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Town of Barnstable
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I p
I �C� ,as Owner of the subject property
hereby authorize Le— ( I 5o'i1' d �Lam_ to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
1 JS • .1 -Q
Ls—
S ature of Owner Date
wj+Jl_�YL t
P A t Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\DecollikAAppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\E)PRESS.doc
Revised 040215
' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map /��9 Parcel Application #�!'/ j�eC a
Health Division Date Issued /d��
Conservation Division Application Fee � d
Planning Dept. Permit Fee `a
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis 0
Project Street Address
Village'Nr i &rV.,S6
1
Ownery 4'A Z o A cS,C K Address S� �—
Telephone �� / 1 o —7
PermitQ Request 0 vFMI
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District F Gemnnn
od Plain Groundwater Overlay
now
Project Valuation Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach st';porting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's �ighway:^:❑Yet ❑ No
Basement Type:. ❑ Full ❑ Crawl ❑ Walkout ❑ Other '' 5
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) c
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
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Lc S•��---�I Proposed Use
APPLICANT INFORMATION
r (BUILDER OR HOMEOWNER)
Name < ` Fe Telephone Number 10 8 �� ( �®�-7
Address �W�"SL. �' License #
Home Improvement Contractor# l0 L t
Email �� �t r—(Z- Gout-CL � •rim rker's Compensation #
ALL C NSTRUCTION (DEBRIS} SULTING FROM THIS PROJECT WILL BE TAKEN TO
" ` ` CC�c
SIGNATURE DATE
FOR OFFICIAL USE ONLY
r
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
i
I
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
77ie Commorr.wealth of-Vassachusetts
Department of rndus&ia1Acciderafs
O,f,�-Cre a,f Imestigaticrrrs
600 Washington Street
_y Boston,CIA 021-11
twvts-,,Tnassgovfdia
Wurk-ers' Campensation Insurance Affidavit:B.uilderSlContracfnrsMectricianslPlumbers
Applicant Infarm,atian Please Print LemribP
• C
1`ame($�e���;Z7�rmlfn�rtdnal�
Address: CJ�.-+a ��5� •
Citglstatelzip=
Are you an employer?Check the appropriate bps: ' Type of praject(required-)c
I_❑ I am a emP Y to er with 4. ffl am a general contractor and I
6. ❑New construction
employees(full andfor part-4ime)-* liave hired.tke sub-coakractors
2.❑ I am a sole proprietor arpartner- listed an the attached sheet. 7. ❑Remodeling
These sub-con�frac-tors have
slip and have no employees. These ❑Demolition
working forme in any capacity. employees andhave workers' g. ❑Building addition
Rio n-arknrs•' comp.insurance comp.snenrance—$
required-] 5. ❑ We are a corporation and its 10❑Elecfrical repairs or additiow
3-❑ 1 am.a homemmer doing all work officers have exercised their 11_❑Plumbing rep airs or additions
myself[No woa<kers'comp- iight of exemption per M-GL L.❑Roof repairs
iamzrance required.]i c.1.52,§I(4k and we have no
employees-(No workers' 131❑Other
comp-insurance required-]i
`AYRpp cswt-tbatchedksboxTlzestalsofilloutthesectionbe7owsbnsdag6&wD&elecampensad npoHcyi=ffirmaae L
#Snazeoa nets wbo subaut obis of daeu in itiag thvY are daiag sIF wa¢t and then biiE oatsidQ eoatmctars nmst submit anew afdaeft indicauae sacfi
TCant<actots$mot checY this bmi mast attached mt additional dwa2 shoticiag the"name of ma sub-camUsttas ffid stste whethet w nat thnse eadties bay
0=9103ees Ifthesnb-caatractmhaceemplofee%IELeyamstp= de•their umrkeW=p.palicYmtm ar-
I ant an empIaysr that is pravidirg workers'cotrrpertsttfian insurance for my mgufgyves ffetoiv is f7tepoli y and job site
ircjormahan �
Insurance Company Name: G
/' ;� p Z6L
Policy 44 or Self-sus_I.ic_ ta 7iZU y b I �� EkpirationDate:Job Situ Address: to l�l%d , _ City/5tafel7�g: GJ U
Attach a copy of the workers'coaupensationpolicy"dedaration page-(showing the policy number and expiration date).
