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family member(s). The single-family dwelli
persons listed on the recorded affidavit.,
(5) When the family apartment is vacated or upon
including but not limited to occupancy or ownership,
4 permit must be.applied for to remove,all cabinets, c
apartment, and the water and gas service utilities m
B. Procedural requirements. Prior,to the creation of a f
application for a building permit with the Building Corn
necessary to assure compliance with this section inclu
remodeling or addition to accommodate the apartment,
family relationship among the parties, and a signed fam
(1) Certificate of occupancy. Prior to occupancy of th
obtained from the Building Commissioner.. No certific
Commissioner has made a final inspection of the apa
and a copy of the family apartment accessory use res
Deeds is submitted to the Building, Division.
(2)Annual affidavit. Annually thereafter, a family apart
among the parties and attesting that the property is the
and family rriember(s), shall be signed and submitted I
Uel�
Town of Barnstable Building
It"001
staK.uathere a Gert>fi�ate of Occu anc ;,�s`Re aired such Build�n skull No be Occu �ed:unt�l arF�na!'I`ns ection has been'made e mit
Permit NO. B-16-2656 Applicant Name: Cheryl Gruenstern Approvals
Date Issued: 10/04/2016 Current Use: Structure
Permit Type: Building-Solar Panel-Residential Expiration Date: 04/04/2017 Foundation:
Location: 54 MELBOURNE ROAD, HYANNIS Map/Lot:268 233 Zoning District: RB Sheathing:
Owner on Record: STECEI, MIRALVA M Contractor Name: SOLAR CITY CORPORATION Framing: 1
I
Address: 54 MELBOURNE RD
;q Contractor License 168572 2
"LA, _ ..--
HYANNIS, MA 02601 Est Project Cost: $9,000.00 Chimney:
Description: Install solar panels on roof of existing house,with affray upgrades,if Permit Fee: $95.90
Insulation:
applicable,as specified by PE in Design;To be Interconnected with -
Fee Pard: $95.90
home electrical system. 6.36 kW 24 Panels JB 0262926 Final:
PAN
Date 10/4/2016
Project Review Req: Install solar panels on roof of existing h�ouse,,w'ith any upgrades,
if applicable,as specified by PE in Design,To be rnterconnecteded •,r try Plumbing/Gas
with home electrical system. 6.36 kW 2 Ran"IA"B 0262926 � �� %��L - Rough Plumbing:
y ��Building Official Final Plumbing:
_. .., �.
This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for&which this permit has been granted.
All construction,alterations and changes of use of any building and str�uu`res'shall be in compliance with the local zoning by laws'and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access streetor Toad and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Bwlding and Flre Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:l '
1.Foundation or Footing { S Rough:
2.Sheathing Inspection � -
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with,unregistered contractors do not have access to the guaranty fund" (as set-forth inMGL c 142A):
Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
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oFtKKE� Town of Barnstable
Regulatory Services
• BAIMSTABLE,
v MASS. g Thomas F.Geiler,Director
�A i63q. ♦0
rFo w►a+°i Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
t
Office: 508-862-4038 i ti Fax: 508-790-6230
July 30, 2010
Miralva M. Stecei
54 Melbourne Rd.
Hyannis, MA 02601
RE: EXIT ORDER 54 Melbourne Rd., Hyannis Map: 268 Parcel: 233
Dear Property Owner/Occupant:
This letter shall serve as notice that the building department has identified several
violations at the above address. An apartment containing a bedroom with insufficient
emergency escape as required by 780 CMR 5310.1 has been constructed without the
benefit of permits at the above referenced address and
You are hereby notified that the basement bedroom is dangerous and unsafe and its
use must be immediately discontinued. The property must be brought into
compliance or be subject to criminal prosecution.
A building permit issued by this office and satisfactory completion of the inspection
process is needed for compliance. Failure to comply will result in further action taken by
this office. Please call this office at (508) 862-4034 with any questions. Thank you for
immediate attention in this matter.
