HomeMy WebLinkAbout0014 CAP'N LIJAH'S ROAD -T�d
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2Y1 IfAil
°FINE Town of Barnstable *Permit#
Expires 6 m on s from is ue date
x� °r Regulatory Services Pee
t MRNSPASLE, : Thomas F. Geiler,Director
9 MASS. $`
Building Division y
PlFn MX a
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis, MA 02601
'�www.town.barnstable.ma.us
0ffce: 508-862-4038 Fax: 5087790-6230
EXPRESS PERMIT APPLICATION - ,RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
ff
;aial
dre§s ! t 4pr ti L'I Jt ?/ is Value of Work Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address OCR 5 V S4 44 /
OSe 113,
Contractor's Name n7l,- %as Telephone Number 5e
Home improvement Contractor License#(if applicable) /S t 1/74 L
orkman's Compensation Insurance
Check one: PERMIT
❑ I am a sole proprietor
❑ I am the Homeowner JUL 2 4 2008
❑ I have Worker's Compensation Insurance
Insurance Company Name
p y f 2U•# !�Ad 3 TOWN OF BARNSTA13LE
Workman's Comp. Policy
Copy of Insurance Compliance Certificate must be on file.
Permit Request( h ck box) .
Re roof(stripping in old shingles) All construction debris will be taken to- .5� , 0
( PP g _
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders. U-Value (maximum.44)• -
*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 is required.
SIGNATURE:
Q:\WPFILESTOR-MMuilding permit forms EXPRESS.doc
.., `' ,�#'�` -�1 V 1K. VV_.�..•'dYLC(1PG� d�. A&"'"LIM+u!.,`!""_ I
Board of Building Regulariods and Standards
Construction Superv!sor l icense
:F L iconse• CS 2881
Expiration 2�14/2010 Tr# 18146 €
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Restriction ;
CHARLE8 E
1694 FALMOUTH RID#115
CENTRERVILLE,MA 02632" Commissioner ;
` J�ie (�anvrreo�uuea��t a�✓UGczdde6
Board of Building Regulations and Standards
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HOME IMPROVEMENT CONTRACTOR
Registration 136066
Expkration 6!6/2010 Tr# 268785 ;
;Type DBA
COREY&COREY;HOME IMPROVEMENTS 15
i
CHARLES COREY
1694 FALMOUTH
CENTERVILLE, MA 02632 Administrator '
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License or registration valid for individul use only
before the expiration date. If found return to:
Board of Building Regulations and Standards '
One Ashburton Place Rm 1301
y y Boston,Ma.02108
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Not valid without signature
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The CommonweaXth of Massachusetts
Department of Industrial Accidents
Offl -e a rnVestlgations
600 Washington Street
Bostorz, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumberg
Applicant Information Please print Le 'bl
�aI110 (Business/Organization/Individuan: .
• Address: �. •
City/State/Zip: Phone.#_ - 7
Are you an employer? Check the appropriate box: r7. E:l
roject(required):
I.❑ I am a employer with 4- am a general contractor and I w construction
employees (full and/or part-ti=).* have hired the sob contractors
2-❑ I am a'sole proprietor or partner-
listrd on the attached sheet modeling
TMese snh-contractors have g, Demolition
shy and have no employees
working far m employees and have workers'
e in any capacity. 9. ❑Building addition .
[No workers' comp.i„srrrar.co comp.incrtrance.t
5. We are a corporation and its 10.0 Electrical repairs or additions
required.] officers have exercised their 11.❑PI ing repairs or additions
3.❑ 1 am a homeowner doing all work
myself: [No workers' comp. right of exemption per MGL 12 f repairs
t c. 152, §1(4), and we have no
incnrance r
��] employees. [No workers' 1.3.E1 Other
camp.inc„rancc required.]
*Any applicant that ci=ia box 01 must also fill out the section below sbowing their workers' oTqXnS4cn policy intorumtion
t Hmmowners who subant this afbdavit indicating ffiey are doing al work and then hire outside conhmctars musteubrnit anew afaavitindicating such
ICnnt mctors that ebxk this box unid attachod an additional shoat showing the name of the sub-contractors and state whether or not thosC entities have
employers. If the sub-contractms have mnploymr,they,must pravidt:their wori=-s,curnp.policy number.
I am an employer that is providing workers'compensa*rt insurance for my employees. $claw is the polity and job site
information.
