HomeMy WebLinkAbout0039 SEA MARSH ROAD �9 �-� ,�
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u Town of Barnsta ble Z®c o 0 53 (�
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2 Permit#
Regulatory Services EFees6"`°nthsfronrissrr ate
B.AR.vsrABLE. + ,.. . -
y yASs. a
Thomas'F Geiler, Director
$ACE/ptpC!A
t
Building Division
`Tom Perry,£BO, Building"Commission.er
200 Main Street, Hyannis, MA 02601
wwwaown.barnstab le.ma.us
Office: 508-862-403 8 _ Fax: 508-790=6230
EXPRESS PERMIT APPLICATION' - RESIDENTIAL ONLY -
Not Valid wimoirt)?edX-Press Imprint .
Map/parcel Nuaber
a
Property Address 3q S19 G1li/LS �
Residential Value of Work 40CSPV. Minimum fee of$35.00 for work under$6000.00
Owner's Nam e & Address
Contractor's Narne. 6a_�at/ {
. 4;�dtll` ' r -1Tele hone Number 01'(o 7/
- 22 P
Home Improvement Contractor License#(if applicable) 6 J
Construction Supervisor's License#(ifapplica$le)• e [ g q .
�✓orkman's Compensation Insurance
Check one: -P PERMIT
❑ I am a sole proprietor
❑' I am the Homeowner`
❑ T have Worker's.Compensation Insurance �� r 2010
Insurance.Company Name TOWN OF BARNSTASLE
Workman's Comp, Policy#
Copy of Insurance Compliance Certificate must accompany each permit. .
Pe,rmit.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 " #of doors
0 5 (maximum .35)# of.window
*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 Con tractorsLicense& Co
nstru
re uired. ction.Supervisors L'icense.is
SIGNATURE;
QAWPFILESIFORMSIbuilding permit forms\EXPRESS.doc
Revised 072110
SEP-28-2010 SUN 12:04 PM Danny Griffin, com FAX NO. 50B 362 1437 P. 04
1_11 Pa,k:tsr':rive e1 Aeg.Of:IZMIX60IW464 A:mrtaced nc.l
+Nxr,:ou21,nhods':Iand OZa55 _ �}�'�,'� (Seri,kIC pSe27?5 iMo�n AsMeFacr.I�r
{60a1975-fiarifi MAM 1fI F::953i tMt at W xutar Iml
Purchaser(t)Naaie: c c�r- A Ql_t. -
Instailatlon Addrass: _ C,
Mallirta Address:
Home Phone: 5�O fi 7 t Phone: _ !mart:
Year Home Suitt: k d _Customer Initlats taxes Fold in Town oh
/We,the abovu PuAthasegq('4,,4:hasersl'I and T,he awner(s)of the property.located at the above Installation address,herebyjolntty apd severally agree
to contra*with Moor•.Axoclmes.inc.("Mot ri t;ritVI to Nrnlsh,de;lvar,and install of all mateda!s as descrltcd In this agroamant 1"Agreement"1,the
attached Spec Sheet(ei and diagram(SI which are thcorporated herein by raferenee and made a pert hereof.A Comptetien Certlifcate will he executed ipr all
Icm zc the end a`the inrtallridan.
Grda Numbs•: - ►�— Crder Nunhe: Drder Number:
Pro!ectrypa: lxJ:��.-7;5 _ PrajectTvat: Project Type;
Agreement Arnaunt t Agrrement Amount $ - - Agreement Amount $ -
Los:.pepasl:t $� �0 ass upwitt $ Less Deposit* S
Bafaice.Duc t7n Qtmplatlpn $a t S o.Lp Balance Due On Comllekorn S. Balance Due On Completlon S
;yUrym„a,t}?i,y Aartrmsnr AHJant dur ap+t10AD:w an.: LM��r�r'•m 3r71af AanrarMAt/mauntdue upon gareuuec, frxWm.an]a!4 afAtrnCn•ert Amount cue r.pon eaw.utlal.
