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HomeMy WebLinkAbout0106 LUMBERT MILL ROAD r i ,.. a ... AC'T�IVE 0 Town of Barnstable Building Department Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date 02$l i 1 Map Parcel Applicant Information JO d-r1 I'C Vto s o ►-).rc Applicants Name J Applicants Address O� LLUV_6•ev+ Ki i I l Email Address Telephone Number Listed❑ Unlisted Eg Business Information New Business? Yes No Business is a registered corporation? ________________________. Yes l�o If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _-___-___ es No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business 1 CU tA L—t+4 r,:uc Business Address l- �, l�t.Vwt wr C P�{rl'C�1' V �2-46P ;Z Type of Business ""�V►1. I,� Buildin Com . issioner Offic se Only ditions, d'ztW Building Commissionr lX-® Date Clerk Office Use Only Town of Barnstable Building Department �oFSHe r ,L Brian Florence,CBO o� Building Commissioner 3ARMSPABLE, . 200 Main Street,Hyannis,MA 02601 Mass. 9c� 1639. ��� www.town.barnstable.ma.us pTEo Ma{a Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: r / Permit# r'o y HOME OCCUPATION RkGISTRATION Date: Name: y(� /�I Phone#: `J C) Address: f �c L.I,L-h � I U t f [ �-`-''Village: C l"' V Clo Name of Business: f'_ e Type of Business: 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 n C within that dwelling unit. O M r ( . Such use occupies no more than 400 square feet of space. -0 C . There are no external alterations to the dwelling which are not customary in residential buildings,and there D 00 is no outside evidence of such use, g- • No traffic will be generated in excess of normal residential volumes. .-C :37 r • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular M M-< matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. rn V')C • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess C _ of normal household quantities. !74 • Any need for parking generated by such use shall be met on the same lot containing the Customary Home T Z 0 Occupation,and not within the required front yard. Cn • . There is no exterior storage or display of materials or equipment. M -n O • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one F n pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to C C exceed 4 tires,parked on the same lot containing the Customary Home Occupation. m No sign shall be displayed indicating the Customary Home Occupation. 0 Dj If the Customary Home Occupation is listed or advertised as a business,the street address shall not be O included. Z • 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: Date: � 5 Homeoc.doc Re .10/17 v Town of Barnstable Building Department Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date Q I� 1 Map Parcel Applicant Information Applicants Name Joan ►2 ICVLO r-C s 0 r> Applicants Address �-�r�� + 1 Email Address, e r�\ � �1� �6 `tuL ` Telephone Number d O" �' (�U� Listed ❑ Unlisted R Business Information New Business? Yes No Business is a registered corporation? ________________________. Yes If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _________ es No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business La-Vi a-*ta Business Address`bl o Lt'1-V11'1-b4 -P-,4 • (,to Irl'C,I V , SILT W 6)2-12 Z✓Z Type of Business �� I YID Buildin%Coinr rissionerOffiegIVseonly nditions ! BuildingCommissioner ""��j'�' Date t Clerk Office Use Only i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (9 Parcel A plication 01 Cya `(01 Health Division - 20+!1 � '§ -4 Date Issued J hq 1 Conservation Division Application Fee Planning Dept. �=��'3"� ' Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address d �C wo fZvCti Villager Owner Address 1610 Telephone SO L-776 c M 1 Cie cin ! G Z� � 2 ..Permit Request s V ( A T_G n - -� C v(0 S �)n �� �$eL G 3 fA- °r cow r , Ven± 2 6A�k z^ R_XI ar v �o �''o ,� l .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation qOOO . Construction Type. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C// Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing' ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of AppealsAuthorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 8/No If yes, site plan review# Current Use �e S i/A e- Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name6-0(A+jE( SGIV ^� elephone Number 17 q-.Z L0 Address SG 2 � a�W i License # l I,�� �L•fS' !' � 2.�� ? r Home Improvement Contractor# 1605 Email Worker's Compensation #VwG—06 —f,G d S 51S-441 {� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I SI &y' An e 4of Uaa a,�clf D 2 4�is— SIGNATURE DATE 2-1 liq t L t FOR OFFICIAL USE ONLY C F APPLICATION# ly DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: i' FOUNDATION p l t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. e Commonwealth ofMassachuseft Department a�,f`Induatrial Acddents Office o,f Imeakw ons . 