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oFsx> r Town of Barnstable . *Permit# U
Expires 6 nzonfhsfrorrr rsau ale
Regulatory Services Fee
* BARN5rA13LE
i639. Thomas F.Geiler,Director ��rr,,ff�J
ArED µAla VI`� 31�3�Q
Building Division..
Tom Perry, CBO, Building Commissioner
200 Main'Street, Hyannis,MA 02601
www.town.barnstable,ma.us
Office: 508-8624038 Fax: H8-790-6230.
EXPRESS,PERMIT[`APPLICATION' RESIDENTIAL ONLY
Not Valid without Red X-Press imprint
Map/parcel Number _
Property Address Ph/y CC, 1 ✓r✓I ,1 " e T."����
Residential Value of Wort. 0 (J'_ Y Minimum fee of$25.00 for work under$6000,00
!O%vner's Name&Address ! (/�3�' �✓�' `lie- �/rJ
Contractor's Name �Isim�s �CrNTelephone Number q0l C. l` Cwd
I lome Improvement Contractor License#(if applicable)
Co!istruction Supervisor's License#(ifapplicable)
❑Workman's Compensation Insurance ®PRESS PERMIT `
Check one:
Vasole proprietor . MAR 1 5 2010
the Homeowner
e Worker's Compensation Insurance TOWN OF BARNSTABL
Insurance Company Name Rel� Ccd A IV
Workman's Comp. Policy# ���
Copy of Insurance Compliance Certificatemust.be on file.
Permit Request(check box) a
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. 'Going over existing layers of roof)
❑ R ide
W taw to O L{/
Replacement Windows/doors%sliders.U-Value ` 0•3S(maximum .44)
*•Whcre required: Issuance of this permit does not exempt compliance with other town department regulations,Le' Historic,Canservation;etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the,Home Improvement Contractors License is required..
SIGNATURE:
1>'PF ITIMI"M MMbui lding permit fo6slEXPRESS.doc
Revised 100608 M1
,� C } TtOt2t18r �n�s Year Built;
�J 1 Customer Name'. Rgtewal by Andersen of Rhode island&
Ren�'�tz�� Sales A regiment Address. �k ustomer ID#, a CO'
A,, , t City,State,Zip: t L 2-Order Number. 1! 7 Park East Drive
�111 1U� � �p —1 Phone-Home: y&'as' YX o' Woonsodtet,R102895
Minnow RBPIACUMENT an AndnaenCQ-QarV
Phone-Work: age:�—of Dace: ` lbw#R1-30839 RI-12259 MA-
Email: 119535 Cr-562725
?�o�-� vF �33A2J11..17"9a�
UNITS
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yt f
N� �� � toy ��
Room
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Ottu x
I -Aw !r� P v ! w .F sr� 3 y "� �-- " 36-
a
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• !'rppoealt All nl thv slaws wlmkwa and eHwrro tc prnvntad fnr the urtal Mluwnt uatO in tbv aJtreeanat.The MisCeii tteous C[ed1t3 Of Eltt?CnttS sub Total trap tl 1 Payment Method
pr gxrsxl will remain vdni Sn HI and is a m xraptwtxe by nnrh I:uahnMr atnl&v+ewal by.Andcnvn Afanytar as (raining,Wrap.ILot alr,PrO n,eteJ _
rnmdtal a,w. Sub Total tare,M�+y
/0 Description 1 Notes S Prier; ( Check (�J
l c.n/.