Failure to secure coverage as requiredunder Se-cEion 25A of MGL c. 152 can lead to the imposition of criminal penalt%es of a
fine up to$1,500Oa sndror one-yearimprisoninei as well as civil peualties•in the form of a STOP STORK ORDEF and a free
of up to$250-00 a day against the violafur. Be advised that a copy of this statement xnay.be forwarded to the Office of
ImresEigatims ofthe DIA for:iflsurmci coverage verifrcation-
I do hersby c qLdff the Jauies of gerfury thattlie irrformagmi provi& ahmre i s bars and correct
Si2natare: A Date: / 0
Phone g
Orm'at arse anly Do not write in this area;to be campireteJ by aty artbirn oiciaL
City or Town: Pernat Ucense#
Issuing Authority(circle one):
L Board.of Health 2.Building Department 3.bfyl Tvwn Clerk 4.Electrical Inspector S.Pha nbing Inspector
6.Other
Camfact Person: Phone#:
— -- --- 6
Taformatiou and fastrnctions
Masmchusefts Gene-g Laws chapter 152 regumes aH eni,Ioyers to provide wojjeas'compensation for their employees.
Pmmjant tD this sty,an ernpIoye=is defined as_¢:every Person in the service of another under any coact ofhire,
express or implied,oral or wtiitm"
A erpIoyer is defined as-an indiviffiML par[nersh4,associaiian,corporation or other legal en ity,or any tFYo or more
n.
of the foregoing=gaged in a joint enterpase,and including the Iegal represeufafives of a deceased employer,or the
ruscei-m or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a.dweIImg house having not more the three apartments and who resides therein,or the occapant of the -
dsveIlmg house of another who employs persons to do mainfrnance,construction or repair work on such dwelling house
or on the grounds or bunk appurtx:nam therein shall not because of such employment be deemed to be an edployer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a ficense or permit to operate a business or to construct buuldiags in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance.coverage required-'
Additionally,MCM chapteX 152, §25CM states-Neither the commonwealth nor auy ofits political subdivisions shall
enter into any contract for the performance ofpublic wont untilacceptable evidence of compliance with the in sn�ce.
requnremems of this chapter have been presented to the contracting authodLy."
AppIicauts
Please fill obi the workers' compensation affidavit completely,by checking$e boxes that apply to your sitnation and,if
necessary,supply sub-contractor(s)name(s), addresses)and phone number(s) aIong with their cc rlffica±e(s)-of
insurance. Limited Liability Companies(LLC) or Limited Liability-Partne=hips(LLP)with no employees other than th.e
members or partams,are not requned to cauy workers' compensation msmance_ Lean LLC or LLP does have
employees,a.policy isregnued. B e advised that this affida:yit may be submiffnd to the Dc-partment of Industrial
Accidents for confamation of insurance coverage. Also be sure to sign and date the of davit The affidavit should
be-retaned to me city or town that the application for the penmit or license is being regtue not the Department of
lndastrial A oddents. Shouldyou have any questions regarding the law or ifyou are required to obtain a workers'
compensation policy,please call the Department at the number lis r-d beIow: Se llf-ia companies should enter their
self-insurance license number on the appropriate,line.
City or Town Officials
Please be sure that the affidavit is completm and prod legibly- The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office ofInvestigations has to confactyourega ding the applicant
Please be sure to fill in the p erLhIlicense number which will be used as a reference number- In addition,an applicant
that must submit multiple p=&Hcense applications in any given year,need only submit one affidavit indicating curie t
policy in[b ation Cif necessary)and under"Job Site Ad_dress"the applicmt should write"all locations in (may or
awn)='A copy of the•affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proofthat a valid affidavit is oa file for fot>ze'penni s or licenses'Anew affidavit must be fMed out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial v&ntus.
(ie_ a dog license or peunk to bum leaves etc.)said person is NOT reqaired to complete this affidavit
The Office of Investigations would hIt to flank you in adv-�ux for your coop ea�ion and should you have any questions,
please do not hesitmto to givn us a call
The Depar[menfs address,telephone and fax number:
The M ttl1 of Massacbnsetts ,
Depadment of 1uclusf dal Amidenta
(ice of lve&tgatio=
EGG waai ztm S
131�o-n�I1�fA E1�11F .
