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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ` "Parcel Permit# ) -7
Health Division 4 �.1 5-- ® Date Issued 2 U
Conservation Division - I��� Z Application Fee
Tax Collector Permit Fee �^0
Treasurer q SEPTIC SYSTEM MdSfE� ,
Planning Dept.' a9t�TA9.�TH TLED IN ITLE 5
Date Definitive Plan Approved by Planning Board EN%ARONM �ACODE A N�'
TC1iE�H R
Historic-OKH Preservation/Hyannis
Project Street Address S- b
Village \ A
Owner C � (��0� Address
Telephone /��� `�7� `�>:7
Permit Request
Square feet: 1 st floor: existing proposed Ito[) 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No
Basement Type: -❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel ❑Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size . Barn:❑existing ❑new size
Attached garage:❑existing ❑new, size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use =-_.
�� BUILDER INFORMATION
Name?N,t- 49 deb ✓ Telephone Number ,fS
Address eg�`Z C),_�<x\ License# O-- 3�0�
H-�g?_Ln . VXNkA Home Improvement Contractor# ) d 9 3
Worker's Compensation# L�_)C I
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOE .
-�t...�.
IGNATUR DATE 9 y�3
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y FOR OFFICIAL USE ONLY
.y
1 PERMIT NO.
DATE ISSSUED "
MAP/PARCEL NO.
r ADDRESS — VILLAGE
OWNER
DATE OF INSPECTION:
' FOUNDATION
FRAME
r •
INSULATION
p FIREPLACE
Y
ELECTRICAL: ROUGH FINAL
° PLUMBING: ROUGH FINAL
GAS: ROUGH ;~' FINAL
� Mk
FINAL BUILDING O +
� pyq I
DATE CLOSED OUT
ASSOCIATION PLAN NO.
a�
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4•
_ The Commonwealth of Massachusetts
_—.. - Department of Industrial Accidents
=== office of/osestigatioos
4 600 Washington Street
Boston,Mass. 02111
Workers' Cam ensation Insurance Affidavit
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name: `
location:
city
hone#
❑ I am a homeowner performing all work myself.
❑ I am a sole rcmnetor and have no one worku m' capacity
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❑ I am a sole proprietor,general contractor, r htlmeown r(cir a one) and have hired the contractors listed below who
have
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Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
I do hereby c under the pains and penalties of perjury that the information provided above is trapand correct
Signature' 'I p
Print nam a rr a'4- Phone# �l 3D -a-3 ou
:check
use only:donot in this area to be completed by city or town official
own: permit/license# . Building Department
❑Licensing Board
(C] if imm required ❑Selectmen's Office
❑Health Department
person: phone#; _. ❑Other
ory,ed 9195 P!!a
Information and Instructions
t,.
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,neitherthe
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
fiill 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 permitilicense number which will be used as a reference number. The affidavits may be retmmed io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like 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
Olnce of Investggations
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
I ,
°ME A Town of Barnstable
�P
Regulatory Services
^B p` Thomas F.Geiler,Director
9�A MAW.
:Ec Mat Building Division
Tom Perry,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 of Work: 10) o u LSYV- Estimated Cost 3 q .
Address of Work:
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job,Under$1,000
❑B ding not owner-occupied
Qdwner 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
Date Owner's Name
Q:forms:homeaffidav
Town of Barnstable
Regulatory Services
&ARNST"LE, Thomas F.Geiler,Director
Mass.
9`bA 039' .0� Building Division
fED MAC A g
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
Owner of the subjectproperty
as Ow l
hereby authorize . - !-mot �oaot q�C1x�.j c---'s 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
s, -ry C
Print Name
Q:FORM&O WNERPERMISSION
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Home Improvement Contractor Look Up
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Select Search type: c: AND C, OR Uearch .
