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HomeMy WebLinkAbout0183 WHITE MOSS DRIVE A. +` p nI1M!'Me. rsT �-,tee. � �,w- �-: .ram. ,.. ... ..�.rp -. _ � �ate_ _ f Barnstable � �� �,,,� Town o t F.71res 6 months front issue �T Regulatory Services . Fee tuertsresrs, rA Thomas F.Geiler,Director. z6;p• �0 �FDMA't� 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 Property Address 7 Vl 0C NI•4IfJ' /7.l /I t/!d��11.9� v.Z�F yy Residential . Value of Work � U t 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address '• U(y.Q IZ+ !a c-91 D e— ,I) U N C kt i vi�le 1WA/?,1T&/iS V Contractor's Name —,j Ci r I✓ T• S+11w1 t fk_I Telephone Number Soak Vim" f d,/all"" Home Improvement Contractor License#(if applicable) 1061 Y 10 mcona IT Construction Supervisor's License#(if applicable) 6 W-11 ❑Workman's Compensation Insurance JAN 1 1 ZU12 Check one: ❑ I am a sole proprietor . VI amtheHomeowner TOWN OF BARNSTABLE have Worker's Compensation Insurance Insurance Company Name CL C Q v o qt- C/4 f tf4 Workman's Comp.Policy# . A) L �' . 1/ 3 Z O Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed).(not stripping. Going.over existing layers of roof) ❑ Re-side %INO�?✓Orl GO�S'. #of doors .511"/2 e 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 SIGNATURE: C:\Users\decollik\A ta\Local\McrosoftlWindows_\Temporary Internet Ffles\ContentOutlook\DDV87AAZ\EXPRESS.doc Revised 072110 I Page'/of i Cap.'. "Ine In-r ivement Inc. f Specifications and Estimates STATE OF MASSACHUSETTS ATION TO APPLY FOR A BUILDING PERMIT LETTER OF AUTHORIZ �`� ROW( �3 h� oSS OWN THE PROPERTY LOCATED AT MASSACHUSETTS. IN ZI HOME ICApIZ MPROVEMENT TO ACT AS MY AGENT TTS APPLY THE MASSA STATE ACCORD I HAVE AUTHORIZED CE WITH.780 CMR, FOR A BUILDING PERMIT IN AN BUILDING CODE. G PERMIT IN ACCORDANCE WITH 780 CMR,THE I GYVE My PERMISSION TO LESSEE TO APPLY STATE BUILDING C7- MASSACHU SIGNATURE OF O"ER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: 1645 Newtown Rd-,Cotuit,MA 02635 APPLICANT'S ADDRESS. APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: I I Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:ICE- Office of Consumer Affairs and:Busin:ess Regulation OW.- �e istration .'100740 Type: 10 Park Plaza-Suite 5170 9 --•---.- - - Ex iration pp Boston MA 02116 • � P.. �_.6/23/2012 Su leinent Card CAPIZZI HOME-IMPROVEMENT'INC. JACK STRUNSKI.-* 1645 Newton Rd. Cotuit,MA 02635 Undersecretary Not valid without signature .ngvm. Massachusetts- Department of Public Safety ` Board of Building Re�lationti aid Standards CorrS#ru'ctiot Supervisor License "1_icense: CS 64817 EDN UMSKV qb :,PO BOX 861 BUZZARDS SAY;11 '02532 c—l�-- Expiration: 6/18/2012 Tr#: 10573 I i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www inas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ) Please Print LMibly Name(Business/Organization/lndividual): 4 C ZZ 4I 6P7e- 1n7,Pk--,uene-q 71yc Address: f 6'q< A-I t t,lf.,L,,u R P City/State/Zip: C 6 V'+t A 61 35' Phone#: Are you an employer?Check the appropriate box: Type of project(required):1.L�i!i am a employer with Li 't" 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 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 working, for me in any capacity. employees and have workers' iris rance.= 4. []Building addition comp.[No workers'comp.insurance P• required] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ officers have exercised their I am.a homeowner doing all work 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs t c. 152,§10),and we have no incriran�e required.] employees.