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To Whom It May Concem:
I Anthony R Cuoco state that I will only use my shed for personal use to
try out new baking recipes, and will not use it for any kind of home based
business. The most I will be using_ the shed is about eight to ten hours a
week_
Anthony R Cuoco Q �/
l �
CO
s� a,
TOWN OF BARNSTABLE
�.•` •e Permit No.
t .URn.R Building Inspector
■..� Cash ---------------- ;
OCCUPANCY PERMIT Bond ----__-------
<<
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 13arn,4ta!?f.e
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 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 kNa
REQUIREMENT$.
...................................................... 19......_ ..................................................................._. .. _.......__...._._..___
Building Inspector
Town of. Rarnstable T
Regulatory Services
0FTHE r AUG t2 3"REC'D
Thomas F. Geiler,Director 3: ,
4
Building,,Division �
* BARNSTABLE,
y MAss. g Tom Perry;Building,Conmiissioner.
039. �m
$prFon��A 200 Main'Street, Hyannis MA 02601
www.town.barnstable.ma.us ti
{S
Office: 508-862-4038 a 50 -790-6230
Approved:
Fee: 'S -
- Permit#: z0® -�
HOME.OCCUPATION REGISTRATION .w
Date:
Phone #. `,�l "
Name: 1 -t 7
Address: k Ui l e \ '-: �X�
i
N tnle of Business '
Ma Lot. ,O V 1!� '.
rl ype of l�usniess: [/ .
r1
INTENT: It"is tlie`ititeut ci t us section to allot the restdeuts of the hot'vn of I�trust able to opet tte,a lionte ct uI>fttiou
<i2thiii siugle:ftmily dieellin s;{subject to the Eirovtsions`o[ Secticiit d 1.l of the lounig ordinance, protriclecl tltat'thL ictitnty•
shall not be discernible from outside die dvi�elling., thlere'shall be ho increase in noise or odor; no v'tsual tltu�ition to the
premises which would"suggest anything other than a resideiitial arse;no increase Ili traffic.above nor real reSr ential volu ttes;
and no increase in air or groundwater po' lution.", t
After reg'strttioi �tnth al e 13uilcling Inspector,a tt}stone iry home occupation sliall be•pe inuttecl as of right sult.te�t tothe
Eollowiug conditions:
• " Th6 acti�rity i5 camed'oit by the permanent resident"of t single family residcntrat dwelling.unit, located tvitltiit
that chvelling unit.
Such use occupies uo moie th ii,400 sc uaue feet cif Sp tic,.
• , There are ito extern tl alte.iattons t.o the chvelling tvlach are not custontaryM1iu residential-Ituilchugs, iirtd there is "
no outside evidet"ice of such use.
• No traffic-ttnll be.generated•ui excess of norrii tl resulEutial volumes
• l'lie use does noP.iitvolve the productioti'cif olle nsire noise tibration,:sniol,e dustGot other p u tic•ul a matter, 1
cidors,'electtical disturb<ince,heal,glue, humidity or,other obtc ctiouable•effects.'
rI'he.re is rio storige'or us`eof tciric of It tcaidour r} tten tls;or[laiitinable or.e�pI sive ntatenals, i i cxcess.6F
normal household"quantities:
�.:
• Any.need Eor parking geiiente`d by Suclrt`se shall be met on the saute loCcontaiuit g the Custonruy Home
Occuliatiou,uul not GtiGltiii the renuired Eiont yard
b
• G `f`here/is no exterior Storage or display'of.ntatenals or equipment: ,
f There are no commercial vehicles related to the.Custoiiiai3 Hoene Occupation;other titan one van or one
hick=up(ruck not 10 exceed 6ne ton rapacity, and one'traller not to -weed 20 feetin leiil tlrand uc t to
exceed l dies,p trkul on tkte same lot containing•t(te Usfoni iy.Honie Oreupatiou
• - No Sign sliall be displ aye( Indicatiiig the.Custoiitaiy Home,Occul>ahon
• . If the•C t stone uy"Horne.nccujrttion is listed or advertised is a business, the sti eet'address shall heat be
No`person Shill be.entl>loyed iu the.Customaiy Hoene Uc(upatiou tvlu>is lu>t a petntaucut resident o'the
div t ,
I,.the urine .'fined It the i c lid,agree«6tli the above'restrtction5 for rely ltolne.occupatioti I am rcgl5te�l ,
Date:, 1/®
- o
I
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates COST $30.00 for 4 years. A Business.Certifi.cate ONLY REGISTERS YOUR NAME in the Town
{WHICH-YOU MUST DO BY M.G . - it does not. give .you permission to operate). You must first obtain the necessary signatures on this form
at 200 Main St., Hyannis. . Take the completed form,to the Town Clerk's Office, 15' F1.;367 Main St., Hyannis, MA 02601(fown Hall) and=get
the Business Certificate that is required by law.
