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Town Of Barnstable *Permit# . 06�
Fxpires 6 months from issue date
Regulatory Services Fee
Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Yalid without Red X-Press Imprint
ap/parcel Number
r
o erty Address J
Residential Value of Work d,Do d Minimum fee of$25.00 for work under$6000.00
i
wner's Name&Address U%10C �` -S� a �-�
�.�' �nn L � aa n/���
,ontractor's Name �� '^� �yL �`gQOXTelephone Number
[ome Improvement Contractor License#(if applicable) i 'i S_;
sor'��ic tt a fable I?c'[
]Workman's Compensation Insurance - RESS PERMIT
Check one:
❑ I am a sole proprietor JUN - 7 2007
❑ I am the Homeowner
�-have Worker's Compensation Insuran(c`e .TOWN OF BARNSTABLE
zsurance Company Name L 6A AAA
Vorlmzan's Comp.Policy
,opy of Insurance Compliance Certificate must be on file.
-ermit Request(check box)
e-roof,(stripping old shingles) All construction debris will be taken to a)-L L
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
N01CI a ,,
**.*Note: Property Owner must ' Property Owneerr Leftmr-o t�J� scion.
A co f the Home rovement Contractors License is required
SIGNATURE:
lift
9
f:Forrns:expmtrg1i� ��`:j', a J 1 •,1 s -
.evise061306
t he commonweaun of massachusetts
Department oflndustrialAccidents
3 Office of Investigations
' 600 Washington Street
Boston,MA 02111
,,•°'�� www.mass.gov/dia '
Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers
Applicant Information Please Print Le ibI
Name (Business/Organization/Individual): .
•Address; KQt4, f,
City/State/Zip: - OZ�S-a Phone:#:_ ,a (� 00
Are you an employer? Check the'appropriate box: -Type of project(required):•
1.❑ I am a employer with 4. I am a general contractor and I
* have hired the sub-contractors 6. ❑New construction .
employees (full and/or part-time).2.7 I am a'sole proprietor or partner- listed on the'attached sheet.. 7. ❑Remodeling
These sub-contractors have
ship and have no employees 8. ❑Demolition
working for me in any capacity. employees and have workers' 9...❑Building addition
[No workers' comp.insurance comp,msurance.t'
required.] 5. ❑ 'We are a corporation and its 10.❑Electrical repairs or additions
'3.❑ I am a homeowner doing.all work officers have exercised their 11.[1 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12. o/f r airs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13:❑Other
comp.insurance required.]
*P.ny 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 sbowing 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.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name; a2��AN�rf,AA6
Policy#or Self ins. Lic.#: Expiration Date:
v
lob Site Address: �_ LcTh[-tom Lrt . • City/State/Zip•0_01� _
Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date).
Failure.to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal peyalties of a
fine ti to$1,500.00 and/or one-year im risonmen as well as civil penalti
es s m the form of a T F P t, SOP WORK ORDER an
d nd a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of .
Investieations of the DIA for insurance coverage verification.
Ida hereby certi under t, pains and penaItie_s of perjury that the information provided above is true and..correct,
Si attire: Date:
/ —
Official use only,. Do not write in this area, tb be completer)by city or town offrciaL
City or Town: Permit/License#
I;
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#:
Infor ation' And Ins4 ructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of anther under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a-deceased employer, or the
Tece=e� tr nr ustee-of an individual partnership, association or other legal entity, employing employees. However the
owner of a dwelling.house having not more than three apartments and who resides therein;or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal,of a license or permit to'operate a business or to construct buildings in the commonwealth for any
applicant-who has not prodaaced:acceptable evidence of compliance with the insurance coverage required."
AdditionaIly,MGL chapter 152,-§25C(7)states`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 insnuaEnce
requirements of this chapter have been presented'to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contcactor(s)name(s),address(m)and phone number(s) along with their certificate(s)of
insurance. Limited Liability Companies'(LLC)or Limited Liability Partnershipa(LLP)with no employees other.than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Rp advised that this affidavit 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 required to obtain a workers.'-
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate-line.
City or Town Officials.
Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy,information(if necessary)and under"Job Site Address"the applicant should write"all-locations in. (city-or
town)."A copy of the affidavit that has.been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventuto
(i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,_--
please do not hesitate to give-as a call.
The Departments address,telephone.and fax number;
° c,� Comm.ouwe th of Musar-uwtts
Doputmd of kfustdal A..ocidmts
Office of Investigations
600'Washingto_-6 Streea
Boston,MA 02111
Tel.#517-727-490.4 ext 406 ar 1-M-MASSAFE
Fax:# 617-727-7749
Revised 11-22-06
ww-whass.govIdia
Town of Barnstable.