Search Results
Reg. No. Applicant Street City State Zip Name Title Expiration
McGRATH 259
132935 POST & Q NNE HARWICH MA 02645 MJAM SH' PRESIDENT 10/31/2004
BEAM CO. RD.
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Licensed Contractor Look Up
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Maximum number of matches:
Enter Search terms separated by spaces.173865 I
Select Search type: AND 0 OR ' Search
Search Results
City/Town Name Lic.Type Lic. # Restriction Expiration Street StateMCGRA Zip
204
J
BREWSTER AMES R H, CS 73865 1G 03/14/2004 CRANVIEW MA 02631
AMES RD
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GOLF COURSE FAIRWAY
EDGE OF DECIDUOUS TREES
EDGE OF BRUSH
ORCHARD OR NURSERY
Map 1EDGE OF CONIFEROUS TREES
Ma 147
MARSH AREA
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M PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James ❑ TOWER
1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE
w e ry P P physical I Ptopography, vegetation were ma
0- 20 40 National Map Accuracy Standards at this do not represent actual relationships to h ical objects Corporation. Planimetrics, and mapped to meet National Map Accuracy Standards
: I INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2003 Town of Barnstable Assessors tax maps. ¢ LIGHT POLE O ELECTRIC BOX
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BAN LE.IMASS, 0_ Department of Health Safety and Environmental Services
MASS.
ptfDMA�41 Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
PLAN REVIEW
Owner: Q ��> 1� Map/Parcel: `� 1
Project Address: './UheGYl LVl Builder:
Cy�
The following items were noted on reviewing:
o e' C>>'\k �26 D4 .'3. J
Reviewed by: �j
Date: J —/ Z —U 3
q:building:forms:review
_ - 'QpE HAR@pR. _ ` _.. .. ` • P
�o. WhyIvy 4 ?0 ,be 6r- Posh � I tv Shed?'-..,
Pine>Harbor Wood Products.is family owned Arid operated F
f with over 25 years of experience ri the construction of quality >_
Post•&'Beam sheds and structures. We-stand 100% behind-
our-workmanship.,
Our sheds are handcrafted-piece-by piece
F.
here on Cape-Cod and'built on your property) lVo,P.refab.!
• Our-,Post & Beam sheds provide a charming focal point on
.your property. Our,different designs-allow you to match your
' home architecture and choose`a style that will-reflect your
ill, "55 * f- - spersonal style.
The Pihe Hat or'Post &'Beam differepce includes.quality .
e 'craftsrnanship'of years,past where quality-is,of the utmost-
{ _ importance. We use�full dimensional sawmilled pine`in our framing and siding, providing you with an extremely `
durable structure with;rugged good looks. No stick framing here! _ -
t When you place an order with us,'you are'scheduled,immediateiy and given an installation date. That is the date your,
shed will be built,"that is.our commitment to you, (Weather permitting of,course!)
. To ensure-that.you receive the most profess onally•built Post &"Beam shed possible,,our.own Pine Harbor certified
installers-,are extensively-,trained in,our Post &Beam installation system to-ensure quality.and consistency. ' :4
At this time we at Pine.Harbo d'like to thank you for considering usJn younsearch for a shed.;Please'feel`free '
,to_c'all Ustianytime with your questions or thoughts: Ask.a neighbor-or a friend and,chances are, thcy,haee_a Pine Harbor
Post &Beam shed.
Standa_rd'Post & Beam Sheds•Come With: -
F • %"_plywood floor-_-CDX exterior grade - :- • Post and•Beam,frame
f
E. Board and Batten siding f F _ 615"inside l Ill viOht
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- • 36"standard,door,,40'-' ramp'included _ ,` • Heavy Duty keyed .
Y Stationary windows with flowerbox arid-shutter , , . Y
entry handle_
• 8"x 127 louvers for vent><lation 25 yr.-Asphalt shingles:
a i `A ,
2'x6'Pressure treate'd`floor franung. Solid concrete-block
4_ (2' i 8'on 12'_deep sheds 4k
Our Post &sBeam sheds are.built on-your`property.