Fi1L in.please: DATE: -
APPLICANT'S 'YOUR NAME: p
BUSINESS
YOUR HOME ADDRESS:
TELEPHONE # Home Telephone Number:
NAME OF NEW BUSINESS PE OF BUSINESS r IS THIS A HOME OCCUPATION? YES NO C
Have you been given approval from:the building division? YES NO v v f C Q-•
ADDRESS OF BUSINESS
MAP/PARCEL NUMBER -
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 Ymay;need ."You MUST GO T0:200`Main St: - (corner of
y
Yarmouth Rd. & Main Street) to make sure you have'the appropriate permits and licenses`required to legally operate your business in this
town.
1. BUILDING CO ISSIO ER'SOFFICE
This individual hps nnf r' f an MUST COMPLY WITH HOME OCCUPATI
permit requirements that pertain.to.this,type of business. {)rJ
RULES AND REGULATIONS. FAILURE 7!Ri
Aut orized Si ure** COMPLY
MAY RESULT IN FINES.
COMMENT,
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 has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
Dwol 3,?(p
oFz r Town of Barnstable *Permit#
E spires 6 Months from usr
rRegula.tolly Services Fee [
RAMN
ycb i639 %`��' ',�', t Thomas F. Geiler,Director
� .I l Building Division-
, �„ �� „ I � ft a rw'-Y'
t , ' F, , � �� TomPerry"", CBO; Building Commissioner
M, . A 1 f� 200 Main Street, Hyannis,MA 02601 _
�rl�;'• " www.town.barnstab16.ma.us a
Office: 508-862-4038 Fax:508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X,Press Impt.rin
Map/parcel Number 1 b 1 016- 00 7
Property hAddress Si Q S U dJ i,>Ne i: C,,�:.,y�a,,e V."M CU6 5.A
_
VResidential Value of Work,/'s'p00.0. Minimum fee of$35.00 for work under.S6000.00'.
Owner's Name&Address. �IL u�e t lYAs tf:e l
Contractor's Name H/A Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's.License#(if applicable)
❑W.orkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
2-1 am the Homeowner, .
❑ I 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(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing.layers of roof)`
[�Re-side
#_of doors v�
.Replacement Windows/doors/slides: 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 copy of the Home Improvement Contractors License& Construction Supervisors License is
required
SIGNATURE: `�✓k-�4 �^zA��-F'
Q:\WPFILESTORMS\building permit.forms\EXPRESS.doc
RevicPri n�nt in ..
The Commonwealth of Massachusetts
c i Department of Industrial Accidents v
Qfj
ice�oflnvestigations
600 Washington Street
Boston, AM 02111
r www.mass.gov/da
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): �rLIALe, i' . 1Tb`15ke 11
Address: /(l we
fJ�� Phone #: ��f f 6, -0/97
City/State/Zip: ITYA�i1,tJes l�iR- .
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ l am a employer with 4.. 0'I am a general contractor and.l
" 6 ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling
ship and have no employees These sub-contractors.,have. $..'O.Demolition
working for me in any capacity. workers' comp. insurance. •9. O Building addition
[No workers' comp. insurance - 5. 0 We are a corporation and its
,�,�equired.] officers have exercised their 10.❑ Electrical repairs or additions
3.U I•am a homeowner doing all work right of exemption per MGL 11.0'Plumbing repairs or additions
myself. [No workers' comp. c.:1,52, §](4);and we have no 12;0 Roof.repairs ;
insurance required.] t employees. [No workers' 13.0Other
comp.insurance required.]
*Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy.information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
(Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information..
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins:Lic:#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation,policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised thai a copy of this statement maybe forwarded10 the Office of _
Investigations of the DIA for insurance coverage verification.
