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I �, 1, ,_ lit; ,Is a 1� MV141" ','i 1, '�', 0"" -111YR 111`�!!�',,, ,i�3'1' 'i, .,i i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �1 Parcel _ �pSPermit# 2 �5� � � mil/.:� 0313� E ».,�,' i�t:��,r�.�7t �'Health Divisio03 Date Issued Conservation Division �,� M �� ��� 'i ;°l i $� a.'Application.Fee \ s Tax Collector da 0.K. — ' /0/ � ®� r Permit Fee Treasurer -d )o� .�/(? 3_�1":ri;,rGiw VI r e. twsTA i.ED 4�4 COMPLIANC,E• Planning Dept. °r11TK TITTLE'S AN Date Definitive Plan Approved by Planning Board �ra•� v saL CODE tiR� Historic-OKH Preservation/Hyannis Project Street Address '0 C K AJ, Village t" nn Owner �a Address J Telephone l—�Q ��-7� ` Permit Request fYvr� v Square feet: 1st floor: existing im proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation_ �, Construction Type (� Lot Size Grandfathered: O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Struct re Historic House: ❑Yes ❑No On Old King's Highway: 0 Yes ❑No Basement Type: Yull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 2 Number of Baths: Full: existing new Half: existing -new Number of Bedrooms: existing new Tot al'Room Count(not including baths): existing new First Floor Room Count 2 _ Heat Type and Fuel: ❑Gas ❑Oil `' ❑Electric O Other Central Air: O Yes O No Fireplaces: Existing New Existing wood/coal stove: ®Yes ®No Detached garage:®existing ❑new size Pool: O existing ❑new size Barn:0 existing 0 new size Attached garage:0 existing I]new size . Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded O .Commercial _O Yes_._. O,No _If-yes,--site pl_an.review# Current Use Proposed,Use r BUILDER INFORMATION Name uCe%' Telephone Number C�:r' �� 7� Address ,,/1iLo � License# Q �o �a;7? Home Improvement Contractor# `YiL;z Worker's Compensation# , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ✓�� ���� SIGNATURE DATE /� _�2 ���� FOR OFFICIAL USE ONLY s, PERMIT NO: DATE ISSUED 14 MAP[PARCEL NO. ; i ADDRESS VILLAGE 91 OWNER { ; DATE OF INSPECTION: - FOUNDATION FRAME U D S INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. _ t H . ' �oF11HE, y - 'own of Barnstable, Regulatory Services sAxNsTa HYA Thomas F.Geller,Director y hrnss. $ �'AIEC 19. Building Division Tom Perry,Building Commissioner 200 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,moderniiation,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. - Estimated Cost Type of Work Address of Work: Owner's Name d Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑ ork excluded by law Job Under$1,000 []Building not owner-occupied , ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. F - SIGNED UNDER PENALTIES OF PERNRY I hereby apply fora permit as the age;Lof4lm�owr%er: Date Contractor Name, Registration No. OR Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents Office offayestlgatfons _ - t 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name location city G'-'J�ati-b �,�1� shone# 303 J al- f0 ❑ I am a homeowner performing all work myself. ❑ I am a sole Propfietor and have no one war an in any capacity %%%//%%//G//%%%/O% //////�//%///%%%/�%% e arkin on this ob n for e 1 sw co ensatio I am an employer providing workers mp mY mP� g J ...... ... ............................::•:••:•.v::•r:.•:w:::.w::.vn•.y:;.••':::•::.a::.};:rv::{.f:F.}:........:....y.4}}:4yy,.,....,r;,•;r,•:nw•n,rr ..... ................. ............ .. vrvv....•...n,tn..v....t.....r..............,.ry:•n..:..:,n......{..:..,.....:•.v:•.::.. ..,, v.... .... r`,i r. •.:y{.ri %$:ir{.;+•. ........... , .... .. .. r .....:...rn r. ......... ...... .............. ...,.............. 4.v.;. nn..r...y.;,3,4, .t4ti'$ ....n. ..n..:...,..:... .. .... :.}:............. .....v.......n............... .,......v..:...n....:....v x::X::::4:{v..vv:•.v:•:•::.... :•:•}i:;ti]y$; :.}:•'?:"ti;ti• .................. .. : ....L.. ...... .... .v..............