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HomeMy WebLinkAbout0531 CEDAR STREET;y 4 • ' Z 0 CYI 1 N • D i E F 4. h C� F F Yl µ R Cape Save Inc. TO��<<,��� OF E 7-D Huntington Avenue South Yarmouth, MA 02664 L�-n pr T �6 ,u 06 Tel: 508-398-0398 Fag: 508-398-0399 DIVISION 9/29/14 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 531 Cedar St,West Barnstable has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceding: 11-18 cellulose Kneewall: R-7 FSK Basement: R-19 fiberglass blanket on box sill All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel 063 Application Health Division Date Issued Conservation Division Application Fe 3076 Planning Dept. Permit Fee 45 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address �✓ Village Wp_,,� �'1S Owner E6 V✓CLV-& -a Address S q`� a-S Q r) ° -e Telephone So? _-3 C Q 0 Permit Request ►✓' Sea a // /c d /cl-ic a&,w_, S ' w IY 4, �c� foedy a Add �4,0 f-c Square feet::1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay "Project ValuatioR-k V�)0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count N - { Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo`' /coal stogy: ❑yes ❑'No � w Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:`OPexisting--O neY size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ � m Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name V1fvi4'M N'6141�01 A4,V4PS Telephone Number Address u � � License# '� SO qo_ImUT� OQ66 y Home Improvement Contractor# Worker's Compensation # TWC33.S3W b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO / W4LVLt�—t7 SIGNATURE DATE La o 3 `4 t FOR OFFICIAL USE ONLY ?' APPLICATION# DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: _ +aj,aFOUNDATION FRAME INSULATION E , FIREPLACE ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT _ u ASSOCIATION PLAN NO. S Building Permit Authorization I, Edward Jay , as owner hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office: 508-398-0398 to take all necessary steps to obtain a building permit to perform work at my property located at 531 Cedar St West Barnstable, MA 02668 Signed I Date / i Print.torm� s, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations � 1 Congress Street, Suite 100 'f Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electric'e Print mbers In bl—Y Applicant Information Pleas Name (Business/OrganizationMdividual): Cape Save,Inc. Address: 7D Huntington Avenue City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398 Are you an employer?Check the appropriate box: F e of project(required): 1.❑✓ I am a employer with 1 4. ❑ I am a general contractorand I ❑New construction employees(full and/or part-time).* have hired the sub-contractorslisted on the attached sheet. ❑ Remodeling 2.❑ I am a sole proprietor or partner- These sub-contractors have g. ❑ Demolition ship and have no employees employees and have workers' working for me in any capacity. comp. insurance t 9. ❑ Building addition [No workers' comp. insurance 10.❑Electrical repairs or additions required.] 5. [] We are a corporation and its 3.❑ I a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions right of exemption per MGL l2.❑Roof repairs myself. [No workers' comp. insurance required.]t c. 152, §1(4), and we have no 13 ❑ Other Insulation employees. (No workers' comp.insurance required.] *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 of the 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 rise policy and job site information. Insurance Company Name: Technology Insurance Company TWC 3353968 Expiration Date: 04/09/2014 Policy#or Self-ins. Lic.#: � p �W.'. 4<tJob Stte Address: 3 1 C� ,, City/State/Zi Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ains and penalties of perjury tl at the information provided above is true nd correct Signature] - .-- Date - - - - Phone#: 508-398-0398 EBoard only. Do not write in this area,to be completed by city or town officiaL Town: Permit/License# ority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: DATE(MMIDDAP" ACC)RU CERTIFICATE OF LIABILIW INSURANCE 4/9/2013 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(les)must 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 HaME cT Colleen Crowley Risk Strategies Company PHONE . (781)986-4400 FAC No:(781)963-4420 15 Pacella Park Drive AIL Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERa Selective Insurance INSURED iNsuRmS:Safety Insurance Ummany 33618 Cape Save, Inc iNsuRERc.Technology Insurance Company 7 D Huntington Ave INSURERD: INSURERE: South Yarmouth MA 02644 1 INSURERF: COVERAGES CERTIFICATE NUMBER:CL134960509 REVISION NUMBER: THIS IS TO CERTIFY THAT THEE 