HomeMy WebLinkAbout0353 PRINCE HINCKLEY ROAD Y
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r Town of Barn le *Permit#
RegulatoryServ�i� E �es6,..thsfronrissucdwe
x BARNSTABIE. s
y ith 9. �* Richard V.Scali,Director APR 1 � 5 6 V
t6g . ��0 ,r
Building Di f 04YA 8 201 J
Paul Roma,Building Commissic r
00 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
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
❑Residential Value of Worol, �_ Mt rmVn fee of$35.00 for work%nder$6000.00
Owner's Name&Address �7 _ ' e'
14*
Contractor's Name e- y4er Y4, 04 v Telephone Number
Home Improvement Contractor License#(if applicable) 7 Email:
Construction Supervisor's License#(if applicable) e!3 (
❑Workman's Compensation Insurance
Che ne:
I am a sole proprietor
❑ I am 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
❑ roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side 3 3 � va T♦
eplacement Windows/doors/sliders.U-Value / (maximum.32)#of windows
#of doors:
•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 cop of the Home Improvement Contractors License&Construction Supervisors License is
re d
SIGNATURE:
C:\Users\decollik\AppData\.Local\Microsoft\Windows\INetCache\ContentAirtlook\L7U69LF2\EXPRESS(2).doc
01/25/17
i
sK r Town of Barnstable
Y
Regulatory Services
BARNSTABLE, = Richard V.Scali,Director
MA.98. A
�639. ��
FQ,M Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
1, ` ,as Owner of the subject property
hereby authorize L to act on my behalf,
in all matters relative to work authorized by this building permit application for: -
r
/-r
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed.and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
SO
Print Name Print Name
Date
TOWN OF BARNSTABLE Permit No. ___2 5 9 9 G _
Building Inspector
Cash
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OCCUPANCY PERMIT Bond __X' 7�3� 1•
Issued to Milan E. Small Address
F 60r r "Y"i..T1C� HST Cl:' "'+ -Yr-z,7 ( —, 1 v•:s; '!
Wiring Inspector �� . _c Inspection date
Plumbing Inspector i ¢ "" Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
Building Inspector
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REF62ENC.E
< NER>Go1J GOlvt,Pl.%( s YdITVAIHE St n Lipp
TA u D SET gs.GK IL.6C�v►2 E M E NTH _ �{ '���•� '.
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'TOWN O : `eA 2IJ�-rAf-5(Esy A N-D 15 hlotr'
#'LOC TED WtTN1 TN FLO D P Q.IN �(� r�IC.. D(o PG
DATE -IZ � �
e �v'►W 0 5 u ev E-Y6es 't
i'TutS PL�.tJ i5 KIaT 4n5rmr> c►d A1J L1.E
iI .: INyTR.V MENT_.SV ZV15 Y J "I Ot=FSE'T5. 'S41out,A a
NOT t3E 'VSEDTO +QE"CERl�IN� t_.oT' �_1►-IE�j A?PLI L F t•�.'
/ ;n THEAssefsor's ma
Permit--numb' �'^ d
' sewage e. it= er � � � ,
? b ' s #i Z BARNSTIBLE,
House number .... .. ....:. .... �l � �;.. „ C
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1639-
Wki
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TO,
WN OF BARNSTABLE
- BUILDI:NG : INSPECTOR
APPLICATION FOR PERMIT TO..... _ ... .....
-TYPE OF CONSTRUCTION ........ ,,>l..... `R' .
�_. .... :......y;......:........19........
; ; TO THE INSPECTOR OF BUILDINGS: ,
The uncle rsigned hereby applies for a perinit according to`the. following. informatio
_
Location ,µye .' .
ProposedUse .... ................................. ........ .......................... .....
Zoning District .................... .................. ...... .............. ........Fire'District' ........ .....................................................
.; .. ... .........................Address ...... ... .
Name:fof Owner..
Name of Builder .............. ....:.:. ........... ........Address `
Name, of Architect ....:.....: .. ..:..............Address ......... ..............................................
Number of Rooms .:..,....Foundafiott ;.� ......, •
Exierior ., ��// :....... Roofing
......... ....U�.� ............................................................
Floors .... .... ... .: ...... ... ..:..................................Interior .. ... .... .... ......... I........... ..
.w' I.-
Heating :!...! ._:."-' �!4 -�..:................:..........Plumbing .. r .......��%.. �
7 €
QQ
Fireplace. .........r'Z V`'�................ .........F..:........................:.Rpproximate Cost ..:.: J./.. ?h!�...:..:.......
Ls7/��t�jA
Definitive Plan Approved by Planning Board ________________ -----197J` . Area, . .Z.-- ........ ....
Diagram'of Lot and Building with Dimensions Fee ........ .. .
SUBJECT, TO APPROVAL'.OF BOARD'OF HEALTH _
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of.the Town of Barnstable regar ' g the above
construction. 4.
V s
........... .... ..Name ................. .......
r.` Construction Supervisors License .....5.. .�.................
S: LL, ALAN E.
25990-1, One Story _ e
No ................. Permit for .................................... -
.Single•-• Family..Dwellnq................ .
cationot...5.8z....... .3..P XiC :.,H. ckley Rd
.� ......
Owner ..... ....:...
Type Hof' Construction ..Frame......:-- r t '
.. ... ) y.. ..... ............................... �• - a '• d - _ v3 - `•s y
.t Plot ....... tO:.............. Lot ................t..................
Permit'Granted ...January 19........19 .84
Date'`•of�`Inspection
: . ........... 1,9 .rs r � ✓
Date Completed ,, � '.........19
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