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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Parcel _()Z_�•
+ Map- Application #
Health Division Date Issued 1�.
Conservation Division 9h- Application Fe
Planning Dept. Permit Fee d -Do
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address ev.
e
Village zln 02 k �—
Owner / Address
Telephone
Permit Request /b ,�Y �" /
i
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 �7 �r�l Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Ai� Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'�s Highway _.❑Yes ❑ No
Basement Type: mull ❑ Crawl ❑Walkout ❑ Others
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq�'.ft)
Number of Baths: Full: existing new Half: existing ;-new RP
Number of Bedrooms: ?2 existing —new ;=
Total Room Count (not including baths): existing new First Floor Room Count i
Heat Type and Fuel: ❑ Gas 40il ❑ 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: ❑ existing ❑ new size _Shed: ❑ existing ❑ 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)
� y
Name a � Al a% Telephone Number �O� .��8� -5
Address Jr��� � License # 6-5 `- D,:5!y
Home Improvement Contractor#
Email �,� � �iy�O�- Worker's Compensation # v
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION#
� DATE ISSUED
c MAP/PARCEL NO.
ADDRESS VILLAGE
w OWNER
r{
DATE OF INSPECTION:
FOUNDATION
FRAME
r INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
BUILDING
E
�4
DATE CLOSED OUT
ASSOCIATION PLAN NO.
ffoskm,HAl
bAe& Cam aa�h� ceAffidavi# dersfPDr - ecfriciwis mwbers
AppEgmt a Tr Please P�
Address: 1�2
1 a em Io t or9 t�hec3� bcr Type uf Fo�6�ect(r =
I ❑ I aat a etaployer wifft 4'❑ I gm a gEal c=fmciar=d I fi IkTeur
• oyees{fall andlorgait��e�* - kar�l�in�t� =tins- .
I am a sole-pz�gaar orgarEer 1isfmd an the a4#ached shy 7. El R==&Hag
sbs}z ti lie na emplaces Thme sab-�q have g El daio,;R ,
firma in empk Yem an$liage:wormers'
���`- �n��l 4_ ❑Bnilri-mg addition
WC3-wad'comp-inerrMLe camp_
5_ ❑ We a.wrpar�i�audifs I�� tP,rT:�9i, ��,4c�tadddians
s'_❑ I tam a homEovmcr doing alI word: ads have fr-T red flzesr 1�❑Pl=biag repair ar addiiiam
rr clf [No"w°rl=,MMp- b�kyafesempfio�ger? Q_ 12-0 RDofn pails
as�s�xAn rB rEt1II1iL'd_J•f r-1 §1(4)s and We'hn'aD
o [ISowo I3-0 other
CCYMP-insurance re ioiL�T
��ay�pTi ibi'cher csbor#1 i3 tR sri IM oT t the mew nbelmRrshnmbiF ibrirvro& 'mm e —a;-P-Rc auf
Efnme�swn�su rs—LldsEa 6ZYMMrl=3..—, a coxtacrosnmctsnI�sgils�ecr�dsc ma'smr]>
tCoat.onm this bdcmgst xttsdted ca=a�;ti 1 9t s�e�l sb gthen�eaf flie sus ixt�t m3statPuhet arnattbnse F xsE�
znrnplvyees_ Iftbe sab castimdutsh>re thV I provide t}rEir acmkta comp.poUrymmibec
I&m arz.,��vz.vj�--r thins proses trorkers'cor?mudiaa izmtrance for ray exTtDyess B tr is 1lte prt&c�artd ob sii�
PoRcy ig or Self-iar. Lim F�gri�tiuQT}ate=
Iola Sif�.t dd!me s_.
