HomeMy WebLinkAbout0050 ENSIGN ROAD �V .......... �� �•
__J
DIKE Town of Barnstable *Permit# 4.3 co
Expires 6 months fromi sue dale
y7 -
t���e� Regulatory P Re ulator Services FeeKM
a?�
8
. A�
1 39 Thomas F.Geller,Director
9�A tti�9 �
rED1A�`` Building Division
Tom Perr Building Commissioner ��® ' r
Yr g
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 t Y
Fax: 508-790-6230 TOW n�Y�� _
EXPRESS PERMT APPLICATION RESIDENTIAL ONL `
Not Valid without Red X-Press Imprint
Map/parcel Number D s 3
Property Address O ctl 5!• f� n l l e _
M
��py� 00
residential Value of Work 33C ._
Owner's Name&Address f`Gt-'�Yl�' ' l C> I�f't• -
Contractor's Name /y/ Telephone Number
Home Improvement Contractor License#(if applicable) 1&0,Q J'
Construction Supervisor's License.#(if applicable)
M'Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ Lam the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name �• �, +
Q
Workman's Comp.Policy# �' / f Z 00 `
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-ioof(not stripping. Going over existing layers of roof)
-❑ Re-side
VReplacement Windows. U-Value -0 (maximum-.44)
Other(specify) — -
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***N operty O n r sig operty Owner Letter of Permission.
Signature'
Q:Forms:expmtrg .
Revised121901
o�,ME Town of.Barnstable
Regulatory Services
BABNABS. Thomas F.Geiler,Director
9�A i679 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 Fax: 508-790-6230
i
Property Owner Must Complete and Sign This Section If Using A
Builder
II
I, _ 1�Dr�ti�y G gr�if as Owner of the subject property
hereby authorize IVA7—I -N A C&W to act on my behalf,
in all matters relative to work authorized by this building permit application for(address of
job)
ignature of er Date
Print Name
_- 0TORMS:OWNERPERMISSION
�a �:, ✓�ie�omvnzovuueca`l� a�.�aaoac�ivaeka �� ,. � - __ _ ,.
sled of Ruilitag Regulations and Standards
License or registration valid for individul use only
~HOME IMPROVEMENT CONTRACTOR, _ before the eapirstiou date. H found return to:
E Board of Building Regulations and Standards '
Re®ist.: = 100503 _ One Ashburton Place Rm 1301
9 9/2006 Boston;Ma.02108
plement.Card
CARE FREE H
NATHAN PICK
239
239 Huttleston ave
Fairhaven,MA 027.19 e e Administrator Not valid without signs re
ri - '
��pF�rphti
Town of Barnstable *Permit#
p� Expires 6 months from issue date
BAMS BM : Regulatory Services Fee
MAM
cbArF Thomas F.Geiler'a . Director
9 9.. Thomas
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-403 8 -
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESEDENTIAL ONLY
Not Valid without Red X-Press Imprint
ap/parcel Number
6pe Address 6 d ���I¢� 1P�, (,.f� TCla,1 1�� f
�G
Residential Value of Work
,
avner's Name&Address 45-
b6/A�� /V�'i t / eF
)ntractor's Name �17 (� /91�s� /� Telephone Number 0? 9
ome Improvement Contractor License#(if applicable)
rm
onSupervisor's License#(if applicable) ��((n's Compensation Insurance X-PRESS PERMIT
Check one:
❑ I am a sole proprietor S E P 0;3 2002
❑�m the Homeowner
F? I have Worker's Compensation Insurance £TOWN OF BARNSTA E
surance Company Name 2-p�e!d¢/ /A/S ,
'orkman's Comp.Policy#
:rmit Request(check box)
❑:e_roof(not
e- of(stripping old shingles) All construction debris will be taken to
stripping. Going over 0 existing layers of roof)tlQvT �"r 70
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
'where required: Issuance of this permit does not exempt compliance with other town departrnent regulations,i.e.Historic,Conservation,etc.
gnatire
�orms:expmtrg
°F'THE . Town of Barnstable
°^ Regulatory Services
B"R" �
MASS.
