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Home My WebLink About0129 SHEAFFER ROAD e A I c Town of Barnstable *Permit# Expires 6 months i ate Regulatory Services Fee HiCRNBrAHLL+: + ` tKasa $`. Thomas F.Geiler,Director Al Building Division Tom Perry,CBO, Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us -Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address I )9 ckv\�'Ve" MA C Q(,n 3,) Residential Value of Work p ��J Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address MC.t.l'y - P_a/1 Ila c ff �. Contractor's Name p t,'a 4e �✓YI� �vv�(J��\!�Vyl��r Telephone Number 50V- -7 TS_11 17 S Home Improvement Contractor License#(if applicable) 103 7 5 Construction Supervisor's License#(if applicable) Co(r,`{ zc �•,�, A IT Vorkman's Compensation Insurance Check one: JUL 15 2010 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑Thave Worker's Compensation Insurance 1 � Insurance Company Name Ino Gi C: cA �V1(iLLSt�"�S O� m pt Workman's Comp.Policy# 1).U3C_ _7 W 4 9 4 3 Ci J,_Q0j Copy of Insurance Compliance.Certificate must accompany each permit. 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 #of doors Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *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 co the provement Contractors License&Construction Supervisors License is rq ` SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 090809 Town. of Ba�riastable Regulatory Services ' Thomas F.Geller,-Director uAes $ Eo; Jh6 - Building:.Division Tom Perry,Building Commissioner: - 200 Main Strut,Hyannis,MA 02601. www.town.b arnstab l e.ma.us Officer 508-862-4038 .Fax: 508-790-6230 Owner.Mus t_ Property - -- - w Complete and'Sign This Section Yf Using ABuilder I, as prone of the subJe'a property } fly S hereby authorize' A r ` Q ' to,act on my behalf, .in all matters rela&e to work authorized b3 this.biu&g permit application for: 04 ress ofrob) o d S. tore of ate '> If Property Owner is applying for permit please complete the Homeowners License Exemption Dorm on,the reverse side. (1�Ff1RMC•f1WNF.RPF.RMT.CC1(�N • ' Asses ma and lot number /- t t��'ITH A a`IC E I I •T ATE SAMTARY Sewage Permit number ........... WIT TOWN . .....R••................... ................. rg7S� *T"Er TOWN OF BARNSTABLE S i BA"STABLE. i op9- •�0 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...4� 5 i (1G✓, .....�Z!!.(�.i.4.... TYPE OF CONSTRUCTION ..........�,�� 1.......�. • �1��✓ ......................................................................�� .......... . .....................,� - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followin informatio Location ...........i5 CST...... ...... . .... .. ...... [l zal ................ ProposedUse ............ ................................................................................................................... Zoning District ..............Fire District ...................... .......................................................... ........................................................ Name of Owner ......0 �� ... 5..t...� f./ 5�✓�F ddress ......4. .......4�,0 Name of Builder ....................................................................Address ...............................:........... ... ................................11 Nameof Architect ......................� ............................Address .............................y ... ..................................... .. Number of Rooms ........... ................................................Foundation le......... - 41 Exterior ..........L�'� r�...............................................Roofing ........ �� P�./.............................................. 00 Floors �.. ,/.............................................Interior ......./../.� yY. ,./................... Heating � '� ....... .............Plumbing ...L.g:1 Fireplace ......4!"?......Approximate Cost ........... .S?�...�tL�. ........... Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ..................�. .................. Diagram of Lot and Building with Dimensions Fee ..................... . SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. / ..... .� ............... � | ' ` . � � � ' \ \ � � ( ^ . ' � Werner, Gary L. 17666 single family dwelling PERMIT REFUSED , lg ' -------------~—' -------~—..---.—. ' PLOT PLANT SHOWING IPNROPOSED BUILDING 1 I CEiVToe,RV/L L E B A R.N S•.T'.A B.L E MASS. a "�FOR ODIC ' } SCALE : / = 30' DATE': A/P,2 s f CHARLES N.SAVERY INC, REG. C.E. a LS_ 712 MAIN_ ST kANNIS,,MASS. LoT id9 : • LOT /70 LDS 17/ /OO.OD - } I ' IL07 /s6 IS' 2 SS , FUTURE'. /000 aA4. + /000.GAZ. ..LEACH/N6 P/•T �,� - LOT /S7 6 o'o/S7,.. I t7 ®oar LOT /SS I /o00 GAL. hGl✓pL L//vG N " , } 36 0w 1 /00.o0 \ p ho, 22162�Q . i G 75 D27 , PLOT PLAN SNOWING LOCATION OF BUILDING IN CENTERVILLE BARN STABLE MASS. C ;. FOR WOW" p SCALE: I °= 301 DATE : APRIL 29, 1975 CHARLES N. SAVERY INC. REG. C E.9 L.S. 712 MAIN ST HYANNIS , MASS 1-70 1 00. 00 LOT 15C. F Lo 1 5 <n to 1 5 5 N N U' Concrete IP FouhdEiLlonA N 3�+ 4-4.0 23+ 55'+ ) 00 , 00 5HEAFFER RD. I herehy certify that the bLilding i2xists in the ground as shown on this DI,1 TA Al is in ac-cnrdancp with the zoning R'P'�T ':�'* r0,luir--n,nt5 jf th. Tnw-) -f .lSt r;0 Land SUrv,,Vrr THIS LOT IS NOT LOCATED IN A FEDERALLY DESIGNATED FLOOD PLAIN ZONE, -7 S O 2I