HomeMy WebLinkAbout2119 MAIN STREET allY�li',a� n SI- ✓
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
r '
Map. 7 Parcele-2 3 - lication #
Health Division Date Issued
Conservation Division Application Fee AA
Planning Dept. Permit Fee
Date Definitive an Approved by Planning Board �.
Historic - OKH •oy".aZ, Preservation/ Hyannis ►1d.
Project Street Address,, l tic lh r 5f, �j�r,25�GZ G_,l�f H 4 0Z6��
Village ar4sfZ,hle-
Owner /-c�u� ✓� I��!r� eh Address SCZ syt e,
Telephone ,S�Permit Request -�"o a--.det � d-Drmfr5 6/' 4d 44 oji!!�AoU
Square feet: 1 st floor: existing/ 00 proposed b 2nd floor: existing???-22 proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation$3D{ oi)a. Construction Type
Lot Size /, a.e re Grandfathered: ❑Yes `ALNo If yes, attach supporting docyTentation.
r-` o
Dwelling Type: Single Family ] Two Family ❑ Multi-Family (# units) a
Age of Existing Structure Historic House: ❑Yes 0 No On Old King,<S Highway-.WYR ❑ No
CP
Basement Type: ❑ Full ❑ Crawl AWalkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing_ new O Half: existing 'I, new,,
Number of Bedrooms: _3 existing Q new
Total Room Count (not including baths): existing 7 new U First Floor Room Count J
Heat Type and Fuel: 1AGas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes No Fireplaces: Existing / New D Existing wood/coal stove: ❑Yes �kNo
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 1=_U)A,i-d 4hrtdzeK Telephone Number
Address A 1L2 MAtg Sk- License#
G), e A,Knsh_b 1 e_, 14A D,2 6�-P Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO��L Cell/over cc�o��
-hde1 ;; Lv���Ji/ei✓sG»n �,s �a��f/��.�� - o t ����SI�S,� �ro ��
SIGNATURE �li/� DATE
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
4
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
'pigwG ION PLAN NO.
Town of Barnstable
Regulatory Services
4NE T° Richard V.Scali,Director
Building Division
* CAB . Tom Perry,Building Commissioner
mess.
�Qp 1639• A 200 Main Street, Hyannis,MA 02601
�fD MA't
www.town.barnstable.ma.us
Office: 508-862-4038 j Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: J�-
JOB LOCATION: tCLt/dLS (�-
number i street village
"HOMEOWNER":"HOMEOWNER":62uj d �)1)r 1C e-,-Z S 55 f 08-3ba�61Y1-1-
name < ,home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who_constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
t
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner '
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities, many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPFESS.doc
Revised 061313
anxxsrnst.E.
"'-ASS. Town of Barnstable
�ejED MA'1 A
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862 038 Fax: 508-790-6230
Property Owner Must
6omplete and Sign This S tion
If Using A Buil r
I, as O l r of the subject property
hereby authorize �i to act on my behalf,
in all matters relative to work authorize y this building pe > plication for:
Address of Job)
Signature of O� er Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
XPRES9 PERMIT
36I3D(o7 c�
lime Ep 2 6 2013 Town of Barnstable *Permit#
Expires 6 months from issue d e
• B�BNSTABLE Regulatory Services Fee
KAM Thomas F.Geiler,Director
03¢
Building Division
�
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601 M
www.town barnstable.ma-us N
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number Q_Z, (4
Property Address Sf. �
Residential Value of Work$ e V Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address Apk
J (, f r!1 / �l&X A Tel hone Number
Contractors Name ]C(3�j�/"V Salit q l7 �/� eP
Home Improvement Contractor License#(if applicable) Email: .SGZ h E�D C'YlJt (e/ S�•C'�
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
(MA one:
[ I 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 accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maxi*num.35)#of windows
#of doors:
Zsmoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
"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&Construction Supervisors License is
requir e d.
QAWPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 060513
f
oFE Teti Town of Barnstable
°# Regulatory Services
9BMWSTABMg Thomas F.Geiler,Director
r 6_19.. Building Division
Tom Perry,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, e,0(,4 n e-- I )(i4-�e-/t , as Owner of the subject property
hereby authorize / D b�f�lsa_�/0O )Ir-t to act on my behalf,
in all matters relative to work authorized by this building permit
Id
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
14VIA
Signature f Owner Signature of Applicant
�/P,/�rim TG�I✓�'�-rze� �6@ N�" ��.�a�D��
Print Name Print Name
*';z4h :3
QTORM&OWNERPERML4SIONPOOLS 612012
r
Town of Barnstable
Regulatory Services
"BM Thomas F.Geiler,Director
�E1 A►`0� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures: A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
C:\Users\decollrkWppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOWook\QRE6ZUBNIEXPRESS.doe
Revised 053012
V�
TOWN OF BARNSTABL'E BUILDING PERMIT APPLICATION
Map 3 7 Parcel.23?- O q/ Application/& .
Health Division A Date Issued
Conservation Division Application Fee y�
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address a Il? 110:4K J71 /34 r s�lc. IYA OZ�4�
Village AYArA 51kJ6!e.
Owner ' YA'14_tad kJ/rAn c`t Address
Telephone
Permit Request -'Q&PreSeAt'ba'�hroom f nqe 4-e cle f %ns,_401/Aeu/ uairca .DU) Move.
04-1/ Ch"C. or-eSuY bedroam fv b4.A4r0o41oF
� erc,la�ge cfory`; o-Fi� sA o-�
-4o v Ta,AP
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation st D gQ IQ In Construction Type
Lot Size A P/ cures Grandfathered: ❑Yes V No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure 6's-11rS. Historic House: ❑Yes ANo On Old King's Highway:.XYes ❑ No
Basement Type: ❑ Full ❑ Crawl X Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 903 SS,-,0%
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: 3 * existing —new ' 6ehmms /'edcuccd -/6 P-
Total Room Count (not including baths): existing 7 new 4 First Floor Room Count
Heat Type and Fuel: YGas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes 9No Fireplaces: Existing / New D Existing wood/coal stove:' ❑Yes VNo
Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing Otnew'size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -
r :J)
Commercial ❑Yes ,�No If yes, site plan review #
Current Use h lmrlohl 9/ Ardce t Proposed Use Lletm V-AA4f mo l V ai�Set"
APPLICANT INFORMATION
yne o uih Lr (BUILDER OR HOMEOWNER)
Name Telephone Number
Address at'! �/lGt irl .�Sfr cam" License #
Gf/ �G�i'i1�Ta �16., R-4 42&6? Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE �c�ie � DATE b
FOR OFFICIAL USE ONLY =, s
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE '
OWNER
l: DATE OF INSPECTION:
,,. ,FOUNDATION ;
FRAME
INSULATION
FIREPLACE ,
ELECTRICAL: ROUGH FINAL—.
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL _
FINAL BUILDING
DATE CLOSED OUT'
ASSOCIATION PLAN NO.
Town of Barnstable
Regulatory Services
* F Thomas F. Geiler,Director
K+ss.
1639. ,�� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Offi6e: 508-862-4038 Fax:.508-790-6230
HOMMOWNER LICENSE EXEll4PTION
Please Print
DATE:—*
JOB LOCATION: 02[19
number street village
nu
"HOMEOWNER": a-rd A. 6J(rhLneA SVR"36a-61.5 nl �
name U home phone# work phone#
CURRENT MAILING ADDRESS:
jG�J QariLs f-a-ble /t-1� O.�.Co6�
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINrtION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures, A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules'and regu iations.
The undersigned"homeowner'I certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
yznf�
Signature of Homeowner
Approval of Building Official
Note: Three-faunily dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Cons=uction ControL
HOMEOWNER'S EXEMPTION
The Code states that "Anyl homeowne-perfomringwork for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsrbi&ties,many communities require as part of the pemrit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t.ammd and adopt such a form/certification for use in your community.
