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Town of Barnstable *Permit#
Expires 6 monihsfrom issue date
Regulatory Services Fee
BARNSTABLE,
S,. Muss. Thomas F. Geiler,Director
PERMIT
E RM IT Building Division
JPP Tom Perry, CBO, Building Commissioner O
`� 200 Main'Street, Hyannis, MA 02601
��► �� � j ( T www.town.barnstable.ma.us
��'�' Fax: 508-79Q-6230
Office: 508-862-4038
EXPRESS PERMIT APPLICATION -. RESIDENTIAL ONLY
l p)of Not valid without fled X-Press imprint
Map/parcel Number I/ //tit
_Property Address 1\0 C N A V�� �. . l°✓��� � ��
Ylzesidential Value of Work �� . 0 0 Minimum fee of$25.00 for work under$6000,00
10wrier's Name&Address � ' ��\ �l/ 4-1'"l�f �J t' 6 ci V
Contractor's Name /�� !t/( ( � TelephoneNumber /r�yl� ��Y�'o
I lone Improvement Contractor License#(if applicable) // / •� 3S
Construction Supervisor's License#(if applicable) D 70
❑Workman's Compensation insurance
Check one:
❑.I am:a sole proprietor
0 1 m the Homeowner
have Worker's Compensation Insurance
Insurance Company Name (' " - Owl/ /✓� J. � ,
p Y
Workman's Comp. Policy# O s k /lam
Copy of Insueance 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)
❑;Repi'
elacement inda /doors/sliders:U-Value maximum .44)
��. :�
xWhcre required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;,ete.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SIGNATURE:
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION wa—
Map 317 Patcel �Q ] Permit# s^� 7
Health Division i u ' Date Issued
r - `
Conservation Division � � ' �'=��-� � i t�°;� ;1: Application Fe ,910'--
Tax Collector Permit Fee ' .
Treasurer ✓t'tjTj;--_
EXWW SYSTEM
Planning Dept.
U IAWVMM F BEDROOMS
Date Definitive Plan Approved by PI nning Board S G L
Cn 1a�'arA,
Historic-OKH fit✓ �1S8" Preservation/Hyannis 5np�� /�cu�`o� 0A 50,,1 j AJV
Project Street Address
Village 104,2uisn+o /(s
Owner Perri e- Address Is,
Telephone 2-
Permit Request /r<o }�!G, �5�� &gV
Square feet: 1st floor: existing proposed 2Z-�6 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 23 ki Construction Type Qi7GA::�
Lot Size 3,yo U Grandfathered: ❑Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family qi Two Family ❑ Multi-Family(#units)
Age of Existing Structure _ Historic House: ❑Yes 9-P4o- On Old King's Highway: U-Ws ❑No
Basement Type: Erf'ull O Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) AE0-6
Number of Baths: Full: existing 2— new Half:existing new
Number of Bedrooms: existing J new
Total Room Count(not including baths): existing new_ First Floor Room Count
Heat Type and Fuel: &6s O Oil ❑Electric 0 Other
Central Air: ❑Yes 0-Nb Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No
Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:0 existing 0 new size
Attached garage: fisting ❑new size le/+e Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization O Appeal# Recorded 0
Commercial 0 Yes Dfqb" If yes,site plan review#
c
Current User�,aT7/$C- Proposed Use
BUILDER INFORMATION
Name S r
���' �= Tele hone Number L- -3
Address 190 , 60, ,f y License# 01 V 0
&9, -Al�,S4-146 ®" 30 Home Improvement Contractor# 3 9
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RE taLTING F S PROJECT WILL BE TAKEN TO �D
SIGNATURE DATE C 2-ZJ e T
FOR OFFICIAL USE ONLY
—PERMIT NO.
DATE ISSUED
s - '
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
i
1 e
FIREPLACE '
ELECTRICAL: ROUGH c FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH r FINAL
tt
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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oFTME� '�ayvn_of Barnstable
- .
^ Regulatory Services
vssa ' homas F Geller Director
Mk
'aj 7Buiiding Division
6D MP• . . .
'TomPerry, Building Commissioner
: . 200 Main Street, li.yannis,MA 62601
v+ vw-town.barnstable;ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Cornplete--and-Sign-T-is-Section
If Using ABuilder
as Owner of theFsubJect.property
'� -�fT to aet on my behalf,
hereby authorize:'• �`T ►^�i c S _
in all matters relative to work authorized by this building permit application for;
60 C//�aV � 1��
(Address of Job}
Signature of Owner
Print Fume
RESIDENTIAL BUILDING PERMITFEES
APPLICATION FEE ;
New Buildings $100.00
Residential Addition $50.00
Alterations/Renovations $50.00 S 7 _ d
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
2 S square feet x$96/sq.foot= x.0041=
plus from below(if applicable)
ALTERATIONS/REMOVATIONS OF EMSTING SPACE
square feet x$64/sq.foot= x.0041=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.= x-.0041= t s-
ACCESSORY STRUCTURE>120.sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 10 00 75.00 sf _
>1000 sf-1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00
(number) F
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
r.
