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Town of Barnstable *Permit# 2�-7
Expires 6 months from issue date
Regulatory Services Fee
Thomas F.Geiler,Director
Building Divi$ion
Tom Perry,CBO, Building Commissioner
N$TABLa00 Main Street,Hyannis,MA 02601
\� of BAR www.town.barmtable.ma.us
Office: 501 038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION . - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
p/parcel Number _C
)perty Address en t'1
Residential Value of Work 1560 Minimum fee of$25.00 for work under$6000.00
mer's Name&Address ftc r) S es nA t- 1-- )
54� Sea„ C i f i f .1 ' C_er)4er V v►(e m
ntractor'sName (V�,4-�ko� l �eked e f,-r, c; Telephone Number_
ime Improvement Contractor License#(if applicable)
Eicense*# if-app3icahie)
�Workman's Compensation Insurance
Check one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
.urance Company Name
orkman's Comp.Policy#
ipy of Insurance Compliance Certificate must be on file.
rmit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
[YRe-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
''Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission,
opy of the Home Improvement Contractors License is required.
['is=eO
URE:
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tw Town'of Barnstable
Regulatory Services
9'"xrr ABi'E$ Thomas F. Geller,Director
Ec►9.
, .'�� Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, YT\ t� t�►"� 5 Ccxrl'�`�f1 ,as Owner of the subject property
hereby authorize r1a r Sk.g l � �, to act on my behalf,
in all matters relative to work authorized by this building permit application for:
Sec n ('_� rcl F
(Address of Job)
CA . � C,
Signature of Owner Date
a1 ion �) Ca o lf—r-)
Print Name
Q:FORMS:0WNERPERWSSI0N
Assessor's map and lot nu e Z .,,�4......... .......z.. ..... THESEPTICGVBM
(l
Sewage Permit number ............................
}/��- .s EARNSTdDLE, i
House rxmber ................ .. !.................................... y Mara ��
9
YAY p"
TOWN OF BARNS
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BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............Construct Dwe 11 in ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
.................. ...............................:..........
TYPE OF CONSTRUCTION .Wood frame
................................................................................................................
Sept o...14.>. ......................1979....
?' ?.-F.IN`,PECTOR Or--,BUILDINGS:—
—^
K
3 y he 'undersigned herebyvapplies for a permit according to the following information:
iY Location .......?got5t Sean's Circle, Centerville
ProposedUse .............Residenti..............al............................................................................................................................................
1
Zoning District Residential,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Fire District ......Centerville,-asterville
................. .............................................
Name of Owner ........James K. Smith Address Barnstable
....................................... ....................................................................................
Name of Builder ......James K......S.mith ...Address ............Barnstable
.. . ........
1
Name of Architect "• s'............................................Addres....................
Number of Rooms .............Foundation ......Poured....Concrete
.....Clapb9'ax';d..&_.T111
Exterior ................ ..........................Roofing .............A.,sphalt„Shingles....................................
Floors ........................YOU...V.P.X41.1...................................Interior .............Jk"All........................................................ 1
ieatin FHW b Oil 1k baths
y. ... ... Plumbing .. ............. ..........
PI bi g
` _ _ce. .. ......... ......... ........�........ . ........ ........ ......... proximate .....
F
Approximate Cost L $3n,t7CQ
... ....i......
p� r
Definitive Plan Approved`by Planning Board _________________-----------19 . Area :....9........... .
Diagram-of Lot and Building with .Dimensions
Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH 'o/�n
4
I
IF
f -
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. o
Name �".'.:�.�?.Y.... �......................
Smith, James K.
21654 No ................. Permit for ......two story..............................
single famjLr-? dwelling
....................1.1b.........................................................
Location ..........5.8..Se.a.n s...Circ.1.e.................... . .. ......
Centerville
. ........................... ...................................................
►
Owner .......... ...............James K......Smith
............................... ....
Type of Construction ...... frame
.....................................
............................................................................. Z....
._ ` _ } _ .
Plot ....... .................... Lot .............#.5...............
Granted ..... ..... 79
Permit Gran P.... 19
Date of Inspection ..... 19
Date Completed 1916/
PERMIT REFUSED
..... ........................................ 19
.... ..... ..................................................
.................................................
. .................................................
.................................................
Ap ... 19
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