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Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee 3sE —
• inaxsrnsM • pp pp pp
t ,� Thomas F.Geiler,Director, �{-PRESS-PEIR IT
FORA
Building Division-
Tom Perry,CBO, Building Commissioner 'lC'T=1 2013
200 Main Street,Hyannis,MA 02601
www.town.batnstable.ma.us• �a�•'3D��9b��E0 Office: 508-862-4038 TOWN OF
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
aJ s Not Valid without Red X-Press Imprint
Map/parcel Number
Property 2 7qG�/��Address /
residential Value of Work$` 1 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
Contractor's Name j tG/!' " Telephone Number
Home Improvement Contractor License#(if applicable) 12 7001r Email:Ze!!2t/rl1 it 6!1 .�o
Construction Supervisor's License=#(if applicable) 0 7.2-3_5 `'
❑Workman's Compensation Insurance
Check one: Y
-I am a sole proprietor
❑ I am the Homeowner ,
❑ I have Worker's Compensation Insurance ;
Insurance Company Name .
Workman's Camp.Policy# "
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders.U-Value .e� =(maximum.35)#of windows 2—
of doors:
Smoke/Carbon Monoxide detectors 4 floor plans markedwith 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
required. ,
SIGNATURE:
C:\Users\decollik\AppData\Loeal\Microsoft\Window emporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc '
Revised 061313 - -
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Super;N-iwr
License: CS-072.354
��. n,.
BRLkN p COUGH
82 PRUDENCE
Cotuit MA 0263� j
Expiration
J, Jy�JI 06h4nW
Commissioner
ter. ...
Office of consu
3; Consu'nerAffairs h •a,cic/Z
r OME IMPROVEMENT `�Busi ess Regulation a License or registration valid for individul use only
( egistration: Co Regulation
before the expiration date. If found return to:
327006
xPiration 8119120-tq TYpe: ` Office of Consumer Affairs and Business Regulation
COUG DBA
HLIN PROPS = ` 10 Park Plaza-Suite 5170
R n MgINTE�7 7 Boston,MA 02116
BRIAN
COUGHLIN ',.
82"PRUDENCE LANE:'•
?` COTUIT,MA"02635
Undersecretary '
_-_" � Not valid without,y' ature
+ ■ARNSTABLE
, 1 639. , ,Town of Barnstable -
A
Regulatory-Services
Thomas F.Geiler,Director
Building Division
Thomas Perry,CBO
Building Commissioner
.200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230 t
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, S I t .A C4` 1 dC1J ,as Owner_ of the subject property
hereby authorize 2i t,% W T,t to act on my behalf,
in all matters relative to work authorized byathis building permit application for:
Z7 5
(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\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc
Revised 061313
r
e
TJte Conmront vealth.of Massadiusetts
Department of Industrial Accidents
Office of Investigations
VJ_ 600 Washington Street
Boston,MA 02111 „
jvrvsv.massbr ov/din
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le-ibly
Name(Busimss/Organizationllndividwi):
Address: Az-,z_
City/State/Zip: It Phone#
Are you an employer?Check the appropriate box: Type.of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time)_* have hired the sub-contractors 6. ❑New construction
2.R I am a sole proprietor or partner- listed on the attached sheet, 7• ❑modeling
These sub-contractors have
ship and have no employees •. S• ❑Demolition
working for me in any capacity. employees and have workers' 9• ❑Building addition
[No workers'comp.insurance comp-insurance.
required_] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I LF1 Plumbing repairs or additions
myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required_]T c. 152,§1(4),and we have no
employees.[No workers' 13.N Other
comp.insurance required-]
*Any applictmt that checks boa#1 most also fill out the section below showing their workers'compensation policy infortanom
I Homeowners who submit this affidavit indicating they are doing all Rork and then hire outside contractors submit a new affidavit indicating such.
koutractors that check this boa must attached an additional sheet showing the frame of the sub-connectors and state whether or not those entities have
employees. If the subcontractors have employees,they must provide their workers'comp.policy number.
I ale art employer that is providing#ivrkers'compensation irts irmrce for my en ioyee.L Beloty is the policy and job site
information.
9 e �
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 against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for+*+surance coverage verification.
