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HomeMy WebLinkAbout0017 CLAMSHELL POINT LANE lot— r.1�l��p^�VyI1 �.✓�'�^ P'l _ �C` rt �.. - at.r..�a.y' -. b � n .i f 6K g11-7113SUWU I` r J� I Weat her ization & I.nlsuIation 4io Grove St.Fall Rivet Ma 02723 Insulatersave.net l I April 12, 2013 Town Of Barnstable Thomas Perry, CBO 200 Main Street Hyannis,MA.02601 RE: 17 Clamshell Point Lane Dear Mr. Perry, This Affidavit is to certify that all work completed at 17 Clamshell Point Laipe has been BPI Inspector. R14; R35 Cellulose was added to the attic. All Work Performed Meets or exceeds Federal and certified State Requirements. Sincerely, t w z. Roland Langevin Insulate 2 Save,Inc President CSL 103861 HIC 166311 -77 t i s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapM -0— Parcel Application t Health Division Date Issued Conservation Division Application Fee :0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village 02) Owners _YV\D)Vv-_-N Address Telephone •LA 1 Permit Request AO Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �1�1 d�i 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 nCD ew Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count-0 tl uJ Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover❑Yds, ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0-newt 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 Telephone Number ( t,(0 �T Address- License # Home Improvement Contractor# Worker's Compensation # cl_,471u I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N(4Ak ��,A 0 A-1L (S SIGNATURE DATE I FOR OFFICIAL USE ONLY - APPLICATION# DATE ISSUED ' j; MAP/PARCEL NO. : t ADDRESS VILLAGE ' OWNER .DATE OF INSPECTION: 1 1 FOUNDATION I FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH i FINAL FINAL BUILDING ICCL" r I DATE CLOSED OUT' LAN IN ASSOCIATION"`P :" i The Commonwealth of Massachusetts 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 Name(Business/Organization/Individual): IAt cA 9,1 Address: I D City/State/Zip: Phone.#: t u .ul o u 1. Are ou an employer?Check the appropriate box: Type of project(required): I am a employer with 1 C) 4. ❑ I am a general contractor and I 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 attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.4 Other) 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. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors 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 Policy#or Self-ins. Lic. #: 1 Expiration Date: o[ V a Job Site Address: f City/State/Zip: CQ� 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. i52 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investil;ations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties of perjury that the information provide above 's true and correct Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i CERTIFICATE THIS CERTIFlCATE Is ISSUED As A OF LIABILITY INSURANCEOP ID: HG CERTIFICATE DOS NOT AFFIRMATIVELYMATTER OF INFORMATION ONLY =DIATEyyrnBELOW. OR NEGA AND CONFERS NO RIGHTS UPON 2 REPTHIS CERTIFICATE OF INSURANCE DOES IVELY AMEND. E A CONTRACT ENTATNE OR PRODUCE EXTEND OR ALTER THE CERTIFICATE HOLDER.THIS IMPORT R,AND THE CERTIFICATE HOLDER. gETVI►EEN OVERAGE AFFRESORDED BY ANT: If the cert,l-cate holder is an THE ISSUING INSURE THE POLICIES the terms and conditionsADDITIONAL INSURED, IN-SURER AUTHORIZED certificate holder in lieu Policy'certai^ the policy(ies) muy�p�� Of such endorseme policies may require an endo be endorsed. If SUBR s. rSement A statement on thisOGATION IS WAIVED Partners Ins•Mizher.Division 508-675-0308 CowrACT certificate does not r subject to 560 Wilbur Ave. 508.675-0006 P"o'E Helen Ga ne 9�to the Swansea,MA02777 No .508-491-0174 Stephen Long�Wansea AEDDRLES$' InPRODucER:h a artnersins Ilc.com FAX NO:508491-0108 Insulate 2 c STO1"� INSUL-1 Roland Langevinnc INSU INSURER A:SCO n S AFFORDING COyF,pAGE 536 Eastern Ave. ttsdale Insurance Com Nac 0 MA 02723 Fall River INSURER B:Travelers of Massachusetts INSURER C: INSURER D: COVERAGES INSURER E: THIS IS TO CERTIFY CERTIFICATE NUMBER: INSURER F INDICATED, NO THAT TME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAM CERTIFICATE TWiTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF REVISION NUMBER: MAY O ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H EXCLUSIONS AND CONDITIONS OF SUCH POLICIESNCE .LIMITS SHOWN MAY HAVE BEEN REDUCED gY p Ell) COVE FOR THE POLICY PERIOD ANY CONTRACT pR OTHER DOCUMENT WITH RESPECT TO IN G 7Y� AID CLAIMS. HEREIN IS SUBJECT TO ALL THECH THIS TERMS, ENERAL LIABILITY POLICY NUMBER