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Town of Barnstable *Permit
' Expires 6 months from issue date
Regulatory Services Fee
• ascs, « -
p+�*Richard V.Scali,Director
Building Division
OCT 1 Tom Perry,CBO,BuildingCommissioner
200 Main Street,Hyannis,MA 02601
®W 6 �015
N OFBd �� www.town.bamstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL•ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address �02 /� itl� Gi/ w, ^„
P-Ke's'idential Value of Work$ 7OPRJ; Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ,f'.�,�. �' f. / �2i/k7►3A/
Contractor's Name �n�1� cG Telephone Number eQ /{> f'
�� ✓ hr �L—
b
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
"oran's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am a Homeowner
rave Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request eck box)
e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#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
requi
SIGNATURE:
Q:\WPFILESTORMS\building pe /t forms\EXPRESS.doc
Revised 040215 "
lbeComynomvealth of-Massachusetts ,
De, ttr!errt o,f rndrtshial Accidents
- - Owe of Imwstigadons
600,Washurgton Street
i
Boston,M4 02111
ivrvau r axLgovIdia
'"rorkers' Compensation Insurance Affidavit:BuildersIC4intractnrsJEIectr clans/Plumbers
Applicant InfGrmatian Please,Print f e�ibly
Nam(BuduessADrZmizatimJin lY- � �" � vc a)
) v
l!. .. +.
Address.
Phone r a a
Are you an employer?Check the appropriate box: Type of project(required):
1. a employes with 4 ❑I am a general contractor and I ❑
employees(fall andlar part-time).* have hired the sub-contractors, d New consfra3cfiazE "
2.❑ I am a sale proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees. These sob-contractors have g_ Demolition
wad-ing for me in any capacity. .employees and hay*e ars x�oA=' 9. Building addition.
[No U-orlo 'camp.insurance comp-msuranc�e-1
required-] 5. We are a corporation and its 10❑Electrical repairs or additions
3.❑ I am.a homeoumer doing all work - officers have exercised their 11.F�Plumbing repairs or'additioms.
myse-Z[No workers'comp_ right of exemption per MGL 1?.❑Roof repairs
insurance required]F c.152, §1(4�andwe have no
employees.[No worms' 13.❑Other
comp.insurance required.)
*Any apphcaut:fist checks box Pl must also fill out the sectioabdowshming idea wadere compeasatiaupoucy ndounstian-
Homeoamm who subanit this afiidmit in.brstmg they are doing all weak and then hire au=e contractors mast submit a new affidarit indicating sacb.
lContractors chat check this boa must attached an additional sheet shmsiag the mmne cf the sub-cflutrac m aad state whether nr not those entities ham
empimlees.If the sub-contractors have employees,they mustpmridetheir workers'camp.policynumber-
I ant ark empLo1wr that isproviding workers conngwisadan insurance for my eurploywes Below is the poUcy and jabs site
infornnadors
Insurance Company Name:
Policy#or Self-irks.Lic.#: J&J/ .�-,o Expiration Date: �'d l;"del
Job Site Address: K r h city/State/zip:4n.t_. L Ilk. QJ 2
Attach a copy of the workers'compensation p ' declaration page(showing the policy number and expiration date).
Failure to secure coverage as required.under Section 25A of MGL c- 1527 can lead to the imposition of criminal penalties of a
fine up to$1,500.O0 andfor me-bear imprisonment,as welt as ciiil penalties in the form of a STOP WORK ORDER and a EM
of up to MO-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage yerfficattion.
I do hemby certify under the pains and penalties ofpa jury that the informatian prmpidid abm a is trans and correct
J
$ionature: °✓ 1 Date: f
Phone ik o '1, 7zr i
0
OfficiaL rise oanly Do not write in this lrrea,to be campi'eted by city ortown offidat
City or Torn: (PermitiLicense#
Issuing Authority(ci rle one):
1.Board of Health. ?.BuildingDepartnnent 3.Chtj►rTowa Clerk d.Electrical Inspector S.Phrra'Hug Inspector
6.Other
Contact Person: Phone it: +
Imformation and lastrnctions
Massachusetts Gen Laws chaper I52xegaaes all employers to provide wori-,='compensation for their ems:
TaEtto this sib, empLyee is defined as."—every person in the service of another under any contract o:,
express or implied oral or "
" ociati co o "on or other I or two or i
An Moyer is defined as an m dna1,paitnerdirp,ass on, rp ��9� �3r
of the foregoing engaged in a Joint e,and i acluding the Iegal seniatims of a deceased employer,or the
receiver or trustee of an individual,p ,association or other I entity,employing employees. However the
owner of a dwelling house having not in three apartments and o resides therein,or the occapant of the - 10
dwPlTmg house of another who employs pens to do mahte a ce, istxuction or repay work on such dwcRing house
or on the grounds or building appT*�there not becanse o such employment be deemed to be an employer."
