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Town of Barnstable *Permit#CZ6 0_3'�(n Expires 6 months from issue date Regulatory Services Fee Bnxivsrnsi E Kass ', Thomas F.Geiler,Director -- P ' �Q uilding Division JU� Tom e ,CBO, Building Commissioner TOW 2a09 200 Main Street,Hyannis,MA 02601 ®�Q www.town.barnstable.ma.us Office: 508-862-4038 4R/V8r S/ � Fax: 508-790-6230 EXPRESS PER -APPLICATION - RESIDENTIAL ONLY 2 Not Valid without Red X-Press Imprint Map/parcel Number Property Address [Wesidential Value of Work 0 g d, U a Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address C P t$' Jae Gi' r T r Contractor's Named /J e V X7 411-el—j 7 Telephone Number j y — V 4� 7,) (J Z t Home Improvement Contractor License#(if applicable)) �3 / ��,// f / Construction Supervisor's License#(if applicable) 1 6 I 0 /' ❑Workman's Compensation Insurance Chec one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) OR-"Re-side ✓`S SP G ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) *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: ✓�� 2+✓�iro � C:\Users\decollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\MY7NB4IL\EXPRESS.doe Revised 100608 oa•� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 tY ProP er Owner Must Complete and Sign This Section If Using A Builder I k . ,as Owner of the subject property hereby authorize_moo 17-7 , � 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 Nf . Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.OUtlook\MY7NB4IL\EXPRESS.doC Revised 100608 { y ) Map Parcel Permit# House# Date Issued - - - - Fee , s oar 19 _ BARNSTABLE. c MASS 0 K1, TOWN OF'BARNSTABLE °'ED,�''� Building Permit Application Project Stre ddress =1L Village ` Owner A c—A 14 15, . MA,_Qj C_W Gkms Address _bo&A ._ 1� , Telephone `J`�®F �oZ k4 f Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family �// Two Family El Multi-Family(#units Age of Existing Structure (� t Historic House ❑Yes o On Old King's Highway Yes ❑No Basement Type: ull ❑Crawl ❑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 13 New Total Room Count(not including baths): Existing New First Floor Room Count A Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air ❑Yes ENO Fireplaces: Existing New Existing wood/coal stove ❑Yes Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# 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 r SIGNATURE DATE BUILDING PERMIT DENIED FOR.THE FO LOWING REASON(S) Ulf FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED �• L � ; _ ^yam M1 + n � � - ^r • ' _ x f _ .. MAP/PARCEL NO. ' ADDRESS " � _ f _j VILLAGE OWNER DATE OF,INSPECTION: - - FOUNDATION'- FRAME t { INSULATION FIREPLACE , ELECTRICAL: ' ROUGH FINAL ` PLUMBING: ROUGH FINAL s. GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - : The Town of Barnstable • uarrsreatE, - 9e M ' Department'of Health Safety and Environmental Services TEDMA'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax:-' 508-790;6230 Building Commissioner 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: Est.Cost *61V Address of Work: Owner's Nam Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. ing 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 PROGZAM OR GUARANTY FUND UNDER MGL C. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor'Name Registration No. OR Date wner's Name _ TOWN OF BARNSTABLE Permit No. { NA"ITAU ; Building Inspector .... Cash --------------------•-- - OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to a 11 ce—s Reaj. E-,tat-e `I'I'U Address ,-A- Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... ....................._..........................................._.................................... Building Inspector 1 I _Zoo,3/ i I /76..3'0 1 rq I 96 l �t �( N .S/ f CERTIFIED PLOT PLAN 2D%,V.(.f1D 'E Ka7: L£Y LOCATION 6�92NST.9BGe-- /�JASS• SCALE . .� . . . . . . .�. . . DATE .r;56 Z7/96'v PLAN REFERENCE L3E.NG. Lo7- `/S2'9 SSE ALSO. : T,967 . �¢9/. . . . . . . . . e . z 76 . . /G. /8 I CERTIFY THAT THE f x07N(.. Fo v.<1 p.y 7/cA . y SHOWN ON,THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF �L/CE'S ��'`>Gry 7—l�usT 64a !P?tgW. . . . . . ... WHEN CONSTRUCTED. Qo X DATE Z7 F8O . PETITIONER: REGISTERED LAND SURV YOR Assessor's map and lot . THE TO Sewage Permit number .. ... ;t.Z............................... SEPTIC SYSTEM MU INSTALLED I N COMP —V"1L E, i "4'°louse number .....:...............: WITH tITIE 5 °° i639•ae� pY TOWN OF BARN ` O E� BUILDING INSPECTOR- APPLICATION � �f .................................... l Q T. ....... . ............................................... TYPE OF CONSTRUCTION .........I.VOOF..... ............................................ .......................................... Y :....�5 16........................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for�permit "cc din to the foliovin � information: /�/ QUO �f Location ...L.q.......I6:4.....� .:...:. ...... .. .. .. `: ... / ........ ProposedUse /.....................................................................:...................................................................... Zoning District ...... .: .�...................................................Fire District .. ..