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�oFj 1p�� Town of Barnstable *Permit#qq P 4 r
yvrP p� TOW4 O tlldOM1 Il�tfL fri<x,date
+ BARNSrABLE,
Re ulator Services Fee
9 MASS. Thomas g F.Geiler,Director 2003 APR 28 A MM 9: 59
�A 16,39. a�0
Building Division
Tom Perry, Building Commissioner _
200 Main Street, Hyannis,MA 02601 WAS PERMIT
Office: 508-862-4038
Fax: 508-790-6230 �p� $ 2�03
EXPRESS PERAUT APPLICATION - RESIDENTIAL (&)L
Not valid without Red X-Press Imprint TOWN OF BARNSTABLE
Map/parcel Number
Property Address T c I V,� �'n'C`Ll e, L
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['Residential Value of Work t
Owner's Name&Address c ,',\ y�
v- �-E VA.
C'ontractor's Name `u l ft r\L 4e��S" Telephone Number v yo 2 y 'I a
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) n (4 9 c5 9 �0
❑workman's Compensation Insurance
Check one:
[ "1 am a sole proprietor
❑ I.am the Homeowner
MCI have Worker's Compensation Insurance
Insurance Company Name 2 C �--
Workman's Comp.Policy#
Permit Request(check box)
� 3� � 11
xe-roof(stripping old shingles) All construction debris will be taken toy
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Pr erty O e sign Property Owner Letter of Permission.
Signature
Q:Forms:expmtrg
Revised121901
-4'
P�oF1He Toj,~o Town of Barnstable
Regulatory Services
* BARNSTABLE, = Thomas F.Geiler,Director
MASS
9`bArEt u.,& Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
office: 508-862-4038 Fax: 508-790-6230
Property Owner Must.Complete and Sign This Section If Using A
Builder
as Owner of the subject property
hereby authorize m Pt�\L- 1� ��5� to act on my behalf,
in all matters relative to work authorized bythis building permit application for(address of
job)
Signature of Owner Dvate
Print Name
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
IM A , I
/ �C(�'J L
DATA
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TOWN OF BARNSTABLE Permit No 25994t�
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»nm + Building Inspector cash
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S639
,.,- OCCUPANCY PERMIT Bond ------_----
,
Issued to Aj&.1 E. SMall Address
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Tnt•, 67. -,x463-Prince�'i.ndkley Road, Centhrville
Wiring Inspector G� � � , Inspection date
Plumbing Inspector'{I�_._" r�"``� 1 Inspection date
Gas Inspector � ;, Inspection date T-e 1,.94
/Engineering Department i Inspection date
Board of Health " /tom, �'r �_r � Inspection date
� i r
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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LOCiNME D WITH
DATE I-Ivy
6A7CTE2c Wye: ING-
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Tuts PL&N1 I S NarT 4t,5r P cId AN OSTG9-VILLE M I'$ }
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NoT DE USEQ,TO �1=TERMINE LcT APP�-ICAI�T d
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Assessor's map and lot number.. THE
:.Sewage .Permit •number .,. .... .':...7.. ... ��dam.
P iE U T o ,
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House number .... .....:....... ... ............ ..... .�......:. .. r�� �� -5 900�"6 Lei
g @ gay Cgg_ xp�` g�P! y a ,
TOWN OF BARNS' y9BL 10
BUILDING 11SPECTO-11r .
APPLICATION: FOR PERMIT TO ...., . ...
- .
TYPE OF CONSTRUCTION .........:. ..... ..... .. .. . . . . .. ...... . ............................
.. .............f.................19..
. T.Q,THE INSPECTOR OF BUILDINGS. .. f
The undersigned hereby applies for a permit according to the follow.i�n information:
Location. ..... .°....�...`....... T....... .. . .
Proposed' Use .::. ......... ...... .... ................ .. ......
i Zoning' District ...................:.Fire District ......... ....:.. .............................. :.
Nameof Owner .: .. ... ......:...........Address ......_... ..................... .:.......} ......................
sW Name of Builder ........................................................,...............Address ..................... .......................................:.....................
Nameof Architect ............................................. .......:...........Address ...................... ... ..................................................:
Number of Rooms ........ .......:......... .. ...'... ....:.: .:.:.....Foundaflon ..... .................
Exterior ....... .. . . ...... ..: ,... ... .. ..,..... Roofirig .........
///. �.
yFloors G ............:...............................:... .......Interior 1? i'
Heating ..........� /.� .............................................Plumbing ...........Z:..... ... .................... 4
Fireplace .....:.'... ....................a.. ..................:.............::.......Approximate Cost ....
y' Definitive Plan Approved by PI nning Board _________________ _ ___19 T __. 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 regard' g the above
construction.
G
Name ..• .................................._..........:......:.....:.......:..........
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Construction Supervisor's License 15,7
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SMALL, ALAN E:
No 25994... Permit for One StorX............
Single Family'...Dwelling.................
1
Lot 67 363 Prince Hind>le. Rd. k
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Location ..................!............................................ y-
.,;.
Centerville `
. ............:..................................................................
Owner .�lari .E.....Smal.? .... ..........
.... ....
r Type of Construction ....
[ ,
Plot .`. .. ... ......... Lot-~ ..............
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Permit Gran ed 'January 19, 19 84
Date of Inspection .......:.........................19 z "
Date Compplleeted;�.%a"ele'....[...7 ....19��
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