HomeMy WebLinkAbout0278 RIVERVIEW LANE d�� i4i�vd� /�/ '✓\
_ _ _ I
TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION
Map Z'Z. J Parcel 1 Application# 60'2
Health Division Date Issued;,
Conservation Divisio _Application Fee
Tax Collector Permit Fee- [; �,
Treasurer (aIC
Planning Dept.
Date Definitive Plan Approved by Planning Board VVV
Historic-OKH Preservation/Hyannis
Project Street Address T1 ' R 1 VEJZV I EW LA,�A 1E
Village C&TkrZ_yI LLE
Owner SP-AGIKETT (-�ALL Address P.Q. i3OX ZZ4 14y"KI 5 FORT
Telephone 508- 1'15 -M(3Z
Permit Request 14 X l e AQ D 1 i l 0 0 l REM 0Df_;:L 13AT 44z o 0 M
Square feet: 1 st floor:existing I o5(o proposed 2nd floor:existing 7 89 proposed Total new ZZy'
Zoning District FIF l Flood Plain Groundwater Overlay
Project Valuation I cs00 Construction Type vJeroD
Lot Size tC Aer? - Grandfathered: 0 Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family 26 Two Family ❑ Multi-Family #units)
)
Age of Existing Structure 19-11 Historic House: ❑Yes 1%No On Old King's Highway: ❑Yes A No
Basement Type: A Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 15(o Basement Unfinished Area(sq.ft) 3 0 0
Number of Baths: Full:existing 2 new Half:existing 1 new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing $ new 1 First Floor Room Count S
Heat Type and Fuel: -0 Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes •d No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes X No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size--,
Attached garage:)kexisting ❑new size x2"6hed:fj existing ❑new size IOXIZ- Other: 1 c5
4
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use -
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BUILDER INFORMATION
Name GR Q,3trtZ I N L Telephone Number 508
Address 10 l R n o Tf_ %3 Z U N I T (o License# 611 ZZ 2
N LS 07-Ca0 1 Home Improvement Contractor 1 S
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO QL I ED 1&%STD,
SIGNATURE k DATE I (�
f .
FOR OFFICIAL USE ONLY
APPLICATION# -
DAl� ISSUED 4' i
MAP/PARCEL N0. _
ADDRESS VILLAGE - h
OWNER r
x DATE OF INSPECTION: 4 ''
ff
FOUNDATION / 6147 Ito
lk-
FRAME tiz�s� 3�G/a
INSULATION 3167Iag a
FIREPLACE
ELECTRICAL. ROUGH FINAL -
PLUMBING: ROUGH FINAL =�
GAS: ROUGH FINAL
FINAL BUILDING S
DATE CLOSED OUT
ASSOCIATION PLAN NO. - t-
r
�oF�HF, Town of Barnstable
ti
Regulatory Services
BA MASS.LE � Thomas F. Geiler,Director
� MASS, �► f
4'`lfc + Building Division
Thomas Perry, CBO,Building Commissioner
" 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PLAN REVIEW
,
Owner: Il Map/Parcel: &f
Project Address27$ Ri 1ren1 16� Builder: v—ex.l'fe.+-
The following items were noted on reviewing:
It ��--C� ilC2� D�0.v�s J
V
1 /
�A ��� I.t�1Q2 �T Y�2..L.J 5�1���" /2// ��.eo iM l n s ✓
Reviewed by: SpalcC w/MH2k 11�2e��
Date:_111Zi,f07
Q:Forms:Plnrvw
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• , t 1
28
30
.63;
- 62
.140 00 61
Q SHED
26 2 5'
18 I� 24
NO. 278 W
23
O _ .
ASPHALT HALT
DRIVE CHAIN LINK FENCE
APPEARS TO WANDER
OVER LOT LINE IN
THIS AREA.
