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TOWN-OF BARNSTABLE BUILDING PERMIT APPLICATION
Map- Pp
Parcel .7 A lication o__? s i.
Health Division Date Issued l -3 --!7 Y�-
Conservation Division Application Fee
Planning Dept. Permit Fee I10(l V
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
r117/0 a��CG�
Project Street Address
Village ��2►�E�`c✓u J ke-
Owner�hyc_ e �'���(,VPQ Address _Dr�YS��) 0Q.
Telephone `k Z 14514
Permit Request ��.�e i n.a[� l�'�{7�Z2�1 .VTa,�,d -N
Jw ftM �_ D L6, /kA_V,-" t of . -5 /✓�Lw ddaR aJ&Al'i T � wJ-�►l� �rA c�2_ «�J
Square feet: 1 st floor: existing 06 proposed b 2nd floor: existing 6622 proposed_Total new
ZoningDistrict Flood Plain Groundwater Overlay
Y
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 2(' Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes MNo On Old King's Highway: ❑Yes ZNo
Basement Type: Z F-ull ❑-Crawl ❑Walkout ❑ Other
® n//hn
Basement Finished Area(sq.ft.) Basement Unfinished Ar sqt.)
Number of Baths: Full: existing �i new T Half: soggy new
Number of Bedrooms: f existing �new d iv/v q 16
Total Room Count (not including baths): existing (v new I FirstRNoar?.kq�om Count 's
Heat Type and Fuel: C`Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ffNo Fireplaces: Existing 3—New Existing wood/coal stove: ❑Yes a"No
Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: Coexisting ❑ 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. Telephone Number • 553`
Address 1!5-0 License #
21ftw 5 4P� D Home Improvement Contractor#
Email _311JA Ua 4 00 koo14- , C1avv�._ Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
-Rxcz)
C
SIGNATURII� DATE
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE `
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
,GAS: ROUGH FINAL
FINAL BUILDING
DATE'CLOSED OUT
ASSOCIATION PLAN NO.
l
Town of Barnstable
} Regulatory Services
NAM Mchwd V.scan,Dk*Mr .
Building Division
Paul Roma,Banding Commlttdauer
200 Mda Sheet,Hyamxbk MA 02601
vww.tawu.barastabicma.as
Office: 508-962-4038 Fax: 508-790.6230
Property Owner Must
Complete and Sign This Section
If A Builder
u Owner of the mkiem property i
hereby amhotize to act oa my behalf
i
in&R ran=relative to Work amhorized by this buiding permit appBca im foa
(Address of job)
**Pool fences and alarms are the responsibility of the applicant Pools
an not to be filled or utilized before fence is installed sad all final
inspections are performed and accepted.
%gnamteof bwncr 5ignanaeofApphc,=
Print Name Print Aiame
Dace
��.s. a�'roots
FT► Town of Barnstable *Permit# f l
Expires 6 months from issue date
sr� Regulatory Services Fee �Uv
9c� ,MASS ,e� Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 7e,/30
Property Address Y y i'/�.1/'vim J //V 41?y Ge,4, v) H-e
[Residential Value of Work 0 0
Owner's Name&Address k)0 k::9:_5/•V
Contractor's Name F,,-- Telephone Number �[
Home Improvement Contractor License#.(if applicable)
Constructi�p Supervisor's License#(if applicable)
❑Workr-4n's Compensation Insurance
C1!!ck one:
❑ I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name I Vic"+-46 6z
cc
Worl man's Comp.Policy# -7 9 V/1C 4r q 1
Permit Request(check box)
U4�Re-roof(stripping old shingles) All construction debris will be taken to Yc,,A
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side'
❑ Replacement Windows. U-Value (maximum.44) .
*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.
Ho Impro Contractors License is required.
Signature z
:Forms:ex mtr
Q g P ,
Revise053003
Fraser. Construction
Roofing & Siding Specialists
FRASER CONSTRUCTION Warranties the shingles and labor for 10 ears.
� Y
FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years.
CERTAINTEED Warranties the shingles and labor 100% for the first 5 years,
and then on a pro rated basis for 30 years total if the shingles become defective.
CERTAINTEED Warranties the shingles to be ALGAE resistant for a full 10
years.
Any deviation or alteration from above specification will be executed upon
written orders and will become an extra charge over and.above the estimate. All
agreements contingent upon strikes, accidents or delays are beyond our
control. Owner should carry fire, tornado and other necessary insurance upon
the above work. We, if not accepted within thirty days may withdraw this
proposal.
