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HomeMy WebLinkAbout0206 CEDRIC ROAD gp TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map G Parcel Application# 07 a3 Health Division Conservation Division Permit# Tax Collector Date Issued 111` It bl �V Treasurer Application Fee' Planning Dept. Permit Fee f& Lf • W Date Definitive Plan Approved by Planning Board Qn 91l l)0 7 Historic-OKH Preservation/Hyannis V Project Street Address Villagee^s-y Owner �Go4 ���s,ne4 Address `;2_Kl-a-C- iff IgLne ote . Telephone S-O 8 a- 1— S�2 Permit Request -4 r` as' ` %o Av'w11_ erf,, /9� fGL,A Acc ('117 f 121 I�iIN LG�! Square feet: 1st floor:existing 13!1 6' proposedAlMe, 2nd floor:existing proposed Total new 139 Zoning District Flood Plain Groundwater Overlay Project Valuation 11( Construction Type Lot Size 7- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure K t Historic House: ❑Yes UNo On Old King's yrghway: UQYes '-`' No Cn Basement Type: Full ❑Crawl ❑Walkout ❑Other ;J t Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing A new Half:existing new Number of Bedrooms: existing 2 new 6 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ®Oil ❑Electric ❑Other Central Air: ❑Yes 'd No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑No Detached garage:k existing 0 new size Pool:0 existing ❑new size Barn:❑existing ❑new size• Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals A orization ❑ Appeal# Recorded❑ ___Commercial._O.Y_es Na --If-yes,-site plan review# - p -- - Current UsegfSn,..(ek4 C' Proposed Use Loll e BUILDER INFORMATION Name �� J��" .° ( /rll� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# _ ALL CONSTRUCTION DEB.RIS_RESUL-TINE FROM THIS PROJEC—TWILL-BE TAKEN TOi 6- SIGNAT DATE .5 }F e •s FOR OFFICIAL USE ONLY ' 1 t PERMIT NO. ` DATE ISSUED f' MAP/PARCEL NO. 3 k ADDRESS VILLAGE OWNER '3 DATE OF INSPECTION: i FOUNDATION FRAME ' INSULATION F E FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING s s t DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 . www.mass.gov/dia Workers' Compensation Insurance.Affidavit:_Builders/Contractors/Electricians/Plumbers Applicant Information p —�---- Please Print Legibly Name(Business/Organization/Individual):q�L r I Address$mac City/State/Zip:Cr,,kLv; 19 2Lo2L_ Phone.#: S"6r Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer to er with 4. ❑ I am a general contractor and I 6. New construction . . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling sub-contractors have ' ship and have no employees These 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY $. 9. ❑Building addition [No workers'comp.insurance comp,insurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work ❑ . g P 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' . 13.0 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. $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 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 a e violator. Be advised that a copy of this statement may be forwarded to the Office of Investi atiow o IA for hisAce coverage verification. I do he by6certify under ain -and enalti perjury that the information provided above is true and correct Si ature: Date: h;s 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.CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two_or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." 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 inscurnce requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure.to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:.The Commonwealth of Massachuse;is Departinent of Industdal Accideuts Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or.1-877-MASSAFE 9. Revised 11-22-06 Fax# 617-727-774 www.mass.gov/dia Town-of Barnstable Regulatory Services snxxs�cnsr�, $ Thomas F.Geller,Director s Mnss. g . 19. ° Building Division Toro Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 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. r Type of Work: re V'qo 1 T Estimated Cost Address of Work: �/6 �- Owner's Name: e b<'t 6�v �L J�eJ cition: -7 Date of Apph 3- 0 6 I hereby certify that: Registration is not required for the following reason(s): 7Work excluded by law ❑lob Under$1,000 QBuilding not owner-occupied' 1;;l Owner.Pulling own permit Notice is hereby given that: OWNERS PULLEI4G TEEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICA]BLE 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 Na e RegistrationNo. O • D.• Owner's ame . Q:f0=hameaffldav 7�cae aszatn(eantcana� . . pseseriptiro Fac&sgd far due sad T v-FX=W RuldcoU Baildiage HnteH w9 'F eels ' ' 11fAXfMU1VI ' � }V1B+1IMUlyH tiiadng Gla21n1 Calling Wail Floor BascsnEel Stab 'Hestia�lCuoUrsE U-value= R-YADle ' R%Value' R-y4uc` WAL1 `� Feat EtBdeaey9 Pa 'fie Elul to 6300 Hratlalllrgrte Dm's' a R ; IZ°/a 0.$0 31 I3 19 30 d Narznsl • i2f� 0.53 30 i9 . 19 I0. 6 Alozrs�! R , � . '•6S7CPUS 12°/a Q.SO 31 ;3 19 IQ I3c 03 a 31 13 sqt ZS NIA •• 'N,'A ?dormal• e p 0,41 31 13 23' N/A IVA U_APVE W 133'® 0,37 30 19 19 10 032 31 • 13 21 NIA NIA Normal y 19 , 0,42 31 19 23 NiIA NIA ?�lasmal fr I3°l° 0t47 33. 13 i9 i � g0 AM UAA-230 19 19 PQ 5J AFU£ 2, SQUARE FOOTAGE OF ALL.EXT-MOR WALLS: 3, SQUARE FOOTAGE OF ALL GLAZING; 4, ya C3LAZINQ AREA 03 DIVIDED$Y.