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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 1 O Parcel �'NN F 8 r R"iI T�:B LE Application # ' f!� ✓to (�
Health Division F:� . :, Date Issued �Z�lq_�G T �
Conservation Division Application Fee
PlanningDept. Permit Fee •0�
Date Definitive Plan Approved by Planning Board :
Historic - OKH _ Preservation/ Hyannis
dal c
Project Street Address eZ ZT�
Village
Owner _ e, e 4-zo-/ Address
Telephone _+7 y-Z 0 G fL Z /
Permit Request 1.4z 4.Z// /a
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project ValuationGdd. D Construction Type%6/�
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes $4 No On Old King's Highway: ❑Yes WNo
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 ❑ 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 A'/o,&6 �'d � 1�/ >�A� Telephone Number
Address / Zoe lozl C'tr� License# ,lam ,9J-' 9'
/la u 74 Home Improvement Contractor#
Emaillm)_114% G�mi Worker's Compensation '141 /96/
ALL CONSTRUCTION DEBRIS RESULTING FROM HIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
fi
FOR OFFICIAL USE ONLY
tAPPLICATION #
T �
'DATE ISSUED
$ MAP/PARCEL NO.
A
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
J
INSULATION
y
FIREPLACE
a
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
f
Tow-n of.-Barnstab e -
. Regulatory Services
KASL Riebard V.Sca6,,Diredor
BuRdiiAg Division
TomTeriNBuldingtomb ssioner
200.Nlaat sftet;I yannis,MA 02601
ww��town;barnstablama:ns
Office; 508-8624038. Fax: 50.8=790-6230.
Properly Owner Must
Complete and.Signi This Section
If UsingA'Buizd-e7r.
I, �TL��fL�itJ ✓ Z-Z-V at:O�vn�rof the sbJect property
herebyauthorize G' �y -- j cv actp.rn beha}f,;
m aq matcers.rdla&e:to workauthorized.bytbu budchg perunt application for.
'Pool fences and ala= are the respoiffsIffity of the applicant:Pools
are.not to be filled or utilised Before fence is installed and all final'
inspections are performed and accepted..
Signature of. r Signa ..of licaat
Print Name Punt Nam
4- /
QMRMS.0TWERFERhstssiormo LS
t.
12_7o'16 rs -
CAPE COD
INSULATION
11111 O/Ail IIAMl11I PRAY FOAM SUIYINDIO
IAIIS OUII III INIUt1S10N IIItINOI
1-800-696-6611
Town of Barnstable
Regulatory Services
Building Division
200 Main St DEC�9
Hyannis, MA 026.0I
Date:
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
p l�u fly PM-&-
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings ( ) ( ( ) ( )
Slopes ( ) ( ( ) ( ) ( )
Floors ( ) ( ) ( ) ( ) ( )
Walls 1
Gvv r ll
Sincerely
2Hry *ssir, sident
c•
Town of Barnstable c
THE Tp�
P do Regulatory Services
T
Thomas F.Geiler,Director
sARwsrasi.e,
9� MASS. Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www,town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-623(
PERMIT# v FEE: $ ' `o
SHED REGISTRATION
120 square feet or less
Location of shed(address) Village
Z
Property owner's name Telephone number
p X LZ «U
Size of Shed Map/Parcel# .
4--lio lo7
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS,
THIS FORM MUST BE ACCOMPANTIED BY A
PLOT PLANT -°
Q-forms-shedreg ,
REV:042506
'MORTGAGE" [IVSYPECTION. PIAN N
FPLICANT.• LOZZI TO WN,• CENTERVILLE
LOT 62
10
LOT 60
O
LOT 61 _
1.
