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HomeMy WebLinkAbout0011 OLD TOWN ROAD Dld7cwn R �. / 4 ti Town of Barnstable *Permit# 06(,9/0 Expires 6 months m issue date X'PRESS P Regulatory Services Fee 5 PERMIT g � Thomas F.Geller,Director JUL 2 5 2006 Building Division r� TOWN OF egRNST Tom Perry,CBO, Building Commissioner ®l ABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION _- RESIDENTIAL ONLY Not Valid without Red X-Press Imprint . Map/parcel Number ® � Property Address Residential Value of Work dd 00 Minimum fee of$25.00 for work unU $6000.00 Owner's Name&Address Contractor's Name F Telephone Number Home Improvement Contractor License#(if applicable) f 2- r S Construction Supervisor's License#(if applicable) 0 Z ® Z UIorktnan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name ,.,Re lvc, Workman's Comp.Policy# 5�f 6 5 4 0 2' Copy of Insurance Compliance Certific a must be on file. Permit Request(check box) ` Re-roof(stripping old shingles) All construction debris will be taken to AR �''D d ""' �p ' r ❑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 signProperty Owner Letter of Permission. Home Impr ement Contractors License is required. SIGNATURE: Q:Fomis:expmtrg Revise071405 1 ne L ommunweazrra of lnassacnu-Yeltai 02 Department of Industrial Accidents A Office of Investigations _ d 600 Washington Street Boston, AM 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: B uilders/Contractors/Elects icians/Plu>iibers Amilicant Information Please Print Legibly Name (Business/organization/Individual): ��e- 4- Address: %r' c L 1 7� /<zd' City/State/Zip: &V 1-5 Phone#: 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(M and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing 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' 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. TContractor;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: ��C) c —4-- Policy#or Self-Ms.Lic. #. G G C)©S^�� S^ a z Expiration Date: Q� Q Job Site Address: 1J 10 ciC _City/State/Zip: o z to o� / 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and enaltles ofperyury that the information provided above is true and correct. d 2 — Si� Date: '� S— 6 afore: ..�----t----- Phone#: - rr 7 l /`//'// Official use only. Igo not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one)- I-Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructions G 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-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 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 liceases. Anew affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit notrelated 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. T 617-727-4900 ext 406 or 1-877-MASSAFE Fax 617-727-7749 Revised 5-26-05 vnytiv.masS.gov/ma afTNE,o,,, Town of Barnstable Regulatory Services XAS& Thomas F.Geller,Director ' �P i4'�' •,� Building Division. QED rAPj � ' Tom Perry, Building Commissioner 200 Main Street, 1Jyannis,MA` 2- 601 www.town.barnstable.ma.us )ffice: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Scction. 'If Using A Builder as.Owner of the subject property hereby authorize rs'r to act on my behalf, in all matters relative to work authorized b7this building permit application for, l v e-/ (Address of Job) Signature of Owner Date Print Name Q TORMS:OWNERPMESSION 4 . t ,t �tze'.-Vomviiio�zeue�f a�� a�ivarl� Board of Building Regulaf.-6hs and-Standards HOME iMRROVEMENT CONTRACTOR License or registration valid for indmdul use only bef.Ure the expiration date. If found return to: Registration 121596` Boaard of Building Regulations and Standards Expiration 5/24/20r-8 Onc Ashburton Place Rm 1301 # pe individual BOSIP Ma.02108 MICHAEL J.ARONNE MICHAEL AROWE a� 34 CIRCUIT ADNORT WEST YARMOUTH,MA 02673 1 e u v Administrator Not valid without signature - - - N ' oiTxsro• TOWN OF BARNSTABLE Permit ...... ,. • BUILDING DEPARTMENT TOWN OFFICE BUILDING. Cash a . A HYANNIS,MASS.`02601 Bond ... CERTIFICATE OF USE AND OCCUPANCY Issued to Address ...vm r,vey a ar�u avwa: :�asexu USE GROUP FIRE GRADING OCCUPANCY LOAD 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. �. r Bu lding Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT tkkB 10T ' TOWN OFFICE BUILDING � rua oYAY►. HYANNIS, MASS. 02601 € II .F MEMO TO: Town Clerk FROM: Building Department i DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit $k...... 1� - .........................................................................�............................................................................_..... issued to ...�.�....�... � ........! ?........ ....... Please release the performance bond. r BUILDING TOWN 0"'� NRNSTABLE, MASSACHUSETTS PERMIT °w - A-26 069 JOB: WEATHER CARD ' April 8 a6 ,:r�i' 29161 �9 �°Barrect- Builders°ATE i3 t.,P$RMValo , 1J 7 APPLICANT ADDRESS (NO.) '" (STREET) (CONTR'S LICENSE) Build dwelling li Single family dwelling NUMBER OF 1 PERMIT TO (-) STORY DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) i lot ffb9 jk01a Lawn. Road,, Iiyannisport ZONING nB AT (LOCATION) - DISTRICT t IN0.) (STREET) i BETWEEN AND .