Regulatory Services
w BARNSfABLE, •
s MAC. Thomas F.Geller,Director
prf1 Mai�0, Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,NIA 02601
www.town,barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
Z - , as Owwner of the subject property
he reby authorize �Ilc f to act on my behalf,
in all matters relative to.work authorized by this building permit application for: .
a 2.6 e
(Address of job)
A Of LAJ t-2
� ®
Signature of Owner Date
Print Name
Q10RMS:01 WNERPERMiSSION
f
Board. of Budding Regulations and Standards
iJZOne Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Registration: 151853
Type: Private Corporation
Expiration: 7/7/2008
SCOTT PEACOCK BUILDING & REMODELI
JAMES PEACOCK
PO BOX 171
OSTERVILLE, MA 02655
Update Address and return card. Mark reason for i'i1.P,a;',;',
Address - Renewal Employment 'Lost
OPS-CAI 0 50!M-05/06-PC8490
,h .:%,+ e -C,^tdlo77eC��lea6cx/,Ci1. C��:f(.(Y,:10CCCOLlL48/R6 J -.
_ Board of Building Rcgulatioos and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: Board of BuildingRegulations and Standards
Re 9 151853 Expiration: 7/7/2008 One Ashburton Place Rm 1301
Boston,Ma.02108
Type: Private Corporation
SCOTT PEACOCK BUILDING & REMODELING INC �� I
JANTES PEACOCK
a
1016 MAIN STREET SUITE 7
OSI'ERVILLE, MA 02655 Deputy.administrator � Not valid without signature
i?8 1.1!2ilciU 12:;}y f"Al 5064 18,068 GEIt)M ANI IN`URANCE �ii!01
I"1 i� t.1^ I ;� I
- a!' DATC MMIDDrN
M .I '� I ,
8 11/2006
PRcrot,!Jct=R ONLY( CA�IDaCflW�'�FtS 13 lsSUED AS A NO RIGHTSMU UPfR or INFORMATION
LaERIYIAlr91 INSURANCE AGENCYHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1 908 MAJN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES EELOW.
OSTEIRV!LI-r-,(%AA 02C,55 COMPANIES AFFORDING COVERAGE
-- ------ --------- OVE----.. ._..-. ... . .
CGURPANY
A E$SEX INSURANCE 00.
INSURED —_I
Gy COMPANY AIC AMEfRICAN HOME ASI IURANCE'O.
scum`Prs-,,c*c ,\ BUILDING&REMODELINGPO BOX 171
OST'ERVL_.I I-,MA 02666 i oNPAIJv
G
I 40MPAiNY
r --', � T�'er....--r 'r'°,•,�.� °I ;•r-vr.. � ...^P �I'1 r,^e,•'
T1) FR r!.=(T}AT PHA ()LI..IF S CF IN,UPANi E I I$TEC)BELOW HAVE BEEN'SS!JE0 TO THE.It 3!,IRIry .''' RtD"Jhiv:LDAI39VErrJFtThwPJ;IC1 t'ERrUt1
Ih[.71(;A1 c1'.7.N ,1'14I,I N.'fj"iU!NG�IU}r N.C:C UIfi4LIFP,T TERPA%IR CONDITION OF ANY CON TRACT()R 0-11ikR L1QC.UMFNJT WITH RESPECT if v01IIJ!1 711S
CanHFIcAr ;v1AY Es 15w;L EC aR(✓ 'I F":ti '11✓I,"I'hE'!,N URAMC r AFFORDED G Y THE POLICIES DES+CRIIBED I-IEREW 15 S UDJECT TO ALL T14E TERMS.
SUG'.. ..-:',..........
CIE;S,l.l'All'S SHpt'd J TvIAY H�.1'E f3EGN REDUt;ED 6t'f'hID C'.All'a1S,
TYPE.Of-INSUFt NCE POLICY EFFEC7IVE i POLICY EXPIRATION
t.Tti! POLICY NUMBER ATE LIMITS
(NNVOOlYV) j DATE(MNJDO.MN^
GENERAL L;AB!L_tlY - ! i —
I _ �I GENERAL AGGREGATE _ i s 21000,000
A , 3CIJ9420 07I05;06 0?106/07 --- ____.._.. ......-._ __..._._.
