HomeMy WebLinkAbout0035 CAPTAIN BELLAMY LANE �V lam.! //y��y `��",�+ ✓[ C.. .W
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel .� Permit# �:9. •
Health Division li�S- 7 0 z Date Issued
Conservation Division s Fee
Tax Collector '4 1o?7kf� Ape F6r �150 06,
SEPTIC SYSTEM DUST EE
Treasurer s �� 7A,2- INSTALLED IN COMPLIANCE
Planning Dept. WRH T1TLE iENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address 31
Village �', JIV,1_1 Irk.-
Owner ��/Vj Z S C O N Address S MA4
Telephone � `��7 Ste_ --'
Permit Request 13 14 Ex 1-3 f ►-v c
Square feet�st floor: existing I��' proposed f 2-0-El2nd floor: existing proposed Total new
Valuation ding District Flood Plain Groundwater Overlay .
Construction Type `'� ® (
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Family ❑ Multi-Family(#units)
Age of Existing Structure ± Historic House: ❑Yes On Old King's Highway: ❑Yes �Pdts
Basement Type: ull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) — Basement Unfinished Area(sq.ft) I Z 0 0
Number of Baths: Full: existing 7f new Half: existing new
Number of Bedrooms: existing new ® i
Total Room Count(not including baths): existing _5__"_ new First Floor Room Count _
Heat Type and Fuel: as ❑Oil ❑ Electric O Other
Central Air: ❑Yes ❑No Fireplaces: Existing l New I Existing wood/coal stove: ❑Yes ❑ No
Detached garage:,❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
r9 Attached garage: 'existing ❑new size "Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes If yes, site plan review#
Current Use Proposed Use
'BUILDER INFORMATION
Name— /���/�Jci±�y�- Telephone Number
Address /9) VG 4/O U 97 w License# ® 3 (PaPU 6
,25_r212-1ym tU2- VnA- 0 -eSSHome Improvement Contractor#
Worker's Compensation# b ✓� �)e Gj Q
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE `7 -2 -----
z
F FOR OFFICIAL USE ONLY
;u -
r
PERMITrNO. s '
DATE-ISSUED
MAP/PARCEL NO.
ADDRESS — VILLAGE '
OWNER-
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH; -FINAL
PLUMBING: R"OUGH , k., FINAL
GAS: ROUGHI .,. 'FINAL
FINAL BUILDING
3trrya0 c
a ...:lco
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DATE CLOSED OUT,"
ASSOCIATION PLAN NO. `
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The Commonwealth of Massachusetts
= - — Department of Industrial Accidents
a( OIIIcC 0110FOSMORY0DS
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name:
location:
Dhone#
city
❑ I am a homeowner performing all work myself.
❑ I am a sole prophetor and have no one wo,rkmg in anca achy
am an em I er pTqyiding workers compensation for my employees working .:::.:...
coma nam
9d�E-`- 4::::::i::::j::::::iii::::i::::?v`:?:{:F:}%i:;:;:;:!vj!:JY;ii:T:;i'f,.!;:j;Y:j;:;i:;:;i�:v?:•:?:::f::i:::is?:�< i:;:;:;:L;:;i{::::::::: ::i.:i:...........
CSS.....:.: ... :.......
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Insuranceco:::>::; . ....................::::.:....: :::...,...:: . :..:
a sole proprietor; eneral contractor,or.homeowner(circle one)and have hired the contractors listed below who
have
the following workers' co ensation olices:
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isvLiiiiiiiiii:;i::+.{•:i�i::4ii:•:j;:iiiii:�iiv:viiiiiii:�iiii>:i�:�iiii:i<:iiiii:^i iiiT`J'��:�i
:•i::�:i::•:::+i,::j8:•isS4ir'T.i:`y}�:j:j:iy`<C::i;:ji:ii:;ii:;:i:yj;ji?�::iy is is;.•..�:-:.iiii'y':v.
.................y. ..::: riff.�};.
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iunrarirt; NO
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Failure to secure coverage as required under Section 25A of MGL 152 can lead to the lmpositloa of aiminal penalties of a tine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$10,0.00 a day agaLut me. I understand that a
copy of this statement may be forwarded to the Office of estigations of the D for coverage verification
I do hereby certify under the pains and pen perjury that the ' ormation provided above is ow.an correct.
signature Date 3
Print name.
