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Home My WebLink About0450 MARINER CIRCLE TOWN OF BARNSTABLE.BUILDING PERMIT,APPLIICATION Map Parcel Application # Health Division Date Issue Conservation Division App atio: Fee 'lic n Planning':Dept; :- :Permit Fee, (oo Date Definitive Plan Approved by Planning Board Historic 70KH Preservation Hyannis ro�(di-c--t-St-�re—et,,A��d--arT:e—�s�s�--:—�—, <--ViIIage=====P LAI 0wner_L, Address t,,e —Te I e p +e R_equest_� Q r IeI4,ce Eta tAA I—_P_E�r—M- i t! Square feet: 1 st floor: existing /0 6proposed 2nd floor: existing proposed Total new Z6hing District Flood Plain Groundwater Overlay <----Project Vj[u_atio_nL>=1f 0 6 Construction Type 4j6od FrIew'-_C Lot Size � -C 00 C_ Grandfathere'd: Ll Yes LJ No If yes, attach supporting documentation. ation. Dwelling Type: Single Family 7,L]f Two Family U Multi-Family(# units) Age of Existing Structure Historic House: Q Yes 5r No On Old King's Highway: LJ Yes TNo Basement Type: Llf Full J Crawl LJ Walkout Q Other Basement Finished Area (sq.ft.) 7 06 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing =new Total Room Count (not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: 0FGas L3 Oil J Electric Ll Other Central Air: L3 Yes M No Fireplaces: Existing New Existing wood/coal stove: L3 Yes Q No Detached garage: Ll existing Q new size—Pool: LJ existing Ll new size Barn: J txistin P.IJ new size— Attached garage: Alexisting LJ new size Shed: U existing Q new size Other: I C7 C) > Zoning Board of Appeals Authorization LJ Appeal # Recorded 0 it TiCD Commercial LJ Yes D No If yes, site plan review# Current Use Proposed Use co APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name tLau ejke T Ce7&r4k S Telephone Number Address ti c Y- C r License # d 0 j_ 6 '� 5' d �14 M Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE �-16 7 1 FOR OFFICIAL USE ONLY ' APPLICATION# DATE ISSUED MAP/PARCEL N0: = ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL z PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I DATE CLOSED OUT a ASSOCIATION PLAN NO. k ' I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M14.02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers APPUcant Information Please Print LeObiv Name (Business/Orgmization/Individual): �r Q o C I vt e- I C-n G Y Y-1A S City/State/Zip:/ o f►,_1"T MA O a 6 3 5— Phone.#: Are you an employer? Check the appropriate bog: 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 Gomp• insurance.$ a qu 5.❑ We are corporation and its 10.❑Electrical repairs or additions reired.] _ 3. I qu homeowner doing all work officers have exercised their 11•❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per 1v1GL 12.❑Roof repairs insurance required.] t C. 152, §1(4), and we have no 4 SfiG'V employees. [No Workers' 13. Other �r G vt 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 cantractors most submit a new affidavit indicating much. (Contractors 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 policy declaration page(showing the polky number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of rrimb al penalties of a fine tip 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 under the pains-and penalties of perjury that the information provided above is true and correct Si afore: W Date: /- - O S _ Phone# Official use only. Do not write in this area, to he completed by city or town official City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Towu Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Iusttuetious f 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 hue, 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." 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, i.f necessary, supply sub-contractors)namc(s), address(cs) and phone nusnber(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 nui-aber listed below. Self-insured companies should enter their Self-insurance license number on the appropriate line. City or Towp 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. Jn 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 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 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 fax number: The C6m,monwir J.t i of Massachusetts DPpartznent of hb st al Accidents Office of Investigations 604 Washington Street Ruton, MA 02111 Tc1. # 617-727-49L0.4 ext 406 ar 1-V7-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mas5...gov/dia Town of Ba rnstable � �pv.IHE tp�� Regulatory Services BARNSTABLE Thomas F. Geiler,Director MASS. 16gp. Building Division �lFp MAy A .. Tom Perry,Building Commissioner . 