} _ - Common Uses For. Helpful Hints
' •_ •Shed s4e.prep is important. e
3 - Post &-Beam Sheds Grade of land can be deceiving
_ Garden Tools`and Supp`hes. Patio Furniture A level site will look better,be more
# 1 functional;and provide easy access!,
r ,E Garden Tractors ; Bikes and Toys
i -Mow Grills t
•Stam/Seal within 30 days to preserve
Playhouses Pool'supplies the lifetime of you shed
-Bunkhouses , Motorcycles
,' When choosing a stze we strongly.
++ Art,Siudios _ Showblowers recommend ordenng one size larger '
Outdoor Furniture., and much more.:'.., than you think you need.'You always;i
Protect Your Investments C= need storage space.,x"Do it once-do it rightI,'
Shingle Wor Chant 25 yr.3 tab Certatnteed asphaltshingles. Standard choices below. Colors are not enact. Other upgraded options available.f
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Chestnut Br-nwn -Slate Blende_ Frost Blende. Snow'.White . '. Black Blende Weatheredwood, Moire Black Wood Blende . F
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` a 'Our most popular design;`a classic peaked. '
roof with'/Z pitch is perfect=or shelving
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arid han in space-on -
g, g4 , walls �ah{le keeping.
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floors ace at a maximum.•Tra��itonal and � '-
functional. -
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• .. ,� � � � f � � ■!) ; •P�;1 j �.I d = Size: '�' - _ Y Y - _
a W .. . . . . . ...$1000.00 -'1'0x 10 . . . . . . . ...... ..$1700.00
}'E 6X10 $1120.00 1Ox12 $1800.00
tl 3 8x8 �.•. $10$p00
y 8x10 . ... ._ . . .$1330,00 1Ox16 ;'$2540.00
w
``Y `8x12 $1'560.00 12x12 1
$x14 . . . ... $172Q 00 12xI4 $2700.00 -
- T 12x16 . . . . $3100.00 RA((
Price is subject to change without notice. Price does not include.5%sales tax.
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You will love thextite look-o-these sheds.
Our traditional short front roof-keeps the
` profile of the building s�nalle-and-cuter.Loft,
y is'not available on'this model:
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-size Pric�h
a 6x8 $910 00�- 8X14 .- $1600.Oor _-
' 6x10 $1080.00, lOx10: . . . . . . $1650.00
t,
.. 8x8 �. . . :'. . . . . $1020:00 1Ox12 . '. . '$-1700.00.
-8x10 _-_,$1260 00' 10x14 . $2050.00 �.'
8x12, . . .•. .. . . :. .,$1460.00 10x16 . . . . . . . . .•..$2400.00 y ;
Price is subject to change without notice.':Pnce does got;inc#ude 5%sales talc. ' '
Assessors map and lot numbers�. .... --, � FT E.
T
�, / r oo
Sewage Permit number ��`..''�:�-e.�.^r<�/�� ��J��
33ARNSTLBLE i
House number /J .-
9 rhea
,....... ,........................ v
,,.�j� O +639• �0
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ✓7 U.4.1—LOAl....../��A. ....... /4012'?.+ ...........................................
TYPE OF CONSTRUCTION ........................FiCI /. ...:........................................................................................
............................` .............�9.�C
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: p
Location .................. .... ZE.•..... ... t:. '. \ T'e.(-0 l.L..`-, .. ...................................
ProposedUse .... � ....�„rJ�C��C ���'1' ........... ..................................................................................................
ZoningDistrict .........................�...�...................................Fire District ................. .......J................................................
Name of Owner ... ..........4n .........Address ......................... .. .1,/11/{'f`�!�/... :,(F ,/FJWf1-2
--
Name of Builder .....................!../../.4�.....Address ��., ...�C..,%F/� J / ......{:: 11.;,..�`yC
t � .
