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HomeMy WebLinkAbout0020 THATCHER HOLWAY ROAD - ,�,. �;�-,.. y ,. �4,� � - n.......-,. } ,. h.n.. ,..��.. f Town of Barnstable o, Expires 6 months frehe to Regulatory Services Fee L� L auuvsresta, S 1MASS. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 Ll0 �7 Properly Address a G I MA TL!- P lZ d JVV4Y Rp /y Ali J i�IJ S K I/l J VResidential . Value of Work 9( tdlU0 b,QQ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address B f�I� Y N�� 6 A i L C 0 j4f/✓ o2 e iil4 rz h-e v H6 W14 v M4IVJ--oIIS/1 iiJ A14 e-Z Y? Contractor's Name jJ 14N stVV 5 t Telephone Number Home Improvement Contractor License#(if applicable) 0 Q-7 g d X-P E . PERMIT Construction Supervisor's License#(if applicable) 17. 51�orkman's Compensation Insurance Check one: ❑ I am a sole proprietor TOWN OF.BARNSTABLE ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 11_S 10(/4 f f d 0W.P r0(/eys ZNf t//LgNC e (0 m j1T qr✓/ Workman's Comp.Policy# 130 2 2 j 3 2- 1 t Copy of Insurance Compliance Certificate mast accompany each permit. Permit Request(check box) 1SEC-e rL 'kAPAO-ed 9ao� Jt-1iAv6ie- t/ULlC ' Pe [YRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to U ltl'f"-ei7Vq S j e S�e4U1Y_e 0ep ❑Re-roof(hurricane nailed)(not stripping. Going.over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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. copy of the Home provement tractors License&Construction Supervisors License is equ. SIGNATURE: C:\User;\decollik\A ta\I ocalWicrosoft\WindowsUemporary Intemet Files\ContentOutlook\DDV87AAZ\EXPRESS.doc Revised 072110 `Ire Catntnonwealth offffasyachwseffs Department aflndustria!Accidents Office of irnvestzgations _ 600 Washington Street Bastorr,MA 02111 www.ntassgov/diet Workers' Compensation Insurance Affidavit- Binders(Conn-actors(E1ectricians/Pitxmbers AnP9cant information ` - 1 lam, _ _ �Iease P.riat:Ee4ibF� Namd(Businrss/araanization/Tndividual): • QZT �7 Gx71'E. �1?Z Yat1t'G�t2 le i — Address: . f S� AJ: ul-j�jcut-� 12 City/Staie/Zip: C o 4-vt-f. M q 626,35- Ph 3��.V.Z P 55•19 Me�: rlre port as employer?Check the appropriate box: ' Type of project(required): arII a eutpinyer with .rf 4 ' 4. I am a general contractor and.I employees(full and/or part-time).' have hired the suh-contactors 5: ❑New construction atit a sole proprietor orpartaer= listed bathe attached sheet 7: C1 Remodeling ship.'and hAve tip enipt"oyees These sub-contractors have 8: Q DeaioIitioq wod4n, for iae in any capacity. employees and have workers' jNo ovorkeis'comp.insurance comp.iruttrance r 4, [�Building addition required 5. [� We are a corpora[ioa and its i 0.0 EIectrcal rcpaiis or additions 3.Q r iin a hotueownerdoiti all work of5cers have exercised heir . . I I_ ]Plumbing icpairs or additions myself[rTo workers comp. right of exemption per MGI.' fiou`&w"required]1 c. 152,§1(4}.and ive have ad 12. R oo£repa% employees.(Nd workers' 11EI Q•ther -- coEUP.'msuiaace cec;crirea,] b fAtiy auppga that cficakz box 91 musi aiso.hi ont tLe swtiotc bc[aw sh iiviug their wc;�-is'camp oa policy 4fortuaaoie ' f.Ffotneowntts wF*sulinut this al davit iodic tits t[ioy are doiag.all work aad then hire outside coatiaetots must stibinit a rmw affidavit indicating sb k ntzactasthat chick this hoit.must atra hGi as additions!shac sliowEiig tE�aaiitc of the sub.:antiactnis and state Whether or:aot dso'sp eutia have'-. etup[oye If the svb cavixacto[S Faviceniployees they must pMp idc.their wo •zs'ca he miMbet . mF•1#. Y . !mrt ats employer that is provtdtng warners'coin it msrcrance or at uifornfafidtt� _ f y employees Below theiroIL7 and job.site Insaratioe.CompanyNamet_ ��©Zt/dTt'!J- �hr ���2q�. r!I(J�• 0 Al Policy,#_or Self ins.Lic., 30 AA.1 3,Z J EJt�J�.ration Date: si " lob:.SlteAddress:_. 