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0175 TOWER HILL ROAD
/75- ooy o I n " l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# r Health Division C✓1' ® � Date Issued O Conservation Division / S `�° / Application Fee r Tax Collector Permit Fee -b 8 .09 lok Treasurer ( 1t_..Mk 1 SEPTIC SYSTEM MUST 9E INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address n s Village IO.� „;;�;. Owner yLy Address 54-2 Telephone 5* Y2 5 N-7SL i Permit Request c-cQ,- ,4.3 Square feet: 1st floor: existing 1100 proposed I A-1u 2nd floor: existing proposed Total new L/7 1- Zoning District Flood Plain Groundwater Overlay Project Valuation ���Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family (R` Two Family ❑ Multi-Family(#units) Age of Existing Structure T 40 Historic House: ❑Yes M-Mo On Old King's Highway: ❑Yes @—No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) r� _ Number of Baths: Full: existing 3 new — Half: existing new Number of Bedrooms: existing `I new -r Total Room Count(not including baths): existing 7 new — First Floor Room Count Heat Type and Fuel: &tas ❑Oil ❑ Electric ❑Other Central Air: CikYes ❑No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site.plan review# Current Use Proposed Use �1 BUILDER INFORMATION Name ED W1xxC_ Telephone Number 7 2� a-200 Address LSE) _,G �-�.�� V License# ot&07 l Home Improvement Contractor# /007/ S; Worker's Compensation# G a2.3 Lc Qk, v 7�,- k&da ei-vN ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V/11 rV,1.0� �t Lam,..0 SIGNATURE DATE f��Y FOR OFFICIAL USE ONLY r G E c r PERMIT NO. DATE ISSUED 4 MAP,/.PALRCEL NO. ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: y f4 JJ FOUNDATION fie- 7+6E� FRAM ► �4� 4,64= INSULATION 6104 r. FIREPLACE ELECTRICAL: ROUGIR FINAL m tr Q PLUMBING: ROQ(314 O S FINAL m GAS: . ROU li tYt ti m FINAL v � '�. ,T~PRC'' �'..�' FINAL BUILDING 2 OEr "+ N Er ro®O ' ;.. 4c m ; "•` DATE CLOSED OUT M tf! ® ". ASSOCIATION�fPLAN NO. 4 - L� J TO RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE /;LS square feet x$96/sq.foot= 2"$ b x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf .75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS t Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee proj cost I Tow, of Barnstable • y°Y E °��'o� rwgulatou Services ' • -�" i Thomas F.Geller,Director s6as �� Buildiug Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Office: 508.862-4038 permit D ate AYMAVJT_ SW1P�OjyM MERNT TO ERMIT APBLICATION MGL c.142A requires that the"recons onstruction of an addition t my pi existing oowAer o�cc pied gory •improvement,removal,demolition,or four avelling units bugding coats innig at least one buetbno Snore r d con ctois with ertain ex ptions,a10 g yvith other nt to such residence or building be don • y g► requirements, Type of Work-_ Wj- Fsti=ted Cost l I,d Uy address of Work: n , c4 4 ('c�,,tiw� Own.er's Name; '^� •' . Date of AppBcation: /•�/y/a ----~ I hereby certify that: Re&istratioa is not required for the following reason(s); []Work excluded bylaw []lob Under$1,000. . []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that; OWNERS FULLING THEIR OWt�PERMIT OIlRYLDPROYEMENT WORRD0 NOT 131VE COC A CTORS FOR APPLICABLE TiOME ACCESS TO THE ARBITRATION PRO GT AM OR GUARANTY FUND UNDERMGL c,142A, SIGNED UNDERPENALTIES OF PERMY Thereby apply for 2.permit as the agent of the owner: U / y Contractor Name Regishationl�Io. Date OR Owner's Name The Commonwealth of Massachusetts -- Department of Industrial Accidents = 600 Washington Street Boston,Mass. 02111 Workers' Coin ensation.'Insurance Affidavit-General Businesses � nE; 3':1Pe'ta '�, :' ..i'.:�.�•-e;si�. .:--.ary,�•'Tti...-. _ -+` �+"an:s� naIne: � _ ... .. •x _ .. y - is _. ,. - address: city State: zip: phone# work site location(full address): ❑ I am-a sole proprietor and have;no one Business Type: 0 Retail❑RestaurantBar/EatingEstablishment working in any capacity. ❑ Office❑ Sales(mcluding.Real Estate;Autos etc.) ❑I am an em to er with em to ees(full& art time: ❑Other /% %/i%//%%%%/// .� %/��i/%/i %/%%/i////%%%%%% am an employer providing v�+or -ers' compensation for my employees working on this job. 4. coinpatiV n9me• �'•�� Yam''• �• t. '1> TJ' city` r... yy !� La R { .� y1y Q 'C.,.C�'' ��.lti.?10=.1:•4:.. •3!K.��1u��era.'';.' Ol1C. .#:'�.... �•.��., •k�,. tIN ,.;'^ .IIISllran e I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: COmpanV name• cify plidne* 5.. 0 C. competiV n address. - ' cth': phone#tE iii'sureneeso'� - Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that t< copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.