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HomeMy WebLinkAbout0025 CENTERBROOK LANE n �, . y, _ _ n v � _ a ,® ., � � ,. c u i .. - .,, _ .. - ,. 4 � � o � - � � . � .. � �. .., a _ _ a .. � •' � L cq _� i. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p Mai f' 72_Parcel . 3q1 f� + � r3 Permit# 7813 Z. }' 4 r�fit'�f,j�a�s� Health Division 2 0 9 S -���� 7 = L Date Issued 712- �fs Conservation Division F!!Z'"1,5 �' PC1 2: 30 Application Fee Tax Collector -- , -� Permit Fee ��oy�$�- — 1 w-_.__ , SEPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE Planning Dept. - ENVIROPdIIIENT'gL,CO Date Definitive Plan Approved b Planning Board DEAND, pp Y g TM R' rULA ONS c- rAe&ve- 1,e sV�e kHistoric-OKH Preservation/Hyannis13 Project Street Address c25' cWZ� e grcffjIC L Village Owner 1.. yl ct - Address 15��e0ki l 'Clc ki Telephone Q — '440 731 2 —70 P-7 e.e_�_i_ Permit Request I 17 l 0AJ Square feet: 1st floor: existing 7(dr. proposed '2nd floor: existing proposed Total new 00 Zoning District RF Flood Plain ZW(9- C Groundwater Overlay Project Valuations Construction Type Lot Size ff �. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ©" Two Family ❑ Multi-Family(#units) Age of Existing Structure 19 Historic House: ❑Yes C4'�lo On Old King's Highway: ❑Yes a I�o Basement Type: Ua t•ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: eGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes dNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size . Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 8fNo- -If-yes,-site plan-review#- Current Use Proposed Use BUILDER INFORMATION Name( £� . -.! WA_WL. Telephone Number (00 t' } Address •or COam &Lt Y_ L) License# 1 , j =� V( Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /Z'2_RAe_ C 'Y►,fr SIGNATURE Lu DATE 6 r - 1 FOR OFFICIAL USE ONLY 4 PERMIT NO. DATE ISSUED MAP/P AMCEL NO. ADDRESS VILLAGE OWNER R DATE OF INSPECTION: -FOUNDATION FRAME Ali.131a1 INSULATION o l FIREPLACE z: ELECTRICAL: ROUGH FINAL in PLUMBING: ROVG12 >a FINAL � O GAS: FINAL. FINAL BUILDINGF- M 0 N �_� 0® S DATE CLOSED OUT ` co ASSOCIATION PLAN NO. RESIDENTIAL BUILDING PERMIT FEES 9 " APPLICATION FEE ` New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET , NEW LIVINGSPACEg ,00y1 L� square feet x$96/sq.foot= 110 1 Z8 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE , square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) . square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost To , Of Barnstable • -� o� Regulatory Services Thomas7,Geller,Director gQ,�1 s639�k ro Budding)DM810n FD MP Tom P erry,Building Commissioner • 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Office: 508.862-4038 permit no bate AFFIDA•�'X' _ . SW B NMNT O ERMtT ATICONTRACTOR CATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernize er occu ied ion, irnprove�ent,removal,demolition,or construction of an addition to any pie-existing owr� P impron8 containing at least one but not more than four dwelling units or to atructures which. are adjacent to such residence or building be done by registered-contractors,with certain exceptions,along with other requirements, Estimated Cost Type of Work• of Wo Address licatiov. Date of ApP . I hereby certify that: ge�istration is not required for the fallowing reason(s). , [(Work excluded by []Job Under$1,000 []Building not owner-occupied V-"@wner pulling ovm permit , Notice is hereby given that; •MLING TEEZR OWN PERMIT OR DEALINMENT 0 RS PULLING 11OR E I NOT pf M CONTg A CTORS FOR APPLICABLE HOME MpRO ACCESS TO THE AMITRATION PROGRAM OR GUARANTY YM UNDER M.GL c.142A, SIGNED UNDERPENALTMS OF PERJURY Thereby apply for a-p rmit as the agept of the Omer: Contractor Name Regisftationl`Io. Date OR Owner's Name • (ram^ _-� The Commonwealth of Massachusetts -- Department of Industrial Accidents y _ 600 Washington Street Y Boston,Mass. 02111 Workers' Co m ensation.