HomeMy WebLinkAbout0089 BRENTWOOD LANE a'' '�r" �rcM,���r�✓�'f ,5���k,��'Pd�a Y� �� � r , .���� I3 9� l�
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T/., �oFt► rti Town of Barnstable p� tt#'
Regulatory Services E.rpires 6 monfl rom issuedmIF—
qSrA.13LE, : Fee
yass.
1619- �0$ A Thomas P. Geiler' Director
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www,town.barnstab le,ma.us
Office: 508-862-403 8
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL .ONLY
Not Valid witlrour Red X-Press Irnprini
Map/parcel Nurnber 2 Z- �`'
Property Address 7 GUOe ��� n n
Residential Value of Work `) /0 Minimum fee of$35.00 for wor
k k under$6000.00
Owner's Name & Address /V e r
J� ✓1'1
Contractor's Narne �� /�/Y?�rj p �
Telephone Number C) — C'000
Home Improvement Contractor License#(if applicable) 9 57
Const,uction Supervisor's License#(if applicable)_ 9 ��
Workman's Compensation Insurance
Check one: ,,PRESS PEA
❑ I am a sole proprietor , ayPR
MXam the Homeowner
1;J�
I have Worker's Compensation Insurance
Insurance Company Name ;OWN OF BA.RNSTABLE
Workman's Comp, Policy# Q C
Copy of Insurance Compliance Cer ificate must accompany each permit.
Permit Request (check box)
❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re- ide
eplacement Windows/doors/sliders. U-Value #of doors
(maximum .35)#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 Dome Improvement Contractors License & Construction Supervisors License is
required.
SIGNATURE:
�AWPFILESTORMSIbuilding permit forms\EXPRESS.doc
Zevised 07211 D
Part
East Drive J �^ r ��?-req
1137 Pa
. t woonsockeL Rhode island 02WS R-f.Rea a:i�l3oa39(►�taw�rdsmnaus Inc.)i�'fj� Wan.HICA6627251Moon Ast�ates tnc.}
(e11011975-6ee6 sass xl a itssn ss PA=n a dM 11)
u
Purchaser(s)Name: 1 [ .#C�(J 1 ) L�
Installation Address—13
Mailing Address � a�1E _�UW1M�OiZ.1�
Home Phones03 73725 leg Phate►iftX�/�,so g �7M"-
rear Home Bugr.� Nti�s;do customer Tortes Paid le Town of-.17
I/We,the above purchaser(,)("Purchaseris)')and the r(s)of the property located at the above Installation address,hereby jointly and severally agree
to contract with Moon Associates,Inc.("Moottworks')to furnish,deliver,and install of all materials as described in this agreement(-Agreement'),the
attached Spec Sheet(s)and dlagram(s)which are incorporated herein by reference and made a pat hereof.A Completion Certificate will be executed for all
jobs at the end of the installation.
Order Number: Order Number: Order Number.
Project Type: �0 00 WS _ Project Type: Project Type:
Agreement Amount $Ito-" Agreement Amount $ Agreement Amount $
Less Deposits $Ly34 Less Depose# S less Deposits 5
Balance Due On Completion S!2 27�// Balance Due on compietion S Balance Due On Cornpletion S
lMi,timum 339E of Agreement Amount due upon eRecution. tMinimum 33%of Agreement Amount due upon eve,1-. 11 33%of As eemem Amount due upon e,ecutwn.
Indicate Payment Method for aabm. Indicate Payment Method for Balance in," ,Ie Papeent Method For BdanOe
Due at Time of Installation: Due at time of installation: Due at Time of tnstanatlon:
Est.StarDatif Est.Compi 'on Date: Est.Start Date: Est.Completion Date: Est.Start Date: EVL Completion Da
o /$ 0/� t- S O!0
1
D11POSR/PAO NStsebjecttofunclveet&ationairVo►aeditat�l)
i.check.Cashier's Check or Money Order # Z7 3.rinsineing
(Made payable to Moonworks) Acct# Approval Code
2.Credit Card(circle) Visa MasterCard Discover Acct# Approval Code
"W/e agree m allow mom works to dame the reverenced credit card for the deposit amount
Acct# tip Date Security Code inekatw.Balance m be charged to credtcard won tonottiat of instioWk.If acted above
It Is agreed by and between the parties that this Agreement constitutes the enure understanding between the parties,and them we no verbal
understandings changing o modifying any of the teams of this Agreement.Purchamr(s)hereby adutowkadges that Purchaser(s)1)has read the from and
reverse of this Agreement and has received a completed,Matted,and dated copy of this Agreement,including the two accompatgdna Nedra of
cancellation form%on eke slate first written above and 2)was oragy Informed of His/her right w canhcel this transaction.DO NOT SIGN THIS CONTRACT IF
THM ARE for MARK SPACES.
