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' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map a 7 23 Parcel 0 J 7 Permit# q3 7 G S
Health Division Date Issued a bLooa
Conservation Division Fee A/D. �d
Tax Collector hk,i /S'�/
�1
'� SEPTIC SYSTEM MUST BE
Treasurer _ INSTALLED IN COMPLIANCE
Planning Dept. WITH TITLE 5
ENVIRONMENT AL CflD� Ai'40
Date Definitive Plan Approved by Planning Board - TOWN REGULK V!X3
Historic-OKH Preservation/Hyannis ;
Project Street Address A`a S U R(�E � LIV,
Village 6A 0CJVSt46 4,
Owner fA s gt�'2 X,c X,4&.Q J'?1'q1VA1 Address � L/SVRtCC V Ljy
Telephone 6 9
Permit Request GO'N V 9Kt g!t'X IS
B&R _ _5 �_ 4S D Jy- & CW >,✓O a u/,s, .�/�y /' .r moo fi yes s'
Square feet: 1 st floor: existing -2/ proposed A ® 2nd floor: existing proposed Total new
Estimated Project Cost 13) oy 0- 0 o Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
_ Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units)
Age of Existing Structure'yWs Historic House: ❑Yes 21 No On Old King's Highway: W 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 z�
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
JCentral 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
F Attached garage:❑existing ❑new size Shed:❑existing O new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use S-V/v 6 b j"L Proposed Use ,5 U,01e00 M
p BUILDER INFORMATION
Name G A f_.0 Telephone Number
Address &X Gl-7 3 0R6-5 N Y_ /r'IA License# 0 3
0 ? 6" 3. Home Improvement Contractor# A9 7 gr6 7
Worker's Compensation# 0 `— 6d C-29l'd 77,8-10
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL'BE TAKEN TO l,'q o L �9AN/e6S
SIGNATURE DATE
- 'FOR OFFICIAL USE ONLY
PERMIT NO. -
DATE ISSUED
MAP/PARCEL NO.
ADDRESS -�„��. VILLAGE
M '
OWNER
" `
DATE OF INSPECTION: '
FOUNDATION
FRAME 2•s : 0
INSULATION
FIREPLACE ` -
ELECTRICAL: ROUGHt7. FINAL
PLUMBING: ROUGHn " FINAL - }
GAS: ROUGH FINAL
FINAL BUILDING' 3
DATE CLOSED OUT ;
ASSOCIATION PLAN'NO.
r
°F INE
The Town of Barnstable
* ea[uvsrnUZ
MASS, �m� Department of Health Safety and Environmental Services
1659. ° Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 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 four 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 Work: /-10 0,5 Z- Estimated Cost Z 2-1 o b o
Address of Work: .2, LN
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
[]Building not owner-occupied
❑Owner 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 for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
q:formsiAffidav
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Assessor's map and, lot number ..../9��g.�d.. G A "�` " \
!, G i TN E r0�
Sew ge Permit Knumber ..Ui/�,fr%� �iF� .,� SEPTIC SYSTEM MUST B ��, �°►
/ ,ALL EI? IN CO`APUANCE
T 1NST t BABB9TABLE, i
House number WITH A„Tine� II J 1 ATC : rasa
.......................................................................... . .
SANITARY CODE AND TOWN °o�cYpY•a`0�
TOWN OF BARNFS`TXhLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..................................................................................
.....................:......................
TYPEOF CONSTRUCTION .....................................................................................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...... -` .,/......... v C .l.........! .! .:........6!g.ffA . 7 ..:......f ..j.S.....................
Proposed Use S ./e .!�/....../... ....�--. ./.S f.1.N. ......G1�.4!... f`J...................... ...................................
ZoningDistrict .................................../..�...........�........................Fire District. ..............................................................................
lgName of Owner E .to'.....6.9:..:.�•k. ./ .L ......Address .. .W.4.1.4' .�..... 1�/....i 4�.! 7�/Y 57'
Name of Builder 61.41vbz1 -&q...... ....Address ...����......
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation. ..............................................................................