Ki -191.1 GL :F l /�e�`��/ CV — Phone#
official use only do not write in this area to be completed by city or town official
city or town• permit/license# ❑Building Department
❑Licensing Board
❑checkifimmediate response is required ❑Selecbnen's Office
_ []Health Department
contact person. phone#; ❑Other
(�wvad 9195 PJA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", 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 section 25 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, 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 in the workers' compensation affidavit completely,by checking the box that applies-to your situation and
supplying company names, address and phone numbers along with a.certificate of insurance as all affidavits 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.
City or Towns
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. The affidavits may be returned fo
the Department by mail or FAX unles rs othe artangements have been made:..-.. ...---__..__.:.:
The Office of Investigations would Eke to thank you in advance for you 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.
Me of lnllestigallons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
h �
q
The Town of Barnstable
Regulatory Services
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
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing,at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type.ofWork: �� � l fTcZ`� ����/-5�E dl"IWJ _ Estimated Cost
Address of Work:
Owner's Name:
Date of Application: 2
I hereby certify that:
Registration is not required for the following reason(s):
FlWork excluded by law
❑Job Under$1,000
[]Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date" Contractor Name Registration No.
OR
g1ormsAffidav
:rev-122001
i BOAR®OF B:e
ILDIIaI6
License: C®NSTRWCTIO'N SUIT
I`
' Nuunber SOS 038866 ti
_ E�SRe j 04Q1 Q92 Tr.no: p�
Restricted To t
pl#
FRgNK K HEPDENRfCH
:9fl5[ IiLNE RD
THE COMMONWEALTHOF MAggACHUSE'I'IS =rurw".
Board of Bdlding Regulations and Standards
One Ashburton Place'Room 1301
Boston,Masz;a��02108
_ Application for Reglsttauon as a
Home Improvement Contractor or Subcontractor
MGL Chapter 142A9 �78"
Date
� I� N� (not both)
t. Name 'V or bwiaess aPP"S for the 5iU �21J G��7
print the name of the individual
Q Code Tdephonc umber
Mailing
22,.
My
a, street At3dtt s Cf t) Number(P.O.Ban not s ).
Q Trmt Q riivte cotpor+tiao Public Co:por+t
S. Applicant r'V—" O DB i D tioa>�the DDA cc"Oesitiottti aatae'lsw•MGL c 110,as S g 6)
(See instr ctiwS on beets lni t 7. 8lttmber of 8mpioyeO
s (aye ) /
S. individual ssV000k for Hama Impeoremmt Coaaam LAM
toz'Hotae itapra�Coasc�
p�np� �/�
g. Tltl¢of individml��
related sate d%two y®aes m T yet No
r 10. Does the sppliaat or ssaP� WWI bold i07 otba .
O=3 uy, Me the table bdol Use addWotd papa iimaotsansf e'OAJ_Ss./ 11n
. IJan.orMEN
Nm of License Holder
Lsaed By
Type riomse or w+y0° ! anus tuttttbes Daas
y 3% /JA?a-/G ���.ti/2
—G�
'k o of owatsa6ip)of m> W=Mwp or co muion below
.use
��or�� for addltlonai M orris for try Persons
11. Ijst all partners.trttstea, fIIcrsa.datxras and m*1°r bese you wig to Nava am
additiow paper it nmss+rY( an Ink) Chap tt
=
L� �(, Middle iaWal Mile is ApPll nomms
na Bm;o . . 96 Owner
PF
c � � TLsTw
w
i r
�q (See the on the beds) No
12. Is the app6ant daimin6 ez=pu ° lita�e or ymtor veMde tt pair chop 4a�e or te�iscrat►on.
It yet;indude a Copy of A current Comtratsioa Supervisor
Guxwq Fund fee atdoaot S Fund'. ALL APT
1ICAN'IS MUST
13. InR��dude two f�amaw cen s FUND �� pyIA TM bomm�-noN FM Seeon b for amount of tees
eatiGcd eheda or mtmsy
INCLUDE A GUARANTY w FRO •Ca lms of Maria*�ss�
Mate all�sd tdmb or mcm7 otdtm Ps9al
don 49A:I car"ssoder the penalties of perjury that T.
General I�Qtaptsr 62C ramm and Paw an state"totes required under low.
pms"a"b Massachusetts bd14 ban toed ao
to my bat knowledge 81*
0.
Title held with applicant
Signat of applicant or appli a sspeaeasaave for sttspensloa or revocation of the applicant's registtstloo6
nation is this appucswO eowatata gseraods
A(else answer to assy 9 .
