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Town of Barnstable Building
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'Post,This'GardSo-That�t�svisible:from the,StreetA roved Plans MastbeReta�ned on Job andthis�Card'Mustabe.Ke""t
6 'Posted Until FinalInspectionHasBeen Made, yE h y
,a Where a Certificate of,Occu anc %.�s Re, u�red°such Buldm' -shalh.NotMbe®ceu ied�unt�l.aF�nal�lns"`ect�onhas4been�made� j ei illlt
Permit No. B-18-977 Applicant Name: Henry Cassidy Approvals
Date issued: 04/12/2018 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 10/12/2018 Foundation:
Location: 105 THISTLE DRIVE,CENTERVILLE Map/Lot: 148-116 Zoning District: RC Sheathing:
�r �
I .
Owner on Record: KNOTTS DOUGLAS E Contractor Name HENRY E CASSIDY Framing: 1
I' Contractor' CS-100988
Address: 105 THISTLE DR 2
CENTERVILLE, MA 02632 4 Est: Pro ect Cot: $520.00
g _ yr J Chimney:
Description: basement install R 19 unfaced fiberglass blockers to 1;88'sills Permit Fee: $85.00
Insulation:
Project Review Req: FeeP�aid; $85.00
ate 0 Final:
4/12/2 18
Plumbing/Gas
IN
.�
Rough Plumbing:
Building Official
Final Plumbing:
" g Rough Gas:
This permit shall be deemed abandoned and invalid unless the work au y t thorized bhis permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
- Final Gas:
All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoningyby laws and codes.
4 $1t wry �
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publi&inspec�tion for the entire duration of the
work until the completion of the same. % �Wr
Electrical
f
M Service:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are prouided:on this permit.
Minimum of Five Call Inspections Required for All Construction Work % _
1.Foundation or Footing u_ _ � Rough:
2.Sheathing Inspection Po Final'
3.All fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in-MGL c.142A). Fire Department
-g Building plans are to be available on site Final:
\�C All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
'0
oFtHE ram, Town of Barnstable .' *Permit
'y
�r O Expires 6 mo hs froJa.Issue ate
Regulatory Services fee
+ BMMTABLE,
Sa
Thomas F. Geiler,Director
Building Division :
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town:barnstable.ma us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT.APPLICATION - RESIDENTIA.L ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address Ma 511-2,P— ' ✓Z:
Residential Value of Wor �. Minimum fee of$35.00 for work under$6000.00 .
Owner's Name&Address /�Q t/ ��A//)
Contractor's Name-_./ yA-411 7 Telephone Number
Home Improvement Contractor License#(if applicable) /
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
ck one.
I am a sole proprietor APR ®� �01z
I am the Homeowner
❑ I have Worker's Compensation Insurance N
Insurance Company Name SAR/VSTjq�I
Workman's Comp. Policy# .
Copy of Insurance Compliance Certificate must accompany each permit.
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
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum ..44)#of windows
*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.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
[GNATURE:
IWPFILESIFORMSlbuilding permit formslE)PRESS.doC
w7ni in
The Commonwealth of Massachusetts
"'-Department of Industrial Accidents
:. d - •. , I.. - .
Office 9f Investigations t
600�Washington Street i 14 ,.et _
4..
Bostol<,MA 02111
., www.mass.gov/dia
Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers
.. » q. a Y<
Applicant Information. - PleasePrint LeLibiy`
NaTne(Business/Organization/Individual)
Address:
City/State/Zip: IV / Phone# ,7 ,
Are you an employer?-Check the appropriate box: • ;4,, . , <s T„ ,, t, • ;Type of project(required):{.e.
1.❑ I am a eih to er with ',f !ca' ,u�,, ;4. ❑ I am a general contractor and I , „f�,. -
p Y - 6. El New construction':' +
employees'(full`and/or part-time), �` have hired the sub-contractors , • �, I ,,,.^ .i
listed on the attached sheet J.m❑Remodeling
2. I am a'sole proprietor or partner= _'� ._ - e .: _ ,.
hip and have no employees, ,,,,Thesesub-contractors have a g;, Demolition <•
t
pcem to ees and have workers' #
working for me:in:any capacity.: :a :. p ,3. -i- -=9. E]-Building addition'z _
[No workers' comp.insurance comp.insurance.
required.] We area corporation and its 10.[]Electrical repairs or additions
3.n I am a homeowner'doing'all twork r ' ''officers have'exereised their :., 11:0 Plumbing repairs or additions
ltr�� °� right of exemption b er MGL A,
myself. [No workers'coriip ya p p i _ 12:Q Roofrepairs �
z insurance required :_ `-c:'152, §1(4),and we have no f r '.
A',.1„a ta;. employees: [No workers' 13:� Other. y
. qured:] a a. ,-
c.u,rcomp insurancere
*Any applicant thai checks box#1 must also All"out the section below showing their workers'compensafionpolicy info`nnation. '< ,.*'a " ' +"- •!
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,.
;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have
employees. If the.sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees."Below is the policy and job site
information. .� _
Insurance Company Name:
..�-
Policy#or Self-.ins.Lic.#: T 3i t, . , ._, , _ 1
..1{.t` '.",c25 ;t" ,�fZtt+r 1",F tt.x# .�� .'i�,fi`.''# .e. _ 1 :v
M!
,r 7h r � =F G� ., EP,
Job Site Address: `.�_ r_. r= .,� .,*,_ , . r., �� .,F• r ,- -Crty/State/ZIp:'s;. .1'
Attach'a copy of the worlters''compensation policy`declaration page(showing the'policy'number-and expiration date):
3'. ! it; {,._! : ..t c. ', '..r', .ic.t.} , f i *�..' ..?.L .:,, '"....v.
Failure,to secure coverage as requiied�under Section 25A ofMGL c. 152 can lead to the imposition of crimuial penalties of a`
fine up_to,$1;500.00 and/or one.-yeariimprisonment, as well*as civil penalties in the form yof a STOP WORK ORDER"and a fine
of up to$250.00 a day against the'6iator. Be advised that a copy of this statement maybe r'w"arded'to the Office of "
Investigations of the MA fo`r insurance coverage verification
I do hereby certify under the'°ai �ar (.penalties of per'ury the information provided above is true and 6orrect.7:
-Si afore: a=' x"_ Date: T -
fs;. ,,
Phone#:
Official use only. Do not write in this area,to be compleied:by'city or town Offcial
bill
City or Town: :'= t c::Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other' "i- r, "- ` r, .a t r�r
Contact Person: ' Phone#: i "• } le;
Information and Instructions . T
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person.in the service of another under any contract of hire,
express or implied,oral or written." t.
An employer is defined as"an individual,partnership,association,'corporation or otliei legal entity,'or+any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the, .•. '
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
-MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced•acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any,of its political subdivisions shall
enter into any contract for-the performance of public wont until acceptable evidence of compliance,%riththe insurance
requirements of this chapter have been presented to the contracting authority." ,r
Applicants r
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if.
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign,and;date the,affidavit. •The affidavit should
be returned to the city or town that the application for.the permit or license is being requested,not the Department of
Industrial Accidents. Should you have�any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at'the'number listed below. Self--insured_ companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit'license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary).and under'Job Site Address"the applicant should write"all-locations in (citybr
town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the
applicant as proof that a valid affidavit is on file for future•permits or licenses.'A new affidavit must be filled out each
year.Where a home owner or citizen is0obtaining a license or permit not related fo any business or commercial venture
(i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit "
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone-and fax number:.
The Commoziwealth of Massachusetts
Pcpar4ppt of ladustrial Accidents
g T ,
F
Office of Invesfi atloQs
600 Washington* Street
Boston,MA 02111 2.0 ,
TO. ##617-727-4900 ext.406 Qr 1-877-Iv1ASSAFE
Revised 11-22-06 Fax##617-727-7749
_' www.mass..gov/dia
�T"E' Town of Bart 'ill-nstable
Regulatory
Services
t sARNSTABI.E +�' •• a j. # . ..r � �,
MAM Thomas F."Geile'r,Director
Building Division
Tom Perry,Building Commiss oner
200'Main Street,•Hyannis,'MA 02601,.
www.town.barnstable.maxs'
Office: 508-862-4038 , ,>•f. '. r; -
Fax:_508-790-6230" k
•*�t:t iti' rs r UrA
Property Owner Must
Complete and Sign This Section
.._ If Using-A Builder
as Owner of the subject r r}7 ,ov In
hereby authorize a ..".. .. • d ,,. , . .;
Ito act on my behalf,in
all matters relative to work kutho y 's'building permit`-"
i.. "'� �i . ��,` ";-� s `� ,.•Jr .,�,.s .. � - .!• a},y .�, `�.. r .,tr kLa'..ns •
Wx �^• .1:• u / �« .. /�IiL• r s q;:1 ..` - � s�.:... S? .t �.+r'1"•t2.,.. A
z - :(Address,of J.ob).r ,.. __ :' £• .. ? -_`'' t �6.h.