' Thomas F.Geiler,Director
9�i0rEn Ma+'1�� Building Division
Ralph Crossen,Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 p Fax: 508-790-6230
I
SHED REGISTRATION
10 /:-,,1J S 1 G� � � �E Lle, L)
Location of shed(address) Village
s r
Property owner's nime Telephone number
Size of Shed Map/Parcel#
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction? d
Conservation Commission(signature required)
v
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.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
15p.151 � ti
qv
q5 o LOT'
5S`3� LOT 5
cz
ABUTTERS tv
WELL 1 N
EC (DECORATIVE) 1'
ABUTTERS
1 GRA VF,L
- - - - - - - - - j DRIVE 1
26 _ &9.00.00'
LOT g
3 �
cA_ 6
ok3
RES.. ZONE- "RC" This MORTGAGE INSPECTION Flan Is For FLOOD ZONE.• "C"
Bank Use Only
TO WN: _CE1VTE'R VILLE _________ REGISTRY OWNER: ED jvARD _M_ & CATHERINE MONTEMAGN
DEED REF: _ 3464,Z104_________BUYER: _E_W'1.RD F _4 D(2.E0_MZ_G. _r1_CBRIDG '--------
DATE:
_Il/�5�96 PLAN REF_: _�R3�2_8 ..__________SCALE:1"= _30' FT.
I HEREBY CERTIFY TO —PLZMOIITH AfQR rj—C 4 E C'0_____._ N OF M YANKEE SURVEY
-----THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAu� CONSULTANTS
SHOWN AND THAT ITS POSITION DOES _ __ CONFORM A. 40B (SUITE 1)
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE t' MERITHEW cl TOWN OF __ BARNSTARLE-------------AND THAT 0. 32090 INDUSTRY ROAD
IT DOES_a - LIE WITHIN THE SPECIAL FLOOD HAZARD �'f '�fCfSTER�� MARSTONS MILLS, MA. 02648
AREA AS SHOWN ON THE H.U.D. MAP DATED /19185 _ `j4;q .5 TEL: 428-0055
Communit -P el e50001 0015 C "°� ia� FAX: 420-5553
' _" _ THIS PLAN NOT MADE FROM AN INSTRUMENT Z0010 DPG
PA A. MERITHEW PLS ------- SURVEY NOT TO BE USED FOR FENCES ETC.
SOLD BY l/!IJ p/�,•'[ DATE
NAME
ADDRESS PHON
/L I
CITY � BUILT BY
ka * x ' x
'Q CASH ��� CHARGE� MDSE
Qr,FAID OUTT 0 PD ON ACCT. €� ?
DESCRIPTION AMOUNT
SIZE
LEFT GABLE RIGHT GABLE
STYLE Le
SHINGLE
i
OPTIONS
iA t t
FRONT
DELIVERY
DIRECTIONS
_TAX BACK
T�� �U
TOTAL-
CUSTOMER SIGNATURE
CHECK#
e i
TOWN OF.BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel C� y p Permit#
Health Division �Z-'� _ 3�2- % Date Issued Z
i
Conservation Division w A &I y Fee �'�' O ° -
Tax Collect
�'
Treasure' r SEPTIC SYSTEM MUST S�
INSTALLED IN COMPLIANCE
Planning Dept. WITH TITLE 5
I` ENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board. , TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
•t
,Project Street Address
Village Cc�IkL, l---
Owner 4ENA 2!> � OT C �1 D Address EN S 1(ku *M> .
Telephone
Permit Request 1(vl 4 MVYIOU EX lST(MC : 10`K I D U I t--'D N Lw
I2`X 411 �J �Or, I eAmoN ol--
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost-•-ZZoning District ` Flood Plain Groundwater Overlay
Construction Type - s
Lot Size Grandfathered:' ❑Yes 0 No If yes, attach supporting documentation.
r
Dwelling Type: Single Family Two Family ❑ . Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes 'Cl No On Old King's Highway: Cl Yes 0 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
Nu4nber of Bedrooms: existing new `
• t
Total Room Count(not including baths):yexisting a 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.
a -
Detached garage:❑existing ❑new size Pool:0 existing ,Q new size Barn:0 existing 0 rieuv stiize,�
Attached garage:❑existing D new size Shed:❑existing ❑new size Other:N� li,x 1LI Loeck
Zoning Board of Appeals Authorization .❑ Appeal# Recorded❑
Commercial ❑Yes ❑No • If yes,site plan review#
Current Use Proposed Use
.} w
BUILDER INFORMATION
Name t�QQ 1�LPt�rjz.kk Telephone Number . 0.8
Address_ 0 6��GNW 06V D Z ; License#
�� �✓ P 19" OL�LI Home Improvement Contractor#
Worker's Compensation# .
