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HomeMy WebLinkAbout0210 OLD TOWN ROAD ��� �l� `� ,��. �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION N Map Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee / 00 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address -Village 0ra L41- Owner Address Telephone Permit Request w Square feet: 1 st floor:existing propos d \ndwayte ting proposed Total new Zoning District Flood Plaiundwater Overlay Protect Valuation Construc ion Type Lot Size GrandfatheNo if yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two F mily ❑ its)Age of Existing Structure Historic H ❑No On Id King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl Walkout ❑O Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including b ths):existing new First Floor Room Count Heat.Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existi ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size f Attached garage:❑exist' g .'❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Nam - Ma! 4f 130LJt>og6 LL4-Telephone Number ',Z/ 23 3 Address�,gL fig. "--— �' '°i .Licen.sebS C1tE'l��f t,lhsa 1M�— 47��i Z Home Improvement Contractor# [?zA92 `d orgf"ftf;s Compensation# ALL CONSTRUCTION DEBRIS RESULTING FR0MtT,;MIS,RROJECT a WALL BE TAKEN TO rat _ 1►Mc� 1L �I y t? �� Y.f.,laJ P SIGNATURE DATE 7b 'Q FOR OFFICIAL USE ONLY �i 4- PERMIT NO. • f, DATE ISSUED - MAP/PARCEL NO. i ADDRESS VILLAGE OWNER 4 DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. v Town of Barnstable Regulatory Services �BAMSTA"HLE,g Thomas F.Geiler,Director MAM 4'ArE0,39..�a`` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 ; Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied, building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: lealEstimated Cost av Address of Work: D Owner's Name: f, `$ SytZ9*A-4 k Date of Application: 2 Y2'049 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law []Job Under$1,000 QBuilding not owner-occupied 'Owner pulling own permit Notice is hereby given that: -OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:fomvslomeaffidav =row Town of Barnstable y° Regulatory Services _ t r 'recto tom. eiler,Di s�:rsr Thomas F. G , 01 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us -Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r►�Y)/-a A , as Owner of the subject property , ,,( ST .hereby authorize to act on my behalf, � tu-- -� in all matters relative to work authorized by this building permit application for: o (-0 6 Li- (Address of Job) 2. � 0 � a Signature of Owner Date Print Name �icensure q BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r F o Number65 080591 Jr Birthdate:06/28/1972 '.' Expires 06/28/2007 Tr.no: 11534 N Restricted ,00 RICHARD A PRCHLIK f CE BOX VIL `'` "� ;4.' CE NTERVILLE, MA'OT632a�° # Commiseloner - 1 ��1�e�orxononeueal!/a o�'✓�lirttts�ueeeof�. , i Board of Building Regulations and Standards S 'y I HOME IMPROVEMENT CONTRACTOR Registration: 135897 Expiradon: 5117/2006 Type: IndlNdual i RICHARD ANDREW PRCHLIK RICHARD PRCHLIK 292 FULLER RD CENTERVILLE,MA 02632 Administrator MainjtE)Idg@aoLcom ('Done... 508.280.6295 (� Fax... 508.771.5571 w—Main5t f5uilding.com �v °FIMEl°� Town of Barnstable Regulatory Services BAMszaBi.$MAM Thomas F.Geiler,Director 'OlEDMA'lA`� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at aL�> ^ � t_/k_-k J ji; ]3� L:5zr c_C ,hereby certify that -� e V__` 60 �G .i longer Construction �d��l.V Cam— / s no g Supervisor listed on the application for the project under construction as authorized by building permit# ��'�� , issued on 1 12 °�!0 200 6 . I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. 06 PROPERTY OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:080102 THE r Town of Barnstable Regulatory Services 9� g` Thomas F.Geiler,Director �Fo;;.� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 r' NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I,� (Z �"t u— , Construction Supervisor License # 0A26-1-')( ,hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 91 co issued to (property address) 72 IU DLb on v , 200 G. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) LICENSE HOLDER DATE q/formstnewcontrb i t:{3td-€Iee Map Parcel 7 — Permit# - House# . Date Issued Z Fee J Planning Dept.(1st floor/School Admin. Bldg.) THE } Pl Definitive a ppro ' by Planning Board 19 ry p RNSTABLE.�` t MAR& TOWN OF:BARNSTABLE ; Building Permit Application Project Street Address �ZZ/7:1 Village /"C�,c�.!✓�L//�' 04 Owner Z4 Address F .Telephone Permit Request t } First Floor _/3 'S� �n square feet Second Floor t square feet Construction Type „t�r E t 1 Estimated Project Cost $ ,2 �t Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No • Basement T ull ❑Crawl Type: ( ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information r d� Name � �, �+�;� Telephone Number Address J,a2, vl/ Licens es b�t� /7C�,,� S/j1✓ Home Improvement Contractor# eLLa ,c Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ' DATE BUIL19 I D ED FOR THE FOLLOWING REASON(S) f , ' R FOR OFFICIAL USE ONLY iRK". PERMIT hl o. DATE ISSUED MAP/MA Cgi NO. ADDRESS = ; , VILLAGE' OWNER " = - . , � _ - r � , � _ - - ,• . ... e. r ; DATE OF INSPECTION: FOUNDATION 41 ,FRAME _ INSULATION t t FIREPLACE - `ELECTRICAL: ROUGH I FINAL - PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT :, f ASSOCIATION PLAN NO. ( ; r ' } ; 4 k ► { The Town of Barnstable 9�A�MAAW �0�' Department of Health Safety and Environmental Services lE1679.� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione I For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures,_which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cos ypt , • /Address of Work: �wner's Name Date of Permit Application ' l�f I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given thai:., OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGIRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the own r: Date Contra for Name Registration No. OR Date Owner's Name � � � �:;. � t ;h .� � ��' „�•�� r aka,,�.. �,•_. -,�,:� s-. i;�,;�c COMMO"EALTH OF gIASSACHUSETTS Bo4Td t++ .:A 4wFs: \y+, 7f.: . . ard of Bwldmg Regulations�"n Stan arks, ; �° One.�shbu'ton Place 00m Y30_L. Re�ISMdfiOtt' 3���� � :•�. Boston,Massachusetts 02108 � z + ?4 � a �. 'Application for newel of Registration a§a Home Tm rovemen ' � � Contractor or Subcontractor�� . � Ifd on !rate +�MGyLChapteyr 142A,780 CMR RI y�Aq�._ � S y M— -3 $Y Jt�;h4'.•1 '}ta }��g-y 4 9• c� AN (PLEASE READ CAREFUL y �' J ),�•` �i�g r .f��fpN -� f.�tir '�!�� ,YF �' �s,a r r�r.- �p r ) tuJ f n4)t }F 1-iI$. R Ate'( f� ..�.•l.S•- . _ �i l.' '.iK y Dam-YAM s7. lr I mess Name c ~,at�Lip W� > Print the name m which the apphcanE is conductor mess BACK O_F: � �r i'v .1 ha��:lFdf•4...t(ll.�p.k xi r. 2. Mailing Address q}r AN j- �r` ;€ 2'ri � �a ;� �h 0 ' i � ":, e - eh 'hoe YK 4d eat Address fifaitterent�: Print street and Number-a P O;Bo.�xi�}f of 9•�x'?y" "Ga`z ,r "a'yJy. aY" '>'h ' 2y'ls .:.i:.. ip• ` .SAppLcant type "' divictu> D$APartnershi on Public Coipo on .: r.4 +\ Rea a�.� e�+r Check One (See o back regarding a 0 y or fawn t)BA'or 0. 5 6� M � ♦ � -,�.:f3.?' A°(�bYif, '•>c- �a H _ ti aOC-1 Secure or p- umoar fi bar o m o ees +r .r`-'y k x a ?' �;,, ^#t l•5t. y +y ,+' �f�w, ,pv rAr ,tiA: '�> }��f`aE �. zxynre , ` x •� BCK Of•'Olin�t .3$• ' 8 !Have you registered previous y unaer this Iaw7 1 i v try k�'? 1'"¢�'s�• y � �``^�'r+4a � �i) .I {. " w� , ,s � } �� � �.�;�f ,�:r�f�'� r'"'�+� «�•��,`^K S'r � .� � ��. .�' ,�M '� ems.�� A r� If so,under what`! T1ame:: 9' Individual responsible or Home Ytnprovement Contracts .1 back of form) „ p� MISockal Security No t p c. y ✓ �y.. t 1sart_< k ag>f;,I�, 5. .