By Order,
WeL. auzon
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Local Inspector
Q:zoning5
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• s:�',- -.<-.•�+...-.c. .�`c :ttl, �..alb M,�.,,.,
Town�of Barnstable
FSHE:Tp� '
ti Regulatory Services
Thomas F. Geiler,-l7irector
* BA"Srasie. .`
M^� g Buifding Division
9� 167p ♦0
A'Eo Mn+" Thomas Perry;CBO,Buildm.g Commissioner
200 Main Street, Hyannis, MA 02601
ww:wAown:barnsfWe:ma.us
0Pfice: 508-862-4038 Fax: 508-790-6230
EXIT ORDER
DATE: t 2-th D
`LOCATION:
UNDER THE PROVISIONS OF 78'0'CMR, THE STATE BUILDING CODE.'
SECTION'.3400,5.1, YOU ARE HEREBY,ORDERED TO'IMMEDIATELY
DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING
PURPOSES:
L C,AL N,*S 'CTOR
"SIGNATURE OF RECIPIENT.
ODEM DE SAIDA
DATA:
LCALIDADE'
DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE-CONSTRUCAO DO
ESTADO, PARAGRAFO 3400:5.1,:VOCE ESTA ORDENADO DE DEIXAR DE
USAR, IMEDIATAMENTE, A AREA,DO PORAO/BASEMENT PARA 0
PROPOSITO DE DORMIR.
INSPETOR LOCAL
ASSINATURA DO RECIPIENTE
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No.�U FJ50 .00
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZIPPlicati.on for ;Di!6po$a[ bpztem Conztruction Permit
Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No. 9 5 8—5 4 3 4
A A,oK`I4PA;.Tne Rd. W. Hyannisport John Merlesena
54 Melbourne Rd W Hyannisport .
Installer's Name,Address,and Tel.No.7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.3 9 8—8 31 1
Wm E Robinson, Sr. Craig Short
PO Box 1089 Centerville, MA' p0 Box 1044 S. Dennis, MA
Type of Building:
Dwelling No.of Bedrooms ot Size sq.ft. Garbage Grinderpo )
Other Type of Building VV No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Install Title 5 leach system
to plans of Craig Short — #1 -974
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the E ironmental Code and not to place the system in operation until a Certifi-
Cate of Compliance has issued by thi ar Heal
igned Date �✓
Application Approve Date (o O!
Application Disapproved for the following reasons
Permit No. DCC`/—0.'4 Date Issued
---------------------------------------..
Merlesenna THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance
` THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( )
Abandoned( )by Wra 'Robinson Se-otic Service
at 54 Melbourne ad. , W. Hyannisport, NIA has been constructed '' accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. a U u y"Ca t; dated 1 f 2 t D
Installer Designer I
The issuance of this permit shall not be construed as a guarantee that the system.
will unction 1i designed.
Date 121 0 Inspector f'+, . � 1
o. �. ' ———————————————————
N [�{
Fee
Merlesena THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Mi5pogal bpgtem Congtruction permit
Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( )
Systemlocatedat '54 t4a-lbourne ;d. , �vq. Hyannisport, MA
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Cons tru tion must be completed within three years of the date of this permit.
Date: ;�J�/ 1 Approved
/ s
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YOU WISH TO.OPEN A BUSINESS?
--
For Your Information: Business certificates(cost$30.00 for 4 years). A-business�:ertificate ONLY REGISTERS YOURNAME in71'FL,
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, 367
Main Street, Hyannis,MA 02601 (Town Hall)
DATE: 5
Fill in please:
APPLICANT'S YOUR NAME:
BUS ESS YOUR HOME ADDRESS:
6-0_-a 3
TELEPHONE # Home l elephone Number 0 -
'NAME OF NEW BUSINESS
TYP1r CIF E3�l.SINESS
'� YESN�?
IS THIS A.'FIUMI OCCUP�1TIQl�.
Have Vdu been given approYal#torn the pw(di .dIV151pn YEST`N: Mp�P,�P#�RCEL N.UMBI FI 3
A001R9SS.OV•BUSINESS
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 2yo 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 OFFI
This individual has n informe o any permit requirements that pertain to this type of business.