•Insurance Affidavit-General Businesses name- 'I.� 'i 1 {_...:. „''.• .:.3:<gi ">r�t..z.. _,.:•�ar�•y ''•k..,.,. r Y ••':Rd-ai address: Co ) -ZQ�(C'UIL. city C �� state: 1 v� ziv:0X 3•Z-- ' yhone# �� Z work site location full address : ❑ I am_a sole proprietor and have no one Business Type: ❑ Retail❑Restaurant/Bai•/Eating Esta lishment working in any capacity. Office El Sales(mcluding.Real Estate,Autos etc.)' ❑I am an em toyer with e u to ees(full& art time.. iher 717111VI%%/ I am an employer providing workers' compensation for my employees working on this job. Y'•: t:j company mane' - — --- — ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: comb by name - - - - - -— address: • 't - is �: eity lihone#° insurance co..... .... ... .•..-...•...... .: ... '..;...::.;: WON :'... nsia company ' X. address:. CItV: • .. y .' � Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition o[ccimfnal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that i; copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby rtt&unde a ains a d penalties of perjury that the information provided above is&rue711, d corr cL Signature Date .. Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/lieense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department ` contact person: phone#; ❑Other (revised Sept 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25.requires all employers to provide workers' compensation for their. employees. As quoted from the i'law", an employee is.defined as every person in the service'of another under any contract of hue, express or ' lie oral or written. unp d, An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or mare 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 an three apartments and who resides there' or the.occu ant of the dwelling house of dwelling house having not more than p in, p g 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 bean employer. .. MGL chapter 152 section 25 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.cornmonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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 -davit completely,by checking the box that applies to your situation:.Please Please fill in the workers' compensation af supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confm ation 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 Accideuts. Should you have any questions regardi*the"law"or if you are required to obtain a-workers' compensation policy,please call the Department at the number listed below. . City or Towns 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 pernit/license number which will be used as a reference number. The.affidavits maybe returned to the Department b mail or FAX unless other'arrangements have been made. The Office of Investigations would like to thank you in advance_ for you 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 Massachusetts Department of Industrial Accidents WIN of Imsdomns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext.406 f 1i. ► r i..1 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: t--`TUUA-_K_ Site Address: ZS 65,3TE)M3ROCK LA+jC Applicant Address: City/Town: =_-'VLUe jBA caui -5 ackc , /✓A- Use Group: Date of Application: —/ Applicant Phone: 0?- WL0 '75,1 L Applicant Signature: _ CZ,t_ Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package (A through KK from Table J5.2.1b): Heating Degree Days(HDD65)from Table J5.2.1a: (For items d. through i., fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b_a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE . ❑ Component Performance: "Manual Trade-Off" (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: _ a. Gross Wall+Ceiling Area �Z�� sq.ft. b. Glazing Area' Z3� sq.ft. c.Glazing%(100 x b-a) I9 5 ADDITION with Glazing% (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: ` MAXIMUM U-value MINIMUM R-Values Fenestration' Ceiling' Wall