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HomeMy WebLinkAbout3600 MAIN ST./RTE 6A(BARN.) o + , , • , w i y�q^ , a , 'N•a`. , ' ;:'^",;' i, ,a x a ,.. ,. .,,� ,�., ,�',` :;,r N�° ..;tin "' i•, ,,ca �. '',� +g:" °5 ^+M+, _ ��4a "�` d `M:: .,,r '.a'• gx tea,�''� � viz' � 'g �*. 4n urt^ e :�,, �. a w r, „ y . r « a r M ` <^as -x •,r .,. § :'4e<8 .,ux, ,..::.., .::n ;i:'. ., ..,....: as "a a..„ ;A „ �+.i" v ,., a;• '.u""* .,>§�� : n M ; Town of Barnstable *Permit# F-vires 6 rao rom issue date Regulatory Services Fee s OThomas F.Geiler,Director NMOj p Building Division I Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 J. www.town.barnstable.ma us Office: 48S8 Fax: 508-790-6230 EXPl�`SS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number _ -3 f I i' 41 Property Address (p0D.. V 4*I'PV S Residential Value of Work 1��� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address,Q•.,L 66a 4_—,T6w 9 -5T4ApQ� Contractor's Name /!� Telephone Number_e-Gu— Home Improvement Contractor License#(if applicable) 1 � � Construction Supervisor's License#(if applicable) � <1_Z . 1 ❑Workman's Compensation Insurance Check one: BZam a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) eRe-side #of doors. ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFILESTORNIMbuilding permit forms\EXPRESSAw Revised 053012 k� 1 the Comrrmonwea kh of Massachaseits DeparhnentofIndustvialAccidmis 09we efInvmfigadons 600 Washington Street Boston,MA 02111 ww ma gov1dio Workers'. Compensation Insurance Affidavit: Bmtders/Couh7ctarstElectricians/Plumbers Applicant Information Please Print Legibly Name Musin� onll> i;dual). 141 j I&M cii y/statef _ L PL 0 Pikone 4- d J�/W 2 o2 Are you an employer?Check the appropriate box: T of project r 4. I am a contractor and.I Type p ] (required): I.❑ I ain a employer with ❑ 6. ❑New won employees(full andibr part-time)-* have hired the suit-contractors 2. I am a scale proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These:sub-contractors have 8. ❑Demolition o and have workers' working fat me in any capacity. ] 9- ❑Building addition [No workers'comp.insurance comp.insurance. required] 5. ❑ We area corporation and its 10.❑Etect ical repairs or additions 3.❑ I am a homeowner doing all wo�tk officers have exercised their 11.❑Plumbing repairs or additions myself[No workers.'camp right of exemption per MGL 12.❑Roof repairs insurance required.]t c.1�2,§1(4),aadre 1ueno _ employees.[No workers'- 13-❑tither `J .9 comp insurance required.] ;Any spphcaurthat cheeks boa#1 amst also fill out the section below showing their wotlrets'ca mpensation policy infixmixtion- Hameowo err Who submit this affidavit mdwzt mg they are doing all wal and then lire outside conuactorstmmt submit a new affidavit indicating sucIz 1Contracturs that cbeck this-ban must attached on additional slut showing the esro a of the sub-coutracives and stone whether or not those entities have .:If the aab<mmactors harm employee%they must provide their workers'comp.policy number. Taman empilgw that ispravidixg workers'compensaden inmrance for my atupiayeaL S tow is the paoliey d"job site. informaliarL Insuraace.Company Name: Policy#or Self-ins-Uc.#: Expiation Date: Job Sdte'A,ddress city/State/zip: Attach a copy of the workers'compensation,policy declsratitm 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 ont�year imprisonment as well as civil penalties in the foam of a STOP WORK ORDER and a fine ofup to$2.50-00 a days against the yzolator. Be advised that a copy of this statem of may be forwarded to the Office of hwestigatiims'ofthe DIA for insurance coverage verifcatititan I do herby ceW6,under thelw ins andponabies dfpet' that the information:prvi i&d above is tins and correct Signature Date: w —/2, Phone af07ciat use only. Do mt write in this.area,to be completed by city or tmm v f icialr City or Town PermitUcense# Issuing Authority,(circle aue):: L Board of Health 2.Building Department 3.Gity/rown Clerk 4.,Electrieal Inspector 5.Plumbing Inspector 6.Other, - Contact Person: Phone 9: 6 of� • BARrrsresi E • 'own of Barnstable. Regulatory Services Thomas.F.Geiler,Director Building:Division Thomas Perry,CBO 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 as Owner of the Pe ro subject ' > A/ l property hereby authorize � f to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name U Property Owner is applying for permit;please complete the Homeowners License Exemption Form on the reverse side. QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 Town of Barnstable Regulatory Services i 33AMSTAMM Thomas F. Geiler,Director Building Division Tom Perry,Building 90mmissioner 200 Main Street, Hyanhis,MA 02601 www.town.barn table.