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO cJ" �T Do mysTez
CJ 9-to*I a-, ' iof—vs
SIGNATURE DATE Z F 6
i FOR OFFICIAL USE ONLY -
PERMIT NO. t `
DATE ISSUED
rev ;, c _ � Y -t r • • . - .. , 'f- . r
`MAP/PARCEL NO.
' ... it ,r 4 s - _7 i . •+ �' : ? # j , + i `` .. `- _ _ " a _ ., .. -- Y .,.
10
ADDRESS VILLAGE `_'
.. - f �:i s� ' - F $ t� r �,' r '� -�r t - - e _ y :�• - h 7 h. r '�
OWNER
t• :. 7
DATE OF INSPECTIO
FOUNDATION MM A I y S) t
FRAME ' „"• ` _ _
INSULATION
FIREPLACE
ELECTRICAL: TROUGH FINALK `�" '"� { � • - . ,^ { • ` F, _R - •^ r .
r PLUMBING: ROUGH FINAL
GAS: ROUGH � {, FINAL` :r
FINAL BUILDING _ '- .,• - `' '
,
ff DATE CLOSED OUT s A '`� ..R.
t"� ,-•• rye � : ,
ASSOCIATION PLAN NO:
s
`t ` ,7 { r R
l
I
1�oT 4
I5,OCY2 S.F
D�Loc.�retaN
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�-eV7-
� ~L1•irl.00 -
�ytA Of{j,�: !��oCJO 5.F
s `} WIDTH
c� JON S eta
U074
scT'�IL CERTIFIED PLOT PLAN
SURD r
IEW CONSTRUCTION ONLY
TOP OF FOUNDATION ISM FEET IN
AVE LOW®w JOINT ®F ®JACENT
ROAD.
SCALEl D AT E9°o z'-°va r`f DE_Z
Ei.DREDGE EA7CLIEN I CERTIFY THAT THEra
E $ED'GISTEDISTE® R SHOWN ON THIS PLAN I CAT
CI11L LAN® ON THE GROUND AS INDICATED AND
ENGINEER .,.SURVEYOR ®
®R,®Yj t CONFORMS TO THE ZONING LAWS
Of ®ARNSTA® E, $S:
712 MAIN STREET CH.By' J
HYANRIS, MASS. SHEET-./._OF
DATE LAND SURVEYOR
- 4
s
oNr �R~f O� �
._r ��._.._.._.�
14
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—lXq nlT. f7M-r 5UrpoK-6 WIfry ALUM Y&T . GPIWEE 150RED '�o(L AW-46e.
--�?iKV90N -'f Y CONNVC�f0V folio �oYr f0 6c1K-f TblWei
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U—JIL-A L AL-
" --- -
: . The Town of Barnstable
• n�axsrw�. •
Department of Health Safety and Environmental Services -
Fo► ' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862403 8 Ralph Crossen
Fax: 508-790-6230 Building'Commissioner
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: 00 l L y 14 EQ 12'X 1 q, T)e7Gk Estimated Co 100
Address of Work: SO .9A5/" Q � + C emlmu I l.L4 Al 1� O U 3 L
Owner's Name: 1)0'f me—oP-1Y%7
Date of Application: 2 Z✓� 6 /
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
C]Job Under S 1,000
Building not owner-occupied
C]Owner pulling own permit
Notice is hereby given tbat:
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.
z Zvi q91dlZ17 `�
Dad Contractor Name Registration No.
OR
Date Owner's Name
g1orms:Affidav
The Commonwealth of Massachusetts
+ — Department of Industrial Accidents
ONCO 011mre5tig,0017S
'5� "saa 600 Washington Street
Boston Mass. 02111
Workers' Comp nsation ft AN
Insurance Affidavit
b; ///��/������%����������%�%///%�%"....
name:
location: u00To J�
a
city S Dz(,H ` hone#
❑ I a homeowner performing all work myself.
a sole proprietor and have no one working in any ca acity
%%%///���%/%/��%%%%%%%%%%%%��/%%%%%%%%�%%�%%%%%/G%%�%%�%%/'.:�
❑ I am an employer providing workers' compensation for my employees working on this job.
company name:
address:
city: phone#•
insurance co. R01icV#
////////////////////////%///o�//ice
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the follo«ing workers' compensation polices:
company name:
address.
city: phone#:
insurance co. Roffim#
company name.
address:
city phone M
Insurance co. ;::. .::. olicv#
ox
Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or
one vears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification.
