HomeMy WebLinkAbout0059 HITCHING POST LANE o
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
11
TOWWOr BARN3TABLE 7670
Map Parcel Application #/3?k
Health Division 012 NOW,13 p11 2: 3Oate Issued k k xk-a
Conservation Division Application Fee
Planning Dept. - Permit Fee P
Date Definitive Plan Approved by Planning Board
Dim I1�7� 1Z�
Historic - OKH _ Preservation/ Hyannis
Project Street Address 4L6,
P Villag4& Vd(e, 1 (� XZ6 � �
Owner_ /p( 6rtcL Address.
Telephone d�✓
Permit Request � (a ��
P l f
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation �� Construction Type w5xt,�#6`'V
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ 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: ❑ Gas ❑ Oil ❑ Electric ❑ Otherl
Central Air: ❑Yes ❑ No 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 ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Telephone Number
Address /�;��s�/zddl� G'�� License # ,/D D l'
4& , &' Home Improvement Contractor#
Worker's Compensation #�JGi9�4 ✓��d
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
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FOR OFFICIAL USE ONLY
APPLICATION#
DATEISSUED
5 MAP/PARCEL NO.
i
ADDRESS VILLAGE
OWNER
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P,
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DATE OF INSPECTION:
FOUNDATION
i
FRAME
INSULATION
t FIREPLACE
ELECTRICAL: ROUGH FINAL
i'
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
i DATE CLOSED OUT
ASSOCIATION PLAN NO.
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hl._.
10 Park Plaza - Suite 5170
Boston Massachusetts 02115
Home Improvement Contractor Registration
x: Reqistration: 153567
Type: Private Corporation
Expiration. 12/15/2012 Tr# 206433
CAPE COD INSULATION, INC
HENRY CASSIDY
455 YARMOUTH RD. -- ------- - - --
HYANNIS, MA 02601
-Update Address and return card. Mark reason for change.
Address I Renewal [j Employment I Lost Card
PS-CAI 0 SOM-04104 G101216
(lfficc.q o1 bunter Aff:ur 13uV1 Regul•ition License or registration valid for individu! u: e ^!;'
�/ r Z'JWla before the expiration date. 1f tbund return to:
Hom �1PR6G`i `(v9e '6Wfl�ac� `
Registration: 153567 Type: Office of Consumer Affairs and Business Regulation
t= F( 10 Park Plaza-Suite 5170
.1 Expiration: 12/15/2012 Private Corporation
Boston,MA 02116
_1 ; SOD INSULATION, INC
HENRY CASSIDY
455 YARMOUTH RD, AHYANNIS,
MA 02601 —nersecretary ith t si tune
\l;t,..a<Iiusetts-�Departmc•nt of Public Sateo
Boar11 of Btiitdin�� Re�-ulations anti Stand.11-'
® Qonstruction Supervisor License
Licenses: Cs 100988
HENRY CASSIDY
8 SHED ROW
WEST 1-ARMOUTH, MA 02673 +
Expiration: 11/11/2013
(ulnnii..i„ocr Tr#: 7620
1
zu 12 3 1l 'iVi No, 1605 K I
Client#:4597 CCINSUL
ACOW., CERTIFICATE OF UABILITY INSURANCE DATE(MMIDDIYYYY)
,4 07f0212A17
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
13FLOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE I65UIN61N5URFR(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and condltlons of the policy,certain policies may requlra an endor6ement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsemenl(s).
PRODUCER NAME: -Margaret Young
Rollers&Gray his.-So.Dennis PHONE 508-760 4602
434 Route 134 .(A/C,No _,I): uc No: 877-816.2156
E-MAIL
South Dennis,MA 02660-1601
508 398-7980 INBURRR($)AFFORDING COVERAGE NAIC 8
1NSURrRA:Peerless Insurance - _ 18333
CapINSURED INSURERS:Evanston Insurance Compan
455 Cod Insulation Inc Yarmouth Road INSURER y -
Atlantic Charter Insurance
55
Hyannis,MA 02601 INSURERD:Commerce Insurance Company 34754
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER, REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE r ISTED OCLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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.
gERXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
TR TYPE OF INSURANCE ADDL SUER- - POLICY EFF POLICY Elf
POLICYNUMBER (MMIDDNYYYI JMMIODNYYYILIMITS
A GENERAL LIABILITY CBP8263063 0410112012 04/011201 EACH OCCURRENCE $11 00O 000
X COMMERCIAL GENERAL LIABILITY PREMI`ES EDITED $100000
a otturrence
CLAIMS-MADE EX OCCUR M5D EXP(Any one parson) $5 000
PERSONAL.&ADV INJURY 11,000,000
GENERALAGaRRGATE s2,000,000
GEN'L AGGREGATE LIMITgppLIE8 PER: - PRODUCTS•COMPIOP AGG s2,000,000
POLICY n PRO- LCC - $
Q AUTOMoeILEUA61uTY ` 12MMBCKUMK 4�01I2012 04J01�201 EO;BLINEDISINGLELIMIT 1 OOOOOO
A14Y AUTO - BODILY INJURY(Pcr person) $
ALL OWNED X SCHEDULED
_AUTOS AUTOS - BODILY INJURY(Per accident) $
X HIRED AUTOS X AUTOSWNED yam
$
S
e X ufdeRELLAUA9 OCCUR XDNJ453512 4/01/2012 04/01/201 EACH OCCURRENCE $1 OOO 000
EHCtSU LIAe CLAIMS-MADE -
AGGREGATE $1 OOO DUO,
OED I X RETENTION 10000 $
C $ BER'EX CAlnUO6N
� we sTATu. OTI1.
OFCR AND EMPLOYERS'LIABILITY � WCA00525902 6/30/2612 06/30/201
FIE /MM NIA
E,L,EACNACCIDENT $1,000,000
N
(Yea,daary io and E.L.DISEASE-EA EMPLOYEE $1 00O 000
It y69,dee>:rSbe under - ..
DESCRIPTIONOF OPERATIONS below �r E.L.DISEASE.POLICY LIMIT $1,000000
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VE141CLES(AUauh ACORIJ 101,Addillanal Ramarks Schadulq,II roots apace le required)
Workers Comp Informatioli 41'
Included Officers or Proprietors
Certificate Holder is Included as an additional insured undor General Liability when required by Written
contract or agreement.
CERTIFICATE HOLDER CANCELLATION
Cape Cod Insulation,inc SHOULD ANY OF THEAeOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE 'EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
®188 -2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010/05) 1 of 1 The ACORD name and logo aro registered marks of ACORD
#883849/M83848 f MEY
`-:- The Common I i d 1h of Massachusetts
.Departrrlent o bidustrial Accidents
__ W r7f�ict' ,,i l a viestigations
600 11'i i ,wigton Street
Bost, IA 02111
WVol*erls e.urupellsatiorr lnsurarrce Atlid. Builtlees/Contr�tictors/1�lectrici�u�s/.4'lur►ilrer
ipplirunl Lnforrrratic►tr lPlerise PriiA I...ebibly
:urn lillsut�..5�/or'tltllZ•clll.OrILL[7(:I1V1llU�tl�:
( b
\tltlrt'i.ti'_
" 7'71 - f:�Z.4
Arc You all erupluyc►'7 Check the appropriate box: - _ _
Type of pruject(re(luircd):
I I .uu a employer with_.... �7 a
t 1_U ❑ I am a;��u,,:d contractor and I have 6. ❑ New corlsuuctio,t
rulplt,yres (Dull tulip/i.lr peu:t-tune.)."' hired (lit �tih'coiaraetors listed on 7. ❑ Remotic.liu)
the attic �c tl .Ilcdt.:1
I- I ani a st.,lc proprietor Or partnership These sul,',-'.-;,tatctors have 8. ❑ Demolition
and I,avc: lit.,clrtployees work-in,for eniploytc:.:+n,1 have workers' comp. 9. ❑ Building addition
nlc In,my 'lacif
ca k Y [No workers' insuraut'.j lU, El .Glt'.CIrlCill repollS Ur itdihlW115
r„rlyl In uralICt rcquirect.] 5. ❑ We are:I,oill,xrition and its
1 1. hlunlbin re:�atrs or additicnls
(( I oliicers li:ii, t xereised their right of ❑ 6 t
alll a hutlicowtrel doing all work exemplltm r MGL e. 152§(4),and 12. hoot repairs
ntyscslf INu workcrs' comp. we have n,.,'u,ployees. [No workers' 1
13. other��cc���l f'r1 ZLT�tCIt
in5ut'aniC r'r,.t.lUll'CCI.I 'I C0111p. IWUl:u,i:C I'e(Pired.l
„v.ytpltiant that Cl'CC ks box Fit t must also fill out the section below show...•,I;it workers'compensation policy information.
