HomeMy WebLinkAbout0072 MERIDETH WAY ..
,�,
. . .�
., . �:
��
��
e
�s
p
------------
Z oT/9
• N i £ao
W
Z o yb'
13Eti r�
i
el
V � ,
1
• 1
'J 6r
�,NN OF j'
(f AfsD y
BAX TEA
Na 240Q I ,
o.L�OT
c�e77,47y 7-;4,1,47- Tti,/---
Sf/OWit/yE,eEO�C/ Cow-fOL YS ki/r/�' SCA L
r�. . . TB4CklzE �L�.t1 .2EF�E.eE�C�
,�EQ U/,eE�1E�T-s of T,L/E' Ta wit/U�
L o c,4 7-,EO W17-1,111V TyE
I G r
OA TE: - Zo. � -�- ,�3A x
7;4//S /✓or BASSO ,:51,,V Ate(/ .2EG/STEeE1� L SO SU�Y6yt�r�
• //v.ST,2U�1E�T SU,et�E y � Tf/� �-1�"TE,21�/,C,L�� �`'IQSS.
� D,�,SS'ET,S,Sya�y S�v,CI� �t/oj BE- .4OO,L/C�/t/T�.,�r4 Ti✓�-h'b.o�cS .�Ty
USED T4 O —7'iS—
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 7 /D S/ Parcel Permit# S O W
Health Division 22 0 —S Date Issued 1Z5�0
Conservation Division < ` `��� DLO Application Fee
Tax Collector Permit Fee '
Treasurer
EMI SElRSi SYSTEl.9
Planning Dept. LIW DTO..�L . oFBEDROOMS
Date Definitive Plan Approved by Planning Board S. o i C-O,
Historic-OKH Preservation/Hyannis
Project Street Address A 1/
Village �' 4 ivni Owner J? C.., z?.,t/S Address Pro U01i--
J =
Telephone .? I !� 6
Permit Request ►)!� ,e rr .�--r. i—�t r��_ ,V y
Square feet: 1st floor: existing 1270 proposed 742. 2nd floor:existing o proposed O Total new 9SZ
Zoning District C Flood Plain Groundwater Overlay
Project Valuation f bO, D, 00 Construction Type 41o0�7 iP�x�r
Lot Size Z Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family �Q Two Family ❑ Multi-Family(#units)
Age of Existing Structure .7-O�yc�f Historic House: ❑Yes 4 No On Old King's Highway: ❑Yes kNo
Basement Type: aFull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) 2- 2 2 7-
Number of Baths: Full: existing new D Half:existing O new 0
Number of Bedrooms: existing_ new a
Total Room Count(not including baths): existing new 2 First Floor Room Count
Heat Type and Fuel: W Gas ❑Oil ❑ Electric ❑Other
Central Air: Q4 Yes ❑No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes ANo
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage:W existing ❑new size I X 5l Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use R G S l D ;-N"f 4, Proposed Use y � I 1 Gn/r,4 1
BUILDER INFORMATION
Name /�/1�1� ,y/f C A R94 Telephone Number 1 �.2 /
Address�0 Co eg 1 � 4 ,1,Z License#
CL w'`P-r /!I d _ 02 63 Z Home Improvement Contractor# 0 ,3 2
Worker's Compensation#6S.s7yg8 UX 7n 60y
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
y
FOR OFFICIAL USE ONLY
y.
PERMIT NO. '
DATE ISSUED
MAP/PARCEL NO. '
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: +�
FOUNDATION D r, �G'
FRAME
' INSULATION
FIREPLACE
R _ �
ELECTRICAL: ROUGH WE FINAL
PLUMBING: ROUG FINAL'S
GAS: ROUGH FINAL `
FINAL BUILDING
W
DATE`CLOSED OUT
ASSOCIATION PLAN NO. m
°F E, Town of Barnstable
Regulatory Services
s�MAS& . # Thomas F.Geller,Director
Building Division
''rFD M1A'�A •
Tom Perry, Building Commissioner
200 Main Street, Ijymnis,MA 02601
a*ww.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A.Builder
LE Rums , ,as Owner of the subject property
hereby authorize: �_ L� L L&`P� to act on my behalf,
in all matters relative to work authorized by this building permit application for;,
. Z_lUl �R���e ifs I�y�•y •
(Address of Job)
8igq#2&e of Own Date
�Ur�2� 5
Print Name
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE .:
New Buildings $100.00
Residential Addition $50.00 SO
Alterations/Renovations $50.00
t Amendment $25.00
i Permit. Building .
