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t,l�oc+ Where a•., ertificate of Occupancy is:Required,such..'Building shall Not be Occupied'until av Final Inspection has beenmade
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Permit No. B-19-850 Applicant Name: MICHAEL PELLEGRINO Approvals
Current Use: Structure
Date Issued: 03/21/2019
Permit Type: Building-Trailer Expiration Date: 09/21/2019 Foundation:
Location: 100 BREED'S HILL ROAD, BARNSTABLE Map/Lot: 314-023 Zoning District: SPLIT Sheathing:
Owner on Record: S-L SNACK MA LLC t, M ' ;'; Contractor Name': MICHAEL PELLEGRINO Framing: 1
Address: PO BOX 32368 eF Contractor License 182672 2
CHARLOTTE, NC 28232 r Est Project Cost: $0.00 Chimney:
Description: #1 temporary trailer to house construction team,owner's staff and Permit Fee: $75.00
Insulation:
subcontrctors are required. 3/6 units approx 12x50 witI 2,means of Fee Paid $75.00
egress
k
Final:
# Date:',-' 3/21/2019
Project Review Req: Permit is for one trailer Not to be used forasleepin,, , ,�. `- .
c -- Ld &Scrn.a Plumbing/Gas
x
_ z� Rough Plumbing:
� � v �� ': BuildingOfficial
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized!by'this permit is commenced within six months a `e�issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for whichths 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 zoning by layws and codes.
This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open..,for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
,, � ,,.l Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building nd Fire Officials alre�p•rovided on tliis permit.
�� 1
Minimum of Five Call Inspections Required for All Construction Work: W Service:
1.Foundation or Footing �, Rough:
2.Sheathing Inspection ; .M ^' .
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
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
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
0*IME lost- 6- /9 -
Application Number 73-0
BARNSTABLE, •
,permit Fee 7 75
% 1639.5
A4D-T-mdh- Other Fee
Total Fee Paid
cd' --Act e_rujed
TOWN OF BARNSTABLE Permit Approval by.... a on
3/4.t.7.........
BUILDING PERMIT map... /LFI .Parcel do2-3
APPLICATION
Section 1 - Owner's Information and Project Location
Project Address I 00 SerzreiS 14W-1204:9 Village 13klag("nw,Lf._
Owners Name ( L tsft..c.,K. HA , LL.C.
Owners Legal Address PC) 130X 17 TDB
City 0-1 bteLarrE. State 1\1 C-- Zip 2E3Z1
Owners Cell# t - - 85-Z9 E-mail et-itacu.ss_.gtcisiu2i atifiVi..5nue
Section 2 -Use of Structure
Use Group Ei Commercial Structure over 35,000 cubic feet
El Commercial Structure under 35,000 cubic feet
D Single/Two Family Dwelling
Section 3 - Type of Permit
EI New Construction 0 Move/Relocate 0 Accessory Structure 0 Change of use
Demo/(entire structure) 0 Finish Basement 0 Family/Amnesty 0 Fire Alarm
Rebuild 0 Deck Apartment Sprinkler SVem
Addition fl Retaining wall El Solar
0 Renovation El Pool 0 Insulation i`'') •
14)
Other-Specify_ltri 0-1?--DeY COW Siftlial 01J 'ON&5 s'1„4r) 4k.
Section 4 - Work Description
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40 3. 2D- /9 0
Application Number
Section 5—Detail
Cost of Proposed Construction — Square Footage of Project
Age of Structure — Dig Safe Number
# Of Bedrooms Existing Total#Of Bedrooms(proposed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
Water Supply L N. 0 Public 0 Private
Sewage Disposal f. I is, ❑ Municipal ❑ On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation X
Within or adjacent to a wetland,coastal bank? Yes ❑ No
Section 8—Zoning Information
Zoning District ft4 p L'r9 Proposed Use&X 4400c0•c YLot Area Sq.Ft.
CV
Total Frontage 430' Percentage of Lot Coverage 77 . 'f c #of Dwelling Units (on site) 11(Sc,
I
Setbacks Front Yard Required 6.6 Proposed SZ
Rear Yard Required 36 I Proposed 3 3
e
Side Yard Required 50 Proposed 2'15
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Application Number
Section 9= Construction Supervisor
Name ? a.,1-g(,Z11,)Q Telephone Number CAI O O` (o Zr
Address SZ9 I4A-11-3 mar City atili ar&JI,.7 State 1-101 Zip GZ 1 Zq
License Number fitahit, License Type Aegallf Expiration Date -rg o
Contractors Email M I?F `tioo wl Cell # (o 10 e O ct (Z 3 Li
I understand my responsibilities under the es and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building de. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR d the Town of Barnstable.Attach a copy of your license.
