HomeMy WebLinkAbout0167 POINT OF PINES AVENUE / 7 Po/Ivro-F Pt rvES A
p
ACTIVE
'* .4
pF THE rp�
Town of Barnstable 4
Expires 6 mondrs from issue date
Regulatory Services FeeMASS
• s�arrsrwBtE, ,
.039 �� Thomas F.Geiler,Director 1
i639
Building Division X-PRESS PERMIT
Tom Perry,CBO, Building Commissioner
JUL 1
200 Main Street, Hyannis,MA 02601 2 0
www.town.barnstable.ma.us TOWN OF $�RSTf $L�
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number �/ ��
Property Address f C�l l - D
2esidential Value of Work_j Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
Al.19
Contractor's Name- tl`, h f `lpatl'l`1 Telephone Number
Home Improvement Contractor License#(if applicable) j
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
Ell-am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name .)/7, 14 N
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(stripping old shingles) --All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
E Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)#of windows
*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 the Home Improvement Contractors License&Construction Supervisors License is
required.
IGNATURE: i
:\WPFILES\FORMS\building permit forms\EXPRESS.doC i
.evised 070110 4
oFTHEAO Town of Barnstable.
` Regulatory Services
qM ARg * Thomas F.Geiler,Director `
ED Building Division
To'm Perry,Building Commissioner
200 Main Street,HyamZis,MA 02601 '
r
www.town.barnstable.ma.us
Office: 508-862-4038 N Fax: 508-790-6230
Prop erty Baer Mus t
Complete and Sign This Secf on
If Using A Builder f+
t
1, --r'� � � •
as Owner of the subject,property
f .
hereby authorize / to act ou my Let a ,
M all matters relative to work authorized by this budding permit application for.
ss of job) /
Signature o Owner V
45, u�Ae, rim 1,
Print Name
If Property Owner is applying forpermitplease co aplete'the -
Homeowners License Exemption born on :the reverse side'.,. -
i ray
Town of Barnstable
0 Regulatory Services
1 Thomas F.Geller,Director
Building Division
PrEp µA{s'
Tom Perry,Building Com=ss'oner
200 Main-Street, AypO, 2601
RwSv.tobarasfable_ us
Off__cr: 508-862-403 8 Fax. 508-790-6230
HOMEDW� LICENSE h=ON .\ .
Plisse Print `
DATE
JOB LOCATION:
number street village
'7-iOMFAWNER":
name horn
hone# work phone#
CLJRRF?JT AMArl1NG ADDRESS:
eity/to state zip code
The current excroption for"homeowners" cxtm to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual or hire o does not possess a license,provided that the,owner acts as
supervisor.
D N OF HOMEORT'ER
Pcr-son(s)who owns a parcel of and on which h resides or intends to reside, on which,there is, or is intended to
be, a one or two-family dwelling, attached or detrtr structures accessory to such nse and/or farm structures. A
person who constrgcts more than one home in a tw car period shall'not be considered a homeowner. Such
"homeowner"shall submit to the Building Offic' form acceptable to the Building Official, that he/she shall be
r onsible for all such work erformed'undcr the ut7 ermiL (Section 109:1.1)
The undersigned `homeowner"a sstunas respo[ani
ty for comp cc with the State Building Code and otherapplicable codes, bylaws,rules and regulationsThe imdcrsigacd'homeownce'ccrtififics that.hnderstands the Town f Barnstable Building Department
minir**+r*r�inspection procedures an4 mquireme that he/she will cam with said procedures and
requirements.
Signature of Homeawna
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 botncowner perforTning work for which a building permit is required shall be cxanpi from the provisions '
of this section.(Section I D9.1.1-Ilcrosing of construction Supervisors);provided that i f ncc homoowner•engages a persons)for hire to do such
world that Ham Homeowner shall ad as supervisor."
su`c
Z.y bomcowners wbo use this acmption are unaware that they are assuming the responstbtlities of a supervisor(sec Appendix Q,
Rides&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bfkm rmulu in serious problerns,particularly
when the homeowner hires unliemsed persons. In this case,our Board cannot proceed against the unliczwed person as it would with}licensed
Supervisor. The hameowncr acting as Supervisor is ultimately responsible
To ensure that the bomcowna is fffly aware of hiAcricsponstbilitics,many communities require,as part of the permit application,
that the homeowner certify that bdsha understands the rrspansrbilitics of a Supervisor. On the last page of this issue is a.form currrntly used by
scycral towns. You may care t amend and adopt such i formIccrtiBeation for use in your eonvnunity.
