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HomeMy WebLinkAbout0578 OLD STRAWBERRY HILL ROAD i C .t PERK 1 PAYMENT RECEIPT TOWN OF BARNSTAKE BUILOIN DEPARIME`NT 204 MAIN �TRE' I y 0, MYANNI , EfiA 26OI , ATE- 06/23106 NA TIME; Tw;4i �' F'E RMTT PAID 52-f7 A T TENDERED: APT APPLIED 52.17 CHANGE: APPI ICATIOI NUMO. Znj442 PAYRENT W H: NECj t AAYMENT REr: i .F Town of Barnstable *Permit i Expires 6 mont s from issue date X A ERMIT Regulatory Services Fee ) Mom. $ Thomas F.Geiler,Director 2006 -- Building Division TOWN OF BARNSTA E Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY / Not Valid without Red X-Press Imprint Map/parcel Number '�/ ;Zsiden ty ddress tial Value of Work ( �-� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �C71, A-L L S`7% Contractor's Name i?-06C4-4- G- P5 C-0c�./4 _Telephone Number('C-4) (I—j 5:(-7- Home Improvement Contractor License#(if applicable) 1 T b "t Construction Supervisor's License#(if applicable) ❑Workm 's Comp tion Insurance Cheanmoprietor❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping: Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. SIGNATURE: Q:Fomrs:expmtrg Revise071405 �1 �t11E Town f Barnstable Regulatory Services pFp�y a Thomas F.Geiler,Director Building Division Tom 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 1 s /I C2� �0 tib �Q / ,as Owner of the subject property hereby authorize /�0 0J f A-1:. d6 it A 0 A to act on my behalf, in all matters relative to work authorized by this building permit applicat/io/n for: / 2h -f fl j`// .P— t9'I6Fs U2G 32— (Address of Job) Signature of Owner Date r Print Name Q:Forms:expmtrg Revise071405 ✓lze r�amima'U'4" 0 0 cze/ucae�a Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: _148999 Ex �rat10tr11a5/2007 i� YP DBA ROBERT BROINI�V US�U B,J DING REMODELING ROBERT BROWNY ] = f` 563 OLD STRAWBEkE2Y.tILLRD. _ CENTERVILLE,MA 02632 oistrator Y 3e;, The Commonwealth ofMassachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.masagovIdia- Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Legibly Name (Business/0rgadzation&&viduaI);�C PAL 0 ��-✓� Address: City/State/Zip: Phone#:(BOO Are you an employer? Check the-appropriate box: 'Type of project'(required): 1.❑ I an a employer with 4. ❑ I an a general contractor and I 6. ❑New construction or (full and/or part time).* have hired the sub-contractors 2.21M a sole proprietor or partner- listed on the attached sheet t 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp.insurance. 9. ❑ Euilding addition [No workers' gyp.insurance' S. ❑ We are a corporation and its - required.] officers have exercised their 10.❑ Electrical repass or additions 3.❑ I am a honicowner doipg all work right of exemption per MGL 11.❑ 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' 43.❑ Other camp.insurance required.] *Any applicant that checks box#1 must also fi11 out the section below showing thaw workm'compensation policyinforraedon.' ' t Homeowners who submit this affidavit indicating they are doing an work andthen hire outaide contractors must submit anew affidavit iadica ing Buoh �contraetors that check this box must attached ea additional sheet showing the name of the aub.comtma tors sad their workers'eomp.policy information. ram an employer that is providing workers'compensation Insurance for.my employees. Below is the policy ansd,�ob site Information. ; Insurance Company Name: ?olisy#or 5 .L#c #: P : Job Site Address: City/state/Zip: Attach a copy of the workers' compensation p.eiicy declaration page(showing the policy number and e3TOatlon 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 is 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 certify under the pains and penalties of perjury that the information provided above is true and correct. siPnatuze• F�--�C Date: / / Phone#; Gff iu as3 P�4. Do p"d Ankle fr.. 33 9xma,to he c- 6ed b,c o'�+ .s"T� . I 1 City or Town- Permi•t/License# Issuing Authority(circle one): 11.Bo2.rd of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector l6. Other -- i Contact Person: ?hone#: Inforamaion and Instructions .A Massachusetts General Laws chapter 152 requires all employers to provide workers' compensationfor-tbeir employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express orimplied,.rnal or written." An employer is defined as•"an individual,partnership,association,corporation dr other legal entity, or any two or mare of the fordgoimg 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 thq 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 mamt.enanee, cotstruction repair work on.such dwelling house or on,tbe grounds or building appurtcnantthereto shall not because of such employment be deemedtobe 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 coYerage required" Additionally,MGL