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Town of Barnstable *Permit s - q '
L rres 6 mom r issue date
V Red top ry Services fee
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MAes OWN OF BAN* rrector
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D[Iildi DiviSi6li
Patel R®:aaa,l3alilctug��m�micc�4AQ.r
200 Main Street-,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038- Fax:508-790-6230
E"'RY-S&PERMU A P IGA Iox MJVENTIA.L ONLY
Not Valid without`Red X-Press Intprlirt'
Map/parcel Number
Property Address 2Lj " (qC,r6 sp, R� 6uf��4�G�P Yn� DZ63D
U Residential Value of Work$ Minimum fee of'$39.00 for work under S6000.06
Owner's Name&Address, �. /V e Is6"'7 2 Vf �Li r����► ��
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Contractor-'s 1ti`atttz- l l,O l��L I'(n f 3 clepk�strc Nt b�r; .SU e 7 60 Z 7 1!r�Z
Horne,Tmprovement Contractor License#.Qf applicable)j 30 f it Email;, `1 p�M Pt
Construction Supervisor's License#(if applicable)
4Workman's Compensation Insurance
-Check-one
Q I am a sole proprietor
I am the Homeowner
.I have Worker's.Compensation Insurance
insurance Company'rlame (�
Workrs an.',Comp.-P-olicy:It a -S S�J�+ e)2,9 YjV-)7 2/4
Copy of Insurance Complignee'Certificate must accompany each permit.
Permit Re est(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Y411q&A
Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
E,•Re7side ..
Q Replacement-Windows/doors/sliders:U-Value (maximum'.32)#of windows
#of doors:
*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 cm of the Home Imerovement Contractors License&Construction StTervisors License is
SIGNATUkE:
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°6 Town of Barnstable
a
Regulatory Services
Richard-V.-Scali,Director
Building Division
Paul_Roma
Building Commissioner
200 Main Street, Hyannis;MA 0260,1
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and.Sign This Section
If UsWg A R- Wldur
I, , /J C'�S�/►�► ,as Owner of the subject property
1`k`hereby authorize AZ"G17R� lJ�!� vL �'r to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Ad ess of Job)
0
.�� 71130
Signature of Owner Date
Print Name
1f Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side,
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Gr SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
_ WITH ARTICLE II STATE .
c `S SANITARY CODE AND TOWN
�of7NEtp�y TOWN F 13ARNSTX ` �-
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8AHH9TADLS, i
r 1639. \e� « BUILDING INSPECTOR
3 APPLICATION FOR PERMIT TO ......... ........... .... ..........................� ....................................
..&"
TYPE OF CONSTRUCTION ................... .......................................................................................
� .....................197.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....� .P..,..�..�?.......!..(. 5.. .I.!t`�..........RO..o`4-,D .........................................:........:...
Proposed Use ....... .............. ..... .................. .. ..®
Zoning District ... \. ............................... Fire District ........................ .....................................................
Name of Owner ../.... ................................ (.Address . . ....... .. ......................fl6 .r...................o�
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ..............�....................................................................
Number of Rooms .............�..............................................Foundation ...../.�l<�L�/� �iv G�GI�
..........................'. ........................
Exterior .....!'��G.... h vrS.��S�.. iA /Q�D?s9 .........Roofing ....... ,/ '...............................................
Floors ...... ..............................................Interior .......... z.
................. .................................................
Heating �����......4-T............A .......Plumbin ......C.O
Fireplace .....Y715!!-3...................................I..............................Approximate Cost ......3. P
Definitive Plan Approved by Planning Board _ Z`E-----------19`j_?
Diagram of Lot and Building with Dimensions '2— E�l'l9vS
SUBJECT TO APPROVAL OF BOARD OF HEALTH
L4�v�j,
0
k
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name li 5 `T`--'... ........................l ...............
Royal Acres Realty Trust
No ...16440... Permit for ...........one..Zz7
...... ...............
............single...family dwelling.................. I
...... .. .... . ...........
..
LacatiV�. aspin Road........;.......................................
Barnstable
.....................................
. ..........................................
Royal Acres Realty Trust
Owner ..........A.............................
frame
Type of Construction .......................................... k:/,
..................... ......................................I..................
#8
Plot ............................ Lot ................................
Permit Granted ........AA;.LY..9.5................19 73
Date of Inspection ............... ........ .........19
Date Completed
PERMIT REFUSED
100,
....................I............................................. 19
-All
...............................................................................
L4
...............................................................................
.........................................................
................................................................................
IV
Approved ................................................ 19
...............................................................................
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