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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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Map- Parcel I App lication Ila � .
Health Division Date Issued
Conservation Division Application Fee
F
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address d j',3'
Village
Owner aA,?,y �'/Zr�s< Address ZA
Telephone J1 5L-,Z
Permit Request 1.4eele ;92 #46W i b ls5 s 6
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay J'l
Yw,a
Project Valuation D d Construction Type Job
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting doc��entation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) =' Ln
Age of Existing Structure Historic House: ❑Yes ANo On Old Kings Highway.: ❑'r,*s I§No
Basement Type: ❑ Full ❑ Crawl 0 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 ❑ 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:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) -
Name &?z �a44i1L111Q��� Telephone Number
! p
Address -/ i zV,e, 11V r License
# /O U ��'�
G� 4 v 7-k Home Improvement Contractor#
Email Y!?I�r��°��L' ��('n�il���/,� 01,W Worker's Compensation
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 9r//' AV/
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Town of Barnstable
Regulatory Services
" Richitrd`.ScgAlbirector
AIR
.%61A
$ui ii z itg Di ision
Tom Perry,building Commissioner
200'Maia Sheet,H*mis,MA 02601
«ivv.town.b a rnstzb le.nia.us
Office: Fax; 608=90-6230
Property Qr%mer Must
Corlplete:anal Sim 1iuis Section:
xfUsu� ABuilder
I, Ila a.Omier of.the:s-*P-ct property
hereby autl3orize d Ja I '(1- ' to act;onopbehalf,
in all matters relative to wor .autho>zzed by this.building permit application for,
�5 c, k a�1 oC CAM fti�'► i l (
{Address-of f ob), 021.13 Z
"'Pool fences anti alarms are&-- responsiiilityof the applicant: Pools
.are rant to be filled orutgi'r..ed iefore fence s. ustalled and all final.
inspec6onS are p-erforrned and accepted.
mature of Owner. Signatum.of Applicant
_
Print Flame Prise_Name
Daze
4�oxt;ls:owr�.���rss�ox�c�o�s �
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tap
CASE COD
INSULATION
117G TT$ 314M1(37 MAY/04M SUSPINDID
(4ii3 OUii1G3 INSUl4ilON C(IlIN07
1-800=696-6611
Town of Barnstable
Regulatory Services
Building Division
200 Main St .
Hyannis, MA 02601
Date; 9/L//1,
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application, All work has been inspected by a certified Building Performance Institute
'(BPI) inspector, All work preformed meets or exceeds Federal & State Requirements.
Property Owner Property Address Village
Insulation Installed; Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings
Slopes ( ) ( ( ) ( ) ( )
Floors ( ) ( ) ( ) ( ) ( )
Walls ( ) ( ) ( ) ( )
Ner / (VO Fer)r0r 1e0,
Sincerely' T
2Hr E ssi r, President
Ins ation, Inc,
Town of Barnstable ae
� x.ro -� .� Building
<`i '-hUisibl orn'the Street -'A' roved Plans"Must be Re a netl�on Job and'this Card Mu t be:Ke t
Post-This Card So That rt s pp t p
-► BARAtl3PA • „ § rx .,c«-.� ' `."r ' u g " 3' a ,.c ��.� "`;a �v
" �
* Posted Until Final Irispection�as Been�M,ade r f � 1
Permit
�
' Where,a Certificate of,Occu anc is"Re uiretl xsuch<Bu�ldm shall Notbe�Occu ied untila;Final lnspeet�onhas been;made
w ...,�„:am,.,..,,. ,., 'i.p..,
Permit No. B-16-2445 Applicant Name: Cheryl Gruenstern Map/Lot: 171-119
Date Issued: 08/31/2016 Current Use: Zoning District: RC
Permit Type: Building Solar Panel-Residential Expiration Date: 02/28/2017 Contractor Name: SOLAR CITY CORPORATION
Location: 285PRINCE HINCKLEY ROAD,CENTERVILLE Est Project Cost: $20,000.00 Contractor License: 168572
Owner on Record: GRAY JAMES E&MARY S Permit Fee-n $ 152.00'
Address: 285 PRINCE HINCKLEY RD Fee Paid✓ $ 152.00
CENTERVILLE, MA 02632 bate 8/31/2016
y,
Description: Install solar panels on roof of existing house,withEany,upgrades, if applicable,as specif"' ',b' in
To be
interconnected with home electrical system i,7 9 ZkU '30 Panels JB-0263270
Project Review Req : Install solar panels on roof of existing house,with any upgrades,if applicableas�specified by PE in
Design;To be interconnected with home�electncal system t T9Sq* 30 Panels-1B-0263270
• Building Official
V° . A
This permit shall be deemed abandoned and invalid unless the work authorized by this permit-iscommenced wrthm11
six months after issuance.