',vN :'fUl;.,t,q, •�;i ":rr t� s�t'y 'i w... tf .trt `E r•t.. h 31..' .. .....t.. t
` Pool fences and alarms are the re•sponsibilityFof.the applicant.. Pools
are not to be=filled'•before fence,'is.installed and pools are not toYbe' �`•' '``'
, ..,-
utilized until all final inspections are performed and accepted:
Signature of Owner ignature of A pplicant
97 PAW,
4PtintNa-TT1Cr S ,Pr111t1VaUle r',tL ' A—:.r. t
- }i ..��it ,:•:ti.,.., � ,,•: :rl,'L 1 ,"» ,. ,.. !.� - .. ,. t'. _ .. „' :•Ir • ,,-t'.., a �•��< c„.,t -
f /'. �!/ .. e4 a rv.n r....,t ,.a,:r ,.. �l. '•9 ?k �1... ��t t� t: .P,i,a..: .�s.,. .if, - � t" .
Date , .L ,
1.e:�.9i I . t 3t •• •�'9'. �.� F }.
QTORMS:O WNERPERMISSTONPOOLS
VE Town of Barnstable F
Regulatory,Services
'* BARNSTABLE, * Thomas F.Geiler,Director
y MASS.
.
`bA 1639• a Building Division
rED MA'I - e
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable-ma.us
Jl
Office: 508-862.4038 r Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: F -
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:.
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the�owner acts as
supervisor. , . -
DEFINITION. OF HOMEOWNER
f land on which Person(s)who owns a parcel oich he/she resides or intends tc reside,on which there is,or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit (Section log.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and.requirements and that he/she will comply with said procedures and
requirements. 4
Signature of Homeowner .
Approval of Building Official
* r r `'
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
` HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction 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 permit application,
that the homeowner certify that he/she 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 fomi/certifi cation for use in your community. y
Q:forms:homeexempt
3
Office oTi siness a ulahon License or registration valid for mdividul use only
HOME IMPROVEMENT CONTRACTOR: before the expiration date. If found return to:
Registration; . 1,07723 Type: 11 Office of Consumer Affairs and Business Regulation
.Expiration $%5%2Q12 DBA 10 Park Plaza-Suite 5170'
• Boston,MA 02116
TM RTHY BUILDERS
t
Brian McCarthy , '
32,Carver Road r
W.Yarmouth MA 02673 Undersecretary Not valid without signatur
Massachusetts- Department of Public Safet%
Board of Building Relfulations and Standards
Construction Supervisor License
One-and Two-Family Dwellings
q:.. License:.CS 47505
BRIAN G MCCARTHY
80 SRANDISH WAY
W YARMOUTH, MA 02673
Expiration: 9/11/2013'
» ('onunissi Pile r' Tr#: 2305
,/ a.
Assessor's map and lot number .......17P�'dk:......:......
` Sewage Permit number ll'l,vn..e..r ....,/.n ..
/ ' Z 33AUSTODLE, i
House number,,... . ..... 1........7........:......... .................. SY IS,�"� �"63 �
�ua y p �. 9� a
a�pY a'
F BAR
TOWN ® lA� LE �`
- BUILDING ' INSPECTOR
- �::�..�. ..:... - j(
APPLICATION FOR PERMIT TO .. . ... ............................. :.... ................................ `.......!
TYPEOF CONSTRUCTION . ...........i ......:........ ......................... ...........................................................................
' :r �.�:: ................ .19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies•for a permit 'according to the.following information:
.Location ... .��.:�. .y.. ;.. .. .. .: ... ......
ProposedUse a ............................. ..... ..................... ............... ' ..... .... .. . ..
ZoningDistrict ....VV.�}:...................:....................................:........Fire District ...........................................
Name of Owner .'."`. :..lT ..... � :`' Address ...... �/: ............................ t
Name of Builder :.. . �. ............ .. Address ..).L....f.f. ............ ....... . .. ....................