chapter 152,§25 C(7)states'Neither tie commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work untz7 acceptable evidence of comliance 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(,),address(es)and phone numbcr(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited LiabrW 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. Ba 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 p ermit or license is being regnested;not the Deparimeat of Industdal 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 mm3ber listed below. Self-insured compam shmild cuter 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 sp ace at the bottom oftbe�for you to fill out:in the event the.Office of Investigations has to cr ntact you regarding the applicant - Please be sure to fill in the permir/Iicense number which wM be u ed as a reference amber. In addition,an appHeant that must submit multiple permitIcense applications in any given year,need only submit one affidavit indicating c anent Policy information(if necessary)and under"7oh Site Address"the applicant should write"all locations in_(city or town)."A copy,of the affidavit that has been o�ficialty stamped or marked by the city or town may be provided to the applicantas proof that•a valid affidavit is on file for future permits or licenses. A new affidavit=stbe filled out each year.Where a dome owner or citizen is obtaining a license or permit notrelated to any business or commercial venture (Lt. a dog license or pemit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lie to thank you in advance for your cooperation and should you have any questions, Please do nothesitate to give us a call. The Departmei fs'add�ress,-telephone and fax mmber: The Commonwealth of-Musadmsetts Depar mnmt of Industrial.Accidmts Offlee ' 600 Washington Street Boston, MA 02111 Tel, #617-727-4900 e-xt 406 or 1 077-NIASSAFE ' Fzx Y 617-727-7749 Revised 5-26-05 Ww-w.mass.(7ov/din � t PERMIT Town of Barnstable *Permit# 9127 Expires 6 nt from ispY t c 2006 Regulatory Services Fee � (/ 4 ' Thomas F.Geiler,Director ' TO RNSTABLE Building Division Tom PerryCBO, Building Commissioner . 200 Main Street,Hyannis,MA 02601 �. www.town.barnstabie.ma us ( Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERAM APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 2�- Property Address '57-7 V C) 1 o 'S—CYZ J G&12Q.0 �4 i L C, r e -4'1 l/ 1' esidential Value of Work n(a Minimum fee of$25.00 for work under$6000.00 � F Owner's Name&Address a . t 1 t # G, Contractor's Name s `7 " G -'1''1 f Telephone Numbei�07)' �1� Aq Home Improvement Contractor License#(if applicable) J Construction Supervisor's License#(if applicable) ' b >• z. :. s �O- O J .y :- t ❑Workman's Compensation Insurance .v o. Check b ' 0 Z ; s am a sole proprietor t ; z ! ❑ I am the Homeowner y .Z. El have Worker's Compensation Insurance z RN _o Insurance Company Name � 04 w ! il Workman's Comp.Policy# ; 3 Copy of Insurance Compliance Cerbtficate must be on file. N5 A m t Permit Request(check box) E c �> o _ .tY o 6 ❑ Re-roof(stripping old shingles) All construction debris will be taken to t- p J to i p wtuo ►- e-roof(not stripping. Going over existing layers of roof) o C w OR to U ❑ Re-side f �. Y ❑ Replacement Windows. U-Value (maximum.44) r ' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,s.e.Historic,Conservation,etc. f ***Note: Property Owner must sign Property Owner Letter of Permission. u Home Improvement Contractors License is required. SIGNATUfLE QTormstexpmtrg Revise071405 k t .� i � [ �. f 2 F• i anRadsesi . - Town of Barnstable Atf4a Regulatory Services Thomas F.Geiler,Director Building Division Tom 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 A I, � � ,as Owner of the subject property hereby authorize �©�1-�® 6,r to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address Of 1pb) �-� 3 12- � Signature of Owner Date — A / /'C e- C) (L Print Name Q:Forms:expmirg Revise071405 vv C�Arz�.a�.� �r i titre . s 33y a G•P•v. (� I � ? �FF'1-1G T hrJK = so . (SG °/° _ 4_9Gj 6.P.0. �? t t%D`'AL �iT - use logo GAS, t`J,'a=1�C/A L-t_ Jatzt✓A = l Sp S.t=. � M' `O� •tL3cST'rb,vl AS'C�A z � � y u` M A N 2 <7. K.> C-O >.PD. TO-TO-1-AL."A T�ESIGIJ = �'L5 Q.P.D. S�PT T L PROP, O-r& Li/�.t L.'( t=LAID = �� �o� TA ,.,ox hK i 3�,0 6.P1�. � D D C 't• '. :,-_DL&T1c)1J t?t,-rr ("I" ZMIQ' O2 L". �• \ d` PIT � r sr , FKNAPO m t A. t-�C3L't✓- P tr.::/ i�G:., /�.i.6�vrfa q.. I-oNM �p iuv 97, o a Sufi Soll., - 2VZ 4'PvF IW. GAL. 9(,. 7 /' wv. 8ox 9c,q Se-Qrlc Io 1000 95.9 1Iwv. liry ' �tE�ht �stlt-. yG 6 9G,7- ? LEac N 'A M�p�vM PIT 5'Nmco Wirt-! Ao , WASHED SToN� 89.8 tr--«tom _ l'LC:,'T- P=t- A.i,_j L hC f.