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HomeMy WebLinkAbout0089 GOAT FIELD LANE 'I _�I oFTr� Town of Barnstable *Permit# Expires 6 months from issue date aT ^ Regulatory Services Fee * BA WABLE. 9� 1 ; Thomas F.Geiler,Director e PERMIT �fD MA't a ,9� Building Division Tom Perry,CBO, Building Commissioner N O V I 1,L, 2 0 1 1 200 Main Street,Hyannis,MA 02601 y�,� �F SA�� .r IY www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY — Not Valid without Red X-Press Imprint n Map/parcel Number Property Address OAT�J r�l �--� � �'� /! (�L l�l 1 S [Residential Value of Work 1 ,500® Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address f%A1,\ X C G 6 1 L tN-NUZ>1 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) A 3(p `7 Construction Supervisor's License#(if applicable) RM p ❑Workman's Compensation Insurance Check one: [�am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance ertificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Z [Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *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 copy of the Home Improvement Contractors License&Construction Supervisors License is r quired. SIGNATURE C:\Users\decollik\AppData oc \Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS:doc Revised 072110 i i IKE • BARNS ABLr'y i MASS, Town of Barnstable RFD MA'I A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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, t)Q � _/Tf L/ 2i� + ,as Owner of the subject property hereby authorize C L-kA'rL t S rh!j b 1- t S to act on my behalf, in all matters relative to work authorized by this building permit application for: 89 (Address of Job) Signature of Owner Date Q fu Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): C is 'J­�I.(6Q S Address:—, L LJ,,T-r ►*&_)C-No City/State/Zip: 0- 67& Phone#: (Q&- Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.NKarn a sole proprietor or partner- listed on the attached sheet.: 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their IO.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ,t® Policy#or Self-ins.Lic.#: ��� Expiration Date: Job Site Address:�� r_X�� _F12 City/State/Zip: __ -_/f/� Attach a copy of the workers' compensation policy declaration page(showing the policy n ber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' r er the pains and penalties of perjury that the information provided above is true and correct. Si nature: - = Date: Phone#: _!G6k) 'A(a? 57ZO Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE. Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia „ g iINiassachusetts - Department of Public Safe( Board of Building Re'julations and Standard: - Construction Supervisor License License: Cs 80901 Restricted to: 00 -- CHARLES E SIMMONS 156 WITCHWOOD RD S YARMOUTH, MA 02664 Expiration: 1/25/2012 1 issioner' 7r*#: 16714 inau use only �Stration valf foana retuS R g°lation ;tense or a piratiop(fairs andBusones f re tC e o -, ucner A i�►peSs ega a p° pffice 01,,aza,`gu►te 51�� airs -Top. pRovEMENT CONjRPc-T tyP Boston, office 0 lndividuai . NDME Lion 3617t ,..,f Re �stra 61t912012 iration are E ExP w ou 'ES SiMM�NS t 'Sotvalid ith i S S1MMpp1S � ;�' g��aerseeretah! , c CHARGE NW Ov FtD Q 664 ` HY p,R Y �oFr�u rod, Town of Barnstable -� � �. Permit# o * Y Regulatory SeI•vices -FeCs6,r, nrhs w edare B.ARVST,IHLE, + ' y t1ASS. �, 11bJ4- Thomas F. Gciler, Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town,barnstab le.ma,us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Fax: 508-790-6230 Not!Valid wilhout Red X-Press Imprint Map/parcel Nunbe' F Property Address q 04- Residential Value of Work �� UA Minimum fee of$35.00 for work under S6000.00 Owner's Nam e & Address k 0*1 j-�f r r d,— Contractor's Narne_�Lt_0 4 4 Z&eI C� ,L Telephone Number — ?26 _S`30 Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) Cs orkman's Compensation Inst.irance Check one: X-PRESS IT ❑ 1 am a sole proprietor ❑ I am the HomeownerJ(`?' l� �ITiave Worker's Compensation Insurance Insurance Company Name Lt. I J_ l OWNOF BARNSTI�BLE P Y �-f�v y b�+�y��.cd Workman'.s Comp. Policy# �✓G oZ -31 3:z S V o ,_--1.9�V Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) Re-roof(hurricane nailed) (stripping old shingles) All construction debris will betaken to ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) ❑ Re-side 0 Replacement Windows/doors/sliders. U-Value #of doors (maximum .35)# of windows *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 copy of the Home Improvement Contractors License & Construction Supervisors License is r uir' , QAWFILESIF0RMSlbuilding permii formslEXPRESS.doc Revised 072110 Gaffe&Isfa �. . CoNs7RUMOk 0 r 10/5/2010 2058 Monte Giladi 89 Goatfield Ln. Hyannis Ma. 02601 L"A"i 7M1 _ u. 4 .. 