All work authorized by this permit shall conform to the approved application a'dd 4 approved construction documen&,0whichthts permit has been granted.
All construction,alterations and changes of use of any building and structures;"shall be in compliance with the local zoning by`laws and codes.
This permit shall be displayed in a location clearly visible from access st er et or:road and shall be maintained open for public inspection for the entire duration ofthe work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by4the Building and Fire Officials are provided on h s permit. "
Minimum of Five Call Inspections Required for All Construction Work
1.Foundation or Footing r
2.Sheathing Inspection x .
�...
3.All Fireplaces must be inspected at the throat level before firest flue'Iimngs installed: �.
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspections
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction.
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
L
Town of Barnstable �E €rE�PT
" 200 Main Street, Hyannis MA 02601 508-862-4038
.639.
Application for Building Permit
Application No: TB-16-2445 Date Recieved: 8/24/2016
Job Location: 285 PRINCE'HINCKLEY ROAD,CENTERVILLE '
Permit For: Building-Solar Panel-Residential
Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572
Address: 24 ST MARTIN STREET BLD 2UNIT 11, Applicant Phone: (508) 640-5397
MARLBOROUGH, MA 01752
(Home)Owner's Name: GRAY,JAMES E&MARY S Phone: (508)360-1681
(Home)Owner's Address: 285 PRINCE HINCKLEY RD, CENTERVILLE,MA 02632
Work Description: Install solar panels on roof of existing house,with any upgrades, if applicable,as specified by PE in Design;
To be interconnected with home electrical system. 7.95 kW 30 Panels JB-0263270
q
Mrg M4
Total Value Of Work To Be Performed: $20,000.00 F � '
cep
3
Structure Size: 0.00 0.00 OZp..O C
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Cheryl Gruenstern 8/24/2016 (508)640-5397
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost $20,000.00 Date Paid i Amount Paid Check#or CC# l Pay Type
Total Permit Fee: $152.00 a/zaizoib $tsz oo roc XXXX�- Credit card
8975.
Total Permit Fee Paid: $152.00 _
Z I)) 1�2,,Iy//1n)�-/�
p� Town of Barnstable -Permit
SP E R® Expires 6 m nths rod issue date
Regulatory Services Fee
BnMsrA -:7 2012
v M� Thomas F.Geiler,Director.
s6;9. �10
FD MPr
Building Division
TOWN OF BARIVSTABL&m Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 0260.1
www.town.barnstable.ma.us -
Office: 508-862-4038 • " Fax: 508-790-6230
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
/l l of Valid without Red X-Press Imprint
Map/parcel Number f /�
Property Address
residential Value of Work .l O • oo Minimum fee,of$35.00 for work under$6000.00
Owner's Name&Address
Contractor's Name ��'�of �' Telephone Number
Home Improvement Contractor License#(if.applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I a sole proprietor,
the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) .
❑ Re-roof(hurricane nailed)(stripping old shingles).All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side.
#of doors'
❑ Replacement Windows/doors/sliders.U-Value (maximum:35)#of windows l
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
•Where,required: Issuance.of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission. y
A copy of the Home Improvement Contractors License&Construction Supervisors License is -
requi ed: ,
SIGNATURE:
C:\Users\decollikWppDa ocal\Microsoft\Windows\Temporary Internet es\Content.Outlook\QRE6ZUBMEXPRESS.doc.
Revised 053012
3 i `
f
Town of Barnstable
Regulatory Services
` s^Rt M. Thomas F.Geiler,Director,
,0. Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862.4038 Fax: 568-790-6230
HOMEOWNER LICENSE EXEMPTION
Z, Please Print
DATE: _
JOB LOCATION: Z v J �/L si✓G ��� e., iQ �$�v�.Q/l 1/ C/�Cl
number street village
"HOMEOWNER":�/V/r/6
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
pro ur d requirements and that he/she will comply with said procedures and requirements.
ature 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.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc
Revised 053012
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TOWN OF BARNSTABLE
BUILDING DEPARTMENT
COMPLAINT/INQUIRY REPORT
Date Rec'd B Assessor's No.,/7/
Last Name First Name ai54�
ORIGINATOR Street
Village State Zip
Telephone: Home 7 7,r - Work
Description:
COMPLAINT
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INQUIRY/ — r.Z112
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Requestor's Signature /
COMPLAINT Street Address
LOCATION
A=_y��
OFFICE USE ONLY
INSPECTOR'S Date ����- 9,S Inspector
ACTION/
COMMENTS
FOLLOW-UP
ACTION
ADDITIONAL
INFO. ATTACHED
COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR
PINK - INSPECTOR (RETURN TO OFFICE HGR.)