RIVER VIEW LANE
(FORMERLY COOLIDGE ROAD EAST)
NOTE: ACCURATE LOCATION OF STRUCTURES RELATIVE TO LOT LINES REQUIRES
AN INSTRUMENT SURVEY INVOLVING DEEDS AND MONUMENTS OF ABUTTERS. 'THE
RECORD PLAN HAS NO BEARINGS OR DISTANCES AND THIS INSPECTION IS
P
BASED ON SCALING THE ANGLES WITH A PROTRACTOR AND OCCUPATION. 1
9-iT E L INSPECTION ML13064A
SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.= 60 FT. -Ili OF 414
P.O. BOX 28 DATE: OCTOBER 2007 9cy
SAGAMORE BEACH, MA. '02562 THOMAS N
(508) 888 8667 r PONT RI AND cn
I CERTIFY TO H. BRACKETT HALL AND NANCY S. HALL No.34314
THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS
TO THE ZONING OF THE TOWN OF BARNSTABLE °ffssl
I CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD
gN�suRVE'���
ZONE AS DELINIATED ON MAP D008C , COMMUNITY NO. 250001
PLAN REFERENCE: BARNSTABLE REGISTRY OF DEEDS REGISTRY OWNER:
BOOK/PAGE: PLAN BOOK 17, PAGE 003
LOT NO.: 24, 25 & 26
I PLAN BY: WHITMAN AND HOWARD BUYER:
j DATED: APRIL 10, 1926
THIS INSPECTION. NOT MADE FROM AN INSTRUMENT SURVEY AND IS NOT TO BE USED
FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY.
t
�of-rMe� y Town of Barnstable
Regulatory Services
f,�wsresr�. • ..
asnss. Thomas F.Geller,Director
t
Eo►�. Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA.02601
www-town.barnstable.ma.us
Office: 508-862-403 8
Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
kry� —t—gct'-ff as Owner of the subject property .
herebyauthorize MA" tC (�' 'l EA', to act ou my behalf,
in all matters relative to.work authorized by this building permit application for: .
I UfV'Y t-4-
(Address of Job)
J
Signature or Owner ate
Print Name
r
QTORM&OWNERPEWISSION
I Tsnle J3:Z3II(eoauarsec�
p'resariptivs Pseksged for due and Two-FhmiFy Raideatisl Baildinga'Hested with FosicT 1`'pels
MAXNim MINIMUM
Gluing Glazing Ceiling Wall Floor Baserrseat Slab $eating/Cooling
Ares'(•!.) U-valve= R-vaIiur ' R"
R-vaiue� R•valuc� Wall pmmeier. . 1=gFm Effideac�
r
Pie . . •. va1.uL� R-values
570I to 6500 Hosting Degrcr Day:r
" 12% 0.40 38 13 19 10 6 Notnasl
R 12% 0-52 30 19 -. 19 I O 6 ` Nomad
g 12% 0:50 38 13 19 10 6 15-AFUE
Z' 15% 036 38 13 25 NIA', NIA. Normal
U 15% 0.46 33 19 19 10 6 Normal
y 15% 0.44 38 13 25 NIA• NIA 85 AFUE
`y 15% om 30 19 19 10 ¢ 83 AFUE
• /f .x 033 �3E � • !3 23 NIA
L� �
y— 18•!.,: 6- —``33 19 23 NIA N19 N oval
Z 1 S'!. 6.42 31. 13 19 10 6 90 AFUE
IS% 0.30 30 19 t9 10 6 90AFUE
1. ADDRESS OF PROPERTY: 21 C� t l/ Viv� L A(�J
�- �l u.C M A 02(493Z
2, SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 31 5 r
3, SQUARE FOOTAGE OF ALL GLAZING:
4, %GLAZING AREA(#3 DIVIDED BY 42): (S
5. SELECT PACKAGE(Q--AA-sea chart above): X
NOTE: OTHER MORE INVOLVED METHODS OF DETEKMIN G ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
13MI)ING INSPECTOR APPROVAL:
YES: NO:
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CHATHAM HA,77-1
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Fs .r Town of Barnstable *Permit# 0 b'�t 9
°`ty Expires 6 months from issued .
