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0006 VAN GOGH DRIVE
(p Vim? �jd h 2)rl VZ �9 0 d r . k • 1 �Z S,00 L 0 9 IV ov ¢� - t 39 :rNo as, LOT 39 No t -�4 /S, v 3 4 s,p', Ov <—/V 033 CERTIFIED PLOT PLAN RQBtR7 4, / /� CoOe a2irc mucs . 61).S TES✓/L_L.�' N_E_W CONSTRUCTION ONLY , --- ---- TOP OF FOUNDATION 19- FEET- 3,','S c.rut IN ABOVE LOW POINT OF ADJACENT STE�d/ , 8AJlha-fAs ., , MASS* ROAD. SCALE, / "= 4v' DATE 3 /v 2 6iffDRfDGE ENGINEERING COIN GRE��✓vw�,� I CERTIFY THAT THE f—clw -r'0"� ---" CLIENT,.; ._ SHOWN ON THIS PLAN 13 LOCATED EGI9TERED RE E0 LAND ` '' JOB NO. IS 2•0 ON THE GROUND AS INDICATED AND CIVIL I LAND CONFORMS TO THE ZONING LAWS ENGINEER (SURVEYOR$r `Y DR.BYo' O.R. ' BARNSTABLE , MAS j Ck BYi 712 MAIN STREET H YA N R I S, MASS. F SWEET.. ATE =-.REG. - LAND .SURVEYOR ' .. _ y.•:iF�.,.4...Kid.{i.;Yi 1 ei? Y e .e y i \ Z I .•\ . y. IV N Pat :r J ? ecnra ,b,_ s X• s O 0 /0 �7/p � � 4' `y ' j ` r � • In 4_0 \ (tar r ► "� Ai t EAs a ►B7— FE1 ' OFM�S� o`er A G cur T (�7ArE oRSE y p No. g 10951�O a • t• ? �GISTEP �.; �FFSSIONAL LEGEND '< EXISTING SPOT ELEVATION 0,%0 ' AHOF ,� CERTIFIED PLOT PLAN EXISTING CONTOUR --_ p ---- y eti . �; 1/�1N GoGH FINISHED SPOT ELEVATION o� ROBERT.'a. G,h FINISHED CONTOUR 0 ---- BRucE $ ELDRp ; IN APPROVED , BOARD- OF HEALTH�z 5.. . .. E yn� 1, 2dAzo D TA E AGENT 5 "8CALE1 yo DATE I ,6 -ZCI-S ? LOREDGE ENGINEERING CaI.IN CLIiNT' "..�.'w_ 9? ,1• CERTIFY THAT THE PROPOSED EGISTERE REGISTERED �p� Hp , �, BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING ',ILA" ENOIN�ER OR�BY� _ `y OF;AE ARNSTASLE , MASS. 712 MAIN STREET CH. 8Yl 3 HYAIJtV i 9, MASS.' SHEET.L:& O /. RE0 LAND SURVEYOR XPR Town of Barnstable Permit� o Expi 6 months,fiat issue dme r Regulatory Services Thomas F.Geiler,Director �4 TOW/V Of BuUding Division �RIVST BLS' Tom Perry,CBO, Building Commissioner 200 Main Street,Hyatmis,MA.02601 www.tovaLbarnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PEIAT APPUCAnON - RESMEN'T.1AL ONLY (� Not Yafid witlzorrt fed X-PresslmprinY Map/parcel Namber `f Property Address 34Residential Value of Work (a WO Minimum fee of$25.00 for work under$6000.00 ' Owner's Name&Address I C Contractor's Name �-rn�-r •��-1 L� n,�-�� C. Telephone Number L5a8)qa Home Improvement Contractor License#(if applicable) Construction Supervisor's License#Cif-applicable) 8 ✓f Worlanan's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation luw ance Insurance Company Name IVa iohGt Uniors �Y)SU)MnC2 co Workman's Comp.Policy# ! 6(f>!R 01 Copy of Insurance Compliance Certificate must accompany each permit_ Permit Request(check box) , to roof(stripping old shingles) All construe ion debris wM be taken to Q Re-roof(not stripping. Going over existing layers of roof) ❑ Reside #of doors ❑ Replacement Windows/doorsWiders.U-Value (mnxi*tmum.44)#of windows "whore regain& Imm=of this peennit does not exempt compliance with other town dep==Ta regalatiom%i.e.E storic,Conservation,tic. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Dome Improvement Contractors License&Construction Supervisors License is 7requrir SrGTATUMM: Q'IWPMES\F'ORMS%wlding petit forms\E)2RESS.doo Revised 090809 . I t The CommonweaM o}'yl'assac&rese�is Department of-rizAsizWAccidenit i . JJ�Qf�lLNE3�lgQ�oIJ.4 600 Wa hbigz"Sbeet Boszm,MA 62_7,U i i Workers'Came ov/dia ! A Iieatrt Inform tr nsatiou case A davit%RderslConit m torsfElectriciaaslpbmn ber on Name(sasiaesslQ Please l�riaf �arr*: Address: C7fyj3t3le%Zi)3; C S�C 3Sf 7`(�Q `fy��S P jI F em i er? bone,}- Ste— �28 07�2`�o? I P oY C�theappropriate b= employervri� 4 D lam a�?eQraai raad IType°fpi0�(fired): ees(fa andlorpmt time) nave]medthesubolepropriep�m -batons DN�consiructionparer- listed.oathe attached sheet 7"tihaveaoemPlayecs1'hesesab-conizac orsbaveDReaiodelinag£or=in airyrapaay employees anahave workers' 8 D Dsnolitiaa rkers'coarg bsamce Camp insurancet 9, D Rm1dmg additionTequhe&mr am 2 meownerda' 5.D