Signature /, Date /6 flhieZO/d/
Section 10—Home Improvement Contractor
Name l t% Telephone Number N I i�
Address N 1 p, City t-1 I ix State NIA Zip N 1
Registration Number N i a Expiration Date N p.
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature Nib. Date
Section 11 —Home Owners License Exemption
Home Owners Name: N b..
Telephone Number la\pft Cell or Work Number N
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
Signature P I it. • Date W
APP ICANT SIGNATURE
Signature �• Datejaft414
• Print Name HI G146' , - letti4 (LI No Telephone Number 6(V 9 U°I (DZ31
E-mail permit to: 1I erakrix.IZl.ry a f j L i}aiTEA 1,1G. Co ti �1
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board (if required) ❑
_ .. _. --Historic-District R1an Rzview(if required)--❑
Fire Department ❑
Conservation
For commercial work,please take your plans directly to the fire department for approval
Section 13—Owner's Authorization
I, Chas Ricciardi , as Owner of the subject property hereby
authorize J.J White, Incorporated to act on my behalf, in all
matters relative to work authorized by this building permit application for:
Ca Cod Chips; 100 Breed's Hill Road, Hyannis, MA 02601
(Address of job)
03/06/2019
Signature of Owner . date
Chas Ricciardi
Print Name
•
•
Last updated:2/6/2018
•
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n - DUSTING CONDMCNS NOTES
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OEXISTING CONDITIONS PLAN, _ n - -&(j- IAA,leis I*4 to b a*A&
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DENNIS GROUP 1
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Town of Barnstable Building
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PostThisCard o Thtiis,VisibleFrom„thereet=(Approved„Plans•,Must:be,.Reained on-Jobband#thisCard.Musbe•Kept ,,ta,".,s' 1 °zy Yr 'rs s '" �, 3"y Zn usy"— c '.: 4 „ `' • •Posted UntilyFinal Inspection Has,Been Made ' '; �, * ,= s 3 ., ,, 0 . f:Where a Certificate of;;Occupancy,is,Required;such`Bu lding shall Not,be Occupied untilta Final Inspection has been made ,. Permit
mit
Permit No. B-19-888 Applicant Name: MICHAEL PELLEGRINO Approvals
Date Issued: 04/01/2019 Current Use: Structure
Permit Type: Building-Trailer Expiration Date: 10/01/2019 Foundation:
Location: 100 BREED'S HILL ROAD,BARNSTABLE Map/Lot 314 023 Zoning District: SPLIT Sheathing:
Owner on Record: S-L SNACK MA LLC l , Contractor Name: ..MICHAEL PELLEGRINO Framing: 1
Address: PO BOX 32368 3 Contractor License 182672 2
CHARLOTTE, NC 28232 Est Project Cost: $0.00 Chimney:
Description: #2 temporary trailer to house construction team,owner's staff and Permit Fee: $75.00
subcontrctors are required.3/6 units approx 12x50 with 2 means of Insulation:
g Fee Paid`` $75.00
egress .4 Final:
" Date 4/1/2019
Project Review Req: ,, i
'` Plumbing/Gas
Rough Plumbing:
,, Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application°andrthe`approved 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 zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:: Service:
1.Foundation or Footing
Rough:
2.Sheathing Inspection �„ •„ F
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
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
Fr/
111711
Application Number.. t9.
• BARNBTABLE,
� MA� /� Permit Fee Other Fee
1650. �0
NOVO s
Total Fee Paid
TOWN OF BARNSTABLE Permit Approval by. . on..3-2i—i7.
BUILDING PERMIT i U Parcel oa
APPLICATION
Section
1 Owner's Information and Project Location
Project Address I 00 Strzet.A 14T.LL Izowp Village 13kiag 011►'1j7(,E,
Owners •Name � L., N644, it.°1R
Owners Legal Address 12C) 130 X 17 1(08
City GHbteLarrE, State 14 Zip 2S23 Z°
Owners Cell# S C(o -3'1'Z• 8529 E-mail eviD c S fLi cz1 u7)t,o CAkfinC.SouP
Section 2 —Use of Structure
Use Group ❑ Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
❑ Single/Two Family Dwelling
Section 3—Type of Permit
0 New Construction [] M• ove/Relocate ❑ Accessory Structure ❑ Change of use
❑ Demo/(entire structure) 0 F• inish Basement ❑ Amne Famil y/ Fi
re 0 Fire Alarm
Rebuild ❑ Deck Apartment ❑ Sprinkler System
❑ Addition ❑ Retaining wall ❑ . Solar
❑ Renovation ❑ P• ool 0 Insulation
Other—Specify...TIM 192.bie°j COW5iWcri 01..) -TeiNicses . moo(-8 2
Section 4 - Work Description
'f-rSt-t Qo�b " retxt .S To . S'F. Cot4S c t t ow
to UL1 S tvalkw 12' s & 1,4114 2 14156,14s + sS .
a
'o Li _ - • , L i Li a l t s - • r► / .