Regulatory Services Fee
BAR,,STABLE, Thomas F. Geiler,Director •
v MASS- g
�b 059• Building Division
PrED MA'1�'
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.nia.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid Fvithout Red X-Press Imprint
Map/parcel Number. 1 b j
Property Address
[4-Residential Value of Work Y Minimum fee of$25.00 for work under$6000.00
Owner's Name& Address iCj�t/�d�r-�/ ,u La
7
zzc y
/t Phone Number e2lee , 7 7/ � D 3S y
Contractor's Name G--l��, t„ �._ D � •� L, T
Home Improvement Contractor License# (if applicable) / 0 > y0�� <� 15),/ !�
❑Workman's Compensation Insurance
Check one:
�1 am a sole proprietor eP E PERMIT
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance SEP $ 2008
�.
Insurance Company Name TOWN OF BARNSTABLE
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)
❑ Re-side
�eplacement Windows/doors/sliders.-U-Value e (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 jo Property Owner Letter of Permission.
A copy of the Flome Improvement Contractors Licens „i,'required.
91,
SIGN+TITRE: �. ZZ .� � e;tit C
Q:\\V?F[LES\FORMS\building permirforms\EXPR SS.doc
Revise020108
The Comrnottwealth of Massachusetts
Department oflndustriaLAccidents
Office of In V estig"atf o ns
600 Washington Street
Boston, MA 02111
www.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Let?ibl-y_
Name (Businc: slorganizaEon/Individual): 62le-11 vS -
AdCre55: O I c'
City/Statdzip: P+�ii�s i��•+ . Phone-4: .j�; h 7 7
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. [] I am a general contractor and I 6 New constriction
loyees (full and/or past-time).* have hired.the stb--contractors
2. am a'solc proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have m employees These soli-contractors have 9. Demolition
working for me in any capacity. employees and have workers' 9. 0 Building addition
[No workers' corap.-IDntranc_e Mmp.1nsuranee.t
required_] S. [] We are a corporation and its 110-Electrical repass or additions
3.❑ I am a homeowner doing all work officers have exercised tbeir 1 L❑Plumbing repairs or additions
myself [No workers' comp. rigbt of exemption per MGL 12 ❑goof repairs
fi rance requirzd.]t c. 152, §1(4), and we havc no / -
employees. [No workers' 13-❑ Other /�da� ,Z Lam+k��
comp.rnsurancc required_]
*Any applicant that ch=c s box#1 roust aho fill out the section below showing their wmi=-s'compcnsaiien poky information- .
t Hamcavmert who submit this affidavit indicating they are doing all work and then hire outside contractors mast submt a new of dzvit indic erng wr_h
tcontractors that cbmic this box must attathcd an additional sheet showing the name of the sub-contratturx and state whether or not thmd entities have
employcxs. If the sub-contractrns have avPloyces,ffiey must pmvi&their WaTkm'cmnp.PoBcy number.
I am an employer that is providing workers'campensalron insurance for my employees. Below is the policy and job site
information
Inciirance Company Name_
Policy#or Sclf--ins.Lic.#: - Expiration Date:
Job Site Address: City/statc/zip-
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to sccurc coverage as required under Section 25A of MGL c. 152 can lean to the imposition of criminal penalties of a
E=i p to S 1,S00.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fnt
of up to S250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the 1)Lk for insurance coverage verification.
Ida hereby certcf under.the pains•and penalties of erjury that the information provided above'Is true and correct
Date:
Phone
O fx-.ial use only. Do.not write in this area, to be completed by city or town offtcIaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plarabing Inspector
6. Other
Phone#:
�OpTHEr Town of Barnstable -
F
rt
Regulatory Services
s+xxest�,�« Thomas F. Geiler,Director
qji 1q..
A 6� �� .
rf Building Division
Tom Perry, Building Commissioner
200 Main Street, 14yannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
g
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorizeo-,- to act on my behalf,
in all.matters relative to work authorized by tms building permit application for:
(Address of Job)
I's 12a,-,
Signature of Owner Date
9-�Q cut
Print Name z
If Property Owner is applying for permit please complete the Homeowners Licens e
Exemption Form on the reverse side.
VM
Town of Barnstable
�o11He row
01 Regulatory Services
sAxtvsrwsLE,
Thomas F. Geiler,Director
MASS'
q, 1659- Building Division
pTFD �a Tom Perry,.Building Commissioner
200 Main Street, Hyannis, NIA 0260
vrww.to"'n.b arnstabl e.ma.0
Office: 508-862-4038 Fax: 508-790-6230
T�I�IEOWN'ER LICENSE E PTION
Please Print
DATE:
JOB LOCATION:
� number street village
"HOMEOWNER':
name home one# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was exte ed t include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for h' e who oes not possess a license,provided that the owner acts as
supervisor.
