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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel pp
A lication
Health Division Date Issued lhtlhtl
Conservation Division Application Fee
Planning Dept. Permit Fees
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address 31
Village �I �l� V/-`` e
Ownersq Address
Telephone
Permit Request �l 'Se cG lC1.,�epffeqfS i l� ' c �l off"
R S/ Aeqh-w )OID �ICY R 116 11<4e"eVc1kU91M
�'�e� �,1�s e �—o ��w��ll a��° � ►� !q �`��� ass f-o �sc� ���s�` ',
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation y0® Construction Type
Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family �4' Two Family ❑ Multi-Family (# units) -4
Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings;y hway: aYes::9U No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 5:
Number of Baths: Full: existing new Half: existing newco
_:
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel:, ❑ Gas ❑ Oil ❑ Electric ❑ Other
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) ! G
6 Name /9 C l�! �S/ �f sa0114-C Telephone Number �� �V l
Address License #S.
Ya VNI1 6 '/I _ l�y� Home Improvement Contractor#
Worker's Compensation #I-
m03S-
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 7��✓�d
SIGNATURE DATE ! `
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FOR OFFICIAL USE ONLY
" APPLICATION#
DATE ISSUED
t .MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
•�y
I ` DATE OF INSPECTION: `
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;PFOU:NDATION,u ,.,,t,-,,k�t, r+#.
r FRAME --- "-
INSULATION ,.
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
r
GAS: ROUGH FINAL
FINAL BUILDING-
DATE CLOSED OUT
ASSOCIATION PLAN NO.
j1
Building Permit Authorization
I, Tina Rogers , as owner
hereby give my permission to
Cape Save, Inc.
7-D Huntington Avenue
South Yarmouth,MA 02664
Office: 508-398-0398
to take all necessary steps to obtain a building permit to
perform work at my property located at
y
39 Rosemary Lane
Centerville, MA 02632
t
Signed
Date l l
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
11/10/2014
Thomas Perry CBO
Town of Barnstable
Building Division
200 Main St. '
Hyannis,MA 02601
RE: Insulation Permits
Dear Mr. Perry
This affidavit is to certify that all work completed for 39 Rosemary Lane(#201400372) has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
NQISIA1
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TOWN OF BARNSTABLE Permit No. .32506......
BUILDING DEPARTMENT .- .
I ""'T I TOWN OFFICE BUILDING91
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7 �N�
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u HYANNIS.MASS.02601 Bond;" s
CERTIFICATE OF USE AND OCCUPANCY
Issued to Larry Nickulas
Address Lot #4, 39 Rose Mary Lane
Centerville, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
August 15, 19 89 .... .. at-G_,�
Building Inspector
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t' TOWN OF BARNSTABLEMASSACHUSETTS�
_' Aa14;7=007 004 .. r '��y5ly,FF (�(1
(' DATE' December 6i 19i �g R.ERMITS'NO.'A o-D' eflR9
J ! APPLICANT Larry N ckulas P 0` BbX 39g W 'Hye r1 M � ADDRESS . 1 ��.1i1T1 ah(1'Y1-�.��..(�o 9��fi
(NO ) (S•TR EETI .,. -.(CONTR 5 LICENSE). �.
1 U PERMITrTb7S BLI11C1 DWE:1'ZII� 1 S1T�t71l3 Famll DWell'irY NuMeER.of
.(_ STORY 7 y gDWELLING UNITS
�} J .".(TYPE^OF`IMPROVE ME NT) 'N0. ,(PROPOSED USE1.'i+
Lot4: 39 Rose 2�I�ir, Lane CeneryYile zoNING'' RC
;AT (LOCATION) - � 'DISTRICT
4h Ate, y' .(N0:) (STREET).
(BETWEEN+ AND
(CROSS STREET).
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• ', `' *a (CROSS STREET)'
LOT f;.
a 'SUBDIVISJON"' LOT. BLOCK 'SIZE
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UILDING ISTO.'BE FT: WIDE BY LONG,BY FT IN'HEIGHTI',AND.SHALL CONFORM,,IN CONST•RUCTIC
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TPEf USE GROUP BASEMENT WALLS OR FOUNDATION
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' ° REMARKS SewagQ #SS 55S
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VOLUMEa-trt 716 r15�F�.. Lt � 0. yOOO. OV PERMIT ,•d37.25 .
