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TO'VLN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# 0O
Health Division << i; ,',: 'f, A
Date Issued
Conservation Division 9'k Application Fee 5C
Tax Collector Permit Fee A3S
�
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 99_ "P,+ _Dg4 ye , 1.�2,f�1��t1 b��� KU
Village rolkiae i' ' 14 I r //{{
Owner V� l Address k.IJ/ tlU ✓e (_ /Ilr�u!/� ��
- Telephone s
M,3
Permit Request Pou'18 E QJN
i Anin
p
Square feet: 1 st floor: existing proposed 1�� 2nd floor: existing / proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size U12:1 07 8 S!rc. Grandfathered: ❑Yes U(No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes RNo On Old King's Highway: ❑Yes 41 No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing 41 new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths : existing new First Floor Room Count V
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑qther
Central Air: ❑Yes 9'No Fireplaces*,E-x' _a New Existing wood/coal stove: ❑Yes �No
Detached garage:❑existing ❑new sizePool:❑existing ❑new size Barn:❑existing Elnew size I1Attached garage:❑existing ❑new sizeShed:❑existing Wnew size��ther:
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 License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRU DEBRIS RESULTING FROM HIS PROJECT WILL BE TAKEN TO
i
SIGNATURE
DATE
FOR OFFICIAL USE ONLY
w -PERMIT NO.
fill" �
s
DATE ISSUED
MAP/PARCEL NO.
r ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: t
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL -
FINAL BUILDING
DATE CLOSED OUT
: I
ASSOCIATION PLAN NO. b
STANDARD LEGEND
j J / NOTE:not all symbols will appear on a map
— ---__ 8
-
%" GOLF COURSE FAIRWAY
i I / EDGE OF DECIDUOUS TREES
EDGE D OF BRUSH
ORCHARD OR NURSERY
/ MA-P, 4
✓ EDGE OF CONIFEROUS TREES
I
I, y MARSH AREA
i
( / / EDGE OF WATER
368 e,
DIRT ROAD
D
1 -1 1 I ° — DRIVEWAY
°
( ; C \ PARKING LOT
PAVED ROAD
DRAINAGE DITCH
PATH/ RAIL
1 1J --- -- PARCEL LINE
t
MAP m E----MAP#
J
.� 21-<—PARCELNUMBER
1 '; 188,8
( } Nte60. —HOUSE NUMBER
a
8`
2 FOOT CONTOUR LINE
e k'A P 194
t 't —f4t--- 10 FOOT CONTOUR LINE
Elevation based on NGVD29
/ 1 1 }/4.9 SPOT ELEVATION
114
(i
STONE WAIL
i �'• 8 ( FENCE
G� `
----- —
�'. \\\' - r. ... RETAINING WALL
1
E RAIL ROAD TRACK
( \ .J
l
'.. I• STONEJE
TTY
I,
SWIMMING POOL
(✓ / _._.._- �\ �\ V PORCH/DECK
\ 8 BUILDING/STRUCTURE
�_ q
MAP 94 �,n—
DOCK/PIER
j
HYDRANT
s_ / (;; /•) ; 6 VALVE O MANHOLE
1 \ 1
O POST err FUG POLE
T O W Nf O FB A R N S T A B L E O E O O- R A P H 1 C i N F O R M A T 1 O N S Y S T E M S U N 1 T a SIGN STORM DRAIN
e PRINTED SCRI:IN FEET *NOTE: This map is an enlargement of **NOTE: The parcel lines are only graphi:ul'ab
esentations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by the James TOWER
.am.. .—100'scale map and moy NOT meet of property bauadaries. They me not true os,and W.Sewall(ompony. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE
�� National Mn Aawa Standards at this do not re resent aduol relalionshi s to h jects Cor oration. Planimetrics,topography,and ve etation were mn ed to meet Notional Ma Aaurac Standardsw, e O 1O 4O D rY P P D D 9 PP P Y I __ C LIGHT POLE O ELECTRI(80X
s I INCH=40 FEET* enlarged scale. on the map. of a scale of I"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps.
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_ The Commonwealth of Massachusetts .
Department of Industrial Accidents'
PEN OfAffluffPffm
6ao'Washingion Street
Boston,Mass. 02111'.