[No workers' 13.Wther D 001/ comp.insurance required.] r-/vyt 'Any applicant that checks box 91 must also Tilt out the section-oelow showing their workers'compensation policy infonnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a:new affidavit indicating such. :Contractor that check this box must attached an additional sheet showing dre name of the sub-conttactors 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.. d Insurance Company Name: `T C 'Rea p P R—r y (t tl D C A Silo L' y Polic #or Self-ins.Lic.M A/ �A/ C C 4 5 e g 3 ZIJJ Y G Expiation Date: Job Site Address: Is 3 ��1/ OJ✓ DIOI�� City/State/Zip: Af '4&VTd.1✓ %�i//J /�i9 Attach a copy of the workers'compensation policy declaration page(showing the policy number and 0?iratioc date). Failtire 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 it STOP WORK ORDER and a fine of up to S250.00 a day against the violator. 'Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby under the pains and penalty f perjury that the information provided above is true and correct Signature: Date: 0SlZO// Phone#: Official use only. Do not wrrle in this area,to be completed by city or town oreiat City or Town: Permit/Licease# Issairig Authority(circle one). 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing In 6.Other Contact Person: Phone#: Client#:47298 CAPIHOM ACOR& CERTIFICATE OF LIABILITY INSURANCE DATD/YYYI) 12/28/228/2011 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 BELOW.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 COOryNTACT Karen A Walther,CISR i Rogers&Gray Ins.-So.Dennis PHONE FAX- aC Ne Ext:508.760.4630 A/c Ne, 877.816.2156 434 Route 134 E-MAIL South Dennis,MA 02660-1601 ADDRESS: 5O6 398-7980 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Grange Insurance Co. INSURED INSURERB:Associated Employers Insurance Capiai Home Improvement,Inc. INSURER :CNA Insurance Companies Capiai Enterprises,Inc. D p INSURER D 1645 Newtown Road INSURER E: Cotult,MA 02635 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 ADDL SUBR POLICY EFF POLICY EXP LIMBS LTR INS WVD POLICY NUMBER MM/DD MM/DD A GENERAL LIABILITY MP-B1075H 06/08/2011 06/0812012 EACH OCCURRENCE $1 000000. X COMMERCIAL GENERAL LIABILITY DAMAGE TO R�ENTED PREMISES Ea occurrence $500 OOO CLAIMS-MADE Fx_]OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY jRa LOC $ A AUTOMOBILE LIABILITY M1 M28044' 06/08/2011 06108/2012 COMBINED SINGLE LIMIT Ea accident $500,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ $ -'A X UMBRELLA LIAB X OCCUR CUB1076H 6/08/2611 06/0812012 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$$1O OOO $ B WORKERS COMPENSATION QQ130221321 12/25/2011 12/251201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1 OOO OOO OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,OOO OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 C Surety Bond 70011607 1/28/2011 11/28/2012 $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 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 #S75543/M75539 KW TO Permit No. .... TOWN OF BARNSTABLE 30566 o�TMEro° ............ ° BUILDING DEPARTMENT {D°e; Cash� TOWN OFFICE BUILDING .......X 'you+ HYANNIS,MASS.02601 Bond ...........�.�� ` CERTIFICATE OF USE AND OCCUPANCY Issued to GREENBRIER CORP. Address lot #20 183 White Moss Drive, Marstons Mills USE GROUP FIRE GRADING OCCUPANCY LOAD 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. June 11 87 � ............................ 19................. ........r'.....4............................. Building Inspector ��..� °•.w TOWN OF BARNSTABL.E BUILDING DEPARTMENT TOWN OFFICE BUILDING rua i639' HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: ! An Occupancy Permit has been issued- for the`building authorized by BuildingPermit #. _. DU(J.. . ....... ._.......................................... _.... ._.._ ._ ......... »._...»_ ....» » _»� issued to _ ...... _.. ..................r................................................ .._.»..»..»»»...__». ......». ».._._»» Please release the performance bond. r.,rvv.�...,:-�....;1�','x:.�'AK' - i.:�k;,.