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0078 BARNHILL ROAD
:.� � , �r � '}. Wit. T ��� � �` •���• ._ _ _ _ _ O i . _. .._ �....� ., .�... _..�._ _ "r.��_ �� I I - - - . ` Town of Barnstable _ Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept .o�¢ Posted Until Final Inspection Has Been Made. Permit f Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-1272 Applicant Name: WINDOW WORLD OF BOSTON LLC. Approvals Date Issued: 04/18/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/18/2019 Foundation: Location: 78 BARNHILL ROAD,WEST BARNSTABLE Map/Lot: 108-021 Zoning District: RF Sheathing: Owner on Record: ROBIDOUX,ROBERTJ TR Contractor Name: WINDOW WORLD OF BOSTON Framing: 1 LLC. Address: 78 BARNHILL ROAD 2 WEST BARNSTABLE, MA 02668 Contractor License: 166025 Chimney: Description: 4 replacement windows Est. Project Cost: $2,571.00 Permit Fee: $35.00 Insulation: Project Review Req: Call for final inspection to close permit Final: Fee Paid: $35.00 Date: � 4/18/2019 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT GG Application number. .` ...1.......�.°�.... � DateIssued..... .. .�• ..................................... anR.'vsTWete. ® � I G�- sMAM � �' Building Inspectors Initials:... D�......................... (�e R 17 26119 Map/Parcel..... Q. ..` D 2 / (MAIN O� WNS[ABU ........................................... 00 TOWN OF BA STABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY FORMATION Address of Project: 7 f( Puri h:/I NUMBER STREET VILLAGE Owner's Name:,�o f' �3o h "�o u x Phone Number S yY-7 7 6- PO 6 f Email Address: Cell Phone Number Project cost$ Z 5 7 1 — Check one Residential ✓ Commercial ®WNEWS.AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: See -F\4.c.�4 C�A't�a�-� Date: TYPE OF WORK ❑ Siding Windows (no header change)# _❑ Insulation/Weatherization ❑ Doors(no header change)# Commercial boors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to i,J0.S�P ty\a-A«-�e,--L CONTRtACTOR"S INFORMATION Contractor's name��' S'hee(e — GJ�iu/ lJor (rQ , ' Boston Home Improvement Contractors Registration(if applicable)# / 6 6 O S (attach copy) Construction Supervisor's License# 07 2-7 7 L- (attach copy) Email of Contractor N.5weR4 (.cis rn Phone number 7 9'1 - 5 3 Z- q?O t ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. A t APPLICATION NUMBER.........................................................:.. '`For 'Vents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent 8f food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. "WOOD/COAL/PELLET STOVES " Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEM[ TION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities sander the rules and regulations for Licensed Construction Supervisor in accordance with 780 Clot the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date LI CANTI S SIGNATURE Signature _ Date y - t-7 - All permt a !ions are subject to a building off acial's approval prior to issuance. i :r.. :Window;World of-Bostortri MatllcRaglalralion y�/y// Offices'&'Shovtirooms' Numbor • `��` `�-'y. ..::, 0A5A Cutnmings Park' 0 296 01d Oak Stroeti` O 1000 Boston Turnpike- Woburn,MA 018DI Pembroke;MA 02359 • Shrewsbury,MA 01545:Federal lD d(: (781)932-4305 (781)826-6281 :(508)845.8578- www.WindowWorldofBoston.com 4898482 �j 7y Customer.TD ,Eirr /`�6/90G/l� Phone(h)"0 tnstallAddress: Rx?,A;1Hz2z Phone(a) City:./✓. !e MV577AZA;` State:MAZip O 6 E-mail WINDOW WORLD GLASS OPTIONS _1000 Series 9ingle•hung All•Weld $249 SolarZena Elite-Dual Pane $129 2000 Sodas DH AII-Weld $259 4000 Sodas DH AIWNeld $289= _TNple Pane $299 6000 Series DH AJWyeld $309 WINDOW OPTIONS _2 Ute Slider $429 Glass Breakage Warranty(4000A�00) $15lNCLUDC-0 _3 Ute Slider (vs•in.ial (vr,ta,m) $669 "Glass Screens $5INCLUDED Plcture/Fitted 1. a(0.-1 0 $419 Foam Insulation on Jambs and Head $11 INCWDED TPlcture I Fixod Ute.(84 130 Up $53s Q, f_Ooubla Obubte SkengUh Glass(4000/6000 $18 INCLUDED _Awning $359. )• Casement— Plus$49(OH Sash Raft)$379 Locks(>281) 9S INCLUOE0 _2 Uto Casement $659 Full Screons $26 3 Ute Casement•_rra,trxvq (v nnnrq $1029 142—Colonlal Grids(Comp_ured/Flat) $85 —ZIE;6. Basement Hopper.' $489 PraldoGrids'• $75 _Bay Window-Soffit Mount I INS Seat$2859 —Simulated Divided Lftd _Bow Wtndciri:§of➢t Mount/INS Seat$2999 _Tempered DH Sash(BSO)(TSO) 975 Garden Window - $2179: Obscure Glass(890)(TSO) S75 —Ray,Sow,Garden Oversize (+109 Ul) $979 Ortel Style(40160 or 60/40) $76 _Beige/Almpnd $49 Foam Enhanced Frame S35 iWood Grain interior(&Odes4000/6000ordy)$100 — (LIghtOakl Dar*OaklCheny/Fox Wood PRE 1978 BUILT HOMES(RRPSAF,�,y RENOVATI Rich Map/&) MY HOME WAS BUILT INTHEYEAR l`77�J'Inllt' _&o+m Exterior(Arch.