Attars�cop arch-wurkers`cDmpensaiiun palicy decT—zmtxau page(,hol.xg Fhl,j6hIT=.Ib;er aad C3#X ion ilst�);
Failures to secmz cav=age am repireduuder Secfim 25A ofMM c- 152 cm lead to iie imgosili of-camival pca2laes of a
fine up to 5 L, Ga OD and/or anL,-yeariuspz aum ,as well as citaT getralfir�in fiie faun of a STOP WGRK ORBHK and a fine
of up-to$250-00 a day against the violater. Be advised that a cog of ffins stdzmect maybe warded to flie Office of
Iaresti of r_nstrfan_ -
I dff hcn fitapous r� crtp thatthe hTormatfoa yrati&d b u�c-fs hiss m4
ELss al'a iwibrIfI fF" [If�AbS ctrTiew by LA`or tagn c icikL
Cog or Towm 9
LBo m-d:ef$caTiir I RmikRng D pm-� t I alpTawaO=k 4-ElettdcaIhnpectur 5.PluaahntgFtr�tor
6 CDth-er
Corgi Ferran.: g)ioa�� - •
_lassachug7 is G=iaral Laws cheptez I52 requires aH eniptayeds to pmvide workers'campearsafion for their e Ioyer
Ito this ,an IZP£op0e is defined.as'__every person in the service of gothler under any cont-Zt of hue,
express Ur irnpliud Ural or writt "
An arfpT7yer-is defined as',M fiX&idual,partneishin,assQciafion, corpora inn or other legal entry,or any,two or more
offhD fregUing engaged in aJoiDt etrrpIIse,and iachlingthe Iega.l represeaafives of a deceased employe¢,-or the
receiver or trustee of an mk it dua.I,per,association or other legal entity,employmg employee,. However the
owner of a aiwelling bause having notmore i3�three apartment anal who resides there m,or the oc ant of the
dwelting horse of another who exaploys persans to do mab3hm m,cansti ction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MM chapter I52, §25C(6)also states thAt'every state or local licens-mg.agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the corn monivcalth for any
applicant who has not prodgced acceptable evidence of cobrpPrance with the b2surance_coverage required.-
Additionally,MCH,chapter 152,§25C(7)stains"Neither the commonwealth nor any of hspolitical subdivisions shalt
enter into may contract for the performance of public wow until acceptable evidence of compliance vrizh the;,,cr7rance
JT-C�entS of this chapter have been presented tin the contracting authority."
Applicant
Please EH out the woikers' compensation affidayit completely,by checking the boxes that apply to your situation and,if
necessary, srzpply sub contracbr(s)name(s), aridress(es)mdphane nnmber(s)along with their cer�ncaic{s) of
incRrance. Limited Liability Companies(LLC) or Lim�Liability Partnerships(L.LP)With no employees other than the
memb ers or partners,are not r-equued to carry workers' compensation m s=ce_ If an LLC or LLP does have
employees;a policy is required. Be advised that fhis affidavitmay be submitted to the Department of Industrial
Accidents for confrzmatson ofm nce Coverage. Also be sure to sign and date the affidavit The affidavit should
be retrnned to the city or town that the application for fire pouch or license is being requested,n of the Department of
Indnstrial"Accidents. Should you have any questions regard ag 14e law or if you a* 'regn_ir-ed to obtain a v corkers'
compensafion policy,please call the Department at the number listed below. Self-insured companies should e.atq their
seIi h mn-mince license number on the appropriate line.
City or Town OiHcials : ... .
Please be mime thiaf`t$e affidavit is complete and_priut Iegibly_ The Department has provided a space at the bolp�M.
o f tae affidavit mr you to a out in the event the Office of Investigaf ors bus to contact you regarding me applicant
Please be sure.tr)El.in the penaitlIieense number which wJT be used as a reference number. In addition,an applicant
that must submit multiple pem�if-Ilicense applications io.any given year,need only submit one affidavit indicafing current
policy information(if necessary)and imder¢Job Sites Address-the applicant should write'all locafions in (city or
town)."A copy of the affidavit that has been officially stamped or maikeed by the city or town maybe provided to the
applicant as proof that a valid affidavit is on Me for Et=permits or licenses Anew affidavit must be flIed out each
year.Where a home owner or citizen is obta»g a license or permit not related to any business or commercial Yentrrre.
