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0181 OLD JAIL LANE
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EXISTING FOUNDATIO , . ts1 SHOWN HERON COMPLY S WITH'1HE'SIDEUNE / ' Li ; i.,, .., PLAN...REF_ .B1c., 336 PG. 79 AND SETBACK REQUIREMZNTS OF 1"HE TOWN OF ;•;7 41/c)c,,,,n 't,, . • BARNSTABLE, ANO M •111-)T LOCATED W11111N THE ' 1, "i:" ' . . AsSEsEA:IRS - LP .2.76 -PCL. 2-6 -FLOOD PLAIN. A )1 ,...‘,..., 1.„, , I, Astf .SCALE: •r ..• -00' •DATE: OCT. 22,1998 DATE:I0'n.q? ' -=';. 1 - ,ZAXTER & NYE INC. I Li4'44V4 L. • 1. 4$41:,, , ..,4 , s l'''N'i'4'11° 'er '' . _REC.IS-TERED 1...AND SURVEYORS THIS PLAN 15•NOT -8AS ) VN AN INSTRUMENT ',,:,,,, LOP p.m.„7r04 ,-, ZIVIL -ENGINEERS : • SURVEY, AND 11-1E OFFS"( TS-51-1OULD :NCrT BE USED TO DEI-EntvnIE,LOT .WINIS- .-ZSTERVILLE, kiASS. fe 3058 . . r. i-i ••• '1 l' -.', 0 -' ------ ---- -- ,f — - 7-----— i 1:ii°* T Town of Barnstable , *Permit# 'R-I(a 3( O 1 p Expires 6 months from issue date •fr,- �' Regulatory Services Fee S BARNSTABLE, 1 rrJPRIRdi 9 p A % *feD MO A40 Richard V.Scali,Director r ' ,E I. . G Building Division DEC 0 72016 Tom Perry,CBO,Building Commissioner �/� X Ot 200 Main Street,Hyannis,MA 02601 U°'/�t t.li"' , www.town.bamstable.ma.us "i'-'0 I Atii„. ity Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 11 Not Valid without Red X-Press Imprint Map/parcel Number O/7E -�a -CC)Lo Property Address 12/ 0 t! -S o,.A -V.- Qn,N1.9 t:1.10(-L, KResidential Value of Work$ p)00 1 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address .__.gt ss0.. ef©L.3L - , •460-(„ .3N _ '-- ,,,,„,,,,-\c,—,v4.._ Vck-- - Contractor's Name oCt L& Layks"IL , ' C Telephone Number `(c) " ?". 11) Home Improvement Contractor b ense#(if applicable) t? 9...3 Email: —- M �� /}r)Q. (?lk$.e_ i 111 C_c Construction Supervisor's License#(if applicable) C-- S lb 3(0 O Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑.I am the Homeo er I have Worker's C mpensation Insurance , Insurance Company Name c C.a I 0 it-S i7CC OS,-- f Workman's Comp.Policy# L CC 6 V v C`�0 Li LI a.�/i /4 Copy of Insurance Compliance Certificate must accompany each permit. Permit ';, t(check box) ;oil 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 s. ❑ Replacement Windows/doors/sliders.U-Value p (maximum.32)#of windows #of doors: - ❑ Smoke/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 a Home Improve ent C tractors License&Construction Supervisors License is required. SIGNATURE: C:\UserslDecollik\AppData\Loca1\Microsoft indows1Temporary Internet Files1Content.Outlookl2PIOlDHREXPRESs.doc Revised 040215 f . s. is,v r,l nic#;,),T. ,. ''f,.,.,,I,,,,,..7 fill Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CEO 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, 0--( 0,_ Crou_kizis,_ as Ocaner of the subject ro ert`,r, property Y hereby authorize al eaetyns\--iLuctr,„,., of to act on my behalf, in all matters relative to work authorized by this building permit application for: «/ 0/J.,---CLQ LiAk4 6z„Alkves --L (Address of Job) I , a t -7 / aoi G, , 'gnature Owner Date _.....t + sue er.LA- Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. , C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIO1 DHR\EXPRESS.doc Revised 040215 Ulshoef fer, Elbert �} May 2001 S M T W T F S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 tau 20 21 22 23 24 25 26 �Y 27 28 29 30 31 Monday, May 07, 20`01� � 8:00 No appointment Office Hours y, .. . � 8:30 9:00 Mrs. Crowley re family apt (see Tom Perry*.orArt Tracyk) (385-8043) F 9:30 AR- 1 0:00 10:30 11:00 11:30 12:00 Lunch r i. Gas 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 3:50PM Friday,May 04,2001