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HomeMy WebLinkAbout0094 MARINER CIRCLE i i f Town of Barnstable ernut 40cfg P ti� Expires 6 months front issue dilate * Regulatory Services Fee 32( to * snarrsTnaLE, v 6�. ,� 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 -. RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number D 2-3 Property Address 9`f /I a ri 4,,Or o r,_(e ©' JCS / ❑Residential Value of Work 6,/50.xy Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 11a r; ✓/F n C�lil�j p �_G Contractor's Name �"' / r^ 1/ H'� / Tele hone Number :7��/ �- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance -P Check one: ❑ I am a sole proprietor OCT 19, Z009 91 am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# A l 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 i Q 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. SIGNATURE:. � Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 090809 _ I — The Commonwealth of Massach usetts 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 Name (Business/Organization/Individual): Address: City/State/Zip: �p 7 Ui' /ML1 ��i�j S" Phone#: �d cr � ��/ Are you an employer? Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑.Remodeling ship and have no employees These sub-contractors have g. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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' 13.0 Other comp. insurance required.] *Any applicant that checks box HI 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. tContractors 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 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. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation p kcy 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains a=erjitry that the information provided above is true and correct. Si nature:`- / Date: ZD bOZp Phone#: D /� Official ttse only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: The Commonwealth of Massach usetts Department of Industrial Accidents f Office of Investigations 600 Washington Street Boston, MA 02111 Syr www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLxibly Name (Business/Organization/Individual): c (Ol/Vel r� Address: -t!C�li r City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees % . These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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. tContractors 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 sub-contractors have employees,they most 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, Lie.#: 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 her certi under the pans and a lti s of perjury that the information provided above is trite and correct. f Si nature: �` � n Date: Phone#: 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#: Town of Barnstable o� Regulatory Services ' Thomas F.Geiler,Director RARNS17ABLE, Mkss. 1639. Building Division AIED►�ptp Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 1 !Q r! 14e r number ) street village "HOMEOWNER": /---d r V28 2Z')g name home phone/# work phone# CURRENT MAILING ADDRESS: "/Y �C11' dl e r t— / Y\ 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)who 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 109.1.1) t 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 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 form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Town of Barnstable a Regulatory Services 9n BARNSTABLE, Thomas F. Geiler,Director 163;9;� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us - Office: 508-862-4038 Fax: 508 790-6230 Property Owner,Must Complete and Sign Tl-us Section . If Using A,B,�ilder I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work a thoriz d by this building permit application for. (ABdre of Job) Signature of Owner Date - Print Name If Propeday ler is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Assessor's office(1st Floor): „ o`TNf r Assessor's map and lot nuJtlI�ST BEINSTALLED 9N COMPLIAN,C. o` Conservation(4th Floo ��� TITLE Board of Health(3rd r 5 1: sAassrABLE R ENVIRONMENTAL CODE AN 0 Sewage Permit num - _ ,,..� Engineering Department(3rd floor):.$ N .. .. ULATIOMS House number Definitive Plan Approved by Planning Board APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1.00-2:00 P.M.only o TOWN OF BARNSTABLE j 'BUILDING INSPECTOR APPLICATION FOR PERMIT TO b E w ct.C".C[C q V(_ r,00� 6 i.a d TYPE OF CONSTRUCTION 7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location tz 1✓Y t d,�!'i �,e `<' z L$ _ �G u ( t Vk;l e,,S5- Proposed Use S GI,L ii ) Lre Zoning District r— Fire District ill o I v Name of Owner 11 G tlB(ri tic✓t 'C W A L -S Address ' � �° r,,c e L jai t e,— , �t Name of Builder Cif I GS 6, W�{�L NC'j Ot" Address a� I 0.)