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HomeMy WebLinkAbout0157 OLD POST ROAD (CENT.) ACTIVE 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L� Map Parcel:' �Z� Application # � Health Division '"Date Issued Conservation Division - f>Applcation Fee t PlanningDept 'Permit Fee' l • 5 Date Definitive,Plan Approved by Planning Board _ Historic OKH, — Preservation/ Hyarinis .� Project Street 64dress 0 i Village e.vi e- v d (?2 Owner @ r Address ! U / OAT Telephone Permit Request e1 1'1 J���,rl I -1�� ©���9��� 16J' CAStS Square feet: 1 st floor: existing 3z proposed --0-2nd floor: existing)/� proposed Total new Zoning District, Flood Plain Groundwater;Overlay g Project Valuation /� Ufl� a W Construction Type QQ Lot Size Ua - Grandfathered: ❑Yes' Ur o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑4Qo On Old King's Highway: ❑Yes al of Basement Type: WKull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) �(! Basement Unfinished Area (sq.ft) Number of Baths: Full: existin new Half: existing rgew Number of Bedrooms: 3existing'onew r Total Room Count (not including baths): existing new First Floor Fb6m Couat " i rQ Heat Type and Fuel: /Gas ❑ Oil ❑ Electric ❑Other a Ln }_ � Central Air: ❑Yes CTNo Fireplaces: Existing New '1 Existing wood coal stye: gPrYes U11110 Detached garage: existing 0 new size_Pool Coexisting ❑ new size _ w size_ A ting ❑: sire---shed: _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use - - - ^-- Pro-osed-Use APPLICANT INFORMATION r (BUILDER OR HOMEOWNER) Name A4 Telephone Number L )ay '7 / Address / License # 6- Home Improvement Contractor# �O Worker's Compensation # ALL C STR TION DEB IS ESULTING FROM THIS PROJECT WILL BETAKEN TO 77Y10 S i SIGNATURE DATE � C' FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER _ DATE OF INSPECTION: FOUNDATION L)�aw 7 9��if ' 'FRAME 'i INSULATION `E FIREPLACE " ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING n 7 3l 0 D u o, X DATE CLOSED OUT 5 t ASSOCIATION PLAN NO. 3 r 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Wc)rkers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumberg A licant Information Please Print Le gib Name(Business/Organindon/Individual): Address: U d►'1 hG City/State/Zip: / Phone.#: tr�� �zo. s/9 Are you an employer? Check the appropriate box: Type of project(required): I.zipila7s,071: eloyer with 4. I am a general contractor and 1 6. ❑New construction (full and/or part-time).* have hired the sub-conttactors 2. proprietor or partner- listed on the attached sheet 7. ❑Remodeling ' ship and have no employees These sub-contractors have S. �Demolition working for me m any capacity. employees and have workers' 9 Building addition [No workers' comp.-insurance Comp• insurance.$ required.] S. [] 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 1v1GL 12.E]Ro f rcullxs insurance required]t c. 152, §1(4), and we have no 13. Other e employees. [No workers' comp,insurance required.] "Any applicant that chicks box#1 must also fill out the section below showing their emrkers'compensation policy information. t Homeowners who submit this affidavit indicating they art doing all work and then hire outsidt contractors must submit a new affidavit indicating such. t,,niractors that check this box must attached an additional shett showing the name of the sub-contractors and state whether or not those cntifl s have employees. Lf•the sub-contractors have cmployces,they must providb their workers'comp.policy number. ram an employer that is providing workers'compensation insurance for my employees. Below is,the policy and job site information. Insurance Company Name: . Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy de0aratjon page (showing 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 imi'al penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against e violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the b P fo urancc coverage verification. X do hereby certify u er e pd -an penalties of perjury that the infarmation provided abo a is ue and correct Si afore: Date: � 04 Phone#: Offu:i use only. Do not write in this area, to be completed by city or town offtciaL 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#: information nd Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees: Pursuant to this statute, an employee is defined as`...eve person in the service of another under any contract of hire, express or implied, oral or written.." partnership, sociation, corporation or other legal entity, oz any two or more An employer is defined as"an