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i TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION
10 Map _i Parcel • ,;Application #ao- i- orao S
Health Division Date Issued r 3 0 ; l.3
Conservation Division ;Application Fee
Planning Dept. . Permit Fee: .I d 2-w
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street'Addres� Ltx�fi L 1
Village ) Y.SW
wne5 itdt Alit BW1 Address4 Y LOMA- LA]
Telephone S j" L O • ,. . . _ von V 2
Permit Request K)2160,11ta,PtOD rbyteAsovt viikactows 4 Q ( .dor (=nth
4 4 ple_. opew9 kadef)etmsnlitt 5Kattro6t f [05/401/dY1
1-0 -CV( C(r.,ige 1/14' 4,117/;%rn (k)ei-I-L)
Square feet: 1st floor: existing proposed 2nd floor: existing proposed . Total new
Zoning District ,,4.�, Flood Plain Wad
alJ7.d h Groundwater Overlay
Project Valuations Construction Type w am"
Lot Size O. 33 Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) ^; o
21 w ..tip.
Age of Existing Struct re 5 -1 K5 Historic House: ❑Yes ❑ No On Old King's Njway: Qes �No
Basement Type: Full ❑ Crawl ❑Walkout ❑ Other °"�) t
o,
Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) c{Z3 -z-a
Number of Baths: Full: existing , `- new 0 Half: existing new
Number of Bedrooms: 3 existing new s r-
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
Detached garage: ❑ existing ❑ new size_Pool: 0 existing ❑ new size Barn: ❑ existing ❑ new size_
Attached garage:Xexisting ❑ new size _Shed: ❑ existing 0 new size ._ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Reccrded ❑
Commercial ❑Yes No If yes, sita plan review#
Current Use 5IJP i-e, d t9 1.m _ Proposed Use 5
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name EL'!2J)1 Prod- rc—64 ,. .,,,,,i,,,.) . Telephone Number 5DV tie- Itaap
1��r �r /1 (�
Addre I (t? moot O �\! . '7 License # l.�J- r SQQ
Han60XI5 7 I Home Improvement Contractor# � `7 8
US1ótin1k . MA IJ 5c Worker's Compensation # W 6 VW 21-571(a`1
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BLAi1Af (I
ETAAKE N TO
/ 'R /�
SIGNATURE `4--- _ DATE 3 - (3
FOR OFFICIAL USE ONLY
APPLICATION# -
DATE ISSUED
MAP/PARCEL NO. •
.ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION _ ' `F
FRAME
INSULATION'S i
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
14.GAS:`3 ROUGH tatArki ""' FINAL
1 FINAL BUILDING}i: . ;L at141-
F,DATE
ASSOCIATION PLAN NO.
Y
Y,, ' �IliE rok
. Yi: . Town of Barnstable
BAHNB'i'ABLE,
IK : ,0ff Regulatory Services
i 6gq.
�� 0 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, III o M i . Viv13 0 ai ti/ , as Owner of the subject property
hereby authoriz9 ® v-t/I n `(ily' 6' ritto act on my behalf,
g--
in all matters relative to work authorized by this:ullding permit application for:
be 1_6(2 %5,r L. v, il,J4Ay1rAhir o2. 63E
(Address of Job)
f
///livw, /Zt,' 2 2 // 5
Signature of Owner : ate /
-0 4 /—s V,i-ii 0) ti,A 6/I/
Print Name
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f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel I[ (12 Application°r�
Health Division Date Issued 6 3l _
Conservation Division Application Fee -!
Planning Dept. Permit Fee 16 ►,
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/ Hyannis
Project Street Address 6 5-- LO S T L-/bJ e
Village 8 A- S�A'/�L�
Owner(' � er ,,i) , V 8 u'eN Address S e
Telephone SDg 3 6q -3 7 6 3
Permit Request Re-F'l o✓A-L (5,F lt)eT cS h ,ceT/2_erck �'1 C-�- C 2 il. i nI j
A-pz 1Z - aVWC- 0 / NS4L4176A) Pue w 2 0 nay
/l�sti dF Pu-rn IV /Z
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 4aS '00 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes,-attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) o
Age of Existing Structure Historic House: ❑Yes ❑ No On Old K ighwlay: des ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 0 •
`'
c.�
Basement Finished Area (sq.ft.) Basement Unfinished Area ( q.ft)
Number of Baths: Full: existing new Half: existing "ThedZI-
zzo
Number of Bedrooms: existing _new off.
