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HomeMy WebLinkAbout0082 WESTBURY WAY ° � C�'��s�d� �ti'� r .��• _ •�� � � h'r li �s u �� a �' � � ., a, • � ., ., u .. . R r�i: a' a ,. _ 41 " � r, � 1� i l�. .� tl � �e _ _ .� . }• � ,� .� a u .F. ,� n �• r , .> �" � .. .� � � lr .r, cy�.. •� I ��r.� = , . b .,, . , �. . , f ,, �; �, . . � t, a � � .. r. � . . �. �f' �. * �ga2ll� Town of Barnstable Permit# Expires 6 months from issue date egulatory Services` Fee i .RNSPABLE ERM111homas F.Geiler,Director mass. q, 039. 2008 ,•� PR 2 2 Building Division Tom Perry,CBO, Building Commissioner OWN OF BARNSTABL2P Main Street,Hyannis,MA 02601 I' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 6) 3S W Property Address esidential Value of Work bct Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address�G/YI tS /`t �� w c�'•� r :ems Contractor's Name�p�ta(i� LTc _ —1 ��(jt•e// r Telephone Number � � Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor " ❑ IAin the Homeowner I have Worker's Compensation Insurance Insurance Company Nam i-i(r ✓c - Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) e-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over, existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U.-Value (maximum.,W-4� *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 is required. SIGNATURE: i Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise0201.08 y Ar 1 ng g uloh's an One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License CS: 72276 Restriction: 00 Expiration: 2/12/2010 Tr# 16692 MARC.A DENARDO 17 WILANN RD MASHPEE, MA 02649 Update Address and return card.Mark reason for change Address Renewal Lost Card >s-CA1 G 50M-07,/07-PC8490 � io` s wom an a r g a► n Supervisor License Co nStructio CS. 72276 - Licen Trtt 16692 Exp►rat�on 211212010 iw 614 J' 3. t AR = t`ic7'- MARC A D. err 17 Wli-ANN RI) � ���rfj Commissioner . e. MASHPEE,MA 02649= f, 0" L Board of Building Regula ions and.Standards One.Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 143379 Type: Private Corporation Expiration: 7/13/2008 DENARDO HOME IMPROV. OF CAPE COD, ..MARC DENARDO __._.__..:_._._-._ ._-._._._-.. .. .. 17 WILANN RD. - MASHPEE, MA 02649 Update Address and return card.Mark reason for change. -CA1 0 50M-04NJ5-PC669e � ' � - � � -[]. Address �._.Renewal Employment Lost Card • y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bl Name(Business/Organization/Individual): Address• City/State/Zip: A10 25-G- Phone.#: ­�0�9' k» S -L Are,yoou an employer? Check appropriate bog: lld' Type of project(required): 1. I am a employer with - 4. I am a general contractor and I . employees(full and/or p -time). * have hired the stab-contractors 6. ❑New construction 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g• 0 Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' como.•insurance comp.insurance.t required.] .5. We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions rigbt of exemption per MGL myself[No workers comp. 12.0 Roof repairs incnrance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. . ther ACE `� comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compezm ion 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. =Contractor:that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractnrs have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /�� Insurance Company Name• t4 l •YhC C,1 j 1 Expiration Date: Policy#or Self-ins.Lie.#: � —�O � f .