HomeMy WebLinkAbout0021 JUSTICE DOUGLAS WAY LL
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 1611 4 Parcel j Permit#
Health Division Yz� �L`� Date Issued
Conservation Division (1) 9 Fee '
Tax Collector.,-'
Treasurer ; SEPTiC SYSTEM ams��s s'
INSTALLED IN COMPLIANC(
Planning Dept. WITH TITLE 5
ENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWN iREGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address {
Village C ►..rrerLv<<<4.
Owner CC fi"#1yQ tQPr " Address 9a Jk3LT CE_
Telephone ���"— 070'*1 4
Permit Request 1 ►.-I, Cc<J&-mZ ,
Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new
Estimated Project Cosi a Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family U--' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes 0'k On Old King's Highway: ❑Yes 3-146
Basement Type: mull 0 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 O Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No
Detached garage:O existing O new size Pool:0 existing 0 new size Barn:0 existing ❑new size
Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name �cx{a P v4,,,�, Telephone Number _{U1 g,
Address &J �°�''1�� w-'' -� License# 0 1(A CCU
I Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE - DATE C& co
r
° s FOR OFFICIAL USE ONLY `
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. :
ADDRESS VILLAGE
OWNER f j
DATE OF=INSPECTI
FOUNDATION
FRAME t _.
INSULATION _ \
F FIREPLACE `
ELECTRICAL: ROUGH m FINAL
PLUMBING: ROUGH,,f FINAL
GAS: "ROUGHS ' FINAL
_. tj I- g
iq
FINAL BUILDING •. C+
5 . t S . - a •1
DATE-CLOSED OUT
CO
ASSOCIATION PLAN NO. `
Y r �
t
.. F SHE T
O Oify�
The Town of Barnstable
• 9� 0 Department of Health Safety and Environmental Services-
639.
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 t Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date.
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. q
V l �t�
Type of Work: � f Estimated Cost
Address of Work: �� � `�iCL �/�•1—�[5 �`Pt� �1�Jc<<�
Owner's Name:
Date of Application: �_�QC�
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.
A
'SIGNED UNDER PENALTIES OF PERJURY
I hereby apply.for a permit as the agent of the owner:
r32'
Date Contractor Name Registration No.`
OR ..
Date Owners Name
q:forms:Affidav
The Commonwealth of Massachusetts
Department of Industrial Accidents
* - _ office 01foceS918 Foos
_ — 600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
r
location:
ON -z- i f—( 3c�— phone# L�2,_
❑ I am a homeowner performing all work myself»
I am a sole netor and have no one workii in ca achy
%%/G
//�/%-----rovitlin workers' compensation for my employees working on this job.
anemployer :;::;::>:>:.;»,. ...
I am
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In
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zteldYess . .. IN
tl � .
::.:............::.. ...... :......... ..:... :...,.:..::::,.:.:.......................... .:. hone.#..... :,...... �............... .........
<< >
�. . .. pricy# ... .
❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
rpm thaen .nfollowing
w.:>.o:.;.r..k...e:..:r..s...'...c..o..: P..e..nsat..ionoces: xxx
::. :: :.
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address: :::
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.........................................
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X.
XNANNANOW"i
Failure to secure coverage as required reader Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine rep to$1,S00.00 and/or
one 7 ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a
COPY of this statement may be forwarded to the Offlee of Investigations of the DIA for coverage verification
I do hereby certify under the�p°ins and penal ies of pequry that the information provided above is tttu and correct
Signature l)�•--�
P tea— Date c -�.G�
Print Phone#name ` �� -��-4Ci
official use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑Building Department
1]Licenwtg Board
❑checkif immediate response 1s required ❑Selectmen's Office
OHealth Department
contact person: phone#; — ❑Other
Owned 9/95 PW
a
s.
MIT
NOW
M _OVEMENT CONTRACTOR
� �QDUAI648
02
wm /iDlupNtSiRdt�Dii '' w .r
�''.�s,,.F'�tx Yea. -.;���,'% j�yyt a a �x�„•;e
"+,5.k r•r-'�F,�. 5k w��^Y Y J"S- may. f /:
4Assessor's Office 1st floor Ma Lot �� _} Permit# 3 7,
1 .Conscrvation Office 4th floor - /J�_ � -- Date Issued 5-- sJ
Board of Health Ord floor. ,- .