«..,._._._.. '. (CROSS STREET) (CROSS STREET) - ..Mw.:a_. LOT I SUBDIVISION "LOT BLOCK SIZE BUILDING IS TO BE _FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION I TO TYPE k USE GROUP BASEMENT WALLS OR FOUNDATION ,d (TYPE) ' REMARKS: Sewage #86-86 } BMNU' 768 sq. f AREA OR c., SO,aOU 46.00 PERMIT i VOLUME ESTIMATED COST � FEE Paul (§(1�aSQUARE FEET)` OWNER - S Pr'LL—IjEt.-TArlF���^AtAtr�C � lJ/ P T BUILDING DEPTY ADDRESS r — BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY 'OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OF PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNO,9R THE BUILDING COOj)��E��, MUST BE AP- PROVED BY THE JURISDICTIO�1. STREET OR ALLEY GRADES AS WE¢L AS DEPTH AND LOCATION OF PUBLI•CS R., EWES,4"Y BE OBTAINEC FROM THE DEPARTMVRTt OF.PUBLIC WORKS; THE ISSUANCE OF:-T-MIS PERMIT DOES NOT,R�LEAggE:THE APPLIGANT'FROMIITHE CONDITION! . OF ANY APPLICABLE.5'U'BOIVYS60N RESTRICTIONS. :� :•.J -•'-AE,T MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB.AND T IS WHERE.�A'PPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE, WHERE A CERTIFICATE OF OCCUPANCY IS RE= MECHANICAL INSTALLATIONS. -. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS IN PE TI N LATHE FINAL INSPECTION HAS BEEN MADE.' 1 3, FINAL INSPECTION BEFORE - OCCUPANCY... POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING.INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS IN ERING z z 2 N ��.... 3 INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS h ate r- 'R'6- ( 07 HER — 12—-__.—_cam.=- ------i,:`='— -'--------'— 2 M � I NC.RK SHALL NCT PPOCEED UNTIL THE PERMIT WILL BECOME NULL AND'VOID IF CONSTRUCTION iNSPECTIONS tAICATED ON THIS CARI NSPECTOR aAS APPROVED -1 HE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPgbNi STAGES OF CONSTRUCTION, OR WRITTEN NOTIFICATION. PERMIT 15 ISSUED AS NOTED ABOVE. i C ' 3 N OT 6 9 ko t 3, y ® ti 3 r 0 c� AO N J /�g.9 g 0 O p �OYH � C `' ems, 7� 3g' wI /Lr 0 ' r ,V �2 10 "I CERTIFY THA T THE FOUNDA TION SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS AND THAT PLOT" PLAID OF LAND I T COIVFORms TO THE row OF BARNS TASL E ZONING L OCA TED IN REGUL A TIONS" S N OF 0 BARNST'ABLE - MASSO P �. �r DA TE: 1 SBG' bAVlb q� PREPARED FOR y / /-CHARLES -)A U1 S A Co SANICKI �� 28085��a DA TE.' Ma,-G h 29, 198C SCALE' j '- j p Fr. � R. L . S. /ss�. �0 4 CAPE G ISLANDS SURV Y a s v E ING �g FL DOD ZONE .� U� TEA TICKET - MASS. tir , I', Assessor's office (1st floor): `'' Qa � . SEPTIC SYSTEM MUST BE Q�FTNET�� Assessor's map.and lot number. ....�......... ............. � o Beard of Health (3rd floor): INSTALLED IN COMPLIAN Sewage Permit number ......... .... .... .... � :...Si H TITLE ARNSTLBLE, WfT 5 t e Engineering ,Department (3rd floor): CODE A ,,�1639 0� ... '. ENVIRONMENTAL 900 House number :.. ....%<......Y�j.. ................� t................:.. �1'�1.1MGULAT9®(d5 N o APPLICATIONS PROCESSED. 8:30,9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ .4i. ..........1�b" .... ...................................................................� 1 . TYPE OF CONSTRUCTION ... .......................................................... ........" " ..1......��................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ...... .. ........ ...... .`F:....OL�..�lf�!k .............. / . ......................... ProposedUse ... .' . ......../.`"' `f. '.... ........................................:....................................................... Zoning District ..... . J✓...........................................................Fire District ...1�I�L�iF .................................................. Name of Owner :.... ......... ....... ..... ........................................Address ... ..:. . Name of Builder 21L f Uv�i � f ...........Address ....1"V�� � 1✓- j`A�(�.`'^^1....... :.... ... ........................... Name of Architect . ..iE.ltp�...lt....... .1. .L...................Address ...... 01:...l!!'t�" Numberof Rooms .................. ............................................Foundation ...... ................................. Exierior �i✓ ..�� /1✓i.'.:,�.f' 1 ��...C �?�-.��` .�oo g ...... n! .... .�usl....................................... Floors ..... ...............................................................Interior .r/ +tG..�C..... ! ..!G+?!!1��.................................. Heating 't............. .......6-7i� ................................Plumbing ........,1 .�4............................................................ Fireplace .....y(.$............ZIA...� ....... ...Approximate Cost ..........�.L©.0.0....................... � ...... f� Definitive Plan Approved by Planning Board -----------------_--------------19__ __ . Area ......7 ........... .. �d Diagram of Lot and Building with Dimensions Fee .........1..I . f SUBJECT TO APPROVAL OF BOARD OF HEALTH • U' c V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .. ............. .... ............. ............ Construction Supervisor's License .. ! 3O ............. ............ SHEA PAUL y A=267-069 - 9161... Permit for ,1 z..story...g9 j• gle o ^`H family,dwelling `.. ..... ................................................:. 4 Location Lot #69 11 Old Town Rd " ................................... - Byannisport ................................:.............................................. Owner ......��.11�'..Sl��r�........................... ' !. �v, 'A Type of Construction ... .......fXrZMe.............. f' ' a Kx . Pot ....................... Lot .... ........Y................. { April 8, 6 - x .•Permit Granted ........................................198 Date of I pection ....... ....19 t , -Date Completed .,e:� `. :.. .).�.. ...19 or- ~AWr.. s+ •`,"AIR#' �► �1 .. -Assessor's office (1st floor): OFINFT� Assessor's map and lot number ...:..... ...................�....... Bard of Health (3rd floor): �a Sewage Permit number '. c° ..!l i BasasTsnLE, i Engineering Department (3rd floor): j(� 90o YA°9 \ F'16use number oor se J::¢..... .........YII........................................... 0 YP9 a' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...:...$t*fi I.L.6......... b v.....1 MS.6................................................................... TYPE OF CONSTRUCTION ...AV61Dd.. e X°�� '°� . N..... ..... 19-6 0 TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the following information: Location .... .T....6.1....C r ?�(�C`'...: `�►n. {'....OLD 7Z1� A A,6 �L�/ I/I ADO R-1�......................... ..............................,.... ......................... r Proposed Use .�... !Lam. ... ....Zoning District .....Re....................................... ...................Fire District U C�itl!I..G(�4.................................................. Name of Owner � � s -�A�'1(- ""'► ��5�`7 1'�' ..............................................................Address ...,................................................................................ Name of Builder �� 0_ �?I Dt1<-S Address t �T C' r�� A 4,V4. ........................ � ....................... ...................................... Name of Architect DI.. ....I.t....... G L...................Address 3� 7rtr. S.C........�.. ........... .. .....4...�.....,.M. t Number of Rooms .................. ..................:........................Foundation ..... s G `^........ o^'.. 1 ................................ Exterior �/1/L..��...^T�:...../..�`�. ...C..............":?'.Roofing ........�'�� ...5�:+!u.s: ...................................... i Floors .....r"tIAAl.elf.................................................................Interior /!�"/j+�Gft c a� ........................................................................... Heating ... (' !e..�....... /L-...............................Plumbing ......... .......... .. /.I................................... Fireplace .....`Y.v ........... J.... ..........3 < -..Approximate Cost 000 ................ ............................................. Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......................................... Diagram of Lot and Building with Dimensions Fee 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 y construction. ( I Ic-Name ......... ...I....... ................................ Construction Supervisor's License ........13 ............................ SHEA, PAUL A=267-069 No 2.9.1.6.1.... Permit for 1 z..,story.,single famil dwellin .............X......................5.................................... Locatiogot...#.6.9.....11 .01.d...T.Own...Road. HYanni spo rt............................................ Owner ........:.............Paul...shea.................... Type of Construction frame ............................ ................................................................................ Plot ............................ Lot ... Permit Granted ............. i1.... ........19 86 Date of Inspection ....................................19 Date Completed ......................................19 P Lr ,!� P05 S $ 5'r . Assessor's office (1st floor): // oS1HETo Assessors map and lot number ......:..... [Board of Health (3rd floor): ;,Sewage Permit number ........................................... ! BAUSTADLE, S Engineering Department (3rd floor): L o rasa O 1639• �0 House number .......................�./...... ??..�......................... "�O MPY°r' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR o APPLICATION FOR PERMIT TO ....................................` ..../ ...L.L... ................................................... TYPEOF CONSTRUCTION ................................................................................. ....................y................................ ...`.....!.�....`�..............• 19Ua_ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 44 Location e</ ................................................................ .............. .....�............,.............................................. ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District ........:........................,............................................... Name of Owner d.. K.�'....5� '� Address .. ��/� �/'r�f1�y+L�!SL'1� .............................. .................................. Name of Builder �444tk !.!.....1,.`'�` �`�''r...................Address �7t� `"Iftr'r S'1� (� ^ Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................. Heating Plumbing Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board _____________________________19_____ . Area ...... .... rr Diagram of Lot and Building with Dimensions Fee / vtG ............................... ............. 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 If Barnstable regarding the above construction. . r Name .�. ... .... .� a 3 O� Construction Supervisor's License ........q............7........ SHEA, PAUL A=267-069 No ...28895... Permit for ....Demolish Single Family Dwelling ...................................................................... Location „,Lot 69,11 Old Town Road .................................................... Hyanni.spo. ... . . . rt.................................. Owner ......Paul Shea ........................................................ Type of Construction Frame ............................................ ............. ... ....... Plot ............................ Lot .... ........................ Permit Granted ,. January 30, 19 86 r Date of Inspection ....................................19 f ' Date Completed 11„�� jLv70(-Z1vX-v OA- Assessor's office (1st floor): ' THE A ssessor's map Land lot number .r .... oFro� . . ..9..... Board of Health"(3rd floor): �Sewa a Permit number r`��' g ).......,,... ' Z BAHl9Tl►DLE, i Engineering•Department (3rd'floor). �L 'oo M6}9 \0� House number" ....................... ,/;... Y1:.9V.................::.... �E0MAI APPLICATIONS PROCESSED 8:30,9:30 A.M. and 1:00-2:00 -P.M. only, TOWN OF BARNSTABLE : BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......................O.t_/S !y.... ........4-./�U.....'.............................................. TYPEOF CONSTRUCTION ...................................................................................................................................... ..... ..��.. ^+....a_ ............. 19gb TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .✓.L..(�.l ...G/e6.......6 .0....................—.0......1vN.....6 ......... .I' !l�M!f/°a/UT.................................. ProposedUse ............................................................................................................................................................................. ZoningDistrict .........................................................................Fire District .............................................................................. Name of Owner l�.. ... ''f f �� ............ �....�:....�.. .............................Address ..��!4.'E'�f�......�t/.f�11.,�........... Name of Builder ! 1.....(.?`'f 0 �''�-'J"...................Ad d res s ..`7 .. ?.'!'..., ....... ..I�► (................................. Nameof Architect ................................................................ Address .................................................................................,.. Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing ...........................:........................................................ Floors ......................................................................................Interior .................................................................................... i Heating ..............Plumbing Fireplace ..................................................................................Approximate Cost ..........................................:.......................... Definitive Plan Approved by Planning Board -------------------- ------------1 9---- . Area .......... ........ Diagram of Lot and Building with Dimensions Fee 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. /� NameZ....... .. ........ .................... Construction Supervisor's license CY3 017 S11EA, PAUL No 28895... Permit for ....D.e.mol.i.sh.Dw.e.11.ing .... . . .. .... . .... V7 Single .Family...Dwelling .......... ............... Location.....Lot 69, 11 Old Town' Road ............................. Owner ......Paul Sh...................ea....... .2- Type of Construction ......Frame................. ........ .................. ................................ ............................ Plot .......................... Lot ................................. 4 Permit Granted ..........japuary 30,.......... .................. 19 86 4 Date of Inspection......................................19 da—te Completed 1_01.en�.. . ..................19 *7, J cr