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Town of Barnstable er mit o ( l I
Expires 6 mon{I^s from issue date
Regulatory Services Fee dd, t61 .Cz
swtuvsrest E
M^ Thomas F.Geiler,Director
1639.
A
rED MAC
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office' 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 2 B O l 0 2
Property.Address '>01t ?� AQNSTA3l.0 1M�'}- 6ZG3c�
[�Residential Value of Work �2 0,000 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �t1J t�Q1✓W
Contractor's Name tOwNEQ\\ Telephone Number (p 4
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) XPR SR or-no
""lull N
❑Workman's Compensation Insurance
Check one: FEB,2 5 2013
❑ I am a sole proprietor
lam the Homeowner
❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) T6wM aFra;N�T+tB
® Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to TgttNS S-n1kDFJ .
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
® "Re-side
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
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 c y of the me Imp ovement Contractors License&Construction Supervisors License is
re fired.
SIGNATURE:
QAWPFILES\FORMS\building permit forms\E)ORESS.doc
P�oFT T ti Town of Barnstable
Regulatory Services
BMtNSPABLE, ' Thomas F. Geiler,Director
Mass
Building Division
rfD MAC
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA.02601.
www.town.barnstable.ma.us
Office:" 508-862-4038 : Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print .
DATE:
JOB LOCATION: �Z SPtt.TE1y 1�olt�ll S20/'<7 �ift2N5TYtCiZE .
number street village
HOMEOWNER': ANDRt'\J h�1tl•rt�R (o17-620-266f —
name home phone# work phone#
CURRENT MAILING ADDRESS:_�g��E�"
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling, attached or detached structures accessory to such use and/or farm structures. A person�wKo constructs more;than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the.Building Official on a form
acceptable to the Building Official,that he/she shall be resonsible for all such work performed under the building permit. (Section
109.1.1)
ce with the State Building nsibili an g Code and other applicable codes,
The undersigned homeowner assumes respo ty for compliance p
bylaws, rules and regulations.
The u e signe "home ner" �ifies that he/she understands the Town Barnstable Building Department minimum inspection
pro dur s a requir ents that he/she will comply with said p"Tocedures and requirements. �t
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feel or larger will be required to comply with the State Building'Code,
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section
109.1..1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as
supervisor,'
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for
Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when.the homeowner hires unlicensed persons.
In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately
PW
responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner
certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and
adopt such a fomVicertification for use in your community.
0*IKE 1
* snxtvsrns[
MASS. ,�� Town of Barnstable ,
Regulatory Services
Thomas F. Geiler,Director
Building Division
Thomas Perry,CB0
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us `
Office: 508-862-4 38 Fax: 508-790 6230
`a !r'�� ! ;
Property Owner. ust ,.
Complete and Sign T
i If Using A B der
;a -
t
AwD¢e '�1r4�4t,2
I, , as net-of the subject property
herebyauthorize (A�1�►�FLBU 14VVTg
� to act on my behalf,
. i
in all matters relative to work authorized b buil g permit application for:
[9- CLLTEr`J POI 1 0 �eiv5-j48t'; YL
Address of job
( J
e .
3
JZ4
S' e of Owner ate
A�NEc� Vo�
Print Name
If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on,the
reverse side.
Q:\WPFILESTORMS\building permit forms\EXPRESS.d.oc
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map �` � Parcel 027 Application
Health Division Date Issued71.17 4�
Conservation Division Application Fee
Planning Dept. p Permit Fee d.
Date Definitive Plan Approved by Planning Board ! 7- /7 —/
Historic - OKH _ Preservation / Hyannis
Project-Street Address 12 SA t_^T tE�7 t j P.b j t�N R OA-D
C:jVi .f_�� • A(W 5163U�'
Owner hW1) L6',.J M kk-AE 0- Address
C)
e Ion �2 o -2 C-Teph%ne
Permit Regest, Utz Vj a PVC OFF VE-C tf_ ( t Zq
Square feet: 1 st floor: existing Y s60 proposed 2nd floor: existing proposed Total new
Zoning District 9F-( Flood Plain Groundwater Overlay
Project.-Valuation 5 ? Construction Type
Lot Size • 5 Grandfathered: ❑Yes No If yes, attach supporting documentation.
