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Town of Barnstable *Permit#
Regulatory Services >:x e date pu nth m'
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1639, ,�' 1 Richard V.Scali,Director
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Building Division
Tom Perry,CBO,Building Commissioner
VV 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
D U Not Valid without Red X-Press Imprint
Map/parcel Number 7
Property Address !6 Q V 0 S G 1^(1O N L/J• c a:1 6( ty& M
Residential Value of Work$_ S�� Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address A69k )4 0 LL Ll9-6
Contractor's Name (,�i 0¢A{2}���t-� Telephone Number y&'
Home Improvement Contractor License#(if applicable) I f s3 0 Email: IM VU W Wii 1M S✓1,('OM
Construction Supervisor's License#(if applicable)
KWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
[,I have Worker's Compensation Insurance
Insurance Company Name 7 JNS- C(J.
Workman's Comp.Policy# Wr -o -z U —/l(,Z�q f 6 - Q '
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 - 31 (maximum.32)#of windows 3
#of doors:
❑ 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
required.
SIGNATURE: dz�
C:\Users\DecollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Oudook\2PIOIDHR\EXPRESS.doc
Revised 040215
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39. Town of Barnstable
Regulatory Services
Richard V.Scali,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
Property Owner Must '
Complete and Sign This Section
If Using A Builder
I, LL 0 : ,as Owner of the subject property
hereby authorize_,(�l�. 1��/"N to act on my behalf,
in all matters relative to work authorized by this building permit application for:
o stir V-vtl! r'
(Address of ob)
A,
Si ature of wn r to
Print Name
Ile
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users0ecollikUppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doe
Revised 040215
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• p�TM[>0 TOWN OF BARNSTABLE 35513
PermitNo. ................
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
7 .ML
9��67Y•
HYANNIS,MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to D. Nicholas
Address Lot #21, 40 Rosemary 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.
December 31, 92
19.................
I
. . ........... 1
Building Inspector ector I
Tt�WN OF B .. STABLE, MASSACHUSETTS .: B u L
A�i47y1/�'VI DATE NOV@I1LbQr.. 161 19 92.; R RMIt Ndl
APPLICANT• L• Nicholas.. ox 3U"T` 7 darns .
ADDRESS: I • '
'.INO.) - .(STR EE:T),: �.'ICONT fCE NSE)
PERMIT TO _Builr3 DWr31l1ng (1 1 STORY Single Family DWQ1lij4gNUMBER OF
DWELLING',UNITS
(TYPE OF.IMPROVEMENT). NO. (PROPOSED.USE):
AT.(LOCATION). Lot,. .#21, 40 ' Rosemary Laney Centerville.. ZONING;
.(NO.) IsTgEET) DISTRICT
'BETWEEN;, AND
-
.(CROSS STREET) 4
.ICROSS'STREET)
LOT ' BLOCK SIZE
'SUBDJVISION LOT,
BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND.SHALL CONFORM IN.'C"ONSTRUCTIC
TO TYPE' USE GROUP BASEMENT:WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewage #92-283
Bond
AR
VOLUME; 128 sq. tt. 65 000.00 PERMIT
ESTIMATED.COST'..$ I
.(CUBICLSOUARE FEETI FEE
OWNER• �YXiD� RYY �M D. Nickulas
'ADDRESS`' I3OX Q /` 'W• tiaCIl3tribl@ BUILDING-DEPT.
BY
WORKS. THE ISSUANCE OF THIS PERMIT OULb NOT RELEASE THE APPLICANT FROM THE CONDITIOI
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE GALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICALPERMITS ARE REQUIRED FOR
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL�INSTALLATIONS.
O
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL IN IRE INSPECTION
TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS "
Doi'' /��i�1`l✓ t
2 _ 2
3 HEATING INSPECTION APPROVALS
I ENGINEERING PAR MENT�
BOARD OF HEALTH
OTHER SITE PLAN REVIEW APPROVAL /
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN .CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTI
NOTIFICATION.
Joseph D. DaLuz Building Commissione Telephoner 790-6227
r-
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
DATE: December 30, 1992 .
TO: D. Nickulas
Box 507
West Barnstable, MA 02668
The Occupancy Permit inspection at BP 35513
40 Rosemary Ln. , Centerville does not Comply With MA Building
3403.2.5 Cutting & Notching
Code No. _Fier a 3401.1 Stair detail
Please contact. this office for reinspection.
Thank you,
Building Inspector._
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100.00
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R csE F-t`k tR`C L E!N E r JOB # 83-162A
CERTIFIED PLOT PLAN
PREPARED FOP.
LOCATION: ROSEMARY LN CENTERVILLE MA
SCALE: } I =30 ' DATE: 11/03/92
REFERENCE:
L.-2,1 LCP 41445 NICKULAS HOMES
I HEREBY CERTIFY THAT THE STRUCTURE
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON.
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ARNE yF✓`,
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down cape engineering, inc . OJALA
CIVIL ENGINEERS 8
LAND SURVEYORS.--- - ld
'•..- . .Zj- ,, $?.(n
ROUTE 6A YARMOUTH MA DATE REG.` AND SUR YOR
SERIV SMEM MUST BE
Assessor's office 0st Floor): �/ .*-/•. , ' INSTALLMINMAPUA
Assessor's map and:lot number r � T 7 -OQ7= U Z r Hof THE t0�
Conservation tV-"NV'F*NM BffAL CO
Board of Health(3rd floor):
LAn
Sewage Permit number �� Z e` ����� sT&Dc
7 YYl
Engineering Department(3rd floor): !� '` �o o639.
House number 1f �o NO
Definitive Plan Approved by Planning Board
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN - OF BARNSTABLE
' BUILDING IKSPECTOR
APPLICATION FOR PERMIT TO �y1
TYPE OF CONSTRUCTION _ �J
z-)ZI 19 1 Z
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location
Proposed Use
Zoning District Fire District
Name of Owner /2 X f Address G
Name of Builder Address
Name of Architect Address
rr
Number of Rooms Foundation
Exterior �' Roofing
Floors
r Interior _
Heating V Plumbing 7 9C
Fireplace /��G Approximate Cost
Area
Diagram of Lot and Building with Dimensions Feecs
2�
� 1
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the aboy nstr on.
Name
Construction Supervisor's License c 2 Z
NICKULAS, D.
No 35513 Permit For 1 z Story
~e, Single Family Dwelling
Location Lot #21, 40 Rosemary Lane ,
Centerville
,k Owner - D.. Nickulas
Type of Construction Frame
Plot � .Lot ,~ � � � � , • ^.
.7.�
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Permit Gr a me November 16 1g��, 92 ,
Date of Inspection 19 -
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