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HomeMy WebLinkAbout0076 PATRIOT WAY '7r� �r.��-r►o-t- ��ct. � C�v a ► I •� �� f. l �i ��laai►4 ? 4 " 1 L�6-7 S Llq T Town of Barnstable ermit# I QExpires 6 months from is e Regulatory Services Fee anxxsres[.E, MASS. Richard V. Scali, Director ' AlFtt MA'I a - Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 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 c Property Address � 0 P A tR Li_Y-j t��-� D7a 3� ❑Residential. Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address es 6 t<VU Contractor's Name aolq" &111 TeldphoneNumber Home Improvement Contractor License#(if applicable) ��� � Email: Construction Supervisor's License#(if applicable) o�se� ❑Workman's Compensation Insurance KRMIT Check one: i` �.J I am a sole proprietor OCT 2 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF J�tl pflNSYAt1 BLE Insurance Company Name ! Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit Permit Re uest(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken tot� �it4 Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of th Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc t Revised 061313 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dhz Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apolicant Information Please Print Legibly Name(Business/Organization/Individual): 4 _ Address: City/State/Zip: 2 &,f vU 77Phone#: 6 D Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction I❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 1 am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No'workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp:insurance required.] *Any applicant that checks box##1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am 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.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration 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 criminal 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 the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un er the ns a penalties of perjury that the information provided above is true yand correct Signature: Date: Phone Official use only. Do not write in this area,to be completed by city or town official _ ....._.. - -......... ....... ._. ... . _.... - _..-...-_:............ - - City 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#: nY Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide wo 1�ers, compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined"an individual,partnership,association,corp on or other legal entity,or any two or more of the foregoing engaged ina joint enterprise,and including the legal r resentatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other 1 al entity,employing employees. However the owner of a dwelling house having not more than three apartments who resides therein,or the occupant of the dwelling house of another who employs persons't6 do maintenance construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not becaus of such employment be deemed to be an employer." MGL chapter.152;§25C(6)also'states that"every state or Ioca licensing'agency shall withhold the issuance or renewal of a license or permit to operate a business or to c struct buildings in the commonwealth for any applicant who has not produced acceptable evidence of co pliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)�states"Neither th commonwealth nor any of its political subdivisions shall f public work til table evidence of compliance with the insurance acceptable enter into any contract for the perfonnanc o p P requirements of this chapter have been pre nted to the c tracting authority." Applicants Please fill out the workers'compensation affid�yit c mpletely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addn'e (es)and phone number(s)along with their certificate(s)of I insurance. Limited Liability Companies(LLC)or united Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry wo s' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised tha s davit may be submitted to the Department of Industrial Accidents for confirmation of insurance coves e. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applica on for A permit or license is being requested,not the Department of Industrial Accidents. Should you have any q estions regading the law or if you are required to obtain a workers' compensation policy,please call the Dep ent at the number listed below. Self-insured companies should enter their self-insurance license number on the appro ate line. '� City or Town Officials Please be sure that the affidavit is comple a and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the e ent the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernut/licens number which will be used as a reference number.'In addition,an applicant that must submit multiple permit/h s applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and er"Job Site Address"the aprplicant should write"all locations in (city or town)."A copy of the affidavit that has een officially stamped or marled by the city or town may be provided to the applicant as proof that a valid affidavit on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not�ielated to any business or commercial venture (i.e.a dog license or permit to burn lea s etc.)said person is NOT require�d�to complete this affidavit. The Office of Investigations would like � 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 and I number: 4 J., _ The Commonwealth of(Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www-mass.gov/dia Town of Barnstable Regulatory Servic es A � Richard V.Scali, Director Building Division >�iuvsresrE = Tom Perry,Building Commissioner 16.19. � � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us _ Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: if" number street village "HOMEOWNER": l Jan V�(�-C�5 Vl VIP. ' name home �phone `# work phone# CURRENT MAILING ADDRESS`. city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1:1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection Ocedures and requirements and that he/she will comply with said procedures and requirements A/"A Sign re of Homeowner _ Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when'the homeowner hires unlicensed ' persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed . Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit 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 form/certification for use in your community. 4 Ar' . Town of Barnstable A Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO f` Building Commissioner 200 Main Street, Hyannis," 2601 - 1 r www.town.barnstabl�e:fma.us•—, * ' Office: 508-t8,62-4038 t ' Fax: 508-790-6230 Property caner Must Complete an Sign This Section If Us' g A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized b this building permit application for: r (Addfess of Job) t I i t Signature of Owner j Da e t .. f Print Name ! If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILES\FORMS\building permit forms\smokeearbondetectors.doc. Revised 050412 �Er The .Town of Barnstable-:ifWM ° Department of Health, Safety and Environmental Services " • l Bunding Division. 367 Main Strew,Hyannis MA 02601 Office 308-790.6227 Ralph MCrossm Fax: 308-790-6230 Building Commission= Home Occupation Registration Dare Name: �.��iri S Address! ��. t�,�r'/I :o (mac./4 Type of Basiaesx �rsrh ni c� c c- Map/Lon r�%2 3 `� WTENT: R is the imew ofthis session to allow the resideazs'af the Town of Barnstable to operate a home occupation to the cf Section 4-1.4 of the Zoum addiaaaee,provided that the within single family dweilingr,subject provisions activity shall not be dtsaaa>ble from outside the dwelling: there shall be no m=rase m nozs e or odor-no visual alteration to the premises which would suggest anytbmg adw r than a readenaai use;no increase in traffic above normal zmdeazial voh=es;and no unease in as cr After registsadcin with the Balding rnspectW,a customary borne occ ovation shaU be petmiwed as of right subject to the folming conditions • The amvity is=zied an by the permanent redde=of a single family residential dweXmg unit,located within d=dwdfingunk Such use cc=;ues no more than 400 square fat of space. • There ate no atsaaal altnztions to the dmfty zb&we not custonmT in residential buildings,and there is no oxide evidence of such use. • No traffic will be gmesated in eaess of normal residential vahmres. • The use does not involve the production of afeasive noose,vibrxkm-smalce,dint or other particular matur,odors.dectneml diswabanoe,heat,Date.hatnidity or other objectionable e$eas. • There is no staaage or use of tonic or haardous materials,or flammable er ezplosive materials,in excess of normal household gtmtities. • Any need far parking generated by such use shalt be met an the same lot cm=iaing the Customary Home oornpatiazr,and not v+ithia the regrri r fiortt WITL • There is no cmaiar stozage or display of worWv or equipment. • There is no mmmmcid vehicles related to the Cwmom T Ham Occupation,other than one van or one pidL-W tnrck not to exceed one tan capacity,and anti trailer not to emceed 20 feet in length and not to exceed 4 tiro,pzdmd an the same lot as gthe Customary Ha=Ooarpation. • No sign shalt be.displayed iadimtiagthe CoMMUy Home OocnpatiaL • Xthe Custcmary Home Occupation is listed or advertised as a