^.. .....v,..::.v.v:.v v.:....:..............;.;...vv:w:.wn:v•::::vvT::^+:�::.?:•}]:iv.v::•]:vn:t..]:t•:-7'%iv}::O'•}n::+.v....•rr':'i:}:i4}}}^•:i{�-,:::j$:>.%$$ •::::: ........r...n.vnw:•.v..:•: ::.t•.•:::.. •,:..:::. :::.v::x:::.::;::n:•}':•:.,:...........w:••.v:.v::::.v:.v..t::.•::•:}:...:n•.,+•:n••:::.v::v:•.v�w:::.v:n•:�w:;x:::::•'•:•.} v}F•:•xnw::n:•: a.-.a••. :n.....n............... .. ...�. yv,:.:..:x::::..:.:...... ...:.......:•••:;}..:•::::::::::v^•..n:....•:$:;......w::::::... vn....n...4.......n.:.... ...... ...........v..\::::.'•Y;4..... ..fiv;i:$$;:�}.}:?%: .>}:>... r} .:}.},:.74ir.. .v i.,.. ..L. -:ai?„}}}•x S.i}:...: .�.i.:;. vx v:rr:T:S:n. r nx?•nw:.:::::::::::•.. .v .:...::{.v:.,,{.\••.,wY:v•:nv:;w.v:::C:w:4:{-}Y::::w:•..... x:.w--:.::::^..;q;....r::..:. \.:::•:::...+.::,:vv::•])£'?:•}:ttt...v.....;... ..;..n....... .1w.{.... ........n :}s i�MOF n....Fi..,......}...vr.•....n........ ... 4.. }. ,...v:. ��•iY,.: 4:•ti?43..•s{:{•:v:•:•'r... •:..v.n.....:.:........ ..^. ......,..,n+. .......... .v..........` :':vYY}:v:n..:.,...........n. .....v.........4.....v:::..n�..+4Y.:v:v:..J.....,•: •S:tiw:;:•...::.]} r t............:. ..:.::yv.,(.,v.v ..v.n.»..... ..r::•:: ....... .... ....;...:.v ........n.....:...n..n.....n ,vv::w::......:::}:{{.}•{. $�:};i}},•:;.}�:i v}.};•ti4:4.£'••.v:- ......v......... ..... .........v:,. ::•: avn.:.,...... 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I do hereby certi the pains and penalties of perjury that the information provided above is inn and correct Signature C_ ti-i Date Phone# J -7 7 Punt name 1p official we only do not write in this area to be completed by city or town ofBdal city or town: petndttllcense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmews Office 1. ❑Health Department contaciperaon: Phone#; _ ❑Other, ocyl ed 9195 PJn) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for heir employes t As quoted from the"law", an employee is defin as every person in the service of another under any ct of hire, expi s or implied, oral or written. An employer is de ed as an individual,partnership, associ ton, corporation or other legal entity, or any two or more of the foregoing engage in a joint enterprise, and including th legal representatives of a deceased employer, or the receiver or trustee of an individ partnership, association or other 1 al entity, employing employees. However the owner of a dwelling house having no ore than three apartments and ho resides therein, or the occupant of the dwelling house of another who employs perso to do maintenance, constru on or repair work on such dwelling house or on the grounds or building appurtenant thereto not because of such emp Ill be deemed to be an employer. MGL chapter 152 section 25 also s that every state oT local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a bu 'ness or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of co pliance with th insurance coverage required. Additionally,neitherthe commonwealth nor any of its political sub 'visions shall a er into any contract for the performance of public work until acceptable evidence of compliance with the ce re eats of this chapter have been presented to the contracting authority. Applicants please fill in the workers compensation affidavit compl ly,by checking the box that applies to your situation and supplying company names,address and phone numbers o with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for tion of insurance coverage. Also be sure to sign and to a city r town that the application for the permit or license is date the affidavit. The affidavit should be ietumed being requested,not the Department of Industrial Accid S d you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,p ease call a Department at the number listed below. MO 1 City or Towns Please be