>.l`i U r.1 f{ Y A N ►J VS - - 17 �s.8 Jo scat_++ ti�nt�r; I�N --301=r �`�__ ' z /z7 /77 pt_.lk 1J l'�=.1=i_t-:-i *',. c - i�-t A T' T I-t o N D A ort ,t 1cT.t i►J i W iT14 T1-1�� L, O T '7 <.:,t� `��.'1'l'>ti c:iC t.'t":C,};�t.:.'.C AIi�:t•.l j•; C3 4= 't'•►-t t-:: ;��t,v►u rt- �� >z►�! s`t�� t.t L., G, 3 z 4 g Pl, ia 21t� �Y t ter 1tJL - j t lt-� t't .i1►_1 t': I-ICIT of -i b"_j . t t ; I I I Irni 1 _i CASE WIDE DEVE �. I t �',t l• I , ,I . I I t I I:/y�I �It ., gyp,/S M 23 f l 1 �1 V ;ate `" MCHARDA. =' EAxT T LoCAT1O" 0-(A44"1,5 !-C GBtZTtFY T"AT' Tt4E t�tlt•tt7mow -5oA uw R�F'�Rc►�1G� ur-Z Eow C0AAPL I-eG W ITN -rwc- ,t v1E.0 WE: Lor-? Awr—> SET$AGIG QE4vi¢EmewTS OP TNe -tow LJ /o�= '8 A2 o1 TAZ LE C. 3�Z.a4l BA,XTC9, -;� twe- Re G 1 S rr-R>~t> I-A 1,t o Spa s��✓ Y c�czS "t'1-�►5 DL-AE-1 IS UOT BASEl7 V�J +�.0 OSTE�L.Vitlt� O A�ASS� IIJ�;CC't1�VlEt.1T Svczv�-� � TtaE c�F�'S��S SNcwtx> APPt_t GAtJ'T' 1 hb`C' 6E USCD To Dt�'TGeMt N� LOT Ll t.tC�; CAPa W('t�� vti:l�• „�`'”` • TOWN OF-BARNSTABLE - Permit No. _1#14?hill 9� Building°Inspector cash 4 3b0.00 (Cape„ e •�` - — Develo dent OCCUPANCY PERMIT Bondi _ No building nor structure.,shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Llewellyn Realty Trust Address Lot 7 Old Strawberry Hill Road (578). Hvannis Wiring Inspector Inspection date 41 Plumbing Lispe for Inspection date Gas Inspector Z Inspection date Engineering Department j j Inspection date 7 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. If .................. ! . ...._, 19 f ................ . IV!........................ . _...� _....... Building Inspector k 17� Assessor's ma and' lot"number ... .. . ...... ... .... ZTEM � 2 �'7�.MUST BE INSTALLED IN COMPLIANCE ci WITH ARTICLE II STATE Sew�ge `.,errnix number .' SANITARY CODE ft ,,: AND TOWN, t �04tNEro�«o $* r TOWN OF BAI NS"TA$EE Q :i) :fi BAHH;YTdDL K _ 4 7 '�� y f 9•5, , ..4 - BUILDING INSPECTOR s �y G M p. ' r ''7 APPLICATION`,FORiPERMlT TO s"�... :K-� .... � ^L ....................................................... TYPE OF CONSTRUCTION ....:" f?a�. L� K4 ................ :................................................. CAI TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies1 for a permit accordingto the following inform n• Location ...LQT...:,la....®.f.p... ....... L...:................................................... P ProposedUse ...U�.� .1a�. L t-................................................................................................................................. Zoning District ....... ... ................... .. ........... . ....... . . ..... ire D' irict ................... n _ ....................... Name of Owner .. Address .- t............................I .!'��a...... .. �}tJN(5 Nameof Builder .. . t`e. ............................................Address .................................................................................... Nameof Architect .........:... �'�.............................................Address .............................:................,..................................... Number of Rooms I ..........................................................Foundation Clw.o..C, Exterior .....t. .... :..'.......................................................Roofing d? —. '......................:.............................. R.. �T.......................................................Interior .......F? r//C�•OC. ...............................Floors ...... . ....... .. ..........:..... Heating .4. .....T '.1.... T .....................Plumbing Fireplace ....../. .4 ..................................................................Approximate Cost ../ ;;C?c?............................ ............. Definitive Plan Approved by Planning Board -----------______________ ______19 Area ....'...... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I he agree to conform to all the Rules and Regulations of the Town of Bar ble r ardi e ` construction. Nam ..... ..... ..................................... .... � ' , ' ' . ' . ^ - Ile wellyn Realty Trust Liew . . PERMIT REFUSED \ _ ^ . ^ ' . . . . . , . ' . . - ' ^ ' ' � | ' . l < " ~ . ~ - ' ` = - . . —^`^—'—^~^'—'`^^^---^—'-^—^— . . . .- ~ , . —.--.,-.~—...--......—...~...... � Approved ................................................ lg ----------.-----..—.--.---.��, . ^ ' . -------------------..—.---.. . Assessor's map and lot number r -...!....a f�/�'1 / <- f `77 Sewage Permit number .......................................................... TNETo�♦� TOWN OF BARNSTABLE Z BAHHSTA➢LE,O MABIL "6 9 BUILDING INSPECTOR lieAPPLICATION :FOR PERMIT TO ... . ........... . A - � :���°'1-•' ! �... �* ...................... TYPE OF CONSTRUCTION ... ?• ?c?T..,,... w.................° 1 ............................................................................. ...3.................:.........