I do hereby certify under thepam id penalties of perjury that the information provided above is true and correct
Si tore: /Colt✓+ Date: -/,/2
Phone#:
Official use only: Do not sprite 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.Cityffown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone M
i
PERMIT PAYMENT RECEIPT
TDWN OF}}adARNSTABLE
BUILDTtJG DEPARTMENT
200 MAJY STREET
HYANNI 1�, MA 02601
DATE: 03/05/07
TIME: 15:24
------------------TOTALS-----------------
PERMIT $ PAID 56.58
ANIT TENDERED: 56.58
AMT APPLIED: 56.58
CHANGE: .00
APPLICATION NUMBER: 200701226
PAYMENT METH: CHECK
PAYMENT REF: 2946
Town of Barnstable *Permit# nay 01
Expires 6 months from issue date
X-PLEBS PERMIT Regulatory Services Fee- Stjo= 5�)
Thomas F.Geiler,Director
MAR 0 5 2007 Building Division
TOWN OF RAi-NSTABLEom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA.02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number o?3:1 V S g
Property Address a2 �C(,�— S 1 �e 'D C.. We-SA
+ Residential Value of Work '3 r40,v. Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address e 71 W e-
c2 7 1 �-A Yr- s k d fe z c, W es+ , Ce v\Ae t'y N t e AA4
Contractor's Name Telephone Number 5G T `�.o�� I C(7d
Home Improvement Contractor License#(if applicable) 1 a 7 o d(o
Construction Supervisor's License#(if applicable) 0702 35
h
❑Workman's Compensation Insurance
Check one:
I am a sole proprietor,
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
C�
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
D( Re-side
5
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property-Owner must sign Property Owner Letter of Permission.
A copy of the Ho Improv nt Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
The Commonwealth of Massachusetts
Department of Industrial Accidents
a
Office of Investigations
d 600 Washington Street
Boston,MA 02111
5� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): (''b L46��ti �[�� 4 t d ice
Address: gat Pru�,e�e� L�KL
City/State/Zip: (0±s) , &1 Phone.#: Sd$ `{:1-4) 1 ct 70
Are you an employer?Check the appropriate box: Type of project(required):_
1.❑ I am a employer with 4. ❑ I am a general contractor and I
6. New construction .
employees(full and/or part-time).* have hired the sub-contractors
2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P n'• 9. ❑Building addition
[No workers' comp.insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions
3.ElI 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.]t c. 152,§1(4),and we have no
employees. [No workers' 13.❑ 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 against the violator. Be advised that a copy of this staternwit may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signattue• ' t r�`�� Date: 3`�
Phone#• 50? A4 a'd I _70
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 Clerk 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 oLtntstee 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 insurance
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-contractor(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 k
(i.e. a dog license or permit to burn 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.
I
The Department's address,telephone-and fax number:
The:Commonwealth of Massachusetts.
Department of Industrial AMoidents
Office of Investigations
600 Washington Street
Boston,MA 02111
TO. # 617-727-490.0 ext 406 or 1-977-MASSAFE
Fax##617-727-774
Revised 11-22-06
www.mass.gov/dia
a ,f Town'of Barnstable
Regulatory Services
t SAPSTABLE, ' Thomas F.Geller,Director
MASS'
Fo Building Division
Tom Perry, Building Commissioner
200 Main Street; Hyannis,MA 02601
[fire:. 50&862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, 'VJ I ��� �" -� �� , as Owner of the subject property
hereby authorize �!'I GLYI C.o vs h y� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
t � xll�s���
(Address of Job)
o
Signature of Ow.nq Date
{
r
Print Name
Q:FORMS;O WNERPERMIE SIGN
r -
Board of Building Regulations and Standards
' I _
HOME IMPROVEMENT CONTRACTOR
Registrafi9n�127006
E ratr6tr 9/2008
r COUGHLIN PROP 1I�1' [IEN'ANCE
BRIAN COUGHLIN� �` �r�
82 PRUDENCE LAN
COTUIT, MA 02635 ` Deputy Administrator
i
�- ..,.._.,�, � ,+:v+'.i..•�.� rk`^"'v 1zl..r+V ,e1'a r v. a .,.,F.g,.. +P..;:rx^Wv'.:'. at-fi3X' ^�:,, .ti r... r A
� `Y 'H r'W : �.•!ti;� ^T' ..d qr :'2+r Y" ..:z-+�rt.f7 4'` :.:'Ma's }:`i'r' -
Assessor's office(1 st Floor):
Assessor's map and lot
Board Health rd floor)d�y
Sewagea Permit number } � � }-••
Engineering Department(3rd floor): M+ua
House number ¢ C) °o 2639•
Definitive Plan Approved by Planning Board 19 �0 mitt A,
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION ��/
L- 44)ci. 19 6
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 291/. 41. ,C11K- ?�jZt//�/-P
Proposed Use k a,
Zonin District VlilZ4,�2
f/ Fire District C
�
9 _
Name of Owner �//Dh7 f` S �' f7)6 Address Gti%
Name of Builder/fj�C/e®� T° .�1�'�P �'c Address ��" �� ���D �' � G> 3
Name of Architect Address
Number of Rooms Foundation
Exterior Roofing -
r ,
Floors Interior
Heating Plumbing
Fireplace ��` Approximate Cost
00
Area �b �re C4 44,5("
Diagram of Lot and Building with Dimensions Fee
r
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS }
I hereby agree to conform to all the Rules and Regulations of the Town onstable,regarding the above cou nstrcton:
}
o/Construction Supervisor's License
SCHMIDT, THOMAS A=232-058
No 33897 Permit For Build New Deck
Single Family dwelling
Locatio 279 Lakeside Drive
Cente
Owner. Thomas Schmidt
Type of Construction Frame
Plot Lot
ra
Permit Granted August 7, 19 0
Date of Inspection 19
Date Completed 19
PERMIT COMPLETED 1/1/ qL
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Assessor's map and lot number J� n.�.�
Board of Health(3rd,floor)yyp�-� ,-I I�S�ALED 1N C
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Sewage Permit numberd (" �1�/(I ��l �' r�`�OQ' WITH TIT
Engineering Department(3rd floor): ENVIRONMENTAL �9?SDtL
House number ...
Definitive Plan Approved by,Planning Board 19 TOM 0-AIL, ti, -4 av
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APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only .
A P P R o Y LTOWN OF BARNSTABLE
>�r t 10 Conse>wauoa C � �
IILDING INSPECTOR
S ICATION FOR PERPUIFO v/lImo-
• t
TYPE OF CONSTRUCTION
40— �� 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information,!
Location 41—/9 1 0��
Proposed Use
Zoning District Fire District
ecl
Name of Owner I1 S ��' dJhf�i Address Al.,/ 0 A
//1 Lf�� �G,�i�Pa l r v � R 3'1� Gvtc
Name of Builder Address S z�t � h�
��'► �c>;/4Q 63 2
Name of Architect Address
Number of Rooms Foundation .
Exterior Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost
Area A�b 14re-4 CIS A-A4'e
Diagram of Lot and Building with Dimensions Fee
i
/7 Q�
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Ba nst re ing the above co
Na e
onstruction Supervisor's License
L
SCHMIDT, THOMAS
r .y No 33897 PermitFo Build New Deck -
Single Family DJRI ina V
sr C / -
�, Location 279 LakesideDrive W_
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Centervillle t
t F Thomas S d.t
Owner
Type of Construction Frame
A P + Lot lot
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Permit Granted August 7,, 19 90
7
Date of Inspection .1119
Date Completed 19 '-
F. L; ` r
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TOWN OF BARNSTABLE
MAM
s639-
a MAXAP BUILDING INSPECTOR
TO THE INSPECTOR OF BUILDINOS: )
The undersigned hereby applies for a permit according to the following information:
4e ore
Nome of Architect ........... .,.,..,Address -.., . ����,�-1^~..."~....,...^^—
Nombe, of Rooms .---........ �p°.------.-..—...Foun6otlon .—.. ...................................
Exlehu, .....--...........
..................................Rmofing .................. ..........................................................
Floors --.-----.— ....................................................—....interior ^---..
Heating ...................
...............................................^—^............Plumbing------ -.�� ��--.------___.
Iry
Fireplace .--------������_--------------Approximate Coo _.—_—�,��.��n�>-----_______.
Definitive Plan Approved by Planning 8omnj l9"��� ^ A��x —. c� [] ----'
- I} =/
Diagram of Lot and Building with Dimensions Fee ..4/_��.u�^�//.[�______.
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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| hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardingthe above
construction.
� ��—' 'r=~,`,—.~..---.. __,^
-_ |
Holly Dev. Corp-
2, 3 z
No ...2!.!N... Permit for .... .....
fMIly, dwell*
............ .... .......... ..........
0
2
Location ....... a
............ ............