G. H. I DLINN INCH. AGENCY 5087597177 P. 01
I
'�✓ r DATE rnlMrDn YYl
0 3 26/02
NO
PRonrcFx THIS CERTIFICATE IS ISSUED AS A :IIATTFR OFINFORINLATION
H. DUNN INS . AGCY. , INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
`� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDQR
215 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOIS.
P.O. BOX 330 --
COMPANIES AFFORDING COVERAGE
BUZZARDS BAY, MA 02532 i COMPANY
........ .. �. .-...._........._..-------- -- ! A HINGHAM MUTUAL FIRE INS ' CO-'.
INSLREU
CONI?.ANY
FRANK HEIDENRICH i B MISCELLANEOUS EXCESS COMPANIES
COMPANY —
95 MILNE RD C
OYSTERVILLE MA 02655 COMPANY -- -
i D
y.
•" R",�G"gig.. :. ....: ... ... .:..:.... .:..." —
THIS IS TO CERTIFY TIIAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWETHSTANDfNG ANY REQUIREMENT" TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTII-ICA'IE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNIS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION'
LTR —TYPE UP INSURANCE — POLICY NV118tiR DATE(nINUDD:VV•1 I DATE(MnI(DD?YV) I LIMITS
-A GeNI:RAI.LIABILITY ART 9 9 0 015 9 0 5/19/0 2 0 5/19/0 3 GENF.R,AI.A,GGRF:GATE s 600
O G
X .. . _ �-
COMMU CIAL G?:N!:kAL LIABILITY PRODUCTS•CCinfP+OP r•.GG 600 , 000
CLAWS.'0DIe I OCCUR - -
1 i PERSONAL&P.DV INJURY I0 0
1014NCTS k CONTRACTOR'S PROf ! I
EACH OCCUR E':CE ?
-- H -- - 300 , o0c.
FIRE DAMAGE iAry ott F.:e) j S
MED EXP(Any o c Ir•rsonl is 5 , G•0 i.
AUTOMOBILE LIABILITY
CGIAMIJEDS;NGLELIMIT I s
ANY AUTO
AT.-I.OWNED AU1 USBODILY INJUR�
'
,
— .SCIIEDL:!.ED AI11'OS (Per;crsor.) S
_ IIIRY)ALTUS j
BODILY INJURY
NUN-O0.NEDAG1'OS i (Pera:ci:cuq S
_.....---" PROPERTY DANIA.GL• ;S
i
Gax,lGli LLAkH1.ITV I AUTO ONI.Y-EA ACCIDSNT S
'ANY AUTO I I i OTHER TliAN AUi G ONLY: I
----_-. ; EACH 1CC'IULNT '• 5
AGC;RI:GATE ' S
{ i EACH GCCUR3tKCr. __' E ._.
Ubif?3I;LLA FORM ! I P.GGREGn'EE
S
I 01-1:1:14 TITAN US!fIREI.I.A FORM
k�cyxx}:RsconlP}:NsnT'IONAND � 6KUB785X441901 8/20/01 STATU.Ry
E —_-- _
LTo
E+1PLOYLRS'LLVBrI.I'I Y ! I F.ACH ACCIDEN!_,__— 5 — 1 0 G , 0_0 c
THE.PROPRIE lORJ -- --r—
PAR'CNlikStliX!iC'U'1'IVL' INCL El DiSEASETCI.ICY LIMIT— !S )00 , G G
_ t._._._.—.. 0
OFP)CERS ARE: I L•XCL EL DISEASE-EA EMPLOYEc It 100 , 0_0 G
OTIIER
i
DESCRIPTION OF 0I1FRATTONSlI.00A1 IONS/VEIIICI.ES/SPECIAL ITEA1S
CARPENTRY
-
Cft'tTk1G`AE'!A' XEy�.1 :..:... .........:. L"ANOW"
SHOCLD ANY OF TIIE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE
JAMES CONNOLLY EXPIRATION DATE TI(HREOF, TIIE ISSUING COMPANY WILL ENDEAVOR TOIAIL
35 CAPTAIN BELLAMY 3.0 DAYS WRI FTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO T'IB£FT.
CENTERVI LLE MA BUT FAILURE TO bLAIL SUCH NOTICE SHALL INIPOSF,NO OBLIGATION ORIARfLITI*
FAX 5 0 8-4 2 0-110 6 OF ANY KIND UPON THE COVI NY ITS AGENT'S OR REPRESENTATIVES._
I AUTHORIZED REPRESENTATIV'
Debor
S KE DETECTORS O.K.
