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Town:of.Barnstable1 *Pere# 7
0 Expires 6 months from issue date.
Regulatory Services Fe , �v
9� 1 Lei' Thomas F.Geiler,Director �pp�,�
ArfD MA't A Building Division ,f ° S P
Tom Perry, Building Commissioner ✓U� 1 S '/
`4 200 Main Street, Hyannis,MA 02601 TOWN 2004
Office: 508-862-4038 E3gRNs� �L
Fax: 508-790-6230 F �
EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Ae��
of Valid without Red X-Press Imprint
00
Map/parcel Number C/
Property Address
❑Residential
Value of Work �� C/
Owner's.Name&.Address e rl I"j- 7G r -,/—4
�'Gwt G S' (�v
Contractor's.Name -fir' /:fE 74 It S C Telephone.Number G dF Z 3 7 3 G�'
Home Improvement Contractor License#(if applicable) C
7wtorr
uonSupervisor's.License.#(if applicable)
kmanis Compensation Insurance
Check one: f�
❑ I am a sole proprietor
❑ the Homeowner '—`
I have Worker's.Compensation Insurance.
Insurance Company Name
WoAman's.Comp.Policy# W(:�: /f— Jr-0 37 - CJ 73
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to - 14
❑Re-roof(not stripping. Going over existing layers of roof)
U�rie-side n
❑ Replacement Windows. U-Value (maximum.44) ) -7
*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.
J�Home Improve ent Contractors License is required.
Signature �
Q:Forms:expmtrg
Revised 121901
P�°FTHE l° Town of Barnstable
Regulatory Services
Y #
BA"STABLE, ` Thomas F.Geiler,Director
9 MASS. bq
° 2639' A g Buildin Division
°pIFD MPS
Tom Perry, Building Commissioner
a 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 5J8-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I ST�I�ifE 15 A kT4,,=—T7- ,as Owner of the subject propertf
hereby authorize Z4 "� � ���� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
�yC /
(Address of Job)
4SigonnaZofOwn&erl
.60�7
Print Name
Q:FORMS:O W NERPERMIS SION
- 71e � uuea/ �✓�a�aac%uae�a
Board of Bedding Regulations and standards
HOME IMPROVEMENT CONTRACTOR
Re i
2/2006
I dual
PETER EDWAR
Peter Johnson X^ --
1
7 PENELOPE LAN� M
COTUIT,MA 02635 Administrator
1 /
r) Map 097S Parcel Permit# 7
t House# Date Issued -/7—
nfon ,
e 8: 5 - ..
0- -1:0 - - Fee �a6� O O
ervat' )
Definitive an 19
- BARNSTABLE, .
MASS
r.FN OF BARNSTABLE
off - i�
M- uilding Permit Application `
Project Street Addres <
Village •
Owner Address
•Telephone
Permit Request AQ
i
First Floor square feet Second Floor square feet
e
Construction Type 14 ��i,,,,
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 ❑No
Basement Type: ❑Full ❑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)
❑None ❑Shed(size) _
❑Other(size)_
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ,
Commercial ❑Yes Q4o If yes, site plan review# -
Current Use Proposed Use
r _ Builder Information
Name Telephone Number
Address License# /'��o[n - - If
Home Improvement Contractor#
Worker's Compensation# zne Z�A fz/
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
BUILDING P ``D D THE LLOWING REASON(S)
J� i
WWI- Ala
�1
FOR OFFICIAL USE ONLY
hRMIT NO. _ i791
ATE ISSUED^ 31
MAP/PARCEL NO:
_ .. . ^'y 1`„r'S 'ram :r ` .'- 4 i •. ~.. . r ` =` '+%
ADDRESS f� F�, �' VILLAGES t }
OWNER
DATE OF INSPECTION:
FOUNDATION `
FRAME
INSULATION r r
FIREPLACE
r
ELECTRICAL: . ROUGH + FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL'
. '�—� �� � t t ,- � -• � sue'(• '- ( � . ,
FINAL BUILDING
t
DATE CLOSED OUT J YL r P a ASSOCIATION PLAN NO.
r
TOWN OF 13ARNSTA13LE
REPORT 3 PLEMENTARY/CONTINUATAMEPORT
NAME ( T� FIRST, MIDD [D7; /DBPT
QdL 2 ow.,4 5 W,rN
NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL 8S ETC.