DE ION OF OMEOWNER
Person(s)who owns a parcel of land on which h /she resides intends,.to reside', on which there is, or is intended to
be, a one or two-family dwelling,attached or d tached structur accessory to such use and/or farm structures. A
person who constructs more than one home in two-year period hall not be considered a homeowner. Such
"homeowner"shall submit to the Building 0 cial on a form acc table to the Building Official, that he/she shall be
responsible for al] such work erformed and the buildin Permit. (Section 109.1.1)
The undersigned"homeowner"assumes re onsibility for complianc with the State Building Code and other
applicable codes, bylaws,rules and regula ons.
The undersigned"homeowner"certifies at he/she understands the To of Barnstable Building Department
minimum inspection procedures and req cements and that he/she will co ly with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwe gs containing 35,000 cubic feet or larger will be re ed to comply with the
State Building Code Section 127.0 onstruction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any hom wncr performing work for which a building permit is required shall be ex mpt from the provisions
of this section(Section 109.1,1-Licensing o construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supersor."
Many homeowners who use this eyemption ate unaware that they are assuming the responsibilities of a supervisor(sec Appendix Q,
Rules&Regulations for Licensing Constructi n Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons,, In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permi t application,
that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
v N
r �. 'd h'� ` i+'-
Assessor's office(1st Floor): Z� �VX� i T� „
Assessor's map and lot number 7 0IN �� ��� reg�N�y�9 B THE TO`
* Conservation s �D 'mod _ �� WITH TITLE 5Um
Board of Health(3r floor): �.BIVIRON)AE�T'd�1 c�� sT►nc
Sewage Permit number ,r �e(5& 3 ,�, ° ua
Engineering Department(3rd floor): '6�°•
House number o7 ��Y1ir
Definitive Plan Approved b Planning Board
PP Y 9 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.only
t TOWN` OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ��n��✓T /�Xy ��,� � �d ,�, d-�'�L/ ��� �
TYPE OF CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �7 k �/(�,.....J.ie-u/ 1 ivr.
Proposed Use
Zoning District /I�tval�� Fire District
Name of Owner .06A -Y4 J-1,6e =� ��f G/' Address 7B J(�e.Gr►//P��� Lah-c�
Name of Builder `—Z CL Z, t�[Jorv� Address �S
Name of Architect Address
Number of Rooms Foundation
Exterior r ,4i1! f Roofing "g&
Floors 4azz e./L/r_ Interior /idl Jt" �/�GZ
Heating , —042 C, Plumbing
Fireplace Oe2A2/7L Approximate Cost era
1" Area
Diagram of Lot and Building with Dimensions � Fee
1 ,4A �--
y�
6°
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar 'n the above cogastruction.
&-A0"e-
I
Name
Construction Supervisor's License (2L4?V
HEUSS ERA HANZ & N.
No 35465 Permit For ADD TO GARAGE
Accessory to Dwelling '
Location 278 Riverview Lane
Centerville '
,
Owner Hanz &. N. Heussler
Type of Construction Frame
Plot t Lot "
Permit Granted October 23 , 19 -9 2
Date of Inspection 19 '
Date Completed 19 ~
14
5?0.
Assessor's office(1st Floor): /// SEPTIC SYSTEM MUST BE
As ssor's map and lot number
INSTALLED IN CO�dIPLIANCE Q��*INC
TO``
of Health(3rd:floor): ` �1'I'H TITLE 5
'. age Permit number—ter—v,I,f_
` r IR!i1tIRONIVIENTAL CODE A111D t DADd9SODLL
Engineering Department(3rd floor): p F�aS^ !M Mks&
House number c 1 TOWN REGULATIONS °o i639•
Definitive Plan-Approved by;Planning Board 19 .
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only'.
