HomeMy WebLinkAbout0029 PINEWOOD AVENUE 7v
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11
Application numbe � ......R.
Fee .......... ... ..............................................................
KAMM Building Inspectors Initials...... .......................
Date Issued.'.............. ............ ..............
Map/Parcel.. ., ......- .. .....
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: `l WC)v, Au(-- S
NUMBER STREET VII,LAG
Owner's Name: A -(4 d- k Va,u ce-,j'n S Phone Number 5-69 77 f ,q al 1 9
Email Address: Cell Phone Number
Project cost$ (J n Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize &JA', �
to make application for a building permi in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
0 Siding Windows (no header change)# 5 ❑ Insulation/Weatherization
Doors(no header change)#_L_ Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to yd4a-,-'�t,"TA
CONTRACTOR'S INFORMATION
Contractor's name 40 f= S
Home Improvement Contractors Registration(if applicable)# 3 L4 6"3 (attach copy)
Construction Supervisor's License# CZS 0'77 o C3 (attach copy)
Email of Contractor Jope-c i(? db�:-4s7—. 1U6` Phone number S-6b 566—03 z 1
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION.NUMBER............................................................
- *For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No .
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent
Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required.
Natural Gas Yes No - , if yes, a gas permit is required. -
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval,
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signature. Date
All permit applications are subj ct to a building official's approval prior to issuance.
s
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): ']
Address: �`9 .,A11-AoLti A&A0
City/State/Zip: H� lvom<. A-v4. �o Phone#: 5-66 6-6-0 3 a 1
Are you an employer?Check the appropriate box: Type of project(required):
L❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'comp.insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers'comp. `. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of.
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the /airs and pe lties f perjury that the information provided above is true and correct
/� /
Si afore: Date: Z elZZ_Ca
-P--hone#
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Per #
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions ,
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 licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum 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.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.mass.gov/dia
Commonwealth of hi:s,a� , sets
E
Division of Professional Licensure
Board of Building Regulations and Standards
Constructibri' e. i
U' rvsor
CS-077800 Expires: 06/27/2020
WAYNE T LOFTUS .j=
78 ARROWHEAD DR ` -
HYANNIS MA 02601 `
Commissioner
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Individual before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
132463 02/07/2021 1000 Washington Street-Suite 710
WAYNE T LOFTUS` _ Boston,MA 02118
D/B/A LOFTUS CONSTRUCTION
WAYNE T.LOFTUS- 4valri
'8 ARROW HEAD DRIVEYANNIS.MA 02601Undersecreta NOWithout Signature
ry
Assessor's map and lot numberv..... � .V...C�.�. O SEPTIC SYSTEM /MUST BE
INSTALLED IN COMPLIANCE
Sewage Permit number ........ .. WITH ARTICLE II STATE
e SANITARY CODE AND TOWN
REGULATIONS —
yoFlNEro�� TOWN OF BAR.NSTABLE
r
B9BBSTAIiLE, i
1639.
`�� .s BUILDING INSPECTOR
tl dd v
APPLICATION FOR PERMIT TO .... .L ........r>9.. 1 T. -Lo...: ....,1 ��....
f . ...........................................
TYPE OF CONSTRUCTION ........l,N�.'..0..�..............................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fora permit according to the followin information:
Location ...�1 AU L' (.f'J®O� /D ��0�- —
............... .................. ......................... ...................... .. ..................... ...........................................................................
ProposedUse ............... ................................................ ..................... ..................I.........................
Zoning District "k�. ✓ ...............................Fire District *1... ..
................ .... ............... . ...........................................................
Name of OwnerP..A/ LD. .!✓! BR .. R!(�''Address P1 �t..d°C.® �
Nameof Builder .....AM.L�................................................Address ......;,5..&M.f.............................................................
Name of Architect Address
..S M(f............................. ....................................................................................
e,�7-- f3 L®���
Numberof Rooms ..................................................................Foundation ......................................... ....... .......................
Exterior WOPI)...... I,e 6 G) Roofing .... 5�/Sl>¢LT SPIJU �'L�....................
Floors ..........l .d .Interior
HeatingPlumbing
/..! ..........................................................................