3 A, S ,v e4 a - o o 6 9
St N w. PF1 T
Ole S
SUBMITTED 8Y PAGE r J
15, RESIDENTIAL PROPERTY
MAP NO. LOT NO. FIRE DISTRICT
SUMMARY
STREET Main Sti PW0 L,41J TO kAiLfZ0A':> A%ja, Barnstable LAND
�3 BLDGS. 33
_7 k D OWNER !, r" B TOTAL �7
LAND
RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS.
tT
TOTAL
Bartlett Charles L. 1/2&5 623 4
- LAND
01 BLDGS. --
` TOTAL
l ( i 77
LAND
Not-ion rn BLDGS.
roraL
LAND
BLDGS.
0)
TOTAL
LAND
BLDGS.
TOTAL
LAND
BLDGS.
TOTAL
r, LAND
` 7G�'�/ % - —
INTERIOR INSPECTED:✓ 01 BLDGS. —
'" TOTAL
DATE: 2 3 ( CT -7 ,L— LAND - -
ACREAGE COMPUTATIONS BLDGS.
LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL
HOUSE LOT S E2 r 75- , :5�, Zctoov. ,So od DU 0 LAND
CLEARED FRON $10TS l Xlo7X Z�I�O Z A o? / /(�CJ BLDGS.
REAR z _ S� TOTAL"
WOODS&SPROUT FRONT LAND
REAR BLDGS.
_WASTE FRONT
TOTAL
REAR LAND
BLDGS.
TOTAL
LAND
BLDGS. -
LOT COMPUTATIONS LAND FACTORS TOTAL
FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND
Iu/ S ROUGH TOWN WATER 01 BLDGS.
HIGH GRAVEL RD. TOTAL
" LOW DIRT RD. LAND
SWAMPY NO RD. BLDGS.
.... LHNU COS
nc.Wails Fin. Bsmt.Area Bath Room Base �a(J BLDG. COST At
one.Bill.Wells Bsmt. Rec. Room ,r St. Shower Bath Bsmt. _
.onc. Slab Bsmt.Garage St. Shower Ext. s'� PURCH. DATE �G 7
Walls PURCH. PRICE. iv
rick Walls Attic FI. &Stairs 'Toilet Room Roof RENT
tone Walls Fin.Attic 1 Two Fixt. Bath
Floors J SF2
iers INTERIOR .FINISH Lavatory Extra
Y�
'r t. F 1 2 3 Sink 1
r/2 % Plaster Water Cie. Extra Attic
EXTERIOR WALLS Knotty Pine Water Only I�
ouble Siding Plywood No Plumbing Bsmt.Fin.
Ingle Siding Plasterboard Int. Fin. 5 3
Shingles r/ TILING d3Y
onc. Bill. G F P Bath FI. Heat
ace Brk.On Int.Layout Bath FI.&Wains. Auto Ht.Unit 1�D3
Veneer Int.Cond. Bath Fl. &Walls Fireplace 4— 3 7(,Q '
om.Bfk.On 0 HEATING Toilet Rm. FI.
Plumbing
olid Com Hot Air Toilet Rm.FI. &Wains. i
Tiling 38
Steam Toilet Rm. FI. &Walls 8
lanket Ins. Hot Water St. Shower
oof Ins. Air Cond. Tub Area Total
Floor Furn.
ROOFING COMPUTATIONS '
sph.Shingle Pipeless Furn. S.F. SVe0
ood Shingle No Heat tj S.F. 7, 0D O
sbs.Shingle Oil Burner S. F.
Pate Coal Stoker S.F.
