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0083 KEVENEY LANE
'/�� rr k� �����_.. i7r.'a i �Yk�,r h 1� ' �7S >1r�'!Y•.r {+��r � A p 'fir._ °'�f,;':�y � r ."i ,. i'��,�f ►' tYa :'ayr.A�* � �,h!��d�d11 ds' y� if;A �i� r rA�y r��,i �iy �ff�,{� �L�<�,� ,� :. r• A, '� (" a�n" rJ' y A' ,7 1, k A r .M. ,.s ;�" ^ k' P " ....... ..!.S. .._.. .-:, .,..}�.. itMl'..u"r ..1,'s' :" .•k' .� '.Ak" r 1{rF sp`a rgrr�°M�, "��7 �'�p� "•��' ►,>'1bN` ' o qy�,��'r A�����, fn n*:�'� � ;k l' ;S�i tr°�f��r i 'M,. Ar'�H�a J�i.4" � !ari� tf'J, r}Y•bf}''.t��. �. � i n e THE_� Town of Barnstable *Permit# ° y Expires 6 months from issue date anuvsznsrZ, Regulatory Services Fee 6 AMNM v� 163;9. 1�� Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X.PRESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 J U L 2 9 2003 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Ptess Imprint 'OWN OF BARNSTABLE Map/parcel Number . Property Address ❑Y Residential ' Value of Work ,)o d o.0 Owner's Name&Address cz�30 Contractor's Name ,,aelc!1,� G'- /�Ur°f� "y Telephone Number S ��3�2•��/�Z Home Improvement Contractor License#(if applicable) 75-2 Construction Supervisor's License#(if applicable) o Z �3 (t2 [�Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ffI have Worker's Compensation Insurance Insurance Company Name / {-('S. C J'/-4 �.. �(': Co Workman's Comp.Policy# O /'r,06)-2 . Permit Request(check box) f m 6 V yL/I -t" O/Re-roof(stripping old shingles) All construction debris will be taken to &*_ Y STD ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. 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. Home Improvement Contractors License is required. Signature ' Q:Forms:expmtrg Revise053003 II' ti Town of Barnstable °* Regulatory Services ' BARNSTAHLE, « Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ,as Owner of the subject property erty I l P hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: dress of Job) Signature of Owner ate f Print Name Q:FORM&OWNERPERMISSION Engineering Dept.(3rdffloor) Map _ � Parcel Permit# Y House# q 7j Date Issued :7 —/V Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)'?'Z_— 7_,51 F ee 627 • 7 0 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) O �J\A% LWAEPTBC SYSTEM MUST BE Planning=i INSTALLED IN CO ® p WITH IT T. reet �` �' 19 °-N-1 RONL'� EN A :.BARIVSTARLE` TOWN OF BARNSTABLE Building Permit Application ress ,q � Ke y P_i\E J1 LN � Village Owner_ rf i�-Q_iN, ANl -q Address ' ke_I;e V\e Telephone -s Permit Request 'i\!'.r(A(4— 12 First Floor_ � square feet Second Floor IV square feet Construction Type 9eS;A E 1\�t(?. Estimated Project Cost $ )'74006 Zoning District Flood Plain Water Protection Lot Size Q 3 Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family # nits) Age of Existing Structure rrltil-16 Historic House ❑Yes 6No On Old King's Highway Yes ❑No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New N Half: Existing New No.of Bedrooms: Existing 3 New N A— 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 bl4o Garage: ❑Detached(size) yV�" Other Detached Structures: ❑Pool(size) ,N ❑Attached(size) ❑Barn(size) I V ' ❑None ❑Shed(size) 1V ft ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information "'Name t,�S �� 1 Telephone Number - S ,jr Address 6z h X 9 License# NIv)t iA I Yv1d11 ��(��,� 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 TOj SIGNATURE DATEZell BUILDING.PERMIT DENIED FOR TI1140L fWING REASON(§) • � � � t .. � a _ f ��� r„ � � � ... �. . .�� 1, �:�{ , - . ._ . _ . . .. , . 4 •r � / � � � 4 J � .. � 1 A a � . 1. . .. Y �_ � � .. � e t t 3 � ,� ... l ' • � , 1 1 ~ � � i 4 ' .. .x ♦ f x. �.. ` 1 � r f ,y. FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. L ro VILLAGE , ADDRESS OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Town of Barnstable Department of Health Safety and Environmental Services Eo��► 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: ; (le 61,kA- d( Est.Cost 1 ,2 C Address of Work: Ke U Q-V e Lf-,, crc s,91 dI le. N 6- 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$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 PEN ALTIES OF PERJURY I hereby apply for a permit as the a t of the owner: Date Contractor No Registration No. OR Date Owner's Name t - RD, i ptc. f _ two. 4 k 4 — T} 1 ! k .o i ! t � I ,O ' , s r e r _ J 4 y , : �.. • T Ik LI L =II. ox ter EKIsrT'iNca 14 r-r'. r N o --TNLT� e x Ili n w,, Alt to f - } 1/4 to x Y 1 - 1 r : r d k NS , Y i .y s w , i 3 i L ovi ED A2-2 j"I© To !�!M I T o G 4` t a I'