I�
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel D Application # 1*� l �
Health Division Date Issued �J l a
Conservation Division Application Fee
0 ,`
Planning Dept, 4u- ' Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH X)IV- _ Preservation/Hyannis W
Project Street Address Al I ! y /)i 4 e C.
Village
Owner 2154 �y',� �- I I lil y Address f oo�i ?c yiyc C'-P�T�yi//gyp
Telephone &8- 77/ 7773
Permit Request 1?2 vials de I �/ISrLN rictn 2CC/P1
E eo kc e "Luc OU.S(R W 0+l d Q e 4c JIX e S'4,w1 ,Fs e)elS
Square feet: 1 st floor: existing proposed �2nd floor: existing proposed Total new
Zoning District P Flood Plain Groundwater Overlay
Project Valuation Acoo Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ZK' Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes 2rNo On Old King's Highway: ❑Yes VNo
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
pBasement 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
4 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
\� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing_,,❑ n j size_
�u
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other G9
k.n.a
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ' P
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
?4&
(BUILDER OR HOMEOWNER)
Name L 4oleS t Gs Telephone Number 6 101-7 71- �-la
Address 18j,4oi 1e_y Q4 License # G
�y/Z/c®, 'im 02G 32 Home Improvement Contractor#
Worker's Compensation #ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO &,qs 41e- J=x—T
SIGNATURE DATE .511Z�O i
FOR OFFICIAL USE ONLY
s -
APPLICATION#
DATEISSUED
I MAP/PARCELNO.
r •_
ADDRESS X VILLAGE
s
OWNER
DATE OF INSPECTION:
FOUNDATION
F /
FRAME ,r �% diFR SG 11ro c o ,S�Z�jo
INSULATION Ao
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING 7)ulll
DATE CLOSED OUT
ASSOCIATION PLAN NO.
F
r ,
-NEG'Y CONSER•VATZON APPLICATION FORM FOR ENERGY EFFXCZCXEI�FCY FOR
R.
ONE,- AND TWO-EAMTLYDETAMED RESIDENTIAL CONSIRUCTrON (7so clv>R61.00)
Applicant Name: �Gt,��`es �'�'sto S Site_Address: ��� ,ob, � �
print Town;
Applicant Phone: Coe
Applicant Signature: Date of Application:
NEW CONSTR CT):ON: choose ONE of the followin two'o tions
780 CMR TABLE 6107.1
PRESCR1:PTiVE ENVELOPE COM 0NEI, C -ITER A FOR
NEW ONE- AND TWO-FAMILY BUMDINGS
MA�QMUM MINFMUM
Ceiling or Slab
$asemetit
Q Option 1: Fenestration exposed Wall Floor .mall Perimeter AFUE HSPF
U-factor floors R Value R-Value R-Value R-Value
RzValue and De th
National ApplianceEncr,
R-10) Conscrvalion Act(NAEC
.35 R-3 8 R-19 R-19 R-10 4 ft.. 1997 as amended,minim
cater as applicable
Note: This form is not required if you choose either of the two versions ofREScheck as listed below.
❑ Option 2: REScheek•Versioa 4.1.2 or later variant software analysis must be completed
790 CMR 6107.3.2
REScheck—Web which,caabcacctss(--dathttp-://www.tntrgycodcs,gc)v/rcsrhc,-ck/
A bbZX' O1VSIZAZXOI�S.TQ E'MTZNG BUTZ,D IGS.O R 5 YEARS OLD
*�Buildings under 5 years old must use option#1 or 42 in New Construction section above.
