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HomeMy WebLinkAbout0188 MEGAN ROAD 7de Town of Barnstable Permit:. Regulatory Services Date: pF�HE TOE, Thomas F. Geiler, Director g MASTAKE Building Division sARNSrABLE, (�[( Z Tor erry, Building Commissioner 9Q- MASS. � ',i UCI D i639• 200 Main Street, Hyannis, MA 02601 Argo a www.town.barnstable.ma.us Office: 508-862-4038 Ui`dlsiC14 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: !l/jetm /-la r"rcnn Phone: d:a e 7 71 -S 1 o`7 Install at: /� �P_a R� . Village: Rpla n n ,'-3 1 Map/Parcel: Date: /v/Asg Stove �� A. New/ U ed s B. Type: Radiant Circulating C. Manufacturer: Lab. No. D. Model No.: Chimney A. New(/_Ex-istln �(If existing, please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: b t- Ci.), B. Sub Floor Construction: Installer Name: Address: Phone: Location of Installation: H.I.0 Registration# Construction Supervisor# OR check Homeowner Installing, no license required APPLICANTS SIG TUR ' ad /)/Z�e APPROVED BY: —0 � Please make checks payable to the Town of Barnstable *This constitutes an of stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rev 103107 ' The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of Investigations d 600 Washington Street �< Boston,MA 02111' '�. �•�' www.mass.gov/dia ' Workers'- Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information j / Please Print Legibly. Name(Business/Organization/Individual): W r l//�C{:m f U tr Y G✓1 •Address: / 1M eG (,'r O R City/State/Zip: © )Phone.#: <0 771 -S/0`7 Areyou an employer? Check the appropriate box: .Type of project(required):. 1.❑ I am a employer with 4. [] I am a general contractor and I * have hired the sub-contractors 6. ❑New construction . employees(full and/or part-time). Remodeling 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet ❑ g ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.$ 5 ❑ We are a corporation and its 10.❑Electrical repairs or additions . required.] ' 3.[��am a homeowner doing all work. . officers have exercised their I LE]Plumbin g repairs or additions myself.[No workers'comp. right of exemption per MGL 12•❑Roof repairs insurance.required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ 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.wbo 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 state whether ornot those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number 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 maybe forwarded to the Office of Investigations of the WA for insurance coverage verification. I'do hereby certify un he -and penalties of perjury that the information provided above is true and correct. Si store: Date; Z-0 _ Phone# S 0 7 7 S/o`7 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): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: 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 hiie, 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 appurtenant thereto shall not because of such or on the grounds or building app 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 for an 'o erate a business or to construct buildingsin the commonwealthy renewal of a license or permit to p e ce of compliance with the insurance coverage applicant who has not produced�acceptable end required."n p g 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-complaiiee 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-contractors)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 ' affidavit ma be submitted to the Dep artment of Industrial 'c is required. Be advised that thisp i employees, a policy qY 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 fo 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 DepaFtment's address,telephone-and fax number:. The Commonwcalth of Mmsarhusetts f1pputment of ludusWM Accidents ' Office of fnvestgatons 600 Washi.ngt6 Street Bostanx_M4 Q2111 TO-. 617-727 4500 ext 406 or 1-877-MASSAFE Revised 11-22-06 - Fax#617-727-7749 www.m=.gov/dia � •N M �9 : , L. C' S x B t �i •fir J _ k, ^u s �" 1 , •: VI r } .Is m -n- ni 3_ NOTES RECEIPT DATE ���/� NO. 6038 RECEIVED FROM % ADDRESS -* de—r'4e dal FOR ACCOUNT HOW PAID AMT.OF CASH ACCOUNT AMT. CHECK PAID BALANCE MONEY gy DUE ORDER ©2001 REDIFORM®8L808 Town of Barnstable Regulatory Services r7�O�fME T �� Thomas F.Geiler,Director Building Division BARN LF v� 1MASSg Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: / Fee: �s Permit#: 0,0 6 /2%4z HOME OCCUPATION REGISTRATION Date: Name: W" `►alM �Q;fT A Yl Phone#: Address: /&V yv-1 f 301^ R.I. 0 I a A n l-s , 1M of yfflage: Name of Business: A -4 A 6V'e- Type of Business: Map/Lot: Q 6S& INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,ha ye read Ind agree with the above restrictions for my home occupation I am registering. Applicant: Date:-It,I /do Homeoc.doc Rev.5130103 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"°FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) ' �� �. r DATE: Co �,uirow� Fill in please: 4NN KIM.W . . APPLICANT'S YOUR NAME: ► V"1 P f Y U n � BUSINESS YOUR HOME ADDRESS: 1815r W12csayl (d ,�,nn;:j r0o. DACnol p TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS A. 091 ve_ TYPE OF BUSINESS S IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building divi' ion? 