sure that the affidavit is complete and p ' legibly. The Dep ent has provided a space at the bottom of the affidavit for you to fill out in the event the Office of vestigations has to at you regarding the applicant Please be sure to fill in the pemiit/license number which be used as a reference umber. The affidavits may be returned*io the Department by mail or FAX unless other emenrts have been made. The Office of Investigations would like to thank y u in advance for you cooperate n and should you have any questions. please do not hesitate to give us a call. jj The Department's address,telephone and fax n ber: _. The Commonwealth Of Massachusetts Department of Industrial Accidents amce of lovesdgations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . I Board of Building Regulations and Standards HOME IMA OVEMENT CONTRACTOR j Regfstration 13829 i, E a Expirat36n >3 � 005p T YPe ,444iv{dual' I -PAUL CAUCCI _ I I' PAUL CA{JCCI 4 HEADWATERS DR W:YARMOUTH MA 02673 �� Administrator Lice se' ®�N 'Fl1Oti�j�t,R`L�GULAj� r �� -' t�JCTdON'SUP RR�IS© Elf" I;w4 Tr ►a 81t56II + PO BOX 3. SO D�N�II'S {hitA 0\?�@�=�s' •�. � .. , A m n►stGator- '� I r _... f . • j c ul )t f" 1 4 i j� - --- ii �i� ___ i � i � �i ii ii ui , � i u ii ii -� - i�i i'_ 1 / 7/2003 16:36 FAX _ Q002/002 • PAGE 02/08 10/17/2003 14:09 3038322541 OFFICE DEPOT PAGE►� 10/.17/2003 13:00 FAR Paul Caucci '. pQ P.O. enx385Estimate S, Dennis Ma.02660 Number:EIIS 508-775-0380 Date. October 12, Z003 Sill To: Korn Steele l i Centervi rna . Iu I l� .t(i�.►�� JI►�'tl f Prolectt ---&.. %ecru to damage Date Description -_ -� RateAmount 10,12-03 Reptace'maln carrliirtg 1:finrTn`the 500.00 i ,.y 4 basementand one smaller beam. materials and dump fear I50.04 i i ._._ _ ► —. - TOW f $650.00 ADC *40 -V.A. VA. Cei Stmatiee Paul Caued I Contleator D.O.Bolt 585 uc.+r eiso3 s:oerA&MA D2060 Robert W. t ,ldDoe7l . eus_Phww soOM6.7748 paul.raurel®�erizon,r►ot Fax 608-77540300 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map l - Parcel l Permit# .3O 3 13 67 Health Division �� , Date Issued r 12 2000 Conservation Division ~ !d ��0��f� x Fee Tax Collector A A I ANot a Treasurer GLI IP `G SYSTE l INSTALLED IN, C0t%;rRLLL-. ' Planning Dept. .. WITH TITLE 3), Date Definitive Plan Approved by Planning Board ENVIRC �,'P,1,;'L---D.TE L C<,i m Historic-OKH Preservation/Hyannis Project Street Address (O PA bLDCIL L-AAJ Village a—J\1TEZ-U 1 Ld k Owner RZF_JJEwk- J E bl C- S i(r)PSn,N Address ?Au o c L4jye CVIu,c- Telephone 41s a12 g Permit Request P—PM 'rQ 0 irmAbp4 ?'e -36 SgAare fe t: 1st floor: existing proposed 2nd floor: existing proposed Total new 40 Valuatior,tM Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family u Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Ud/No On Old King's Highway: ❑Yes ®'No Basement Type: ❑ Full ❑Crawl ❑Walkout " ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other r Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:,❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:®existing ❑new size Shed: ❑existing ❑new size Other: a Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name b�l� '" Telephone Number ��� � Address RMA ll�- �.� License# ®O S 3 9 STA@L.4:." Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �AW, L-AAlbrj4d - i SIGNATURE DATE /"36 FOR OFFICIAL USE ONLY PERMIT_NO. s DATE ISSUED , r MAP/PARCEL NO. - ADDRESS j •. '�'` VILLAGE OWNER a DATE OF INSPECTION FOUNDATION t FRAME INSULATION 4' FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �- GAS: ROUGH FINAL FINAL BUILDING.: DATE CLOSED OUT 1 p ASS(.CIATION PLAN NO. . . • THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m A- F DATA L O� 0 i I.1, Li W �17 0 , y m CERTIFIED PLOT PLAN LOCATION . _ r,.ri ';- SCALE ',:%.. . DATE PLAN '1L; PLAN REFERENCE `. %,'. fY ' T , CERTIFY THAT THE F.a._ .',`=?:.':"! '.; SHOWN I A N ' E L A L V" N -5'r N ON THIS PLAN 1S LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO �Cn y 'J i N C AV E THE ZONING LAWS OF THE TOWN OF . . . ZG HEN CONSTRUCTED E P, T --k I NTREE MA-. DATE .N. �, .