FEE VALUE WORKSHEET
NEW LIVING SPACE
S'2 square feet x$96/sq.foot= / .7fZ x.0041= 7 �
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
—�—square feet x$64/sq.foot=�� x.0041= 7. 7
plus frombelow(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.= x.0041=
ACCESSORY STRUCTURE>120.sq.ft.
>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.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
ti
(number)
Deck
(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
r
Projcost,
Rev:06004
n0 CMR Appwft 1
Table JS.2-Ib(continued)
Prescriptive Packages for One and Two-Family Residentlal Buildings Heated with Foaarl Fuels
a MAXIMUM MINIMUM
Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling
Wall perimeter Equipment EfFrcieacyr
Area'(%) U-value= R-value' R-value' R•valuej
Package R-value° R value'
5701 to 6500 Hating Degree Days'
Q 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 19 19 l0 6 Normal
12% 0S0 38 1p 19 10 6 85 AFUE
15% 036 38 13,' 25 N/A NIA Normal
U iS% 0.46 38 19 19 10 6 Normal
�/ 15% 0.44 38 13 25 N/A N/A 85 AFUE
-W— 15% 0.52 30 19 19 10 6 83 AFUE
X -18% — --0.32 _`38. 13 25' N/A N/A Normal
Y 18% 0.42 38 19 25 N/A N/A Normal
Z 19% 0.42 38 13 19 10 6 90 AFUE
AA 19% 0.50 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY: Z I�'1 d!� D i%h� Lee
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: :��'► ��
3. SQUARE FOOTAGE OF ALL GLAZING: /3 0
4. %GLAZING AREA(#3 DIVIDED BY#2): �.
5. SELECT PACKAGE(Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-forms-080303a
780 CMR Appendix J
Footnotes to Table J5.2.1b:
` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 ft of decorative glass may be excluded from a building design with 300 ft'of glazing area.
Y After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units: center-of-glass U-values cannot be used.
' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between
the conditioned space and the ventilated portion of the roof.
'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
or garages).Floors over outside air must meet the ceiling requirements.
Tl a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding,glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
described in Note b.
The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
" If the building utilizes electric resistance heating use compliance approach 3;4, or 5.• If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package..
9 For Heating Degree Day requirements of the closest city or town see Table J5.2.Ia
NOTES:
a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
The Commonwealth of Massachusetts
Department of Industrial Accidents
600 Yl'ashln,ton Street
Boston,Mass. 02111
•• .
Workers' Com ensation Insurance Affidavit G General Businesses
address: �•0 `2 ���
�� zip:
Z— hone
I stets:
work Gsite location fu address
rietor and have no one Business Type? H Retail❑Restaurant/
a sole propBar�Eating Establishment
® I am []Of ace[]Sales(including Real Estate,Autos etc,)
working in any capacity.
I am an em to er with on to ees(full& art tim//e). ❑Other
m an
q;V��////l'//lam///.y%�///�/lc�ml%���%n farm/y�///m/p��es working on thus job.
LI am an employer providingwprkers ,. , •
cam
3ia " 't•l. y .,. ``�'
anv. me: 4. . .::.r:.
1•' ,'J � p�lf i „ •i. :r:� i.:^...�'.; ,:..�:• •,
1 ." .i'`'I ia1W1 t ,,al.i•i�'•� J:: bur•:�J''t. . ••S.-n'' •.1' r.. *.,. .!''•y:. •;•J
Y'city: �`,:..�!'-js tj'^dic/.,���•�' ''��`'? '� '1.: bane h••''�., .�.r �q; '
�� p �r�f'/ (✓ i
T./' /' '� (�'•.
