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Engineering Dept. (3rd floor) Map 02 a Parcel rmit# 1
House# Date Is ed
B
Fee
C oor -T3
Pla THe rq
19
BARNSTABLE.
�rFO MPS �
TOWN OF BARNSTABLE h`
Building Permit Application
Project Street Address '// �,�
Village `-i��+.,__=_-�.
Owner Address
Telephone
Permit Request
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $ �
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
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
No.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
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name . Telephone Number
Address 'z I //j License#
Home Improvement Contractor#
Worker's Compensation# &1e/ /, 4,S A
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE _ DATE /D
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
� \ JoPERMIT . . .
DATE)S @ED2
MAP\P§CEIJ NO
�
�ADO# SS k VILLAGE ., .
OWNER
• | � j , ,
DATE OFI S/CT, ON:
FOUN$» k
AMON
FRAME /
INSULATION
'
¥ .
■ .
FIREPLACE
2
ELECTRICAL: } ROUGH FINAL
PLUMBING: ROUGH . FINAL
GAS: ROUGH FINAL
'
FINAL BUILDING
DATE CLOSED OUT . . .
ASSOCIATION PLAN NO. '
Tile C11111111011lecallit of Atassaclrwctts
Dc artprcirt o Industrial Accidents.
'n of Industrial
600 ff k li".1.ton Strect
y:•� .x* Boston.Mu3s. 02111
•�. Wor.crs compensationcnsa tton insu
rance AtTidavti
•
AQ •_T.. — -..--- .: Please i'RINT'le�blv• - .._�._.---
location ( �r�rtC•,� �' /�l °`
' nhnnc#
city
�4"v
❑ 1 am a homeowner performing all work myself. '
❑ I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job. `
d t •
city: nhone#�
insunince co
❑ er(circle pap)and have hired the contractors listed below who
I am a sole proprietor,general contractor,or homeown
the following workers' compensation polices:
COMMInr nnni
dress!
policy#
c u ra n re n �.,-a-^"�^+iF' ��,pj,�etq�y.•�T�—�
nl anv name.
ih nhone#:
policy#
S
.attach additionai'sheel if rieewaJl '�"� `- �'�= R� rr ��
Failure to secure coverage as required under Satioa 3A of h1GL 1S3 as lad to the imposition oterimiaal peaaltia of a fine Up to Si300.U0 aoL
one,ears'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a tine of S100.00 a day spigot me. 1 understand the
copy of this statement tttay be forwarded to the Olricc of investigations of the DIA for coverage veriliatioo.
I do ltercirr certify u r cr J/tc ai is and taD7t�ojperjun that the injonitation pro►rded abovr is true and corrrct
Signature
Print namet�! Phone#
official.use only do not write in this arm to be completed by city or town otRcial
nermit/llcense# nBuiiding Department
city or town: DUcensiap Bard
Dose is required 05cfeetmen's Office
check it immediate reap (311enitb Department
Mother-
contact person:
phone#:
Information and Instructions
• � ,• compensation f•n.
Massachusetts General Laws chapter l5? section ..5 requires all employers to provide workers' comps. or
P •
employees. As quoted from the"law". an entpinree is defined as every person in tite service of another under any
contract of hire, express or implied. oral or a+mitten.
An c mplurer is der►ncd as an individual, partnership, association. corporation or other legal entity, or any two or n
the forecoin-; enga�=cd 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
owner of a dweiIinL house having not more than three apartments and who resides therein. or the occupant of tite
d++'cliittt. house of another who employs persons to do maintenance, construction or repair work on such dwelling
or on the grounds or buiiding appurtenant thereto shall not because of such employment be deemed to bean emplc
MGL chapter 152 2ection 25 also states that every state or local licensing agency shall withhoid 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 chaptc
been presented to the contracting authority.
�-.�+..��_. ....w•.��. _ r.,: . .�'>a':� ... =.y.. •Y:r.rJ �;�' J• .':, S�•s.:a�i.LYr.},',+�q:.��1,.^_.:7r. .N•ay .u..
Applicants
Please `I in the workers' compensation affidavit completely, by checking the box that applies to your situation an
supplying company names. address and phone numbers 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 requi:
to obtain a workers' compensation policy, please call the Department at the number listed below.
