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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map / Parcel- ���- Application # C� / S
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address
Village V 1`
Owner Address o
Telephone L• d
Permit Request )0 54MQnVE�
(see m,51y2Q�e , aXM Goon uop )(W rZ
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project-Valuation f D— a OUOConstruction Type
Lot Size Grandfathered: ❑Yes ❑ 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 Proposed Use
APPLICANT INFORMATION -
(BUILDER OR HOMEOWNER)
Name -1-0 i0. Telephone Number q_�l •91 Y • CS-a
Add se'ss Q t n5jA > R License #
Home Improvement Contractor#
Email 1A)6mQ.c2 c�Sku �15 C)naQ ��Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE I.k 1 I
FOR OFFICIAL USE ONLY
APPLICATION#
DATEISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: t
FOUNDATION
FRAME (�� 02-416
INSULATIONLA I LI
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
v L wry Town of Barnstable
o�
` Regalatory Serviees
E
t t
E g• .siry
9 aaess$ Richard V.Scali,Director t
Building Division
'ram Perry,Bmldin;Commissioner
200 Main Street;Hpamis,MA 02601
www.town:b arnstable_ma-us
Office: 508-862-4038 Fay: 508-790-6230
Property Owner Must
Complete axed Sign:This Secfiion ` ;
If Us ing A Builder
L ,as Owner of the subject property,
herebyaurhorize - to act on mybebA
in all matters relative to work authorized bydds building permit application for.
(Address of job)
`"Pool fences and alarms are the responsibility-of the applicant: Pools
are not to be filled or uiilized before fence is installed and all final
ins-pection.s.are perfoumed and accepted:
Signature of Owner _ Signature of Applican -
PrintNamP � - .• .,
Pant Name
Dare .
QF0RI,M-0W ERFER1MSI0NP00IS
Town..of Barnstable
Regulatory Services
r � Richard V.Scar;Director
°* RdWhig Division
Tom Perry,B �g Commissioner
200 Male Sft=t Hyamms,MA 02601
$�Ea wwf.town-barnstable.maus
Office_ 508-8624038 Fag: 508-790-6230
H0MX0W M UC NM EXEI' ION
DATE: r
JOB LOCATIOM- 130 G si q t1 Rch l V LA lf�
number' Village
names - bomaphonc# W0*Phonc#
CURRENThrAM CTADDRBSS•SOu1W QS 0.bOVe Tab @l��.lp
city/Enwa stab; aP Cori,
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and fin allow
homeowners to engage an individual for hire-who does notpossess a license,provided that tide owner acts as saperyisor_
DEFIIMON ORHOMEOwNER
Parson(s)who oyms a parcel of land on which he/she resides or intends to reside,oa which there is,or is intended to be,a one or two-
family dwelling attached or detached stractures accessory to such use and/or farm structures. A person who const[ucts more than one
home i a a two-year period shall not be considered a.homeowaer. Such`homeownee'shall submitt o the Building Official on a form
acceptable to the Bmldiag Official,thathe/she shall be responsible,for all such workperfoffied und=the building permit (Section
109.1.1)
The undersigned`.`homeowner"assumes responsibility for compliance wifhthe State Bur1dmg Code and other applicable codes,
bylaws,rules and regalafions- -
The undersigned"homeowner"certifies that he/she understands the Town ofBamsfable Building Deparimentrnimmn inspeddon
procedures Emd re ' ements andthat he/she will comply with said procedures and rDq?n-err,enfs.
Signature o Homcowncr .
Approval ofBnildingOfficial
Note: Three family dwellmgs containing 35,000 cubic feet or larger will be required to comply with the Siam Building ing Code
Seddon 1'27.0 Constriction Control
HOMEOWKEm's E TION
The Code states that: a9ny homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 10911-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shaU act as sup
Many homeowners who use this exemption are unaware that they are ass=ing the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations fur Licensing Construction SBpervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires maRcensed persons. In this case,our Board cannot
proceed against the uxnUmnsed.person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fuIlp aware of his/her responsibr7it ties,many comzaumities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form.currently used by.several towns. You may care t amend and adopt such a form/eerffficaiion for use in
your community. _
Q�g1PFlI.ESSFOR�,•rc��„�dmg p�itf�slE�8,F53.dno
Revised 061313
i�
AFYC Guide to Wood Constructiou un High F ind Areas:110 triple 0nd Zone
Massachusetts Checklist for Compliance (780 ChITR5301 2.1.0
Chxk .