Q:fomrs.homeexenipt
Town of Barnstable
Regulatory Services
MASSg Thomas F.Geiler,Director
s6g9. 1�
`ran roc' Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.towmbarnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Mu
Complete and Sign This ection
If Us' A Build
I, s Owner of the subject property
hereby authoJi= to act on my behalf,
in aIl matters relative to work autho= his b ding permit
(Address of J
**Pool fences and alarms are e respons ility of the applicant. Pools
are not to be filled or utilized b fore fence is stalled and all final
inspections are performed an accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
QFORMS:0WNERPERMMSI0NP00LS 62012
�1
�oFt ram, Town of Barnstable *Permit# o / f l"
'� ��
OExpires 6 n hsfroni issue
Regulatory Services Fee TQ-�
BARNSTABLE,
r MASS' Thomas F. Geiler,Director ( i Q
AIFD Mt+'t A .
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid.without Red X-Press Imprint
Map/parcel Number I '
Property,Address f ! ✓U
sidential Value of Work . t Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address-
Contractor's Name � �� f_ (' Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) r �
[�orkman's Compensation Insurance R n" S PERMIT
bone:
Fam a sole proprietor (�(��( ° j 0 0
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance 'TOWN OF BARNSTABLE
Insurance Company Name
Workman's Comp.Policy#�����7
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to
R say �t`C�nvxQ� —7 CR
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A c cif t Ho m pro ent Contractors License&Construction Supervisors License is
r uired. �)
SIGNATURE: (/
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 090809
♦q.
CHA, R- LES . COREY
T he oofer'°s, Roofer!`
POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards, Plywood
Sheathing, Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement
will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 60.00 per Hour
CENTER CHIMNEYS: CHARLES COREY cannot Warrant your chimney against leakage or to be
water tight to any degree because a properly installed PAN FLASHING or CHATHAM PAN FLASHING
was not installed by the Mason when your chimney was built.
PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the
Final Payment for the Balance is Due Immediately Upon Completion.
WORK SCHEDULE:
All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt
of Deposit providing the Materials are Available.
PleaseIake Checks Payable to:
CHAFES CO"Y
CHARLES COREY Warranties the Shingles and Labor for 5 years.
CERTAINTEED Warranties the shingles and labor 100% for the First 5 Years
and the Shingles your 30 Years if the shingles becomes defective.
CERTAINTEED Warrants the Shingles up to a
CATEGORY II HURRICANE-110 MPH WIND WARRANTY .
CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years.
This Proposal May Be Withdrawn By Us If Not Accepted& Deposited Received
Within Thirt�Days Or Before The Next Price Increase In Materials.
i
CHARLES COREY
carries Workman's Con pens tion and Public Liability Insurance on the above work
DATE OF ACCEPTANCE: (i
ACCEPTED BY: SUBMITTED BY: I
��—
JEAN WIkTANBEN CHARLES COREY
HOMEOWNER ROOFING CONTRACTOR
oFt�r�
Town of Barnstable *Permit.#
?� O Expires 6 months r issue date
Regulatory Services Fee
* i
* BARNSTABLE,
v� 039. ��$ Thomas F.Geiler,Director
ArED MA'I A y
Building Division file`
Tom Perry,CBO, Building Commissioner.
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number. Bpi 210 41/
Property Address f t � � Hcx t`vt 5 • r61A s� �ce-,i 61e /Y
dResidential Value of Work7�"_,g Minimum fee of$25.00 for work under$6000.00
. Owner's Name&Address Fo'l-ul,Ct r,p hexem
Contractor's Name C t er" L t bo U J&/1 Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
ck one:
eeI am a sole proprietor " RESS PERMIT
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance 0 C T 14 '009.
Insurance Company Name TOWN OF BARNSTABLE
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
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)
❑ Re-side
#of doors .
Replacement Windows/doors/sliders.U-Value, G 4/1o! (maximum .44)#of windows
*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&Construction Supervisors License is
required, p/
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 090809
�YHE rqy Town of Barnstable
;1
Regulatory Services
BARNST^B 'J
M Thomas F. Geiler,Director
1 v� � ,0� '
�E639.�16 Building Division
Tom Perry,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
A r&#elh , as Owner of the subject property
hereby authorize C "-14 t—A kov - 50--ri 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
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FO RM S:OWNERPE RMISSION
r t
of
Town of Barnstable
�o Regulatory Services
snarrsz•"M ; Thomas F. Geiler,Director
rrnss.
9�A 1639• s`�� Building Division
TEn µpi Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma:us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPT N,
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone work phone#.
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended t lude owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire wh do not possess a license,provided'that the owner acts as
supervisor.