BAR NSTAjLE BUILDING DEPT.
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1 . /V `"/ 2 F nl-.g C2 I Tr-KE w CaI r.0 5;Z
2 W o c�D� �}� �=Lz, � Gi412 I46 Cz >`$� `{ r c>
� . �Ns v��� � vL�-Sr�•2 - w �i-vl-� e � �<� w �
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-141— �---12- 4--24--�
t-12--F---3 33-----{ 36----
--r 9--I-----24-----I------3Q
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12 W3330 W 1230R 24
T W1230R W30115
24 I I I WC_, �\�
B9RFHDI "DW SB30 i I
30 � BD412 •RqI NGE FS1 -
36
BGR36R W1230R 12
B27 W2730
27 27 90
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B27 I'
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W3315
33 33
BD330
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----24___�
1-12--�
-------_- r --- View: Plan
P,�FG: PAerillat 2001 -- scale:scale-to-fit
Botello Home Center Client: Frank Custom Post Beam —____—.i -fir style:Whitebay 2 Arch D
Phone: - -- —_� Pull:square Mullion Date:3125102
BOwdoln Rd. Page:1
Mashpee,Ma Design:custom p�b.ROi _�_.-- _
-- --1-Builder:
(508)477-3132 Designer: _.—..-- -
PIS
RESIDENTIAL BUILDING PERMIT FEES '
APPLICATION FEE
New Buildings,Additions $50.00 _
Alterations/Renovatioas $25.00
Building Permit-Amendment $25.00
FEE VALUE'WORKSHEET
NEW LIVING SPACE
'�-- square feet x$961sq.foot x.0031— S
1 plus from below(if applicable) r
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
s feet x$64/s .foot= OO x.0031=
� q
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.f�
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>150 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00 -
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x S30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool . .$60.00 -
Above Ground Swimming Pool $25.00
Relocation/Moving S150.00
(plus above if applicable) F
Permit Fee -o
projcost
tHE�
, Town of Barnstable
Regulatory Services
*
* aanxsrABLE,
y Mass. $ Thomas F.Geiler,'Director,
Ev;a�",� Building Division
Peter F.DiMatteo,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
41
PERMIT#_ FEE: $
SHED REGISTRATION
120 square feet or less
v C�r�f& "61 Zrq&jr &AI76512i&,IIE 17
Location of shed(address) Village
:'A F,0�1-5_f
'Property owner's name Telephdne number /
Size of Shed Map/Parcel#
3b z DfZ_
Sign e Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required) �r Qa—
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE '
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
I v,
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
REV:121901
F-44/07"7' �-
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CAVIL JOB M1G. �/ EN E ORO NO A� NDIC�TEl
lAA1®.
I; IOIPIEEIi OURVEY®R QR.�!°��, `�.�NFORMS. TO THE ' ZOP,1�A® �.�
E OF ®ARNSTAD"I.E , M� • ;
712 MAI N . STRE.E.T. CKBY$$MEET Of
DALE REU. -ACID
Is-
TOWN OF BAR,NSTABLE Permit No. _ _---_- --- ----------
Building Inspector Cash
OCCUPANCY PERMIT Bond ---
—----------
x----
----
Issued to Greenbrier Corp. Address
lot #6 35 Capt. Bellamy Lane, Centerville
wiring Inspector � � � � �, Inspection date
Plumbing Inspector ^`— Inspection date "
Gas Inspector C Inspection date
/Engineering Department ` Inspection date, ..
Board of Health Q> �' Inspection date ' C1 -- t -
THIS PERMIT WILL NOT\BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILD CODE.
. ... ..... ......... ......
Building Inspector
TOWN OF BARNSTABLE
BUILDING .DEPARTMENT
i ssaaIr : TOWN OFFICE BUILDING
r�aa
�qr i639• `� HYANNIS, MASS. 02601
�0 ELI
MEMO TO: Town Clerk
FROM: Building Department ,L, "
DATE:
* An Occupancy) Permit, has been .issued for;the building authorized by
BuildingPermit . .. ......... ......... ........................................................................».... ... ...............
issued .to ............... �....... ,��
f�e
Please release the performance bond:.
