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0093 WESTBURY WAY
J I J ` -- 4 i F CL— Town of Barnstable Building PostThisit' esca osted UI Finallns ection as Been, •i619- Where a�Cert�ficate�of�Occu�ane is°Re,ytred;such Bu�ldmgshall Not be Occupied until a F�nalInspect�on has been made Permit Permit No. B-19-2287 Applicant Name: William Callahan Approvals Date Issued: 07/15/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/15/2020 Foundation: Location: 93 WESTBURY WAY,COTUIT Map/Lot: 027-071 Zoning District: RF Sheathing: .« Owner on Record: SANTORO, DIANE M �� Contractor Narne WILLIAM CALLAHAN• Framing: 1 Address: 93 WESTBURY WAY sJ Contract 7Lice"nse CS=095581 2 COTUIT, MA 02635 Est Project Cost: $5,000.00 Chimney: Description: Install Insulation ' Perrnit Fee: $85.00 Insulation: Project Review Req: Fee Paid= $85.00 7/15/2019 f: Plumbing/Gas Rough Plumbing: g .. y BBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application a'nd theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoningjby laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access trees for road and shall be maintained open for public 6,6&f n for the entire duration of the work until the completion of the same. E Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building,andhFire®ffidals are�provided on this permit. { Service: Minimum of Five Call Inspections Required for All Construction Work:l; 1.Foundation or Footing ' z 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before finest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Y r �lQY OFIKE►oy, Town of Barnstable *Permit# 1 017 ~O•� ._.,.._. Expires 6.months from issue date CAB ; : Regulatory Services Fee.. . . . . _ stis9• ,0$ Thomas:F.Geller,Director Division- --Torn Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 'E R I Office: 508-862-4038 Fax: 508-790-6230 DEC 6 . . 200.4 EXPRESS-PERIGRY'-APPLICATION - RESIDElYT1AL O1�LL Not Valid without Red X Press Imprint I uVim Or BARNSTABLE Map/parcel Number 6 t 7 d!� 1 Property Address o1 5 l��S p t � we:'_j (:�oiu J , m A _- -- []Residential Value of Work S 00D Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address > I a rl 9 3 l t)-� �cJ/l� (A J 14 MA d2,z,�S Contractor's Name Jt L-`ZC Telephone Number g 4 (o-S S Home Improvement Contractor License#(if applicable) I D-a !�>-7 Construction Supervisor's License#(if applicable) D 15 -7 1 3 WwoTkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ 16m the Homeowner " ❑j/I have Worker's Compensation:Insurance rayInsurance Company Name � �- Workman's Comp.Policy# Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) WRe-roof(stripping old shingles) All construction debris will be taken to a o M f75�'Z ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value t+2 (maximum.44) 2-*Where required: Issuance of this pen-nit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise063004 Board of Building Regulations and Standards f HOME IM-P,ROVEMENT CONTRACTOR A Regist4fioni: .122376 - IM -8123/2006 `--;pfm f r CLANCY BUILD R ' LL k x MARK CLANCY VA / 207 Setucket Rd S.DENNIS,MA 02660 Administrator a---WI a1J_L tT1O1.s " f41 `fR1CT1O1 Sld" F2,Vr ©fit:: r - I' _-tf�asx�,e'�"xCS 057ti38 � • ft � /0 00rM it rro 1348 f A. - 207 S D€s [S M? 02B0; Admtnf? attsr , k • b I of Town of Barnstable Regulatory Services ' Nua _ Thomas F.Geiler,Director fp�t Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder sa'�4D ,as Owner of the subject-property J P P riY hereby authorize C 10 r 601 �5 (�LG to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name ti QYORM&OWNERPERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map` 6 Parcel 0 1 Permit# la,307 p � Health Division d — 3 Date Issued o d Conservation Division Z)LM2 t_ Application Fe Tax Collector ZU �— d L--` ��� �' Permit Fee Treasurer Z 00 2- — d � � �L SEPTIC SYSTEM DUST DE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board VIIITH TITLE$ EWRONMENTAL CODE AN[ Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 3 1, ay�my IJAY Village Ul A Owner Address 7qs Telephone _ Permit Request 4X/`_ 1� 41 Eu) l�I AAQeul_ � 1�?d2S Si Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4a f00. `°° Construction Type D D Q Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: X1 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes allo Fireplaces: Existing New Existing wood/coal stove: ❑ s �b No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new-- size:,- Attached garage:❑existing ❑new size Shed:Aexisting ❑new size Other: = .'r N o Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl a? � Commercial ❑Yes ❑No If yes,site plan review# X rn Current Use 1 Proposed Use BUILDER INFORMATION Name Joseph ; ;5 & f-02 0 Telephone Number Sa(S 94��"�'��& Address `�� ` u� v C���� License# CrTtu l -� fa Oa G 3 S Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /Wl DATE —GO ' y Z i FOR OFFICIAL USE ONLY PERMIT NO. - - i , r DATE ISSUED 1 f MAP/PARCEL NO. , r ADDRESS VILLAGE f OWNER r/� -- DATE OF INSPECTION: FOUNDATION FRAME INSULATION `J FIREPLACE ELECTRICAL: ROUGH - FINAL ' PLUMBING: ROUGH • ?