TeL 4 617-' -4M=t 4€6 or 1477 IAA S-AF
Fax#617 727 7M
Revised 4-24-07 .ma z_ga a
SUNRISE RESTORATION COMPANY
PO Box 802
480 Rte 6A
East Sandwich, MA 02537
Home Improvement Contractor#: 160037
CONSTRUCTION AGREEMENT
This agreement made this day of 0 C� , 2015 by and between Sunrise
Restoration Company of 480Ote.'15A PO Box 802, East Sandwich, MA 02537 hereinafter
called the Contractor and jl' J ff, MA 02 ,
hereinafter called the Owner.
Witnesseth,that the Contractor and the Owner for the considerations named agree as
follows:
Article 1. Scope of Work
The Contr ctor shall orm all the work for the insurance claim to be performed at
��o CC9 61� t
' w5�- 1 -As1k� , MA 021?(,S . This work is detailed in
attached exhibit A "Scope"that includes the Adjuster's Estimate and the attached
Supplemental Estimate.
Article 2. Time of Completion
Work shall be substantially completed by:
90 days from commencement of work depending on the final required Scope. Building
code upgrade requirements, the permitting process if necessary and settlement
distributions by the insurance company may increase the estimated time to complete
work.
Article 3. Contract Price
Total price to complete the Scope is: The settlement amount agreed to by the Owner,
the Contractor and the Owner's insurance company.
Article 4. Payments
Payments to the Contractor shall be made when funds from the insurance company
are released to the Owner.
Article 5. It is understood between the parties that all home improvement contractors
and subcontractors shall be registered and that any inquiries about a contractor or
subcontractor relating to a registration should be directed to:
Registration Division, Program Coordinator
One Ashburton Place Room 1301
Boston, MA 02108
Tel: (617)727-3200 ext. 26239
Article 6. General Provisions
1. All work shall be completed in a workmanlike manner and in compliance with all
building codes and other applicable laws.
2. To the extent required by law, all work shall be performed by individuals duly
licensed and authorized by law to perform said work.
3. All change orders shall be in writing and signed both by Contractor and the Owner.
Change orders shall be due and payable at the time of the change unless the
Owner and Contractor reach a different mutually acceptable agreement and put
said agreement in writing.
4. Contractor warrants it is adequately insured for injury to its employees and others
incurring loss or injury as a result of the acts of Contractor or its employees of
subcontractors.
5. Contractor agrees to remove all debris from site and leave the premises in broom
clean condition.
6. Contract is subject to a satisfactory review of Owner's insurance policy to
determine if sufficient insurance was in place at the time of loss.
7. Contractor shall prepare detailed estimates for any items that were not accounted
for in the original Insurance company estimates. These estimates shall be
submitted to the insurance company in the form of a Supplemental Claim.
Contractor agrees to complete the work included in the supplemental claim
including all code upgrade work for the amount agreed upon with the insurance
company adjuster. Upon the owner's receipt of funds regarding a supplemental
claim(s),these funds shall be due and payable to the Contractor.
8. If funds released to Owner are held in escrow by Owner's mortgage company to be
released as work is completed throughout the project, Contractor shall be
responsible for scheduling the mortgage company's required inspections and
release of these funds.
Per Massachusetts Law, DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK
SPACES.
Agreed to this the G, dayof U C`('
/ 2015.
Contractor or Authorized Representative
Vef-
Owner or Auth epresentative
AC40 O® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
10/19/2015
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 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 CONTACT
NAME: Ellysia MOreis
THE INSURANCE AGENCY OF CAPE CODE INC. IPA Ne EMI, (508 888-2766 FAX
aC No):
EMAIL
ADDREss: ellysia@insuranceofcapecod.com
P.O.BOX 960 INSURERS AFFORDING COVERAGE NAIC#
EAST SANDWICH MA 02537 INSURERA: AMERICAN ZURICH INSURANCE COMPANY 40142
INSURED
INSURER B
SUNRISE RESTORATION COMPANY INC INSURERC:
INSURER D:
P O BOX 802 INSURER E:
EAST SANDWICH MA 02537 INSURERF:
COVERAGES CERTIFICATE NUMBER: 6325 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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MM/DD/YYYY) (MMIDDfYYYYI LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMA ETO ENTED
CLAIMS-MADE OCCUR PREMISES Ea occurrence $
MED EXP(Any one person) $
N/A PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $
POLICY❑PRO-- LOC
PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS N/A BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE
HIREDAUTOS AUTOS Per accident $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAR HCLAIMS-MADE N/A AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION X ST "AND EMPLOYERS'LIABILITY Y/N ATUTE ER
A OFFICERIMEMB REXCLUDEDIECUTIVE N/A N/A N/A 6ZZUB4956P47714 11/29/2014 11/29/2015 E.L.EACH ACCIDENT $ 100,000
(Mandatory In NH) E.L.DISEASE-FA EMPLOYEE $ 100,000
Dy SCRIPTION OF OPERATIONS below es,describe under E.L.DISEASE-POLICY LIMIT $ 500,000
DE
N/A
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay
claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts.