Ass ssor's ma and lot number
P THE
SEPTI
Sewage' Permit- number ..........-rP S 77 -d- Ds C'SYSTEM MUST
ENVIRONMENTAL COD
TOWN OF' BARNS I]TIETIONS
BUILDING INSPECTOR
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
-~' Heating JFT4A',.BV. ----...-.,..---F1um6ing ..~�� . ......................-....-.
' - ' � - ��' |
Fireplace -'N.Om(:��-------------------/\pprnxmone [ox .. /���______.
| '
Definitive Plan Approved by Planning Board lg Area --...............-------
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 ofBarnstable regarding the above
|Name .............................
-�.
�-�
Construction Supervisor's License ..�����^��'^----..
1
GREENBRIER CORP. '
6
No .'28510.... Permit for ...1.a...Story................ _
.a S ngle..Yami ly..D.wellin ................ t
Location ..L.Q.1~A......35...Capt.....Bell.am "ne -
'+ Owner .....Gx.Panb.ri.er...Corp...........................
t.l
Type of Construction ....Esame..................
........:.......................................................................
Plot Lot .................. .........
"A !:� October _ !
Permit Gran,ed ..... 9.............. ..a... - .. .1,9 85
Date of Inspection 11 " '►
}Date Completed ...a?....f - .. i ... :19s
t� t /
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Sewage Permit number ...................,.................................... ro
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Hc$_use number ........: "'... .�L............................................ o Ynea
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
• APPLICATION FOR PERMIT TO ...
TYPE OF CONSTRUCTION ..... 1�L.CX > � 4........................
TO-THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .. . ............. .................. .. .................................>........ .. .......: ..............................
T"/sJ71 Y Lv
Proposed Use ......��l..G�.(.Gj�. ::.......'......:..4........�.....�.C-C- !�'�
Zoning District . �� " ..Fire District ..�_.G-�7✓ .lI�G,TC: :.:. ��S�G 1��
Name of Owner .. ....... �L=. . ���� .:<�.....6l ! ........Address ... .......J/U.... 1/IL �
Name of Builder .....Address
Nameof Architect ..................................................................Address ...........................................................I.........................
Number of Rooms -�� �•••:••-.............................................................. ..:Foundation .. .... .. .. �. s?�(�...��C'=.............
Exterior 1.....� !;-n�.tF'..5..Roofing ...A` :1'r 1, T.......r��.��..............
Floors .............. ..Interior .........................................
Heating ! 1�'�...C� ........................................Plumbing .... .....p �. ��~�...........:... A
Fireplace ..:,. ........:...:.............................................Approximate Cost /1 -I �r�
...... . . �!L!�!..........................................
Definitive Plan Approved by Planning Board ---19_�-�. Area
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Diagram of Lot and `Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
.1
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .........
Construction Supervisor's License ..2213.9.7............
GREENBRIER CORP. A=230-119
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b �23o- l,77 +
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No ..�.85Z. ..... Permit for ...... ...........Y............... t
Single Family. Dwelling
Location ......Lot„ .,.... 35 Capt. Bellamy Lane
Centerville
.. ...............................................................................
Owner ........Greenbrier Corp.
Type of Construction ..... rame
.. t
of ....................... Lot ................................ f
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Permit nted ...,. October 9,..........19 85
Date of Inspection ....................................1.9
Date Completed ......................................19
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LEGEND
EXISTING SPOT ELEVATION Ox0 H °F �' CERTIFIED PLOT PLAN
EXISTING CONTOUR --- 0 - - - R^SER \.-; 2 o7" h ,a CnT T3c 1l_ LL- 4y
0 A�✓
FINISHED SPOT ELEVATION / . �. `�
FINISHED CONTOUR 0 <,� E_Ic�r-ur 1J' C�niTC—r� i�!�.�
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APPROVED : BOARD OF HEALTH
'SAIM S-fAS 94A,ASS.
DATE AGENT SCALE= 90 DATE -7
rLDREDGE ENGINEERING CO. IN C-6-Al13
CLIENT I CERTIFY THAT THE PROPOSED
'REGISTER E REGISTERED JOB NO. P3 p / BUILDING ,SHOWN ON THIS PLAN
CIVIL LAND °= �CONF S` �10 THE ZONING LAWS
ENGINEER SURVEYOR DR.By: A •Z ' '`� OF BARNSTABLE ,, MASS,
712 MAIN STREET CH. BY: �? 3 iD
HYANNI S, MASS. Z.SHEET— OF TE REG. LAND SURVEYOR