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HomeMy WebLinkAbout0176 TOWER HILL ROAD 7qj 7 6 75- j e. Rd lq2 o 44 Town Of Barnstable 4ermtt# M � ILIAC� Expires 6 months from issue die Regulatory Services Fee aAaxarnaM v� MASS. Thomas F. Geiler,Director 1659. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 w,ww.tomm.bamstable.m a.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Precv Imprint Map/parcel Number Property Address Residential Value of WorA`1 ,-z, goo Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 7 Contractor's Name j5`f1Gr.��Th3 Telephone Number Home Improvement Contractor License#(if applicable) 6)-7 Construction Supervisor's License#(if applicable) / 0 Workman's Compensation Insurance AUG 15 2013 Check one: ❑ I am a sole proprietor ❑ I am the Homeowner TOWN ®F �AFtf�STA61..10 Rr I have Worker's Compensation Insurance Insurance Company Name r Workman's Comp.Policy# Copy of Insurance Compliance Cdrtificate must accompany each permit. Permit Request(check box) kRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) I Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *Note: Property Owner must sig roperty Owner Letter of Permission. A co he home t r vement Contractors License&Construction Supervisors License is qt e SIGNATUR C:\Users\decoflik\AppData\Local%4icrosoft\Windows\Temporary Internet Files\ContenLOudook\DDV 87AAZ\EYPRESS.doc Revised 072110 Office ofInvestigations 600 Washington Street Boston,MA 02111 Iry www.mms gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/El Please Print mb b ADIDUcant Information Name(Business/organizationftdividuat): Address: City/State/Zip: Phone#: a Are you an employer?Ch the appropriate boa: Type of project(required): 11 am a employer with 4. ❑ I am a general contractor and I 6_ ❑New construction // —employees(full and/or part-time)•= have hired the sub-contractors listed on the attached sheet 7. Q Remodeling 2.❑ I am a sole proprietor or partner- These sub-contractors have g_ Q Demolition ship and have no employees employees and have workers' working for me in any capacity. 9. ❑Building addition [No workers'comp.insurance we w ar p.i a c ance_t 5. Q We e a corporation and its 10.Q Electrical repairs or additions required.] officers have exercised their 11.Q Plumbing repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL myself.[No workers comp- 12❑Roof repairs c. 152,§1(4)�and we have no 13.❑Other insurance required.]t employees.[No workers' comp.insurance required-] 'Any applicant that checks box#1 mast also tr'tl out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating dtey 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 mg contractors and state whether or not those entities have employees. If the mb-cont actors have employees.they must provide their workers'comp-policy number. loyer that is providing workers'comipensadOn imsmmnce far my emrployeex Beloiw's the policy and job site lam an emp informadom. Insurance Company Name: q )" Policy#or Self-ins.Lic.#: a l Expiration Date: 8 D Job Site Address: // City/State/Zip: Attach a copy of the workers'eompenntion policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL C. can lead to the imposition of criminal Penalties fine up to$1�00.00 and/or one_year imprisonment,as well as civil penalties in the fotm of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for irauance a verification. I do hereby c o pery'ury that the information provided above is truf and correct Si ature: Date: Phone#: official use only. Do not write in this area to be completed by city or town officiat City or Town-. PermWIAcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3 