- I do hereby certify unde the pains andpenalties ofperjury that the information provided above is true and correct Signature Date �D�T lJI( Print name /C22 6 Phone# 7 7 5 2 Im official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2003) i Information and Instructions Massachusetts General Laws chapter 152 section 25.requires all employers to provide workers' compensation for their. employees. As quoted from the hlaw", 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 mare 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 be of such eri�loyment.be deemed to bean employer. :. MGL chapter 152 section 25 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.commojiwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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. j Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..-Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits 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 of Industrial Accidents. Should you have any questions regarding the"law"or if you are requested, not the Department required to obtain amorkers' compensation policy,please call the Department at the number listed.below. City or Towns . Please be sure that the affidavit is complete and printed legibly. The Deparment 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 pernit/license number.which will be used as a reference number. The.affidavits may.be.returned to the Department b' mail or FAX.unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 fli o of InvesnWOns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext:406 i no cfrcK� °'� �attfia�ial7 ��pQs�c11�'uelx' a far f3aa$nd7r'o-p'zacliy R.�idetttiit Haitdialp gated pres grip ffye F'arkx& mug gcszing/Ccaling 14'fAXfM� F1oar gs�;�at Stab l;qu3gmrns AtE'ia4a�cy� Wdl palms Glazingelling acl A.ya]ttc� Obudn% R-Yxi�nr . A.ytl+sar Axal passe 3101 to 6 0a 11"ting Dcurt pxrr' jTarauc( 13 15 10 6 Namv�i 1g 14 10 6 Is 1►F�IB Q IIIA Q3Z 30 13 tg 10 NpRnal R A 12% Q,SQ 3b 13 NIA NS Namsal I5T/K a.36 33 tg to WA S3 AFUS 151/. Q 13 NIA 6 • Ss AFVE U 15'h Q.44 3E 19 19 10 Nomtal Y IS'I. 0,52 30 23 NIA NIA Nomtal Ig'!. 0.32 33 19 25 NIA NIA PO AM W.I. 33 13 tg to d gO.J�FU>~ Y tg./T 0.42 33 Ig tg Ip x 18yT 0,30 30 L1 ' �� ADpRE59 OP PROPER'Z'Ys �y �� ARE FOOTAGE op ALL E RXTERO WALLS; 3. S4VaE FOOTAGE Ov ALL C}LAZINO� , Ocl , GLAZING AREA(93 DIVMPD By 5 SLECT`PACGEC4 AA•see chart abaY0), '1 OTHERMORE�OLNW METHOD SO o A'` Q G ORGY�p,QUREYIENTS N0�' ARE AYA,ILAgLL, A5IC:VS FORTHi B�,DI3�tG INSPECTOR APPROy�L; Zt0' YES, q•facros•�a0303s , . r i o�sHE loq, Town of Barnstable Regulatory Services t saxri��$ Thomas F.Geiler,Director 9 s639. Building Division �ATfD �a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable-ma,us Fax: 508-790-6230 office: 508-862-4038 i I Property Owner Must Complete and Sign This Section If Using A Builder I, ✓Q �c� �� ,as Owner of the subject property to act on my behalf,' hereby authoriie -------------- all matters relative to work authorized by this building permit application for: (Address of Job) C D `Y Si ature of Owner . Date print Name i Q:FORMS:OWNERPERMISSION ' ��f• � '�' . �'/ze �a..iriia?u.�ea/.� o�,/�aaaac.�iaelta•'•. - Board of Building Regalattotis and Standards .HOME IMPROVEMENT CONTRACTOR Re Istra 9. 00718 qIBM o.n•=64 2004 ( Wate Corporation MOGAN&CO..,1 4 igMP Francis Mogan, 68 JOYCE-ANNE RD'�h_ ' . �-x- . { Centewille,MA 02632J. Administrator. r ' -` �1e �ammwnurea/,U °�✓�+�oacluaek2 BOARD OF BUILDIING REGULATIONS License C.QNSTRUCTlQN.SUPtRVISOR i Nv mubek C* 026071 0%0:3%19g,7 . TO/n P.t'65 Tr.no: 7319.0 (� - Res" d; 0_� FW4NCFS E MOG9N ,r I 68 JOYQE ANN�2D': '..r;% CENTERVILLE, MA 02632r'` "_' .. . Administrator N i Apr 03 •4 12: 37p Howard Agranat 617-916-2075 Lend l� 6 tldSTASLE OSTI=RVILLE BTOnQln9 to.CATHERINE P. O'BRIEN Dasd nj 781•..•.. 408 • P ge. ...... Land Court Certiflcate No....:..............In Book...............Page................tli!.BARNSTA6LE Reg EEDS....... N 0 N E Date of Pisa1� ::......:....................... Reasided Plan......................................................................................................... ln.BARNSTASLE•.Rsglitry...OF DEEDS......~.............Back....................No............... Filed Plan .ice'" .....;.: } BOUNDARY EXAMINATION BARRON & . STADFELO Lem N& HOWARD N. AGRANAT & SHEILA W. AGRA: ' 54. '� 4 V I > ; j /00! •a 5: FEa.: 25,. 1981 TO W E R H I L L R OA D �N 32534 Scale 1"_50 ` w� G � 3 J4 I N i 3 : i� C-1 v +1 I . f i S 'y { s t N c � � i I i i Q vi 1 F r C c-- r is I x n } �Sa I ' C r i N li - t r kvI S .a l �- v v, l S > � C C>' s � s s e� ` + `.:,, Y .'l' cx'Yid. n� : - v. *• ` .. ` '.. .- y� 'ham+• ws^. 1"p'sue' Qi� .. ' :.�.�•. x�. •a c' '- �.. .,�µl + ..:� �,,: w � ill � S �!;- 1 i1^" tJl' . .. F"'r'.` 'a.� �" ^ti Y +c �`R.:��: r ,��'- �' �•� "7E7 L J } Fi fa j •, IIaa'' r._� •. ,- i i 1 i- ' _{ - - �. .�. a •Tl �.4�w i J t F 'ri � � Sq�—.•'��..' � ai f' .. � M ,. .a'.J" ,c 4 i.R� e. 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NVBZ:6' 06-Et-6 NOlSOS dnon:A9 f02 Assessor's map and lot number .....Z�aI& ... * SEPTIC SYSTEM AWUST BE INSTALLED IN CO�I�LIAN Sewage Permit number ....,�..r'... .....