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation .....,,.......................................... .............. ..............
Exterior �� ?�.!� ...... .......... ...Roofing „rS �/` J�` t
,
Floorsa
.... h'i� '?" ..................................................Interior !XnJ '.�
Heating ............ ..�'� ,?.� ................................................Plumbing ....................... ......`.:`.............................................
Fireplace .............l3AM7 '�........................................................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
t �
I !
to r \
C3 t9
..+�• M j� fir.
i
t
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.
/�� i
Name ........
;....!..... ,X., /. ,1.,. .......................................
Construction Supervisor's License r+.....................................
WOLFE, SUSAN A=147-21
25394 Build Addition
No.................. Permit for ....................................
Sing g. M I Y...aw.elliag...............
,,Location ..... Laae.......................
Centerville
...............................................................................
Owner ...Susan Wolfe
..............................................................
Type of Construction TXAMq................................
................................................................................
Plot ............................ Lot. ................................
Permit Granted ............................August 5.j.........19 83
Date of Inspection ....................................19
Date Completed ......................................19
s p _ ../... / ... �. FTHE Assessr s ma and lot numbe
d ,
Sewage Permit number e�Q... :. ...:........4 ..
n _ � i Z B88HSTeDLE, i
House number v 1A8a...... ..................................... 9�o t639 0�
TO OF BARNSTABLE
i
BUILDING INSPECTOR ,
APPLICATIO4, FOR PERMIT TO ....... � �..T../.. ...... rGs,. ........................................
TYPE OF 'CONSTRUCTION ............... .....................................................................................
............................ .............19.�!��
TO THE INSPECTOR OF BUILDINGS:!.• _. _.,..
The undersigned here applies for a permits according to the following i�nforrmatiion,: ,p
Location .. .�.ALGA—Al.. ... -4.AI.,f ,. ..�e c�'l' .mow ,.r.....................................
ProposedUse ...... �.E.d.Y.. .... �R��m...............................................................................................................
Zoning District .......................... .......................................Fire District .................C..`.v......................................
Name of Owner .... 4 ./.d V..........N.04e.(5..-......Address ...........................
Name of Builder . ... .,6.Li. ...... .....Address .�,/
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .................... ...............;..........................Foundation ..... f1!C.`40 �'-c*, ....../0................
��[��4.......S��:�.f�.O.......................................Roofing .I7�� T............................
Exterior ............. . / ............... ......... ................
Floors ..............4 e...................................................Interior ...................s .Nzou.z....................................:.......
Heating ............1extPG JC.:..............................................Plumbing .....................Nqw if,
.....................................................
Fireplace !t/! ......... Approximate. Cost ............. ................... ..................
............... ...............................
------19--------. Area .........�...
Definitive Plan Approved by Planning Board _________________________ ...�ti��.. ....
Diagram of Lot and Building with Dimensions Fee .....ig...................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/ -18
-------------
�� to oe ,
Q 'l
/. g T1
4o
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 ......... ... f`�C�1:. ..... .............................
e
Construction Supervisor's License . ...i ............
�Y WOLFE, SUSAN ;
t
t No � 5394 BUILD ADDITION '
....... Permit for ................................ ..
Single Family..Dwelling...........
=.i location ....50...Duncan..Lane...:................... � ; a
Centerville............................... '� ,� IM
Owner .. .f.Susan W,olfe......... .................. ' yam. '✓ ! - r
Al
Frame
Type of Construction ..........................................
........... ....... .:1. .. ......................