ctaata!t:vrv,L,ra:ersA L u 3r Irr I
PROuUrrs-comvror•Acc a. 1 OQO 00
I AIN1^nn,a.t3E I UCCUG . ..1._ ....._....._.:—— --- 1
PER VIAL f-AD V INJURV
1 OS'Jk:�lz'S L."OhTftP.CTQfl'S PR(""
tEA:HCCL;UF�F:ErJCE !5 1,DOD,CDU _
..i_......_._,.._._... j I I FIRE DAY.IA E f&:V of,l;nre} I S...__..__. 50,000
I - -
T-.. I mED EXP (Ar,y ulw Ira<on) �5 1y0010
( AUlOMC7EIILe LL ABILI'T'Y �� ^
COMBINED SINGLE LIMIT $
ANY F.'.jYO
1 ALL.OVVNN''CI ALTOS ! L'ODII Y INJURY I R
^_ I SCHLDUIEDAUTC)S Maeperoall
r
-� rIRFI)A(IT(.S i I
BODILY INJURY
NON L')WNt�.0 A(1TOS I (Pr91'nccidant) -- —
1
PROPFRTY DAMAGE I g
I !
GARAGE LIA131LI-lY ! I r —TT AUTtJ ONLY•EA ACCIDENT 15
ANY AUI'J I Cl'IIER THAN i1UT0 ONLY:
' �A(;H Ar,.yIDENT 3
AUOREGAYC S
EXCESS Lt<zF31t.11Y I I F'ACH OCCURRFNCE $
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ECA°LOYE.R$'LIAl9MLff`! 2'2 r'I t �--_
I EI_EACH Af:CIDEWT I $ (U0.000
j Pr1HTivFrzrA.lcuu!'IVF � - CL,.OI5GF5E-PO{I(,t 6I Nil I. i I; 5t1�0D0_
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96101.11-0 AkY OF TIN& AROVE WiSCAIRED PQI,ICIP.4- 04 CANCELL£U DEFORG THE
T 2'ANN OF B,i'RPNSTABLE EKPIRA•f1UN LIATE THEREOF, THE ISSUING COMPANY WILL. ENDEAVOR TO MAIL
DAY: WRIT'lN NO1I4ETO YH9000WIG.ATE HOLDER NAMEDTO T:1P_L&T,
RAXt 5,08-426-7 61;i DUY FAILUR✓o TQ MAUL SUCH NOTICE;UHM:L IMP05E NO 081UGATIUN CAR LIAB.111Y'
KIND UPON THE COMPANY, ITS AGENTS OR HEPRESFwTATIVE.S.
AUTHO J5 REPRB�ESEENTATN'
Amokv.S
r
A�' ssessor's office(1st Floor):
Assessor's map and lot number 2 3 0- 1^0 5
Conservation(4th Floor):
Board of Healthrd floor): 2. � 'EPTIC SYSTS sr�nca
Sewage Permit number ���.� �� ®�� v EN;
N 0• ,�
Engineering Department(3rd floor): •���.� WITH TITLE
M9�l�a "� :� a�
House number _.
Definitive Plan Approved by Planning Board 19 ENVIRONMENTAL CODW AND
APPLICATIONS PROCESSED 8:30-9:36 A.M.and 1:00-2:00 P.M.only TOWN FlEGULATIO��
:TOWN OF 'BARNSTABLE
BUILDING -- INSPECTOR
APPLICATIONFORPERMITTo Add 'dining room Ito existing single family dwelling and
TYPE OF'CONSTRUCTION replace existing patio w/deck within same footprint.
wood frame construct!un.
Ap r i 1 2-1 19 Q 4
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location SS I n o m i g I a n e
Proposed Use single family dwelling
Zoning District - Fire District Comm
NameofOwner Daniel Swartz Address 55 Loomis Lane , Centerville
Name of Builder s e:1 f Address
Name of Architect Address
Number of Rooms 5 Foundation concrete
Exterior w d . shingle Roofing w o o d shingle
Floors wood Interior s h e e t r o c k
Heating f h w by gas existing Plumbing ' 2 existing
Fireplace existing Approximate Costs
Area __ (0�Q
Diagram of Lot and Building with Dimensions Fee o0
attached
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 '
Construction Siipervisor's License 457CU/(/LO
SWARTZ , DANIEL 3,0 - /OS
,.
