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HomeMy WebLinkAbout0019 THOREAU DRIVE q h o tea.LA . e Town of Barnstable r - � ,.„.,,,..� -w�. --�,.,:., l� lng Post' Card So That rt is Visible Fromtthe Street-Approved,Plans Must be Retained on Job and this Card Must be Kept., SARNSI'ASL& �R . .e p e.��$ Posted Until Final Inspection Has:Been.Mad '_. - Fo,aac° Where a Certificate.of Occupancy is Required pi,such Building shall be Occued"until a Final Inspection has been made ��� 1t Permit No. B-20-2106 Applicant Name: Stephen Hunter Approvals Date Issued: 08/06/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/06/2021 "Foundation: Location: 19 THOREAU DRIVE,CENTERVILLE Map/Lot: 191-233 Zoning District: RC Sheathing: Owner on Record: LAMBIAS,CAROL A i , .. Contractor Name-` -,,ALUMINUM PRODUCTS OF CAPE Framing: 1 COD-INC. Address: 19 THOREAU DRIVE 2 CENTERVILLE, MA 02632 # Contractor License: 158424 Chimney: Description: Replacement of one six foot patio door and ohe'awning window. " Est.-Project Cost: $4,000.00 Header sizes will remain the same. ! Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid: $35.00 Final: Dater 8/6/2020 Plumbing/Gas Rough Plumbing: Final Plumbing: , Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: 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 in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical f Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:' Rough: 1.Foundation or Footing 2.Sheathing Inspection 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 y 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 MGI_c.142A). . Fire Department Building plans are to be available on site Final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r t N oF'M�E roy ` 'own of Barnstable *Permit 6 oExpires 6 months from ' e date T Regulatory Services Fee t r t BARN rnsL.e, Thomas F. Geiler, Director b 9 ,�� Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address -Residential Value of Work J� 79(y ' Minimum fee of$25.00 for work under$6000.00 Owner's Name & Address �,12�`� Contractor's Name PA i&-lr I'© 5 CAI Telephone Number; 6 3— gZ 2-d Home Improvement Contractor LicenseRES PERMIT #(if applicable) Z SZ , ,� �, LL —7 m ❑Workman's Compensation insurance. (. 7 Check one: FEB 19 2009 I am a sole proprietor I am the Homeowner TOWN OF BARNSTABLE pensation Insurance Insurance Company Name j tJl1 C� j" 'T• 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 ❑ Replacement Windows/doors/sliders. U-Value's (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. A copy of the home Improvement Contractors License is required.' SIGNATURE: 144 . Q:\WPFILHTORMS\building permit forms\EXPRESS.doc Revist020108 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): " SS U Ga//v(Cc c,4 CAP, �C+ Address: City/State/Zip: u - (- gkt 62G7S_ Phone.#: SMS' 2 ZZ ^O 2 8�2— Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I ,�,� �5ployees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.liT am a sole proprietor or partner-' listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' $ 9. ❑Building addition [No workers'-comp. insurance comp. insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. YContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors 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.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi unde 'e p s and penalties of perjury that the information provided above is true and correct Si ature: Date: r o Phone#:S L,�)S— 2 2- Official use only. Do not write in this area,to be completed by city or town officiaL .City or Town: 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 Contact Person: Phone#: Information and Insttuctions 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." An employer is defined as"an individual,partnership,association,corporation or other 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." ' L 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 work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." .] Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)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 permittlicense 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 (city or 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 is obtaining a license or permit not related to 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: �• _ _ / J ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigatlow 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia .z �0pIHEr, Town of Barnstable Regulatory Services +yBARNSABLE'C Thomas F. Geiler, Director 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 1,Ft S , as Owner of the subject property hereby authorize 24 wL to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of Job) j Signature of Owner ate Print Name If Property Owner is applying for permit please complete the Homeowners-License Exemption Form on the reverse side. . t7 Town.of Barnstable o Regulatory Services SrAB Thomas F.Geiler;bisector .P MASS. $ . + Building Division Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.toym.barnsiable.ma.us Offc.e 508-862-4038 Fax:. 