(�17 r C` JD r,'L)--C O Z iz;l Name of Architect Address Number of Rooms � Foundation Exterior Ud & S `'^ �" Roofing as Floors Ik Interior `;r �-eA i/t < Heating V1 Plumbing Fireplace in 0 !6 . Approximate Cost v �° 0 Area Diagram of Lot and Building with Dimensions Fee / I � •�A��t__ _��sl �SLPT,C 6 23 22 tiIG}d t Af i �fr R. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name L lG'� l Construction Si ipervisor's License 0o 13 WALLS, RALPHH//S'TEPHANIE ENCLOSE No Permit For nFCK F � . f 1 Single Family Dwelling Location. 94 Mariner Circle { f ,Cotuit.'M-A µ F Owner Ralph & Stephanie Walls Type of Construction Wood Frame .• J, ;' Plot Lot Permit Granted- September 7 19 94 r Date of Inspection: -. Frame 19 j Insulation 19 , Fireplace 19 Date Completed �� 19 i - N 52'28'53"E 125.00 LOT 119 20, 000 SF. 3 L EX7Cf/. P/T all OO ON .y O o SEPT/C O N _P1_0o — o ~ n Z Iil PROPOSED "rtAu.vTIAN5.7.50.30 XISTING HOUSE a. 23' ems... i lb 125. 001 S 52'2B'53"W MARINER 'S CIRCLE NOTE-PROPOSED ADDITION TO BE ' BULL T ON SONO TUBE FOUNDA TION "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND BUILDING SHOWN ON THIS PLAN IS AS L OCA TED IN IT ACTUALLY EXISTS AND IT CONFORM TO BA/DNS TABLE - MASS. THE ZONING REGULATIONS IN T BARNSTABLE, REGARDING YARD PREPARED FOR DA TE.'AUG. 19, 1994 4DAVID CHAR ES RA L PH WALLS SANICKI N DA TE.•AUG. 19, 1994 SCALE: 1 "-30 FT. £CrS1ER� CAPE 6 ISLANDS ENGINEERING FLOOD ZONE C (NON-HAZARD) '�:��kq� LAND MA SHPEE — MA SS. `� dF t� - BARtisrnst.e, - The Town of Barnstable XAS& �e Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any.pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other. requirements. Type of Work: LAII ad Est.Cost ro 00 Address of Work: VA C\\I-dt C0,`J. U t 1 Owner Name: _ f �.C�K 't' UJ H Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR Date Owner's name I I x �. HOME .IMPRO.VEMENT CONTRACTORS REGISTRATION �• oard -,of, Buildi..ng Regulations and Standards f i�F d t,�:. .- • � 4.. .. j,O on .P.1 0064 1301 /►Q rr I ' ' .. r.SCi y�,�•a` k � x�- s�'�at`��"BOStO-h-y.. MBSS$C.F1t1S�ttSK.��0�, # � 3' ;: ���•`'� �_�. >� xs;��� � .x ����� .�.�•�r�'. . d �..�.j ,"`v,"--} p✓i. ,,.aa, tt TA, v F fi K wtY v ,x� w •. as �',''i� ��' > +9,a`°r i ci3v�k'''�, t< un6-u. �i n v ,`�•t"$ '4-'�" �"5'"s.,:<r'"a.N�ti. M .. •• �J z,r+S �'rdetaG Y �S"�f.,' �% .5 Y Si,J Y+ . c Y-h N f iy, ,r { *HOME SMP# OVE:MEITfl11'RACOR , ,3, k �, . � � �ry w sw 'Regstration 35i= Expiration 06/09/96 � ka � Wg ��p, � * - +t;. Y. r' .' �> f a. ��,- a '2t �,,, vrs i'.»'�T•, � .,.i k' i� �'t- � a > TyPe s— IIVDiViOIlAL��`� ��� � r r• �- � � �� ��. >s�,�,• , �>,� � �� . r ' # r. L4J r`'' "�'$ i e'•'E ,6 +: sF. grit-fi y I uF.ATvyq..w'�,sy�` a-✓Iie O� uJe �r. ..,� �^. �'g x }ry i �n�S.W le t� §., �yf r ,� �, -•ctt�'aA��' �- > >�;� �,�IEYIMPROVENENT CONTRACTOR `° k'sx.£"ft' ,3.. Y'4 v. '�,� r e �� ir xs•c,. i:."'„y ��v LYi fix. ,.u., zrs f rtr.. t as+ i .fir �i� d 1 x'� dr..` t A vx:;i'Ski�' ',ti�"^i.E( a'- "��w.�s, �7& �v " � J W ,�,,wF 4 `r x .�. 4 €�, '�.: a •; - ..e 43 TYPe 6a '' a 8y,' + +� ,�, { .tt( 4 S si2' ,:�lje t Charles 3�We l l i ngto n; r ez l , ', E>rpltatton 46%04f9bM �,� t;, Yg .ram , 211 i�uXfords-Orlve P� O BOx' 1021 r si s l`=�x ti.., p: s _';Fe t Y,.. mr ,na'ty >kafi, „�.ya°'Y 73i -P ,,,y�:saa :.� r• + h f� Y Cotu'�tMA 02535 _ ¢� ' rdF �. A.: �z17, < ` e� w k x �r , Eharles D .11eHingt0T �,,'�w-+`. °#r .,�' j -. c ." yr �+.r �.�' k nc ass• R-`i �. 211�ozford Drsve �p-0 8ox.10 < 3j¢ y ,y 1t NA 02635 ta> Lrs ADMINISTRATOR z l COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY I 'teta(.�5= SBCAll6/)t OF ONE ASHBORTON PLACE V --rGtiL_sip"ettsSfat®Bai/dial MASSACHUSETTS. BOSTON,MA 02108 Code/scaesolollevocati00 LICENSE �f tkisBCSAse. EXPIRATION DATE 7� CONSTR. SUPERVISOR CAUTION 03/20/1 996 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE „06/30/1993 001384 PRINT IN APPROPRIATE BOX ON LICENSE. €CHARLES 0 WELLINGTON 1 SS 015-38-7053 =COTUITEMA�02635 BLASTING OPERATORS MUST INCLUDE PHOTO. I S PHOTO(BLASTING OPR ONLY) FEE- 1 0 y.0 O NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: 3/20/194£1 THIS DOCUMENT MUST BE � SIGN NAME,IN FULL''ABOVE SIGNATURE LINE CARRIEDON THE PERSON OF SIGNAT E FLICENSEE - THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION. q y. _ I -------- --- - - - -_-- - - - - ---- _r�=-- -_--- _ --- - .-- --- - 7L Z s-14 ICU C-7 A Jre, I X W. COMMONTWEALTH OF MASSACHUSETTS._ .=E DErA1-:1N�'T OF I?