I do hereby certify under;the pains and penal'es of perjury that the information provided above is true and correct
s
Si ature: Date: 3 110 A I
Phone#: 5 S6a-Dt9-7 F
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3.City/town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral 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 the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance, construction 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."
r '
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a 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 performance of public work until acceptable evidence of compliance 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 your situation and, if
necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(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 may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, 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 companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license 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 marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum 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 Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations'
600 Washington Street
Boston,.MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 5-26-05
www.mass.gov/dia
�t rti Town of Barnstable
Regulatory Services
s.� AS& Thbmas F. Geiler,Director
q� s�� �
'°�Eo► '` Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.Uarnstable.ma.us
Office: 508-862-4038 Fax: 509-790-6230
. Property OwrierMust
Complete and.Si n". �
This Section
-
If Using A Builder
as.Owner of the subject•property
he rebyauthorize ;- 'A1 -to act on my behalf,
in all matters relative to,work authorized by this building permit applicatiori for.
(Address-of Job):
Signature of Owner Date
Print Name _
If Property Owner is applying for permit please complete. the
Homeowners License Exemption Form on .the reverse side.
Town of Barnstable
�opTHE roomy
yg, O
Regulatory Services
uRNSUS Thomas F. Geiler,Director
Mass.. -
�bs� Building Division
PrED Tom Perry, Building Commissioner
200 Main-Stree 'H anus MA.02601
wmv.town.barnstable.ma.us
Office: 508-862-4038 Pax:- 508-790-6230
HOAIEDWNER LICENSE EXEMPTION
Please Print
DATE: Ao II
JOB LOCATION: `J CDD Sk U AJk/Je i /�c� 6,FA1%e/Z ✓h lie
number _! ��7� " street village
"HOMEOWNER": �)?-c(c� l 1 s ket l 7751-gk7 -09S(
�
name // hams phone# " phone#
CURR1 NT MAILING ADDRESS: /(D/ /D9 e..tA)V00D t4(/•Cr
f�yi4 NNiy 0"�l/9• -D��Ol
cityhovk 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 hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINrrION OF BOMEOWNT-R
Persons)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 constrgcts more than one home in a two-year period shall not be considered a bomeowner. Such
"homeowner"shall submit to the Budding Official on a form acceptable to the Building Official, that be/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
f
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
require ts.
Signature of Homcowncr
Approval 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 Constriction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowncrperforming work for which a building permit is required shal)be exempt from the provisions
of this scction.(Section 109.1.1 -Licensing of construction Supervisors);provided that if the bomcowncr engages a person(s)for bin:to do such
work,that such Homeowner shall act as supervisor."
lvfany homeowners who use this exemption arc unaware that they an assuning the responsrb11ities of a supervisor(sec Appendix Q,
Rides&Regulations for Licerising Construction Supervisors,Scction 2.15) This lack of awareness often msulrs in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot procccd against the unlicensed person as it would wi th a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsrblc.
To ensure that the homeowner is fully aware of his/her responsibilitiu,many communities require,as part of the permit application,
that the homeowner certify that balshe understands the responsibilities of a Superrisor. On the last page of this issue is a.farm currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
elf a,
`Assess iap and lot `number ys
THE
IN fir,
Se�-'a9 rmit number ......=.°.. .�. .•. o ......... 77,
:..
s q
11 STAILE, i
House number :,...........................6 ....... ( , �p Mb e
q C0PA `1ANCE
T O W N� `O F B AR NS' r
. 4 ENVIRONMENTAL CODE A 6
y WN REt�U - TI �S
BUILDING INSPECTOR
,,.
APPLICATION ,FOR PERMIT TO ...:.... �� :5.�`: ..: ............ ........
TYPE OFF CONSTRUCTION ............... : .... ......... ✓
V
�— 9
............. ....................19„Y.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......h. .:.\....... .........:: v'`� '\.2:. .... � � \ ......................................
ProposedUse ......... .................. .............................................................................,.........................
Zoning District .......kelb:k'..&S� ..\ "�-.........................Fire District .`�.� `
Name of Owner ..... J,...: ......... :.......`. Address .........:..... t(...:5
......................................
Name of Builder ........ ...�..................... ........................Address .................
Name of Architect ............Address `
Number of Rooms ............................................................:.....Foundation ..............................:...................