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
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name ReLk v D, Telephone Number 7 f — Sa'r'7
Address i L E/k" P License # S 3-7-7 S/V
Rbac-L u ti 4- )•3'7 ' Home Improvement Contractor# /14 °L/ a'7
Worker's Compensation # (t) CLO O3 0, I -7 00
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
CO'P S-r1/.2cC47 oA) LCoY P re/L DN S 1 T-t
SIGNATURE DATE
S
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
r. PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL w_ • '
FINAL BUILDING
, • 11
.+. .ri 1...
DATE CLOSED OUT ,�,Q,...
ASSOCIATION PLAN NO.
t
MULTI-STATE RESTORATION, INC.
1 FIRE* FLOOD *WIND* SMOKE*HURRICANE*VANDALISM
a PM z Fed ID#050515889 CONTRACTORS REGISTRATION#140427
AUTHORIZATION TO PERFORM SERVICES AND
DIRECTION OF PAYMENT
0.4,n)A4 Va,t04 60 ,herein referred to as "Customer",authorizes
MULTI-STATE RESTORATION,INC.,herein referred to as "MULTI-STATE",to
perform any and all necessary cleaning and construction services on Customers' property
at: (Dc (_O CLAS-V L aYv - A'YLS#-et-Sol C rV i4 na
Telephone: c'N- g-
and with respect to items that need to be cleaned at a remote location,to remove and
clean such items as necessary.
Customer authorizes-40\rjeJACe_ Insurance Company,herein
referred to as "Insurance Company",to directly and solely pay MULTI-STATE.
If for any reason the check should come to be or be made payable to the Customer,
Customer then agrees to pay MULTI-STATE immediately upon receipt of the check
from the insurance company. In order to expedite payment to MULTI-STATE,
Customer hereby appoints MULTI-STATE as attorney-in-fact,authorizing MULTI-
STATE,to endorse Customers'name,and to deposit Insurance Company checks or
drafts for MULTI-STATE services. Customer agrees to pay Customers' deductible in the
amount of$ that applies to this claim.
If the loss is not covered by insurance,Customer g e s to pay the to 1 amoun o
MULTI-STATE upon receipt of the invoice. CQ. C Q� `�L ie
Signature of Owner
It is my understanding that the services to be performed by MULTI-STATE will be
limited to those,which are authorized by my Insurance Company.
Insurance Company Name
Policy Number
Customer agrees that MULTI-STATE is working for the Customer and not the
Insurance Company or agent/adjuster.
Additional remarks: F?e- M
I ha ad this document and completely understand and agree to same.
iefh_z_// z_
Simature Date
�> nE E. Va.��3�cre✓t
Printed Name
P.O. BOX 2210•MASHPEE, MA 02649 .866-921-9111 •FAX 774-238-4422
As ap Parcel i/� G 6rmit# /' 1 t7
® Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 47 Date Issued 5' —F - d
Board of Health(3rd floor) 8 15 -9:30/1:00-4:45)
� ( �`� `� �� C Fee� �i- t27il erb
Engineering Dept. (3rd floor) House# $ ,,
D. 1. (1st fl..n/3.1.,.,1 Ad • . Dld .) /
BARNSTABLE.
. - - ' : d 19 MABfi �.
639.
- • �rEO N1P� .
TOWN OF BARNSTABLE
� Building Pe it Applicatic9.
Proje'461R�'Address (�J �7Qg°ed., *4 el)
Village � •
_Owner / SAC ) Address
Telephone L_3(,,7 •
Permit Request --11,et..a i t /' X I‘)
First Floor square feet ' •
Second Floor square feet
Estimated Project Cost $ O -dr
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential !/
Dwelling Type: Single Family ✓ Two Family Multi-Family
Age of Existing Structure p„,, /9-1-'6) `$ Basement Type: Finished
Historic House /Ja Unfinished
Old King's Highway y C5-5
Number of Baths ` No.of Bedrooms (�
Total Room Count(not including baths) IIC.D1
First Floor
Heat Type and Fuel F/*L) Central Air 1 Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None ND Sheds
Other
_ / Builder Information
Name v 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
SIGNATURE DATE S 7 (�
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
I-,: • FOR OFFICIAL USE ONLY
a
P MIT NO. 1,1:26 1,
DATE ISSUED
If
M P/PARCEL NO.
s
F
ADDRESS I VILLAGE
i
OWNER I i
A
DATE OF INSPECTION: '
I FOUNDATION r .
FRAME ,
INSULATION
FIREPLACE i z
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL •
GAS: ROUGH FINAL
FINAL BUILDING G b .3 v I/ 0!b
DATE CLOSED OUT D 1 V 9 �1 f<
ASSOCIATION PLAN NO.
