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°Ft r Town of Barnstable *Permit#�v" 1— (�(0
Regulator Services EWQe s 6 months from issue date
�A y MASS. h q] Richard V.Scali,Director
1639•
�7 Building Division
B �NB Paul Roma,Building Commissioner
ARN' 200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-403,8 Fax:.508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
2 , l Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address L17 Q/ (,(
p � �Po � (*Iltr�ille
XResidential Value of Work$ [ 6 0 `.. � Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
1&1h-
Contractor's Name r'v: Telephone Number5d .*Ld
' J
Home Improvement Contractor License (if applicable) �(� �_ Einad: ow•
Construction Supervisor's License;?(if applicable D i 1
4Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
19 I have Worker's Compensation Insurance
Insurance Company Name *nl
Workman's Comp.Policy# Uicc'g.00J�� a20/
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-.roof(hurricane nailed)(not stripping. Going over___existing layers of roof)
❑ Re-side
® Replacen-ierit .'J-Value_ � (nlexiwuni.32)#ofwindows'_V
of doors:
*Where required: Issuance of finis permit does not exeiq:� conviance-pith other tnwo department regul)tions,i .Historic,Conservation,etc
i
'Note: Property Owner mus',sign Property Owner Letter of Permiss o..
OrA
of the Home Improvement Contractors License& Construction Supervisors License is
•f
SIGNATURE:
C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc
01/25/17
Authorization Form:
as owner of the
subject property, hereby authorize Bakr ki e Associates to act on my behalf, in all
matters relative to work authorized by this building permit application for
Address of property: 39 Seth Parker Rd.
Centerville, M1VM
Signature of owner: ��_ - - _ :__
Print Name: - - - - ✓E�
Date:
\��tqAn
GF THE Tp�
Town of Barnstable *Permit# I
Ex Tres 6 months from issue date
Regulatory Services >ee
BARNSTABLE, (�
y MASS. Richard V.Scali,Directo®
i639
Building Division'
Paul Roma,Building�"°° ssioner
200 Main Street,Hyann't
www.town.barnstable.ma.Lis
Office: 508-862-4038 y8 b Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number l
Property Address_ 3q �EM 1` 1
Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00
Owner's Name&AddressfftAj
Y
Contractor's Name �� =Telephone Number
Home Improvement Contractor License#(if applicable)_ le; L9 Email:Construct ion Supervisor's License#(if applicable) o V
�❑Workman's Compensation Insurance -
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
1 have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.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 , nn
Replacement Windows/doors/sliders.LT-Value_i'___ -_.!(maximum .32)#of windows
#of doors:
"Where required: Issuance of this:permii 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
e
SIGNATURE:
C:\Users\decollik\AppData\Loca[\Microsoft\Windows\INetC-ache\Content.Out]ook\L7U69LF2\EXPRESS(2).doc
01/25/17
,
BAKER BAKERA 1
LA s c�e3.�rl,', ,IC, ASsOCLAITS.INC
____ __ TT cc
AND I)FSiCy1
Be sure to visit our web ste-www.bakercape.com to.see the full range of home
improvements we offerwith_pho and slide shows. y
Customer Signature:
Date of Acceptance* ���J�/_
Payment Schedule:
I) ,pms t $=f h-ek+#- '
At completion: $1,044. Check #
' L Town of Barnstable
�,,�.�`�, �._.?��a ;�� �"€a°'�`•�- a�'.� +a�c�.�+.� � �' �"�:�''��. atu' '1�"k"3`°` °' .;'p'� '"' ,"p'"+�;w" ' `w."°��;s` B u il d i n