(i e,a dog license or permit to burn leaves etx.)said person is NOT req�to complete this affidxvit
The Office of Investigations would at to thank you in advance for your cooperation and should you have any questions,
please do not hesitate tp give cis a call_
The Department's adLiress,telephone and fax number_ `
a1 CQmm�aaW aka ofMassachusQz s
Dtpait=at cif 7n&ustial.AQaide- of
Washzngtoa Stl=t
#aAGCIA B2111
Fax 4 617-727-- 4,4
Rff ei&c-d 4--24-07
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-039688
JOHN M.BARGES`
10 Bob White Creiken
Mashpee MA 02649
Expiration
Commissioner 05/16/2016
�e�omur�w��cueal�o�C��ccvaac�c�eCts
rice of Consumer Affairs&Business Regulation License or registration valid for individul use only
IME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
gistration: 031.57 Type: Office of Consumer Affairs and Business Regulation
piration: <:7/6l2Q16 Private Corporation 10 Park Plaza-Suite 5170
=� r Boston,MA 02116
;GES CORPORATION
CRESCENT
4 02649
Undersecretary valid without signature
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r -
& r Town of Barnstable
Regulatory Services
Richard V.Sca%Director
Building Division
Tom Perry,Building.Commissioner
200Main Street,Hyamis;.MA fl2601
www.towu.barnstable.ma_us
Office: 508-862-403 8 pax: 508-790-623.0
Property Owner Must
Complete and Sign.This Section
If Using ABuilder
as{honer of the subjectproperry -
herebyauthorize to act on mybehalf,
in all matters relative to work authorized by this building permit application for
xe
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.
G
Signa fOwner S' of App t
Pint Y4=e ._ Print Nam
Date
Q:FORMS:OWNERPERMISSIONPOOLS
i
f
66d6&
Town own ®f Barnstable *Permit#
Expires 6 m the fr issue date
Y 1 Regulatory Services ee
1:01AN OF BAR� Thomas F.Geiler,Director 0
S]� At
Tom Perry,CBO, Building Commissioner #0
200.Main Street,Hyannis,MA 02601 � r 8?® /�
www.town.barnstable.ma.us
r Office: 508-862-4038 - 230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 1—Le 0 SodU
r`
Property Address _rj Ki ij Y—N cl—
[Residential Value of Work b 001) Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address �0 PgjAA±t)_
V-D (qo,FE zsi i 1--LE—
Contractor's Name Telephone Number $-K� 3-35
Home Improvement Contractor License#.(if applicable)
Construction Supervisor's License#(if applicable).
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
Q-I am the Homeowner
❑❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
RRe-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
® Re-side
k
❑ Replacement Windows. 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.
Ho provement Contractors License is required.
SIGNATURE:
Q:Fo=:expmtrg
Revise071405
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I m /r, IL
DATA
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The Commonwealth ofMassachusetts
Department oflndustrial Accidents
�r Office of Investigations
600 Washington Street
• Boston,MA 02111 -
y ' www massgov/dia-
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Basiness/Orpnizatimandividu4.' ftT 0 Ai\�3
Address: 5L),3e-�3� VN) tK,Q\t a c-J�,
City/State/Zip: •Cjp r►aL M lk o-tu37— Phone t .3 --3��--N 3
Are you an employer? Check the-appropriate boa: ,'Type of project-(required):
1,❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees(fall and/or part-time).* have hired the sub-contractors 7. Remodeling
2.❑ I am a sole proprietor or partner- listed on the attached sheet,I ❑ g
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp.insuranc
e.
9. ❑ Building addition
[No workers' Comp,insaz•aace' S. ❑We area corporation and fts
required.] officers have exercised their 10,❑ Electricalrepairs or additions
3.a I am a homeowner doing all work right of exemption per MGL I L[] Plumbing repairs or additions
myself.[No workers' comp, c. 152,§1(4),and we leave no URI Roof repairs
insurance required.] t . employees.[No workers' 13,❑ ��
comp,•F�,�,*�*,ce required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinfo rnstian: `
t Homeowners who submit this affidavit indicating they are doing an work andiffien hire outside coutmators must submit anew affidavit indicating such
Contractors that check this box mast attacbed an additional sheet showing the name of the sub•coatractors cad Their workers'camp.policy b9orn ation.
tarn an employer that is providing workers'compensation insurance for.my employees. Below is thepo1 and job site
information.