.. rS _• >: ': �_. :�:?:'�.....f.0 i•:.. ...�::'•.'1'•�••..,7�"^';�::�` :wail.�.:3'a._•e::� t.�..:.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botton-
a Meant. F
the affidavit for you to fill out in the event the Office of Investtgattons has to contact you regarding the pp
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returne
the Department by mail or FAX unless other arrangements have been made.
The Office of Investi`ations would like to thank you in advance for you cooperation and should you have any quest:
please do not hesitate to Live us a call.
The Department's address. telephone and fax number.
The Commonwealth Of Massachusetts `
Department of Industrial Accidents a
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
nhone #: (617) 7274900 cxt. 406, 4.09 or 375
°F SHE Tp�
. � The Town of Barnstable
BnexsraBL14 •
9� `0�' Department of Health Safety and Environmental Services
prEo '�" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
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: Est.Cost
Address of Work:
Owner's Name
Date of Permit Application: 11013k
I hereby certify that:
Registration is not required for the following reason(s):
Work 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 a ow a•:
D Contractor Name Registration No.
OR
Date Owner's Name
Asses'sor's map and lot number � ". =r
' THE
• Sewage Permit number . . .a..::.... ... .. ........... i .: ....... .J s • d �
Z BAR3998TABLE. i
House number ..........................7........................... ......:............ '00 i639
. `
TOWN .. OF BARNSTABLE
Y : BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .....:...GnAfVG�......... ... ..:4"blr,C.1..........................................................
TYPE, OF CONSTRUCTION Lt1l:O.vA. :.- — ..... ...... ... ........... ............................................ '
1...� 1. ................19.5.1 /
_ TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
1 T-
Location ............. .I.f.........17 ....1Y.KxCf......... .!................. d. ....V.. .....
ProposedUse .............� . ...............................................:...........................................................................I.........................
Zoning District ...............?...�=...I..................................Fire District ..... ./65.....................................
Name of Owner ...........4.49.�A.......... 2,. rt-t ...........Address ........... ...........................................................
1........ Address �...' Wj ......Name of Builder ............. ..... . '
Name of Architect ............................Address
, '
Numberof Rooms ....................I.,........................................Foundation ........ ,nc.........dl�.......................................
( _ JB .Roofing s // .
Exterior :.....................c�►.(.�Q.��N........:...............r......... ......rii....P.1n.s.).r.........................................
Floors ............................... .( .�C.............................!:........:...Interior ................ .. . .1!!w. ...........................................
Heating ..................................................................... .......!.Plumbing ....... .`........... .
Fireplace ......................................................................:...........A�Pproximate. Cost .....,.. ....... ./. .
. .......................
S
.Definitive Plan Approved by Planning Board __________________________e__1=9______'_. Area .. ... .. .!�. . ............
Diagram of. Lot and Building with ,Dimensions Fee /O
SUBJECT TO APPROVAL OF BOARD OF HEALTH
`;:
L,4� �
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulationsc :of the Town oft,Barnstable regarding the above
construction. }
4 Names. 141 ...........................
,iCo�nstruction Supervisor's' License ......6..�.7...•M..4.....
ti� 1
TELL IER, EDWARD A=245-10 }
Na 268...G...... Permit for .....Add i.t.l On..t.0......
S.ingle...f ....................
Location III Green Dunes Drive
............................... ...............
Ed
we rd :T'el 1 ie r
Owned............................................ ................
'r•
r
c
Type of Construction .......F••raroe.........................
Plot ! ............. Lot ......... ..
Permitr Granted Au .u.s..t.....7...•..•.•..19 `� -�-="• '
r ,
�Dc e'of Inspection ......19
Date Completed .:/:...- .4'............ 4k"l9 i
All
�R
Assessor's map and lot number � ._..�.... .... ``..<�
y *THE
1 O O
. r Q � o
Sewage Permit number .d..... ,.� ....... ... .....�,..�. d�
BiHHSTADLE. i
House number ................ 9 i6391639
'"" pp .
�a MAY
TOWN OF BARNSTABLE
- i
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .....,... &'R'� $Y.4�......Gtdl .E�✓1...........................................................
ti
TYPE• OF -CONSTRUCTION .
