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HomeMy WebLinkAbout0006 JOHNNY CAKE ROAD t V R „�. �.,1 �" ��t, ��,�j Ate' 1`✓�/(/%�,-` k - _ - - -.n c: _ .i t -•x ,r,�� Y k= M:,, - .�,�, 7. 1.+a .y a as y Si. n , r ` d 4 a-�3-4 I 11KNEE r Town ofrBarnstable *Permit#' Expires 6 months from issue date Regulatory S �ii. es p�yp Fee i6;q. p� v� MASS. Richard V.Scali,Director ♦0 ArfD hAA�A Building,Division SEP 22 2016 _ Tom Perry,CBO,Build>�g'mv "mi'ssio er s�.i �yy-- ¢ 200 Main Street,Hyannis,MA iffARN A www.town.barnstable.ma.us TABLE Office: 508-862-4038 Fax`. 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL.`ONLY ' Not Valid without Red X-Press Imprint Map/parcel Number ^Property Address_t ❑Residential Value of_Work_$-_ Minimum fee of$35.00 for work under$6000.60 ,Owner's Name&Address 6j G I� o rjy Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction,Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ m a sole proprietor Moo,l am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. P�Request_(c e k`box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) slde placement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors:3«. �� ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.' Separate Electrical&Fire Permits required: *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&Construction Supervisors License is• re fired. qIGNAT ':\Us'rs\DecollMAp ta\Local\Microsoft\Windows\Temporary lntemct Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 cF Try rq�, BARNSTABLE. MASS. Town of Barnstable` - W i679• .• Regulatory Services Richard V.Scali,Director. Building Division Thomas Perry;CBO Building Commissioner s 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize .to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Dccollik\AppData\Local\Microsoft\Windows\Temporary lntemet Fi1es\Content.0ut1ook\2P101 DHR\EXPRESS.doc Revised 040215 i Town of Barnstable Regulatory Services oFtR rI Richard V.Scali,Director Building Division BARNSTABLE, ' Tom Perry,Building Commissioner y MASS. 1659• .200 Main Street,-Hyannis,MA 02601 �fD MA'I A www.town.barnstable.ma.us Office: 508-862-4038 " Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print �uATE" JOBLOCATION:"t (_;64�/r'/(�/,//� number = s eet , 2 village`/ "HOMEOWNER ` ;Y, 1 I�t• I6 ��) name home phone# work phone# CU ENT MAILING ADDRESS: lY �G�17 t/I 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 minimum inspection procedur sand requirement and that he/she will comply with said procedures and requirements. �W' nature o 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 It amend and adopt such a form/certification for use in your community. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0Utlook\2PIOI DHR\EXPRESS.doc Revised 040215 7be Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 fvw",.mas&gov/dia Workers' Compensation Insurance Affidavit:Builders!Contractors/ElertricianslPlumbets Applicant Information Please Print Lezibly r- Name(Bu"sinus/Orgmi-zation/individuat): l 9 Gt a �C( AJ .ate Address: J Uh►,►1 C loc ko4 J� City/State 7 p: P 6 Phone# 08 Are you an employer?Check the appropriate boss: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 employees(full and/or pwt-time).* have hired the sub-contractors 6. ❑New oonstiuct ort 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no These sub-contractors have 8. Demolition employees ❑ working for we in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.Irequir g• Building addttiorl ed.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.211 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]F c.-152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required_] 'Any applicant that checks box#1 nmst also fill out the section below showing then walkeW comnpensatiou policy information. 7 Homeowners who submit this affidavit indicating they are doing all wed and then hue outside contractors must submit anew affidavit indicating sucb- tContiumrs that check this box must attached au additional sheet showing the-aloe of the sub-contractors and stare whether or rot those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'coagmnsadon insnnrrrnce for my eaWLajwes. Below is the policy and job.site information. Insurance Company Name: Policy 4 or Self-ins.Lie.