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HomeMy WebLinkAbout0104 CHERRY TREE ROAD - �J �� .� �� -. _ .. � T .. �.- ....,is cofiservDacon L 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for insulation work at 104 Cherry Tree Road (application#201206995) has been inspected by a certified Building Performance Institute(BPI) Inspector. All wont performed meets or exceeds Federal and State requirements. Sincerely, Conor Mclnemey ConserVision Energy C ® .� o �. co W t,u { 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 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 \CA G \,\e(.m —T�e e �) . Village Owner 'A. M A\c Address \OL\ Gee cM Telephone Permit Request o.Ar C.. .\\, sem om'\'L onrA Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation \ j 500 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 Kings flighwaVLI Y@° ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (s-ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new r n Total Room Count (not including baths): existing new First Floor Room Count„Jty '�' Heat Type and Fuel: ❑ Gas ❑ Oil '0 Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: 0 existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: 0 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 Ca-m,c- M c_\ er o� Telephone Number nOt- "S Address ��6 �.c�.A�2, \O,0 , C. License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE r DATE 4' FOR OFFICIAL USE ONLY - 9 APPLICATION# DATE ISSUED ; MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' } t • 1 DATE OF INSPECTION: r i FOUNDATION I:, •y FRAME I' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL III f FINAL BUILDING ' y DATE CLOSED OUT ' ( ASSOCIATION PLAN NO,% j. lt ' e f The Commonwealth of Massachusetts ''PinForm Department of Industrial Accidents IFOffice of Investigations I Congress Street, Suite.100. Boston, MA.02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/orgatiization/Individual):CONSERVE ENERGY INC. d.b.a CONSERVISION ENERGY Address:_376 ROUTE 130, SUITE C City/State/Zip:SANDWICH, MA 02563 Phone #: 508-833-8384 Are you an employer?Check the appropriate box: Type of project(required): 1.X1 I am a employer-with 6 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time,).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the at sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have g ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 1.0.❑ Electrical.repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.© OtherWEATHERIZATION comp, insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors thatcheck this box must attached an additional sheet showing the name of the sub-contractor,and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. insurance Company Name: SELECTIVE INSURANCE COMPANY OF THE SOUTH Policy#or Self-ins. Lie.#:WC7956539 Expiration Date:3/15/13 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of.MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certify under the airs and enalties oLfXe!LutX that the in orrnation provided above is true and correct. Si aturc: Date•__ Phone#:508-833-8384 Official use only. Do not write in this area,to be completed by city or town official City or Town: Perntit/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#: f Client#:68880 CONSER A-CORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 03/15/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY"AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY.THE POLICIES ,VELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE:CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and.conditions of the policy,certain policies may require an endorsement.A statement'on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I NACON ME:TACT Rogers&Gray Insurance.Agency;Inc. 508 398-7980 Fix 434 Route 134 E CAILo, !FAX N" or `ADDRESS: South Dennis,MA 02660 INSURER(S)AFFORDING COVERAGE NAICA 508'398-7980 — -- INSURERA:Selective Ins..Co.of the South I' INSURED INSURER 8: + Con-Serve Energy,Inc. -- 376 Route 130.STE C wsuRER.c: Sandwich,MA 02563 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP LTR _ iINSR WVD POLICY NUMBER MM/DD . MM10D LIMITS IYYYYI A GENERAL LIABILITY X S2011299 3J14I2012 O3N4/201iEACHOCCURRENCE S1 000OOO PGENL COMMERCIAL GENERAL LIABILITY ( 'DAMAGE TO RENTED PREMISES Eaoauvence $100 OOQ CLAIMS-MADE X OCCUR ui { I MED EXP(Any one parse,) $1 O OOO - - h PERSONAL&ADV INJURY i S1,000,000 GENERAL AGGREGATE Is3 000,OOO AGGREGATE LIMIT APPLIES PER: Iy PRODUCTS-COMPIOP AGG .0,000,000 X'POLICY PRO- JECTLOC AUTOMOBILE LIABILITY F COMBINED SINGLEUMIT I S j Ea a:,Citlenl ANY AUTO t �' BODILY INJURY(Per person) $ AALL UT OWNED A OESULED ,� i i, i BODILY INJURY(Par actadem)1$ NON-OWNED PROPERTY DAMAGE IS HIRED AUTOS I AUTOS I Per a cadent)_ i !S A UMBRELLA UAB X OCEl' ; X S2011299 311412012 03114/M E c"OCCURRENCE S1,000,000 X EXCESS UAB CLADEi AGGREGATE i S3 OOO OOO DED_ X,RETENTION 0— _ _ _ g A WORKERS COMPENSATION y WC7956539 31141201210311412013 X WC STATU- OTH- AND EMPLOYERS'LIABILI Y YIN+ ITO.BY_L1MLT,S_�E ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? I .I A ° I E.L.