&once/American Tena)$t 00 _Designer Color Extorter $179 MISCELLANEOUS _Spedality Wind $ _Custom EdedorAluminum Cladding(Rvo-Elend) O Tetttured$90 O G-8 Smooth$90 8 Window Color A/7//T I �/1GE Facing Color hams. OuWda —Multi-Send Cladding $20 ' NON CUSTOM DOORS _Install Interlor/Ettlerlor Stops $50 Vinyl Rot'Ing Pairs,Door E%at en. S1219 —Install Interior Casing Starts At $95 Vinyl Rolang Pa➢o Doar Oft $1329 _Repair S10.Jamb or replace silt nostng S76 _Add tobasepdeeforCustomrioBngPa➢oDoor$1259 Full Sub-Sill(Single)replacement; -$175 �Frenoh Roll Sliding Patio Door 5fL or.6ft. SIS3e . _Insulate Weight Boxes $20 ;French Rail Srtdng•Patfo OoorBft: Ssps Mull to Form Multi Unit $30 =Fen-ry,fwSUdlrtgPattoOcor9N. St749 —_ n Remo —Custom edadorCfadding $300 Removal $50 Metal MullionWindow $76 _SolasZoneEnie $309 — —,_GQde f?aflo Ocor $210 Now Construction Vinyl Removal $175� _.Aloodgrain Intertore $399 Now Corsi Ext.ReUO Fit $160 _ erlorposfgnerColors $599- _Root for Bay/Bow Windows $500 - �fnterior Casing 2++=3'a S279 _Removal of Existing Bay/Bow $250 _HendiesetOpnons S Say/Bow Conversion Ext.Ratio Fit $456 Intedor Blinds(six lost only) 5859 (New Siding W0I Not Match) ':.<ROUI�D(UP.;L?4AifJIHOOW WORLD;CdA$S'r Door Color. / W,s 's r:�tid C IQ e ti Resd'a eli'kd!I at fX,' r: uWde• r.: ouftida,..•,: _ .tNg hl: a' ! P(;!:St=". :'4i Cugtarlier decllnQs.exte(lbrWrpP adnderstan¢s paln(ing apd/or,![epai/.may geYa: red•Ip(t)al` :<;>, t Customer declines grids on windows/doors Inatlal,OICCUIIMEer custorw Is femm(Dle for the town in connection with discortbad:Palndd9.Staining,Awns System dseoaneo9reoortect&Mg Parma fees in exceasol$78A0,Homeowner and of Condo Assodag°nApprotAIfisl°deDistildAppmval.6lyof0OSlon pair"&sidewalk Farmhtocs13 .'a milauat NO EXTRA WORK IF NOT IN WRITINGI Customer agrees to the terms of payment as we: 9&a Labor 8 Materkate $ CL(5/Q/71,�r( AIZZZ /�C7 L Site Set Up,Permit,Disposal tl Delivery Fees$ S389.0o Total Amount $ Cuatem Order Deposit 33%-$ 7Ck* Project Start Payment 33% $ +.•.•'iH�,.,: .•,: ... Balance Due'Day of Instalfatlorr$Alamst 6,:F e :ra:.zr<it•}: ': :. ... Am6tJhf F1' cad $Wiadow,tyo¢d of 8oatoo an➢clpatea starling Ihtswmk on andAceys Ses Arty tlepastt reqube0 fdadvairce aFNe start'ol the tvodf S ezcee 1/39(of the total cdokact price or thee ac costal any material are gpment a speeWl ordwore(rstom'mado rblt°o t)Atch rmrbt�dNtnetl W'athanee or O e alarm or fAe work r°assure Oat Ine propctwl0 pmcced an schedulo.N I line!payment . shaY De demanded tatty tie eanbad IsoomPftted to tlta eayslaetlan al balfi parUet: I . AD home Imprrrrement ertyeetore an4 ettbeontrectors shah ba r�lslered and that any NyytWes abouj a unhael orsubconuactor retailing to a raglslraaan should be dueetedto:011tce of Coosama7Altaln eM Baalnese Regotellon Tea PaukPlate,Su➢o fi170 BasN4 NIA 0211&Phone:(617)973.87a0 ' Ho wotk sAdl Aegto piton to the stgnlag of tAe caatrecl aad Uantmtttal to the°weer al a Copp at ouch tanlrssL WingmxWonp oA eostoq(�mider grOt�¢)Og r Chaptrr,142Ag1 the gepera(lawe Is regotred to apply.rd[and obipm ail oonspuWon•telated pertMs..Wmdow World of Bosloo 5ha1((wt ire deerrteq oasDptisiole(ocdelyya tih UIO rrrkdesalbed in pis apreemK.iaptpd trre9ylatary P Br4rahtg?9s,ptanonyas;or Inch ldrfaln ' NoUaeat Ne PURCNASt$(9j'obtal(tiitk.owri co'dslrecUdn iefdtedpermfu(or the walk QeicdEd'A uedertfils agregmanl.gr deals.wiN uniepla)a/dd,raal!acrora, (he PURCNA3ER(s);H-Q¢uaby adyletid Im MAO eeenl Na ditpgte,(odgemern agd'noepaginen>'lA°PUHCNASER(s)•will net be entitled to mike a dalm or w9ee➢on turn➢oe goaranry'turd W,IrIthed 6y c14pler 142A;M.O.L You the buyper.maayy can th s Uansaslipn of any I me pr or o m n g I o the th f usiness.ay after the ate of is transaction. %llse el esrrcelta4an'musl be la wlDtng postmarked no later than mfddfghl of the following third business day. . , This Wsrdow Woddlrratchlse Islodepardently owned aM operated by L&P BostoAQu Oral Inc nitdai trem 9@ cow Ina t v owzl Owner.0yry srpnif thoro ere mry� c epaws. oa o I •Sabsman:Do not sl1 ro oroIdtly blank spaeea. Dare Owner.Do not elan ll there are any blank spaces. Date 1 i Commonwealth of Massachusetts Division of Professional Ltcensure Board of Building Regulations and Standards Cons:rUCtion 1-c-13p7ervisor CS-072772 Expires: 04/07/2020 JEFF C STEEIJE 24 SHERWOOD AVE DANVERS MA 01923 Commissioner Office of Consumer Aftalrs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC R�gislration Expiration. 