508=790-6230 -- a0mEOWNER LICENSE EXEMPTION ----. ? Please Print DATE: JOB LOCATION: 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 Person(s) whQ owns a parcel of land on'which he/she resides or intends to 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 169.1,1) 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. Signature of Homeowner Approval of Building Official 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 constiuction 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&e unaware that they are assuming the responsibilities of a superrisor(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 hirrs 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 awaTc of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that heshe undo stands the rrsponnbilitics 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. y • Ntassachusctts- Bc,partrncnt of Public SafctN Board of Building Regulations and Standards Construction Supervisor License License: CS 74174 Restricted to: 00 PAUL N CROSSEN 317 MAIN ST HARWICH, MA 02645 Expiration: 12/1412WO ('Immi..iuuer Tr#: 9006 ' � l'�-P�,v�.xau�P,all� a�✓Gf�aclu�del� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration::.128528 Expiration:' 4115/2009 Tr# 130543 Type:-. Individual PAUL N.,CROSSEN Z. PAUL CROSSEN 317 MAIN ST HARWICH,MA 02645 AdmInlFtl d2i1r License or`registration valid for indivedul use only , Il bEfore the expiration di If found return to Board of Building Regulations and sta One Asbburton Place Rig,IlosOn,Ma @ 1 Not valid Witl O signature ; Town of Barnstable *Permit- � ' Expires 6 months from issue date Regulatory Services Fee X-PRESS PERMIT Thomas F.Geiler,Director SEP 11 2006 Building Division Tom Perry,CBO, Building Commissioner k TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numbe OPP Property Address Residential Value of Work Minimum fee of$25.00 for'work under$6000.00 Owner's Name&Addresscl `F' Contractor's Name �.f �S P `��'^��— Telephone Number ✓��' +2_0 HomclImprovement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Che one:. I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name A,1, j� Y yl eyt 4 c4is 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 VR -roof(not stripping. Going over existing layers of roof) e-side >A®rt T o ❑ Replacement Windows/doors/sliders. 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. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 Department of Industrial Accidents Office.of Investigations 600 Washington Street ,t Boston,MA 02111 . www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 'T;ame (Business/orpnization/Individual): � � ���• Address: '2"'7.6 i-h C_V—; City/State/Zip: Phone#: 6�7 6 4f,�3 ►re you an employer?Check the-appropriate box:: Type of project(required): ❑ I am a'employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full'and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g• ❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions .❑ I am a homeowner doing all work right of exemption per MGL IL❑ Plumbing repairs or additions myselfm[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13,❑ Other 40`l comp.insurance required.] ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: iomeowners who submit Ibis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such r mtractors that check this box must attached as additional sheet showing the name of the sub-contractors and their,workers'comp,policy information. . !m an employer that is providing workers'compensation insurance for my employees-'Below is the policy and job site Formation ,urance Company Name: 'i `C' 9s®o©l; �►4 IZ � GSL 3i9 oQ• . licy#or Self-ins.Lic..#: Expiration Date; b Site Address: City/State/Zip: C E-),j tach a copy of the workers' compensation policy declaration page(showing the policy number and Expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a .e up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in ilia form of a STOP WORK ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of iestigations of the DIA for insurance coverage verification. 