DEFINITIO OF HOM WNER
Person(s)who owns a parcel of land on which he/she r sides or int ds to reside,on which there is,or is intended to
be, a one or two-family dwelling,attached or detache structures acc sory to such use and/or farm structures. A
person who constructs more than one home in a two ear period shall n be considered a homeowner. Such
"homeowner"shall submit to the Building Official n a form acceptable t the Building Official,that he/she shall be
responsible for all such work performed under the uilding permit. (Section 09.1.1)
The undersigned"homeowner"assumes respons• ility for compliance with the Stat uilding Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that e/she understands the Town of Barnstable Building Department
minimum inspection procedures and require ents and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwell/onstruction
containing 35,000 cubic feet or larger will be required to-comply with the
State Building Code Section 127.0 Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.'
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certifrcation for use in your community.
Q:\WPFILES\FOR.MS\bomeexempt.DOC
` 01C See-13
Town of Barnstable
Regulatory Services TOWN OF BARNSTA t E
K Thomas F.Geiler,Director
' '"RNSTAM_' ' Building Division
639
�► Tom Perry,Building Commissioner �
200 Main Street, Hyannis,MA 0260�1s z
www.town.barnstable.ma.us DIVICION
Office: 508-862-4038 �
Fax: 508-790-6230
PER HT# '
FEE: $
- I
SHED REGISTRATION
200 square feet or less
tj
Location of shed(address) Village
Property owner's name Telephone number
0 140 1W("I"V b,4,'1qJ
� 37 �
Size of Shed Map/Parcel#
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(=8:00-9:30&
required)
Sign off hours for ConservPLEASE NOTE: RISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PL OT PLAN i
Q-forms-shedreg
REV:05201
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AS St6RYBYBO FOR
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GEORG E o W D R" Am E-N
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Bei ssse K¢Lwcc-, Gtvf,- Enc'sts.
Gce+rettvru.a, d!Ar+ss. �;�' :'PaD#g� t
Assessor's offioe (1st floor): ^t R3�j_ D ��` o THE o
Assessor's map and lot number ..�.. ).v..`......(... ..... ... _
t
Board of Health (3rd floor): ]tl ? ��
t� 5. .-.....?...1-.?` i BARNSTABLE
,$ewage Permit number ............. � ........... : S,� L'e�.� ����
Engineering Department (3rd floor): °` €`r ME � �� MUM
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}House number „ J-,��"c�� � � �FouaYa.
'APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only
TOWN OF BARNSTABLE
� U IC�DIV " INSPECTOR
n
APPLICATION FOR PERMIT TO ......�1(.�..'✓9.y. .yt.<....... ............ GCI�
.........n ' r
TYPE OF CONSTRUCTION `.Q.!'1...�.:!'1.1�..�.wJ..c4:............/..i��.4'1.'l.�i:h ../...f^.rL,�..n�..........................
j
. ........................19.�7.77
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......Q .l..I...l......../..!. /. .�1..... ....n.......(/.Q.�j.7�..... ... . .!'). .f.1'. ..................................................
ProposedUse .. ..... ....... ....................... ........................................... .. ....e
Zoning District .. ........................Fire District ..J r............................... ...........................................
Name of Owner ..�.-C.%1}. ..Yl t..............bj.1..(-,..f? .kV,1Address ..........s-Ig.!'Vj.
Name of Builder ...� ........C„2(. 0dW..K ...........Address ....f.r. E..... 1.C1G.�.l.n�,.
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .......... .......................................................Foundation ......7•......`.O.!a.Cf..� LI....................................
Exlerior ..........Roofing ......,1.1..s.f.h.01 .�.....................................::` ......... t
...........................................:..............................
Floors ......._3//...�do,t G.C......�n.! .C!....G.!' D.P.1—ely.....Interior ... 5.�7��2f../..BC,. .....................................
Heating ...../1.! ...C.�1.jlf.e.1/..............................................Plumbing ................... ...
Fireplace ..................................................................................Approximate Cost ....1 p� ��✓(.�•a..�1✓
Definitive Plan Approved by Planning Board ________________________________19________ . Area l. Y... ..r.'f........
Diagram of Lot and Building with Dimensions Fee �1J
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS.