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEO R LI NSE EXEMPTION, Plea Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home pho # work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extende/toclude owneAccu ied dwellings of six units or less and to allow homeowners to engage an individual for hire who doesossess a licens provided that the owner acts as supervisoDEON OF HOMEOR Person(s)who owns a parcel of land on which he/she ror intends to rest e,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accesssuch use and/or fstructures. A person who constructs more than one home in a two-year period shall not be considered a honer. Such"homeo er"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall bensible for all such w rk Derformed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibili for compliance with the State uilding Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she ui derstands the Town of Barnstable ilding Department minimum inspection procedures and requirements and that he/she will co ly with said procedures and require ents. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35, 00 cubic feet or larger will be required to comp with the State Building-Code - Section 127.0 Construction Control. H MEOWNEWS EXEMPTION The Code states that: "Any homeowner pe forming^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." e` 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 withja 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 last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 4 Massachusetts -Department of Public Safety V� Board of Building Regulations and Standards Construction Supers isor License: CS-004173 ET FS U t - I • WII,LIAM D 325 WILLOW ST ? W BARNST�OBLE ;p 6G8 L Commissioner Expiration 4 Page 1 of 1 Perry, Tom From: Ormont, Estee (SCA) [estee.ormont@state.ma.us] Sent: Tuesday, July 31, 2012 10:48 AM To: Perry, Tom Subject: 164831 Tom — t # 164831 given to William Mullen is active and in good standing until November 19, am sending him his hard copy today. ve any questions, please do not hesitate to contact me. Estee �1'rwiowl'. Z09ME I94TRO E9WEjIVTPaGISTMg7ON/CO9w(PLAI9VT( IVISION Office of ConsurnerAffairs&Business W2,guation The Transportation Buifding Ten.�ParkP Gaza,Suite 5170 Boston, � ,4 02116 Tef# 617-973-8738 'Fax# 617-973-8799 estee.ormont@state.ina.us 8/1/2012 Town of Barnstable *Permit EX 'es'months from issue date Regulatory Services Fee - �� Thomas F. Geiler,Director Building Division. O Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 50� Fax: 508-790-6230 ��w EXTRESS PERIYHT APPLICATION RESIDENTIAL, ONLY r' Not Valid without Red X-Press Imprint [ap/parcel Number \� y roperty Address A-f(esidential Value of Work _ > .,; J Minimum fee of$25.00 for work under$6000.00 1wner's Name&Address P0 1 'ontractor's Name 1 v t`L.cJ Telephone Number ) [ome Improvement Contractor License#(if applicable) 1501 t; ;j' J `sb�'s-]✓iuerrse-#-{�f-agpiiealrlej �; ';�� `T t _ ( J ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance /lI asurance Company Name Vorkman's Comp.Policy# �i(r) i'� '� ✓� - a J i :opy of Insurance Compliance Certificate must be on file. 