HomeMy WebLinkAbout0025 WESTBURY WAY l
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Town of Barnstable *Permit
y�P�OFTHE ip &rpires 6 noonths from issue date
-�- Regulatory Services Fee d 2
1ArtNSTABLE.
y MASS. Thomas F.Geiler,Director
t6s9• �0
039t0. Building vlvlsloll PERMIT
Tom Perry, Building Conu»issioner
200 Maui Street, Hyatuus,MA 02601 OCT 12 2004
Office: 508-862-4038
Fax: 508-790-6230 6VSTA�LE
EXPRESS PERMIT APPLICATION RESIDEI�1 �
Not Valui tv tout Red.Y-Press In►print
Map/parcel Number
CSC Pro try Address V
' Value of Workl�
Residential / t
Owner's Name&Address
Contractor's Name w'I'DwI a�
Telephone Number l �_ 75/tr
Home Improvement Contractor License#(if applicable)
/oD-7YD '
Construction Supervisor's License#(if applicable)
C.SD.
S-1o32 i
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
gave Worker's Compensation Insurance
Insurance Company Name
v6Z.r/� D�ii s LlrQll e-(L .
Workmatr's Comp.Policy#
CA-1LIC- Ll olb q3 —
Permit Request(check box)
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
y
placement Windows. U-Value (maximum.44)
her(specify)
*Where required: Issuance of this permit does not exempt compliance will'other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised 121901
CAPIZZI HOME IMPROVEMENT INC . 2-9(o �
SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6
STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
I, it i 1L i yw YA-( hv/\/
,I i,
OWN THE PROPERTY LOCATED AT "1
IN I A MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT INC.
TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,
THE MASSACHUSETTS STATE BUILDING CODE.
I GIVE MY PERMISSION TO
LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE
MASSACHUSETTS STATE BUILDING CODE.
SIGNATURE OF OWNER:
OWNER'S ADDRESS:
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:-
APLLICANT'S SIGNATURE: L /
APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635
APPLICANT'S TELEPHONE: 508/428-95I8
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
ACCEPTED BY �%t/ f ����L/''��iV DATE ( 'lf"°
THIS PAGE IS PART OF AND IN' CONFORMANCE WITH PROPOSAL #
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The Town of Barnstable
Permit# a 6
Massachusetts
asnrrsrnB� Date
KAM SOLID FUEL STOVE PERMIT
165
This constitutes an official stove permit after inspection and approval by the building inspector.
Owner T ,C�,, ;r ,' Yy,e�C ; 1 Telephone no. 420 - 6032
Address of Property Village ; —
Location and Stove Type i ,
Q
Date:
Building Inspector
The solid fuel burning stove at the above location passed: failed: inspection.
y0F TH E T��
TOWN OF BARNSTABLE
•
BABHSTAIiLE, i
9� 9 o war BUILDING INSPECTOR. -
.. �F a. �°
APPLICATION FOR PERMIT TO ... r.. ..
TYPE OF CONSTRUCTION ' L .S.p.cb P/' l ,l �..�...
. y �
.........`-....... .( 3 ................19.. �
TO THE INSPECTOR OF BUILDINGS:
The undersigned h reby applies
for a per it according to the ,following information:
Location ... .G2.. .�S .. �f.s ..41�. ..... !/... . .. . ..= CJ.C:. :. L!.... ��J.........
. . .. .. .... .
ProposedUse ..... 5..(...............:................ ..........:...........................................,.............................................................
Zoning District
.........................................................................Fire District ...: . ...�...t!...1..................................................
---��-- a
�- S
Name of Owner ,1...... ...�5. ... r�Pa....... ...TU..�?.Address .. �?.S..°��.... ..........� S
Name of Builderf3... ........ ,.,,..Address ..11. ... .C !!lS� /lJ?Ix
..
Nameof Architect ..................................................................Address ...................................................................................
Number of Rooms ....... S` 43.`. C
d........Foundation 4- ..f
Exterior .....:�(L`iZ. .... . . £?... % 1 ... Roofing f .. ::�.� ............................................
.....
.S ,
- ' -Floors ilt.r .... .. e: ...:.............Interior ... Y I /.� 4
Heating 6-19s, ..../V. .... ....... ..�. ......PlumbingCpi�. ........;1.../��STI.C.... � .r..:.!..
.................... ..
6
Fireplace ... .�:.C-l. ..... '.......... .P� ..Approximate Cost ..
f S.
Definitive Plan Approved by Planning Board ------q-119 l, pd
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH qJ11
C Ax
,'OPTIC SYSTEM mUST BE
INSTAI-LE�J !�E
A T1C ®STATId
�lITH O�WVNl
\ SANITARY CODE AND T F
�
- _�, _
m -
I hereby agree to conform to all the. Rules and' Regulations of the Town of B nstable re ing he above
construction.
Jo--'u Realty Trust /
� �n
No ----- Permit for - -, - ----~
single family-dweling
--..............-..'.........-....'�..........--.. -..
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_ Locohon ���.�������,� Way--=----.. --..
_ _.______.�m�u1�_________..\�___..
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Jo-Su Trust.............. r� �
Type of Construction ----�.ram�------ -)
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-----..---------------.-----
.
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Plot --------_. Lot --._-����1�----
- �
~'
Permit Granted` --' .��0--'-..lV 79 ~
. . . �
31
Date of Inspection lV
Dote Completed �
�
'PERMIT '
~~REFUSED
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--------~------------��
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,__________________________ 'x
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Approved
................................................. 19
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