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HomeMy WebLinkAbout0144 HORSESHOE LANE W ti v ., Nc �,/ �� � � y p/ 4 ra R ti� d r r '/ y'•;Ja y Y t s, oROOMs 39: 3I .35 I : r� {iy: � rGk/S1Y/6\Si t t /✓rE- Mp AQ Ion i N y L 30 ! i c1'e: t ru�ayr.efUtvt4 �/ !;� Ja tohit8 81 ' � r3,.t h '' i c'' s '* r' �C G }')•it' Y"� M 6pRe r r i'.���U'L✓lY. �1G. n ` y r �r a ` krrj .` ru Ybt) i' ' 1 I �' f• r � I t .. r 7S c� hown'ort pAdo J. 44 sit o �N;E x +`G 7v 1)Oa 1R Ko�324<30 o ;oC` t,lle'r (ia 02692 p 'ti � > $ f � rti ,•t +' fry '' ` �' _I _.— __._ , _ ��, �'i Jt �7�' -}r Fi *•. �.. �i r ly f{J�i ra'fh�",�Sy4u U+ s ti t tit IMT t py - � • . c '-S H f y s Fr^ r s Jta� ZiOcGor / oFzt , Town of Barnstable *Permit# Q� Expires 6 mond from issue d� * 'Regulatory Services °�. Fee . • BARNSTABLE, MASS' -Thomas F.Geiler,Director G .,�� lFo�y .. .Building Division 0 0 Tom Perry,CBO, Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 ;Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number ?� Property Address . `l` �i/ Residential Value of Work i inimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Nam Q" (�C�t/I/ Telephone Number yd/`(�17I 01 0. es �,�, Te Home Improvement Contractor License#(if applicable) Co ction Supervisor's License#(if applicable) V Workman's Compensation Insurance Check one: I am a sole proprietorPRESS PERMIT ❑ m the "°Homeowner 1 have Worker's Compensation Insurance JUN .t 2010 Insurance Company Name. - - j G l a/I/ (, RNSTABLE 10 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will.be taken to ❑Re-roof(not stripping. Going'over existing layers,of roof) 0 Re de #of doors Replaceme� Windo)/doors/sliders.,U-Value (maximum.44)#of window *Where required: Issuance of this permit does not exempt compliance with otber town department regulations,.i.e.Historic,Conservation,etc. ***Note: - Property Owner must sign Property Owner Letter of Permission. A copy of the home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: i s Q:\WPFILES\FORMS\building permit forms EXPRESS.doc. f, The Commonwealth of Massachusetts Department of Industrial Accidents = W Office of Investigations 600 Washington Street Boston, MA 02111 '°, •� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant.Information 4 Please Print Legibly Name(Business/Organization/Individual): ®d Address: - City/State/Zip: W ✓1. ff 9 Phone#: Are an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with 4. I am a general contractor and I ❑ employees(full and/or part-time). * have hired the sub-contractors 6. Ne construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-coriiractors have g, F1 Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance. comp. insurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumbing re airs'or additions 3.❑ I am a homeowner doing all work 0 g p myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. (No workers' 13.❑ Other comp,insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: D Expiration Date: G' e JJob Site Address: G �✓� City/State/Zip: L' ,glp ob Site AddresSjyAttach a copy of the workers' compensation policy declaration page(showing the policy number and expir ion 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/or 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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct y/ --^ Date: . G /0 Si afore: _ — Phone# Official use only. Do not write in this area, to be completed by city or town official' City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: wa—a 'k a as aw» a a— w s 0—as saran—s a a as--w . v as V-- MOONA-1 1 05/07/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunter Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old River Road, P.O. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI 02838-0001 Phone: 401-769-9500 Fax:401-769-9502 INSURERS AFFORDING COVERAGE NAIC INSURED Moon Associates Inc 1 N St.9ERA: gational Grange Insurance Co 14788 DBA Gutter Helmet --- DBA Renewal by Andersen of 'RI !NSURER6: Beacon Hutual Insurance Co. DBA Gutter Helmet Roofing INSURER _ DBA Moon Works 1137 Park East Drive INSURERD: Woonsocket RI 02895 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED,ABCVE FOR THE-POLICY PER;OC!NDICATED.NOTIA11TNSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCLwiE1T LNITH RESPECT TO'AHICH THIS=-,WIFICATE MAY BE ISSUED OR . MA,e PERTAIN,THE INSUPANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS.AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- LTR INSRCI. TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDAWY) DATE(MMIDD ) LIMITS