A 'orized ignature*
COMMENTS:
2. BOARD OF HEALTH.
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature"
COMMENTS:
3. CONSUMER'AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
r
Town of Barnstable
�of�HE,ohs
Regulatory Services
P Thomas F.Geiler,Director
• snnxsTAsr,E. •
Building Division
9 MASS. g Tom Perry,Building Commissioner
Fn � 200 Main.Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: °`�
Permit#:
HOME OCCUPATION REGISTRATION
Date: d S
Name:` r//f� 1 7522/L) ZZ Phone
Address:5Y 1,16—M e2z�eJP Village: I-h4 APO ) S
Name of Business: 2
Type of Business: QA LzrP ►.16 S�-RV J Gf Map/Lot:
EV=: 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,have read and agree with the above restrictions for my home occupation I am registering.
Date:
v
Homeoc.doc Rev.5/30/03
.,_4Bei�nstable Assessing Search Results Page 1 of 2
1.��1 A � �,.� • a e e • � �¢
Home:Departments:Assessors Division:Property Assessment Search Results
New Search
New Interactive Maps>>
Owner: 2010 Assessed Values:
STECEI,MIRALVA M
54 MELBOURNE ROAD 2010 Appraised Value 2010 Assessed Value Past Comparisons.
Map/Parcel/Parcel Extension Building Value: $135,400 $135,400 Year Total Assessed Value
268 /233/ Extra Features: $12,800 $12,800 2009-$280,300
Outbuildings: $0 $0 2008-$291,300
Mailing Address Land Value: $128,100 $128,100 2007-$314,700
STECEI,MIRALVA M 2006-$293,600
2010 Totals $276,300 $276,300
54 MELBOURNE RD
Residential Exemption Received=$92,000
HYANNIS,MA.02601
2010 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) I
Community Preservation Act Tax $42.96 Fire District Rates Town Residential
Barnstable FD-All Classes $2.43 $7.77
C.O.M.M.-All Classes $1.26 Town Commercial
Hyannis FD Tax(Residential) $502.87 Cotuit FD-All Classes $1.56 $6.87
Hyannis-Residential $1.82
Town Tax(Residential) $1,432.01 Hyannis-Commercial $2.88
W Barnstable-All Classes $2.28
Community Preservation Act 3%of Town Tax
Total: $1,977.84
lv/�Jl
Construction Details
Building Property Sketch &ASBUILT Cards
Building value $135,400 Interior Floors Carpet Property Sketch Legend
Style Cape Cod Interior Walls Drywall
Model Residential Heat Fuel Gas
Grade Average Minus Heat Type Hot Water qr f< + r
Stories 1 1/2 Stories AC Type None',}
Exterior Walls Wood Shingle Bedrooms 3 Bedrooms
Roof Structure Gable/Hip Bathrooms 2 Full , ,� �,•�.