'emut Request check box) 41 Re-roof(stepping old shingles) All construction debris will be taken' Z !1 ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc, ***Note: Property Owner must sign Property Owner Letter of Permission, A copy of the Home Improvement Contractors License is required. ;IGNATURE: ::Forms:expmtrg .evise061306 a , illussaehusetts- Deput•tntcnt of Public Sul'el� Board of Building Regulations and Stanch•tl. Construction Supervisor Specialty License License: CS SL 98855 Restricted to: RF,WS WAYNE DOWNEY 99 NORTH DENNIS RD S. YARMOUTH, MA 02664 Expiration: 6/212011 t'ummi.vlunt t Tr#: 98855 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 _lame (Business/Organization/Individual): \, address: �ity/State/Zip: f .:Phone #: o � � �y Cj re you an employer? Check the appropriate box:. Type of project(required): I am a employer with 4. ❑ I am a general contractor and I 6 employees(full and/or part-time). * have hired the sub-contractors ❑ New construction ©-f am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors:have 8. ❑ Demolition working for me in any capacity. workers' comp.,insurance. 9. ❑ Building addition -[No workers' comp. insurance 5. ElWe are a corporation and its officers have exercised their ME] Electrical repairs or additions required.] ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. - c. 152, §.1(4),and we have no 12.❑ Roof repairs - insurance required.] t employees. [No workers' 13_❑ Other comp. insurance required.] iy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 'z )meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such ntractors that check this box must attached an additional sheet showing the name of the sub contractors and their workers'comp.policy information. w an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site mrmation. .urance Company Name: ';icy#-or Self-ins.Lic. #: 13 _ G y7 " d:" f0 Expiration Date: C7T Y V ` Site Address: 3 "(70 � �,..,. �- �3 ZCity/State/Zip: 1 w� (f/ .ach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). lure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a :e up to$1500..00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORD ORDER and a fine .1p to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to tie Office of `estigations of the DIA for insurance coverage verification. 9-hereby certify under the pains and penalties of perjury that the information provided above is true and correct: ature: C Date: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# 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 Iassachusetts General Laws chapter 152-requires all employers to provide workers'compensation for their employees. ursuant to this statute, an employee is defined as"...every person-in the service of another under any contract of hire, . Kpress or implied,oral or written." - m employer is defined as"an in vidual,partnership, association, corporation or other legal entity,or any two or more f the foregoing engaged in a jointe terp 'se, and including the legal representatives of a deceased employer,or the -ceiver or trustee of an individual,partnership, association or other legal entity, employing employees. However-the _ wrier of a dwelling house having not'more than three apartments and who !'sides therein, or the occupant of the repair g .welling house of another who employs,persons to do mainte/nanns _ coon or r air-work on such dwellin houser on the grounds or building appurtenant thereto shall not bes h employment be deemed to be an employer.6 also states tha `everystate or losing agency shall withhold the issuance or ,4GL chapter 152, §25CO•enewal of a license or permit to-operate a business or to -buildings in the commonwealth for any applicant who has not produced acceptable edence of:coe with the insurance coverage requiredMGL cha ter 152, §25C(7)states"Neitherthewealtb nor any of its political subdivisions shall additionally, P;rater into any contract for the performance of pulili-work untable evid ence of compliance with the insurance •equirements of this chapter have been presented toe contrthority." kpplicants ?lease fill out the workers' compensation affidav/the etely,by checking the boxes that apply to your situation and,if. iecessary, supply sub-contractor(s)name(s), addand hone number(s) along with theircertificate(s) of assurance. Limited Liability Companies (LLC)od Lial��lrty Partnerships(LLP)with no employees other than the embers or partners; are not required to carry wocomp tion insurance. If an LLC or LLP does have -m to ees,a policy is required. "Be advised that davit ma be submitted to the Department of Industrial P Y Accidents for confirmation of insurance coverag be sure to. ign and date the affidavit. The affidavit