�EACH ACCIDENT $1 OO,000 (N 1 ._�_- I (Mandatory In NH) I EL.DISEASE-EA EMPLOYEE I$1 OO 000 U yes desaibe wrier DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT i 8500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES'(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Excluded officers under workers'comp-Conor and Courtney McInerney. Blanket additonai insured coverage applies under CGL. CERTIFICATE HOLDER CANCELLATION 4 Thiefsch Engineering,Inc. SHOULD ANY OF THE'ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 195 Francis Ave: ACCORDANCE WITH THE POLICY PROVISIONS. Cranston,RI 02910 AUTHORIZED REPRESENTATIVE ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S788991M78898 DDR i ir,as$acnu$E'II: ^aaR,1"Mel'Oa -"jo C 5vet, 30aro of Sul cirrg ieq.)ianorb inn �1;2't0_I'7S Corwructiuntupen is-or sificci ih .'cons, CSSL-102778 CONOR D MCINE;RN£Y 39 SIASCONSET.MVE SAGAIMORE BEACH MA 02562 -,till rlr.sal, . 08/19/2014 Office otCopsuin tl�'Ialis SS ego a f Z&�Blfi" rj�l I License or registration valid for indi�-idol use only _ me 1 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 171251 Type: Office of Consumer Affairs and Business Regulation ' Expiration: 3/1/2014 Partnership 10 Park Plaza-Suite 5170 Boston,MA 02116 CON-,SERVE ENERGY CONOR MCINERNEY 376 ROUTE 130 SUITE C f SANDWICH,MA 02563 Undersecretary — , 11ot'arid without signature OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) „'f A 0Z635- (Property Address) hereby authorize OV-�A `, _ I. d 0Y1 • Subcontractor ' - an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property, Owner's `Signature Date ' � a Assessor's office(1st Floor): SEPTIC SYSTEM Assessor's map and lot number q Id _ ! INSTALLED IN (� Board of Health(3rd floor): Sewage Permit number WITH TIT Engineering Department(3rd floor): � - / ENVI ROW PISIf oNTA House number /0 Definitive Plan Approved by,Planning Board APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF ; BARNSTABLE ft",U INSPECTOR . 7 P o o P a�1nr� ^X�S�7iu ecc odla keiJ �ec c eeNerQ ►�Rc ��R!D TYPE OF CONSTRUCTION wo ��— — 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location o Cke22 u i RPe,IR J• C,o4t- ,fint [t I /�' gN ( Proposed Use -SC Zoning District 9r) Fire District L Name of Owner 5 Address �� ��eAl SP c�alr.'$f3Name of Builder otn/ I a M Address GAG/JCJ VI Name of Architect Address Number of Rooms Foundation Exterior Roofing A so ALtCoYY o05���OTt� Floorsf x Interior Heating N IA- Plumbing Fireplace z Approximate Cost ✓ C�a!a Area l5� Diagram of Lot and Building with Dimensions Fee 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 MALOY, SANDRA No_35091 Permit For BU LD SCREENED IN PORCH Single Famil Dw incr Location 104 Cher re Road Cotuit Owner Sandra Malo Type of Construction Fr e Plot Lot i y Permit Granted' May 28 , 19 92 Date of Inspection 19 Date Completed 19 a :a 00 Assessor's map and lot,number ...J../.i....).... ......t'��.1 �s fTMET S'li M SYSTEM MUST Sewage Permit number ...�� � . '. . . �. • / (NSTAL'LED IN COMPLI �f. C�� WITH ARTICLE 11•STAT AW LE, douse number ..........1/I f1 h...<.� ......... 1�4if1( R>r DE AND TO 9 tb39. \0�° W;W a• TOWN OF BARNSTABLE BUILDING INS CTOR APPLICATION FOR PERMIT TO ......................... TYPE OF CONSTRUPON ....... / / ,. . ..........!!....................19.i.6.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies f r a permit accorji to the following information: Location ...........l..T). ......... .. ............. ................................................................................................... ProposedUse .................................................................... ................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ...../.' .� NN..LL 7- ...(../PQ............ ...................Address .......... a. ... %T................. Nameof Builder .................................:..................