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�, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ' ' •' (977 Parcel 6 36 Permit# aTjD 7
Health Division Date Issued /�v2�i7 ••
Conservation Division . Fee '7`e) , 0
if Tax Collector A e 0/4/
Treasurer 0 ` /d —/2—9c ,
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH6.41 Preservation/Hyannis '
?Oa>
/i IQ9 .
Project Street Address fits 80s' 1ft/814 .
Village RI— 0/6 (74/
Owner /4) DE AV C M Address ia1
Telephone _ J- 77660 F kbob ece6 )
Permit Request k'fir),OVE Cl. . iU ii•. �S m e Pod
/NSA lT ,uw P ? Ate s'4/ Q/
Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new
Estimated Project Col /3 00 0 . Zoning District Flood Plain Groundwater Overlay
Construction Type -
Lot Size Grandfathered: U Yes ❑No If yes, attach supporting documentation.
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
Number of Bedrooms: existing new - - 4,:a
.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:0 existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BU DER INFORMATION ,
Name )01g--4/1\i
_ (�!� Telephone Number
*A (),
Address / ! % Li License# 0413 6---'
av / t I 2rO 02(, F-- Home Improvement Contractor# 6
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNA ,t DATE _ () /9/99
`- FOR OFFICIAL USE ONLY '
it ,
• e PERMIT NO. ' _ • , •
DATE ISSUED ; f
•
MAP/PARCEL NO. �v. • _ - •
0
ADDRESS "4: VILLAGE
OWNER t _. 1
N~'• . . t .x f ; ' - •-
DATE OF INSPECTIO ,
FOUNDATION t - k -,
t ,
FRAME .• , - <+ _ ' ., ,
▪ INSULATION ? Y r
_ - t •. "•
6I FIREPLACE - r
t • ELECTRICAL: ROUGH t. FINAL - • •
-
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'F PLUMBING: ROUGH • FINAL t -
,-- GAS: ROUGH FINAL • - '
' ` $
,. FINAL BUILDING • • { • t- `
..z t I ' • •
` `T - r ,r _ _ - -
DATE CLOSED OUT ,:_ ; ?
7 •
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c ASSOCIATIONPLAN NO. -; 4 .
# L 4
dR ..
y
7
f 'a • TheTowllOfBarflStable
` . mum Department of Health Safety and Environmental Services
t0'�` Building
•
ea ,
367 Main Strew,Hyannis MA 02601 .
Ralph Ctossea
Office: SOS 790-6227 BuiIdiag Cammissie-
Fax: 505-790-6230
For office use only
Permit no.
Date
AFFIDAVIT
HOME 1M1'ROVEMEIIIT•CONTRACTOR LAW
• SUPPLEMENT TO PERMIT APPLICATION
MGL a 142A requires that the "reconstruction, alterations, renovation, repair, modernization.
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than tbur 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 Wont: 1P .F P 1�f_ L Cost / /)1'/')
•
Address of Woric:4(9/ 01,1) 'Iliad l ) p
Owner's Name ii) - 1 e A 1.)0 A
Date of Permit Appllcation:
I hereby certify that: •
•
Registration is not required for the following reason(s):
Work excluded by law
_Job under SI,00D.
___._BuiIding not owner-occupied
wner pulling own permit
Notice is hereby given that
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
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 fbr a permit a: sat of the owner.
• A-0/(/___
Daze ntractor Name Registration No.
OR •
Date Owner's Name
k
'sy office (1st floor): : SEPTIC SYSTEMMU tl L ,�;
d 04--C TA DIN COMPLIANCE Q,,�*THE tp1y
Assesso'r's,map"and lot number ,��� ji�
-Board ,of Health (3rd floor): H TITLE J .,
Sewage Permit number /( . ENVIRONMENTAL CODE AN Z BASHST11DLE,
Engineering Department (3rd .floor): -v 3 ` ,j-s , , TOWN REGULATIONS °00 MASS.a 9• ',�
House number �D MO a.-
r
APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only
. TOWN OFBARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO 1c2 15tfr i c.( , / IA-1 GQ LA-e//c - .