200 Main Street, Hyannis., MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623.0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: /V O 'a JOB LOCATION: Y• 6cvr'ke r C' � number street village „HOMEOWNER": 17✓Gt l��f 1!a ✓V a name home phone# work phone# CURRENT MAILING ADDRESS: LI/ D A� ,_v► P ►— C.Y J9 03 S 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 pemvt. (Section 109.1,1) 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. S ature 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. �Of fHE 1p� Town of Barnstable Regulatory Services BARNSTABLE' Thomas F. Geiler, Director 9 MAS& 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 operty Owner M US Com ete and. Sigma This ection Using A Buil er as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work auth ed by this building ermit application for: (Address of Job) Signature er Date Print Name Homeowners the f r ermr ease complete i applying o If Property Owners p Exemption Farm on the reverse side. ZS•o0 +_ �N r �wU Itl x pls- U � IL 47 0 aatu 13ptu13 fir . mow . w l9 jr J V) o � 'moo. LoT `71mu W : o t 2� do c,7Q- )OP Pi, P L AN SHOWING FOUNDATION LOCATIP""'N. G®TU1 TO MASSACHUSE T T S OWNED BY CEt7�.Q e � E'i :t``� -t2,0<.,'T SCALE let-. DATE; SrscpT,-1 r. l e)-7 9 NORMAN GROSSMAN------ REGISTERED LAW SURVEYOR I HEREBY CERTIFY THAT THIS FOUNOATION IS LOWED ON TFI'E LOT AS SHOWN AND CONFORMS TO THE TOWN OP` BARNSTAOLE ZONING REGULATIONS REGARDING RORbMAK a cROss>BAn N SETBACKS .FR0M STREET LINE'S AND LOT LINES . 12 NORMAN GROSSMAN R;L. S. DATE - D SUR „ r �1 __16 - 0 q i i { i i y �le ! A4e- Y1 � ,/ AM c4 /e f t f i i 1 i i T Town of Barnstable *Permit# Expires 6 months from issue dale Regulatory Services Fee 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. 0 c.4� Property Address �'�5 � '�may' � ►tip 1' �� . Cil3 4 ft I1C l �' Q� �"'3 S • M Residential Value of Work—# I)i Goo. mac' Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address k{`a.01 C_t ►\-C C 4— C(�5 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor r i. I am the Homeowner ❑ I have Worker's Compensation Insurance SEP � � 2001 Insurance Company Name Workman's Comp.Policy# TO IN Ohm Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town dep#tTeni-regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. L. A copy of the provement Contractors License'is required:_; SIGNATURE: C,. Q:Forms:expmtrg Revise061306 •` The Commonwealth of Massachusetts Department of IndustrialAdeldents Office of Investigations d 600 Washington Street Boston,M4 02111 , www.mass.gov/dia Workers" Compensation Insurance_Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly s Name (Business/Organiza /In tiondividuai):_ u,S Address: q S C �� i t1e 3 . tip t City/State/Zip: -�� t�' V-/` b a 3 5�Phone.#: Are you an employer? Check the appropriate box: -Type of project(required):, 1.❑ I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part;time). have hired the stab-contractors 6. New construction . 2.El am a•sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 .❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We area coiporation and its ME]Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself: [No workers' comp. right of exemption per MGL 12.0 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 A must also fill out the section below showing their workers'compensation policy information. f., t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lCgntractors 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 Bove employees,they must providb their workers'comp.policy number. ; lam 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 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 tip 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 forwarded to the Office of Investigations of the I)IA for insurance coverage verification. I do hereby certi :ender the pains an hies f perjury that the information provided above is true acid correct: Sienature; Phone#: Official use only. Do not write in this area,.'fb 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 *Permit# B69-0 Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division ��' ' Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 AUG 12 2005 www.town.bamstable.ma.us Office: 508-862-4038 TOWN :B 5-19 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint vlap/parcel Number Way ?roperty Address V-1:0 �/1�A .xw e l�3-�C /C ��jYJ.rT AA 0,9163 L Residential Value of Work Minimum fee of$25.00 for work under$6000.00 -T7 owner's Name&Address -7;i4,02C V9 -ontractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 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. 