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HomeMy WebLinkAbout0035 CAP'N ISIAH'S ROAD as �� a,3 g Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee M"�' Thomas F.Geiler,Director 1639. Building Division C(XM Tom Perry,CBO, Building Commission Q P R E S S PERMIT 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us II GY _ J. I f j' Office: 508-862-4038 T I J FNSTABL06230 EXPRESS PERNIIT APPLICATION - RESIDE �1 /� Not Valid without Red X-Press Imprint A Map/parcel Number Y,�� D Property Address J5 Cox p:: ,n S 1 ah S ?CI ctr.C %+ HA CG6 3S [Residential Value of Work/ O Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1G0CyVI Contractor's Names S2 Telephone Number Home Improvement Contractor License#(if applicable) Q J 3 G Construction Supervisor's License#(if applicable) 8 t E. Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance L I Insurance Company Name NOJI 617)0 U I n i o rl ( 1 f e `t')S U'rC Y1 C 2 Co . Workman's Comp.Policy# W C o d 9 9 Igo b d Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Nkl"Re-roof(stripping old shingles)'All construction debris will be taken to &,4�k e-roof(not stripping. Going over existing layers of roof) i❑' Re-side i #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *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 re aired. SIGNATURE: Q MPFILES\FORMS\building permit forms\EXPRES .doc Revised 090809 The Contrnonwealth ofMassachusetxs DeParlment oflndratrialAccidents Orke of Invafigaaons 600 Washington,Sir-eet Boston,MA 02111 www masxgov/dia I Workers' Compensation Insurance Affidavit:Baders/ContractorsMectricians/PIwmber A Iicant Information ' Please Print L 'b s Name(Business/otganizWon&divi&W) ::77 Y Co ns,- ru C-k-o LLB Address: S- City/State zi L- f RA b 3 5 Phone#: s�- y28 Ar+e gory an employer?Check the appropriate boa: i 1• 1 am a employer with '5 4 I am a general antra for and I Type of project(r•equi ed): 2.❑ employees(full and/or pa time)* have hired the sub-contractors s 6- ❑New construction I am a sole proprietor or partneI_ listed on.the attached sheet 7- i ship and have no employees These sub-contractors have ❑Remodeling working for me in any capacity employees and have workers' 8 ❑Demolition [No workers'comp-insurance ceamp insurance= 9• Building addition 3•❑ rNwreequftled 1 5. [] We are a corporation and its 10.0 Electrical I am a homeowner doing all work officers have exercised their refs or additions myself•[No workers'cxirnp. right of exemption per MGL 11.❑Plumbing repairs or additions insurance rimed-j t c 152,§1(4),and we have no 12.0 Rcof•repairs i employees (I�T0 workers' 13•❑Other comp.iasunaace required.] I 'Any applicant that checks box#1 must also fill oat the section below showing their workers'compensation policy t Homeowners who submit this aiidavit indicatim Po cy information tCaattactors that check this box must g dM are doing all work and then hire outside contactors mast submit a new affidavit indi employees If the sa .ed an additional sheet showing the mine of the sub-con eating�cfi. 1 b-contrac0ors have employees,they must provide ffieir workers'coDm and state whether or not those entities have comp policy number. I I am an employer that is provi&V weIker ,convensadon b7surwnce or fnformadon. 1 ►y employees,-Below is the po&y and Job site i Insurance Company Name: �D r7Q l U e �e C..., ► Policy#or Self-ins.Lic.#- W C OQq R30b Expiration Date: Job Site Address: I�Ia lie, l� C 1 : �CySatezip /Y4v11 � 0. o35 Attach a copy of the workers'compensation policy declaration I Failure to secure coverage as page(showing the policy number and expiration date)R9 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-yr imprisomm�as well as civil penalties im the form of STOP WORK ORDER and a fare of•up to$250.00 a day against the violator. Be advised that a copy of this be s may tatement Investigations of the DIA for insurance coverage verification- Investigations forwarded to the Office of i """"Wy ce u ns d penalties of perjury that the informaden provided abo Ye is lipe and correct i Si e#: V 8 U.2 q-9 i - Oftx- al use only. Do not write in this area,to be completed by city or town official City or Town: Permit/Licemse# J Issuing Authority(circle one): 1.•Board of Health 2.Bu ilding Department 3.City/Town Cleric 4,Electrical Inspector S.Plumbing Inspector C Other Contact Person: Phone#' i ' I AC�� FRASCON-01 MOSU �.� CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDIYYYY) DOS (508)676-0309 10/21/2010 V'rveiros Insurance Agency,Inc. THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION 375 Ai ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fall River,MA 02720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1N30'�D Fraser COnStrUCtion LLC INSURERS AFFORDING COVERAGE P.O.Box 1845 INSURERA Natronal Union Fire Insurance Compan NAIL# Cotult,MA 02635- INSURER a INSURER O INSURER D: COVERAGES INsuRER E 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. TYPE OF INSURANCE INSR POLICY NUMBER CY CY EXP TI GENERAL LIABILITY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR PREMISES oaurence $ MED EXP(Any one mon) $ PERSONAL 6 ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGAIE $ i POLICY P LOC PRODUCTS-CAMP/OpAGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS (Ea acddent) SCHEDULED AUTOS 30DIL INJURY $ HIRED AUTOS NON-0WNEDAUTOS BODILY INJURY $ eM PROPERTY� DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY:EXCESS I UMBRELLA LIABILITYAGG $ RECE OCCUR D CLAIMS MADE EACH OCCUR N $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORI( RRS COMPENSATION $ AND EMPLOYERS'LUMIJTY X WC STATU 07}I A ANY PROPTIETOR/PARTNER�cLmvE Y 1 C009930601 9/26/2010 9/26/2011 OFFICEP MEMBER EXCLUDED? E L EACH ACCIDENT (Mandatory In NH) $ 500,0 I yes �b der E.L.DISEASE-EA EMPLOYE S 500,00 SPECIAL PROVISIONS below OTHER EL DISEASE-POUCY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLA71ON SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELL N BOX ED BEFORE THE EXPIRATION Fraser Construction,LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Co tuit,MA A 02635- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TD DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY FUND UPON THE INSU RER,ITS AGENTS OR REPRESENTATIVES, AUTHOR®REPRESENTATIVE ACORD 25(2009101) � c `v 91933-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r -� 1AWajjadwae& Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massach setts 02116 Home Improvement Caiitr ,ctor Registration Registration: 112536 n Type: DBA Expiration: 3/23/2013 Tr# 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 e. \ Update Address and return card.Mark reason for change. Address n Renewal ❑ Employment ❑ Lost Card DPS-CAI 0 50M-04/04-GlOI216 Office Tokofume'A't air vs�ines��on License or registration.valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:- Registration: 112536 Type: Office of Consumer Affairs and Business Regulation Expiration: 3(23(2,013 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 F R CONSTRI;JCTIQN";CO.' s DEAN FRASER 104 TWINN VIEW E FALMOUTH,MA&'6 - Undersecretary of Vail it ut A re 4 8 j �; lrey 'aiivmonissea.�lg o ✓��aaaacYuiaeti�: ,i Boad`oi-Bui dial r g keg"la;ions a-gdSMndards , i Consti �ton Su�.ervisot Lia. nse L-i S cen'se::C i? Y` 97668 ' �[rtl{ate 6/�'/1957 ?15Pegorii` n/2011 Tr#:97666 .l DEAN FRASER �. . 104 T1IUINN VIEW LAPIS' �- _ �✓ EAST FALM:OUTH,MA U2536 _ Commiasio�ter.' I - 4 t � Fraser Construction LLC CONSTRUCTION P.O...ROOFING & SIDING Box 1845, Cotuit MA. 0263 Email: fraser_construction@verizon. CEIVED 508-428-2292 www.fraserroofingcom FAX 1-508-428-0123 HICL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: March 29, 2011 PHONE: 508-863-9330 NAME: Jim Rocha MAIL ADDRESS: 35 Captain Isiahs Rd Cotuit MA 02635 JOB ADDRESS: Same FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser-Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company.installs an Integrity Roof System. 4 Star warranties have a 20 year Non-Prorated Coverage on any 3 tab shingles (XTAR 25 8v 30) with a 50 year Non-Prorated Coverage for any lifetime shingles (Landmark Woodscape, Premium, 8v TL), which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CertainTeed SureStart plus brochure enclosed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE: CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 110 mph wind-resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: tt,Al I q� S l�� PRICE- $6,500.00 Initial Copper Pan Front- PRICE- $150.00 Initial L Copper Faced Step Flashing- PRICE- $60.00 Initial 1 Product & Installation Details Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust .that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. Supply & Install - CertainTeed Winter Guard or Carlisle WIP: (Ice & Water shield) (WIP- Water & Ice Protection) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Water and Ice Protection (WIP) is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofs ng structures and interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply & Install - DiamondDeck Underlayment Paper Or Rex High Performance: (30 lb synthetic high strength underlayment) Manufactured to provide best-in-class performance in terms of I both weather protection and contractor safety. DiamondDeck is a synthetic, scrim-reinforced, water-resistant underlayment that can be used beneath shingle, shake, metal or slate roofing. It has exceptional dimensional stability compared to standard felt underlayment. (As recommended by CertainTeed) Supply & Install - CertainTeed Swift Start With self- adhering asphalt starter course on all eves, and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install- Ridge Vent - Shingle Vent II (As recommended by CertainTeed) Supply & Install - Pre-Cut CertainTeed Hip & Ridge shingles Shingle Ridge meets the hip and ridge accessory requirements for the CertainTeed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to provide optimum performance--no matter how bad the weather conditions are. (As recommended by CertainTeed) Clean & Remove - Debris from work area daily. 