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding the above
construction.
1.
+ Name L3 .................... ......
Construction Supervisor's License .�1�..� 3...2..5.......
WIRTANEN, JEANNE
313£il... Permit for ...BUI%'. , ADDITION
..................
Single Fami �� Dwelling
......................................
Location 2119 Main Street _
`.
'-- Barnstable
.................. ........ _
Owner ....Jeanne Wirtanen
.............................................................
Type of Construction Frame
..........:....................................................................
Plot ............................ Lot ................................
November 4, 887
Permit Granted .............................?..°.......19
Date of Inspection ..??�... `f 7...............19 ,
Date Completed ........../XgF.............19 "
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Assessor's map and lot number
�r / or] SYSTEM MUST BE
INSTALLED IN COMPLIANCE
"� � ��� ,G� WITH A;<TICLE II STATE
Sewage Permit number ` ...:.............. SANITARY
/ �ITARY CODE AND TOWN
SOWN O F BAR.I�S�XHILR
' *THE t0
i BJHB9TeILL i 9�G 10 9 �URMOG 10SPEC ® R
a.
APPLICATION FOR PERMIT TO .... . ..... ... .. ... ... ... .
TYPE OF CONSTRUCTION ...........
Gf, .... ....19..�.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit a ording to the following information:
Location ...... " ..:'
A
ProposedUse ........., a,®t ��. ....................................................................................................
Zoning District ... ... ........................Fire District .....oe�." .... ..:....... 4"A-110,4
Name of Own Address ......../3.a . ... .. .. t ..........................
Name of Builder ....... ..... ..............................Address ... ... .. ..........: ...� ....... .
Nameof. Architect ....................:.............................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ......... .................................................................
Exlerior ....... ..... ................ ............Roofings. .......................................
Floors ......................................................................................Interior .................................................... ...............................
Heating :...........................................................................Plumbing .. .. _.. ......................
Fireplace .. ................................................................Approximate Cost .gym . ...�.. ... '.................... .... ...... . ...................
Definitive Plan Approved by Planning Board ________________________________19________ . Area ...f ...., ......................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..�:. � ,
—_\ l�
` |
Wiztauzaen, Mr~ &; Mrs. George
16695 dormer
No ................. Permit for ...................... .
) | ��
--_--''r�,j''F'��---''�'KL�'ƒ'«i'''��---'
Location ------------.^--------.
Barnstable �
~--.-----.--.----.---^------- .
Mr. &: Mrs. George Wiztaomn
[�vnar -----------......~~...------- ,
�razum \
Typo of Construction -----—--------
'
�
—'—'-----^------------------
'
Plot ............................ Lot ................................
, <
�
�
Permit Granted ---.[ctobmr_31__..19 73 . )
. '
�
Date of Inspection --- ------ lg �
Dote Completed
� \ '
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�
PERMIT REFUSED �
>
-------^------------- '19 i |
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.-------.-------..---~------.. �
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..........................................................
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.----~------..---.--...—.--~-- '
. �
---------.---------.,~----..— `
~ '
Approved ................................................ 19 .
'
---------------^----^--^---'
`
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/
1 2'
I
Deck
2
Of 4.91
9' - o Dining Room
f)jcto.
109 rQ 10-9"
Bath X� 00
00 o
CI Inif If X= Kitchen O
N� O
Offset w Ill i'-0"& Install
2-1.75"x .25" 1.9 LVL Hea Jer 31211 2" X 8" X 16'
5' 5"at existing 4, 511 16" O.C. ABOV
S
Com u L
3 Room
77
r 3
}'p ION FIRST FLOOR = 7'-11 1/2"
2' 4
2" X 8" X 16' 19-3"
16" O.C. BOVE —
1 '
12-6" En
LC
Bedroom Livin Room
SMQKE D TE RS 'REV 1EVVIL)
BARNSTABLE BUILDIpt DEPT. DATE
61 FIRE t1EPNRTMEN1 DATE
Proposed Floor Plan - Scale 1/4" — oT J,GNATURE5AREf-EQUIREDMPOTRRMITING
e NOTES: �.5'
J�. yn D�2 S- 4 e el
(/� �r�GL '(
1. EXISTING BATHROOM WINDOW TO BE ,� � 5��� S o lack
REPLACED WITH SIMILAR TW ANDERSEN
UNIT OF SAME WIDTH, WITH HEIGHT TO
MATCH ADJACENT UNITS.