�J`,i,4 ,PETITIONER : LAND SURVEYOR j 1 fo 12 l I�+D ..Ji 14`P1�.;y� D -t - f !�•' . :� ..}:,,, J � _ h \ J /6 - .: j " _;, Y. 613 60 p�r,Df.t17 t ^ i Vb rF W' p Engineering Dept. (3rd floor) Map Parcel Permit# House# �� Date Issued Board a - . - :30) Fee (�aa��� `-J7 Ga� - . _2:00) r•----d-=by Planning-Boart)- - 19 1� BARNSTABLE. TOWN OF BARNSTABLE Building Permit Application 7ec�tt Address_ �� �/� Villager' /��' �//G� f Owner `%�,�%d/ ,,� lj Address ��j. �a Telephone 3k 25-- Permit Request — a� First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ , Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No. of Bedrooms: Existing New \ Total Room Count(not including baths): Existing New First Floor Room Count J 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) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) r ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name _ jam/ Telephone Number Address License# ��' �� /7% �IJ, ,/✓ /! Home Improvement Contractor# � Worker's Compensation# 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 BETAKEN TO SIGNATURE AW DATE %17/�l BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY 'p + PERMIT NO. DATE ISSUED MAP/-PARCEL NO ADDRESS - VILLAGE OWNER - I DATE OF INSPECTION: FOUNDATION FRAME INSULATION v FIREPLACE z ELECTRICAL: ROUGH ; FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. FEE °= TOWN OF BARNSTABLE, MASS. 19 00 m o�•� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO � o �o O JI— (PROPERTY OWNER) (ADDRESS) t3 C� 0 3 To .................................... [.y +4'O 1BUILD) (ALTER) ,s (REPAIR) dAdcs /J ................. ........................................................................... .............................. ... ...... _._........ ...................... ... .................... ...................... ......».............. .................... ....._...._ d (TYPE OF BUILDING) (APPROXIMATE SIZE) o p LOCATION ................................................................................_...................... ...» ..._....................................................................:......................................_..._..._........ _.._� V (STREET AND NUMBER) (VILLAGE) NAMEOF BUILDER O R C O N T R AC T O ._..._..............._.............._........................................._................._...._..................................... _....-- A c d.c APPROXIMATE COST ......................... ...._...__.............._................._._..................._........... _.__ y a) Ooca 1 HEREBY AGREE T CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN '�� OF BARNSTABLE REG DING THE ABOVE CONSTRUCTION. oP4 >� 0 aa � ca h (U CS rA (OWNER) (CONTRACTOR) kd _ _............. ...._....._.____..............___.__...... G BUILDING INSPECTOR +7 Subject to Approval of Board of Health. 49;1— ,tip^,. - p.' �: . t4}"r - e.. r.;�+i.{`'iv^�� ,li�„k.: ,r 4 '•r d M'U`" •.' s wy »r r S- ' Assessor's map and lot number CIA/ SIPTIC SYSTEM MUST BE // INSTALLED IN COMPLIANCE Sewage Permit number .................(..(�. WITH ARTICLE 11 STATE � N �J L SANITARY CODE ,MD TOWN ��QyOF TN E T T O 11j IN OF BAR 1 `1 E j BARNSTABLE. i o ABL 39.a� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......k. W.4r.P...................................................................................................... TYPE OF CONSTRUCTION ..........�&AA&..................................:................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ? .1....`1�/ �.t-Q.Ck... R!vE... -EA/f�Vl(-! C ......................................... Location .... ......... .. .. �,, .. D................................... Proposed Use .