Application Number
Section 5—Detail
Cost of Proposed Construction '-' Square Footage of Project
Age of Structure Dig Safe Number
#Of Bedrooms Existing Total#Of Bedrooms(proposed) "-'
110 MPH Wi and Zone Compliance
phance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas .❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney 0 Add/relocate bedroom
Water Supply 14 IN. 0 Public ❑ Private
Sewage Disposal f 1,k ❑ Municipal ❑ On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane 0 Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation )(
Within or adjacent to a wetland,coastal bank? Yes ❑ No
Section 8-Zoning Information
ZOning District I t4) L1'p Proposed Use eoPg 400o•CitY44YLot Area Sq. Ft.
Total Frontage 43o t Percentage of Lot Coverage 91.cYn #of Dwelling Units(on site) 4(fc,,
Setbacks Front Yard Required C® I Proposed CZ'
Rear Yard Required 30 o Proposed 3 ) 1
Side Yard Required 3®� Proposed 2'l ei et 5
Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No
(13
C►
Application Number
Section 9=Construction Supervisor
Name 'i IC MLLb reozewo Telephone Number COI ®q 0c1 Co Z.N
Address 521 Kbbr1 l-9 Sitar City GaI4 gailit.1/.7 State HA. Zip G Z 1 VI
License Number 96141910t, License Type Aatfralf Expiration Date -114,12
Contractors Email H PrzebatIoo a Jiu wiisluc.. Ca PI Cell# ( I O t o C( (22 3
I understand my responsibilities under tine es and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building de. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR d the Town of Barnstable.Attach a copy of your license.
Signature Date ®8Iftlei J7
Section 10—Home Improvement Contractor
Name e 1h.. Telephone Number 1.316.
Address ►s lb... City tz I ft, State wit* Zip N I(�
Registration Number p f b. Expiration Date s t 9
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature is h Date h+ h
Section 11 —Home Owners License Exemption
Home Owners Name:
Telephone Number 1.11 Cell or Work Number 1J 4.Is
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
Signature P 11, • Date Ki �}s
APP ICANT SIGNATURE
Signature Date lv 'rnaO
i/
Print Name t1 04644. c. l :C14G Al I' e Telephone Number ((( q 0 el Coll('
E-mail permit to: 14 it4445.10 I?,t„I.ro a „JJ W 14111C
I
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required) 0
Historic District 0 Site Plan Review(if required) 0
Fire Department 0
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval.
Section 13—Owner's Authorization
I, Chas Ricciardi , as Owner of the subject property hereby
authorize J.J White, Incorporated to act on my behalf, in all
matters relative to work authorized by this building permit application for:
Ca Cod Chips; 100 Breed's Hill Road, Hyannis, MA 02601
4,1„„„,,_ (Address of job)
03/06/2019
Signature of Owner date
Chas Ricciardi
Print Name
Last updated:2/6/2018
.
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{s 1Where a Certificate of Occupancy 1s Required such Building shall Not be Occupied,until a Final Inspection has been matle Permit
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Permit No. B-19-889 Applicant Name: MICHAEL PELLEGRINO Approvals
Date Issued: 04/01/2019 Current Use: Structure
Expiration Date: 10/01/2019
Permit Type: Building-Trailer
Foundation:
Location: 100 BREED'S HILL ROAD,BARNSTABLE Map/Lot: 314-023 Zoning District: SPLIT Sheathing:
Owner on Record: S-L SNACK MA LLC m ContractoryNae` ..,MICHAEL PELLEGRINO Framing- 1
Address: PO BOX 32368 Contractor:License ..182672 2
CHARLOTTE, NC 28232 Est Project Cost: $0.00 Chimney:
Description: #3 temporary trailer to house construction team,owner's staff and Permit Fee: $75.00
subcontrctors are required. 3/6 units approx 12x50 with 2 means of Insulation:
g Fee Paid ' $75.00
egress Dat ` 4/1/2019 Final:
e
Project Review Req:
11,,Ar,k,a Plumbing/Gas
Rough Plumbing:
'''' '-.Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sixsmonths after-issuance.