.-
/ W�keM Com ensation.�rtsurance Affidavit-General Businesses
ata
t, , ti. •z•Y'•
37.
name: ' Q�,
address: " C N
work site location full address
[] I am.a sole proprietor and have no one Business Types []Retail[]RestaurantlBai/Sating Establishment •
working in any capacity. Office El Sales(including•Real Estate,Autos etc.)
❑Iamanem
to er with em''lo ees(full& art time . 'Othet
I am employer providing v�orkers compensation for my employees worJsng on this fob.
:�, .y•.,y.i.t:t:.t1;f: , 't� 'i��:,' :•�:rf:�;:' ::`�,•.:i'. ,c ri•�:•t:r� �.ti:ti'.`+:.ii .:.''•'•li,:''•' "•'v....^'-•'i •
CIiYQ-eIl'.11i8ine^ ':A. .,�- '.r; r j..,.1,'' , .. ��r:=:.. •.i.;,.; •; ',- 'J.• ;•;
' 't. .•'a -:�'%�,'•: ' .S'.:•tr:•:i^:r:� •i•it: .,'::- - ,t;' :. ;fi',: .fit. .tzi. •'7.:�- ,t^:•f•.•. t.
address:" ,! .� •'t.�,..., ,,.•�,..�,3..i ,t+• .✓;,�,^._
' :'t'••• s't',' .4: :>.••ik V r•p rdi �+ti4:••, � .::.',•v.'a:;�::.�. ...,'• ,t, ,, :,; 't• j ��
a hone..#.:: ;•, ?;..,.
' ,• a �a.. ••,.. '.•j.: •,' .i: ++r,FF .ik t; •i. ���1• 'i•• ,t.. '1' •i
'1. �• .�, .�-�''4� i�S�.'�y'�.: -i:'• '•t�y'1.f•',' 1. '�i1C,'•�� t '�:.,: 'a
I am a sole proprietor and have hired the independent contractors listed below who have the following workers'
.compensation polices:
- 1'•' tl:.t: 5:t.^•" - ,`::j-' .. ,i+ •'?:'•• 'a; '!>' .4:', ..,�.��{.:' ::r:ri,�{M1K..�1;;:�:. :w•::+„'
COIII •.Y:. , " ,t•.::.^;•. r: J.
`;r fr ,,f,:,i •1;;:., ... . f �:.,:r,. i.i... ?• ••s+C'.�aJ,
'' ••t, '! ,.:. - ,ui.••.':�.
♦'ty, r •.7J ; ',.. ',y• kjL`�• r 1' .t •''- 1:•. :�� +i.:�•.:.
.t .i t -•iv ., .
address:. `•' -' :��'y'•4'::.i:• .� .�, ' y; ;.• :,yi•
'�, r! k';.�• .,^ ;le..,: 5'r;°:4•I• •Jt.�+i? h:.t• t• .1V�. .i+!f• �'�i e.,t.i.�,r r: •yri .5 •,L.
VE6ni
'• �,�, y;ti .N; r;.a^ .'t'". .,kf-;n:•t ^t:' I O-l�C +}f�'
insurance'co. ,:_.v. tiVIIIIIIIIIZZIfzlllll,ME. •.; ,P41M��/b�i�
coin an. uahie: °it I: i+, 7
.:;. L'
.. • Ji..+ .»" !i;1.:+- l,.. .:',tf :Tuft•' •. .i : ;_.
Cl' ,',_ -.t.t] ..ty:;•: .:h:: 'A� i.S, •?.• .i 'tl-+y�:�t{.'..j•.a•.. .yi1 f;t.. .1:T>.,. .a„•ir
'r''f 't'• ';''i: :3•.,. -•!' t.. ' -°11C� ,{� t' �i t''s1�:r,,d.; , •r .,,R.
't!'.:~'�.•.'"., .•iiC7 .t: •.n••• •4... .•i:r ;a!,a,•,,:' };•'riG' :}f','"''.'•
insiiriice 6b ' j.