Exterior ....................................................................................Roofng .............................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ...............................'.................................................Plumbing ..................................................................................
Fireplace ..:..............................:................................................Approximate Cost ........../ .
A Cry �
Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area d.......................
Diagram of Lot and Building with Dimensions Fee /
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
V�
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. /
Name`s.C.. . . ...... .:...... ................ ....... I�
� I
Kohl, Henry G.
20928 screen sundeck
............. Permit for .....................................
.......................................................................
24 Surrey Lane
Location ................................................................
Barnstable
...............................................................................
Henry G. Kohl
Owner ..................................................................
frame
of Construction ..........................................
Type.
................................................................................
Plot ............................. Lot ................................
December 26 78
Permit Granted ............19
Date'of Inspection ....................................19
Date Completed ................. 19
PERMIT REFUSED
................................................................ 19
...............................................................................
................................................................................
...........................................................................
........................................................... ...................
Approved ....... ........................................ 19
................................................................................
................ .......... ..................................................
Cam- /�Z
Assessor's map and lot number �� $ � Yl
� kP,C SYSTEM UST BE
INSTALLED IN COMPLIANCE
/ WITH ARTICLE II STATE
Sewage Permit number ............L... ........................................ SANITARY CODE AND TOW4
REGULATIONS.
TNEr TOWN OF BARNSTAIDLE
BAHBSTADLE.
0
, BUILDING INSPECTOR
�'0 YPY Ar• -
APPLICATION FOR PERMIT TO ........................ !
TYPE OF CONSTRUCTION ................ ... fr{nr. . . .................................. .....................................
......................19
TO THE INSPECTOR OF BUILDINGS: [[[
The undersigned hereby applies for a permit according to the following information:
Location ......Lo. .....3-L �V f�it�f G•/4ytJ
..................... .............. ....................... .............................................................................................
ProposedUse ....... ........... ..... .. ..... . . ...............................................................................
a
3 icZoning District ..... �......... ........................................... t .... ................... ................... ..............................
Name of Owner .. ......... .......
C 444, FiteexTAddress - ..........�-�.
Nameof Builder ....................................................................Address ....................................................................................
f/ i1-1
Nameof Architect ..................................................................Address ..........�.........................................................................
Numberof Rooms ...`............................................I�...-�.......��.......Foundation ............................ ......................
Exierior w.G.... .......Roofing .. .flrja.fIC. .................................................
I k
Floorsp.......Q.D..A...............................................Interior ..f.,Z........... �- .........
...
Heating (.< .�5.... /�! f!!..1.TdUc3' -•-...................Plumbing 4i�� t..A��. ...jj../ .
�l
Fireplace .... Approximate Cost.0 19010..............................................
'! ......
Definitive Plan Approved by Planning Board __________ _ _ ---------19.7—- Area .....r ® f.............
Diagram of Lot and Building with Dimensions Fee ............ ...�,...........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Lfft� f SUr22L
y I �NL ( OOC� C�Z Se`i,�L l4 IG
0 0 ,,
I �
-- - r s
?-
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding the above
construction.
A
P
Name ....... ..................... .. . . ... ... ....1..�...........
Royal Acres Realty Trust
No ...1�?9... Permit for .....................ne tO.... . ..... k
single family duelling '
..............%.�., ..Surre....Lane. ..................
Location(l` ............y.......................................... "
Barnstable
...........................................................................:..•
Owner Royal Acres Realty Trust i y t
............ ,�•
frame f
Type of Construction i
................................................................................
Plot ............... .... #32 t
Lot ................................
• .�, is .
vY 2 5i ?3
Permit Granted .:19 +
Date of Inspection -v..' .. �T
o
/6 -?3
............
r r
Date Completed ...�........ ...: '19 ,. � ,./` •
PERMIT REFUSED
................................................... `...... 19 �. �• • �..
......................................................,.. , ' .... ...... ,, '"! .' • !? +y , `. !*`1
.......................................................... .......
..................................................... ....................... A ��� y i •"'� 'i
..................................................................
Approved .- ............................................ 19 _ • �s}
............................................................................... t
.................... ......................................................... ! / .