Floor I Basement Wall Slab Perimeter,Depth 0.39' R-37 R-13 R-19 I R-10 R-10,4 ft I Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM" addition(greater than 40%glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of ApprovaUDenial: Reason(s)for Denial: (provide additional details as needed on back side) i oF� T Town of Barnstable Regulatory Services BAMSPABM Thomas F.Geiler,Director 9q, MASS.9 ,�� Building Division ArFO NAPS p 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 /Lcjq Please Print DATE: 7 `l, �+�, /�n' JOB LOCATION: `kCO-W 1��X(C number street /� / village �'7� ` /� ) "HOMEOWNER":"bhiy �� L . 1O2l - 4- � (���}. Sb�-77J��J�� name home phone# work phone# CURRENT MAILING ADDRESS: � 11`� I}ll .C1L L-cJ 'ty/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 minimum inspection cedures and requirements and that he/she will comply with said procedures and r uirements i 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:forms:homeexempt LOT 6 � o DEC •"�,�? ".;;;;' � (fie� i fix: J , i r . LOT J 5 LOT �p LOT G 99 LOT " 100 RES. ZONE. I'" '" Tnis MORTGAGE INSPECTIaN Plan.is Fo ,' ..B 14 Use Onl. FLOOD ZONE C T(7 WIN: - REGISTRY OWNER: _, OHl_V f_ KA_T_HLE` '1V _L.—fLFLEL_ -- I DEED REF: _OET_,4_.tLV-6-3— _BUYER: _D_LVZZ_,_7�Jh'lY�'�---�---- —_-- DATE: _6��5/26 _—_—___—.——_ PLAN REF: _LC 38671 _ __SCALE:1' = 30 ___FT. I HEREBY CERTIFY TO 6A.yx$_oSljQzv___ __,_____ � yr YANI{EE SURVEY l ___THAT THE BUILDING � i SHOWN ON PHIS PLAN IS LOCATED ON THE' GROUND AS CONSULTANTS,SHOWN �tND THAT ITS POSITION DOES _ _- CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 40B (SUITE 1) TOWN OF ___EARNS TABKF__ ____AND THAT INDUSTRY ROAD IT DOES__N_OT _ LIE WITHIN THE SPECIAL FLOOD HAZARD MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_�19/65 _ TEL: 428-0055 C un' -- I a 250001 0015 C FAX: .420-5553 THIS PLAN NOT MADE FROM AN INS ItR ENT —PI_c �_`�Y'"—` ': UFVFY NOT TO BF USED FOR FFNC.F,S,'ETC. 04260 CB j ® COI K �N a N> a NEW ADDITION FOR: " DESIGNED/DRAWN BY:COTUIT BAY DESIGN DAN TURNER 43 BREWSTER ROAD z o MASHPEE,MA. 02649 .°: b 25 CENTERBROOK LANE CENTERVILLE, MA" (508)539-2699 f z �Q z z a O O lzs s (EX51bf PIG1 ® I .. EttlN. EHI � cwouew —J 711 �jq DN tE a I�y Si b P IO exa.. ( IMRIg1) D _J IQ� � t El 10'S" �m Q D D (NMfIGW `�° " NEW ADDITION FOR: DESIGNED/DRAWN BY: S C m -io a> COTUIT BAY DESIGN zI° N.. "I DAN TURNER as BREwsT$R ROAD M.. o MASHPEE,MA. 02699 I N A b 25 CENTERBROOK LANE CENTERVILLE, MA (508)539-2699 Ib'9" 328 _ —_, 59' � M 1R/HSC9.1 IRIIfiOM omADM oeV4 ADM AVOVE 7,0 r ` I A fnpo Exl9r, I A I - Ll Q o' I � ry I I F¢ESiM�BY � VERIFY LOCATION OF I I N I I G5 SM 4 F�LDSIEM W I I I Rx+ea PAR I I I ww 1 I 7�zv�In F'ao¢o 0 I L©-J I FAMILY I ROOM I I I KIfCYE N I 1 T I� E W10.595 EEIM GRYI's/Y' 'L 1.9E _ —aw II 0 13A11i p n V { NEW 'CAMW Fs-i W 151f11NG O Z a05. I -- - AAA Ewsr. `P Qzw 5TUt7Y n NING F. W Z L) I L Wow Qto N a f. e", eM. SCALE: V NPOVV 5C N2U DATE: W--a TYPE KgUACMR'51dJlf ROIXAIOPENING. REMARKS 5/20/2004 ExSPYd Ip51 OOp PLAN A ANDERS.. 1W 2446 Z 2' 191161,x 4' I/4" D016LEMAIG NARROW MILLION 6 1VJ 2446 2'-b I/8"x 4'9 I/4" D01ffiLEHAJG JOB NO.: EMT PIR5T FLOOR -7665f. GENERA-NM5: c AN 251 7'61/6"x `91/" AWNING TURNER WW'AVVMON 4005f. D TW2452 2'-6 1/8"xV-1 1/4" DOIIDLEHfJG IJ CONfRPLfOR ISfO VERY EXISTING CON71fI0N5 A!�DIMENSIOP5 Drlf 2415 2'•6 i/8"x I'-7 9/8" DOIBI.E79NG iRAJ50M DRAWING NO.: LEaNO; IN T}E FIELD PRbR f0 TFE 5fARf Of WORK F TW 2.45' 2'-6 /8"x 3'S I/4" D0118 D" 1 2.) CONTRACTOR f0 REMOVE EX15"DOOR5,wwom- VEM V5 304 2'-6 1/2"x 5'-3" %YLW(VENTM) o EXI5nNG WA15 WALLS.