Name of Architect •'....Address
Number of Rooms
•
.:..�. ..�........................................Foundation ..... ...... .?:�...
W . ........... ..................:.........Roofing ................ ............................................'
Exterior ..........p(.....:.......... ........... ......
Floors Interior ...............
Heating ... .... .............................................................Plumbing ...................... ..................................:..................
Fireplace .......... ........ ....... °`•:.......................... ....Approximate Cost ......... !s. ::.aa..............................
Definitive Plan Approved by Planning Board ________________________________19---------- Area �. ../�.� ..... �. ::.
Diagram of Lot and Building with Dimensions
Fee ..... .......................................
SUBJECT TO APPROVAL OF BOARD OF.HEALTHO
6
'p� oskv 0P ,ov fVI)
U rt� A.,' oq
�DR(jf o ti P1 IU A\�vv��rra
t(o e' F
1
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
1 construction. _
1 4 r Name ................... r........ ...........
~ Construction` Supervisor's License .V...v:. ��. ......
4 B
' KNOTTS, DOUGLAS E.
No 273 � . Omit for ...Addition...............
{ ......Single Family„Dwelling...... ..:... _
} t,
} Location ...105..This e..Drive........................ - J _
................. .................r_.......I............
Owner Douglas E. Kt19 i* ......................
x Type of. Construction, .... .EXAM.........
........... , ...............................
4 Plot .....: ..................... Lot
r
December 27 84 s `.
Permit-Grarited ... :... ... .... 19
"Date of.lnspectionf. ................. .f, 19
Date Completed1�................................. ,.19 :; '�
Assessor's map and lot number ....... ?................
' ?NE tp�4
Sewage Permit number ....... ..... ..............
U ,
BARUN LDLE, i
House number ..1.. ............................... yO MA86
p 039.
`e YPy
TOWN OF BARNSTABLE
BUILDING INSPECTOR
� , ��-�• ���� /� e /
APPLICATION FOR PERMIT TO .. ..... � " .,�.... ...........:.....................1..'.......f. s
TYPEOF CONSTRUCTION ...r!!r . ... .....................................................................-...........................................:�. .........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Jam................ - ' . . ... ,...... ���...�......: ..
Location ..... ...... ,............!.... .
0 Proposed Use .. ..........................t;................................................................................................................ ................
Zoning District ........................................................................Fire District ..................
F
Name of Owner �!. :..�T ..... yolyl"10VAddress .�?....� .. :............... .... .t
.4.0.......
Name of Builder oe..:. ..... .... ..............Address .�d..�. -t' ... ..... ....
t
Nameof Architect ......... ................................... Address ..................................................................................... 1
Number of Rooms ..... ........................................Foundation ()..`.�:...:.. .---
. - '..� .....
Exierior ........................... .. ............ .............................Roofing .......1' ..........................................
Floors
1 .Interior ..............
Heating ' '. Plumbing /+r.,"�.....
................................ ..... ........... _
Fireplace .............1:�...............................................Approximate Cost ........� )ao, +��r�.............\........ ..
...
Definitive Plan Approved by Planning Board -----------_------------c_____19________. Area >. /..!!R.j`T.....'".//... ...
Diagram of Lot and Building with Dimensions Fee "�—
SUBJECT TO APPROVAL OF BOARD ONHEALTHO
LOMq* P, t
, o Ef d �
57'1 ibC4
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.
(/E�
Name ........................................... ..................
o
Construction Supervisor's License
s
r
KNOTTS, DOUaAS E. A=148-116
27360 iermit f Addition
No .......�:..... or ....................................
Single Family Dwelling....................
......... .............
Location .. 105„Thistle Dr ys,, „.,.,.
..................C� te.WiUQ....................................
Owner ..... .......................
Type of Construction F CAM............................
................................................................................
Plot ............................ Lot ................................
Permit Granted ......December 27,........19 84
...................
Date of Inspection ....................................19
Date Com leted 19
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�yAC06/A./P� RS .SHOWN HEA eo.V A?AlIZD 77/ �T 0
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M26a48
L�i.c/D SCJBV6Yo.B5 / qN� y ' .
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Assessor's map and lot number ..... :... ..
BE-PTI:C SYS1`ti MUST I
73 INSTALLED ItI COMAPILIANCE
g �......... WITH ARTI(' E It sTrATE
Sewa a Permit number ............... .......