1 do hereby certify u#er the pains andpeykies ojperjury that the information provided above is trap and correct
Signature Date 2'/ZJ �t _
Print name Phone# J50S��17—3I LI 8
official use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑Building DeQattment
❑Licensing Board
❑check if Immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(fenced 9i95 PIA)
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 contim-c,
of hire, express or implied, oral or written.
An employer is defined as an individual, partnership, association;corporation or other legal eatity,.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 c-
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 peisons 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 to
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
Me 01 Invesugatl011s
600 Washington Street
Boston; Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
urea CRUOGUO i 1{1 7
"'^'
aiSk� 7!)0�7N7L47L G[/L 3 ' ` '✓ v �4
HOME IMPROVEMENT CONTRACTOR' .f i s DEPARTMENT OF PUBLIC SAFE?"'
i Registration 121119 ' CONSTRUCTION SUPERVISOR LICENSE
Type - INDIVIDUAC �� "�
i # Nu�uberc
� Expires:
Restricted To; 00 ,
RICHARD A. FITZPATRICK
10 EECHWOOD DR
HPEE MA 02b�9 �,�,�,� RICHARD A FITZPATRICK .�
ADMINISTRATOR t 1�j 19 BERCHWOOD DR
NASNPEE, NA 02649
j
t
/.. ✓.Assessors map and lot number ...... ...............
&TH E
Sewage Permit number ... Q
Z 1B STABLE, i
House number .... ..... ...:..................:................................ SEPTIC SYSTEM t�ItJS 9 - 6 .
INSTALLED IN DOil�i�'LlAs�°. _��aYa`e�
J TOWN .OF RAR.NSig I f l� rLE ;
L CODE AND
TOWN REGULATIONS
DUILDIH INSPECTOR
APPLICATION FOR PERMIT TO ..............:.. �. ��dam,.......:..
'.. ........ ............... ......... .............
TYPE OF CONSTRUCTION .................... /t/... Rp............. ... .....................................................
Z } �
�.......19..
TO THE-INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: /
Location .................. ...ter ..........&r. ..Z4 A r: .... .6gr.(...........C.at--1z!/il(......... .......
Proposed Use ........................3..t'.�61-r;........ 1� 1,!,1� ........................
ZoningDistrict .............................�::�..............................Fire District ..............................O. .... ...............................
Name of Owner .:........ 4''I!/i/b �(e'7/�. �v �O (D n - j.l........ 7`
1Q.Address ......... ...: .............1.:. /e
Name of Builder' �q. ..e.. ......................Address
Nameof Architect .......................... ..`...............................Address ..............n ....................................................................
. a .
Number of Rooms .................. ..............................................Foundation .........
f
I..�. ..:........G.�IU...G�Y... ......
Exterior .6qP- ....... ...� .�"1 ..........Roofing ..........., 1...................................
"Z.
Floors
' ,: .. G/ �` .....Interior -( UG
f�/. �.. . ...................
Heating ......................... . ...... ..........................Plumbing .................. .P�e T.�' !�[1...� ......
.... ... ................ ... ..........
Fireplace ........................`..................................................:.Approximate Cost .............. ......................
Definitive Plan Approved by Planning Board -------- ------19.1___ Area ..........�0� ............
Diagram of Lot and Building with Dimensions Fee3,
SUBJECT TO APPROVAL OF BOARD OF HEALTH F Uo2
b (S tAA 6
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS.
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin t e ab
construction.
Name ........... ........ ................ 55
Greenbrier Corp. =
t ,
?� Na'o"...238�;9. Permit for ......One„stgry.......... s
�'r......s..ing gJamily...dwelling...................
Location ............ EM5i9n..F1.QAd:....................
r ............................
fOwner ..............c7r.e.en ripr...Q0T..................
Type of Construction fnme.....................
.......................................................... ..................
Plot ............................ Lot ....... 4.....................
t
Permit Granted ......FebruarY....1§.........19 82
r
$ Date of Inspection ......................._............19
T _
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Date Completed �9 '
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o.29874
CERTIFIED PLOT PLAN
STE
�Hv SURv�y , ° lei o4/ 1-7V S1�iN 2.D
NEW CONSTRUCTION ONLY :
e' Nrev�GL�
TOP OF FOUNDATION IS ��� FEET ` -`IN e-A e`
ABOVE . LOW POINT OF ADJACENT A11" 1�J .1':,�1► .Ls jb,�'�AS SO
ROAD.