� � -0 7 xP• Job Site Address: -s1 � z� City/State/Zip:/&/ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to soctrce coverage as required under Section 25A of MGL.c. 152 can lead to the imposition of criniiiial penalties of a fine tip 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 that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce nder the s nd p aloes of perjury that the information provided above u tru/e and correct Si ature Date• -'l _ Phone 7 2L 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 fore oin en a ed in a joint enterprise, and including the legal representatives of a deceased employer,or the _ g g. g g ] rP 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." 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-contractors)name(s),address(cs)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 regriired 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 homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to btir 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 Cammonwealth of Massachusetts Department of Ladustrial.Accidents Office of luvestigations 6O0 Washington Street Boston,MA 02111 Tel. #617-727-490.0 ext 4-06 or 1-$77-MASSAFE Fax.# 617-727-7749 Revised 11-22-06 www.mass.gov/dia r> ' Town of Barnstable Regulatory Services 9 '�i ssABi'e$ Thomas F.Geiler,Director i639• Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,jm- `e �lll-w as Owner of the subject property hereby authorize la le- )2kZ to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of J ) ignature o Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION � a V SHE Town of Barnstable �pF Tp�� y�P Regulatory Services BARNSfABLE, : Thomas F.Geiler,Director v MASS. 039. A Building Division lFD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town 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. DEFINITION OF HOMEOWNER Person(s)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 constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) 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 requirements. s Signature of Homeowner 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 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt f 1 4LMEI�t AFtt`4 I F15C PAGE 02/0�' ht ax N3-1 '2/21/2007 3.24 :19 PM PAGE 003/003 Fax• f � CORD. CERTIFICATE OF INSURANCE onuCet� IkTE(mldoa1YY} fz_?T..�r THIS CERTIFICATE 13 ISSUED AS A MATTER OF fItFOR14A71QIF 6 n ONLY AND CONFERS NO R€(IHTS UpQ#4 THE CERTIFICATE st.AR c:,&Rt S6V, N4 42?UPPER RD HOLDER, THIS CERTSFICATE DOESNOT AMEND,EKT No OR ALTER T,iE cOvt- AGE AFFOR ED OYTHE VO iCIES SELOW. SAl'C* -'R NIA T563 COMPANIES Arro RDING COVERAGE V7" T15FJ3 COMPANY A Ah TZIC eI 7i RlCfi t1St=RnNCE i t3t9f'?YY INSURED C014PANY T)I1tiARDO 110Mf:IMPRO Eta FW70 CAPE COD ITdr 17 W11q,M ROAD COMPANY ,VASHPEE,VA iJ2fY COMPANY Q • COI�t?AO£ T44ffi10CE SipY THAT T`iF A4t.?CS99 ttf` SEA4R#Cfr Ur'STEQ s°Ld7Y KA%,t fttst"S!Affa To:HE.wa aim kwta 46OVE P+CNt T1 t?Dt1tY PER�Jp:NlEr:XTE9,:«cTTeM Tt�T'X+Mt7sNG A, i<>0W8V'n-T,oUc TERM OACgCopeWOt'emf3 ANY TRACxascart;_+tca re^ T;st trg.C't4pY.atlCx?y CcrT'�f aTEna�Y@. L�EL+t7�kassY'rtEttta�i ?ptSt1Q.444Cco PAID CL 8Y TPA f OUC.4+; GESGIN18EiY EkHR`fv`6t C€ t1$lEC't"€T}AE{.TRE TE4> ,EXzi.tlS hS D L�Dk/�t;TtotiS Oa 9ElGY?