*2): j, 5$LECT?A=GE(Q m AA-see chmt above); ; NOT E^ OAR NSOAE IN'VOLVE�IvP�THOD5 OF DE i G Gy UQ S ARE AVAILABLE, A ,US FORMS AT, E�jLDi`rtTGL�iSPECTOR.�.PFh � O 4�n-�cG303a �� f oF1HE Town of Barnstable Regulatory Services BMWSTABLE. : Thomas F.Geiler,Director 16 9 .�� Building Division ArED AAA A 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:_-_�OUC�/S number street ry� village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRESS �����/ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)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) 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_ minim ec 10 ocedures and requirements and that he/she will comply with said procedures and uirements ignature of Home er 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:forms:homeexempt � t r e7�%. 17 �GKi�A� o :�>ec-K O' c- ` G1 �vP(c(ers to Q'� / f f. 00 -47 0 E T � 1^l6•jY- �.a O n1 �. r b • ?�,�_ _� ? � 37,E � \� 6 } 7 ge- G^^�JT/.UrV: G' iL/TF- ✓/.!LE y ir7 ss. S�GCJi9s'� 5Y5. ,. ! ; j -, = j. 16 a � f t• ��vv o.v r/,//s .� tip• 8ui���,c./�b ,� � L.q'v /S G OC q TE'Lam' Off/ THE r, c OF. k. w, q t r Ha OJAL civic. E,vGiwE�es #2M63�5$1 f 7 C L�4.t/a SIl.PV6 Yo e y S i�f' � J1'�{�+ ..�\/�•'(�y Y� �Y't� yam. L _ i47,- �•�510' P.�/✓ATE v✓AY� _ s f _ a � el 7- _ 00. }' .� © T 2 39 y�• ; .ri e.�i.a.:�.•GYtr�-.:.nx2•... s:.garn:.a rx9�-.a x. .. �T.ew�-..� :..ti; n gxe--` t4'^1 .'.� t- :.b ..-.r^ r i- a 'x+:....•, ,.. -YZ 1 -�'.� ,fx. �, � - "r jL vA � 'A � ..../GOT 7� •_ ;� 1: _ 3 :z O'��JT/�atJ C�/t/TF�✓ice �G�q�L•.�•: /..r.��• t�F-�TL-: !o i�. '�, — /oo c7 l.5'r• S^E��7""�G '7"�9/l/�•C. ,, ,. '..�J-lC?WA.1 O.V TN/S iP1L/?.V /S LOCAT O.V TL E'-D' NE ENO WA o. H�1�BOAJ A.vD :ems-1AT T. r 1@OtJ.VZ2 TO 7-"AS �O.V/A. W,. c; �'•, i ,` Qf ,t t t 6 . Y+GAi,V� Off' rs-►�E 7bd•ViV OF . AIZ57/9 - N. 6346 ' fi LA.va su.�VeYoeS �. f rE'O.C/TE 6A"-Y1+�eMovrN,MASS. Di9l7 .eE!r, vsrFi emaF+wee: . rti , Assessors map,and lot 'number :/v ... .. �; r i " SEPTIC SYSTCM MIST ST C; Sewa a Permit number ....... 1�..> :.. ° A ►Ji M f^s �,� ��►t'tCE A �� ` E 1 i .� FATE. SA.'IT�'v, C y a'i�Q TNErO�y TORN. O N'' YULE wl� s N = �Q of o F BAR ;T t BARNSTODLE i i rr x M�� B;U It MINDINSPECTOR' o 6 n � ` `3 °i ` APPLICATIOI�:FOR: PERMIT TO �4� �'. , TYPE OF CONSTRUCTION ........ !. .. ....... ........................................... ................ t .� .19 ..-- TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit.according to the following information: ..... ' . .......:.:........... ...... ... .....: Location ....... ....... . . ..... .... ProposedUse ..... ......tl ................ ................ ............ .... 0 Zoning District ...... /' Fire District l.+ k.... „ ..5�+.................. C Name of Owner .0 � �`'. c .. . ...........Address ..zow.... Nameof Builder ....... / t...:............................................................Address .......................................................................:............ Nameof Architect ..................................................................Address ....._..................`, .....................................r.......... Number of Rooms Foundation CCt�'""� .. ......................................................... .......... . ........ .... ......... .... ...... Exierior :.. .'d ""...................... .. ................................Roofing ...��� Floors .....................Interior Z'..... ...... . . ................................................................ Heating .. ......Plumbing ................................Y................................................. a Fireplace .............................Approximate Cost ....... ..M ........................................ . Definitive Plan Approved by Planning Board -3-------- Area /...�. . ff off....................... Diagram of Lot and Building with Dimensions Fee ......�F. .../ ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Tow f BarnstabI ing the aTb construction. Name ............................ ............................. ..... ...... Cape Wide Development Corp. M 179,98 one story, N64.. _:.. ....O'Permifi for ................................ single family,Ad gelling ............ Locatiaoo .-&C ric Road...... .}........... . Centerville - ;. ., Owner ......................................................:........... Cape Wide Development Corp. frame •. ; ..' � � � r - ' r i Type- of Construction .......................................... e3 ................................................................................ T c. ,Plot ............................. Lot ..........' ................... F r Permit Granted October 1T �19 75 * � .Date of Inspection v ............. ell Date Completed ... �6/) 5......� .�.$1 � .9> .a • t` 4q e-7 � •ram ►. � - PERMIT REFUSED ? ' 147 ...................................... .. 19 - rn .............................................................. ..:............. 19 .n ................... ..�........ ........ ......... y iT ti r f^............. . .....':� ....... ....................... • ti a°`f'� ........................... ............................. '"., ''' Approved ...................................... ..... 