WITARY CO MM),
y0FTNEt0�y TOWN OF BARN E �..e..
i 99HH9TADLE. i
90 M6 9 � ILI G 00PECT® R
• O
APPLICATION FOR PERMIT TO ................60�....... 7—,�-4,j
TYPEOF CONSTRUCTION ................. .................................................................................................
............... 1&7..y........19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....#. .... /f/... ....................... .1. ...................... �.....................
ProposedUse ...�L:�:�.U� /Y.......................................................................... ......................................................
ZoningDistrict .............\ .............................................Fire District ...... .... ...................................
�p � 7 /
Name of Owner .. � ..w�.. ¢.... iyl ... °ram... Address .. .7 5......>'r ��.... .l.. .. ..AV.....
Name of Builder ..........
.....................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ......5.......�.....:.3 ............Foundation ......eoI�C-l!�G'?.�t�........................ �I...........
F
Exterior .... .....�q:j�k4..A-77 ............Roofing ......�� �j.vl.............
Floorsylw. . Interior , ......................................................
Heating
f,� J............................................Plumbing ....... ........ ....................................
n ................Approximate Cost .........gke�..0.�.�
Fireplace ......... .........�....!(...................... ..... ......................................................
Definitive Plan Approved by Planning"Board -------------------_---__ 1��.!...;'T.'................
------19--------. Area ........ ...
Diagram of Lot and Building with Dimensions Fee P
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�P
I hereby agree to conform to all the'Rules and Regulations of the Town of Barnstable regarding the above
construction. ff
Name .. ,.C.a..�l .. . .... . ..... .... . .. .�... -
CSpe Wide Development Corp.
one story,
No17898 Permit for ,,
single family dwelling. .......................
................... ......
Location��( Thistle Drive
(/. ........................................................
Centerville
. ...............................................
Owner ........Cape Wide Development Corp.
..................................
Type of Construction frame �; ..
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................................................................................ I
#36
Plot ............................ Lot ................................
Permit Granted August 20 . , 19 75
Date of Inspection /1 �
2oC&.".,`Date Completed . .
PERMIT REFUSED +
................................................................ 19 ,
...............................................................................
...............................................................................
...............................................................................
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...............................................................................
Approved ................................................ 19
...............................................................................
...............................................................................
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Assessor's map and lot number
_ SEPTIC SYSl'�3titi MIST BE
' 7d INSTALLED pi
p, ms
Sewag,ee Permit number ............ ....................7.7......••• WITH A,P�,ICLE It STATE
SANITARY COO
THE
TOWN OF BARNMIME
t BAHHSTADLE i
039.
9 BUILDING Ias NSPECTOR
APPLICATION FOR PERMIT TO I . ...... .... `.
TYPEOF CONSTRUCTION ................. '................. .......... ....................................... .
..............7Z.?/. z '..,9........
_ TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Locafion .....7 .�a....�h /...�. ..� ........................� .�.� �........................ G4 W. .....................
Proposed Use ..... ............................................................................................................. ......................
.......... .....
Zoning District ............. : .............................................Fire District ...... ��'?!Y......� ...................................
Name of Owner ..�?,y .. 4..G. ....! ...0:ct'/ Address ..3.U-...�,1..�...f✓�Gu W V.......,,/.
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Nameof Builder ......... �/e r?..t�.....................................Address ....... ...................................................... .. ..............
Nameof Architect ....................:.:...........................................Address ....................................................................................
Numberof Rooms ..... .......'........ 3 ............Foundation ........................................0 . ....................................
Exterior ....Lik: .4, /�!s... ...........1/�/1�h............Roofing ......�r �..�1........... ........................... ......
Floors /dy '..��Y�rrfz�sY - ..�?'�'�j.����Y1�..Interiar ....... eC�!�l;zf�............................................
Heating ..... G.~CJ...........................................Plumbing ......1�:p.. ................................................
Fireplace ......... .........!.?. ...`.. L...Uf: .. ...............Approximate Cost ......... .................
Definitive Plan Approved by Planning Board ---------------—_------_---19_______. Area ......11A... ..................
Diagram of Lot and Building with Dimensions
Fee .��'�?.`:��'..................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the. Rules and Regulations of the Town of Barnstable regarding the above .
construction.
Name ....
. ....
Cape Wide Development Corp. A=148-11,6
Permft #17898 Build one stor
single family dwelling
Thistle Drive lot #36
Centerville
August 20, 1975
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