FRASER CONSTRUCTION: Carries Workman's Compensation and Public
Liability Insurance on the above work.
DATE OF ACCEPTANCE:
SUBMITTED BY:
HomeoW e� set truction
s
TOWN OF BAiNSTABLE' 2?55£3
i
t
Building Inspector Pe
rmit t No. ____ _ _____, __
I auurr.aa i Cash -----
'eio /
CCUPANCY PERMIT Bond ______
O
r / v
issued to S L S TRUST Address
°mot 643,4 544 Prance Hinc 1'ey,� Road, Centerville
Wiring Inspector x6;0j _� � Inspection.dates
Plumbing Inspecto v Inspection date
Gas Inspector `tz .. 1 r �,, Inspection-date -f
Engineering Department f �t Inspection date
Board of Health � � Inspection. date'.
�i {
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. f
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........................................ __ i_
` Building Inspector
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OF MAssq
WILLIAM cy
�o► WARWICK .
No.. 19771
�^,p 9ECISTER�-� �
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abiS Of my knovl:, �; 'r at ... d
be3.e�,: .certify to owe.
res ult Of a survey made. 'oA the groM�' ��o r�I7 a•Ta v+�.� Cam-i c I c,.�.cr►cal
r 5� I Find t
ghats.
, -o�'rh3
ructtux�e( are lodoo
can the ;site ai fi Gr�1a'Ll. �n e.y -
F�ti� �s� J$ 3xJ(�, � vi' tatbti. l 0� 'tle° � �. � !'� +��► 'SG A. �i1 ZO,
Ne� ite`. ia ,eiisu8ted�,; a Zip. �,.( '°mar �� iWM. M uJ " cLK SyvG, 1 Nam' {
is '5�1r Y�r N� P'"/-�L�/�.V�.! - \ �'/'�7'�
fief :� Zti �� ;. , •
t ri:. Warwick ILLS- .
Assessor's_map and-lot number ..... ..... s THE r
l► Sewage Permit number ........ ................. ,. c.i SEPT9c sysTEM MUST BE
PLIANC
'STALLED
.• � BABB9T4D� COML i
House number .......... .:.... ...}. ... ................+. rasa
WITH TITLE 5 'o tb q. �
` y ,�q� {{��yy L��nj�
�jG Vl�Rt.da16Z1� � ITOWN OF BA1�.N=S � �;�A� .�. , ;-NS ,.
BUILDING I'HSPECTOR .
y..................v .
APPLICATION FOR PERMIT TO ........PP �-P....... .. � ...............................................................
TYPE OF,CONSTRUCTION A10 .:Q......: .....:...............
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ' 3..... /2/N.� .. /t�1 c/`� �. p k/T�-!/2U L ...............
ProposedUse .........N ✓ L�/.Al�i�................................. ................................................... ...: .................:............... w .
Zoning District ............ ..................................................Fire District ....................................
Name of Owner ...........��s /�V.57 Address 1��9.. .I3 Z.......yJl'/ic...... ..............
l � C... ........ ....... ./"... ,f..... . 'r
Name of Builder E/3 L �dCC¢ws... CU d /?/�-!' 'Address ...........................................................................
......................................... ... ......
Name of Architect ...�,T&zio.0..... .............Address .'k"'T.c.....K11........ (2!efQ.V.T1'�l°S�h.Z......:...............
• Number of Rooms ' ........Foundation
g.. ........Ul..c..r.. Cdh!C�2C
Exterior N.. .... .............. gSl�/ ..1 :.........
✓� / L.4�S.......................... Roofing :. .T. ..r
Floors1�... ...r/d�D.....................................................Interior ..... 11.0 .T.. QC.. .......................:......................
HeatingV ................................:..............................Plumbing ..... .....................................
�J
Fireplace ...............v...............................................................Approximate Cost .................. .: �
Definitive Plan Approved by Planning Board ________________________________19________. Area .../14W..:.........................
• 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 regarding.the above
construction.
Name . .....................
Construction Supervisor's License
S L--S TRUST
No ..27558.... Permit for ..... ...$.W Y............. _
Single Fam ..W..Dwellijag.................... j -
Location JPt..643...544..I?zinca.Hir=kley...Raad r'
Owner .. S ..... . .... .. �X �_. F �' ..�' •� . ,� . ,
tit.. .. fp
Type of Construction` .Frame.................`..........
..... .....
Plot ..�.1...................... Lot . ..........................
February -27, '" 85 -.
H7;t Permit Granted ...............19 - r
Date of Inspection -......19 ti s
Date Completed J72 ....................•19 p�
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