MGL chapter 152, §25C(t7 also states that"every stir or local lic agency shall withhold the issuance or
renewal of a Hcense or permit to operate a business o co ct buildings in the commonwealth for any
applicantwho has notproduced acceptable evidence of 'in H ce with the insurance.coverage required."
Additionally,MGL chapter 152, §25CM states"Neither the wealth nor any of ifs political subdivisions shall
enter into any contract for the perfounance ofpnblic wont untl table evidence of compliance with the insurance..
requirements of this chapter have Been presented to the co oniy_"
Appficascts
Please fill out the workers'compensation affidavit completely,b ch the boxes that apply to your sitnation and,if
necessary,supply sub-contractor(s)name(s), addresses)and pho e numb e )along with their certficate(s)of
is a rance. Limited Liability Companies(LLC)or Limited Liab Paris s(LLP)with no employees other than the
members or partaers,are not regu i ed to cant'workers' comp on insnran Nan LLC or LLP does have
employees, a policy is regaa-ed. Be advised that this affidavit be submitted the Department of Industrial
Accidents for confamation of insurance coverage. Also be su to sign and date e affidavit Me,affidavit should
be returned to the city or town that the application for the p or license is being ested,not the Department of
Tart„strial Accidents. Should you have any questions a law or if you are ed to obtain a workers'
compensation policy,please call the Department at the number ' below. Self companies should enter thair
self-insurance license ntmmber on the appropriate line.
City or Town Officials
t
Please be sure that the affidavit is complete and primed legilly. The Department has provided space at the bottom
of the affidavit for you to fill out in the event the Office of Inv ons has to contact you re the applicant
Please be sure to fill in the pennit/license number which will be used as a reference number. In on, an applicant
that must submit multiple pennitIUcanse applications in any giv a Year,need only submit one afFa indicating cun-eat
p olicy i aki:mation(if necessary)and under"Job Site Address" e applicant should write"all locatio in (city or
town)."A copy of the-affidavit that has been officially stamped marked by the city or torn may be p vided to the
applicant as proof that a valid affidavit is oa fie for future p or licenses A new affidavit must be ed out each
year.Where a home owner o citizen is obtaining a license or p - not relat ed to any business o comet al v�
i_e. a do license or permit to bum leaves ern.)said person is N T required to complete this affidavit
( g
The Office of Investigations would hlce to thank you in a dvaace or your cooperation and should you have any ons,
please do not hesitate to give us a call-
The Department's address,telephone and fax number.
e CoagweaZt�o IIasaclltfs '
Department of Ind `a1 Accident%
it�e ref do
6�T�asbingta t
T�1.4 617-727-4900 cmt 4€16 . 1-977 M S9AFF
Revised 4-24--07 _ ass gavlffia. '
f
In the event that while stripping the roof we find rof that needs to be replaced,the homeowner
then has to agree and authorize any replacement or restoration. Then in addition to the above contract
price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly
rate of$75.00 for a carpenter and$45.00 for a carpenter's laborer, plus the cost of materials.
-Roof to be stripped and cleaned of all old shingles,and debris
-Roof to be papered with weather watch leak barrier, Synthetic roof underlayment,and
installed with Timberline architectural shingles using galvanized nails. (Storm nailed)
-All new 8 " drip edge and pipe flanges to be installed
-Install of Cobra ridge vent on all ridges
-Timberetex premium ridge"cap to be installed
-A 5 yard dump trailer will be needed on site;and will be removed at completion of the job
-Contractor will be responsible for all building permits needed at the property
NOTICE REQUIRED BY LAW
With the agreement of the contract$500.00 of estimate is due. '
Further payments under this contract are as follows: `
1/2 of the estimate due at the start; and remainder-due at completion of the job.,
Balance of all materials and labor shall be payable in full upon completion of work described in
this contract. Payment as agreed upon'shall be made when`due. Any payments which are
delayed shall be subject to a finance charge of 1.5% per month.