Engineering Dept:Ord floor) House# Z)I7. ipjS •t @@ gS�E ,pie C $Y BE
�
Planning Dept. (�lst floor/School Admin. Bldg.):
Definitive Plan/Approved by Planning Board 19na���ON�9�i� '� AND
Ica�• rocessed 8:30-9:30 a.m. & 1:00-2:00p.m.) 3 �•_I� �„ ` <; .j
TOWN OF BARNSTABLE
Building Permit Application
Pro'ect Street Address C�� / 4 e, J�i{J Ceti ter v ! PC
Village - C L h ✓' V i I I - Fire Di •ct -
Owner r-i 5 w n Address
Telcphonc 77/ A 3 o I
Permit Request: C1 r-6 E" r %i l ":�, t -�— I G} [✓ C
/ a ° x / � X %
Zoning District Flood Plain Water Protection
Lot Size Imo, 34 5 4 Grandfathered
Zoning Board of Appeals Authorization Recorded
Current Use -D e, Proposed Use
Construction Type �� V C-.ti j. U vv% b e.V,-
r Existing Information
Dwelling T e: Single Family Two family Multi-famil
Age of structure �� Basement DR PO�-C C o h G ve-t / - °Z
Historic House ® Finished
Old King's Highway A//? Unfinished
Number of Baths 0 (� i No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel q Central Air h Fireplaces d h 2
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name A!J'i / (,�"� �l ce `� Telephone number Id 0
Address 3 0 K e- License# O G
S Nt2 ee— SA!�fl Home Improvement Contractor#
Worker's Compensation #
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 >� Dom m sie l—
Pro'ect Cost 5f 0 ® D �o
J
�-- Fee. S`�
SIGNATURE 1 DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
_-777 y FOR OFFICE USE ONLY
ADDRESS VILLAGE (7,e Al,7�Zvi G G 7f. '
-
OWNER
a f
DATE OF INSPECTION:
� f
FOUNDATION
F�A'�E r
N
INSULATION • F
FIREPLACE
n _
h F+LECTRICAL: ROUGH FINAL
,t
PLUMBING: ROUGH FINAL '
GAS: ROUGH FINAL
k,w ,
A.0
FINAL BUILDING:, � (T
p 6
DATE CLOSED;O . '
ASSOCIATE PI:AN�10
4 t
i
per TK 1
The Town of Barnstable
Department of Health Safety and Environmental Services
i639. �e
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790.6227
Ralph C'asen
Date
AhFMAVIT.
HOME 1MPROVEMENT4W1%7T4CrOR1AW
SUPPLEMENT TO PF,RMITAPFUCATiON
Y
MGL c. 142A requires that the"rz~onstrucxion,alterations, �eaovatioq moderni=&on,conversion,
impnrecmatt, remmtal, demolition. or construction of an addition to'atry Fr-e�owner occupied
building containing at least one but not morn than four dw lling units of to=M==which am a(Uacent
to such residence or building be done by rc&crcd contractors,with eatain C=Ttions,along with other
T3Pe of Work: D '�� � Est-
Address of Work:
'D(3 ` ass
Oazter Name: �
Date of Permit Application:
I hcreb%-certify that:
Registration is not required for the folloKin masons :
� g O
Work Gtduded by law
Sob under SI,000
Building not.owner-occupied
Qamer pulling own permrt
is hercbv given tz-,:
0WNTRi S PULLING T r�IR OWN PERNJ'I-OR DE LLTNG WITH UNREGISTERED CON TRACTORS
FOR AFPiICf FT F HONE MMROVe ENrr WORK DO NOT HAVE ACCESS TO THE
SIGNED UNDER PENALTIES OF PERJURY
I hcrcby apply fGr a pe,:,,it as the agent of the owner:
/ /I
.4
Date Conu-aaor na e Registration No_
OR
D:;c O-;;-ncr's Tiame
11%0:•'g4 17:02 `$817 7 27 7 122 DEPT IND ACCID (fool
L Donn,-or2cUpaft1i o f YWaJJtzc1zu6etb
' aJJa�artntenE o�J'•ndu�Erial�cctdeit�l .
600 !/V uknyton.fhf t
James J.Campbell &ton, 9%aac"H4 02 f f>
Commissioner
Workers' Compensation Insurance Affidavit
• ` _ t
with a principal place of business at:
ILI�3 D c, e-3 �Ic-t
(aw/sweep)
do hereby certify under the pains and penalties of perjury, that:
O I am an employer providing workers' compensation coverage for my employees working on
this job.
Insurance Company Policy Number
a sole proprietor and have no one working for me in any capacity.