Compbancc
1.1 SCOPE.
WindSpeed-(3-sec. gust).......................................................................:......... .............................. 110 mph
Wind Exposure Category
Wind Exposure Category..:.............Engineering Required For Enbre.Project.......................................
1.2 APPLICABILITY
•Number.of Stories (a roof which exceeds 8 In 12 slope shall be considered a story) stories s 2 stories
Roof Pitch .........(Fig 2)
..........._......:.........:................................... ............. _12.12
MeanRoof Height ..................................................... (Fig 2)................................................._ft _<'33'
Building Width,W .................(Fig 3)•••............................:......_..:.. _ft _<80,
Bulding Length, L ..(Fig 3)....................
Building Aspect Ratio(LIW) ................................................(Fig 4)...........................................--.... 5 3:1
Nominal Height of Tallest O enin z .....(Fig 4 5 ' "
1.3 FRAMING CONNECTIONS
General compliance with framing connections....................(Table 2)...............................................................
2.1 FOUNDATION
Foundation Walls meeting requirements of 780 CMR 5404.1
Concrete............. .... ........................ •.................. .......................... ........_.........
ConcreteMasonry....•............................................................... ..............................................:................
2-2 ANCHORAGE TO FOUNDATION1's
5/8'Anchor Bolts,imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only
Bolt Spacing-general ...........................:..............(Table 4)............................................... in.
Bolt Spacing from endrjoint of plate................a............(Fig 5)..................:.................. in.-<6"-12',
Bolt Embedment-concrete.................... ..............(Fig 5)................................................................... in.L 7"
Bolt Embedment-mason .....................(Fig 5 in.>15"
PlateWasher.................................................................(Fig 5)-------------------------------- .-'3'x 3'x'/'
3.1 FLOORS
Floor-framing member spans checked ............:..................(per 780 CMR Chapter 55)...........................<1..
Maximum Floor Opening Dimension....................... ..........(Fig 6 ...............................
Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).......................................
M23dmUrn Floor Joist Setbacks
Supporting Loadbearing Waifs or Shearwall (Fig 7)........................... s
Maximum Cantilevered Floor Joists_
Supporting Loadbearing Walls or Shearwall................(Fig 8):......._..............,...... :..... ft _<d
FloorBracingat Endwalls....................................................(Fig 9).............._............._.._..................... .........
Floor Sheathing Type ............:...........................................(per 780 CMR-Chapter 55)...................................
Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)....................... in.
Floor Sheathing Fastenln .................................................. able 2).. d nails at in edge/_in field
4.1 WALLS
Wall Height
Loadbearing walls.........................................................(Fig 10 and Table 5)........................... ft :5 10'
Non-Loadbearing walls....................................................(Fig 10 and Table 5) ft"s 20'
Wall Stud Spacing ..........................:..............................(Fig 10 and Table 5).............. in.:5 24'o.c.
Wall Story Offsets ... •..(Figs 7&8)...................... c '
4-2 EXTERIOR WALLS'
Wood Studs
Loadbearing walls..............................:..........................(Table ).............................,�x
Non-Loadbeann walls...............................................: able 5 ..............................2x_-_ft_in.
Gable End Wall Bracing
Full Height Endwall Studs...................... (Fig 10)...................... .
WSP-Attic Floor Length................::..............................(Fig 11)........ ..................:........... ft W/3
Gypsum Ceiling Length(if WSP not used)....:.............:(Fig 11)............................................_ft z 0.9W -
and 2 x 4 Confinuous Lateral Brace @ 6 ft o.c...(Fig 11)..............................................................
or 1 x 3 ceiling furring strips @ IS'spacing min.with 2 x 4 blocking @ 4 ft spacing in end joist or truss bays
Double Top Plate
Spfice Length .................:.......................................(Fig 13 and Table 6).................................... ft
Splice Connection (no.of 16d common nails)..............(fable 6)...........................................................