Insu lance Company Name_ l ?LJV`V✓��s '
Policy#or Self-ins.Lic.#: �p yT�1 7 j/4 b Expiration Date:
Job Site Address: Y l"i�� r✓ 1. �. City/Statc(Zip: vir
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
ti
Failure to secure coverage as required under Scction 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine uip to$1,500.00 and/or one-year imprisonmLnt,as well as civil penalties in tare form of a STOP WORK ORDER and a m
of up to$250.00 a day against the violator. Be advised drat a copy of this statc=rit may be forwarded to the Office of
Inv esti gjqbons of the bIA for insurance co crag e verification.
I do hereby c jy un the pains and penalties of perjury that the informatiot:provided abo a'is true and correct
Si c: Date: --
Phone#
O ftcial use only. Do not write in this area, to be completed by city or town offtciaL
City or Town: Permit/License#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plnmbing Inspector"
6. Other
f nnfnrf PRrcnn' Phone#:
°FTHEt, Town of Barnstable
Regulatory Services
` ` An ,Thomas F. Geiler,Director
q$arKass.039.
TFo�-a 7 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
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 fob)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the Homeowners License
Exemption Form on the reverse side.
Town of Barnstable
�pF THE Tp�y .
Regulatory Services
swtuvsTwsra Thomas F.Geller,Director
v MASS.
Building Division
prFD 1u'ya Tom Perry,Building Commissioner .
200 Main Street, Hyannis,MA 02601
K ww.town.barnsfable.ma.*us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB'LOCATION:
number street village
"HOMEOWNER':
name home phone# work phone#
CURRENT MAILING ADDRESS:
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 10MEOWNER
Persons) 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 tiwo-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 performed under the building perm=i (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.
Signature of Homeowner
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 perfomung work for which a building permit is rcquii-cd shall be exempt from the provisions
of this section(Section 1 o9.1.1-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,as part of the permit application,
that the homeowner certify that hdshe 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 fom-Jccrtification for use in your community.
ACO,RD CERTIFICATE OF LIABILITY INSURANCE DA Effft °ffYY)
r rb 104/08/2008
PRODuaa THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIW
SCHLEGEL INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
- HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
34 MAIN ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
WEST. YARICUTH, MA 02673 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: NORTHLAND INSURANCE
Paul Buckmiller
HdSURER e: TRAVELERS INSURANCE
DBA 13=101ILLER ROOFING INSURER C:
INSURER D:
Hyannis, 1`A 02601 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR.OOND17ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER71FICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1W AWLLTR SNSRD TYPE OF INSURANCE POUCY NUMBER ORATE ET�TIYE POLICYDATE
IMM1 RATION LIMITS
1Y1 ORATE PIDUDOrcYI
A GENERAL LIABILITY CP46859504 05/15/07 05/15/08 EACH OCCURRENCE $,1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea oecumnee) $50,000
CLAM MADE X❑OCCUR MED EXP(Any one person) s EXCLUDED
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE - s2,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000
POLICY JJECo-T LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Es accideid) $
ALL OWNED AUTOS
BODILY WNRV $
SCHEDULED AUTOS (Per Parson)
HIRED AUTOS .
BODILY INJURY $
NON40WNED AUTOS (PeraccideM)
" PROPERTY DAMAGE $
(Per acddad)
GARAGE LIABILITY AUTO.ONLY-EA ACCIDENT $
ANYAUTO OTHER THAN EAACC $
AUTO ONLY: AGO $
E710E3&UMBREL A LIABILITY EACH OCCURRENCE $
OCCUR FI CLAD MADE AGGREGATE S
$
.DEDUCTIBLE S
RETENTION $ $
B w7RNERSCOAPBNSATIaNAND 7PJUB-743OA7-07 04/11/07 04/11/08 X TDRYLwurs ER
EMPLOYERS'LIABILITY 7PJUB-743OA7-08 04//11/08 04/11/09 E.L.EACH ACCIDENT $100,000
ANY PROPRIE710RIPARTNEWEXE(XRIVE
OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000
I yes,desaihe trOw YES
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s 500,000
OTHER
DF3CIBPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLU90NS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
THE WORP03RS COMPENSATION POLICY DOSS NOT PROVIDE COVERAGE FOR PAUL BUCPWILLER
CERTIFICATE HOLDER CANCELLATION
COREY SCOREY SHOULD ANY OF THE BED POLICIES BE CANCELLED BEFORE THE EXPIRATION
1694 FALMOUTH RD #115 DATE . THE ssLerro ONE wu ENDEAVOR TO MAIL 21 DAYS WRITTEN
CSMITSRVILLB,. MA 02632 NOTICE TO THE FICATE f10L0ER TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO GATT ON OR LIAS �OF ANY IOND UPON THE INSURER ITS AGENTS OR
REPRESENTA q
AUTHORIZED R ATIVE
FAX: 508-775-0155
ACORD 25(2001=) 0 ACORD CORPORATION 1988
PY Two1 and Install AIR VENT SHINGLE VENT II RIDGE VENT on the wo Main Ridges.