+'at.ectES.L'h@TS 3-+D1ttt fAt BtaN€$EEM. PAID CLMRS .. LTR TYK OF""UP14"'cr POLttATT f'C4IGYKIIttBER IcY£FF PCXICY£XP G6H�tAt LfA9sum (A1 ArMYYI DATE 4MMq)9+YV L*Afn Ct did£RCiU.GENERAL LIAB4LPTr GENERAL AGGREGATE s CLAMWADE fcCUR PROOUCTS•COMP/opAGG, OWNER'S bA COUTRACTOws pitar, - PERSONAL$8 ADV,INjupr s - EAce OCCURRENCE ; xIKE DAMAGE(Any me f m) , T AUT (T#}tL6I3ABiI:,t�Y k*o'EXFr-X'C fAnyoftt pcncni 4 . ,WY AU10 ALL O%W4F`D AUTO'S - Cam"-ED 59€CLLIMIT ; rCKE6ULE AUTOS sncr fltmmj t MREAAUTLOS �OItYIrl-Wpy{Ped+Acc 3d'w t NON•OWNEO AUTOt PROPERTY DFNAGE 1344.AW LIABILITY ANY AUTOS AUTO COY.EA ACCIDENT 3 .. CTMER THAN AI;T0 •Y• . EACH ACCIDENT E EXCESSLIAsIUTY XGREGATI" s UMBRELLA F-ORM CTNER THAN UMBRELLA;:ORbt - EACN OCCIlR4t°4CE g Y;0MAl COMP04ATIOU AWO XrrGt?m GATe s i A EtdPOLYt»R'y UARViTY - Tb=PROPQIETJW - - - l�c 72'2v- $ STh TlbZilRYt74t£IS - t IART`IE:RSF_KEcwm,F EAo4 Acc-Da..T 1pFfciR:ARE: EXCL DtSHASC pou"Yt'mrT Ol5EQs5•EACH EMPL CYEE l DO, fSTNEFi . DESCPiTMON OF QP$cRATlG3 6�CCATlCIMSNCi#IDLE&fRELT41CFfQa1"dSPECiAC ITEFd 2"3tS R:.YLICt:.`•t:'f PTd,KtRC.F.AT!ef!;.LT;:tbStT +TOTRE(.I;a!Mir.ATr`•IsCfi.Z€R niFT;C7IMG wORt,EIi..,..�I+4;L"'f3vLR3 kcr CERTIFICATE MOLDER CANCELLATION . - _ - - °t•CNA.3 AkdY t;�"-.;dQ c ,�DESL.rC'8E3DPtk,�LYESl�€.F.•vGE3.tEC FEf'�s;^.:.E ' - 61fs'RaT4LT40A'fi"ti6R6i3�,T!t�t^,SLstttuC�3tP¢kfN�t,.!&dtGE6vCtRT�Mk4:.-3Q- 6AY f+4iiTTE kQ2;CE`:"O NE CtPYf'ICpTExL6�SR^aANs'U,ONE LE- gur FJ�',7fiE t¢d$SL yi,7CK.NGT'tC +M+s-.i�Nfit7;T,•`sto C&`:aAT µ4 SA51fTl`0°t fN °:v3.wfX.i Fi++t GCn•d a:v _.,�aGE�..A CV RE??�'aEro S;re•^5,. AtTH*04 p ft&"a56II4'ATIY6 ACORa2"t 3; It'd Bolinder c ' ASS2SSOr'S5 mapdr(ld lot number ... 1.3... ; . CF THE TO Sewage Permit number Y Z BARNSTABLE, i House number ...:..............b .: ..Zr...................................... q roes �O,o,t639' YP't T TOWN OF BARNSTABLE BUILDING INSPECTOR �. APPLICATION FOR PERMIT TO ......C. #rt1at...NPit... .................................................................... lTYPE OF CONSTRUCTION ...Wood...Frame............................................................................................ ........Jan ...8I.......................19.8.5.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Lot 24 ` Westbur Wav F1....�.Qt>.a,i.t.,.....MA.n................................... Location .................................................Y......... ..,..� i ProposedUse .........5....F. -)..................................................... ....................................................................... . ...................... Zoning District ....�"F.......................... .............. .... ....Fire District ....r:nt.t?i t.......................................................... Name of Owner ... 'i� .1... . .... .1.t!!!"'.......�.,�':''�!r' ......Address ........... ............................................................. Name of Builder ...John J....Delalnea Address ...Rt.e......J,�9..,....MaT::�ton,-?...U!�?...l�.s.....�`?A....... .. .......................... Name of Architect None ....Address None Number of Rooms ..........Foundation .AA..... F C�................... Exterior Wood Shingle ......Roofing ..Aix.bal�'................................................................ ......................... :. Floors Wood & Carpet................................ ........Interior ... Ala.Petr(.)ck.................................................. HeatingWarm Air by..Gas..........................................Plumbing ...2.............................................................................. Fireplace 1 ....Approximate. Cost S45 OO.Q OQ Definitive Plan Approved by Planning Board ---DeC,---3-------------19_7.3__, Area ...: ft.............. Diagram of Lot and Building with Dimensions Fee -= ..... �. Qv.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH OL O 1' STORY FRAMED STRUCTURE OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town Barnsto l regarding the above construction. Name ........ ... ... _....................... ...............1............ `fin truction Supervisor's License ..