Ile Gas S. F. OUTBUILDINGS
ROOF TYPE Electric
able (/ Flat S. F. 1 2 3 4 5 6 7 8 9 1 10 1 2131415 6 7 819110 MEASURE
ip Mansard FIREPLACES
S. F. Pier Found. Floor(tJ
;ambrel Fireplace Stack j Wall Found, r/ 0. H. Door LISTED-..
FLO Fireplace Sgle.Sdg. Roll Roofing —
;onc. LIGHTING
Dble.Sdg. Shingle Roof ✓
_arth No Elect. Shingle Walls ✓ Plumbingline
DATE
iardwo ROOMS Cement Bill. Electric
PRICED
sph.Tile Bsmt. 1st TOTAL �/ Brick Int.Finish CJ
Ingle 2nd ���• 3rd FACTOR
REPLACEMENT
OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Defl ACTUAL VAL.
WLG.Z— �,�/• v?s��9' Q Ale- Ste- V 17t 1", 'lk o 3?63 s b� ` o3S0
�oz.x3833,4 asoo
2 47r G•a / fie S.0 o o v s o
3 --
4
5
6
8
9
10 33/00
TOTAL
J
TATE
CATION NUMBER
PROPERTY ADDRESS I _.. I ZONING I DISTRICT-CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I ._NBHD KEy NO
3135 , PLAIN STREET : BARN. 04 _.._. RF-2 100 ._;D4BA 07/09/95 1041 00 76AA R278 '�008. 18711
LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNFT- ADJ'D. UNIT �' SARTLET-Ti ' CHARLES L " MAP-
Lantl By/Date Size Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Des`oription -..71 1700
/ CD. FF-De th/Acres E #L.AND CARDS IN ACCOUNT L -
10 18LOG.SIT .1 X ' 1 =10 100 59999.9-. 59999.99 - ._1...00 60000 #.SLDG(S) CARD.-1 . 1. 201;800 01. _ OF 01
11 ARESIDUAL : 1 : X' .9 =10 103. 12000.0 12360.0 .95 11700 #OTHER FEATURE_ A..' 11:200
N #PL 3135 :.MAIN :'.ST.::. A.RKET 238600
D BATHS 2.0 U X 8= 100 88OO.0 8800.00 1..00 8800 8 #RR 0949 .0131 .1.250 0507 NCOME
- . 1/2 SSMT S X 8= 100 30,1 3.90 1352 5300-8 #SR PINE LANE SE
A FIREPLACE U X 8= . 100 3900.0 3900.00 1.00 3900 . 8 PPRAISED VALUE
D EXT FIREPL : U X B= 100 . 1700.0 1700.0 2.00 3400 . 8 284P700
A J A81 : BARN S 22 X 38 195 8= 49 A 1 1.2 : 13.4 836 11200 . F . ARCEL SUMMARY
A
T S AND 171700
A LOGS 201800
T IMPS A1200
M OTALI 284700
F CNST
E N DEED REFERENCE Type DATE Recorded
RIOR ' YEAR VALU'
A T - Book Page Inst. Mo. Yr. D Sales Prig AND 71 70 C
T S 7816/171, Ii2191 A 1 LOGS 213000
U 623/4 00./00 OTAL 284700
R 4958/329: 03/86
E I DD'N NOT
BUILDING PERMIT
$ Number Date typo Amount 'STARTED " 111186.
LAND LAND-ADJ INC ME TSE SP-SLOS FEATURES 8LO-ADJS UNITS
71700 112001 10800 B23717 A1185 AD 30000
Const. Total BIt Norm. Obsv.
Class Units Units Base Rate Adj.Rate A I f� '4ge Depr. Contl. CND Loc %FIG Repl Cost New Adj Repl Value Stories Height Rooms Rms Baths Rfix. Par"ail Fac.