Cit3'/I�own Clerk 4.Eleetritml Inspector 5►Plumbing inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS LPON THE CERTIFICATE/15/201 HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVIRAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE. DOES NOT CONSTITUTE A CONTRACT BETWEEN TIPE ISSUING INSURER(.), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT; - the certificate holder is an ADDITIONAL INSURED, the Poney(lee) must Be endorsed, If SUBROGATION Is WAIVED, suE to the tenna And conditions Of the policy, certain Policies MaY rcquife an andoraoment A statement on this certificate doss not Confer )to the certificate holder In lieu Of such endorsoment(s)• Milts PRODUCER WNIA Schlegel 6 Schlegel Insurance Brokora Inc NAME PAUL SCHLEGEL PHo , 508-771-8381 34 MAIN STREET AA No, (NC,NoP08-771-0663 ADORMS; SCHLEGELINSURANCIE VERIZON.NET bleat Yarmouth, bM 02673 CUVOMER IO D: INSURED INSURERtS)APFORDIN T COVERAGE NAIL 0 Richard Harold Gardner DJ,a Gardner Conatruction INSURERAPBENIX HDTUAL 92 Park Place INSURER aLZBERTY MUTUAL INSURP-R C: Maanpea, MA 02649 INSURRR o INSURen E: COVERA THISGES INS IRPA F: ............ CERTIFICATE NUMBER: RE1�$ION NUMBER: IS TO CERTIFY THAT THE, I'OUCIE6 OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WNICH 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 SUCIT POLICIES.LIMITS SHOWN MAY HAVE.SEEN REDUCED BY PAID CLAIMS. LTR TYMTOFINSURANCE M, Imm WNC POLICY NUMPER A GENERAL LIABILITY 0 (MLUDDIWYy) LIMITS CPP,0709341 OB/20/201208/20/2013 PACHOCCURRENCE $1,000,000 ]( COMMERCLUGFNI?RnLLIAEWTY CLAIMa.MADE OCCUR PREMISER([aocaurmrtrA) 850,000 R 7 EXP(Anyana Parson) S 5,000 PER)ONAL A AOV INJURY , 81,000,000 GBNtAGFREOATE LIMIT APPLIES FER; GEN_RALAC6REGATE $2,000,000 POLICY PRO' PROIUCTB-COMP/OPAGG $2,000,000 d@C1- LOC AUTOMOBILE tJAINUTY a COM TINED SINFLE LIMIT ANY AUTO (EA a w1dont) 3 ALL OWNED AUTOS BDDI.Y INJURY(Per parawl) 9 SCHEDULCDAUTOS B001-Y%PJRY(Pr..Nant) $ HIRED AI,?03 /PROI�ERTY DAMAGE, ,' $ NOrooWN60 nIJrOF pAr I=00M) a UMORt]1n MAR 8 OCCUR P_ krXCESS LIAll CLAIMCMADE EACH OCCURRrNCE $ DEDUCTIBLE AGGFEGATE $ RETENTION $ \ a WORKERS COMPENSATION FIC-08 98 67 9 $ AND EMPLOYERS•LIABILITY 04/06 2013 04/06/2014 R c ' H ANY PROPRIETORIPARTNP,R/17CEctJnVE YIN T RY UMrra ER OFPICERIMEMDER EXCLUDED? (x ( N/A E.L.F ACCIDENT 9 100,000 iMnnaotory to NNI t�t II Vas,dngCdba unanr E.L. ,EASE-EAEMPLOYEE 3 100 000 DESCRIPTION OF OPERATIONS Delos/ / ,DIiEASE•POUCYIJMIT 8 500,000 DESCRIPTION OP OPERATIONS I LOCATIONS I VENCLES(Atmah ACORD 101.Addltlona1 RQr"ft ScMArde,Ir mom apace to roqulrod) THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR RICtiARD HAROLD GARDNER :ERTIFICATE HOLDER rOWN OF )BARNSTAHLE CANCELLATION ' BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCR ORD POLICIES aF CANCELLED aEFORE 200 MAIN $TR>;ET THE FJ(PIRATION DATE THEREOP, NOTICE WILL BE OPLIVMD IN ACCORDANCE WITH THE POLICY PROVI9tOA S. IYANNIS, MA 02601 AUTHORIZED"PRESENTA !'ABC $ 1- 08-790-6230 CORD 29(2009109) 1909-2009 ACORD CORPORATION. All.rights reservepl. The ACORD name and IOgo are regLvter'ed mark of C RD J ?r Massachusetts -Department of Public Safety VV Board of Building Regulations and Standards Construction Super+•isor Speci:ilty License: CSSL-100471 RICHARD H CtDNER•, 92 PARK PLA-CE;WAY, MASHPEE*A 02'ti49v r Expiration Commissioner 01/29/2014 �e tP�waacoacuealC�a��C�/lc�aac�uaeCr Office of Consumer Affairs&Business Regulation I License or registration valid for individul use only OME IMPROVENFEN CONTRACTOR I before the expiration date. If found return to: egistratjon: <143074 Type: Office of Consumer Affairs and Business xpiration:,"_6/T5[2014_ DBA 10 Park Plaza-Suite 5170 Regulation GAR ER CONST I+< _N 'r. Boston,MA 02116 RICHARD GARDNEW-,.; ; 92 PARK PLACE WAYS-:.'