FaUure to secure co required under Se of L 152 can lead to the imposition of criminalpenalties of a fine up to$1,500.00 and/or
one years'imprlso ant a well as civil pea a form of STOP WORK ORDER sad a fine of 5100.00 a day against tne. I understand that g
COP
s e en a forwarde ice of Invests lions of the DIA for caverageverificatio.n
I do her nder the ai s-a' alt es of perju that the inform provided above is true)find c rre
Date
Tj l/
Signa
Phone#
Pn>3_1ame
�J official use only do no to in this area to be completed by city or town official
permst(license# []Building Department .
city or town: - ❑Licensing Board
❑•checkif immediate response is required
❑selectmen's Office
❑Health Departmeni'
phone#;
❑Other
contact person:
(avl�ed Sept 2003)
Inforrriation and Instructions•
to ers to Pr workers' compensation for'their.
ylassachusetts General Laws chapter�152 section 25.requires all enp • y p , , ,
,loyees: , quoted from the law', an employee is.defined as every person in the service of another under any contract
of hire; express or implied; oral or written. ;
An employof
er association, corporation or other legal entity, or any two or more er
p er is defined as an individual,partnership, .
the foregoing engaged in a'7omt enterprise, and including the legal representatives of a deceased,employer, or the receiver or
artuershi association or other legal entity, employing employees. 'However the owner of a
trustee of an individual,p . P�.
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.maintenanc-, construction or repair work on such dwelling house 6r on the grounds or
building gppurtenant thereto shall not because of suchemployment.be deemed to be:an employer.
MCrL chapter- 152 section 25 also'states that*every state'or local licensing agency shall Vvithhold the issuance or renewal
of a license or permit.to operate a business or to construct buildings.in the.cornmonwealth for any applicant who has
not produced acceptable evidence•of compliance with th��Ito sec�tracgfar the performance of ublicther the,-
work until
commonwealth nor.any.of its political subdivisions shall en y P
ompliance with.the insurance requirements.of this chapter have been presented to the contracting .
acceptable evidence of c
authority
-----------------
VON
Applicants
e box th
Please fil] in .the workers''compensation affidavit completely,by checking cateofinsuranee aat s all affidavitslies-to your lttiation..Please
may be submitted
supply company name, address and phone numbers along with a ce
to the Departrnerit of Industrial Accidents-for confirmation of insurance coverage. Also'be sure to sign and date the
affidavit The affidavit should be returned to the city or town that the application for the permit or license is being
requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are
required , obtain a workers.'-comp ensation policy,please call the Depart*nt at the number'list fA.below.
City or Towns
Pleasebe sure that the affidavit is cbmplete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event•the Officd of Investigations has to contact you regarding the applicant Please
be sure to•fi.11.•in the permit/license number.which will.Ve used as a reference number. The.affidavits may.be.returned to
uriless other:arrangements have been made.
the D epartment bY.�of FAX,
k you in advance for you cooperation and should you have any questions,
The Office of Investigations would like to than
please do nothesitate to give us a-call.-
The Department's address,telephone and fax number: , .
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Mce of I MSMUORs
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 727=4900 ext:406
RESIDENTIAL:
SHEDS -POOLS-DECKS-OPEN PORCHES- GAZEBOS
FEE VALUE WORKSHEET
APPLICATION FEE: $50.00
BUILDING PERMIT FEES:
ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.)
>120 sf-500 sf $ 35.00 $ (JS• 0
>500 sf-750 sf 50.00 $
>750 sf- 1000 sf 75.00 $
>1000 sf- 1500 sf 100.00 $
>1500 sf—USE NEW BUILDING PERMIT APPLICATION
DECKS x$30.00= $
(Number)
PORCHES x$30.00= $
(Number)
IN GROUND SWIMMING POOL $60.00 $
ABOVE GROUND SWIMMING POOL $25:00 $
RELOCATION/MOVING $150.00 $
(Plus above fee if applicable)
PERMIT FEE $ W y v
Q:forms:dkcost
REV:063004
Town of Barnstable
Regulatory Services
11AJ r = ; Thomas F.Geiler,Director
9� a �. Building Division
ArEo s Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma:us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
> Please Print
DATE:
JOB LOCATION: `'C1�,Q 0c,
number street village .
"HOMEOWNER 4 0.4 61, o f 0014 u 6 /z. 5y-g J y- tots 3
name home phone# work phone#
CURRENT MAIIING ADDRESS: Y , ` 6 �,5.
uc(sSZ--
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
suuervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official.on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliant with the State Building Code and other
applicable codes,bylaws,rules-and regulations.