, TYPE OF CONSTRUCTION /42 SSG 0.t.i*c Lc .ar-P,e--
( (/
,, /11 t; 197
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
I !Location /or < r old -14.1...).......Z 4 nt 601"n -r-r-4 4 lc-
,•
Proposed Use c)'��i.�e. 1i✓"-c 17 d wctir—
Zoning District , ...(T Fire District G 7ldt-►tS
. 7 n
' Name of Owner .4.1>z1,1.�.A..........6:C ltr ...oS C Address ... o. 60y C..?.y.........!1G.r..vt.5 4 k
Name of Builder .... .. S:C.eL 6�(kef05C Address Pt° I 10Il S--`i 6Ce`v0114._1-, I4
Name of Architect TZ-rr/ L. T f Address /T 74.etw1")
q ��
Number of Rooms / Foundation , (aq(✓e T C,
Exierior 52) .1Y.7... ....div406-015 Roofing R . C.
/' JJ ,-� Interior /10SFr /Floors ....Q�P9" ( /'1�i ,X�1 S� / '
Heating AT lrs.-A-Te/L Plumbing COOVrry 0� (1`�1,2 , . b.q.4.S..
Fireplace brie k Approximate Cost S ..Q O 6, ( I
�
Definitive Plan Approved by Planning Board ePA 19 Area 0.�� l `S
Diagram of Lot and Building with Dimensions Fee //
SUBJECT TO APPROVAL OF BOARD OF HEALTH '2//1i
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N -N .S IP. '
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. y�
Name14 ! -4,-114/1---e-----
Construction Supervisor's License -..
�~"- '---' --s. -'5. /',.
St-
BELLEROSE, JOESPH .2_1/iQ I, \.
yr=�'i $626� �,
Permit for 1 z Story
.dingle Family Dwelling •
Loca*ion Lot 18, 381 Old Jail Lane
Barnstable '
Owner Joseph Bellerose - • .
Type of Construction Frame
Plot --- Lot - " _ '
•
February 24, 86 i ,
Permit Granted- 19ri
///�`"'- Date of Inspection �` *: 19
—
Date Completed ....1 ',,?b2 ., 1.9
. - -r
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oFtNe�♦ TOWN OF BARNSTABLE Permit No. 28957=�s,�' BUILDING DEPARTMENT
• { 'a. TOWN OFFICE BUILDING .
Cash ($418. 00)
�� crv�` • HYANNIS,MASS.02601 Bond
, CERTIFICATE OF USE AND OCCUPANCY.
Issued to JoJeph 13ellerose •
Address Lot #18, 381 Old Jail Lane
-
' Isarnstable, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION,119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
Septeinl>r;.r. 4 , , 19 P7 _- ' .....fi .. � .......
Building r Ins ector
t I
Milk DEPT. FILE COPY/WHITE-'FIELD COPY/YELLOW-APPLICANT COPY 7-
III
F • w. . . ,,.- BUILDING
TOWN OF BARNSTABLE,-MASSACHUSETTS PERMIT .
. VALIDATION
A=277-003-001
i
Febru.:Tr. 24 86 I
DATE. 19 PERMIT NO. '.`'v le 9e
�` Joseph BelleroseMA �R owner
APPLICANT p ADDRESS 802: ;_534, Barnstable, owTler
(NO.) (STREET) (CONT R'S LICENSE)
1. PERMIT TO Build dwellingI ) STORY �17'_ l.F_' family dwell.:ing DWELLING UNITS 1 •I (TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
lot #18 381 Old Jail Lane, Barnstable ZONING RG I AT (LOCATION) DISTRICT
(NO.) (STREET) -
BETWEEN AND
c..;: (CROSS STREET) (CROSS STREET)
LOT
I;' SUBDIVISION LOT BLOCK SIZE
•
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
I. TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
rf
(TYPE)
;. REMARKS: Sewage it86--11
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(8,e1.1.e:r0se C,0;:I.3t. )418.00 '
AREA OR 2.244C . i L. 22 U vL 0'f'(J rQ.
VOLUME 1 ESTIMATED COST $ FEE
MIT 114,)
`� (CUBIC/SQUARE FEET)
� OWNER Joseph Bellerose _ \ ^70
Boy: 534, Barnstable, l A 02630 BUILDING DEPT, r i^!? 1 I/' }r4/.
ADDRESS BYV. / V.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR
1 ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. '
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
qe.,(f)' , 10,,,,,, , ,
•
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
1
•
/ ( --/-4 ":1---- ' .
•
OTHER . 2 • . BOA - EAL1H
AiL4., ...-/
. q/ /21-7'
WORK SHALL NOT PROCEED UNTIL THE INSPEC- I PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HASSAPPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI, MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. .
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