Owner H.Q.1.1Y..,D.Q.V.,.AC.4.rP...............................
Type of Construction ......Waod..Frame..............
...............................................................................
Plot ............................ Lot .2.7..........
Permit Granted March .2 I.t.........1979
....................... ....
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
tz
............................� ..
... I..................... 19
C5
............ � //................
.................... .......................................................
...............................................................................
...............................................................................
Approved ................................................ 19
0
............................................................................... >
...............................................................................
TOWN OF BARNSTABLE _
Permit No. .------._-_-_-
1 SMITAU Building Inspector
Cash ------------------------
$'r0
OCCUPANCY PERMIT Bond ----__----.-----_-_----
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to T' 11y De el t Cor- Address 395, Fast- Fair-mths Mj.
lot -A26 & 27 27- -side -iye, uenLe,—r
r
Wiring Inspector rat Inspection date 4f
Plumbing Inspector ' Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
..........................................._........., 19_._. .........................................................
.........._.. ........ .........._.... ........ ._
Building Inspector
V TOWN OF BARNSTABLE Permit No. _____21105
Building Inspector
� uYsxan Cash
O�0 YPY�'� •
OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall be
used for a_ new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to H0,11V I)M_eIMMentCorD. Address Bdz 395. East Falmouth, Imo,
lot 426 h 27 279 lakeside Dive, Centerville
Wiring Inspector 0`' .. ' E Inspection date Avj
Plumbing Inspector z—, Inspection date
Gas Inspector Inspection date
L
Engineering Department NIA Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
. SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
. Y.. . , ".f Buildmg'Inspector __.
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. A sesssor's map and lot nurnber ....ZZt:-- — 2 z`D 7
SEPTIC SYSTEM MUST B -'
Sewage Permit number .. .. .,�...... ....:.... ......... .
INSTALLED IN. COMPLIANCE
? WITH. ARTICLE II STATE
yoF TH E TSANI o TOWN' OF BAR qQ lL ff0WN
i EAUSTABLE. • _. t tf
.r
"6 q BUILDING,' INSPECTOR
,�•o war a• T � <'r
APPLICATION FOR PERMIT TO :.i. '�,/$3??�`.�. �r :: ®���' .:.: .....�. 4m1//fir
1 irk s
TYPE•OF CONSTRUCTION : ..: :..... ....:. ...... r.�, + . ....... ......:. ......:.. ......................::...
—+
......... e :. :. 19.77
.....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .............
.. uC� .... . ...........
ProposedUse Vie.: ......... ....... ......................... ......
Zoning District ..... ......... ...� :... . Pipe District .: 6� ! ��' -
Name of Owner ....: f ' ..' o.P:...��..5 . ..i..Address . : ,FY.c29r.�� ��t ;o.V.....
le-e 4et d/
Nameof Builder . : wr .: e?:..: ,Tt ':...:Address ......... .........................................................................
�`�.� `' c
Name of Architect :.. ?'' .....: ' , ' ..:::..Address .:....: �..:....... :..:.:.......:..
Number of Rooms .....:::: :,...:... ::.�:: .::::.::. ......... 4....:..,Foundation ,ee :.
Ezierior .::.:.:..:....::..:..: •./nram:..:.:... . . .Roofing W- 7011' ..........................................
Floors .................... .........interior ...::::.......... .��. ✓w' ........ ...........................
Heatin - Plumbing _ _
g J ..1e�r. :/$.: ...................:.r......... g ..:............. ,.....�I. �Z%/-17......................................
Fireplace .........................cz/dl ... Approximate Cost ........ � : ..................
Definitive Plan Approved by Planning Board ________, -' -------19�56: Area 1.0,.P... J ......
:.........
Diagram of Lot and Building.with Dimensions Fee `..o
SUBJECT TO APPROVAL OF BOARD OF HEALTH
3°Z l;j_y
J .
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding, the above
construction.
Name----
.............
f�
Holly Dev. Corp. A=232-57 ,
� � d
s 42JAQ5....... Permit for Bxu.J.d..,sa ngle......... �'-
�.
' ................ aiZy...dWe1l i rig. ........................... _
Location- 7...Lakiside...Dr f
4 •..••.•... ..•.•:.�
f
Owner ..... .....Rally...Dev.....Corp... ............
Type of Construction .Waod..F:rara...................
. .; �' ' ' +• ��
......................... .....................................................