�0.. �• WITH TITLE 5 ENVIRONMENTAL CODE ABBSTABLE, House number ................... ./.... ..�.�...... r rasa TOWN I�E���v_,�°�'�Cfds °o,,�oypY.a\em TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........a�:.c...t° ex i s t i n- :�.��e l l i nc TYPE OF CONSTRUCTION ....ttioo; frame residential ....Sept..........'.......�..................19........ TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location ......:�F...Toj:`.....Hili...Rca.d , 0.=tarviZZ.`.....Mass......................................... ................................... ProposedUse .. ,ivinr...area.................................................. .................................................................... Zoning District ............................ .........................................Fire District i ....Q.;t.kXV.�a, .i=................................................ Name of Owner Fo arc A> ana.t Address `�l S 'U 'J O :.......:....:...... .................................. , .....r.....r.... ►........... .�, Name of Builder ..D.Rt .3;r.S...L.o Aji.Zl:i aMS................Address ..j GNe son Lane,, ills .. .............. ......................... Custom Buildin—g Co . Name of Architect .............................�QXI.e...........................Address ...............aC3Xli............................................................ Number of Rooms .............. ...................................................Foundation .o.ot,ir� s/concrete ................... ............................. Exierior ....��'Q.o.�.....................................................................Roofing ..........c�.SP.;1.a ........................................................ Floors '.................YdR.OG...........................................................Interior ..................S...A.Q.C1��Z•:f1o.C..................................... Heating ... .. .....................................................................Plumbing ..........Aon2............................................................. Fireplace none $9 , OOO. 00 p ..................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ---------------____------------19________. Area 89 • SSc /i t Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH A tea 7X 1Z--8 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ......� ..... .......................... AGRANAT, HOWARD Nb ....a3.9.7.0. Permit for ...�qq.it.....i...on................ SinglSingle Family... ........... e..................... ..... Location ...1.7.5...T.owe.r...H.i.1 1....Ro.adr:............ ....... .. .. .. .... .... ..... Osterville ............................................................................... Owner ............Howard........Ag.....ra...n.....at.............I.,........... T.ype Construct.i on .......Frame of ................................... ..................................I.............................................. Plot ............................ Lot ............. ................... Permit Granted .........August 14,...............................19 90 Date of Inspection ....... Date Completed .......... ..........19 PERMIT REFUSED ......................................... 19 01 's M ......................................................... .............I............................................ ........................................................ 4U M 0 x- M Approvecia............................................... 19 ........................................................................ ............................................................................... a-_., ,:�- ./mac �i Y-. �.,. �.-r 'r-4«l .+two e..+�+���—s"�`:�..-'-:YkT•/./i�(��/�"Z.� [Jlt�:�_ y..� '.V. e. r� ^'f��.`. 1 �_ �._.'�.+�..-• ram.< � - Assessors map and lot number .............. P FINE T s �s-.9� �... . v Sewage Permit number' .......... . / J Yi'pV I 8 �� LE. • Housenu r mbe ...................................................................,......... � � r i '�`'0 YPY•Or TOWN OF BAkNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........add to existing dwelling......................................L. r TYPE OF CONSTRUCTION ,,, wood frame residential ......... ..: .............................................. .:. ...Se'pt....1.2......1990..........19......... TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: 175 Tower Hill Road, Osterville, Mass Location .......................................................... .............................................................................. ................................... ProposedUse' .....................livin. . g...area. .... . ..... .. .... ............................. ... .................. Zoning District ...........................RC........................................Fire District ....0.St.e.r..M1..11 e................................................ Name of Owner Howard. A�q.gA4t................................Address q�...