<_ FINAL GAS: ROUGH ' t' FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i - ` Town of Barnstable P�O�THE Tp�� o� Regulatory Services = Thomas F.Geiler,Director BeRtasensi.e. 9 MASS. s639. �� Building Division Arfn I'��A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 0— / — JOB LOCATION:. 23 !N numbe�� street village/ "HOMEOWNER': Z� name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelliM 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 su eervisor. 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 peifomled 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 rocedures and requirements and that he/she will comply with said procedures and require nts. gnu ure 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 _ The Commonwealth of Massachusetts • Department of Industrial Accidents -==� • Office of/nsestigat/ons 600 Washington Street Boston,Mass. 02111 �rair i rli,�irr aioiii W%% �nsa t'on Insurance Affidavit Yname: �ps eP h /Y1• C-5AA,Y`D e Q 0Y location: /r✓ uV.i I '4 phone# ��O• <12 I am a homeowner performing all work myself. I am a sole r rietor and have no one workin in ca achy I am an empjoyer pToviding workers' compensation for my employees working on this job. com ; ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have llowin workers'co ensation polices: the g .................mP....::..:::::::::::.:::.:::.:.::::::......:::.:..::.:::::::::::::.:.:.::.::::::::.:::::.:::::::.::::..:...:.:.::.:::::::::::::::.::._:::::.,:::.:::::::::.:..:..::::::::.:::::::::::::::::.::::::. X. r ;dire a i •Y{::!isisii:<;:,:}�ii::iYS::::�:::};;?'{:;:y.'•;:ii:isisii:ii:{i::isisi:;??:}::+ii:^i1>.j4ii}??iiiiii:ii;:iii}}}i} vi•i':iii;:yi:i�;::iL:ii::i:::vti•}}:iiti::•iii :% :.... v::}. y nv•xn•. w:::::::::::,�., .....w.v::.:�: ::•::: ............... :•.v:'•::v:'.::�:::::v:::::::•:::::::::::::::::.ice}:::::::: :::........... :::::::.:............................... ..:n.:.::::::::v::::::::::•::i}:4}:?.}}}":i•}}}}:4i}:4:isJiii}}:?4i:......}}}i:•i}}}:i:4}:{!:•}}}}:ii�i%..............•... v:.:::•.i•:!•}i}}:•::•}Y.vi}}i:;:yiy:•':?v:i::.:i:.i:'}ii:•`i:.: v:::.v.iv:i:4i}:^:?i•::?Ci'r:•}}:}::.is�:..;:.}}i}:i:•}}r::. :::::•:isC'.e:'CQr::::::::�i:?::�:?i:: :<i::�::i::isi:+::i<:}i: ::::i:::::?<:::F+:::i:::::::: ::.i::: :::: :::is?::::��" "}?:y::ji'v::;}i:::;ii:::t :: :lba'ttralt ........ ::)':................. ::': :ii: viJ ':::}}iJ::iiii?isi�::$:iii:+}i;Y�:ii:;}: :ri:;i:::�ii::i:::;::'n}::�Y:iiii::i:iii: ii::i:i^:4j}:L:ii`::(:•:::i::%'Gi£'i:;:;:::;.{;y;;f}i}i:J:}}i:•}:?J:. . :?:tiii:l?:}::v: si.'?}:i:?}:i:::ii::v:'::^}}i}i}::".i:?}•i':'ititi;:!:'fi'i:: ,::•iiYii:: ........ .:...:. ... :atltEress. :. :. . .:...................... .... .... . :....... ... :.......:. . :.... ------------ Fanu v to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby c fy under the pains and enalties of perjury that the information provided above is true and correct xSi Date gnature // pi ''t -Sos 1' t. �S,91�-�o Phone# `/C b G —5 �7/ 10 official use only do not write in this area to be completed by city or town offidal city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (mvieed 05 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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`bther legal entity, br'aiiy 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 r., dwelling house having not more than three apartments and who resides therem;>or the oc644nt 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal or to construct buildings in the commonwealth for any applicant who has license or permit too operate a business g . of a p P coverage required. Additionally,neither the le evidence of compliance with the insuranceg q Y . not produced acceptable P 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be retu6�to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Depaitinent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents oluce of lnvesduatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 l Town of Barnstable 114E Regulatory Services " Thomas F. Geiler,Director • BA grABLE, MASS. �* 1639. Building Division ArE p MAr a, Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 i Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: —,/�^��• JOB LOCATION:. Q W.4 number street village �a5 h 1e D rC ���- 6� "HOMEOWNER": 7/� name . . 