.:.}�. 1 • _
Plot .. ........................ Lot ......o�
Permit f Gra ted .....August.....5........ :19 8 3
r Date 9f.1/sp on j �C�G....� .. 19
Date Completed ....
f
�7
• _/ ' �. '.�� • .ram IL 7 •.4
14 -eel
"`�.
a
�I AN OF M �
I _ � 9
rt �h C �+y
RAY'MOND
o`• SHORT -
No.27483 y
' O
410 ACE
sS�OWAL '
i -3
OV
19
'`S ,✓ice
��,"-✓y'�/,, ,�..rJ.E- Si9.e.�„tom
S,Ff'r/G Y,5 7-0 M /.6 ro -43 E ,Y=#2�O
oi4LD//V e; /F (/ J R AO R ,T �71i V0W A T l G"IGGT
r CERTIFIED PLOT PLAN
{
L O C A C t O NI
SCALE- ..! ='s!0..,, DATE- -- � . ..
RCEFERENCEI -0,E-F/-0a .. 07—
1-2L
A E
1 HERIEBY CERTIFY THAT THE BUILDING R4G. LAND SURvI' rOR
k SHOWN ON THIS PLAN IS LOCATED ON
THE GROUND AS SHOWN HEREON AND
T H AT IT CONFORM TO THE
ZOP41NO DY - LAMS OF THri rowN OF JosEPHM. c�G�
.i2AWW-5: }=iE fit H E N CONSTRUCTED . MONAHAN,JR. a
ti I
v 13660 O
C S A 3 3 0 C 1 A T E S, INC . , isTF-�``o�
REGISTERED ENGINEERS a LAND SURVEYORS Nvso�`��'y
UID -CAPE OFFICE BUILDING - 1265 ROUTE 28
/,. SOUTH YARM O UTH,. MASS. 02664
4l ,
Q�FTHE Tp�4 TOWN OF BARNSTABLE
e • OFFICE OF .
B AIM BOARD OF HEALTH
039. �
joy 397 MAIN STREET
HYANNIS, MASS. 020509
To : Building Inspector
From: Health Department
Subject: Test hole and Percolation Test
A examination f the soil at
y 4
C
Lot) (Address) (.Village)
was made on l - / v/ 7C and found to be
(date)
suitable for sub-surface sewage, at site of test hole.
Building Permit will not be approved or sewage permi;L-
issued until Health Department receives two copies of plan
showing building, sewage systesrs and all other details listed
in Board of Health instructions to sewage applicants.
This approval does not constitute a final decision
concerning the installation of a sewage system.
All State and local Health regulations apply to final
approval. ,
(Signature)
6/20/75
Al
' r 1
"
Assessor's` map*and lot number`.! ' /
S �
Sewage Permit number ................................................:....:....
T"Er°� TOWN. OF BARNSTABLE
Z B8HH9TADLE. i r.
' ± 9 "�`a:
1639.
BUILDING ' INSPECTOR
00 \00 r 3
r
r APPLICATION FOR PERMIT TO .,.::...,........... ... ..
TYPE OF CONSTRUCTION ..........:...//f !t; ......... ,ti1 G..............................................................
- f /,,,. w ..........................19. xe
TO THE INSPECTOR OF BUILDINGS: .
The undersigned hereby applies for a permit according to the following information:
�r r
Location fa C i4& /;�4A�� C.
ProposedUse ............ &EA,!! ....... ...................................................................................... ..................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner " ....
i
Name of Builder .. .................Address `.. .......�1/ i.. 1/.................
Nameof Architect .................................................................Address ...........................................:........................................
Number of Rooms ..................................................................Foundation /.?! ........e�4 'a��!iP�"�....C'•? �/;r'zf FT/=:..�'���
Exterior ....... /-............/ .....&.............Roofing
Floors . ..............................................Interior
Heating ..................................................................................Plumbing .......F.... .....................................................
Fireplace ........./......................................................................Approximate Cost ......../..r...:..�;......:................... . .
Definitive Plan Approved by Planning Board ------------------------- ... ..........
- 19- ---. Area /. ..... _
Diagram of Lot and Building with Dimensions / ` �—
Fee ....... ..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH '
E
4
z-OT
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the'above
construction.