6.00 Washbigton.street, Boston,MA 02111 www.mas&gov1dia WOr leers$Compensa on Insurance davits u-H hers/Contrac#ors/Et iciatr t users Name(F3ugiuess!£3rgaaizationllaciivi l), _—a f �6 One#: Oato Are you an employer?Cheek the app at► boa. 1.5f1 am a employer with 4 01 mn s.general contractor and-I l f eft .employees(full and/or -t1me) have.hired the suh:coattactors 6. 0 New CgY3StrtiCtiQn 2_0 l arcs a We proprietor or partner- listed on the attached:sheet:. . 'T U Remodeling T.hese:sub-contractors have. ship and have.too employees &:0 DOMMitiort wvddng for the in any capacity. employees and have workers' 4: �Building addition o workers'comp Mi surance comp.insurance, 5.0'We ate a corporation and its 10 0 Electrical repairs or additions i g atl..wor'k officers have exercised!. 1 l�Plirm€aing.repairs oa additia�as 3.01 ama homeowner doin o wQrkets' right of ekem}sfiton ger Mid myselfcaMP. 12 oof insurance.re cpnrexl 1(4};and we have no. 3a €am a lie .. as a e © ' o workers' 3 grncxd'c:�t or(rem o A4): . m gip.luls r+� sy appliraai that checks box#i.wast at a M.out sfte waian below.showing.didr workeW..compenatiogiWicy infannatiae Homemam who.s thm aflidxvit i . _ mdir�.ti�'an doing siF watfc and tlaea Sue au�de eanirattats atust satsmit:s uew.af5davu indcatittgsuch... - $Couava ins 3E at this bazmkin atiielsedk an state'Wheiia or uat*osr entities have_:.. . t.: employee& If thc.suZ Bcnus cag€tayees,iheg ram vide:the r:werke3s'.co t policy ti her: I am an eriag&W thaat is/r oWding wo,4en'a:ofiom dWr u sarrance.far nay es>m is d aau�1 fvh sate informatNoa. Insurance Company lvarxte: . v elk. t Policy#or Self-ins.Lic..# VirW.4: ' WDf? f " 04 A Expm—mon late: . Job site Atli ;I d Loo,L � ;(l nor Citylstatelzip- r4ttaeia a copy of the workers'campetrsa 3otr paticy deslaratian pie_(shor�rl pe&fey number and expiration:date}, Fails to se=e coverage required tier Section 25A of MGL c. 151 can lead to the imposition of criminal penalties of a fine:Up to$1,5000.00 andloc one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDERand a fine t` of_U to$250.00 a day against the violator.:Be advised.that a copy of this statealent Day be forwarded to the Office of Investigations of the DIA for insurance coverage verificatiots: t I do hereby cv*y aatrd Penaldm ofpwin}'dW.the infermatlosprovided above itrre awdi r i Date: t3a 6 Lf t q. .:. [6. ciad oast oaaly< Do slot fw to ie&b aare&,to btrompletead b c or town.of wiaxt Or Town: Per°tr itll:.iceuse# Issuing Authority(circle one): oard Of Health 2.Building Department 3.Cityfrown.Clerk 4..Elech ieai Inspector 5.Plumbing I*ector ther tact Person: Pbone#, 1 3/18/2014 1 : 10. 10 PM 8740 �b 03/06 DATEVORO YYYI CERTIFICATE OF L IABIUTY INSURANCE 03i11=14 THIS CERTIFICATE.IS ISSUED ASA MATTER OF INFORMATION ONLY AND-CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDOL THIS _ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELCM.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE R(Sh AUTHORED REPRESENTATIVE OR PRODUCEit,AND THE CERTIFICATE'WILDE& IMPORTANT:H the.certificate holder is an ADDITIONAL INSURED,the policy{ies)mast.be endorsed. If SUBROGATION IS WAPJ ,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this veiffmate does-not confer rights to the certificate holder In Keu:Qf such endoasessr 44 PRODUCER 00509-O01 lop J.1bay F$rrd Rogers&Gray insar,ance Agency , (1100)663-1201 + (S08)398-0248 434 Route 134 South Dennis.MA 02600 KAM Mutual Insurance Cony 33758 RMURED UMBER 8; Frontier Energy Solutions Ines c- 602 Harwich Rand 8v6wsW.MA 02034 COVERAGES CERTIFICATE.NUMBER. REVISION NUMBER: TKS IS TO CERTIFY THAT.THE POLICIES OF MIURANCE LISTED SELOW:HAVE BEEN ISSUED TO THE ff=RED NAMED ABOVE FM TIE POLICY PERIOD iNOWATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR.CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO MICH TM CEPTIFWATE MAY BE ISSUED OR MAY EEWAIN.THE.INSURNWE AFFORDED BY THE PO.ICIES DESCRIBE}.1ERM IS SUBJECT TO ALL TW TERMS, EXCL1lgt M AND CONDITHM Or SL H POUCIEs...Wro'SW MN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPEOFi WRAKE PBL"NUMSER Lev Lon OEMERALIIAWTY - EACH COMMENCE :S (tbNkit�eGYALGEvt32AL UABiLrfY f cwtASmam El OCCUR M131�tP(Ant tee, nl S (. PE2SDNAL B ADV IMURY .:.S - t GENERAL AGGREGATE $ EtLAGGREGATELIKTA>PUESPER: PRODUCTS-COMMPAGG $ AMOMOBILE.LiASILRY - _ $ - AWAUTO BODILY JNATRYftAumn) S au tsva SCriEDMED !4U'fOS AUTOS f30CdLYih1AntYIPeracc krill S' __ HIREf1AUTOS f4ON—MAME} PRWOW $ 'AUTOS UL+fBRM.LA L" HCLAIP� OCCUR -.EACN-OOCURma4m S . EX CES ma MAI E -- - - AfW.RMATE S . DED RETEi�frldN$ 77 yy��..,, p�- $ % TtbAAITS E&� A v'M�eer-rt wr.A! UtI1iC#800953t5-284Bt! 311AF2014 3144f10iS EL EtWAccilhTT S; , 1,00Qfl000I1 I1 dalmYlo PIH} j CL.DIWACE-G4 F APLOYCE S t,MA00.00. . PERAnONS6WOW EI..:us =Potic-v.uuur -S 'f;0t14;D00:iN1' i DESCRIPTiDrfOFQPStATtONSFLO0A7IDNStVBHCLES(AttaehAfiARD4U4.:AdelEln�mtRee�ics3che�e,3mose-slraseisraquoedl - CERTIFICATE.HOLDER CANCE7LLA70ON Town of Sandwich 130 Main Street SMOUW AW OP THE.ABOVE DESMIBEb POLxUES SE CAiti-ILEG SEFcI Sandwich,MA02M "IM ]EXPIRATION 'RATE T"EREOPs WOTTGE WILL BE DELIVERED IN . ACCORDANM VMH THE POLICY PROVISIONS.. AVDiORRED NATIVE . 