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................t�......r.:...n.....: j. .. .!. ...1`:.'.:. ............. ....... ......... ....: ....:............ ProposedUse "!....................:' ....!..... .................................................................................................................................... ZoningDistrict ........................................................................Fire District .................................................................. Name of Owner .. ...t-..... .... • :.......................... ......Address 13C.. ...`.....!`.....r 4........:... . ................................ Name of Builder � t t Address ..... Nameof Architect ...:=".. :..................................................Address ... ............................................................................ Number of Rooms Foundation ! t' Exterior ....�•L,74 f f "' f 1 ...Roofing ...... . "...................................................... ....................................................................... Floors =1 r\ t i .Interior �. ...........:..... ................................................................................... ............................................................... Heating .........................................Plumbing f...' ........................................................ Fireplace ........�:.:..li..................................................................Approximate Cost . .. .................................................................... V`! Definitive Plan Approved by Planning Board -----------_-------------------19 . Area ...... / ,, '......................... Diagram of Lot and Building with Dimensions Fee 7 " ............. .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y z 1 r_ .Name,.. •,�'r' r......... ............................................ �;, Capewide Development Corp. M-27,1.1-102 r No ...ZQQ15... Permit for ...CQ .�tt�pt kg...... i a .......aingle.1 mil. ..dwel.Ling........................ Location .57.801d..Strawbexrry..tii,l.l..Rd........ .............Hyannis.................................................. Owner Cap eaide..Deve1opement-Car.p....... Type of Construction ...wood..fsame................. ................................................................................ I Plot ............................ =—.A r Permit Granted .........M,arch-13.............1978 Date of Inspection ....................................19 i i Date Co Imp eted ,-�^'` ..................19 # PERMIT REFUSED .... ..... . 19 .......` ....C ............ .... ............ ..... .............................. . ................. ........ ......... ........ ............. ........��............. ........ .......... r Approve .................. 19 ............................................................................... ............................................................................... elk: Ate JA i � } 1� k a'4'� � AQ�12'T' �haiT�o1J Fob - �vC1e1..wS r�o�.�3�5► �`� CEQTIF IEo p LC) kocATIO" I I [ G t T t F f T"A T T"G W'1 T" TEE= -j i DiE.l_ "C- �t L> �L.TI✓/Lrk [�UirCEN�e1-j� ri �F T►4e I .� i. _�L.;'..J�.J yr " ! '� ,-_ •,; lam.. J�-�• f l �� ' g�4XTCIZ • Q�.GIS C'C--�cD 1r.1�IJ� `�1�,`�'�=YUi-' i �,i _-> ; 'L%, : 1 ('� OS �EC`�1!i- - LJC> ! " r r .t� \;_�-.� �'- ,�. ._..i i_._'-t '{ .r\J r' L:F- 4-•�•_�'i •")i 1._b_.':.�. � t\i r '. L/i 1�1 T , ��. . .. .- � • A t I �yc �� . \ ��c� rr ,�,�i � '`/ �` "J is ma and lot number �`S.... 7 p r Sewage Permit number .......7. ................ SUMSVS?EM M ALLEO IN CQM _ House number ...... p�... ..( c LE. .............. .... ,.{u 90 Mb a �iMAONMENTII� Co 0 39 TOWN OF BARNSTA sow BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............................... TYPE OF CONSTRUCTION ... . 9..7... .. .......1-S........1 .1 TO THE INSPECTOR OF. BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .... .......•.l.•....�.S.a�... r�'.f��.4�t�.!�.�t'�L�G,...��f......... /.. ���.�1............ ProposedUse �u -.�.. E�. �l .................................................................................................................................... Zoning District ...... .'..J................... ........ ... .... .................Fire District`... .. .. ..���.r..�,�........................ .. . .. ... .. .. Name of Owner �� -� Address ` �') `................. .......... � Y.. Name of Builderk.4LQ?T4(-. W..VI . .. ........Mc1c1ress0?.!9A �:1 �SQ(JJ/8>. Nameof Architect ........./�..t............ .....ddress .................................................................................... Number of Rooms ..................................................................Foundation.!6$.��� ,....1..�. fl ... .�O:N....... Exterior .......!..........