'Plot ............................ Lot .......26... ..2-7.......... , l
Permit Granted *:.........March..21 %. 1979
Date of Inspection -.19
Date kCompleted .. ..1 , 7.r1...........19
fi + S
PERMIT REFUSED
.. 19 , • f r� rA �f �: .
...................................................................
............... .... ............... .......... .................a
..................: ..� .`.. .. ... .
..... .. .............................................. 1 ;
Approved ................................................. 19
..........................................................,'................... . } r
{
.......... ................................................................
I CERTIFY THAT THIS PLAN
HAS BEEN PREPARED IN
CONFORMITY WITH THE RULES
AND REGULATIONS OF THE
REGISTERS OF DEEDS OF THE
COMMONWEALTH OF
MASSACHUSETTS
PROFESSIONAL LAND SURVEYOR DATE
L ocu
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0
Wequaquet rc
e _ o
PARCEL 59 LOCUS MAP
ALAN J. GREEN
175,t 1
NOTES
DRIVE 1 MAP 232 PARCEL 58
-gyp LAKESIDE DATUM: MLW
ODZONNGVD 92
FLO
",,-.,THICKET 1 SEASONAL
1 �` PIER TO BE
LICENSED PARCEL 58 (LOCUS)
WILLIAM & SHIRLEY TOWEY
LAWN 279 LAKESIDE DRIVE WEST
AREA CENTERVILLE, MA 02632
WEQUAQUET LAKE
��\ : • \ �<� (A GREAT POND)
EXIST.
DWELLING \
#279
PARCEL 58
5�
12 PARCEL 56 do C ?
M. P. PUTMAN engineering, inc.
CP& ENGN ERS
Scale:1"= 40' LAND SURVEYORS
PLAN ACCOMPANYING PETITION OF off. 508-362-4541
WILLIAM & SHIRLEY TOWEY 0 20 40 )fax. 508-362-9880
939 main st. yarmod, ma 02675
TO PERMIT AND MAINTAIN PROPOSED
SEASONAL PIER IN AND OVER. THE
WATERS OF
WEQUAQUET LAKE
BARNSTABLE (CENTERVILLE), MA
SEPTEMBER 14, 2014
14-050 SHEET 1 OF 2
0
`\\SERVER\Land Projects 2007\14-050 VACCARO\dwg\14-050 VACCARO.dwg, CH 91 &18 x 24 Site,9/16/2014 7:44:45 AM,Tabloid, 1:1
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S
CERTIFY THAT THIS PLAN
HAS BEEN PREPARED IN
CONFORMITY WITH THE RULES
AND REGULATIONS OF THE
REGISTERS OF DEEDS OF THE
COMMONWEALTH OF
MASSACHUSETTS
PROFESSIONAL LAND SURVEYOR DATE
*NOTE: HIGH
WATER AND MEAN
ANNUAL LOW
ELEVS. AS SET
BY DEP
EXIST. SHOREMASTER ALUMINUM SEAONAL DOCK
(4) SECTIONS WITH 2" SQUARE ADJUSTABLE LEGS
& 1 SMALL CORNER SECTION WOOD DECKING, 3/4" SPACING
DECKING ELEV. 36't
(VARIES DUE TO LAKE
LEVEL)
~— FROM OHW ELEV. 35.0' HIGH WATER*
XIS7 ELEV. 33.5' MEAN ANNUAL LOW*
CONC. BLOCK L. 31.5'
2 AL. PIPING ADJUSTABLE
SET ON PADS ON GRADE 4'
ALUM.
PROFILE VIEW DOCK
Scale:1 10' EL
36't
0 5 0 H WA R EL. 35.0'
3.5' AT
END
SECTION VIEW
Scale:1 = 10
,O
BENT VIEW
Scale:1"= 4'
A\� P�
l
WILLIAM & SHIRLEY TOWEY down capes
279 LAKESIDE DRIVE WEST engineering, inc.
(CENTERVILLE) BARNSTABLE CIVIL ENG 4EERS
LAID SURVEYORS
SEPTEMBER 14, 2014 off. 508-362-4541
)fox. 508-362-9880
137025 SHEET 2 OF 2 939 main sL yarmoulh, ma 02615
\\SERVER\Land Projects.2007\14-050 VACCARO\dwg\14-050 VACCARO.dwg,CH 91& 18 x 24 Site, 9/16/2014 7:53:18 AM,Tabloid, 1:1
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