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.UMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE 0 POLICY NUMBER M IDFULID EFF MDDrrPOLICYE r LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DA-mAGE TO R 100 000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence $ A CLAIMS-MADE 5_1 OCCUR S199448001 0/16/2012 0/16/2013 IVIED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: - PRODUCTS-CONIP/OP AGG $ 2,000,000 PI- $ X POLICY LOC Eaaoies� LM�AUTOMOBILE LIABILITY ( cdriii 1,000,000 8 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED N SCHEDULED 208200 1/6/2012 1/6/2013 BODILY INJURY(Per abadent) $ HI TOS AUTOS �� PPOP�r GE $X RED AUTOSAUTOS edea)j{ Undennsumd motorist BI s Gt $ 100,000 A X umsRELLA LAB X OCCUR 399448001 0/16/2012 0/16/2013 EACH OCCURRENCE $ 1,000,000 EXCESSLIAB CLAIIAS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION$ $ C IWORKERSCOMPENSATION fficers Excluded from X T1tC ST.41TU I ER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORlPARTNERIEXECUT)VE YIN overage El.EACH ACCIDENT $ 500,000 OFFICERIM MBER EXCLUDED? ® NIA 353968 /9/2013 /9/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOY $ 500 000 it yes,describe under EL.DISEASE-POLICY LPA(T $ 500,000 DESCRIPTION OF OPERATIONS be;ow 1 Y-1 - I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is requ)red) Issued as evidence of insurance. Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a/ National Grid, Action Inc., Colonial Gas Company and NStar Electric are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact PO Box 427/SCH AUTHORMED REPRESENTATIVE sign Main street Barnstable, MA 02630 .chael Christian/CLC �� ACORD 25 p010/05) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025 poiomwi The ACORD name and logo are registered marks of ACORD v 1 idfassacnusei-:s -Depar-rnent of ?ublic Safety Board of Building Regulations and Standards CJonstructiun Supervimr Specialty License: CSSL-102776 - WHIJAM J MC CLUSIKEY..- 37 NAUSET ROAD West Yarmouth MA 02673 „1;` Yiratio . Commissioner 06/28/2015 rt Office of Consumer Affairs and eusness Regulation M ' 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration' Reoistration: 171380 -_ - Type: Corporation - Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. - - WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE - - - SOUTH YARMOUTH, MA 02664 = - Update Address and return card.Mark reason for change. - j, Address Renewal ❑ Employment 17 Lost Card DPS-CAI•Co 50M-04/04-G101216 ✓j "(�a�rwnaoz lCl c�•lr'a5sac/zude� .. _ _ __ . _.. _ _S\ Office of onsumer Affal &BZiness Regulation License or registration valid for individul use only ra _. HOME 1 PROVEMENT. ONTRACTOR before the expiration date. If found return to: `7_ Regist 'on: ..171380 Type: Office of Consumer Affairs and Business Regulation Expiratt n: -3/14/2014 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPS SAVE INC.'.`...'..._;__;`: WILLIAM McCLUSKEY: 7-D HUNTINGTON AVENUE=;',' SOUTH YARMOUTH;-MAt02664 Undersecretary Not valid wit d signa Town of Barnstable *Permit# OF THE r, Fvpires 6 months from issue date Regulatory Services Fee v`'Huss g Thomas F.Geiler,Director g4cf 59. Building Division ' e- Elbert C Ulshoeffer,Jr. Building Commissioner 1. 367 Main Street, Hyannis,MA 02601w Office: 508-862-4038 Fax: 508-790-6230 EXPRESS-PERMIT APPLICATION Not Valid without Red X:Press Imprint n Map/parcel NumberCA- Property Address 3 Value of Work �n ❑Residential �— Owner's Name&Address -4 '� �� e `A G .sz Telephone Number Contractor's Name ��'rilome Improvement Contractor License#(if applicable) cable) 0 � Z i -�� onstruction Supervisor's License#(if app 'lt X-PRESS P i ERX11T ❑Workman's Compensation Insurance Check one: SEP 1 8 2001 ❑ I am a sole proprietor ❑ lam the Homeowner TOWN OF BARNST ❑ I have Worker's Compensation Insurance AB(-� Insurance Company Name NL-- Workman's Comp.Policy# Permit Request(check box) Re-roof(stripping old shincy in_. Going existing layers of roof) ❑Re-roof(not stripping. g over . ❑ Re-side ►2 le:-c YM ❑ Replacement Windows: U-Value (maximum.44) �1 1 „ 1 k, i I S X l 5 / 1K( y ❑ Other(specify) ,1'�' J Hance.with other town department regulations.i.e.Historic. *Where required: Issuance of this permit does not exempt comp Conservation.ttc. I Signature expmug -z Town of Barnstable TME T Regulatory Services OF o Thomas F.Geiler,Director z� Building Division rrsTnai.e, v� 1 , Tom Perry,Building Commissioner i0rF0 Mp'l 639. A 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: 2L00 Permit#: _ten 9 G ( _ HOME OCCUPATION'REGISTRATION Date: ZQ 5 Name:_ ✓8 G,/fig�I l� �/�y t�//(� Phone#:-CD 0 Address:_ Village: Name of Business:�h� 1,41e b