Relocation/Moving $150.00 f•
(plus above if applicable) t
Permit Fee `
Projcost a M '
Rev:063004
780 CMR Appendk J
Table JSMIb(continued)
Prneriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels
MAXIMUM MINIMUM
Glaung Glazing Ceiling Wall Floor Basement 31ab Heating/Cooling
ant Efficie n
Area'(%) U.vaiuer R-valud R-value' R-value° Wall Perimeter �Pm �
_ Package R-value° R value .
5701 to 6500 Heating Degree Days
e 13 19 10 6• `Normal
12/a 0.40 38
Q 6 Normal
R 12% 0.52 30 19 19 10 8S AFUE
e g 13 19 10 6 '
S 12/• 0.50 3 Normal
T 15% 0.36 38 13 25 N/A N/A
U 15% 0.46 38 19 19 10 6 Normal
V 15% 0.44 38 13 25 N/A N/A 85 AFUE
W 15% 0.52 30 19 19 10 6 85 AFUE
X 19% 0.32 38 13 25 N/A N/A Nomisi "
Y 18% 0.42 38 19 25 N/A N/A Normal
Z 18% 0.42 38 13 19 .10 6 90 AFUE '
AA 19% 0.50 30 19 19 1 10 6 90 AFUE
1. ADDRESS OF PROPERTY: ll,9c4
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
yy;�h �d
3. SQUARE FOOTAGE OF ALL GLAZING: =�
4. %GLAZING AREA(#3 DIVIDED BY#2): S
5. SELECT PACKAGE(Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q4orms4980303a
c
i a
780 CMR Appendix J
Footnotes to Table J8.2.1b:
assemblies (including sliding-glass doors, skylights, and
' Glazing area is the ratio of the area of the glazing
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 ft of decorative glass may be excluded from a building design with 300 fl2 of glazing area.
Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units: center-of-glass U-values cannot be used.
' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R 38
insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between
the conditioned space and the ventilated portion of the roof.
'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
6 The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
orgarages).Floors over outside air must meet tfe ceiling requiremees- --------- - -- - -
`The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
&scribed in Note b.
q The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package. .
'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a
NOTES:
a)Glazing areas and_U-values are maximum acceptable levels. Insulation R:values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
liance of the door.
glass area of the door with your windows and use the opaque door U-value to detennme coin p
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component include"s two or more areas with
different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
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•'` TOWN OF BARNSTABLE BUILDING PERMIT•APPLICATION.
s- r - x
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Map ;; =.-Permit#
Health Division - r Date Issued
Conservation Division Fee �7
Tax Collec oC 2' ,
Treasurer '
Planning De t. '
Date Definitive Plan Approved b Planning Board +
Historic-OK )res elrvation/Hyannis
4
IRS
Project Street Address 0 C t A/
Villages iR IUD ;94
•
Owner rR A A/ 09 1 `Address JrO C Ay Z
Telephone �D
PerAil`Request ' c�
o iA0,
Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new
Estimated Project Cost 80 00 Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. `
s
Dwelling Type: Single Family s❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ` ❑ No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl' ❑Walkout ❑Other .
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 baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other
Central Air:, ❑Yes ❑No Fireplaces: Existing New Ezisfing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:O existing ❑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
. l BUILDER INFORMATION
Name �/ /� Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 1AAQl2c_� a�� Q
FOR OFFICIAUSE-ONLY
L` - T
PERMIT NO:
DATE ISSUED
MAP/PARCEL NO.
ADDRESS ,` J. VILLAGE
`
OWNER _ t
vt
DATE OF INSPECTION.'
FOUNDATION
FRAME -
INSULATION ` '" . . r = • � _ ?. � ^ _. - ti, r r s -
,,
FIREPLACE
;ELECTRICAL: ROUGH- FINAL
PLUMBING: ROUGH FINAL ,
- .:•, - ^ ram. �' t r�. ;- Yf_.
�. . GAS: ;; ROUGH FINAL
;+ FINAL BUILDING
r -DATE CLOSED OUT } -
ASSOCIATION PLAN NO. ;
Department ofHealth Safety anc! Environmental bervices
Building Division
11, 11MMSTA11M ' 367 Main Street,Hyannis.MA 02601
tiMess.