�-r' -�r�:ti:sE'.. ..., 'ce�:.4'6: d_�",�.`l�d�• 7+�rG•'�''a"�. . TOWN OF QARNSJABLE, MASSACHUSETTSr BUILDING PERMIT DATE 19 PERMIT NO. c APPLICANT - ADDRESS INO.1 .1 (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) / p�7 �`�ON I N G AT (LOCATION) O� ISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMoRKS: AREA OR PERMIT VOLUr.1E ESTIMATED COST $ .FEE' $ (CUBIC/SQUARE FEET) OWNER �,� gNge c(,�� BUILDING DE PT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PRO`:EO BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM TtiE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF Ar:Y APPLICABLE SUBDIVISION RESTRICTIONS. MINI;::J:1 0= THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE I NSP-CT IONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CO::SiRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOU:.l­'.TIOr:S OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. Pt•10r TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL SreEADv To BEFORE FINAL INSPECTION HAS BEEN MADE. 3. o 1t.5"ECTION BEFORE POST THIS CARD SO IT IS VISIBLE FROM STREET ?UILUING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS .A 5 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT TI U(ii1 i? 2 BOARD OF HEALTH ' I VV0H%>+,:.! NUI PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR li:.S.'.PP=UVE7D THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN COI'_i:(UL:It.'• Pl RMIT 1S ISSUED AS NOTED ABOVE. NOTIFICATION. C PEt4 S Pal G E P AV LOT 20 uo 22) ZSF -SF r �J, h 23 � 11 `J o3y ZC ppE1\/ ; S F 1 �o 22 � Lo T a��I U �SS W I CERTIFY THAT THE SHOWN ON THIS PLAN IS o " �f �'qs, �� 3' LOCATED ON THE GROUND ROSIN Es � AS INDICATED w• aN COX No. 3 c b DATE REGISTERED LAND SURVEYOR ' .l;: LEVY a ELDREDGE ASSOCIATES,INC. CERTIFIEDCLIENT kA_/ f PLAT PLAN ' ENGINEERS - LANDSCAPE LANDSCAPE ARCHITECTS JOB NO 1_ LoT 26 A/W PLANNERS— LAND SURVEYORS DR, BY, ,�I IN $89 WEST MAIN STREET CHKD. BY, $ I�Ns7,4�� CENTER01 ULE, MA. 02632 SHEET. Z OF./. SCALE DATE- 3 8 ' l -�o • s 6 • sA� �,f �• / , o . ,$ . 00 �100 _ L °r °O 0 . . . ry� . 1 � y� s• t� 4 for : \M J �1 pO.,W j ID M° 5.. 1P�✓Is�� 3�fo�8'f LEGEND F ,,''!NG SPOT ELEVATION 0 `'' `'' IOF'OSED SPOT ELEVATION �� ARIA P. �; EXISTING CONTOUR ---0—-- M �I iLa -1 H °f qss PROPOSED CONTOUR . 0 �� y IN No.31115 NOTE: THE LOCATION OF ANY UNDERGROUND SEWERAGE,WELLS, OR OTHER UTILITIES SHOWN ON y J� `''`' � 341 THIS PLAN IS APPROXIMATE ONLY AS DETERMINED 0� FROM RECORDS AND/OR VERBAL INFORMATION. I•,Y Yd F�/STER�O THE CONTRACTOR IS RESPONSIBLE FOR THE Nai LA% VERIFICATION OF THE EXISTING LOCATIONS IN THE FIELD. AEG STEREO ENGINEER"— i EVY 8c ELDREDGE ASSOCIATES,INC. PLAN CLIENT��F�v.� PROPOSED PLOT ENGINEERS— LANDSCAPE ARCHITECTS JOB NO. /�3 Z.� goT ,;/N/TEMOit Q A/✓E ,",,;;,w'' .:`- :PLANNERS — LAND SURVEYORS DR. 9Y= j :; IN 889 WEST (�hAiN STREET CHAIN BYs_ A RKSTiq BCE,M A CENTERVLLI.E, MA. 02632 SHEET„L..OF?: SCALE DATE 31 8 ;' %,-�• , ',`.'! /VOTE /F E/THLR THE SEPT/C TANK OR_ LEACo•/iivG P/T A.Ve /YORE 7N.9N /2"BELOiV ��1/ GRA DE, A 24'O/A M ETER CO/VC-R.E T1- COVER ScNEoc/.E 40 SNALL &,F BROUGyT TO 4,TAO.E.("qN 4*7-RA =r`-' CONCRETE P.V.C. PIPE t/E,4YY CA ST IRON COVER S V,41.L_ 8E USFl� - "+:• !- /Od`o COVERS �B�F�T CH /F/N DR/✓EN/A Y 2'A. MAN. CD/VC&Z�-TE '/ �y 0E CO✓&E CLEAN SANG ' A — , 6ACXF/LL UQ[J/O LEVEL - - SCNEV UL6 40 o OF va• 'y1B- pKf. P/PE fa DOO CrAL. • o . . . •... . • M/N..o/TGN p/ST. � e • WASHED 57ONE %a: p--x fT. SlPT/C TA/VEC , . • • • • •••• • . 1 $ • . • . . • . a OF -. is-• . - � v • I . • � • • ► 1 Apo • 377 S�PD . �.. I • • • . . . o p . PRECAST SEEPAGE e. . • . . . • • . . • D r•v Tl o P/7OR !/VVZA T EL,E✓AT/ON S p a .t'Z. 90. /NYERT AT QZ//LD/NG 95. 90 FT 6 /AM. INLET SEPT/C 7,4AlK FT- 1� FT O/�4r►'1. C SEE TABUL4TION> OUTLET ScPT/C TANK � FT- 9 3 4 FT GRouNo P44TER TABLE /N,LET DISTR/6!