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r :j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
r
Map Parcel D Application #
Health Division Date Issued Z — �
Conservation Division Application fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address
Village
Owner ��J ( Address
Telephone
Permit Request �J2 ,r�z .,. + 1�IS J>Lif>
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 9 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— 74E
Number of Bedrooms: existing _new --
Total Room Count (not including baths): existing new First Floor Rooms Count ,
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: o,Yes;V No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ 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 -
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Mike McCarthy Construction Telephone Number
Address west Dennis, MA 02670
License #
e
CSL-58633 HIC-169393 Home Improvement Contractor#
Email P� \ r l Ccc e- ,y 90 e Sr►,v; c�� Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
Of EY,C
SIGNATURE DATE 1 / L
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
t ;
DATE CLOSED OUT
ASSOCIATION PLAN NO.
3(�-277 7
R I S E
ENGINEERING,
5 Dupont Avenue
Yarmouth, MA 02664
OWNER AUTHORIZATION FORM
rt
(Owner's Name)
owner of the property located at
ell�?04700 1//Eal, as
(Property Address)
(Property Address)
hereby authorize CqmSIruj-1 0 Aj
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property. This form is only valid with a signed contract.
-0i g n a (Z
nature
Date
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application # >� O(D
Health Division Date Issued 12-2 -rS' r-
Conservation Division Application Fee
"....
Planning Dept. Permit Fee
Date Definitive.Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address V_C W !..,,
Village R14 V_%0'V-4)%E
Owner ���� �w���.�, Address ► `
Telephone
Permit Request c 1 v�.r
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 0l/ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King''9 Highway':'Ll Y6§ ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other `=
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft'
1 4�
Number of Baths: Full: existing new Half: existing nA
Number of Bedrooms: existing _new
L>r7
Total Room Count (not including baths): existing new l First Floor Room Count
Heat Type and Fuel: ❑Gas 0 Oil ❑ Electric ❑ Other
Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal ttove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑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
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Mike McCarthy Construction
Name c6C-691-alll Telephone Number PO Box 52
Address V969-08Z (80S) IIaa License# West Dennis, MA 02670
ZS Xog ®d Home Improvemergt 6 gcq�p# HIC-169393
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
v
SIGNATURE DATE
t
z
FOR OFFICIAL USE ONLY
`,APPLICATION #
DATE ISSUED
4
MAP/ PARCEL NO.
r=
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
' FOUNDATION
FRAME
INSULATION
FIREPLACE
r ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL '
FINAL BUILDING
z DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
RISE;
ENGINLERING,
5 Dupont Avenue
Yarmouth, MA 02664
OWNER AUTHORIZATION FORM
(Owner's.Name) It i
owner of the property located at
6VIT W1117
(Property Address)
(Property.Address)
v
hereby authorize /" t � � � �� C-�//to
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property. This form is only valid with a signed contract.
F,,
. ner's 1gnature
Date
-R
o' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 3 9 Parcel 0 q 0 Application # a'9/ S 0
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address Go V'� (%�a
Village rust,,` le
Owner TA �+n NG Ivry C � Address $aMe
Telephone 502 36 (k &2�
Permit Request n41 1�' 0 r+ Ord.. in � cr ce. .
JIa.�i C �1 i S fi,Ce pl "f �
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 5 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
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 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
Cena al Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ Nb
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
:D
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes *No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
key
/C-OLOP(BUILDER OR HOMEOWNER)
Name . 1 1 I M' I LSScvP/ Telephone Number
Address —) '1Twn�( "tan I h(r& License # —� Lc to�
�- ,.'f Home Improvement Contractor#
Email Worker's Compensation # k)VJQQ 6 ik
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1 atm o 44,
SIGNATURE Z DATE 4
/ l -
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
y
1
S
ADDRESS VILLAGE
L�
OWNER
f•
4;
,k
DATE OF INSPECTION:
FOUNDATION
�« FRAME
f
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
4
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
M
R I S E
ENQINEERING
5 Dupont Avenue
Yarmouth, MA 02664
OWNER AUTHORIZATION FORM
ri
Owner's Name ;t`
OCT aQ15
owner of the property located at .' j
(Property Address)
(Property Address)
hereby authorize `- /�R-4� \,�
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf%to obtain a building
permit and to perform work.on my property. This.form is only valid with signed contract.
pees ignature
Date
Y
F
Town of Barnstable
FV&W 6) OWU from inue da
t �$ Regulatory Services Fee - S�
163g. �0 Thomas F.Geileri Director
� Building Division
Tom Perry, Building Commissioner X-PRESS PERMIT
200 Main Street,.Hyannis,MA 02601 S E P 2 1 2005
Office: 508-862-4038 __ .
