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,►+E Town of Barnstable *Permit it
r Expires 6 months Jr n iss date
=Regulatory Services Fee
'Pt " ° ��HVS JO N/ip
V 1®I Richard V.Scali,Director
IN
Building Division 4PRHAY
SS PERI
Tom Perry,CBO,Building Commissioner f•4AY 22 2015
SSNdIy� w 200 Main Street,Hyannis,MA 02601 TOWN
Cg y�
www.town.barnstable.ma.us TOVVN OF BARNSTABLE
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 76 /
Property Address L
residential Value of Work$ — Minimum fee of$35.00 for work
under$6000.00
Owner's Name&Address (wJ/L G/ ff 0911A.
Contractor's Name Dw/J
,r�nc��-!LD � ( L��f`- Telephone Number ,
Home Improvement Contractor License# if applicable) /1� Email:
P ( PP )
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
lave Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# ® � W e CIr{.3(3�
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 (maximum.32)#of windows
#of doors:
Smoke/C bon Monoxide detectors 4 floor plans marked with red S and inspections required. %/lq //7 CeIla
to 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:
Q:\WPFILES\FORMS\building permit fbrms\EXPRESS.doc _
Revised 040215
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Town of Barnstable
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, A/1,4. 1 gI6-lAl"k xi ,as Owner of the subject property
hereby authorize_ 0 C lCl2 Y to act on my behaK
in all matters relative to work authorized by this building permit application for:
(Address of Job)
4 all,1e�
Signature of Owner Date
Print Name
If Property owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q.tarnFaM\FoRU%uildmg p=h fonnS\WRESs.doe
Revised 040215
SMOKE DETECTORS REVIEW
ED
4ArE BUILDING DEPT. DATEQ," !
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F E DEPARTMENT DATE {
BOTH SIGNATURES ARE REQUIR A FOR PERMIT77HQ1p (
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INSSA1aA IS IS �. _
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PERMIT DOES
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oF�+E TOWN OF BARNSTABLE Permit No. ..?9 6
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
HYANNIS,MASS.02601 Bond 1./7✓
CERTIFICATE OF USE AND OCCUPANCY
i
Issued to Alan Small
Address Lot #682, 60 Seth Parker Rn d
Centerville, Yxassa.chnsatts
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.
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s......... ..........., 19�Y.......... �-�.... .�:".ro................
Building Inspector
. l IBUILDING
�rg
TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT
fi=17U-1t.1
q JOB WEATHER CARD
DATE y 19 PERMIT NO.
jul 31, 86 ': 4' 29726
APPLICANT Alan Small ADDRESS Centerville, ma #0157.57
(NO.) (STREET) (CONTR•S LICENSE)
l NUMBER OF
PERMIT TO 1s'iUlld Wai'L"1ii�; (} STORY J1i1K, +: i'a.taily DwelIin DWELLING UNITS
(TYPE OF IMPROVEMENT) _ NO. (PROPOSED USE)
AT (LOCATION) Lot 6b2, '60 Se�u Parker Road, Ct!uteryille D ZONING
CT RL
ISTR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET)' (CROSS STREET)
LOT
SUBDIVISION 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: . i66 /t;l
AREA OR '.:1:: B�, t'C, d� 1jFUfUUI)� 'PERMIT � C
VOLUME ESTIMATED COST �P FEE
(CUBIC/SQUARE FEET)
Sian Sma(JLll
OWNER
1CeLY1 of i`7Lya BUILDING DEPT. '
ADDRESS — BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART TH,EREEOF.'.EITHER TEMPORARILY OF
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 OBTAINEE
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION!
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO BEFORE
FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET z
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS E LE C TjRLCAL
,/�NSJPWION APPROVA S
0
G mm I C
2 2 2 �U 6
BOARD LTH
F A
3 HEATING INSPECTING APPROVALS REFRIGERATION IN ECTION APPROVALS
11 )
O'HER 2WQ( t„ 2
U(J> 47�
WCKK- SnAL'_ NCT PROCEED UNT:L THE PERMIT W)LL BECOME NULL ANO VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CAR:
:N5PECTCR -!AS APPRCVED 'vE VARICUS WORK IS NOT STARTED WITHIN S* MONTHS OF DATE THE CAN BE ARRA41190 FOR BY TELEPHQ�f!
ZTAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION, y
DES IC,N D/:\T/-X Lor &g6
DAILY FLOW. _ Ito x 3 4" 33o G.F. D. -
�oT
SEPTi C TANK.= 3 3o x IS•o7a 49 S G.P. O• gT6 6o ,
usE 1000 Get_. TAK�Y-
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?a EST�G/Sy.Ca �aT�` USE
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Assessor's`map and lot nu. / 7d -��j'
'�' � C�TH E t0
............................ ...
Sewage Permit number ..�. ........ �..` g.1..... SEp'r6C SYSTEM
STALLED IN CO n I
*�+� D [! Off/ dtlOTfi TITLE F, t AHB�STADLE�
House number .......... :........ .a, ,oB rnea
ENVIRONMENTAL C ,rt o�Ep YPY Ar.
TOWN OF 13ARNSTA f
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .. .............................../..........? m. ....................................
TYPE OF CONSTRUCTION. ....... s ��"................:'.....................................................................................
\f .•./�....Z- Z..... ../ ....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordi to th foll ing i formation:
Location .........�� .. .. ....... . ..... .. . ... .. t. ....
Proposed Use .. .............................. ..... ... ...................... .........�E`' 1'✓��t'--- 'ram_ �� �� �. ...................
Zoning District .......... ............................................................Fire District 1 .. -Y/Y:.
Nameof Owner ............. ........... ...............................Address ..... ........../..............• ........!.! u- ..........
/, .... . ....
Name of Builder �`.... ............Address .................................. .................................
Nameof Architect ....... ......................................................Address . , ........... , .......................................... .................
Numberof Rooms ....7........................................................Foundation elew�;.. ....... ..........................:...........
Exierior .................................................Roofing ..!9 114 ............. . .�....................
.............Interior ..........Floors .....G,�i�•r'•`•�••'•�................................................ �9�....G� ...........................................
Heating ...1` .-..�!4�..............................................Plumbing .: ...�I.�F��ti`',?................................................
Fireplace .... ................................. ..........................................Approximate Cost ...... ...........................................2Gr�
r
A
s
Definitive Plan Approved by Planning Board ;,,______ ---_---------------19 Area ...;W ......................
Diagram of Lot and Building with Dimensions Fee .<...f...�.. ...........
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 BarnstablIree rding the above
construction.
Name ... .... .......... ... ............
Construction Supervisor's License ll�.✓,.../. ..7......
� I
SMALL, ALAN
29726 One Story
No .....°:.......... Permit for ....................................
Single- Family Dwelling
..........................................
'06
Location .. r Roa
...L..o...........t 682..,......
Centerville
. ...............................................................................
Owner.. ......:.Al..a.n........Sm..a.11....................................
.... ....
Type of Construction' ......Frame.............
............
...........:.......................... ....................................................
Plot .......................... Lot ................................
'r771
Permit Gra6iecl
....................19 86
Date.of Inspection ... ... ............19
Date Completed ... ... . .........................
71