Cornplete the following formula to determine the o of glazing:
(a) Gross Wall & Ceiling Area equals Formula: (100 x b_ a)
SF 100 x = % of glazing
'b a
(b) Glazing area equals SF
if •lazin is_<d0%.use the chart below. If lazing is > 40 % roceed to "SUNR.00M" section
780 CMR TABLE 6101.3
PRESCRIPTfVE ENVELOPE COMPONENT CRZTERTA ADDITIONS TO EXISTING
LOB?-RISE RESD)ENTIAL BTJ1rI.1DD1 GS
/ MAXIMUM MCNIIvfiJM
Ceiling and Slab Perim
u Fenestration gxposcd floors wall Floor Basement Wall R_yatue
U-factor R-Value R-Value : R-value R-Value and De t
3 R-3 7 a R-13 , R-19 R-10 R-10, 4 f
EL R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling
area(i.c. not cENRO
ressed over exterior walls, and includingan access openings).
'
OM—An addition or alteration to an existing building/dwelling unit where the tota
0 glazing area of said addition exceeds 40% of the combined gross wall and ceiling arc, th
addition.
Note: Owner to fill out Consumer Information Form found in A endix 120.P
Town of Barnstable
Regulatory Services
:QIARNBIADLE, Thomas F. GeUer,Director
039. Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-622
_ t
Property Owner Must
Complete' and Sign This Section
If Using A Builder
as Owner of the subject property
a to act on rnY behalf,
hereby authorize� ��-leS ?L7 slo S
f i
in all matters,relative to work authorized by this building pemut application for
147
(Address of job)
v
Signature of Pwner Date
$et,
Print Name
If Property Owner is applying for permit please complete the .
Homeo*ymers License Exemption Form on the reverse side.
Town of Barnstable
'SHE r�
o Regulatory Services
Thomas F. Geiler,Director
r BARNSTABLE,
01.9. Building Division
to a To Perry,Building Commissioner
200 ain Street, Hyannis,MA 02601
town.barnstable,ma.us
Fax: 508-790-6230
Office: 508-862-4038 -
HOMEO ER LICENSE EXE TION
Please Print
DATE:
JOB LOCATION: village
number str t
"HOMEOWNER": work phone#
name - home .ho #
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to clude veer-occn ied dwellin s of six units or less and
to allow homeowners to engage an individual for hire who oes not p ssess a license,provided that the owner acts as
supervisor.
1 , DEFIMTION 0 HOMEOWN
Person(s)who owns a parcel of land on which he/she resi es or intends to eside, on which there is, or is intended to
be, a one or two-family dwelling,attached or detached st ctures accessory such use and/or farm structures. A
person who constructs more than one home in a two-yea period shall not be nsidered a homeowner. Such
"homeowner"shall submit to the Building Official on a orm acceptable to the uilding Official, that he/she shall be
res onsible for all such work performed under the build' ermit. (Section 109 .1)
The undersigned"homeowner"assumes responsibility r compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
N
The undersigned"homeowner"certifies that he/she un erstands the Town of Barnstable Building Department
minimum inspection procedures and requirements an that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: 'Three-family dwellings contai g 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Constructi Control.
H EOWNER'S EXEMPTION
The Code states that: "Any homeowncrperfo ing 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 arc 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 caret amend and adopt such a form/certification for use in your community.
Town of Barnstable �(�°� Pb-T-0 OF �'�Cs Page 1 of 1
—Back
Building
Style Ranch Interior FloorsCarpetu
Model Residential Interior Walls Drywall
Grade Average Plus Heat Fuel OilVal
��
Stories 1 Story Heat Type Allotir
Exterior Walls Wood Shingle AC Type Central �q »� 4+
Roof Structure Gable/Hip Bedrooms 3 ��
Bedrooms , s41
Roof Cover Asph/F GIs/Cmp Bathrooms Full X � s
Replacement Cost $258869 living area 2683
Depreciation 18Year Built 1958 �„ �
Total Rooms M,;
Rooms 5
Building
Style Raised Ranch Interior FloorsCarpet $ a
Ciust
Model Residential Interior Walls Wd ,
Panel
Grade Average Heat Fuel Electric . "T
Stories 1 Story Heat Type Elec
Baseboard ,
Exterior Walls Vinyl Siding AC Type None
r
Roof Structure Gable/Hip Bedrooms 1
Bedroom ,
1 tN
Roof Cover Asph/F GIs/Cmp Bathrooms Full x
Replacement Cost $81431 living area 632
Depreciation 20Year Built 1860 9 .