The d"h own certifies that he/she understands the Town of Barnstable Building Department
ec 'o {off es d requirements and that he/she will comply with said procedures and
re ts. r
1 �
Signature of H U -
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building pernrit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To.ensure that the homeowner is fully aware of his/her responsibilities,many communities 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/certification for use in your community.
Q:forms:homeexempt
STANDARD LEGEND
j j l NOTE not all symbols will appear on a map
GOLF COURSE FAIRWAY
EDGE OF DECIDUOUS TREES
EDGE OF BRUSH
ORCHARD OR NURSERY
-_ MA
~
MARSH AREA
i EDGE OF CONIFEROUS TREES
\ / -
- �' I \ ! t•/ �/ EDGE OF WATER
3 6 11
8 / ' _ _ _ = DIRT ROAD
1 \ ° E
PARKING 101
1 a DRIVEWAY
1
jPAVED ROAD
DRAINAGE DITCH
\ / � ( `r �• �...... r- � - - - - - PATH/TRAIL
1 8 <� A - -- --- PARCEL LINEMAP
**
MAlt10 F- —CEI
1, I
2 — NUMBER �
16�8 '
#wo HOUSE NUMBER
I I !
2 FOOT CONTOUR LINE
`AP 194
••i`. --F4!-- 10 FOOT CONTOUR LINE
'
Elevation based on NGVD29
�] 1 /, f \ % `,•�4.9 SPOT ELEVATION
/ ° tY `� _ STONE WALL
# 8 d�
f _ �A t - � \� FENCE
e/ .-' y� \
r .. ... RETAINING WALL
�� RAIL ROAD TRACK
-
�: STONE JETTY '.
SWIMMING POOL
/ \ L PORCH/DECK
0 BUILDING/STRUCTURE
MAP 94 2La_r.
I T r DOCK/PIER
-- - -_
i t
- ) O HYDRANT
i
e VALVE O MANHOLE
51 O POST Orr FLAG POLE
T O W NJ O F �B A R N S T A B L E O E O O R A P H I C 1 N F O R M A T 1 O N S Y S T E M S u N 1 T v SIGN ® STORM DRAIN
N PRINTED SCAIL IN FEET *NOTE:This map is an enlargement of a **NOTE The pmcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames
[ 1"=100'scale map and may NOT meet of property boundaries. They are not,he locations,and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD
d U1ILITYPOIE o TOWER
0 20 40 National Map Accuracy Standards al Ibis do not represent actual relationships to physical objects Corpomlion. Planimetrics,topography,and vegetation were mopped to meet National Map Accuracy Standards LIGHT POLE O ELECTRIC BOX
s 1 INCH_-40 FEET * enlarged scale. on The mop. at a scale of 1" 100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps.
I
�pCIME � `own of Barnstable =
' r P qulatory Servides
aaxrsAr �' Thomas F.Geller,Director
�4Al6MA,tk�� Building DIVision
Tom Perry,Building Commissioner
W
200 Main Street, Hyannis,MA 02601
offjre,: 508.862-4038 Fax: 508-790-6230
• Fenuit ao, ,
Data '
AFb'lDA'YZT .
Ito=DAPROYEMMNT CONTRACTOR LAW
SUPPLEMENT TO PSMUT ATPLICATION
• MCiL c,142A requires that the"reconstrmction,alterations,renovation,repair,modernization,convarsion,
•improvement,removal,demolition,or construction.of an additionto any pie-existing owr,►er-occupied
bu0ding 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 exceptigns,along with other
requirements,
��o�1S y K Estimatact cos
Type of Work ' ,
Address of Work: /-,bY4 1 6w� l) /L° 0 26,� 2—
Owner's Name;. �!C�tG� on 4-di
Date of Application: '
I hereby cortify that:
pz#stration is not required for the fallowing reason(s); '
[]Work excluded bylaw
[]lob Under$1,000
[]B ' ding not owner-occupied
gowner pulling own permit ,
Notice is hereby given that: ,
py�RS PULLING THEIR.OWN PERMIT OR DEALING WITH UMGISTMM
Coy,T ACTORS FOR MILICAB•,1,E HOM3 ZUROYEMENT W ORKD O NOT HA.YE
ACCESS TO THE ARBITRATION PROGRAM OR,GUARANTY P'C1ND UNDER MGL c,142A.