• t.
ATVC Guide to WWood Coristr•uctiorr irk High Wind flreas: 110 fnph find Zone 1
Massacl;usetts Checklist for Compliance (7so cil.IR53o1.Z.1.i)'
Loadbearing Wali Connections
Lateral (no.of 16d common nails) .....(fables T)
Non-Loadbearing Wall Connections
Lateral(no.of 16d common nails)................................(Table 8).......................................................
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
HeaderSpans ...................................................... able 9 .— -`
Sip Plate Spans .................... ..(Table 9).................................._It_in. 11
..............
Full Height Studs no. ofstuds .. able 9 .
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9
Header"Spans.......................................................... (Table 9).................................._ft_in. 12'
Sill Plate Spans......................:....................................(fable 9).................................._ft in.5 12'
Full Height Studs (no.of studs)....................................(Table 9)......_._........................_............ ....
Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV
Minimum Building Dimension,W
Nominal Height of Tallest OpeningZ
.............._..........................
SheathingType..............................................(note 4)......................................................
Edge Nail Spaci►g ..(Table 10 or note 4 if less) i
Feld Nail Spacing .. able 1 D in.
Shear Connection (no. of 16d common nails)(Table 10).....................................................
Percent Full-Height Sheathing........:..........:...(Table 10)...................................1._.............. %
5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)....................
Maximum Building Dimension, L
Nominal Height of Tallest Opening2......................................................................... _<6'g•
SheathingType..............................................(note 4).....................................................
Edge Nail Spacing ...(Table 11 or note 4 if less)....................0. in.
FeldNail Spacing..........................................(Table 11)—.............t........................r....... • in.
Shear Connection(no. of 16d common nails)(Table 11).............................._...... ..........
Percent Full-Height Sheathing.......................(Table 11).................................................... %
5%Additional Sheathing for Wall with'Opening>6'8' (Design Concepts)....................
Wall Cladding
Ratedfor Wind Speed?.............................................................. ..........................--.............................._....
5.1 ROOFS
Roof framing member.spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website)
Roof Overhang ...................................................(Figure 19) ............. ft s smaller of 2'or U3
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors
Uplift................................................(Table 12)...............................0.............U= plf
Lateral.............................................(Table 12).............................................L= ptf
Shear.......0......................................(Table 12).............................................
Ptf.
Ridge Strap Connections, if collar ties not used.per page 21... (fable 13)...............................T= pif
Gable Rake Outlooker..........................................(Figure 20) ..-.........._ft-<smaller of 2'or V2 '
Truss or Rafter Connections at Non-Loadbearing Walls -
Proprietary Connectors
Uplift................................................(Table 14)..........................................--.U= ib.
Lateral(no.of 16d common nails)...(Table 14)........................................L= . lb.
Roof Sheathing Type................:..................................(per 780 CMR Chapters 5B and 59)
Roof -..
Sheathing Thickness................................_...:.................................... ....._....._in.>-7/16'WSP
Roof Sheathing Fastening able 2 .................................. ..................._
9 g................... .. (T )
lotus:
This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of
780 CMR-5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are,not
required per the WFCM 110 mph Guide:
a. Steel Straps per Figure 5
b. 2b Gage Straps per Figure 11
c. Uplift Straps per Figure 14
d. NI Straps per Figure 17
e. Comer Stud Hold Downs per Figure 1Ba and Figure 18b
Exception:Opening heights of up to 8 f.shall be permitted when 5%is added to the percent full-height sheathing
requirements shown in Tables 10 and 11.
The.bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade.
AFYC Guide to Wood Corrsdrtretion in High )bind Areas: 110 nzph (rind Zone
Alassachusetts Chec,ldist for Compliance (780 Ch'1Rs30t 2.1:1)'
4.
a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height
Sheathing and Nail Spacing requirements
b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows:
t. Panels shall be installed with strength axis parallel to studs.