ExteriorW.Q ..............\ .\\ ............ ........Roofing ........... . ...."..... .........................
Floors W ....................Interior ....
Heating ..... ... i - .. ................................Plumbin ...................\..........•VJfJU........................g .Y\ ........ �.. g ..
Fireplace .............
....................................................................Approximate Cost ...................................
.......................
Definitive Plan Approved.by Planning Board --------------------y_-_----_ �. ...... .
--19--------. ., Area °�..............
Diagram of Lot and Building with Dimensions Fee �'
SUBJECT TO APPROVAL OF BOARD OF HEALTH
ss
.. F
Z'
7 -
• t
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....: i..L\.l... ...............
." SMITi, JAMES K.
No3326' Permit for ...One 1/2 Stork
Single- Family..Dwelling.......... •
Location Lot #7, 560 Skunknet Road `
I. y
1 Centervill
...•. 4'.............................................
L
Owner James K. Smith - _
Type of Construction ..........................................Frame ;�• �' , .
........ ................................... ............................ ' •"
.:.
,Plot ............................ Lot ................................
- ,� ^•, .
` . •� July_ 28 , ` � � 31
Permit Granted ........................................19 1
Date of-Inspection ............. ......1,9 '
Date omplete ..: `19 �
PERMIT REFUSED -
............................. ....... J 9
....................... ..... � « - .. ...... `T . i y•
a
........................... :'':' 4 .amr .... ...................
-` -•. \ `\; ,� J _ _1
............... .............::..... ........ .......... ..
ra Approved 19� �• .�:� .. ✓•� ' .
f t' ............................................ '
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The Town of Barnstable
Department of Health, Safety and Environmental Services
• �� Building Division
1659.
N. 367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Home Occupation Registration
Date:
Name: S why
Address: S h� village: C-e—�+4UL 1 -e-
��Nln a S
Type of Business: S Map/Lot: ,
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,have read and agree with the abov ctions for my home occupation I am registering.
M
Applicant:
Date:
e
Assessors map and lot number ............ ............... :. •, cF?HE ra
Sewage Permit number ............. ...... ......:.......'
EARNSTA➢LE. i
House number
O 1639• 9�
'FO MPY a\
TOWN OF BARNSTABLE
BUILDING INSPECTOR
n(]
APPLICATION FOR PERMIT TO ........ �.��.��.�1.C.<�...... ......................................:..
TYPE OF CONSTRUCTION ...........:... .c ......... c' r!n ................................................................
.............� .�....................19..A
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......4--� �U�F-Re �� 4?.... �..��)\\\�
..... ..................... }. .......................... ...................................... a.
ProposedUse ............ .fin. ...... 0.M. ........................................................................................................
Zoning District ........C.Q�?.� ..................................`' Fire District �
Name of Owner - a ...............Addresses. .5.. �-
Name of Builder ......:::,........................M.... .............Address ...................v1..� 11.(1 .. ..C� .........
Nameof Architect ..................................................................Address ....................................................................................
Number of-Rooms Foundation G
.......................:...... ............................................................
Exterior ! ..C............ .............\...................:......................Roofing ................ ` �0. ")...... ..............................................
Floors ..............................W......................................................Interior ....................
�.......... ..............................
Heating Y��,1>�............... \ .................................Plumbing ��
�........ \............................................................
Fireplace ............. `y ..................................................Approximate Cost ............}}y� V Definitive Plan Approved by Planning Board --------------------------------19--------. Area ... .. ,1.6...... ..............
Diagram of Lot and Building with Dimensions Fee � r'.............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
.4
F ..
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...............
SMITH, JAMES K. A=169-15-7
No 23326 Permit for ,One 1/2 Stor.y
.......... ..
Single Family Dwelling
...............................................................................
Location ....Lot #7 560 Skunknet Road
............................................................
Centerville
...............................................................................
Owner James K. Smith
...............................................................
Fram
Type of Construction .............4.......................... '
............................................... r. ...........................
Plot ............................ Lot .............................
p
Permit Granted .July
Date of Inspection ..19
Date Completed ........ 1..........................19
a
PERMIT REFUSED
................................................................ 19
...............................................................................
............................................................
.i. v.........................
v ........ ..r .................................
Approved ................................................ 19
...............................................................................
...............................................................................
Ap
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