/�� g vacs
Fireplace ....!V...®.....................................................................Approximate Cost ....................................................................
Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area ........ .................................
0�
Diagram of Lot and Building with Dimensions
Fee ........ ....................................
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.
Name ".(� ................... ............................
Hedderig, Donald & Barbara
t�c � o.P p2opCk�-'Y Li (o' Pro m Pei as e-
16297 Permit for ..,add breezeway & I
No ............. ................ '
garage to dwelling CNSs
......... ................................................................. i Poo LS (�
Location l Pinewood Rbad:'
Hyannis............................... t
............................................................................... { dA;D .
Owner ............Donald & Barbara Hedderig i
..........................................
1 ,
Type of Construction frame y�
.................................... � t
e
y .
................................................................................ r `�
� Plot ............................ Lot ................................ 1 S U sU
fiDe r
June 12 73
Permit Granted ........................................19 14cAD
'_.:Date of Inspection ....................................19
r
Date Completed ...e d...z.15................19
PERMIT REFUSED Ev CjT I k) c
E? 45r
au
...............................................................................
LatJN® ►/
keezeWA)f 4-
............................................................................. �► e�-�R,e,p I a R e Q
............................................................................ 3.
t
.:.............................................................................
.. Low
_ f
h
Approve ................................................ 19
........................ ................................................... �7-Rem
..................... ......................................................... ;; /Y
M /
CA`� 3/
��i►te T Town of bl
rnst
B ae G
P °o � *Permit# O ��`• 3
Expires 6 months from Issue date
BAMU, Regulatory:ServicesXAM Fee
9 16 9. `0�' Thomas F.Geiler,Director
�pTfD MA't
Building Division p�
Tom Perry, Building Commissioner ��'�
200 Main Street, Hyannis,MA 02601 u
ice: 50&862-4038 ,�f p rt 1 „ ..,^r•
508-790-6230 [ U0
EXPRESS PERMIT APPLICATION - RESIDENTIAL OrtLY"
Not Valid without Red X-Press Imprint LE
reel Number
.y Address 1 1" n e ( a n n �S
;idential Value of Work �b(� Minimum fee of•$25.0.0 for work under$6000.00
is Name&Address
irew�Lao � a► g y
ctor's Name Pa A Z�_Q AQTelephone Number
Improvement Contractor License#(if applicable)_ In 3--I M
:action Supervisor's License#(if applicable) Oat Q 3 a f'
6:man's Compensation Insurance
Check one:• .
❑ I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance
lace Company Name
znan's Comp.Policy# '] �,�\) L 0(S 8 U q./ t-o q
Y of Insurance Compliance Certificate must be on file.
dt Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to U11
❑Re-roof(not stripping. Going over existing layers of roof)
[] Re-side
❑ Replacement Windows. U Value ( mum.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.
iature
)nns:expmtrg _
sc063004
`s
4 A
o�TM�,�ti Town of Barnstable
°* Regulatory Services
I wxisrnau, _ Thomas F.Geller,Director
XAM
9`b f ��� Building Division
'�BD►dA'�p .
Tom Perry, Building Commissioner
200 Main Street, gyannis,MA 02601
vvvv town.barnstable-ma-us
Office: 508-862-4038
Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using ABuilder
G 'D�,(//N ���„ i S ,as Owner of the subject property
hereby authorize to act on MY behalf)
in all rriatters relative to work authorized by this building perm r,
it application for
(Address of Job)
- 3 za 0 s
Signature of Owner Date
Day( �JCCnITiS
Print Na=
O:F0RM9:0V NSRFERMISSI0N
+� '
fie �V
Board of Building Regulat'ons�an tan a�s�
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement'Contractor Registration
Registration: 103714
Type: Private Corporation
1, Expiration: 7/9/2006
PAUL J. CAZEAULT & SONS, INC
Paul Cazeault
1031 MAIN ST
OSTERVILLE, MA 02658
Update Address and return card.Mark reason for chang
Address Renewal Employment Lost Card
DPS-CAI G 50M-04104-G101216
Y.1911 )LOnIlICa&X. O� -------- -.