\'DUSTRIALACGIDF�TTS 600 WASHrNGTON STIZE ' I3OSTON, ,'\'LASSACHUSETTS 02111 James Go »fie WORKERS' COMT'ENSATION INSURANCE AFFIDAVIT (licensee/permute) with a prince I place of usincss/residcncc at: -'Lk-l- LAA 6, 55 02- 63 5 (City/statclZip) do hereby certify, under the pains and penalties of perjury, that: am an employer providing the following workcrs' compensation coverage for my employees working on this lob. 7- 6 0 � 0 ?q L) �� lnsurancc Company Policy Number [ ) I am a sole proprietor and have no one working for me. [ J I am a sole proprietor, genera] eontmaor or homeowner (circle one) and have hired the contractors listed bclow who have the following workcrs' compensation insurance politics: Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy.Number Name of Contractor lnsurancc Company/Policy Number D 1 am a homeowner performing all the work myself. NOTE: Picasc be awarew tbat while homeoners wbo employ persons to do maiatcaaaec,construction or repair work on : dwelling of not more than three uniu in kbicb the bomcowncr also resides or on the grounds appurunant tbereto arc not gcacrally considered to be employers undcr the Workers' Compensation Aa(GL C. 152,sect. 1(5)). application by: homeowner for a lieenie or permit may evidence the legal sums of an employer undcr the Workers' Compensation Act I understand that a copy of this statement will be forwarded to the Department of Industrial Aeddenu'Of cc of Insurance for eovcm> c verification:nd that failure to sceurc coverage as required undcr Seeoon 25A of MGL 152 c:zn le:d to the imposition ofStiminal penalties consisting of:f nc of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and fine of S100.00 a day against mc. Signed this k' day of 'L Licensee/Permirtee LiccnsorlPermlr[Or t • z© oad `� a o 44 PLAN SHOWING FOUNDATION .LOCATION C 0T UI T, ti,MASSACHUSE T T S OWN BY %C en:l v S'-7'A;2 � J SCALE = 46 DATE: MA-v" ! 6, t 9 8 t) NORMAN GROSSMAN------ REGISTERED LAND SURVEYOR I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED OF MgS�cyG ON THE LOT AS SHOWN AND CONFORMS TO THE TOWN o� ,I pRMa� - OF 8ARNSTABLE ZONING REGULATIONS REGARDING a GFp$gh1AN SETBACKS FROM STREET LINES. AND LOT � INES . " 12775 jo '�/./ � 1'4•sM' G?r?dtJt.G�. - cS- /6-B� GtND S00 NORMAN GROSSMAN R.L. S. . DATE TOWN OF BARNSTABLE Permit No. --_---_- 1 I STM Building Inspector ,o ■..� Cash ----------------------- (X� . 0�0 YFY►\ U OCCUPANCY PERMIT Bond ----___-------__ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to i;i--laii.LS 6Lki wiiSCZ`uCLiuls Address 6UUl.li iaLltu)uUi Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19_ ._ _ .................................................................._ .._ ............_........ Building Inspector A!iessor's map and lot number ....� ....-.lr..�.....+��.... FTHET �!.................................. `P y� Sewage Permit number ................... . SEPTIC SYSTEM MUST �� 4TADLE, i House number ................1�.�.�................................................ INSTALLED IN COMPLIA MABEL WITH TITLE IS "a n war a. ENVI O CODE AN TOWN OF BARN SV;� T ►{,;,; BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........................i—W ..... .......... .......................................................... ...... ..... TYPE OF CONSTRUCTION JJ................................. .............1 �,1 ...................19..�,( TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordiinn�g� to the the following information: Location .. C9Y.Z. GG�G- fti.:...���l.. /.���.......�.'... �"''C' .................................................................................................. ProposedUse .....a/ 1C�cy...................f...................................................................................................................... Zoning District ...../1... .................... .. Fire District ......L�G71 ..................................................... Name of Owner ........ .,J '.................Address ...... ..... . .................. Nameof Builder ....................Address ..... ...................................... Nameof Architect ..................................................................Address ...................... ..................... ..... Number of Rooms ................L/.............................................Foundation fil:Gf C I . ............................ c YA Exterior .... �... ....0.......................Roofing ......!.c'r�e �L .. ^`: ............................. , ) ^� Floors . ..G./ Interior lJ ........ ................................................................. Heating .......:.. .... . ... A.........................................Plumbing ............../................................................................ ../................................................................ Fireplace pp.................. . ... Approximate Cost .....�.��,�.©��....................................... .