2- U : t V�.u•w�' City/StatJZ` ip: 4ttach a"copy of the woii ers'catnpensatior'policy dechrlon pace(showiag.the policy tttttmtter and eigir$tiou date): Failure to secure aoveiaoe as required undeF Section 25A of MGL c. t 52 can lead to the'iniposidoit oEcrirninal penalfies of a' fine up:to 1,500.OQ and/or one-year iuiprisbnmedt;as well as civil penalties iu the form of a:STOP wORK.ORDER, anal a fine of ttp $250.00 a day a;ainsf the tZoiator: 8e-advised'that a copy Q€this statement tuay he forwarded to tie Qi�ice bf Investigatigas•of the DLa foe irtc�ce.coverage"verification I do JiereGy '" under thepauts and per3alti f perjury that the informatioti�rrovided"above is true aicd correct - . Sl�ndtttte; i Date: Ll J ✓��+ 2-41 !/ . Official use.only. Do not w"rile in this area,to be'corralileted by city or fawn a rciaL: :.City irr TaFvn: Permit/License;# Iss[magA[tthority(circle oae): " I.l and of Health Z.Buiiciiag BepariiizeAt 3.City/Towa Clerk 4.Electrical kspectar S.Plumbing hispector 6 Other.. Coatact Person: Plsaae • � ORDTM CERTIFICATE OF LIAB CAPIHOM CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CO SNSRU��C E DATE(MM/DD/YYYY) 'CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND;EXTEND OR ALTER THE COVERAGE AFFORDED DER, 2011 BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT,CONSTITUTE A CONTRACT BETWEEN TS UPON THE CERTIFICATE HOLDER THIS REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. BY THE POLICIES IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(iesj must be endorsed THE SUBING INSURER(S),AUTHORIZED the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certrte certificate holder in lieu of such endorsement(s). ROGATION IS WAIVED,subject to PRODUCER ate does not confer rights to the Rogers 8:Gray Ins.-So.Dennis CDNTACT NAME: Karen A Walther,CISR 434 Route 134 PHDNE aC No Ext:508.160.4630 F South Dennis,MA 02660-1601 E-MAIL wC No: 877.816.2156 508 398-7980 ADDRESS: INSURED INSURER A:NatlOINSURERS)AFFORDING COVERAGE Jlal Grange Insurance CO. NAIC Capizzi Home Improvement,Inc. INSURER B:Associated Employers Insurance Capizzi Enterprises,Inc. INSURER C:CN,q Insurance Companies .1645 Newtown Road INSURER D: COtuit, MA 02635 INSURER E COVERAGES CERTIFICATE NUMBER: INSURER F: THIS IS TO CE 11 RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON REVISION NUMBER: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H �)LICY PERIOD EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN TRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS LTR MAY HAVE-BEEN REDUCED BY PAID CLAIMS HEREIN IS SUBJECT TO ALL THE TERMS, TYPE OF INSURANCE �° UBR A GENERAL LIABILITY INS WyD POLICY NUMBER POLICY EFF pOL1CY EXP MPB1075H MM�D° MM,I YEXP X COMMERCIAL GENERAL6/08/2011 06/08/201 EACH OCCURRENCE LIMITS LIABILITY• ' CLAIMS-MADE - R� $1 OOO 000 OCCUR PREMISES Eao' ur°rence $500 000 . _ _ MED EXP(Any one person) $1.0 OOO GEN'L AGGREGATE LIMIT APPLIES PER PERSONAL 6 ADV INJURY $1 000 000 POLICY PRO. c GENERAL AGGREGATE $2,000,000 PRODUCTS-C_OMP/OP AGG $2;000,000 AUTOMOBILE LIABILITY LOC - M 1 M28044 6/08/2011 06/08/201 $ ANY W E COMBINED SINGLE LIMIT ALL OWNED SCHEDULED Ea accident $500,,000 AUTOS X AUTOS BODILY It.,IXJRY(Per person X HIRED-AUTOS X AUTOSWNED' ) $ BODILY INJURY(Per'accident)' $ PROPERTY DAMAGE A Peraceitlent $ X UMBRELLA LIAB X OCCUR ' Excess LIAB CUB1076H 6/08/2011 O6/08/201 EACH OCCURRENCE $ CLAIMS-MADE $S OOO OOO DED X RETEN11ON$$10 000 B WORKERS COMPENSATION AGGREGATE $S OOO O- AND EMPLOYERS'LIABILITY .QQ1.3O221321 ANY pROPR1ETOR/PARTNER/EJ(ECUTIVE Y/N .. 