should be returned to the city or town that the applicatio permit or ii ense is being requested,_not the Department of Industrial Accidents. Should you have any questarding the la or if you are required to obtain a workers' corripensation policy;please call the Departmentmber listed be ow. ;Self.insured companies should enter theirself-insurance license number on the appropriate _ City or Town Officials Please be sure that the affidavit is complete an printed legibly. The Dep\db has provided a space at the bottom of the affidavit for you to fill out in the event e Office of Investigations ntact you regarding theapplicantPlease be sure to fill in the permittlicense num er which will be used as ae number. Inaddition, an applicant that must submit multiple permit/license, pli ations in any given year,nsubmit one.affidavit indicating current policy information(if necessary)and under" b Site Address"the applic , write"all.locations in (city or. town)."A copy of the affidavit that has been Qifficially stamped or markeci or town maybe provided to the applicantas proof that a valid affidavit is on fitle for future.permits or licene affidavit must be filled out eachyear.Where a home owner or citizen is obtaining a license or permit not an business or=commercial venture (i.e. a dog license or permit to bum leaves etch said person.is NOT required to complete�this affidavit The Office of Investigations would like to th you in advance for your cooperation and_s could you have any questions, please do not hesitate to give us a call. The Department's address;telephone and fax umber: The C "mmonwealth 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 Fax#617-727-7749 ;wised 5-26-05 www.mass.gov/dia t °FtKgE r Town of Barnstable Regulatory Services r : sAANSTASLE, 1 asnss Thomas F.Geiler,Director E1 Mr:. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize. G2A� 17 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) /D y- iy Signature of Owner Date n Print Name QTORMSDVW RPERMISSION �fze -�or«na�uueal!! o�„/lilaaaac�u�aelta Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registratio6l..�1,50108 g 10 Park Plaza-Suite 5170 Expiration 13/7/2042 Tr# 293826 Boston,MA 02116 Type 11n WAYNE B DOWNEY SIDIN 6CIALIST t WAYNE DOWNEY, i 99 NORTH DENNIS.,R D!�, SO YARMOUTH, Undersecretary Not valid ithout signature _". _ 41mor) Map Parcel 0 Permit# House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00- ) T7 4 ee �� Conservation Office (4th floor)(8:30- 9:30/1:00 2:00) olio Planning Dept. (1st floor/School Admin. Bldg.) A- &e S ti � 1 t dt HE k Definitive Plan Approved by nning Boardi5ti 19 MUST BE TPUANCE 6 T WN OF BARNSTABLE ENVIR AE,�;ppEAND Building Permit A lication � � ON$ ------- Project Street Address �} Village Owner Address _:Wm 6 , Telephone Permit Request / fQ �� d 0 '06-&,k First Floor /.2 151,9 square feet Second Floor C� square feet Construction Type AYMMg- Estimated Project Cost $ 4 00c Zoning District Flood Plain Water Protection Lot Size .3 14C,L EJ Grandfathered ❑Yes ❑No Dwelling Type: Single Family CK Two Family ❑ Multi-Family(#units) Age of Existing Structure 0140-.s Historic House ❑Yes J No On Old King's Highway 0'Yes No Basement Type: Erfull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O— Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New - 0 Half: Existing -- a- New -- ®No. of Bedrooms: Existing L New o — Total Room Count(not including baths): Existing g New --0 — First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air '1�10 Yes � Fireplaces: Existing -_New -0-- Existing wood/coal stove ❑Yes Flo Garage: etached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes EE'No- If yes, site plan review# Current Use pAl k"4-re. H o w Proposed Use fiV aA-ft 4,v. o Builder Information Name STelephone Number 361'Z-e G7-9 Address '�6&0 In,41H fT /10,J.