The contractor warranties the workmanship completed under this contract for a period
of ten years from the date of completion.
During the stated warranty period the contractor shall be responsible for the service of
the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair
due to abuse, misuse, and or normal wear and tear,which shall'be the responsibility of the homeowner.
All warranties for the materials supplied by the contractor shall be passed directly to the
homeowner. The homeowner may be required to register or mail in such warranty card or evidence of
ownership in order to activate such warranties. Homeowner failure shall not create any responsibility
for the.contractor under the warranty provisions; the choice of repair of replacement shall be at the
discretion of the contractor.
The homeowner acknowledges that the form,content, and notices contained in this
contract are intended to comply with,the applicable portions of the Mass. General Law Chapter 142A,
and regulations promulgated there under: In the event of any instance of non-compliance, only such
portion shall be invalid and the remainder of this contract shall be in full force effect. In addition, any
such portion not in compliance shall be read and interpreted so as to have its intended meaning to the '
maximum extent allowed under such law and regulation.
Signed as a sealed instrument on this date:
Date:.
Homeowner Contra
U�re cpo�nvrraoozcaecr,�Cl o�C�aac�rc�eltl. � --`_, -
i
Mee of Consumer Affairs&Business Regulation License or registration valid for individul use only
ME IMPROVEMENT CONTRACTOR- before the expiration date. If found return to:
egistration: 145954 Type: Office of Consumer Affairs and Business Regulation
y xpiration 3i15/2017 " Private Corporatio:; 10 Park Plaza-Suite 5170
' Boston,MA 02116
' DOYLE+THOMAS CONST`INC
TROY,THOMAS
499 NOTTINGHAM DR
CENTERVILLE, MA 02632 Undersecretary ' Not v �d wi out signature
c
Massachu
` Board o setts -De ,
�Me
coo.sFri,c�Uilding Regul nf'of Pub
CicenSe:CSL-0Bg p �I and Stanaa asY
l 49977?OYq ``:r, ,913'
NOT OI►7q �` ��
CREH4l
41q "7
COrnRii -) m IJ
ss/one
" irati n
31201,5
En6ineering Dept.(3rd floor) Map, ,IV S/ Parcel Permit# � ' 2- 1 5
House# �Z�'�'� Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)~ } G�L/
Conservation Office(4th floor)(8:30'- 9:30/1:00-2:00) 1• #ALLED In .,._ : .Awe
Planning Dept.(1st floor/School Admin. Bldg.) lbft?�Jp IME�;
Definitive Plan Approved by Planning Board 19 n � ANO
BA ABLE. "
(�V- , TOWN OF BARNSTABLE
Building Permit Application
Project Street Address
Village
Owner (Z n 50<6.A Lo% ruz voco?"oa� Address
Telephone -�
Permit Request (vt-,VA t Y) , RL
First Floor square feet Second Floor square feet
Construction Type ��II
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family p//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
No.of Bedrooms: Existing New
Mal 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
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 3
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size) l
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name l� 6`��� ��, �Z,C�1(Z Telephone Number 4 ao s T-i 3
Address R-) `7 License# C) .4 a is -,�t9
VAVA iA.� -.{.. [AA Home Improvement Contractor# AI
D(,AF-) Worker's Compensation# Nl c- ¢
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �/.��c •j �j
M
SIGNATURE DATE a
BUILDING PERMIT DENIED FOR THE FOLLO G REASON(S) +
r
FOR OFFICIAL USE ONLY .
PERMIT NO. .3 12,
DATE ISSUED ;4k
MAP/PARCEL NO. � '
ADDRESS VILLAGE
'14
OWNER -
DATE OF INSPECTION:
FOUNDATION r
FRAME NZ
INSULATION _
FIREPLACE
ELECTRICAL: " ROUGH FINAL
PLUMBING' ROUGH 'FINAL
GAS: ROUGH FINAL
FINAL BUILDING ,
DATE CLOSED OUT j
ASSOCIATION PLAN NO.