/ ice' •
rtnstfi'an •,.eb:.rC:onj�:;��t/��i. �' � // / // / // ////
I an a sole proprietor and have hired the independent contractors listed below who have the following workers'
coin�ensation polices: } ,
it a:1 .:1,••:,. .•,. .. `'+.•:>:.. 1'
.,': gin„ •ti 1`,•,.y •1._'". :,„.. fir., i .'• .:•: .• ••`' r .y -
nam�: ply .Ir:'tl..�: ',• ;•r;.': .a:.f."1,{:i:� t �F.:' rlta:
one—. 777r777777,,
$sstirance co. . . vl ,._;�'r;5,.;,• :, i•.. % / / /
r. + •,,: r..i r:}•.:; 51: or S• ,l;. :',1'1.:'•• r,t •f.• .r .P.,M•.r y:,,41,'' }1'vi.f `.,t;'�+v6. •� :.Mi.•t
address: _ e y �' w. n' `�t�r,r5l,+,'. 'r•',.. •.
, • .,;:t` : 'hone€i�. •. _
ciEv� 4.
.ti:, .s t,'.:x•., :t,t. 1'i ,.�;.. .5. _'
FIAMMIN
rositionore
" r //,/ /////�%9001170711711711,
Fallure to secu:'e coverage s9 required Hader Section 25A of Mr STOP'WORK OtRDERpand a Fine ol15100.0 and y e;111W Mr I II°a b nd.tlast
one years,imprisonment as weIl as ctvfl penalties in the form
copy of this statement may be for•erarded to the Office of investigations of ffie DIAfor coverage verification
I do hereby certify an p ns a enaldes of perjury that the Information prov{dad above is`end correct �Gv
_ Date �/
name
Sipature Phone# 1 4<C°!9G SI�2 �a
' � ��•-
Print
�`M _
Rr --
official use only do not wrtte in this area to be completed by city or town official
perailWcease# []Building Department
city ortoww []Licensing Board
❑Selectmen's Office'
❑cheek if immediate response is required []$ealthDepartment ,
❑other
• phone n; •
contactperson:
- trevisedaept10031
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires an employers to
in.provide service of another under any contract
employees. As quoted from the law'',an employee is defined as every p
of hire,express or implied, oral or written
An employer is defied 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 receiver or
trustee 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 section 25 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 produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
c�rrrcnonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
We
Applicants
Please fill m the workers' compensation affidavit completely,by checking the box that applies to your situation. Please
supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted
pirtrneat of industrial Accidents for confirmation of inset arice coverage. .Also be sure to sign and date the
affidavit. The affidavit shouldbe returned to the city or town that the application for the pewit or license is being
requested,not the Department of Industrial Accidents. Should you have any questions regardin.$the-"lav''or if you are
required to obtain a workers' compensation policy,please call the Department at the number listedbelow.
MW
i
~City or Towns _
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 f�l out in the event the Office of Investigations has to contact you regarding the applicant: Please
be sure'to fill in the permitlhcense number which Will be used as a reference number. The aff davits maybe returned to
the Departmentby mail or FAXunless other airaiOnents havebeenmade.
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
tl�c®o[lel��ti�atlans
600 Washington Street
Boston,Ma. 02111
fax#. (617)727-7749
phone#. (617) 727-4900 ext:406
o� E r Town of Barnstable
Regulatory Services
• saiuvsrasr.E, Thomas F.Geller,Director
MAC
pq, 1639. ��� Budding Division
ABED MP'�p
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-403 8 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: �i�/1J iv` Estimated Cost ///l
Address of Work:_
Owner's Name: y`�JC II
Date of Application: �t o `/
I hereby certify that:
Registration is not required for the following reason(s):
OWork 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 PRO' OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
0321
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:forms:homeaf£dav
id, OF BUILDING REGULATlO,NS`
License CONSTRUCT ON SUPERVfSOR
' Number'GS•. 042430
' fir
Bfithdate 061—il 40,
Exp es 06/,161200,6 Tr no: 25926
_y.