'YES. NO c ADDRESS OF BUSINESS s ./�'1 a •� MAP/PARCEL NUMBER_UMBER_,,? When.starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S FICE This individual has beePVned of a y p rmit requirements that pertain to this type of business. Ariz Si ure* COMMENTS: C'o 2. BOARD OF HEALTH This individual has been inform e of tha.Lparmit requirements that pertain to this type of business. s� Auth rizecrSignature** COMMENTS: . �' U 3. CONSUMER AFFAIRS (LIKEN. ING AUTHO�IT few This individual has be"er�n�rmed of th3 f 'en,sing uirements that pertain to this type of business. `Au t A r¢ed ignatur li COMMENTS: Assessor's map and lot number � . �....._?.''"........:-V e- , FTNETD�f• 4rQ O Sewage Permit number ........................................................ Z BABHSTADLE, i House number rasa 1639.a. TOWN OF BARNSTABLE BUILDING INSPECTOR r . APPLICATION FOR PERMIT TO ................ +....... � .......................................................... jf TYPE OF CONSTRUCTION .... ?k ^.s.:.. .... /�•��.F.�,- ...............................�.. 19..7rF' .... ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... /VI �4JB7t/ ................................................................................... .............................................................. ........e.................... / -- Proposed Use ...................................„ u,r �l�ti117' t.vIA•.. :. i1r .d 1 2 4.4rt.0 L.V 1 r. ....... ............. . ..... ...................I..... . ................. v��v,vl�Zoning District ........................................................................Fire District .........................;.................................................... Name of Owner ..... L L.l ra rL1 .H 1A-. ..1.P A.JAddress .......1. � .�F 4 +4 1l .................. ,.... . ..... ................................z...................................... Name of Builder f`c lle, t 0 ..........Address / et .. rC (�..... ti Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ............. r..c� .. .. ,........................ Definitive Plan Approved by Planning Board ________________________________19________. Area `f +y �............................................ Diagram of Lot and Building with Dimensions Fee ` .. ..........�................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t J , i II zz I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding .the above r + construction. , Nam7""********'*"*""*"*****"*"**"**'* ..................... ' Harran, William A_291-263 �W private swimming No ................. Permit for .................................... g pool ............................................................................... Location 188 Megan Road ................................................................ Hyannis ............................................................................... Owner Wi.l...liam...Harran. . ............................ . ...... ........ . .. Type of Constructio .......................................... Plot ............................ Lot ................................ i Permit Grante ber 24 19 78 Date of Inspecti n ....................................19 Date Completed .... .................................19 PERMIT R FUSED ........................... ................................. 19 ...... .�........ ................................. .a.............................. . . .. . ..... ......................... . ... ... .. . ................................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... kll INSTALLED ll� Ry CODE Is L1, 'N�� � ��/p&| �l�0� �J� Jk ��� r�� ����l� �7 ' � � � l� �� � ���|� � � ����� ' , ~ �� �N 0 N �� � 1,NSPECTOR ��N0N0-�� � ����~~ ~~ ~ ~~~~ � ~ .~r / ^ � � FOR.PERMIT __,. _____._._ __,. '~_ � TYPE OF CONSTRUCTION '' �,-. -./� �u�*�--.-.-------_------- o � K ` ' x � � . ^��� ~ �� ' --'-.^-_-',=,.��---.]A.��U�. TO THE INSPECTOR OF BUILDINGS: The undersigned 6eou6v applies for o permit according to the following- information: �4 Location ..-'.��ue---c./.ej6AW................ .......................................................... ----------------. __- � � Proposed Use -----:���� - ..�����T��---..1-.��.�-. _�___.,_.. y ' _ _�� 4, Zoning District -------.----------------..Five uiutricf --.�3l,YoI�NA-!�--------------.. Name of Owner .....Wb ..L/&M...........H 6.0' '6 / ........If- ............... ................................. Nome a 8v/|6e, ' -. ---.Ad6,mo .... ----- ' Nome of Architect -_--------------------.Ad6rex -----------------~-----.----_ Numberof Rooms ------ ............................................... -----------.__----_---_-__. � Exle,ior ....................................................................................Roofing -----------_----.----_-_-_-,' Floors ---------------------------.]nteho, ---------------~_-_________.... Heating ---------------------------.Rum6ng --------------------.