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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ;�q-7 Parcel ' Application#
Health Division JAN 20 2017 Date Issued
Conservation Division 7'ovjp^,0 P Application`Fee
Planning Dept. Permit Fee
r
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/Hyannis
Project Street Address
fl J
Villages
Owner l e% Address
Telephone �b ®15
Permit Request w 'f �Z�f �- �� L�7 l Q G l—
aihc �r AV
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation v , Construction Type_ -1
Lot Size Grandfathered: ❑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
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: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes 4No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
NamC �(
e Telephone Number U
Address V�� License tool V
CuL - �'`� Home Improvement Contractor#
Email ( (6t�� Worker's Compensation # �� l
ALL CONSTRUCTION DE RIS RESULTIN FROM THIS PROJECT WIL BE TAKEN TO
V"0/\_ Attkt- 12
SIGNATURE DATE 1 f
r
FOR OFFICIAL USE ONLY
t APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
T
FRAME
INSULATION
FIREPLACE
r
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Town of Barnstable
_ Regulatory Services
KM Ricbard V.Scab,Director
Building Division
Tom Perry,Banding Commissioner
200 Man Sftet,HAnnis,MA 02601
www.town.barnstable.ma.=
Office: 508462-4038 Fax: 508-790-6230
Property Owner Must
Complete-and,.Sign This Section
If Using ABuilder
is Ke , N `(01 1 -e ,as Ownerof the subject property
hereby authorize S d a �0 N to act on my behalf,
in all matters relative to Lrk authorized by this binding permit application for.
Yo
(Address of job)
"'Tool fences and alarms are the res ons of the applicant Pools
• P ��Y
are not to be filled or utilized before fence is installed and all fmal
inspections are performed and accepted.
n
Signature of Owner Signature of Applicant
Print Name Print Name
Date
QT0RMs:0WNW tMW0iaeoas
*Permit#
Town of Barnstable �o
yCF tME tp� Expires 6 months from issue date
,,�AB1� : Regulatory Services Fee
MAM Thomas F.Geiler,Director
59. Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
- 367 Main Street, Hyannis,MA 02601w
Office: 508-862-4038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION
Not Valid without Red X-Press Imprint
Map/parcel Number — o
ar lqo PA 1-& 11A.A5
Property Address
Value of Work
®Residential OR ❑Commercial
i
Owner's Name&Address , v
• �' 1 -'l-� P�' r aAA l�O v ��e �I7/L.-/1®,S►s���JtC..
9,1.__
91 t _ WN -Telephone Number
Contractor's Name
Home Improvement Contractor License#(if applicable) ' !v
Construction Supervisor's License#(it'ap.io
❑Workman's Compensation Insurance X-PRESS PERMIT
Check one:
❑ I am a sole proprietor MAY 3 2002
❑ the Homeowner
I have Worker's Compensation Insurance
TOWN OF BARNSTABLE
Insurance Company Name
Workman's Comp. Policy#. �•t�
Permit Request(check box) �' `�'� CdO-'
e-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum .44)
❑ Other(specify)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Cons:ovation.etc.
Siggnature _el/
expmtrg
uo GArcrs'c�� �rct t.1fl�1L ° `
s'1►��'►s a L to x 3 • 33b �•PD � � �'7$�
�t�r t c -r�lv- = 33o.. iSc % • 4.515 6.RD.
uSE- tool 6aL..
5PC)- aL, PIT - uSE 10oc3 (9?aL.
• �t7�w�0.LL Atz� _ �So s.G•. ,, . . . � g� . ; �
>;�: 1So SF� � '2.S • 3�S G.P.D. , !:, , , Gy ll�.��
'E�o s+1=•.. t .o z 6o G,.RD. ' 88 t1y tV
TOTAL 'pESIGW = 425
• . Toro L ��t t_�f FLOW z 33D ? . � .. . '' ; rj •
Pmlzc DL&TIO tJ owre': L"w 2M rLJ o¢.1-54, ' .. , , �'�•s
y.rw 97.5
Ma
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5TP��\ 7lI
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t A4
Tar Fwui /oo-oo, ,
[DAnr � 'oo �tN. �ri •
S�ssaL XAPA 17f;'t 1W. 6AL. 938
Seprtc I c b
1000
C-PAL
PIT , t # "•� E
MER
A W1r�1
WAfHBD i
STOWS g 1 r
t; PRoFtL� LC$CAT10"
3/ /2 Li o Sc t .�, 'AT
F
GCtLT11='�{ T14AT TNG- Fob a'r OO 5"OVJ J PtAI`! Rai='cREI.10E
t-1�:1'L_nt�l ccan�LPL�(s wl'r;4 T4G �S�vE.u►-1� S T
. i
Auto `;ETL?,ACV t'GQUI&ZEANtcI T,; OF TNC O 89 I�
(G-.. zoo RCo• S S .
