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oFTHE rpm Town of Barnstable *Permit# CW6 l 5Q,��
Expires 6 months from issue.date
Regulatory Services Fee 2�� 'S
t BARNSTABLE,
163S. Thomas F. Geiier,Director r
$AlED µPt A •PRES /OD4 gj2))"
yy
uilding Division �/
/�(� Tom Pefr , CBO, Building Commissioner
TO 2520 09 200 Main'Street, Hyannis, MA 02601
VVN OF' www.town.barnstable.ma.us
Office: 508-862-4038 SR .STAB� Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
klap/parcel Nu nber- 222 11 DOS.
Prop rty Address; _ i vc, n(ic / 4AI Cc. C1-V; e 41 ,
"Residential Value of Wort._ ?000 `—'r Minimum fee of$25.00 for work under$6000.00
Owner's Name&'Address
clpFvLCvIlf 1,lit za 0)C3 1
Contractor's Name , Vffi/22 e, /ki /y Telephone Number 40-621
I lome Improvement Contractor License#(if applicable) / 3 1'�
Construction Supervisor's License# (if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I api a sole proprietor
❑
am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name cipm&'V IVk
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ R -side.
- Replaceme t Windows/ oors/sliders.U-Value 0s ' _(maximum'.44) 0g
*Where required: Issuance,of this permit does not exempt complianeewith other town department regulations,i.e.Historic,Conservation,etc.
'"Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SIGNATURE:
\1:01WS\building permit forms\EXPRESS.doc
Revised 100608
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_....-.__ Rstaeuaf by:lztdersel of t2tlo�3e Tsl.:
�Renewal, 'i^ oo �C1�.t'S �s Tf't'i�l�Ilt ddfess: 1lL ESQ t[..VL _ C ustom T ID#: C:;a�i Cod
bn C� �tl. ® Cdtc Stare:'L1p: G t .(� �.Order Nurrlbe r. �. _ �.�_ t l a7 Park Fast Drive
b` 7F cx7nyat'c.z,1ZI 028t)5
WIN00W.'EMPLACEMENT'an Ah;ieracawa+.PanY � _ t`r C 1�� �Q ',(_ odd
I ZI�e_.�..,MCI_.I)iarc:v.�.µ ... :,-., .0 t..CtlfiC#IZI-3(}�'J9�r-I22:9� .'t V
' I i.9535 t.,[ -562725
UNITS' TachnitaiMeasure. GRILLES
Dimensions
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c•. ! a,& °tag c., y �' `�y •'L ��—� y€ b'" `�'& g !$•e a. `� [ av? s _ �'+M ^�„ g .
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a�9E Room i rfl:3w g 3 III 'at g Iy v. tnN t"t �m vZv $SPRICE
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Ai iscellaoeous Credits yr ix enscs Sub Total it'V.tl
Tro SSNl 91<Eheabrvxrndmaud s; he tp ledect )ctmadumt rst.urdinthe cmcnt.1he I• PaymentMethod
p!<}pal itl+cma.rt volid oe 3 a;x an�i a• );cwr rx) Pt;.u�wn�axand Rem,w4lryt�ndens:s l-fnstagex ac _ (Sta,ttfit�,'t�4ag>,Rtat PCl,7r Pnt•n)tt 7n.ric.I
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1)tscr:Fr:.rn/1Vtns S i'irz R Chetk Lj
Uae )c,ca1 ,9n,lc:scn Su - _ , Sub Total w"i
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Ell Credit C and
GttBtiytntt. CC:}` are herby au3otirsr to tM.i;<h att mad,rx w41 d.:xc„etlid rd w camplztc 4SI8 i - Mist,Crxdlta or Expenses -.
+Graeaus?r h>r wtdrh ruuletaµyu�a agxcea ra 1,the x c nt xt»tr:d la riva ugrrmtr t ma aerorNng to the unrt h=OC. - _ '^^•�"-^—'�'•^^ - -
See'Reverse Side for T'ernis and C:oriditaons of Sale:.Sou the buyer,may cancel . : Total �' Ftnancing
this itansaC Ion at any tithe r to trtidti ht of he third biisiness day after
the date of this transaction. ass a e notice of cancellation for an' ____ _.,_._ SalesTbx ; �. •«- Lt;o
ex latiation of this rI itt 1
1r {'. ` ------•-- —'l�xalMsa0ira-aeot.aCrYdttsor-!uu s
(cury over mtxf ro to«.<rr't!-pe)tae a -nu:n:r.�,hJ Work Permit COSt tom, d7tioaa order Points
- -FG �G)lrnsetrt,eis all thin
I Uxtc r R.pP.nml S><m,.z rc �..-.— .-...._._......___._.,............ patio Door Storm
j Cpr�ia.1(3rrlxtr l�axs Total Amount of Agreement
A%-..;uY ..- _..... _.... _......_.........,.,,. ___ aayRnw Entry e
1>a;c A.rnaraul6cAmlaxr)x?n:ipaget Si.Baatate L(� __-g ru'y Deposit Required -W.�� � SpeaattY Winstn
A.+�yatntfag,stagtt)aor Fie ea.Itya�dvncn aem9valandraanatlatbr. Pkasanrletha wn&5 t e3>eto,!Id, ng ® / ([' _ Balance Due on Completion
r>rtptyeMy�Aich nuY .rn.i�varan::v t'tr of vnrdoar ceveig)gs are ar•urtseen dama(�4apmttii anyuntzert;tMrMge .•.,.�.._'.F�,,. _Rr._.4((. Rk
b^ntw;eMd 4 rmt IrntwwE Ft et atgna7 v:lndcx coley thz raR mLwtitiry of e:xra+e=ad dazat!mW&n Ian He ed t mtr;eie "
4 tl;k aa��vnrsent wdeix a:wvbgshanvunla !Fr.utst)xnw uNEas rod dta-ae you at.Ae aPsrs -'7 ywt apya�var , 1'rlc:mclu,ies lalm.,mactri:us,irstaliadnn,
syorticaltj•r neE abwc er insc:tf d. otfn+vhsa 7wnd, A`the cryd of theJtlC eft A'Mstroa n drbtr ra!s 6qq - {/
+vt /� /� ,,,,,,rrr��� rtnxved and,w.w..r loan}yur na+s wladowz;and he-lienewal by Andersen Yalfow-installation Pink Hem '^ Eea.n. 1_.tntl cliapos.l of proau.,�replsced.