,
upply and Install COPPER& NEOPRENE SOIL PIPE FLASHINGS
Clean and Remove Debris from work area after job is completed.
TOTAL INVESTM T $ 9500.00
SKYLIGHT OPTIONS:
REMOVE THE OLD SKYLIGHT,ADD.FRAMING &
COVER THE OPENING WITH PLYWOOD---------------- ----NO ADDITIONAL CHARGE
REMOVE AND HAUL AWAY THE OLD SKYLIGHT,REFRAME FOR SMALLER SIZE WITH 2"
K STOCK AND COVER NJEECESSARY AREA WITH PLYWOOD BEFORE SUPPLYING AND
INSTALLING A NEW VELUX MODEL VS606 VENTILATING SKYLIGHT APPROXIMATELY 8
TO 10" NARROWER AND SHORTER. TOTAL ADDITIONAL CHARGE ----$ 950.00
TOTAL INVESTMENT $ I09450.00
POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood
Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement
will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 75.00 per Hour -
PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the
Final Payment for the Balance is Due Immediately Upon Completion.
WORK SCHEDULE:
All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt
of Deposit providing the Materials are Available.
Please Make Checks Payable to:
CIURLES COREY
CHARLES COREY Warranties the Shingles and Labor for 10 years:
CERTAINTEED Warranties the.shingles and labor 100% for the First 10.Years
and.the Shingles for 30 YEARS if the shingles becomes defective.
CERTAINTEED Warrants the Shingles up to a 70 MPH WIND WARRANTY ,
CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years.
This Proposal May Be Withdrawn By Us If Not Accepted & Deposited Received
Within Thirty Days Or Before The Next Price Increase In Materials.
} CHA.RLES COREY
s carriesLL Workman's Cotmpens4ion and Public Liability Insurance on the above work
DATE OF ACCEPTANCE:
ACCEPTED BY: SUBMITT B
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BOB STEVENSON CHARILIS =OREYHOMEOWNER ROOFING COINOR
t.._-07 3 8
1 C�-� $/L L fLE✓______ Ff..E T 4t�30✓E PCQ.aZ�
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- mo n6 number � .
. ______ _ , _ _�_ _______----'r-. THE
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Permit num6e, ------------------.. ^�
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BUILDING
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APPLICATION FOR PERMIT TO . ..............................................................
TYPE OF CONSTRUCTION .......... .//.�!.. _..-T7-./. ___---.---.
................................................
TO THE INSPECTOR OF BUILDINGS: �
The undersigned hereby applies for o permit according to the fo||
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Locohon -. /.k/--'/'�\/7ƒ'»v--..��/-^u:,/���---�����............... . _____-..
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Proposed -_.^��^^-.-.��/���^!��--. .-'---- .--.
Use .. .--.-----,
Zoning District ':.Az-.......... .................................................Fire District --.. -----------------.
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| ��^ /� o� (� / 'S�\` J�/
! Name of Owner ��/m -]&�-\. ---A66rox ..^^-.=���I.��-..c�+�rz�,�-���.'-----.-...
-'---' --[������--�
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Nome of Builder ....... )! ���]� -r-'------------'A66oesx -.----------.----------._----
Name of Architect ----------------------Ad6res -----------------.----------.
. �Number of Rooms -----. - -Foundation �. � /!��--.. ..--..`�./�:4����.(�-
L
~�,�� L
tx|orior ��^/`/�^,�'^-1i.........................................................Roofing ........ ------------------,-
�
�L Interior
Floors ----------------------------.. n� ov '__---'...!��...----------''------.
U~r
Heating '��{���\--!�lL-&.;('............ ---'F1um6ing ---- ------------------'
Fireplace ---' ...........................................................Approximate Cost ......../V.po8
... ..................