IndlcateaaymuntMethed Far ealance IrAgnta 11""lit viff"F.,Balance Irtdlwtzftwoam Method For Galante
Due at Tltde of Installation: Due at Time of Installation: Due at T(me of Installation:
Star:patat Est Com�letlon Gatc: Est.Start Qata: Fst.Completion Data t l4tart Da a st,Co Empanlon bate:
DEPOSIT/PAYMENT OPTIONS ISu4mt to fund vnMkauort endror credit approval}
I.Check,Cashlers Check or Money 0•1der Cc a—f-4 7 3.Flnandry
IMAde payable A Moonwo-k 1 Acct A Approval Code
2.Credit Card'(dr6i) vba Masturt;arel Di%ovcr Acct N_ Approval C cle
'UWe eyr4D t0a'ae McmvN i4sc quI rho Z....ct mdlt carder ae eDF Dve a mount
Aorta Exp Da:e,Security Code_ IPicared,PQW"is ee elm om-cl m Cam card ream mntddemaaflm nib lman�ted ahD.e.
It Is agreed by Sae between the parties that this Agreamern censOML-s the entire uitdetstending between the parties,and than are no verbal
understandiilp changing ne rrati iez any of the tarmi of this Agreement Purchawr(s)hereby ackrtow4tes that Purehaser(s)11 has reed the from and
rtverse of this Agreement and has reeeltntd a wmPleted,signed,and dated copy of this Agreement,including the two arccmpanylag Notice of
Cancellation farms,on the data first written afrrve and 2)was OWN Inforn n!of his/her right io arntal thin transaction.00 NOT SIGN THIS CONTRACT Ig
TMERE ARE ANY BLANK SPACES.
Puref Purchaser Moonworks
5gnaccre Signature -_ - Signatures
print Name Prinr Name Prtnt Namn
YOU,THE BUYER(5),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHTGFTHF THIRD BUSINESS DAY AFTER THE
DATE OF VIS TRANSACTION.StE THE NOTICE Of CANCELLATION FORM BELOW SON AN EXPLANATION OF THIS RIGHT.
kol OF CANS&LLM_QV SCE OF CANCELLATIQN
Date*1 Transaction cil ��o- Date ofTransaellan
You may canral this transaction,without any penalty or ohligatfon, You may cancel this trartSaetlan,without any penalty of obligation,
within three business days from the obi ve data.If you cancel,any within three business days from the abova data, If you cancel,any
property traded in,any paymollt6 made by you under the Contras or property traded In,any payments made by you under the Contract or
Salo,and any negotiable instrument exeaited by you will be returned Sale,and any negarlabk Instrument executed by you will be returned
within 10 days following receipt by the seller of your oncellation within 10 days following recelist by tho Seller of your Caneellation
notice,and any security interest arising aut of the teattsactlan Will he motive,And any security Interest attsIng Out Of the transaction will bea
Canceled.If you cancel,you must make a-ratlable to the Sailer at your canceled.If you angel,you must make available to the Sailer at your
residence,In substantially as goad cand,tlon as when received.26V residence, In substantially as good conditlon as when received, any
goods delivered to you unda►this Contract or Sale;or you may,R you goads deliveted to yott under this Contract W Sale;or you may,If you
wish,compty with the Instructions of tixl Seller regarding the return with,comply with the lnstruttfons of the Seger regarding the return
shipment of the goods at the Sellers expense and risk.It you do make shipment of the goodi at the Sellars esperrse and risk H you do make
the goads available to the Sailer and the Sailor does not pick them up the goads available to the Sailor and the Sailer does not pick them up
within 20 day:of the date of your Nodce of Cancellation,you may wRhim 20 days of the date of your Notlae of Cancoliation, you may
retain W dispose of the goods without any further obligation.If you ratafn or dispose of the goods without any further obligation.M you
foil to make the goads available to the Seller,or If you agree to return fail to make the goodg available to the Seller,or if You agree to return
the goods to the Seller and fail to do%,then you rornain liable for the goods to the Seller and fall to do to,then you remain gable for
perfarmancts of all obligations under trio Contract.To cancel this performance of-all OhNgations under the Contract To cancel this
transaction, mail or deliver a signed and dated capy of this trartsaetfan, max at daf ur a s?Zmd Sad dated 4W of this
car colUttlan notice w any other written timloo,or said a telegram to cancellation nation or any other wrStSea natira,or send a telegram to
wv0MwoR%S, 1137 Park East Drive, Waa�tsec , Rhode Island MoonvicrkN 1117 park fast Drive. Woonsocket, Rhode Island
02995,NOT LATER THAN MIDNIGHT OP_--r11�(Daft). 02895,NOT LATER THAN MIDNIGHT OF (Datel.