Dwelling Type: Single Family . Two Family ❑ Multi-Family (# units)
Age of Existing Structure 161 to Historic House: ❑Yes �SNo On Old King's Highway: YYes ❑ No
Basement Type: ❑ Full Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) 0 Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing 107 new Half: existing t new
Number of Bedrooms: a existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: CC 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: L isting Xnewaize_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
.0
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes No If yes, site plan review#
Current Use i.Y Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
rame- lv �2 9rtie Telephone Number-6177
----BIZ SP�L7�N �y► �O�QD License#
Address
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM TH S PROJECT WILL BE TAKEN TO
x� Z
'§ 11b3
SIGNAT,URE�--�6 DATE /
�.
FOR OFFICIAL USE ONLY
APPLICATION# '
!DATE ISSUED_
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
r DATE OF INSPECTION: t
FRAME -
��INSWLATIOW A,--
FIREPLACE 4
z
` ELECTRICAL: . ROUGH FINAL
PLUMBING: ROUGH FINAL
{
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT-
ASSOCIATION PLAN NO.
Town of Barnstable
Regulatory Services
NAB�& ' Thomas F.Geiler,Director
16:yg. `0� Bui Iding Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
ATE: �' /f Please Print
D
JOBTOCATION: �-- 5�t t,"T�� \ '20/4�), �8�'t2n►5'T�t r3
number �7street village
HOMEOWNER: A w w," m A i* 17 6 ZQ Z b 6 7
name home phone# work phone#
/C-URRfiNT:MAILINGADDRESS:� �tPtt��
�---=—
city/town state zip code
The current exemption for"homeowners"was extended to include owner-OccuRiied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
by4rmuIesd regula'ons.Th "ho eowner"certi s that h he understands the Town of Barnstable Building Department minimum inspection
prore ements and he/she '1 comply with said procedures and requirements.
si`atura' meowne
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Conten[Outlook\QRE6ZUBN\EXPRESS.doc
Revised 053012
of r Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
Mass.
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.b arnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This ection
If Us' A B er
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work autho ed by this building permit
(Address of Job
Pool fences and arms are the responsi 'lity of the applicant. Pools
are not to be filled f utilized before fence is i stalled and all final
inspections are per f rmed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORM&OWNERPERMISSIONPOOLS 6/2012
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
�5 TOWN OF BARNSTA LP �'�
Map v Parcel Application 06 -3
Health Division 2?', IN I'? ( j Date Issued 3
Conservation Division Application Fee
Planning Dept. -- - � Permit Fee
°DES;'1 `�
Date Definitive Plan Approved by Planning Board 3
Historic - OKH _ Preservation / Hyannis
C
Project Street Address 12- .S'tZ �prr�� Qc✓,
Village l�/4RN.ir�/1� tC
Owner _/ ald&J Address 12, C4 L/C,,
Telephone /� l / 1 / / / y
Permit Request 9ei2 o W C. /<1/1G 46P / ,6�'h,1 o o 4r S k w o w lytk" 0*..•►
Square feet:1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 0,w to Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family /4 Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes WNo On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full gCrawl ❑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 6 new First Floor Room Count
Heat Type and Fuel: Gas ❑ Coil ❑ Electric ❑ Other
Central Air: /VYes ❑ 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 ❑ No If yes, site plan review # j
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name � ��3 Cll2 l Telephone Number
Address '� ��¢/dJ�/C l L ��_ License #
• IVSk,4 411� d 2-Or Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
A44/NS ',6
SIGNATURE DATE 1s 13
t
FOR OFFICIAL USE ONLY
r
AgPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
a
OWNER
DATE OF INSPECTION:
4
FOUNDATION
i 5
' FRAME-
INSULATION
FIREPLACE .
c'
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH r FINAL
GAS: ROUGH FINAL
FINAL BUILDING
i
DATE CLOSED OUT
ASSOCIATION PLAN NO.
R
i
- EVE r° Town of Barnstable
Regulatory Services
• snxx SS. Thomas F.Geiler,Director
i639- `0�
'0rec�u•+A Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
i
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, 4A)f)12 Lam✓ M4110i2_ -, as Owner of the subject property
hereby authorize t,+A)' I"(, to act on my behalf,
in all matters relative to work authorized by this building permit
✓t
(Address of Job)
*Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
in;spesware' performed and ac epted.