2 TRIM- All new PVC Tri 1.) Rake Boards 1 xi 1 x 4 Dog Rakes 1 x 6 l x 2 Fascia 1 x 4 Corner Boards on dogs house l x 5 l x 4 Clap Boards Dogs houses approximately 100 sq ft- PRICE- $1,150.00 Initial �- Labor4 3 men 2 days: PRICE- $2,400.00 Initial Skylights- 1.) Fixed M06 21 x 38 with flashing and interior trim4 PRICE- $575.00 each Initial 2.) Venting Skylight with flashing and trim PRICE- $775.00 each Initial 3.) Solar Shades (For either skylight option) NOTE: This product is eligible for 30% Tax Credit. Price before tax Credit4 Installed PRICE- $400.00 each Initial 2% Discount if paid by check immediately upon completion Initial NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH- CHECK- MASTERCARD -VISA-AMERICAN EXPRESS - DISCOVER *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for 3 as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or otherwise-.deteniorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 10% mark-up materials FRASER CONSTRUCTION Warranties the labor for as long as home is owned by current homeowners mentioned above. FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: 6 f #omeowner Fraser Cons ction, LLC For company use only Date Received Date Started: Date Completed Job estimate: Dean/Mike # of squares: Billed Material ordered Extras Paid Available Discounts 4 Assessor's map and lot number ....... .! '..��. ............ OFTNEtO � .IL .. Sewage Permit number QS� ���5.... ................... [-� S 33AUSTODLE, House number .............. ✓Z............................................ 90o rb 9. o� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION- FOR PERMIT TO .... �.r..0 ...... .. �........ � ?Y... ./ ®.�..s.� .......................... .. .... ... . . TYPE OF CONSTRUCTION ...... N,.✓,;1 0 :................. .. .........:,... ............................................ lq 19,E„�✓ ................. .� �. .............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location `, o..... ., �0..... ........ ProposedUse .... ......................................................................................................................... PZoning District Fire District .....0.n,.. :..:...1�............................0................ '°�44 !>> �/ T 1. ................Address � � C� �,5,�� '''G Name of Owner ..................:..........;..;. ..,..... ` '(G� Name of Builder Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation ..... �`� 2 ........... ........................................................... Exterior ..::.:...:.....Roofing ..... ..4%...~.................................... Floors ....................................................................Interior ....... t-,: G C^ ............................................................... s Heating .L........ /'.1?..`....r.,.!?.., :..!x'.....................Plumbing .................................................................................. Fireplace ........./......................................................................Approximate. Cost .......cIar„r/. .......... Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ...A, Q..................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH � I - M 3 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. 71 Name ................................................................................ Construction Supervisor's License ...... ../.... ... �..... ANTIS, GERALD Story No .27.8.8.5—fermit for ............................. Single Family Dwelling ............................................................................... Location .,,,Lot_ 50.........3.5....Capt......Tsia Rd. Cotuit ............................................................................... Owner ......Gerald...Antis ............................... .... .. .... ..... .. . .. Type of Construction ......Frame...............I.......... ..................................................... ................... Plot ............................. Lot ................................. May 16, 85 Permit Granted .....:................ ...19 Date of Inspection ....................................19 Date Completeo ......................................19 r. _ r: :: �r:-; ,.a_, / — � �.Y .t �,•` p.'+71 \W z-:i. i :is�i �:t= � >i :Z-':..� ''y; �.' r TOWN OF BARNSTABLE BUILDING DEPARTMENT ZIT = TOWN OFFICE BUILDING °b 1639 � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: d/_ An Occupancy Permit has been issued for the building authorized by Building Per $k.. .... rS ,_w., ................................................„................. _ issuedto �.s` ld. vl,• . ....._ .............................................._...._..._ _. ..._..._............_................ Please release the performance bond.d4i.7 T y=. 9 TOWN OF BARNSTABLE Permit No.? 27885 r -----------—------------------ l aausr Building Inspector r` Cash -------------------------- OCCUPANCY PERMIT Bond _____x_____/� Issued to Gerald Antis Address Lot 50, 35 Capt. Isiah's Road,,tCotuit Wiring Inspector f `` Inspection date Plumbing Inspec4 ,.,_ Inspection date Gas Inspector Inspection date X Engineering Departmentj��� ���� O�G ,� Inspection date Board of Health �/Vrj�?�Jjf � Inspection date - 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. Building Inspector �;_ •vx.. ...[' '`.� �;-'4.' � - .