HomeMy WebLinkAbout0026 SALT ROCK ROAD ,46 5,11:1.7-- e, c)
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i 6 -15'0 5'
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Town of Barnstable *Permit# y 4- S 7 / Pk--
p F+:rpfres 6 months from Issue date
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l BARNSTABLE. •
Regulatory Services Fee 4s.
i639. .S4 Thomas F.Geller,Director
. QEO M • Building Division •
•
Tom Perry, Building Commissioner
200 Main Street,.Hyannis,MA 02601
Office: 508-862-4038 X-PRESS ,IT
Fax: 508-790-6230 .
EXPRESS PER,./ 7MIT APPLICATION RESIDENTIAIMTIA 2005
• Not Valid without Red X Press Imprint
Map/parcelNumber 3/ 7 1 TOWN OF BARNSTABLE
Property Address alp Cam± ^-)C L gd-• earn 5-Fa-EL2—
•[Residential Value of Work 0'0�d Minimum fee of$25.00 for work under$6000.00
•
Owner's Name&Address 61 a(t it Olt 1, 1 D
•
Contractor's Name C)Onv"6 5u, Id.i. L LZ Telephone Number 661' .L4 c,. 33
Home Improvement Contractor License#(if applicable) I a-a 3-7
Construction Supervisor's License#(if applicable) 0 5-7 158
Ef Workman's Compensation Insurance • 'w
Check one: • •
❑ I am a sole proprietor • • IP
❑^,�amthe Homeowner
IL 1 have Worker's Compensation Insurance
Insurance Company Name )74(4)&1 e r
Workman's Comp.Policy# -51 o T E -3
Copy of Insurance Compliance Certificate must be on file. • .
Permit Request(check box) .
tiRe-roof(stripping old shingles) All construction debris will be taken to Cti)M f 3+" O/1 S I te,
❑Re-roof(not stripping. Going over existing layers of roof) •
s(() •
❑ Re-side Yr
0 Replacement Windows. U-Value (maximum.44)
• *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. .
ore ovi••- •t Contractors License is required.
Signature .
Q:Forms:expmtrg
Revise063004 .
ot, r Townof Barnstable •
'
w,�c "Co ' Regulatory Services • • . ..
i 131aNSTABLZI f ' 'I7iomas B.Geller,Director •
vo 4 Building Division '•
All ram''
Tom Perry, Building Commissioner
200 Main Street, Eiyaanis,MA 02601 • •
•
y,tosynbarnstable;ma.us
Fax; 508-790-6230 '
p�oe: 508-862.4038 •
• Property Owner Must •
• Complete and Sign This Section
If Using ABuilder
I ,as Owner of the subject property
to act on Faybehalf;
utharize.: •• • C.,\ OV\�. . u i c . • • -. .herebya ,
in all matters relative to work authorized by this building permit application for. •
(Address of Job) • •
•
2`{ ID6
Signature f Owner Date
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Print ame •
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N.0*THE 7.0404. TOWN OF BARNSTABLE
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i BARNSTABLE, :
Iroo 1:61191f '' : • BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO .71, 9.5 ",,A)..Y filed
TYPE OF CONSTRUCTION .0.10 o./D .F.#13/7-44 e
./.3 19. .-.2 ..--
TO THE INSPECTOR OF BUILDINGS:
. .
The undersigned hereby applies for a permit according to the following information:
Location '/74° t5'/,/r R.0 C2.4 ofgoce EA,26.. .72-2h le
':1 7
Proposed Use ....&.5.e..deeti.<.e
Zoning District 1?D ... Fire District
Name of Owner / /195 /.)21,47 /1. .//o Address A/ ‘e•/',1-5-./ 66) 6-'. /1/MetliC
(
i Name of Builder nilt417-/ /7'74/4 "-/K' Address ./4 F/6w9 4/('-94/.)
it I/
Name of Architect Address
Number of Rooms 6 Foundation Oi'llCee7".
Exterior ../"//ilp/41,..S. — (legigihR I Roofing .......
Floors
Heating C// hitfr e.-4-1/2-/ <:' Interior 147.C/et
Plumbing
Fireplace 4IC, Approximate Cost '16.40 O 0
.
Definitive Plan Approved by Planning Board 19 . /4"1-9-Z° 9-7
Diagram of Lot and Building with Dimensions
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SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. 5 x rfiocti RP
Name
i
MELLO, MRS. IvIARY •
No .15510 Permit for .on.Q. 5traY
•••aingla..family..chaelling •
Lot 2 Salt Rock Rd.
Barnstable
Owner Mary Mello
Type of Construction frame
1
Plot Lot L°.t 2
Permit Granted ..5.epte e;62.2
•
2..M19 72
A D /6. 2.— PA ,
Date of Inspection 19 •
Date Completed ....1/1.23 ..23 19
PERMIT REFUSED
19
Approved . 19