1089-WO ACORD COWORATIOPL.All fights resented. ACORD 26 YMWOSy The ACORD name and W"are registered rmft of ACORD 3201 f i j: r AUTHORIZATION OWNER o n (Owner's Name owner of the Property located at . P (Prope fy Address) AIA: aeylz (Property Address) h6reby authorize ` Ent r (S h �l (Subcontractor) an authorized subcontractor for RISE Engineering, to ate on my:behaff to obtain a building permit and to perform work on my property. v I � } g_ ' J a Y ( 1 5 raw sam WE - FAA y+f..-ems._.._— ....... ._-.. tWWVWIRLSAGHS SON viw K a• rm ID ` t _+��.eS�!€'��3a�� � - s if_ t���� 1i��738�f76r)M$d[O <7I1•� � _ ' r /C) ley r c ice' Yffi 1 sy <EN Town of Barnstable Final Inspection Affidavit Date: "� U Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed at: Street: '16 G L uyx& Z s-k (•1 a/ do, "Village: _C,,nA;&r y k J( C, has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number: Issue date: ' Sincerely, Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com z a °r7a i 6 ' Town of Barnstable *Permit# <,(g� M"s A/�'� Expires 6 months from issue Regulatory Services Fee BARNSTARIA Thomas F.Geiler,Director 3 Z013 Building Division E Tom Perry,CBO, Building Commissioner TOWN OF BgRNSTA LE 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMn APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imptznt Map/parcel Number j 6 S I 1 Property Address f L4 L Lt ni ber4 I yr` f l P—d • Ctx-4�e-r v L l ke, ❑Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Jo 4-i'\ r`4 e, Contractor's Name NIA It'd Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor f] lam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name . Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed),(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ® Re-side a [�Replacement Windows/doors/sliders.U-Value_ o (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other 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. o ' SIGNATURE: 41M,A C:\Users\decollik\App ocal\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 The Connrnronyvearlds of Massachusetts Department of Indusfria7l Accidents - D,,�,i`ice of Inuestigatio s +600 Washington Street Boston,MA 02111 wnwv.mass.gov1dia Workers' Compensation Insurance Affidavit. Builders/Contractors/ElectriciansfPlumbers Applicant Information ly Please Print Legib Name(Business/Organ tionnni ividuaiy C h //art �6/6 Address: 10& I—u,rn bei-4 M 1'l! Citylstatelzip: Crn kl � P 9 D 2hone 4-- ;0 q Lla o - Are you an employer?Check the appropriate box: 4. I ami a 1 contractor and I Type of project(required): 1.❑ I am a employer with ❑ 6. ❑New consfructiort employees(full andlorpac#time).* have hired the sub-contractors 2.,❑ I am a sole proprietor or paring listed on the attached sheet'` ?- ❑Remodeling ship and have no employees These sub-contractors have g. ❑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.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp right of exemption per MGL 12.❑Roof repairs insurance required.]E c.152, §1(4�and we hm no employees.[No workers' 13.9 Other comp.insurance required-] •Auy:apptivaut that checks boa#1 mnst.aho fill out the section below showing their waakeW compensation policy infionmtion. Homeowners who submit this.aftidavit initkz&g they are doing all woak and dien hie outside contractors mast submit a new affidavit indicating such. ✓Contractors that check this boa must attached an additional sheet showing the name of&a sub-conttactm and state whether•or not those entities have employees. Ifthe sub-coutractors have employees,they must provide their workers'comp.policy muuber. I am an employer that isproviding workers'componswtiorr.irrsura ace far my ellrpfoyem. Below is thepaHey and job site information. Insurance Company Name: Policy#or Self-ins.Uc.#: � Fxpiration Date:: �/� Job Site Address: 10 6 LILYnhtyl h i It l yN/am- City/State:/Zip: (_( --&I'U1, i �U�9 Attach a copy of the workers'compensation policy declaration page(shoeing the policy number and expiration 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 andlor one-year imIxisorunent,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 be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby fy under the r andpenafties eryfperjury thatthe itrformaliionprov¢ded above is true and correct ture: Date: Phone#: i a o s!