�TEO AM'i Js
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissi�
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE- /ri L� ►r� /—
JOB LOCATION: ) O CIA) ►✓ 'T J C-1 AZ('1 4 4CJ le �P�/Aq
number street / / village
"HOMEOWNER": 1=RAV 11 A /q 1 M ® J��'3(�eZ -b�'�llJ )We
frame home phone# work phone#
e9 6 30
CURRENT MAILING,ADDRESS:
city/town state up code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or
less and to allow homeowners to engage an individual for hire who does not possess a license,provided that
the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is
intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or
farm structures. A person who constructs more than one home in a two-year period shall not be considered
a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the
Building Official,that he/she shall be responsible for all such work performed under the building permit.
(Section 109.1.1)
'. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and
other applicable codes,bylaws,rules and regulations.
The undersigned"homeowner'certifies that he/she understands the Town of Barnstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply
with the State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the
provisions of this section(Section 109.1.1 -Licensing of construction Supervisors):provided that if the homeowner engages a
person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see
Appendix Q.Rules&Regulations for Licensing Construction Supervisors.Section 2.15) This lack of awareness often results in
serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities.many communities require.as part of the permit
application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the fast page of this issue is a
form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEM PT1
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
A=317-007 I
JoSF,t)iIi !'. ALUZ — -- ----- --- — _�_.-_/ 7ELHPHONEt 775 1120
Building Committionti EXT..107
TOWN OF BARNSTABLE
BUILDING INSPECTOR "
TOWN OFFICE ..BUILDING
HYANNIS. MASS. 02601
July 21, 1988
Mr. Roger Denesha f t
50 Cindy Lane
Barnstable, MA ,,02630- ...
RE: 50 Cindy Lane, Barnstable
i sa t.
A=317-007 ;; }
Dear Mr. Denesha;
This office has received a complaint that you have advertised your
business known as U. S. Structure Repair in the Pe
nnysaver newspaper.; ."
It has also been reported that you are doing auto body work{in your
garage.
Your dwelling is located in a residential area and .the alleged activities : `'
are' in violation of the Town of Barnstable Zoning By—laws. . Please contact
this office within fourteen days of receipt of this letter toYdiscuss the
use of the property:
Peace,
Joseph D. DaLuz
Building Commissioner
-®SENDERi�P itema �edditlonal cenrtc°ea"ere desired;snd co' f t
r
Put youraddress in:theRETURN�TO -space on then mPlete terns 3 and'a;card from being returned to you.The retu �t"`�+++ st� fsxrt�e
i tfeaWill�sro�ldeaiourthenemejoftheP�onnthis
;dellVered to and the'dafe of deltve as)for
Postrrlaater r a one s .e o ow nil se ces are ava 5 additional servicelsfrequested e• nsult
�1 D.Show to who livered;date an„„dad ressee�'sadd�es k V3: rticle',Add ;to; - F.. s2�`[]Restncted Delivery �
:a 4'Art�clemt�er�_ m � •�'
5 ` nd� , �•
� 'pan i ,T pe of,Service:.: , � ~ ,, - •
-
CeRffled
;` � �rExPressMail �, �, ;,•,
�AIwaY�s obTgIn`signature_.ofaddressee o "
X S r re $ $gent and DATE D TLIVERED; `�
A'dd
tee• Address O
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DOMESTIC :p.� � •
RETUR RECEIP
THE TOWN OF BARNSTABLE
EARNST,AELt
MAO& Cb
2639.
0 wnY of' BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... .......... ... .. ...... .. .... .. .. ..........
TYPE OF CONSTRUCTION ...... .. .. . .........
.................................................................................
19.J��.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit'accordin to the following information:
Location .................
Proposed Use ...........zll��, ,
)0. .......... j.........................................................................................................................................
—-S 10?--
ZoningDistrict ... .........................................................................................................Fire District
Nameof Owner .... Pi....... ................Address ... ................. .... .... .... . . .........................................
V V Name of Builder ........Address az
................................. ..........Address
Name of Architectyo--�� .................. ....................................................................................
Number of Rooms .....?.........................................................Foundation y. 010,* l
Exterior ... ...................................................Roofing ... ..................................................
. . ..L e ...a.
Floors ... .................:r. ...........................................................Interior . ............ . ....... . ....."J.,,
..". ,J.. ..... .... . .
....Plumbing L"..Z...1:F�./...
Heating ...474�4�............................................. ...............fe
Fireplace ...... ...........................................................Approximatt, Cost
.................................................
Difinitive Plan Approved by Planning Board --------------------------------19--------- / .s� 3
Diagram of Lot and Building with Dimensions
Z 0 Azp
-A-4
,A
GY
40 -7
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name �) c� � .. -�?`...............