~{ /� /� »^��
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Definitive Plan by Planning 800v6 lV-__-. Anyz !---
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� Diagram of Lot and Building with Dimensions Fee ______
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SUBJECT TO APPROVAL OF BOARD OF HEALTH
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'OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
| hereby agree to conform to all the Rules and Regulation's of
-- "'" '"=" of Barnstable '=y"="e t'��`above |
construction.
Name ~- !
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Construction Supervisor's U'"�`" ' ...........
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CARPENTER, DORMAN R. A=192-187
No ....27862. Permit for ....Build Addition
...................
Single Family Dwelling
.....................
�.1.M.............................................
Location 14 n Lid ah' s Road
Centerville
...............................................................................
Owner Dorman R. Carpenter
s ..........................
Type of Construction Frame
................................................................................
Plot ............................ Lot ................................
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Permit Granted ....May...8.......................19 85 .
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Date of Inspection ....................................19 r
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Date Completed 19
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Assessors map and. lot number .../..../.A7.>/......7........ THE
8 Aj� THE
�� - �' IF"FUG 3� v��V ropy
age Permit number `.) e='f lC SYS fi......:................................................. *
'STALLED IN �FI
Housenumber ........................................................................ 'r Iritai .�
'aVI T H T�`8 �I'll R639 `00
t Nald'r`lCj;g%i NT OMPYa
TOWN OF BARNSTABL ° RE �yLATIO ��
BUILDING • IN,SP CTOR
APPLICATION FOR PERMIT TO ..!. ........... ...... ..... . .. .. ...........................................................
TYPE OF° CONSTRUCTION ............ ......... .... ....................... .... ,..................................
.............. �J... ..................19.L
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies, for a permit according to the fall o i g inform
Location .... eh, j ...................
ProposedUse ... r�'` ...... P..........1CXFSrr��.......1Q ,�e:.................... ... ..... ........................................................
Zoning District ..........9- ...................p..........................................Fire District
T .......c........ ....................................-.p.........................
Name of Owner )OK1'!�01!4....V�.....cAs- .e.014r...........Address .......................
Name of Builder ....... ................................Address
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ....................`.............................................Foundation .......h9m!�?.........
�O vtG�Qf!c;o�.
ExteriorII .......................... Roofing .........s % J./`5..........................................................
Floors ............................................a Interior ...... 4Y 2aa<T................................................................Heating (Gel........ ...................................Plumbing ............ o
...............................................................
Fireplace ...........A119k ...........................................................Approximate Cost ........ .............. .....
Definitive Plan Approved by Planning Board ________________________________19________. Area ...................... . .................
Diagram of Lot and Building with .Dimensions Fee ^ '
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a ove
construction.
Name ...... ..... u.?
Construction Supervisor's Lic nse ... ��yl.e ...........
iCARPETWER,DORMAN R.
No ... Permit for ...Build Addition
..............................
Single Family..PKqjjing............
Single. ......
C&P
Location
.„•...............Centerville..............................
Own6r ....Dorman
Type of Construction ....FAZAMe.............. ..........
............................................................ ..............
Plot ............................ Lot .................................
-,-May 8. ...............19 85
Permit Granted .........................
-Date of Inspection ....................................19
&- Date Completed 27
..............27:7 19.... ......
Assessor's +asap and lot number ... ............
SEPTIC 6YO7EM MUST BE
k -t� �/ INSTALL€q IN COMPLIANC5
Sewage Permit number .'...../,.. WITH ARTICLE II STATE
SANITARY CODE AND TOWN
�FTHETO�♦ TOWN OF BARNA�''iXh
Z 119fl39TADLE, i
NAM. BUILDING INSPECTOR
//11 m - .� q.......
APPLICATION FOR PERMIT TO ....l..Q I'.��J.��I.G..�,....1.�:1'l.R.<...... ..C��Y�!l�.L.�.
TYPE OF CONSTRUCTION ......... ......:.: �f:r............................1............................................
................................................19.:�6
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following (information:
Location ....L.QT.. .......(2.0-p n.......k,.4..�.0-h... .C�,:.. ......1..IC.a�.1..Ph�I�C R�.,... :..........................
ProposedUse .... 1...0 f. �.4�!!)C ............................................................................................................................................
Zoning District ..........K.M........................................... .........Fire District ... ..............
Name of OwnerR,�QA(�.QlY1:.. .1�k
Name of Builder ........6.a,y .........................................Address ......................:.1.a/rae...........................................
Name of Architect ........6AZ�......................................Address ...................... .........................................