individual,P P of the foregoing engaged in a joint enterprise, and inclu g the legal representatives of a deceased employer, or the receiver or trustie of an individual,partnership, associa 'on or other legal entity, employing employees. However the owner of a dwe ' g house having not more than three artments and who resides therein, or the occupant of the dwelling house f another who employs persons to do intenance,construction or repair work on such dwelling house I or on the groun,.11-11 or building applirtcnant thereto shall I of because of such employment be deemed to be an employer." MGL chapter 15 , §25C(6) also states that"every stat or local licensing agency shall withhold the issuance or renewal of a hie se oii°permit to operate a business r to construct buildings in the commonwealth for any applicant who h not prr\oduced•acceptable eviidenee f compliance with the insurance coverage required." Additionally,M , ohaptcr 15.2, §25C(7)states "Neithe the commonwealth nor any of its political subdivisions shall enter•into any co ct for,the pe cc of puli`lic wo ' until acceptable evidence of compliance with the insurance requirements of s chapter have been esented to the c,ntracting authority." Applicants Please fill out the orkers' compensation affida t co le ly,by checking the boxes that apply to your situation and, if necessary, supply su -contractor(s)name(s), ad ess(es)d€ phone numbers) along with their certificates)of ins�uz-nee: iability Companies(LLC) k Limited L' •-Limitcd a 'lity Partnerships (LLP)with no employees otber_13aan the members or partners, are not r"equir or dots have employees, a policy i required. B e advised tha this affidavit ifiay b ubmitted to the Department of Industrial Accidents for co on of insurance covera C. Also be sure to sign nd date the affidavit. The affidavit should be returned to the city r town that the applicati n for.the permi�or license i eing requested, nvt the Department of Industrial Accidents. S ould you have any qua lions regarding t e law or if yo e required to obtain a workers' e call the Departme at the numbcr listed below. Self- ured companies should enter their compensation policy,pl self-insurance license n or on the a ro zia line. City or TowP Officials Please be sure that the affi vrt is complete an printed legibly. Thc�pepartinent has provided a spa at the bottom of the affidavit for you to fil out in the event e Off ce of Investigati'ns has to contact you regarding applicant Please be sure to fill in the pe t/Licome n cr which will be used a reference number. In addition, an licant that must submit uniltiplc pe t/licensc applications in any given year, need only submit onp affidavit indicatin urrcnt policy information(if Access and under' ob Site Address" the appl�'ca.at should write"all locations in (cr or town)."A copy of the affidavit t has bee officially stamped or markd by the city or town may be provided to the applicant as proof that a valid vit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or ci ' n is obtaining a liccrrsc or permit not elated to any business or commercial venture (Le. a dog license or-permit to bum eaves;etc.) said person is NOT requ4cd to complete this affidavit bj The Office of Investigations would e�to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-an fax number: Th Cbmmonw( a-4th Qf Ma.ssach=tts D artzue-,nt of kdusW4 A.ecidents Office of 7ztvestiptl.ans 60Q Washington St e;(A Boston, MA 02111 TQl. # 617-727-490.0 ext 406 Qr 1-$77-MASSAFE Fax# 617-727-7749 Revised 11-22,06 www..ma�s.gov/dia t �oFYtier°ti Town of Barnstable Regulatory Services Thomas F. Geiler, Director t679 �� b� BuildingDivision Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.toivn.b,!rnst2b1e.mi.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section Zf Using A Builder 1, b�w as Owner of the subject property hereby authorize L-6 ��'� - to act on my behalf, i in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of O ner Date Pe4e,r D&A) Print Name t If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th'e reverse side. Town of Barnstable yu�of Ytte Regulatory Services t = Thomas F. Geiler, Director BARTISTABLE, 9 M 19. $ Building Division PrJD M�yA Tom Perry,Building Commissioner 200 Main Street, Hyannis., MA 02601 wwjY.town.barnstable.ma.us Office: 508-862-4038•. Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ]OB LOCATION: village number s treet g "HOMEOWNER": name home phone N work phone# CURRETIT MAILING ADDRESS: city/town state zi code The current exemption for"homeowners"was extende to include owner-occupied dwellings six units or less and to allow homeowners to engage an individual for hire who oes not possess a license, rovi d that the owner acts as supervisor. DEkINITION OBIIO EOVVr Person(s) who owns a parcel of land on'which he/she resides or ' ends to reside, o hich there is, or is intended to be, a one or two-family dwelling, attached or detached structures ac essory to sue se and/or farm stauctures, A person who constructs more than one home in a two-year period shall Nt be con dered a homeowner. Such "homeowner"shall submit to the Building Official on.a form acceptablr I( the uilding Official, that he/she shall be responsible for all such work performed under the building permit. (Sectio\ 1 .1.1) , The undersigned"homeowner" assumes responsibility for compliance with t1 State Building Code and other applicable codes, bylaws,rules.and regulations. The undersigned "homeowner" certifies that he/she understands the Town Barnstable Building Department minimum inspection procedures and requirements and that he/she will co ly with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 5,000 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 homeownerperforming work for which a building permit is required shall be exempt from the provisions of this section(Section lom..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(sec Appendix Q, Rules &'Rcgulations for Licensing Construction Supervisors;Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilitics,many communities require,as part of the permil application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrdccrtification for use in your community. 777 M1 ., 67 lie �om�no�uuea :0���1/�aaaa�luraea L Board of Bmlding`iicgalatiof►s and Sf;ud�t ttr k... Liccnsror rcgistration'i;A d for indiviaful use unly i, i; ,. HOME IMPROVEMENT CONTRACT1)R. 'befog c the eapiratioii date "If found t turn to y Board of Building Regulations and St andards Gi Registrat on 114381 r rOne Ashburton l'lacc Rm 1301 Esc, ration S/3/2009 .Trtt �,3306, it f3o�ton Ma 02108 a -TYpe Individual t. f }� 4 JbHN.C.VIEIRA , rWD _. f JOHN-VIEIRA f 32 CCLUME3IA AVE % C ��� ' `' i Not valid without signatw c MARS TON MILLS, M�02648 Admi`nr„ 4 ;y . w Ong egu ahofis an an ar s � Construction Supervisor License - i> f 4 ¢` License: CS \ 42651 {'g Expiration-12/2/2009 Tr# 10212 #' est f I r / on}�OOIi�v i f-( I JOHNC VIEIRA .�a ;P=�v x Ali h ; 32 COLUMWA AVE MAR STON MILLS 0264 f�f Commissioner. ` :.� e • c4 ,Sr,.'`f h��`-',...,�,"-,-:�;,.�.�.l,,.-�,�.-...,.:p,.:,'...,-,I....,, ..d:�-...:.,.-,I-.I,:-�.Im�-�i,.,-,.,,`.:i*"I,-.`:�'-'�,��,`,,,.--.�.-I`,,::-,",�-'",�-_.).t-,!,:,,I�,-,,..'r.�-0.,--,,l:-�1,.:�.b1-�.�--!.���,1��!-1 I 11--.�%"��-'.,72�.--�-,::,.,,,��,:i,!,----.'�,�-.",."%-'-"��'�1-.!",,1.�.—.-'-.,.-.J:.L"`,,I-,l������l",,,1:.--'�-�!,W',--�N--:,.-�:.-*, k _ x,?�-,,1---,.1`%.��,!?.�:�.�;7,,,--:,-,.7---.,,'.;�-�'�-�,,�.-",,.�,;,�"��,-,'I:�"�-;.,�-i--.',,:,-'�,.';.,.'---..,-.,��,., -i���,,",z-.-:,�7-..,-,-..,-.,�:�.,.,..��'-,i�,,.;;q�-,I,',} . � ..,4;,���—T",�,��.,�4�Z,�i i-,.:�'p.i'",,-'i-..-...-,"�.,:.,-.--,-*"V7.��.;---,-,.,'��,,-�,,��:-.,:O�.---..,.-.ii;.l!.i,,..�1�;.s!-.I.,�.-,i�",L,.,.,;,�-l-'T,�_-.-,"�-,7.-.,� � ;,)",'-;--��:i���:,�:4��:` :.,II,:''...��.,.—,.,.��..t--;.l:..I',.,4�.I f"'�,,1,,�.�.�..-1�,�`,:1:,,.1..:,-�.;,:;�-�,I�,1��,,-,�.,:,�.,.�.���",.-%,-�;`,�;::�..��.,�.�, q� _ . - �, - "--.:..,,-,.1.o.�,-��.�,-��-- -;1-,.1.1�1�.:;-,�'',.i.,.'.i�,,�. ,',;'---.1-I I--,.. . 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(RTE. ; 28) 1.THE GROUN1.D A 5 /NDICAT ED AND WE$T DENN/S , MA S 5, ... ,� � ,Rms TO` TNT' ,ON/NG L A W5 1.} t E 2 � SCALE 30 Ns'ipP+/STi9I3L /VJASS DRT 77 �- r _ rt a , .p. 1- �{ !f ;v _ ;rf • F3 Y SHEE TL. OF 1 +jy.. : I - . SURVEYGR D: !? � ..,x I Z - - ...� a • ..- - f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 Mapt��'y a Parcel Permit# Health Division - 7 may ' -�! Date Issued - -L - 0 Conservation Division Fee JaxC ollector ) 1 - S : reasure ' ` .6N=Wt1l) IN COMPLIANCE - WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND. Date Definitive Plan Approved by Planning Board " s. TO�'N'REGULATI®IaIS ' r. Historic-OKH: •` Preservation/Hyannis +` Project Street Address %S? ®xa Village + Owner Address ,- Telephone Permit Request Square feet' lst floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type - Lot-Size Grandfathered: ❑Yes O No If yes, attach supporting documentation. ,r Dwelling Type: Single Family 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;S new - - Total Room Count(not including baths): existing ' - new First Floor Room Count , Heat Type and Fuel:Z?'Gas ❑Oil ❑Electric ❑Other 'Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0,existing O-new size Pool:O existing ❑new. size Barn:❑existing ❑new size P Attached garage:0 existing 0 new size Shed:❑existing O new size Other: Zoning Board of Appeals'Authorization 0 Appeal# Recorded❑. Commercial ❑Yes ❑No If yes,site plan review#,'.. Current Use Proposed Use A i BUILDER INFORMATION' fi Name g!5�4c✓soo Telephone Number Address License#. Home Improvement Contractor# !