#.::'iSr r. r`f 3, r =i• u +t 3 Title of individual nsible forHome Improvement Sir AF- so TREASURER'S CHECK Ipe 869071 €� God TM member F.O.I.C. APR 22. 1998 TO THE ORDER OF : •oo . 1.00 DOLLARS AND - 00 CENTS SHON A.SCHOFIELD THE CAPE COD FIVE CENTS SAVINGS BANK 53-7107 AUTHORIZED SIGNATURE HARWICHPORT,MASSACHUSETTS 2113f '>= c. ,_ II.0086 90 7 Lip' �• i 7 i �• 7 ,iI PERSONAL OR BUSINESS CHECKS WILL BE ACCEPTED UNLESS THEY ARE CERTIFIED `' 5 p\r'F" srfy�- � i�3� �.s M r #�x- {�` =t Pursuant to Massachusetts General Laws Chapter 62C$49A,I certify under.the penalties of per ury that I, zr'a� " xf to my t knowledge and belief ave filed all to turns and paid all state taxes required under Isw z vr .0 .; :r,' �,::- �9;,:t°��7 ••R'? °f�, !_' °4erao- 3, [rg ....+ ti h S � +m ..� � ... - .i✓t nt-s '�riV`C•f�L'� �ttii�t. .` �/y/P,'?�:� k: \`r.rat:;: t �s. ��✓���� , 4—�v azure o applicant or applicant s represen ve �,,, ; s,; -G f„�,Y, �, Y� Title held with applicant A false answer to any question in this application constitutes grounds for suspension or revocation of the applicant's registration. The Commonwealth of Massachusetts P-7 Department of Industrial Accidents Office 9112 ve51f9alfORS - _ 600 Washington Street Boston,Mass. 02111 Workers' Com ens ion Insurance Affidavit iiaiii�������������������/ riia name: location: city hone owner erformin all work myself. Iamah e p g I am a sole i netor and have no one working in any capacity ❑ Lam an employer providing workers compensation for my employees working on this job. com nnv name: address: city _done#: insurance co. olicv# I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: Mr. phone#- insornnce co. cam anv name:' address: city, olicv# phone#: insurance co xXxxxx Fafiure to secure.coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under t pains d penalties of perju that the in rmation provided above is true the correct Signature Date _ Print name Phone# official use only do not write in this area to be completed by city or town official city or town: penmitAlcense 0 ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's OMce ❑Health Department contact person: phoneN; ❑Other (tevuea 9i95 P1A) Information and Instructions �.r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 pi number which will be used as a reference number. The affidavits may be redirned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 lovesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 TOWN.OF BARNSTABLE Permit No. _______.215Q2 Building Inspector Cash 039 OCCUPANCY PERMIT Bond __x_ "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 Greenbrier Dev► Corp., Address Box 510, Centerville lot #6 210 Old Toval Road, hest Hyannisport Wiring Inspector Inspection datefA - ZZ 7: Fa Plumbing Easpector/n1 // ff Inspection date Gas Inspector �,:;^ i / >* Inspection date 7 ,1� '1, Engineering Department ''I��� ova � �� Inspection date 7 `� -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. _...............`,.� _..._. _, 10rBuilding�Inspector....... _ ___ S [� Tv d X 4r s k.' i a. �7 /_{ • - r t r re } <vuq '`i, t rid{4<gi N 4 ill* • p \ - r/ \ �� • t".. , y{, 7 i ttr F, r 7`"R xen k�� �t I�'s 4 _ J . \ r,.� ,, e � £ x �- ✓ �. l� •t �r r r fir%', Ig: f � ' C'• F �Y Y ,.h S "gyfill, 0 ✓?,1 J X�':/,i-' ., :.v ti N+*cf'}:v•u- v Nth, tz tiY t `.xY t r p, -4y "• x L s. 7• \._,` ., 1, •� r,� t s"�i ,( ::?{e JiA '4a�� �� a ry7t. rely Ei�,i p• .W k.. _ .� ' - .`�r-yi .1 'N .i, f °�� N".."� � ° f,{�° t �� f .af 1 •- (,, fA 3 i}Yj -� -vt: -J FF k i Pt' j4r � t.. �. 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OF r,l ROBERT P. p _�• _ t`f ) ql ys ,f' wt .l s s v BUId1KA$ a + x r o am CERTIFIED PLOT P A ®sAJRQm' LU T 6 �'J LO TO WjV a `I�EW' OOUSTI .UCT10.6V ONLY h i ' TO 0V:F;0 UNDAT10N IS 'J�2 FEET IN x A®OY+� LOW POINT OF ADJACENT IS �A �� ®,�A L s k 1 :, ��,A® 'tee' �{` r - r`: •. _ .