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
() 1 am a homeowner performing all the work myself.
I under_<t<nd t`at a copy of this statement will be fomzrded to the Office of Invesdr.2 ioris of the D1A for co%Trage verification and that failure to secure
cove-age as reG;. rzd under Section 25A of MGL 152 can lead to the Imposition of criminal penalties eonsistinz of a fine of up to S 1,500.00 and/or or.-
years' imprLserm„ent as well as civil penalties'n t form of a STOP WORK ORDER a d a fin of S 100.00 a day against me-
Signed this day of 5 19
Licensee/Permittee Building Department
Licensing Board
Selectmens Office
Health Department F7 76
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TOWN OF BARNSTABLE BUILDING PERMIT #
j 'i�0WC70�4e InsPecctotl PlAn-7
�= Warid perty: Center— e
for 16, for IF
1 ss.o0'
dwet,
z.
�a=15,345:t
N �
h
'vto.22 �6 o�'
for 24 _ �� f or26
.
;25z
i
ustice
Dou its a
4.000, 15S �iood paruT:250001 0015C fo4zonzz C 17A of,,,,
����� �� PAUI.' yG
hereby Certt� tttt,S 1110t'1 ctge ulsp2Ct1021 W05_PmpgroA4&r a T.
(Price 8r�! ers,� S r1n geld lnstitutio r GROVER ti
ate due shown, h�repon,d9 s o n o Sav�n s ?rho Ott o
o nor cfatl. to a 6 T� / o, V�
haw& area w&am a Festive daze of 8-19-85 a��te tocatto �h � �
the dwellingdoes Ito to local pn.tng 6y-laws irt,e��t' -
at"the tune oFc"truction, witl't, mpeato horh&nfid dt.nw tisionaf Scale: v = 50'
setba k or is QX12n1Pt"f Vttl, VLOtaftbn mf o-rcen'teme Date:2 22.94
cz om under Alaw. GCYi ratlaw..$ QUCptW40A. Sect7L&yV 7. File No.9.794
PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise
determination of the building location and encroachments, if any exist. either way across property lines. This plan must not be
used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan
purposes. This plan must not be used to locate property lines. Verification of building locations, property line dimensions, fences
or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what
is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY".
COLONIAL LAND SURVEYING COMPANY, INC.
11 269 Hanover Street • Hanover, Mass. 02339 - Phone: 617-826-7186 . Fax: 617-826-4823
SPILLER'S 568207
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��� , The Town of Barnstable
Department of Health, Safety and Environmental Services
Building Division
16 1e� 367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph M.Crossen
Fax: 508-790-6230 Building Commissioner
Home Occupation Registration
Date:
Name: Phone##:
Address: 4 Village: �'�!1/6'�/2 6' "
Type of Business: 64 LL2522Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling-which are not customary in residential buildings,and
there is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
Of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,paused on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree.with the above restrictions for my home occupation I am registering:
Applicant: �W� e"-7 Date:
.��'
' Assessor's map and lot number .... ............. �c c �.........,....._........ i �E��� o���TE ���T �.;��THE T��
Sewage, number
INSTALLED IN COMPLI
' .r,✓.?..r�L.,.A .. .. ,•�... WITH TITLE 5
' . .. : Ta LBZ� ENVIRONMENTAL CDHouse number ....:.....: .................. .
� i63q. \0
1
TOWN REGULATID�V
TOWN OF ' BARNSTABLE
BUILDING : INSPECTOR-
APPLICATION FOR PERMIT.TO ..... .....................................�ifl1�1................................
TYPEOF CONSTRUCTION ........F td0 ...l!i ........................................................................................
........ .,34,... /..,3..............19.1d
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....p0L......w �z .... ..... :.........:'.!! ✓.���......�r .:.............. ...................................
ProposedUse ..... > ...1&2j1a ...................................................................:.....................................................:..........
Zoning District ... .. .........../..!...` ..........................................Fire District .................................
Name of Owner�ttll �4... ..... �0. '���'................Address `/.......(/.G_vc T�... .. ....`..:��........
Name of Builder .. ./ ..1d41AVVF OOOO2�7..........Address ....4t d...
Nameof Architect ..................................................................Address ....I.. ....................................................................
Number of Rooms ......../....................................................:..Foundation ....l�1 � ...............................................
ExleriorZ ®...��lT'� ............................................Roofing ...../ ...................................................
/J � DG`.
Floorsa4JJ� ...................................................................Interior ...:...