�.. .............................................................Roofing �. L"T.....C �A:�G Y— Floors cQ�. it. .f� .Pi�.�..... ?.W.1.1 . ......................Interior ..... .An- ................................................................. HeatingN1 .....................................................Plumbing ..........�l�................. ................... ........................................ Fireplace ..........Aj./ .........................................................Approximate Cost �....................................... Definitive Plan Approved by Planning Board -----------_-------------------19 . Area 11 ...`.... .! Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ... . .......... .............. Forbes, Douglas 21299 add carport ................. Permit for .. ... ............................. 'rti o dwelling ........................................................................ 578 Old Strawber• Hill Rd, Location .................... ..............................ry........ Hyannis ................................................................................ Douglas Forbes Owner .......I........................................................... Type of Construction ................frame .......................... ................................................................................ 7 Plot ............................ Lot ................................May II_ 79 Permit Grdnted ........................................19 Date of Inspection ....................................19 -Date Completed ......... ...... ...... 9... . .. PERMIT REFUSED ....................... ..................................... 19 ........ ...... t i '.� y .............................................. ............... In 7 cry V., .......on.N........................ ... 'S rn 0 ............M...... .............. ......................... ............................. ................................................ Assessor'is map'and lot number ............ -r o ........ ....................... THE Toy Sew d-§e Permit number .......7 -7 .................................................... . I P5 j?t67 8 BARNSTABLE, House number .... — ................ .. . ......... MARL 039. A,. TOWN OF BARNSTABLE BUILDING INSPECTOR 4 APPLICATION FOR PERMIT TO ... ............................ . ...... ... 40- TYPE OF CONSTRUCTION ...( A,,.,tom ........................................................................... ................................1'�...........19.77 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- -7 Location ...�_n.7T........ ............4.. .......................... ProposedUse .... P_=................................................................................................................. hw ZoningDistrict ................ .........................................................Fire District ..........I......... ............................................... '80 Ck S 7,9 Name of Owner .........0 .5....... ...Address .................................. .....r2 ..ykff:�....P ........ .... ... ..... .... ... ..... ....Name of Builder . ...... . . ... ...... Name of Architect 4.0. .T Address .................................................................................... A Number of Rooms ...................................................................Foundation ....... Exierior .... ...........................................................Roofing ............... Floors ... ................ .................Interior ................................................................ 4- A Heating .........................A..................................... ...................Plumbing .................I.................................................................. Fireplace ...... IA- Approximate Cost ....................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area 1.2.y.................................. Diagram of Lot and Building with Dimensions Fee .......40 ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . P Name . . ... ..... ............... . ............... Forbes, Douglas -lk'W-273-lO2 No --..212491Permit for ..add. --- y ,_..to..dvwall ......................................... Location^ ...5Z.8.Ild.13 ' * ..................Hyannis.............................................. ' ' owner -.JJocglam.Forbes.............................. / .'+~ of Construction. ' � -----------' Plot ` - ' ~ � nw"". ="" ="Inspection � , ~~'~ ~' ^ DateCompleted � ' PERMIT- REFUSED � _____ g --^-'- '�' T . ... � \ \ ----- . ...... '-. - -----... � \1 � /\ '---'`----'' ' ^---~--^--^^'---' -'--'---~'' '-'-^--~------^-^ \ . Approved ................................................ 19 --------------~'-------^-'-- � -----------.------.---.--..-.. � � |