-"L ., :! MASHPEE,ma 02649 I Undersecretary Not valitdw i out Sig, ature i qWARNWABM MASS, Town ®f Barnstable FO Mp't a Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m a.us Office: 508-862-4038 Fax: 508-790-6230 Propertv Owner M ust j Complete and Sign This Section If Using A wilder D as Owner of the subject property hereby authorize DJLk- '�r0 5►/�,U C.,T+ 0 N to act on my behalf, in all matters relativeto work authorized by this building permit application for: �bidt��>-�l�..t_. � OsT�2Jc c.c-� 'V1'1►� oa(oS� (Address of Job) sja )ao13 tatureof Pwner Date m zy D i4 P�2;grn s Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dccoUik-\AppData\LocakNficrosoft\Windows\Tcmporary Internet Files\ContentOuttook\DDV87AAZ\EXPRESS.doc Revised 072110 +selieu. vaus. YOoeGrwera.a+xfwcirn.:, rsaesraa�eamAdrto:+.► -wemmAea�acrvvwwklfitac+aox.rrt `axi•�ort•.cw! FILE CENSUS TRACT CL IENT ; c:ia fl i-1.1-. --- �-- �---DEED BOO .� � � �. ....�.....��, . OWNER : r -lid � PACE rc�l He G;.� ii � �A � U h APLtCAiT : ,�,'. ASTESSCIS P bN- t M 0 R TG 'AGE I N S P E C T I oN PLAN OF LAND I N ' BAR NSTABLF SCALE , 1 "= 40` MAY 2.5, 1984 C,1-� 1; Q . 100. 00 ts , #176 1} STORY 314 100. 00� TOWER HILL R0ACI THE LOCAT I ON OF THE DWCLL I NG - AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH RESPic', T TO HORIZONTAL DIMENSIONAL REQUIREMENTS , KENNE-T �S%` THE DWELLING SHOWN HERE DOES NOT HALL WITHIN A SPECIAL FLOOD HAZARD ZONE A$ ' 41.;$116 y'r1 C7 J E:L 1 NCATF.0 ON A MAP OF COMMUNITY i Y �1�.�000.! / DATED 10/1/83 BY THE F , I ,A , I, Y, :P• VVR Land Svi'v9yoro Civil ef,,ginoi�rs z6� �►t�n� fit, �1r� et�for�, � �X740 UNFRAi, NOT[Si tl, jhz, declarptiont lied: above are o,i the bAsia of MY anuxlarlgc, i0roFj*etir1n, 4AJ bc.iiJf A4 i,lsc result of I portgags plot plan tARo turvpy inavoath:R 0,044 tt, tl<e neruwl staa,laPd ef. yarn of segietoped fa;,d surveyors practicing in passachusetts. (2) Oeclarationv e¢e wade :,o tht about naeFl tlheilt only as of tl,i date, (J) This plan was not ea:e for recording purpn.,ej, for utr in.-propvIng doed dwriptto�.4 „r for r.on„ structions. (4) Verifications of property line diment,ions, buildiAQ afrsats, fentes, of )nr contiquration oAy he acco*plished only by an accurato ingt,ument 5urv'ey, ......... 9TLfi0 L80S� l4AR T i K.-7i-r; 10 1 M-70 OF 3XIASSACHUSEM, �D llS7n'uW„?�,CCID: S \-. 7 S �amcs Ga-»�e� i3OST4N. )\ZASSACi-3USA-T-�S 02131 'C'70RXERS'COMPENSATION INSURANCE AFRDAVIT :. (1iccnscc/rcrrnia<c) i i I' •Rich a principal plsoc ofbusincss/residcnorzc i i. etu e \)v \\ do hcrcby ccr'E,6. undcr the ins and Qcn2J (�rur)t rh2r. Pa� ria ofperjur�; Char. () lam an cmplovcr pro�idins chc following workcn'compcnssrion covcrssc for mycm to ccs Korkin job- P y son tfii< m e�r A- lnsumncc Company d�i 7 Policy Numbcr j) 1 am a sole propnctor end h2vc no one working for me ,t i i I 2m a sole proprietor;gcnc-r<I eonmaor or homeovmcr(cirdc one)and h:vc hired the eontnaors listed -who hzvc the follovemgworkc:comp:r=don insur-nnc c p01- -rc bc1o, , X-InxofConrM aor Insurance CompznylPolicy Numbcr c'r �C> a� \ N2mc of Gontr2aor Insur�ncc Compzn Ticy I�wmbcr \ � r wf} CIA , MMcv�n, t N me ofConrrsaor 1 t 1:�•r, ,•,' -C `��. \\ 5 Insurance CempznylPoTicy Numba — ] am: homco.Rncr performing aU thc work mysdf - i ?`OTF- I'1c:sc b<:K:.rc t5_tvtt7c fcc<o.�«.moo craployperroo:to 10 ra:ictct l�-chino of trot taor<i�'s La<vein it•�i�L<boraco. lso residci or oa tSc r-rovals&ppur%Cc=t tscr<to Act noc�eeCrttvez:o0 or tcpai!