Heating / O../ ..............................:Plumbing .................................................................................
Fireplace ....... ............Approximate. Cost .......... w................... ...............
... .... .....
Definitive Plan Approved by Planning Board -----------______-----------19_______. Area ..34 0) ..........................
X 22
Diagram of Lot and Building with Dimensions Fee ... .. ..................-..........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
d .
11 4n,
size
� Y
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg7rding.the above
construction.
i
Name .......... . ......... ..............................
Construction Supervisor's License .00 ..0�7.............
COLBOURN, DONALD M. 1
,
25529 ADDITION
No .............::.. Permit for ....................................
Single Family Dwelling
.... .... ................................................... .
Lo`cation ....21...Justis...Doug ..'s...iIay
...... '...... entery 1.1.e............................... f ,
Owner
s ...Donald M. Colbourn
..
If'o Construction ......ZrIa e.......... ...........
l
. .
Plot ... : ..................... Lot ..............................
4
r Permit Granted .....Sept.' 14.:.•.••..••••.lq 83 A
r
z Date ofJlnspection ' r:19 {
Date Completed .....:...........:..........r. ....19 s.
zv
Assessor's map and lot number `/
y........................... ............. THE TO
Sewage Permit number l✓��.... !.s<r...- ... t,.a. : :...:a�....
` I SAUSTOELL i
House number .' ' rasa
A OQ i639.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .............................................s.�r.......................................
TYPE OF CONSTRUCTION ........14,- ®... ��1� ........................................................................................
............ ..............I ! 3
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the
following information:
Location ... . �....�. G,P..... wtx�!�:5.... :........ .....;� .....................................................
ProposedUse ...... !f..A. R,9� ...................... ................................................................................ .........................
Zoning District ................... .........................................Fire District ................ -: 5 Gar .................................
Name of Owner . nsr�a/r� - .... G!/r��, /J�%7:...............Address .r���......( J4�it: ... �l/ ..!..5,.. ...:..::.� ........
Name of Builder .....1 ?...:....1 '�.................".....................Address .......:........................ ...........................,:
Nameof Architect ............ .........................................Address ....en .............................. ....................................
G>�
Number of Rooms..........�.....................:.................................Foundation .....��.........':.....................................................
Exlerior ...�?..'� ��............................................Roofing .. f9 A4X6...........:.......................................
Floors ...... ..........................................................Interior .......>`� ��'Ge!`�cOG�'
Heating ....XA//ez-�i .. Y_,.Dl./...............................Plumbing ......�''" _.� ........ .........................
Fireplace .................................................. '................... ....Approximate. Cost ........... ....v......................... e ...............
Definitive Plan Approved by Planning Board ---------------_--__--- .�
- ------�9-------. Area ...:........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
0
�b !
Iq
Cs
sia� i 3�
i M
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 ..................�.........
q.........................................
Construction Supervisor's License 4! ��'' .............
COLBOURN, DONALD M. A=191-193
No 25529. Permit for ....ADDITION
................
........ in.qle...F'.amily..DWe.jj j)ag..............
Location ...21 Justis...L)Q.Ug 45..way......
..................Centerv.Uje.................................
Owner .....Donald M. Cg1, Q.L�X Y1.............
...............
Type of Construction ..F.rZLMe...........................
................................................................................
Plot ............................ Lot ................................
Sept-P 14
Permit Granted ..:......................L
.............19 83
Date of Inspection' ...:................................19
Date Completed .....................I................19
AA
�40 �
w .
4
/,•--,.....�.,...�,...�„�._---•...ram-.-ti--�.-r..�- -�--...,r.,--...,.w..�.-`^--"r•-.+-.—^---.---v-..--.._.ter...-�.�.��-.-�..--�---*.,rr..�.�-r-^^^-.-�^•-*'--..�✓.-.�.•--`--•"`1
�/�- SEPTIC SYST�1 MUST
4Assessr's ma and. lot number _... ...�j�^ ..L9a.... /r '� '� a�
P' �G ii C 4� INSTALLED � COP:,KI&NC'
VV"H.AR a I`a),E If STATE
Sewage Permit number :..�-? , . Et1L�LAT �F 'f4IGN
......... ....... S :.
d Dom:
�pf?HETD�y TOWN,:. OF BARNSTABLE
P
li BARNSTABLE.
"AG` RULDING INSPECTOR
APPLICATION FOR PERMIT TO'. ... .........................................................
.................................................. .. .....
TYPEOF CONSTRUCTION ............:.:........ .......................,.................,....................................................................