166M 04111/2020 WINDOW WORLD OF BOSTON,LLC. JEFF C.STEELE �,E C �-- 15A CUMMINGS PARK i WOBURN,MA 01801 Undemecretary f The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia' Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):_44L �on�JO!m/,,r Znr. /�/4A i./.ii�aw r,J)WJ d-E&Y�dll Address: 15 Ct ym rrn i n Q City/State/Zip: Wobjlrli M Phone#: 7,? I - Z-g f n S Are you an employer?Check the appropriate boa: Type of project(required): 1.ZIm a employer with SQ employees(full and/or part-time).* 7. E]New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.M I am a homeowner doing all work myself[No workers'comp.insurance required.]t 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole l 1.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Ll`'ther (N 1 152,§1(4),and we have no employees.[No workers'comp.insurance required.] I-e p/Q c-e^(-i f`S JL 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name ofthe sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A S ac 21 y�/e-r S Policy#or Self-ins.Lic.#: WC_C. -I5 00- 15-6 1 g O/ Expiration Date: Z D Job Site Address: 78' 75,a-r-, City/State/Zip: s/aI'Ve . t1A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expira 'on date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the tolator.A co o this statement may be forwarded to the Office of Investigations of the DIA for insurance 'coverage verific on. I do hereby certi un he pa' a enalt. of perjury that the information provided above is true and correct Signature: Date: — / 7- Phone#: 8 $— 4/3 All I) Official use o not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Y r ATEIM A�® M/DO/YYYV) CERTIFICATE OF LIABILITY INSURANCE 03/26/19 THIS CERTIFICATE IS 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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms 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 NAME: amy roberts M.P.Roberts Insurance Agency Inc. PHONE AX AI N E:d: 978-683-8073 A/c No): 978-683.3147 1060 Osgood Street North Andover,MA 01845 ADDRESS: amy@mprobertsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC$1 INSURERA: WESTERN WORLD INS COMPANY INSURED INSURERS: MERCHANTS INS COMPANY L&P BOSTON OPERATING,INC INSURERC: ASSOCIATED EMPLOYERS DBA WINDOW WORLD OF BOSTON INSURERD: 15A CUMMINGS PARK WOBURN,MA 01801 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO R 13 CLAIMS-MADE FX OCCUR PREMISES a occurrence $ 100,000 MED EXP(Any oneperson) $ 5,000 A NPP8525379 04/05/19 04/05/20 PERSONAL&'ADVINJURY $ 1,000,000 GEML AGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OPAGG $ 1,000;000 OTHER: I I $ AUTOMOBILE LIABILITY COMBBII ED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED x SCHEDULED MCA1002569 04/05/19 04/05/20 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAR X1 OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AN065362 04/05/19 04/05/20 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION x P R OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 C OFFICERMIEMBEREXCLUDED7 NN N/A WCC-500-5018609-2019A 04/05/19 04/05/20 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP ENTATIVE /4r�/ �/•�/•� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Tow n of Barnstable. R cE 200 Main Street, Hyannis MA 02601 508-862-4038 -,bid,.�,�'.• Application for Building Permit Application No: B-17-1570 Date Recieved: 5/22/2017 Job Location: 78 BARNHILL ROAD,WEST BARNSTABLE C_') Permit For: Building-Siding/Windows/RooVDoors Contractor's Name: PAUL J. CAZEAULT&SONS, INC. State Lic. No: 103714 tN Address: 1031 MAIN ST, OSTERVILLE, MA 02658. Applicant Phone: (608)428-1177 (Home)Owner's Name: ROBIDOUX,ROBERT J Phone: (508)776-8061 (Home)Owner's Address: 78 BARN HILL RD, WEST BARNSTABLE,MA 02668 Work Description: Remove existing flat roof.Install new rubber EPDM roof. Total Value Of Work To Be Performed: $4,250.00 Structure Site: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers.of a corporation'and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage.. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have- been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject*to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Russell Cazeault 5/22/2017 (508)428-1177 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $4,250.00 Date Paid Amount.Paid Check#or CC# Pay Type Total Permit Fee: $35.00 5/22/2017 $35.00 X?OIX-X)M-XXXX- Credit card 0985 €....................._._.__.._........................................_........_..._..........................................................................................................................................................................._..........._..,.._................ Total Permit Fee Paid: $35.00 A Assessor's office(1st-Floor): J r � Assessor's map and lot n be / 1� ; e L, THE t j ;� SEPTIC SY'STER� �� --� 902 INSTALLED IN C®6 � Conservation e Board of Health(3r floor): ', Sewage Permit number `` � ,� WITH TITL ssaiSTUL q Engineering Department(3rd floor): I` , /j EN@lRI CNMENTAL C093 House,riurn* f Definitive Plan;Approved by'Planning Board "' 19 1 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE j '. BUILDING INSPECTOR APPLICATION FOR PERMIT TO (3 UaL 1 TYPE OF CONSTRUCTION OCI- 19 T TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Ze &rn&ill ed • W• iiJC m.-f6i'^'(e- 1 Proposed Use $Y'OS� 1 Zoning District Fire District IN . quk-r EL+ Name of Owner F utl '. Address yg d3A►"a-"04 t~r Name of Builder Svc-vt&a Address Name of Architect Address Number of Rooms Foundation t3r(w Exterior Roofing Qlnw�S I Floors Interior r"1rue-tnnLa� Heating in buk Plumbing 6 ,O.A�)° Fireplace ho U't--La t Approximate Cost 600. Area WZol Diagram of Lot and Building with Dimensions Fee ©� i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable recarding the above construction. Name Construction Supervisor's License HALVARSON, RICHARD No 34785 Permit For ADDITION TO GARAGE a • Accessory to Dwelling 1 Location- 78 Barnhill Road << 1 W. Barnstable Owner ' Richard Halvarson ' Type of Construction Frame _ Plot v Lot - .p • . i Permit Granted January 8 , 19`. 92 1 Date of Inspection 19 Date Completed 19 5 1 e: i •' tJ k Application to j' �PN,M,C 0�.a1tM P�S C PEA N> egad' Old King's Highway Regional Historic District Committee a in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building JEAddition Q Alteration Indicate type of building: ❑ House 0"Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign, ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole 0 Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY ,, .'// DATE- ADDRESS OF PROPOSED WORK '7� 13 `eg -t�``/ rd' 0J' i3&n• ASSESSORS MAP NO. &2 OWNER 1��0-� G�. GtcR'lt1 SCct- -44, ASSESSORS LOT NO. HOME ADDRESS 7y �� �. JArAl; RP--, 061668 TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional.Sheet if necessary). it so 44 �2E� i� tft4 ! 77 OR WA L i TOW- AGENT OR CONTRACTOR TEL. NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). KcX�7�C�L66%_ �r<Q Signed L Owner-Con tractor-Agent Space below line for Committee use. Received by H:D.C. Da The Certificate is hereby �o LIAPPROVEI) Date S—d-1 QKHRHDC r Approved .c. IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Q v O LOT 60 0 _ A �h0 _ JICE g' A � -St D ` LOT 59 9 356.E LOT 58 � _ c /rIV ED i991, 00 DAD K NG S HiGHWAy RES. ZONE: RF FLOOD ZONE.' "C' APPROV R14 This MORTGAGE INSPECTION an i9 or Bank Use Only LDOEEbEF BARN — REGISTRY OWNER: - OySLd ARC[ CBF.5�_.REF: 24LTL333 —_ — _BUYER: .8LCHAED �ALV_ARS y_ — 3/26/90 PLAN REF` 30L99 i Y CERTIFY TO PL YMOUFH MO G — SCALE:1 ___FT. ___ ____ _______ t'A OFTHAT THE BUILDINGSSON THISPLAN ARE LOCATED ON THE GROUND AS o� YANKEE SURVEY AND THAT THEIR POSITION DOES CONFORM PAULA �^ CONSULTANTSZONING LAW SETBACK REQUIREMENTS OF THE � 41ERITHEWF BARNSTABLE AND THAT NON3209d 143 ROUTE 149 O.LV0 LIE WITHIN THE SPECIAL, FLOOD HAZARD '9 �� IIARSTONS MILKS, 3fA..02648 S SP_OWN ON THE RU.D. MAP DATED 8/l9/85 �FESsx TEL- 428=0055 SURD A. �iERITI3I? PLS THIS PLAN NOT MADE FROM SURVEY. NOT TO BE USED FOR FENCES. ETC. 59// i � � f + i l i d ( io � I I f ! ! ( ! ( � I ; � ', I I I � ( I ( ( �v-I�i ( i_ t i i � j ; I � ' i I ! i I j ; I � { i I i + - j f �I _ _ i f -- I --I— I - , _ � ( � I \ � � i l � i i ( I l l r l l i i ( � - I � i - �'' i � ( � ( � I �- � . LJ I _ ) Ira , � , _ I _ i f _ _ jij � . i II ' I � � l it l � n It ' � j��i1 F-1 " '' I� i l i � I ! � � ! I � I t i l i i � i t � i CP LIW lb uku TOWN OF BARNSTABLE BUILDING DEPARTMENT aaaaa�ae HOMEOWNER LICENSE EXEMPTIO .aaaaaaaaaaa=aa N :'r.:. : :•:.