3." .• ,. . _. .: n - !... ..r.:.a �1 Strip existing shingles from roof. 6,645.00 Secure any loose boards. Install vented aluminum drip edge. Install Wip Brand Ice&Water Shield on roof rakes, in valleys, on bottom edge and around all roof openings. Install Rex Brand synthetic felt underlayment. Far superior to regular felt. Install Certainteed Quick Start starter shingles to all rakes&eves. Install 30 year Certainteed architectural shingle(lifetime shingles available at additional charge.) Storm nail all shingles. Re-flash all vent pipes. Install Rigid Vent II ridge venting. Remove and dispose of all job rubbish. Provide all manufactures warranties and 15 year labor warranty.The longest in the business. Install new flashing kits around 2 existing Velux 606 skylight units. 590.00 1711V F, Total $7,235.00 ------- P.O. Box 2110 9 CF�Ngi mrm, NLA 0.2632 PH 5Ot3=M-ROOT (76 3) 7/30/2010 5:42:24 AM PST (GMT-8) FROM: insurancevisions.com-TO: 15087756688 Page: 3 of 5 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �-� 7/30/2010 PRODUCER FRANK L HORGAN INS AGENCY INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 44 BARNSTABLE ROAD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HYANNIS, MA 02601 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 508 775-5830 508 775-6688 INSURERS AFFORDING COVERAGE NAIC# INSURED CAPE & ISLANDS CONSTRUCTION COMPANY INC INSURERA: LIBERTY MUTUAL GROUP PO BOX 210 INSURERB: CENTERVILLE MA 02632 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR TYPE OF INSURANCE DATE iMMIDII/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ CLAIMS MADE1-1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY 7 PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION WC2-31 S-377540-010 5/7/2010 5/7/2011 ,/ WC O AND EMPLOYERS'LIABILITY TORY L LjMrrIMITS R E ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 1$ 100000 OFFICER/MEMBER EXCLUDED? INI (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Workers Compensation Insurance: Part One of the policy applies only to the Workers Compensation Law of the State of MA. PHYSICAL ADDRESS IS 55 ELM AVENUE HYANNIS,MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BREWSTER DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrrTEN 2198 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL BRE WSTER MA 02631 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jeff Eldridge ° ✓�t � ,,I -'L�c)�f C. ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. CERT No.: 7955971 Anne Chandler 7/30/2010 5:39:18 AM Page 1 of 1 I The Commoirwealth oflk assachusetts r -- - -- De part;'nerrt of Industrial rrstrial ccitlerrts Office of Investigalions r 600 Washington Street h Boston, AL f 02111 ri'tsw rnrrss go>>✓dirr 'Warkers' Compensation Insurance AffidgN t: Builders/+Contr.-tctoi-&/Electrici:.ins/Plumbers Applicant Information Please h-intLegiblti Name. (Busines&''OrganizationUcividLiaal):_Zae Address:_ City/state/Zip. 6,ela kytvt`l1.L !V 0•�94?,IPlione#: Are yGu an employer?.Check the appropriate box.: Type of project(required). l..[Lkram a employer with 7 4. 0 I am a general contractor and I employees(full and/or part=titue). have hired the sub--contractors 6- ❑New constrac.tiou I❑ I am a sole proprietor or partner- listed on.the attached sheet. y- ❑.Remodeling ship.and have no employees These sub-contractors have g- 0.Demolition working :for ire in any capacity. employees and hav,4 workers' [No workers' comp,insurance comp.insurauce:l 9 ❑Buiicling addition required] 5. ❑. We are.a corporation.and:its 10.❑Electrical repairs or additions . 3.❑ .1 am a.homeowner doing all work of3Ecet-s have exercised their I Lo Plumbing repairs or additions :myself. [No workers'comp, right of exemption per tMGL 12.0 Roof repairs ins-urance:required.]t c_ 152, §1(4),and we have no employees. [No workerr%' 110 Other compAnsurance required-] •Any appticamt that checks box#1.must also fill out the section below sbowing their worker'compensation policy infornutia- t Homeowners who submit this affidavit indicating they are doing all work and then hire autside•contractors trust submit.a new affidavit indicating such- °Coutraetnrs that check this:box must attached an additional:she.et showing the mm-e of the sub-contractors and stare whether or not those entitseshave employees. If the sub-coniractomhave employus,.they.must provide their workers'comp.poliky number. lam an emplayer that fs providing tiwrke-rs'conrpensnhon