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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel COT Application # L
Health Division Date Issued I Ito
Conservation Division Application Fee
Planning Dept. Permit Fee '.
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street Address w l (J,Lit9 1y1 e_Lfl
Village CIA*voIka
Owner, it>(CAY1 4�Amvct afwakA Address L�_I Iqf 'VLQ pAt()i11eM;Y4
Telephone d 490 aq S 'V*A/4, 2 C2/
,Permit Request 2e lei
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District �-1 Flood Plain Groundwater Overlay
Project Valuation $3��a _ Construction Type
Lot Size b 5 5 MES-, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Wr-' Two Family ❑ Multi-Family (# units)
Age of Existing Structure qCV Historic House: ❑Yes O/No On Old King's Highway: ❑Yes Flo
Basement Type: Q'Full ❑ Crawl ❑Walkout ❑ Other _
Basement Finished Area (sq.ft.) Basement Unfinished "Nrre a (sq.ft) -�GVS
gr: 0
Number of Baths: Full: existingnew Half: existin n �.
Number of E3edrooms: existing kew
7 IM
Total Room Count (not including baths): existing _ new _First Flo6,r Room-'count q
Heat Type and Fuel: ❑ Gas ®'at�Oil ❑ Electric 3/Other l WQLo ate✓
Central Air: ❑Yes L4Q No: Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes Flo
Detach rage: ❑ existing. ❑ new size_Pool: ❑ existigV$new size _ Barn: ❑ exit new size_
Attached garage: 3rexisting ❑ new size _Shed: ❑ exist new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
-APPLICANT INFORMATION -
(BUILDER OR HOMEOWNER)
Name IPe_+ev Lei VOCI&A � eJ4Wd6jJ )nQ_ Telephone Number S65' �4t '3110
Address I MAY o C 60aci 5J?V0 1 I(e_ R14 License # 6S"o+&9-+
Tf Ut (XVI h'tS M ff Home Improvement Contractor# (oV«�
Email . OrArIS(4�0C-COVn Worker's Compensation # L)C 6WgS1 j
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
lgiv d [ I
SIGNATURE DATE
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FOR OFFICIAL USE ONLY
APPLICATION#
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y
DATE ISSUED .,
K.
MAP/PARCEL NO.
i
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
} GAS: ROUGH FINAL
FINAL BUILDING
DAT&CLOSED OUT ,
T
AE�50TION PLAN NO.
sftnsa
THERI.CI4TCHOICE --------------
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Office Use Only -—
1� Clw^a side-, JOB NUMBER
i
Restorat
ion Drive,Hyannis,Mass.02601
508-771-3110 -
800-464-3318(MA.Only),774-470-2211 Fax
MASS.HOME IMPROVEMENT CONTRACTOR REG.#100121
MASS.CONSTRUCTION SUPERVISOR REG.#000043
ASSIGNMENT AND AUTHORIZATION TO PAY
The undersigned, herein called claimant, has authorized and ordered
from Oceanside, Inc. , the materials and/or services requested.
Undersigned hereby assigns to Oceanside, Inc. any unpaid proceeds due
or to become due, under the claimant ' s policy with the insurance
company to pay direct to Oceanside, Inc. or to include its name on a
check or d.rraft, fo 1 requested wor�
C
In the event that Oceanside ' s claim herein is not covere by, or /.1d
by, an insurance company, claimant agrees to pay Oceanside, Inca within
sixty (60) days after work has been completed.
Claimant understands that Oceanside, Inc. is working for them and not
the insurance company or the adjuster.
Payments remaining due and payable after the claimant has received
payment from the insurance company shall bear interest at one and one-
half (1-1/2%) percent per month.
In the event that there is a breach by the claimant of any of the
conditions of this agreement, Oceanside, Inc. shall be entitled to
recover, as additional damages, attorneys ' fees, costs and any other
collection expenses reasonable and attributable to said breach. If
payment is not received within 60 days, collection action will commence
without further notice to the claimant.