_ Restri'ctait ';OQ�� ,
FRANK G CAPRAR�
40GOPPER'LN � '
CENTERVIILE MA';'02632 ,���
Commissioner
Results - - Page 1 of 1
Home Improvement Contractor Look Up
Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number
Select Search type: r, AND C'> OR `;Search;
Search Results
Reg. No. Applicant Street City State Zip Name Title Expiration
CAPRA HOME 40 CAPRA,
110321 CENTERVILLE MA
IMPROVEMENTS COPPER 02632 FRANK OWNER 10/20/200E
LANE
Total of
1
Records
matched.
Back to Home Page
BBRS Privacy Statement
http://db.state.ma.us/bbrs/hic.pl 12/22/2004
P�pFiHEip��� The Town of Barnstable
BAE. : Department of Health Safety and Environmental Services
9 MABS. g. P Y
i639• �0
p�FO MAC a Building Division
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
2J
Inspection Correction Notice
Type of Inspection _ ,r C. mc—
Location ►1 c r i jo--�k u)a,,, Permit Number 15�' 1 b
Owner -, C.a(1,r a Builder c 4
One notice to remain on job site,one notice on file in Building Department.
The following items need correcting:
nrc, fie
CA no vi ,, /C q c
( � 1h �fJ� l/C,� � Gfic r �
Please call: 508-862-/4038 for re-inspection.
Inspected b
P Y
Date �" a
BOISE-
BC CALC® 2003 DESIGN REPORT - US Friday,April 15,2005 11:43
Single 9 1/2" AJSTm 20 MSR File Name: BC CALC Project:J01
Job Name: BURNS Description:
Address: 72 MERIDITH WAY'- Specifier:
City State,Zip:MASSMEW MILLS, MA Designer: Joe Madera
Customer: ' � Company: Shepley Wood Products
Code reports: ISR-1144 � Misc:
Standard Load-40 psf 110 psf OC Spacing 12"
FF
'1
BO, 1-1/2" B1, 1-1/2"
320 Ibs LL 320 Ibs LL
80 Ibs DL 80 Ibs DL
Total Horizontal Length-16-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur.
S Standard Load Unf.Area Left 00-00-00 16-00-00 Live 40 psf 12" 100%
Member Type: Joist Dead 10 psf 12" 90%
Number of Spans: 1
Left Cantilever: No Controls Summary
Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location
Moment 1609 ft-Ibs 47.1% 100% 2 1 -Internal
Slope: 0/12 Neg. Moment 0 ft-Ibs n/a 100%
OC Spacing: 12" End Reaction 400 Ibs 35.0% 100% 2 1 -Left
Repetitive: Yes Total Load Defl. U599(0.321") 40.1% 2 1
Construction Type:Glued Live Load Defl. U749(0.256") 64.1% 2 1
Max Defl. 0.321" 32.1% 2 1
Live Load: 40 psf Span/Depth 20.2 n/a 1
Dead Load: 10 psf
Partition Load: 0 psf Notes
Duration: 100 Design meets Code minimum(U240)Total load deflection criteria.
Disclosure Design meets User specified(U480)Live load deflection criteria.
Design meets arbitrary(1")Maximum load deflection criteria.
The completeness and accuracy of Minimum bearing length for BO is 1-1/2".
the input must be verified by anyone Minimum bearing length for B1 is 1-1/2".
who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing
evidence of suitability for a
particular application. The output
above is based upon building
code-accepted design properties
and analysis methods. Installation
of BOISE engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
BC CALC®, BC FRAMER®, BCIO,
BC RIM BOARD-, BC OSB RIM
BOARD-, BOISE GLULAM-,
VERSA-LAM®,VERSA-RIM®,
VERSA-RIM PLUS®,
VERSA-STRAND TM,
VERSA-STUD®,ALLJOISTO and
AJSW are trademarks of
Boise Cascade Corporation.