MM/p�EFF P0�pp, A X COMMERCIAL GENE RAL LIABILITY LIMITSCPS1366499 CLAIMS-MADE a]OCCUR 06/12/11 O6/12112 EACHRF1uhOCCURRENCE $ 1,000,0 � °°cu"a^ce $ 50,0 MED EXP(Any a,,pew) $ PERSONAL&ADV INJURY 0,0 0EN1 AGGREGATE LIMIT APPLIES PER: PERSONAL 1,000,00 POLICY PRO LOC REGATE GENERAL AGG $ 2A00,00 AUTOMOBILE U ABU y PRODUCTS-COMII AGG S 1,000,00 ANY AUTO $ (Ea COMBINED SINGLE LIMB $ ALL OWNED AUTOS ) SCHEDULED AUTOS BODILY INJURY(Per per) S HIRED AUTOS BODILY INJURY OW ) S NON-OWNEO AUTOS PROPERTY DAMAGE (Peraca0em) $ X UMBRELLA OCCUR UAB S S X EXCESS LIAM A CLAIMS-MADE DEDUCTIBLEON $ 10,000 UBS0001144 EACH OCCURRENCE $ 11000,00 X 06/12/11 06/12/12 AGGREGATE $ 1,000100 RETENnoN AND EM $ B ANY PROPRIETORIPARfNER � YIN 70P25111 WC STATu OTM- OFKERIMEMSER EXCLUDED? NIA 12/10/11 (Mandatory In NH) 12/10/12 EL EACH ACCIDENT D I�I N OF OPERATONS below $ 500,00 E.L.DISEASE.EA EMpLO $ SDD,QO EL DISEASE-POLICY LIMB $ 500,E DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(AttWh ACORD 101,Addidoul Remarks Schedule,If more space is required) Honeywell International Inc,its subsidaries and its and their respective officers,directors,shareholders,employees and agents as additional insureds in respect to general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR ZED REPRESENTATIVE ACORD 26(2009/Qg) The ACORD name and logo are registered marks 2of ACORD ACORD CORPORATION. All rights reserved, , 1 c� AXe Office of Consumer Affairs and gusiness Regulation' 10 Park Plaza - Suite 5170* Boston, Massachusetts 02116 Home Improvement `a�tor Registration i— Registration: 166311 Type: DBA Expiration: 5/11/2014 Tr# 222532 INSULATE 2 SAVE ROLAND LANGEVIN f;, 410 GROVE STREET FALL RIVER, MA 02720 �•i,— �b :i Update Address and return card.Mark reason for change. DPS-CAI it SOM-04/04-G101216 • -~ [� Address Renewal Employment [],Lost Card Office�tonm�erAf}arr�s gi�sioe s`�Retr'"o License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,A, 6311 Type: Office of Consumer Affairs and Business Regulation Expiration: 51.1�1.�,014 DBA 10 Park Plaza-Suite 5170 Boston IN TE 2 SAVEr, ,MA 02116 ROLAND LANGEWN 536 EASTERN AVEi,;` `'< ? • FALL RIVER,MA 02T• / secre _ �' Undersecretary =1 Not valid without signature Nlassachu..ett%- Department of Public Safety Board of Building Regulations and Standard% Construction Supervisor License License: CS 103861 Restricted.to:, 00 ROLAND L=ANGEVIN 536 EASTERN AVE, FALL RIVER,MA 02123 Expiration: 8124=13 (' nunixiva r Tr#: 103861 i OWNER AUTHORIZATION FORM (Owner's Name) i owner of the property located at C L4vvske It (Property Address) off.k oZ6 3�— (Property Address) i hereby authorize ( Jam— -2. �A (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 ��ypT TM[tp``Oa TOWN OF BARNSTABLE t sasaerAEL ? 'oo "6 9. MASSACHUSETTS Solid Fuel Stove Permit DATE OF APPLICATION ................. ...1��2............................. FIRE DEPT. ISSUING PERMIT ............................................................ NAME (owner) �� NAME (Installer) l�d.�.�. ....-CQ.n. �? �t?!s'............... CG/,IN1 SN€�L �T U✓ coTvs�T ` ADDRESS17................................/......................................................'......................... ADDRESS ..............��� sXo,....I.....................{.....�1.�...... STOVE TYPE . ..... .. f......:r.... .. .. ..:.... ... ... ................ CHIMNEY: NEW ........................ EXISTING ........................ Manufacturer 2 CHIMNEY: Masonry 41"P-! 1r� b:...............„ (, ... ..tc ........... Mass. Approval ............................./�.(... ................................................. CHIMNEY: Metal ................................................................................................... This is to certify that the above installer.has permission to stal soli el burning appliance at the listed address in accordance with an application on file with the .. ... ..................... ............................................................... and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued B Title Date is y: ............ . ................. ......................................... ............. Permit to install expires 60 days after issue date Stove ............................. .........................................................................................:.................................................................................................................................................................... StoveClearance ...... .................................................................................................................................................................................................................................................... Floor .........................1 ................................................................................................................................................................................................................................................................... SmokePipe ............ ............................................................................................................................................................................................................................................................... SmokePipe Clearance ........ .................................................................................................................................................................................................................................. Chimneyv....................................................................................................................................................................................................................................................................... SmokeDetector ................................ .............................................................................................................................................................................................................................................. The undersigned hereby certif s tat the installation of solid fuel burning stove and equipment made under au- thority of permit dated .. ....���.y ............... has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto . Installer ?LA INSTALLATION APPROVED .....�.....�,� ....9 ................... By:.............. ....................... ................................................ Title: "fi`"":.. `"'�""""'..... ate WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT -6%TX E Tp�` TOWN OF BARNSTABLE DAUSTABL i - '�, r679. �P MASSACHUSETTS Solid Fuel Stove Permit DATE OF APPLICATION? .................: FIRE DEPT. ISSUIN PERMIT ............................................................ NAME (owner) ` �11AMJrK, NAME (Installer) S oiJ — fa, }�.�q„c ? ` ADDRESS �7.....dZAA4�N,E1_4_ . .:..U✓'.....(207L DDR•ESS ..............✓�lt.�.sXo�t.�•!...... c�%zl' A.�oopl STOVE'.TYPE .......e e5.. .�........... e-1 z KA ............ CHIMNEY: NEW ........................ EXISTING ...... ...... _ Manufacturer ..�!.�.1 ..'..� !/ /,�/�'`��c�C�/�!......... CHIMNEY: Masonry ... .... .0 ��- c.�..... ..l...f.......... ..... ............................... Mass. Approval ............................i........ ........... ......... ........ ......... CHIMNEY: Metal .M.... ........................................ This is to certify that the above installer has permission t , instal a. soli el burning appliance at the listed address in accordance with an application on file with the ../. .... ..................................]}ir-e­Departnrent, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. r . Issued By .�� ................�!......!...........................................................................................Title ...........:............ ..`.'." ......................:...... Date ......... ....................... Permit to install expires 60 days after issue date Stove ............................ .............................................................................................................................................................................................................................................................:. StoveClearance ........-...................................................................................................................................................................................................................................................... Floor .........................`-..................................................................................... ::........ .................................................................................................................................... SmokePipe ............ ....................................................................................................................................................................................................................................................................... _Smoke Pipe Clearance `..