DATE: PHONE:
CL/AnA SIGNATUR9PRIN NAME
MAILING ADDRESS (BILLING) CITY STATE ZIP
LOSS ADDRESS
INSURANCE ADJUSTER' S NAME/CO. INSURANCE AGENCY NAME
\\OCEANSERV\Customer\documents\ASSIGNMENT 201 Ldoc
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map / Parcel DD A �ation
l' 5
Health Division Date Issued
Conservation Division Application Fee t
Planning Dept. Permit Fee Av 7 �
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis .
Project Street Address J1 40/0:k /l:ye
Village Ile
Owner 19 .` R./ g 44,e319,_14 Address /4&_
Telephone
Permit Request�,�o�irs ry _S `c .ce �d �T� '�,�a"dg?,�e,` e0,,01,&ee
CJ'/Cii.�✓4 /2ti�/X f�.UG!!�i}2�.�P.r/ rS0 �.QP.aI� AS's jEl�.ec�_
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation lsl`�4V Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) _
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing —new
Total Room Count (not including bath 3): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas 0-0il ❑ Electric ❑Other
Central Air: ❑Yes dk<o Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_
Attached garage: Ming ❑ new size _Shed: ❑ existing ❑ new size — Other:
�` oning Board of Appeals Authorization ❑ Appeal # Recorded ❑
`Commercial ❑Yes If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name ,4 r , //e e Telephone Number
Address /,p 4" License # GAS`Q7,509-7
Home Improvement Contractor#
Worker's Compensation # Cf"S�LrJL'DOO�.�/�f
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE � / — DATE ��
i
R
• FOR OFFICIAL USE ONLY ,•�!
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
r
E ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
F ,FOUNDATION:
FRAME It
`r
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
k
DATE CLOSED OUT
a
ASSOCIATION PLAN NO.
r
1
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THE r°� Town of Barnstable ,
• Regulatory Se,vices
Thorns F.,Geiler,Director
$uiIding Division
Tom IIwry,'BuiIding'co�ssioner�
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 509-962-403 8
Fax: 509-790-6230'
Property Other Muse
Complete and Signyhis Secdon = -
If Using A Builder
as Owner of the subject propeitk '
hereb authorize :
Y �� _ _.
to aceon my bebaff, .
in all matters relative to'work authorized b y this building permit application for. - b
(Address of job)
S, Owner _
Print Name w
If Owner 1s:aPPIYg far pein7lt please corn fete fine
Homeowners License Exemption Form on -the."'
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Q:FORMS:OWNERPERMISS102! . ' .
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Sr, ;VnC SYSTEM MU,S ' M
Assessor's office(1st Floor): e g� c //��p� .��,(�g ee
�� G 6 c TALLER f�VW/'iT�61.,5u`1 CiL"N9E�: r -
Assessor's map and lot number �o YNf o�
Board of Health(3rd floor): � L e�Q ♦w
Sewage Permit number s _q ``J @OI �gM®EpW�wAL
O` l� Jr-- �i0U��1�H r'iG` ULA710d eJ = BAHMAA& LL
Engineering Department(3rd floor): toss
House number °° i639• \0�'
Definitive Plan Approved by Planning Board 19 �o rav
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only '
TOWN ' OF . BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO �ij
TYPE OF CONSTRUCTION
19 ?
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: CL 0T
Location cj� Ly L �N /"�n •� L Zvle ll�i
Proposed Use
Zoning District Fire District
Name of Owner �/a sr� �' `tea y Address,- le-Ade
Name of Builder Address
Name of Architect Address
Number of Rooms e Al Foundation AV-C-
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Exterior t-4-,d a I— Roofing
Floors hgc,��• Interior �� /-'�/z
Heating /�� /il/��PrrA Plumbing ..
Fireplace e Approximate Cost D e r oz� Is
v
Area 16
d-47-
Diagram of Lot and Building with Dimensions Fees,J CJ r
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name
u "
Construction Supervisor's License 4 3 'V/ 9 q
i ---------------
GONZALES, EDWARD C. r
No 33346 Permit For ADD BATHROOM TO ATTIC
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Single Family Dwelling
Location 31 White Pine Lane
Centerville -
Owner Edward C. Gonzales .
Type of Construction Frame - $°
Plot Lot # ' s 16 , 64 , 170
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Permit Granted November 9 , 19 F 9
19 k'
Date of Inspection �" ,
Date Completed 19 :
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