Pu aser Purdta r Mooiworks
Vre St azure Signature
Print Name Print Name Print Name
YOU,THE BUYERS),MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE
DATE OF THIS TRANSACTION.SEE THE NOTICE OF CANCELLATION FORM BELOW FOR AN EX UM110III OF THIS RIGHT.
Tl NOTICE t3F CANCULAMM
Oate of Transaction Data of Transaction
You may cancel this nsaction,without any penalty or obligatk^ You may cancel this transaction, without any penalty or obligation,
within three business days from the above date.N you cancel,any within three business days from the above date. N you cancel, any
Property traded In,arty payments made by you under the Contract or property traded In,any payments made by you under the Contract or
Sale,and any negotiable instrument executed by you win be returned Sale,and my negotiable itatrument exerted by you will be returned
within 10 days following receipt by the Seller of your cancellation with& 10 data followl% receipt by the Seller of yoiu cancellation
notice,and any security interest arising out of the transaction will be notice,and any securlty interest arising out of the transaction will be
canceled.N you cancel,you must make available to the Seller at your canceled.N You cancel,you mist make available to the Seller at your
residence,In substantially as good condition as when received,any residence, in substantially as good condition as when received, any
goods delivered to you under this Contract or Sale;or you may,N you goods degvered to you under this Contract or Safer or you may.N you
wish,comply with the Instructions of the Seller regarding the return wish,comply with the Bhstructtom of the SIBe asording tlta return
shipment of the goods at the Sellers expense and risk.N you do"take shipment of the goods at the Sellers experse and risk.If you do make
do goods avellable to the Seller and the Seller does not pick them up the goods available to the Seller and the Seger does not pick them up
within 20 days of the date of your Notice of Cancellation,you may within 20 dais of the date of your Notice of Caftcetlation, you may
retain or dispose of the goods without any further obligation.If you retain or dispose of the goods without any further obligation. If you
fail to make the goods available to the Seller,or if you agree to return fad to matte the goods available to the Seller,or N you agree to return
the goods to the Seger and fag to do so,Men you remain Noble for the goods to the Seller and fail to do so,than you remain liable for
performance of all obligations under the Contract. To cancel this performance of all obg 11on under the Contract. To cancel this
transaction, man or deliver a signed and dated copy of this transaction, mail or deliver a signed and dated copy of this
cancellation notice or any other written notice, sendstelegram to cancellation noticean or y other written notice,or send a telegram to
MOONWORKS, 1137 Park East Dive ei. de island Mocnworksc U37 Park East Drive, WoonsodteL, Rhode Wand
,
02895,NOT LATER THAN MIDNIGHT OF Z ER(Dale). MMS,NOT LAT THAN MIDNIGHT OF (Date).
1 HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL INS TRANSACTION.
Consumer's signature Date Consumers Sigfatare Date
ftwAw.._ RIPOWER
row a
tt t�...,.., :t.�,�c..rL.: t_'t 1"ilea t'onk�-.C' Pial;C'.q•t ytyc:t�q+::soli�t
�� E r Town of Barnstable4 s�
*Permit# �
swFtxsrws
Regulatory Services
F-v 6 m
ry ►J 1'`V1 onths from issue date
CeS Fee$
�En Mr,t�1 Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner
20
0 Main Street, Hyannis,MA 02601 PREP IT
lee.: 508-862-4038
508-790-6230 S E P 15 2005 ;
EXPRESS PERMI.'T APpLTCA. _
ON RESIDENTIA TB F BARNSTABLE
Not Yard without RedX--Press Imprint
reel Number `�j 2
y Address
idential Value of Work
:Minimum fee of$
s Name&Address 25.00 for work under$6000.00
"
nil ILI
62�3-?
;tor's Name
Telephone Number -
tnproveincnt Contractor License#(if applicable)
ction Supervisor's License#(if applicable)
rman's Compensation Insurance
Check one.,,
[] I am a sole proprietor �
0 I am the Homeowner
have Worker's Compensation Insurance ` cst =•
,,.
le Company Name
rn's Comp.Policy# _ tv ro
f Insurance Compliance Certificate must be on file, .
Zequest(check box) , 5r A
A4 Re-roof(stripping old shingles) All constrttion debris to
will been
taken
Rc-roof(not stripping. Going over �!
existing layers 2
of roof)
❑ 'Re-side
(] Replacement Windows. U-Value
(maximum.44) I� (�\
What required: Issuance of this permit does not exempt compliance with other town department
cPtcnt regulations,i.e Historic,Conservation,etc.