#: Expiration Bate: 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 MOL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisormtent,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 D1A for iasuran-re coverage verification. I do hereby certi nder the pains and pe, a , of petlrt thrtt the ilafotvra®tfon provided®bone is tests and correct 1 tnue: Date: 3 v P1ion`e#: 1 Sod - �75 -1)3� dab- 36�f - ass Official use only. Do,not write in this area,to be completed by city or town olj'icraL City or Town: Permit/License# Issuing Authority(cu cle one): 1.Board of Health 2.Building Department 3.City;Town Clerk 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Phone#: C�. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'Map 0 Parcel Permit# Health bivision f of q� Date Issu , l j Conservation Division t �� I f O/ ' I Fee (S� Tax Collector Treasurer �lmu � , / IC SYSTEM MUST BE NOV 2 p IN LLED IN COMPUANCE Planning Dept. 2001 VATH TITLE 5 Er°� I 'uMP 22NTALCODEAND Date Definitive Plan Approved by Planning Board By , `'} fl, f S Historic-OKH Preservation/Hyannis Project Street Address � h Village P l� -P✓v/ W ':�_ Owner _ ✓� JJ V) °� ��9—c, ` Address Telephone b �7 J 3 �GQ 1L�J r Uh Permit Request , Y) Q V_ I Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation / C�`� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size +. j Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Ll-" Two Family ❑ Multi-Family(#units) Age of Existing Structure_ Historic House: ❑Yes Q-Na" On Old King's Highway: ❑Yes ENo_ Basement Type: gull C9-et awl ❑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: 9-Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 21-Ye's ❑ 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 /) BUILDER INFORMATION Name ` / Telephone Number Address �c, h-c License# Home Improvement Contractor# i4o D::c D J Ng_ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t t e FOR OFFICIAL USE ONLY a.► ;` PERMIT_NO. DATE ISSUED MAP/PARCEL NO. I !* ' ADDRESS VILLAGE } OWNER DATE OF INSPECTION: FOUNDATION 1X FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH- FINAL PLUMBING: ROUGH FINAL GAS: ROU91.1i .' s: FINAL os: FINAL BUILDING I %, DATE CLOSED OUT " . Ir - 05 i i ASSOCIATION PLAN NO. '"; El J RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations �—$25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE c ,� 2 square feet x$64/sq.foot= �3" x.0031= J plus from below(if applicable) 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 �piMETp�,_O� Barnstable . . The Town of B {ASNSPA M • $ Regulatory Services 1639• •` Thomas F. Geiler,Director 'TFD MA'S A - Building Division Peter F. DiMatteo,Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no- Date AFFIDAVIT HOME IMPROVEMENT�CONTRA��,LION ORLAW SUPPLEMENT T �• ions,renovation.repair,modernization.conversion, MGL c. 142A requires that the reconstruction,alterations, -existing owner-occupied improvement.removal,demolition,or construction of an addition to any pre which are adjacent to building containing at least one but not more than four dwelling units or to structures such residence or building be done by registered contractors.with certain exceptions, Ong with other requirements. Estimated Cost J�—J Type of Work: k ---- / 34 Address of Work: 626 � Ile- Owner's N Date of Application: J l I hereby certify that: Registration is not required for the following reason(s): , []Work excluded by law [3Job Under$1,000 ❑Buil ' g not owner-occupied . ner pulling own permit k- Notice is hereby given that: G VVM UNREGISTERED OWNERS PULLING THEIROWN C BLE PERMIT MPROR O��T WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE UNDER MGL c.142A. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: . - 1 Registration No. Date. Contractor Name ; OR Dace Owner's Name q:forms:Affidav:rev-070601 I i I ' 1 I I I I I I '-� p' I � � I I • I I L �3i.?5.�+•.fie•:, cl:'r.,::sue: 11 /.III J."1.1 .w.l.i.l.l 1 ••. /. 11 ' ■ 11 1 :IIIII • M •1 • •111 . 1.•.I •I111•�11 �:II I11 111 11 _.1111 - 11/..II •11 11 r •. r • :Co-:�;oo���y�k:'.t ,d,.:..'4,,.' . 1 11 • /. ..////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////%///%//'/,%//////////////////////////////////////////////////////////////////////////////�//����/� ■ :11 . 1 . _ 111 1 r•IIII.: •Iw 1�1 • . •'1/ :111 I II .II• 111 ' JI � 1111/ Y11 II 1 1 1 -1 1 J 1 ' a>c!.r^^:o:•:;�g::;;c:c;o;.o:;:au... .:+..RY:x;" : 'a>...o:x.>.x...a,11 ..�., � •�<::• :. ...t2 'sr. '.S v�:nc`:<vh3z�:>.;¢<W.o!:''K <':5:::;,.,..., iu R;....:.>w. .::,R ., .•�^:>>c' ,, .. .�'. .:'-:.xty,�k2: .J•.. 3 v vASo'.P<aCa4aw'.'+.i��;"a..:u.:x. :^.:.qg. ): tC:Y :`i+'i^::.'r N<Yy�;Y:x:>wi,?:.::::+7:>i.:'. ":;Ak:y,..::.,.,'.4:i�.�'•> :�`�'�:�.� /„ �v � •. "':• , ..: � � .. t,i:g�•:,Ft>:�4"�, �::``c:>: Vca?�cc�n2<:;:;'.+,r``',.;,,..''`„�c:2•;,i,+�{>�C:\ iti,'".'