`,•} ,. Please ,Print. , aaaaaaaaasassaaaaaaa=`_ DATE' JOB ;._:.�. . :.�:: ••�°'��;'';_ :, Number S treet address "yet� iiG HOMEOWNER" - N� / Section , Nam- me .phone PRESENT MAILING ADDRESS G Work. .PhQ.��' Ii;is ZAL v v vvv - ' i ty t own :;:•.',a, •: ..., The currentState dwellin qs Of exemption for "homeowners" Zip :9.ode �-- six •units Or less was extended dlvidual for hire who and to to include acts does not allow such homeowners owner-occupied as su ervisor. Possess a license to en a DEFINITION Op Provided that thegownerin Person(s) HOMEOWNER: side who owns a . on which there parcel of land on which he attached or detached ' or is he/she intended to be resides or intends to re- A person who Structures accessor a one to six famil consid constructs more than Y to such Y dwelling, Bred a homeowner. one liome o a use and/or farm structures. fora form ac�Qptable Such "homeowner" two-year all such work tO the Buildin shall submit period shall not�be erformed 9 Official, that to the Buildin The under the Buildin he/she shall g .Official Buildinersigned '!homeowner ermit, (Section be res onsible g Code and other applicable 109.1.1) PPlicable codes, by-lawsy for compliance with The undersigned rules and the Stat e enders „ Build homeowner" regulations. and that he Building De that he/she /she will minimum understands com inspeCtio the-;'Town of Y w th said n Procedures and Tow HOMEOWNERS SIGN Procedure ATURE s and requirements. APPROVAL OF BUILDING OFFICIAL Note: Three family to comply with y dwellings 35 State Building Code cubic ;�• Section 127t' or 0, Constructioer ill be required . t n Control d HOME OWNER 'S EXEMPTION The code state that: ome , permit is required shallnbeHexc„�Ot��rLo,nerf Performing a .15rog work for which;,a.;building (Section 109. 1 . 1 - hall P provisions of this -aOction Home Owner engages a 9 of Co"1:1:Uc t.i.on Su ided that,.Jf shall act ,as Persons) for °hire to do suchvwork,'isors)that�stCh Home Owne supervisor. " Many Home Owners who use this exc�mpt:.io„ are unaware t the responsibilities of a supervisor � . . that they are assuming for licensing (sec Appendix Q, Rules and: ,negulations g Construction: Supervisors, often results in serious Section 2. 15 . unlicensed problems, paxticularly when�theTHomelOwrier h reSene: Persons. In this case o«r Board cannot inlicensed-"person as it would with lic:c�nsed Supervisor,as su ervisor� is ultiit wo � Proceed against ,theh p P visor. The Home�`'Owner'�'abtir y To ensure ,d that the.Home Owner is full • communities require fully aware off certif , as part of the Permit his/her responsib.XP es --Mar. y that he/she understands the 0so application;: that `th' Homd'..Owner last page of this issue is a form .c�i�. rc:ni �• Possibilities: of a 'supervi$or `On the care to ame:nd.` and a"do t C Y used b p �ucli a form/r: e c,.,:t..ification forusseaIn'Ybui,coinmunity. r I r { Assessor's office(1 st Floor): -• SEPTIC SYSTEM Assessor's map and lot number r INSTq�Ep MP 5T a �0{ Board of Health(3rd floor)..* / l Sewage Permit number b �o?� 9/ mRO y S77 .• NAI �/► t DASD9TSDLL Engineering Department(3rd floor): R CODE rua House number d 7 8 n�/ ' EGULATIIp ° i639: NS 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 INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION (,cgdp� ; l`"IrAvvIlp, 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordin/g�to the following information: Location 7ft j?Ar&L L j J Ind— Proposed Use 14CU jhjj { LUtkAS1P,/t-C Zoning District Fire District rlys Name of Owner �Cte u�t�tY1C, l�. Jr �il�d' tL Address 7e ll"OIJ 111 , W. &M. Name of Builder Aegkii12 U8'Nd Address Name of Architect d1b✓LC Address Number of Rooms 3 Foundation POIJ(Pek WNA.b^efip Amot Seep Exterior C` 46+ /���� � �� Roofing 6.12 -S Lim ry Floors S�$ S°a te th, D1UtD0c>1k ilLk tr Interior ��'4WA(;� Heatin9 Plumbing roll, 60-ILL Fireplace Approximate Cost AreaQ�, Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t above construction. Name Construction Supervisor's License /i �l tHALVARSON, RICHARD H. No 34248 ' Permit For Build Addition Single Family Dwelling Location 78 Barnhill Road # ✓ Barnstable Owner.Owner Richard H. Halvarson '-'Type of Construction Frame Plot Lot Permit Granted April 3 , ',19 91 p Date of Inspection! &-iZ 19 Date Completed 19 own tillwa cN e �i LU 013 ct= L9 `. M j lb = z ti ! -��`-- E C E I V E D i:IAR 4 i;yl D'.a KINGS H`G ''A'AY W' E Application to /191 SP pNs�Fp NS F,P GN Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE. OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGOZdition THAT APPLY: 1. Exterior Building Construction- ❑ New Building ❑ Alteration Q , t Indicate type of building: a�Zse ❑ Garage El Commercial ❑ Other t ,fh ut.