HomeMy WebLinkAbout0214 PINE STREET (HY .T
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Tt1E Town of Barnstable ,.° *Permit#�— --
�OF �, - .. • ` Exgtres 6 months from e date
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s . _�- .t v ._--;Regulatory Services Fee
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s� Miss. �' - :.... ,.•:- .Tbomas:F.-Geiler,Director _.
",�---• __--. -_._.-Building Division _.
"" -- --Tom Perry, Building Commissioner ,
200 MainStreet, Hyannis,MA 02601 --
office: 508-862-4038 -
Fax'-508-790-6230*
RESIDENTIAL ONLY
EXPSSET tom' -Not Valid without RedX-Press Impn �Pnt A
Map/parcel Number G r3
property Address
fee of$25.00 for work under$6000.00
�]Residential Value of Work �° � Minimum _
Owner's Name&Address W-45 64,ca5
C
onlractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) lot
Supervisor's License# if 'applicable)' D 6 9'
Construction Supervi. (� _
a
rkman's Compensation Insurance' ,►
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
[�ve Worker's.Compensation'lusurancg `
Insurance CompanyName
Worlanan's Comp.Policy# VW L' (0 Ste' D ze>Cs
Copy of Insurance Compliance Certificate'must be on file.
permit Request(check box)
kj(Re-roof(stripping old shingles) All construction debris will be taken to
[] roof)Re-roof(not stripping. doing ov existing layers of er
Re-side ry w
acement Windows. U Value ( »•44)
❑ Repl `
*Where required. Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc
` *, * - Owner must sign Property Owner Letter of Permission. r µ
Note: Property P t3' .
" Home Improvement Contractors License is required '
Signature
Q:Forms:expmtr8
Revise063004 v
r
TME l Town of Barnstable
cP �ti
Regulatory Services
res�e, Thomas F.Geller,Director
9� �,•� Building Division
TomPerry, Building Commissioner
200 Main Street, $yannis,MA 02601
www.town.barnstable;ma.us
Fax 508 790-6230
Office: 508-862-4038
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
behalf •. . • .' .
hereby authorize
-to-actonmy ,
r g P application for: •
in au fitters relative to work authorized by this bundin ermit a p
ke-
kAdd=SS ofRb}
Date
Signature of Owner
As
Print l'�ame •
Se g eji r;m i t number .......................��,.Y.
TOWN OF BARNSTABLE
. �
. � BUILDING
�0N 0 N �� N ���� INSPECTOR
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^�PP�CAT��0W FOR PERMIT TO j��'—. ����/��.—..-----.-----~--.—._—'^''
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TYPE OF ..�.�.'.^^���.�x���+mu..��r�.�J��.�—^.�����t��.....----..---.-------.-
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TO THE INSPECTOR OF BUILDINGS:
The undersigned 6eva6y applies for o permit according to the following information:
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Locohon �'~�x�����������—' (`� ----�_� r�.��..------------------------------
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ProposedUse --..����^./�v,_c........IC6,0..ec7.................................................................................................'.........................
Zoning District ..... ....---.--------..Rre District ....... ...........................................................
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� Name of Owner —��./��.��/���—���--���������—�1��.A6Jnsu .......
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Nome of 8vi|6o, 'L�ez\�/���—.,^^^���z,[xc�z----.A66,eo --"..,..^=."�����—.
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Nome of Architect ............. .---------------..A6dreu -------------.-----__,_.___,__
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Number of Rooms ----------------------Foun6otion ........L09����I�— .........................................
Exlerior ----------------------------.RooGng -----------------.--_______,_
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Floors -------------.--------------,.|nt»hur ------- ........... �
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Heating ------------._---------..----..F1um6ing .............. ...................................................... �
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Fireplace ---_ .............Approximate Cost ----.��^����,.�~,_.__,____,_
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Definitive Plan Approved by Planning Board lA----. Area --��/��--------' '
Diagram of Lot and Building with Dimensions Fee .......... .�m_______
SUBJECT TO APPROVAL OF BOARD OF HEALTH �
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
� | hereby agree to conform to all the Rules and Regulations '|
construction.
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Cons ruc,ion Supervisor's Liqsnoe
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CHILDS, LESTER F.
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IN 0 27Q72 �/110
'I. ...... ..... Permit for .........�TION................
le Family Dwelling
.....................
Locationcation 2jjjine Street
........................................ .............
Centerville
.... ................................................................
Owner ..............................
Typ-e of Construction Frarne................................
...............................................................................
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Plot ............................ Lot ................................
..Permit Granted ..........October 10.................... .......19 84
Date of Inspection ....................................19
Date Completed ...............7........ ..........19