12/2-5/2011 12/25/201 X WC STATU- OTH- $ OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) 'LJ N/A f2y 111 ITS ER " If yes•describe under E.L.EACH ACCIDENT $1 060 000 DESCRIPTION OF OPERATIONS below C Sure Bond E.L.DISEASE-EA EMPLOYEE $1 OOO OOO ty E.L.700116 DISEASE-POLICY LIMIT $1 OOO OOO 07 11/28/2011 11/28/201 $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES Carpentry. (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED. IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. .. AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) 1 of 1. The ACORD name and logo are registered marks of A O19 -2010 ACORD CORPORATION.All rights reserved. #S75543/M75539 KW Capizzi Home Improvement Inc. Page 7 of 7 Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT 6 ki'L G"l C ke.* I, y 6o rF k R� C 0 N69WN THE PROPERTY LOCATED AT ° T1 �T��e✓ IN IgAKJTond HI)I! 1'U�r-� �) MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CQDE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE:. 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: v A44—VA�UIIJUIIICI tlAAAIJ 5 X DUSIUCJJ L.Cj;UIII LIU II J Xel1Se Uf FUgISLra Lium V2111U Wl-L1U1Yluul uJc Vt1I�' ^ before the expiration date. If found return to: �:I TOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and--Business Regulation _. .egfstration...:100740 Type: 10 Park Plaza-Suite 5170 Expirafion; ,6123'12012 Supplement Card Boston,MA 02116 CAPIZZI HOME'IMPROVEMENT;'INC. JACK STRUNSKI 1645 Newton Rd. g� — Cotuit, MA 02635 - Undersecretary Not valid without signature �-` tNassachusetts- be 1partment of Public Safety Board of Buildin- R,&* I'tionti•:ind StandardsConstruction Supervisor License license: CS 64817 d y. :-;JOHN FSRMS.Kt L: .,:.PO BOX g6T- � 4;r; BUZZARDS_"BAY,',WA 02532 Expiration: 6PI8/2012 C'otfirniioriei' Try;•: 10573 r i i .. i t i 1. as 3'0" 0 X 510 50 O � X X o COHEN RESIDENCE - FLOORPLAN Scale 1/4"= 1' THE HOUSE COMPANY 3/4/94 ::)EPARTMENT OF PUBLIC SAFETY COMMONWEALTH a L] e: €1o10 COMMONWEALTH AVE. d k ` OF I:.BOSTON,MASS.02215 ! MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER N �.. LICENSE FOR REQUIRED FEE, F' CONSTR. SUPERVISOR EXPIRATION DATE MADE PAYABLE TO l 08/31/19 9 3 e-') 71� 'I EFFECTIVE DATE LIC•NO. RESTRICTIONS lG•`L/''-p !' `i "COMMISSIONER OF PUBLIC SAFETY" NONE: 08/31 /1991 042406 I: (DO NOT SEND CASH). JEFFREY GOLDSTEIN !; 16 COVE LN POBX 474 ••�� CUMMA9UID MA 02637 ,. ,: ,; .• PHOTO IBIASTING OPR ONLYI FEE: 100,00 ] I: NOT'VALID UNTIL SIGNE Y LICENSEE AND OFFICIALLY I. SIGN NAME IN FULL•ABOVE SIGNATURE LINE HEIGHT: 'I STAMPED OR SIG A LIRE OF THE COMM4$bNER ' 1 THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE SIGN N_AME,IN FULLABOVE SIGNATURE LINE, �., CARRIED ON THE PERSON OF � THE HOLDER WHEN EN GAC• COMMISSIONER 5 '.OTHERS RIGHT THUMB PRINT ED IN THIS OCCUPATION. Ii �JC . I_ �\ HOME IMPROVEMENT CONTRACTOR Registration 100932 Type - PRIVATE CORPORATION Expiration 66/24/94 OHC Inc. DBA/ The House Company Jeffrey Goldstein 0 60 Ben Franklin Way ADMINISTRATOR Hyannis MA 02601 i I I CO MM 0 NWEALTH OF MASSACHUSE `C DJ'/,J:;,/;EN1T OF 1TTDUSTTUA3W%ACCID.ENTS - 600 11 FNGTO ST-PJ= lames: Ga-i�oes• BOSTON, )\iASSACHUS1=- S 02111 �c--�:ss•��e -WORKERS•COMPENSATION INSURANCE AFFIDAVIT (liccnscc/permiacc) unch a principal plscc of busincss/residcnoc 2c (City/Starc/Zip) do hereby ccrti6-. under the pains and penalties of perjury: that [ ) 1 am an cmplovcr providing the followingworkcrs•compensation covcr2gc for mycmployccs working on this lob- lnsurancc Company Policy Numbcr [ J 1 am 2 sole propricior and havc no onc working for mc- [) 1 2m 2 sole proprietor,gcncrJ conar.aor or homeowner (cirdc onc)and havc hired chc concraaors listed below.