Il,u,c,rmue,s .vhu suh,nii this affidavit indicating they tue doing all woo,,u J,hru hire outside contractors ult,st submit a new affidavit indicating such,
rt'.mtt,,Cloi.ti that check(fits box: roust attach an additional sheet showing Ih,-loot:of the sub-contractors and state whether or not those entities have employees 11
u,;wb,:miltacwj.s have ernploya ,s, they must provide their workcts'co,rl, 1-1h.Y number,
t um an employer that is pro vitlirig workers'compensation.MNm-ance for my employees.Below is the yolicy arrd job site' _
ur;/arrruttiurt.
]IN"I lh e Compl-my Nan-le: A
l'ohc�•IF ul.Sell_ills. 1.-ic. ##: L
Expiration Date:
lull iltr. ,\ddrrss: ._- ��r l " city/state/zip:
Attach a cupy of the workers' compensation olicy declaration patio(.-J,tying the policy number and expiration datc).
I a,luw to sOcu,c<uvcru6c its 4'C(Iltll'ed tltlder Section 25A of MGL c. I i',-m Icad to the imposition of criminal penalties of a fine up to$1,500.00 wow
,ulc•-Peat nuprlsunutt ilL, as well as civil penalties in the form of a STOP 4e1)I<k ORDER and a fine of up to$250,00 a day against the violator. He advised
copy t,f this slalculcut (net e forwarded to the Office of Investi .:,u.„-,„I the DIA for insurance coveruge verification,
1 elo here c h if' under the , itiisss aarid penalties o perlurV that the information pro Bred ubove is true and ei:wr•ect.
ll ',tlilllllt: l/ / Vl�131 ZO �,
Date:
t'hitnrl#: 2 7 (t
tlfticitil use only. Du riot write in this area, to be completed bi- try or town official
City or Town: --... I'crluit/Licensc f#
lssuiub Allthol•ity (circle ul►e):
t.hoard of Health 2. lluildiiig Department 3.Cjty/'i utru Clerk 4.Electrical luspeetor S.Plumbihig Jusireetor
o.(.)(her
l'outact Persurl: _....._. Phone#:
i
3 i
OWNER AUTHORIZATION FORM
13C r1l
(Owner's Name)
owner of the property located at
,
(Property Ad ss)
,
(Property Address)
s -�-�
hereby authorize � O T►� GL Or
(Subcontract
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property.
o
Owner's Sigri
1 �Iy
Date
D
0CT 91 2012
o K d 131113
CAPE COD TO PIN OF BARN T11BI
INSULATIONr" P1t , r
Cal
F.U.01A55 SlAm1CS5 SPPAf .. 5Y5P(NOLO
&AR5 GYii5N5 INSY{Af10N CfIINiYi
1-800-696-6611 � `l
"Town of Barnstable
Regulatory Services
Building Division
200 Main St
Hyannis, 1V1A 02601
Date:
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. perfonned &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exeeeds Federal & State Requirements.
Property Owner Property Address Vil_ lade
red.�n clG 1DD 100 5 '&i1 Me� � A�c k�� Past "e, Ge'M �lr C(
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings ( ) (x) ( 31)
Slopes
Floors ( ) ( ) ( ) ( ) ( )
Walls
Sincerely
He yWsidysident
Cape c.
Assessor's map and lot number 7.3 3
...... ........................... r L,( ypi T0�
. / %L G� � L G A,-,"I G Lt f('Gt�L�f C= / ✓OL GCe THE"
Sewage Permit number ........................................................
Z BAHa9TABLE. i
House number MA°�
....................................,................................... 'o
i p i63q.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
I
APPLICATION FOR PERMIT TO .....,F4. ....
TYPE OF CONSTRUCTION ......... / .....4`:.�.... G�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........ 1....., .. ...... .' ....................... ±... �......... =. -- j�c' J....................................................
ProposedUse ........................................................................................,........................................
_ Zoning District .. ........l...0.........................................Fire District . ...........
Name of Owner f!..` .. .................................Address ...7.7..:/,� ...... ................
Name of Builder ..... .....Address ,) !..... st�, .............. £.�
kt p l N N
v
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms , Foundation .................................
A
Exterior ................ ...... .... ........................Roofing ......<............................................................................
nn '/
Floorst_ ��s�� �� � ..........................Interior ....................................................................................