�b Qjff al use ortfj% Do not write in this area,to be compfetetd by city or town oficiaL 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#: 6 'Y Town of Barnstable BARNSTAMARegulatory : Services W 1639.��� Thomas F.Geiler,Director " Building Division 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 2 DATE: Please Print �J�! � - JOB LOCATION: I (� �(A'al be r+ t- i t *,r y t1 number street /' village/ ..HOMEOWNER": 3�� 'D I�►� ✓N q.Z/f� lao l 08 7P01a0.+/ name' (� ' e , home phone# work phone# CURRENT MAILING ADDRESS: IOU �' vn 6e,4-+ M l l i "'6 C,c?4---,I"v i I PAiA Ct�32- 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 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 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 reslwnsible for all such work performed under the building_permit.ffiection 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection p cedures and ents�and that he/she will comply with said procedures and requirements. S' a of Homeowner 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 permit 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. C:\Users\decollilAAppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 69 Parcel Permit# �J o Health Division OT Date Issuce Conservation Division 04 0 ® Fee -` ti 6--2- Tax Collector v Treasurer -1 LA 1W /0-1-- Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1N L_U_rr_Nbe.r+ mi l Ii 2o6Ld Village C����'�V � t I i� Owner �()�In b i 1 ((� Address IUD �--i.L�mlo + M i tJ- C"_ lJUITQ, Telephone '508 142.0 1 R04 Permit Request R a1z QS l v� r ULt� Square feet: 1 st floor: existing proposed Sob 2nd floor: existing proposed Total new l bae Valuation /�i.Z©0 Zoning District Flood Plain Groundwater Overlay Construction Type " Lot Size r q7 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ;�y �f Historic House: ❑Yes �ko On Old King's Highway: ❑Yes O No Basement Type: )d Full ❑Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) 1V/A Basement Unfinished Area(sq.ft) 13 oZ d Number of Baths: Full: existing c� new lU Half: existing /V/A" new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count (n Heat Type and Fuel: ❑Gas A Oil ❑ Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: 0 Yes ANo Detached garage: 0 existing ❑new size Pool:0 existing 0 new size Barn: 0 existing ❑new size Attached garage: existing ❑new size i6ed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes J No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREIla DATE /��a r =% FOR OFFICIAL USE ONLY r OF r PERMIT NO. DATE ISSUED MAP/PARCEL INTO. p ADDRESS ` VILLAGE OWNER - - — DATE OF INSPECTION: n FOUNDATION 2 FRAME INSULATION Z'). UZ 4' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN'NO. r �'IME r, . .r� The Town of Barnstable • ssantsre UL tom. $ Regulatory Services i639' Thomas F. Geiler,Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 568-862-4038 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I jD(.Q t.-�,�,,�be-lr� ,�U�� � � fed • C�-k--v 10B LOCATION: village number f street "HOMEOWNER": So&,n IJ( l ���(l �JD2-D(ZL��] �O`6 q-b 72I(0 home phone# . work phone# name A p CURRENT MAILING ADDRESS: l D(tz �-u-�1'�-�'r� (-4,n�irv���t iU A7 C��t��a city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling's of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provid at the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which helshe 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 compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department mimmtun inspection procedures and requirements and that he/she will comply with said p cedtues and r irr$ ents. G Signature of Homeowner 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 permit is required shall be exempt from the provisions of this section(Section 1o9.1.1-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.the P ermir To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,asp the responsibilities of a Supervisor. On the last page of this issue is a application•that the homeowner certify that he/she understands form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMFrN The Commonwealth of Massachusetts - z Department of Industrial Accidents . ,� _ •: , .-- OfBca ol/m�estlgatlons 600 Washington Street ` Boston,Mass. 02111 Workers' Mensation Insurance Alfridavit name `] 00-rN W1 0 1'1 At 0 location /� , '"1/l (Q. �''� )—(0 �.. hone# og q2-o kA07 I am a homeowner performing all work myself. ' ❑ I am a sole p etor and have no one woridn m any acity %� .I.III���/ wo o .1 on this J for Mang ensattoa � orkers �P den w mY ....::::::w:.:::::::::::::::.;.;;;?:.;:.::.;;:.;:::.;;:;.::.:<;.;:.;:.:.:;:<;:: ::<:::>:::>:<:>::<�::;:<::::;::<::<::�:::<�:::<>�:«::<��:<:; �>: 1 am an I g ..........:...,.::::.:::::.:::::,:.