SCALE: /''`��� DATE: eVz- 05-9?_
LDREDGE ENGINEERING CO.INC) I- CERTIFY THAT THE Fin'Dq7/
CLIENT�" �6� SHOWN ON THIS PLAN IS LOCATED
EGISTERED REGISTERED J08 NO.� ON THE GROUND AS INDICATED AND
CIVIL I LAND ten? CONFORMS TO THE ZONING LAWS
ENGINEER SURVEYOR DR.BY= OF BARNSTAB E, SS.
712 MAIN STREET CH:GYs=J—�..
H YA N R I S, MASS., SHEET,/-OF DATE . LAND SURVEYOR
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No.10951 O Q FS.S. : to
A9�FG15T����' S�C.Q.S.f3. ;10
o�F l0NA1 �
LEGEND
EXISTING SPOT. ELEVATION OAO CERTIFIED PLOT PLAN
O `,i.
EXISTING CONTOUR --- 0 --� � �,, LG�-r 4 = �►.JSIG i.1 2oRD .
FINISHED SPOT ELEVATION ' y CLITER�I Ltd
FINISHED CONTOUR 0 $
II9874�0 IN
APPROVED = BOARD OF HEALTH f
@�»Fya�
No su 3AJFlklSIA¢3 o AoNASS*
DATE AGENT SCALEt I =Coo' DATE$ of 'I4•82
�VELDREDGE ENGINEERING CO' 'NOCLIENT0AWM+
1 CERTIFY THAT THE PROPOSED
LEI
ISTERE REGISTERED JOB NO. '?KMZ BUILDING SHOWN ON THIS PLAN
CIVIL LAND _ Q CONFORMS TO THE Z ING LAWS
GINEER SURVEYOR DR.BY. OF .BARNSTAB t M S.
712 MAIN STREET CH. BYE �.g. .
oi
HYANNIS MASS. 145�"
' SHEET! OF ti ' DATE LAND SURVEYOR
1
TOWN OF BARNSTABLE �39/9
b, •" Permit No. ----------------------------
Building Inspector
t 3A"rr.n Cash ----__----
N"m
,639
OCCUPANCY PERMIT Bond �-
"No building nor structure shall be erected, and no land, building or structure s all be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to iYErE°iiLJ1C1F'I` (.C)"L; Address
r•�
Wiring Inspector f` ,!i/.. Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
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.
................................................... .. 19..._._ ....................._................................................�... _._............. . .. .
Building Inspector
Assessors map and lot number ...... .:.................:.. ....... yoF T"E Toy
Q �
Sewage Permit number ................R2.:7.rzi....................
Z BJHBSTADLE, i
House number ....669.ivnp
9�O Mb 9 e0,
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ................!......::.�../.....��..�!.:`'":....................... ......�.......:..
TYPE OF CONSTRUCTION rat/'C7 n l � __—......................................................
................... ................... ..
................ h.:.Z. '..........19........
� -
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..........:...... .:.- .7 ..�..........;C-..�tJ....... i........ � r 7.. .......... ......... s�.li ......". � .......
fy
ProposedUse ......................... ........... 'cj�f'.:. - ' ...................................................................................................
ZoningDistrict .............................�.......................................Fire District ............... .....`:.:............................................
Name of Owner .........i...'?. .'.�!f-..........I. ...!...... ..... ,....Address .............5 ,..%(..... ...!........... {�
Nameof Builder. .....................S... ......................Address ....................................................................................
Nameof Architect ........................ .`.......................................Address ..............n....................................................................
Number of Rooms .................f..............................................Foundation .........r„( G..........�.... .... .(..... . ?r
... ..............
Exterior .,.. / ............Roofing �`7 L,.................................................
t
�-'`�f ��s«%./. --�' �� (st F r✓ Interior ? ? t`�, /,rz vc \
Floors .............................,.............�.......-...... .......... .............................
................./.
/
Heating ' ... ... ..........................Plumbing ..........................�.....�.............� ..�t............�......
...................
Fireplace ........................ .................................................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- -
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable, regarding;the abovei
construction. r
_rName ......... ........ ..............................
Greenbrier Corp. /ne
-53
No ...23g1g... Permit for .......... ozY.......
single family dwelling
Location 50„Ensign Road
.. ..._.. .............
..............................Centervi l le
........................................... .
Owner ........Greenbrier Corp.........................
Type of Construction frame
..
Plot ............................ Lot ............ ..................
Permit Granted ............February 1$ 19 $2
Date of Inspection ....................................19
Date Completed ......................................19
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