- .. _� .. / � ,.. •:: SCALE "_30 DATEUT-MNEDGE' ENGINEERING CO._IN_C� L � .' 7 11 511 AS CLIENT ����'"`"� I`�CERT;IIFY THAT THE rovovp,+-riot ,sr rE �'ERE® RE®ISTERtD SHO�PI O'N , THIS PLAN 13 L®Cl� BEd A JOB NO. -79°L 6 ON THE GROUND AS INDICATEQ AId® '� : � LARD1 ,A . yCONFORMS TOTHE ZONING LNEER StDRVEYOR DR. BY.. 0F" ®ARPdST SL IlA e ' : -3-..NO. MAIN ,ST - 712 MAIN ST DD C�0. 13Y• bm_ � f,, _SSOYQ�iIQtTN-o=�4AS-S L �;YAr.NOS—R�ASS. SHfrET OF DA E RES. LAND 910R!/ ' '9',�IAe.6ssor's map did lot number .......................... of To ,.: 7� '5 f�. .. SrSTEM M Sewage Permit;:number ............. .E IN COM WITH TITLE 1 y� M6 6 ABLE, House number .. .................................................................. ENVIRONMENTAL "` t 39 C _ ^ '' �way a• TOWN OF B-MR.NST iffVE BUILDING: 1,,fi l"ECTOR 4 lz�APPLICATION FOR PERMIT TO 4.en-�- .....IV& .... ... ........ TYPE OF CONSTRUCTION ............................. iirG��.,�....... . '�..� ..�r................................................ ............ ................19/... TO THE INSPECTOR OF BUILDINGS: The undersigned he eby applie//for a permit according to following information: Location ......... ................G .........e49 .........1. ...�!/ .........�; .".... .. .. -" ProposedUse ...............� .. . ... .! ................................................... .......... _ Zoning District ......................, . 1. ..............................Fire District ........... ..... . 7.e� . .. /..Name of Owne Kl&,y.. .Jewl. ............. .......Address ,e ... .I ./.�...............J...... Nameof Builder ....... .. ��r ....................Address .................................................................................... Nameof Architect ..................................................................Address .................................... ................................. ............. Number of Rooms , � Foundation .:./.� ��. ........... ....... ... / �.....3.,.... ....... ....��............ Exterior ...... G .��� ...... .. Roofing .............s ?.�7........ .... ............. ... ... ...1.. .. .L �-.�i�. Floors � � / . ...................:..Interior .......... � .................................... Heating ..................... •..��l..C............................Plumbing ......���s .... .....1/ � ................. Fireplace .oO.01�. e...................................Approximate Cost ..... . Definitive Plan Approved by Planning Board ________________________________19________. Area ..... 243 /....a....... Diagram of Lot and Building with Dimensions g 9 Fee ............ .... SUBJECT TO APPROVAL OF BOARD OF HEALTH o AW i I hereby agree to conform to all the Rules and Regulations of the Town o arnstable regar ing the above construction. 3 Name ... I.L. .... ... .. ...... W ©7g f 1 C,reenbrier Dev. Corp, � . Z Ao 21502...... Permit for .Qne.:.StG r. dwelling � Y• .................... . .. .t�`............................................ Location .... 6..Qld..Towa..Rd.,................ .............. .................... I Owner .......... Type of Construction ....frame........................... ..................................................................... Plot ............... ............ Lot ................................ July 26 79 Permit Granted ...................19 Date of Inspection ........... Date Completed .. PERMIT REFUSED .................. ......... ....... .... .......... 19 o %� ..Y. o . ........ .............. .. ... ........... ....... e .�..'........................................................... Approv€'d ................................................ 