brumess,the sweet address shall not be included. • No person shall be employed in the CustamzT Ham Occupation who is not a permanent riesideat of the dweftuuit t.the undersigned,have read and agree with the above restrictions for my hems occupation I an regiswria& App • Dare: 115A� Homeoc�oe TO ALL NEW BUSINESS OWNERS. Fill in please: CHIo� � APPLICANT'S ® ® ® ®® YOUR NAME: LAoieEly A��o BUSINESS YOUR HOME ADDRESS: 76 F?h-too— W: y TELEPHONE Telephone Number (Home)� g, 71 _ 4 4 53 NAME OF NEW BUSINESS T PA eG TYPE OF BUSINESS —Cor70jF c t l IS THIS A HOME OCCUPATION? ADDRESS OF BUSINESS - A i MAP/PARCEL NUMBER / 0�•/3 When starting a new business there are several thin s you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has b en i formed.of any permit requirements-that pertain to this type,of business. Aut orized Sign ture COMMENTS: Na `�Tti�s+�,� • Sy CuS rS c>Y' 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: O/,' "A , 3. ill GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been inform d of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: .After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 fir 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate - you must get that through completion of the processes from the various departments involved. ' - z to`r of t � N I � � O . Ir000 GA l., ' r IFOV` 0. S. lo` SR1'ric. TANG - Ln �� Iv t i TM, ux� f P'IT � 1t I � I o t .� 1 3 .5 'T OF Job WiLUAi.fi c�, t� C8QT1'FIEt7 >1 _ pLC>-r P _ �" C.. 1 NYE v �1 zs434 LOCA►TIO1J { A'$u .`' SCALV--- IIN; 3 DFT Y7°ATM 4/z-I ! 77 I G6RTIF-4 T"AT TNT Fc um t>l�T1otJS0.oww Pt-AQ R� c�ZENC.E WS9EOW CC%AAPLYS W 1TN TWG 51UE_LI► E-_ L Q-T QWr-> SETV!,AC1C QEQU19ZEME1.TS bF THE 'to W U o>G BARNS'C/'� �- C3 k. f -t F�� 1 `L-7 DATE ( 7 B/S.XTEIZ 4r uYE I�.Jc.. t2EGIS,rZ t> LAIW0 SUi�VEYatZS __ TV415 VI-Ail le, U CST -SAS.ED O. -x _A,64 _ O_STEfLv�l_t� ma c?_ Art A SS. 114SMtJoAENT 50evmY i TNT 01rcr5eirS 5l4owl-.c> APP1_I CA►JT ARC"N VR W i AM NOT ESS USED TO DM:TEeM1%J& L.DT LlWeS Asstsors tinap and. lot'number Q �'" `�-�`7` -7,> *� F t SEPTIC SYSTEM MUST BE lltl Se vage,aPermit` number ................1.��,..................:............ INSTALLED IN COMPLIANCE u., � WITH ARTICLE 11 STATE �" t SANITARY COD TOWN. TN& 61 s TOWN OF BARNVS6P*R� - 2 ;�t ri ;ter Z BABBSTABL i 5• QP9r•0� A� RjUWil HG IHASPECT0R; ' APPLICATION FOR` PERMIT TO .. �.C� ..................................................................................................... . 0 TYPE OF CONSTRUCTION r �+t9 �a.crr.�.....:.. . ..... ............................................... ................ 19 7 TO THE INSPECTOR OF BUILDINGS: The undersigned ereby applies for a permit according to the following information: (3 , Location ...... ...: . F..t�'....<.. Zen rrz, .....laT/ r.' ............ �4?�i :.:. .,,V....'..0.f:.fir.B.... ...�s.�4?... ................. ProposedUse .........t5"/ n.r�. ..1...��r.�e.i ..................................................................................................................... 71eZoning District .......... ................................................Fire District ...4©w/����r..�l.c:.... (.!,,`rs"yc�i:� a ........ Name of Owner vv.....Address ....... 11r.,.......................................... Name of Builder .. .......... "t.....Address `� ............................................. ...................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........... ',o�<..........................................Foundation ....... A,-.. ../..arc.�- ��1....0 .t�.. ��•--.............. Exterior .... . .................................Roofing ..........a7-37 { �ic: Floors .........i ... .:. .-..�` .................................................Interior ............/..`1......cq✓!: ! a��.f................. a Heating �T4rS....-.....��P1c�,rr. .....j ,"..................Plumbing .....Z%I pe...... /.. . ............. Fireplace ...........lfolde. .._:...............................................Approximate Cost ....... 5� .k GAr............. Definitive Plan Approved by Planning Board _✓ � ----__-_s-------19 Area .......F.1/D...�`' .^.......... aF Diagram of Lot and Building with Dimensions Fee ............. -............ SUBJECT TO APPROVAL .OF BOARD OF HEALTH ^�1 d9 _Cs!o 1 �, P zq 38 3 �L I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ,r• �� ' ... rE.4�yj. .... - r M R. Arthur Williams, Inc. „�- 19205 - 1 1/2 story �. ......:._ ..... Permit for .. ........................... ' 4 single family dwelling w - {......................................... ................................ r ,Patriot Way Location` : , ................... ..................................................... _ Centerville R . ... R. Arthur Williams, - Inc. Owner ............................................. . .. .. .... Type Hof Construction frameP z- ... ................................. - .. ............................ kk ' F f :Plot ............................ Lot ........................l.rl... u r ti ; Permit Granted May-13........ .•19 77 w Date of Ins ection p 17 ......19 - X', / ��Date Completed '.. 19 . 1 t 41 PERMIT-REFUSED f - ............................................................. 19 ............................................................................ .......................................... ....::. r. ' �. ✓ .' �. F..................... ............................................... r t ,l .................. .......................................... ....� Approved ................................................ 19 f ............................................................................... ..................... ................................................... ..... - 1 AV -/ Assessor's map and lot number"................... ....................... : G Y� Sewage Permit number .......................................................... %'T"E.T°�o : TOWN , OF BARNSTABLE i BARNSTABLE, i "6 q BUILDING INSPECTOR �F0 MAI a' APPLICATION FOR PERMIT TO ... ....C�l ..... .�f)....... ... .......................................................... TYPE OF CONSTRUCTION �� � C'�" �� �U�4��.............. ........ .................................... (;.. ................... ....19..d TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ©applies for a permit according to the following information: Location .....�, ..................................... ........................ ....... ............... Proposed Use ............... .i LJC� t� .'.. . ^i9 :' ........... .."/.j..;�../................................. Zoning District .....................................:.....:............................Fire District ...0:.Tekvf. ............'........................... Name of Owner .1 (?. .... ..................... Address ?. .....� .� 1 ........$td&. I✓1��� ...................... lr Name of Builder ............ ................................Address .................................................................................... Nameof Architect ................................................................Address ................................`1.........................1.................... l Number of Rooms ....................../.......................................... Foundation ......... hJ..�a&.�s.. ....�.4��:k.s........ Exterior ..............e!./.. ...............................................Roofing ...........(, lr� ..............................................:,... Floors Interior J/ ....................«,>.�.o�'�"-............................................. ....................... . ......................................................... Heating ./:�.. .................:.............Plumbing .................A1 O..CJ� ................ ........................................... Fireplace ....................................... .......................................Approximate Cost ........ � fly ..................................... ................ Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ........ ....... .............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH G' JL L Gtrc-6:-( Cc�v1r� - Li I hereby agree to conform to all the Rules and Regulations of t of Bar s able r � arding thAbove construction. _1 . Name ... .........�--.:................. ....... ............. :!�...... CODTD, RO0ALD ' 2Z90S A�]DI]�ION | ' - N� . .. —.. Permit for ------------ . ' to Sinc 0vvelIio�y ...................................................... ^ . L�co�on ..76._Patr�it_Wav�'_______.. Centerville ------.—..----..._..--.---.--. ' Owner .Rouald.. ___________ _ Typo of Construction — —`-----... ' , ^ ............. .................................................................. Plot ............................ Lot ----------.. ' ' ' D8azob 10, 811 Permit Granted ---------'--.—.]Q . . . . . Date ofInspection ...................................... Date Completed — ...............................lg - . ° . . . PERMIT REFUSED ._.—_..--~..--.—.-......--.-`, ^ ' . . . .—.-------'_..'-.--.------.~—.—~..- � . ` --_.—.._—.,.--...—.—_..,---...—..... . . ` . ...................-.--'----....,....`.....~....~. , , . - . .--.—.------,---.----_----.,.....~.. - , . ` Approved ................................................ 19 . . ----..---....--.—.._.---.---.—^ . � . -----.------------..--.......... . � s+t ' a r j.. t a.� GA". ., , +s,.' Ji IJ r S IAT t _' `� € L. S{�ie 1` s:..l `'?,i .