I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION.
Cansumar's Signature Date _ Consumers Signature Data
Renet�ra! {{ 4' R E Po W E Ill
OFIHE r Town of Barnstable Permit 40U
Expires 6 mon hsfr i e date
PERMIT ]regulatory Services Fee
tiwxxsrnst>„ Thomas F. Geiler,Director.
9�A..MA a 0 2008 Building Division
rfD Mp l Oar
TwVN OF BARNSTABLETom Perry, CBO, Building Commissioner
200 Main Street;Hyannis,MA 02601
www.town.bamstable.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.�(�-:]
_[ZL.
Property Address
residential Value of Work i Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address J � --
Ilk
Contractor's Name 091i /E c,ICE { C Telephone Number L 0� l ``
Home Improvement Contractor License#(if applicable) / �-� `-�
2<vorkman's Compensation Insurance,
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
Whave Worker's Compensation Insurance., / r
Insurance Company Name, I��� U `—�
Workman's Comp.Policy Is . w
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping,old shingles) All construction debris'will be taken to
❑ Re-roof(not stripping. Going over, existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders..U-Value f 30 (maximum.44)
*Where'required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
'Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revise020108
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4 '
Cust'otner Itiamc:; n� Year 13ultc
Rcncwal
Address: .Customer J.D# 1137 ark Ea t Dd a°f
.�v€r ., rJt !✓S f , TBSTtlt�1t p
b r�♦ Cty,$ca eimber. Woonsocket,RI 02895_ItT&Cape Cod
xAhd6t en
WINDOW :REPLACEMENT a�An<aeiscnCeswp,r[', ,. 'Phan '�a� o S._of / a ��� '�ieensesiM12259-&Lk119535-C`1'.
Phone\Uor( page: _Dar
056.2725
Email:
:.. Te hnlcl ureUNITS. tttES41me - - -
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lab
3.a °�^ lt..ao4 yr• &t � c.� .£ 3 �" 1 �a ;o �. �.. �rP.a o_ ,„`f x ..
' s+"E Room, b.i E� `i3 �i �8 �� €.. r•- i f � «r.
'- a6. 'a - ' a 'mn 44 va K Y3 1 i;" c8 ct:
:$z .,Qescriptlon .,y�q .o �x dM :'•�y i -.E� L& ti5�. ..`.L. A`s .i=1y' :off 1�n y ..L,�. 0 5 y 4 PRICE S _- E
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PrDryposal:A.H. f tF• shave mrdccs mud d a 1.pre• ied the:ml. .t oaaed- t e aptcernon Tie .. —
i ' I' rn •tit'.Ear 9a r! z ared,is r.jec zn aura caa a tit m xawm and Rencvm3 Lry r9na "tarn r as 1t5 Ox t:X Sub Total traps q •w
a
., n,. Payment�Y+tiC
Subtotal in.W r: ,
Du nn nlr scat .. Cr-fkrx ._. r"' .