Post This�Card So�That rt is V�sible�From,:�the�Street�Approved;Plans Must beRetained�an Job�and this,Card,Must be Ke t �, `:
t3ARN�tA81$ a .:;>- �;.� s ,.k« '� �\�,.`� � t ��, ��nr•S ��'�� �� z ¢,: ` �..,. �
a Posted Until•f�nal`Ins .... z IVlade x � zy p z •
t6 pection Has,Been �� � r,
�� �... ,`� ;�r. �,<:,. s:�^ ���.� �;.c��. s.�.�; >'`� :a�..� ..Q' .a �.;:� ,! w"z � ?�,� �a s � .� x ��< y 'a°ak ,y' m
R c .., a �Y:. \. Z Permit
Where a CertificateWof,Ocoupancytt�s Required,such�Bultlmg shall�Not�be�Occup�ed unt�l�a_F�nal Inspectionzhas been made �.�,
Permit No. B-16-2205 Applicant Name: Jason Stoots Map/Lot: 170-200
Date Issued: 08/30/2016
Current Use: Zoning District: RC
Permit Type: Building-Solar Panel-Residential Expiration Date: 02/28/2017 Contractor Name: JASON D STOOTS
Location: 39SETH PARKER ROAD,CENTERVILLE Est Project Cost: $31,000.00 Contractor License: CS-090293
Owner on Record: GROVE;JEFFREY A&MARGARET I Rermit2Fe $208.10
{'
Address: 39 SETH-PARKER ROAD °3 Fee Paid �g $208.10
CENTERVILLE, MA 02632 � � � `�Datex 8/30/2016
Description: Installation of a 5.865 kW solar PV project. Includes 1r7�panels,roof mounted,flush mounted,grid tied,&net metered.
Project Review Req : _ Installation of a 5.865 kW solar PV"project Includes 17 panels,roof mounted,fl"' mounted,grid tied,& ✓ -- -
net metered. K
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized'by this pe,miix s commenced within six months after issuance.
All work authorized by this permit shall conform to the approved applliicationland the approved co`ristruction doc ments for w�h h this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws ,nd codes.
This permit shall be displayed in a location clearly visible from access street or;road and shall be maintained open fori'public inspection for the entire duration of the work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided onhis pemit.
Minimum of Five Call Inspections Required for All Construction Work:
,
1.Foundation or Footing r"
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lini glis nstalled `
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection -
5.Prior to Covering Structural Members(Frame Inspection) a `
6.Insulation
7.Final Inspection before Occupancy
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical installations.
Work shall not proceed until the Inspector has approved the various stages of construction.
"Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Town of Barnstable ElmI� CE� T
` IIASS" 200 Main Street, Hyannis MA 02601 508-862=4038
App ication for Building Permit
Applic tion No: TB-16-2205 Date Recieved: 8/2/2016
Job Loca ' 39 SETH.PA.RKE-R'ROAD,CENTERVILLE
vw.
Permit For: Building-Solar Panel-Residential
Contractor's Name: JASON D STOOTS State Lic. No: CS-090293
Address: Dennis, MA 02638 Applicant Phone: 5086947889
(Home)Owner's Name: GROVE,JEFFREY A& MARGARET I Phone: (508)561-5385
(Home)Owner's Address: 39 SETH PARKER ROAD, CENTERVILLE,MA 02632
Work Description: Installation of a 5.865 kW solar PV project. Includes 17 panels, roof mounted,flush mounted,grid tied,&
net metered.
Total Value Of Work To Be Performed: $31,000.00 ,r"
Structure Size: 0.00 0.00 CV-; 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed.by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Jason Stoots' ~`�, 8/2/2016 5086947889
Applicant Date Telephone No.