' SIGNED UNDERPENALTMS OF PERMY
Ihezeb 'I or apermit as the agept of the owmer:
Date C,ontracto zroe 1te9isEratioallo.
/ R
Owner's Flame
Jeffrey Louzon
Building Co mission
200 lMm St.
3s, Ma.
f
Sir:
Th€lefter is in reference to-a-%hed_at 89 Longboat-D-, in-CenLeiville,
the shed is in the-setback area and.has been ordered-to be moved by a date of
December 3 .Ilave-see -a contiactoi tame
-able to,perform.the task by'December(3) third, due.to previous commitments he will
need a x-vw.doiv of beh-neen thuty(30)and sixty(60).days. Any consideration in this,
matter would be greatly-appreciated.
Rich ar F.
Ce Ile. (42632
°F114E loi, Town of Barnstable
Regulatory Services
x x
x x
x BARNSTABLE,
Thomas F.Geiler,Director
s639. �0
iDrFo r�+" Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
November 18, 2004
Richard Bonavita
89 Longboat Drive
Centerville, MA 02632
RE: 89 Longboat Drive Map : 194 Parcel : 041
Dear Property Owner:
This letter is to serve notice that the shed you have built under permit #80011 is in
violation of local zoning ordinance 3-1.3 (5). Additionally, the shed has been built with
no inspections. You have until December 2, 2004 to make the necessary arrangements to
be in compliance. After that date you will be subject to fines of no more than $300.00
assessed daily for each day of non-compliance. You may contact this office at (508) 862-
4034 with any questions.
By Order,
*efry Lauzon
Local Inspector
Q:zoning5
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
IM ^�C� C
DATA
s �
f cad,
s
2
j 1
r �
�7s( yes
IV
LOCATIC)" C .ST'(�c?�j t LI.L �'! ►
T N A T' T N G- Fb UQ0 A,T1 o i 1-lotit/►J t_A 1..1 R F C R �1 G
CCVv Vl_VS W t T1-1 TWG SIDE L.I►JF--
A1.lL> SeTeArV V'C-()uiCC-AAEjlrr, Ui= T'NtZ-. L (o-r-
14-
zo
,~
13/1")(T C tc'. I C
i Re e l�;tZ.�Z`D t_!�.1,..!t:� 5 u�v�•-Yo t�S
LIOT C)" /11r4 US"CE:F;�/11.L u �(/1 ,•�,
r IJ � ria)MV�_`{ [ItE: L• k j f i ii ic..f:ll_r�, Y-
,La_ T'v C�tarc_c�titl. t_GT I .Itt� �r1F �t_tCA.►�1__ � z s� /�. `,,�+c1 f�F � t�
� r
I
t ±� O
ti
r �t • ,
r V�
� G.1-t. t S ; i�l:�", �1-t�.. �",,f 1 ,�';�,•(`+ � •;4-�c�ncl�•.I p t_A.F..J '�iy�c�Z.i.�..1 C�•:.....L�.
�:M �= z-to ;•- �, �— �� �,
013 Tf:.. 1t_1.4:
��Asses ?fs map and lot;1number ..:
AC 7
ri
r �. .. .rs SEPTIC SYSTEM
MUST BE
rrs " V �7 :Ii6IST`ALLED IN COMPLIANCE
SewagePermit number ........................................................ H TICLE
u }} !i'IT AR II STATE
F'YFIE T e L SAWTARY COD 7 C .
TOWN, OF BARINµS- �a* �
89aasTeer;E. . �i c
"AO` �l B FG INSPECTOR
b3q. �rl �p�j H ,
'Fp YpY '
&J
APPLICATION FOR:PERMIT `TO ..... .�. ... Cr ...... _ ..s.I./�....111..."'///�YYY
TYPE OF CONSTRUCTION ..................................................... .y.. 1.. L.l.� ......... C. ..................
....... ..... 7
........ ............ ..
TO THE INSPECTOR OF BUILDINGS: /c3S;1--
The undersigned hereby applies for a permit according
/tto the following information: �'�
Location 5;...7.............. Ut ���..1.....'.................................
ProposedUse .....................................................................................................................................:. ........................................
Zoning District ........ . .......................................... ...:..........Fire District.... .......:............
Name of Owner ......... ........................ ..............:..Address .............. r�...AI S ...