Page 1 of 1
TOWN OF BARNSTABLE Permit No.
t
Building Inspector
•iaarAac Cash - _ ----- -----
OCCUPANCY PERMIT Bond
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health - 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.
i
Building Inspector
FROM
r__ TOWN OF BARNSTABLE
BUILDING DEPARTMENT
Mr. Francis Lahteine 367 MAIN STREET HYANNIS, MA 026M
Town Clerk Phone: 775-1120
L
SUBJECT:
FOLD HERE
DATE
October 18, 1984 MESSAGE
Work has been completed under Building Permit #26812 (Creative Homes) .
Please release Bond.
SIGNED
r 9
DATE
REPLY ` f
I
SIGNED
I
N87-RM1 RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY
PRINTED IN U.S.A
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.
i
4
Q
V � a
o0 oU
oFs
fx a
BAXTFJa.
Na 2ao4e
• rsast,Q,�`
Cap- AN
,c0C.4Tio�c/ Ci�/T�i2 t//L L�
T Tf/� EXi
� cE2TiFY TN,a � ,,
syow.��vE,e�ov dos-�o, ys wrTH Sc�, / - o
A,c10 SETBA Cl" 4=�4,4 Al
c/TS TowiVU� .G-C� T /9
.0 ocA r,Eo W1T.s�/.c/
Q BAXT��26.c/YE /NC
r ,CA,v/S .voT BASSO ON AX/- ,eEG/STE.2E� L,�4�/O SUeeY6yt��
MASS.
/�vsT,e�ME.vT Sv eYEY ¢5 7-y�
U��S'ETS.Sh�ob✓•S/,S,c,(o!/[� NoT. ®� AOOl-14,4 V7' 7il�C f�a�IcS
• '�7.Er5 lGu '�aT,4 �.
6lW6,L--, I=AMIL-( 3 BEDC-Do�?t� . .. ... /D�•GU r :
1 ; do 6A X?,1 rpt., Qz11.lDE2 �pL,
AV& vp.14Y t=Loyd/ + 3 X I t O PG
7rA.,.I14 330 x ISiO yo • A% &PD ! '
1U toOO
PL" V1 FFUSSoKS
I_( ,- I 5►cr=wa.�� .41¢E1a x �9 5F
I .i G�}� �I•o8)C.Z�S� - 1r13 G,p.U: Q\ �L �T /9
l t ToTA4.. 'mac-St6N �1-13 f Pam.
9 � ••!
1,7t / ��
7
' �Tat�. of �ISF���t_ �t�n_ •! ioz. ` L••g -
/03 9 _
'o
Iva 143,"7
Wft
•
TOE-
:UEt�Eohl GOMPW5 -WITu. 'ME
"y lveu�.it=
-N E rt'ow N
UY
1 !
TR %� ♦ ?.; W �V I��S./G 1J�.7 ,
�� Zr--F �^c�t'7 �,••��.��+
J i 1 �l / �v l i 1 71 f.4 i. ! 1�. 0 r7TT..�+�(F-4-+- AA
C: 30 --7
ic
r� .,. TauIC ., , .. � 'IIN• . . . : -_.'�•g i '. .. _._ . ��� __ ' 4 4;
ir
3•Q',cB FLoW Q
X OF 3/4 To I�'/s W4444 BD
4TOUa ALL /.REDOWD• V of V
i 1 7` i�1Q� 6� slJr77�3 \v&4WLT> P%ASTOW'L oU ToPGAIL
E' !
A 4-6--A W D A Ne>
µ/sYBZ G
S�W�.GF--
V�
4 UST-Assesibr s map•and.lot number !�, e'ALLED IN COMPL, THE
Sewage Permit.'number ......... /.. `,.... .. WITH TITLE 5
t' t �yM D TAL CODS ,• B¢ B�38T11DLE. i
r-
j House number .................................. a: f ...... ;f + .. P T(,W oo
r M a
5t S nN MAY o
TOWN - OF BARNSTABLE
t`.
; BUILDING INSPECTOR
t
APPLICATION FOR PERMIT TO`..... �............. ............................ ..............................