� 0 � Worker's Compensation# b�de2�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS'PROJECT WILL BE TAKEN TO SIGNATURE / DATE FOR OFFICIAL-USE,ONLY �. 'PERMIT NO. DATE ISSUED „ MAP'/PARCEL NO. ADDRESS a ' r VILLAGE s n :OWNER F , -DATE OF INSPECTION-' ` ' L ... S f } 'Ma FOUNDATION r ` . • o FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH $_ a- - 'FINAL GAS: [' ROUGH"* FINAL FINAL BUILDING #- of - _ . � a• ' ,f .. s f ,. yr t . i.. 5• ' - ,� F F *q.. , DATE CLOSED OUT ASSOCIATION PLANNO, t l L_ e �NOflE �O�'� P�`t'ORQK �tiG "RegistratioP:, 120659 zx pi ration� 02/I9/2 Expi001 DBR> tax y _ rP .� - �T 2_ �'INNELL EHTERPRISES� ,��; i �p•�, �pUID3NNEll JR ; �„�: �o " 5 FREE BORRD fNtTtOUTNPH r a NR ;42675 t-z hADMINISTRA . :z fizz'-a '� Y%�-,�a• �_ tIlA r {� R� r't✓. d e, K �! DEP ENT OF PUBf IC SAFETY ' ONSTRtlCFION SUPERVISOR LICENSE .expires: sx � t 16 INNELL JR bE80RRD LN { tr �ARNOUTNPORT, NA 02675 —'' -- ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) 0 square feet X$25/sq. foot / / 0 0 PORCH square feet X $20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X $??/sq. foot= Total Estimated Project Cost /y g990915b �F i f I , THE CARIZIACE 514ED iv- . .00W5T1ZUG-r101Q DETAILS t Co. ? To y fVo. 8 `01 ELI TOWNSEND&SON,INC. �� P.O.BOX 351 '�' Ff C)� .�`~ _.CLINTON.CT06413 s'�HAi 1� ` PERSPEGTIVE DESIGN SI N VIEW I?9 © ELI TOWNSEND & SON 1976,'80 SCALE: N.A. SHEET I OF --- ' - �� $. • (O / / �A: 'SEC T4BiE, SWEET 5, r SICYLI GHT-� (sae N OTQ 12)•..J PLATE CPLATt 1 \ I I �(Z•Zr4) / ..I .. \\(2.2r4)I f / I \ IN ' 'P.w. J � TZIOGE 2�6 . / � /.6 6�� _ I I ►� I- I � 6 �--3.2%i-�.•/ Cy c �10�•�-8) 1-•1'-0- F b ti I sc ���h I) Y 2.e4 57:!vS 4 //' ' � •I � IJ II i i Cove¢ Jals7s) I ere-fi4vS AT 39'Iv-/ �� I 2r8Jo1 I '1.,sI a .I I ; I r �^ 2 4TIC5 AT ALL ALL RAFTERS '�"' '� ! I ;^ RAFTe¢5 LAC I rlm o'Lo►a4 I on 4 (L►P-101STi l$') (� / - yr4 STubS I(SEE HOTS§' 11 N!` Jo15T5 11x•- SCC I ovc¢ JOIsTs1 n I I ,�� NOTc y) SSE0JOTES•sQl2.) I1 ( II I, I I :IN N v ! ti �• Swl.w(ovt'RJo15Ts); bltivG'4 I ' lyL Pr✓• ! 14r2 i I{ ilI yI6 SEC DEYAIL (r„ F • 1 ! ��oN SHEET 5 SEE A10TC a /--/ if•/j. G [AR I •ate 'a*► . 3�g(.3:41 ) 2-214 GIRVERC2.2+:IZwIT� oit i� Otl I II f'I ii I D13AP'4 iTiA I10R �I T LENGTH-16� 2 (*cc AOT .O• •( J(/ --r 1 I upd It 0004 �j ' I II• bO r16-24 L14HT III 1 , SCE NOTE Pj� N II ICI ! I !I ! w wINDOw i /Z I y 17 I T" i �` i !1=•�" I j 4-113I4 �1,9ASH I� jI I I NOTES (o'r•' 4 DIA. POST +•I � � I S -/Z DIA, ANCHOR ®OLTS I iste`o�Es I �I II I wr FIDSPAH II II ' fi �~ II I ON I.IOAr1IQALLY Co' C'TfZS II ( I � 411Zocq I I 1 1• � i I•!n Ib' " 16"„1 16" I 'I6 (SEE No-I-K4 II i I�IA I II �I Ib ' t(o I Ifo• 2W4 STuos�Iro 0•G- 'v I ! • + '1 '� is j;; !; .i •u i (�2r(o SILL ! II j � APRoN (>'oulz '•__ -- .• WITH SLAB) uQ•o•DE7 I GRADE :1- •Top OF•COU ND ATI ON W5*'M'TH(TAMP) OR t• I•.I; 3.2- ExT£NO SIDE 1•-- •I' ��STO NC OA.LLAST ID B—'i � ' L..:l r-I .a• -.,� .I•• e} I/;�F•D'T'IJ WALL '•� 2 O-C" 1' FOR cRosy _ 8.•H.. 4 I : ll CTNTERGD UNOE12 4"POST •4�'� �I 4 ' � I► a' DAiCR1ER FROST LINE .i ' !S 24"w24-J • I �� : •.:.:' 'N' --- -- . :. •.I'I' '�, .N . .. SIDE F- Ifrrl �L • I- cuvoLA� ELEVATION I I I , I I 1— "�'� SC ALE�I4�1• 2Y8 24'r.24' (4EE FRONT 'I I I I RtvGE 'i , I' I�,I EL>=v►T!oN) �•FURRIN4 I W �I I 2�6 RAFTEICS- •' I' I I . 1 N 20-0 - — II i� a I II II I crZONT PLATt:2-2+4 (RCAR I I, II iI DRAFTER TIES NAY I`SC Z t (II >LATa 'SOT SHOWN) (I 1: 11 I II LAPPED TO E17HER SIDE I OF JOISTS A,-JD RAFT- . ERS SEE /.IOT-E Cf� I � T I16'I y CRCILJO •1 ow6NiNs,� moR II 1 , 16 Ifo Ifo I. 1 `bISAP>aEAgINC� STAIRS �I I i; I ' Zx C, RAFTE�C� ` a!� /RW II \ (SQ:E NOTE IC) SotG I! i I \ �' 1 P I �— I (2r4' �taKIDGIN4 I , �=RW.I 2.6 TIFS I 2 r8 JOIST AT SIDES CLSE- '�r' I I1�' I W�+ErCE ON tie'• GEN- 1 1 , In -� TEi[S, UNDER RAFT- T1 I I I 5oLID Ili tDLocKG OV EI>` G1RO£RS 1 JOIST DDLQ-' 1 2rB ,�.