SiO ��a:�ute of Applicant
fitiMEW A4116 4n �� r C
/ k r2�
Print Name Print Name
3 ry� i3
Date
Q:FORM&OWNERPERMISSIONPOOLS 6/2012
VE T Town of Barnstable
Ikegulatory Services
9 LE, Thomas F.Geiler,Director
0.39. A.� Building Division
TFD MA'I
Tom Perry,Building Commissioner
200 Mairl Street, Hyannis,MA 02601
ww,.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWN R LICENSE EXEMPTION
lease Print
DATE:
JOB LOCATION:
number stye t village
"HOMEOWNER":
name home p one# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include er-occu ied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not ssess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOM OWN R
Person(s)who owns a parcel of land on which he/she resides or tends reside,on which there is,or is intended to
be, a one or two-family dwelling, attached or detached struc s accesso to such use and/or farm structures. A
person who constructs more than one home in a two-year pe ' d shall not e considered a homeowner. Such
"homeowner"shall submit to the Building Official on a fo acceptable to e Building Official,that he/she shall be
res onsible for all such work performed under the buildin ermit. (Sectio 109.1.1)
The undersigned"homeowner"assumes responsibility r compliance with th State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she derstands the Town of Ba stable Building Department
minimum inspection procedures and requirement and that he/she will comply wi said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwel gs containing 35,000 cubic feet or larger will be requited to comply with the
State Building Code Section 127 Construction Control. �1
HOMEOWNER'S EXEMPTION t
The Code states that: "An omeowner performing work for which a building permit is required shall be,exempt from the provisions
of this section(Section 109.1.1 -Lic sing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such
work,that such Homeowner shall a as supervisor."
Many homeowners wh use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensi g Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires un tensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowne acting as Supervisor is ultimately responsible.
To ensure that. a homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
Commonwealth of Massachusetts
lV[a�Paa'cel ,,^,6
Etoz 91 8VW Permit
Date: � ® �. o 0
Estimated Sob Cost: � IZ;�— � M S X Pit'Plans Reviewed: �S NO
Plans Submitted: �S NO
Business License#��
Applicant License 4 /
prope,rty Owner/Job Location Information:
Business Information:
H V .- ?v
:TIVCane: 1M a �a
;name: 3_ 1 l c � ____p_
c tl I Street:
Street: /� J +�l �- \ �
�K1r1��i ��1�. �ryt.� CitS�/Town.
City/Town: :
c Telephone:flo)$^Telephone: �dp/Co of Photo I.D. attachedd: YES.
Photo I.D.required COPY staff
d.} /� -}-unrestricte3 license
J-2/M-2-restricted to cweliin 3-stories or less and commercial up to 10- sq. fI /ter
hstories or less
Residential: 1-2 fanny multi-family Condo/Townhouses d ----
Conamercaal:
Office. Retail Industrial Educational
rOvzl�____ Institutional_ Other
Fire Dept ApP /over de- 1 QaQ sq. ft. I0,(?4fl sq. f. Number of Stories: --.
Square Footage: un ,
Street metal work to be completed: New Work:
Renovation:
HVAC ✓ Metal Watershed Roofing Kitchen Exhaust Sy
s�tern
Metal Chimney/Vents Air Balancing
Provide detailed description of work to he done:
INSURANCE COVERAGE:
i have a current ley insurance policy or its equivalent which meats the requirements of M.G.L Ch.112 Yes No ❑
if you have checked Wig,ink ffm type of coverage by checking the appropdate box belovr.
A liabirdy insurance poficp ;7 Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER*I am aware that the licensee does not have the insurance coverage required 6y Chaffer 112 of the
Massachusetts General Laws,and that my signature on this permit application MWyps this requirement.
Check One Only
1 V Owner ❑ Agent
Signature of Owner or Owner's Agent
By checking this bo ,I hereby certify that all of the details and information I have sufxn ted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General laws.
Duct inspection required prior to insulation installation:YES NO
plrosedorns
Date Comments
jai In�ec3�atrl
Date Comments
;,eolnse:
3y
Me ❑Master-Restricted
n ❑Joumeyperson
Signature of Licensee
zermit# l o(f� L.1t
❑Joumeyperson-Restricted License Number.
`ee
Check at ea=.tra,M.aov/dmI
nspector signature of Permit Approval
Town of Barnstable
Regulatory Services
UThomas F.Geiler,Director
Building Division
Tom Perry,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, A A/P Rr—(J m 19 ��`� ,as Owner of the subject property
hereby authorize—/3 A)Y3 n e Q GI H 09 C ?- (- to act on my behalf,
in all'matters relative to work authorized by this building permit
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are Performed and accepted.