19 • ........................................................ ...........`�-.. - . �. • 'L'_ .................:.. ........... ................................... .. i ` t Assessor's map and lot number ` ......... I ��(/ �Sew ge' Permit number .......................:..........!.........,............. TMET TORN OF BARNSTABLE °BAR"6 9.e� 131.111DIAG INSPECTOR. , 0 M a' APPLICATION'FOR PERMIT TO r .....'........................................... ................................................................................. TYPEOF CONSTRUCTION ...................:......................... .............................................................. ....... ...........:..................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............................. ...................................!...................'...................................... ................................................... ProposedUse ................................................... ....... .................... Fire District Zoning District ..................... .....: :.... ........ ... ......................................... Name of Owner ..... :.....*......J...r�..f..�............ ...........Address :%T�....�'"4 ............. �:� / `/�l.%�'�•:'''T 0% Nameof Builder ....................................................................Address .................................................................................... Nameof Architect .......................................................: .........Address .................................................................................... r r' r Number of Rooms Foundation '�'"'• r' ''`t..... `.................................. Exterior = 'i^ ....................................Roofing ....... Floors .................................... ..........................................Interior .....................:!- .................................... Heating ..........................:.......................................................Plumbing .........:............................................................... Fireplace ...........................Approximate Cost .........�: .. ....................................................... .......................................:................ Definitive Plan Approved by Planning Board ___________________ ________19 Area ' Diagram of Lot and Building with Dimensions Fee .........: r ! SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Townrof Barnstable regarding the above construction. f {e r 1 4.�j 11••�'i11 . Name ............................. ............................................... �,�{ . . -Cape Wide Devel � rp. . . . ` . ^ ' 1 l7q9Q ' ' No ~--.:�nr�� for —..���—���^�.�---. ' .«~ ~ n1n�lm family dwelling — .— —.—.-----. . . . - -Cedr1c-Road ^"`"."". ......................................... ^ Centerville ----.---.-----------------.. . Owner ......Cope..W1dw..0avmlapmmot...Corp.. ^ ' / 'xr° of Construction" - ' . ' � ----- . . . . . � p�� . . � ^ 17 75 � . ........... .' Y , . Date of Inspection 19 � / ^ r _ ' ' . ` ^ . '� lA ^ ' ............. ---...c----,----------_. _ ^ ' - . ......... ....................................................:................ . �. ...—..----..-.-------.....—.~.--., . ' .------.--~--.--....-------.~— ' ' . ` Approved ................................................ lQ ' ' . ' ^ . ' ....................... . ' . ................. ........ ..................................................^ . . . ' . _ ;le 79 Assessor's 'map' and lot number .. �.., `0... ............ SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE r r WITH ARTICLE If STATE., Sewage Permit number ......... 1�lhl. .............. SANITARY CODE AND TOWN t"ET°�° TO W N OF B A R N rVAU L E Z EAWSTADLE, i it _ BUILDING INSPECTOR �o aar a' - r.. APPLICATION FOR PERMIT TO ....:.......4-. .!1 .5.......`.......................�. .�� .`< ,.. ............... TYPE OF CONSTRUCTION ..........�r pN.cP .{ .... .. D.S .....�-��/i��aC ........1�.�....................19.Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for aap permit /according to the following information: Location .............. �/l. ........... ........f ............. .................. ` ProposedUse ........ ......... :....... ,r. ............................................................. Zoning District .............. ...............................................Fire District a, -= vSi Name of Owneir ..Address ...... G/..ti�c.. ................. Name of Builder l ..................... ... l .. ...Address ...,,,1��`. /�- -� G)1� .. i1f._��........ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..........................................Foundation .....C���-�n1�_ ........................ ................................................................ Exterior , 4— �" .. '. .................................................. X.............................................. ...Roofing .........�................... Floors ....Interior ." "c�i rl Heating ...................., t/...a/ .'--.....................................Plumbing .............