Insurance company Name:
Policy#or Sei�i .Lic Dzt�: '
Job Site Address: City/State/*!
Attach a copy of the workers' compensation policy,declaration page(showing the policy number and W.1ration date).
Failure to secure.coverage as required undei Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,54QA0 and/or one-year imprismment,as well as civai.penalties in the-form of a STOP WORK ORDER and a fine
of up to$250-00 a day against the violator. Be advised that a copy-of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pales and penalties of peryury that the information provided above is true and correct,
Si tore; Date:
Phone#;
I ,� use ate. Do ne M*,E ir:&s rya,to be c ued or mm tid
City or Town: Bermit/License#
Luuing Authority (4ircle one):
1.Board of F.e&,h 3.Building Department 3.City/1 own Clerk 4.Electrical impector 5,Plumbing Insp—ector
16. Mer -
Coeact PerSan: Phone#:
Information and Instructions
Massaghusetb General Laws chapter 152 requires all employers to provide wbrkers' compensationfortbeir employees.
pursuant to this statute, an employee is defined as 1...every person in the service of another under any contract of hire,
express orimplied,.&O or written."
An employer is defined as-"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the .
receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However thq
owner of a dwelling house having not more than three apartinents and who resides therein, or the occupant of the
dwelling house of another who euVloys persons to do maintenance, construction or repair worts on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to-be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of it license or permit to operate it business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the perfbm=ct ofpublic work until acceptable evidence of con: liance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to yew situation and, if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates) of
insurance. Limited Liability Companies(LLC)or Limited LiabilityPartaerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Thvaffidavit should
be returned to the city or.town that the application for the permit or license is being regv.ested;not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured conpauues&CQfld safer their
self-insurance license number an-the appropnate lice.
City or Town Officials .
Please be sure that the affidavit is complete and printed legibly: The Departmenthas provided a space at the bottom.
of the affidavt fin•yam,to fill=in tlhe event the Office of Investigations has to contact you regarding the applicant -
Please be sure to fill in the ermiacense number which will be used as a reference number. In addition,an applicant
Pl p
that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in _(city or
town)."A copy,of the affidavit that has been officially stamped or markedby the city or town may be provided to the
aPP proof f that•a valid affidavit is on file for future pennits or licenses. A new affidavit mustbe filled out each '
. .
year.Where a Home owner or citizen is obta�g a license or permit notrelated to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Comm:onwealth of M- mkinsebts
Depwtnmt of Industrial Accidmts
Office of Invelft,
600 Washington Street
Boston, MA 02111
Tel. #617-727-4900 e-xt 406 os 1 o77-MASSAFE '
Fes{#617-727-7749
Revised 5-26-05 w wyw.ma 55,gevldia.
Town of Barnstable
oF�rqw
Regulatory Services
Thomas F.Geiler,Director
» - Building Division
saxrrsraa�. � "
v MASS, Tom Perry,Building Commissioner
.�
s63q ��i0ipp 59 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 5 -790-6230
Approved:
Fee: f
Permit#: I U5 I?
HOME OCCUPATION REGISTRATION
Date: ���
Name:NA'rk}A-t'J Ltc Sa_ Phone#: 5n&_7g3'35_Lf3
Address:55 H 3K U MKN Ei?- RID Village: CO
Name of Business: t ftT7+/kJ L,
Type of Business: -)I DrLWPiLL Map/Lot: 1 ° -01 S--Oa U
Zoning District_ Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals.
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, „
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned, ad and agree with the above restrictions for my home occupation I am registering.