Si fuze of Owner Sign a nofApplicant
A Cf, Z-►✓1Cd 1 117 1t)hb'
Print Name Print Name
Date
Q:FORM&OW MERMISSIONPOOU
Town of Barnstable
�IHE} � Regulatory Services o
• ' Thomas F.Geiler,Director
" RM IE• ' Building Division
�Aj i639,� Tom Perry,Building Commissioner
Fp MA a
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
r
Office: 508-862-4038 Fax: 508-790-6230
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
12 5 -P0c &3T 0 D , �B/y/J STig 13Lr
Location of shed(address) Village
hNDtZ.e-(-J /n/+tfEf'- 617-62v —266 q
Property owner's name Telephone number
`u
I�xIC� 2gp /vz� � C-
Size of Shed Map/Parcel# i
r %0
Si ature Date
Hyannis Main Street Waterfront Historic District? NO
Old King's Highway Historic District Commission jurisdiction? y5.
If over 120 square feet,you must file ighway
Conservation Commission(si . ature- required)
Sign'off hours for Conserva io 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ITHIN TH ICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A -
PLOT PLAN
Q-forms-shedreg
REV:052813
Town of Barnstable Geographic Information System June 7, 2013
dt
3
280026
#66 280030 280034
025 #22
280027 Ell
#52
280028
#24
280029 x
#12 Rt 280035
z #10
a
0
0o C
050
3NO3 00
N(O N 0
D. 6 M
SAL TEN Paw RO `
280009
#29 280008
#19 280007
#143
0 Feet 300020
0
DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:280 Parcel:029 Selected Parcel F--1 N
boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:MAHER,ANDREW J&AMANDA H Total Assessed Value:$634400
1"=100'may not meet established map accuracy standards. The parcel lines on this map t ` E
are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.55 acres Abutters
boundaries and do not represent accurate relationships to physical features on the map Location:12 SALTEN POINT ROAD
such as building locations. - Buffer ,� �,
Assessor's office A(1st floor): THE To
Assessor's map and lot number � ....�..' ,�
Board of Health (3rd floor): a��3 -?S fee
Sewage Permit number . ViOl- / 2 DAUSTABLE,
Engineering Departments (3rd floor): o 'oo MA e�
House number ........................ a�aYa`
APPLICATIONS PROCESSED 8:36-9:30 A.M. and 1:00-2:00 P.M. only
TOWN 'OF .B,ARNSTABLE
BUILDING, ` 11S,PECTOR
Cowuek-r 1 -f 1 p e#P GA rz.n er Jt
APPLICATION FOR PERMIT TO .. .....:..../".... ...
TYPE OF CONSTRUCTION ........ KA.�1,le.:...:::.......................................:......................................................
...............
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........./.9......�/A 4..7.E-A6 ...�®.1.'.�.T... �..... J.:.`. .. . ....................:.......
Proposed Use ...C&A...Y..E2.S1®el�,•.S�?. ..1�..` ' . ✓..(9AAAA.9;,....3V....
Zoning District F ' ....Fire District ./e!' 1.......... ... ..� .............................................. :...........
Name of Owner Q £.!�`r.. ..�7.4.f ...............Address . :�-.....:e!.4-..Z ....T1014le i..... ................
MASS LIC.
Name of Builder STERLING KELLEY 8575 Address 441-A MAIN STREET 'YARMOUTH PORT, MA.
......................
NONE
Nameof Architect ............................................................:.....Address ..................................:..............................................,..
Number of Rooms .....1...........................................................Foundation .,EXISTING - POURED CONCRETE
. . . . . .......................
EXISTING -, WOOD SHINGLES Roofin EXISTING - ASPHALT SHINGLES
Exterior •.................................................... g ....................................................................................
EXISTING COCRETE TO BE WATERPROOFED, `
Floors 2x6 SLEEPERS, VAPOR BARRIER: 3I4..................Interior ........DRYWALL..,
.........................
PLYWOOD AND FINISH PINE
Heating -'EXTENSION..FO..EXISTING„FORCED„HOT.,WATEl9lumbing ......NNE...................................................................
Fireplace NONE ............................................ ....Approximate Cost .......... .Q.Q.�.�... .r4�................
Definitive Plan Approved by Planning Board -------------------------
-------t 9-------- . Area .��..�.`L,l.Lr�..�:..... .. ..
Diagram of Lot and Building with Dimensions Fee e
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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.
Name .:. ............ ....
Construction Supervisor's License .......K5
GOVONI, ROBERT J.
No9604 Permit for
Convert rake
To Famil Room/ Sin le Famil Dw.
.� ................................Y......................$..................Y
' Aocation ..-...12..,Salten Point Road
........................................ �l J
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41, Owner Robert J. Govoni
t _ .............. ..... ................................. • a
T e=of Construction Frame
Plot.......................... Lot ................................
Permit Granted Ju..ly 7-
Permit $6 r
Date of Inspection
Date Completed .......
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