Property Owner must sign Property'
Home Improvement Contracto Licensee1eguied°f Pernlission,
,e
xpmtrg
004 S
it -
S✓^ w•
Property Owner Must Complete & Sign This Form
If Using a Roofer / Builder.
(Please return this form with your signed contract, thank you)
nnr ?Ob-aw-t (p, / �C k / as Owner of the
subject property hereby authorizes Paul J. Cazeault & Sons Roofin_g
Inc. To act on my behalf, in all matters relative to work authorized by
this building permit application for:
(Address of Job) gq
Signature of Owner
Date TelASdP) -3 3 9 9q
`e
l
SHED REGISTRATION
location of shed(address)
property owner's name
C
to OC l�
size of shed
C
signature date
Old King's Highway Historic District Commission jurisdiction? Yes
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
shed
BENT
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TOWN OF BARNSTABLE ZONING DSO 45•
BY-LAW DATED SEPT. 14. 1989 N 9I.01 -00'0,
ZONE RF- I I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
SETBACKS KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING
FRONT - 30' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
SIDE - 15' OF THE ZONING BY-LAW FOR THE RF-I DISTRICT.
REAR - 15'
PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON IS IN FLOOD HAZARD ZONE C
WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0005 C. DATED AUG. 19. 1985.
PLANS OF RECORD AND DO NOT
REPRESENT AN ACTUAL SURVEY
ON THE GROUND.
'i
THE DWELLING DEPICTED ON THIS a _, ;,� PLOT PLAN
PLAN WAS LOCATED ON THE GROUNDA., ° IN
BY SURVEY ON MAY 22. 1996 AND �; �
EXISTS AS SHOWN AS OF THE DATE $FN,,._ : ::; ,: ' BARNSTABLE. MASS.
OF LOCATION. �' °' § `; " SCALE: I'-40' MAY 22. 1996
THIS PLAN IS FOR PLOT PLAN EAGLE StrAVEYING 8 ENG NE I EBING.INC.
PURPOSES ONLY AND NOT FOR 9ZS Route 0A
RECORDING. DEED DESCRIPTIONS. Yoraouthport. MA. 0207s
ESTABLISHING PROPERTY LINES (608) d02-81d2
OR FOR CONSTRUCTION PURPOSES. (608) 4d2-SSd3
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED IN RED. 0 20 40 80
PROJECT NO. 96-283
E`ngineqring Dept.(3rd'floor) Map . �� ,� Parcel . O Permit# �y /5
IS I
House# '' '� Datelssued�
Board of Health(3rd floory(8:15 -9:30/1:00-4:30) , 7. - Fee `�l Q
Conservation Office(4th floor)(8:30-9:30/1:00=2:00) .Za Y/!5 1`4
ST
Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SY��� ��
STALLED IN NCE
Definit' ved by Planning Board 19 WITH
ENVIRCNME AND
TOWN OF BARNSTABL]ffOWN�iEG S
Building Permit Application
Project Street Address ren i 00( Q
Village
Owner ,
Address
Telephone
Permit Request QOr X 14' QdrJ&( hhr—\ /.4-16u /�r�, G oK'
Lev 7 e,-- !/'Gs) 7-y 1" 4;7/h E i=crLl
o4,7Il r" � r-doil
First Floor square feet Second Floor square feet
Construction Type Ava& i/ �-
Estimated Project Cost $ �
Zoning,District Flood Plain Water Protection
Lot Size Gf<7 3C Grandfathered p Yes Q No
Dwelling Type: Single Family Two Family p Multi-Family(#units)
Age of Existing Structure Historic House p Yes ❑No On Old Kings Highway Q Yes El No
Basement Type: ❑Full �Crawl p Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No. of Bedrooms: Existing ✓� New {>
Total Room Count(not incl ing baths):Existing New First Floor Room Count
Heat Type and Fuel: as ❑Oil p Electric p Other
Central Air Ll Yes ❑No Fireplaces:Existing New Existing wood/coal stove O Yes p No -
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) 0 Barn(size)
p None p Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization p Appeal# Recorded p
Commercial ❑Yes ❑No If yes,site plan review# -
Current Use Proposed Use
Builder Information
Name 1 tY1Gthw C—rc IL t 1A;jw,, E &M Telephone Number
Address License# v/
<K'n—D I �q V do-qA9 Home Improvement Contractor# 10a -
Worker's Compensation# L,OC ?