�tJyr,��4r21� 57: �IUPG,1TdI1......�?Z� Name of Builder ................Address AA„Nelson.14.142.;...K-t...M •] .is....................... Custom Building Co. a; Name of Architect .............................n.Q.n.P......:.....................Address ...............rl,nite........................................................ ... v Number of Rooms .............I Foundation footangs/concrete ...................................... .................................,........................................:... Exterior ....WOOc1 Roofing 5T) a l,,t .............:... ................. ... ........................................................... wood c , r.Q.r,.k..,/,;,•,�.a Floors ...,............... ....................................................:............Interior ................. ,...,............................ Heating FAA '........:............................ M +. PI`umbing ...:......x'ac..,n................................................................ none 9 : Fireplace ..................................:..............................Approximate Cost .......�...1.....00.0........00.......................................... Definitive`Plan Approved by Planning Board _= _____________19________. Area ' ......ga.SSC(/f t.. . Dia ram of Lot. and Building with Dimensions g 9 Fee ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �r A 0 O t f ` jFLAj J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above t. construction. Name ....t.......................... ..._.......... .. ...........:', ;�► 04(7 AGRANAT, HOWARD No ... Permit for ........................ Single Family...P��qjjing.............. Single ...... 'Location ... ............ .............. ................................................ Owner. .........H.owa.rd...Ag.KAR4t................... Type of Construction ....Jl�KAMe............... ......... .................................................. .................I............ Plot ............................ Lot. ........... ................. Permit Granted ....... ...........19 90 Date of. Inspection ....................................19 Date Completed ............................ .........19 PERMIT REFUSED ................................................................ 19 .................................. ............................................ ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ...........P.ERMIT.C.O.MPLETED-vi/.q.I........ . ...................I....... .16........ ...... Engineering Dept. (3rd floor) Map Parcel ermit# / 7 �/� n/ House# ���(��`' Date Issued 1 a -`T —'7 4� Board of Health(3rd floor)(8:15 -9:30/1:00- 4:3. Q A-, S ee 3 Sa Conservation Office(4th floor)(8:30-9:30/1:00-2:00) fbrc ►rPlsrctt ` � �wkj Plannin (1st floor/School Admin. Bldg.) ,! 7.1 �tME►p;_ //�, /�( Defin*enPIed by Planning Board 19 :?► ���� ' _,,� %I�y�y° g • DTI TOWN OF BARNSTABLE`1?��vrAL C® Building;Permit Application ®� A1V0 Proje 175 'dower bill Road ' Village Osterviller Mass Owner Howard N &e Sheila Agranat Address 41 Lombard St Newton I.Ek 02158 Telephone 617 527-5612 Permit Request Three (3) Bedroom second floor addition First Floor 1799 square feet Second Floor Proposed 698 square feet Construction Type Residential Wood Frame Estimated Project Cost $ 75,000.00 Zoning District RC Flood Plain No Water Protection No Lot Size 11,882 s q f t Grandfathered ❑Yes ❑No Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure 45 .years Historic House ❑Yes ®No On Old King's Highway ❑Yes M No Basement Type: W Full k]Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 369 s a f t Basement Unfinished Area(sq.ft) 924 s q f t Number of Baths: Full: Existing I New I Half: Existing I New 1 No. of Bedrooms: Existing 3 New 2 Total Room Count(not including baths): Existing 5 New 3 First Floor Room Count 5 Heat Type and Fuel: ®Gas ❑Oil ❑Electric ❑Other Central Air ®Yes ❑No Fireplaces: Existing 1 New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) I3 None ❑Shed(size) 10 X 10 & 3 X 10' ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information ` Name ,P,/� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /� d BUILDING PERMIT DENIED FOR THE ALI-OWING REASON(S) W 6( FOR OFFICIAL USE ONLY 1 PERMIT NO. L L DATE ISSUED v L MAP/PARCEL NO. F ADDRESS VILLAGE OWNER L d L DATE OF INSPECTION: i < FOUNDATION � 7 FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t ' FINAL BUILDING= /o"' ' DATE CLOSED OUT': ASSOCIATION PLAN NO. r L L w r r t �.f Fist �31i 281` � t {t� L� ,t y R N 5 [ ri]'3F .r 1 i ly i �� �. 5 s . �' � . 4; .,..�.,w�..w.4.o;,r-�,..— W r' r: ..�..,: r«- ,. 1• •t y -! r u r t..l.• •r .+ U f r.. ° 1972 ' :1t t. 1 . si 1i r . Ld tPti" ��.. ,'.. M.a,•�:�' .t' 6�` r + .. . . . . :+.. • +tip ? a 5'$C' ...ra.'w,.w+..wr.n..e,++w!�—wr..�°,.. ". •�.o�•.k,w...w..� ..�.:rN..+wM .r i�+w.'�.�.+� ..�urwr�-..w..ww..