{.;'.::::..:::.;;.::::::.:::.:::.;>;:.;;:.::.::::::::.:::::;:::: :::::::.;:.:::-.::.;;: X. tom anv.namer.' X. address . r..... :.:..:::: .:... ' <<< : > :..; kone t ::. ❑ I am a sole pmprietor,general contractor,or homeowner(ezrt:ie one)and have piled the contractors listed below who have tto n polices: co eosin orlce:s ...... wen P the following ...........comp..... :::,:......:::::::::::::::;.:.?:.:.;:.::..:.::.;; cam anvname. mi ........:::.:. ......... ... ... ...:.:::... ...............................:.,.:•... .. .........................::.:{riti^:.}x{L•:L4:i:}}\.:::+v.L: ,•.Lvw•2in:•::+.:i;'•: .... ....................:.............................. .............. . .:.. ....:::::•:w•:.:,:................ x•max•}:�:Y:..r,�,:�•::::.x•:??:'{•:o:}::,-;:,�:.:•..::.�..: ...... ....... ....................:::.�::::::::::::h:v.�::::::':;A•:x:::x:ww:x::...}..v•?:w,;{x.•••+ ,..::v..• v..v:,::•:�:;:...:??}::::...... ,... .......... ... .:�::.:•:.v::;;;•?}i:J"v O:r�ii:•}}}}?:;•i:: ......... v.ri: ..... ::::}:.. rr vi:ii:.. v....... v...... ::::..n. .v. .......w .,.r.... .,.:.......... 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'2Y_ Xr- '�:.... .... ..� ... i'�::.::�i?::•::'�;:.:i'.;vw::n:•??i:i:L:is::•::i:v:...:::::.w.:. :wv::::::.::v: ' ..............>::..:.:.;:.:; bra e... ..:::... ........:. :::::......:........... ,,?... ::•.: ........... :::::::::::::w:•:.e:•:::::::.::::::.::::::::::::.:::::::::::::::.:...::. ............... . Fail=to secros coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine rap to SIS00.00 and/or . one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a floe of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verif eFAOIL I do hereby certify under the pains and penalties of perjury that the information-provided above is into and conned Si tore `�C Uri-- �^' Date 1 �! _ 1 c Print name D�� ( t ay, . Phone# J d ZS �{'� i�. ofndat use only do not write in this area to be completed by city or town official tens e# ❑Building Depaitn� city or town: ❑Licensing Board Q3eiectrmen 2 Owe ❑che&if immediate response is required [3Heaith Department -- ❑emu' contact person• phone#; I Urn m 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide wor eof anothe nadir under am thei rac employees. As quoted from the"law", an employee is defined as every person in the service ca of hire, express or implied, oral or written. An employer is defined as an individuaL partnership, association, corporation or otherceased ementity,ploveor r, w the receiver or more or the foregoing engaged in a joint enterprise. and including the legal representatives o a de trustee of an individual, parmership, 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 c construction or repair work on such dwelling house or on the grounds another who employs persons to do maintenance, be deemed to be as employer. building appurtenant thereto shall not because of such employment MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold-the issuance an ren h. of a license or permit to operate a business or to coeY nstruct buildings in the commonwealth for any app produced acceptable evidence of compliance with the insurance coverage required. Additionally,ofbliic work until the not . . . c P for the erforman p ons shall enter into any contract P political subdivisions an of its o . commonwealth nor y P of this. have been presented to the contacting ce r acceptable evidence of compliance with the insurance n� authority. ��....; .,MMEM FINEEM Applicants + and easazion affidavit completely,by checking the box that applies to your situation Please fill in .he workers comp i , with a of insurance as all affidavits maybe supplying company games,address Phone mrmbers along o face coverage. �o be sure to sign and submitted to the Departnl=of Industrial Accidents for he city o to licatim for the permit or license is date the affidavit. The affidavit should be retumed to the city or town that the app being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if Yc workers' compensation policy,Please call the Department at the number listed below. are required to obtain a work WE City or Towns legibly. The Department has provided a space at the bottom oft. Please be sure that the affidavit is complete and printed legs y. the applicant. Please affidavit for you to fill out in the event the Office of Investigations has to contact you regarding be sure to fill in the permit/liemse number which will be used as a reference number. The affidavits may be retmnR to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. The