GENERAL uABarrr EACH OCCURRENCE $1000000 A X COV.MERiCiAL GENERAL LIABILITY MPS26619 0,9/16/09 09/16/10 PREMISE&(Eaoccurence) $500000__ CL,4It MADEOCCUR MED F,'''r(any one person) $ 10 0 0 0 PERSONAL&ADV INJURY $ 1000600 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE 1-1t,11T APPLIES PER: ' PPODUCTS-COMP`Ce AcG $2000000 j POLICY JECTPRG- LOC j AUTOMOBILE LIABILITY - CLMBINED SINGLE LIMIT A I X ANYAJJTO B1S26619 09/16/09 09/16/10 (Eaacr,' )' 100000 0 ALL OWNED AUTOS _ BODILY INJURY . (Per person) $ i SCHEDULED ALMOc HIRED AUTOS BODILY INJURY $ ' NON-OWNED AUTOS (Per accident) " PROPERTY DAMAGE $ (Per accident) I: GARAGE LIABILITY AUTO ONLY-EA.ACCIDENT $ GARAGE ANY AUTO OTHER THAN EA AC,- $ AUTO ONLY: AGG EXCESS i UMBRELLA LIABILITY EACH OCCURRENCE $1000000 A ;X OCCUR � Aict- sMADE CUS26619 09/16/09 09/16/10 AGGREGATE $ DEDUCTIBLE $ `X RETENTION $10000 $ WORKERS COMPENSATION STAI X TORY LI?v1ITS ER AND EMPLOYERS'LIABILCTY Y 1 N B ANY PROPRIETOP./PAPTNMEXECUTIVE F 28586 10/01/09 10/01/10 E.L.EACH•ACCIDENT $500000 OFFICER/MEMBER EXCLUDED,? "- (Mandatory in NH) - E.L.DISEASE-.EA EMPLOYEE $500000 It yes,describe under SPECIAL PROVISIONS below E L.DISEASE-POLICY LIMIT $500000 OTHER - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION REAL DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Renewal By Anderson REPRESENTATIVES. 1137 Park East Drive AUTHOR!ND REPRESENTATNE Woonsocket RI 02895 _ ACORD 25(2009101) 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and Pogo are registered marks of ACORD gas r. -1 x., &. A 1" Y ' 9535 Mt on MOON AMC-l _ J - _ DAMES NOONfAl r - 5 ��£=' cretary 3�ss s 535it; Cs A, 4 _. DAMES' N ,� 43 PAMIE holn coo - � www.m # i.gq}gF{iai�Srxt?rP• .. 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STALLED IN COMPLIANCE Board of Health (3rd floor): WITH TITLE 5 " Sewage Permit number ... :�o ... ., _ .............EN�iiRONAAENTAE, CODE AND : BAH11ABIL LL, Engineering Department (3rd floor): TOWN REGULATIONS +o° "b 9, 0� House number 0 ypY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only- A P P R a V R D 8 #W N OF B A R N S T A B L E .111LDING INSPECTOR APPLICATION FOR PERMIT TO ...a.U-1..W......�Q.rC-.... .... C. ��. ................................. TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... G{� �. ['�Q ....1 !.a...........ce..1,kd.f. [J/. ........................................................... Proposed Use ...... .S a A).roQq ro ...........se-P. :e P0.0a................................................................................... Zoning District ......... ......................Fire District ................ Name of Owner ....... . .. ......1 .........Address ..�. ....�74!r.S S/!.a. .L ................... D I ' �— r Name of Builder /7�!??e. l . �?!eA0E C(4 �5....�Lc�C/.lAddress 0, .. Nameof Architect ....... ............................................Address .................................................................................... Numberof Rooms ...........1.....................................................Foundation .............................................................................. Exterior ... VJ1l�/GU Roofing I-JS l Floors �.T.... .h .............)X ...JC7.•,,.5. .�h�..t!. ...Interior .....RN.e:........:..� i Heating ................U.V/,. ...................................................Plumbing ............... ................... .Fireplace .............. ..-�s............:. Approximlafie Cost`q- Definitive Plan Approved by Planning Board _________________________ Z - ------�9-------- . Area ..... .......... . ....... .. ....... Diagram of Lot and Building with Dimensions Fee sl .� 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. Namex . . .. .. .. . . . . . ................. Construction Supervisor's License la. 6o............. '->HANSEN, ROGER 31873 1,1juild Porch 9nclosure No ................. Permit ............................ ds .......Single -Fa-mily Dwelling ...... ........ ........ . ........................... Location 144 ffbri-peshbe Lane ............... ........ ............................... M Centex v-L I le ................................. .,.,a........................................ M a Owner ......,.Roger. . an-.. s n............................. .......... .... F Ime Type ol�f Construction ....... .................. .......... ........ ......................... .............................. Plot ............................ Lot ................. ............... r Permit Gran,+,&d ........May....6....................19 88 D6te of Inspection .....................................19 L Date Cppletecl ......................................19 cc r e�? yt�"�r �'"f�tti ��S '33�5.,�s lt�k� F r�, `s''• �'r4 4� R a �« � � .� b ter.xA- "+4 f ?� .4yys +g{ �''�S { h �r i �l •s 't r t�^z'� fi� ;1 q `�c+yF 4�3fi�fyav ! m' *� ° K{�' ,+` 94 k• �^• N'C� •5' ,a+�' 2 GQ :p „. - ezrt 'Pr. F IQ r 5'{r�i! .P''a p ,, r VIC.V. I � Asses's'ror's offioe (1st floor): ,C? p /`� 7 j y`TWETO� Assessor's map and lot number .................1........................ Board of Health (3rd floor): ( �b QO .. 3.010 Sewage Permit number ........` Gt .�UO !� AWITAXLE, i Engineering Department (3rd floor):` `qf/... C/ - 'NRTALLE° IAI CO Housenumber ........................................... ......................... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only �.i;� 'i . ' '� TITLE g L CODE APP �tpV E TOWN OF BARNSTAU 1E TIONS AND Barna�tab a Conservation CoMiss@V I L D N G INSPECTOR 949*P LICATI FO RMIT TO ...... . . .{. ...... .... a., ... ... .�....................................... TYPE OF CONSTRUCTION .. .11?.G..(.�- ...,....c�/DQ ... ...F... .. ,S/� cl . ....,..�,`e` ....�1.1v !................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... .... .... ......... . .1�...5.........5'. � ,...W!!.a..........Ce, 1 .�d. / ........ . � � n °%• Oj ProposedUse ....[0,1r.......6.arn,.5.e................................................................. . ZoningDistrict .... .............................................:......Fire District ............... ....... ..��................................................ Name of Owner ..P014CA........YC4 V.�Qd- )..............Address ..I..L...I �'.....,,7�144�..Ltit!!e...GB-• Name of Builder�lllf't !/tP.roi<.lNe�rf.,��C�gL/.S6Qf�p. Address01S.J F- 1�Ulr..��/���,�...���......... Nameof Architect .........&.14.......................................Address ..................................................................................... Number of Rooms ..................................................................Foundation ...C.ax.C..tete�............................................ Exterior .../{ P�C.. .. .........h4A� . ....,�/..r/�.!' f...................Roofing ... :. .0 .©�2 � I ..Jr''� Floors .................................................Interior ........V.....!.....// L.�.`L �!. ...................................... Heating ........... /./.I.............................................................Plumbing ........./1//- ,t. ....................... .�...... ..................... Fireplace .............V . ... .......................................................Approximate Cost ...........��.L(.r✓ ................................... Definitive Plan Approved by Planning Board ________________________-___--19-------- . Ar .�� ...�. . Diagram of Lot and Building with Dimensions Fee "............................... 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 regar ing the above construction. _ r Name .......... Construction Supervisor's License .0-11,0a5V...... . �'�Z, HANSEN, RODGER 31569 Vqo car 2 1� Permit for Vwo W........ . ................. Garage/...Ac Yj Dllifig ....... .......... .........we.......... 144 Horse hoe Lane Location .................... ............I....................... Centervilg?e*......................... 10, ............. 14 1 ........ ....................... qcj 9-en Owner ...Rodger!�?�J�gn I........................ E Type of-Construction ...... F.M. r at, .................... .................. .........................Z........ ........................ Plot ............................ Lot ................... ............ >e- 5 t January, 27c' 8 Permit-Granted ......................................(.19 Date of-Inspection ......................... ........19 Date'Completed ................... .......;-rn' -7 U. In T5, J LA Ile Ur too If IA a, :1 Assessor's offioe (1st floor): 7 Assessor's map and lot number .......... ... .......................... .'Board of Health (3rd floor): Sewage Permit number ........ ............ ..... t 13MU9UBLE. E!?�(�<:7_ HAS& Engineering Department (3rd floor):*/ q�/ 1639- House number. ................... ........I............................. i*. :­­****­*­ a APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN 'OF BARNSTABLE -BUILDING INSPECTOR ;L&, /5 wj).. C APPLICATI, FOR PERMIT TO ...... 51 .A.r a C(!E c(&+(e- TYPE OF CONSTRUCTION ................... ....ur? 4 5� . ..... .................. 7.2.&.......119-0 ... .... ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: APPLICATI.0 FOR 67-t:13 Location ......... ....... ..........C_ 2 Z..,A - ./Ae'. 