Nameof Builder .............. ........ .�...........................Address ....................4............................. .............................
Nameof Architect ..................................................................Address .................... ..............................................................
/� ,D CQ e-e
Number of Rooms ...........4�6�'..................................................Foundation ........ ..�C/,� � AU
Exterior .......................,............................................................Roofing .......................,5.�!.'T..�......1.................................
Floors � :£ :.........:................................Interior .:............ �.J...! 4.......................................
Heating ... ... ...! /...... .....Q.f. - ................................Plumbing ........................c7.. .....ZA7.—WS...........................
Fireplace ...................................................Approximate Cost Q ..
Definitive Plan Approved by Planning Board ---------------____-----------19________. J Area .... .11..Q.o...5 ...........
Diagram of Lot and Building with Dimensions (Jl Fee
....................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
tt�
l
I hereby agree to conform to all. the Rules and Regulations of the Town o Barnstable regarding the above
'construction.
Nam .............................
$heaffe , Peter
f
• `t 19452 - one story '
No ...........P Permit for ........................ ...........
single .'family,dwelling Qq
Location. ; j—P�t .LJ�1lrs t�G6 T �
Centerville -'
............ ........... ............................... ...................
Owner .......eter Sheaffer .........:... ...........
Type:of Construction
frame `a.,...........
......�..............................................' ... $............ n_
'Plot ... ........ Lot ...........59. ................. r^'•
i' August 1 77 .-
Permit Granted .:...........:.
-Date of Inspection ........19
Date-.Eompletecl .... . ... .19 _
PERMIT ;REFUSED
..................................... ......................... 19
f............................ ....... ..... ..................................
AI t
+ ,I...................... ..................................................
.......................... ................................. .......
....... ............... ... ......
Approved ..
.......J...._.... ............... .........
Assessor's map and lot number ................... ................ ... .TI
�, PS
f � ' /? e
Sewage Permit number ...........................
TOWN OF BARNSTABEE
BJBB9TSDLE, i
;aYa BUILDING 11SPECTOR
c , &,J 14 4 ,,/J
APPLICATIONFOR PERMIT TO ............................................................ ...................../.;.........................................
TYPE OF CONSTRUCTION .............................. ..
........... .. . ...... ... ........ .. e . s!.........Jl ✓ `/. ?.......
................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .. A.7 ......<....7
�....... , _ ... r. ........... '......... `=................................
ProposedUse .............................................................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
� �`? ' .� A/?//i Sl A�ywName of Owner ... ............................................. Address . ............. ....... .......:....
.j -
Y
Nameof Builder ....................................................................Address ....................................................................................
Name of Architect ¢-....�.,......
............ ...................................................Address ....................................................................................
Number of Rooms ...........6..................................................Foundation Aff,�)ef,C C o/lj I`a.7 7 ,...... ..........................................................
r _
Exierior .� 'Al C C/- r`�,��$fJ I� /K Roofing
............................................................ .....................'.>....,...
Floors f Interior .............. G�f
................................................ „ ................................
Heating ... 'F ,...... '........ ............................................` Plumbing ................. .. - f�' � ...........................
Fireplace y .................................Approximate Cost — � j o
................................................. ... .....r.. .... .F..........................................
d
Definitive Plan Approved by Planning Board --------------------------------19--------. Area /,/. �:0......� ........
Diagram of Lot and Building with Dimensions Fee .
SUBJECT TO APPROVAL OF BOARD OF HEALTH
u . 4
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ,; R
�.. f:. _ f/ �`4 �
Name.�..:..,...... ...,...u;..,...,...,�;:�..............................
Sheaffer, Peter XXXXM
A=194-41
19452 one story
No ..::............. Permit for
tkingle family dwelling
Location -eet �°1..�,can.
Centerville r
...............................................................................
Owner Peter Sheaffer
................................................................
Type of Construction fr�►me
................................................. ...........................
Plot #59 Y 1
ot ................................
August 77
Permit Granted .................................... 19
Date of Inspection ........ ...........................19
Date Completed ............. .................19
PERMIT REFUSED
........... ........... .............. 19
..... ..... .......
.....................
...............................................................................
...........................................:...................................
.........................:...:.................................................
Approved ................................................ 19
...............................................................................
...............................................................................