This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the
issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification
Search tool at www.mass.gov/lwd/workers-compensation/investigations/.
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.
Town of Barnstable Building Dept
200 Main Street
AUTHORIZED REPRESENTATIVE
Barnstable ��—{ ("`'C
MA 02601 Daniel M.CroS�ey,CPCU,Vice President—Residual Market—WCRIBMA
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
.a
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
'Construction Supen iaor
License: CS-105323 zit'
WMLUM M FF.W '
24 PARUSH WAY ° s
West Barnstable 16IA
Expiration
Commissioner 03/14/2016
i
Unrestricted-Buildings of any use group which
contain less than 35,000 cubic feet(991m)of
enclosed space.
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license.
For DPS Licensing information visit: www.Mass.Gov/DPS
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 160037
Type: DBA
Expiration: 6/19/2016 Tr# 254391
SUNRISE RESTORATION COMPANY
WILLAIM FEDER
P.O. BOX 802
E. SANDWICH, MA 02537
Update Address and return card.Mark reason for change.
scA I Co zoM-osti I j j Address F-1 Renewal F-] Employment E] Lost Card
Office of Consumer Affairs&Business Regulation License or registration valid for individut use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: 160037 Type: Office of Consumer Affairs and Business Regulation
xpiration: 6/19/2016 DBA 10 Park Plaza-Suite 5170
Boston,MA 02116
SUNRISE RESTORATION,COMPANY
WILLAIM FEDER
480 RT.6A P.O. BOX 802
E. SANDWICH,MA 02537 Undersecretary Not valid without si natur
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SMOKE DETECTORS REVIEWED
" e U" - L/
&111�%IAWBUILI514 DEPT. DATE
FIRE DEPARTMENT DATE
3 BOTH SIGNATURES ARE REQUIRED FOR PERMITTING
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SMOKE DETECTORS REVIEWED
BARNSTABLE BUILDING DEPT. DATE
FIRE DEPARTMENT DATE
BOTH SIGNATURES ARE REQUIRED FOR PERMITTING
i
.,�i tit
Asossor-'s`D map and lot number la?f �0 I N'O �LLED I,� CO 'RLIANCE
......................:........... WITH A4 TI"! 11 STATE .d
14 , 7 SANITARY CCO Q T,N
REGULATWN-3.
Sewagek.Permit number
Q
T"Et°�° TOWN OF BARNSTABLE
ii
i BAB.3 ABLB, a
"b S. ,•� B,UI`LDIHG INSPECTOR
CONSTRUCT DWELLING
APPLICATION. FOR' PERMIT TO .............................................................................................................................
TYPE OF CONSTRUCTION ................FRAME
...........:.........................................................................................................
.......January 13 , 19.7.6..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Lot 33 Cedar Street — "TRAILVIEW" — Ywest Barnstable
Proposed Use Dwelling
Zoning District RE ...................Fire District
..................................................... ..............................................................................
Name of Owner SEA—LAKE CORPORATION Address Route 6A! Sandwich Mass .
Name of Builder SEA—LAKE CORPORATION Address .......Same as above
.......................................... .............................................................
Name of Architect ......--...—....................................................Address .....--...—.................................................................
Number of Rooms $o.x Six Rooms ...Foundation 10" Poured Concrete—V-6" Pour
..................................... ..........................................................
Front-Nancaw Clapboard-frmrs.porch vertical boards
Exterior sides &sear-Why, �., „,9hZg1eS,...........Roofing As halt shingles
Floors Kit. & baths-vinyl All others Oak Interior .....Y1..sheet.°
...................................................................................... .... .......................................................
Heating Forced Warm.Air..—..G.a.s........... ...........................Plumbing - Copp Water
... .. . . ..P1Pg..........................
Fireplace Yes .........Approximate Cost $47 000
Definitive Plan Approved by Planning Board ----JY__2_t------------1973____ . Area ......
Diagram of Lot and Building with Dimensions See Attached .