Type of Business: /iC�/_//9�A(A.r,2-16472'0/►XS Map/Loi b I INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual 1� alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors, electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation;other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I, the undersigne , ave read Mewile above restrictions for my home occupation I am registering. Applicant: wit Date: a� U Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: Fill in please: +� R' "'`` 1'' €e✓ YOUR NAME: h � APPLICANT'S 5giA"R "`"k YOUR HOME ADDRESS: 3 BUSINESS liA!D r TELEPHONE f' " ;,' Telephone Number Home D D NAME OF NEW BUSINESS l✓rf .0 a✓ TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YES NO'= ADDRESS OF BUSINESS.S3/C6b MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be.in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corn f Yarmouth Rd. Main Street) and you will find the following offices: 1. BUILDING CO I IONER'S OF This individual ha b info ed of i equir ments that pertain to this type of business. or' d Signature** ` lw� COMMENTS: 2. BOARD OF HEALTH This individual has b inform d f the permit requirements that pertain to this type of business. Authorized Signature * COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE Oft Y. Assessor's map and lot number,.--,� 7-n... ............ Bpi TM E Sewage Permit number ...................... .................................. 33 STIBLE, House number ......................15-1-LI........................................ 163 a M TOWN OF BARNSTABLE eK BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ............ ...... .......5. . ................................................ . ... .. . TYPE OF CONSTRUCTION .......................................................................... .................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... ...... ...... ...... ........................................... ProposedUse ..... .............. 7............... ............................................................................ Zoning District ................................................... Fire District ... ��:r.... ........................................ A. Name of Owner ...li-, -�t�.e a ...... ...... ......................Address .................................................................................... -7. 4,K.,.#.........Address Name of Builder ......C, it PX' 11;fA .... ... ... .................. ... .Name of Architect .........7�7................................................Address `".""" ..................................................................Address Number of Rooms ............................................Foundation .......? ............ .�Ay'SR6ofin .................... Exterior ........ .. .... 9 Floors ....... Jr..................................Interior ....................... Heating ...... ........................................Plumbing ...... .......... ................................................... Fireplace f .......... Approximate Cost .......if�. r is ...... Definitive Plan Approved by Planning Board ------------------------------ Area ...........Y,.......................... Diagram of Lot and Building with Dimensions Fee -3-3- ............................................. SUBJECT TO APPROVAL OF BOARD Or HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. -- 7. 1; 11-- -;?,11 1. ..... ........Name ....................&4 ............ .. ........ Jay, Edgard .10 9-6 3" Sewag-e° 79 671 No ..2,1.7.6a... PerO itefor -DwP-11ing................. ............................................................................... Location .......lo-t-67.....53.1-49dar•..St; .......................W.,...Barn&tab-le............................ Owner .............Edwar. . Ja.y............................... Type of Construction ...nood...Frame................. ................................................................................ Plot ............................. �at ................................ Permit Granted ...........ILer......26.....19 79 Date of Inspection .......�.........................19 Date Completed ................I.....................19 PERMIT REFUSED ............. ... k. ..... 19 ......... .... ......... . ... V............. .. . ........... .................. ............. .................... ..... .................. ........... ... .. .......................... ............................................................... ......... Approved ....... .............. ............. 