• - I . .r BETWEEN ENCS OF JOIST 1 2_ ! _ - ! I I A' \r- 'IT' RAFTt:R AN'O TIE (AT ^ Q I 2.2012 gIRCb Qi� f - I I M ..R A6TERS SIDE" ONLY-SEE 51-IE ET 5\ V N I I I� (WITH ' P.W. 3PAC0¢) 1 I 1 •,� � I I I II I - ff i I 14 8" x II •11; —�! v FRONT ELEVATION ,�• Q N ' ,24" its-P.W.SHBATHiA{Gi1 'II.. I REAR jrto I I (BIN-%-C PAHtLS) II 2.21••4 REAR STRVC_ SCALE%I/4-1' SILL I w1vTHs AS swowN, STUDS TUBE GYT To LUJIsS INOI- II I •e I GATCOj St!NOTC6 16 O•C. -F D'TN.� A14 sH1LXT' I I Z. I 2r4 BLocKINq IOARR'GT 4T GLL DETI'.1L SCALE:I�1' i I II-I ,. "2-21T.LO P OF 2rG TILL 1 II I'I 2 94:s IlkSEE NOTE 7) T¢ 4) DOTES WILL. ESE' taR nlmOC tO a TOP or prouNDATION R 5) FOUND ON .SWEET 2 4- "..�q' cgAoc ►,_ ELI TOWNSEND&SON;INC. 'OOTG •.•/ A�ntOH'CC'T4 WALL I 'I . .4r.-/ ' ..I;! IZ" •' IAr¢ON ONLY) 12' j I•i !a"HUNDE1t P.O.BOX331 -vTN . • RCAR 41gaC¢ clDs .• �• 1O'-0" : CLINTON,CT06413 WALL •12• Br12.+ b �I•I RiAR WALL 1' �• DESIGN �' .I►+•-4'•. �ooT'a• �-�! " 24-•za" STRUCTURAL NO. ;.I..a •• . • 'N. D ETA I I-5 179 �� '• T• G�I•+---b t D E WALL R'T'�(14") '� • I A► ON C'T UI WALI- SCALE "EI:I. SHEET F 4 of 7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _Parcel a LiPermit# � Health Division '�'� r � Date Issued ` 2-7 Conservation Division 3 Z00e- — Fee � �Q `®o Tax Collector 6.2 7o Il I ""C SYSTEM MUST BE Treasurer NTALLED IN COS CE Planning Dept. _ VH Tnu 5� Date Definitive Plan Approved by Planning Board E""NMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address / 5-7 Ot,O POSE �P-,O Village C et,.J7yty, Owner 0�&_ 4—qO/6A1�, / MI-A) Address /5 � 0 4 PpsT ieO Telephone 5 D � 2 d 7 Permit Request I ^)S 1-4-L L /(0 l3a� /�Ci2�c�•�0 S t.�J L� vv� /�i/C� 1"0 yL ,S'T e,e L w4-Lr' y A y L 6 ve�o , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation l 6l y 001 g0 Zoning District Flood Plain Groundwater Overlay Construction Type S T-eeL, C o N C1t e7Z , Lot Size J��0® Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family S Two Family ❑ Multi-Family(#units) r Age of Existing Structure 4- Historic House: ❑Yes 5k_No On Old King's Highway: ❑Yes MJNo Basement Type: 4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ,r Basement Unfinished Area(sq.ft) A//a6f� Number of Baths: Full: existing ` new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: .Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes gNo Fireplaces: Existing New Existing wood/coal stove: rlYes ❑No i Detached garage:,existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Cl new size Shed:*'existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use 4A4t) BUILDER INFORMATION Name lL S�x/D-54 Telephone Number ` 9 71 Address 3 y/3 �l�/�U S/ License# Ulf 9 6 3.5� t� Home Improvement Contractor# /644 60Q Worker's Compensation# 406 700 5 S7 5D/ 16D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q►N L�. SIGNATURE DATE �d aL y FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED y MAP/PARCEL NO. ADDRESS , VILLAGE ; r • � ` OWNER DATE OF INSPECTION. FOUNDATION K i[ FRAME INSULATION „, !! ,A FIREPLACE i ELECTRICAL: ROUGH F1 FINAL PLUMBING: ROUGH €� „�,�" ,.� �-. FINAL r" GAS: ROUGH--' w o' FINAL FINAL BUILDING Ci3 DATE CLOSED OUT t ,t ASSOCIATION PLAN NO. z c Cf SHE Tpy,_ The Town of Barnstable aeatvsUBLE. � g Regulatory Services ; s63q• 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 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. r Type of Work: /V�19L� sGylltitdYt��✓4 D 8 L Estimated Cost Address of Work: o Lb Owner's Name: Date of Application: U Z I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH ENT WORK DOSTERED NOT HAVE CONTRACTORS FOR APPLICABLE HOME ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 3 — l o2 cL 's Wa-vc ' C b Date _ Contractor Name Registration No. OR Date Owner's Name q:forms:Affidaw rev-070601 The Commonwealth of Massachusetts =- Department of Industrial Accidents -= office 91/BY85089ons 600 Washington Street 4 v Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit XXXXXXXXXXXX name location: S 7 C)LD -P667- 40 city Ce fJfU(Jt&LL .3 G phone# 3'1-2^ q 7 7G ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workizi in any ca acity I am an em 1 er roviding workers' compensation for my employees working on this job. .........:. x. comaanvname �IG� r��,� 6,10C, 'f • address :'�t�t >::::::;�,;1„�„� �`�"` < to . .. `� . .:. : c ....,:. .` ....... . pyhone#. :...:..Q................... dui,v..�........ s ,gt . insurance co: ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: XX tbm anv.name. .......... F. adi€reas.. .:.... ..................... ...::::...........::.�:... ... .............:...............:.�.:::.... :.::.;:;>;:>::i:::': ::::%:;'i:'.