2. CELLAR LOLLY COLUMNS SHALL BE PLAN FOR: EDWARD & JEANNE WIRTANEN
ASSESSED, AND UPGRADED IF DEEMED 2119 MAIN STREET
NECESSARY. WEST BARNSTABLE, MA 02668
. BATH SHALL HAVE A TILE BUILT-IN-PLACE SCALE:: AS NOTED DRAWN BY: R. MUSTO
SHOWER, AND ALSO HAVE A TILED FLOOR. DATE:: 6-19-2013 REVISED
4. ALTERATIONS WILL ADD NO ADDITIONAL INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
LOADS ON EXISTING GIRDER. TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
. PLUMBER & ELECTRICIAN SHALL OBTAIN WBC-001
HEIR RESPECTIVE PERMITS, AS NEEDED.
,f
3
f
low
D '3
91 61'
Bath
21 —9" 1,411
S
cn c
Bedroom c�n o Bedroom
12—3"
i
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__._................... . ... _..._..._................ __— .. _.._.... __.._....._._...__
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4 {
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_.1
Existing Second Floor Plan - Scale 1/4" = 1 '-o°°
PLAN FOR: EDWARD & JEANNE WIRTANEN
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
SCALE:: AS NOTED DRAWN BY: R. MUSTO
DATE:: 6-19-2013 REVISED
INTERIOR ALTERATIONS—RELOCATE BATH, CONVERT OLD BATH
TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
W BC-001
r
8" CINDER BLOCK WALL
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Existina Foundation Plan - Scale 1/4" - 1 '4,
PLAN FOR- EDWARD & JEANNE WIRTANEN -
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
SCALE:: AS NOTED DRAWN BY: R. MUSTO
DATE:: 6-19-2013 1 REVISED
INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
W BC-001
A
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-401 & AMN S 17
Com U r EXIST
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`'p ION FIRST FLOOR = 7'-11
2' 4"
19-3"
2" X8" X16' — . C
16" O.C. BOVE -
1 '
12-6" (n 1
LC
Bedroom , �" Livin Room
rIET S REVIEWED
' 1
BARNSTABLE BUILDING DEPT. DATE
FIRE DEPARTMENT
OOTH SIQNATURES ARE REQUIRED FOR,'FRN�►rrrdv
Proposed Floor Plan - Scale 1/4" = 1 '-0,,
(e. In d ke S' i pk V-e c�(
1. EXISTING BATHROOM WINDOW TO BE e X n 0 lei S !d� lack
REPLACED WITH SIMILAR TW ANDERSEN
UNIT OF SAME WIDTH, WITH HEIGHT TO
MATCH ADJACENT UNITS.
2. CELLAR LOLLY COLUMNS SHALL BE PLAN FOR: EDWARD & JEANNE WIRTANEN
ASSESSED, AND UPGRADED IF DEEMED 2119 MAIN STREET
NECESSARY. WEST BARNSTABLE, MA 02668
3. BATH SHALL HAVE A TILE BUILT-IN-PLACE SCALE:: AS NOTED DRAWN BY: R. MUSTO
SHOWER, AND ALSO HAVE A TILED FLOOR. DATE:: 6-19-2013 REVISED
4. ALTERATIONS WILL ADD NO ADDITIONAL INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
LOADS ON EXISTING GIRDER. TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
4. PLUMBER & ELECTRICIAN SHALL OBTAIN WBC-001
HEIR RESPECTIVE PERMITS, AS NEEDED.