1. All horizontal joints shall occur over and be nailed to framing..
ill. On single stDry construction,panels shall be attached to bottom plates and top member of the double
top plate.
iv. On two story construction, upper panels shall be attached to the top member of the upper double top
plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist
and lower attachment made to lowest plate at first floor framing.
v. Hortzontal nail spacing at'double top plates, band joists, and girders shall be a double row of ed
staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment
5. Glazing protection:a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,south of
Rte. 28 or north of Rte. 6)
b)vertical addition—not required unless there is extensive renovabon to the first floor
c) replacement ivbidows—needs energy conservation compliance only(chap 93)
S.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the.American Wood Council
(AWC).website,
—YMM TM EDGE REM ON
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41ArLspACkJG PltidEl NArI PATTHM PANG
�- RAND EDCZ DOUBLE NALEDGE SPAMC DML
See Detail on Next Page
Detall
Vertical and FID(IMnital Nailing Vefical and Horizontal Nailing
far Panel Attachment for Panel Attachment
I
The Corr monivealth of Vassachusetts
Department of lindrtstrinl Accidents
�, Office of ImestTgatxons
'3 600 Washington Street
., Bostozz,-VA 02111
wi;vis mass gov/ilia
Workers' Compensation Insurance Affidavit: Bu lders(ContractorslEIectricians/Plumbers
Applicant Information Please Print LeQibIy
Name(BusmesltOrganizatian/Indiz al)-� Q��.C`( � ,
Ad&ess:
City/S.ta&Zip_f anV-,QVA U- MA Ca 6 J D Phone meq 7j [7 q a
Are you an employer?Check the appropriate box: Type of project(required)_
1.❑ 'I am a employer with 4. ❑1 am a general contractor and I
employees(full andlor part-time).* Have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees Thy mb-contractors have g. ❑Demolition
wod:ing for me in any capacity employees and have wodcers'
[No workers'comp.insurance. comp.insuranml 9. ❑Building addition:
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3. 1 am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]T c.152,§1(4X and we have no
employees.[No workers' 13.❑Other:.
comp.insurance required.]
•slayapplicantdbat checks box#lrrm also fill out the section below showing their woskere compensation policy infbm2tiom
I Homeowners who submit this affidavit indi _q they are doing all wa l and then hire outside cent moors nmst submit a new affidavit indicaung such.
-'Contractors that ehect this box must attached an additional sheet showing the name of the sub-contactors and state whether or not those entities have
employees. If the sub-contractors have employees,they mnstprovide their v rorkers'comp.policy number.
Iaut an employer that is protiding workers'congm.isadon insurance for my ourployees Below is dte policy and job site
information
Insurance Company Name:
Policy,4,'or Self-ins..Lic.#: iration Date:
Job Site Address: CitylStatelZip:
Attach a copy of the workers'comptnsationpolicy declaration page(showing the policy number and respiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and for one-year imprisonment,as well as civil penalties in the form of a STOP WORK;ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations ofthe DIA for insurance coverage verification.
I do Hereby certify under the pains and penalties ofpetyury that the informatian prinided ab4m a.is true and correct
Date
97V. osaL Phone�: .
Official use only. Do not write in this area,to be completed by city orto n o fi'ciat
City or Town: PerzaitUrense 1i
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Ma csarhusetts Geteral Laws chapter 152 requires all employers to provide workers'compensation for their employees. '
PM-S pant-to this stAute,an emplayee is defined as."-.every person in the service of another under any contract of hire,
express or implied,oral or written."
An enployer is defined as."an individual,Parfnership,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 trast:=of an individual,parinerrship,association or other Iegal 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 appvrten�t thereto shall not because of such employment be deemed to bean.employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicantwho has not produced acceptable evidence of compliance with the insurance.covex-age required."
Additionally,MGL chapt-x,152, §25C(7)sta's"Neither the commonwealth.nor any of its political subdivisions shall
enter into any contract for the performance ofpublic work until acceptable evidence of compliance-with the i Lsiaran ce.
requirements of this chapter have been presented to the contracting authority.-
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your sitnation.and,if
necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s) of
incnranc0. Limited Liability Companies(LLC)or Limited LiabilityPartaerships(LLP)withno employees other than the
members or partners,are not required to carry workers'compensation insuzance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation of inS slice coverage. Also be sure to sign and date+lie affidavit The affidavit should
be retsmmed to the city or town that the application for.the permit or license is being requested,not the Departeat of
Ldu-izial Accidents. Should you have any questions regarding the Iaw or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. self-insured companies should enter their
self-insurance license number on the appropriate lime.
