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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map IP,ir Parcel S Permit# 6•01/,
Health Division (� C" Date Issued �/7.fre
Conservation Division , f 'UV Z 0/A-- Fee S .0.or)
Tax Collector — 11--iaf
Treasurer4J4U- ^ —// e
Planning Dept.
Date Definitive Plan Approved by Planning Board (4
Historic-OKH Preservation/Hyannis
Project Street Address -76 Scl r r- 7c /440".4 i /1t 1
1
Village
� ,.� 642.e-
Owner e rG Il� r'; A° Address ca, {
Telepho* ? 47 75 0 9 / lee
Permit Reque t 7 4 �o car" 4. , /J i e — c s'
r
r., ..firii /3' / .4'.4 di 4 C ec, der 1 iv
Square f-ee• 1st floor: existing proposed 2nd floor: existing proposed Total new t'
Valua'� e
' (cod d Zoning District Flood Plain Groundwater Overlay
Construction Type c5 c 4
Lot Size 3/1„ . ( 3C,Raa dfathere�dr. 0 Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family g/Two Family ❑ Multi-Family(#units)
Age of Existing Structure 'O 7r- Historic House: ❑Yes 11" On Old King's Highway: Wes ❑ No ,
Basement Type: IM'ull ❑Crawl ❑Walkout 0 Other 1
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 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn:0 existing ❑new size
Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization 0 Appeal# Recorded 0
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use • Proposed Use
�. BUILDER INFORMATION
' Name / "�(� 4CA%.( 4fr� Telephone Number St-6043/7 ?1
Address 7 / -tA•t liat file License# Gcn ?1lO
o -4. t f Home Improvement Contractor# /0? 7 is--
Worker's Compensation# WC I ..?/S ?,/ t$ —ar
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
�Xi- +o sitil sa 1
SIGNATURE ide--t--' < .!/u.---- DATE ♦/ 0 a
6
FOR OFFICIAL USE ONLY
ur-
C i 7i-
x PERMIT NO. i s
I
DATE ISSUED ry .
MAP/PARCEL NO. t
ADDRESS ' VILLAGE
,
r OWNER -
i: ' '
DATE OF INSPECTION: 1
s FOUNDATION
FRAME •
INSULATION
t r
FIREPLACE
b ELECTRICAL: ROUGH FINAL •
t
PLUMBING: ROUGH FINAL 1
ti,
t
GAS: ROUGH FINAL
4
FINAL BUILDING.
z
DATE CLOSED OUT
`r. ASSOCIATION PLAN NO.
n
t
t
q •
The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Peter F. DiMatteo, Building Commissioner
•
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
•
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 registere contractors,wi certain exceptions,alongwith other
requirements. , C�'Vt ri v e ®L o/ PC,d't / of( ileteu
Type of Work: Estimated Cost Fs 00
Address of Work: 7C 4114
Owner's Name: Ce re:; P" i!
Date of Applicati.' /G/ e) es
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
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f.\dgn\conservation.dgn 02/26/02 03:19:46 PM
' FEB2 '72002_
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Town of BarnstablegoWN OF BARNSTABLE
(;;;THEToki, Regulatory ServicesZOlp OCT S Fri 11 02
tfi _,.••• Thomas F. Geiler,Director
EARNSr"BLE. " Building Division 1
v��TfD (a��` Tom Perry, Building Commissioner
mg
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us flf?-
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Office: 508-862-4038 Fax: 508-790-6230
PER IT# D2O l 00c3 U?" FEE: $,��.S0
SHED REGISTRATION
120 square feet or less
--(z, c).
ri Serey
Location of shed(address) Village
G I t& tI SO2I .
Property owner's name Telephone number
43 Y I 24 'D`9 il0 C S '
Size of She • Map/Parcel#
A
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Signature Date
Hyannis Main Street Waterfront Historic District?. A/ 0
Old King's Highway Historic District Commission jurisdiction? Ye_
Conservation Commission(signature is required) 9\C-
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION 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
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REV:042506
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able Geographic Information System August 25, 2010
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is map is for planning purposes only. It is not adequate for legal Map:
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r:ion or regulatory interpretation. Enlargements beyond a scale of Selected Parcel
ret established map accuracy standards. The parcel lines on this map Cwner:BRISBOIS,GIRARD C Total ASSe55ed Value:9397000 ti011"``. t'-E
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tresenation5of Assessor's tax parcels. They are nct true propert Co-Cwne;: Acreage.0.83 acres Abutters •
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rot represent accurate relationships to physical features on the map Location.76 SURREY LANE
:aliens. Buffer
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y.FTHEtp4y TOWN OF BARNSTABLE
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"z639�& BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO $ 4/ic F 'i,c 9 C I _-i .4J G�
TYPE OF CONSTRUCTION FAopya- — / '4_ 57-6 2 i=-s
ARIL Zo 1973
TO THE INSPECTOR OF BUILDINGS: 6
The undersigned hereby applies for a permit according to the following information:
Location I-o -r 2.-c c'4/L2/4(7 E //4iz.e
Proposed Use ..,C.t..67.G.z. Fi9'MiLy' //q/E-Le/N
Zoning District ) rE Fire District 4F/a/2444Sje4.13LI
Name of Owner ..7..0. /.4:4..../..7.:.4g : ..£*Ty 7 "."( ddress ?e".144.S... ! 4:1 R1 :4 fT..!¢Re-L:..
Name of Builder R07171-... eg /.l.G79t:7.,l(�ki/Address
1 /
Name of Architect Address
Number of Rooms 7 Foundation .X!flub 6741 267(
Exierior MC' 54FI f/$ $`CI*pIOG#O Roofing 4",..9,/,94-7-
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Floors if f ��/2�5 4'N�¢r9�+�u�sr'i /� ��° Interior /Z 5/&67104. /‹
Heating 4..45...&4 1..../ kr9.,7'+ ...."/" r./y. Plumbing 4O// er 1 PY4 0444,dxAi a 6
Fireplace y-es,5 Approximate Cost ei 00 0 q s ,
Definitive Plan Approved by Planning Board V UL ( L 19 4_2 / "`
�, F.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. l/ /,� ?
Name
r.
Royal Acres Realty Trust
No 16177 Permit for 1 1/2 story •
single family dwelling '
Location ri(J• lane I
Barnstable r & - ' r
v ,
Owner Royal Acres Realty Trust { • f • }.` 1.-- ;
Type of Construction frame 1 ,. ►
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Plot Lot #26 -
April 30,: 73 ' T
Permit Granted 19
Date of Inspection (VI 7 3 i1 11L�► , 1 ?
Date Completed 19 y
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PERMIT REFUSED , r 1 f _•
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Approved , 19 '_ _ -
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