`f 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign A. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK 7� �� � lf� " Ur" ��' ASSESSORS MAP NO. f6 y OWNER K�C �nU}d�� llU'aY} trSaY2 JZ ASSESSORS LO-NO n . HOME ADDRESS 71? „dM-lh'`t rd w. 6Y4f`YiIS"fl'y(My TEL. NO. 6 9`G6 y7 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). I V -irO zZ i Gg dP+U A,&d( V`cQ CV, i dffrIL- o brag, �+r� 7 earn.It t!l pro(, pQv Y� L i L�e�T6I ,er•L �13 ll�rrt. I t � ,leJ . Id��`K., � AGENT OR CONTRACTOR TEL. NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). + J'twt, Pp41 I J Signed Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. Gi/+�`' 6 �, 6 DEayteE The Certificate is reby Date ' I Time °:r1 d. 4,9 r+ � O y11 Y Y� LIVIA �6.. Y/oV,/9 Y IYl.41Ti v'tt� ♦./u V V '1.. C.� Approved IM ORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Ji -- Ir m- o i s a ' p 1 L14, . © � mar �, • a .CO Qj c J %, � O v : 4p . '. s co ladjQl o r 00ov ir Ott ? � � J� � •. � TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION • ----------------------------- Please print. DATE JOB. 'LOCATION `7 g �{fl/�f�L U toci Number / Street address Section of town "HOMEOWNER" Name Home phone Work phone . . PRESENT MAILING ADDRESS 7 ���v�-' . 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 to six family dwelling, attached or detached structures accessory to such use and/or farm structures.- - A person who constructs more than one home in a two-year period shall not be considered 'a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be 'responsible for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the 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 comp wi s d procedures and requirements. HOMEOWNER' S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 00 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. . HOME OWNER' S EXEMPTION erforming work for which a building the code state that: "Any Home Owner ping of this section permit is required shall be exempt from the p rovided .that if for hire to do such work, that .such Home so n s) Ownei (Section 109. 1 . 1 - Licensing of Construction Supervisors) ; P Home owner engages a person (s) shall act as supervisor. " are assuming Many Home owners who use this exemption are unaware , Rules at eand Regulations the,. responsibilities of a supervisor (see Appendix Q, Section 2. 15) . This lack of awarerie: for licensing Construction Superviso s,Se when the Home Owner hires often results in serious problems; particularly unlicensed persons. In this case our r Board cand Supe�visorceeThegHometOwrier. actir. . inlicensed person as it wo as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her 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 rrently used by. several towns. You may last page of this issue is a form cu care to'.amend and adopt such a form/certification for use in your community. /Assessor' and lot number .:. ... ... .. p �,� 7 ...a..l........ 3 Sewage Permit number .......:................................................ INSTALLED IN 3 House number .......... eeaasTanr , .. .. ...................................... ..w 9 MAGI ENVIRONMENTAL CO��E AND '°°�oMAY. TOWN OF -BAR99Tw,B���E;� 1 BUILDING INSPECTOR a II II APPLICATION FOR PERMIT TO .......!�YLU,;T.!?......A...... ............................................................. TYPE OF CONSTRUCTION .......IN...-PD.D.....E[ .✓ t.' ......................................................................................... Al ... .....................19..s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the lfollowing information: Location .. g....... .A.R ICJ f L L......... W �5 .......9 ,1 RA) TY4 /� �� ✓� S S ....................................... .................................................................. ProposedUse ..........J /0 P, A C,C l A rQ S -, 70 o,.$)................................................. .......................................... . ...................... .................................... Zoning District ......R ........Fire DistrictIED................................................................... . .................................................... Name of Owner �. .N..... ..... . ..........Address II � . Aq�u E. .. ... ........ .... ..................................... Nameof Builder ........................... ........................................Address .................................................................................... Nameof Architect ......................... ........................................Address .................................................................................... Number of Rooms r'`J..........................................Foundation .......Rpuc..ic�........................................................ ... Exierior ' N. .........�o A R � 5................................Roofng lj � �.........5 .5........................... ... ... . . ... Floors Cori CR E7E.....:............................................Interior ....................... .................................................................................... Heating !V 0 ).....................................................................Plumbing ........ Fireplace .....yD1J ............................................................Approximate. Cost ................. .�. .'.......... ...............-- pp Definitive Plan Approved by Planning Board -----------_------_-----------19________ . Area .... P.Q........................... Diagram of Lot and Building with Dimensions Fee !.�4/........ ... ... . .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 , C� I / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ... ` Construction Supervisor's License �C�JNG p .................................. CREEL, JOHN R. No ... Permit for ........ Access(?ry..:tq.pwejl g.......................... ............... Location ...7?..Barnhill Road ....................................................... ... vVest Barnstab. .... ..................... .................... ........................ Owner ..John R. Creel ................................................................ Type of Construction Br .............................. ................................................................................ Plot ............................ lot ................................ ........ ...... Permit Granted ....Janu.ary...3.......... ......19 85 Date of Inspectiongn 7V......................19 Date Completed .......... 9 i - �' >- b r► ,� 1 i i i r» 41 = The Town of Barnstable _ - 'Permit# S Massachusetts Date 3�9 SOLID FUEL STOVE PERMIT This constitutes an official stove permit after inspection and approval by the building inspector Owner Telephone no. AJ Vill e Address of Property z �J> Location and Stove Type 4444 Date: " Building Inspector The solid fuel burning stove at the above location passed: failed:_inspection Assessors map and lot number .. .... .... .. ...... _ SEPTIC SYSTEM MU T BE 1' INSTALLED IN COMPLIANCE Sewage Permit number .................... ...�; .1�......................... WITH ARTICLE II STATE SANITARY CODE AND TOWN; TOWN OF BAjtN ABLE ypi TN E tp�♦ 1: I C' lbQrQ O� C i 323MS ADL i a y "�°` t639 BUILDING INSPECTOR 00 • �� „� ��YPY{r• to t r ';: s- r; --< f, r C: APPLICATION FORS;PERMIT TO ......`'`: .. . ..✓.................................�e e'............../ . ...............:................ TYPE OF CONSTRUCTION ..............................d.�I..�. e.. -..:.........................:........:.................................. ......!..U.............. ................1- 9.rl...! _ TO THE INSPECTOR OF BUILDINGS: The undersigned ,hcereby applies for a permit according/to the f�oQllo1wing information: Location .... .P...S........... y...............C�,Gr.`�...�?J..(..1.............�..l - ................................................................................. ProposedUse ......0. v.c ...........-�- - .r"2..A.*/ . �!.. .......... .f.4[..5-t.................................................................................. Zoning District ............................................................:...........Fire District ..:r✓........ ��.1+'�.. t�P.�l.. ....................... Name of Owner .... ........ .n./.............../.�..... ..........................Address ................... �... Nameof Builder ........Tc?A.n......../..!........... � �. .J...Address .................................................................................... Nameof Architect ...........r��. .