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Town of Barnstable *Permit
y0, SHE r0 Expires 6 ono rERM
7uedate
P O� Regulatory ServicesFee,toms .p�/ b Director�m Thomas F.Geiler, X-PRESS I T
�a1v .0/ A G
'°'Fo►,�.+°v Building Division
Peter F.DiMatteo, Building Commissioner O C T 1 2001
367 Main Street, Hyannis,MA 02601w
Office: 508-862-=038 TOWN OF BA NSTABLE
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map parcel Number3 S)-0 35"D 0 Al V rl �
Property Address > t7 I G� ' " � - -
Value of Work 0` Ov
M/Residenrial ^7—
owner's Name R Address / 0 4 �'✓��
,�ioi�(, Telephone Number
Contractor's Name 21- C /i//�!` � ?'° 1�GANd {
U Home Improvement Contractor License (if applicable) i
R Construction Supervisor's License_(if applicable) r
(ji Workman's Compensation Insurance
Check one: <7t '
❑ I am a sole proprietor
❑ I am the Homeowner
VI have Worker`s Compensation Insurance
ns
Insurance Compa
ny Name G� UoZ r
Workn=*s Comp.POlicv
Permit Request(check box.)
M/Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over___existing layer of roof)
❑ Re-side
❑ Replacement Windows. U-Value (Maximum' )
❑ Other(speci&) _
department regulations.i.e.Historic.Consen ation.::c.
• here required: Issuance of this permit does not exempt compliance with other town
W
Signature
Q:Forms:expmrrc:n%--o7,,0601
Engineering Dept. (3rd floor) Map Parcel 035-, K) Permit#
t House# Date Issu
Board of Health(3rd floor)(8:15 9:30/1:00-4:30) / \ , Fee
Conservation Office(4th floor)(8:30- 9:30/ 1:00-2:00)
1ME►p;_
19
RNSTARLE.
TOWN OF BARNSTA ICE' N t
• Building Permit Application l
®®
Project reet Address `��t- ��• (LA e
'YV&
Village�c�n,v�� C _11110`''
Owner Z Address
Telephone 3
Permit Request �,,/1u✓�- n[ -(1" wAA ;,v vcc�ar.,J
First Floor square feet Second Floor square feet
Construction Type geeci% fft�.�Irajk
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes �INo
Basement Type: ❑Full f�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 New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size) l
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
(� ,L Builder Information
Name G�p� 1.-eJet .�v&c Z 'M , I L y� Co Telephone Number 7-7 ► " a 3 c-, O
Address pp �y �, Q{Q , License# 7-
F'�� Home Improvement Contractor# 10 q 7 Lf '
Worker's Compensation# L/W F a
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
1
SIGNATURE DATE /a— '9�
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
f FOR OFFICIAL USE ONLY ® `
;
PERMIT N0. %
f � .
DATE ISSUED
MAP/P RCEA\O
ADDRESS / , . ! VILLAGE.
` z ,
$ ) . . .
OWNER
DATE OFI S m I N: .
FOUNDATION . .
[ `
FRAME . .
INSULATION
/
FIRE LACIZ .
ELECTRICAL 'ROUGH ' FINAL
PLUMBING% , ROUGH FINAL . .
O&& ` ROUE ` FINAL . . .
. . - .
FINAL BUILDING'--.--, ®1[( f 7
\ � � �p � . . • _
y »\/
.DATE CLOSED OUT
ASSOCIATION PL AN NO
� ME
The Town of Barnstable
• BnxxsT"M -
9�A ' � Department of Health Safety and Environmental Services
rEDMA�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, deriol tion, 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 ��OC7
Address of Work:
Owner's Name 7—OVh S— c C A A
Date of Permit Application: a'(9— (�
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
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:
I D-' 6-If(. "_LQ are-- to L( 7 L(I
Date Contractor Name Registration No.
OR
Date Owner's Name
22-141 SO SHEETS
nMPAD 22-142 100 SHEETS
22-144 200 SHEETS
Jat� c�N
M
9
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.:,avaz?
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ell
Assessor's map grid lot number ................................ < � ,d(Csc-Kr yoF tNE to
........ ..
i /<. g,/ 9-A 7- 83 _ d
wage Permit number ..d./4...... . 1C�60.da.e�r�l 6 ..�i1._
`/t "P Tv�' F v yTiuu1 Z SARISTADLS. i
House number .....
.............. ................r�. ........./.�..a ..... 'oo 039 •�
. TOWN ..OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT-TO ......NO..1/. ...,: ..l.�G�f...?h. ............................................................
TYPE OF CONSTRUCTION ... Y'.z1- ?'+a. ,,,:.................................................................. .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies
/for a permit according to the following information:
Location P.. .l�l l.`, ��.,y....,�1�cY.P�VI . / ../.�, �C�41/;s'kr.Y.r� � ..V... n..................................
t G'
Proposed Use' .2 1.S .l.1.3 . .....Y?. .�.�� :'H,.�.,,. .............................(.<. L. ...........I.JT ...............................
Zoning District ....... ..' ......../..... Fire District ...V� 1 d p.�.`0........................... ................ .................... ..........
Name of Owner . '. ..../...�. . ....✓.. l.. . . tn......Address ..®`-.x ca��S . .,/ Y.�!.k* �,.: ii... .��?
Name of Builder ....Address ...M.Cp.,.,0.4...
Nameof Architect ..................................................................Address ........................................................:...........................
Number of Rooms .....1........................................................Foundation . PVYv e.�i.Lv,.,CY'...� ..�..1 ................
e •
Exierior .:........................................S 5..�.`�.5.............. Roofing .........................................................:......................:...
. ` 1 ......
Floors1.Q..G .........................................................Interior ....................................................................................
Heating :.....`'� .............. ...............................Plumbing ..�-v. ..! .h.t....E?.a.. ...........
Fireplace ....................... ..... .... .. .... .......Approximate. Cost ......... . .f............... .......................
Definitive Plan Approved by Planning Board,______________ _____________19______. Area....�..... ...... .!e-'........
• � � 7s
Diagram of Lot and Building with Dimensions �S Fee e��
SUBJECT TO APPROVAL OF BOARD OF HEALTH
l 3' S y
e rq��r e 1-4
use ry Z /�
ye ca wIFIA,
i
Or / D
4 •(
OCCUPANCY PERMITS REQUIREDFOR OR NEW-DWELLIN_C�S
I hereby agree to conform to all the Rules and Regulations of the Tbwn of Barn'stab a regardi g the above
construction..
Name . ..... ...... . ..... ................. ..........
Construction Supervisor's License {��
SAPIENZIA, A. R. & P.. S.
25591 Move Building y s r
No................... Permit for ....................................
Single Family- Dwelling
:... ..... ................................... . ..........................
Location ,301 Cape Cod Cod•.•Village ...!�n`� i l `.� �: �, 4 :
.< Harbor Poi t Road 1
Owner'...' ... &..P'...5'...Sapienzia
'Type of; Construction ....Frame.....
c°•.r............ ..... .................................................. 7 ` �y r R!i - i -r ��• L, .
° n r I
Plots :....:. ' ............ Lot:...................:........... ,
Permit Granted. ....... -....28!............4q 83
Date of'lnspection ....... ... ... - T
Ddte' Completed ..... f; .....1'9
• _... ! —�. V
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