Total Rooms Rooms
http://www.town.bamstable.ma.us/assessing/2010/print06.asp?mappar=230070 3/3/2010
�OFtHETpk� Town of Barnstable
BARN5TABLE. : Regulatory Services
9 MASS.
2639. Building Division
pTFD MA'S a.
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
Location 7 /`1c, X",-OP ! Permit Number
Owner Builder
{
3
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
/w�
Please call: 508-862-4038 for re-inspection.
Inspected by
Date ` / (0
TOWN OF•BARNSTABLE BUILDING PERMIT APPLICATION
Map 2—3® Parcel a 7,0 `Permit# 4
Health Division O/G r4A a" (3,
Date Issued
Conservation Division 1-1 1 Zw Fee k s 0z)
Tax Collector '"
w
Treasurer LFt_A.�A
s
Planning Dept.
P
Date Definitive Plan Approved by Planning Board A 2.�001
Historic.-OKH Preservation/Hyannis
Project Street A ress
Village c
Owner Address
Telephone 7 7 - 27,23
Permit Request 4!:�f,!
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Valuation �vw Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
A
Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(#units) r
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 new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes 0 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: Dom—
Zoning Board of Appeals Authorization ❑ Appeal# Recorded
Commercial ❑Yes ❑ No If yes,site plan review#
Current Use Proposed Use
f
BUILDER INFORMATION r
Name r J/ /�E7� (itL'�Lf7� %� Telephone Number -��d - y&o? ' l 71--3
Address Y License# q
6�6 tl�" Home Improvement Contractor# /2,W 64,0
Worker's Compensation# /V, '
ALL CONSTRUCTION DEBRIS RESTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE c O
II `
x
FOR OFFICIAL USE ONLY
PERMIT NO. yr
• i � 1 i
DATE ISSUED _
f
MAP/PARCEL NO.
ADDRESS ,,. -VILLAGE ,
OWNER ,
DATE OF INSPECTION e �'
FOUNDATION r �'
`{ FRAME _ 4
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL r
' GAS: ROUGH FINAL t I3
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
r
F
y
t:
r
Bench Detall
2xro 4 cap
Back SUpporta �C�L�/1DOL��QOn�DOL�/�D D OL
2x6 Seat Boards IU/ U
2x4 Seat Supports(2) t
2x4 Seat Brac®
�--5/4x&Deckingg
I IPA 2x6 Deck Jole-i
Ate--2x6 Main Brace (Bolted)
4
New 8" Concrete
Footing Existing Deck/
9\
\\,1 Remains As Is
__ ___ ___ ___ __ ___ ___ ___ __ ___ ___
2-2x6 PT Girder On Existing Steel Poets
< P Jo e I "o > 2x6 PT Ledger Bolted 24" oc
5/4 X 6 PT Decking -Nailed
rT
Bench Seat w/Back Support Deck Area•411-e eq. ft.