�•`�.. i:rir:. � ;f��., . i ".. .raa:: i, � � �� � ,�. . ...ter" ti i TOWN OF BARNSTABLE BUILDING DEPARTMENT} = D�'T = TOWN OFFICE BUILDING rua �°b 'bI9• �� HYANNIS, MASS. 02601 �0 Khl MEMO TO: Town Clerk a FROM: Building Department DATE: r An Occupancy Permit has been issued for the building authorized by BuildingPermit #.. ... g .................................................................................................... . »......... _.. ..» issuedto .....-c� .... ... - ._.. ......._........................................_..........._... _. ..� _�._.._. ........ ».. Please release the performance bond. • 4 ' ro h• J �. 0 o ' • W co • 2 "I CERTIFY THA T THE FOUNDA TION SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS AND THAT PLOT PLAN OF LAND IT CONFORMS TO THE TOWN OF BARNSTABLE •ZONING LOCATED IN REGULA TIONS It 4PvjHOF,�9r BARNSTABLE - MASS. D AviD PR EPA TE.• MA � EP Y 14, 1995 s ARED FOR - CHARLES H SANICKI GEPALD ANTIS �w 9 28085 O H �c�sT�� e` DATE•MAY 14 . 1985 SCALE.• ! 40 FT. _ . R. L . 3. 20 �.. �o -vRJE CAPE 6 ISLANDS SURVEYING FL ODD ZONE C TEA TICKET - MASS. i MICHAEL D. O'NEIL JOHN W. KENNEY Attorneys at Law 491 MAIN STREET HYANNIS, MASSACHUSETTS 02601 f (617) 778-6214 778.621.5 April 3, 1985 Building Inspector Town of Barnstable Town Hall Hyannis, MA 02601 IRe: LOT 50, Cap'n Isiah's Road, Cotuit, MA. , Land Court Plan 34623-B Gentlemen: At the request of Mr. Gerald A. Antis, I conducted a search of the record title to the above-captioned real estate. As a result of my title search, it is my opinion that the said LOT 50, while being undersized by current zoning by-law requirements, is a buildable lot under the by-laws of the Town. of Barnstable due to the fact that it was held under separate ownership during a time prior to the effective date of the increased zoning requirement. If you require any further information regarding this matter, . please do not hesitate to contact me. or 'all �- ; 7 Michael D. 0 Neil ' MDO/jpb rr Assessor's map and lot number .... THE L t0 C c �o Q Sewage Permit number ... -. �`�? �36 S-IA� .......................... 2 ST/1DLE. i House number ................ J7 .................................., a a 900�N It639 MAI a TOWN OF BARNSTABLE BUILDING INSPECTOR . l T APPLICATION FOR PERMIT TO ....../ -.t.. ..... .<. .../ e.4.z............................. TYPE OF CONSTRUCTION .......CN.X.t0 ....... ..................................................................... ................. .. ...L�................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according . to the following information: l Location ........g ...... D........... ... ... L!_... .... �.,� ��j`/` ... .......�.. j................... ProposedUse ... ............................................................................................................................ Zoning District ..................( . ...........................................Fire District .....(f r...................................... Name of Owner 6�V�'�1/�.-.Lk'...... r1................Address ./A �,r�4'�.G.�....��:�L::��.�'•/ Name of Builder Address .......... /............../.�::............./..�............... ��, '1�... .lr.1../1'1.'J..S. Nameof Architect ..................................................................Address .................................................................................... zzl Number of Rooms .......... Foundation Exterior .....f. l!�?.�1!�' ....�'.�.5/ttiLr.. � . . Roofing ..... .................................. Floors ......................................................................Interior .......�... ....... -. z. --................................... ...............Heating AL ...................Plumbing ...................................... Fireplace .........I......................................................................Approximate. Cost .........1... .1..? ! ................................ Definitive Plan Approved by Planning Board --------------____.----------19________ . Area ... ..,� �7(�.... Diagram of Lot and Building with Dimensions Fee d < / ...... ate. ....1. ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH �' Z3 <Iro✓( o M f ------------- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To of Barnstable regarding the above construction. Name ................... ........................°................................ Construction Supervisor's License ...Y.. .l..../....c1... .... ANTIS, GERALD w a ..2 r4rmit for ............Single Family Dwelli ..........I..................................................... ........... Location ....Lot 50. 35........ ..CaRt...........I S........ia h Rd. Cotuit ............................................................................... Owner ... Gerald Antis' ............................................................... Type of Construction Frame............................. ................................................................................ Plot ............................ Lot ................................. Permit Granted .......4ay...1.6-P........ .....19 8-5 Date of Inspection I ......................19 .......19 Date Completed ng-2