>�b,{� r ,, "� �E�`i5 e€��eVe c iti!i y� C r- T"4•-��. .._.-T W��C _y(:�./,_/._.��`. F� 1 t i`...��', of �.a..�.,--_�.....-•--•------�—• � �e�+. /i i �� ••cr �:,9`ems.. d L•.a�.. Ar(A-9S• i+ I q.�4 v$�'.C.,;id4 ..._..r t'i `^d'�,3.'-�.,�('�.'^� �� i�vE,. s;.'Z, '" ..,_.. _ �.i- to a..6 t,-.'.. i yc•-.',F��t £ 0�.'�r.3'-.��t� !`. l . . a"', ram` � '�� � ! �. ...__ Assessor's map' and .lot number. ....:. ( ....(..:....................... THE Sewage Permit number .......:.................................... ..... , s ,�a ft b �LLED House number .... 'WIEM M $ ............ a 9 fit.., M/fTH p co 9.A, . TOWN OF BARN' i`co DE AND L , areoNs BUILDING INSPECTOR l' APPLICATION FOR PERMIT TO z...(.D'... ........................................................:... TYPE OF CONSTRUCTION ........4h. 2 ... .. ..... ................... ............................................................ ` ...................... 9. .�..7.,0.........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the�f[ollowing information: Location ......... 'r / . . . .f�..�... . ..�`�'..S:.S..... i. .........L:�............... ............................... ProposedUse .... —/UA i..1 ...... ..m...................................................................................................I......................... Zoning District ......................... .........................................Fire District �.. . .. ................. ........................................................... Name of Owner _...Address .....26..... .......Qn.-f....................... Name of Builder ......0.1/1t -CA-Ile.... SlC& Address ... ........................... ............................ Nameof Architect ..................................................................Address ....................._............................................................... Number of Rooms .......0.)V !.. � �. 'L.�V.�!!.:! 1....... .............................................Foundation ............ ...�.... .... r .:V. Exterior ...::'.... dh..k............................. ......... 4 Floors ...........�.i.0a)pr�-f.......................................................Interior ......... ��C�� e hieating ........... ..............................................................Plumbing ......./Vv.................................................................. Fireplace ............./t/O...........................................................Approximate. Cost ..........2. P®...................... . Definitive Plan Approved by Planning Board ________________________________19________. Area ............................ 00 Diagram of Lot and Building with Dimensions Fee ............ ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 12- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........f. ... .....�..... . ..................... ............... Construction Supervisor's License s.. ...o0...v1............ v'P COUTI, BONNIE & RON i b • t9 t s ' No .. .$49,6..... Permit for ..J3..q:Ud..Addz.UQn... y ....................... .y Location ....76..P.a tron ..1;S..W,ay............................ T . ............... <` �ntersa].J ................................... Y E7 � � y t Owner .... ..Rva..CA.utj....................... Type of Construction Plot .......................... Lot 11 ry t Permit Granted .,,,October 8, 19 85 1< .1 r ..cet-..�,� 1 �...19 ,r Date of Inspect' .................... ...... .. Date Completed r - rl t o yna' �. •�M ' Psor 's office(1st Floor): sor's me d lot numb �70� '�3J T— �l II � ������STEW, a6 rNc ation ���„� 3 rn� INSTALLE®IN CO of Health(3rd floor): r> WITH TITL sea'srAntt Sewage Permit number i ENVIRONMENTAL Engineering Department(3rd floor): TOWNs� House number -I& 4ed j REGULATI � Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO R CA (f TCI TYPE OF CONSTRUCTION ty-06 to TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location `�� Pik'/%2 f�J]` Gl�Y�1'G/ 7-a��- ✓/LLB Proposed Use �1i�6' �li1i1 rt� '��c ��=✓Z Zoning District Fire District NameofOwner ©w �� b �Oy� Address IPA MJ.C,7- 44!/" '0-+-7-&n Name of Builder 1 Address Cl t' S Name of Architect Address r• le4 11 Number of Rooms Z Foundation 0641( e676-- ie Z�Ct?l� Exterior �L� � Roofing Floors. Interior S«C€rT Heating Plumbing Fireplace Approximate Cost Area Z Diagram of Lot and Building with Dimensions Fee a .33 t r 4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin eabove-c nstruction. Name Construction Supervisor's License L NALD �a No 882 Permit For Build Addition Single Family Dwelling Location 76 Patroit Way Centerville v '' Owner Ronald Coutu - Type of Construction Frame ,1 1 Plot Lot i /- Permit Granted March 13 , 19 92 Date of Inspection 19 - Date Completed 19 n _ 4 r