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...... ....................................................................... Exlerior SlflAICL LE Roofing ...... .. .. TT�7 CF.. ................................................................................. .... ............................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................. .......................... Fireplace ...........................p ..:...............................................................................Approximate Cost ..... ........................ 14 Definitive Plan Approved by Planning Board -----------_______-----------19 . Area �.£� C Diagram of Lot and Building .with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable-regording the above construction. Name ... .,f'`� �.. ..... ... J..... O'Donnell, T. i?0470 enclose porch & No ................. Permit for .................................... build dormer ............................................................................... 104 Cherry Tree Road Location ................................................................ Cotuit ............................................................................... T. O'Donnell Owner .................................................................. Type of Construction ...........................frame............... ........................................................................ ....... Plot ... ........................ Lot ................................ Permit G.ranted ........... ...........19 78 Date of.Inspection ....................................19.,- Date Completed ....................e-7 PERMIT REFUSED .......................... ..................................... 19 ............................................................. ............ ...... ........................................................................ .................... ........................................................... ........... ....................................................... Approved .......................................... 19 ............................................................................... ................................................................... ....... r A sessor s map and lot number ...................... THE Sewage Sewage Permit number .........................' '��. .... �,�r 33AUST&BLE, i House number ...........:....::....:.... ............ ......'.::................... ro raea p t63q. `0� A0 YPY a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....° ... .........................:.:.::..................... ........................................................... TYPE OF CONSTRUCTION _ ...................................... ................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...................:.................................:................................................................................................................................. ProposedUse ...................................................................................................................................................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ..... ....... h ................Address ......... ......... .................................................. Nameof Builder ...........................................................:........Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ..... ......... �.�.... ....:.:.� \r. :.:` Roofing ...... � ... ; °C' .'................................................. .... ....... 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 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ........................................................................... ' O'Donnell, T. A=19-12 � �V -.x�O � aucIooa & � No -��....--. Permit for --------��!��! � ' build dormer � | ----------.---------------.. / Location .........lO4.. .. ........... ' � ' | --------.e��p��-------------. � � � I� 0' ( Ovvnai -------���g���---------.. } Type of Construction .............fram------ � ` / ' � Plot ' / ! Permit Granted 78 � � uo/a or Inspection � � ' Date Comp/ �p IT REFUSED � ` � \ � ___. —' lA ' ' .......... ....~''—'Jy............ ------'' / v . ` ............................................... ------- � � � . —.--------------..—='..------.. � `� . � � -------.-----.----~.----.--.... - � . � l9','r ~`^~ ................................................ � ------...--------~.