Applicant — Date:
Homeoc.doc Rev.5/30/03
TO ALI, N W BUSINESS OWNERS F r
DATE: 7
Fill in please: � � �
;�
APPLICANT'S � YOUR NAME: IyTI-)A&j Liacrr_
BUSINESS YOUR HOME ADDRESS:_U-5-q �-U N1K►vF i 2t�
5
a i - % � K 3 ��N T :r_3� kilt
TELEPHONE Telephone Number Home
NAME OF NEW BUSINESS cme re., TYPE OF BUSINESS eJ
IS THIS A HOME OCCUPATION?_YES N
Have you been given approval from the building division? YES NO
ADDRESS OF BUSINES ;56yNKt��-?' fLl7 6%w-t -itQ LI— ��, MAP/PARCEL NUMBERS � - 15 nd 0
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed
below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to
the following office to make sure you have all the required permits and licenses..
GO TO 200 Main St. - (cor of Yarmouth Rd. &Main Street) and you will find the following offices:
1. BUILDING CO%binforIONE 'S OF,
This.individual h d of i equi ments that pertain to this type of business.
LO "
u h '
or ed Signature
COMMENTS: S7?DjC. &eC OP l-M 0J l L L00 ik HE% o( eUi9,i 1oj e6(;OLD-TI01.�� -
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual he
een inf rmed of a requirements that pertain to this type of business.
Authorized Signature** C•
COMMENTS:
Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L.
it does not give you permission to operate-you must get that through completion of the processes from the various departments involved.
**SIGNIFIES A PPRO VA L FORA BUSINESS CERT/F/CATEOft Y.
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TOWN OF BARNSTABLE Permit No. ---------_---------
Building Inspector
IL"ITAX Cash y
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'rP YPY Bond _OCCUPANCY PERMIT ------ -
_____
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector /K ` / .// / j. ^/+' Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department y /' ``-s Yl,�� , /r/.�C 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.
...................................................... 19_._. ................................................................................................._._. .--
Building Inspector
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APPLICATION FOR PERMIT TO —.�Op�G .. _._.____c__,'.___,___,,^___,._,_-
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���E OF CONSTRUCTION ----��o9!�.�������.-----.--,.—____ .__._
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� TO THE INSPECTOR OF BUILDINGS: /
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The undersigned hereby applies for o permit according to the following information:
�n� 6 RO�d
Locohon .-----'^.����������..�---.*_���!���Y'����.------.—....---..._._---..--_,,___,
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� Proposed Use ........ ..FAzn1ly..NO __._______,_.__~,____,_______,___._____
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Zoning District — -------------Rne District — ................
Name of Owner _ ...K'...8m1t.h...............................A66reo's --- ................................................. |
Nome of Builder Jeonu...K^—{mit}l...............................Address .......... _________~______
.
Nome of Architect ----------_----------..A66reu ----'-------_______.,___._____ '
Number of Rooms ........4........................................................Foundation — a..( .__ ..........................
Exierior. ..........ClaPhaozd.��'Tll] ----------.RnoGng --- _ShjT1g1Q.0................................
Floors ............Wal I.A.0...We.11..........................................Interior .......... ........................................................
'
� -- --Heoting .........ELaCtria—.--..�------------..c.Plumbing --.I. ...........................................................
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Fiep|oos ........one...................... ...........................................Approximate Coo .—.. $q2-v{}D.a_____,_~_,_,_~~
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Definitive Plan 6v Planning Board lR--_-. An�o ---'Rl�6
� � � —�'�. '-- '
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Diagram of Lot and Building with Dimenxiono-
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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| hereby agree to conform to all the Rules and Regulations of the Town cf Barnstable regarding the above
--'-------------''~
SMITH, JAMES K. ,
` hCo ...22864. Permit for ...One...112...5.tQr.Y
Sind Family...DWe.7, ?,jag............... o
�• Lot 6 1
Location ...............#........5.5A...SkU.nknet..RQad _ r
t ....................................�aC . .].�,e.........
.... .... t
James K. Smith `
Owner ...'t................ r t ....}'Frame...F...................
Typeof Construction .......................................... t
Plot: ............................ Lot ................................
Permit Granted Februarx.:20; 19 81
......... ,
Date of Inspection .19
...............