Wh
initials:
/�,d_ Cuatom I /,1�.. Customer thr.inuallatfon sree SYp ,�•., ,,...,., r tM�.'� -w y„•F
Initials: �/E'7 Inlvals:i (/IA�I�U_/' Inhialm 1/^t7•.��J`{�.,..'✓• .S
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TOWN OF BARNSTABLE Permit No. ----------_----------
11AUn,K Building Inspector
■..� Cash --------------- —
°"�Y■. OCCUPANCY PERMIT Bond 1� Z
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 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.
.....................................................1 I9...... _ ............................................................................................................._
Building Inspector
icy &A
Assest'd s map and lot num .................... `
ypi THE
Sewage Permit number Cv SEPTIC SY T
g S EM MU P
i/ INSTALLED IN Co L 9TADLE, i
��' WITH TITL v "'�`
Huse number ....,,.:.... ...................................................... r 9O 1639 0�a
I:nIVIRC7�II FtR1T'"' �`DIPY a`
TOWN OF BARNSTABLE
NOISSIVU403
BUILDING INSPECTV 0IVOUddVo. 13rL.-
APPLICATION FOR PERMIT TO '� ! L2 = . ... r2a1A' LD vl.�-L
................. .. ............. ..... . ..........................................................
TYPE OF CONSTRUCTION .......W.M ...........................................................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a per 't according to the following information:
Location .en/ -A!..<.4 I ..... .,.,A,vz................. ...... .....................................
r
ProposedUse &P,r, ...........................................................................................................................
Zoning DistrictC—
..........Fire District .... � . ..................................................
dame of Owner SD G, -�!�l'�. ... ... ' �f /.�� �d'dress ........................................................... ... ...... .. ...........................................
Name of Builder .............. . ..T�€. ..(!�.w.Address ...... .'ITL# :...... ................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ......................6............,..........................Foundation ............���'�..C�� .. . .................................
Exterior .....GfOt' ...........................................Roofing ..... ..............................................
Floors .......O.CA.-..................................................:..............Interior .....// ....lN!�1 G. . ... .....................................................
-Heating .................................:...Plumbing ..................................................................................
Fireplace ..:.......L...>..............................................................Approximate Cost��/.` .. .... ... ........................... . .
Definitive Plan Approved by Planning Board -------------------_-----------19-__--_-_, Area ......�..................................
Diagram of Lot and Building with Dimensions �.�:J<
Fee ..... ... ..............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH RG NQ
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .................................................
FELDMAN, SOL & DOROTHY .
0-
4% No ..22-32-4- Permit for One„;; tMzY............
....S.i n.g;Kq...k!q.mi.1 V...Dwell ing...............
....... .. .... ..
85 Riverview Lane
Location ................................................................
Centerville
...............................................................................
Owner Sol & Dorothy Feldman..................................................................
Frame
Type,of Construction ..........................................
................................................................................
Plot ............................. Lot ................................
Permit Granted ......JIAIY...$.r................19 80
D 6t—6Zof^1n Wsp e ction. ............. .d. .........19.
Date Completed .... .............. 19
PERMIT REFUSED
. ........R. ...... .................:................. 19
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Appr9a................................................. 19
............................................................................
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_ ____.._________....___________________________________________.__-__w_______________________________________.._____-_____._____..__1_
Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of .Fork.
To Barnstable Conservation Commission (Issuing Authority)
s=i..i=Rv�l=vc�
PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT
FILE NUIMBER _5. :.3-:". .� -..-_, HAS BEENT RECORDED AT THE
REGISTRY OF ... 1 !4.t3G>=--.-f..��g.`_`_�,
ON (DATE) ..................,..1../✓N1�..-.-Y.,r.....I�1o.. ................ —
If recorded land, the instrument number which identifies this transaction is ..._..-
If registered land, the document number which identifies this transaction is ...___�............... .._.__-_�_.__.
Signed
Applicant
� SARINS i A LE COUNTY
REGISTRY OF. DEEDS
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