� �ok::, lc.. .. ,.3. M.:.'t?Y:•R2o.. yY:;;:t.;:;:J:ea;::<:i2�I5:`S2�R2� -111 PAR: 11 - 77 ff,l1 Li offir4al use G* do not write in tWs am to be coompleted by cOY or tom 1 •.ul 1 n Ir ULIcensing Board C]Sdccmmws OMCC ■ chrckjfh=mlisft responseE3Hnitb DePartlatnt ■ • contact Person: Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to Provide workers' compensation for th= employees. As quoted from the "law",an employee is defined as every person in the service of another under any cow of hire, -,cpress 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 emplover, or the recewer 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 cr building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local.liceasing.agency-shall withhold the issuance or renewai who has of a license or permit to operate a business or to construct buildings in the commonwealth not produced acceptable evidence of compliance with the insurance coverage required• commonwealth nor any of its political subdivisions shall enter into nay contract for the performance of public work u=al acceptable evidence of compliance with the insurance regniremeats of this chapter have been presented to the cotttracting authority. W/F1 . Applicants Please fill in the workers' compensation affidavit completely,by chw1dag the.bcx that applies to your situ and supplying company names,address and phone numbers along with a cmff= c of insurance as all affidavits maybe submitted to the Departmetrt of Industrial Accidents for of fiow ce fie. Also be sure to sign and artownthatthe application for the pemtit or license is is date the affidavit. The affidavit should be retuned to the city being requested,not the Department of Industrial Accidents. Slumid,yin have any questions regarding the"law"or if you are required to obtain a workers' compensatim policy,Please call the Department at the minter listed below. City or Towns - 1 The D has provided a space at the bottam of the Please be sure that the affidavit is complete and printed legibly. ePa�� P� � fic,� pie affidavit for you to 0 out in the event the Office of In wdgatiams-has to cm=.d yin regarding aPP be sure to fill in the peffiitnicease number which will be used as a reference number. The affidavits maybe reimned t^ the Department by mail or FAX unless other art mgements have bees 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 Deparaneat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invenwations 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 F ZME Tp\ e T o wn of Barnstable _ Th =� Regulatory Services 9�A 1639- J%V Thomas F. Geiler, Director rfo► ►� Building Division Peter F. Di11�Iatteo; Building-Commissioner 367 Main Street,Hyannis MA 02601 gax: 508-790-6230 Office: 508-862-4038 HONIEONVNER LICENSE VPTION Please Print jj DATE: 10B LOCATION: - vili ge street number , � "HOMEOWNER•": �` home phone# work phone name CURRENT MAILING ADDRESS: C�-P P✓ (�1 /( e zip code city/town The current exemption for"homeowners"was extended to include owner-ocepuvied dwellings of six unto or less and to allow homeowners to engage an individual for hue does noto s sess a license,aro�i�at the owner acts as supervisor. OEMMON OF HOMEOWNER who owns a parcel of land on which helshe resides or intends ssory to such use h there •and/or Or is Person(s) dwelling.attached or detachedStructures intended to be,a one or g d s ear ohall not be considered farm structures. A person who constructs more than a e home in a two a form acceptable to the a homeowner. Such"homeowner' shall submitt 'n�Official.that he/she shall be res onsibie for all such work erfotitted under the building ermit. Building (Section 109.1.1) o Code and . The undersigned"homeowner"assumes responsibility for compliance with the State Building other applicable codes,bylaws,rules and regulations. The undersigned "homeowner'certifies that he/she understands the Town of Barnstable Buildingsaid Department 'nimum inspection procedures and requirements and that he/she proved e d requireme attire of Homeowner Approval of Building Official it dwellings containing 35.000 cubic feet or larger will be required to comply Note: Three-family g with the State Building Code Section 127.0 ConstructionONontroi. HOMEOWNER'S F.REMP11 Permit's required shall be exempt from the The Code states that: "Any homeowner performing work for which a building p Supervisors)' provided that if the homeowner engages a provisions of this section(Section 109.1.1-Licensing of construction r. crvisor(see person(s)for hire to do such work.that