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN T6
P1')J)1 x� ®a�;n_ n
SIGNATURE DATE �P 7
BUILDING PER IT DENI D FOR THE FOLLOWING REASON(S)
y Sc—
FOR OFFICIAL USE ONLY
PERMIT NO. r
DATE ISSUED
MAP/PARCEL NO. , - ! 1 « . i ;- t• - # «.
ADDRESS. 4 r VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION , + i
FRAME
INSULATION
FIREPLACE
ELECTRICAL: t ROUG ? f FINAL
PLUMBING- jou qq
FA FINALir
GAS ,m p 'FINAL ; '_
-BUILD
FINAL ING
DATE CLOSED OUT;
I a
ASSOCIATION PLAN NO:ht 1 t r
1/
The Town of Barnstable
v �► Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissi;
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: ���/ t��U"� ��a� Est. Cost
Address of Work: 361114
Owner's Name
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
d Zl
Date 'ContractoiName Registration No.
OR
i 4
s0,9
01 .00
N
O
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O �
O
m 33 #
u♦S•
#89 r is�o-�I
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L 0 36
4�6 S.F.
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/S0,45,
TOWN OF BARNSTABLE ZONING N e/•p, •p0
BY-LAW DATED SEPT. 14. 19.89 W
ZONE RF- I I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
SETBACKS KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING
FRONT - 30' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
SIDE - /5' OF THE ZONING BY-LAW FOR THE RF-1 DISTRICT.
REAR - 15'
PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON /S /N FLOOD HAZARD ZONE C
WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0005 C. DATED AUG. 19. 1985.
PLANS OF RECORD AND DO NOT
REPRESENT AN ACTUAL SURVEY
ON THE GROUND.
THE DWELLING DEPICTED ON THIS PLOT PLAN.
PLAN WAS LOCATED ON THE GROUND IN
BY SURVEY ON MAY 22. 1996 AND BARNSTABLE. MASS.
EXISTS AS SHOWN AS OF THE DATE
OF LOCATION. i SCALE: 1•-40. MAY 22. 1996
THIS PLAN IS FOR PLOT PLAN EAGLE StrArtIVING 8 ENGINEERING.INC.
PURPOSES ONLY AND NOT FOR 92d Routs BA
RECORDING. DEED DESCRIPTIONS. Yarmouthport. MA. 02675
ESTABLISHING PROPERTY LINES (508) im-al m
OR FOR CONSTRUCTION PURPOSES. (SOO) 4SZ-"33
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED IN RED. 0 20 40 80
PROJECT NO. 96-283
j
gTL C-1�'I"�(� d►� (FM L`f
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41
t
V
/ :7-A/,rlT T.�/� leav o� LaG,4T/O�C/
OWN�lE.E?EO�C/CGit'loL YS Gt//Ty $C.4 L G-
7'".�/� 5,9 z:;A TE
.C�EQU/.P_E�'lEic/TS O.� T.�1�' �o1�t�iV a.� ,. � �•C.•n�'(./ .2E�"'�.r<?E�t/C'E- ,
8/�/2rt/5T •3C�: .Q/V/O /.S / ar
LriiTy/� 7 17� . Loa aPG4/,f/.
,BA XTE,E E N
Ttiis o,C�I.v/s �c/a�- YE /Iuc.
BASED G,v;4i(/ i2EG/STE.eEp ,L„4�c% SU,eY6}�ar�
/NST,eUiL/�Cit/T,s U,e1i�Y 7'1-71,---
7-o
Assessor's office(1st Floor): ,
Assessor's map and lot number O 333
Q �" gN410 r O T"E O
4 • O
uLs I'1 0°~' `
Board of Health(3rdfloor): INSTALLS®�N
AA
Sewage Permit number
CoMp
Engineering Department(3rd floor): I�/�� EN�RO�M WITH TITLE 5 Dsaa9T°DL E
House number
Definitive Plan Approved by,Planning Board Q, S 19 TOWN REQV�•'•�,u�
APPLICATIONS PROCESSED 8:30-9:30 A.M.an 1: -2:00 P.M.only
4 TOWN .-.. OF BARNSTABLE
APP, R0VED
Barnstable Conservation Commi
#GILDING INSPECTOR
APPLICATION F_OR p Q �
Signed Date
TYPE OF CONSTRUCTION zoo, �A, 41 y --
c2 /f 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for as permit according to the following information:
Location 3 �P °''L�
Proposed Use ✓ Q—
Zoning District Fire District
Name of Owner ��� `/}/� i Address C.Y✓lt (�
Name of Builder Address
Name of Architect Address
Number of Rooms Foundation � LCGf
Exterior YL Roofing
Floors U�'f't'�� '` V�"�- Interior
Heating �/�/G�f.O Plumbing �V C�/� /Ja-Z4
Fireplace /c�2X/l�Z12 Approximate Cost
Area
�Y j6
Diagra of Lot and Building with Dimensions Fee
t "V
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 6-z,, -7 ba�jd
Construction Supervisor's License 0
0 S6 yS-
BAYSIDE BLDG. CO. -
... � AO -
No 3-4�-4 Perm For i-4- .S. ory
Single Family Dwel1iIT
Locatio6, Lot #3 6 8 9 Brentwood Lane l• y. J
,Owner` -Bayside Blaq Co-
Type oflConstruction Framer: Is-
Plot :. __ Lot _ f'r C it
' „ �r � r !ii" k _ � , •. -iy. ""-t it
Permit Granted! Decemh-.r gyr f ' ,19 91
Date of Inspection oX/ � �'a19
-C ,
Date Completed• - 19
,_ � .. .'tom `+,` i� .t - yi{ z •� � �� �' _� -� ��
CC 0
Pt'i� '' •_. r �!• i � � fir.:
.iceca
. . 1. . , i ? fit.• r ` - s , j' 4 y�
42
rn
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Gf TM[�p TOWN OF BARNSTABLE
.Permit No...�:" �.....