•.rn�'; al+' ,..... w:. a.., _... .. .. .._. � ,y�' vv.rw.n.,r«..up�,♦nPw^'•v♦ :.ww-- _ :.:..:,.x. �,,. -....m �:.nr ..r•-. ..-.._... .....: .. 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IA ' .�ti:.�C •, _ - _ TFi,�;~�$'st�j�"}Iq>FiPE`�.:.T6.�('13 �€aR a;j�!C.'".-tE.�'��`.. � _ ;,. `d`W K 76 CFA rip) �,kp Q5tT q VV1,102£e a ^r pia: l!lt' iI' e► tuk E :£tt3CE�dA1d vt St , v� asys:s :! zy S .:t ' 'C1� `- :tc et►tcs{srat :t=� E � z S &" the app4-.tmin iq.H Uispoae: '1:�Q&;, 4.7 f�,. is-tt.i 1aC°il¢F: �!t r n VHZtt CIS CEEMACArof` fit tic � ti Gt . 1T REF �, €?c Ax -`E s - BOA,RD CW HEALTH 710 WN OF R € L Cat t'{�',r:� f:i tS .a'�':��3�`' �t..t`'" t'Yi: ". ._ �. ���:=t'fi�:-1F' ���.^�# ��s" ��.,7�"T_L.�• __ { a. ;_ _ a t t-uct 4 tom' Rtg air Ln Ait :nS :4m;r d i t a}:p`�`:is± Frs� i;r`= a�`ta '1itF, S(-A*llna.ilarilon Ptl a) I�a2t'd Olt j 5 t fy i., ly7-lw ax•..7 r.,-..n'�,.r;ri^..ti:..s.ne'MN'+c"�'..M�•'."„ H ,p r .,+ „r (2, A! p y1e. pp oit i F '..�. s f _ g ��'++ � f� .r'� ram.:"yrpuru;cvr+'.+•^..—r+ ,. "'f""'wwi�r• "' '- , ..�§.Re �.r�..��► �,�•ii a. � z5'���`� ��..++,J.-., p��y�-ram„`- ��• ". p,ss I r i ,li y r - I I I I I I I � I s# if I > q o Y I I e Lqe ssja a4 �g. �q A o' 9 •••••••s•�••/••m I.+r�b ouwn ar: PROJECT: 4leaond Moor Adcli}ion for: W42WAP-0!yNeILA AG#—'ANAr c ........, �: LOCATION: O � _ �aDDky bwA�r.hrDiDiu} - PFV190Ni IIEt.PICTH.QA01-C{�.¢. wwessronmoueaagaatpn" `-r- 175rawer Hill�d. 'IA BatK9. ...wWOYlBQ•500.]W38a;�i- B ..IeIMOtgccMlD1,rw'uP �'!D?M^I F.. Li l ` i 0 �D asD _ _ S` A � 4f xgY o0 . D o0 2 � . g S ' �a v r +lit e P A 3� 1 Ao • o..N ar: heCond Ploar Addikion for: 0 1{OWAF-P 4 hl{EILA AI.f—ANAT LOCATION: S uenvws r�s:..rb a.Arr Ar.eci.I..-_.i. ► t44rH.oe0.e(<-.¢. Ok _o.ti._ u vtesswndw aHgacs:q :r 1 7 5 Tower Hill mod. 11, �e-;-jOsi'erville.HA PO.WCtyaol+et.wva{metrtwke.,y!�,nm!... l l I I I 4 C jjj . } :............................ Y P D p II ...........:p oo A r l _ 0 o0 - r a 's . p z d= v �r0 L� 03 Aq A o' vu e..e.u.m vq^i�N DGWN BY� PROIECT: heaond Moor Acldi}ion for: �•"�••••' HOWAF-E.7 4-PHCILA AGgANAT N .a..nw.,e.4....•..Da. - O1°smWMed.rA«ocLF»�' LOCATION: 0 n•: P ._ o .a D vrerskMDueau gaesl� .i 1 7 5 Tawer Hill rd. re�Aen+n�v eP R. ��..+:.n.� =ism .-i-�'?-: Os�erville,l`fA '�•+'�1'- '�.+�.� `.PO OpnW.""11A033pi.508.16039i1.: + w .y.bW_,G1.q¢aJ+ut�cwtl(¢nlmwt•Ytui.9�M1M�.. i o • o> Q p e 3 a eL 4..3 S 0 z ! � F f r � D z - F < F s ? 9 o R3� R o PROJECT., 4w and Floor Ad<lH ion for: Howa�v e�H�i�a a cF-anlar LOCATION: O Tp�m.eba,d.r As.oc4fw.i w *eT>1 pV190NS _'_ ??!usnnawaaaDnaQ, _ 75rawar Hill �d. ^'• '+..Pnt:.ry. }Y;%�y.�.a.rcNnW.sPmndtl ri-• - Im1�.wYANyA.p� �-:rv,+.:..n..ro.r ri•s :_ Osi-arvilla,l-JA PO Ba1K9.rysvh,AU�iQ•50ereD38T2,'._ B pµyyp _�_te�bOkryeWM•.wxupsdM/bNM � � E 0 e i dr I r �j--— --------— i j C :F € U i c 1 9 0 p � o 9 � O O T >_ ? eoY° z Sip L6 R P AO d M.e�♦..rttiu wa.Pw ONwM HY: PROJECT. heaond PlaarAddi}ion for: i z ,e R me HOrvAF4--.?4-fPHCILA AZF—ANAT LOCATION: � rym�sa+s ,�1`-:m�.Ib e.a.rAKociwf.._.:_ we>NtTH'v •r :pvreszlvne weaHaamen .i-r;- 1 75 Tower Hill R-d. Os+ervilla,MA �6.wd,�""°'�•- 'ID BaNB.ryye.y.,WOd3p.$PAY8D39a. '- B pypyp�y, _ .... :wnru�NiW�pyeorl e. [ � | |!: � x l � � ,a ! \ `f . Jill � ! � • , .————- .� ! � * � � � � / - � • !/ �|| i l }( ] � � PRO] ��a�r��_� w © uLOCATION: �*�e��*w��*r _ . : _ m_, m . !_Ta_r« ~' - -- -- m#[ oayM _ o� a > FFFF \E], s 1� 0 P 1 D ® \ N O LLJ 1 0 I it i I I i — > i 8 r °D i ---;T---- s � a ie1 s � ii ii I -p1 i r 00 � � El i 33 o 3 i j (1 g ® I 1 } A O ' P :�....m ..MeP••V DR WN B]BY: PROTECT: yeaond Ploor Addi+ion for: ....p.....® 1467vVAF!-04 hl{CILA AGF—ANAT 1; LOCATION: O1��aW6vwdrr mlvagf PCNJGTH.oI.0.eg..R-. O 11.� p o]ess v buHO ngaes gn _ i t 7 5 Tower Hill lZd. �+.I.�..�f+:�i`frv�"o ..+�-ti- - Au.o>I+..,.w r-i-;.;.:..i.. Os�-erville.MA `•'I�1- "°v'°'ru eo.a� "-':PO.Bo�1119_X]!Ms MA dGQ•5D9.]6D39Q,'yi„ 6�/NW�M.e�MPdOgV� i tYNhq®Imt..ww'� ppy�Ntl i. • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE /)a / y JOB LOCATION � '/7,j %aWP---rr'NI t L 1? OS i/=/t'V Y__�: Number Street address Section of town "HOMEOWNER" H&VAIP16 4 61PAAIA I Name Home phone Work phone . - PRESENT MAILING ADDRESS JV&-LJ J y/Vl 5� 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to 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 acre-ptable 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 Stat Building Code and other applicable codes, by-laws, 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 sa'd procedures d uirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Ownex shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home "dwner* actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Ater responsibilities, . man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. i The Town of Barnstable anxxsTnste. • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: `Z: d S ►� ro Q,/3 j`S JL-, Est.Cost _T&CQd Address of Work:- I�� � /� 2(u,, L 8: Owner's Name „�f� 1RTCz cs? Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. uilding not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name The Cfl/JllI10" ealth of:l fassachusetty Departnre"t of Industrial.4ccidents office oflttyestfgatfoas 6(1(1 tf'aslt;»iron Street 4•` Boston, Alas. (12111 Workers' Compensation Insurance Affidavit Ple•tse 1'RIN'T''Ebly epPiic tnt tt/nformation... - ^�1 �a n �•— name `/ �J✓/4 0iJ rJ /i t l /9IVX 1 ition. �40 M/3A (P-0 S7-' city I am a homeowner performing all wort:myself. 1 am a sole proprietor and have no one working in any capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. comp•tn\ n•tme• ticlr � cih Phone fl• i insur•tnce co noliev d ...�...�...—.-- I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below A the following workers' compensation polices: om any name* ddres ih nhnnc ri• niicv 0 insurance co. nm an*• name, •tddre v- its phone tl• Pfi •0 . ss!�• Attach additional sheet ifnece • — - Failure to secure cavcrage as required under Section 3A of, 1GL IS3 can lead to the imposition of criminal penalties of a fine up to S1SOU.UU Unc).cars' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understanc cope of this statement ma% be funvarded to the 011ice of Investigations of the DIA for coverage verification. - I do hercht•cerrij•unt/•r t/re pa' s and pen ' of t tlic information prodded above is true and correct. Date Signature )'Pf c's Print name NOWA IT'n A 6 P4 7__ Phone it '�oRciat use only do not write in this arta to be completed by city or town official city or town: permit/license N rll3uildint;Department �ucensing Board (]check if immediate response is required �5efeettnen'x Office (]tleafth Department contact person: phone if• Othcr :Information and Instructions • I Laws cha ter 1 S2 section _5 requires all employers to provide workers' cc�mP�r u11�`f yo: Massachusetts Genera p emPloyccs. As quoted tom the "law". an einpluree is dcfincd as every person in the service of another contract of hire, express or implied. oral or written. egal y. or any o or An entpint•er is dcfincd as an individual, partnership. association. corporation rescs tativcstotf aer ,dcccastcdtetnplovert`or lif the foregoing, enun�_ed in a joint enterprise, and including the legs p receiver or trustee of an individual , partnership. association or other le-al emit}', employing employees. Howe% caner of a dwelling_ house hrving not more than three apartments and who resides therein. or the on supant o til o _ d%%ellin`_ ltotlse of anotherwho employs Persons slta do maintenance , construction or repair work1I not because of such employment be deemed to be an em- or on the _rounds or building appurtenant the GL clta`tcr I52 se�ion '_S also states that e�•cr)• state or local licensing agency shall ��'it11mUCltll for and withhold the uancc M p renewal of a license or permit to operate a business or to construct buildings in flu uum applicant who has not produced acceptable evidence of comp iianee with shall enterthe nnto any contract cc coverage gfor the Additionally. neither the commonwealth nor an} of its political subdtvlsions P crformance of public work until acceptable evidence of compliance with the insurance requirements of this ch:: been presented to :lie contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box Witted that applies the Department toff supplying company names. address and prone nee co rs as e aee11 Alsoavits may be be sure to si;n and date the affidavit. Tli industrial \ccidents for confirmation of insura ,. LIU affidavit should be returned to the city or town that tite application for the permit or licensse`iss beinf rt idents. Should you have any questions regarS if you are not tiie Departme:tt of industrial Acc to obtain a workers compeiisatioil policy. pie--se call the Department at the number listed below. Cin- or Please be sure that the affidavit is complete and printed legibly. The Department has provided wispace rdnt the appli n the affidavit for you to fill out in the event the Office of Investigations has to contact y ou re abe sure to fill in the permit/license numbe Tite affidavits may be re:' r which will be used as a reference number. the Department b} mail or FAX unless other arrangements have been made. Investigations would like to thank you in advance for you cooperation and should you have any Tlie Office of please do not hesitate to `ive us a call. .,: :. ...,... .. 4 w: The Department's address. telephone and fax number. The Commonwealth Of Massachusetts '.Department of Industrial Accidents Office of investigations 600 Washington Street v 4.:: i•°!(11;'<iE)° 2i.EI1` 'V608' 42$ .7' 6 BOOT-OL"OlO E?"r5X W5001 S te y� 6 , v §, °G xF''WAY'r raw: .a"00 ice 1100 t , i r,� xJ'Sl `;'��47�':r v; .a ,.s ;i••«Xp" '�3i �'' ' .4° x t .. .. i "� •� i�t vy� `i� !fir-k .+�"c�r�a {L� af�'���'L�l�� � �'t"'F�v y q �a `� � + � fig, p Jq Gr s k y 1rt }-^;Ago 0 v� 'r3 5 ki b q�w1 m a l '' -' $ - A AdW AAX �S��y1y�,'��"�""=.