:us •
Roof Cover IAsph/F GIs/Cmp Living Area sq/ft 1,368h - AA
Replacement Cost $148,786 Year Built 1985
Depreciation 9 Total Rooms 6 Rooms
Land Gross Area sq/ft 2,808 1 r }
CODE 1010
Lot Size(Acres) 0.23 As Built Cards: ! Cl/
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http://www.town.bamstable.ma.us/assessing/2010/displayparcell0map.asp?mappar=268233 7/22/2010
—Bx'nstable Assessing Search Results Page 2 of 2
Appraised Value $128,100
View Interactive Maps >>
Assessed Value $128,100 r tl &4
Sales History:
Owner: Sale Date Book/Page: Sale Price:
STECEI,MIRALVA M Jan 30 2004 12:OOAM 18174/279 $299,000
MERLESENA,JOHN P TRUSTEE Nov 15 1993 12:OOAM 8881/299 $100
MERLESENA,JOHN P Nov 15 1985 12:OOAM 4816/287 $140,000
HAMLYN,RUSSELL S III Aug 15 1984 12:OOAM 4222/307 $11,000
MORIN,ROLAND J Aug 15 1981 12:OOAM 3350/43 $0 -
Extra Building Features
Code Description Units/SQ ft Appraised Value Assessed Value
FPL2 Fireplace 1 $3,700 $3,700
BFA Bsmt Fin-Aver 668 $9,100 $9,100'
Property Sketch Legend
BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished)
FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished)
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished)
FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
http://www.town.bamstable.ma.us/assessing/2010/displaypareell0map.asp?mappar=268233 7/22/2010
Message Page 1 of 1
Anderson, Robin
From: Anderson, Robin
Sent: Monday, July 19, 2010 10:11 AM
To: mmacneely@commfiredistrict.com; Chief; Craig Tamash (tamashc@ barn stable poI ice.com);
dchase@hyannisfire.org; Deputy Chief Dean Melanson (dmelanson@hyannisfire.org); John Cosmo
(jcosmo@hyannisfire.org); Mike Grossman (mgrossman@commfiredistrict.com); Wadlington, Ellen
Barrows, Debi; Crocker, Sharon; Desmarais, Donald; Lauzon, Jeffrey; McKean, Thomas; Mckechnie,
Robert; Miorandi, Donna; O'Connell, Timothy; Perry, Tom; Roma, Paul; Stanton, David
Subject: BIRST Inspection 7/22/10
The following properties are to be the focus of our BIRST inspections scheduled for Thursday evening
7/22. All properties are in Hyannis.
316 Sea St-overcrowding
217 Sea Street overcrowding
111 Sea Street overcrowding
33 Stetson, Auto repair overcrowding, illegal apt
28 Janice Lane, SF home divided into 2 units- long history with owner over this very issue
54 Melbourne Rd, Painting business
24 Redwood Lane Ext, Apt? overcrowding, owner occupied -claims there is a lease
17 Canterbury Rd, Still getting reports of overcrowding
75 Betty's Pond, Apt over garage - plans submitted to ZBA for special permit identify area as storage
All parties should report to the rear parking lot of 200 Main St for a 5 PM departure.
Robin C. Anderson
Zoning Enforcement Officer
7'own of Barnsta6Ce
200 Main Street
Hyannis, NA 026oi
5o8-862-4027
508-922-6432 Cell
7/22/2010
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As: op and lot number ...'... .C�. - 3.., THE t. o To
Sewage Permit number .....�'q
.............................'................ ... w
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House number ........J.... �................... ....'................... 9 MAla
0 039 9�
. 'E•0 MAY a� ,
TOWN OF BARNSTABLE nicsys-r UST
�ALLE) 1tj COMPLIANCE
BUILDING INSR OR ,1 TALCO.DE ,,9
ALGIULATIONS
APPLICATION FOR PERMIT TO ........... .......
a TYPE OF CONSTRUCTION ........... ..... ... ...... .... ............. .........................
154
. . . . .......... .........................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...�'�-...O...�....,?..5.........../`�1.7. Av.��X,�:?..A.aI............It/..r�. .....1:`:l�.r�/Lll�.t.�...�f...�?.i....l......
ProposedUse ...:S1d1l.�a";- 1`/J✓�t/c. ..................................................................................................................
ZoningDistrict .......... ........................................Fire District ...........,1/.y� t.��...... ............... ...................................
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GI:J's�3.�. .......�!!flyl.�.! /...........Address Name of Owner / . ........................ ,�
Nameof Builder .........5�Z.i ..............................:..........Address ............. . .....................................................
Name of Architect ..................'....................................:..........Address ...................
Number of Rooms �..................................................Foundation �e
Exierior A/&......6�.L: n/z g �' ��/�► C. ........
d.
Floors N.!c?!!Z.h... .P fJ.0..............................................Interior ... $t
Heating .....i�lf%E............ ............!�..............................Plumbing .. .........................
`x
Fireplace ........1ZA5 ............................................................Approximate. Cost ......... ......................
Definitive Plan Approved by Planning Board --------------------------------19________. Area ...... .......'..
Diagram of Lot and Building with Dimensions Fee .....: ,,,.1 !........ .. '
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.