- 973 License# jo9JWJ7A,JS4e. OZ.G3Q Home Improvement Contractor# 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 1 9 SIGNATURE fl&r, DATE BUILDING PERMIT DENIED FOR TIWIF L WING REASON(S) Ost le4 FOR OFFICIAL USE ONLY RERMIT NO. t )SATE ISSUED ' MAP/PARCEL NO. i - o ADDRESS VILLAGE` OWNER + , DATE OF INSPECTION:' ' 6 FOUNDATION t FRAME e INSULATION FIREPLAtCE — ELECTRICAL:,, ROUGH FINAL PLUMBING: ROUGH . FINAL GAS: ROUGH FINAL ! ~ "I FINAL BUILDINGtwo ` + t DATE CLOSED OUT 4 ' ASSOCIATION PLAN N ww ' r � The Town of Barnstable • wertsTnsi.E. • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: �E C/f Estimated Cost Address of Work: 36W A9.1 y f-, ��,4+2N.rTi43 E Owner's Name: A-zvot--l- ZDate of Application: I/ 610 y... I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law Job Under$1,000 Building not owner-occupied %20wner 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. Date Owner's Name q:forms:Affidav ��.. ' 1 K — �i� e= • --we, IT ci .. .:j'. ETA- 71FP+ e IA !I 'ft Arcy-y- f_ YEN I tL1 i 14 71 EL r - A �QY - - CXT GAF - _ s •;,—„ i � ,� XIS'(tfJL) 170R�ER _ / 171 TA --� - ...� Syr. — •-._- .. ,' . � — — — — — %\, T, t-:.��-•- r 1 ��11tt� /l♦ i (',�J J`_M h� yl / , 4 f4L-.yt �� Y M `�J � k 0 �• 11. E It', f�.�:�. t ' 1 r ; !' 1Ii'I�f•,. y,*}.�� t .r+li 1 ,, ' ler jar ...�. _. 1 � 1 t� 4 .- ��•� 3.. ~. O rKa 1 s� ._I.VExT Pi9G is te r.;y/ - ~•� � /� / /� mil'``� .1. _.,.•ram e. ., Li�+F • ly \ - � \ CR dst-'s Ec r., ;ell I � i .arc K NEiGN r z v-2 y APW i I Ir,r/G Ar y NANG 4" upe-OAT Ell 11 1 11 � r 41/ r� SJ No TwIS�S ' Assessor's offioe (1st floor): f FTNFt Assessor's map and lot number .........`.3.............................. Board of Health (3rd floor): Sewage Permit number ........................................................ . ' Z BAW STLBLL, Engineering Department (3rd floor): NABS House number o s6}9• - APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00,'P.M. only TOWN OF BARNSTABLE BUILDING 'INSPECTOR APPLICATION FOR PERMIT TO ...... TYPE OF CONSTRUCTION ........Le—t-10.0.!q...... .......... ....... ............................................................................. ....1.-- .................,9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... .14.U� . ""!!�#'.�� .'.... ..r..........`t,J.Ae V `' ... '................................................. ................ L Proposed Use .....�...... ` Zoning District ........./` f"' Fire District ...... ? � % �Lt� ... ........................ ................................................ Name of Owner ....................Address . G �. .AA......... 4.......... Name of Builder `....................Address .......................................... .................................... VI <... .................. Nameof Architect ..............-....................................................Address ...^............................................................................. Numberof Rooms ........`.....................................................Foundation .............................................................................: Exterio. Roofing .................................................................................... Floors ......................................................................................Interior Heating ........ .........................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________ , Area ................ Diagram of Lot and Building with Dimensions Fee ....... ............. ..... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 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. la Name ...................... . ............................... Construction Supervisor's License ...( .4...1.--j. ....... STAFFOBD, &LBERT ' . \ . No Permit for 'RAU-------' - ' ......Sjngla'��amiIv...Dv0Q].lj,liJ---. ' 3600 Main Street ' � Location ---------------------. . Barnstable , --------------------------. ^ ��Il�ezt Stafford / � Owner ' ---------------------- ` � . Frame . ~ Type of Construction -------------- . ' ^ ' --------------------------� . ` � Mc� ---------� b� ----------' ' ~ ' r ` , Permit Granted —'/j.ajjjj.a)�.y...{k,--'}V 88 ` . . Date of Inspection ---- ---lp | Date Completed ----��.... ...... ....1p '. � ` � }�- y ^ ' ^ / . ` ' - . , ' . ^ ' ' ' _ � \ 0//<ff Assessor's offioe (1st floor):Assessor's map and lot number ...... ......� �.. .......... A' v ��� SYSTEM � � of Yae tp Board of Health (3rd floor): �'� �"�, ® N C®MPLIA Sewage Per it number J4 � �?