+w '�/' '�y' � �L^�'�•�'° ,� '�r> /' �`_:,>� '��iy C .p ��N ���� * r+ � �pf� #" y Yam°'- r ` + i-e'�.+ES' � '_il� .a.1 s �il��;4"Y�SY.✓t� t��f � a' � '�§� v41'r� � �� 4:i J��N e � ; ���� '?�k*� � Y > T !� #,�_ tip'..`,. �r-1- $ �•'a.�"i'�as ! ;'' - � � Far" �#b a s � ,�'�y � ��,.r �3 3� t r P3§,� v � ... �' •�.•ix+,�w...w,na,.N.. � rv` .."'4 hY•k`�u: r +� �` d�l�(, c '�'�r�w�d i',L'�'?-� '���e,•- .. ... jy .#.�{f� ,/.'t r��s.-.rra..�^ 'L'-t*'^°�...wMw�i:-•ZY'�i'i'»: � .X. �,,• � ', d ar'£' '4`r 2 �.-�,v' � �y,._ K�,�! ,�aA...�4„E a d �'* �• r". t�t��.�;''§' Sx e�r�'+':*�i-�.f gg.,,,,�.�+�'��.�.,3 '�s�h4 ��,� � c e�` '^� ��t •.� '�'� �� ,�"" - a�—r--• n •�,«��+�=�i7t_:2.fiyr.'.1. 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Assessor's office(1st Floor): // Assessor's map and lot number Z U U`t C Conservation(4th Floor): ow Board of Health(3rd floor): Sewage Permit number ,� J ssa�y Batt Engineering Department(3rd floor): PTIC SYSTEM MUSTS �°moo 39 House number 1 ZNSVTALLED IN COMPLIAN E 15 Definitive Plan Approved by Planning Board 19• WATH'ITLE 5 APPLICATIONS PROCESSED 8:30-9:30 A.M..and 1:00-2:00 P.M.only 4� �� � !V TOWN OF BARN9TABL' BUILDING - INSPECTOR APPLICATION FOR PERMIT TO v \ X a 2 N-aC� F A M ` d p (h TYPE OF CONSTRUCTION V� O O 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to he following information: Location vJ e `c'� ©s e c` \ AA . Proposed Use \ O O �- Zoning District 1` Fire Dial Name of Owner O W A'Ck-A Addressl9 "!KO vJ pt-i". \\ VJ 0 SA Name of Builder 1�)C>rt-1- \ R�\2`/ Address "b 1 �`� C @�A Name of Architect '�1� '/� Address Number of Rooms /- )Foundation b O V:`p'--eA Exterior " �e S Roofing Floors e'-- Interior \�2 S V-0- ��'ro C,�� Heating 'N V�A- *S Plumbing V L— Cop e—Y-1, Fireplace /A- Approximate Cost rea (o S c1 ,Y Diagram of Lot and Building with Dimer sions. I✓ r��� ®�) ee 0.e t Pl-, CArCA.� Pot0g t_ew h ti f®6l tiff- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a0over co truc on. Name 't Construction Siipervisor's License SD AGRANAT, HOWARD 175 TOWER HILL ROAD, OSTERVILLE No Permit For ADDITION S. F.D. Location d Owner ; Type of Construction Plot Lot Sept. 19 , ' 94 Permit Granted P � 19 Date of Inspection: Frame 19 Insulation 19 Fireplace 19' Date Completed 8' Zi - 19 2. + ' _ :R i' QZ _ rd.; - i. O)- r'\'D US- ruv,,i-�,.CCI D ENTTIS .600 i -Jamcs_ i3OSTON• j`IASSACHUS'--1- s o2111 c��:ss��ne• WORKERS'COMPENSATION INSURANCE AFRDIaVIT i Qrccrucc/PcrmiaccJ . ..rich a principal plscc of businessfresidcnca 2c �s C �% �42 do hcrcb � ccr=i <GrylStatclZtP) Y fj; under the pains and Qcn-alria�ofpcjuD�dut: [) I zm an employer providing chc following workcrs'compensation covcrssc for my cm )o ccs Korkin job P Y son rhi� M e`r In' Company — Policy Number [) 7 am a sole proprietor and h2vc no one working forme 'i i I �) 12m s sole proprietor,gcncrJl eonmaor or homeowner(eirdc one)znd h:vc hired the eoncr2czors Iisccd bclo.;. �•ho have ncc following works:compcasztion ian=ncr-polio �nx ofConrmcror .1 "tS , i \Ll o ao`( s-9v Insurzncc CompasylPoiicr?Number C>4�5� , �amc ofConcraaor � 'r� O lnsurinee C00 0m liey Number I ;. A"Z2mfCOn aor Insunncc Companylpolicy Number D I am= homeo.t nv performing all the work mwc1L ?COTE PI<asc be s-.:rc t5:t.-1-7c t<C<O�^j<ra v�o emplo2-persoo:io 10 taaietcs: !i 1.-c�fino of not more tl•:s 6r<c c sits it v�i�L<borxo.act=]�c�il�of oa 6<Frovajs zK�crtrvct:oo or rcp:it Mrotk ots ` «nr;l<r<l to be c�ploy<r:uLcr tic aor:<ri ppvttcc=t tScrcto act aot Lcocr-_Ib, �CO�p�==iroc/tct<CL C ] 2,cccz. or Pcrr�;r r-..� cMlccc< L:<ktJ h:rLr c! cr.,o;cr r olcr.ttic�oticcrr'Gory 1(SJJ,appiitatioa by:boc�co..act for Ii«a:< ! pcoratuoc Act. -c)ccrsrznc rr:r- COPY of eras s:cccrn<rr.is o:is—rlcl to ti:c rJ< •—cnt olJnc!r triJ A<cicnv'Ori<c ollnir::ncc for.cO_<r c <rific tic-I:- _nl t}_t f=i1Lr<to s<curc co.cr�c rcSc�rcl unlct Scot n`?5�of}.SGL]S2 v k;l to tic ir.. or;t:on oj��r[O(.0 r.Jc:,cs <or sisono cf: f+nc of vp to S 3 500-00=r-&cr i ri:onm mt cf v to otu car sst��r� J• p pc fine of S 100.00 2 d: t P Y pen- ucs is dK form of r Scop Vo&Orerer y�:inst r:u.. I Si c i}1is 6yof �(`v4� , 19 Uccn:cc/Pctmirccc 1-iccnsor/Pcrmittor t 2 , Agranat � d,ln BARNSTABLE: �.Os�erville Belonging to Howard N . 5 Sheila W. 3255 . 21 ................................................. Deed in Book................ page.... Land Court Certificate No. :t ......... in Book................ Page............ In .Barnstable„ Registry'....o.f--D eed.s.... SurveLand in Barnstable by Nelson Bearse Richard Law, 'Date of Plan . December 4, 197: rs RecordedPlan ................................................................ .... ............. ................................. in..,Barnstable Registry.,of Deedst...in„PI Nook......265.....No. ...?..... Filed Plan No. .................................. MORTGAGE INSPECTION PLAN BARRON s STADFELD Loam No. Howard N. & Sheila W. Agranat O Is A Ab.I i5 h/DOD f�v« M TOWER HILL ROAD July 24, 1935 JN 44725 Scale 1"=30! a I U � �Q a a r I¢L L G7riyp W��De�f 11 v � II ,T 'I pl I I){•f. Ear=�u6 - '�j��--Jfi 'ffft'II'uuuIIIII' � i a • I m _ ( I 1 ®IL�w� �W c^Asp Ea�yp•4 �°3L�cER c o � { • II st 9=p^ -per r rE RA I a'_ n jUll= `Yc p ' i °:n c,ox n� 1 V�r C L. • v A P �o U Y v•'- W v �'�t f' fn. �+ a • i zjP71 V np �m , is�N� Op�o Ar nnuNT:P� n •' 1 4p 2 {�{ ey n w L ^ L I I C o p 'o f r nr • .r I I � i' y HWf� �'�r lY J— 1 . • I I I m le L f�, MLflj Vd' v P I i e i� Q I ass ay..w u,�o°rt j , I � �I IOusf ®I EofP"6 AkY G°a�� z Gso tr••M1t C ® I R 9-0'• W.D. A I i I II I `TP P ,I Ili 41 o �o T I• "'vGr ' v A P rM L u �•� V Y �• 4 1' 1�+ ! � o08: 06lP A�wnaw^;p1R e Irf T n r oC-1^A�.� w I A C Y— ;III, E cooGyM Alt 4ULl x i I u I I I �I1I I � i10 �D I b = I PE .�'+� = o �G • 11� Q ' Ic• .gyyy r+�"ee�s ' i <� Io i o in god — — b �i I i � 17i�•• E•r .•L 1 I, LL �I R I �'�I j ®1 E'u�w Mr L•R�7 1 -I L Lro ss•oER o � � I R i a vE A � � I i I111 II I�:I In ! � �o • i•�y°L ' v A r • ppp I' I v U X i•:e v ?���U A i ! In0 ^imial�l� �i►wN� Op Ap,wn�'u��A+r i •' L • �l S�,vr I�r��l� +7 �Y � ' j 1 ' '•1i61 �1 Po � I.� ca I' u• P IF IfJI •�"'�'f I � I .,'ITT; 0 Z J_ t : �` It I ' • s LC'ro L.Retf� j MLl 7 d i 'rc` �Q IIFp i � V' .���•••�•- mica .� _ � :'@ "'�l.�R�'"•T�Sif/F^-L'".�FKyr�aa�i-.v�+--e.r.�---..e�m:- -s:. '� rs�. .� APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector of Wires Wiring Permit#�COM/Electric# Town of ��NSTAltXe/I Massachusetts Building Permit# _. We '�/� W Customer: �� G�` �7 � � on(Street#) �7� ���✓� �/�� �Qp Lot# in the villa a of OS 4frV/I utif}ty pole number or underground number Customer's billing address �7 7 joye-- A�� A2COd Temporary New installation 5C Change of service Starting Date Job description w� Ncu Amav rcan Q , Service entrance voltage yo Amperage � � Phase Wire size(cu.orig) Conductor per phase Number of meters f Water heater Off peak:Yes— No— Estimated load:Electric heat kw lights 3 kw, Range dryer Motors H.P.&Phase Ready for first inspection � —g� Ready for final inspection'' j✓�i�f Gad Electrical Contractor � Q C` � +"� I ic.# /-3742Slq Telephone# y-wr Address 7/ 054n N Well Go&.,.74, In,* 462cis' Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES w INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in j r male //—o r9-i;-- Service and Meter /1 Off Peak Meter i Final Approval Disapproved' 'For the following reasons CERTIFICATE'OF INSPECTION DATE To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day been inspected and approval granted for connection to your service. Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46-1 White—COM/Electric Green—Inspector Canary—Town Receipt Pink—Inspector's•Copy Goldenrod—Electrical Contractor to COM/Electric . Office U �n, I-lie Commonwealth of Massachusetts permit No. / �/h1f Deportment of Public Safety Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12-00 3N0 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed In accordance wish the Ma"achusetts Electrical Code. 527 CMR I2:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHATION) Date ///7/9y TOWN OF BARNSTABLE To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Numbe / r) I7� �(�G✓e� %�`/�� A1r1 00.rer or Tenant /7 walz/ A /� 1m/ 5 Owner's Address 1- /O -/e #G /�/ Is this permit in conjunction with a building permit: Yes ® No ❑ (Check Appropriate Box) Purpose of Building 3/, le- k/Il !!0%Y1e _Utility Authorization NO. a Existing Service 0Amps AW / 02,�D Volts Overhead ®• Undg d ❑ No. of Meters New Service A111.7 Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity n QQ� / Location and Nature of Proposed Electrical Work AIII-e Alne j 9,,,j /�Q6-I l�iG�v No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Above In- No. of Lighting Fixtures Swimming Pool gmd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting �a Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Disposals No. of Heat s Total Iotal No. of Sounding Devices Tons KW No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices . KW Local Municipal ❑ Connect ❑Other Connection No. of Water Heaters KW. Nov of No. of Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO I have submitted valid proof of same to this office. YES❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) 0o xpirat on ate Estimated Value of le ptrical Work S C�// Work to Start ! Inspection Date Requested: Rough �' !`7 Final W1�/ Signed under the penalties of perjury: FIRM NAME �?aAler4l/ [' 4,q 1le-& LIC. NO-- /35?Cg Licensee L Signature LIC. NO. Address �y �//-�G31/4 Gt1/ �IYTUl r� �✓� �2�r Bus. Tel. No. —Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, that my signature on this permit application waives this requirement. Owner Agent (Please check one) ©er Telephone No. PERMIT FEE S Signature of Owner or Agent