� � ./LY... SC��� ................................................................................. ........... ... ........ .... ..........Fire District �N/�c0LC-E/�ST�✓l(.-L� ZoningDistrict .............................................................. .......................... .................................................. Name of Owner lEl. V� !•1:� ..dress .3� QUJAACY)4VE, 9, 8,;j- 1A1TrCI'----C— Nameof Builder ........�....�..AA.....................................................Address .................................................................................... Name of Architect ^p(E�LCt ..Address }f!-�!i/O✓��t .:................................ ................................................................ .............. ....................... Number of Rooms ...... _.................................................FoundationTaV ���� .......... Exterior .... ®o'! f �/✓ G�� Roofing ... r� 7�LT //��-� .... ................... ...... ... ............................... ........ ........................................................... Floors .Interior Heating (fly Plumbing ...... .... ...... ........................................................ /. -................................................ © c - Fireplace ....... Cost ........1 `S). o0............... ........................ r� Definitive Plan Approved by Planning Board 'v __�_r_/------19-7 . Area/�CUSG....Z000 .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH J \�1 "C, �s sb, I ,hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .� Daniel A. Bzovmu Jr. , Inc. ' ' No —J7Q4.7�.. Pennitfor ---I—.I/2—� ���—��.� ^ ' � ---. .................... \ R | Locotion �.�/. Centerville ' /^-------------------------' | - Owner --_.I��iaI .A= Ir�nro Jr. ^ Inc. ' ----- -------------. ^^ �ra�m ' Type of [ons�u'tion -------------- ----.----.-----------------.. #2l Plot ............................ Lot ................................ ' ` . � Perm �� } " c"v.x�o � � , ^ Dote of " spe^""'' f^ Dote Completed lY�yL��,1----]9 �r � . � PERMIT REFUSED ,4 /� W) � . lA-----_--------------.. | l \ ( --------------------------. � |—'~-----------------------''' ' `T _____________________._____ � | ---------'~------'--'—'^—'—^--'' | Approved lg _-----`--------. -------------------------- ------------------------~^'' �] �- ~ . I - IJ,"fd)li j � i i li� l , ll � s � li' il I i 1 � i�- i ' i -►r ----_ __ __ _ _ ----------------IT f - - -- - i. 1 r"S_ i Assessor's office(1st Floor): SEPTIC SYSTEM MU�`T BE Assessor's map and lot number ` o? ����/�• 114STALL,ED IN COMPLI Conservation �—b WITH TITLE Board of Health(3rd fbor)::p �S3 ENVIRONMENTAL C Sewage Permit number � f�/�rQ (1�, /!S% TOWN REGULATI sr.nta rut AV Jr Engineering Department(3rd floor): � �Js � ����� °r 1630•`��� House number & MAv Definitive Plan Approved by Planning Board r 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUI DING INSPECTOR APPLICATION FOR PERMIT TO ' TYPE OF CONSTRUCTION �j1�71 ' S2jl ---- � �1-- CO 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereb pplies for a permit according to the following information: 4 Location Q Proposed Use Zoning District Fire District � Name of Owner Address (n a l� Name of Buildero � Address d U- c, (� Name of Architect Address i Number of Rooms Foundation Exterior Roofing 1 Floors \� Interior Heating \ Plumbing Fireplace Approximate Cost O .� r Area ray Diagram of Lot and Building with Dimensions Fee or . � I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of B/rnstable regarding the jkbove construction. Name F Construction Supervisor's License �� SIMPSON, ROBERT t ' No 35901 Permit For R— e p 1 acP nnck Single _Fam,_' 1Twpl ling - Location 6 Padlock Lang (LOt •Centervi 1 1 P r i Owner'- �hRobert' Simpson Type of`Construction Frame Plot Lot Permit Granted May 25 , 19 93 Date of Inspection 19 � Date Completed 19, :1