®0,9 6,1.................. DE-1ANEY HOME TRUST A=27-73 2 No ...7441........... Permit for TI'2..St° ................. Single Family Dweij��.............. ..................................................... .... W66tion ......Lot 24, 82 Westbu..ry.....jjay ................................. Cotuit ............................................................................... Owner DelaneV ................. ..................... Type of Construction ...FrWM............................ ................................................................................ Plot ............................ Lot ................................ 8 Permit Granted ...Janu--Lry.. ..................19 85 Date of Inspection ....................................19 Date Completed .......................................19 "A. 7 4'41 TOWN"WRARNSTABLE 1"' ................... Cks walk AN.d-Y: -PERMIT. -.4136nd .S.,.. ... OCCUR -X; ­-Ugiied-to. Address:. O 'VE. Let.! A, G" no -cbL-di� 2 `Wiring.3�nsPectok. Fuji dtidnidate Mpe 10n,Q&Toe sp-ec t sPhimbing'I., 'A Gas.' • Enjine'eilnk bivaityrikv.. Irisp'e"R on_eaa Board'o'f Health -,Iinspdction-idat6� H a A PERMr-WILL.NOT BE VALID, AND THE:''BUILDING SHALE' 'OCCUPIED,UNTIL SIGNED- BY :THE`:BUIL DING" INSPECTOR UPON:'. ACTORT,,� O*M­ LIANCE. WFTU TbW REQUIREMENTS-!"li-IN ACCORDANCE WITH:$tcTION,iI9.o,:b*"-THEMASSAOMETTS:,tirAT E e'. BUILDDWV61)E:-: .. . . .................. z Oe or �' b �n rij.Kl r�.•r+,. ^,-r y GY .:.A" .i•-Y-n'I`: �„ >.-F�.'y1 M1G'v'k>1't' ..T�.lt;,�.., pia^' y "h r.�.L M,},y "'^r✓r.l •Y� rt-h1- cL th'J'_`S � `� .� '�."�y�.'+`j Y,Ys LY . w� Y' •.. r i ,§R 4 _ f� �.+. ♦ ti" ,4 1,.." + f .'1. .v ,� r, .: 7N ;`` �4. 4 ;'y ��y s I ` ° r k • TOWN OF BARNSTABLE, V 27441.` Y ,, ,Permit No B_nilding'Inspectort tJ 1 7W11Y6 n Y> , ,.fi ,d7t...t.` .y r. Cash r t Y \Y\ 't G i ZZ ,Mao'§ is i .�Cf•1`,. �t- `..� r dL /yft Y i ,OCCUPANCY '-PERMITr . Bond ak: �. "e•Y rY N ! + ti` 1 + �.'+ r ro '. ISSned tco e,t, ey..HCI -��Trtlst t�.,^ + _ �ACICiresS�:+� Y 'r k'y'4 r•".:k�, k t,v- 1 .. t J�. a ~ ° .�r -. • ..:r.-_ ^�'� ?'�I. L9t 24,: 82taestbtlry t�lay.c.Catwt: r 1 f bar XN7 Yv .1 v_ S t "i!' ..,;' ..d ♦" 5:a •�:, Z ! .ct ..fi r / /� .. -�YYR / �{�' i Wiring Inspector 5 Inspection date: T. e Pltimbing Inspecto �f >, k ,Inspection date }` + as.Ins eCt01'_ •� +f » " A^t�'.� 1.7 " Ins ection date =fi:"� +� p..: P ITYI�7"A'H_ ,/ X En lneering De arty a Ins ection date Y g , pewi/i/RJI' � ` / G/ /'f p wX ,�'""L�,.,•rs�; ti,," %1,"-!4-,' r'tInspectiontldate�„��,�i i' k .�!i., .♦ 9 Y.u' f.'. � { � nVM1 �..`.`1 'I>..♦ r.� Y'.) J } ice.)l �:,, iL�� I �, r.`1'. y ','..",;THIS PERMIT WILL',NOT BE YVALID -AND THE,BUILDING SIiALL NOT''BE OCCUPIED. UNTIL , �.SIGNED`BYrTHE'"'BUILDING INSPECTOR.'UPON'SATISFACTORY�COMPLIANCE {WITH.-�TOWN '`-REQUIREMENTS AND IN''ACCORDANCEA WITH;'SECTION 1196 OF THE`MASSACHUSETTSSTATE' ' BUILDING'CODE r / pp n' + T' r -,3 f L ` ,�y p YI+i� „•"'r�6=er /r .§✓t >'�. •'im lf•,,. / .„ Bui dlne Inspector «r y. n�{,•. A 4�. •t! .' w 1 r. 4�, v 4 .�•'� th 7 L •�lg ". . V _ �.-. �, i. FROM TOWN OF BARNSTABLE Mr',< Francis Lahte.i.ne � ,� ,� •i;'�A,•TM Ma�i,4!�!H1�/!R'i'i.i# 'p' • � BUILDING DEPARTMENT iV�L Vi\.k 367 MAIN STREET HYANNIS, MIA 02WI Phone: 775-1120 SUBJECT: FOLDHERE DATE - - _ _ .� g - r Y M E S-S A G E' _ - Work - letedwt .er-Permit' #27441 (Delaney Hare Trust) Please release .Bond. - _ - SIGNED } 40, DATE REPLY .. SIGNED •• _ - Ne7•RM1 , - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. I SENDER: SNAP OUT YELLOW COPY ONLY.SEND.WHITE AND PINK COPIES WITH CARBON INTACT. 