----... ----.. . � . . . � ........................................................... . � . { | � } ' � ~ / . ' ^ FEE TOWN OF BARNSTABLE, MASS. 19 � hpen D d� THIS IS TO CERTIFY THAT A PERMIT -1'S' HEREBY GRANTED TO > e, p _.........................................................................»................................_.».........._.....»_..........___.................... _...........».............................._..._....._ »_._._...._.......__..... _ _ O � )PROPERTY OWNER) (ADDRESS) p O t _ o•p ro.a TO ..................................._........_..................__......._.........I..__....... _..._._.__........ ,.,:...:........................................................................................._»....... CnJ [�1 9 U )BUILD) ERI (REPAIR) A O f VpJ 4) (TYPE OF BUILDING) (APPROXIMATE SIZE) �7wy�o A LOCATION ......_._ .....__..._.».__.»»__ ___ _ _....__. .._..._............»................................................. _. ...._...._.___ T 07 (STREET AND NUMBER) (VILLAGE) VVVV 6 NAME OF BUILDER OR CONTRACTOR _»__........._.»...._........ ..._.._.......... APPROXIMATE COST c9 I HERBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN .. OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. 02 y 4)cs a (OWNER) (CONTRACTOR) O O ��rr 0 )�.n O ...._ ...__.:.....i-......_...__.f».........:.:.....t.:_.......:..»...:..::..»........................ _ BUILDING INSPECTOR Subject to Approval of Board of Health. ��� � �� 7 � 0 t Assessor's map and lot number ...... ... Sewage Permit number .......... .. . ..............:..................... `�.. TNEtO�♦ TOWN OF BARNSTABLE - P Ii BARNSTABLE, i "6 o gar BUILDING INSPECTOR • a' APPLICATION FOR PERMIT TO ... ��� .. � r TYPE OF CONSTRUCTION ............:........... .......................................................................... (2� � -;�3 fi / ... ............19.. . TO THE INSPECTOR OF BUILDINGS: r ' The undersigned hereby applies for a permit according to the following information:: Location ... ........... �r� ('/� U� ......... Proposed Use !'"� ...U�....................................................... Zoning District ........P... ..............Fire District ..... .......... . ............. Nameof Owner .................Address ....................................,.......... .....t... ............_.... ,....... Name .of Builder ....!....!............. .f�.t'..!r.t....L(e.....!1/;....Address .....�: Nameof Architect ..................................................................Address .................................................................................... 07 Number of Rooms .......... ....................................................Foundation e�� P , Exterior ../11�1i//�••l///,'�I �//�.fYl/`f. Roofing �� /.......'S' ./! /?': ........................ .......................... ,....... �. Floors X,11 _ Se...............................Interior .................................................................................... ........ Fieating r !//.�f//'/f—'!........... .....�..".....:.. ..:Plumbing /�•//%Q/ X r " /../1 / . .,.:: ..�...'... t a i Fireplace .......... .. ................................................................Approximate Cost ....� „ it�!„JI (/..........................^............ Definitive Plan Approved by Planning Board ---------------____-----------19--------. Area �...5'r. ............ Diagram of Lot and Building with Dimensions Fee ;R� SUBJECT TO APPROVAL OF BOARD OF HEALTH /6-6 AP I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Name . .1 ' � ' O'Donnell, Tod � ��� y � ~~ yaj . ' No . �72Og Permit l 1/2 st�r�» . ��—.��.. --------.... —' ---l--1mp -----------'~— ~-------' LocohonA.��^� ..Tree..Roa6______.. � ________.�mto1�_____________. ' Owner .............Tod_O'Donnell _____.___ Type of Construction .............��§��� ' ` � � � � � ^ � � � � � PERMIT REFUSED � -----_--------------.. lA � .-------------------------.. � � � ' | -------'--^----------------' � .—.-----.------------.------.. '---------------'^----^-----' . . Approved ---------------.. 19 - � � ' --------------------------' � -------`--------------..—.... , � .� Assessor's map and lot number9..:... :...1 .LS ' T� 4I�ST tiE INSTALLED IN COMt'L{AASC Sewage Permit number ...:.... :. WITH ARTICLE It STATE ii SANITARY CODE AND TOWN yofTMEro�° TOWN- - OF BARNS t, j BABH9T11DLB, i '' �• ,o� �•� B?UILDING INSPECTOR* �. APPLICATION FOR i PERMIT TO .... GG. ... ..... .... .. .... ................................................. �'{ TYPE OF CONSTRUCTION ............'SU..06. . .... ........................................................................... ............19.7- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following �information- Location ...h� ..........0 2� . .../..... i. .R�- l�Gl.......C; ��..