such Homeowner shall as as sat they P a me assuming the responsibilities of a'sup Section 215) �lack of awareness often results in Many homeowners who use this exemption are unaware that y persons. In this case,our Board cannot proceedible.nst the` Appendix Q.Rules&Regulations for Licensing Construction Supervisors serous problems.parucuiariy when the homeowner him unlicensed p of the pernut responsibilities.tnaay c°ntn unities require.as pan of this issue is a 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 rap°onsibilities of a Supervisor. On the 1 SE ourcorrununrry• application.that the homeowner certify that he/she understands the resP . form currently used by several towns. You may care t amend and adopt such a form/certification for use in y { Q:F0RMS:ElEN1PTN • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION --------------- -- x i Please<'-print;.,, DATE 20 19CI 3 JOB4-LOCATION J o tUC,-A « ,. Number Street address Section of Gown, r HOMEOWNER pb�lLT' Goo>C 771- 23c.3 Name Home phone Work phone`' PRESENT MAILING ADDRESS b o.►N yG�K� �, z - dzz 3 2_ ' City town State - ..�; P ..:Zi code.:_ The current exemption for "homeowners" was extended to include owner"occupied dwellings of six -units or less and to allow such homeowners to engage' an .in-__ dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER.: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Stat Building Code-dhd other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply wi s id oc ure an requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL . Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. F HOME OWNER'S EXEMPTION The, code; state.,that: . _','Any Home Owner 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 a Home Owner engages a persons) for hire to do such work, 'that -such Home Owner shall act as supervisor. " ` Many Home Owners who use this exemption are unawa re are that the are assuming the responsibilities of a supervisor (see Appendix" ylat PP 4, Rules and Regulations for licensing Construction Supervisors, . Section 2�:15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The. Home "Owner actin as supervisor is ultimately responsible. °M To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home "Owner' 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 ..to . amend and adopt such a form/certification for use in your— � . �4 J � \.- i Cu. yd GJ'j 3 G y2 ✓s v,v .� . - r p a : 1 • �: .__ ,.._. ,m3.,�i.-'`al'yr•^v k }.;; Iw``..:�. .. -a' '�`rtrt uf`T"';�. ��±L T _ a _ rt r IN qwa k F, • i t \ t , fzj.tom a . .x+ q 0 zc, <,, — h Assessor's office(1st Floor): rr�� p -- SEPTIC EY�TEJW w Assessor's map and dot number d CSC 0 .O 3;L 4; _ 'NSTALLED IN Co Board of Health(3rd floor): r114 / t Sewage Permit number �' ENIRONM EN W STAXLL Engineering Department(3rd floor): Y TAL TOW House number `` � N REGV� Definitive Plan Approved by Planning Board ` 19 i r APPLICATIONS PROCESSED 8:30-9:30 A.M.,and 1:00-2:00 P.M.only - TOWN w: OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO i TYPE OF CONSTRUCTION 1Ne3p p �'2✓1 w�E- ` 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: • Location & vkIj Cd��e Jc�. CC,-> L � �j I Proposed Use ENLA2G-C D r n1 t G- f�2EYd tr 1 S tri ,JG �� �F III Zoning District Fire District Cam✓«��� ^OS i€Y�tll��e—1�fi4R;�YN�S, '. Name of Owner R o 6 E-2T 14 . Address G eed- Name of Builder 126(,E-2- 14. Ca k I -',-?- Address o ti N�'�'�'`�'�� � • Name of Architect Address Sr9 � Number of Rooms APO ((o Foundation Co 1� o t< 4 .%G-4• �I�I�Z SL, n�i �-Cr Roofing cP c—" S�.�.-� L 2 y Exterior � g Floors \Ala 0 Q Interior. %Z� S1• Heating ► S 7-1-;-tc- Plumbing Fireplace Approximate Cost �,Z�.- Area 889 S. F Diagram, f Lot and Building with Dimensions Fee ZOT o y Li e Pro -'0 4 se-d mod,77awl 1fl I� 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 `"�►° y �c2 COX, ROBERT H. JR. �60 BUILD ADDITION r ~ No �- Permit For t - r Single Family Dwelling - t 6 Johnny Cake Road Location `x- 9 Centerville " a ' Owner Robert H. Cox. J Type of Construction Frame u s V 4. t Plot�l Lot i Jf ? tf Permit Granted f Auqus t 5 , j g 93 Date of ln`spection` - t; Date Completed ��/71 0,19 Cr 0©in in 22i—O/2n a�O�o pow GHE5T �a 40�?e `� DRE55ER i > U00 TOILET TOPPER 2/bx" 6/5 OPEN SHELVES T 5140 36" CHEST ; 4 Q - 2/bx ? 618 l CLOTHES POLE r L���T vw SHELF ABOVE G&JEEN BED , 1 f i I BOOKCASE ( I I I BUILT-IN DRAVERS L - - _ INDICATES EXISTING WALL INDIGATE5 NEW WALL r s -_ -.,... .....- INDIGATE5 EXISTING WALL TO BE REMOVED MA5TER BEDROOM 5GHEME 2 i 1/211=01-00