&ROOFING A5 REOUIWV FOR PEW CON5fELCiION, H ANDER EN TW 2442-2 4'-II 15/I6"x 4'-5 1/4" DOIDL NA�OW MLLLION -J CON5MC110N fO OF REM0\09 3.) ALL NEW coN5TU11lON f0 MAfO1 EXISTING N MATERV'L. NM:CO_ TICE Au WwPOW5 WITH OWE AN17 R SM NEW CONSTRUCTION DETAIL.AND PIM`3'I. W1TM VyT MANLIPACTI,�R PRIOR fO ORDERING OF VWO�M150UGN OPENWGS (MNfIL4U (MMON) (iDgIIRJ) (/R,MW ---- I � ot I1------------ -- � Y _ I rtwvVz••uwnlso I R I I ewz.lowvasaw, - - ---- - - - -- - - I Az a a1 ------ --------- ----D— 64 85 b-0 � ZO'-B• (,Mr W F Q UDmm b m Q - (NntOIFb51W/J a � p� R Q75 tR z� � O m � a �N Q f �€ FNYN" co a R o (MMM NIA NEW ADDITION OR: DESIGNED/DRAWN BY: COTUIT BAY DESIGN z o m o �) 43 BREWSTER ROAD o DAN TURNER MASHPEE,MA. 02649 b 25 CENTERBROOK LANE CENTERVILLE,MA (508)539-2699 0 j= T-/7r Assessor's map and lot number .........C7a..— 10 TNe.............. Sewage Permit number ......... 33ARNSTAIILE, Housevnumber ................. ...................................... NAM 039 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... /� ................................................ TYPE OF CONSTRUCTION .... ................................................................................ ....................... ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informatioh- Location ... .......r ....................... .. .. . ... ProposedUse ........... ............................................................................................................... Zoning District ...................................... ...... ...................Fire District ....�.X! o...................... Name of Owner .....r_o�2 (._,17.. Add ress1 .O..(ti.?. 1.... ...�..�...s?......................... ....... Name of Builder .......... ..........................................Address .................................................................................... ..... ....... Nameof Architect ..................................................................Address .................................................................................... ...........Number of Rooms ..................................................................Foundation Z..../............................. Exieiior ..... .. Roofing .... .....; .. ............................ elf�Floors ..... ......................Interior ..7 Heating ...... ...........................................................................Plumbing ............................................. Fireplace .......t�za...........0.................................................Approximate. Cost .........4I.S.S.... .................. Definitive Plan Approved by Planning Board ------------------ ----19 j-------. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH C� i N1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re,garding the above construction. Name ................................................. .................... Construction Supervisor's License ............ GREENBRIER CORP. A=172-10 No Permit for 1 ...§tRKY...... Z� -Sin' cfle Fami)-_v...pl��q:Ljj4.g.......... ....................................... .... Location 4Pt.5.r......2.5... ............. .............. ......... .......... Owner ... ...QQXP............ ........... Type of Construction ...ZraMe........ ................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ........May....16.................19 85 Date of Inspection ....................................19 Date Completed ......................................19 070 r . . TOWN OF BAR,NSTABLE 27832 PermitNo. -•--•-=------•------------------- Building Inspector Cash � wa OCCUPANCY PERMIT Bond Issued to Greenbrier Corp„ Address Lot- 5, 25 C:e--,-,ernrcdK lam, Cen;:wdne Wiring Inspector Inspection date ' _ Plumbing Inspector ' s Inspection date ell Gas Inspector � Inspection date crFY�o��°so„-�'J ..t..,.u.�t,�x,.�• i�1 i �� Engineering Department t.� .'i�s✓ / .�^ '�` Inspection date ."^ Board of Health � Inspection date r' 7 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. + 1Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT i BARISTAK TOWN OFFICE BUILDING rua �� •63q. `� HYANNIS, MASS. 02601 i MEMO T0: Town Clerk, r" f+ FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized.by Building Permit #.» .........». �»» 1. :.. .:.. ... ... . .. : »». . ... .... .».. .:.»