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f'fi ineeriri Dept.(3rd floor) Map Parcel ��� �`� Permit# - 6,.f
Date Issued -
Board of Health(3rd floor)(8:15'-9:30/1:00-4:30) Fee r �
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) -
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p BARNSTABLE. .
MASS
TOWN OF BARNSTABLE
Building Permit Application
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Project StredAddress 3 Lr&irdm/C S -7 0
Village' V
1
Owner" G l A dress 3 s ' d<<o`rv/C
SO-
-Telephone 3 Y •Z / '
Permit Request
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First Floor square feet Second Floor ► square feet
Construction Type
Estimated Project Cost $ �00
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family at Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes AI No On Old King's Highway JWes ❑No
Basement Type: ❑Full *Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing Z• New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: VGas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ;VNo Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
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 m*//�/� /"f/�/ Telephone Number �,7—VAJ
Address ,30 ",0 /� License# 0 1C` .�
�Id J!� oAV'*f d 2JeO Home Improvement Contractor# L�3.�r
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTIO DEBRIS RESULTING FRWn IS PROJECT WILL BE TAKEN TO re*Vo✓�
v,
SIGNATURE DATE
BUILDING PERMIT EN FOR THE FOLLOWING REASON(S)
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/ �.(� ��6�h`�F t � �Lr?: Pd F�+L��.$•. S'.p+S� `YIL l.'--.:-J�
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/ FOR OFFICIAL USE ONLY.
PERMIT NO. f j •.* t `' `
DATE ISSUED
MAP/PARCEL NO.
ADDRESS . ' VILLAGE
OWNER
DATE OF_INSPECTION:
FOUNDATION
FRAME
INSULATION
'FIREPLACE +
.ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL`'
GAS: ROUGH _ FINAL. -
FINAL BUILDING _ I
DATE CLOSED OUT
ASSOCIATION PLAN NO. F i
t
The Town of Barnstable
• easNsruu� • .
9 '� 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 Commissior.
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL a 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
Address of Work:
Owner's Name
Date of Permit lication:
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 111VIPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply 7fora, rtnit as the agent of th er.
Date Contractor Name Registration No.
OR
r 1.997 -.239
Application to
--
�O'�lPp�s
E Old Kings Highway Regional Historic District Committee
" in the Town of Barnstable for a
CERTIFICATION OF EXEMPTION
Application is hereby made, in triplicate,for the issuance of.a certificate of exemption under Section 6 and 7 of Chapter 470,
Acts and Resolves oi. Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings,or photo-
graphs accompanying this application.
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSED WORK �S CSCG�'
ASSESSORS MAP NO. .
OWNER i�er1 ASSESSORS.LOT NO.
HOME ADDRESS STL zt4 TEL.'NO.
AGENT OR CONTRACTOR
ADDRESS io C✓I`�N/� i``''l „ TEL.NO.
This application is for exemption of.proposed exterior construction on the ground,that:
( (1) It will not be visible from any or public place.
B'�' .(2) 1. is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.'
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition Is involved,show•
ing location of existing Building.
" • ;.:e�r �----��':�+fir
0.
dJS
' SIGNED
Space'.below.line.for Committee.use.
Owner-Contractor-Agent
The Certificate is hereby 44d
to ... �s-
r ,: 01997
7.
By�fi'r'. r;_�; Date f �' ��
Approved ❑ The categories of work entitled to exemption are listed on
Disapproved . ❑ the back of this form.
Assessor's map and lot number ...............�:'.c:•_..............
_. ! • •/L _ /G - y� �G! .. �//�Gi�yw.T Sly>TPS �•l/'G,/Y'/Gist. i1 l��a: � dGU��o�y
L- Se age Permit number ; G G/r<1Ck r........ F. '!.`` '•:..fir ��i�u-
o�TNETo - TOWN OF BARNSTABLE
G BAR33TADLE.
i6 i y i {� Cs
M�aa �� {; BUILDING , INSPECTOR ' .
39
APPLICATION FOR PERMIT TO ................. ..... ...................... .. .... . ......... ....... .. ` 'n................................
TYPE OF CONSTRUCTION 'Y .
t' ......... 4-...............`....................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..................... .. :. . ....... ...lt �...' . --� . .............. ...........- ...........................................
ctyb ��
r
ProposedUse ......................... . Q.............................................................
Fire District
Zoning District .................................l..l.Y..................... .....................:.................. ....................................
S ... ..
Nameof Owner ........ .. ..1..�1..4 .Address ... .......... ..... . ... . ... ... .. ............. .....
...... ..�r^' ttdress .......... . :.... ... .
Name of Builder ....... :. .. .......e ....'
Nameof Architect ................................................................`..Address ................. ... ............................................................
Numberof Rooms ...............................1.:...............................Foundation ............� l .............................
RoofingliExterior ................. ........................................ .......................................................
FloorsInterior ............ ................................
Heating ..................r�.1 .....................................Plumbing ............ ... . . ...........-..
A/
Fireplace .........................................Approximate Cost .. .......... ..... ...........:......................
.......
s,
Definitive Plan Approved by Planning Board --------------------------------19-------- . Area l4q
.. g;................. ....
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
U�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. .
Name ..... ... ... ...... . ....... ..../. ./....^..... ........
Manning, Thomas J.
S 18727 -•-" add to single
.. No ................. Permit_for- .................................... - „••
r
:....family..dwelling....:..................:............... r '
Location•........35 Geoige.Street `
Barnstable T
. .................... ...........:.................... _ ..w -►-. ,►
Owner Thomas J. Manning
F' • • Y
Type of,Construction .........frame...................... r r s l
..................../......................................... ' '...........
Plot ....................:....... Lot ......... r M
. � . "' .ern •
October 12 76
Permit Granted .19
` Date of Inspection .......
Date Completed � 1� ..... 19
PERMIT REFUSED
.......'.................................................: ... 19 ,
. .................................................... ...-Y.!.................... , , y } t` o - e_ _ '• .
.......................... ......................................... ....
....'.............................................................
Approved 19
...................................................... • ;: '