^•::::Si:::::::::::S:r:::::::;;;::::'i:i::: b:: :$`:::i: ;::::::; ; is:': ::::::;;:-i:i::i-.:;:;i:;:::•>::::;;.;:': ci h00/0 one cv ....................... ,%O%% any manna: ' �>: :: ,:;:;:;->:><:::::<:>;::;: address, ::>::.:..:::>::>;•:.:>:::>::.;>:<:::>:.>:<:::>;:>:;::>:::>;;:: : X. one#. tity� olit v# F-----to seeu a coverage as required under Section 25A of MGL 152 can lead to the imposition of trlminal penalties of a fine up to s1400.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be fon►arded the Ofi1c of Investigations of the DIA for coverage verification. I do hereby c fy t and p of perjury that the information provided above is true an coned Signature Print name Date ` ul � /(/rL/ r Phone#officialrea /L �� / — official use only do not write in this a to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other. Oevind 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employer o provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every p on in the service of another under any contract of hire, express or ' ied; oral or written. An employer is defined an individual, partnership, association, c oration or other legal entity, or any two or more of the foregoing engaged in a�'oint enterprise, and including the legal resentatives of a deceased employer, or the receiver or trustee of an individual,p hip, association or other legal iy, employing employees. However the owner of a dwelling house having not m re than three apartments and who r sides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction repair work on such dwelling house or on the grounds or building appurtenant thereto s not because of such emplo be deemed to bean employer. MGL chapter 152 section 25 also states that every state or 1 cal licensing agency shall withhold the issuance or renewal of a license or permit to operate business or to construc buildings in the commonwealth for any applicant who has not produced acceptable evidence f compliance with th insurance coverage required. Additionally,neither the commonwealth nor any of its politic subdivisions shall er into any contract for the performance of public work until acceptable evidence of compliance the insurance re ents of this chapter have been presented to the contracting authority. --------------- Applicants Please fill in the workers' compensation affi vit ompletely,by checking the box that applies to your situation and supplying company names, address and phone umbers along with a certificate of insurance as all affidavits maybe t. submitted to the Department of Industrial Acci for confirmation of insurance coverage. Also be sure to sign and ,+ date the affidavit. The affidavit should be ed to the city or town that the application for the permit or license is being requested,not the Department of Ind ccidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation poli ,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete a ad printed legibl . The Department has provided a space at the bottom of the affidavit for you to fill out in the event the O ce of Investigati has to contact you regarding the applicant. Please be sure to fill in the permit/license number ch will be used as a i ,rmce number. The affidavits may be returned to the Department by mail or FAX unless arrangements have been .made. The offi ce of Investigations would like to 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 fax number: The Commonwealth Of Massachusetts I .Department of Industrial Accidents Office of imlesdUadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 Board of Building Regula ions and Standards 3 One Ashburton.Place - Room 1301 Boston, Massachusetts 02108 Home Improvemenp:Q tractor Registration Registration: 106009 Type: Individual Expiration: 07/21/2002 RICHARD T. SENOSKI . F Richard Senoski 3413 MAIN ST - BARNSTABLh, MA 02630 - -- Update Address and return card.Mark reason for change Address o Renewal Lost Card -- BOARD OF BUILDING REGULATIONS License. CONSTRUCTION SUPERVISOR � Numbers CS1 009635 r 6xprce'S���0�126/2303 Tr.no: 8509 Rest1rlf�ctted `Oq !. RICHARD T SENOSKI r' 3413 MAIN ST — - i BARNSTABLE, MA 026r30' Administrator HOI TaifaiDs n.aow[no-s o RWdI.G3�[sta1HL TR aul.c arLYl6i a lq IiRRIa o also ut A2W WI4Iaff rJAT JRr fo.I Yfro rOl ur ru.Nlf:. _ 3 .. n S/LL AIA —� Typ. \ PLANS FOR LOCATIONS r 'ram - r 6 OTHER RRDAS IN BRACE 1H DAG4VSIEFI _ ^RANEE - IiBRIGTED A�ILLT /: DWACiONLL Qq A(E G, a- /B'�Y.B475 Two muma L7S NUTS MID ED. -TNIOOESS. I / LRGr RLQG4G4LV.LY. \` xWAASNEAs WRALTMERs TrP VNR LMER IS[E Sf T.EY2 AND 1D61 E-FABRICATED 1 - S-Ve.Y.BOLT$— I OTHER thYs« STAR LINE NUYS AND 1RLYE1f6 _ I - PRE FABTICRTED Typ 2O IBL.TNCNIE" - 20 YILTICIOESS ' still ASSEMBLY VKYL LEER VEIL LBER 1 ,,,,,,,,,� mm STAwPONEL LEEr �=B17s +? ` �T".a aK SERIES 550 6 650 STAIR CORNER SERIES 750 STAIR CORNER n SERIES 650,950 6 1050 STAIR CORNER n PIMP Alm P1AMP.2s /YNET� a ,. M.D,DA „CT,pR Ep7pq -+ - _ t uSg I�ww �/'��I ►——— — —— — 7 ---!'FRAME ASSEMBLY 6 V•= HLTER , �/ 'f '' sa.7ER � —� - Y ♦ LTTRUL WHHERE slloWr - - i:6 �. r svEpp��..