-______ CAPFireplace '---------------------_----App,oximo^e Coo ---.-^��.�����..��_��....................... | «y-/^�^�� � Dufnh�eP�n by Planning Board 1R----. ' Area ----.�' - p~m�.�....- � Diagram of Lot and Building with Dimensions Fee .......... ..... ...................... SUBJECT TO APPROVAL Of BOARD OF HEALTH IfE U ' ' m/0 ��� r « . I hereby agree to conform to all the Rules and Regulations of1he Town of Barnstable regarding e above � ' | Nam ....!.......,' NlHarran, William s 2673.9. "71 private swimming No ..........:...... Permit for .................................... pool j ........................................................................:...... 1 Location 188 Mean Road .......................Huann i s.......... .: .................... Owner ..........:.William Harran.....:................ r Type of Construction 4T - t Plot ............................ Lot ................................ r 78 er iante tober24P ..19 Date 9��/ G )' r� Date Completed .......................... .19 IS PERMIT REFUSED ........................� 19 �� ,, - ` •" ................................................ _.... ........... 4 .................V ......1 ......... F It ;r '. �-. ............................................................................... Approved 4 ................ ........... .............: ......................................... Assessor's map and lot number ....... THEtoy o Sewage Permit number ...................................................!..... Hot . .....a—f BARNSTABLE, y ysenumber ........ ................................................ MAO& r, IP39- VMA Ar* TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............:7z., .......................................................................................... TYPE OF CONSTRUCTION ................. ............ .........................................................tP7 ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................Nt.... ........................................................................................................................ . ...... ........ . ........ e. ProposedUse .......... ....... ......................................................................I................................................ ?F,:;, .......... ..............................................................Zoning District ........................................................................Fire District .......... Name of Owner .../XS.... ........ ......................................Address ........ 4.. ................................................... 5- J4,t Name of Builder' ...... ..........Address 2�.... ................ ..................................................... ,-V 6A Name of Architect .............................1 ......................................Address .................................................................................... Number of Rooms ........................ Foundation . ell ................I......................... ............................................................................. /, J 11/1-11el ;/�. , Roofing ..... .,z-oo/ %1- Exterior ......... ...........................................................5 . ....... ?fiGc AIor........ ...... ....../..../............ Interior ...... 5 eating ........%a H 7, 41,,,v ...../-.............................................................Plumbing .................................................................................. Fireplace ............... ..................................................Approximate Cost ...... .................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area ..........17)1.....11 .. .................. Diagram of Lot and Building with Dimensions Fee ............... ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 12 f 504'. C� 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 • ...... HARRAN, BILL A=291-263 No 2411V, ,Permit for Add Sun Room ................ .................................... Single Family Dwelling ............................................................................... Location 1 Road ......88....Megan................................................... Hyannis Owner ....Bi.11...Harran................................. Frame Type of Construction ....................:..................... Plot ............................ Lot ................................ Permit Granted ...June 4, 19 82 Date of Inspection ....................................19 Date Completed ................19 '...................... l O D exo Assessor's map and lot number 0*THE Sewage Permit number ................................................... ...... . 33AUSTAXLE. Hou,fe number ....... .. ..... ....................................................... 1 1639 MASM- MOR Av TOWN :. - -OF ;�.BAANSTABLE BUILDING- , INSPECTOR .......................................................................................... APPLICATION FOR PERMIT TO . - . ..4/........... • CONSTRUCTION ............ /a........._. ..... TYPE OF CONSTRU ......................................................... ................... ...... ............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................ e. q-f ....................................................................................................................... ProposedUse ..... ....X:^/.. .c........ ^1..................................................................... .........................I....................... ZoningDistrict .......................... ...................................Fire District .......... . .. ....................... ....................................... Name of Owner .....f4/ c?A-) .Address ............ ............ .................... C, Name of Builder -ek........(nX-.-7e1 AR V. .....Address Z° ........... .......... Nameof Architect ...................................................................Address .............................. ...................:................................. Number of Rooms ...............I........./.............. .......:...:.............Foundation ....e. ...OZ. rc.&.............................. ... .. ........ ...... . .......... ... Exterior ....r-4 Roofing ...A411V1.1.10P.1....?/S....... Floors ....9... C.f I.Q.C Ae./C....�57/ eK�W4,Cnterior ..­;Z.:/� . ...... 1.10XA4 y.. Heating ........S.q./.p...........................................................Plumbingo.v.................. ............................................................... Fireplace .......... ...................................................Approximate Cost ...... ................................ Definitive Plan Approved by Planning Board -------------------------------19--------- Area ......../0T. ................... Diagram of Lot and Building with Dimensions Fee ................ ................. SUBJECT TO APPROVAL,OF BOARD OF HEALTH 12- 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 . ?..+� . .... HARRAN, BILL 2 -4111 Add Sun Room No ................';. Permit for .................................... Single Family Dwelling ............................................................................... 188 Megan Road .� � f Location .......................................s........................ 4; Hyannis .................................................. Owner ..................Harran.................................................. Type of Construction' ....Frame'. . ......................... ....... .. . ................................................................................ Plot ............................ Ile Lot ................................ Permit Granted ...June 4.r..................19 82 Date of lnspectionl ig�-.?��................. 9 Ile 7-1 Date Completed ...�r ......14 Assessor's. map and lot number .................... .. .... Sewage Permit number ................ ... .... .�? ;.:'..� . T"ET°�°� TOWN . OF BARNSTABLE Z EARNSTAIME. i "6 BUILDING INSPECTOR iAPPLICATION FOR PERMIT TO .............................................................................................................................. TYPE OF CONSTRUCTION ...:. ............................................................................... ........ ................19........ ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies /for a permit according to the followinginformation: f Location `.. � 4 / /r"� 9iL12�� "� r.. ( t .....................y. . .. ....................................................................... ProposedUse ....:n'- �� .z �a,�s+,r�Z ........ ....................................P......................................... Zoning District ....... /-'.....................................................Fire District ...........W !?'aGp v Name of Owner ........:' ?..: r • ............Address Z .......................... .�.......... ... .... ��...... ........... ........ Name of Builder Address r , r, Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation �d �� C.'9?tili�G ................................................................. �+„ ...................... /stlzX < .. , .................................................... Exterior .. .�- .. ......................................Roofin g ...... Floors .... .............................................:...........................Interior .................................................................................... Heatingl�/� r+ A,: :!� ........................Plumbing ................................................................................. FireplaceC'?t. .....Approximate Cost ,..�' �...,............................................................................. ................... ............................ Definitive Plan Approved by Planning Board _64� ---z_ ---------19 7_z_ . Area /.Q6.......................... Diagram of Lot and Building with Dimensions Fee ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r� r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..