19 ............................................................................... ............................................................................... TOWN OF, BARNSTABLE 21768 e Permit No. I Building Inspector Cash ■... �; -) Beal OCCUPANCY PERMIT Bind 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 Edgard Jay Address l,++ Af,7/�rll r.aA=» Q�r•not ,. WnQt RflrnQ#ahl n Wiring Inspector �"� ��-w' Inspection date Plumbing Easpect�or Inspection dater Gas Inspector Inspection date 1'Engineering Department; j,r� ��f,��r� � 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. 4/3..__._�. 19� ...................... /ae-4 -� �• - •�Building Inspector f i ��O •q z- •- Fw. y 45't CE tZ T i F t Ed p L-C>,r P2-.. A. � GGRTtI=�( Tt-dAT T14G qVtlDArfOQ51-l0wu Pt_4►.1 R�FC��►.lc_E ti tEQEr�►.3 GcaNLPt_YS W tTN Tt-t� �${DE Lt►-�E �� 401 Ati.ID SETi3AC4C t~'C-4uttZE�tit uTS OP -rw -row ia A 7zA( L ti!f E v l PA.TGc. S A xTM.Q- 1c. • RcGtSt�JZi=� 1-AtJE7 Su2v�Yoks 7Mt5 67L.At--! 15 ynT E3ASC-'D VN At-1 OSTEV-V%L-LC o MASS. tt�!•iCdGiJ.v�t=OJT �,U�v��{ �T:•IC-. uFG,�'T"S St•la!:�t� �.4�Pt_t GAti1T /� Kki' BU-% useD tG (.-c�Jo4Qlz t.e`�' ►.Ao or's map and lot number ArwaG / SYSTEM MUST pf IN / D IN COMP Sewage Permit number ........7......... (.............................. INSTi4LLE (,Iq WITH TITLE 5 = BAWSTABLE, House number 5 3 (. ENVIRONMENTAL CODE TOWN RE MA�a ,r�f 0 -G'ULd0.TI0N i63q. S �a wav a• TOWN OF BARNSTABLE - BUILDING INSiPECTOR APPLICATION FOR PERMIT TO .......x ...................... ......... ................................ TYPE OF CONSTRUCTION ........ .&P..,tP..... .' P:' . ................................................................................ ................................................19........ i TO THE INSPECTOR OF BUILDINGS: TJpe undersigned hereby lies for a permit according to the following information: Location .... .T..' .�..... .. ? ... ...... .,.. _ ....................................... ProposedUse ..... .P. .i,: ........ .e9.!` .tti.. .......... :. ...6 -........................................................................... Zoning District ................................................Fire District ... C. .�h ... ............... Nameof Owner ... .......: �.........................Address ................'.............................................................. Name of Builder 0H-.le.1.....1........... .........Address M..D.el.MI 1 Ptit- tj....�....�1�1�!?�ts�tP�h! Nameof Architect ..................................................................Address .......................:............................................................ Number of Rooms .................-..........................................Foundation �� { ��!r :! ��...cm�+a ....... ............... ......... Exlerior ...6U..a.. '.0,494!!z:.. ng ... .,14. .................... Floors .......E..It. �... '...�.�?:►'G1�1 :. ..............................Interior .V ..JET' .. r' fr�rrsC........................ Heating ..r:.1-Y 0..ki!.. 11....:.............................Plumbing ...... !.('S........................................ i d. Fireplace .���..........P!. .P..5...-z........�.V....5171—�. ....Approximate Cost G.P. 6,�� '-`fit............. ................ Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .... ................... Diagram of Lot and Building with Dimensions Fee 35- . ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 q�y�y I hereby agree to conform to all the Rules and Regulations of the Town of arnstable regarding the above construction. Name ...... 2� f�., ............. Jay, Edward 109-63 sewage 79 671 Ao .21768.... Permit for ....iNeUi0g.............. .. ............................................................................... Location 1.91A.7.....53.1... ................ ...................W.....Barlaabablp................................ 1 Owner Edward..JaY........................................... Type of Construction ...........WApd..Frame......... .............................................:.................................. Plot ............................ Lot ................................ Permit Granted ...............0Gt0.bQr..26...19 79 Date of Inspection .......... ...... ..................19 Date Copleted .. 19 m .. II. . . . ......i. a 00 8� F '. ERM EFUSED ...... 19 F ' "n j }. Fa. . . ................................ �. ...... ... ....................... ......... . .............................................................. . �`A. ................................................... F+P Approved ............................................ 19 ............................................................................... ...............................................................................