TYPE OF CONSTRUCTION .. .C�. _ ......................................:................................:
....................... ................19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordin to the following information:
Location .... f. ./. .. C/r..!. ..'. ..... .... �....6.n.. Yl l..!.. ... .. .............
Proposed Use .....- 1�1-�:. ..... 1.�.�.4.....L!Ci1. .4 ..`...1..1 ... . .. ........... . ................................
Zoning District �...........................Fire District .,/ ......................... .
Name of Owner .C..,:.��'�.�!/.�-r..�j�: ��....;......Address /
�Gf..�....7�...�../�..�.�Q� ..l`:"Yr.. ... .�..�✓1��
Name of Builder l .[ �..../". /�n�`3........Address ....................................................................................
Nameof Architect .................................................. .:::......Address .......r..........,:. ........................................ .
�d (fi b0.
Number of Rooms .........6....................:..............................Foundation .......... U�:... .. �� ......
'//!2!.l7cfr.f�.. ...C�/ . 4 ..........Roofing .... ..C..:K ...t.....
Exterior �.. , � .. ..............................:..............
Floors 4' r..!. ...: ...��.�.��. ...............................Interior. ....... ..........
Heating ... 1 ../ .... ..Plumbing ..... .. ..................... .......
•
Fireplace ....... �. K).l✓... . ...:........Approximate. Cost 7�./..�..........
Definitive Plan Approved by Planning Board ________________________________19_______. Area 141,12— S =
Diagram of Lot and Building with Dimensions Fee r
.......��!� ..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�/V
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations-of the Town ofBarnstable regarding the above
construction. 4
Name . .. s... .... .
...,.........Construction Supervisor's License ...�!•/...Q./..�.
CREATIVE -HOMES . A=14 1 - �. .
Ae
No 26812 Permit for .................. :_-
'
`...s.i:ng l e fam i 1.Y..:dW�.1..l.l.ng. .....
Locafio Jot - 1 y ..... .....
b ...#. e2.,...7e2..Mterei.de.th..Waye.
Centerville, ......... :.... ..:. ................
T.
Owner ....................�. ati.xa.e.Fiames.........
Frame
Type •of Construction ..........................................
Plot ................. ...... Lot
f ..
Permit.`'Granted ..♦.AA9wi.G...7................. 9 84
4
Date of Inspection
Date Completed .: .................1
. - r ''� � : y'` � y,4r,,,v.� �..� - -.., ... a , •
''� ". , � ��, ram. �f��;� ... • � -
.•"'..e�i� � Y..r,� ,R-.., .sg.�+a - � 1. a x�.4. •1.¢n .... h .. "-' .-
..ems-rr .S-:..... _ ., .. .. ..r. �-.-. nm ".....ram-..r., .+�-�•.s •ef - ♦ n _ . .Li.�..++. , . -
_--.. ._- —._- r'�'n r• .fug.. ___ i'- - _ --
'y
F
— -
•
Owk F cra*;- L; Pr AY SAY
r17 A,&tt
Tnm
Ire
TOMr i. ummmmmmmmmmmmmmm
—
F
1
;
7 - or I I i 1 1� i I i KK L K I j 1
� yy 4(a 7 -a
t '3 tAWE—"T
j j FT E iWH F�; c 4�A�
a q
4 { ( • `, r. a �i\ i / ,i i ( F .i I
.� \ �I"RD
�
r t f1 i t�GwP �. !Is i yYi 'i/'✓
Tto^ Q/6 s I :� i 1T✓atiM6 I, - L --EE , --I/ --- _
r ;
7�7
!! G�
<yliYtA%� t � LS ^00s�?at2 �L� ��0 pf'r RZ-AK li
Y ,1� j t • pH',/�O: JOd�' �LE'1� APPROVED BY:
`{** SCALE: PRAWN BY
DATE: REVISED
fi
a 131.,te rL���� �^-cl
NUMBER
r
6$E \}\
._—_.•.evr — +fir—�w+e+m.� w -
oy
�• ? ��
f i _ ''�
' ,rr f
�o
wv
Ck
IT
I,
Lye
a y
i a
1
ITS i i
;2