• ?I who h2vc the following workers'compcnsztion iusu=cc politics: on 1�mme of Conmaor Insur=cc Company/Policy Number 1\2mc of Contractor Iasurance Company/Policy Numba 1amc of Conusaor lnn=ncc Company/Policy Numbcr Q 1 2m 2 homeowner performing all chc work myselL _ NO?E Plc:sc be aMJc t5:t�s�c I occo«octs vrbo employ Pcrsoas to�o maiatcaaatc.toosttvetioa orrepair worle en a i -e—Olins of not more tb:a three uaiu in it1 tt;<boracowacr also rctldcs or oa the rtnuads appurtcoant tSctao arc sjot Ecur�Y I I <ens*-2crc2 to b<employers tbcGoe:cri Gorpcas-lion Act(GL C-152.sect.. 1(5)).appliutioa by s 160"0"0"for a tieeas< or permit r..:y c-,2&ccc the IcF_l st;rc,cf�cr_:loYcr coder 6c Worltcrs•Compc0sstioa Act i caccrst:nc cis:t- copy of rots st to xrt•-ic oc icr-•u2cd to tr,c Dcpa::-cnt of IndustriJ- Acodcnu'OGic<of lasc::ncc(or.co-cr;LVc %-c ifrction_n d th.t(_here to secure rcSuircd undcr Seevon 25A of MGL 352 e:n lead to we imposruo p<r.Juu consisting of a tint of vp to S1500.00 zndcr i mpri onrsent of up to onc yur and eiY:d pcnJtiu in the form of:Stop vlock Order and a I fine of S 100.00 a day against mr- 4 Signed this �'S d2yof Li Pc mince Licensor/Pcrmiaor Y G ' Assessor's office(1st Floor): Assessors map and lot nu er THE- Conservation(4th Floor): -�`•' !"'�c�� `��� /yy,p L�.� �� �. Board of Health(3rd floo Sewa e'Permit number (� _ r'rY'� ``� ` � TAB- 9 ��E '�_..•,� 7 Yl Engineering Department(3rd floor).', �� `y ^ � '���� �)o• `�� House number ,::P 0 �o asr Definitive Plan Approved by Planning Board 19 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 IZ-VAAS£ TYPE OF CONSTRUCTION _W00'p ¢12�kMf� 41 1914 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 20 TW.ATc+e-F- HqLw,�'`r MAYZ_s-MfJS M IL4-S 0-l-&3 Proposed Use F­IWL44P 6� Zoning District Fire District Name of Owner CiE � comv�,j _ Address �10 AV LL-2r DP— . Name of Builder JSWWC71"5-V Address bo :bW fi2fA4ua,J 1N -�,,arj yNtf Name of Architect Address Number of Rooms 3 Foundation 15WS-n N C-- Exterior Roofing �S�A�►L"� Floors S-ay=(?6I' Interior �x�o Heating f-�W " Plumbing — Fireplace Approximate Cost Area 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 regar ing the above construction. Name Construction Si ipervisor's License O � " "0L COHEN, GEOFFERY No .�6-� Permit For Raise Roof ` Single Family Dwelling Location 20 Thatcher Halway Marstons Mills Owner Geoffery Cohen Type,of Construction Frame Plot Lot Permit Granted Apr i 1 6, 19 94 Date•of Inspection: Frame v 19 T ' Insulation 19 Fireplace 19 _ D ' Date Completed __' 19 ri t i Assessor's map and lot number �'?".8... .!.. ..a,4— v'1 ' THE rp` � i 4r O Sewage Permit number .�F 1t/��.......�..:............................... Z BARNSTABLE, i H,quse number .-,v'r .(.J� rues pp '' 039 `00 QED MPY At TOWN OF BARNS-TABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. �Ui�a � . �,� t' J.l /�✓'..................... TYPE OF CONSTRUCTION ......................��N. .��..�-...... /�'� / 0.....1J�� /.�' ..................... /ice 19 TO THE INSPECTOR OF BUILDINGS: The undersigned,.,hereby applies for a permit according to the following information: Location .................. ...... /luii �., �....... (I.rt�r f...... 'l,c�(�!� �; '!� Irl�r'�r .sy. ..`.r. .� ,.. / 4 ProposedUse ....... K.