Wearsacorporationanditsrg aII workofftcess bane exenisd their INN wmke&comp. right of exempfioa pet Mai LEI Piumbiug repairs or additions m sorance r j t a 152,§I(4),and we have no Roof repairs I eJmPIOy=-[No workers' 13.0 off= R" insuranceretlmm ] I �'aPP�rlatcktcFcsBaa�I rmts:ako$I1 oat the se:Roube�ws 1F!oraooRaeaaJrosrshmfrihisaffidav�tadieia8 � 00xl��icy;afo�2tioa f �aIIactflathazt�eok&�s600cmust gthe9sredoi�gsIIwodtsadrheabneotm�idesot�Ctnsmestsahrmtaaewafudnv$in3�sac'.c � actactmfl�zdmttooarshecrs9ovie�y5e sae ofthcs�6.cdattacmcsaod statewfie9�erorsoitiiose eatifieshavc I �Pioy-es Ifthesub ciflrs3ave emplayas,�c9�rptavidetheir wadcas"co= oIi P eY=mltcr. Ian=a FAver =is pmyirkng werke�s�� f jo mn mPeaadoa ce pr ,�ProJ'�•.$area ors the, OA andjnb site t insmawe Company Name: Ds7Q f U III Policy 9 oz Salt-ins.Iia# ExpiradmDate: <54q 2Z aal3 i Job Site Address.I ciry/Sta flap: ; A owsS i Athclr a coAeof the wodieze am Policy alecbraticm Page(siro Far�rue to secr¢e coVer2ge as Yvfrrg 1%e-Policy number end expiration date). mvir ma &Ct0a25A ofMGY c 1��caa ieadtatbe I fine unto$l"O"oo aod/or one-year zmprisonmet s:,well as cM mtpositiat�of c�amalpevalties ofa of aP to MO-00 a day Perraifies is the form of a SI OP WORK ORDER and a aw agamsttbs vmlator. Be advised that a arpy off bL!s s=meui may be forFraFded to the�ce of Iavestigations of itie DIA for irzMmee cavetage verification- I dahereby eer d�v e4 ofye*7 that the' o,asQMFox t paovided above is t7ae arrdconeet oure�: aFe. --- ffaaduseonly. DoT.ofwrkeI 1USfireafobecor&dliycfdyortowno�fsa'QZ City m I'o wrn. PermWUeense 0 hw k9t,e 9AAetority(circio Ono): L Board efHealth 2.Bugi inaDepartmerst 3.C2ty)Towrr Clerk 4,EBecbriesIT:upector 5.Plurmbingln7 , Contactrasoir. I Dane : i f I FRASCON-01 MOSU CERTIFICATE OF LIABILITY INSURANCE DATE(MYY} 1 ors1201Yzal2 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poficy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the term and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (508)676-0309 SECTViv Suzette Mon)z 375 Airp Insurance Agency,Inc. PnHrc°N; :508.676-0309 a c.No 508-324-9147 375 Airport Road AIL Fall River,MA 02720 ADDRFSS:SMOniZ@V-jveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAIC INSURERA:National Union Fire Insurance Company INSURED Fraser Construction LLC INSURER B. P.O.Box 1845 INSURERC: COtUIt, MA 02635- IhSURERD: INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR L TYPE OF INSURANCE Ap L POLICY POLCY EXP 1 VAM POLICYNUMBER (MMIDDrYYYYI LIMITS GENFStP,L LUiBIL1TY EACH OCCURRENCE S COMMEP.CIALGENERALLIABILfrY PREMISES Eaoaurrence S CLAIMS-MADE MOCCUR MED EXP(Any one personl S PERSONALBAOVINJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG s POLICY F7 PRO LOC S AUTOMOBILE UABIUTY COMBINEDSINGLELIMrr Ea accident S ANY AUTO BODILY INJURY(Per person) S ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peracddent) S HIRED AUTOS AUTOSNON-OWNED PROPER7YOAMAGE S er acdden S UMBRELLA LIABHCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS UAB I AGGREGATE 5 DED RETENTION 9 S WORKERS COMPENSATION T CSTATU OTR AND EMPLOYERS'UMUTY YIN X M A ANY PROPRIEMR/PARTNER/D(ECUTIVE WCOOSS30601 9/26l2012 9126/2013 E.L.EACH ACCIDENT s 500,000 OFFICER/MEMBER S CWDED? N I A (Mandatory In NH) E.L DISEASE-EA EMPLO S 500,000 Ifyyes,de=be Under DFSCRIPTIONOF OPERATIONS below E.L DISEASE-POLICY UM(r S 600,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIM S(AttaenACORDIOt,AdcaffonalR=aftSchedule,ifutorespaceIsrequIred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fraser Construction LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 31 Bowdoin Rd ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee,MA 02649- AUTHOPI=REPRESENTATIVE ©19M2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and usiness Regulation 10 Park Plaza.