City or Town Officials
t
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 permitllicense number which will be used as a reference number. Iu addition,an applicant
that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job site Address"the applicant should waste"all locations in (crty or
town)_"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for ft nre permits or licenses_ A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in.advance for your cooperation and should you have any questions,
please do not hesitate to give us a call
The Department's address,telephone and fax number.
The Camraaaqirealth of Mam achusetts
Department eaf 1ndnstcial Accidents
Office of jvesiigati.o=
604 Washington stet '
Bastou,MA E1�11I
T(J.A 617 727-4900 Q)a 4€6 ox 1-a MA..SSAFE
Fax#617-727-7749
Revised 4-24-07
.mass-gavldia
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Date SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE
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5
6
7
8
9 !
10
11 `
12
13
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15 �I
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17
18
19
20
21
22
23
24
25
26
27 j
28
29 t
30
31
C �L 7121�
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Assessor's map and lot number ... A 4w,,
QyOF THE
Sewage• Permit number .. ................................................
Z BARNSTABLE. i
House number ............................ ................................ 9� MABa o�
t639. \00
TOWN OF BAR.NSTABLE
BUILDING . INSPECTOR -
6 -- .
APPLICATIONFOR PERMIT TO ................................................. ............................................................... .......
TYPE OF CONSTRUCTION ............................... ... •� -�
.....................21o.2 9��
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............................ .�� ........f ............ �. ..................... .......�... ...................................
ProposedUse ................. ......................... .......... . . .........................................................
Zoning District Rc,........................................Fire District ....................................................................:,....
Name of Owner ................. ..........................� t :�. ........Address ............... � .k.....5.� �.......�.............
Nameof Builder. ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ........................................................:...........................
Numberof Rooms ..................6..............::............................Foundation ..............................................................................
Exterior ....................................... ...................4,V1...................Roofing ............ .....
Floors ! r� -f f{..............(.......�.: /....Interior .......................... !-X' ... �/.(tc:..!..`......................
......r........................ .......
Heating �ti ...... f f r� .......................Plumbing � `� C �1✓G� Y-�
lam'
Fireplace � ��S." 341.�./.T, ....................Approximatte Cost . '.v ...........
l;... .......
Definitive Plan Approved by Planning Board __________Q ________I ___. Area .......... ...:..................
:..
Diagram of Lot and Building with Dimensions J U 00 Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH •-
2 Y X `F<(
r
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. 1
- Name ....... !,.��..� � ! ............... . ...............................G j. .iv
GREENBRIER CORP . A=147-62
aF
No 23.908Permit f One Story
Single Family Dwelling
...............................................................................
Location .,Lot #13 12 0 Ensign Road
Centerville
...............................................................................
Owner Gr.eenb. rier. ...Corp. ..
........................ ....... ....... ..... .... ..... .
Type of Construction Frame
Plot ............................ Lot ................................
July 8, 82
Permit Granted ........................................19
Date of Inspection ....................................19
Date Completed ......................................19
.[ 00 0/0
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-�- : The Town of Bari si able
• a►sxsrasLF. •
1a 9. � Department of Health Safety and Envii., ental Services
reate Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-775-3344 Building Commissioner
December 15, 1994
To Whom It May Concern:
Re: 120 Ensign Drive
Centerville, MA
If the above referenced house were to burn down, it could be rebuilt within five years as a
matter of right.
Sincerely,
Ralph M. Crossen
Building Commissioner
RMC/km
FAX TRANSMIT -?. #of papas
To:hykk�
DepL Prone# (508)79M227
Fax tZl 9� (508)775-3344
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KAB& Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-775-3344 Building Commissioner
December 15, 1994
To Whom It May Concern:
Re: 120 Ensign Drive
t Centerville, MA
If the above referenced house were to burn down, it could be rebuilt within five years as a
matter of right.