._. _-:._ C Check
Uar. atw,k ae Mde n.Sau Ream eS mantce• - - ....._..:._.� '
ub Tat I a
_ ,!y CI Sub.atalScn 1
Customer Acc�ptanec qou at ilt:, tx,.tilt t,f n,xh t et rlms rnd chore refit re•1 to<e .c ths' i ,. R'r' _t� i Misc Credits or Expenses I� a't
UQ edrIC rd,�y;� J.i,���
I..e.cnr;ar x cJ: L i:,odrn a e a to ay tlic amwa ttaz d sn Jt>aszecment ana r orthnP to d3s reruts hawE 4 --_..— IJ Financing g'4C i -
See Reverse Side for:Terms and Conditions of Sate.You,the buyer,may catacel Total .
tills transaction at anv time prior to midnight of the thirst business'clay after Saes Tax affce ae an ony
rite date of this trans, on 7?lease,ee attach.eci notice of canee3latian for an t
taplanati n o this ri• t ,
7 E Tam,bluetit; mus Credits or Ex nsas
Al ceptot' {� �t` • ( 3n"o.,er"-I'.rel-credir I-pea v. huan--dr st) Wank Pezmlr Cost Additional Old_Forms nttad Add{ r red
(please derl ail that apply]
Gxstampr Attmw.S.Rnar. : -C----- .. patio Dear Storm Door
' dcccptar U Special Order N.ras - - TDWt Amount of Agreeme
Hay:Eow Entry poor
Ua. :Reneisi l;y hadrxi.t.;•tatty,c S: ttrrc Deposit Require Spodalty Window
------------
a ypar gtonrgr mib,,AM pen Pemovalarsl refrsu axon Pleasencte tha:wa xe unaale�bid cn rer:ntj - - -�'--
w•arl,.ac g thnay d:.n rotyaara �e the df vanaosi gs r a,y unseen dam'gn nsueve-s�fargwsem da:nmge Balance Due on CompletiD
ua ree<7 mt""Alded fii a.aig t wndox satery M es,un r73:1.Eot s drsty'�d• g n awn:vex'cxr#rhm /t•�//�� 11
- -
inihl at eem_:+t un,ess carerirgs almrnwr ays tim rpst +r vntzss end Nayelzu for i�ar cab spar.yauapp'vro.. —{^iJl�dJ Price includca;abor.matena:s'wsaillation,
sperffsaay wttda ere. ati:+stalled. .olherrre eeted... Ax;he pM1d a'ih p6 ak Cunslr ruar delrcn wr he -- ��tJk ... ^l,,_,,; . \ tcmcnat.and daepasal of ptoducn raplaced.
" A ed and vn,,y+l u*aan ywu erw vn:,awn and - y)hite_gere»a'by Andersen Yel(o.•Installation Pink-Momecwrer 4+t.1 u^i V
customer Customer - Customer yyt {� th.1—naaor.area / -
Initials: } Initials: 1`r" initials: i1`s S+
' " !9r�brAnle�-s`weh r:.lo�.ue..-ul.+na6s w'A�,le�kp l`mxraJuoF:aCi..aka..n.^.apr.Jnn.A::.g1:u.s.,:.J.:'Stl Yeordn 0.P.yU40.�.
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Renewal ;, t
R byAndersen"
WINDOW REPLACEMENT an A i,L. .nni.xmy .
+atwal WoodNinyl Composite IF,
Fiatitc�T:lxnicii - Dual Argon Low E
_ _ �.... ,
Double Hung
100-00390547-005
ENERGY PERFORMANCE RATINGS . . ; .
U-Factor(U.S)/I-P Solar Heat Gain Coefficient
30. Orn 3
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance
0n53
- Manufacturer stipulates that these ratings eonforn to applicable NFRC proeedume lui determining whole product
a - performance.NFRC ratings ere determined fora fixed set of environmental conditions and a specific product she.
- NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. '
F Consult manufacturer's literature for other product performance Informatlon. -
www.nfrc.oicj `
tp�SE This product meets Gre - r
..-. q� Seal's environmental
�► standards governing
energy efficiency,heavy
a , 93 metals in the frame andil
sash materials,RZ� educatlon�maerials.and urri
D
1
DESIGN PRESSURE(PSG
k Mmwhaer�A m
H = LC25
RbA Df3 Sloped Sill DH IN
Testedh NAiS-02erAAMA/NDM CSA IUI /A440-05. Manufactumrsti ulalesmnfnrt_nanNa to the arrGrnble standards
Meets or exceeds M.E.C.,C.E.C,a I.E.C.C.Air Infliltration requirements WDMA Helmer Gm Ubwtion Prouram.
1
TOWN OF BARNSTABLE BUILDING PERMIT'APPLICATION
Map ;?o Parcel .ca Permit# 1 Q Q
Date Issued Health Division "J� S�
Conservati sion , Fee ' �a
Tax Col 3 '��� SEPTIC SYSTEM MUST'DE
3—D� INSTALLED IN COMPLIANCE
Treasu WITH TITLES
Planning Dept. ENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWN REGULATIONS.
Historic-OKH Preservation/Hyannis }
Project Street Ad ess Wv S �-
Village
Owner Address +
Telephone
y
Permit Request �-
Square feet: 1 st floor: existing 0 2nd floor: existing �a proposed Total new
Estimated Project Cost Zoning District Flood Plain a Groundwater Overlay /1/0
Construction Type X
Lot Size r Gran dfathered: Yes ❑No If yes;attach supporting documentation. "
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes kNo On Old King's Highway: ❑Yes )4�'No
Basement Type: XFull ❑Crawl Cl Walkout ❑Other `
Basement Finished Area(sq.ft.)_7_045- Basement Unfinished Area(sq.fiVQAW O a/F
Number of Baths: Full: existing new Half:existing ® new O
Number of Bedrooms: existing `1` ' new 0 t y
w
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil . ' Electric ❑Other
Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes .XNo
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing 'O new .size
Attached garage:)(existing ❑new size Shed:❑existing ❑new 'size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes XNo If yes,site plan review#
Current Use Proposed Use
p BUILDER INFORMATION
Name me-V/"y iPrC - Telephone Number
Address A Ll e License# C S L,' C, S
IA/0 62 P ��, 4 /tea ;);9.S 9% Home Improvement Contractor# xn2 Y8'R-!> -
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO //✓:�d1���:� f/fir i7�aiy
SIGNATURE DATE
FOR OFFICIAL.USE ONLY t
PERMIT-NO.
r
DATE ISSUED 1
MAP/PARCEL NO.
ADDRESS; fr1 3 VILLAGE
r ram,• •' , .x - • * � ti ' `�,! .f � - \..� } ° ;T _ ' t
OWNER
• i - • ' a— . r rs _� — 7{F •'j , ' ' V J r tAZ
y .. ._�. 4 + ! .y '
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE r
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUSJff_ FINAL J [� - ` ir
GAS: ROUE •. FINAL
0in
'
FINAL BUILDING SOO
+ - y R •! i
i DATE CLOSED;OUT ' 0
ASSOCIATION-PLAN NO' iJ _
i
b
z9`
uauUuwa ► wl VIL;Fza `
BuiIding Division
' 367 Main Street,Hyannis MA 02601
ffice: 508-862-4038 Ralph Cressen
ax: 508-790-6230 Building*Comtnissior e-
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMM APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion
improvement,removal, demolition, or construction of an addition to any pre-acisting owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or•building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: �t �� 2 Estimated Cost
Address of Work:
Owner's Name: Q . y-
Date of Application: S�3�yGi
I hereby certify that:
' Registration is.not required for the following reason(s):
❑Work excluded by law
oJob Under$1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORT{DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name Registration No.