3. ............. ...).herizif ....... .. .......... Proposed Use ....Cq.c.......6VPkfA-5-e. ............................................................ ZoningDistrict .... ...................................................................Fire District ....... .............................................. Name of Owner ........jqAW. 1 9W................Address Name of BuilderAm lm-p.r vvtwevi.•f:,q* Offe.)Address X4.40vio f4 -1?4-44- Afva ...067.t......... r Nameof Architect .........N.1A.......................................Address .................................................................................... Number of Rooms ..................................................................Foundation ... ............................................. Exterior ...YA.."(6Y...........V1.A)i S/.0*4 ...................Roofing .....A 1_�7607 .......... 47... ',Vas;. �-ozj............. Floors ..... P.C.t e_*................................................. Interior...... ................................... Heating ..........1J/.A.............................................................Plumbing ........ ..................................................... ...Fireplace .............�/A�............\...........................................Approximaie Cost ja,,Of,....a ................................... Definitive Plan Approved by Planningg, Board --------19-------- - Area ....... ------------------------ ........ .... Diagram of Lot and Building with Dimensions Fee ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH N OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS<---""- . I hereby agree to conform to all--the Rules and Regulations of the To.w.6 of Barnstable regarding the above construction. Name .... .... .......... Construction Supervisor' License .............. HANSEN, RODGER A=207-127 X----? d 7 / 2 No ...315 6 9 permit for ...Two Car Garage .......................................................................... Location ......144. . ....Horseshoe. . . . ...Lane.. ......_.... . .. . ....... .... .. .... .. .. ....... Centerville ............................................................................... Owner R.odge . r Hansen. . . . ........................... .... ... . ..... ..... .. . .. .. • f Type .of Construction ......Frame . .......................... . ........................................................................... . . . Plot ............................ Lot ................................ i Permit Granted .....January. 27.,.......19 88 Date of Inspection ....................................19 Date Completed 19 L_ - l i I \ 1 � I .L'o�°•3-S li 10, 780 �5 39s r -.o 34• Nr . at. c i3 r' I0 1 6:r ,1_ i Ica& 1 ?0 I 026O I 3 i ;3e bYu� b.t .3 S. a 4hown on a p +1 • AAOc i .iA boot 140 pagz 33. i i a i �H Orl.4t u ��NE �. 1 i!o 32490 • 0�We .CarLE 026 32 `9f�IST QUO Jia4 ce�te�w i,ll e, ria.. Hd�a'�pµOS i I r Assessor's offioe (1st, floor): Assessor's map an lot number ....t�� 7 cFTHEto�` ...... ..... P� Board of Health�(3rd floor•)":` d � Sewage Permit number ... ..�i.....0. ." ................. L BAHdsTSDLE. Engineering Department (3rd floor): �G F moo t6 9• \aye House number /y� } 0 .APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only > .. TOWN OF BARNSTABLE �' BUILDING INSPECTOR ,; 2�4.iJ P �� ENC Losc APPLICATIONFOR PERMIT TO . ......... ............. ................................................................................ TYPE OF CONSTRUCTION .......tom-/.... O©.... .......................................................................................................... ...............'"7`.......a 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 ) i -location 1.. .........VOCS .. hoe.....1-4v.1...........ceN..`f.�P v.4. . ........................................................ ProposedUse ...... ........... ......Pa ...............................,.................................................. Zoning District ...........A . ......... Fire District .......................................................... ....... Name of Owner ........ .... .. .. ..............1 .�.N. � !.V..........Address ..�.f../......./%(!� �� �r ....... ....... Name of Builder N. 1.e..,,!m . ?QYP �� !. C AS Su..( Address Nameof Architect ......./V, .............................................Address ........................................................................ Number of Rooms ..................................................................Foundation ......... Exterior ... ...............................................Roofing ...k ........ ..../ ................................ Floors . !..... . . ............. ....JG1.!.,�. ..47. !.N ...Interior .....QiNe..........�. �'"�� � 1 i HeatingU. !. .. ...................................................Plumbing ............... .............................................................. Fireplace :.............h!.. /.. ............................... ..t...... .......I.Approximate Cost 6 ) l�tJ �D �.... ... Definitive Plan Approved by Planning Board ________________________________19________ . Area ..!!(1....�1.C.(J!f'...4�...... Diagram of Lot and Building with Dimensions Fee /'ll —� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS n I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name/.1.. �Lf'//.. . ............ v tires �� � IInn 11 �, Construction Supervisor's Licensel.tJ..M7(9............. HANSEN, ROGER A=207-127 6 No ... Permit for ....13.iAi.j.d..,P.o.r.ch..Enclosure $.ing.I.Q...F.14.MjLy...D.w.e.j.jjn.g...... Location 144 Horseshoe Lane ................................................................ Centerville ......................................................... ...........I......... Owner Roger Hansen .................................................................. Type of Construction ..........Frame. .. .. e...................... ............................................................................... Plot ............................. Lot ................................ -Permit G ............ 88 Granted ......M��Y... ....... 19 Dcite of Inspection ....................................19 Date Completed .......................................19 ' SEPTIC SYSTEM MUST ®E Assessor's offioe (lst floor): pFTNETO O c ©��'�7. �...... .......... 9NSTALLED IN COMPLIANCE Assessor's map and lot number .... .. ...... ..... f Board of Health (3rd floor): / _ a WITH ",W 5 fO�Q o Sewage Permit, number .....V..........r.......:............................. .t'� V@RONMENYAI CODE AVO i B9HII9?!IDLE. Engineering Department (3rd floor): ��jj��JJ .. T TOWN REGULATIONS moo 1639. \0e� House number ................:........ ..��... .f......'1..'......... . _ - CFO YPY d' APPLICATIONS PROCESSED 8:30;9:30 A.M. and 1:00.2:00 P.M. only j . TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....elr AIJ........-rcLr.m.c.ts......P0 rC l• Jr.k;g 5a 6®411 ��[� 40 TYPE OF CONSTRUCTION .. 41�?Q......... ..:............c 1.....a.....� ..T�..... L..!7,510 �1 •!.p.0®........................ /............ s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......,' ....... ............�s .r. ►.1.�'�.../.9.'.`'�°.................................................... Proposed Use ............rr. ......parce..f.I..........................:. .......................... ....................................................................... .Zoning District ............:...... �, ..........................:..........Fire District .............................................................................. Name of Owner Ar SC.(.11)...................Address ...1...�...�.......I:TO� �f✓il®.fG. �t1V .. E't f ill c!jiP �� Name of Builder Jkft 'NpftVfg°W�P.@f✓lat&...Address Z. . AiiA) . 13.a@....91AINU I&I.. Name of Architect .............�� ..........................................Address Number of Rooms .....:............................................................Foundation ..........d.ly1. .&QC .... Exterior ........................ (.1� ........................................... (( I r� ...Roofing ............1R$PP'If�IG ................................................. Floors . ...............�DN.�i1' `� .,..........................................Interior ........:....!.'./�T......Co ..... ...... 1.. ©. P ��r Heating .................. ..............................................................;Plumbin ..........A' ��� g ....................... ..................... ..... A.- Fireplace ............... ..................................................................Approximate Cost ............ ►.. ................ . ......... Definitive Plan Approved by Planning Board ________________________________19_______ • Area "7' @cJ Diagram of Lot and Building with Dimensions Fee �„�.......... .......................... SUBJECT TO APPROVAL OF BOARD OF HEALT.� 4 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 Construction Supervisor's License .Q.� .. ............ �.r HANSE N o ROGER Y No ..30948... Permit for .Bui. 4j..PGK'.Qh..... .....ji.P.91e...F.ami.ly...1?W.e, A" ........... Location .... ...Ji h.Q.e...Lix ............. 