�...1`:Gf� . ........................................... y . ProposedUse / d, �J.�`1� . % ........................................................................................................ Zoning District '........� ..................................................Fire District ..... Name of Owner....40!49 0104 .................Address Name of Buildert .......0 ..... .�'�t� .ICCi�ZAddress lae/.4 . .�1 .. ,yam/ ....... Name of Architect ..................................................................Address ................. .... . .. .................................................................... Numberof Rooms ...........�.....................................................Foundation ....� �........................................... y Exierior zl(�.......................Roofing .r ....... /1�� ��- ........................ f// Floors ��.......................:.......Interior ................................../�1���... /4� ................................................... Heating �GL:: .�G. ./...................................................Plumbing ... .4w 4 1r1��i....s... � �� (�............ Fireplace ........ .....................................................................Approximate Cost ..... 4 ",91 ..........................�........... Definitive Plan Approved by Planning Board -----------_______-----------19________ . Area ....� G�...S:....:........... Diagram of Lot and Building with Dimensions Fee d= SUBJECT TO APPROVAL OF BOARD OF HEALTH T 36 its ems. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the"above construction. Name . :. .... . �...... 7- O'Donnell, Tod No 1720% Permit for .... 1/.2-At9KY....... ........S.:L1qgxq..fAM4Y ....................... Location/0... ..9hpusy..T.r me...R944.................... .................Q.Q.t.TA it........................................... Owner ..........Tod..Q.'Donnell............................ Type of Construction .........f.r.AMP....................... .............;.................................................................. Plot ............................ Lot ......... 3.................. Permit Granted ........... July 15 ........19 74 'Date of Inspection ...... .......1.9, ...... q Date Completed . PERMIT REFUSED ................................................................ 19 ti.............................................................................. .................................................................................. ............................ .................................................. .....................................................;................... Approved� 7................................................. 19 , ' ............................................................................ ............................................................................... r . i 5prvice ... j .... ....... p� ...... ..... ... ....�, «t /. o✓rL/t .. , , ................:..........:.............:........ ..... .... .... ,........: : ... �..l........ : . r M . r �/ 1 S. 5 .. .... V. a F .. ....... . ...... ..... ...... : .... ............ .......:.......................... ... S , an W bps ..... i...::;...�: :...... ........,..;........ ;.. 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II �. fl�l't7r��1 . l�l r • �I t. �. • • 1 I Je creative design • quality construction. order No. H ome Sheet No. � of 3 ement 25 lyanough Road • Rte. 28 lists Hyannis, Mass. 02501 Date r od 775-7515 i PURCHASER'S NAME WORK TO IBE PERFORMED AT Name ` ' OA0�,1 \ Street — Street _ City State 'City ` Date of Plans State Architect Telephone Number DIRECTIONS TO JOB We hereby propose to fur n' h all the materials and perform all the labor necessary for the completion of C43btC +h base.o VA CLW4 Ttt' ,W6 uk), 111 tor ' s c�►�Q c-ec P -- :7 in o�c G Ir YYI� tiVA I OR remn A Ak =7S I XA • I � . . .. i ..r.. ..._.... .._.Y+.n—..ram.. T:..... • .. •r..si....uwu.F(..-eT.SN..a-tr C1'.Ya- .. .a 4S.r.'ak n+Y':�- .M�.Y+yr.o.. ri4 .-. ..a . 's t 1 r .F-r ! { r 1 TCST Nl 1 ,, b � ; IbOC� GAL• \` �` , Q ` i�` �'� '. • � 1 'U►'✓�`c L/titer 1 iQ' / ' F. r ,/u C y' Li •�* ���p`�./�'�f r�'V n'� f��1/� ���� L-� �.l �J i� r' V i 4�/� J-_. L. 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