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1 6
August 10, 1994 1AUG
12
Zoning Board
Town of Barnstable
Barnstable Town Hall
Hyannis, MA 02601
RE: UESTION OF ZONING 4LAG
Gentlemen:
Unfortunately, a business commitment has made it necessary
1.l1Q�lla T be away fron 'ape Cod this week, however, I shall be back
t a.s a. j
on the Cape the week of 8/22 and plan, at that time, to make a
personal visit to your office.
In the meantime, I would like to make you aware of my
situation so as to have same checked out prior to my . return. The
question I have is in regard to zoning in a residential
neighborhood.
Recently, I have looked at property in Barnstable County and
was most interested in a location up off. Old Stage Road. The
house is .on .Eben Smith Road. Each and every time that I have
visited this neighborhood I have noticed a. Lawn. Mower Repair Shop
at one house on Prince Hinckley Road and an Auto repair shop two
'doors up on the same side of the street. The Lawn Mower Repair
Shop is at #295 and the Auto Repair is at I believe either 305 or
315; here again on the same. street.
h myself have a small business and before purchasing
property I want a written doEument stating .whether or not
Commercial Business can be conducted from the proposed address on
Eben Smith Road at the Corner of Prince Hinckley Road.
As I stated .I shall be back .on the Cape shortly and will
meet- with your office personally, but would appreciate your
checking these two businesses and making sure that my machine
shop.type operation can be conducted from th=_s location.
Thank you for your time and do hope to get in touch with you
soon.
Yours trul ,
Her ert Garber
I
i
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r'
! 1eessor's map and lot number '
. ......... ....... .:. .
..•
TBE
Sewage Permit number . .:. . ... ..
i
BABd9T11X i
House number ... ... Mara
i..... .. �p i639
MPY a\
TOWN " OF BARNSTABLE
BUILDINGS, j°INSPECTOR
APPLICATION FOR: PERMIT TO
TYPE OF CONSTRUCTION ...... ...I�-- 1..� .� .�.1 ` :: . ........... ................................
.....I...... .�.� ...............19.D
TO .THE�INSPECTOR OF BUILDINGS:
' iThe.undersigned hereby applies for a permit according to the following information:
Location'... Z �?,4 .........P ..-S j...... !..1 �',�IG.r .... :... �..... C� 1' lJ I�G ...................:....
ProposedUse ....... ........... DD.L....................:.................:..........:.....................:.....:...................
Zoning District .•..........Fire District '
Name of'Owner �. ....... ............. a4A.tX—,:...Address AIA&e.�. . ........ .
Name of Builder' Alo.mkly��p!�L,[�kftol..'�TA 4ddress lam: 1!j ► � �...1� ...P' � All ..
Nameof Architect .............!".�✓,......................................Address ...............................:.........:....................:..............:......
Number of Rooms ...............N...}� ............ ........Foundation .. "r! r ...........................s.......
Exterior ........ ...............................Roofing ............. ......... ................
Floors ............................Al .,,..................................................lnterioi� ..................�1: .......:.................................................
Heating ..... ./V y....... Plumbing .'.... ......:..
Fireplace ......................................................!°! ........
Approximate Cost.1�„1......................
Definitive Plan Approved by Planning Board __-----------_ �
------------�9-------. Area ...
Diagram of Lot and Building with Dimensions Fee ................................
SUBJECT TO APPROVAL F BOARD OF HEALTH
^`
ij
U. t ..••' �.s 'r 1� �i a 'C 'L
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�t2 LIvC� �fV L *�,j s
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 ." � .. .....................
I
BERNARD, STEVE
A 25212 Build Swimming
Iwo ................. Permit for ......................... �001
Acc ssQ.Ky -tjQ..Dkze
............... ...... ... _ljixlg................
Location A n .h2.ee Road
...................... ............
................cotui
................t
............................................
&wner .:....Steve...B.e.rn.a.rd............................ .. ....... .. .. .... .. ....
o'
Type f Construction ...Frame......*
� ...................
.............I................ ........ ...........
Plot,;............................. Lot.................................
• 7
Permit Granted .. June..................1.... ....... ......19 83
Date of lnspectiory--*- 9:13.............
Date Completed ......... ......19
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....:.......... .....: ....................... . . ........ . o
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� O:F BARNSTABLE
TOWN
B.0 I�L D I H G. IN
S P=E C 0 R
E
APPLICATION FOR PERMIT TO t.L ..... Es'A., -�.. ..... .. . .....
TYPE OF CONSTRUCTION :` !" �. C!.... ,:..:: : .....................
....� .......................
i TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby' applies for .a permit accdmg "to`the following information:
Location ........... .1. . .. : ..................... �. -
S kA_)Proposed Use . . d` . - . ..:.... ......... .......:. ... .... .. ..
Zoning District ......................... :. Fire' District. ...........:
Name of Owner .. To v T AI.U-� .Acidress
.