,f .. i!5 ................19.
TO THE INSPECTOR OF BUILDINGS:
(, The undersigned hereby applies,for a permit according to the following information:
Location ............. . . .......... i� JCn,.,....r�.4!t�e .........
.W...e . .. ! ............. ..... ®. .... . .....
ProposedUse .............moo, .................................................................................................................................................
Zoning District ............... ... .`� ... ..................................Fire District ..... 'fi. 65 ..........................
Nameof Owner .......... !^' !`ek..........+..c. .ht^. ...........Address ......... ....................................
Name of Builder ............. «. ..........01.q.rt.�..Address ........... �7. .... .. !t.���•�s... ..... ......
Nameof Architect ....................... .............................Address .......................................................:............................
Number of Roo�S ..... ..... .................................Foundation .........C'n'. .........11.
Y r
fx`lecior_............::......: �.`O`.�. .4.�.^ ............:.....................Roofing ............... .S�J.I.!�.4..�. .....................
Floors .............. ............. f.��............................................Interior ................ ..1 !L14.!!!a.., ...........................................
Heating .. ............. ..................................................................Plumbing ....... ..... ............ ........................
Fireplace �v v ...................................................................................Approximate. Cost ........,...........,+.............
I ,
Definitive Plan Approved by Planning Board -------------------------_------19________. Area � !.........� 1 .....
t Diagram of Lot and Building with Dimensions Fee /..............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
4
s
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 W Name ..:...... .....
Construction Supervisor's License ......PA 7.... 24.....
r -
TELLIER, EDWARD A=245-10
26810
No ................. Permit for ...Addi.t.l.On..to........ , _
....... ...dwe.l.l.i.n
Location .....�.�.�...�! ern...Aun.e� ..l?.r.l.xe............. +
Cp,r4ery I1t
es
Owner ...Edward Tellier
............................................................... M
.. 3i
Type of Construction ...F.r. t
Frame............................
................................................................................
Plot ............................ Lot ................................ r
Permit Granted ........Au9ust.. 7..............19 84
Date of Inspection ...................................:19
Date Completed ....................................:.19
k040011,
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a��c- >L•�� �/ate%�..� _
Assessor's map.and lot_ number ....... ......
SEPSewac7e .Permit number;'/- '. :�� �-� :' ,t STEM MUS
INSTALLED IN COMPU STABL
Hous number :............ ..'......... . WITH TITLE 5rasa:
�.. + El��/!r"�C�i9l�U9 fl��`�AL ' cMar.Ar
�f TOWN OF BARNS ` �BL �
INSPECTOR_,
BUILDIHGl,,,'�'
Rays , s��l` a Cam•
APPLICATION FOR PERMIT TO .... �,, ... .............
. � '.lam. .... ��. :��.���:� :,•��'�G���..�• ;
TYPE,OF CONSTRUCTION ,t' .........
r ...... V...f�:kjfNS7.............19
TO THE INSPECTOR OF BUILDINGS: v
. s
The undersigned hee�reby applies for a permit according to +the, following/ information:
Location LA—..P.......... .!� ......Ow�.�..:...: .........U�S:S� ......T4�c�s1.��.5 � ......��`�...,......................
Proposed Use 7S..t .CL<1 ....... ................................................
....:........:.......:.................:. :............................................:....
Zoning District ...................Ir ................... $. Fire District �s C111A.�v1J).............. ........i..i/...........
Name of Owner ..: v' f' ..- '�' l�l + ....................ddress ......:sm&m ................................ ..... ...............
Name of Builder• ..... . '�.1�' ......�.t.c`.�7�? ............ ........:..:..1.�.�.. :�, 1 1 �!1......lt� ........... yr..
Name of Architect ..........., ... Address i�.,?!
..
...........................................
'................................
Number of Rooms ................ . .Foundation ...............................................
Exterior ............... ....................................Roofing ..........,....O�Tl !'�. .� f...............
Floors ...................... .........................................Interior ............ ? c�✓ .1. ...................................................
g /-G'.Y4CG .......&T v"'L ..:.Plumbing
Heating `.:.......