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. Home Improvement Contr ,rs License is required. SIGNATURE: Q:Forms:expmtrg kevise071405 The Commonwealth of Massachusetts Department of Industrial Accidents A Office of Investigations ' a 600 Washington Street Boston,MA 02111 wwfv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):. T Address: 1-1.S6 a2Q.!21Z2, '". ��9 City/State/Zip: '(D04 3S Phone#: Lre 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• El New construction employees (full and/or part-time).* have hired the sub-contractors ❑ T am a sole proprietor or partner- listed on the attached sheet I 7 Remodeling ship and have no employees These sub-contractors have 8. Demolition working for mein any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a 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 ME] Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' COMP,insurance required.] 13.❑ Other ny applicant that checks box#I must also fill out the section below showing their workers'compensation policy information: N ;omeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such mtractors that check this box must attached an 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 'ormation. ;urance Company Name: licy#or Self-ins.Lie. #: Expiration Date: Site Address: City/State/Zip: tach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). cure to.secure coverage as required under Section 25A of MGL c. 152 can 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 the 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 . ,estigations of the DIA for insurance coverage verification. o hereby certify under the pains and Penalties of perjury that the information provided above is true and correct mature:. L Date: )ne#: Official use only. Do not write in this area,to be completed by city.or town offw at City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical In 6.Other spector 5.Plumbing Inspector Contact Person: Phone#• ��1 r Town of Barnstable °* Regulatory Services MM' awxxsreaie, ' Thomas F:Geiler,Director `bpr1039.,a`e 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 This Section If Using ABuilder L ,as Owner of the subj�ctproperty hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for. (Address of Job) Signature of Owner Date Print Name Q:FORMS:OWNERPERMISSION Assessor's map and lot number—............................... /J(-,� ` � Bpi TN E swage Permit number ... .................................................... li BARNSTABLE, i O ASIL M9-b House number ...:.:......q......6.......T............................................. 90 r 3 �0 MAY p. TOWN- OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ..............:................................................................................................................. '. TYPE OF CONSTRUCTION `�' e ........ � :D !'AR �y ;. TO THE INSPECTOR-OF_BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... �..,n/.... ...`r� r/1a r w�/r`�?/�� .....`.....�.v.....�—............................ 'Proposed Use ......... l!!, ,1. 1. ................................................................. ............................................................ Zoning'tDistrict ........ ...........................................................Fire District ... :.!............................................. ........ t F Name of Owner :..F` '. 5.... .....: ............Address ... ..... {Yl .................. ......................... ..1. ..... Name of Builder ..�'-. x ! I\, c1�(,1)� K.)?.t.. ..........Address � C ........................ Name of Architect ......... .......................................................Address Number of Rooms ..........` ..................................................Foundation ....f" ( .SC. .�1. ' ../� 7--te ........................... ( ,n. Cam.. Exterior .. �,.......� ...................V.......�........Roofing ........::�:,.y............ .................. Interior � CU U` Floors ................................................ _,........Q ........................................... Heating ...• . ... :.....................Plumbing ....^. - ....................... i . Fireplace ..................... ..........................................................Approximate Cost ......��,Z.-Y)C� D ...................... Definitive Plan Approved by Planning Board /_�___ ___�� ___19_ �> Area _ ........... Diagram of Lot and Building with Dimensions Fee .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH -6 0 DtJ�i �e� I I 5 ' �. �pl I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ram.......................... v Cedar Acres Realty A=24-go ,sewage 79-50 ,0 No2 ...... Permit for '..dwa-1l'i.ng -------------~-----'—'--~--'' Location ....lot...7l.......