��.r:..,..r"a:+..i:,'-.w.;S,-�+�. �t:'�' ;j...,..�^.-.=.".ae^.�.i�"wr�s.�,le,-�.✓,f.,'i••�M'l�""'�°d�..�""'�`:a,.ti.....,�'F' .t.f+L;ri�:�'^.^ z,�=��"r r. S '�a'�-_•[,, t'. .+.-..y.�F+.{e. 'a.,,;k
The Town of Barnstable
BARNSTABLE.MASS Department of Health Safety and Environmental Services
t679' �0
Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 ii ' Commissioner
Inspection Correction Notice "
�T
Type of Inspection Lu-1 el_
Location ki -T Permit Number
Owner Builder , 044
W
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
S �rll 1Y
ABCs W i4-106 �flq4 A--
f 1 t
,- d U W-T+�C
V L 0 L, Ir 47-z--
o
Please call: 508-790-6227 for re-inspection.
Inspected by
Date
y
DETAIL A
I / WALL BRACE ASSEMBLY DETAIL
GALVANIZED ANGLE i
Gk
I I I
77
14 GA. GALVANIZED
I STEEL WALL PANEL
I I I C
L CONCRETE
I 42" FOOTERE UNDISTURBED EARTH
WALL BRACE ASSEMBLY
I I I
i
r BOTTOM MATERIAL—+ 7 1 2 x 4 1/2 x 12'
8EXNG PLA
3/ar REBAR
1 1/7* x i4' x 14 GA.
GALVANIZED ANGLE
NOTE:BACKFTLL TO BE SAND, GRAVEL.
OR OTHER NON EXPANSIVE MATERIAL
B J DETAIL A L A
K
- - - - - - - - - - - - -�-
1
C D--+---E F H i III
—NOTE—
THESE UiG DIMENSIONS COMPLY WITH THE NATIONAL SPA AND POOL INSTITUTE SUGGESTED MINIMUM
STANDARDS FOR RESIDENTIAL POOLS. WARNING — DO NOT DIVE IN THE SHALLOW END. IF DIVING BOARDS
OR SLIDES ARE TO BE USED WITH THESE POOLS PLEASE CONSULT THE MANUFACTURE'S INSTRUCTIONS
AND THE NATIONAL SPA AND POOL INSTIME'S MINIMUM STANDARDS PRIOR TO INSTALLING DIVING
BOARDS OR SLIDES ON THESE POOLS. FOR INFORMATION CONSERNING NSPI MINIMUM STANDARDS. WRITE:
NATIONAL SPA AND POOL INSTITUTE, 2111 EISENHOWER AVENUE, ALEXANDRIA, VA 2231♦ (703) 838-0083
+ NO DIVING BOARD ALLOWED
POOL SIZE A B C D E F I G H J K L CARDINAL SYSTEMS
12' x 24'« 12' 24' 8' 7'6 6' 2'6 6' 2'6 7' 3'6 26'10
14' x 26'• 14' 26' 10' 7'6 6' 2'6 6' 2'6 9' 3'6 29'6 3 8 SC S. IL 81 (717 3 85 13 3
16' x 32' 16' 32' 8' 14' 6' 4' 8' 4' 8' 3'6 35-9 1 4 sCHunxlu HAVEN, PA (717) 383 t318 FAX.
16' x 36' 16' 36' 12' 14' 6' 4' 8' 4' 8' 6 39'4 3 4 DATE`
3' 4_ _ T1TLE` 6' R, CORNERS
1 s' x 36' 18' 36' 12' 14' 6' 4' 8' 4' 10' 3'6 40' 3 IMAGINEERINGSCA` NnNE RECTANGLE
E`
20' x 40' 20' 40' 14' 14' 8' 4' 8' 4' 12' 3'6 44'8 5 8 DRAWN. K K FILE NAME: R E C T 6 R C
. y The Town of Barnstable
9q�A 'M ,e� Department of Health Safety and Environmental Services
TEo ' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date 5 alab
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: OCL Est. Cost t 14,S Od
Address of Work: \�� N
Owner's Name _q�1E PLC) lY',2£, `�v
Date of Permit Application: .51 q8
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
.sh-1 1C(kA_ U ),F2e_n 04'atc� 3�
Date Contractor Name Registration No. .