_ BUILDING DEPARTMENT
................
4 TOWN OFFICE BUILDING Cash
i679•
HYANNIS,MASS.02601 Bond .......... a
s p
CERTIFICATE OF USE AND OCCUPANCY
Issued to Bayside Buildina Co.
Address Lot. #36 89 Brentwood Lane
e
i�rnS� g-uru-jgd Ma s s
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT'WILL NOT BE.VALID, AND THE BUILDING 51AALL.N' OT BE OCCUPIED UNTIL,
SIGNED BY,THE BUILDING .INSPECTOR UPON SATISFACTORY,COMPLIANCE WITH TOWN,
REQUIREMENTS AND IN.A000RDANCE WITH SECTION'119.0 OF THE'MASSACHUSETTS STATE
BUILDING CODE.'.
April 21 I9 92 .... G�
Building Inspector
} «;:• - •=.:yly`+a�' sad.+o:<-nS'd::=a�ir3':4's',�!tiv�•if�yi'tl� %�s�::s:rv�.,,l.,:..:.�,. ,. . . .-. ,
'TOWN OF BARNSTABLE, MASSACHUSETTS B U I L D I NT ERMM'
A=333"26 DATE December 9, 19 91 PERMIT NO. N9 f734
APPLICANT Bayside Bldg. Co. ADDRESS Centerville: #005645
(NO.) (STREET) (CONTR'S LICENSE)
Build Dwelling 1 Single: Family DwellinR NUMBER of
PERMIT TO (�1 STORY TOWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) -
Lot #36, 09 Brentwood Lane, Cum ZONING �
AT (LOCATION) DISTRICT
" (NO.) (STREET) -
I
BETWEEN AND
(CROSS STREET) i (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SLZE
BUILDING IS TO 8E FT. WIDE BY FT:LONG BY FT..IN HgIGHT AND"SHALL'CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
pp - (TYPE)
REMARKS: Sewage #91-471'
Bond
AREA OR 1300 !� • 100,000• PERMIT
{ VOLUME q f t• ESTIMATED COST FEE. $ 89.50
(CUBIC/SQUARE FEET) ,
OWNER Bayside Bldg. Co.
Centerville BUILDING DEPT. )
ADDRESS BY '/U
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-,THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY 'OR S' IDEWALK OR ANY. PART THEREOF. EITHER TEMPORARILY OR t II
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,,-NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS�WELL AS, DEPTH AND LOCATION OF PUBLIC SEW'eRS MAY BE OBTAINED,-
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM.THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE .RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UN PERMITS' ARE-:iREQUIRED FOR
ALL'CONSTRUCTION WORK: TILFINALINS.PECTION HAS BEEN ELECTRICAL, PLUMBING AND
t: FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE'OF OCCUPANCY IS RE MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS)READY TO LATH). FINAL INSPECTION HAS EEN MA
S.FINAL INSPECTION.BEFORE - B DE.., .
-
OCCUPANCY-. -
POST THIS CARD-SO :IT :IS'��/ISIBLEFROM S,TR-EET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRIG41 INSPECTION APPROVALS x3.
..
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A Ifs \ 'P ib•
3 i HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 P r l "j. i ..y.Z BOARD O .HEALTH
229 Q .�
OTHER SITE PLAN REVIEW APPROVAL ,
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS-INDICATED ON THIS CARD CAN BE
TOR HAS"APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
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