'o hereby certify under the pains and penalties of perjury that the information provided a ov is true and correct: attire:. Date:. one#:. �p 9L9 Official use only. Do not write in this area,to be completed by city.or town offccial City or Town: Permit/License# : Issuing Authority(circle one): I.Board of Health L.Building Department 3.City/Town Clerk 4.Electrical Ins 6.Other pector 5.Plumbing Inspector Contact Person: Phone#c Information and Instructions fassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. • ursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, xpress cr implied,oral or written." ,n employer is defined as, :aa indjVidual,.p�ership,:association,corporation or other legal entity,or any two or more f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership,association or other legal entity,employing employees. However:tbe wner of a dwelling house having not more than three'apartments and whd resides therein, or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woik•on such dwelling house ,r on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." AGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or -ene-wal of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicant who has not produced acceptable evidence-of compliance with the insurance coverage required." kdditionally,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 work until acceptable evidence-of compliance with the insurance -equirements of this chapter have been presented to the contracting authority." 4.pplicants Please.fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpartners; 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 BE out the event the Of oJL f Investigations has to contact y ou 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 (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is-on-file for:future permits.ofl tenses..A new affidavit must be filled out.each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn 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 fa$number: The Commonwealth of Massachusetts . . : Department of Industrial.Accidents > ..Office of Investigations 600 Washington Street4 . Boston,MA 02111 : Tel. #617-727-4900 ext 406 or I-877-MASSAFE Fax#617-727-7749 evised 5-26-05 Www,mass.gov/dia f .FNKE Kati Town of Barnstable Regulatory Services BAMSTABM Thomas F.Geiler,Director 'ArE0 9..�►`e� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, "L L.4 , 'B''*S as Owner of the subject property hereby authorize ,,., �`����� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature f Owner Da e Print Name Q:FORM&OWNERPERMISSION i o . oyD 13n�rc1 of I;init inL c tiI/ana HOME IMPROVEMENT CONTRACTOR Liense or registration on before the expiration'date.te. If foundlreturn to vidul use�nly Registration 131165 Exptrahon I3°artl 01 Building Regulations and Standards 6/12/2008 One Ashburton Place Rm 1301 TYPe Individual Boston, R1a.02108 STEPHEN TURNER... STEPHEN 2.78 Hickory-Hill Circle OSTERVILLE, MA 02655`` Administrator; g Not valid without signature BOARD OF BUILDING REGULATIONS n, A« License CONSTRUCTION SUPERVISOR Number. CS '092890 , � Brthdate '09/30/1963 Upires: 09/30/2009 Tr. no: 92890 Restricteii'a 00 STEPHEN J TURNER(fir 278 HICKORY HILL'CIRCLE_ OSTERVILLE. MA 02655 { Commissioner f t ,.t I �1 I t r Z vA OF wILLIAM C. �. ewe 19334Al C �tS:r `Np g�yEL*�,�t• Aim 90, 'P L... 1 �t.`�T►F `f' �-i A."t'' TN � 'F'v�l�D�.^�tafJ ��'..`T1v�.,� 1/ � ! �,,,.. e�vv�,.s t.1 ra►.� Tit t 5 pL�� C.G�►�'�� ��4i �U ►�.. tj 1Qc., L NW 5 4T: Tli� /s.L.b.N ", �1�tt,A�� 1►J C. I.AV-C> 3uz Ole Assess ma and`lot -umber . ... / id�'STALLE€'� ! ',. lA s� p� .. ... I :Vti'ITH �� NCE 7 �,:Ti ,E I I STATE �. I ' SANITARY MiNE AND T�VUIV Sewage'r.Permit number ... ..........................:..........: REGULA _ .. y °fT"ET°o TOWN OF BARNSTABLE Z 8AHH9TODLE • r'j , n,, N6Y` 0 _ RUIyLDING INSPECTOR MPO r� ti APPLICATION FOR PERMIT TO .. ..ed? .................................................... ...... TYPE OF :CONSTRUCTION ............ ....." ...* .... ...............n .. .�., ,../0..... ......19./..�s. TO THE INSPECTOR OF BUILDINGS: The undersigned he eby applies for a permit according to the following infor?tioinr* Location .....��W......... ................ ....... ..... .. . ........ 01 ..................... ......................................................... Proposed Use ... ........................................................................ Zoning District ......................................... .......�...�..f...............Fire District ................................................. Nameof Owner ... . ............ ...'`...::................Address .............. .:.....:......: ... ............................................ Name of Builder . .Address Nameof Architect ..................................................................Address .................................................................................... Numberof R ..............7................................................Foundation ....... .................................. ................ Exlerior ..............................Roofing .o t*t. Floors ......... ..........................................................Interior ................. ( .......... .-,.... t r Heating .........dam..'..,...®.........................................................' Plumbing ..............;4*°...... ......................... .................... e Fireplace ... 