1 a
S i EFr+EU _
® pU12E
A,
OW / / p �F
C�
B
FLOOD PANEL 250001 0015 C FLOOD ZONE. C DATED. 8/19185 lv
1 hereby certify that this mortgage, inspection plan was prepared for: Plan is For
FIRST HORIZON HOME LOANS Bank Use Only
The location of the building sho ivn-does _J_M2T- "fall within a:special=flood hazard zone. DEED REF- - 5333 159
Per taped inspection it appears the location of dwelling does _ _ conform to the local by--laws pLAN REF. = 306L20
in effect at the time of construction with.respect to horizontal dimensional setback requirements 30 ---
or is exempt from violation enforcement action under bfass. General Laws Ch. 40A —Sec. 7. . ` Scale I" = 30' FT
Referenced Deed subject to and with the benefit of all rights, rights of way, easements, reservations _— --
and restrictions of record, if any there be and insofar as the same are of legal force and effect Da te; 1�6Z
PLEASE NOTE: The structures on this inspection were located by tape not instrument and are approximate only. An actual survey,is necessary
for a precise determination of the building location and encroachments, if any, exist, either way across property lines This inspection must not
be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This
inspection must not be used to locate property lines Verification of building locations property line dimensions, fences or lot.configuration can
only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. This inspection is not
to be used for any purposes other than mortgage. Yankee Survey accepts no responsibility for damages resulting from said reliance.
PHONE. 50B-428-0055 YANKEE . SURVEY CONSULTANTS • '"
FAX 508-420-5553 UNIT 1, 40 INDUSTRY RD, MARSTONS MILLS, MA 02648 37990 JS
',E.ngiamring.,Dept. (3rd floor) Map / 7 Q Parcel /7a Peiinit#
House# ;y�9 ^ + Datysc'/P?
s Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee, ��� ���d9 saw r jj
Conservation Office(4th floor)(8:30-9:30/1:00-2:00): 6 Z�,V/�®���,y j/����/A��q
ce
Planning Dept.(1st floor/School Admin. Bldg.) 7*0P,/,vZAN
Alv
Definitive Plan Approved by Planning Board 19
_ BARN AB..
_ MASS.
a ( t639,
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address - a `l &Pvce /`U:• e
Village Ge wi_e, .y,ell.
Owner YA`m-PS 4-- hvAJg 4V 7"i`wS/e r Address �5/ayM P
'Telephone &a(o T 90 Permit Request 1�' 6�P/e5B� AgD-s-y, a442 dd�L Aaea<,
.First Floor . l ao square feet Second Floor /VD W f—. square feet
Construction Type _ W&o d lLAMP
Estimated Project Cost $ 7 'my ,
Zoning District Flood Plain jn/ Q Water Protection y✓U
Lot Size a �4 C&',t Grandfathered ®'Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure X Historic House ❑Yes L1190 On Old King's Highway ❑Yes ar o
Basement Type: 3fu'll ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) + 2 Oy Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing o? New_ `) Half: Existing / New r)
No.of Bedrooms: Existing 3, New
Total Room Count(not including baths): Existing -7 New b First Floor Room Count
Heat Type and Fuel: &G* as ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No. Fireplaces: Existing _New 0 Existing wood/coal stove ❑Yes QK0
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) o� y X a q ❑Barn(size)
❑None UKhed(size) 19 )( j 0
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ,
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name �OV�+2 l�i/i46�S�j Telephone Number
Address License# Of 73gq
CIC ✓4P1yrWe , 1119 6 2 ( Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
dG IO I j �W h/ U+�►�.�
SIGNATURE �((L/2� _ DATE fD! ?v
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
ie
1 _ FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED ------------
- .`t '• - ; _
MAP/PARCEL NO.
ADDRESS +• VILLAGE-
OWNER
DATE OF INSPECTION:
FOUNDATION
f
FRAME . ,o ,
INSULATION•
FIREPLACE t -
ELECTRICAL: t ROUGH + FINAL F
PLUMBING:> ROUGH FINAL.
GAS: '1 ri "ROUGH FINAL- s• t ; .. - f
FINAL BUILDING,, 12'I
DATE CLOSED OUT
ASSOCIATION PLAN NO. :--~
,
V •
rk
The Town of Barnstable
""¢ Department of Sealth Safety and Environmental Services
Building Division
367 Main Sate:,Hyannis MA M601
Ralph C=cn
Ohm 309-790-6=7 Building Ccmmissio:::
Fax: 509-7WQ30
For office use only
Permit as
Date AFFIDAVIT
HOME JMrR0VEMENT'C0NT11AC7OR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL e, t42A requires that the "reconstruction, alterations, renovation, repair, modernizufon.
conversion. improvement, removal, demolition, or construction of an addition to any Pre-existing
Owner occupied building Containing at least one but not more than four dwelling units or to
structures which are adJaceat to such residence or building be done by registered contractors, with
certain exceptions.aloe with other uirements.