Department's.address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of IpV03119eflODs 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= o2Od x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= . (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost F THE The Town of Barnstable • eABNSTABU. MASS.9�p A`�g Regulatory Services rE&659. Thomas F. Geiler, Director, Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. � Date �l 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 tainin at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. " Type of Work: --� Q P'l�UCc Estimated Cost Address of Work: 10(4 L—u yyi burr+ � l G-��- i/1r l G2. Owner's Name: 00, t l oyl Date of Application: I hereby certify that: Registration required istration is.not for the following reason(s): []Work excluded by law []Job Under$1,000 ❑Building not owner-occupied PDwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. i 9 W o� °R �- L_lu Date O ner's Name q:forms:Affidav:rev-070601 • Building Sketch PIBorrowerClient Joan E. Dillonroperty Address 106 LUMBERT MILL ROAD itV CENTERVILLE County BARNSTABLE State MA Zip Code 02632 ender PLYMOUTH SAVINGS BANK SMOKE DETECTORS O.K. vLd P 1 B§kRNSTABLE BUILDING DEPT. Ito Wsod �e� i(o ly Co w e4C QhttC. 10 0thCL i/Q A ROo r. ao C~-cr5e- L� Roo,.._ SIP L ---- Wroo� �y MICL- I l y y0 a4set�e.n�' FW 73AW 0 1980 Forms and Worms Inc. All Rights 1'leserved 1 (A001 243-4545 u ^ I I 010 11 IV �. //v O S O % 7G>lt./r S/LL ,&..6✓_ FEET 4t'3OI/� �O.dD a � QQ SCALE _. 1 4D-_1lA7-& !=Lo :2Z Z �''C7. "a 6 ' ale�' � ...... �s/�i— "► tR TNA T TyE Ex,15 /NG FOUNDAT/OM_LOCaT/ON /SG2 ZZ4 THE SU/LD/NG 3ETl3At^C�,�EfJUi�EM��V7 OF T/,/E TOWN OF A 12 you? ® w���owsr. YA2�-rours�Qr �lq. As*shor s map and lot-number ..'. 77 ,, �,� rain � -� S wage Permit number _.... ®t ...;....... E,LS`f.^LLEJ'IN COMPLIANCE WITH A72TICLE 11 STATE NC� cR R!P�-p��� .�o�.T"Eroe♦ ,.y TOWN. OF � BARI � A A TOWN ram. ' • Gi ti . -� 89BB•STdDLE, • i G � INSPECTOR B UPI L DING a .�•� c> APPLICATION FOR�'PERMIT.-TO ..:....+4?��..�..7.......: . .vrJ.............................................tl .. ..... .. ............... TYPE OF CONSTRUCTION ......... ................................................................................... I ........: � ... ...............19... TO THE INSPECTOR OF BUILDINGS:' The undersigned hereby applies for a permit according to the following information: Location .......L,,P-T...... .1............. ....... ... ..... �.�.4 ............... ProposedUse .......................................................................... .................................. ....... Zoning District :. �s.l`��ti 1.H� .Fire,District Name of Owner ..1�� _ .�1 :....: �Q.l....... .Address ....................... Name of Builder M �-�... ,...C- �Al .........Address � 21.SS T.. �-� ......... ..................... Nameof Architect ...........................:......................................Address .................................................................................... Numberof Rooms ......... ?.....................................................Foundation CUQ ..................................................... Exterior ...... C: 2.......�, A)A)G. ....................... .Roofing .......'.\�?�. . Floors . -� ...�.-�.. ... �1 1,.....................................Interior ..... .......�! . ............................................... Heating .................................................................Plumbing .................................................................................. Fireplace ........... ...........................................................Approximate Cost .............. �.r:b® ......................... Definitive Plan Approved by Planning Board ------------- ------_-----------19--------. Area .................... ... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ! ` I� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name t-. S�A�t�e..�... ....... Hobart, SK Richard A. 60 19�+12 - • one story � - • Pd+� ..... :. Permit for .. ................................. , single'l'fami�ly awelling u Location'DU.. Lumbert Mill Road �' ' - - , Centerville ........................ .......... Owner :..........Richard A. Hobart ri........... Type ,of Construction ........ frame. r ..................... ............. Y } ..... .................... F Plot `.:.....:............... Lot .................. July 19 77 Permit Granted .......... ................. ..:.....19 �. Date of Inspection ....... .....19 Date Completed" .. .� .....l q PERMIT:REFUSED z, y t,_ .......... µ... .......f l.'.............. .... 19 ;............ . 'L. C ..................... .......... ................... .. _ .......... ...... ................................ .... �,, - • _ ti➢ ,. .......................•.. ................................................ •_ - f r l F Approved ................ 19 , .... .......................................:........ .... .... - Ct Assessor's map and lot number r Sewage Permit number ............. ..........................................' Q 7"Er°�� TOWN OF BARNSTABLE B9HB9TABLE, i }-. y MAM - 0R Ar- BUILDING INSPECTOR l )l L T) 4n0,c.,r- ( APPLICATION FOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ........ .........Ic�A .... .................................................................................... �St�L4 �i. >9. ? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......�.c?....7........1.) L 1-) „?.F TcT �✓1 ► 1..!::...�� � .......... �............................................. ProposedUse ... F S I iF 1... T... ::................................................................................................................................ Zoning District ..:.. .i n . ..............................Fire District .............................................................................. Blame of Owner ��� 1 C..N. �� ...k�:.... t1�a,r� ........Address .. :... ....................... Name of Builder �E:``�... .:�`� ),�. T .................Address .. L......................................... Nameof Architect .. ............ ....Address............................................... .................................................................................... Numberof Rooms .........k.....................................................Foundation ....... 1 1c C: ..................................................... Exierior C_EDAtZ...... ...Roofing ......P1,-PAN=T.................................................... Floors ...... apLL ..! ,aAt,1_.....................................Interior ........ 1 All ................................................. ....................... ...... Heating .... ..N. .................................................................Plumbing .................................................................................. Fireplace ............ ...........................................................Approximate Cost .............. .:. n ......:................................ -----1 9--------. Area � .j f Definitive Plan Approved by Planning Board __________________________ ^- ................ ... ........ Diagram .of Lot and Building with Dimensions ' Fee ...... -w N �...... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH r. . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name :. ............................................... l .............. Hobart, Richard A. 168=8- /4? //;7 T9412 on stor No ................. Permit for .. ..... .......................... single fammiil-y- dwelling Locatioo��.`..Lftimbert Mill Road entervi 1.1e . ............................................................................... Owner Richard A. Hobart ................................................................. Type of Construction ...........frame ............................... ...................................... ...... ... .... . .. .. Plot:, .......................... Lot . � 4k11 Jul 19 77 Permit Granted .................may...`..... , ..........19 Date of Inspection Date Completed ................ ..................19 PERMIT REFUSED .......... ....................................... . .. ....... 19 ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... ''i�AessJ—s map,iand lot numb v.� K7 V /I� TH E Sewage Permit number "A-.... .. .. ... ... .. Z 9HH LIUM i House number.. .....//(a...... . .. .... ... 9H a M p 039, 0 MAf A, TOWN OF ' BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...........4. .............................................................. TYPEOF CONSTRUCTION .................................... ....I.G�T ..................:....................................................... . .......t7 L/..3.1.............19.6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......( S1f.... ..V13, ......... l..L. ... ................ :.. ,..:....1�....... ... ProposedUse ......................................................... ..................................................... Zoning District ...........................................Fire District .........I ... .... J Name of OwnerR 164CRF... ddress 1(446.L-�.. .13 i 7 .1'7��........� ............ Nameof Builder .................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........................Foundation ... d. :C: L ................................................ Exterior ........ ...Roofing ...............................................................SP ��S t .