/7/ON BOX SECT/ON OF" C: O(lTLETD/STR/B[!T/ON BOX ?14 FT. JNL.ET LEACH/NG T 94, 911 FT SE)s/AGE O/SPOSA L SYSTEM LEACH1lVG R/T - -rA464I1-AT14 1 cALE. . %4" _ /�_ O~ DIMENS/ON A FT. S D.ES/GN CRITERIA 0/MeN5/ON /VL/MQER OF BEDROOMS -3 D/HENS/ON C3 �' FT. (,ARQAGEO/SPOS/1L VAI/i. O E SO/L- LOG So/L TEST TOTAL EST//►'/ATEt> Fi-o*V330 GAc.IDAY SO/L TEST A"I SOIL 7,C-7S7_#2 NUMBER Of 4.-ACHIM5 P/TS_/ fF�e�V 97. 9 ELEY• OATS OF SOIL TEST 6 S/oFZzACH/NG PER P/T SQ FT. ol_Z-' re/'5014- RESULTS sv/TNESSED BY7 MGzCi� ✓ 60TTOM L 9CN/NG PER P/T /� $Q. Fr f 4u,6,50/1_ PE/fC04A-r10N RATE#I 2 M/N,IINCH TOTNG LEACH//YG AREA 2!o SQ. FT- PEXCOLAT/ON RA7-E fk2 M/NVINCH ,QEsERVE LEACH/N6 AREA 7 SQ. FT. so D.'.V!D e iQoc.i Y r/. 01AN-o ii CIV L ��•: _ LC? ZO l✓/f1T,� OSS Dr�'J� )1 LEVY & ELDREDGE ASSOCIATES-INC. >( � 9 `'E'�'• �• �;�;.��:,:' 889 WEST MAIN STREET CENTERV:LLE.MASS�CMUSET'TS 02632 ) lKr IV D G RO UNh YYi4 TER E%/CO TEie E0 C L/ENT:�XE`c�/B�/ DATE GROC/NO YVATER A7' E41-L job NO. 1032 SHEET�OF 2 p ..:.......::.... INST,4LLEDAssessor's offioe (lst floor):'.Assessor's ma 'and lot number �O`�/r O 0 y � EPTOCSYSTEM MUST 8E �THEBoard of Health (3rd floor); ' G- IN COMPLIAN Sewage Permit number .....0..7.'� 1..... .. ................... , WITH TITLE S i BAHd9?11DLE; Engineering'Department (3rd floor): /f3 /1� "'MIMENTAL CODE AIF.•:o Ma3c• Housenumber ........................................................................ r� o MAI APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00' P.M. only+ . TOWN OF BARNSTABLE BUI•L.DING INSPECTOR APPLICATION FOR PERMIT TO .........� v/ l............— ��. ............................ TYPE OF CONSTRUCTION ............... U.(! ......:•r'•••1 .......................................... ...................... ............................ .�. ...19... �- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ```` }} S �-I j� NS t� LLS Location .... .. ........... �-.. �:�.�..........�........... ... ....�(:T.l./.........�......................1... . ... ProposedUse .....s .J. l ! .. ....... Al..".1.. . ...........................:.................................................................................. Zoning District .........................Fire. District Nome of Owner ...C�..�'.��./V.�7�I ...`'!� ..Address ...A ..4.6.. ..:.� Nameof Builder .......�� ........................................Address ...... ..................................................I...... Name of Architect ..................................................................Address Number of Rooms ........... ...................................................Foundation .. V ....�� /` .1..U........ �.. �„� .i(N�..�:.'f .....41�....1�( /.....Roofing .........: �1.../ !.l..C.. ..... .................. Exlerior .�— rr,^, 11� /.. ( ......................Inierior .......... .1..(.. f �............................... Floors .(.<.4�.... �!. Heating /Vv./I:......Y✓...J........�� ..........................Plumbing ........... ..... .1. .?.................................... ^ l//�� .. Fireplace ...l..�,l.V.......................................................................Approximate Cost ........ .'ef57: iw. .............. .. Definitive Plan Approved by Planning Board ---- c -----)9CS�__ . Area ............./.....� Diagram of,Lot and Building with Dimensions Fee ........ .... ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 2/ X Z4 1rp 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 ..........WY 3... . ......... .. REENBRIER CORP. 30566 11 S tory 7. 2 No ................. Permit for .................................... Single Family Dwelling ........................................................................ Location Lot#20, 183 White Moss Drive ..... ........................................................... Marstons Mills . ............................................................................... Owner Greenbrier Corp. ................................................ Type of<Construction .................Frame......................... ....................;;�......................................................... 'Plot ............................ Lot ................................ Permit Granted -..' March...2.7...............19 87 ............... .. .. . Date of Inspection ....................................19 Date Completed ...... ................ s,-J Assessor's offioe .(1st floor):5 r) S/ 4� 00 THE r Assessor's map and lot number ............................................ �,�! Q..° ��� Board of Health,(3rd floor): Sewage Pe(mit number .... �.' ,.... ,.,� ...........:'..... i 33aaa9TwLE S Engineering Department (3rd floor): ... ` rana 1639 3. /House number ..:...... ................... .../�. .... ..... a \0� 0 N APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR . v- APPLICATION FOR PERMIT TO ..:..... ../�lV ?...ra�•.�1�.. ...... .. .. ,1�./,./���.....:...................... .....,.. TYPE OF CONSTRUCTION ............... ........,� Ct .n.( ................................................................. s � f oTO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �7 I � c y�/� Location .... . ..r/.0....... . `..1.!. ...... ?. .......!,1.1 �.. ...... �! lv�..... ProposedUse ......L............�.... :.�............... .......... ... ............................................................................................................ `n y .........................Fire District Zoning District ..�C° ...............: :............ .............................................................................. -66.A ..7?���..:K... ...`-�!!/C... ..Address ...�fJ r�/l/..X....Name of Owner ...._.... ..�..._ Name of Builder .......'✓�.7.!.�.! ........................................Address ......� ............................ .............................. Nome,of Architect ........................................:.........................Address .................................................................................... Number of Rooms ............!1............................... .............Foundation .......���� r ' Exlerior LAO . .. "^1. .j':! !(;.. `r.• .....�./��/...(..!<t/. ....Roofing ......... �.��.�.....�.,.�..�..'.............. L -, Q Floors �1).! �`/ : .... .......................Interior ...:......'...? r.. l ,. �� ............: ................ Heating ..............A....... ........ -!..6..........................Plumbing ........... .:-..... P �.i..../...1 .................................... _ + Y Fireplace ......... • .................Approximate Cost .............. ; Definitive Plan Approved by Planning Board ----� � _____19n__ . Area ........................`................ i Diagram of Lot and Building with Dimensions Fee SUBJECT TO`'-APPROVAL OF BOARD, OF HEALTH 3 2 ' C11f r° 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 .... �� .. /t..... Construction Supervisor's License .......... GREENBRIER CT. A:5;w04 30566 112 Story No ................. Permit for .................................... - Single Family Dwelling ........................................................................... Location ..... Lot#20 , 183 White Moss .. ........................................................... Marstons Mills ............................................................................... Owner Greenbrier Corp. .................................................................. Type of Construction .....Frame............................. ....... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......March 27 , 871 ................................19 Date of Inspection .... ...............................19 Date Completed ......................................19