E
Estimated Construction Cpsts/Permit Fees
Total Project Cost : $31,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $208.10 8/11/2016 $20s 10 3160 Check
i
Total Permit Fee Paid: $208.10
oFt Town of Barnstable *Permit# ,505
Expires 6 months from issue date
Regulatory Services. Fee
* BARNSTABLE,
MASS
v� 16 9. `0� Richard V. Scali,Director F �a
Building DivisionL-�:
Tom Perry,CBO,Building Commissignu 2�1�
200 Main Street,Hyannis,MA 02601 �i/
www.town.barnstable.ma.us RIvS)-
Office: 508-862-4038 Fax: 5U8_ 90-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL, ONLY
Not Valid without Red X Press Imprint
Map/parcel Number
Property Address,39`
5esidential Value of Work$ Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
Contractor's Name r f p � i�W ��s
o t �QG� ;�1� Telephone Number�'� �
Home Improvement Contractor License#(if applicable), � oe Email:
Construction Supervisor's License#(if applicable) oe 9 �/�
orkman's Compensation Insurance
Check one:
❑ 1 am a sole proprietor
❑ I am the Homeowner
9<have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy# � �iDCISD(>f �S��D/J�7T
'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 t
i Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows
#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. r
'Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
SIGNATURE:
I
C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc
Revised 040215
Authorization Form.
I V*ar�'E�F (�� .Q®✓ , as owner of
the subject property, hereby authorize Baker &Associates to act on my `
behalf; in all matters relative to work authorized by this building permit
application. for
Address of property: 39 Seth Parker Rd.
C ills, M:A
Signature of owner:
Print Name:
Date: " -
A
r
' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel— l J Application #
Health Division `Date Issued
At-
Conservation Division Application FeeetJ2
Planning Dept. Permit Fee
s
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address I �� P!d (�, e,r—
Village
Owner �mG1 va Address Cat-,b a�r
Telephone 22S 7 2.TI, 'G f7
Permit Request —TA— /°i in
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes Y No On Old King's Highway: ❑Yes ❑ No
Basement Type: U Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Par- Basement Unfinished Area (sq 1,ft)�
Number of Baths: Full: existing new Half: existing Cp
new,
Number of Bedrooms: 13 existing _new
Total Room Count (not including baths): existing new First Floor Roorhi Count
co
rr
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: Vexisting ❑ new size _Shed:4existing ❑ 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)
Name IL�� �l 10GD` Telephone Number 0 3 7!2
Address 3 0 License #_ C,'.5 add 77&5
F/ i M (tit a iM, I``"/q, 01-10) Home Improvement Contractor# f" 5- 6
Email I IP" fe CEO n fAAC 10 Q'►fs.r f o worker's Compensation # ( S SqU��q�n��IT.3y�'l3
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
El ve
SIGNATUR DATE /
A,
I
E;
FOR OFFICIAL USE ONLY
APPLICATION#
j DATE ISSUED
t
MAP/PARCEL NO.
y
ADDRESS VILLAGE
r .
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME C -5115I100
INSULATION r,60,51 Wl 6 jv
! FIREPLACE
F
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL .-
FINAL BUILDING
DATE-CLOSED OUT '
' A *TION PLAN NO.
r
1
�1HE) � Town of Barnstable
o�
Regulatory Services
1}F te�A110.�1'AR�i�. f
nteas. Richard V.ScaH,Interim Director
�16:y � Building Division
Tom Perry,Building Commissioner
200 Main Street Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner.Must
Complete.and Sign This Section
If Using A Builder
I, ff,'F/ � � ,a.s Owner of the subject ptoperty.
hereby authorize 6eaR6,E f paLe to act on tap behalf,
in aE matters relative to work authorized by this building petmit
4 S'�i . �� k�� �i r�A �' ✓r ✓ice;✓M�
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or.utilized before fence is installed and all final
inspections are performed and accepted.
S' e of Owner Signature Applicant
Punt Natne Print Name
Date
Town of Barnstable
Regulatory Services -
toys• Richard V.Scali,Interim Director
Building.Division ; -
} R� M sms.iA Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601 }
ED www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-750-62.0
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB IWAnON
number i street village
"HOMEOWNER":
name home phone# work phone# 'r
CURRENT MAU NG ADDRESS:
cityftDvm state zip code
The current exemption for"Homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hue who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-
family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Appioval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1 Licensing of construction Supervisors); provided that if the homeowner
engages a.person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities*of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness.often
results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case;our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community
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�- -�--}-
TOWN OF BARNSTABLE i Permit No. -_---29()56
�f Building Inspector
w»rn i Cash ------___--- —
MIL �
OCCUPANCY PERMIT Bond ---------X---_� �� (?