Type of Work: ' Est.Cost
Address of Work:
Owner's Name
Date of Permit Appilcation: /a ' a
t hereby certify that:
Registration is not required ror the following reason(s):
Work czchuded by taw
Job under SI.000.
__Building not owne�oaapied
Owner pulling own permit
Notice is hereby given that:
OWNERS .PULLING THEIR, OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLITTONAPROG ORR t3iJARANTY FOND UNDER MtZ I4ZA
ACCESS TO THE aRB i
MGM UNDER FWALTIES OF PERJURY
I bpi for permit as the agent of th owner:
r r Cl! q .
Date Contractor flame Registration No.
OR
Date Owners Name
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Assessor's maap.and lot number, ..17!��172...... .. P �ii)CV, 14iuCkC iZ_OA �o�THETo�
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Sewage Permit number ..................................ga'............
Z SEPTIC SYSTEM MU$ 9TULE,
House number
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��6 / INSTALLED IN COMPLIA t679-tr�00
LI T- GM*rFAjPY
E5
TOWN OF. B A R lv " CODE AND
TOWN REGULATIONS .
BUILDING IN-SPECTOR
APPLICATION FOR PERMIT TO ...CPksd.P JJ5.:r...... .L...s/fJ ...
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TYPE OF CONSTRUCTION ..W.O.O.fa... A! ...............:........................................................................
4� .:... .......
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location kT...l�'.1....P Q d.:!�?.� .....��.i.:nJ.C.!!4� t ...... ' %. �4....�..... � .. etr'V��l .........................................
ProposedUse . ...........................................................................................................................
Zoning District .................. .�.........................................Fire District .' �..�`Epp.......... ........................................
Name of Owner .`-- ....��i�F.. . .....................Address :a�... F ipV......:...14.1.rut . ..........
Name of Builder UKABOA..4-!? t4..�N� a Fill G 42q
..... ..........................Address�l....C`�..�.....!�...�:...�.�.1.!'U...�i�..�..............K)...........
Name of Architect ...CL ?T ... ....Address ..' `.�. �f.....RAinE�.AC:1 PR OZ
Number of Rooms ........Foundation
Exterior ..w ......S Jri. !_C...............................Roofing ..:!, T ......................................................,.
Floors .....Piq.cajoc.�IP...�...(�oi� `�...r.�.�..R�.4...............Interior ... 4(.WA.0.........................................................
n ,
Heating ....................................................................Plumbing ... :.........................................
Fireplace .......I.................................................. ...................Approximate. Cost ..'11` ` ..........
Definitive Plan Approved by Planning Board ___________ _ _�l�__19 . .15Area ....0;.?7 ...........:.......L.
Diagram of Lot and Building with Dimensions Fee ...P 7,5
. ................. . ...............
SUBJ CT TO APPROVAL OF BOARD OF HEALTH
as „ �A�r-
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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 .fit .t.
.............................................. ..
Construction Supervisor's License .0 1:!1 .
, HEALY HOMES, INC.
No .28465..... Permit for s=.y.......................
..... ..... kg.....................
160cation ... 1........4.2.9..F;:1xtQP_..kUricUe.y Road
................ .......................................
Heal Homes In '
Owner .......
.....................
Type of Construction ...FK.=P.............................
................................................................................
Plot ............................. Lot..................................
Piirmit Granted .......S.e p.tem.b.e.r...25?......19 85
Date of Inspection .... .........19
`' Date Completed .......................... 14,25
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TOWN OF BARNSTABLE Permit No. 28465
`. Building Inspector I �z l
UMS S ' t#Cash ACE° �
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•YL
OCCUPANCY PERMIT Bond -----_----------____------
Issued to Healy Homes, Inc. Address � cl G4%A)CF WIA)CI<Ly go,
Lot 61, 429 Prince Hinckley Road, Centerville l
Wiring Inspector 'aa-. Inspection date
Plumbing Inspector �`, A� � Inspection date
� s
Gas Inspector iaa�- i�. i Inspection date� �e
A Engineering Department �- ' Inspection date.l
r' f � /l r� _- ,)
Board of Health `"4 J �j Inspection date
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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.
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V Building Inspector