19 , IZ .............................................................................. ............................................................................... l 7 . Assessor's .map and,lot number ................... ! �t PLO*TH E r0� �Sewage Permit number .... _......�__...-...................................... t BARNSTABLE, i Housenumber ................................................:....................... r MAea 00 i639• \0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .:... j t'. 4 .. p ::......f ! TYPE OF CONSTRUCTION ........................... .//�/ l/ ... .�'"' 1 ?.. ................................................ ............k:?..'.J. .................19/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies,/for a permit according g to the following information: Location ............... .. ................... ......... .........,.................................... � •.••••••. .. Proposed Use .....................L"...• ..... ............................................... ..:.........�................� .,......... .............. ......_... ZoningDistrict .........................: f;�..............................Fire District ........•.•••••••.""��' .....................,.................. Name of Owner..?�,oe'-O �'1P�Y t°. .....t 2e'...Address 4 .... ./.! !�!1 f ,.... }G Nameof Builder ......... ........ .. .........................Address ........................................... ....................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms `�� � ®� ���~'� ................................................................Foundation j......... .......,................. Exterior ...... ..............��� .....,.. ,........._....,..............o....Roofing ............. ,r " ,�:/.✓t/. _ ............. .C-�%�.e/�....�....� ...�t t.�................ Interior Floors �:.......�. �....�.�...,........�:................................... Heating � r " 1 Plumbing ......1._............................ ..... .................................. �?. . .v ..._............................... Fireplace ........................ ....... ..........................Approximate Cost .. � �....................... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ....., .,. ... ��r:.�.. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a J C 'j J J v r v- ti I herebyJa`g�ee to conform to all the Rules and Regulations of the Town ofjBarnstableegarding the above construction. S �� Name .........� !`�..:�.. / '�.�f✓'-: ..., .........../ Greenbrier Dev. Corp. A=268-78 - - No .2-1.502..... Permit for ....ana..st,or.y...dw.el.ling .................... �. ............................................ Locatio ., ... ld-Towli..Rd................... ............ ` .........W- Hyannispor-t.............4........ ........C�r.��nbri�r.l.Deu.....Cox��a. Owner' .......... � t YPConstruction frame...............e �(@i4oy ..... ........... ....... �. ........... f• ............ ; .............. ........... Plot i �' t Lot Permit Granted,. ...............i.�TLIJ,y.....2tZ3....19 79 Date`of Inspection .....................................19 0 Date; Completd ....19 PERMIT REFUSED .... ...... .. . .. .... .......... ............ ................. .� . ...... ......... ........... ................. .............. .r.................... . .............................. .. f. Approved ................................................ 19 ............................................................................... ............................................................................... Ile as r ° 00 - a Y 2 9 7 ' 7 r 2 -A ` 4 o 7-- A/o_ 08 ACRE:,Y ..� l e f 39 z y ,eE 1Y CEW7-1,,1:71 71--1,47` 7 ,16c CoAlCX4= 7-2 � MAP 278 AARCE[.� $-9-g. /9SSE S SoR �ald /L��47"f®o�✓ Z�EP/CT ,d oN Lo7" Na, G�4 / s oiv 141V AC7"ZllgL. 1A1•s-rRUA16/V-r 5-61mV�6r Y. k 1 � SH OF R9gs�P so JOHN � 3 4 a bOYLE,I" s4 No.33589 I �� �fCIST aQ- "� SUR`'E� �i4ic�v57,•9 'G �� is-/. f 7L /994