No 3-� Permit For BUILD ADDITION
Single Family dwelling
Location 55 Loomis Lane
Centerville
Owner- Daniel- Swartz '
Type of Construction Frame
Plot Lot
Permit Granted April 22 , 19 9 4 _
r e
Date of Inspection:
i Frame 19
Insulation _ 19 ,
Fireplace �719S 19
Date Completed 19
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TOWN OF BA.RNSTABLE
BUILDING DEPARTNENT
HOMEOWNER LICENSE 'ION
Please print: Y, ,
DATE G�
JOB LOCATION �5
Number Street Address Section Of Town
".HOMEOWNER" I �.Q �r c�Q `7 l -`7 � 3 l -3
Name Home Phone Work PhoneO��
PRESENT MAILING ADDRESSfy
S \
t �
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 such. homeowners to
engage an individual for hire who does not possess a license, provided that
the owner acts as supervisor.
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 to six 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 f
period shall not be considered a homeowner. Such "homeowner" shall submit I4
to the Building Official. on a form acceptable to the Building official,
that he/she shall be responsible for a_11.. such :--ork performed under the
building Tpe2-mit. (Section 109.1.1)
The undersigned "homeowner" assumes responsibility for compliance with the
State Buildinc Code and other applicable codes, by-laws, rules and
regulations..
The undersigned "homeowner" certifies that he/she understands. the Town of
Barnstable Euilding Department minimum inspection procedures and
requirements
HOMLEOWIM ER'S SIG':ATURE
F.PPROVAL OF EUILDING OFFICI7-L
Note: Three family dwellings 35,000 cubic feet, or lancer, will be
required to cc-mply with State Building Code Section 127.0, Construction l
d
r. HOME OT�7ER'S a.�
EXEMP#�ON
The code states that: Any Home e Owner performing work for which a building
permit is required shall be exempt from the(Section 109.1.1 - Licensing of Construction
PSuvisions .of.this section
Home Owner engages a person(s) for hire to do such iso s)' Provided that if
Owner shall act as supervisor.• , that such Home
Many Home Owners who use this exe_•�ption are unaware that the a
the responsibilities of a supervisor (see Appendix y re assumin
for Licensing Construction Supervisors, Section 2.15).' Rules and Regulations
awareness often. results in serious This lack of
Owner hires unlicensed Problems, particularly when the Home
against the unlice persons. In this case our Boar used person d cannot onProceed. P as it
Home Owner actin would with licensed supervisor. he
g as supervisor is ultimately responsible.
To' ensure that the Home Owner is fully aware of his/her res
many communities require, as ponsibilities,
Owner certify that Part of the Permit application,
Y he he/she understands the responsiilitiesoftaasuterygsme
On the last page of this issue is a form currently used by Ofasupervisor.
P ^or.
You may care to :.^Je nd and adopt such a form/certifica
community. - several -c••j•s•
Lion for use in
your
j,
TOWN OF BARNSTABLE Permit No. _ 25909
` Building Inspector
Y►u�Tin Cash
OCCUPANCY PERMIT Bond __X._____��.
Issued to Daniel Swartz Address
Lot 4, SS r.CM63 Tana, /em'.•er ill' - -
Wiring Inspector Inspection date
Plumbing Inspector ��°; Inspection date
Gas Inspector Inspection date
42
Engineering Department _ Inspection date - - C
Board of Health n. \J? � , , Inspection date /7
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
....................... 19 ..................................................................................................................
Building Inspector
FROM
'TOWN OF.BARNSTABLE
BUILDING DEPARTMENT
Mr r nci Lahteine S7 MAIN STREET HYANN€S, MA 02WI
Tom Clerk
Phone, 775-1120
SUBJECT:
FOLD.HERE
DATE
MESSAGEOctob= .
` Y - vl*' i .r.M.il"Suas Y• W[SY M'�Y d✓'�[{af'�/ .. '
rYV�.' Q };�h+R :-.l �
st.w so+K .' iCp V.a E w est 25 09�(Daniel
Da iel Swartz�� ,.,�a.+aw-4-•A.w�.r�a•e w -;.xr�r �:
mse
" .s•yi#'T•7FM.�{•Y F b'R-#1f'�'iJ�xs"♦'iI!ti y!'M a - n
s - ' < -"'"•r"• ,.F._ - SIGNED,
r '
DATE -
REPLY
{
- SIGNED.,.
Ne7•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY
i - PRINTED IN U.S.A.
SENDER: SNAP OUT YELLOW COPY ONLY:SEND WHITE AND PINK COPIES WITH CARBON INTACT.;
k°N .
Assessor's map and lot number ......................................3® �
r
.....'SEPTIC SYSTEM MUST BI c%THE
Sewage Permit number � Ia �'a'�L�.ED III COMP I IANICv
..... ..........�.. .....