...» issued to Please release the performance bond. -P/qdVr Or ! `101 — l0 As map and lot 'number ........... . "' SEPTIC SYSTEM MUST SE of THE to . .. ............................ INSTALLED IN COMPLIAN Sewage Permit number WITH TITLE 5 n- " tp i�de i' n e y^� �^� BARNSTABLE, i AL C House number ................. .......G�_.....:................:....... ..., 9oo i63 e0� s 'TOWN '.OF 'BAR:NSTABLE BUILDI V 'Sp CTOR APPLICATION 'FOR PERMIT TO ... `fC'�:.... 1.... ...............................:................. TYPE OF CONSTRUCTION ....��.U... � �� f......................................................... ...................... ` 1 .....................��/.. ..19n, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ccording to the following inform ati et Location �'�l � lf?/� 1>/ ���? fF/ l.. .................................... f........... ...S., r........ ... r— ProposedUse .......:./ . ... .. ....C..........�c.n?f.:....... .......... ................................................................................................... Zoning District ... ....... ...Fire District ...... ... �2b ...... ... Name of Owner �'� ' .. �"�. ....�� ......Address ..........�..... .( v ` ` �� �/.../�..... Nameof Builder ...... ........................................Address .................................................................................... Nameof Architect ....................................................:.............Address ........................................................ Number of Rooms .....'P................................................ .........Foundation ..11GLlrP � G .... �� i"`........... Exterior ......1�) !/.�.�1. .C...4. ..1'�...4. ..?5- Roofing ...... .. .. .. r ................ Floors ..... ... .......�C. ......................Interior ....... ................................... .. - Fieat'ing ........�.................................................................Plumbing ..... .................................................. Fireplace ........ .............................................................Approximate. Cost ...........<.... .. .0............... .... Definitive Plan Approved by Planning Board ___________________ ___19_e_l_=. Area (Q/�. i.... ........... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH h C�) X �� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable a ding a above construction. Name ...... .......... ........... Construction Supervisor's License ........... GREENBRIER CORP. 3 1 z Story �No ..2....9.... Permit for ........ .......................... Single...Fami.ly...D�J�.7.a, Xlg............ Location .Lot 5...... 2.5...Q.entParb :QQk..Lane ...Ce n to ryi.I le..........4 .................. Owner ......Greenbrier...GQL�.:................... - '• < /• i l Type of Construction ...F'XAnle.......................... �• . .................................. .................... .............. _ • �.' Plot ............................ Lot ........:.................. r Permit Granted ..;..,;May 16.................. 9 85 Date of Inspection .....19 Date Completed . .. .... :l�� Y •I . 'l ` • f � • y r' WA L 7 s 4 D0 r L 0 T.00 6 f O a y r .p 3.3 ? (v k � , i M vi r1Y } OV t ` ! CERTIFIED PLOT PLAN x ` �� �� u� �: ,o r' of Ai�S :RORERT sic /—O T S C�i�7EILX?v JK .L�1�1/ B. , ELDREDGE ems" i`j%�j sy No. 19367 OSTt ,y A. /8s ` :8CALEs /p.3b'.� DATE# �13� �y cSPEEIV���E�? I CERTIFY THAT THE Fov,✓v�?.:v ,/ KLel.lEloiT �5x -�. - ---*---- SHOWN ON THIS ' PLAN I' LOOATiQ Nt.RTkRED REGISTERED W L JOt1,:K0. '` ?6 ON THE GROUND AS INDICATED AID f LAND CONFORMS TO THE ZONING LAID ', r, tv ENGINEER 8URVEY29 OR fly, a°r11' DARNBTA,RL MA88., cox , - yf , � a , ' MAINC DIY+ 8 Y `4 T t 2 S fi R E.E.T a-----«--- 5/ Pam' j F t 3 H YA1 N A'IS MASS.. BMEET �C.,01` t DATE REG.` LAD SURVEYOR 3