4`
D °
°
9' 6"
Bath
21 -9" 4"
S
cn c
Bedroom c o Bedroom
12-3"
i
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j S
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4
i
Existing Second Floor Plan = Scale 1/4" = 17-op°
PLAN FOR: EDWARD & JEANNE WIRTANEN
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
SCALE:: AS NOTED DRAWN BY: R. MUSTO
DATE:: 6-19-2013 REVISED
INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
W BC-001
y
8" CINDER BLOCK WALL
X 7'-6" HIGH =/-
_! , , J
�Y pU
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10-9" - Y
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Existing Foundation Plan = Scale 1/4" = 1 '-01,
PLAN FOR: EDWARD & JEANNE WIRTANEN
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
SCALE:: AS NOTED DRAWN BY: R. MUSTO
DATE:: 6-19-2013 REVISED
INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
WBC-001
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SCALE,.A:: `i tj APPROVED BY: DRAWN.BY
DATE: .4 _z" REVISED
- DRAWING NUMBER
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Bath
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SM
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Bedroom v�o Bedroom
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41
-71
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CENTER ABOVE
FIRST FLOOR
WINDOWS (TYP.)
Proposed Second Floor Plan - Scale 1/4" - 19419
PLAN FOR: EDWARD & JEANNE WIRTANEN
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
[ADD
:: AS NOTED DRAWN BY: R. MUSTO
DATE.- 3-26-14 REVISED
DOGHOUSE DORMERS TO FRONT ELEVATION
DRAWING NO:
W BC-001
tl 1 2'
::DDeck
M,
66'
2 '
:13 1 to i n i n i "
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10 TQ 10-91,
Bath r o0
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2-1.75"x .25" 1.9 LVL Hea er 2" X 8" X 16'
5' 5"at existing 41 5„ 3' 2" 16" O.C. ABOVE
S
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ov
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2' 4"
2" X 8" X 16' 19-3"
16" O.C. BOVE -
1
12-6" N
Bedroom Livinct Room
cn
Proposed Floor Plan - Scale 1/4" = V-0"
N T
1. EXISTING BATHROOM WINDOW TO BE
REPLACED WITH SIMILAR TW ANDERSEN
UNIT OF SAME WIDTH, WITH HEIGHT TO
MATCH ADJACENT UNITS.
2. CELLAR LOLLY COLUMNS SHALL BE PLAN FOR: EDWARD & JEANNE WIRTANEN
ASSESSED, AND UPGRADED IF DEEMED 2119 MAIN STREET
NECESSARY. WEST BARNSTABLE, MA 02668
. BATH SHALL HAVE A TILE BUILT-IN-PLACE SCALE:: AS NOTED DRAWN BY: R. MUSTO
SHOWER, AND ALSO HAVE A TILED FLOOR. DATE:: 6-19-2013 REVISED
4.
ALTERATIONS WILL ADD NO ADDITIONAL INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
LOADS ON EXISTING GIRDER. TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
. PLUMBER & ELECTRICIAN SHALL OBTAIN WBC-001
HEIR RESPECTIVE PERMITS, AS NEEDED.
Deck
2 '
11 ol .1 r%ll
Bedroom Dining Room
10-9" 10-9"
00
Kitchen OO
17
• 3' 2°
Bath S
� �
3 ' ` 3
o
,
021411
19-3"
_ 1
12-6"
Bedroom Living Room
Existing First Floor Plan - Scale 1/4" 1 '-0"
PLAN FOR: EDWARD & JEANNE WIRTANEN
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
SCALE:: AS NOTED DRAWN BY: R. MUSTO
DATE:: 6-19-2013 REVISED
INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
WBC-001
` Col.
D
Di-
91-611
Ba th
21 -9" - & 411
S
cn c
Bedroom o Bedroom
12-Y
al
{
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g
Existina Second Floor Plan - Scale 1/4" - 1 '4,
PLAN FOR: EDWARD & JEANNE WIRTANEN
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
SCALE:: AS NOTED DRAWN BY: R. MUSTO
DATE:: 6-19-2013 REVISED
INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
WBC-001
A
8" CINDER BLOCK WALL
X 7'-6" HIGH =/-
cf) J
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Existing Foundation Plan = Scale 1/4" - 1 '4,
PLAN FOR: EDWARD & JEANNE WIRTANEN
2119 MAIN STREET
WEST BARNSTABLE, MA 02668
SCALE:: AS NOTED DRAWN BY: R. MUSTO
DATE:: 6-19-2013 REVISED
INTERIOR ALTERATIONS-RELOCATE BATH, CONVERT OLD BATH
TO COMPUTER ROOM, MOVE PETITION & INSTALL HEADER.
DRAWING NO:
WBC-001