Name .,�,ar�7` 1,
Dev.
iggffliftsterRe fi-
M 147 L 21 'V1
No .... Permit for ..Dwelling,,,,,,,,,,,,,,,,
...... . .............. .........
........................
Location . ...... .........4..,..uncan.La.
............ .......................
. .............Centerville..........................................
Owner ....
Type of Construction Wood F ame...................
................................................................................
Plot .........KA47 ....... Lot ✓
...................
Permit Granted ........Noy.......8.................ig 76
Date of Inspection .....................................19
Date Completed ......................................19
PERMIT REFUSED
................................................................ 19
........... .....
.. . ................. . .. . �7.........
.............. . ...... I. .. ................. .............
..........1.......... ..................................... .......
No c>
Approve — ....... . 19
................................................... ..........
................................... ...............................
4 /47
Assessor's rr56p'and lot number ................:.......
SEPTIC SYSTEM MUST BE"
INSTALLED IN-COMPLIANCE
".��
Sewage Permit number :.:.....:........::......:........ WITH ARTICLE II 'STATE
SANITARY COD !�flfWN�
x yo�t�Ero� 4. rti OF B AR�NL AT�
Q TOWN
i BASHSTLELE, 0 r
•
MASL & BUILDING INSPECTOR
� du '-
16 -.
112 Jul
PY a
f ^ _ T- '• N
t. APPLICATION; FOR, PERMIT TO .4.... ./If..S.l.... UC•T....
4 c C�
STRUCTION D...:..... /¢t'f .................TYPE O ...................:....................,..
..:..................... /0
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: '
Location ..0. ....... .�.............. ....... ........�.. .tv tT ..v� ��.. .1 . . . .
ProposedUse ............. ..p. rrll....... P..1 . ........................................................................ ......................................
ZoningDistrict ....................................................:...................Fire District ........................................:......................:......y.......
Name of Owner �Q�l.�tr`� rEC/�.�(.�.�r�..� �/Address ..� ..... ...... Q�.`•%Q�
Name of Builder A64.d.....C�4A..T•9.C../...Q..................Address ..c.�,t' .t(.......I i .S.T•... /�/l.t 11U..ZlJ�..........
Address ...
.. -Name of Architect•.................................................................. ..........-........ .................. ..............:................ .....
Number of. Rooms ...............�..........................................:Foundation Q......:./�iOV/1�iQ....
�
Exterior ....... tGX �� . ' /.....:...........Roofing ........ ......................................
T.... .
•Floors ......Q.t .................................................................Interior ........ Az-ey ..•.... fL CAc...........................
Heating .............................................
`Z .........Plumbing ........y.Sri.................................:......................
�.. . y. .
11
Fireplace ......... .....................................................................Approximate Cost ......�41. ...... .. ...... .......... . .......
Definitive Plan Approved by Planning Board -----------_---------------------19________. Area .....a
. . ..........`.............
Diagram of Lot and Building with Dimensions Fee ..........to...........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
. p
' . 4 •
L 6T
I hereby agree to conform to all the Rules and Regulations of the TWwn of BBarnnstab /regarding the above
construction. '� AAA tc 10�!
Name .." ....�
Southeaste Rig. Dev.'
M 147 2� ,
,-No 167.97...... Pe-m it'fgr........
........... �
Location. .. J_V 4.. ... .........
............Centsxvi il.e.................. . . .................
Owner ........... .9l�Cheetg. ..lie$....Aey........
Type�of Construction ....�$QAd..F��tA�................
• ,
...... ... ........... ........... ...
_k Plot ...�X.1!4.7.............. Lot .. ...
Permit Granted`.....Nov; :.8 ...... :...:19 76
Date of Inspection 19
Date Completed .. //5../ ......r.19 ! `t
PERMIT.-REFUSED `x l
' i. ................................... t19
sr ....................................... ..............................f .
i
Approved ............................... . ...... 19
.......................................................
.......................................................... «' Ya