- Suite 5170 Boston,Massachusetts 02116 'Home Improvement•C.;? ctor Registration Registration: 112536 -? Type: DBA E irafion: 3/23/2013 Try 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 `r COTUIT, MA 02635 lapdate Address and return card.Mark reason for change. Address E] Renewal Employment I]]Lost Card 7PS-CA1 is SW-0�/04{�f01�216 ,,���� Offiec ofL�o�e°7�`����n�a�0p License or regist ationvalid for individul use only ENT CO Before the expiration date If found return to: HOME IMPROVEM NTRACTOR Registration: •112536 Type. Ofuce of Consumer Affairs and Business Regulation 10 Yark Plaza-Suite 5170 9� R(CONSTRWCTION-tO. E>q�iration: 31� 013 D6A Boston,MA 02115/? DEAN FRASER 104TWINN VIEW LANE E FALMOUTH,MA 0&3o Undersecretary Natva>r w utsi re ty[tissneI-'&' Department or PuWc`Saf*e6, Hoard of-Buildina Regulations and Stiindards•: Gen5tfutfibn Supervisor license license:'GS 97668 DEAD 104 TNJINfCW, iE EAST F'ALIy11A t72536 '` Expiration: 617I2W C:omrnissimloi• Tr#: 46692 • E C I , L I S T SL'illq,ti. uAOl.l_l.Vlla4l{d�.6iV1�W V�.11W11.11\r6 Z9Z www.fraserroofing.com FAX 1-508-428-0123 HICL#112536 CS#97668 HEQE1 RE ROOFING PROPOStAI,� alr®!ra DATE: I t// 9 /. Z PHONE- 7?y ZJ 2- 1 D11Q NAM& T�aJ Y, 4.��z ZKAM: 4p— S•Cl,G�ac�1 MAtL ADDRESS:JOB FRABIR CONSTRUCnON hereby pmposes to perform the following services in a neat, Professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser COnstractiOn will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any-Ufetime shingles. Cert ainTeed SureStart Plan- The extra measure of protection when a credentialed company installs an integrity Roof System. 4 Star warrantieS have a 50 year Non Prorated COv+esage for any lifetime shingles, which will cover incase of any in warranty repair, Labor and Materials, any Tearoff, and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CertwhTeed SureStart plus brochure enclosed. AM US ABOUT OUR OVERIMAD CARE CLMI Supply and tnstan-C=rAMTM9D i.AND g; LnWrB=WARRANTY CLASS A FIRE RATED,ALGAE Resistant, Extra Heavy Weight, Self Sealing,Multi-Layered, Architectural Style, F bmt1ass Based Asphalt Shingle with New England's Exclusive COPMVCZRAM1C Stones with a Full 10.Year warranty against ALGAE Containment .With a SureStart Plus upgrade customer wM receive 10 year 130 mph wind resistance warranty with sin nails is common bond area,Fraser eonstraction includes a&nails in common bond area at No addit tonal cost. See actual (w��ar��ranty for specific details and limitations. 4 '�J�� Initial 1 1 intact for years to come with a:..E.E. ab that s a With Max Def colors, a new surface granules.You get a depth of color.And the natural tautp- yur=+ao�ksbmes Plus upgrade customer VvlII mce :h r with siz nails common �' w .•}R _ 'i lI` r r 4 ice , f ? _:. � er ection s bond: coax—on bond area at 110 additl ::'vial=fit' and limitations. ti color. s rr[ r Supply and Install- CERTAIIQTlD�Ai®' -�: t f��� Warranty, 10 year sure start p .��3r=g Extra Heavy Wei Self ght, Seahng,Mi`1ti. Fi'bergLass Based halt a u Asp �� e � C Stones with a Full 15-year Warrant Con 'r7�r wind-resistance wannanty Wind wa n g :to 13Q starter CertainTeed hi 8 �s� p mod.[•See`actual and limitations. Fraser coastsitctio i�st� sas• ails inoo �^ w area:a i 110 ad ditional - onal Color Snpply4�..a�nd Instan/-��C�S�RQT �_ ��► 81 8 TL: sure start t protection,vLla17�7 A i`ii��t RATED--:1 i AAi'i Ressat �$? W' S Self Sealing, Multi Layered,triple-lay+eFiel�ness;;Lanninaad ec6aral St3ile;+ y Based halt Shin&' . _ 1�e�H •ds Stones with a Full I5-yea -...:_:.:i'::: -...K:f: •i.- - '5:.�..;:;.,-. arranty.agasA�G Conta ��•�. :�1Ii#;�' wind-resistance wananty,Win. o 130 ,< starter c CertainTeed hip as •:;'.: nidg :aresed.:;See:"a,cdial }spepfi� and :.:`. . : det7s° limitations. Fraser construction'i s,'""etudes°siR'nai3sad'area at NO additional cost. Color. ReComa�eaded tons Op -' _ 71� Z tf7- ' �:2xR;< :fir;="� ,:�Y::� •-t;'r+�I;iµ _ "3J %tfi'�;t;r - .j.S :?C`7i :fin•: ...... ........_.. .........................._.--r_'(:�sC,3:'a._._...:it.:..�a...._.....