�� . ................................................. .............. Floors24 ,............................................Interior 1 (T.. Q .................................................. F+Lit Heating ........:...Plumbin...... ........... .............................................:... g ...........................,.}.y.................................................... Fireplace ..................................................................................Approximate. Cost . Definitive Plan Approved by Planning Board -----------____---------------19_______. Area �7...d�..... . .................... Diagram of Lot and Building with Dimensions Fee �(�.,..`.01. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS-REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the To+Bn,�s.tobll.e regarding the above construction. Name �. ............................ ... Construction Supervisor's License ..............I...................... rNARBONNE A=168-117=000 ;ALBERT �s > close a No 2b. 6 - � • 7 3•,,,.. Permit for �C7s... •' - }tJ..... 1 S i n, i.e..Fam i,.l.Y,..py e,j,l•i•n9.................. LocatiOq, . 1,umber..t...Ml..l.l...Roar- ................... Centery,i 1 le .` w Owner .Al.be.r.t..J....Narbranne,...Sr,............... Type of Construction .....F.ramp........................... .. +' a•f ,r•f� .....�: ............ ................................................ plot/. ! ............. Lot .............:.................. �. Permit Granted 1. .....19 84 `.....J.u. y...31.....��.... . "Date of Ins ection p .19 Ja"tte Com leted h..�.. .` ....... ^Q '.19 �4 R w " -•: '... ... a ,. 9 . ,, �+�Assessrfs map anc:lot number,.,.... � �..., THE T Sewage..Permit number 6i ..�.. ................ dZ AUSTU LE, Hous ...... t .. a ........ ... ... ......'...... i 9 MAla i pp t639. \0� Q YPY a• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... ',�7. k.............................................................. TYPE OF.CONSTRUCTION ......................................... .......................................................................... ! �✓.. � ��. . ...............19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ....�-..f� 13 !�.�..........�../. f y �/ �.� . .......................................... ................. ........................................ ProposedUse ... ?�. .. .../...1 :................................................. .. .. A ........................I......................... ZoningDistrict �`�--:..:...................... ...............Fire District .......... .. t.�..................................................... tb Name of Owner ...0.:.. ..... ......\..... `address A.)-;v....� ../.�.� .4....................... G /I << - H K I Nameof Builder ` °`".............................................Address................:..... .................................................................................... Name of Architect ......................Address ITNumber of Rooms ...................... :.......................................Foundation .. F ' Exterior �f{1.s5?.? ..............................::....................Roofing S8W 4 L'� :. . ........................................................................ C_i(/nCi► .Interior �/���T /�4G� Floors ............... ................................. ................................................. Heating .........1 Glg t✓.................' .......................... ...:..—plumbi g ....................... ............:.............................................. Fireplace .........................................Approximate. Cost .....t ..!!!.!.............................. Definitive Plan Approved by Planning Board -----------_------____-_.Y_---19_______. Area�............................ Diagram of Lot and Building with Dimensions Fee ....... 6A.................... "SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 � .t 1 x� \\pf lrr 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. Name12..... .............. ........................ I , Cons?Faction Supervisor's License .................................... . . ` .. .~~ . . ' ~.. / 14 i -A / No .267�3... pernnh for �—/.. ' ~� w. | 57 l m� lv ..................... ' . t..Mi} ....Road................... _ / rvllla ''.~----'t.......................................................... . ~ ` Ovvne, ...Al6e[t..J�..Narbon.n.e.^S.r.................. ^ . ' of F����Type . .............................. ����������� ' --------------------------. �^ . . . - plot ---------. Lot ----------.. . � ~` Permit Granted ...........J!!)}!..3l..............lA84 ` Date of |nopection,-----------.]g . Dote Completed ...................................... w� No .// e~ . ^ _ . . ' v' . _ ' - � . - .. ' ' | '