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HomeMy WebLinkAbout0100 COACHMAN LANE llll `�Y«`o UPC 12543 o- No..�3LO.R �sr.coNs°�� HASTINGS,MN i "Parcel Detail Page 1 of 3 yopyo� ;HE BARNSTABLE �� � Y+ � i . 1• r ��i. XI MS, y 1639. Logged In As: Parcel Detail Friday,January 24 2014 Parcel Lookup Parcel Info Parcel ID 151-027 I Developer Loot LOT 6 Location 100 COACHMAN LANE I Pri Frontage Sec Road I Sec I Frontage Village JVVEST BARNSTABLE I Fire District JW BARNSTABLE Town sewer exists at this address I No I Road Index 1964 Asbuilt Septic Scan: Interactive "' 151027_1 Map :I,y�t - Owner Info Owner ICUNNIFF,THOMAS K& ENID A I Co-Owner Streets 116 ROBBINS RD I Street2 II City I FOXBORO ( State MA zip Fo-2O351 Country I _� - Land Info Acres 11.01 use ISingle Fam MDL-01 I zoning I RF I Nghbd 0105 Topography I Below Street ( Road Paved Utilities I Public Water,Gas,Septic ( Location Construction Info Building 1 of 1 Year 1985 I Roof Gable/Hip ( Ext Wood Shingle Built Struct Wall Living 2023 I Roof Asph/F GIs/Cmp None Area Cover Type DK1401, Int Bed Style Cape Cod I Wall Drywall I Rooms 3 Bedrooms I ' Int Bath _ tw Model Residential I Floor Carpet I R oms 2 Full Total Heat3.a Grade Average Plus I Hot Water ( 7 Rooms I .,T Type Rooms BSf Stories 11 1/2 Stories IHeat Fuel Gas I F i-BMT ation Poured Conc. Gross 13874 i Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10164 1/24/2014 i fLParcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 6/2/1985 Dwelling B27997 $95,000 3/15/1986 12:00:00 AM WB 1.5 ST 6/1/1985 Dwelling B27997A $95,000 1/15/1987 12:00:00 AM WB 1.5 ST Visit History Date Who Purpose 1/4/2008 12:00:00 AM Paul Talbot Cyclical Inspection 2/8/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 3/15/1986 12:00:00 AM FR Sales History Line Sale Date Owner Book/Page Sale Price 1 5/15/1986 CUNNIFF,THOMAS K& ENID A 5055/180 $110,400 2 2/15/1985 MG DEVELOPMENT, INC 4426/270 $120,000 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2014 $175,200 $22,600 $4,300 $127,100 $329,200 2 2013 $175,200 $22,600 $4,400 $127,100 $329,300 3 2012 $189,000 $22,400 $3,400 $128,600 $343,400 4 2011 $215,100 $3,700 $0 $128,600 $347,400 5 2010 $214,700 $3,700 $0 $128,600 $347,000 6 2009 $213,700 $2,700 $0 $170,900 $387,300 7 2008 $188,800 $2,700 $0 $178,100 $369,600 9 2007 $233,300 $2,700 $0 $178,100 $414,100 10 2006 $202,700 $2,700 $0 $193,600 $399,000 11 2005 $186,400 $2,700 $0 $170,800 $359,900 12 2004 $148,200 $2,700 $0 $170,800 $321,700 13 2003 $130,800 $2,700 $0 $50,100 $183,600 14 2002 $130,800 $2,700 $0 $50,100 $183,600 15 2001 $130,800 $2,900 $0 $50,100 $183,800 16 2000 $107,500 $2,800 $0 $50,500 $160,800 17 1999 $107,500 $2,800 $0 $50,500 $160,800 18 1998 $107,500 $2,800 $0 $50,500 $160,800 19 1997 $111,000 $0 $0 $45,500 $156,500 20 1996 $111,000 $0 $0 $45,500 $156,500 21 1995 $111,000 $0 $0 $45,500 $156,500 22 1994 $114,900 $0 $0 $31,800 $146,700 23 1993 $114,900 $0 $0 $31,900 $146,800 24 1992 $131,000 $0 $0 $35,400 $166,400 25 1991 $120,400 $0 $0 $70,700 $191,100 26 1990 $120,400 $0 $0 $70,700 $191,100 27 1989 $120,400 $0 $0 $70,700 $191,100 28 1988 $108,100 $0 $0 $33,100 $141,200 29 1987 $97,300 $0 $0 $33,100 $130,400 30 1 1986 1 $0 $0 $0 $28,2001 $28,200 • Photos htt ://iss 12/intranet/ ro data/ParcelDetail.as x?ID=10164 1/24/2 14 P q P P P 0 Detail of 1r iris. � I ' 1� �j�Y `3s�? �• � .. �-. .� htt u :x "• ... ,- �,�,;,'gY�,�t tt ovoarzooe r � � 11 'I � " ,t • • • • •• . • 10 1641/24/2014 r 00 A 1 f. l/0't ; h StING fouND,q fio N4, c®r L D r 6 7 . 4#1134 SS-A � �+..�-.`♦�`�.-4.. JL A iV ? =l itvrt::•��3?3�;;i is ?- MAN ,...- . + fin'•: i.,;l {; n< r i )cl Eb P L a T PL. A Al TOWN : WEsr BA,eAlsrABtc . foR • L . Aof. 601L DER,.S .INC. 5CAL E 40 ' DArF : 5-1 - 85 REF': HFRE'' GER'�IF" THAT "THE';ABOY DWELLING IS `IDCATED. -00 THE GRO-IND,� AS SHOt'N ' �iAT :IT CONFOU13D. !t :THE `T�( I4S ZONING} '-SETBACY ; EGU- TA SONS -AT 'THE Ti1lE -IT.= WAS, CONSTRUOTED`'AND THAT .'PHIS t (RTGAGE INS°EG'TI ' I'WA ? PERFORMED".:;IN A00,0RDAAC22" WITH THE TECIMI.C"AL -'STANDARDS FOR MORTME 'toAN. INSPECT ONS�AS '-_ADOPTED BY -THE-.M4SSACHOETT3. ASSOCIATION .OF 'SAND ` SURV Y AS 'AND CIVI-,L ENG'llEER;SOINCORPC�kTED. ' F CHpI'STO HER 00$TA--R. L.S .4L CAPE L AND S&AMEY e6WSZ14 T'A/V rS - Al WMM A V. 'A Sr'- �4LMDV TH. MA, ,.Assessor's map and lot number ..... ...a......... � < SEPTIC SiY T9. U F'TFIE TO` Sewage Permit number ........................ ..5��r'..-31.2...�� INSTALLED IN COMPL 5'�C d WITH TITLE b t BAHBSTABLE" House number .............. ........ ENVIROfNMENTAL COD L'°o.,Q6 9 e0� TOWN REGRI I 'i�7i�;�0"AY a- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ......... �D FR-W. .'O ................. P Ra.!- . ........I 91 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for Ia1 {p�errmiitf according to the following information: Location ........... .....�...... Q .CI CI.l!!.4��.........1-1:!�.. .,.......�ri✓�... It'IU"g ............................................................... Proposed Use .......�.....6-.T ...............�. dJ��......o ) I'Ic� M6 .U�J� .... .. .. ................................................................................................ ZoningDistrict .......1..... !.!....................................................Fire District .............................................................................. