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ssor's Office 1st floor Ma / 4 Lot d ��� Permit# 7 7 y�
nservatior1 Office i4th floor )�1 aa\ Date Issued
Board of Health Ord floor
Engineering Dept. Ord floor House# r
[� M
Plannin Dept. 1st floor/School Admin.Bldg.)- �.i w i &M,,, UBM s
MAW
Definitive Plan Approved_by Planning BoardG" ok � 10006 ���
A
Applications processed 8:30-9:30 a.m.& 1:00100 .m.
TOWN TABLE-
Building Permit Application
Proiect Street Address ,0 (01 r4A /y C
t 1 �/q ,�f�-r � y g �
Village &P, SZ,lee_ Fire District -
Owner,.,"&/ JeF-)4 /W5r6/4�? 1, ,,!5;1/C1fS,-,'_1b1Address 02 7 2094 -e112Z IV E
Telephone /fit/f�.�7' °+ 6,0' 31)321-2
Permit Rc uest: D e S'i1V
Zoning District R 2 Flood Plain Water Protection
Lot Size �j', C9 3 7 Grandfathered
Zoning Board of A s Authorization Recorded
G Current Use i -rh Pro sed Use 5'/;,v e- L14k,_t,11
Construction Type [[)o d1 Z ?CrE141*y
Existing Information
Dwelling Type: Single Family Two family Multi-family
Age of structure Basement type
Historic House Finished
Old King's Highway Unfinished
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Y
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name �> O�Ou U` `tL� Z U / Tele hone number
Address o7 /Y/-�0 S7X Y7 w��� � License# 69 ? 7 0
Oz441 G Home Improvement Contractor# A O a So 13
Worker's ComMusation #
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 BE TAKEN TO
Proiect Cost �'4,, dz/y
Fee`'' .2?/, /
SIGNATURE DATE 2AI
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
2 � -3 t9 -
rGI� L 9.21 BPERMT
FOR OFFICE USE ONLY
2/23/95 -3-71 —
• 278.032
ADDRESS 69 Captain LOring Lane VILLAGE Barnstable
OWNER
Adolph & Marion Ericksen 1
DATE OF INSPECTION:_
FOUNDATION
FRAME C�
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBIN UGH FINAL
c
GAS: UGH 4 FINAL
FINAL B L®� � qJ/ �-
DATE CLO
ASSOCIATE PLAN NO.
f
TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 278 032 GEOBASE ID 18734
ADDRESS 69 CAPTAIN LORING LANE PHONE
Barnstable ZIP
F
1
LOB' 6 BLOCK LO`.[' SIZE
DBA - DEVELOPMENT ' DISTRICT BA
PERMIT 11239 DESCRIPTION SINGLE FAMILY DWELLING
PERMIT TYPE BC00 TITLE CERTIFICATE OF OC epuwtment of Health, Safety
CONTRACTORS: and Environmental Services
ARCHITECTS:
TOTAL FEES: THE
BOND $.00 �.
CONSTRUCTION COSTS $.00 Q�
753 MISC. NOT CODED ELSEWHERE �►R1vsrAei.E,
MAS&
039. A�
OWNER ERICKSEN, ADOLPH E & p
ADDRESS 6937 E ROSWELL ROAD N.E.
ATLANTA GA
BUILDI G DIVISIO
DATE ISSUED 10/27/1995 EXPIRATION DATE BY C/ & -J,
DIVISION APPROVALS FOR
CERTIFICATE OF OCCUPANCY
TO BE SIGNED BY EACH DIV ION HEAD UPON COMPLETION l
4 t r
` BUILDING: rf n • ` �} DATE:
COMMENTS: .; !
" PLUMBING: °° ATE:
!� COMMENTS: t' •r
ELECTRICAL: - DATE:
} COMMENTS: O
GAS: r DATE:
COMMENTS:
CONSERVATION: '' _DATE:
COMMENTS:
i
OKH: ATE:
COMMENTS:
HISTOR DATE:
COMMENT
1 ,
FIRE DEPT.: i DATE:
COMMENTS:
OTHER: DATE:
COMMENTS:
TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE.
COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. ,Vi
TOWN OF BARNSTABLB
CERTIFICATE OF OCCUPANCY
PARCEL ID 278 032 GEOBASE ID 18734
ADDRESS 69 CAPTAIN LORING LANE ..PHONE
Barnstable ZIP -
LOT 6 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT BA
PERMIT TYPE BC0o9 TITLE CERTIFICATE
SINGLE CERT FICATELOF 0 DWELLING Nient of Health, Safe
CONTRACTORS: and Environmental Service!
ARCHITECTS:
TOTAL FEES: per
BOND $.00
CONSTRUCTION COSTS $_00
753 MISC. NOT CODED ELSEWHERE : gpwgy> +'
�A88.
OWNER ERICKSEN, ADOLPH E & E03
ADDRESS 6937 E ROSWELL ROAD N.E.
ATLANTA GA BUILDIMG DMSIO
DATE ISSUED 10/27/1995 EXPIRATION DATE BY JE4 CliJ
FROM THE DEPARTMENT OF PUBLI': WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT REL.EASE THE APPLICANT FROM THE CONp.ITION
OF ANY APPLICABLE SUBDIVIS;."N RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEET. PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. 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 BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY. _
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
K
i.
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
1
2 BOARD OF HEALTH
1 a. OTHER SITE PLAN REVIEW APPROVAL
WORK.SHALL NOT PROCEFD UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN
TOR HAS APPROVED THE:'AAI000S STAGES OF I WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTE
CONSTRUCTION. PERMIT 15 ISSUED AS NOTED ABOVE. NOTIFICATION.
PROJECT'
ADDRESS:`
. Gr,n S arc__.��•
PERAIIT# .
PER AHT DATE:
d �-
LARGE ROLLED. PL_A NS ARE LN: ,s:
: .Box
jSLO =
Data entered in'.MMS program on: : 1
BY
.il
�. O'Loughlin, Inc. .
2 HAROLD STREET HARWICHPORT,MASSACHUSETTS 02646 ,
(508)362-4942 (508)432-5700
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ENERGY ANALYSIS
J. 0'Loughlin, Inc.
2 Harold Street
Harwich Port, MA 02646
R. E. s SinQ10 Family_Dwellina
�0.f .� C►. , pt� riv, lv2/iL6L 4 /0N�=
/3 R/U St
AREA OF OPAQUE WALL6
AREA OF WINDOWS
WINDO
AREA OF -•-_•_•
TOTAL AREA
U of wall Uw . 05
U of glass Ug . 3
U of doors ` Ud . 45
Os� �6 �D�ZB .+c . 3) 3 y8• S`7+(.4s)
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