Fax; 508-790-6230 TOWN OF BARNSTABLE
EXPRESS PL+�'Rll2Ti'ApPEICA ON - RESIDE-IN ONLY
p Not Yalid without Red X Press Imprint
ap/parcel Number / / D ?O
operty Address YL U(N(nk-1 L9 t P W L a1Af
btesidential Value of WorA7 -=- Minimum fee of•$25.00 for work under$6000.00
wner's Name&Address 6 1_ "Ct 1 O M 2S1
ontractor_s_I4ae e4-" Tel
;one.ImprovementConfractor License.#,(if applicable) t q V I ` _.. .
-bnstruction ervisor's License# if applicable)
]Workman's Compensation Insurance
Check one: •.
[] I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance
wurance Company Name ' � A P l O /TJ
Vorktnan's Comp.Policy
;opy of Insurance Compliance Certificate must be on file.
'ermit Request(check box)
Re-roof(stripping old shingles) All construction debris will betaken to 7 Q r MBV Y L DU
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-sid NgAvA 6
Q
Replacement Windows. U Value (maximum.44) .
'Where required: Issuance of this;ermit does tot exempt compliance with other tows department regWaticas,i.e.Historic,Conservation,etc.
***Note; Property Ownermnst sign Property Owner Letter of Permission,
Home Improvement Contractors License is required.
Signature
QFor=:expmtrg
Revist063004
f
r
oFTM�T Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
o ''`e Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
property
as Owner of the subject ro
I, l p
OR
hereby authorize � to act on my behalf
in all matters relative to work authorized by this building permit application for:
�vc E V �ti &Ac�l is
(Address of Job)
00
C/ ;;eot'�oeZ -
afore of Own r Date
Print Name
Q:F0RMS:0WNMER1YI3 SIGN
Def• *'c Al - PIJ/ /7-3 .
Assessor's map and lot number .... �............ SEPTIC SYSTEM MUST BE
a iwSTALLED IN COMPLIANCE
ART.' I; STATE t
Sewage Permit number ....... .. .e l.'Q.. ............................ SANI FARM
CODE, AND TOWN
TOWN
REGULATIONS,
yoFrNe
r�1 ® W 1�) OF BAR S 1 ABLE -
ii
i 89HBSTODLL i
NAM BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... %^ems- �N....... 5—�. •. e.�........�.e: ,n w,e✓ Lo.-X c.x�: r . b�L\A,Al
l
`l
TYPEOF CONSTRUCTION 1°""'�......................................................................................................................................
' t".......3.. ............19..�.3
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 6>c-8 V
................... ..........................................` ........ ....................................`.......... ...................................
ProposedUse .................'�...?..`. .........................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ...�; s e •1... :.� e`�.e. Address '� � `^'� s'.. �-�.�.' .� ...
St .......... ................................ ''^.�
Name of Builder e- -z '- `n S.............................Address ............
.. .... sa`' .!�......
Nameof Architect ...................... ....................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ................n.........................................................
Exterior ....................................................................................Roofing ....................................................................................
Floors
...........Interior .......................................
................................ .............................................
...........................................
HeatingPlumbing ......Q�a 'Lemma
................................................... i@...........®.....r:."...................
Fireplace .........................................Approximate Cost ..?.O aC7
Definitive Plan Approved by Planning Board __________________________ ``'� GS,-. ..'.
------19-------. Area ..�.a.. . ...........
o
Diagram of Lot and Building with Dimensions Fee ......... .................. ................
SUBJECT TO APPROVAL OF BCARD OF HEALTH
� u
-7
i
I
i
I
{
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name,.... 4 ...
r ,
,,Leed-Vl Harry A.
i(
No . §?6 ... Permit for ..........dormer ....
4
...............................................................................
Q ,
Location v Goodvidw War
................................. .............................
Barnstable `
Owner .............. r? ..A�..Beede . I
.... ......................
Type of Construction rr.4w.......... i
................................................................................ r
Plot ......................... . Lot ................................
i -
Permit Granted .........�y.3 ...................19 73
Date of Inspection .......... ..... ..................19
Date Completed ... .......19
Azo
PERMIT REFUSED
................................................................ 19 i
k
...............................................................................
................................................................................ i o
............................................................................... {
I
............................................................................... j
1{{
Approved ................................................ 19
.....
....................................... ...................................
a