SS WITH TITLE5 t IA"STABLE,
House number ....................... ......1�.. .. ................. �1I I I��ti I�1?'��nl<. G
� . < t639-
NPY
TOWN OF OF BARNSTABLE '
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .
TY OF' CONSTRU.CTION ......... '�1 : i�t.fil.�
PE ........ .t......'....................
........�1'........... ..................19....:
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
(�i `� t P� .S t'A rc r2 �t?�f TES,O I LL C
r
Location ......... ..................................................................�.... ............,.......................................... ..............P........................
15
Proposed Use ..... .....51�,.S.rCG.-...........................................................................................:...............................................
Zoning District' ...... F? .........................................................Fire District .` I.CT�t�,VlLi f` ............
Name of Owner
M , L.O.A��.?......................Address ..�... � Vi" r. t-I�A
;i..
� CDt � l V� ( �Name of Builder AFA.P�!aV, � .............Address .L � . .i /r ,j
' j
l .
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ........).vr..............................................Foundat.ion ......tl1A�.a?`!2<..`i............. ...............................
Exterior .....Stf�! (!.+i5�...zBV � `.. .��3vC`. .................Roofing ...... R�.ti� �H�K61�. ....................
Floors ...... ...Y.....&!I...................................Interior ......��I.!fi.�i. R?®c(l?..............................................
Heating ... .l�`?.-. I„ ihD.......F.R`.0...........................Plumbing ..... t� !�i... ...?��....................................
Fireplace r�1�1✓aK.�'?:.ir.................................................Approximate Cost '7S,S1J�
..........
............. .... .. .......................... ................
pO
Definitive Plan Approved by Planning Board -----------_______-----------19 . Area ; � ...................... ... .
Diagram of Lot and Building with Dimensions /
(ATTAc-i46.0) Fee ............. .al....:-.:'.'.':...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/Vob
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 0 I�
Name ............... .�................ ........
Construction Supervisor's License ...............
ti'
> i —RT- Z, DAN I E L
k 25909 One Story
-Wo ................. Permit for ........................... ........
f
.. Single••,Family„ Dwe lg
Location ...Lot... 55 LomiVin
ne....... s _
a' .................. .J, ................................
Owner^...Daniel Swartz..........................................................
v _ -
Type of Construction' Frame + _
-
' Plot Lot ................................ r
Dec. 21, 83 _
Permit Granted -
Date of Inspection ....................................19
Completed �........... -
Date Com . � T•
p ... 19 w%
s
3
tt
TOWN OF BARNSTABLE
BUILDING INSPECTOR
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a rmit according to the following information:
136
Nameof Architect .................... .............................................Address ....................................................................................
���
Nom6o, of Rooms --�L!-v-��---.-.-----------Foun6ohun ..... ����j�!.��........----..-----'
E*ehor -'���4/��1���^-. �..��.,,Pr��.-.-_-�Roofing --.�.C�.�4�..��M.,r.�.��.�......-----,.__
- ��
Floors --�.��,�����}-f.-..L~�\.ri.--.---.~.--,.|n**ricx^ -.��.H..�.�I.7�cz.w�_,_._____,,___~__
' ' .I- FU Lj /. ]�0/' Hedhhg -.'.L����.�.I.!./�J.��-,�.�.....���.�--------.F1um6ing -..�������<�-��-.L.�..��---.-..-. -.-..
� ~
Fireplace --'L/���������`�.---------------.Approxin�utpCox .,. ...~...-_,,,,,^._,__,,,..
'
Definitive Plan Approved by Planning Board
- lR----, Area -� . �.. .'
/ J \ ��/
� Diagram of �t and Building with Dimensions \ /\�r^ +nP � Fee ----./v.---~------
SU8JECTTOAPPROVALDF BOARD OF HEALTH
-----� �- APPROVAL� '- ' - - -- -- - - -
-
r � A�u�,
�� ' �^ ~
�.
�
\
\ '
�
,
. `
^
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS '
| hereby agree to conform to all the Rules and Regulations of the Town of8o ble�regarding
\ construction. � ~
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Construction Supervisor's License -0...............................^ '
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SWARTZ, DANIEL A=230-105
No ..... Permit for ..Pa'P...af;.Q?;-v..........
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................ -1119............
Location ..LQ.t...4........ Lozis..Lane.... ..
.................Cen.texv.i.1le..................................
Daniel Swartz
Owner ..................................................................
Type of Construction Frame
..........................................
................................................................................
Plot ............................ Lot ................................
Permit Granted .....Dec. 21,
...................................19 83
Date of Inspection ....................................19
Date Completed ......................................19
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