HomeMy WebLinkAbout0432 PRINCE HINCKLEY ROAD V I/ /Vt /�`" /�
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Town of Barnstable *Permit#0?6(94.636
Expires 6 months from issue date
(.PRESS PERMIT Regulatory Services Fee "S% 00
Thomas F.Geiler,Director
OCT 0 3 2006 Building Division
TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
)ffice: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
r- Not Valid without Red X-Press Imprint
Jparcel Number
)ertyAddress �-rACt�C^{ �1j, �Cnl'tL�Qt1Lt-C.E
tesidential Value of Work 4! 06 • t9C5 Minimum fee of$25.00 for work under$6000.00
ier's Name&Address 7 Lu_ FhTposl
tractor's Name el Al •3 F-)"Is Telephone Number
ne Improvement Contractor License#(if applicable)
zctnse#ffi appliea 1ej g- -—
Vorkman's Compensation Insurance
9Ch k one: -
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
prance Company Name
-kman's Comp.Policy#
iy of Insurance Compliance Certificate must be on file.
nit 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)
;<Re-side
,"Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: lssuance 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 a Improvement Contractors License is required.
NATURE:
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Town of Barnstable
Regulatory Services
qRARMASS, '� Thomas F.Geiler,Director
A,039. ate. Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
/4/��3 7-0�✓
as Owner of the subject property
hereby authorize f�/�L "�.-P0 w c7n l a 16.0 Cyc.) to act on my behalf,
in all matters relative to work authorized by this building permit application for:
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_l3 I PAIIVcc/liivc�44[. e A0, 0xn/rC;t c.�c , d�i�9 r O� 3
(Address of Job)
Signa of Owner Date
Print Name
Q:FORM&OWNERPERMISSION
°FINE I�, Town of Barnstable
P ti
Regulatory Services
Z BARNSrABLE,
v Hnss. $ Thomas F.Geiter,Director
1639.� Building Division
Peter F.DiMatteo,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 Fax: 508-790-6230
PERNM FEE: $ '
SHED REGISTRATION
®_ 120 square feet or less
`y3� hR/MCEs /NGKL�y. /2b' CCtk.v►
Location of shed(address) Village
�,�,��c.► w. L• N•� roN ,Sod• y�o - o03y
Property owner's name Telephone number
I r
Size of Shed Map/Parcel#
1
Si tore . Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction? �-
Conservation Commission(signature required) �--
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 ACCOMPANIED BY A PLOT PLAN
Q-forms-she&eg
REV:121901
TOWN OF BARNSTABLE Permit No. ____28403
Building Inspector cash _
,eio {�
OCCUPANCY PERMIT Bond _x___6'
>:a-ed to ,ia, E. Small Address
6, 432 Prince Hinckley 11oad, Centerville
Wiring Inspector ,IC j�� L s Inspection date
Plumbing Inspector 41 Inspection date
Gas Inspector Inspection date a 6�—
Engineering Department ! Inspection date //l
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.
....................................................... 19......_.._ ..................................................................................................................
ILBuilding Inspector
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JJ/ SEPTIC SYSTEM MUST BE
Assessor's map and. lot`number ........... . f..GG..
INSTALLED IN COMPLIAN pF THE T��y
Q
Sewage Permit number ......r:........... �..". 9..1... WITH TITLE 5
ENVIRONMENTAL CODE aEasTODLE. •
House number ................................. Sl3�.Z.............. ......; .� + TOWN REGULATIONS90o w rae9
\0�
�G1G e a 'Ep MAY Or•
TOWN 'OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION-FOR PERMIT TO ............ ................................................................................................
TYPE OF CONSTRUCTION ........ .................................................... ............................................
................19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the fo lowing information:
..r�`'
Location ..........La ` �T.�........... :..... ...................................................
ProposedUse ........... .. .... ...... . ............. ...............................................................................................................................
ZoningDistrict .......... .. .. ......4............................................Fire District ..............................................................................
Name of Owner .. ............ ..................Address .....
Nameof Builder ............................Address ....................................................................................
Name'of Architect `................................................Address.................. ....................................................................................
Numberof Roo s ....................................................:.Foundation ..�:��.. .............................................................
a ,
Exterior ......................Roofing ...... .. .... ...................... ...........................................
Floors ...............Interior ............... ...... ........................................................:...
....................................
" L
Heating g Plumbin /.../.........:.:... ....y..y
Fireplace ........ ... . .. . .... .. .. .. . ..... ....................................Approximate Cost ......l.l.. .y..v...:v..............
Definitive Plan Approved by Pla g Board ______ ___________ � _____19 _ Area
.. .....................
a .. .........
Diagram of Lot and Building with Dimensions Fee Q
r 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 regarding the above
construction. /
Name ..........................................................................
Construction Supervisor's License �� 7 .: ....
L ALAN E. x
28403 No One Permit for ...........Story.
......... .............
Single Family..ay�i�j�ing....................
................. ............... .....
Location Prince Hinckley Road
..............................
.................Cen
................terville..............................................
Owner .........Alan E. Small
.........................................................
•-V
Type of Construction .....F.r am.e...........................
...............................................................................
Plot ...................... Lot .............................
Perm it'.,Gra nted .. September 9,......................................19 85
Date of Inspection .....19
Date Completed ..... ....... .. ................9
..
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