On 3 Sides
Stan Buckler Carpentry ! Remodeling
3' r-r 5'O" 3 Cares Way
Harwich, MA 02645
508-432-9143
Plans for: Drawing:
1i Tim Conley Deck -
26'-�" 161 Point of Pines Rd Replacement
Al Centerville, MA
EXlsting Deck Date: 03/14/01 Revised:
Remove and Replace
MA'-23._ ,MAP 230, STANDARD LEGEND
NOTE:not all symbols will appear on a map
g 69 1
I � GOLF COURSE FAIRWAY
` # 164 ` /,� EDGE OF DECIDUOUS TREES
.30 AC 1 . 1 EDGE OF BRUSH
ORCHARD OR NURSERY
v-V _V_V EDGE OF.CONIFEROUS TREES
MARSH AREA
- -- EDGE OF WATER
- _ - -
- - - DIRT ROAD
DRIVEWAY
PA
------- PAVVEDED ROAD
--------
— — DRAINAGE DITCH
PATH/TRAIL
PARCEL LINE
mAP no—� —MAP#
1—PARCEL NUMBER
MAP; #1860 HOUSE NUMBER
` \ O 2 FOOT CONTOUR LINE
\ 1 o[ 1® 10 FOOT CONTOUR LINE
I 1� , A Elevation based on NGVD29
M2 \ 74 4.9 SPOT ELEVATION
s
r'
STONE WALL
71\� -X—X- FENCE
\ \ RETAINING WALL
RAIL ROAD TRACK
v � �
\ ` STONE JETTY
SWIMMING POOL
\ ~ ��' PORCH/DECK
- 230
BUILDING/STRUCTURE
DOCK/PIER
i / \ 49 � HYDRANT
j 21
1\ AC a VALVE o0 MANHOLE''
� O POST p FLAG POLE
I
T O W N O F B A R N S T A B L E O E O 0 R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T a SIGN ® STORM GRAIN
M PRINTED SCALE:IN FEET *N E:This map is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James ❑ TOWER
1"=100'scale mop and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE
WE 0 25 50 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards
s 1 INCH=50 FEET* enlarged scale. on the map. at o scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. 4 LIGHT POLE O ELECTRIC BOX
ESTIMA TEO PROJECT COST WORKSHEI
LIVING SPACE Value
(high end construction) square feet X$115/sq. foot=
(above average construction) square feet X$96/sq. foot=
(average construction) square feet X$57/sq. foot=
GARAGE (UNFINISHED) square feet X$25/sq. foot=
PORCH square feet X$20/sq. foot=
DECK _J _square feet X$15/sq. foot= 6l
OTHER square feet X$??/sq. foot=
Total Estimated Project VaIae
"
Assessor's map and' lot number . . oTHE T
�
Sewage Permit number rl.
7 BARISTADLE, i
House number ......./%.. ... ........................................................ r", ooMASIL
MAf
TOWN 'OF BAR�NSTABLE
R•UILDING INSPECTOR
APPLICATION FOR PERMIT TO .....1.!..z0 1..... .......s.............:......................................................................
TYPE OF CONSTRUCTION .........GU))?. .." r to ......j. ...........................................................................
.. ` 1P
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location / � ... ......° ..f.. !L ......�k4, L'.............<�P Ae,,...//`Z"z".�d.:.............................
* Proposed Use .... ?m-v...............................................................................................................I.........................
ZoningDistrict ... ....................................................................Fire District`................`.....,..............`...........................................
Name of Owner C
..Wr ...r� I,�li!................................Address .� -7.........../.'.°!1,`1K '. !.?..5........C.......
;J i� �r Name of Builder .........�.��....!`�.!.:�.............Address ...�5 ... .�i i�' ........ .........
Name of Architect =� .........................Address
Number of Rooms .........I........................................................Foundation ...
Exterior ...... .G'..... L�C>...........................................Roofing ... f. `�y!.............................
Floors .......C01..•G.`-/..e.,.E� ......y<.GIJ..0.d................................Interior .......W.W. ............................................................
Heating ............./LAM..f.....................................................Plumbing ..............v6ry..: ............ .......................................
Fireplace ..:...........1'. !:e.....................................................Approximate Cost ........ ..
.�� ....
Definitive Plan Approved by Planning Board ________________________________19________ • Area ®� ...`..................... .....
Diagram of Lot and Building with Dimensions Fee f_
SUBJECT TO APPROVAL OF BOARD OF HEALTH A4,
F.3
Wf r
§ e5
IL
I hereby agree to confor to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
�(B Name`....:.�!�....®.... .... ..
.r
FRANKLIN, GEORGE
Z 25041
No ...................Permit for ............
, Single Family Dwellin
................... .................I....................... ..................
Location 167 Point of Pines Road
................................................................
. ...............................................................................
- Centerville
Owner ....9!...... ............................Qrqe Franklin
..................... 4- T
T. Fr
.0e of Construction ...........a...m..e................
................................................................................
Plot ........................... Lot ................................
Ma
Permit-Granted ..........o..y....5, -9 83......................
Date'of'l.nspection ..................................!.,19
...Da
te
gompleted . 'ay 19
PERMIT REFUSED
......................................................... 19
...............................................................................
.........................................................................
...............................................................................
L<
...........................................................................
Approved ................................................ 19
...............................................................................-
...............................................................................
/vim 2 2
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