Nam / - , .�...............
` Construction Supervisor's License .. 1.. ..��...
BLIINN, EARL & RUSSELL HAMLYN
r_ 27432 One St
......:......`Permit for ................... ?.Y.. ........
Single Family Dwellin
` ....................................................... ..........
Location .W..t...3.5......54..Me`lbourzle•.Road.....
...........h?� t..Hyanru poxt...........................
Owner Earl. Blinn & Russell Hamly {' " , r� r; 7
.: ,
Type of Construction
Frame ............................
'..`:........................ .................. .......................... •� L '
Plot_ ............................ Lot. ..:............................ �,. •_ ,� :�.. .
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Permit Granted .January 16,.....................................19 85 �.
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Date of Inspection ....................................19 i. f
Date Completed .. .. .........19 n
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�`g��•. - TOWN OF BARNSTABLE x ,.
BUILDING DEPARTMENT
i sssaer TOWN OFFICE BUILDING
rua
HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department 1/�-1_ ,
DATE: 0 -vo v
An"`Occupancy Permit has been issued for the'building authorized by
BuildingPermit i 1 .3 Z-- _ ....._......................................... ............_............... . . . ..
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issued to .. ......__.......w._....�.... _..»...... _......r�`.......,....�...._............................:.._.... ............._.__ .._.......�.»�..�._._.
Please release the performance bond.
of TOWN OF BARNSTABLE Permit No. 2J432"`_
n i Building Inspector
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OCCUPANCY PERMIT Bond
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Issued to Rarl Blinp. Russell Hamlyn Address
Lot 35, 54 Melbourne Road, West Hyannisport
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Wiring Inspector f / Inspection date
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Plumbing Inspector/ f�,�.,-_ Inspection date
Gas Inspector A4 42 Inspection date.
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XEngineering Departmerit�,� � ,r� �. A/� �✓�., .- Inspection date.�1 ?
Board of Health � k Inspection date
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 MASSACHUBETTs STATE
BUILDING CODE.
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Building Inspeetor
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TOWN OF BARNSTABLE
BUILDING
INSPECTOR
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APPLICATION FOR PERMIT TO ------.--_------.—.-----.------.---_.-----.-^—.....
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TO THE INSPECTOR OF BUILDINGS:
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The undersigned hereby applies for o permit accordingto the following information:
Location —������_�-..�. ----�1�-�.�� v��/�Y�����.�.�..����/----��. —.��������^��'��_��*�.x�_ r--
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Proposed Use — -- .i'------.---.------------------..--------.
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Zoning District --.....—.--.....,.----------..Rna District ............ ....................................
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Nome of (]vvno, ........ ..—.--.AJJresx P?�...*1!1.......
...............................
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Nome of Builder --- .-------------'A66ress ----...;................-------.--.—.—.---..
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Nome of ArchitectAddress ---------
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Nvm6e, of Rooms ..........ly
........................................................Foundation —.C,�. ,���..... x.....'---��..^�^x����z
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Emeho, � ��[!��—rrr./�
......^V......f��Z.-i;PQ......Roofing -- .............................................
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Room ' ��%���..����?��0..............................................Interior .../�\����!�......13 ......................................
Heating ������� ��.����- — ^ Plumbing ..��---.----.---.—.... |
—''^^� --------- —'z/----' -----------
! Fi,ep|oce -- .-�--------------------ApproximoteCox .........
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Definitive Plan Approved by Planning Board 1Q--------. Area -- ......................
Diagram of Lot and Building with Dimensions ' Fee _______________
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
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| 1 hereby agree to conform to all the Rules and Regulations of the Town of 8ornshzbhs regarding the above
^ construction.
' No �_��____,,
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Construction Supervisor's License
BLINN, E=^«^ * 8-233
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Lb cation ......5 4..Mellouazzxa'Pzoad'..... '
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Owner
Type of Construction .....FKWne--------..
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Plot ............................ Lot ................................
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Permit Granted ...u ..I6�----.lA 85 .
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Date of Inspection ------------l9
Date Completed ------------..lg
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