All work authorized by this permit shall conform to an the approved application and the approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of y building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access streettorroad and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Offi cials e'provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:', - ' ar Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
3 All Fireplaces must be inspected at the throat level before firest flue lining is installed
4-Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
.
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).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
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-O ApPlicationNumber..
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iM6¢ sq, Permit Fee Other Fee
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Total Fee Paid
TOWN OF BARNSTABLE PemutApproval by... On 3 't .
BUILDING PERMIT sir(f
Map Parcel
APPLICATION
Section 1—Owner's Information and Project Location •
Project Address (00 1 C'g t.1•T,LL IZLIW Village 1°04 M<TA:6LE.
Owners Name $-L , L .C..
Owners Legal Address PO 13014 12'ch8
City GH Dr , State 1\I L Zip 28Z-3
Owners Cell# e 4'(® 8c29 6-1,1›,4 `eS C.L t .921 e
Section 2 —Use of Structure
Use Group ❑ Commercial Structure over 35,000 cubic feet
El Commercial Structure under 35,000 cubic feet
❑ Single/Two Family Dwelling
Section 3 -Type of Permit
❑ New Construction ❑ Move/Relocate _❑ Accessory Structure ❑ Change of use
❑ Demo/(entire structure) _.-. Fire
-- -- ❑ Finish Basement ❑ Family/Amnesty _� -❑- Alarm- — -
Rebuild 0 Deck Apartment ® Sprinkler System
❑ Addition ❑ Retaining wall ❑ . solar
❑ Renovation El Pool ❑ Insulation
Other—Specify Ifgri loccztAiv Co145crrwcn o f cv,% N v M i544-e. 3
Section 4 Work Description
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Application Number
Section 5—Detail
Cost of Proposed Construction "" Square Footage of Project
Age of Structure — Dig Safe Number
#Of Bedrooms Existing Total#Of Bedrooms(proposed) --
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Section 6—Project Specifics
❑ wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing. ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney El Add/relocate bedroom
Water Supply 14 IN 0 Public ❑ Private
Sewage Disposal f4l ❑ Municipal 0 On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland,coastal bank'? Yes ❑ No
Section S-Zoning Information
Zoning District I p Lfl) Proposed Use a9 qoo -CitsgAzYLot Area Sq. Ft.
Total Frontage 4SO 1 Percentage of Lot Coverage 57.5 / #of Dwelling Units(on site)
. Setbacks Front Yard Required C® Proposed ,��
Rear Yard Required 30° Proposed 3 3
Side Yard Required 301 Proposed 215
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Application Number
Section 9-Construction Supervisor
Name 1/IC Przag6e400 Telephone Number (I 01 ( Z
Address S29 l'i i>ri City 1,446,01,10.31., State t-lik Zip O Z
License Number fiwiVilit, License Type, Expiration Date -Ili
r)
Contractors Email pig® JJL,,y ILY—. C.e Cell# (0! O O( (a
I understand my responsibilities under the es and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building de. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR d the Town of Barnstable.Attach a copy of your license.
Signature �', Date /8 niZZ017
Section 10—Home Improvement Contractor
Name i J No Telephone Number P I iikN.
Address v.1 ' City I h State Wig* Zip PI N•
Registration Number fh, Expiration Date is,
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC...
Signature P l& Date
Section 11 -Home Owners License Exemption
Home Owners Name: I N.
Telephone Number 010...' Cell or Work Number` h
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
Signature I Date 11.11,
APP ICANT SIGNATURE
Signature Datelefteljefo
Print Name HI C 4., Prit14.6 Telephone Number C� q U ei G,
P (� Z31
E-mail permit to: 14 t u c JJ *-I IX- CO
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Section 12 —Department Sign-Offs
I ;
Health Department ❑ Zoning Board(if required) ❑
Historic District '0, Site,Plan Review(if required)
Fire Department 0
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval
Section 13 Owner's Authorization
I, Chas Ricciardi , as Owner of the subject property hereby
authorize J.J White, Incorporated
to act on my behalf, in all
matters relative to work authorized by this building permit application for:
Ca- Cod Chips; 100 Breed's Hill Road, Hyannis, MA 02601
I (Address of job)
! 03/06/2019
Signature of Owner date
Chas Ricciardi
Print Name
•
Last updated:2/6/2018
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