OR
Date Owner's Name
arc rr� -
,: {
;File No:w:1 5114
Abelson, Cohen, & Scarpaci un
4761 1269111 '
Client: Deed.Book: Page
Owner. Theodore & Susan Harrington PIan.Book`._32,2
Page° 81 Lots) ` tl 2
R`.
ton
Theodore & Susan Harrington
Applicant: g Cert of Title: 33
Census Tract No: None Available Assessor's Plan Lots)
*� 4
M O R T G A G E I N S P E C T L O N P ,L 0 T
I N
BARNSTAB ,LE
4L erJ ";'N "'al
N/F Mizo & Pannuto
i T y
100.00
Mu
Lot 12 `
16,962 S.F.
CN
lfl
n R.tc
tom ,
4.
Bulkhead
Deck
Lot 15 N Lot
d
lD : storyf � k .
e— Dwelling MED
ter`
-. - Cone.
jF
O
y
Q� t W
s:r
't
Date3/27%8
M E ..R E D I .T H W A Y scaled:"mot 4 0
I CERTIFY TO ABELSON, COHEN, & SCARPACI , HOME OWNERS FEDERAL ,SAVINGS�BANK AI
LOAN . ASSOC. , AND ITS TITLE INSURANCE COMPANY, THAT THERE•�' ARE=:: .NO;.>e.V I S I BI
EASEMENTS OR ENCROACHMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS�,PREPARI
UNDER MY IMMEDIATE SUPERVISION.
a
'r r' 'vim✓w #:*r
THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE, ' WITH=r:THEtLO,C,
APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. WITH `RESPECT "
HORIZONTAL DIMENSIONAL REQUIREMENTS .
THE DWELLING SHOWN HEREON DOES NOT te` om
FALL WITHIN A SPECIAL FLOOD HAZARD ; `
ZONE'-AS- DELINEATED AS . ZONE C ON A MAP. DES IAUR ERS i OF. COMMUNITY * NUMBER 250001 C' DATED &.WOOD ASSOCIAIA TES,INC.ItVC
r t
8/19/85 BY THE F , E .M,A. 12 Welch,Avenue Suite 6':=��" n '� '
Stoughton, MassQfA2072x
(617)329 0595 26
o NO -JU3(Xsq ti "
Liz
2f
JJ &%
GENERAL NOTES:(I)The declarations made above are on the basis of my knowledge,Information,and belief as the result of
! a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing it
Massachusetts.(2)Declarations are made to the above named client only as of this date.(3)This plan was not made fay
recording purposes,for use in preparing deed descriptions or for constructions.(4)Verifications of property line„dimensions.
� - building'offsets,fences,or lot configuration may be accomplished only by an accurate Instrument
®SF-Pro sysTlEm rAusT ®g
ssessor s office:(1st floor): THE
p�� (� - A t
E cF ro
Assessor's map and lot number .... ... ...........................
Board°of Health (3rd floor): g���
2
Sewage Permit. number' `... 5...:-..�.✓.. i ........: " : �• CODE Z
B AHIIST4DLL,
•i OWN REGULATIONS
Engineering Department '(3rd floor): oo �a 9•
House number ...:.................... a Nay aka
Definitive Plan Approved-by Planning Board s_____ ____________"---______19-------- .
_+ APPLICATIONS,PROCESSED 8:30'-9:30•A.M. and 1:00'-2:00 P.M: only,
i TOWN 'OF :BARNSTABLE
BU.ILDI G INSPECTOR N17a®�
.. � ��41ti
APPLICATION .FOR PERMIT TO .......:.....
t TYPE OF CONSTRUCTION ...................................................... ...•j �
a
. ................ ............----.19. �
TO THE INSPECTOR OF BUILDINGS:
The,undersigned hereby applies for a permit according to the following information:
Location ... ...... ...../ .............................................!/ vl/ 17. ../y . . . ............................................
`Proposed Use ...........................................................................
Zoning District ''"C Z..... . ...Fire District
.......................................
Name of Owner ............................... :...........i'.?...... /W(d
.. /........
Name of Builder, PIQSL Ul ! 5.........Address. .... C� ...... � iv�/� ..
Name of Architect .........`..:. ......Address ........_....::.
Number of Rooms ......../....................... ............Foundation
Exterior ........ .:....SJ.Q�J.. 17..Y..V. .C. .............Rcofing . .... /� #.L ... 7 /V�.... .............