'f .....................C:eA VI .Ie.............. ............... Owner ...RQg.ex...Ua a.C; ...........:................... Y � - Type of Construction .....Frame,,.,•••„•,,,,....,,••„ + Plot ............................ Lot .................. i Permit Granted .......Ju.Ly........................19 87 ` Date of Inspection .....................................19 , fi Date Completed ................:.... ........1� F ill ILlO ! wide n O At 35 l v+ 101 780. S 9 4s.z IN n/ N 3W eet(,in .Cott 36 9' —Pot 34 zz' i. Sat. id c/3 AI,C Cape tn 3/ ate 66,8-87f ,l9 kaabo t goad Jd ya.�.�its, ftiia. 02601 ge , to,t 35 cis ahown on a plan •tern led .in book 140 pagz 33. i �A�tN Of ,4, T VwYIQ/Z'.: t.�"H NE yr ��o qx. �dCrL�eh Ko.32490 �OQ�C 1lla ko/y. e, -Cage �fc,st RE° Q�� Centers i,Llz, l�ru. 026 32 J LWA WA l tAssessor's offioe (1tfloor): �'I... .. , y�F TNf- mbeAssessor's m o r ..........4 t0 Q �♦ Board of Health (3rd floor): 6­k Sewage Permit number ..... . t BA]USTADLE, Engineering Department (3rd floor): �/ �,/� 'oo �6 9. m� House number /: ......� ..!..!............. 3 0 . ora�°� APPLICATIONS PROCESSED 8:30-9:30 A.M. and!•1:00-2:00 P.M. only � .-- TOWN OF BARNSTABLE BUILDING INSPECTOR , of _ � �� Do�� ti � � � APPLICATION FOR PERMIT TO ....! 1A,... .:...........,..............�...._ ................................................................. TYPE OF CONSTRUCTION ...MOA)0.544._(..�O ptlL�e1 .l�J'h� y ASp�j4t „/T G0 � . ................ . .. 19 :/ TO THE INSPECTOR OF BUILDINGS: D—� 3 The undersigned hereby applies for a permit according to the following information: Location ........1. .......!'T.f1�S.G..., tl.�.Q.:.�... ./ s-......IsLR?r�1Te.r.l !. J.Q....J...!!.a .................................................... - ProposedUse finlji .....p�f6.�...................................................................................................I......................... Zoning District ..............a . ,.. ..................................Fire District .................................................. 9 ;Name of Owner .. I�...: . r....�Q IU ........... Address Name of Builder fIQA'r.�. om . . .. � i Q 0 /�/ R.�.. JJ�� _l j f 111...�4.t��......iU.... . P.C.A.. !..........Address ..... ..:.... ... .. l1.../� ...... . .���v... � N Name of Architect ................Address .............................................................................. Number of Rooms ..................................................................Foundation ............I ! .11�... 1 .....( .ad��. ..... Exterior ........................1 �1_19..............................................Roofing ............ ,5, /TOIL ....................... Floors ........I......Co.m.c.r.'Q�. .•.............................................Interior IA......(O P.......... N Heating N 4.........................................................Plumbing ..........:IV/4 Fireplace ............N.. ............................................................Approximate Cost ............1'150.1..00 /J Definitive Plan Approved by Planning Board ________________________________19________ . Areas%.....5.....:.......... sto ©0 g g L n s,'" r� t; Diagram of Lot and Buildin' with Dimen Fee ........... ...�."'.-.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ,� ..., �• f Wy VW 44 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. ' V Name,. ..... ............r �� �=�f Construction. Supervisor's license Z5-0........... HANSEN, ROGER A=207-127 No ..3.99.48.. Permit for ..Build Porch ly,.Dwelling Location ..........J.4. ..Horseshoe Lane eD.tsrVitle............................. Owner ...Rgger...Hansen............................... Type of Construction ...Frame.......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ........July... ,..............19 87 Date of Inspection ....................................19 Y Date Completed 19 Ak ,ro 12 ' r' f E r,< '-F:Yaf ..a.Y_r�`__»'.-ems !r/�_a.0�1+�'r7 :Ys�(.���.._.! � « ..,... .-. _. ._._ ...,. ..,. .._ .._,.,.. � �r _..........___.__..__._» ._.._._.__•.- ___.__... ._ _.�^ -7 Y�iYT _ .N' ._ 1 '\a r3X$� Jl' -Vi7 i TX� / J I � r J __j kZ " { 1 i ! y e , , . fil �. _ '�- (;fir ': •� , F N y . s •' ' 9,2 Hoe»e Improvement Specialists of Cope Cod SCALE / .� APPROVED BY DRAWN BY DATE E— i✓,C f•f f�ORSk'SIl+4E ,li6Vf DRAW1NO NUMBER �4 0~CO.INt wf' w 1a . 41 ROGER H. HANSEN 144 HORSESHOE LANE € ^ r, CENTERVILLE, MA. 02632 7! �� Nome Improvement Speiclabsts of cape cod WALE If-/l"5 APPROVED BY DRAWN BY DATE 3-$$ ZA CFivreo,lick,AJA DRAWING NUMBER DIM Co.wx