Heating ..................................................................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ........................................... .....................
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ............. CSC/
Diagram of Lot and Building with Dimensions Fee ......A?r.....
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r
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 .........................le-If.........................................................
Construction Supervisor's License .. :. 9 ���
j
FOLEY, PAUL
A=173-3 f
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No 25483 Permit for ..ADD...T.0..DT97EI.I.IN
Single Family....... e . t1. ............... .. ,
Location ..5.9- itiching...P. •st...Road......•
................CenterY?.7. ,e..................................
Owner ...
....................................
Type of Construction ...E-ra,1 s: ........................
................................................................................
Plot ............................ Lot ................................
Permit Granted ...............19 83 I
;
Date of Inspection .......19
Date Completed ......................................19
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Assessor's'map and lot number .................................. THE
-v SEPTIC SySTEM
iewage Permit number ........................................................ MUST
INSTALLED 1N COMPLIA STAN
NAG
House riu-mWr ..............................5.. ..... WITH TITLE 5
...... ....................... 03
rasa
CODE oil
H1 TTO
C�
BARNS
TOWN OF1 TaFfrTIONS
: f''
BUILDING INSPECTOR
0
0
APPLICATION FOR PERMIT TO ... . ...... ..... ....................................................
TYPE 'OF CONSTRUCTION ........ ..... ... ........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........ If fq�.l.......... ...............................
.Proposed Use....... ...... ..... ...............................................................................................................................
. ...........
ct ......................1...C.....................:...................Fire 4 '11-1�....e -_2
Zoning District District ................
4/9
Name of Owner ..........................:........Address .�rf. ...14Z, .......... AA7�.................
Name of Builder .... .. ............................7............. .......Address ...............................
1�1 �4�' 4
Nameof Architect ..................................................................Address ....................................................................................
...............................................Foundation ... .......... .......................................
Number of Rooms .................. ._.-1;®r
Exterior ..........I*- ....................Roofing .................
Floors .......................... .. ...... J.—k..............................Interior ....................................................................................
Heating ............................................................................Plumbing ..................... . ....................................................... .
4
Fireplace ......................................Approximate. 'Lost ...............7 4.�. ...
............I.......................
Definitive Plan Approved by Planning Board ---------------- 19 .. .Area ............ .................
Diagram of Lot and Building with Dimensions Fee ....../ ....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 ................
Construction Supervisor's License ...cz.,f................
- f z
3 FOLEY, PAUL
z ,
4 v l
x ADD TO DWELL '
25483'
N� ................. Permit for ... ................ .
.................Sin 'le Family D�ae11i¢ng
.................... ..............
Location t59 -Hitahi g Post _Road w
.. ..,,,. ..................................... I -
Centerville .' ' ` ►^
............................................................................... -
Owner ....Paul Foley........ . .
Type,of Construction Frame,............................. �'"" M1 • ,: ,
;Plot ............................ Lott .............................. %
w
Permit Granted •••Augus.t 30 , r 19 83 -,
r Date of Inspection .f�...... ... 19
,Date Completed ✓. .:.. .................... . g.19x' -
YN
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THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
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r�' r SEPTIC SYSTEM MUST BE
Assessor's ma and lot_number ...... ..:........ -
p •• T; INSTALLED IN COMPLIANCE
Ole . 7•�L -,_ . l/ '_/7 . S9 WITH ARTICLE If- STATE
SANITARY CODE AND TOWN
�f Sewage Permit number ..................:.............!.........,................. j
caI REGULATIONS.,
7NET� TOWN N, OF BARNSTABLE
NAGS a:$ BU [LD-I` G INSPECTOR
,7 O tlPY
�4 •._t C,
APPLICATION Fo:k PERMIT 10 : .lt..:...'.J:.' .` .. ��
TYPE OF CONSTRUCTION .�.... ..���.m�. .............................................................................................
n , - A
, ` ;.....................
"lTO THE INSPECTOR OF BUILDINGS:"
The undersigned hereby applies for a permit according to the following information:
Location .Aer.....aZ.5...........��r�.���/��r.....��✓.`�...����...........(:;,�/J! �/�f��t L4.................
Proposed Use .........,j�s e.P..e,".IrA
r
Zoning District .........� lG�d�!/=/.� ��> j�
............................................................Fire District ...............:T.. ..k:.......!�...,,........................
v�
Name of Owner . ..............�.�.. ..y...............................Address . ��/�%t�!. .... / ='`�:........................