-.........A........." ........................................... Fireplace . � ........................................Approximate Cost ..................................................... v � s Definitive Plan Approved by Planning Board ______________________________19_______. Area ............................... Diagram of Lot and Building with Dimensions Fee �E SUBJECT TO APPROVAL OF BOARD OF HEALTH a.5- 6,4 - T .39 � I hereby agree to .conform to all the Rules and Regulations of the Town ar table regarding the above construction. Name ... ............... ..... ........................................... Lindsay, Borden H. , No ..::-20090 Permit.for ..........garage........... r Location ........... ............. ...........................cp-ate1 vIlle........................ ' Owner ...........D.Qr.i ell...a.e...Jr.i1l d a�7.......... 1 . • Type of Construction ................fr=Q:............ - • - ........................................................................... j, !• f l.'t r PI-ot ............................ Lot ......:......................... t Permit Granted ..........April 14.....f19 78 Date of Inspection 7 19 .1 Date, Completed .. l..a ................... 19 ^T PERMIT REFUSED 4•. h ......................................................... ....� 19 ..... . ............................................ ....................... ..... .......................... .0....................... ' ...................................................... ` ............ .......................................................... .. . � r `h 1 IL Approved ................................................. 19 ................................................................:.............. ............................................................................... i Assessor's map and lot number •••.•....... !� vo Sewage Permit number ...........,... ................. �0`7NET0�♦ TOWN OF BARNSTABLE 1i BAHH9TADLE. i "b9- .��� BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ��,iS '�..................................................................................................,........................ TYPE OF CONSTRUCTION <-- cs -44 "4,1 y ........................................................................ .`f�"`--. ......�r-"'..................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for aa'peermit according to the following information: Location f ,, �' / �- •r�/�.i .�. //r ................. .....................d...A............. ,...- .'....... Proposed Use ca Ji.E,��'/r �9-f' s?'",� �' '�" Zoning District ............ ...!-�............................................Fire District .�.t..'. ....f�f........ ..��? .!............................... . Name of Owner? . 'v ,c /, `,,, �iy' St�./.Address ...... ................. Name of Builder /� �-...� '. �'�r. ...? .. ...Address ..;'�? .. ' !.? !1� "� '. 'C� r Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation �'?��-�'^'rZ} .................................................................. .......... ................................................................. Exterior 7.' /.../ Roofing ......::// ...................�............... —_ ... d.R . .. ................................................................ Floors Interior �' .................................................................................... .................................................................................... Heating .....:...............:......................................................... .Plumbing ....r............................................................................. ' a.- .. .•� Vic.. Fireplace ......................'.1*.:`.:� ................................................Approximate Cost...`�.:::................. .........:.............................. r. Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ? ' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / 02.5' ,tom 3�r 1 �9 I hereby agree ree to conform to all the Rules and Regulations of the Town of-Barnstable regarding the above - construction. Name ................................. ..................Y: ........-?--...:...... UM&Ny Border. L , A=148-86 No .. ...2.QQ90ermit for ................garag.e..... ..................................................................... > Location ...........20.6...Cedric..Road............. .............................Cer.t4B rvi 1.1 e..................... Owner .......J3.Q.1Z.deK1...R.....UTW5.ay............... F ' Type of Construction ..................frame........... ............................................................................... Plot .................... ...... Lot ................................ t i Permit Granted ........,April„ 14 „......19 78 t `? Date of Inspection ........ 19........................... Date Completed ......................................19 } PE MIT RF4 SID .............................. .... .. ........... 19 F .... ..... .f..dr+. ... . ............... c �� r A 4 f .............................................. I Approved ................................................. 19 ...............................................................................