�9 .............................................................. Name of Owner ..J`T: .......ice i .. �a ��...� �JT..Address ...4 -.14Y......:c ,r........q- ��J" ....... > :........ Name of Builder ...�.� �1-'' .... 1 .bf. .......................Address �K -[ .9 ��.P� T 1.X A,........ ..... ....... ......... . ........ .Name of Architect ..................................................................Address .................................................................................... Number of Rooms ...:....7............................ Foundation . (0.f fJ7....(�� �.7L1✓ . ................................ Exterior ..................................................Roofing ... ir..... ...................................... Floors ....NIve....: 3.bs.........................................................Interior ................00•Y W,,4,L 4. .................. .................................... ..�Ia - [: .T-...WA-X�- ........:. g .` :" .. Heating .. ...... . ................ .:.............Plumbin .....:.......................�.j.-........ ........................ ..... `J � ....Approximate Cost /.��®© ®......... Fireplace ... ............ Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ..... Q ..-s .. Diagram of Lot and Building with Dimensions Fee Q 0 ............. ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH tv- XL ��"v'Vl.d"� S/S o a s . 09 � 0 U � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .....y�l� .�.... .................................. Alices Real Estate Trust L - ' v ' No 220.14.... Permit for ...Sin.91e.................. 1 ...........Fa..... ?Y,?ejjjxjg........................:... Location ..Lg.t...#.15.2...A...$b....Doral.'.-Raad .......... Owner .Ali.oe.s...Real...Es.tat:e...Trus.t.. Type of Construction ...Frame.......................... i r ................................................................................ « ' 1 Plot ............................ Lot ................................ Permit Granted ..F.ebr-uary......28.1... 19 80 Date of Inspection ................19 ® Date Completed PERMIT REFUSED 3 ....... ... ....... .. 19 ..... .. ^ .... . . .......... ....... ............ ' r.....:.................................................. � •..fir Approydj-;.�............................................... 19 �Y ............................................................................... e .................... ......................................................... tt Assessor's offioe (1st floor): 7 7 _ L IN/J m c®MPUANC o 0 Assessor's map and lot number f tN¢t ........................................... WITH TITLE 5 � �o Board of Health (3rd floor): . O / i �� ��MTAL M)E Sewage Permit number ........... C� /V ......... r= "; �t ® �E��LA 10 1; DAUSTADLE. i Engineering Department (3rd floor): n� "��+` �i �o ""°a House number .... . ........ ........... o,,�Oypv.a\0� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... 4-...Totz—cv .............................................................................. TYPEOF CONSTRUCTION ..................................................................................................................................... I S� ......... /l.1 ...2"lt.........19.�g TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Q 0�, 1 , Location ....`....w............ ...:....... ................ W4.11.`'k1 ........................................................................................ ProposedUse ........... .. ...... ... ....... .. : .. . . . .... ................................................................................................................ Zoning District ..... e................................ ..............Fire District........................... Name of Owner/4GfN � G' ....Address......................................................... ............ .,r. -�1..ti? r1 ... Name of Builder '?. - .. C `��.........Add ress��..l. ��o�� S eR1J �C� Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .......... Heating ..................................................................................Plumbing ........................ ...................................... Fireplace Approximate CO i-/yo-.Od Definitive Plan Approved by Planning Board ___f_ _p__________________________19________ . Area 1...1..(o. !....`.... � ........ Diagram of Lot and Building with Dimensions�'/� �.K y `S �y 667 Fe e7�' SUBJECT TO APPROVAL OF BOARD OF HEALTH V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. \ \L; i'' Name ....... .. .. . ..... � ��....................... Construction Supervisor's License TMACEACHERN, ALAN S. kht No ... Permit for ....�uild...P.o.rq.h... Silig.�.q...�jaj I y..PKq;��ing........... ............. ...... Location ....8.6...D.o.ra.1...Road...... .................... -F X;lm .....................gla f4regai ............ ........... Owner .....Alan. ....S.....Ma.qE.a.qh.e.rn................... .... .. . ..... .... .. .... .. .... Type of Construction ..Frame................................ ....... . ............................................................................... Plot .............................. Lot ................................ Permit Granted ....! a4y...?.Q....... ...........19 87 Date of Inspection ...... .. ........19 Date Completed ........ ..............19