OW Tr, >1AIZ !O u72FJ'Ok'T MA. I