.. ...................G � ....19Date Co p let
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PERMIT REFUSED }
t3t'3.. ••• �............................ .. 19 a
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c �4�. ....... ... . ..........................
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1 ....... ........ 'T E
........ . . �- . .............................. ... ,
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Approved'° '
............................................................................... ,.
.... ..
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Assessor's map and lot nurnFker / `
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Sewage Permit number f/...._ .. ...................................... d
` Z BARNSTABLE, i
House_ number ................... '................................................ , 9 MAea
�p 1639. \0�
0 MPY a•
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .... ` ? ? 'rr.' . � � - �
................................................................................
TYPE OF CONSTRUCTION ............4 oRd. 'rar~:e
.................................................................................................................
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......� 1:...??13 '.....................19........
TO THE INSPECTOR OF BUILDINGS: 1
The undersigned hereby applies for a permit according to the following information:
Location ....... .Q F.... ...` irn1 r,-t...1;1t3F�;�:....(%ertt€'��:'�:�:.�. '........................
ProposedUse ........:'?. .? .�' F' k.i i v *el 1. .«;1:�`......... :................................................................................................
Zoning District ... {.':;. . z� i .......................................Fire District f!Pn.4"�?rcr i 1 1 c�-C},e,F?-r!T 1.
.................. ...............................................................................
Name of Owner .Ta,xn4i:�ti� ...Address T�,^-rr, fi .hl ?................................................
.........:............ .................................. ..............:.:...................
Name of Builder (T:':1f!.F...7 ...i(rj,_' }1 ...................Address T2�. r,gtgbI e
....... ................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ....... ........................................................Foundation ... �??.a?"pn C nnrt�Qa
...........::................................................
Exterior C`,.{ ,+ .nr� P{ �_l 7 Q aYahpl t b i n r-I o ................ ...... .
.....................................:.........:...................................Roofing .................:...................:................
n 'WR l -rr .ra i 1
Floors ..........:..........................................Interior ...............'n..:..............................................................
, r, . '3� Plumbin .......�..: ?`,4.;.
Heating ............................................... g ......................................................................
Fireplace 0-i ..................................Approximate Cost ........ . no....................................................
Definitive Plan Approved by Planning Board ---------------_-----•---------19________. Area ........... .. ........................
Diagram of Lot and Building with Dimensions Fee Y.............:.....:.........................
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.
Namec�c:.......N:.....J '`��� `....................
SMITH, JAMES K. =169-15-6
No ... Permit for ....QXle...I/A 12...stsary
.......S.iAg.I.Q...FAMily...D.W.ell ag..............
Lot #6 554 Skun net Road
Location ............................. .......................
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..................ce-ateary e..... ..........................
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owner ..JAMe.5...K.,. IS i. ...........................
T�pe of Construction ..........F-ramp....................
....................................
Plot ............................/
Lot ................................
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Permit Granted ...4�)�q4)�y...�qj......19 81
Date of Inspection ....................................19
Date Completed .......................................19
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//PERMIT REFUSED 19
................................................................
...............................................................................
................................................................................
Approved ................................................ 19
......................... .....................................................
...............................................................................
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Amy Dibari
554 Skunknet Rd, Centervi Ols Ma
Rear Elevation
New Deck
406
Csround .eve I�
Am ibari
554 -Skunkneck , lRd, Centervills, Ma
Scale, 3/8" - 1 1=T
c -- dOA
2w�n x 3�-0'' 2 -6 4'-0"
�4x4PT support Pot
Concrete Fill e
Sona ' tube burl d
_ at bast 4 . ft b COU
O Ground level.
1) Frame is 2 X 10 Pressure Treated (FT)
2) Nails shall be Galvinized 16 penny
3) Hangers will be used both ends of the ,joists
Enough Shingles will be removed to add mo i stye barrier
5) The deck, will be bolted to the ex i st i ng home with
1/2 " Ga lv.- thru the ring Volts every 3e
Step Down full length deck (o) decking will be trex type composite
10 Joists �� hand rails will 1 l be v i a l
Double 2 x y
8) Support . post are 4 X 4 PT with vinyle sleeve