�I I� 717LE 5 S Y .................................. ...... Z`H9H39TADLL. Engineering Department (3rd floor): 3���JS \` .' '�2�YEM I`AL CODE E_ moo" rb a House number ........................................................................ 1 t?�~ �� ��°� � ''°�O YPV Ar,O APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN 'OF •BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... 1.. ...... ........................................................ TYPE OF CONSTRUCTION ... ........................................ I ..................................... I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 0 j� ,/► y. /�..... .8 .. ............I.!.!.ri'............ ...1.......... TT......... fir...... .....:............................................... � e ProposedUse ..... I1�" `l ...h"'....::.....J........................................................................................................................ Zoning District ....... ..........................................Fire District .. !�! �? ,JG .............. .......................... /�.. . a �Dr�'_6S T Tit2 .......... Name of Owner .!T...... �.. ' ��..J�..�%.1. ....y...� ��. ... ...��: .... .!p�......................Address � A Name of Builder A)M.jk... .................Address OQ.!t'. L!A!:....1�.°1.1. ! A'I S Name of Architect AJO.P-TW6.0..40...Dec$. .Z�A ...............Address ..5. ..... ` ..Pp.�t� ... ....... Number of Rooms ............ .................................................Foundation ......�V .0.`'�..� '�. ............................... Exlerior ...... 46.11f->. ...Roofing V.�� oe Floors �1!lOd. .........✓......................................................Interior .......5/ 4 ��..� c4.... L ` .... ...................... g �.. /'.....................................Plumbing ........................... ......................................... Fireplacepp �..................................................................................Approximate Cost .......... ..�f,r. ............... �.... Definitive Plan Approved by Planning Board ________________________________19________ . Area ...................�s-. ./164.� 07 Diagram of Lot and Building with Dimensions Fee a_i .......O ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................... ................. ........................ Construction Supervisor's License ..0.. ..d.-�..�........... STAFFORD, ALBERT 31 Addition No .391... Permit for .................................... y Snq1e Famil ' Dwellin t�................................................g........... Location ...3.6.0.0...Ma.i.p....Street .... xt BarnstabIe .. .......................................A............................ ......... Owner . Albert Stafford ..............................;�................................. Type of Construction .........E;i�a.MQ .. . . ................... ........................................................................ Plot ............................. Lot ................................ November 6, 87 Permit,'Granled .............................. .19 Date of Inspection .........19 Date Completed . .............19 ALAN W. JONES & ASSOCIATES JOB _.•���) �� � IJ �`�� �`��'� «�� l.r.LG-,,<�' ��-�� Consulting Engineers SHEET No. OF 6 Carleton Drive West. 16 EA,ST SANDWICH, MASS. OM7 CALCULATED BY. _— DATE 7 CHECKED BY AT t; SCALE—D- ................ ...................., ................. .,.,.... ._ _. *........ ..... ...... .... .. .,,... t ....... . .i .. ... .. ... .... .. ... ... ..... 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ALAN W. JONES & ASSOCIATES Consulting Engineers SHEET No. of -- 6 Carleton Drive West �(� 1, ?' DATE 2 EA6T SANDWICH, MASS. 02537 CALCULATE.■Y CHECKED BY DATE_ SCALE .............._.........:.........................-i_:...................... ...... ... ..... ...... ..... ..... ..... ....... ...... ...... ...... ..... ...... ..... ...... ........................................................................... ...... ...... .._.... ....i...... .......... .... ..... ...... ...... ...... ........... ...... .. i i ... ...... ...... Q; } ............. ..... . ..... . ..... ... .. .................. ... ....... .k :�..;....x ...... ............ 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