.O
Date. Owner's Name
q:forms:Affidav
fit' f7S y1�'W¢! A d C,,y+GT��f ''' n r: +v� 1«�✓t1, �^';s, ,. 71 4
s :�;Y„ 1,�, t. .ti4^.:' 3v:�:••'+shy,..! CFr«. �r Rc "•a "�`^ v �' 4.,v« .+"�,'�i`«K I °'•r+iw ,
NSTABLE f`
TOWN'OF BAR
Permit No
Building Ihspea,tor
z
ssesnam Cash
X
°"pY OC�'IJPANCl( PERMIT Bond --
Issued to nI11Lc3. ,�. ��C('nrlEls) s)rF.. Address;
117 i.. #26 rjt� �.t:'.� r i...s�" '�L� ��ay « '. !. a.-�«4, �:•�
• � � . a �• 1 ". r _
Wiring'Inspector ? # � Inspection date
Plumbing,Inspector/ Inspection date
Gas Inspector �' A Inspection date
s ,Engineering Department -Inspection date
Board of,Health Inspection date
t
THIS P ERMIT+-WILL NOT BE VALID AND.THE,BUILDING SHALL NOT BE OCCUPIED,.-UN'TIL
SIGNED BY«ti THE BUILDING 'INSPECTOR .UPON; ,A'TISFACT6RY,:COMPLIANCE WITH TOWN, -
REQUIREMENTS-;AND. IN ACCORDANCE,,,WITH•SECTION.119.0 bF jllfE. MASSACHUSETTS STATE
'BUILDING"CODE. _..
!. .. ..... ....
... ............... 19....._.._ ...... ............................... ..... ...' .....
Building In
r
6 /Z A t3
Qf Apess map and lot number ......................... ............
fs 1?e Sy IN, 'I
A 7
INSTALLED IN CC)
Sewage Permit number ... ..3.... .............................
.,WITH TITLE 5
. ........ .... ........ .........................House number t. ........ MENTAL C
ENVIRON
TOWN REGU 0 OR
TO. APP
.7 TOiw O* F 'BARN STAB L-E, CINSERVATIOMI
GARNSUBLE
COMITI Gam,
C a^(—.A"\
BUILDING INSPECTOR .
APPLICATION FOR PERMIT TO ......A'..... ...................5.1 9)13
TYPE OF CONSTRUCTION ...... ... ........................................................................................................
................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according t the following information:
7 -ALocation ........ . . ........ .................................................
ProposedUse .......... ............ ........................................ .........................................................
-0Zoning District ....... .................................. ..........Fire District ..... ......... ....................................................
Name of Owner ...... s .........
.P��dclres'*7' ...Rfizo..�r
en y . ..... ............Address ...�/.;xx.......1.720*ft.�...... . .. ..Name of. Builder
Nameof Architect .................................I..................................Address .............................................. .....................................
Number of Rooms ............&..............................................Foundation ............................................................
....................... ...... ........:.............
Exlenor ............C-Aot:l.... ....................Roofing .......... .................
41'
Floors ..............Av�.0.0. ..................................................Interior ... .......................................�
...........................o........
......................... .......
Heating ..`....... .....................Plumbing .........
Fireplace ./ . ..................:.........::..........Approximate Cost ....1.. ... ..c
ri...................................t..7......l Definitive Plan Approved by Planning Board --------------------------------19--------- Area
P� 0
Diagram of Lot and Building with Dimensions Fee...............................................
SUBJECT TO 'APPROVAL OF BOARD OF HEALTH
� `
0
t
q0
/0 OA
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I'hereby agree to conform to all the Rulesand Regulations of the Town of Barnstable regarding the above construction.
-
Name .... ............................ ..................
Construction Supervisor's License ... ................ .....
s' McCARTHY-DREW, ANITA J.
N �...25487 }Permit for ....................................Story -
-. (; Single Family Dwelling - + L� _ _•�.
............ ...,................... .................. �f ,
Location Lot
, 2.6 , 39 Sea Marsh Road -
J
Centerville
t' ...........................,. ..:............................................... ern 3 y .:'�•j� - _. "` -
O . .....................................................Anita J. McCarthy-Drew
Owner 'LR r ✓ + `f
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