Os')�C U LhT� I9PPuiCJ _ _ subwrW w!.raa /I 9 ? ✓� r
e cowl by A reap 5alre Reyn:srntuivr Si)•nawn• ❑ Credit card
Customer Acceppt ee Yiw are herby autMnixx+l to fumiah all wind wa amt h.+n rryuirrd to cnmrlctc this Misc.Dedltt or Expeasef O C
aRmwnent Nn which fM•unekniRnvd sprees at paq tha anuwnt atttn l in dux aRmmrm am3 aeandirq{n�<hr rvrm.a haunt'' - Tout .J ❑ FlNantiR�
See Rcvene Side for 4 rme and Conditlona of Sale.You,the buyer,may cancel ��
this transaction at any time��rrllor to midnight of the third business day after
the dare of this traneagcion.Ploase eee attached notice of cancellation for an Sa4slar oiRt.aeunoey
explanatio O his rig - - Total Miscellaneous Crrdltt or Expenue Work fwailt cost Adito l erda Pomo Attarned
v I mbc.ar&I ex lan+n rl f�
�d ��d lorry over roes m yews m at nhU �.r!' � IDleaw rhM aR ttaq eraM
Arcvyte Y �.,lr? �
I�te �nunrr Appr.nyl SiRruturr special Order Notes Total Amount of Agreettlant FOOD D001
6ay+tma on goor
Ae<clne.l '
flwe l4newo by Awkrren htangter sgtnrturc Depodt Netlulfed . a soeealrrnbbow
Mq�ro+a+en4 etainega Rat•wl by Andesee aamoval aadMrotaaatlao rase rasa out weareanebletobiooaresahsq eatanee Due an campleties C�a
waUpaperirp whWh mar tba nm ppww��Me tM d wlndaar oowM1nnys�an �gr umeen duriape.Ilpvwe4a anY usMn dnnapr
be aeeONbrorle H*d Not ai rtt adadaW NtHr tM teepenSmlayW bdeceTee tlantglWiatlYld+rn nN VA'Oete ...
M trba� taalen ttxMrgls after new udrs the tsetookr twMe rd eharoeroulw the Rpdn atwrapptad. Trice nrcludee labor.materials,irutailarlon.
epedM1dynond abv+e. aretwWra, otheraM aced. At tbt end oltM)se aoeonatrvnebe Rntovat,and.dis wsal of Products replaced,
teetwee and vre wa rrenn Pow nsv.talaaowr vd White, R Andersen Yellow-Inuanadon rink-Ho of
!
`customer eustnma custoaNr knul lon a— `
Initlals: (rl{
i
ioj281oq
of Town of Barnstable *permit# 3021 B •
Ow, F.vk=6 montAs from Issue date
,,,, 181�, ; Regulatory Services Fee
Thomas F.Gellert Director
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 `� y
Office: 508-862-4038 UL,.1 y
2004
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIW BARNS;,
Not Valid without Red X Press Imprint
[aplparcel Number
roP erty Address l L
3esidential Valve of Work CT Minimum fee of$25.00 for work under$6000.00
6 0
owner's Name&Address & e.
;ontractor's Name—A� ��Vt�, Telephone Number
tome Improvement Contractor License#(if applicable) U 1
;onstruction Supervisor's License#(if applicable)
]Worktnan's Compensation Insurance
Chec ,eve:
�Homeowner
I am
I have Worker's Comp ation Insurance
asurance Company Name G(�1 f
Vorkman's Comp.Policy#
:opy of Insurance Compliance Certificate'must be on file.
'ermit Request(check box)
11 e roof(stripping old shingles) All construction debris will be taken to VC✓, C� �
❑Re roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximmu.44)
*Where requited: 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.
o ement Contractors License is required.
Signature
Z:Forms:expmtrg
Revisc063004
_ x /7�� �,
Assessor's map and lot number. . .:.. ................
. ............
FTNET
g q .. SEPTIC SYSTEM MUST S
Sewage Permit number ............................................ PLIA
INSTALLED IN COM
"z f WITH TITLE 5 Z EA"STADLE,
House number ............L:../ .:.........................
.... . t ENVIRONMENTAL CODE o pY'a`e�
TOWN OF BARNSV[ ARLE
BUILDINGP INSPECTOR
APPLICATIONFOR PERMIT TO ........... ..................... .................................:......................................................
TYPE OF CONSTRUCTION .......... . ..... ............................................ ....................................
....... ......................1949
TO THE INSPECTOR OF BUILDINGS:
The undersi ned hereby applies for a permit ording to the foil wing information:
Location .....�Z�... . ......../Y ... ....... ..... ... . .... .. .. .........................
ProposedUse .. ........ ................................................... .....................
Zoning District ....... — .. .........................Fire District .......................................................... . .. .. . . . ... . . ...
Name of Owner .... .. .. . ......... ....... . ...............................Address ..........
, t !
Nameof Builder ..............Address .......................................... ........6............................
Nameof Architect ......... ........................................................Address ........ . ......................
Number of Rooms .......V.. ..................................................Foundation ..............................:.............
Exierior / .............................................Roofng ..... .......... ............... ........................................
..........Interior .... .......Floors ... ................................................................
Heating !!....e.... ..... ..............................................Plumbing ......2,-.......