Name .of Builder- .......1 .. VllflT.::a// ' �Address .. c���41Pv �'� ..1�' r....Y�.. / 1+!�t
Name of Architect ...:.............. ....................................Address ......... .. ...... ::.:..:.. .:.:....: ...............
Number of Rooms :.V k: .. .Foundation . .. ..........
Exterior ................f .// :.. .......................... ...,Roofing .. .. .............
Floors Interior ..
Heating Plumbing ..... '
Fireplace ......:.Approximate=Cost :..
...
Definitive Plan Approved by Planning Board _ ________ __-----------19_______ Area ....t .lP. 7. ..:.,j
Diagram of Lot and Building with Dimensions
Fee .... � ..o�
SUBJECT TO APPROVAL OF BOARD OF HEALTH ✓7 rJ
Iv00
LE-AG r4+4 t7
A ISN Ms E
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of.the Town of Barnstabl regarding the above
construction.
Namev�l� .....................
Ir GRAY, JAMES
N .25211. Permit for ...Swimming
..Pool `
Acces•sorY g
to Dwelling
......... ........ .. ...... � ..
r
Location 285...Prince..Hnckley..Road
Centerville
....... ....... ..........
Owner James Gras...
Type of Construction Frame '
Plot ............ Lot~.......
+PermitV%ranted June..17.�............::19 83
Date of;Inspection .....................................19 # Y
f.
Date'Completed
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TOWN OF BARNSTABLE Permit No >,
Building,Inspector
{ Dwrr� e z. Cash. , <
- •�-°s o `� l f ,�r-., .. ' .
OCCUPAiVC_Y PEF2NiIT =Bond —' -- \
No building.nor"structure shall be erected, and no land, building or structure'shall be
used•for a new, different; changed," or,.erilarged .use .•without a Building Permit therefor
first'having been'obtained from•thVoBuilding�Inspector. No,Building shall be occupied until a,:
certificate of occupancy has been issued -by the Building :Inspector "
r r _
\f
Issued to ,Q 1ah Address. Centeiville t. "
lot P75 285 Pi lllk6ile=a a�,aadA Cmfeivi lle"
Wiring Inspector a a .z "�.��I 04tion date
Plumbing In pector •Inspection date
Gas Inspector Inspection,date
Engineering,Department_ , t { �€L.i Inspection date�jf l 25
THIS PERMIT WILL NOT BE VALID,', AND. THE`BUILDING SHALL`NOT BE OCCUPIED UNTIL :i �
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH 'TOWN.;' .
REQUIREMENTS."
Building Inspector
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�S TN E t0
� �G
Sewage Permit number camp�.,,........................................................ ""� +,C SYSTEM
��C'/�IN FS9HHis STABLE. i
House number -"�L/ CQMP��q MAa
11" 1639
717LE 6 G MPY `e0�
TOWN OF BARNS CODE
� m°
DONS
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
��
. ....... .. ..............:. ...............................................................................................
TYPEOF CONSTRUCTION ... ....... .. ....................................................................................................
...... ........... .. ..........19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .... . ....: �. �.ta .... .. .. `. ... ......... ..... 4. /'
Proposed Use P
A ........ ....... ............................................... ........................................................................
1
Zoning District .......................Fire District ... ................. I.............................
Name of Owner ... ........ .........Address ...... ............. .. ...............................................
Name of Builder 1 l
m
...............................................'....................Address ....................................................................................
.Name of Architect ..................................................................Address
Numberof Rooms .. ..........................................................Foundation .... ..... ... ..................................................
Exlerior .. ...... ......................................Roofing ....... ..... .............................................................
Floors .....0.4-04......................................................................Interior ........ .. ... ..:......- ...............................
. ...... . .....
eolo
Heating I.` :.....1....�i .. ..'..."......................................Plumbing ... C4.". ......................
Fireplace ........ - ...:. ...... .............................Approximate Cost ...,C,�°. Vial. .............
D
Definitive Plan Approved by Planning Boa d ________________________________19________- Area .. .. ..
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
wr 11�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
- Name . 014.0t.. ...9,100....... ......................
IF `
SMALL, ALAN qr
Po .2.2.0.4.9... Permit for .....S.ingla................
....Fam.i..ly...D.we.11in
Location ....Lot...#.7.5...2.8a—Pr••i.'nce...Hinckley Rd/
...................Cente-rvillp................................
Owner .....Al-an.....Smal1................................
Type of Construction .....Frame........... ••.......•••
............................................................:...................
Plot ............................ Lot ................................
Y
Permit Granted ....March...1.4.,.............19 80
y
Date of Inspection ....................................19
Date Completed .. ...............19 t
Q 1"y
`F W ERM1T REFUSED
w•e
4
f ........ ...... ............................... 19
0
..........n.... .. .. . ...........................................
...�, .............................................
'- . . ......................................
........... i .....10.1 ..........................................
Approved ........... .. ................................. 19
...............................................................................
...............................................................................