Fireplace ................................`.'..—....... ......................Approximate Cost ............607 V .............
Definitive Plan Approved by Planning Board _-----------___________ _______19 Area �
Diagram of Lot and Building with Dimensions Fee ....
SUBJECT TO APPROVAL OF BOARD OF HEALTH
160 _ x
k
?YY�
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 ... �,1-: �4�►.�-... ... .. ...............
�Tx.en Construction Supervisor's, License .. .. . ........:....
TELLIER, EDWARD '
-ti 25248 Build Dormer _
r
No .......;yam... Permit for ....................................
.� Single Family Dwelling " `r
Lot •34�l` Green Dunes Drive
Location ..... '
............... ......................... ../.{i1.7..T. ..... • �� h ''••��
Owner ...Edward...Tellies.........................
~� Frame
Type of Construction ............................................ c {
t. ... ....................... ..................................
Plot ....y....................... Lot ................................
Permit Granted ...June..27........ ......19 83
Date of In pec ion,.. :-��... 19
Date Completed .... ..... ............1
_ t. t�
Assessor's map and lot number. ............,,.,,.,,,,,,,,,,,,,,,.,,,,. FTNEto�
Sewage Permit number ,.sa..,:..� �- �! *.a- e``Q �♦�..... .u.. ...... v:: .................. Z BJBB3TADLE, i
.House tnumber .......................................................................... 9 Mass
. �O, i639. e00
' f
TOWN OF BARNSTABLE
BUILDING INSPECTOR
s�d r- �r -- o C �4 e-
APPLICATION FOR PERMIT TO R!+� �'i -� .;� �r � �+ ... �
.... .:?'vv �;,•• ......,.�.Pam. . ,M �.+�T.¢,.�. ... .�,`.,,.,�..:^._.� �.... .y.............
TYPE OF CONSTRUCTION .......................1�d........ ...............................................................
....... .y. .V ✓rk e:..............I qR2.,,
TO THE INSPECTOR OF BUILDINGS:
The undersigned
?hereby applies for a permit according to the following/ information:
Location .L.a �....`�.1...........(,-�g2n,......�vn��.................�M�4,��....... l�/�;��I S®v Y ......f::t��....... ...............
y
ProposedUse .......... ?�..�.`� �n�........... ...... M..............................................................................................)...........
Zoning District ...................! ........................... Fire Xstricti e/� �1„ e ......6��V1/l t.......
ids v) �are2.�
Nameof Owner ..fir ! !o. ....... � . .I;1 ...:...............AI ess ........ .0.1nQ'............................................................
Name of Builder ...... ....... ...............Address .............. t/?c?e!?......� ......4 yqz? '5
Name of Architect .......................5-x Nam:..........................Address ................... !• ............................................
Number of Rooms ...........................I.•:..................................Foundation ............A/0.,y..................................................
Exterior .............. 1.,<4?. '.,& .......................................Roofinga 1
...................... .�S�.......... .............................................
v
Floors ..........................................Interior ........... v+�tn!a,��...................................
Heating ................... ............ j� ....� ``': .r'.,.....Plumbing ..................................................................................
Fireplace .................................................................................Approximate. Cost ............ :.Av...................................
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ..........................................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH --� --
133
4
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t/ E
L/ '
G t-,een- bvyvoo
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
ti
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above_
construction.
Name ...........�.....:......... .:.-......... ,�...............
J
Construction Supervisor's License .... � ..............
TELLIER, EDWARD A=245-10
No Permit for ..Build Dormer
.................................
.............
. .. .....Single Family...
Location .... ...........g�qTj. Dunes Dr.
.... . .....
Ce h ham ' '!6,�
............. .............................
Owner .....Edward. wrd Tellier
............................................................
Type of Construction .....Frame
....................I..........
....
................................................................................
Plot ............................ Lot ................................
Permit Granted ....June 2.7.j...............19 83
Date of Inspection ....................................19
Date Completed .......................................19
1 04
Assessor's map and lot number .......,G S
'Sewage Permit number 9 .. .......... i ,�
g �.. ... ....... INSTALLED IN COM U
i WITH TITLE 5 t AaBs iE,
House number ...........: f/................. �B TdD
M 6
ENVIRONMEN
UP� Ap 1 9
TOI.N(N JOVIS
TOWN 'OF "BARNSTALB,LE ..