J-7,14. .....3......19/�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location
ProposedUse .......... ... . .. . ............... .............................................................................................................................
Zoning District .................................... .. ...............................Fire District ... .... .............. ..................
Name of Owner A&-rz ..............Address .................................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Al
Numberof Rooms ..................................................................Foundation .. .... . .. . ...........................................................
Exterior ... .......r../�.... ..........................................Roofing . .... .. . ..... ..... ......................................................
Floors ........ .......................................................... ........ ... . .... .. .....................................
Heatin
9 /� l�iK� Plumbing ..... .. ..........................................
........................ ... ...........
Fireplace ... ..... ...... .. . .. ... .. .......................................Approximate Costj.
Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area V*l"
Diagram of Lot and. Building with Dimensions Fee ......... ...................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
V
9
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r arding the above
construction.
Name ................... ...............
Assessors mo and,lot number �.�,. �.
rt�Xe �3 D
Sewagt? Permit nefmber ..i,� ............................. .......................
y�F7NEt��y TOWN , OF BARNSTABLE
Z BAHBSTABLE, i
"6 9 BUILDING INSPECTOR
'FO MAX a' i
• y
APPLICATION FOR PERMIT TO
o '
rTYPE OF CONSTRUCTION .............. ....... ..::........:.:..............................................................................................
TO THE INSPECTOR OF BUILDINGS:,
The undersign d hereby applies for a permi according to the following information:
Location .........: ........ ...:.. .... '. .......... :.... ........................ .......:: ... ....... ...........................................
ProposedUse ....... .........................................................................................................................
Zoning District ......... . ...............................Fire District ... ..
Nameof Owner ..... ..........................Address ...........:...........:. :....: ... ......:..: ............................
Nameof Builder ...................................................:................Address ....................................................................................
Nameof Architect ..................................................................Address ......................................... ..........................................
Number of Rooms ...............:..................................................Foundation .. ,.. .................................
Roofin
Exlei or '' ....................................... g . . . .. .... ......................................................
..... ... ....... .
Floors ....... .. �...�.. .,./r:......�.�../.............................................Interior ........ ... . .. .. ..........................::.........
Heating "� /.. /.L4'1..'... Plumbing /
..
Fireplace ... .: ... . ::............Ap.proxima.te.Cost :........ I. ....... ...... ..
d�'��I'I/^��r�N��l�f�
Definitive Plan Approved b Planning Board ------------------------- ......... ...�'�......
pp Y 9 -------19-------- . � Area
Diagram of Lot and Building with Dimensions
Fee ........ .........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
451
I hereby agree to conform to all the Rules and Regulations of:the jTownf Barnstable r garding the above
construction.
Name ... ..... ..............
Small, Alan E.
17653 1 1/2 story,
No .................`Permit for ....................................
single family dwelling
...............................................................................
Location ..Justice Douglas Way
...... ........................................................
Centerville
...............................................................................
Alan E. Small
Owner ..............................m.................................
frame
Type of Construction ..........................................
................................................................................
Plot #27
....................... . Lot ................................
Permit Granted ........ 19 75
Date of Inspection ...........................I.........19
Date Completed ......................................19
PERMIT REFUSED
............................................. .......... 19
.......................................... ....................................
..............................................::.
ble.
Approved ...... ......................................... 19
...............................................................................
...............................................................................
—-
t<�
4 PLOT PLAN SHOWING ILOCATIONQEBUILQING
>,
CENTERVILLE a MASS. r
FOR i
Y
ALAN E' SMALL INC
�y SCALE?,`: 1 66° DATE: APRIL21, 1975
6NAI L.ES N..SANERY INC REG, C.E.116 L.S..: T{2 MAIN ST. h1YA�9NIS; MASS.
C,
y ( {S •
dt
jL
r y r is (r r r 7
46
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s �
Cn 6!
1 , 2"90 S. F `
t n
{ Is4.r.5'
;k N /F MAY C. C R 0 5 5 Y
r 4 _
a
1 r 7"2 t 4 ii
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+ � 1
x=.
hereby'certify that the` building exists
b t w the.'Mound as shots on this plan and 11A®F.%.a
Is in aordance*th the zoning . ;® ROBERT
r u r,nwis of the Town of Ba nstitbl e.
wo. o
x geOstWd Land Surveyor
xr
r
s�TFIl9 I.Of IS NOT IACATED IN A FEDERALLY DeSIGNATED FLOOD PLAIN ZONE.