�-vt3c ot�a «nr;t'cr<sl to i s crrptey<rr L71cr tic�cr:ca Lrcocr�I12• J or perr„t r-_ <h� 'Corpcer=tioe/cct<GL G 352,cccL 1(S)).aPPtiution b r tbO or a Ii 7 ccc< t c I<�c]r; it c!�cr_,lorct colcr Lac�orlccrt'Oo� f «arc pcorxwa Act i wncccc�c ti:_c= <oproi u..r rc_ccn<rc t'r.< ')cpr;ncnc of)ndvrct;d/�ccdcnv'Orc<c!I�rc::nrr for.co.•<r�c ' �cnficucn=n�th=t f_ilcr<to sccvr<c "<r�c c ccSu;rcd under Sccuon?5/xof MGL 352 v lcal<o 6c ir.. or;6on of ;sono of f ne of vp to S1500.0G -rri onnemt of v to one e::and eivjf J. pn+n�p<r._lucr fn<of S 100.00, day:€_inu r sc P Y pen-r.cs in t6c(om cf r Scop�/orS Orc'cr_n Si t-� I c this e2 of I i.iCCn;cc/Pcrm i rtcc LiccruorlPcrmiaor ' I a21 2.�10 I E IMi .. $ Ip Z I-TI III 3 �I a• � O g5 j (G 55 b. A b4'-2' a'<• G � I f l it S' CC : 1 � .OG6pI °G � x4G4 � Y rnrn ti AU` O 70 X IT 02 i g p r• Iccc O R O c1 >'-•vz' O z rT h z O 3 On 70 70 ID 4 l nRd Qog i — z � d rn U L p OO Z _I p N Z 00 LEanrlw Haas[ I PgRm :3K x• �v t M X r -c N lL 6 E b 5 c R D re vJ 2 �C p $aiz 1, rn Fo 5 n R 70 O 70 J LEo °° ��o e { "b o I°F . I 1 24 21 •i j -�^ a IfN � u'c• a'c' 4-0' RA- ga J v a � e �-- ° � y — . lay r �1�g---- — i I 'I j C .I e'-0• I I lust • .:'- -rc " daq �SpA O 0 pp I F-AP Q �,�° � F.D I I9 FR 1 N . I _Ea oiosrs_I 1 .00 sc—I y'NSu K+ z r11 1 1 5 _ P z gg .f- d �€ ABRAMS RESIDENCE DATE I SCALE SN° ° (��2n/�/j ��(���LAND TOWER HILL RD. ��J�C �J�/ �J�J AN OReVN le OSTERVILLE. MA PVA.BBXSM'CK � N TA L.NA 02668 N °CSCRISPIUAEARRe IDES RCVIdS • t I I u-o• s-o• •xl 2-0 x a zuz n lD Z � o III _ 3 "gg7 b A . : >-c 03 u-a• �� � "E' a-c yr Ig j RbI �6 3 �.' - 111 F i r.e• LP 4 •Doer ;`°• . _ y ED Z - Q N LPx rn rn _ 70 p - OI ' 70 r O=' 2— 70 y Ct yr O:z _� O •0 3 � :ccc 3 O � 70 -ofccer . itl - r O —� ❑ x 09 lu.. rn L A rp 3 r rn p > p 00 Z O W 00 z L _ osm - �_ xmriw°�,Y I ea• ��xR I �� �• A G 1 1/i , G D (l o >r rN�1 F�6B M70 n�V O Ng 70 9p 6 Z i �n -�O F o" S #� � r f� F" n O O °�, � o is m I---------'------ ` --------I F � _ _I N r-------- FI I I NI� �-Tl_I �I� I I IrrTII rPT ILJRD 1 " tZN. 1 Til 6 .R, N ,o. l ; C r.1 F -Z r j 1 I I .01 MIC VIVA', TOWERS ILL RI). SCALE A5RGTEe (��I��/.1/J I�r� L/n�IMD TOWER HILL WD. NEW �C��f [���J DRAWN Jb zg i OSTEWVILLE. MA O a n�n\TI�f u N0 D[SCRIPTIDN DATE E.D Jb v' BARNSTABLE.MA 02668 RC V ITI[WS APPD Jb <508)362-972a .C. c U a • 8 1r LIM rn -r :rn oD -i u " I i r- ABRAMS RESIDENGE o" TOWER FULL RD. SCALE PS NO(CD ' I _ OSTERVILLE. MA DRAWN JS D����(� n P.O.BOX 311 C"0 n I`fnVvl W. BPRNS TABLE.MP 02668 �I NI7 IIf.SENIPII(IN pPIL' (90B)362-9724 ..• NL,SHINS PPPO JS 1 - 1 I xv i m rn fill- I I—. .. .I �L• Oli� I . AA A I � 1ti lu I rnIm -�1 M C� rn I i I y�j s.. 0.... I A I ABRAMS RESIDENCE o•rz —I— TOWER HILL RD. SE AS NOlEO NEW EW FUM�[r-�111 V MD ' CAL OSTERVILLE. MA °RA"" DE��O� W. Box A I f r.Ko isM V.BBRNSIBLC.Nn 02660 ` I NO DESCRIPTION BATE (5081769724 _ PM IONS nPPO is 2- J b Assessor's office(1st or): / Assessor's map and num SEPT'C`SVS �ot1Mt to` Conservation 'NSI �� ���Board of Heald floor. ���L�®��q CO1WPLJ � ULE Sewage Permit n berl�:z ENV8R19'�l?eWITH �� '°o �e o Engineering Department(3rd floor): y �c s C .'.7 ,1 F� '9to asr►�� House number ��� - Definitive Plan Approved by Planning Board APPLICATIONS'PROCESSED 8:30-9:30 A.M.and 1:00-2-00 P.M.only + TOWN OF . BARNSTABLE BUILDING DIVISION APPLICATION FOR PERMIT TO l) ou 1, � "d TYPE OF CONSTRUCTION W p p A �_A 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -t'I o c�@- \ `�Y �\�� ®S't t Proposed Use %\ o0 Zoning District i�c A Fire District l�[9`Name of Owner e-6: d'A rv�C Address Name of Builder e AvA F_ S kAV \e Address_21 SCA CA L Name of Architect V_-S a Address 5T r A4 \0- AQ,-y AA- Number of Rooms �� Foundation � � 1 Exterior WOo w C, eS Roofing P� fl�} ' Uj, Floors oo w w'Interior Heating \1� �A _ Plumbing_ V(Z— C o pcz- Fire lace C� p Approximate Cost _ `���D Area So "3' Diagram of Lot and Building with Dimensions Fee �©A Shn�e.