insurance for rt{ti'employees. Mon-is the policy and job site information. Insurance Company Name: , j A, y 4-y Policy#or Self-ins.Lic. Expiration Date: Job Site Address: �/ Ll©e4 Glcf city/Stater'Zip: / /q 4"L Attach a copy of the workers'compenso tion policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of M.GL c. 152 can lead to the imposition of criminal penalties of a fine up to$1.,500.00 and/or one-year imprisotunent,as well.as civil penalties in the form of a STOP'LVORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der,. tepains and penalties ref pednry that the infortnation provided above is trio and correct. Signature: Date: J Phone L l use ortly. Do not write ut this area, io be completed by'cite or town ofciai Town: Permit/License Authority(circle one): d of Health 2. Building Department 3.C`ity/Town Clerk 4,Electrical Inspector 5.Plumbing.Inspector r Person: Phone M 6 U -�12C U/07Y1/IydO'I2LUP.CL ✓L �.G66QLr.. Z.0 fice of.Consumer Affairf. 'Y-$ smcss Regulai;on. E- P HO IMPROVEMENT, Registration Y 1,65936 Type ',. > Expiration 4/9/2012 PrivateCorporato CA &ISLAND T UCT10N.,C,I 'C: JOSHUA KOURI`.r, ' I 55 ELM AVE. HYANNIS, MA, L 'er, cccretary Mass achusetts- Del -tment of P 1 Board of Building;Rc„ ublic �,uiitions ; Satetj Construction Su Ind Stund; License: CS pervisor License trd} Restricted 74660 to: 00 - SHUA X KOURI OOX B 210 _ i CENTERVILLE,,MA 02632 t v ('unm'i'sionr, EXpiratio n: 2/12/2011 Tr#: 14076 License or re gistration valid for individul use only before the expiration date. Office of Consu If found return to: Y i 10 Park plaza_mer Affairs and Business Suite 5170 Regulation Boston,MA 02116 I;1 of alid without signature L 1*1 j r "- TOWN OF BARNSTABLE 26755 Permit No` ----------------------------- 1 = Building Inspector Cash -------------------- — . x °""'� OCCUPANCY PERMIT Bond __- -------------- issued to Bayside Building Co. Address lot #22- 77 11 Goatfield Lane, West Hyannisport ` Wiring Inspector Inspection date/f-'r '? Plumbing Inspector"�' . . ,- ___. .- �/ Inspection date Gas Inspector -t) G� :� / ..; c G* Inspection date 1 o CSC j— Engineering Department � y, s„� Inspection date.*6f \Board of Health - � Inspection date /p-/ -Bg 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. G'./ Building Inspector ' FROM - .Y_ - TOw .of BARNSTABLE T BUILDING DEPARTMENT Mr. Francis Lahte ne 367 MAIN 'Sl'RtE-T HYANNISt MA . Q Town Cleric Phone: 775-1120 SUBJECT: +FOLD MERE DATE - - October. 17, 1984 WE SSA G E Worts has been com pleted under Building Permit '#26630 &, #26755 (Bayside Building Co.), Please release Bonds..: ' SI QtNEP _ AA L". DATE _ REPLY N87-RMt - RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. ' .. _ _ 777777 1 AIE. /tee}-•s`?w�� _ LDT r V 1 1 ''S' .6 ( CERTIFIER PLOT PLAN � t, G0T -.z (:�;0A. r R08ER7 0/4 A,"Al/S f d R7 t BRUCE a '� DRED I N u SCALES. lu= 40r DATE $ g �DK29E �'NGAT let C0;} � � Slb � : . �` .- CERTIFY THAT THE.. �ou.✓.��► Tiv -�- .. �.. �L����•"""""�"� SHOWN 'ON . THIS PLAN 19 LOCATED `} ^ ®09T,EitED~ REOOST[R9r0o,b'Z 'ONI" THE: BIROUND AS INUICATEO s�G+IU �'.`.CLVI'L. LAND CONFORMS TO THE ZONING LAMfi ENQINEER �U�tVLY®R y,; tit+;®Y� * t OF SARNSTAD�E MAOS. M A 1 N S? RE ET � ' � ,N Y A N.A I S! MASS f ShO��,T„ Q<1��.L..► DA :E T?l O��L A H 6 'St)M-VEY .. /Z)A G. • ?/A/�Iv Assessors p, and lot number .... 2�?.z.......................... %THE o-Sewa� Permit number ....... ....................... .W/ C-M MUST BE 5 E I 33AI�STLBLEA8 . House number ONC 1L .......................... :f18............................. 6.'ALLED IN COMPLIANIC WITH TITLE' S 1639- --5)E A TOWN OF BAR�N�,�';-1A,BLL ND Cn Cn BUILDING ' INSPECTOR , APPLICATION FOR PERMI T TO ...... . ....... . .....71... ..... TYPEOF CONSTRUCTION ...........e... .. .... ....................................................................... C- °` .... ..........I .. TO THE INSPECTOR OF BUILDINGS: The and sign herebyappligs raper ,actortd�g the f Ilowing,infr gation: Location ..... . .. . .. ........L ... . ........... ..boc- ProposedUse /.......... ... ............................................................................................. Zoning District .......... ..Fire District ............YeA, I..................................... Name of .'L..'Address-.40,7 .1.......... .Name of Builder ............ .....................................Address ........... .................................................. 0; Name of Architect ......................... .. ..................Address .... ......... ...... ... ....... .............. Numberof Rooms ..................................................................Foundation ... ........................................ Exterior ....(-1-V11;(......4.6?.t1- ...Ce.016Z-A..........................Roofing ............... .................... ................... . ........... .... Floors .......9--orA... ....... .............Interior 4-4 .. - 2 HeatiPlumbing .....n g ......................................... ..........;q............... Fireplace ......... ............................................ Approximate Cost ........................................ 0 . ../7 Definitive Plan Approved by Planning Board --- ----Jex............... -19'. Area .................... Diagram of Lot and Building with Dimensions Fee ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PER ITS REQUIRED FOR NEW DWELLINGS, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding.the above construction. I .�"-. Opal' Name ................................ Construction Supervis6r's License ... j. ........ .......... ... BAYSIDE BUILDING CO. Y ^,t�No.2 755•••. Permit for ..One Story.....••••.••• Single Family'Dwellingi �i Location IOt22,! Goatfield••Lane....... .....West Hyannisport........ .................. " Owner .. Bayside Building..Co. Type of Construction .......................................... Frame f Y ns P ................... ........................................................... Plot ........L�.............. Lot .. .......................... s "Permit-Granted ...►T.Uy...3.0.. ..................19 84 Date of Inspection. // ....................` .........'..19 Date Completed .L:. ......................... 19 t }a _/' - Assessor's map and lot number .. /7 3ewag6 Permit number •` f �a)u Z BAUSTADLE, i House number ......................... :.......1.rz............................. r rasa Ops,1639• 9� 'FE U-4 a` TOWN OF BARNSTABLE BUILDING INSPECTOR � A APPLICATION FOR PERMIT TO '��i�'t- i, ...>'`r r✓A ' '`j 1'"... ' .;.. .. TYPE OF CONSTRUCTION �'' ! tf� l '� `' ` .................. ...........19:....... . TO THE INSPECTOR OF BUILDINGS: The undersigned `h�ereby(,o:ppliess for a permit according to the following,information: , , • . . ............Location �: . .. "• �r ProposedUse .................... fa.. ,'� � :..+�?�:"�.�............................................. .........t....................................... ZoningDistrict .!r� ................ .Fire District ............ ...... � .......a ..:f-:....................................... Name of Owner`L��1. :r"/t'-`y a.' e,.,!`s?-!, 4+ �'��7.'.....Address ..:fir c�. �7, ............................................. } Name of Builder .............4-'l •:F......................................Address .............. :`: ::: ................................................... Name of Architect ..................................f .a . ::.............................Address ....!..%: :�. =.'::' �: �...... .,a. ::: ............. . / Number of Rooms ........ ...........................................Foundation / r7.0 (..�i, :; ........................................... Exterior C''� r.....:::.a r, It"t Roofing G; ,r�-; '1r �:! . ............. f .................................................�......... g ..... `..........qr .f.................... Floors �r ' ` ....f, :•: .:.:........................rC .............Interior .... .. ... ",./.................... Via.!.ri.. Heating ' ..�� ° f ,......:......l.� ................ . J `a'fi t4 ! .......................................Fireplace ........ Approximate Cost � jr Definitive Plan Approved by Planning Board ____________^1-," __19----_`_'_!. Area Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r'I 1A" �tyT`\ � ,�I.....�.-O''•`�.» ` fib, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .........'��. f ;:.1:............. ............................. p r / , Construction Supervisor's License ..... BAYSIDE BUTWING CO. A=248-257 No ..26755.... Permit for tory ....... ...................... SIng-le Family Dwelling .......................... ......... .................................... Location 22, I Lanetfield ........... West Hyannisport .............................. .............................................. Owner J�X ide Building Co. ....................................................... Type of Construction .............................. ................................................................................ Plot ............................. Lot ................................ sf Permit Granted July 30, 84 ........................................19 Date of Inspection ....................................19 Date Completed .......................................19