Board or Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR License or registration valid for iudividal use out}"
,,
Rogistratiott'. 103714 � before the expiration date. If found rcluru U1:
Expiration:: Board of Ifuiiding,Regulations and St:nidards
p 7/9/2006 Unc \shhtirton Place Itin 1301
;Type Private Corporation Boston,Ma.02108
l..
PAUL J.CAZEAULT;B.SONS.INC
Paul Cazeault ''j/
1031 MAIN S7 '';'; LG-r.�C ✓
OSTERVILLE,MA 02658 Administrator i ✓�++ oouiiruruuea�. u��,llcraiur/ruiella
Islo ! BOARD OF BUILDING REGULATIONS
-License: CONSTRUCTION SUPERVISOR
Number: CS 026325
Birthdate: 10/20/1959
Expires: 10/20/2005 Tr.no: 8603.0
Restricted: 00
PAUL J CAZEAULT
1031 MAIN ST ( ,Py
OSTERVILLE, MA 02655 Administrator
V rG�
Board of Buildin e ulations
One Ash burton Pace, gRm 1301
Boston, Ma 02108-1618
License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959
Number: CS 026325 Expires: 10/20/2005 Restricted To: 00
PAUL J CAZEAULT
1031 MAIN ST
OSTERVILLE, MA 02655 .
Tr.no: 8603.0
Keep top for receipt and change of address notification.
_s -
0
✓ DATE(MMIDD/YY)
24/2004
UOBD, CERTIFICATE OF LIABILITY INSURANCE
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Mc Shea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
g Y� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE
508-420-9011
INSURED Paul J Cazeault & Sons INSURER A: r
S of London
Roofing Inc. INSURERB: Traveler's
1031 Main Street INSURERC
Osterville, Ma 02655 INSURERD:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER' POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE MMIDD/YY DATE MMIDDIYY LIMITS
1
GENERAL LIABILITY EACH OCCURRENCE $
1 ,000 ,000
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $
CLAIMS MADE ®OCCUR MED EXP(Any one person) $
A LGL034776 04/30/04 04/30/05 PERSONAL&ADV INJURY $1-000.000
GENERAL AGGREGATE $2,0001,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $
POLICY PRO- LOC
JECT
AUTOMOBILE LIABILITY
COMINED
ANY AUTO (Ea accidentSINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS. (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND {7l W TATU- TH-
' EMPLOYERS'.LIABILITY
IJ TORY LIMITS ER
7PJUB-0095664A04 08/13/04 08/10/05 E.L.EACH ACCIDENT $100 ,000
B E.L.DISEASE-EA EMPLOYEE,$1
OTHER E.L.DISEASE-POLICY LIMIT $500 ,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1() DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURETO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED RE I
ACORD 25-S(7197) O ACORD CORPORATION 1988
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street, f Floor
Boston,Mass. 02111
Workers'Compensation Insurance Affidavit:Buildin lumbin lectrical Contractors
-�a••y` —•Vts
name:
address:
city state: MR: ohone#
work site location(full address):
❑ I am a homeowner performing all work myself. Project Type: ❑New Construction[]Re
a
1 I am a sole ro netor and have no one working in any capacity. Building Addition
A"�.. �.`�`�{�.. �-r� -:F,, x I'M MVP
D �:::,.f •,�..... �•�/,�(yy.
.Z9".:.•. �*f'�?"��..,�Y_ ...�.w3.�..�:.rt�vi .,
I am an employer providing workers' compensation for my employees working on this job.
com an name:
address: A, ICJ � I
city.
.._....�_'S`��L�� .1�.-�,._...._. /i._/1;...A7.z.u...�� uTione#• � P, �•y .
insurance co. ` ,/`��` 5 oli # `r A LA
❑ 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:
city. phone M
insurance co, Dollu#
company name: --
address:
city. phone#•
insurance co.. . olicv#
a y� M
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me.:1 understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify u7• the pains and penalties of perjury that the information provided above is truce and co r ect.
Signature Date
C
Print name —V L— C Z:e/���-� J Phone# ,�
[contact
use only do not write in this area to be completed by city or town official
town: permit/license# ❑Building Department
[]Licensing Board
ck if immediate response is required ❑Selectmen's Office
❑Health Department
person: phone#; ❑Other
Sept.2003) .