�5D.....Mari-nmr...Gi-r' — - ' .....................Cotuit............................................. | Owner ........ ................... . - � . .~ ~~ . " Permit Granted *.....SZP.t....2.0................19 79 °"'e of "=pe`"= ' 19 --- Completed ..... � PERMIT- EFUSED ................................. ' ........^ ............. ^ n ..................... — ..................... ............................... ---.'.... —. ..��----. p -------'..—'-----------------'Approved h ' ................................................ lA \ ' -------'------'--------~'--~' ' : ' ------..-----------------.--. \ � ♦ r 44 00 K1 w R WT'M� ( OF-u r s r Q O o ISXt+sT, Z:w zw t� o jri 0 f�. -J i'�c 1 L o —7 a w • L o 1' l3 O PLAN SHOWING 1 FOUNDATION' LOCATION . " C O T UI T, MASSACHUSE T T S OWNED BY: CEDA2 4c am5 Z&6.uTv -rau S"f SCALE : �:►��; �� DATE I6 .1 g7 13 NORMAN GROSSMAN------REGISTERED LAND.SURVEYOR y j I tfEREBY cEprtFY THAT' THIS FOUNDATION IS LOCATED Of p. . :ON TINE LOT AS SHOWN AND CONFORMS TO THE TOWN OF BARNSTABLE ZONum REGULATIONS .REGARUJNG 1'LORMAN SETBACKS FROM STRE'E.T LINES AND LOt LINES: $ GROssit!N y _ 12775 Q. �• t NORMAN GROSSMAN R.L.S. DATE �o sum ' 7--'?4,` kor's map and lot numb ....l..O. ,f' �!) pfTHeTO '9-ewage Permit nu ber ... . .. ............................................. WPM MUST BEOWAUJD IN 1 House number COMP�IANC Z BARNSTABLE. i %W M THE 5 °"�o 3 a`e� ENVIRONMENTE AND TOWN OF BARN191PAMUNS 1 BUILDING 1NSPECTOR APPLICATION FOR PERMIT TO ........... / ......................................................................................... TYPE OF CONSTRUCTION ................C249 ....... ..... 1 / 1 ... ...............rl.. .p� 19..A —TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following pinformation: Location ..... ... ... ..........phr.In, :r.........C�f t 4�'1..e....`^..ly O� ................................... ProposedUse ........ �1 .� ... ................................................................................................................................... R.!p ...........Fire District � lV�°� Zoning District .....�.. n` ...0................ ..................... .............. . .....�..,,..T.................................................. Name of Owner X.R-.I:� ,.. ....Address ..6...... !.[. DL6✓ ...... Name of Builde?_ r.. .. `............Address q0'r.mo. - . ........................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............0..................................................Foundation ....�1r4a....... ae' ...................... Exterior -A. .'A--fe......cez ri -1/.1�. , ........Roofing ... ............... J.................. FloorsIC!'�. .................................................Interior ....EA ........................................... Heating .....................Plumbin ....I...... ..... ...bz'�........................................ Fireplace ..:.................. ..........................................................Approximate Cost ...... �.. ........................... . Definitive Plan Approved by Planning Board _1.C_L f ___19 Area / ... ... .......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH AiDSO . VV 14 i I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. iName . :. . ......................... l Cedar Acres Realty A=24-90 T sewage 79-500 " f �t 21671 ' too ................. Permit for ane-s•tory... we4-1•P•nq .......................... ... Location .l.at...7.1..........450-14ariner..c.i.�........ ......................Cratu i x.......................................... Owner .....C.edar-Acre--Rea•1•t Type of Construction ....... NMQ........................ - ............................................................................... Plot ........................ Lot ................................ r Permit Granted .........SA .Pt.........20.........19 79 Date of Inspection ...........:.... ...................19 d Date Completed .. ..............19 s } At %RMIT REFUSED Cc (: ...... ..?................................ 19 ......... I..... M.7................................................ 'S M .I ell. - ~ .......... . .' f..�. .................................... ... .......... " .."k....... ............................................ Approved ................................................ 19 ............................................................................... l- TOWN OF BARNSTABLE Permit No. 1 »n.0 Building Inspector Cash ----------------- 70p •"& p OCCUPANCY PERMIT Bona 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 Address 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