TOWN` OF F BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
� � r
TYPE OF CONSTRUCTION W00J, F7ra-VV\-e
t19
;
TO THE INSPECTOR OF BUILDINGS:
The undersigne—dl hereby applies for a permit according to the following information:
Location ( � R i VS r y� � L l . 6u)+e iry i i -f- , VVja,.
Proposed Use
Zoning District �r✓ Fire District �� - OS
Name of Owner A(A f)IICdle I4e_vSS j-e-r Address �� i"u'V-✓Ui4W LoL Ceo+evvilke
0
Name of Builder Address
Name of Architect Address
Number of Rooms Foundation
Exterior Roofing
Floors Interior
Heating Plumbing
I
Fireplace Approximate Cost Z 000
Area 2 5' i
Diagram of Lot and Building with Dimensions
OCCU Y 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 G -
Construction Supervisor's License 's � �
HEUSSLER, HANS & NICOLE t
No 34005 Permit For Build Storage Shed
Accessory to Dwelling,
Location 278 Riverview Lane
t: Centerville
Owners Hans .&t Nicole Heussler
Type o C nstruction Frame ` �_ E ; �_ B
Plot Lot
t ; t
`Permit Granted, October--i 15,! `, 19 90 ` j
f
Date of Inspection'^ t 19
LZ
tit om ted 19
fro
�' ...1 �S:vY$ti¢ye � _� •• E �-t- { { •3 } k 4 � � l t �. ' A ...yo.i ' °i7 Z/�' 1 .'
'wM ens t y N i t _4r t i 1 IIa :
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FEE '
�cs° +f ? � TOWN OF `BARNSTABLE, MASS.
°D
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g �Y� 19
0 00
CD 'q THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO
Aq °A III
.. °� 0 _...............................................................................................................................................__._..._.................. _........................................................_............I........_..........._.....
__
O bpJI. (PROPERTY OWNER) (ADDRESS)
1/J
0 cs
b 1,3 TO ............................................................................................_.........................._.._.__.r__.........................................................................................................................................._.......�
H 2'd IBUILD) (ALTER) (REPAIR)
a
(TYPE OF BUILDING) (APPROXIMATE SIZE)
O O
rr
o p LOCATION ......................................................_................................................_..._ ..._........................................................................_.........I.............._......
_
y (STREET AND NUMBER) (VILLAGE)
c�0 NAME OF BUILDER O R CONTRACTOR __....__ ..___............................................._............................................
__........_...___......__
o'Q APPROXIMATE COST
w eo(, 1 HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN
a OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION.
a)
3 ° __......._ ._._....._._..__._._...._. ._.._.... '................................................ ...........
/l tV's (OWNER) (CONTRACTOR)
a CS 0
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O U
jy ......
tV
BUILDING INSPECTOR
Subject to Approval of Board of Health.
71
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24
rl
s s' St+. }
�§S `F
Assessor's map and lot number
Sewage Permit number
..... h�K... ..
GL/c6rr
T"Er°�� TOWN OF BARNSTABLE
` Z BARNSTA➢LE, i 1
,639.O M BUILDING INSPECTOR
� PY p' .
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APPLICATION FOR PERMIT TO 7 .. .........................................................
TYPE OF CONSTRUCTION ........!�!l P.01)................................................................................. ......................
.................... ...19?.,5
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby ap 'es for a er it according to the folio g information:
41
Location ��0....... . �. 1.4-....�.f..��(0 �%... ...................................
............. ... .... ............. ............................................................ ....
.................................................................. ...............................................................
Proposed Use ......................�!.lU�. ..—
Zoning District Fire District ��
........... ... ........... ............
f
Name of Owner T / f fY�/S'[. - 21 �l���L C�11 h ► ��1�/7.
..... .....................:.... . ............................Address ....... ..................... .... .............................................
Nameof Builder .... � ............................................Address ...... ` .�N. ....................:......................................
Name of Architect .. ... ..��................
.............................. .. ! " :.............................................................
Number of Rooms .................FoundationE/`��/�1T /OC,�
Exterior ./ .4f!.J J1!1. ..1C .......................................Roofing .`.UV...®QD...�/�I1! L.�.�...............................
Floors ...................................................................Interior ....DRY...W....0l.................................................