1
As.essor'r •map and lot number ...
iC SYSTEM MUST , N
Sewage Permit num �� TALLE ber .QiG .:..�z4.S C� 16 COMPe P, e`'
W'TH TITLE Z BAHB9T�
House number .......................'.................................................. ENVIRppqq��,eepp�,� y. L oo �ft
_ 4/iNMEN A Coo r,; fie,16 9- �0
'Fa Y a'
TOWN_ OF BARNSTABLE
DUILDIRG"' INSPECTOR
APPLICATIONFOR PERMIT TO .......................................J............................................:..........................................
' .o
TYPEOF CONSTRUCTION ........................... .. .. ....................... ............. .......................................
• � t
................................................19........
TO THE. INSPECTOR OF BUILDINGS: �-
The undersigned hereby applies for a permit according to the following information:
Location .:. ... ......... ..... .. .. .................................
ProposedUse ....,.. ...........................................................................................
Zoning District ......... ......Fire District
Name of Owner G ` ...... ...............................Address .. .. uv........................ ..` •...!......................
. .. . ......... .........................................Address ...... - .................................................
Name of Builder" ..... :
Name of Architect ...:. ...:•.. .......................................: .........Address .........."�"1c�-�.. `e.
FF
Number of Rooms .........................................I.........................Foundation .. . ....... ............
L � Roofing .... ... .. .... ......... . .Exterior .......... .. ... ................... ..... .....
r�
Floors .................. .............. ...........................!.....................Interior ......(/.. .................................
Heating ........ ........................Plumbing -�
Fireplace ..................................................................................Approximate Cost .....................................................d .
Definitive Plan Approved by Planning Board ___________________-__________19________ . Area .....C:1.1/ S;. ...�........
Diagram of Lot and Building with' Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
ZOO Pf Newo
N
- -kb
OhRAGE SPAcC �Ec1C
13X(�
Iq O
•,,:, C.ess 9�oaLs
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 . ... 4..
.............
.�
Hedderig, Donald
238 ..add to dwelling No .................%rmit for ...........................
V...........................................................................
29 Pinewood 4baRk. Vp
Location ............................................. .
.......................Hyannis. ........................................
Donald Hedderi-a
Owner ......................................... .......................
Type of Construction .............frame
.............................
.....................................................
Plot ............................. Lot ................................
Permit Granted ..........February. 19 82
Date of Inspec I .... ................19
Date Completed .......1... `/--I`,;-L—..Iq.7.................
rK
Assessor's map and lot number ...... .................................... STHE
Sewage Permit number
BARNSTABLE,
House number ......................................................................... 9pp SAS
s639-
0
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..............................................................................................................................
TYPE OF CONSTRUCTION ..................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .........y......................... 4.... ...... ............. ... .... .. ..........................................................................................
... . . .. ......... .
Proposed Use .......
................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
.r.
Name of Owner .........................Address.�................................................
....................................... .. .............
Name of Builder" ........... ......Address ........ ....................................................
Name of Architect .............. ......................................Address ..............,4
..................................................................
Numberof Rooms ..........f.....................................................Foundation ..............................................................
Exterior .....................................................................................Roofing ........
. ............ .. . ................... ....................
Floors ...................................... .. . . . .. .....................Interior ............%.....................I......
Heating ..................................................................................Plumbing ..................................................................................
Fireplace ..............................................................................Approximate Cost ......................................................................
Definitive Plan Approved by Planning Board ----------------
---—----------- Area ..... ...................!............
Diagram of Lot and Building with Dimensions Fee .................. . ... ..5-7-k-j
..................
SUBJECT T.0 APPROVAL OF BOARD OF HEALTH PI Aj
P�A
5PAcif
0
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 ...................
Hedderig, Donald A=
Noy`..23802. ... Permit for ........... ...
add to lling
.... ...... ...... ................
29 Pinewood J� ,
Location .................................................tx.`l k,
Hyannis
...............................................................................
Donald Hedderi
g
Owner ..............................................:Owner .................................................................. ,
frame
Type of Construction ..........................................
................................................................................
Plot ............................ Lot ................................
Permit Granted .......Februaxy...1.0.........19 82'
Date of Inspection ....................................19
Date Completed ......................................19