1ho[m-e-phone# work phone# Q CURRENT MAILING ADDRESS: -n g—, ST O. �A 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 su ep rvisor. 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 um inspection procedures and requirements and that he/she will comply with said procedures and re ements. i ature 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 L �r s . . � Z Z� OBS,� •Y .: t F V 7' _ fF it t ar tit s_ W4 a �eta OF u4ss�cy RICHARD A.. BAXTEFI , t a � v . N0.24048 'A� w G/STEP y0 rho sva�� CE,2T/F/EO �L�OT" Al �vss ,L06.47-/OA-1 ! CO 7-CJ /T / CE'.eT/.may THAT SNOWit/f,�E,2E0.(/COMf�L YS W/rh' SCA L /�s!gyp 0.�4 TE �- Z �E4U/.2E�-1Eit/y-S OF T.yE Towit/G� f�,LAit./ �E�E.eEi(/G'� f. :� Z z IislST.4l�G� .4Nv /S �C/oT .�CST ,4 o cA T,E'o �,,iiT.s�/.v .7-//E , ,Loa rPG4/.s! AL OATS:7 ,B'�tXT,E.E'6 NYE /NC. T�//S P.C'4!t//S.�t/oT �ASEO ON �i/ r2EG/STE•�E!> L.��O SU.e�6Yt�r //V.ST,2U�,EiG�T S!/.21�E'Y�.` Tf�E' aS,TE.23//.C.��•�' /�.�SS. � 1 .. 0•�,4SETS.Sh�o�/y Shbvtl.� NoT' 49,C-- A 4 i :It I II ; Lj 3 ir,,N -1 b i + 111 III f i; �7 i . i i �gQjl � l i I i i RP v k.g � !-'�� •I III '� C , s ` •f ° I � ��I .� it .I I' 3 i i o - I yl li I I 1 W ME F i I ! I Assessor's map and lot number ........................................ THE f Sewage Permit number ...+?..:....� ............f../.1'il�N i!,...•..,, d�' �� EAWSTADL E rMAO& i `House number ............................................... TOWN OF IRA RNST•ABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ........ / ......../ !�-�1 ........................... ... .... TYPE OF CONSTRUCTION .......u. ,.. ......... .... .. ................................................................. ................... .............19. TO THE INSPECTOR OF BUILDINGS: + The undersigned hereby applies for a permit according to the following infor f tion: 4 .... .. Location ./0 . ... ...... .,... Use 1. ..:..... ...................�..... ........................ -------------------------- Proposed ..' n:........................................ .� Zoning District ........ .. ....................`. Fire District ..... ........... .. ..I............... :..... t Name of Owner.. .........//,,,,/L;CX,,/..,,.......... Nameof Builder . . . ... . ...................-.........................r............Address ..:.......,,..,.......... ..... .... ....... Nameof.-Architect ..................................................................Address .................:..............:................................................... Number of Rooms ................ice..............................................Foundation ...A ai .........................:. Exiesior ... �r.... .....,...s...,... /��. ......:....................:..............Roofing Interior `� �` J Floors ..... r/.,1 •Q..:: ....... .........g............................... s......../.%/..:........................................................ iHeating .... .../ ,' � ,...........:...................Plumbing ............�........... ..................................................... Fireplace ........................ .......:....................................... .....Approximate. Cost ....... .................,....�............. Definitive Plan Approved by Planning Board 3----------19_/__-J_. Area ...... ...................... / E Diagram of Lot and Building with Dimensions Fee /f!�,!. ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t Ik V I t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .........:...................... X' zV Conston Supervisor's License .................... � ELANEY EQUITY TRUST A=37-71 � ~ � �6�8� ' No ---.--. Permit for ...]—|/�.��t�J�--.. \ � ___.�i��la_fami]}[..dkW9.1.�j.DQ...................... - Location ..... o%'`#%2. ...9 _W-aat-b*py'' --- ------.{QAt.u[t--------��------.. O,vne, .......De.l.��i2pny_.Eoy.ity..Trust....... ___ . Type of Construction .......F��me........................ _ --------------------------. ` Mc»`---------. Lot ................................ ^ ' August 7 84 .