§�. ,• ! - 'ESTIMATED COST'$ J, - FEE
(CUBIC/SQUARE FEET). a ,;q t
owNEla Larrl ;Ni.ckulas
r S U � ti�dT1r215pOrt BUILDING DE PT;; �1 tir AODRESSw
BY:"
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tiy. '. OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. t AAS THE•APPLICANT FROM THE CONDITIOI
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^>�� q,;.: MINIMUM OF THREE CALL APPROVED PLANS_M.UST,BE._RET-AINED ON JOB•AND THIS WHERE APPLICABLE SEPARATE
t INSPECTIONS REQUIRED FOR
f _ ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND
MADE. WHERE A CERTIFICATE OF OCCUPANCY :IS RE- MECHANICAL INSTALLATIONS.
5_ 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH1.
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE..
OCCUPANCY. -
Y POST THIS CARD SO IT IS VISIBLE FROM STREET
c• G BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODU
S STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THEINSPECTIONS INDICATED ON THIS CARD CAN
CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITT
f 9 f NOTIFICATION.
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JOB # 83-162A
CERTIFIED PLDT PLAN
PREPARED FOP.
LOCATION. L-4 ROSEMARY LN C ' VILLE
SCALE: 1 ' =40 ' DATE: 12/2/88
REFERENCE:
LCP 41445A NICKULAS HOMES
I HEREBY CERTIFY THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON.
of
down cape engineering, inc .
CIVIL ENGINEERS
LAND SURVEYORS /2 Z 8�
ROUTE 6A YARMOUTH MA DATE R i k' YOR
Assessor's off ioe-.(lst floor):.^
SEPTIC SMSTEII' cF NE ro
Assessor's map.-and lot number .. 1. ......................../... UST
..
Board~of Health .(3rd floor):` IN
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. Sewage Permit number ..... .'..�.S..Ff.�., ,��..... �` I '�+ asa9TGD
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�"��'1��tY�6�� Yilla
Engineering'Department (3rd floor) pp t / N1 5:b•. ENTAL. CObE +aos,,639
House number ......... ...... ... '. .l...... ??. .L-... TOWN REGULATIONS
APP(CATIONS PROCESSED `8:3&-9:30 A.M. andA{ 1:00-2:00= P.M. only
TOWN Of BARNSTABLE
BU'llD1N SPECTOR
APPLICATION -FOR PERMIT,TO ................................... .......
aTYPE yOF- CONSTRUCTION Q V ............................................. ...... .........................
.. 19..
TO THE INSPECTOR OF BUILDINGS: j
The undersigned hereby applies for permit according 'to the fol i g information:
Location / ,r
4 .41.. ........./.............
Proposed Use .. 5�„ /"�1.:�7..�.............: f''d��...... .............. ........ ...........
.... .. ....
Zoning District ...:..� X. .., .....� ......... ...................Fire District .......... �..........
Name of Owner .....�e�cz..rr j... .. Ct� / ....Address ..1.!..�....... ,../.L......... (,/�.:fL;
Name of Builder ............................�................. ..Address �/!.......1/�.......
:. �`�/ ............................
Name of Architect ........... ....:.Address
Number of Rooms F..................................................................Foundation ...........ef,
..................... ...................................... '
9
Exierior ........................ .......`"" ..........................................Roofing ............. .
` ............
/.
Floors �'�.. e' ..'...........................Interior 9 d �..:. ......
'Heating ............. .... .`'d...l ................... .... ........ ....Plumbing .......... :.��..../.,,J J.............................
Fireplace a +.................:....It.........r1...............................................Approximate Cost U.� ..
Definitive Plan Approved by Planning Board _________::_— _•:________19_ ` Area /.. ... /
Diagram of 'Lot ond;,Building with Dimensions p �— '
Fee ..... .............l....... .
SUBJECT ,TO APPROVAL OF BOARD OF,HEALTH .
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'OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS s
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 .....C�..®. ............J.