Heating / J VV/� ............Plumbing IZ
...............................` .......................
Fireplace .................... ..................................................Approximate Cost ...•.�. Uo..............................................
Definitive Plan Approved by Planning Board ----------------------------- ........!. 7 d... !................
---�9--------. Area ......
Diagram of Lot and Building with Dimensions Fee ... .................................
...........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1 �pwo p- 1
`V /, I
\ I`:fib{ i
p RM.. / i7rHo PIN,
i
hereby agree to conform to all the Rules and Regulations of the T of Barnstable regarding the above, , .Y
construction. 17
s
Name .....:..... ..................................................
�
Green, Francis E.
/
' 17530 add to single
No ................. Permit for .................................... '
'
family dwelling
----------~---------------.
. /
�78 �ivmr �iem� Lane
Locoton ---------------------'
'
( �
_______�e�ta�v1lla____'_______
C)wxne, ........Frmmzc.io 8._Graen_______. { 7 /
Type
'
' l
of Construction .........frmoua-------. ' ' ' ' . ~~~� \n^
---------'^----------------'
( /
�
Plot ��--------- ----------�
[ � .
� December 31 74
Permit Granted -----'-------.]g
- ~ +
'Dote of Inspection -- -----l9
Dote Completed
`
PERMIT REFUSED
-----.---------------- lV
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..-------.—~----.-----------.
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Assessor's map and lot number ..... .. �I �✓ f�f � -� 1�"��`
4S,w6ge Permit number ........., 9.f11.': '.rf.,,... SEPTIC SYSTEMfO�P y�MUST BE -
r INSTALLED: IN COMPLIANCE
Z BBBBSTSDLE, i
blouse number ARTICLE II STATE '°o,,�16 9•a���'
...........................cr�.�. ..........:................. WITH
SANITARY CODE AND TOWN cwpr
- TOWN OF R:AR.N�SYXBLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......... !/L..................... .�.........................................................:.......
..
TYPEOF CONSTRUCTION ........................................... YQ�rn. ..:.......................:.............................................
.............� 1�..� ............19dr.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a ermit according to the following information:
Location ...................�..1..�........... :.....Y......` "..... . ................................ ..................
ProposedUse ...............ti..a .....................................................................................................................................::..:..
Zoning District .............Fire District ` l!
Nameof Owner 5...... 1C'2 P/✓1....................Address ...............................................:....................................
l t A•
Nameof Builder .....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address .........:..........................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exierior ............................................f......................................Roofing .................... .............................................................
Floors ............................................................................Interior ....................................................................................
Heating .......................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ............119.0.0.............................................
Definitive Plan Approved by Planning Board ------------------_-----------19________ Area .. ..................
Diagram of Lot and Building with Dimensions Fee ....1 ...12.! /
...... .................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barrptpble regarding the above
construction.
Name .... . .(�y............................................................
i
Green, Francis
No ..20 58.... Permit for .......add deck to
dwelling
...............................................................................
Location 278 River View Lane
................................................................
Centerville
...............................................................................
Owner ........ Francis Green
..........................................................
Type of Construction .frame '
.........................
' ................................... .................... r,y I
v� 1
Plot ............................ Lot ................................ `
October 11 78
Permit Granted .........................::.............19
'Date,o# Inspection ......... ................:.........19
Date Completed ... . ... .. ..19
PERMIT REFUSED
- .................................. ..................... ..19
................ ......................................................
..................:............................................... .......... '+4
............................................................................... ♦ '
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Approved
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IMPORTANT — UPGRADE REQUIRED ;
STATE BUILDING CODE REQUIRES THE UPGRADING OF
�JKE DETECTORS.ta IEWE® SMOKE DETECTORS FOR THE ENTIRE DWELLING WHE
sN
1+fONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED.
NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE
A@' E f3UILDI PT DATE INSTALLATION OF SMOKE DETECTORS—THE ELECTRICAL. .
`F PERMIT DOES NOT SATISFY THIS REQUIREMENT
FiRE oi:-PARTMENT DATE
-—
6TFi.Slt"NaTUPES ARE REQUIRED FOR PERMITTING
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CHATHAM, MA*
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