Fee ......$43.........00..............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1cj
574
I hereby agree to conform to all the Rules and Regulations of
4Towo arns .ble ardi e above
construction. Name .... .. ......................................
I --
Sea-Lake Corp.
18231 1 1/2 story,
No ................. Permit for ....................................
single family dwelling
.............................................................................
Cedar Street
Location ................................................................
West Barnstable
...............................................................................
Sea-Lake Corp.
Owner ..................................................................
frame
Type of Construction ..........................................
................................................................................
Plot ............................ Lot .........................
March 12, 76
Permit Granted ........................................19
Date of Inspection3,/Y//76
...... .......
Date Completed .../A ........19
PERMIT REFUSED
................................................................ 19
...............................................................................
....................................................................
............................ ..................................................
............................................................................
Approved ................................................. 19
............................................................................
...............................................................................
.477ci•/
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TQS SI7C'!/Y/Y /��!✓ J�trl�! (./7/7 /�.� �y�P�1`��_. � ;i.��'�� `!! ' l Af7f--s-
ALA
PW/Y Ors �i�i " aG, , l r „ ; 4/� INS � r-✓/fi7 j
Assessor's map and .lot number ............................. .............
ZY
Sewage Permit number ...........................................................
0*'THE TOWN OF BARNSTABLE
t"NSTABLY,
m 9-
um
t63
BUILDING INSPUTOR
APPLICATION, FOR PERMIT TO ......CONSTRUCT DWELLING.......................................................................................................................
TYPEOF CONSTRUCTION. .................F........RAM...E................................................... ........................................................
January...1..3....,............19...7 6.....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Lot 33 Cedar Street - "TRAILVIEW - Xwest Barnstable'
Location .......................................................................................................................................................................................
ProposedUse ..........................Dwelling.............................................................................:.......................................................................
Zoning District RE,
.........................................................................Fire District .....................................;........................................
Name of Owner ..SEA—LAKE. . . ....CORPORATION. . . . . ................Address Route....6.A.,....Sandwich, Mass.
.... .. ....... .... .... .. ....... .... .. .... .... .... .. . .. . .. ........................................................
Name of Builder SE...A...—..L...A...K..E......0..0...RP0ATI0N Address. .......Same asabove
.......R ................ ...............................................................
-7-77 Name of Architect .............:....................
.................................Address ....7...7...................................................................
Number of Rooms ........R.ox...Six...Rooms oms........................Foundation 10......P.o.ur.e.d....Con.c.re.t.e-.7.'.-.6.......Pour
..... ....... .. .. .... .. .. ....... .. .... .. .... .. . .. .. . .. .......
porch vertical boards
Exterior :r I'T-0 1p-q Asphalt shingles
.........................Roofing ....................................................................................
Floors .Kit. & bath-s-.viml-I Al-1..others ers..Oak.........I...Interior ....h"...sh.eetr.ock......
...... . .. ......... ... ........ .. .... .. ...... ...... ....... .... .... ........ ......
Heating Famed ced 19a.=.........Air..............Gas.........................................Plumbing PVC....-..Coppe.r............ .. .......Wat.....er..P...i...........T>inq..........................
... ...... .... .... .......
Fireplace ...................Yes...............................................................Approximate Cost ......W .000...............................................
Definitive Plan Approved by Planning Board ....July 2, .....1973 sq •
..... . Area ..........I..................
Diagram of Lot andBuilding with Dimensions See Attached Fee $43.00
.............................................
SUBJECT TO APPROVAL OF- BOARD OF HEALTH
o
IV
I hereby agree to conform to all the Rules and Regulation's of the Town"of Barnstable,regarding the above
construction.
Name ........................................... ........................
Sea-Lake Corp . A�W.9-10
18231 1 1/2 story,
No.................. Permit for ....................................
single. family dwelling
...................... • ....... .........................................
i �' �Cedar Street �
Location .. .. ....................................................... _
West Barnstable
............................. :................
Sea-Lake Corp. . • � - `a `
Owner .................................. ............................... w
Type of Construction frame
.. ............... .........................
Plot .......................�... lot ......#33.................
:J
Permit Granted ......:......March 12.. 19 76
Date of Inspection ......................:^--�.........19 - ,;; •
a^
Date Completed ...............................�....19
PERMIT REFUSED
' ...................................... ................. 19
.................... ............. .1 ...................................
........................................ . ..............................
.......... ............�........... ..... op Q
Approved ................................................ 19
71
............. ..............................................................
..................... .........................................................