UA7C BAYTEIZ 1;t,
• ?QEGlS'I'crZcD 1•A►-LC7�� SU2vc.�f�t:S
TI-415, Pt.-AW , VS LlOT ZA-SC O� Aal i1 OSTE2VILLG o I ICJLSi�!•
It.1Sr�?W.nt_I.J i �,uc:%n_� 4 Ti4ci oFc,�T�. ;i4owt.a
��'r [ v-.ccs Tci LOT L_ll•!`-�
s
TOWN OF BARNSTABLE _
Permit No. ___________------
} »nAIL ; Building Inspector
SUL Cash --------------
mail
OCCUPANCY PERMIT Bona
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector .7 V-1v r--Al `. f'js��= Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
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.
.....................................................1 19...... - ......................................................................_........._................_........_..
Building Inspector
eil
Assessor's map end lot numb Z9 .� �
�pF THE
Sewage Permit number .. .../....��............................. . `SEPTIC SYSTEM MUST
INSTALLED IN COMPUA BaEB9TOB LE,
•
House number � WITH TITLE 5 90 rya
ENVIRONMENTAL CODE A - OM3Y•a`0�'
TOWN OF BARNSIOTHEEr j
BUILDING - IMPECTOR
APPLICATION FOR PERMIT TO .............Cek. � ...N`— ..el.: A .................................:..
TYPEOF CONSTRUCTION ............ C1��f.W.4 ....................................................................................
..-3..................19.9/
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............eK ...... .... i.. i ����C .. ...................................
JDAI ,.. 1 ��..
ProposedUse ........... ,5�sdl%.�I. .........................................................................................................................
Zoning District ......:.................................................................Fire District �J
Name of Owner ....�ike- ....41,�6e-.44D..........Address ......5.y...F "fe'xijv...Diew.1/'6...?4A.4j,
`R�Name of Builder .. . .ae....�� .���SY�.rt�...�.r........Address ..10'Q.... m...16..���. ...�Al21,1..........................
.Name of Architect .............. ..................................Address i�................ . ...................................................
Number of Rooms /'. - t�lfi7 ...�
..................7............................................Foundation ...... .� . . .�..�G.'...........................
, • r
Exterior ........�jj. ��,,..�� �lit�l ... �: ........Roofing .......... .r?�� �r .��! !iS� ...................
� Y. .. . . TT... .
...................Interior . .
Floors /'�� .�l.l.�!:./.�............................. ........:... ...........................................
Heating ........... l- Lam. ..SO4W?f ....................Plumbing .......
Fireplace ............f.. . ...rZmell —14i .........................Approximate Cost ................ 4' �.t. '.. ....................
Definitive Plan Approved by Planning Board ________________________________19________. Area 1.q.q�...... ......................
Diagram of Lot and Building with .Dimensions Fee 3�........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
s V
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
. �Name .. ..............
�° i
UNGERLAND, PETER
No 22987 Permit for ...TWO...S.tO-KY..........
Single Famil,y D-w-e liTjg.............
L*9Mq:')- P '
Location .........................419]Aiao...Dx.............
...................B.a.rns.tab.l.(�..................................
..........:`.Barnstable....... ....... ..
Owner ...,.P.e.te.r U.n.qp�K.14.nd.....................
.. .. .... ..
Type of Construction Zrame...........................
.................................................................................
Plot ............................ Lot ................................
Permit Granted ........April...3.,
..... .. ...........19 81
............
Date of Inspection ...... ...19(
Datle ............. 19
�te
PERMIT REFUSED
. '. REFUSED
M
................................... 19
....................... ..............
2 7. 0 -7
.............................................................
W
.................................................................
<
Approved ................................................ 19
...............................................................................