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HomeMy WebLinkAbout0008 WREN LANE � �'�re�z �� . c ..."„/^".—v.r .� .......r�..� -. � .. ,. ..�.... �.. _ :�. ,y�� rati Town of Barnstable [apircc G i oil is jroul iuire dare UmtNsrAmr, Regulatory Services Fee .�5 • 0 d. *uss Thomas-F.Gciler,Director 1 SS PERMIT Building Division DEC - 2006 Tom Perry,CBO, Building CommissionerLv n F 200 Main Street,Hyannis,MA 02601 Office:-5�5=861N 38BARNSTABLE www.town.barnstable.ma.us Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY . Not Valid without Red A'Press Imprint.. n Map/parcel Number O( Property Address (A �� s ry�,�,p ��(\s n S T tK Residential Value of Work'.'5 6 OO Minimum fee of$25.00 for work under$0000.00 Owner's Name&Address (1 CO. Contractor's Name (7l.11l �pg�Ptx t� —T Telephone Number, (� Home Improvement Contractor License#(if applicable)_ 03-1 1 y Construction Supervisor's License#(if applicable) o.Z Lp 3a5 �SWorkrnan's Compensation Insurance Check one: ❑_ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# y t0 o 4 Q-A1�� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �RRe-roof(stripping old shingles) All construction debris will be taken to - I ❑Re-roof.(not stripping. Going over existing layers of roof) - 1 ❑ Re-side n [], .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,ctc. ***Note: Property Owner must.sign Property Owner Letter of Permission. Home Improvement Contracto s.License is required. SIGNATURE: Q r-orms:cxpmtrg Rcvisc071405 �s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations tl r14 600 Washington Street •\ UHw , ;i Boston,MA 02111 f 1'' www.mass.gov/dia. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organiration/Individual): Address: City/State/Zip: 052N\ Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1�1 am a employer with)2 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑ New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 1.❑ Plumbing repairs or additions myself. [No workers' comp, c. 152, §1(4),and we have no 123E�Roof repairs insurance required.] T employees. [No workers' comp. insurance required.] 13.0 Other '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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. information. Below is ilre policy and job site Insurance Company Name: `btu to Policy#or Self-ins.Lic. #:__Q G f KA 58 LP L� Expiration Da, C7 -Job Site Address:2 ��)an �A;Yyp Mm wwS t 1 A--City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do ltereby certi y under tl a pains and penallie of perjury that the information provided above is true and correct Si nature: ii Date: Phone#: 8'— ., �— .1 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#• To: Ginger @ 508A20A555 From: Andrew Grant Pg' 4/ 4 12105/06, 3:43 pm Town of Barnstable Regulatory. Services_ t t ?hothu F.Ceder,Director Building Di is£on. TomVerry, BulWng_Commissloper 200 Mafia Street $y&=,MA 0260.1 www.towa.barnatable,c�a.us. Mice:_508-862-4038 Fa4: 508.790-6230 Property. Owner Must Comple-te.-and:Sign`this-Section. -If Usm' *ABuilder- as,Owner of the subject property hereby authorize to-act on my behalf,_' in all matters relative to_v,+crk tuthoriud-bythis.building.peank.application:for,-. . (Address of job) Zd TIgnature of QFWer Date Q:PoaMs:owNbRPERMISstoN y • I + c.. !� ^ ? ' e� �f !. :f J► 1✓ M\U D�,.w.,...a'r:• .�eo•!. D1YY f,; ?RooucER TitiS CERTIFICATE IS {SShcED+AS A;BATTER tOF IN>riFswcc►uu, :DOiJLING 6 0 NEI1, INS AGC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. ' 222.WEST._--v Iid -STREET. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND-.'OR Po;Box 1.990 ,Al TER THE COVERAGEAFFOROED BY THE POUCIE`Ls BE1 L1W_. .`HYANNIS. KA 02601 COMPANIES AFFORDING COVERAGE A Tn.nVh;LF,'RS PILOPER.TY CASUALTY COMPANY AMEAkfCA OI' INSURED COMPANY .'PAUL J CAZL'AULT G SONS INC. B 1031't1A.IN STREET :'OSTERVILLE 'MA•02655 COMPANY C r. COMPANY : f <.....:a..:-.i;—.'/.:..• cf.':fi:<. .......1. :.:yw.:...:k:%�»'::. d:sJ.k C:`i,:: i::j o, .iM!