•
^mot' dm" O .' •
f C. • The Town of i; aimstabflk •
BARNIMIs Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crosser
Building Commis
Faac 508 775-3344
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,cone,
improvement,.removal, demolition. or construction of an addition to any pre-casting 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 41%...lerd
Address of Work:
Owner.Name: . —
Date of Permit Application: J`r _ 9 —9
I hereby certify that:
Registration is not required for the following reason(s): •
Work excluded by law
Job wader S1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH tINREtits izttril 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:
Date • Contractor name Registration No.
OR p
,, Owner's name
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'--- ---��____ ' ~ '
Assessor's office(1st Floor): Q
Assessor's map and lot number / 7 //fo' 1ij \
�TW `
Board of Health(3rd floor): M, - _
Engineering Department(3rd floor): e Z se rr�a to
House number �J
'o
Definitive Plan Approved by Planning Board 19 �0 MO d'
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF LA NSTABLE
, BUILDING INSPECTOR
APPLICATION FOR PERMIT TO Cn oLi 4 tfza- T 12 a-e-ivt
TYPE OF CONSTRUCTION 41 Tirtitei—l-17 Go cu.
19 cr
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
LocationJ0 S LoCO St Lek h3 8a1^ns inoiLI`e •
Proposed Use S(J`1'1 ho C 4i l
Zoning District Fire District 8 a.I-ii 5 tc
Name of Owneromas C.ek-i)) rin.e h130i`.eh Address 6s- eus/ k0.h'e ( 80(.1-1154110'e,,MA/
Name of Builder rn a k e n .e Address '1 SI 1-1 e.Ih' r m4h 1✓r, 1 Mot.
Name of Architect Address
c� e .e it4 Sono -i- b (mac! o t h he�xt
Number of Rooms / / ` l Foundation/ G/1 root I its 'e V a lr"f $ r`re..v-
Exterior R .4 ( rLy C. '7 1`Y'r0 W€dh-a-� Roofing / �s13 het � EA ) /U 4 ) (J dc)
Floors 577-" h 1,4 wood 0JVet- eXistiiA5 d.'eCk Interior
Heating Po A .a_. Plumbing tJ 0 /) -e
0-0
Fireplace N 0 n Approximate Cost Ci er,,4 ,
Area p�
Diagram of Lot and Building with Dimensions Fee
•
•
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name V
Construction Supervisor's License 0 n 9 `, /0
VAN BUREN, THOMAS & CATHERINE
i
No 33995 Permit For Build Sun Room
Single Family dwelling
Location 65 Locust Lane
Barnstable
Owner Thomas & Catherine Van Buren
Type of Construction Frame
F
Plot Lot
♦aj,t
Permit Granted October 2, ,' -19 90
Date of Inspection/e9 /l P 19
•
Date Completed /p' /� 19
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3/ ? 46010
ii _ '
of Ili ETo TOWN OF r•; A r': NSTA It LE
r �
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89HB9TODLE, i
9�,0 pYa`e�, BNJOLDO11C3 INSPECTOR
APPLICATION FOR PERMIT TO / /G /" /fr /7 2) i i r -U1
d "
' TYPE OF CONSTRUCTION "" < ���'E
/l f`/°.e/ L- 19 7
TO THE INSPECTOR OF BUILDINGS: • ..
The undersigned hereby applies for a permit according to the following information:
location Z o C. u- s 7 Z-"i Nib -- eg-/2/✓s/ /"L - /li4 SS
`�
Proposed Use !�- �s ���j �` /� c p .
/ �D �
Zoning District /,:cliv Fire District r �, A../-S //4/5G,�Name of Owner/ 0f/¢S ev,<,,c/� Address Z UGP -C/ 4/9� ^ 15•41-✓-}A/-S' �IS
Name of Builde /J/1"7fiV17/( q Address/C! /g/ / /1/97/47/C 19
Name of Architect Address
Number of Rooms ,OL..0 c"Foundation
Exterior "� /�/'� . Roofing Z
Floors ... " /' .v 5 Z -7`"" Interior ,X "G, � // y.,,,
Heating /-:-.:
1 J �r � Plumbing o
Fireplace % Approximate Cost `�
Definitive Plan Approved by Planning Board 19 . ea 4 . `
Diagram of Lot and Building with Dimensions 2 7- —
SUBJECT .TKO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the -2,7 ille
Barnstable regarding the above
construction.
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Name . G� �1 -�'�rw %-
VanBuren. Thomas
No �'b�'1+ Permit for d to single ;
�fa�m'ily dwelling
Location ` Locust Lane
Barnstable
Owner Thomas VanBuren 4 °
r-7r
Type of Construction frame ! ?O
F 14
a D
( h
Plot Lot !
3
Permit Granted A April'� �18 19 73 `,
Date of Inspection .. . ..1. . 713.. oii(k,
Date Completed 19 •
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i ! '.
A
PERMIT REFUSED
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19 '
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1 b .
1
Approved . 19
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