Issued to Alan Small Address
Lot #653, 39 Seth Parker Road, Centerville
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
,................
Building Inspector~
41- BUILVIFO.11G
TOWN OF BARNSTABLE, MASSACHUSETTS P E R Mm I T
JOB WEATHER CARD
DATE 19 PERMIT No. . 29056
,.PPLICANT ADDRESS
(No.) (STREET) (CONTR'S LICENSE)
I- 'i 1 ".I NUMBER OF
=ERMIT TO STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
a ZONING
AT (LOCATION) —c—, DISTRICT
IN 6.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
'UBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE' USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE)
REMARKS:
i-6
AREA OR ; PERMIT
VOLUME ESTIMATED COST $ FEE $
(rUBIC/SQUARE FEET)
OWNER BUILDING DEPT.
ADDRESS By
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORA-RI-Cy OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION. RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR N HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH). 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
2 2
HEAT;NG jN0S-eTINGAPPROVALS I REFRIGERATION INSPECTION APPROVALS
TOWN OF BARNSTABLE
INrrrE- T x T)TVT.SION.
0--iER 2
r
NCT =RO:EEn_ :PT:L THE PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTiONS INDICATED ON TH!S CARD
CAN ;
sz ECTCP -{AS LP=:;CVT_: 4E ZCUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE 8R WRITTEN NOTIF,RPANGEDICATION.
FOR BY TELEPHONE
STAGES n� CONSTRUC7 iON. PERMIT IS ISSUED AS NOTED ABOVE.
f
DES IG-N D/:\T/-\ t`►
`-- SING-LE FAM1L-q -- 3 BE�tZooM St=T= H (�Att 'R.. 12,aAc]
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Assessor's map. and lot number .... ......7..........................:...
SEPTIC SYSTEM MUST BE �0*THETo�
Q
Sewage Permit. number .........�..E....�.. .....AQ INSTALLED IN COMPLIANCE
WITH TITLE 5
_ Z BAH.H9TODLE, i
House number ............... :3.. ........................................ rNVIR01dMEI�'TAL CODE AND 9 1aea
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... ........ ... .............................................................................................
TYPE OF CONSTRUCTION .......... ..............................................................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit a ding to the owing informati
G,�3
Location .... ...............................
ProposedUse .. . .........:............ ...................................,.........................
Zoning District ...... ..... ....................... ............................Fire District .. . ...��.........1..........
Name of Owner ....... .................. ........Address .....
Nameof Builder ............ ............................................... .Address .................. ...... ................ .. ...................
Nameof Architect .... ..........................................................Address .............................................................. ....
Numberof Roo s ..................................................................Foundation ..... .................................
Exierior . ... ................... .....................................................Roofing .......4130., ✓� ........................,...,........... ,-
Floors ........k............................................................Interior .................. ......................................
04� i
.........Plumbing
/Fireplace ... .......................................Approximate Cost
-�
... ... .,v.......h.............
Definitive Plan Approved by Vning Board /U ---19- Area �G �
Diagram of Lot and Building with Dimensions Fee 0.f..Y...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
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 Oks..;;;�$7..
ALAN
No ....2.90.5.6... Permit for ..............
Single Family Dwell:-
...................................I...... ........]M...........
Location ......Lot...653, 39...Seth,-Parker...Road
Centerville
...............................................................................
Owner ........Alad...S.m.....al.1.................;...................
......... .
Type of Construction ................Frame..........................
................................................................................
Plot ............................ Lot ................................
Permit Granted March' 20,...............19 86
..........
Date of Inspection, ....I ...............................19
Date Completed .......19