048 000 115 115 78.65 90.45 00 70 24 r7�4 100 74 272674 201800 2.2 10 5 2.0 9.0
Description Rate Square Feet Repl.Cost MKT. INDEX: 1.00 IMP. BY/DATE: / SCALE: 1100.41 ELEMENTS CODE CONSTRUCTION DETAIL
SAS 100 90.45 1352 122288 ,, _
S 2SF 150 135.68 410_ 55629 *--18--* STYLE 05 OLONIAL ' OLD O_0
T FOP 35 31.66 64 . 2026 ! 2SF . 17 ESTt,N-A_WJ`MT -Q3 rTrGN-X5jU3T--73-.-0
R 822 67 60.60 1.352 81931 ! ! RTE_F!_WAt1S'- -Ot DI;D"F1£RME--------ffA
U *-14-* EAT/AC-TYPE- -00 ------------------IT:O
C NTEAt.FINISH- QO :------------------II:O
T 43! ! NTFR:CA1rOOT- 02 ------------------IT:O
U ! 26 ! NT_ER:diUKLTY_ C12 AWE_A -EXTE1f1--U.-O
R ! ! ! LOVR,'-STRrUCT- -QO ------------------13-, 0
A w ! ! 44 EIOUNIIIATI"
LO-aft7COVER-- -00 "------------------II':O
L 0 ! ! 52 0OF-TYPE----- -GO ------------------V.;O
E Total Areas Aux = 64 Base = 1762 ----------------- -
BUILDING DIMENSIONS *----24-*� ! LE-CTRICWL - 7G0 IT_.O
T 8AS W ' N E SF w N4 E18 ! ! -_.- -00 -----------------9'7.-9
A S17 w14 . S26 SAS M26 E14 S44 ! ------ -------- --- ----------------------
FOP E08 S08 W08 N08 .. SAS S08 26 BASE ! ----�1iEIGNBOR Q ?2SAA-F/�Rfl5TA8CF---
L .. 822 N52 W14 S26 W24 S26 E38 ! *$-* LAND TOTAL MARKET
.. ! 822 8FOP PARCEL _ 71700 284700
*------38------XB-* AREA 16734
VARIANCE +0 +1601
STANDARD 25
8P/3
Assessor's ma and lot number .......... ........ ....... ..........cp�—I toffy
%,10 T E
Sewage Permit. number .........................................
BA,RE STABLE,
House number MAS&
........................ ....... .......................
039.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....... .............. ............. .......... .................................
TYPE OF CONSTRUCTION ........... .............. ................ ................ ...........................................
......1921
.........................7
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...................... ....�................ ...... ................................................... ..........
...........................................................................................................................................
Proposed Use ..... ...
Zoning District ................ ....Fire District .......... ...................................
Name of Owner e.!K... ....Address ....�i/ ........
z
A'717,a . � �.A. ................
Name of Builder ........... ....... ............ .......... .........Address ........ ............ . .
.. .............Name of Architect . .................................. ...................Address t ........ . . ... .. .... . ............
Number of Rooms .. . . . . ...... .... .......Foundation ..... .... .................... .. ....... .............................
Roofing ....... .. . ...................:.........................................
Exterior ...........ere."10,
. ..................................
Floors . ............................................................................Interior ......7�..�../.Kax.,.. ...........................................................
7�
Heating ......... ............ ... ....... . .. ...................................Plumbing ....... ......... . .. ............. ........... ..........................
Fireplace ........................ .........................................................Approximate Cost ..... ......5
/. ...y..........................................
01 IX /P
Definitive Plan Approved by Planning Board --------A ---- -----19 Area ........................
Diagram of Lot and Building with Dimensions Fee ......... ..... ..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
ri
AlkV
190
L
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 ..................................................... ........... .............
2
Construction Supervisor's License ......................4/.....
BARLETT, STEPHEN S.
f
No 2871�` Permit for Add to & Remodel
-
No ....................................
Single Family Dwelling
................. .......................................................
s� Main Street
Location .......................................... .................. -
r- K. Barnstable
........................................ t` .:*................... �.
Stephen S. Barlett
Owner ...... .... ............................................... 1,
m+ w F• _
' Frame
t Type,of Construction .........................................
N. ...................... .........-..ti................................ ....... -
Plot ............................ Lot ................................
Permit Granted Noyeml?,er„2,9.....;19 .85
.. ::`•'r Date.of_Inspection ...........19
.`` {
Date Completed .......... . ............19
r � _
-
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