HomeMy WebLinkAbout0063 WILLINGTON AVENUE Cv
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CERTIFIED PLOT PLAN
L o T -7r•1jViz_c-i.✓GTo�/ .4 VE-
C NEW -}CONSTRUCTION ONLY :
' +
e.*OP'•'OF FOUNDATION IS FEET IN
ROVE'-.'LOW- POINT OF ADJACENT
t, oOAb.
.� SCALE, ,, ¢0 DATE
4 •k f'
EDGE NG/NEERIAlG CO.IN ;cov�✓�R77oo✓
` y ' DA. cc- I CERTIFY THAT THE
CLIENT
�•�, ,: •-- LeNGINEER4�1
i$T�RE REGISTERED SHOWN ON THIS PLAN IS LOCATED
` J08N0: ON THE GROUND AS INDICATED ANI)v
VIL LAND
„ � CONFORMS TO THE ZONING LAMB
_ SURVEYOR DR. BY= `� M" OF BARNST 8L I�A
�' CH.BYt
5 03 1P6 MAIN ST' 7►2 MAIN-ST, 7Z. I 13
xf wmOUTH, AMASS. HYANNIS, MASS. SHE T _
1 �..OF_L D,A E !4E43. LAND 3URV(FYOR
�' of /,��....../03
AR 71--
Assessor's map and lot nu5......�................ .... O THE c
y e§wage� Permit number ...............4?. .3...........................
SEPTIC SYSTEM MUST BE
1 INSTALLED IN COMPLIANCE � 9aEB9TODLE,
WITH ARTICLE II STATE rasa
Howse number ..�.....3..............................................:....... 9
`' SANITARY CODE_ AND TOWN °°,o,i639-
RECULAT 0 S. �E0MAY�
n, r1lTOWN OF BARNST� LE
BUILDUN, INSPECTOR
APPLICATION FOR PERMIT• TO .. .................
� y
/ �. .........�
TYPE OF CONSTRUCTION ��. << .,Cr ..... ..:�.��...� ...,l .
CJ
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
//a --permit according to the following informati n:
A�
Location .(�. ....................................�:1!�.. .�.�v...�J. .....��.....��YLrSIi. .............
ProposedUse ........ ................................................................................ ............. :......
Zoning District .........��� ...............................................Fire District .�..'-�'!� d.V.`.� .......... y /'(J/............
r
Name of Owner 4t. ......�.,.:..�f...L.�..` .5�..� Address ..�F� �. .�?.�"'i'.� � ..... "{
l
Nameof Builder ................... ......................:.....:...............Address ........... ....................................................
Name of Architect ................(1............................................Address ..................�.f..........................GL)
Number of Rooms ........ ..:. /,�
�!...,l�Q'.�.�:.....................Foundation l`.�..�. ........ ............... ..�. ... ............
//.��
Exterior ...�. ......... .`.I....... •••1...........................Roofing ...� ...... .:�C ..
Floors ........ Q r . . .............................................Interior .........1. :.s .. . ......G.(��........ ........................
Heating .... �,!:...................... ...................Plumbing ...... ..c? (G`F .A..
Od
Fireplace ........................................Approximate Cost �QQ
Definitive Plan Approved by Planning Board _____�_______----------- 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 rnsta regardi t ve
construction.
Name . ......... ........................
14,Lmbel° Douglas W.
. . . � .
� l 1/2 story +' ^
No\ for ----.-------.. `
.
tingle family dwelling '
--------~~--------------~—'
,
�3 Williootmn Avm. '
Location ----------�-----------
Marstpoa Mills
----^—''---'~-------'^-------'
�moglam l�" Label
Owner ------=------------.---
. .
frame '
Tvpe of Construction .......................................... _ `
~
�—.------.------------------
#78 -' ~
Plot ---.------ �� ----------' `
' -
' ^
June 29, ` 78 ` �
Granted V . '.
' 0ofeot inspection '
'Date completed 1 %�� � ~ 19
. . . ~ .
. .'
'
� PERMIT REFUSED � '
. —__-------.----'.-- lA
~~
.. n,=-----------.------- '
. . . . . '
-----~..--~--------------.—.
.----.---.--.—.—.--.—`..--.—.---
�
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--------.—.—.----..—..�------.. - `
' .'{----------_--�� l�
Approved
--------..—.------...~.--------. . .
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0*19E.z Town of Barnstable *Permit#
q� IiIX.PiAs 6 nrowhs jrour isssue date
BARN � .y ` egulatory services
h AAS -
+�� a' � Thomas� F. Geiler, Director ArF MAC A n/
ACT Q 2000 Building Division
Tom Perry, CBO, Building.Commissioner (/
TOWf j ()F BA 200 Main Street, Hyannis, MA 02601
www.town.barnstable.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 ® 601�_
Property Address I 2STnf, Oct"
Residential Value of Work Minimum Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
Contractor's Name 4. u L L/ v JfJ& Telephone Numbe(� 9, �j �J" 3
Home Improvement Contractor License#(if applicable) ,
Construction Supervisor's License#(if applicable) ��`U to(92— �,OCWA
Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
XI have Worker's Compensation Insurance.