{'-....................................Address .................................................................................... Number of Rooms ........9.....................................................Foundation �U .....�� ..A. �.c�i?..�.✓. r .......... ............... .... .... Exterior .G1ca4'r.A.......-.....4�...�.1.!Z..SJ./CC5...........Roofing .'.........`�.�..�.� �.�.... i.... Floors Interi�r SlI.�.C. ....vJ...� �.� ......................:... Heating .lc..z .!�..l..L:.............................:..............Plumbing ....A......... Fireplace ..... .�............................................................Approximate Cost ....�..�,v ....................................... Definitive Plan Approved by Planning Board —----------- _______. Area ?,3 L... Diagram of Lot and .Building with Dimensions Fee .0 . SUBJECT TO APPROVAL OF BOARD OF HEALTH PSI•. So \ p.; r I? Y jqj° 60 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......................................................................... J(Nn R. Creel No ....19355 Permit for .......Dmelling........... ............................................................................... Location .......Lo.t..#..59....Barnhill.-Rd .......... ...................We-st.-Barnstable........................... Owner .........John.AA...C.T04.1......................... Type,of Construction ..................Cancrete....... ............................................................................... Plot ....k-1.0.8m 2 1...... Lot ................................. Permit Granted ............ 39 77 Date of Inspection ........19 Date Completed ......... .............................i9 PERMIT REFUSED x. .................................... ........ 19 // -A ..... ........................................................ ..... ..... .......... ... ....... .......r 414, ..... .........../............... ........... . ........................ ***'***.,...... Approved ................................................. 19 ............................................................................... ................................................................................ f o4zHeron TOWN OF BARNSTABLE wQy�� o OFFICE OF . y M,aD9. BOARD OF HEALTH 1639 O 'p 397 MAIN STREET � EIA'� HYANNIS. MASS. 02601 ° To : Building Inspector. From: Health Department Subject: Test hole and Percolation Test VI A e,;aminat-ion or the soil at i (Lot) (.1 dress) ( ' Village) was Made on /� `and found to be (date) suitable for sub-surface sewaget at site of test hole. Building Permit will not be a?iproved or se:-{age permit issued until Health- Department receives tt,•ro copies o plan showing building, sewage systems and all other de-cails listed in Board of Health instructions to sewage applicants. This ap-Droval does not constitute a f_ina l decision concerning the installation of a sewage syste:a. All State and local Health regulations apply to final " approval. zw icjiiat ure) 6/20/75 ♦t• 1 { rl M .' 1 ; T CQ 4•+r, J,:rq 1.t�-,a. 't•• '� - t 1.• ' ,� � J:,, 'f `. ' ..• �.r. 1 .. 'n � �(,1{r„ 'H K y„F �•�, ' '�,., b;. / r YR r. rt � c.� r .,. ;' ".�f 1/f'"1+• J y cC 7 •' `' • ! , {' ••� , ` e!;' :L/� Aq l r a' .' :;.�r•' � ... '• ,.�;` 1 `,p' ! +i• �� � I {, .Y,�1 w e * •.r'b > lK j y t,f a,' r T. 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TABULATION DIMENSION A 5 FT ' INVERT ELEVATIONS DIMENSION B I•r,FT. DIMENSION C 421 FT. OF Mqi �alr.nry INVERT AT BUILDING 2'•S FT. , INLET SEPTIC TANK =P G .� FT. ROBERT 'G' PMI� 1 C v s OUTLET SEPTIC TANK FT ✓��"E `T <• �° '-- "� o E�DRtUGE a f1INLET DISTRIBUTION BOX yS•0 FT. C t: OUTLET DISTRIBUTION BOX -'-4-J FT. ELDREDGE ENGINEERING CO. I1�iC. • =•; • F g� c, ``" ��'`_� END OF LEACHING FIELD ` �' FT. 33 NO. IA1 ST.o CiITE f', MAI ST.T!Z N s ue- �n atR`�� v� ► : . 0. YARD TH, tld 13, MASS 4 op f - J09'10:77 0 3 OF z � � r o•`""o TOWN OF BARNSTABLE Permit No. 1935 7/5/77 -------- -------------- Building Inspector N/A { nensSrw� f e Cash --- N/A OCCUPANCY PERMIT Bond _.—___—..----- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to John R. Creel Address lot #59 Barnhill Road, West Barnstable Wiring Inspector Inspection date Plumbing Inspector Inspection date Gras Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19......__ .............................................._..................._..........................................._ Building Inspector