� I.o. ......... .5 '.L. ...! f .................................................................................................................. Zoning District ' �� Fire District Cc-N filet�� I r {7�T�ru i,<<r„ . ........................................... ............................................. ............ ........... Name of Owner �/ I�f„! /l�l/...,?< /yh/</.... Zd0�............................................................................... Name of Builder ........�.....r..Ee.(r p..................................Address .......I Z S T Are D i S� 1 �..d.0.............................. Nameof Architect ...... ........................................................................Address ..........t............ c,............... . Number of Rooms �.�. ��� �...............................Foundation �Uc�R Pci . �... . .......................... Exterior .�: .................................Roofing ........! : . !.?. . ./ :..............:......................................: Floors A9P ................................................Interior P(����f,- Heating ...... ............................................ .�4...:...(`.1.�s:u".o ................................................ ...................................... ........... . . Fireplace I ( 6 N P J.................................:................Approximate Cost ...........`./1��.:�v y.........:........ Definitive Plan Approved by Planning Board -----------__� _---------19 __. Area lid` Diagram of Lot and Building with .Dimensions Fee r� SUBJECT TO APPROVAL OF BOARD OF HEALTH .. t iY JUG �1�r � S � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Names .............. ....................... r' A=14 8-77 F Trop, Raymond hLonda 21995 Single Family No ................. Permit for .................................... ............ ............................................. Location Lot #5 20 Thatcher Holway Rd. ............................................................... MarstonSMills ............................................................................... Owner Raymond F. & Rhonda L. Trop .................................................................. Type of Construction F .......................... ......................................... e.......................... Plot ........ Lot ...... Permit Granted .. .... .......19 80 Date of Inspection ...... ...19 Date Completed ......................................19 PERMIT REFUSED ............... .................................... ........f. . ..... .... . .......6.......... .. ... 07 ................. ......n............... ................ .......��..O^V....... ............................................................................... Approved ................................................ 19 ............................................................................... .................... .......................................................... •` ''p TOWN OF BARNSTABLE Permit No. --. 1 •AWn Building Inspector Cash -------------- •pY 1' OCCUPANCY PERMIT Bond -------___-_ Issued to '1% Address T nt 9, 20 Thatcher Wiring Inspector C--j Inspection date ,�1L Plumbing Inspector �. ° !' Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 i Ass sor's map and lot num �..� ...�.:..,. ..eo ' ` OF THE TO Sewage Permit number "....��� ............................... SEPTIC SYSTEM v INSTALLED IN CO Howe number •.•........ rae .............................................................. WITH IT o 1639. \e� ENVIRONMENTAL CO ° 4 TOWN OF BARNSTABbWGULATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ��� /� ,1 &,rZZ_1A16,...... .............................. ......................... ...................... ...... TYPE OF CONSTRUCTION .................... //II,�i, ...... !L ................................................ ................. �..............19ya `"�fTTHE INtPt:CTOR 'OFABUILDOGS »>.9 , ,... , The undersigns hereby applies for a permit according to the following information: Location ... .... ..... � `1 � L>/ ...... b�'�' 1.�...� . .. ...... L`. V ProposedUse ........1'l\1V�1..�.......�.!' P.......!.!U ................................................................................................................. Zoning District ........... ..................................................Fire Dis trict .......gck:q.ik;)I:C........C.ST. ! ,............ Name of Owne J'1,2Q7?L !!;. .... flGl �Ad ................................................................................ Name of Builder ........ ..................................Address .......1A1...STAB;!t),IA....Lou .............................. .Name of Architect ......Rj� ..1 I2vf....................................Address ...........1...k..............1.L..............�-i..................................... Number of Rooms `�.)...............................Foundation Exlerior ....Omp bQ--.0..C:J.. ................................Roofing ........19: kr dq... Floors .....�� >���:d..'.•..............................................................Interior ........ K .!...................................................... . g ) ..........................................Heatin ......14j..... der...:.............:...........................Plumbing ........... ... w Y G Fireplace ..:.........�..... d� �).................................:................Approximate Cost .......... ��1/.:P.,v„�?......................... :........... Definitive Plan Approved by Planning Board ---------------—-----------19_______. Area .....6� . .. s.................. Diagram of Lot and Building with Dimensions Fee ..� .......�1.. :.......................... 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 .. ........ ..... .. ....f....................... T-rop, Rax7mond F. & Rhonda L- Permit for ..�.in.g.le....... .....FAmi.1y..X?Wp.jji.ng.................................. Location I.Q.t...#.5...Z.Q....Th4tQble.r...RQ.1W.4Y Marstons Mills .........................................................:..................... Owner Raymond F. & Rhonda L. Trop- .................................................................. Type of Construction ...Frame ............................ .... .. .. ................................................................................ Plot ............................ Lot ................................ Permit Granted ..... ......1980 Date of Inspection .............fl;�/...19 •Date Completed .....19 PERMIT REFUSED .........................;i...................................... 19 . ...... .A ..... > 777.................................... .........A.A. ........................ .............. M ................................................. J P S fn .............................................. ApproA ................................. 19 ......... sin"......-n ................................................... ............... . ........ -4 t T �J o GA2/JIaE T� _31 pow 0 1i' Q 3o V f , / 77. ZZ— ( T I CERTIFIED PLOT PLAN LOCATION* 4- V9 eS 7-0^'S /IJ/GG S, /"S s - FOR: 'eA y/ NO SCAL E= DATE: i — R E F E R E N C E: 3,d5l LoTSB <S ,5.,4/0Z-f-J "1 D A T E - yo��gv ,Baa.� z87 p�la� Z7 �• �'�' 'r`� I HE RE-BY C E RT ( F Y THAT THE 8 UIL DIN EG. LAN D SUR VEY R SHOWN ON THIS PLAN 15 LOCATED 0 THE GROUND AS SHOWN HEREON . i J . M . MONAHAN, JR . & ASSOCIATES REGISTERED LAND SURVEYORS & ENGINEERS 651 MAIN STREET DENNISPORT� MASS. 02639 �'r.