Insurance Company Name ( �
Workman's Comp. Policy#t
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
r—�
"Re-roof(stripping old shingles) All construction debris will betaken to
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum .44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc.
'Note: Property O r must sign Property Owner Letter of Permission.
Ho I ment Contract s License& Construct Supervisors License is required,
SIGNATURE:
Q:\WPFILESTORMS\Express\-XPRESSPERMIT.DOC
Revise060409
I .
I
t��Comfc�`"4&'"11 v"f"i" License or registration valid for individul use only
Offi e o onsumer arrs usiness egu a goo
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
Registration: • 129348 10 Park Plaza-Suite 5170
Expiration: 8/17/2011 Tr# 287647 Boston,MA 02116
Type: Individual_
I
Paul Pacella
Paul Pacella -
132 Lombard Ave
W.Barnstable,MA 026681 y Undersecretary i Not valid ithout signature
'"" � of Puhlic S.�fct)
p`t�.►rtmcnt tnd Stan(la�'(is
�lussachuscttsR�,ul
ot. ations
+ uil(lin. License
Construction
gu.u•i1 Q gupervisor ;
License: CS 68602
Restricted to: 1G
PAUL R PACELLA
132 LOMBARD AVE MA 02668
W BARNSTABLE,
Expiration: 8�2g12010
Tom; 1661 _ "—
('nnunisciune�'
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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 �p Please Print Le ibl
Name (Business/Organization/Individual): Q 5 Y�
_J�
Address: -�
City/State/Zip: 1&1A V y l Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
m a employer with 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
working for me in any capacity. employees and have workers' 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 I I.❑ 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.❑'Other
comp. insurance required.]
*Any applicant that checks box#I 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 thepolicy and job site
information.
Insurance Company Name: T'-"' toy-PAL"1 2- 1�� _
Policy#or Self-ins. L,icc.M Expiration Date:
Job Site Address: M1PrtLSq_- A��5City/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 c under the ain and penalties of perjury that the information provided above is true and correct.
Si nature: Date: 10 1110 105
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 t i
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or,written."
An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual, partnership,association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally;MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. if an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a.reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fixture permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 4-24-07
www.mass.gov/dia
�t►,E, � Town of Barnstable
Regulatory Services
vanF H i a AS& Thomas F.Geiler,Director
jOlED MD'I0. Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, as Owner of the subject property
hereby authorize t 4 C-�Mwact on my behalf,
in all matters relative to work authorized'bythis building permit application for.
k�Lu-tom tM 0-92 ?ma's
(Address of Job)
Signature of Owner Date
PrYrlt Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
QTORMS:OWNERPERMISSION
i
oFt�r�
Town of Barnstable
Regulatory Services
ABLE Thomas F.Geiler,Director
Muss.
9q, 039. �. Building Division
ArF p.N1A'I A
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
,zy .
"HOMEOWNER":
name home phone# work phone 4
CURRENT MAILING ADDRESS:
Z
+:` city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six'units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided thif the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
I be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and_that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions'
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a'person(s)for hire to do such
work,that such,Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:\WPFILES\FORMS\bomeexempt.DOC
FORD,
CERTIFICATE OF LIABILITY INSURANCE f
DATE(MMlDDM(Y1�
,y,LoucER Pnone: (Soft)888-0207 Fax: (308)R88-0550 THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION
MEIDA 8.CAUCIN INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O.BOX 719 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SANDWICH MA 02563 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA; Granite State Insurance Company
POST&BEAM OF CAPE COD INC INSURERS: .
BOX 365
SANDWICH MA 02563 INSURER C;
INSURER D;
INSURER E: N
COVI=RAGES _
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIIC TLD,
R NOTWITF(§Tj4NDINO
ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAf.E-yIAY BE ISSUEDr'OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS. EXCLUSIONS ANO'; ONDITION3 OPSVCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I
17-0
LTRINS'I ADD' TYPE OP INSURANCE POLICY 6FP6CTTV6 POLICY 6XPIRATIom �•- 4 :J•'�'
LTR INBF POLICY NUMBER DAT D II i LIMI
02NHRAL LIABILITY EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY DAMAGE TO FEN110
PAEMI9E3 axa¢rn o� cc
CLAIMS MADE OCCUR MED.EXP(Any a person) g
PERSONAL&AD INJURY i.Y
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG. S
POLICY PRO-
JECT LOO
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO (Ea eccldeM) S
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per parson) g
HIRED AUTOS
BODILY INJURY
NON-OWNED AUTOS (Paraccldant) S
PROPERTY DAMAGE S
Per acclCent)
JAANY
6LIABILITY
AUTOONLY-EAACCIDENT AUTO
OTHER THAN EA ACC S
AUTO ONLY; AGO S
EXCESS r UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ❑CLAIMS MADE AGGREGATE g
S
DEDUCTIBLE
RETENTIONS
WORKERS COMPENSATION AND WC0041987969 12/27/01 WCSTATU- OTHER
EMPLOYERS'LIABILITY 12/27/09 TORYLIMITS
A ANY PROPRt6TOILPARTNSRASX000TN8 E.L.EACH ACCIDENT S - 100,000
O►FIOCR11AC1010rit OXOL.0000*
ny..,en■ne.under
E.L.DISEAGF.-FA EMPLOYEE 3 100,000
aPGCIAL PROMOTONe W.w E.L.DISEASE-POLICY LIMIT 3 500,000
OTHER:
J
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS
WRITTEN TO THE Town of Barnsle Building Department TO D 8 0&HALLEIM IMPOSE NO OBLIGATION OR LIABILITY F ANY KIND UPON TB
tab UT
HE INSURER,
200 Meln street ITS AOENTS OR REPRESENTATIVES,
Hyannis MA 02601
(508)790-6230 AUTHORIZED REPRESENTATIVE
Attention: aryjo Anderson
ACORD 26(2001108) Certificate# 678E O ACORD CORPORATION 1988
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W/L L. 7�2 IV* 4
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STE
CERTIFIED PLOT PLAN
L o T 7,:Y//i//L Z- Al q 7-00IV -4 t/E .