�� ►---►—^ lo.— IF rnRERY MENTLr \,.tom �y,y I LIE R 2 c �� o,"�" I T _ _ GUM&o— I , �aIMADED.oR7Mae • � #lHAOE Dy` sewn n 1 k.^I ,,� t 1 RdR1O1RJ- I CLAT AAEAS ►LRi A� 1 }. B I L. �'� I♦ ^ ?Sys. 'Y' r 1'RER7R5 y. AIMAS �. O m. sTAta AIE_ aG L,— ——4 rovY 8-E—OR .- 0 IY.2f SF SERE MEAA GLL.CAP LOCATED AT I SUCTION m C sQE�OR�—"E 3r.2M aE sURFA EA c 15@ODGA W POSITIONS . - :r 61 20'AO.JM&S AIML F SIRFAREAL 3i244 GAL.TJIP x'YOR'2' L v SERIES 2000 6 2050 INGROUND 2 :7PRCA .A LSHORM uO nao ARo SME SHM"-E.AI 7M uSURF AREA 2"00 GAL-CAP o TER SAFE"LWE C7URN SERIES 2100 9 2150 WGROUND SOURS ARE oaTlor ATTs+o s T SWE SHWN 0.26.38 YO"EL-022 IS SLXW AREA - 6 20=5 GAL.CAP _ PE ACHIED Rr SERIES 2000 �9 2050 INGROUND ATTACJTL cAFETr LINE ream Posmams I �q SLAT •.�. .,. 'mot M4 pr A � a m ie _4ETLWA F I 1 A PRAT! ASSEMBLY L♦— ♦.�—J 2 TrRCAL WHERE DIO/N I:FI F, - sm sHDVN:6.3r 967 SI AA F AEILL 20720 GLL.CAP T+a� ALSO AIALARA-IBYAI'713 SF'SURF.AREAL24IMJa GAL.CAP - EDWQ ASB&F SURF.MIEAL 2829 GAL CAP - SERIES 2100 8 2150 NIGROUND rrr la/■a/M �.■■�crre.e rlAq rl�Ilra rs Rwur. ' 1 lrrar M1■I,�rl■ e�rl■■,.,MwIR/ Iw 0A saw aT�.'_ Jat I T�I �a rr/�1■,„rrl. �M Y.rrll aTln =--�Ilyaa �1� • IrIeL �■�tr�y� I 1 �V IIIOIf Mr1■� ��,� p OIg11lAt�r�ir, '_`L~sME+_. I• - S b i pf rsas Trwc� - I .tom N F� •�fafis T1rR� wl u.gl/EL 04 '/ �� WY W"WL .4 MIR r4 —T WA Sam WNI dr P!r� TYr� !D Ta0001 cr ,bad^ ♦ �• r t� wn IJIE! _ � ( =Ni14�afrT'IaOel7i r)e4 TllreQi• —1 — L•o • 750 MIM1 tr0 Nn�iu - f L8RASOR�ER , ! �sp SERIES 80O 9 80' ! NEWS 90069M WORMER) . ro v y ---I AA/ba END iT� Eice: a e�Trwrw � stL. na/r�lard ACLOR am PLANS 54 -- aao•/raecr iPan LOMTNM AM wj W 4 — SERIES 1000& 1050 EL CORNER T •e - SERIES TOO STAR CORNER.. s�_ lslil a�ld W. Irried&XmsprLrr!arc woc _ • —JI J-- ' N TN"'LL �� L.q Tr/ra MJAillrf I !LYrUr _ I e• !ra mraV�lwmft LINER o!a `.I�o�Sri son rni �~ arr�3 ( I w[dvrunaw . ftc ��•�T•y� NfR t/a U71L�JCL 1y� /r l/KpC� •�•'T:.�: nTr � s-rY ar!!ee RL 1 ~rl�rrTll� h a rlrl an huts• r k rIw n► r MA nPROMS.rr goo �, � reraG.T1T .rla TT.wL wuanm (�r•�a`iae�sIv,sL N }sb�w`l_ /�le�w � n M�W1Q0. _I ro a elenrs rlle raa�rla 1 �� a. f 44M.W iir si ir ' s . cam ,., _ L� ro i ri�fo ~ur/� F i1'� K.■!l arr.tt s SEMS 600 61000 STAR CORI�R To oo" �crwa i ran �' TM'r""'X Be �� r b i'�aawl� lotus 1IIdrrll■■tlO�lppol�l/lord p ■I�■�lrr'® AD MI I ao 1 !�•a� L ra•■�sr�•rarer/Ilel sera parse T• Maaaa■�eR�iplelrr LLerr■I•c wir"M�r apa�1� �� J ��a'� � RI I vwn tw[rlL. F ^� �m—m ■atr a.ar wTw r.o a■Illllpr lOeae. a�eel.L�rbl IIpI[Mp I t� reu ara wwarn n rass rrml, rraT o■•arw lr.t. t171C■L M M- 1 ■1r 1p/� d/wtr � I pomm vo 1 QOM O p� pMpI .NO ~Y 1 m ve"._j 4/_ _ 1 MO11OM11lL lelat7M Qqt OK.TIr��rlOw�l Ola[71tet �`�jl r I -�• "•— arealsalan r{eh�wrpw■rms�m�ln r�■Irr�e+I■� !s."}J�ptlr���► ■ p4�YI f�1 rp11 vtcreeq r un mi. I j !• /wa — ��rR rR■Ull.Ilufeer w�! a A �■OR. fe1 'Arr l wa 1! aORL■EM w et Tw,ea Iew- 44' 4L •u laael Jsln Yr Ira VV6 •Ir■rgOlat •. al■o1fII r rr.es e� rrr A r►rar •-- '" , L-..� a -V r,■OT I.Yl O■IT4 0 r■I■Yar I„eI.I10 mra n.re[rT OW ma- IN a !�'r h•—�1Mt ld �DL r.�� a_Ta■TId Ilyrlplpeyr�wya8 b�rOlOar/�r/4CO■K Ioymm. O"MO nAWLING :1'aa`elr�9O4L r rrLLr lOOa/1 K w IrelOra■la b!/0/r, 10{af OW- LLMI l-!�1!■ !'••�-Ijy Ut• V.�.-.1 .• ; a ■N per►I t x Tls.aa wn r r.run w■a�sm.wvTliw=AMU TYPICAL MALL SECTION TYPICAL MALL STIFFENER FOR 2�M ApNEL AT Ma nA" TYPICAL MALL SECTION AT '/1 FRANE la I •� �'' ,faq ii f� t rN•se � 1A i�ytg��fqiLL9L 1 �PK6,af8�4!4 ms� 7Cm"nw'4"_v. 4 - ` O LO Poor R OAO t:rMOO CA 4400, as _jp o , �0 $ a� io %U . .,d c �)LT I yo L N a � Q C) ,tib'� 11ep� ��� p N,St•Za'G1� -S7®'O'P•'�� N h L Abitin M.p 1.89mor V.vielth o� �"N Cg"jf�A'M of M e+4d WA Z+ov+fN oPawmatA .w"m to,t�17� 191iDe04%mv MWA mm RAR9101lmw d IMT OC TWIG P1.INdi1��a w To i� 'C1tSam 1eN .. �td11"B9t A � Dim ItiOR rowu mAp 209LOTG Z.ONC R,C. No reDARCE'L.670A* fNCaWO ATM kvlrw PAACit 3 i1,a,-ryhw1hf'rRIvn hasbaans an com&r a�tfh 1hw ru Ir,e limns Cbr»mon - �u�avasao�+ Oiaav Oi'aAslOtKb To sCA6s 41de50FF DecV.974 PJeu/ow •gis,�low•Sw►vavow� atu0n liftlp0�f��� f1N1to Op Itaww" ®71�s f rl�� TOWN OF BARNSTABLE ru Permit No- ------------------------------- 't Building Inspector Cash -------------------------- �o OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to r^"j t- 1'prnl^rfi- Address Wiring Inspector f "r' j Inspection date Plumbing Inspector a Inspection date Gas Inspector Inspection date Engineering Department -f.