� Permit �,on|e6 -- —---- --..lg � ` Date of Inspection ------------lA . .. Date Completed ...................................... ` ' � . � . ' / . . ' ^ ^ ' ' . . . ' ^ . - . | . -- ] A* TOWN OF BARNSTABLE 26804 { Permit No. .. iL I»n Building Inspector Casa h j%v/ OCCUPANCY PERMIT Bond Z Issued to Delaney Equity Trust Address r lot #22 93 Westbury Avenue, C.;otuit Wiring Inspector �.� .9/ Inspection date Plumbing Inspector Inspection date Gas Inspector ry�/7 i Inspection date Engineering Department , , Inspection date �t Board of Health ^ Inspection date j- yr_ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIItEMENTS AND IN ACCORDANCE WITH SECTION 11 9.0 OF THE MASSACHUSETTS STATE BUILDING CODE. c, �0 . 1 ........................................ at„ 5' ................................................�../.........�.. ...-..... .................»». »Building Inspeetor FROM TOWN Of BARNSTABLE C. BUILDING DEPARTMENT Mr. Francis � t Lah a ne Town C MAIN STREET YANNIS, MA..0 Clerk Phone: Tf 1-1120 SUBJECT: FOLD HERE DATE. f Decedger 21 1984 MESSAGE . tbrk has been ccrrpleted,under.P #26804 De IGNED , DATE ' • REPLY ' SIGNED Ne7.RMr f REC.IPIENT: 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.' 4 if _ op • ..•. - - � " ' � - �.' Key�� ! .s�y c' �lS��• 1 � .RICHARD o BAXTEH t V �Na240460 N r 5 4ti0 svM . . . . . ' . �C•E,2T/�/Eo PL�oT Pl�a%c/ ,� �d-r- b LoCAT%O.,C,/ ?CJ T,UAT TNE,E.ei,s%' •c�� ; ,s'NOWit/yE,eEO.�/ C OMOL Y5- W/Thy SGA L /" o.A4 T� 7� Z 7-1-AC- s"/,oE.0 A/(/Z:;7 S9 TBA Ck Z _ �EQU/.2E�-1EA/tS "OF TflE TowIt/4F ' lz iKS`l,4II�L,� AIVZ2 /S �/aT" �oT 2- Z A ¢ o40CA TAG•!.) WiT11111V .77//E FLOawF'G4/Wi! lam' 24� � �G 215'' ` OA TE:7 B BA X7;G-oe�VYE /NC. IS !/a-r- BASEU D.c/ .t/ .26G/.STE.2E1� 1 �� SU•eY6Ybg /NST,2viyAE.c Sve✓AEY ' T1-714— . U.ST�.4-7P !/.SEp 70 Assessors map.' and lot number .. ......... a-,:,i W Vi T ' Sewage-Permit' number ...t?...!...�' !.(.. //� G i :A � TIT LE 5 env o+► :. House number ........#.03......... .. . .......................... ®� S ;REN'GULAMf Af7 90o rb • �'0 MPr�' ,r TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... ... .................................... ................. ....................................... TYPE OF CONSTRUCTION ....... . . ... ................................... ........................... r `• ......................7. ...9.............19.�. . -TO THE INSPECTOR OF BUILDINGS: The undersigned hereby.applies for a permit ac "ding to the following info" do .�✓ ... ... .. ... .. Location ......� ......... ZA1 ProposedUse ........ . . . ..... :. .r. ...............................................:............ t: ....................................... Zoning District ........ ..Fire District .... ... - . .... � . � '���.�� ./�..��. Name of Owner. . . , . .l.... .... ....Address .. .............. ...�. Name of Builder . Address � ..j4 ///,44.'�....� ......�f................. . Nameof Architect ..................................................................Address ......................................................................... .......:.. Number of Rooms ............... ................................................ Foundation ,� ............ .. ....�-U Roofing ....... Exterior ...................... Roo .. k.................. .. .... ............... vim . Floors ..... ..........................Interior ......:.. .�.....�1.._.................... ........................:.:...... fl / Heating .a..............................Plumbing / ...... .......... .............. Fireplace .....:................... ...............:......................:.:...... .....Approximate. Cost ........ f.S/.v ............ ........... Definitive Plan Approved by Planning Board _� ___ ----------19 J�J_. Area ........._G��...................... Diagram of Lot and Building with Dimensions Fee ......... .`�..................... SUBJECT TO.APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform-to all, the Rules and Regulations of the To n B rns I re r ing the above construction. Name ...... ................ . ,. � Con uction Supervisor's License ... .. .. ................... _ 7 DELANEY EQUITY TRUST A=27-71 No ....26804.. Permit for ...�...1 r.Y.....:.... Location Lot• ..... ,. Owner ....p.Q.LaMy...EgfJlty...T.rust.................. L t { y., ✓ $_. :, Type .of Construction .......... .... Frame ... ...... ......................................................... _ �,.� •'%, _-r a Plot ............................... Lot ................................ Permit Granted Au�us.t..�..... .....A19 84 .......� - Date of Inspection ?...l-�....�.' ......:....:::`19 Date'Completed el In jL- I'1 l � .� ^^••��� � �,d� I N � '7` _ i jam,. 'j f. . t �♦