`.............. Gll. ............................ + .are Dacey, William E. Jr. �'/--�2�--3 17677 one story, No ................. Permit for .................................... -i"single family dwelling 10 0 Megan Road Locavon ................................................................ Hyannis .......................................>. .................................... William E. Dacey, Jr. Owner ....................................N............................. Type of Construction f rim.e ................................................... ........................... #44Plot ............................ Lot ...............Permit Granted 4f!y..8............ 19 75 ......... Date of Inspection ...(...............................19 Date Completed ......................................19 PERMIT REFUSED ........................................ .w!.................... 19 ................................... ./.................................... s..... ..:� ..................`............................ Approved ...................... 1 `• 0 7 IN - 0 i , w , C E FRT :I F1 E- ® PLOT PL ;A 'N J'L O AT-1 O.N s'C A L C: /" =moo' D.A T E (� R E F E. R E N C E, .8 E-/.t/!� .L o T' Is E E) Y C E R T 1 F.Y T H AT 'THE B U. I L D"1`.fr7 ,' R E G. L A N D 5 U R V E Y 0 R. S:H O .W N,. O N TH=15 : P`L..A'r .. -.I S...L.O �, . .A V.£ 0 _6.N:.. _ ..... . G. R O U N a A S . 5 H OWN HE RE ON A N p. .T 6-? A T I r BOO .S _ G. O .11F O R M r O THE ,; S 1\ FPS H O 4j Z ON ( N G BY - LAWS OF T :11E TOWN OF . �,�i.9�ic/.5 .,!5;6 _ W H E N. 'C 0 N S T R U C T E D. "B.AR. N5T.•ABLEr SURVEY' CONSULTANTS, INC.. ��,v�,���sc��'�` �? �• 'W £ ST YA'RMUUTH MASS or's "map and log number .... �" ? ..":..... ^ t ITAl.L''E� IRE a E , Sewage Permit number ...... .rl l..o.� YVIT II AE TOWN OF BARN Ti*'THE E LE y� TOE - , t BARNSTABLE. 9� D aYa�e� BUILDING ' IMSPlECT0R APPLICATION FOR PERMIT TO ........ .. miltz,............................................... TYPE OF CONSTRUCTION .....1 .......... ................................................................. ....... ...............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby`applies for a permit according to the following information: Location .... ` ................. ?!5.�.....X ......... ....... ......................... ProposedUse ...: .Ze... ..... ......... . .. . .. ................................ .y...............I......................... ZoningDistrict .......�.4...................................................Fire District .......17f ......................................... Name of Owner .. .. .. G l ....fJ"':.............Address ..l ......................................f........... Nameof Builder ....................................................................Address .................................................................................... /1 !/ r. t. 11 l + f 1 L< l i Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......6�.......................................................Foundation .... ............... .......... .."Zc�e:� .............................. W................................................. Exterior .ji. ................... ./......................................Roofing ......�� XIC, '' _ D Floors /�`�""Z ...........................Interior .........L. . ....................... `( Heating ....... .........0.........................Plumbing �✓/........ >......................................................................... Fireplace ..........0t..�...............................................................Approximate Cost ... ........................: Definitive Plan Approved by Planning Board -6 --f---z/--------19 2-2. Area ]dPI ............................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 I hereby agree'to conform to all the Rules and Regulatidrts of the°Town of Barnstable regarding the above . construction. Ad Name.... . ...... .... ............................ Dacey, William E. Jr. A 17677 Permit for ;. one tort', single family dwelling ...................... ... ............................................. 001 Lo 1. egan Road.caQion ........ ................................... ,� n Hyannis .y William E. Dace Jr. f Owner,............................................y.'..... frame Type of Construction � :. - �•. 101 .. ............................................................... / �.. ' ,,.. lot ............................ Lot ..........�4.. {; ..:............ Permit Granted Ma .. 19 75 Datef of Inspection ....... ............... �'fi.......,,1.9' Date Completed ...... .... .. �..!}'.. 19 t �' 100, f , 07 PERMIT REFUSED it ........................: ....................... ................... ! •/ ..................................................... ............ 4 .......................................................................... e r "� +: if •� t .......................................................................... ,, Approve .............. 19 ............................:..................................................