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Home My WebLink About0009 MICHELLE AVENUE `1 E R ilfl ff ® .j Town of Barnstable *Permit# oo-7U"5 eo Expires 6 months fi om issue.date SEP 1 3 2007 Regulatory Services Fee C) '�`1 CF BAR�,,,63TABLE Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 �L 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-Z? - y 6 1 Property Address Y''1 I G t► l L l/G G Gc,.VE t CST yY k , 04 esidential Value of Work 1 15�0 00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ('- e r v.j'�y Contractor's Name i9 ro '1 Srla y,7 Telephone Number 5 o Y - 6qk-11-3.S i Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) CS O 9.Ly S'Z 9�/Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name r;Gh Ln S le2 4- Workman's Comp.Policy# 44--4 7 1) y 6 .3 - 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) l��ri�r SUs'! oo S ✓ t c S *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 Im rove oritractors License is required. _ I SIGNATURE: Q:Fomu:expmtrg Revise061306 (1 1 The Commonwealth ofMassachusetts 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 Legibly Name(Business/Organizetion/Individual):. Address: !�U De .-/7i ego( &e( City/State/Zip:j1aSh leee- e- m c�l Phone.#: 50 ' G`'lam— cZy'e5__, Are yo 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 slib-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 S. ❑Demolition working for me in any capacity. employees and have workers' 9 .a Building addition [No workers' comp.insurance comp.insurance.$ required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 1.❑ 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.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees, [No workers' 13.❑ Other_/�j�,h/,C comp.insurance required.] , "Any applicant that checks box A must also fin 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 anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors end state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below 1sthe policy and job site information. Insurance Company Name: Policy#or Self-ins,Lic.#: u 9 g t 7 ft b f 3 - 0 7 Expiration Date: Job Site Address: �2 1/1'1 t_e h 11e, Aje, City/State/Zip:4o"I/at- 4A 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 imprisomnent, as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerli under the poi penalties of perjury that the information provided above is true and correct: Sienature: Date: ? Phone##: Cam$ 6 �r 8 --c;3 fS Official use only. Do not write in this area,'to he completed by city or town o ciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i Town of Barnstable *Permit ? 745" 6 Expires 6 months from issue date A-PR a ) PERMIT Regulatory Services Fee- /4 c3-. 5� -Thomas F.Geiler,Director AUG 3 0 2007 Building Division TOWN OF BARsNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barmstable.ma.us Office: 508-862-4038 Fax: 568-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint Map/parcel Number 0 .2-7 O 6 7 Property Address .4&.Zj11 .Ale-,_fic 2..1.1q t T C [Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address _(Y 1 Y►ri S77 Contractor's Name A A ►rG S fi ro k'7 Telephone Number-.S'0 Y' - y& ' s?.T 5- Home Improvement Contractor License#(if applicable) Y 0 5 j K Construction Supervisor's License#(if applicable) C S 0 I-`1 t.1 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 21 have Worker's Compensation Insurance Insurance Company Name Y3 M e-r i c c4 h Z u r i c-A m SG,/C..,v c e— C Workman's Comp.Policy# t4 13 a �i°i ! )11 cl I " 3 -G 7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2Re-roof(stripping old shingles) All construction debris will be taken to 13 C-r'►,0S— ❑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 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 "\ ,�i Y` t� Kb: �' ✓JL6 -CJdYIi/IJZdI2fIJCfLltf2 d��.��JJILCl2000E�6 ) I'ward of Bu lding Regulations and Standards j a Licen or,regisU ation"24ul fo' mdn r tdul use otilv z -ei 7 1 HOME IMPROVEMENT CONTRACTOR befm the expiration d tte elf t ��nd refw n t c� 140358 3. Board of Building Wgjilations and St, Registrat onin_lords One rkl burtoit �l tc i:m 1301 Expiration 10/14/2007 .Bostoi Ail.0210' D+S CONSTRUCTION AARON STROM c 90 UCERFIE:D P�4 FI EE h1M0 h49 q{� 4di nisi ttor a �3 ? 4 � i� �t F t itW f Sl,£ one d y Yam_• t.r;'�",r^''. 2.`„?'�.... #-A.: �tr,?. #'c f,#., ;;x F^'�`_=`.r,, „' ,:: .,:.". v _ 4rx" r.� . ✓1 a -�dm�� ✓�ao LfCo�� :#m BOARD.OF BUILDING REGULATIONS - � License CONSTRUCTION SUPERVISOR S 092482 NumberC Btrthdate 09/23/1972 A 92482 4 Ex Tres,0912=009 Tr no y p Restricted `_1 G, =,F 4' p,ARON M STROM °fig �, 90 DEERFIELD RD, =a MAS.PEE, MA 02649 Commissioner 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 Lep_ibly Name (Business/Organization/Individual):._Q is Cm n s T ,g 0f lro vt s 1'✓ sM Address: P. 0, t5&k- a.7 w 3 City/State/Zip: 0&,s hp-e e_ /n f4 . • oar b S'f Phone.