Sincerely,
Ralph M. Crossen
Building Commissioner
RMC/km
i
FAX TRANSMITTAL #of pag#S
To:AnJA From:
Co. Co.
p®pt. Phone 4 (508)W)H227
Fax 0 7 9 l-e2 777 (508)775.3344 .
TOWN OF BARNSTABLE
° •� Permit No.
Building Inspector Cash
------------------
00�0 YPY•\�
OCCUPANCY PERMIT Bond ;—/-
No building nor structure shall be erected, and no land, building or structure shall 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 GrF pnbrf er rarr, Address ?Sm 51P
WiringIns {Inspector ' � �!-/ Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
r
Engineering Department / - "00 :; 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.
.....................................................1 19...... ..................................... ......................................._.........._.........._._
Building Inspector
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NEW CONSTRUCTION ONLY C�/vI T�v1leJ//'
T Of FOUNDATION is.;;��`6 FEET IN
• tOW POINT OF AoJncEa3.;` ...
ROAD.
.. '. SCALE: / 4-D DATE : 2,
LOREDGE ENGINES /NG- `CD./N csr�ciVak/�Z I CERTIFY THAT THEfvv�V���1Tion/
CLIENT,._.,__,,_ SHOWN ON THIS PLAN IS LOCATED
EGISTERED REGISTERED
CIVIL' LAND JOB NO. $/oz3: ON THE GROUND AS ,INDICATED AND
ENGINEER SURVEYOR „ DR.BYj I�. CONFORMS TO THE ZONING LAWS
OF BARNSTA El ASS.
712 MAIN S T R E&I CH.EYE. .. 6,2 • 8� �-' .D .Q,�
HYA IS, MASS � R`::., MET F
DATE G. LAND 'SURVEYOR
ssessor's map and lot number ...f. ".�. �. .........���
1 P�Of THE
Sewage ,Permit number :.......................................................
Z DA"STSDLE, i
House number .............. rasa
..................... .'........ 9PrI�IO SYSTEM MUST 5 0
�. p i639. 009
.� NOTALLED IN COMPLIA►IU� cwpYa`
TOWN- OF .'-BAR
5
DE AND
' TOWN REGULATIONS
BUILDING � INSPECTOR
. �
APPLICATION FOR PERMIT TO C
.....�.............. ............... ..... .............. �, ......
TYPE OF CONSTRUCTION ................:.............. 0.0..I?.........( ....... ..............................
.............. 19 �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following informatiory
//. 2 ddd/l/
Location 'Q L. ,1.............. !�v�/ ............... .................... ......................................
.........
Proposed Use .................:.........:..................��/�..� � .............................................................
ZoningDistrict .................. . � ......................................Fire District ............:....................................................... ....
Name of Owner �! ���-:.�l�t.: ........Address l .Q. .... 1. .
Nameof Builder' ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....:...............................................................................
Numberof Rooms ...................( ...........................,.:............,Foundation ..............................................................................
Exterior ...................c.. /6......... ... Roofing ............ -1-4 Cam�?A—A.*
..:........ ...2�...?.............. '
Floors V..../. � ....`....4�. A:�' Interior ................. ,/`l-��... . ....................
Heating ............. .j.�..�� r ....�.....Gej... .....................Plumbing .............��`/�.. � C v� ............ .,�,.........
Fireplace �........ ..
U C7
p .................... .�/!/f,��.1C7/��.��....................Approximate Cost ...............:. � �f. O
cam. ....................�;.. .
Definitive Plan Approved by Planning Board ___________-OLC77__------19__�___. /✓ S 7 Area `..........�
Diagram of Lot and Building,with Dimensions l Ro >:-� 37(1
Fee� � .... ram...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
C Y X. f�(
/yy
�w
R
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Bar regardin . t e a
construction.
Name ....... ............. .............................
GREENBRIER CORP.
239 One Story No .... .... rmit for ....................... ..........
Single Family Dwelling
Location Lot #,13 120 Ensign Road
Centerville
............ ..........................................................
4 ,
Owner Greenbrier Corp.
................................................ .
e D
` Type of Construction Pdn ............. "
1 - -
Plot ........................... Lot ................................
ranted Permit G
July 8, 82 J
` Date of ItJpt�iri :%t� ...................19
Date Co pleted .. ...`.0..:..........19
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