7.- 7 3 ' /, ~ ;,; ��C SYSTEM MUST B Assessors;map and lot number .....: ......................... .....�. s $ ,� _ S AIN!1- _ INSTALLED �� ��� � � �- THE N Sewage Permit number ........ `.�•°,'J....................... �''1 p1e� yp" I TITLE 5 d�Q� ♦°, B LE, • House, number: .............., AF..Z' ,...................... . ....... r �t'OWN �� � �'���5�'� *oo "6 9 o war a• _ f TOWN O' F RARNSTABLE ' } BUILDING IN PECTOR APPLICATION FOR PERMIT TO ......C U5.tx]aG.i:..New..HI1U ................::................................................... i TYPE OF CONSTRUCTION ...Wood„°Frame,,, J an'.....8........................19.$.5.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......+�.At...2.4....,...Wes°tbuK ..W. Y....., ....CA. uit.,. .MA.: ................. ......... ................................... -Proposed -Use ..........15—F.—D...... .... .............................. . ........................................................................ ...................... Zoning District .....RF...... ...Fire District .....C.atu.i.t.......................................................... Name of Owner . . ............�-­t Address .........................................................................:.......... Name of Builder ...J•ohn •J.•••D4. I��.y................ ....Address ...Rte_...1 .9.,...Mi S.t.QT1S...ML11s.,...°MA.:..... Name of Architect ...None .......................................:............Address ...�I.Qi�.e....................................................................... Number of Rooms 6 .......Foundation .. .Q"....P....C....................: ..................................................°........ ..................................... Wood Shin le Exterior ...........................�.- .......................:..............................Roofing ...AS.p r��.t........................................:...................... Wood & Car et ............:..Interior ..a"....She.etr.tick................................................. Floors ...............................1?..................................... Heatingifaarm... lir..:by:,Gas................................. .....Plumbing ...2............................................................................. ,Fireplace 1 .........:::....................................................:.Approximate Cost .....54 ...nQ.Q...Q.Q..................................... r Definitive Plan.Approved by Planning Board ___Dec. 3� ........19.7__a__ . Area ....a16...s.q.....ft............. ©0 Diagram,of Lot and Building .with Dimensions Fee '� L.1................... ,SUBJECT TO APPROVAL OF BOARD OF HEALTH CI WyO 11-2 STORY 'FRAMED wSTRUCTUP,E y 2 OCCUPANCY PERMITS REQUIRED. FOR NEW DWELLINGS I hereby agree to conform to-all ,the Rules and Regulations of the Town Barnsta r g rding the above construction. Nam ..... .. .... ........... ..... .. ........ .... 009961 o truction Supervisor's License .................................... . Dr,ANF.Y HOME TRUST t. ..No ... 27441 Permit for 1 Story . ................ ..:. ....... _.0 Sim J� .k ami].y..Dr�elli t Lot 24 R ' Location ......!. 82 W.... y..W y....... �... Y ` ..C..... .....Cotuit....................... Owner ..Delaney Home Trust '. .Type of Construction` —EXAM........... .. .......... f Plot ......................... Lot„ ........................ i a Permit Granted .....January' 18...........19 85 Date cf Inspection 19 , Date Completed a ...—....... .!1.9 s.• Alt S F4141/1-Y -- 3 BEo.2ao/•t - �l/O GA.2BA GE G.e%(/OE.E iaz OA/I-Y FLOW - //OX-3 = 330.G.P. 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