#: Are y an employer? Check the appropriate box: Type of project(required) 1. I am a employer with X 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 asole 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑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 rotor— a, e( 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 iuch. $Contractors that check this box must attached an additional shect showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb 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: AP17 e y r e c�� Zu✓'I(,tl • 7), S Policy#or Self-ins.Lic.M k,6— gg 1 ? e16 3 ^ 0 7 Expiration Date:_ l Job Site Address: E:OS6 t w fiYi w Vi 12Ge City/State/Zip:Cc►-'t-I'l', ,/M�Q , 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 statemerit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cei fey under the pains•and penalties of perjury that the information provided above is true and correc4 Sienature; _ Date: $'Bola _ Phone 4: SG-K 3 S � Official use only. Do not write in this area,1d 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#: �Of THE�p�y Town of Barnstalble. a t Regulatory Services '" MASS.�' Mnss � Thomas F. Geller,Director � g Building ��lFDMA�A,O Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 w,%w-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 I, GLno S-kgSvlq , as Owner of the subject property hereby authorize S f ral SbW to act on my behalf, in all matters relative to.work authorized by this building permit application for; . (Address of Job 2 �3 Signature of r Date C Ion Print Name QTORM S:OWNERPERMIS SION f 860-277-0111 5/24/2007 10:39:37 AM PAGE 003/003 Fax Server �r "� # [] DATE(MM\DMYY) PRODUCER THIS CERTIFICATE IS ISSUED AS AVATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PAUL PETERS AGENCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 680 FALMOUTH ROAD ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. PO BOX 1290 COMPANIES AFFORDING COVERAGE MASHPEE MA 02649 COMPANY A ANCE INSURED COMPANY SIROM, AARON M S P O BOX 2703 COMPANY MASHPEE MA 02649 C COMPANY D Ct7V6} AGES .. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE Of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LT DATE(MMDD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE a OCCUR. PERSONAL&ADV.INJURY $ OWNER'S a CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one lire) $ MED.EXPENSE(Any one Person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS UABWTY EACH OCCURRENCE $ UMBRELLA;ORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND STATU70RYLIMITS NfA;;,.•;_;.> EMPLOYER'S LIABILITY (UB-9917A46-3-07) 05-13-07 05-13-08 EACH ACCIDENT $ THE PROPRIETO PARTNERS/EXECRUTIVE INCL DISEASE—POLICY LIMIT $ OFFICERS ARE: EXCL DISEASE—EACH EMPLOYEE $ 100,000 OTHER ESC ON OF 0 E I NS,'LO A I NSIVEHICLESJRESTRIC 0 Sr PECIA ITEMS THIS REPLACES ANY PRIOR CERIIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. C TIC A E t, ff' CANCELiATiOM> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TH 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 11 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. PL`f_m5wFft MA 02367 AUTHORIZED REPRESENTATIVE - •z 7 Assessor's offioe (1st floor): CF T M E t0 Assessor's map and lot number ..... 061.7. .. ...... . .. �� Board of Health (3rd floor): ..j�n (, (� C/IV J Q Sewage Permit number J.. ............. . ..,. 11lBd9TSBL6, Engineering Department (3rd floor): .� rasa House number ff °0,e,163.4 0 MA 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 .......8.U.!.1d ......9.4/ ....... ..............Z: .. ........... .................. TYPEOF CONSTRUCTION ........� �G . . y....................................................................................................... ..................... 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......��ij �P..... eat!-mkVV.....1 4 .:............ .Tl✓. . ............... /.k ).................................. ProposedUse ..... V ................................................................................................................................................... p Zoning District ....................... ..�......................................Fire District ......................4 >.� ........................... p I/ - L� Name of Owner ..1.6T�.�'......d!.t'�;./�v .............Address ....�. .'a.....Me�t1.h74 .... ...'. .................... ........................... Name of Builder .. /.11....Comm u.c....rr.o,'W..................:Address . .(we.,....R.O( ......��yJ�s��Cri Name of Architect ...1.).6 :/.fl.f!...BlvvU-. .- ./..............................Address :3X..��G��Ad..d.....0d�rUVA).2vi ...... Number of Rooms .........................................7.......................Foundation ....4�A.340......................................................... Exlerior .....t,.n C'.6 .. l.1dwq-1:5.............................................Roofing ...... , .......................................................... Floors ........ ............................................................................Interior .1`y-u(i/li . .................................................... Heating .... .! .....Uy.....ou...............................I.........Plumbing �'�PdO !Q:..� .1��1^;....... ...�C. ............... ............ ..... Fireplace .....'...4e. -.�-�STN6.......................................... ...Approximate Cost .....g. � ......................................... Definitive Plan Approved by Planning Board ________________________________19________ , Area W(V,51-..t ............ Diagram of Lot and Building with Dimensions Fee J^ SUBJECT TO APPROVAL OF BOARD OF HEALTH i r 4 SIN` ,►� coo s 47Z ` 1 �S 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 ........ ni.,J .ml..................................... 1/ �Construction Supervisor's .license ....00......... �.................. t I „VICKERS, PETER A=027--067 No 31868 Permit for ..Build Addition Single Famil y Dwellina Location Cotuit ......................................................... Owner .......Peter Vickers ............................I....................... Type of Construction .Frame ............................ ............................................................................... Plot ............................ Lot .........:8.................... Permit Granted ......MaY....5.....................19 88 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's offioe (1st floor): AAssessor's map and lot number .....�c .�..`�.�P.7.... ...... ..°f�NEto�` o Board of Health (3rd floor): (ice � f "'!1TALLED IN (,Q Sewage Permit number .. ... ...... .. .................. . .. WITH TI Engineering Department (3rd floor): TIr rasa House number .......... �� r-� E�;��rls'� 3' ENT C t639• 6 ..................... ....... ................................ NS'�O APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN AEGUt`q► T -.f TOWN OF ' -BARNSTABLE -F BUILDING, INSPECTOR f )� APPLICATION FOR PERMIT TO .......h/.U..{� .. ...... . ' .. ?.....!? (.Lip ..............z .......... .................. TYPE OF CONSTRUCTION ........Ql r!.!.A Cy...................................................................................................... n r r � TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the following information: Location ......./0,�...... 11e(Ae.-WM .....tk.: .�.� ............ . .................. ............ . .... . ProposedUse .....Ja w ev,. .. .. ................................................................................. ............................................................. ......................Fire District /�.� Zoning District .................... .. .......................... ......................4�......`<.C�.Z ........................... Name of Owner ../. ORCA......Y.j(1J.4+ ...............................Address .... 1....4... ......................... Name of Builder .. /..��....aA .0.U(rrQ�...................Address JJ� ..OIl44-7ellC-Aev. .6po.'.....e `7 4.dG Name of Architect ...0. r1�l.e�l-C!...�.-04). .. ./................Address 3JJ1..1�1�� ..��.....1.!lgarev.�(.��...... Number of Rooms .......[./................I........................................Foundation .... .�.......................................................... Exterior ......ce. c,., .1 -,V?j�.............................................Roofing .......I�'g.� W.R-k-r......................................................... A . Floors% ..........:...........................................................................Interior ��..,r �..e-tr�G:oC�!f...................................................... ... t, 7 ,(, moo' / Heating .r!L/......by...:V..........................................Plumbing .....� e:�..� .10..�G........�z...C�C2 .............. � ' Fireplace .........�.�,S�S.,�f��r..................................................Approximate Cost ....�..WI.. ®......................................... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ......0.�.�`. 1 ............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4Not , qe SYor 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. f Name ......,$� . . . ..................................... Construction Supervisor's License ....00 VIf'KERS, PETER No Permit for .Build...Addition. Single Family Dwelling ................ ............ .............................. Location ............................----tea..—. ............ Cotuit ............................................................................... Owner ......Peter t...e..r......Vickers.......................... .4 Type,of'Construction ......Fr.ame tr ............................... .... ...................:........................................................... Plot ........................ Lot .........1.8.................. Permit Granted .....May....`` ....M4y...5......................'19 88 Date,of.Inspection ::.19 Date Completed 0 .......:7?e....19 . , Assessor s map and lot 'riumber Q2�80�2-�....... . �, . . ....�1...�J Sewage number`Permit :.......... e`" �+� / /� Z 33AUSTADLE, i House number S �6 .................... .J.. ..........W. ................ .. .�^� ' M6 a 39- e TOWN 'O F B NAr � �ViS � '� ,YBLE Ift ri BUILDING INVIE GTOR, APPLICATION FOR PERMIT TO �+an�'�• '`--. TYPE OF CONSTRUCTION ..........L�7v(I-> .............. ................. .............................. ............ ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following info mation: t Location ..... � ... .........`� �`�........................... .. a 1... ................................... ............ .......... .... IR ProposedUse .....4?� \ .................................................. ............................................................ ��r , Zoning District .. ..�..I S..................................... District ..... . Name of Owner .... .. .......................Address ............... Name of Builder .......... fir...................................... ............ '..........'.