'
QUealey, John
1885
two �
No ..������.. Permit for -----..�����.�--.
single family dwelling ' ^
---------`----------------''
Cindy Lane ~���� /
Location --..c----.����—z������—.
"Barnstable '
--------------------------. / ---
Owner
/ |
�otmm `
---___.��������_________— ' .
' \ '
��an�,
Type of Construction --------------
-----.^.--------------------
,
Plot
�7� ^
--------_. Lot ----. ............. up
. � .
f '
^
—�����. �m
ust 22 � .Permit —Perm �------ ]V -- �
. � \`j�
Date of Inspection —/L......��—�� ---lg4.
���
� Date Completed ...................................... `
r
~
�
. �
PERMIT REFUSED \ /
lg | '
-----'---------------.. �
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.-------------------------- .
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~----.—~.---.------..--------
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'------------------~^—'----- '
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----.-----.----..—.—..,—.-----.
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Approved .............................................. lQ
) _
--------------..-------.--.— '
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-------`--^^---------------
|
'o• ° . 4TOWN, OF BARI�TSTABLE ` Permit No. 27423
` . Building Inspector
sursrs . r "Cash -- —-- -
,era t Bond X OCCUPANCY PERMI -
T
Issued to Russell GiVson Ire Address
Lot 18, 5A Cindv Lane,c%..Barnstable
Wiring Inspector �� �v Inspection date
Plumbing Inspector � a /A^ Inspection date
Gas Inspector Inspection date
x Engineering Department r In
date
� s
Board of Health ! i n AQ. Inspection date X;- —��
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.
19.. ............. _..........._.....__......._
�� Building Inspector
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348
CIVIL- EAl4r,1./EE-^`3
L.4.v a �,letivc ///
,�OCiTE G�i^-Y�.eMOCJTs-i, M1a53. �rE-+ .�'G�4. L i"� u.�dL�t�OG�
LAW OFFICES OF
PHILIP M. BOUDREAU
Sao NORTH STREET
HYANNIS,MASSAGHUSETTS o26o1
(617)775-1085
PHILIP M. BOUDREAU November 26, 1984
PHILIP MICHAEL BOUDREAU
Mr. Joseph Da Luz
Building Inspector
Town of Barnstable _
Town Hall
Barnstable, MA 02601
Re: Lot 18 Cindy Lane, Barnstable
Dear Mr. Da Luz :
Please be advised that I have conducted a title search of
the above-referenced property, as well as of the premises
abutting said lot. I find that said Lot 18 has been held
in ownership separate from that of all adjoining property
from October 7 , 1966 to the present.
I hope this is helpful.
Sincerely,
s
Philip Michael Boudreau
PMB:kb
�alssessor's map and lot number J 17 V 7 d �� a4 ,+�'/
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Sewage Permit number ........ .................. SEPTIC SYSTEM MUST "1 `
Z SAM AXLE, i
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House number v
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TOWN 'OF BA AINWS13,RL E'
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .............7";,!r
C .,.. i c i p4� cal 4 l�
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......... ...................................................................
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TYPE OF CONSTRUCTION ................... y7r......L..... ..... :' !.°.��/........:............../,� `...�f..............................
.....................4.......`...............19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a /permit} according t� following information:
Location , a'��/3.......r.4-- bl [/....`�..! ..�....... f!� r� ...,..........
Proposed Use / 7`,
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Zoning District .�7.*S']5**;.*1*..*��
...............................Fire District ..
Nameof Owner l........:.�..........................Address ..............�..............�....... . ..... .......
^��S5 �� � L;. •,.,,.•...Address
Name of Builder ..................... .................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ........ ...............................................................
Exterior ...... / .. ..... ... .9..1 .. .............Roofing ..............4.,..`�............................................................
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Floors (�4✓ f. `"`...........................................Interior ................... ...............................................................
............: ...........................
g , -ems G3-,�/,� Plumbing ....�....:. Z !p 4 1A $
eaTiT'_n�_............................... ........:::................................ ..................................................................
Fireplace ................. (n...�...................................................Approximate. Cost ............. D d. ............................
.......
Definitive Plan Approved by Planning Board ---------------____-----------19________ . Area ...x ........................
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 T f Barnstable regarding the above
construction. [�
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Name .....................................................................1............
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....................................Construction Supervisor's Licensel7 �
CIBSC 1, RUSSELL r
27423 One Story =
' No ................. Permit for ....................................
4
Single Family Dwelling
...............................................................................
Location ..IAA ..1.$.....5Q.. Iat?e.............
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Owner ......$1]S �].1 ..G7.bSOX1............................... L =
Type ,,of�f`` Construction .Frame..............................
PlotLot ................................
Permit Granted ....`Tamar' 14!.............19 85
Date of Inspection .............................'..... :19
19
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Date Completed / .................
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