[. C..f�1..4�
Fireplace ..... ...... ..... .........................................Approximate. Cost / ................... ............ ...
Definitive Plan Approved by P ning Board 5 � �
-------19 QV Area ... ... ....... .................
-7p
Diagram of Lot and Building with Dimensions Fee
C�-�...i..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations oft he Town of Barnstable regarding the above
construction.
Name ....z............................... ......................................
Construction Supervisor's License Pe 7.177.........
.. t
SMALL, ALAN _
No .2.9055..... Permit for ..OJ.ip-..S.Lo.r-y..............
............5 A.91Q...EamiLy...Dvelling Dvelliag................... `
Location ....LQt...119. ......4.93..F.rinr-P-..Hin' zk1ey Road
...........`:....... ....................................
Owner ......Alan...SAIal.h......................................
Type of Construction ......Frame..............:..........
Plot ................. . ....... Lot ... M -
.Permit Granted . March ..............19 86 _
Date of Inspection.....................................1.9
Date Completed ....E ``��19
C1! ' `
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rDESIC,N DAaTA ,VNC-L.E- FAMW1 - 3 BCDIZ.c�pl`�► �q
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OiA t L.Y FLoW _ 11 o'x S 33o G.P. D. � ,(•`' ,Ip 4 �c �
S6PT1 C TANK. = 3 3 c� x.I Sofa ¢9$ :C-r I', p. 0 0• _ .
USE 1000 GAL. TANSY,
by
�►SPoSAL PIT vSE' 0 lovo CAI...
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No. 29 733 A
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No.24048
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• - 'S�K/i!/,�E.e�®N S.��!/G��/�T-l�,E USE
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M A�C(, C
DATA
TOWN OF BARNSTABLE, MASSACHUSETTS a ••
• JOB WEATHER CARD
DATE 19 PERMIT NO.
APPLICANT ADDRESS
IN0.) (STREET) (CONTR'S LIC fNSE)
NUMBER OF I
PERMIT TO ( ) STORY V DWELLING UNITS_
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
.;v ' ..S .T.':.:._.. .............�_J .5 t.. e_ _,_ ZONING _ t
AT (LOCATION) DISTRICT
(NO.) (STREET) °
• • i
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
( (TYPE)
REMARKS:
AREA OR ✓..;'r .+I. ti 4, _Z t a, itii�I PERMIT
VOLUME ESTIMATED COST $ FEE
.(CUBIC/SQUARE FEET)
OWNER " _ + BUILDING DEPT.
ADDRESS BY r
THIS PERMIT CONVEYS NO R;d:'G-HT TO .O.CCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF.:EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICT'iON: STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF `PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVITs10Nf.RESTRICTIONS.
MINIMUM OF THREE CALL .:- APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS"REQUIRED FOR -CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. ,,IAADE. WHERE A CERTIFICATE OF OCCUPANCY IS.RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL Q.UIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL -
MEMBERSIREADY TO LATH). FINAL INSPECTION HAS BEEN MADE. '
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CAR® SO IT IS VISIBLE FRO�A STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
0�� /
HEATING INS?E CT¢NG APPROVALS REFRIGERATION INSEG 71Ot�.PPR6VALS
13APNSTABLE
ZrMG. II ICING DIVISION
;2 12
vh )44."l
I
.-� S.A. _ r,CT -PO.EED ;jNT!L = PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSFECTIONS INDICATED ON 'h'S L -_
N'S T D= -AS =R0VEJ -HE: ';,I- -Gc CAN 9E ARRANGED =0R BY '- E=
WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE
��._ ?= •�DNS''RUCTIDN. - .P -P I c_! I r AAS NOTED ABOVE. _ .__ - OR WRITTEN NOTIFICATION.
E. M.T i� SSJ�D N� P A��.
_. _ _ ._ ---
_ —_
l�
.• ° f TOWN OF*BARNSTABLE Permit No. -_---29055 -
. . = Building Inspector cash
+wa
OCCUPANCY PERMIT Bond ------_x-___li _ �,
j
Issued to Alan Small Address
Lot #9, 493 Prince Hinckley Road, Centerville
Wiring Inspector Inspection date
Plumbing Inspector `� Inspection date
{
4
Gas Inspector `� Inspection date
r d f
4
Engineering Department `�` Inspection date
—. t
Board of Health -'- ` Inspection date
f
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_.......... - ................ ..............
Building...Inspector .........._.._