^ ':: >......r :4.:...... .....e re/,L,'i...!,y.,.....7.w..._:x •...,. on. y.u:•: ;p.:• .:...: k k ':T}i s ls- ,To ERTIFY' 7H AT .:r TN EP O 11Cl E.!OF INSU RANGE 1 "�L STED BELOW HAVE B;'INOICATEO, NOTWITHSTANDING ANY REOUIR CEN ISSUED O'THE+'INSURED NAMEDwADOVE FOR 7}I-' EM_NT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT.WITH RESPECT dTERR, ;:-CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREW IS SUBJECT 70 A i 'EXCLUSIONS AND CONDITIONS 0P SUCH POLICIES.LIMITSSHOYVNMAY=HAVE BEEN REDUCED'BY PAID CLAIMS: ' : CO '•, i LTA ' TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION' POLICY NUMBER LIMITS UATE.(IAAUO\YY) DATE(MU\UU\YY). 'OENEFiAL LIABILITY GCNEITAL A- -GA CUMMEROAL GtNtF1AL lIAIlILIIY 'CLAIMS MADE a OCCUR. PERSONAI.K ADV.IN.IIIITOWNE•H'S A 4;ONTRACIOR�PROI.- FACIIOCCUnRGNCCIRE.DAMAGE(Any one lire) AUTOMOBILE LIABILITY MED,.FXPENSE.(Arry on"petAon) S. , ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BOPILv INJURY i (Per Petson) 3 HIREDAUTOS I NON-OWNED AUTOS ' BODILY INJURY :I r (PM Accidem) 3 PROFERIY DAMAGE 3 i �-' GARAGE LIABILITY ' ' - 'AIJTO'ONLY.:EAACCNENI' 3• ' EI.ANYAUTO'' cmim TiiAN AUTO 64t LACIT ACCIULNL r. : EXCESS UADIUTY AGGIIEGAIL 3 n c, unENCt . 3 1 UMBRELLA FORM EACH CK' ' OTHER THAN UMBHEIIA FORM AGGREGATE t i I +. •A WORKER'S COMPENSATION AND EMPLnYERStJADIIITY (LIB-0095069-A-06) 08-10-06 08-10-07 STATUTORY LIMITS 'THE PROPRIETORI EACH ACCIDENT 3, PARTNERSIEXECUTIVE " INCL . OFFICERSARE: EXCL DISEASE-POLICYLIMIr 3 DISEASE-EACH EMPLOYEE g i TtIIS REPLACES ANY PRIOR CLRTIFICATC I ,SUCD TO THE CERTIFICATE HOLDER AFFECTING WORI:LaL COMP C •:Li,'F!'G.Lc:nF oL R ,s,.a!i ;,ss; ?F5. z :'k COVERAGE. :w':. .•v:wa4v...q..w.:.:.ivNv:t'.:.,..:: •s.l.•.�.''L<'i`]�. `i , -�•��..a-_. _ .w ..�.v..,...tw.::.v:,G.•:`•,•...w..ev,4.r:i::is wiii '>V.NLL{ v.3. i C£LLATIQN':'�<;.:':t...:....•i-.s :.k%.>:s.x;:?;,'s>a:>.;: '_�_.._ ..o:w .......::, .,v....::�. ,•:r.; ...:.•.o.,.,.::k:f;:':;iylf i.:.°i o�:=:.':• i,i r'::�;t:i.ii.!.�:.i,4`;is SHOULD ANY OF THEABOVE DESCRIBED POLICIESyDE CANCELLED BEFORE THE + Paul J.Cazeault&Sons EXPIRATION DATE TIIEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Roofing,lac. 10 DAYS WRITTEN NOTICE TO THE CER71FICATE HOLDER NAMED TO THE 1031 Mai I Street LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIAaIUTY'OF AMY.KIND UPONTULCOMpA lj ITS A�.CIMTSGRRGt+tiELEyRbTIY45.. .. Ostervillu, MA 02655 AUTHORIZED REPRESENTATIVE w.. ....c:;;.. + oa:.cnHecw► Client#: 19989 2CAZEAU LTPA —F-A-m ACORD.w CERTIFICATE OF LIABILITY INSURANCE o5119/06 ) .PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling$O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency ..,. *. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Western World Paul J.Cazeault$Sons Roofing,Inc. INSURERB: 1031 Main Street INSURER C: Osterville,MA 02655 INSURER D: INSURER E: COVERAGES 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 CONTRACT OR 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR'NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION DATE MMIDD DATE(MMIDDIM LIMA A GENERAL LIABILITY NPP1012091 04/30/06 04/30/07 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED P ISE c u once $50 OOO CLAIMS MADE 51 OCCUR MED EXP(Any one person) $2 500 X BI/PD Ded:1,000 PERSONAL&ADV INJURY $1 00O 000 GENERAL AGGREGATE s2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $1 00O 000 POLICY JECT LOC ' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALLOWNEDAUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) 1 HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ g WORKERS COMPENSATION AND OR STATU- OTH- I LIMIT EMPLOYERS'LIABILITY ANY PROPRIETOFVPARTNERIEXECU71VE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yos,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate of insurance will be issued directly by the insurance carrier. I� CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Informational purposes only DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL I IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR i 4 REPRESENTATIVES. ' ld AUTHORIZED REPRESENTATIVE ` ACORD 25(2001/08)1 of 2 #42866 LS1 © ACORD CORPORATION 1988 I. f j Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 103714 Type: Private Corporation Expiration: 7/9/2008 PAUL J. CAZEAULT & SONS, INC.` Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 t _ Update Address and return card. Mark reason for cliange. ❑ Address .� Renewal (: ( Employment ? Lost Card DPS-CA1 a? 5OM-05106-PC8490 ,,tpom� ✓/tC 'V/Omq)NYltluect� O�✓�.tGtudC�d • ate\ Board of Building Regulations and Standards Uq or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration;:;103714 Board of Building Regulations and Standards Expiration:::-:-7/9/2008 One Ashburton Place Rm 1301 Boston,Ma.02108 ;;i..Type:';"Private,Corporation " PAUL J.CAZEAULT;&t;SONS,`INQ.- Paul Cazeault ,` 1031 MAIN ST -! OSTERVILLE,MA 02658`' Deputy Administrator Not valid without signature - Board of Building egulations One Ashburton Place, Rm.1301 Boston, Ma,02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE ;. Number: CS 026325" Expires: 10/20/2007_.; Restricted To: 00 PAUL J CAZEAULT 1031"MAIN ST �' I OSTERVILLE, MA 02655 Tr.no: 7696.0 Keep top for receipt and change of address notification. DPS-CAI a) 5OM-04/05-PC8698 " __._._.__._..._...._.... ................._.... ._._...._... j ✓/LC -r.�J00)N)t09L[IJECLGC/L O�✓I�GQdOQC/N.LOP.��6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numb ' rJCS 026325 Expires` 10/20/2007 Tr.no: 7696.0 Restricted: 00- , PAUL J CAZEAULT'`:.-.:' 1031 MAIN ST ` /-- Assessor's office(1st Floor): U Z 9 ��/� Assessor's map and lot number `)� ������ v�oT THE>o`. Conservation(4th Floor): ' '"'� a�c93• ����- SVSTE��U Board of Health(3rd floor): ALLE® Sewage Permit number s ��'%' �,�� Co®AIPL o �r�nLE . Engineering Department(3rd floor); ; _ � �� TITLE 5 o,�oe39•`��d° �0W House number 1 �'®t�y7�� ry ��AL C0�E ��r Definitive Plan Approved by Planning Board APPLICATIONS PROCESSED 8:30-9:30 A.M.,and 1:00-2:00 P.M.only i TOWN OF BARNSTABLE SUILDII ANSPECTOR APPLICATION FOR PERMIT TO �� Gci•n /<�rr"" TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The under/signed hereby applies or a permit according to the following information: lcr.4 Location`Q Proposed Use i Zoning District ) Fire District G�O Name of Owner %Ti'll�L/-G�J c��'GLn Address sGY» t Name of Builder /✓�1�� Z �u�'�c��X r Address "00 ITtf 0 \i—o 7- Name of Architect Address Number of Rooms / ✓ Foundation ea- 7ri' Exterior Roofing �` a Floors r!5i Gt,K Interior cS' Heating ,! •�T� Plumbing Fireplace 6d Approximate Cost )a,c o&r a c _ Area 6 aA: Diagram of Lot and Building with Dimensions Fee .5 �G /& aCY LOMP� zt� � r 30 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t abo truction. Name Construction Supervisor's License _1O 4/Se. GRANT, ANDREW _ No 36149 Permit For BUILD ADDITION Single Family Dwelling Location Lot #145, 8 Wren Lane Marstons Mills Owner Andrew Grant Type of Construction Frame Plot Lot Permit Granted September 8 , 19 93 Date of Inspection: Frame A/7 a e -Ljr 19 Insulation io . 19 Fireplace 19 Date Completed / 19 (FTS ? 1`..y j ) 1 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY . OF ONE ASHBORTON PLACE , acurreat MASSACHUSETTS BOSTON,MA 02108 `- �� ';�����a sSt�NBei► :'v LICENSE Jolscaus�Io�rprOpadun I' EXPIRATION DATE C O N S T R. SUPERVISOR .::is l/uasw CAUTION 01/18/1996 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE �' ��� 006/30/1993 002265 PRINT IN APPROPRIATE s o BOX ON LICENSE. 9LARRY D NICKULAS AO X 395 BLASTING OPERATORS mWEST HYANNISPORT NA 02 m MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) EEa- D.00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER y THIS DOCUMENT MUST BE •'�'�' -G>G' SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDON THE PERSONOF SIGNATU OF LICENSEE 'THE HOLDER WHEN EN- - ,�y� - OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. �"�lYi��p� COMMISSIONER l' Y 1 I - : _. El Lj Ll I O I 'I _4U C , E A .w _ .. �� � .