Floors ......( )6q T................................................Interior K/ .................................................... .
WHeating ..Plumbing / �1..✓...
'.."•••................................................. .... . ...... .
Fireplace ...........................:...................... .. .................. .......:.Approximate Cost ... ...../...... � �.
!' � .
Area I/p..... ..�,(...x....C....I.....G'...::
Diagram of Lot and Building with Dimensions Fee
x
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all'the Rules and Regulations of the Town of Barnstable regar 'ng th above
construction.
Name 1. ... ..`'� .....r`"'�!.........
Construction Supervisor's License . .............2. ?
HARRINGTON ' THEODORE & SUSAN
;alb 2144 Permit for ..Add to,..dwel•l.ing
Single Family dwelling., -
Location ' Lot -#�12eredith Wa T - ,
.. . .. . ........ , . .y.. -
- -Centerville -
�. ... ..._.......... .................. y•; M ,x` `�
Owner Theodore. & Susan- Ha,rrin ton - --
....,............ ...........�J
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Type of Construction' Frame
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Plot ............................. Lot ................................
Permit Granted ... August t8 -" 119 88
Date of_Inspection. ... ............... ... .19 �
' f, Date Completed ...19 O A . ✓f r
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TOWN OF BARNSTABLE Permit No. ____2_Zll�__________Building Inspectorcash
OCCUPANCY PERMIT Bond _____1��
Issued to Four—Way Realty Trust Address
Lot 12 42 Merld
Wiring Inspector �% Inspection date fC�
i
Plumbing Inspector': • Inspection date
Gas Inspector L - Inspection date
Engineering Department ' �> Inspection date
Board of Health . Y '� Inspection date
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.
................_
Building Inspector
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TOWN OF BARNSTABLE
BUILDING DEPARTMENT
= sARMW TOWN OFFICE BUILDING
MAIL
i639' �� HYANNIS, MASS. 02601
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MEMO TO: Town Clerk
/ FROM: Building Department
DATE:
An Occupancy. Permit has been,issued for the building, authorized by
BuildingPermit #...........�.� 1 .......:................. .................................................................._........................................ ..................
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Please release the performance bond.
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TOWN OF BA1N-STD ,BrL'E'j '`
- BUILDING '' INSPECTOR
f APPLICATION FOR PERMIT TO Construct Single Family Dwelling
TYPE OF CONSTRUCTION' :..,,,Wood Frame
n.........................................................................
.............19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Lot 12, Merideth Way, Centerville, MA .
Proposed Use Residential .........................................:.......:................................................
Zoning District .....R.0 . ....Fire District Centerville—Osterville
Name of Owner Four—Way Realty Trust .Address 1047, Falmouth Roads. Hxanriis
.......................................
Name of Builder Kevin Riley Address 1047 Falmouth _Road, Hyannis
.......... .......................................................
Name of Architect Sherwood Dodge Address 87..., ,
............................... ......Scudder..........Ro.......a.d........0s......t.....ery.....ille......................
Number of Rooms 6 .....................Foundation P. C .
............................................ ..................................................................::...........
Exterior ....Clapboard.l.S.h.ing.le....................................Roofing ...... ......................................................:.....
Carpet , Vinyl ............................................................................
........................................................
Heating FHA — Oil .Plumbing'... Tiao—Copier
Fireplace Yes . .Approximate Cost $6 0 , 0 0 0 . 0 0
Definitive Plan Approved by Planning Board !_ 19 -. Area �.11... ......�.............
�� �
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
m er iTti. QJ ay
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS.
I hereby agree to conform to all the Rules and Regulations ofthe Town of Barnstable regarding the above
construction.
Name ..... ... .... .... .` . .........................
• Construction Supervisor's License .....CJ2—0
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....................7.......
" r C UR—WAY REALTY TRUST 1\-1 -151
No 27.713....:. Permit for
d4de.,11.1".1-J Y1 J......................................... ;
Location Lot #12 42 Prdeth. TnTay '
.........�? {� �a,a. .............................................. 1 J
Owner '..Trust:.....
ame.
Type of Construction ........:.......................fr.......... I. `
.............................................................................
Plot ........................... Lot :...........`....................
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Permit Granted ...........Apr1..8.............1985
Date of Inspection .......19 `
Dte Completed .:U... . .......:,. ............19 �'6''
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