� Definitive Plan Approved by Planning Board ___,,f u1 23------19 lc_'. Area `r Diagram of Lot and Building with Dimensions Fee ........ /..................................... SUBJECT O APPROVAL OF BOARD OF HEALTH `wa�� J YO I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... -G.......................... '' EENNIS STAR CONSTRUCTION No 22.2.89....'Permit for ... ??.p...Story, Single Family„Dwelling,,,,,,,,,,,,,, Location .,Lot # ner...�.�„ cle .119..........94........Mari....... Cotuit ............................................................................... Owner ....p.erzniS...St.ax...Coastruction Type of Construction ......TKAMe....................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........June...2.3y.........19 80 Date of Inspection ............................,......19 Date Completed ........ 19j ERMIT REFUSED ♦' ........ s . .............................................. ��v.5.��. .................................................. .......... .......................................................... .......... . ........................................................ Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number .........' /.. ' _ .!. ' THE T0� Sewage Permit number ........r�..........�................................... House number .......... d ................................................. oo�M a 1 M Pk,Y p. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO & ((I .......................-.-:�..� ............................j................................................................ � �JG►C T �7�I� �vFlr�lr✓� TYPE OF CONSTRUCTION .........................................................................` ............./ !'�!�`r ...................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby �applies for a�permit according ,to the following information: Location f:ffi 1�f %:l�.CC1GQ!t. .[.;fs2-.- ...:.....�Gi�P.�L/.............................................................................................. ..... Pro osed Use fj0 ,zx �. ..� Zoning District �� -Fire District ....../.�d./c�!t�..................................................... Nameof Owner . -...�-�,„......err t.: 1• :...............Address .+. ........................................... ..:............................... Name of Builder, /I,ai; ;/ :,/.�3 .................Address .. ..` .... r ............................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...............: .............................................Foundation .... ........................:..................................................... Exterior .................... .................t................. ... .....................Roofin �.Q g .......... ...... ........ � Q .� Floors ......:.................:.............................................................Interior .................:�..........................y....................................... / � '.... ....Plumbin Heating ...... ............::...................................... g ............:..................................................................... Fireplace ...................: ......................................................... Approximate Cost .... t../e5v)oa i . ....................................................... Definitive Plan Approved by Planning Board _--_i-11 i 13------19_zo. Area /.. l /d,................................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH '��� rr / r i l r ya I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........... ..... e.o DENNIS STAR CONSTRUCTION A=23-61 No 2.22.8.9.... Permit for ...QAe...St.Qr.Y......... .........5,,A.gle... ............ Location .Lot #119 94 Mariner Circle .................................................. Cotuit ............................................................................... Dennis Star Construction Owner ................................. �.............................. Type of Construction .Fr .. ame ......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .. ..Jt71} ...2.3..............19 80 Date of Inspection ...........................19 Date Completed ..... ..............................19 i PERMIT REFUSED (......................................... ..... ...J t..,c....... 19 ...... .. ................................. ....................... .............................................�............................. ............................................................................... Approved ................................................ 19 ............................................................................... ...............................................................................