` ................... ........................... .......................... Name of Architect ........... .. .... .k'L.... ..................Address .:....... :....i` . � ... Number of Rooms ..................................................................Foundation .1V1 ..... Q�l�rto�.CLj... .................. .. Exterior ...... ...............................Roofing .... ..................................................... Floors �. ...........................................................Interior ... 4r .�?�,? .......... Heating ........................ Plumbing ` L.... ...................` �� i 5 .. ... Fireplace �� Approximate. Cost -00j� ' GV. ... ....�.......................... Definitive Plan Approved by Planning Board -----------------------------19--------. Area .../� `<> .............. Diagram of Lot and Building with Dimensions Fee �� ..........�.. ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH / l� a 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. Naa ...... ........,.................................... 5 , Construction Supervisor's License ..4.3.5,7 � �� KRACO� INC. I One Sto o ..��.7.5.3.... Permit for .................. '. ........Si 4c '••F iY Dwelling Location ... 5 ....................................................C� (.. { ""*• 4 -c Santuit 071 �..................Karaco, ..Inc..................................... r� Owner ................... ..................... r ,� - V 1 11 ..... ..... Type of Construction .Frame....... ..... /[7I' .... ................................ .. ........................... �,�k• `•rr �' { r'.�{+ .............' ........... Lot ................................ rmit Granted Juiy..30.':........ ...}19 84 r4 Date of:Ins ection :, 19 j r-Datej'Completecl .....,�:;,.��:::��..... 19 t _ 1' ej d Assessor's map and lot number . ....... .............. �. T OFHE Tp1` kSewage Permit number « Z 9AUSTSDLE. i House number ........................ ...�..... 9 MAM o Mix a' l TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO =' !.............................................................. ......................................... TYPE OF CONSTRUCTION .........�L:�C,;»>( ....................................... ......................................................I...... . ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location � ..........` ?`t ?• ,}1.. .......................12............. ............... ..::.:.................................... ProposedUse ........................................... ........................ .... . ..!�........................................I......................... Zoning District .... :?—C)................................':.....................Fire District ..... )1 .................................................... Name of Owner ... ?. •....:G..... .......:.......... ...............Address Nameof Builder ........... .....................................Address ........... .............................:............... Name of Architect� � 1..... K�r}Vt.�..................Address < "+ 4 �5�� C�. . r.................:.... ...:... ....................�............. Number of Rooms ...........�...................................................Foundation {� .+a1 f-tt1 .:.1� ;.....:::................... Exterior ...... :.t.......... .:'.`` .. ....................... ...........::.....`-e � 1� �� ......�•l'"............................... �. ................Roofing ... ........... Floors �.�.....................................................Interior ............:....::.,........... .,............................................... ...................... Heating �.. ......Plumbing C.0 hhc...E;;...... ........... ... .•�C"...................................... l Fireplace ........ .......... f ..............................................Approximate. Cost ......`.. ................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH e1W� 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. Nam^e; Construction Supervisor's License C> ` J /KARACO, INC. A=27-67 0� r No , 26753 Permit for ..One Story ................................. Single Family Dwelling . � �W ................... 1, 9&6-NevtGWn—Rcad- Location Santuit Owner .... 'NCO,..:ZI��►.................................... Type of Construction Frame .................................. ., ................................................................................ + Plot ............................ Lot .......................... Y .. Permit Granted �K..--. Date of Inspection ...............19 Date Completed ..19 t .;A -. 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Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... l 9......_.... ..................................... ...................................................................... Building Inspector FROM TOWN OF BARNSTABLE -« BUILDING DEPARTMENT Ir. Francis Lahtei a 367 MAIN STRtET HYANNIS, MA OM i"x�It.�fw:t i YP F(:�x`T'F 4'ip�tlal?JNI� Town Clerk Phone: 775-1 1 20 SUBJECT: FOLD HERE a - �[. DATE +' - 4 F MESSAGE Work has k clE:teCl cc Permit #26753 �KaracO Inc. . *,�.c,vr.Ye.�.• u. ...a....,,,.xw«.4�ww.-rKx�-��T^Y��s4�^x-y,,x•in+a-.pw.at:�,��:.., ;t-.n,r-�ct��"�a..��.._rr Pleas e Tease Bc3nd. • .t�l ga: SIGNED: DATE - �r 1 /� v REPLY • + • SIGNED { N87-RMI - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY.ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.