BUILDING INSPECTOR-. '.
APPLICATION FOR'.PERMIT TO .. :. ., /." !' �....... 4'�.( . .....................................................
TYPE OF CONSTRUCTION ..........:��-�". ..�' '.�..................... .
............................................. .. .....�.... ...... .
..1..Lf
.....'......'19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...... �rS...........e. ............. .
Proposed Use �.+ e►�>.t.�r�. . . C}(`�j.....................
ZoningDistrict .......................Fire` District .............................................I......:......... ..................... . . ..... . ..... . .
Name of Owner . .D.....�71C: ...U).:F.%�. Address ..:. f7!c`I ............................:......................
`�. -
.
Name of BuildIer ..1 U..M...Address .'J.J. F... o4 �
Name of Architect .............:...::..::..:... ...............::....:....:.........Address ............................................:. ...................
Number of Rooms ...Foundation
Exierior ....................................................................................Roofing ........................................................................................
Floors ......................................................................................Interior ...............................
Heating ..................................................................................Plumbing ..................
p� .....
0-0
Fireplace ...............Approximate Cost .. 101- .S-0.... ........................................
Definitive Plan Approved by Planning Board-_______________________________19________. Area .........
..
Diagram of Lot and Building with Dimensions Fee .2 ..... ...
• -.a �
SUBJECT TO APPROVAL .OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules'and Regulations of the Town of Barnstable regarding the above
construction.
Name . 4,�ax?X ... ..............
Construction Supervisor's License .........,......:3..�'............
TELLIER, EDINMRD
Pool
No Permit for ... ...............
Accessory to Dweq-j,4,�ig...........................................
Location .111..Green...Dunes .f Drive e.nr .. ...........................
4.
............... ............... ... ...................
Owner .....Edward Tbllier .......
Type of Construction 9K ..............................
...........:::......................;.***—***--*--..;...................
Plot ... ........................ Lot ..................... ..........
June 14,.14 85
Permit Granted ........................................19
Date of Inspection ....................................19
Dat6 Completed /6.-:nZ!� ...... .. . ...1q
Assessor's ma and lot number ...����
P `J
................ ................
i� 1 ��� n � �?�^ P�0(THE lO�i
'Sewage Permit number /.T- ..............`.�...._......
g ,........,....
�► / BARNSTABLE,, Z i
l/ MAM
ouse number .............•.-.........[. ........................................... 900,0,039. \00
(I — �faNPY�'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... . ....�`�....;,t I.mM.f..t:4°j......r . ..........................
TYPE OF CONSTRUCTION .......... 'r O.U.1 . s—...............................................................................................
.�.. .W.. .. ...........19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: rt
Location .111...... .4�, .... ........P .............(/J ....y�!�*�e�r r'
ProposedUse A.........................................................................................................................
ZoningDistrict ...............:..!..L........).......................................Fire District ..............................................................................
Name of Owner w# r.�......7r.E..LL .I..R.� Address ....�I�M�°`...............................................................
Name of Builder 11.te-tm.�C U�..�.. .. �a ..a. J.'. ..Address `
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms Foundation.................................................................. ..............................................................................
Exierior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
..................Heating ...............................................................Plumbing ..................................................................................
" f '
Fireplace ..................................................................................Approximate Cost ............. ...:......................................................
Definitive Plan Approved by Planning Board ________________________________19________ . Area .......��'.�^'..1.........................
Diagram of Lot and Building with Dimensions Fee 4G.
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r
li
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.
t Name ......7.lr. ...... " . .e.. �..............
Construction Supervisor's License t
TELLIER, EDWARD A=245-010
No ...28023 Permit for
Accessory..to..Dwelling...........................
............................................
Location ,111„Green..PMP,5..]Dr;LV.e................
................... ......................
Owner .....Edward Tellier.............................
Type of Construction Irame.............................
................................................................................
Plot ............................ Lot ................................
Permit Gran+ed ..June 14.......................................1985
Date of Inspection ....................................19
Date Completed ......................................19
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