-„ ,.. ,, ,�''?�!�, .;;rr r,1 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. .............................................. .. 19_....__ ..................................................................._............................................. Building Inspector ` OLD PQS7` POAD PUBLIC r- /O . ?O I � I I a, uc i o 1 12 t �� 4o,t 1 1�11 �r Mv`r RICMARD I 1 a r /1l I \ ` CERTIFIED PLOT PLAN /N MASS. C ?T'>FY THAT THE RICNARD U. OHEARN, R.L.S., R. S. ON TN/S P[AN /S LOCATED /9/ MAIN ST. (RTE. 28) " V 7NE GROUND AS INDICATED AND WEST DENNIS ) MASS . lie"Oe- 4S TO THE ZON/NC L A WS MASS. DATE: 2 ?S 77 SCALE: /' - 30 ' �° ✓' t° JOA /UI) --,AEG. c 4ND SURVEYOR DR. B Y: �.Git SHEE TL Assessor's map and lot number ........... f r SEPTIC SYSTEM MUST BE 7Z i�}ST.AALLED IN COMPLIANCE 71 Sewage Permit_number ............�.!3J�........... ...... ... s WITH ARTICLE !! STATE :SANITARY CODE ND TOWN 4 0�THE ro TOWN-, OF B A R Nk � A .. i BAHBSTOIILE,.� 39. BUI :DIHG,r: INSPECTOR p MP`�of a r+ } eD APPLICATION FOR( PERMIT TO �O TYPE OF CONSTRUCTION ...4 !v.............. ...... ................G...s............................................................................ ....... Z`T..........19.1.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit av7s g to the following information: Location T C? e— � ���� ........ ............................................ ......................................................................... ................................... Proposed Use .... . 'aJ ZoningDistrict ...... . .. ......rY..................................Fire District ........................................... ...:............................. Nameof Owner. ../`4.:.... . GZnx�:G .........Address ................................................................. .............. Name of Builder !.4�....... .�5.. ...........................Address ..../.�/CAS`:. • .............................................. Nameof Architect ..................................................................Address .................................................................................... 17 YR Numberof Rooms ...... ......................................................Foundation ......................................................... Exterior W©0d...............................................................Roofing Floors ••..: .... �D�i?Gr .............................................................Interior 1........................................./....e................ rieating ` /....C,..............................................................Plumbing .. ,....... ... L f� - A Fireplace ..................................................................................Approximate Cost .............. ............1...... ------19 Area a?.a:S.�....Definitive Plan Approved by Planning Board -------------------______ ,y........ -------. . �.F!� Diagram of Lot and Building with Dimensions Fee a SUBJECT TO APPROVAL OF BOARD OF HEALTH hereby agree'to conform to all the Rules and Regulations of the Town of Barnstable regarding the above .; construction. Name .... X�i��c...a�.............................. ................. 1 Fernandes, Rosita � 1 'No .1.9993..... Permit for .........sing-Le.............. .........farm,ly..Awel-Lin - Location '01A.-Post••Read.................................. �. ............C ente rxr-U l e........................................... Owner .........................:. Type of Construction .....wood..frame.............. ................................................................................ ' Plot ............................ Lot ....�4................... t Permit Granted axch..3...............19 78 'Date of Inspection 1.r ...... ......:.:........19 n Date Completed ... ..�.! ..7C1.............19 PERMIT REFUSED ................................................................ 19 ....................... .............. ......... ..................... - ~ i ......................... .................................. .................. .- i .........................i..................................................... 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