•alyx:':l:-<':'S..<^•..^.'.��_Y.:L..._:....�...�.�.^��:l=i ® o le 8/>Z_ Assessor's map and lot number � .... . ....../../.. f�... 6114 9�����a, �pSINE T�� Sewage' Permit number ............ - `.. ,/ ............... f # d�Q� �°► SEPTIC SYSTEM MUST IN ry BAR39TLBLL House number .. .... ...... .. STALLED IN C01lA�LIA b39• '' �r 'x WITH TITLE OV 1k. ��� + tATIONS TOWN OF BARN A _j BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....:...:C..6/ -s............. ..................................... ' TYPEOF CONSTRUCTION .............................................. Q..G1 Q�..... .................................................... ........ ..............:19. .� ' f ' A I TO THE INSPECTOR OF BUILDINGS: �. The undersigned hereby applies for a7 permit according to the following information: 1 05 y�Location ................................. ...... S. V,✓.(..................... ./....... ( ........U� ProposedUse ........................................................... '..? . ................ /..... ............................................' Zoning District ............................................. .......................Fire District ......................... o Name of Owner .............1.X... ''`'✓......`.`:..t..................Address ................... . ........ (...Q....................... Nameof Builder ...................................................................Address .................................................................................... Nameof Architect ..................................................................Address ........................ ............................... Number of Rooms .................. ..........................:..................:.Foundation ............. ........d Exterior ......................!w..C....... Roofing /�7�. .�./........................ Floors .v.. Interior .................. t 2 '/•.....................c4 .:� �- .. ,5 � ...7`.. .. �... Heating ..:.................... Plumbin ....................... /�......... ......... `. .......... Fireplace ................................................................................ Approximate. Cost ...................... (.....©.... ............ Definitive Plan Approved by Planning Board _________ _ ---___19___ Area .........�.......................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �.\ z- -, rL,00V0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab gardin t above construction. Name ............. .�� .. . Construction Supervisor's License ...........LJ..1.,.�.?. —� .GREENBRIER CORP. o 7`J !No .25731... Permit for ........,.Story........... Single Family Dwelling ...................................................................... Location ..Lots...40, 45.1.. &„41, 6...Van Gogh Dr. Osterville ............................................................................... Owner Greenbrier Corp. Type of Construction .......Frame . . ......................... ................................................................................ Plot .. ........................ Lot ................................ Permit Granted ,November ... 19 $3 Date of Inspection .................//.........gg........19 Date Com lete /`�~ ✓ 1...19 q F ti FROM �- TOWN 'OF BARNSTABLE BUILDING DEPARTMENT' , M},r�.�",�Francis Lahteine .4.F�r�...,.��.�,R«� A y 367 MAN N STREET . HYANNIS, MA 02801. iV�vi r► C1CiJt la►..+�ss±�esw d'swavr='.•o.n.. - Phone: 775-1120 SUBJECT: FOLD HERE - DATE - Feb 22 1984 MESSAGE Work has been caq*eted Pleaseer •�m#+vtvrr4tltY�9 ... 4�.av-•y. fws SIGNED " •�,. 7 '" �1.-/• /fit i.t,21 ;l' DATE - REPLY SIGNED Ne7•RMI ~. RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY - PRINTED IN U.S.A. 'SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 7 i TOWN OF BARNSTABLE• Permit No. 257 ------------------31------------- Building Inspector DAUSTA o S .Cash "i �qwa 'r0 YPY r'` OCCUPANCY PERMIT Bond -_---------_�__� -_ Issued to Greenbrier Carp. Address � lot AN 41 & 45 61.V;3nGoah Drimp. nGrpr vi l l P Wiring Inspector G� �� � Inspection date Plumbing Inspector Inspection date Gas Inspector � � --fi� 'I✓.i,�i�_, 1' Inspection date i 'Engineering Department Inspection date �� Board of Health ,G/ O Inspection datest�> THIS PERMIT U'ILL,(NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY 'COMPLIANCE WITH TOWN r REQUIREMENTS AND IN ACCORDANCE WITH SECTION"119 POF TIIE MASSACHUSETTS STATE BUILDING CODE. ���� Building Inspector ' Aln, i y �O G�i<, ZAssessors map and lot number ....... ...........:f......... 9fypFTHEtO Sewage Permit number ...........�- .. ....1., ............... DARNSTME,o i House number rose ....................................:....., 9pp t6SIL ♦� �EV &* TOWN OF BARNSTABLE BUILDING INSPECTOR . , APPLICATION FOR PERMIT TO 6�-s , TYPE OF CONSTRUCTION ...... a ............................ ....... yt:k�.t......r.�....i..a'•j:..:..... ................................................... ................... f...� .................19. :� i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: S Location .......................................... �. ...... .. T Sy/„V /.... .d C�. ......1.�. ..u� ... .. L ; ProposedUse �'.......................................................................... .... ,. �?....................... /.. .......................................... �t Zoning District ....................................!...`..........................Fire District ....................... . ..... ....................... Name of Owner ............. `'`'.✓.n: �-..................Address ..................... . .. Y Nameof Builder ........................... .......................................Address .................................................................................... Nameof Architect ..................................................................Address ............................... ............... ................................... ....... ................................r Number of Rooms .................. ...............................................Foundation Exterior ...................... .. ....... .." ...' ....� ...Roofing ...................... ./...:../ !f. .�— Floors C ^ ..���.h.....5 .•.:Interior .................... `� ��- .,�.f ...... t........... ..... . � . 7 . Heating ....................................... �`!..,,%.........(..............Plumbing ....................... �. .............� /��':... ................. Fireplace �: ,Approximate Cost......................... ...................... �.............p.......... )) Definitive Plan Approved by Planning Board ______✓? ,__ ___19--- .3 Area .......................................... Diagram of Lot and Building with Dimensions Fee .... . SUBJECT TO APPROVAL OF BOARD OF HEALTH -7 y.'2 k,(- d/f of,vU .04 t Vu ti OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the4Town'of Barnstable regarding the)above -- construction. i2/ Name ............... ........... ........ ::v........G,.............. Construction Supervisor's license ............?..��............... . GREENBRIER CORP. 6-6 No ,25731 Permit for 12•..Story .................. Si.ngle. . ...Family. . ....Dwelling. . . . .................. .. .... .. .. ....... .... .... .. .... .. .... Location Lots 4.0 4 5, & , Van Gogh Dr. ....... . . .... .... .41........6............. Osterville ............................................................................... Owner G.reenbrier. . . . . ...Corp. . .. ........................ .... ....... .. . .. .. .. .... .. . Type of Construction Frame........... ....................... ................................................................................ Plot ............................ Lot ........................... Permit Granted N.ovemhex.-A..............19 83 Date of Inspection ....................................19 Date Completed .......................................19 s4e