.
jNICKULAS, LARRY
w No• 3250.E?Permit for ....1 ...Story............
$in le .Family Dwellin
....,.g...... ........1v.....................g...........
Lot" 4 39 Rose�Mai Lane
Location ........ ...�...................... ....... ...
- G.enterville....:...... ............ - 7
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Larry, Nickulas - ► , '
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Owner ..... ................ 1
Type of Construction F);ame.......
...................................................................
Plot•............................ Lot" ....................
Permit Granted . .. December 16,....19 88 r z
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Dateof Inspection' .......................::. ! .. ...19(�Q.
D6-te �Compl ted .... ...... ........1S�i E r
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SECTION - SEWAGE � i BENCH
MARK
TOP OF CB. @ CORNER LOT i
` = 16012 SOUTH OF INTER. OF ROSE-
MARY LA. AND NYE RD.
-SEPTIC TANK - C - "D"BOX - �� - LEACH- Q{T
1
TOP OF FDN
(MSL)r "2"OF 1:eTO 42" +
WASHED STONE
R 0 5 E ARy 4- AMEA AN
IN- 4° -
OJT IN-
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/ -G �--- d
G.SpJ �-�C SEPTIC
TANK i E
ELEV. ELEV. ELEV. ELEV.
ELEV. ELEV. ELEV• c•+• !'I Pc' '�
I
2, OF]A"-IW" Q A
I LOT 5 � � '• LOT 3
WASHED STONE— .� �/ `
TEST HOLE LOG P 4b3 5 '
e� � ° E �
�A(Rt3AI;K .P.E. to NA r�C- r�E�r�
TEST BY M I L c> 4 I]L
2/8/8`� WITNESS 3 BEDROOM HOUSE e
TEST DATE DESIGN '1J 000_ "Q d
T.H. 1 T.H. * 2 -from 8 ' �.I Ili I+ 47;
ELEV. ELEV. NO ' C 0 '
N
ttrAM. 4g•S �O M . .4•0'6 PERC RATE �2 MIN/tN. DISPOSER DISPOSER i; - ,_.` r I'o
CLEIW 38.5 FLOW RATE 3,JO(GAL/DAY,) 13,30
- )
ccE Sgor> Go" SEPTIC X (I.51= 495All
35 REO'D SEPTIC TANK SIZE � 000 1
Sic-re „ i I
�H SAP)L; ?s -S o g
LEACH FACILITY
NU rneo. SIDE WALL 10 f'F = 165 , (2.5 _ A71.2 G/D: 10G . C7C)
FNe BOTTOM 10 ��4 = '78.5 ( �•o� '78..5 G/D
sANc a TOTAL ZG-?.(,- "i. _ 9g"'7 Gj1, {: q5` 47,
USE: OIL+E= LEACHING (T E
WATER ENCOUNTERED - •,j
NOTES: (UNLESS OTHERWISE NOTED)
1.DATUM(MSL):TAKEN FROM NYA AJ&115 QUADRANGLE MAP N OF.U, i
2.MUNICIPAL WATER IS AVAILABLE
3.PIPE PITCH:W"PER FOOT t/- 10
-44 O�1�V
4.DESIGN LOADING FOR ALL PRE{AST UNITS:AASHO- it /ERNE H. c�
S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. O OJALA I i SraWA C-,�
G.PIPE JOINTS SHALL BE MADE WATER TIGHT
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. W1 CIVIL SITE PLAN
STATE ENVIRONMENTAL CODE TITLE S No.30792
� `� --� Locus: LOT '9OF 414�
:�OS /`1v9 y LAaIF
R L ENGINEER
I H. REF: L27 n �-\ 'p n
dow cape en�ineeiing 4 +„ ` lJ PREPARED FOR: y`� L-f) N C)
CIVIL ENGINEERS
LANDSURVEYORS -- J' —
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Y 'BARN5 ►h1B�� Wln. r 1" a' .�A �►,.. SCALE 1"='1D` moo./�S
REG. _ R
CONTOURS (EXISTING)-- G
(PROPOSED)-� 0�-0— APPROVED DATE ' ~�C'�
DATE
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