--'—.. .. .. .. . . . Chimney .v..................................................................................................................:.................................................................................................................................................... SmokeDetector .........................././444................................................................................................................................................................................................................................. v The undersigned hereby. certif'•es t'at the installation of solid fuel burning stove and equipment made under au- thorit of permit dated ../��.� has been made in accordance with rovisions of the Commonwealth Y P ..............,.....y../...................... p of Massachusetts State BuildingCode now currently in effect and pertaining thereto ............................................. Y p g Installer / � !�� �W Ao/ INSTALLATION APPROVED .,... ......gate/.................... By...................................!.................................................. Title. ......... ..................`.............. WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT 7& Assi-s*sor's map and lot number .. . ..... .................. INSTALLED IN CIOK'%IANC�`= THE toySewage Permit number ...S Y';;.> - - . - ,WITH TITLE 5... . .......................... � /1 8 ENVIRONMENTAL CODE AK✓ i 33A]UST&BLE, House number ... ....................../7......................................... TOWN REGULATIONS 11AS& 14 r- 1639- TOWN OF BARNSTABLE BUILDING INSPECTOR L APPLICATION FOR PERMIT TO .......3. C*...................... ................. TYPE OF CONSTRUCTION ................... N.C.. ...... ...... . ........................................... 2 ............ .. . ......................... 19. 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information. hA* Location .............. 8......cmo fi)iof , C-1) .... ................................................. ......4. ........................................................... ProposedUse ...............................................................................................................................!............................................. ZoningDistrict ........................................................................Fire'District .............................................................................. Name of Owner ...... nf��..Aciclress..................................... ...5 ........................................................ ..... Nameof Builder" ......................OWP�Y�............................Address .................................................................................... L)r,(Z Name of Architect ....................OW...................................... Address .......... .............................?........................................... Number of Rooms ..................................................................Foundation ............................... Exterior ............ t7...... .....................Roofing_....... ........................................................ Floors .........OP06...:t .4.!2A)72 (.Z. ......f. . .................................... Interior;•..........................ka C- ........................................................... -Heafing ..... .............................................:.................I...........Plumbing ........ ........................... .. . ....................... ............. ........................ ....... Fireplace .......=.21.......................................................................Approximate Cost ...... ..00........................... Definitive Plan Approved by Planning Board --------------------------------19 'Area. ............ 6d Diagram of Lot and Building with Dimensions Fee ......... .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4. OL OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town ofarnstable regarding the above. construction. 2S Name ........ .................................. THOMAS, PAUL J. & LILLIAN One & 1/2 Story N,a ...Z3P.49.. Permit for .................................... Single Family Dwelling ............................................................................... Location ,Lot....#.1.9......1.7....C.1a.m.s.h.e.1.1...Point Ln. Cotuit ............................................................................... Paul J. & Lillian Thomas Owner .................................................................. Type of Construction .......Frame ................................... ................................................................................ Plot ............................ Lot ................................ March 2. ..............19 82 Permit Granted .......................... Date of lnspection!-!9!��'?­�.'2 ...............19 ..................... Date Completed ....... .. ...........................19 Assessor's map and lot number Sewage Permit 'number ON TOWN OF 'BARNSTABLE ^ BUILDING INSPECTOR - APPLICATION /~APPLICATIONFOR PERMIT TO ............7� ��.�'�—.. 'J-''�''/''/A///----'---------'—'-' TYPE OF CONSTRUCTION .................... � __ . ./ / 'L/1-7 / --.—,—./--.--.,----lR.��.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: �� Location ----. '/°� ��� —.. ............... f_ _./���r'/7__________________. Proposed Use -------------------.�-----------------------------_—_______ - Zoning District -----------.------------.Rve District _-----------_____________~. � Nome of Owner ......f? ` --.�.-"J^�*J�[� �'--�' ' ����".�A66,e» .��..���.��.�\..�� .�l`�\"�—�lfy�s_. � Nome of 8oi|6e,' �8����R� A66nss `` � -------� ----------- --------------------.-------.. / Nona of Architect ------.����/.c�.� ��---------A66,es ............................ Number of Rooms ----------------------Foun6ohon ... Ex/ehor ..........&0,0v\_ L~ //�__~f.�_�ru��+�!�� . ___ 6�___________________ Floors ___ ....... -----------`.|nt��r --- . ........................................... Heating ....v�.—...--------------'---'R0m6ind ----- ---------'-------- �7 Fireplace —'."���-----------------------`Approximote [ost .....x/\............................................................... / Definitive Plan Approved by Planning Board lg----' Area ...... ................................... Diagram of Lot and Building with Dimensions Fee ___~ -�� � ���................... � SUBJECT TO APPROVAL OF BOARD OF HEALTH ` - ^ � \ e � \\� . � � ^(7 ' ~/ � , !� - ` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | ' � | hereby agree to conform to all the Rules an Regulations of, Town construction. - � / Nome ...................................... ------------'~'— - - | THOMAS, PAUL J. & LILLIAN A=6-73 �0 1/2 Story , No Permit for &..................... Single Family Dwelling ............................................................................... Location ,Lot #19. 17 Clamshell Point Ln. ............. ................................................. Cotuit ............................................................................... Owner .Paul...J. &....Lillian i.an...Tho.mas.... ....... ... . .. . .. .... .. .. ....... .. .... Type of Construction ... ......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...March....2....................19 82 ..... .. Date of Inspection ....................................19 Date Completed ......................................19 /000/0 uo GAm�.oGE sRrr�clz � .. ;�` -• �.J�� �8 . TaetrL%-! Low tic) x 3 Sao G.P•D � •r�T'1G T"L�wtrG � �34.r ISG °:� ' �r7 6.P.D. � '_.ti,�` bI5Po51�1 PIT - u`•E_ (oc9O f a.. , K�r�Q� �-1 �v O ,U)GWALL AmEA - (rj0 S.r. Ic7p SF .c 2.S + ra7� 6.P.V. r-rL�rc�c ,sera. 7 �.=. _ X / -rO TA L TOAI L_`( FLOW 330 b.PD- 1 30: PmzGDLdTIOt.I whm ; CIO 2MIU'DR LEIS. 3t �, �wo►2�1 .� ;_ �zs,es � : - - -:.: i_.. . . _ � � • _ � . • �$% �� �� r�fto/aseD �` 9S.t 1 �nnU..,� � su Ara Qti � 4P az \.:.. ' A4, 95 Tor F.►o Z .. -Box Sepnc 1►1v � T'n►•tK � . JZ { L> N f 1 A 1 Pl.r j. PLC) PL.QIJ • PczoF'1L�. ; . . -; . -�-. . . . LoUiTlozJ CO Tul o T6C : , . ._: . . PLAl.t RLFcIZE►.ICE'H� CGIZTIFY TI-(A'r TNT T:;2v4>A-nc4 5uow "S.Z o14 CCMAPLVS vV ITI-i TO : SI vE-:.LI44E AWr-> 5C-'TL-.ACIC S'C4?UICC-AAE-WTS OF T►•la- -Toww of WR;JV7TAgcA-v Auti Is f407- (��. arc.. 134 4 LOCATED• WIT"I l TwX= t�LOO't> P AItJ- ' 2•g-gZ `• Rc-cj4; C-.RED 1.. Wo SuZ-V&YO'2 I ' Ti-I15 C7t_AW I'S UOT L',ASC� 0" A" 05TECV1L.t.G p MASS. Iwsre��+c=t.lr guc:•i�Y -TtAc: UFc�F--T�i 514"Ji-a APPt_I GA.h1T 1 L I'l-r V.r ur.cn T.► r)ePczmlNk- L'Or - t_IN •� PAUL \FA Q5 •TM . TOWN OF BARNSTABLE Permit No. :_2 3 8 4 } Building Inspector Cash --•------_—__-- --- OCCUPANCY PERMIT Bond Issued to Paul & Lillian Thomas Address f Lot 19, �r17 Clamshell Point bane, Cotuit Wiring Inspector !f/�J �, /���� _ Inspection date - Plumbing Inspector/7,-,-,,„� Inspection date !_ r- Gas Inspector J -J// / Inspection date Y Engineering Department fill f��� 1� Inspection date' Board of Healthy-y�,,, /9 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. / . L Buildin `Inspector Y -