{ Eft . CONSTRUCTION ONLY
"SOP ::OF : FOUNDATION IS FEET 16d
tAO�Vob AS
E :`LOW POINT OF ADJACENT J r c
b ROA
y SCALE, / ''_� g 0 DATE,
'' OG NGINEERING CO IN �A, �y I CERTIFY THAT THE
CLIENT SHOWN ON THIS PLAN IS LOCATED
1QISTER�` RE®ISTERED
JOB t+00': -786)2/ ON THE GROUND AS INDICATED A00
VIL,.; •. LANDCONFORMS TO THE ZONING LAGS
SURVEYOR DR.BY: OF BARNS7.BL, MASS .
3fl d MAIN ST 712!.MAIN ST. �, Z 7� .
KW6i1TH SASS:. -NYANNLS,_.MASS. SHEET--/—OF DA C RES. LAND SURVQYOR
Assessor's map and lot number ....`. .:. .... ......f
t�
tip+ •`+"wage ..... `. � !*•���' ��f� v0(,'THE
T4��
5-e Permit number ............. ... <...........................
BAUSTAXLE, i
House number
:............................................................. 900 i639 6�
ON -4 Ar
TOWN -OF BARNSTABLE
BUILDING INSPECTOR
� � � �--- -
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION ................ ...... .........'�✓rP5..,/ ... .
1929
-yam
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following`informati n:
_
. �,.
Location .... ... .......... !..�1.... 5? .... sr^�'.. (/� . ...... .. yam....... .C{., .... .. .........
..................................................................Proposed Use ........pG�c.��G.'�!/ ....................... ............. .......
... . ....... .......................
Zoning' District ......... `................................................Fire District (:"-4w;.74�La.z.
Name of Owner ,....Address .......... C.S:✓...!`..// ...✓. '�f,
Name of Builder ...........Address
Nameof Architect ................ ............................................Address .................. ............................. ............................
Number of Rooms ....... .. .........
„�......�.a6.�'�.r.�......................Foundation ��-�..�.f.::� .... .......... ..�?�..�. ...
Exterior ...Re.J.c....... ....' ...........................Roofing ...
14Y.. .` ... . . ............................. ....................
Floors ........02..q..✓.. ...... .. ................................................Interior_ ............ ..C~..:. ... .. .��(, ........ ....:...................
1
vG
Heating / 9 �... 65?:
.1............ ........�..�.. .�'..�...................Plumbin t� .. ... ....!K.. .... ....
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 rnsta regardi t`a ove
construction.
• Name . ` .... ............ .........................
Lebml; Douglas W. 3-4O~� '
' ��o� plotted)
} ' `
! 20353 l 1/2 story '
> ............... Permit' for ....................................
| � ^
. � single family dwelling
/ -----------------.--------..
/ 6� W1lllo�too Ave r
i ^ '
Location ---------...--.----. ---.. *�
^ ^
` Marat000 Mills .
� .-------------------------'
Dou/
m W. Lebel ' '
� Owner ......... '
/ frame �
|
. Type ofConstruction -------------- `
--------------------------. .
#78
/ .
. Plot Lot ` ,
/
' " ne 29 78 ,
' Permit Granted '
)
( wo,= or Inspection .
> '
Date
/
! (�omplet(�'dks,,,,
\ffRMIT REFUSED
�
`
�
i
�
�
---'
�i
` ----.
, .
! � '---- '
'
.
----... ---.— .
` -
. '
`
lA '
' Approved .
' .
� ----------------.—.. --- ---
` t '
'
-----------------------~'—''
TOWN OF BARNSTABLE _ _ -____
�`o Permit No. _--_--------------
Building Inspector
""'T&U Cash
----------------------------
'��"rto rar►:re
OCCUPANCY PERMIT Bond / O
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Tlrn7rr? n W. Lebel Address Boy 144, r4arston8 Mi I I!- p••
63 Willin-`gin
Wiring Inspector l -F-f - . �! L_.-0—,/u Inspection date /l
Plumbing Inspector ` Inspection date
Gas Inspector Inspection date
Engineering Department 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.
.....................................................1 19......__ ............................................................................................................._._
Building Inspector