� � .:� �.,r � :,.�..,. .`l� 4w•ice t O Lo �1 c) Ln _ I QD wl- to ---- ti i - '• } j 1 ► U V lid j � a � 4 N ti U l' , ydI'�— ✓_ t I - _ � titer�ti������� -..,.�. �,_,_�-•.A..;,..,.tw. .'i:-�-:�.,ww.,.x,.�_ _ . THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �C(�'J IL DATA 7 i I - I Lrt7[max, I I - - - 5 • T.. t 14r r r 1 �J . � � r' �•'� �� ram_- � - r I ; _J J� J __ _ ;y cl�� ✓gip, :_-- - Assessor's map 'd lot number ..< .Q ...n� 4 c THE c Ole Sewage Permit number1 y' 6�Q� ♦� ............... i I ♦ . a Z 33AWSTABLE, i House number ........... :....... k �f...,............... ......:. B ......., 900 a o,039. 'F0 MAI p TO-WN OF BARNSTABLE BUILDING INSPECTOR ,•ate APPLICATION FOR PERMIT TO ....... •, .................... �........�... TYPEOF CONSTRUCTION ................... ...........................................................'.'."........................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: fli is Location ............ ../...............f...G .................. ...... �..f.............. ., . ....... �/i 1 /f ProposedUse 5�� ./..: ....... 1!~ .....:........................................................................................` .... ZoningDistrict ..........6k,11-11J'"' •,•.....................................Fire District .............................................................................. Z,) Name of Owner ....... �•��r�.:�....��� ..a.��.G......Address ..........C� 7..... iir.y�`�...J..�....... ......!� Nameof Builder ............................ ....................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... /d (-O'o7CB�z� .-f Numberof Rooms .!..........1............. ........................................Foundation .......,.........-.................y........ .............. Exterior .................` !.. 6..x....�..............................................Roofing ..............�..........5.. ......�........................ Floors ` t2 Interior �. '�� ��" .................................... ............................................ .. .�........................................................ Heating ..................! ....... /."�!... ...............................Plumbing ...............z"10e:; .!...................................... G C`* Fireplace ..........................y�.�.� .........................................Approximate. Cost .....................�... � �...,................. Definitive Plan Approved by Planning Board -----------____---------------19________. Area ... ................ , Diagram. of Lot and Building with Dimensions Fee ....... �j ..�. ............... SUBJECT SUBJECT TO APPROVAL OF BOARD OF HEALTH P7Q '4 '� S - /10/1 d 'Y t _/y h� , y 1 ----------------- 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 ... '� .2.. ....... NICKULAS, LARRY A7--21-21 TWO story No Permit for ............... ' Sinj.,Ae Family Dwell4?5............... .......... ............ ............................ Location .....8..Wren...Lane................. . ......... ........ Marston Mills ........................................!...................................... arr -as Owner I y ............ ..Nickul ............................................... Type of Construction ...TKEU W. ............................ ................................................................................ Plot ........... ....... ..... .. ... Lot ................................ Permit Granted J..u..n..e......2.9.........................19 84 Date of Inspection .................................19 Date Completed ......................................19 ~ . TOWN OF BARNSTABLE Permit No. ---------- NAU2TAX Building Inspector cash ------------------/--/ 1070• p OCCUPANCY PERMIT Bond _---__--__ Ls-ued to Address Wiring Inspector Inspection date 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. ....._....... ..........:..........., 19............ .................................................................................................................. Building Inspector I FROM r- TOWN OF BARNSTABLE BUILDING DEPARTMENT . pr 367 MAIN STREET HYANNIS, MA 02WI Tom ffyrf�•t Clerk, kr Ywr ww aTw oYs.w - . Phone: 776-1120 SUBJECT: POLO HERE DATE — -- -- - MESSAGE ° _ • /IMFW atA�AaI.4 • I Work has been CXmpleted under Permit #26892, (Larry Nickulas) �+i.r.•r E/d•tt•! .,:,.q„te,r.r qe.y.•.f'lw.t q•w..?r .w.•.•.r w a.rr ;.x . �.wp�•^,... .....•r - I Please re1eease-Bond.--4'** ww...- .•+r,•J,M.r•re.t ec•qa p.vis.>�►w+�•^-w • r " SIGNED � ` ' �x'a.«a r yi'n d y Y a•+••+v.!«r n•s s.e-s•y.y. ? DATE REPLY ) SIGNED N87•RMI - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY y - • •• - PRINTED IN U.S.A.., r --SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND.PINK COPIES WITH CARBON I'NTACT. y23/oz- b 0/ Assessor's map and lot number ... ................................. F THE t - y-, ,3- o��.�/4 SEPTIC SYSTEM � Sewage Permit number ........................................................ INSTALLED IN C P WITH TIT STABLE. : LE. House number ...tf5... .......am. Mn ...................................... �1N�/�R ENVIR ONMENTAL ENTAL .�.. TOWN BEGUN_ M TOWN OF BARNSTABLE BUILDING INSPECTOR 2APPLICATION FOR PERMIT TO ........... :J.... /.... `....................z..�..:... ......................' ./`. TYPEOF CONSTRUCTION ................... .................................................................................... ..�..... ..............19, < TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............S..r4: ........../C.� •' ......... /'.Cf.�..... .... •.... �ef/��'1 .�-� Proposed Use ............ .................................................................................................................... Zoning District .......... ...�.../...............................................Fire District .............................................................................. Name of Owner ......a�r���i y l/r.'.. G't.F.�.."......Address / 7 /����i Nameof Builder ........................!/....................................Address .................................................................................... 100, Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................' ..............................Foundation .......✓. t P!7�I�Z•�//--� ..................................... Exterior .................`'IC.. .............................................Roofing ..............r� 17 .�..:.� Floors ..........Interior .......... . f .. ..................................... • ,r Heating ................. ..............................Plumbing ............... ."f......... ....................... 7i (1 Fireplace � ......:...............................Approximate Cost - 'L Definitive Plan Approved by Planning Board -----------_-------------------19_______. Area .../...�7... .......................... Diagram of Lot and, Building %with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t ! y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abovp, construction. Name .... CZ- Construction Supervisor's License ....6.VA? ...... fD lD 3 O N 7 IG � , O ,H N 1 MM j1✓ ''^^ o 'C D .P y C4 3 ((D r m a ;\ :Ij Fi n Y ko n c I I I d —OFF pt ROBERT ; -V BIWCE / �1 ELDRED �� /��f�.. 4 A/V p! srE�`ro� % su Q -S 79 �/3 U o tit +i 300 No Q 38 ' N 4[ _ Pl 7i3 5" � a LoT o o Lo T Z 0) 2 .s in s, °o ;M T /46 /113 f`N co r SiW-0cAE At- -e /Sa' 361�s��s 5 �cr�s CERTIFIED PLOT PLAN �gSSv/►Zcr�D Gv,— /�1.u1��?�w-� �7%;/� • /1 A-nr. L Ste+•71�, 6,E. --� - —.... . __. -.. _..'�., L S — a IN SCALE, / "=3o" DATE , 3-// g 9 I,,o 'QG� ENGiI EE ! Q C NicKu�q S I CERTIFY THAT THE Fdvti'�.��1 vw CLIENT_ SHOWN ON THIS PLAN 13 LOCATED E N0. ©ISTERED IS � REGTERED JON 4U¢3 CIVIL LAND . ON THE GROUND AS INDICATED AWV ENGINEER SURVEYOR OR�gy Mw CONFORMS TO THE ZONING LAWS OF AR STABLE , MASS. 712 MAIN STREET CK AYE IiYANRIS, MASS. BHEET:LO� f p E�� t.A �n suNVEYOIt