Name of Builder .......... .......Address. �osi .....................................
f/� E1.�?.`/....: '... /3 i £>.C1J ��a .� At�X
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms . d At e-R�'7� le
.............................. :::..................Foundation ..............................................................................
Exterior .....��tf%� Jt
......................Roofing ......% .. .>.:tA^. ........................................
..... .....................................
n �
Floors .... '....`:. '�f �'IE / ..............................Interior ....... �...`..�1... Cr ...............................
Heating . . ��'�'� Plumbing . �/4-7 /
................................—................................... ..........................:.......................................
Fireplace ..........Approximate. Cost D�
Definitive Plan Approved by Planning Board _____________________________19________. Area ....................
Diagram of Lot and Building with Dimensions Fee 3..................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1P'
14r,
Jr
AW
Y
0
hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name 'G ..4'....... . .mac..:...:..:...
. r
Foley,-Paul
. � .
� No-.AMP— Parn�� for ��K����KN�-----..
.'
' -----^—~'—`--^--'------^-----' '
'
- - .
Location ..��1�.��.. .��mu�.J��° --..
- ` . .
' ' . ' .
—.--.-----wwmwt^x.ville---------.
O,knar ......Raul-Foley ------------
Wood ti�m&q.
Type of Construction .......................
.
/
---..-.---------.-----------..
Plot ............................ Lo� -- 2� . '-
----'--� —
. ^
~ - �
Permit Granted ` —.�.l� ��' _-- --_~-
x '
|
Do�a of Inspection --]A
'
� Dote Completed ---l9
^ .
,
PERMIT REFUSED
...--._-..._......................... lV
��.��c_ �� �� _ ^, ..............................
��_ `~... ' .------
� ..................................
'— �� ..,.._--'....
....................................................
�
-� .��.,—.---...................................................
^ .
_-----------.--.. 19
r� ��
—...--.---------.—.....--..---.-- ~
----------.------.--~..—....,.,
`
Assessor's map and lot number ............................. ............
Sewage Permit number ..............................................
°V7"ET°�° TOWN OF BARNSTABLE
Z EARISTOELE, i
"6
n a'4 BIJI'LUNG INSPECTOR
Mar . _,
�i
APPLICATION FOR PERMIT TO ........................... c
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TYPE OF CONSTRUCTION :e_'L......E:.?!....................................................................................................
7
................................................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location '_�ti- 2 � :-f r;-e zylNG :� r'r `, sC sl vJ� �, /4;7� �Il�L L 4
........................................................... "... ................................................................................................
ProposedUse ><:.... i3 ' F r.......... ............................................................................................................................................ ...................
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*,Zoning District fj �'.......................................................Fire District '!tl%t=� 1fi A .4 Cry%
...... ..........................................`.......................
Name of Owner ..�..............e.:!'f.�..1................................Address .. `� ? � ri✓ % �c'r yJtt.�fS
.........................
Name of Builder �r t"r....'%1 A�c�, . ..� ....`..� r fpslo C'�Afrr-�'i'".Ate
.....................Address .................................
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%Name of Architect .............................................y...................Address ....................................................................................
Number of Rooms ............'....::..................................................Foundation ..........?:`.................:.r.............� ....
Exterior ....... . r, ' /-/ A� f. ........................................................................ Roofng ......fi ........ ... ...........................................
Floors !..rr a - Interior
C'f: t� f � ,--e-&
r
Heating .. r " .. = ...........Plumbing '
Fireplace ........... .............................................................Approximate Cost .. 1 G G'
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Definitive Plan Approved by Planning Board ________________________________19________. Area l. ' ...................................
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Diagram of Lot and Building with Dimensions Fee .... ,'(`�"'�..................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ................1�-�'............;......!;��..:'.. -`�� ......
Foley, Paul
72 } a
No ..92.... Permit for .....DWRIUM9.............
. .. . .................................
Location ..Lot..25 Hitching ?Q ,1r„La..........
Centervill ...................................
Owner ......0..peal F ..e.Y.................................
,Wood Faame
Type of Construction ..........................................
Plot ...................��12-0-t '. ..................
Permit Granted .......DecemlA7: 7......19 77
Date of Inspection .............. ..............19
Date Completed ......,..............................19
PERMIT REFUSED
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...... . ..........� . .� ............................. ►
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Approved ................................................ 19
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