7Pla ...............I....................Approximate Cost ................. ',. . .......................... ... Definitive Plan Approve Board _______________________________19________. Area ... ..... ..... .Diagram of Lot and Bimensions Fee ........... 1 .............• .. .. .. SUBJECT TO APPROVAL OF BOARD OF HEALTH r �I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg ding .the above construction. Name .....: :..... � Smull^ Alan E. ' , . ��/ 18168 ^' - ' one story, ` mp --..�—x— �Per`ink for .................................... ' . ' �� oiogla� fam�ly dwelllo� ^ , . .. --.---.�--.—�—..----.--..-----.,Thoreau ,0rive Cu^"=/ V.t--'�—.....,'r.^----------'' � . Centerville -.-------.—.-----.---.'�------. . Alan E. Small - Owner .....................................................' ,�� �� --- .---'' , . . . . ' framua Type of Construction ----------_--- ^ . . ' ----'..�—...------------------ , ' ' ^ ' #88 ' ^ PlotLo � ^ ' - . ----'.�—.--. �- �----------.. ^ `* lO o76 Permit Granted —. .l . . ^ ` . ' Date of Inspection . ' Dote Comp��e6 ..— ----lg �- -// ° ^ - | ' ' PERMIT. REFUSED ^. .�.. --_—. .--- .. lg . . � . --------.. . ----.---.~.---..-------------' ^ , ' ~ ' —'~--^—^'--'---''r''.----`---^^^--' ..--~.—....----..—.—~---.~—.---.. . ` � _---.—.---------..--.----.—.— �� Approved ................................................. lV ^ ° --------------------------. ` ^ ---------------------~.—.—... i F Assessor's map and lot .number Sewage Permit number ......... .......................+.......,. ............ r - yOFTNETO�y 3 ', TOWN OF BARNSTABLE Z 888B3TeDLE, i � • "b 9 a' BUILDING INSPECTOR APPLICATION FOR-,PERMIT TO ................................P....:..................................... ..............:. . ........................... TYPEOF CONSTRUCTION ............................... ... "...-....................................................... .............................. r %r ................................ r� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... 41 ...r1................... ? z .....`...... :'........ !.! f .......... ..`........... .... :r'...................................... Proposed Use . ..fr. •� .... ... ......................... Zoning District ? ...........................Fire District ' . �f f I Name of Owner � b. !.. .e _,1-�' {., ..............Address ( .r .. ..s'".. ..-r'� .��s .. ......... ...................................... 7 Name of Builder #r ...........................Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............�............................._.....................Foundation ( "?�. i •*- ............. ........ ................................................... Exterior ' 'r -•�r's`'"� ! r Roofing .........................F ...................................................... Floors .........................................................R ........�i ...... -................................................... .....Interior .................. �. Heating ..................................................... ..........................Plumbing ..................... ........'...................................................... Fireplace .................................. ~fix`..... ..........................:Approximate Cost ... ............................................................... Definitive Plan Approved by Planning .Board ________________________ Area ww���� • Diagram of Lot and Building with Dimensions / Fee ............ �-"""".... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 66,o o I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name ...................................... ......................:^................ Small, Alan E. xxmsxxxx A=191-233 No 18168 Pe.-nit one story,.... . for . . ............................. single family dwelling .................0............................................................. R.HXKXMXX]i)JKU' Thoreau Drive Location ............. ......................................0............ Centerville .1........................ Owner ...........Alan...E......S.T�.....1....... Type of Construction ....../..f.r.ame... .................... . . ...... ... ..................... . ................................................... Plot .................. Lot ...........#88 ........... February 10 76 `k Permit Granted .............. 19 Date of Inspection .............. ............. .......19 Date Completed ........ ........................19 P PE IT REFUSED E7 .......................... ..................................... 19 ......................... ........................................n ............ ....................... ................. ................................. ................................ .............................................. Approved ................................................ 19 .................................................A... ....................... ............................... L...........................................