Number of Rooms ........................lP.......................................Foundation .....1.0.......P.4...:1h,1C.Q_.....CJ�k�-���..L�'�..
Exterior ........5/.e.....C.R. .....h&P..-bQ .......Roofing ......�2,35...lo......��rkia-LL........................
Floors ........ .��.....` !� ...................................................Interior .........� ........ .�A.�X�. .VD..C-L.............................
1
HeatingF.U.1. .-.... ..?.......................................Plumbing ........... ....................................
Fireplace ........IA. L.Uz.d.....................Approximate Cost ............
Definitive Plan Approved by Planning Board _______________________________19_______ . Area
Diagram of Lot and Building with Dimensions Fee ........,l...r��r..............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�v
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above.
construction. ell '
ame ...................................................... . ........................
i
Tellegen-Ferrone Associates
18457 1 1/2 story,
No ................. Permit for ....................................
single family dwelling
T.................... 7;�....................................... •
uu 6a Lijah Road
Location �..A...........................................................
Centerville
...............................................................................
Owner ............Tellegen. . . . -Ferrone. . ...Ass. .o.ciates... . ........ . ........ ........ . .... . . ......
Type of Construction frame
................................................................................
Plot ............................ Lot ...........#3Qx #39
Permit Granted June 15 76
.. ...........
/. /7 •
Date of Inspection .. ...,1Z/.. 19
Date Completed ...71dv�17x(..........19
PERMIT REFUSED
................................................................ 19
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Approve ................................................ 19 ,.
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1 '
Assessor's map. and lot 'number .` l.�;, �. ...........
- 7v
r Sewagel.Permit number ..................`.............�.. .......... ........r1
CF?NErO TOWN OF BARNSTABLE
s + y�Q O•w � c _z
• C' +
BJHBSTABLE, i
h. "AM BUILDING INSPECTOR
OD i639, ;00
- PTE'p ypY pr• `tii n r
APPLICATION, FOR PERMIT TO .. +
. ....ri....................... !..... .......�:.. :........!..:.! ! ... ....... : ....s.......,.n. .....
TYPE OF CONSTRUCTION .........,: � .° ` �
: .................................................................................................................
.................................................19.! �.
n•
-k TO THE INSPECTOR OF BUILDINGS:
Thg undersigned hereby applies for a permit according to the following information:
Location ...�.....T.. i� f .. �..1.... 1� ! .......... + . .. .. . ..............................................................o �..
ProposedUse ...... .!. :.s..°.t..i..::...................................................................:..................................................... .................
Zoning District 1 o Ate.. - /I�-l- t : .` ..
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..�........................ Fire District a...... .:............,..............,......:.....•...................
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Name of Owner v , R+� nn a v a k:.!..: C`^^Address ?.....�,�..���? Y�ram,:�a. .. ......... .!........(� . 4... t�
n. ............. ... ........ _ ..
f
Name of Builder �!? r. . ............................................Address l:n%., r
Name of Architect ............. ....................................................Address ..................................:n . o
Number of 'Rooms ......................... .............Foundation .....� :%...... {�,t .t a it' �. f< < h , ..::'.' ...
4, i..h... a?.... .�... 4�rhoExierior .......5/.9...... ` Roofng ....... ........................................
Floor .........................................Interior ...... 4 L,
....... i ��.�....... `i. .. .............F.,..�.r...Y. ................................
Heating F:I ; tit Kj-, .......................................Plumbing 1 ;/ ^ '{/j. ,,
...................... ... .... ....... .................................................................
Fireplace ... .............. .............................................Approximate Cost ..............J r................................................... .
r:
Definitive Plan 'Approved by Planning Board'________________________________19_______-. Area .......`.�...e� ..
_. r 7
Diagram of Lot and Building with Dimensions Fee ...l;---....... ............
SUBJECT TO APPROVAL OF BOARD OF HEALTH CX
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
e ................................................. .......... .....
Jellegen-Ferrone Associates A=19'.-187
No ......18457
.....18457. Permit for .. 1 1/2 story,
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single family dwelling
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Lij --
Road
Location ... .....................
T
Centerville
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Owner .............Tel I e gen-Ferrone Associates
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Type of Construction .........frame ..............
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#39
Plot ......................... Lot ................. ..............
Permit Granted ........jPAq...d...............19 76
Date of Inspection ......... ...................1.9
Date Completed ........... .19
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PERMIT REFUSED
r/F
................................................................. 19
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Approved .......................................P..... 19
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