� loo,00 � 1 , \ rarE`A ev'cP osc �tb r, In o OCCUPANCY PERMITS,REQUIRED FOR NEW DWELLINGS fop I hereby agree to conform to all the Rules and Regulations of the Town of Barnst garding the a nst ction. , ) f 1- - Name Home Imrpovement Contractor Registration# Construction Supervisor's License# O �ABRAMS, ROBERT 176 TOWER HILL. ROAD, OSTERVILLE No 3-7'G43- Permit For ADDITION S. F. D. �. Location Owner • �, Type of Construction o . Plot Lot Permit Granted Se t. 19, 19 .9 4 Date of Inspection z 19 I Date Completed s s �� 7 i f` essor's offioe (1st floor): /�/� 016 �` � Csr ` T .l � 7NE 0 ssessois ma and lot number ............. ............. Q.. p TqLLE STEM M� Board of Health Ord floor): �. /N L+ Sewage Permit number ..� .....��.......14, ..... ENV, WE T1T�M1'LI 9TODLL Engineering Department (3rd floor): NME S ass �' N ,b House number .........................` �..�.(� �f.(...!4�... T � IAt 4 ,?�:�A` L'��E�°moo av ale APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR ��r19U,�J /ClTGYJ�� Uf� y77 iS�i/!o �r•YC��t1 ... � i APPLICATION FOR PERMIT TO ............... ................... .............................. 3 TYPE OF CONSTRUCTION /�00... ...f !—��� ..Ila .....4:; — ' ��'h...................................... �cf!}erq zz PO ............... ...........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby �� applies for a permit according to the following information: it Location ..�.7�P...l�.(��NP/.l..Cls 1�....A ?�...;111.....a.e�<J ....ff .........................................................:. Proposed Use zzn v'� Zoning District .................... .. ...........................................Fire District ................ .�D.1(.:l // r•••t•.................................. Name of Owner 4 a. :2.�.�W.- `l%n'�...................Address Ali�l3s✓`��. .��� a/�S>L�yl`� J/ / ............................... Name of Builder .71, ddress .../7ft"� .. ��G� �/n1i��Z f.. ......... Nameof Architect e ........................................................Address ............................................................................... Number of Rooms .. ....................................................Foundation 41:::4�49!5� ,,�/ ........................................... Exterior !' >F>©0..... /l N..f.Z............................................Roofing ..f����'`��.>Z ...................................................... Floors .... .k... .. .................................................................Interior ............................................................ Heating Qy...../;� .. .. :.....Plumbing ./.Y.Q ! .................................................................. Fireplace ... .................................................................Approximate Cost . � ................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area l G„f ..................... Diagram of Lot and Building with Dimensions �-- Fee ........��........................... � SUBJECT TO APPROVAL OF BOARD OF HEALTH )41 17)44w fx sA,2,q ,�3ree zi 7 •� �t7� ��1Sf"'!h OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of rnstable regarding the above construction. Nam .. .. ...... ... ........................ Construction Supervisor's License /................. ABRAMrS, ROBERT No ...3.4.Q .9. Permit for ...ADD...TO...DWF-LLING .......s.irxgle...F.amily....Dweld,i.ng......... Location ..1,7..6...Tower..Eil1--Road•••••••••••• ......................Q s.ter..v.:L1.1e............................... Owner .RQbe.rt...A.br.ams............................... Type of Construction ......Wood Frame... Plot ............................ Lot .:.............................. Permit Gtanted ..October 23••.......... 90 Date of Inspection ...................... .............19 Date Completed .............. P ..........19 I FJ ,essor's offioe (1st floor): /�/�/� *1NEtO` ssesso 's map and lot number ................... .........V2 .. .......... ego Board of Health (3rd floor): Sewage Permit number .....� � r �?` .,..... i 336S39ISDLE, 2 Engineering Department (3rd floor): -7 roc re 9. House number / / °� 3 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR /c�>Y/O�E'I /G/TGI7� OD TO eXiS7�ir! �3�cczw cf�X�3 APPLICATION FOR PERMIT TO ...............�.................... .........................................��.....................:.�-.'"�........... TYPE OF CONSTRUCTION ...... ,�Gro�y zz S�v TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies �for /aa permit according to the following information: Location .. .710.....✓..Owl'�..fTk.`1.......f. .a`: .... ........................................................... Proposed Use 1 A .......................................................... Zoning District .....-.L.:f.( f............................................Fire District .......................-..D ... .................................. awe ............................... Name of Owrier ...... t-. Address ...,. ..... ' Nome of Builder ... Address ...�712..� � ... v��G� ........ .... .....j................ Name of Architect !r7........................................................Address ..........................:r:..................:..... / .......... Number of Rooms / �.....................................................Foundation <Q..r�C. ��. ........................................... Exlerior l�✓ODQ.... .14-f -el".-................................... �...�J!1<�...............Z.. . . ...........Roofing � . ....................................... Floors .ell-- ............................................................Interior CT e�G � GAG,............................ Heating 1�//.../Le" ..... / ..G2 .. 9G.t:...Plumbing ...n................. ............................................ 6a Fireplace .......................................... Cost .. .... ............................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area Z. .G,f0101..................... Diagram of Lot and Building with Dimensions Z. �- 9 Fee .............Q............................ F. . SUBJECT TO APPROVAL OF BOARD OF HEALTH d / o d �(� t fx�sf�ng ,dI'rezwlcy - Oe • `� PCMo4C %// /� �reeZw 4 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 .,u.. . .... .:T ........................ Construction Su peevisor's License .................................... ABRAMS, ROBERT A=142-016 No „34019 Permit for ..ADD TO DWELLING.................................. Single family dwelling .............. .......................................................... Location 176 Tower Hill Road I ................................................................ Osterville ............................................................................... Owner Robert Abrams .................................................................. Type of Construction ..,Wood...Frame................... .. .. .... .. .. ............................................................................... Plot ............................ Lot ................................ Permit Granted .... ..........19 90 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT COMPLETED 11112L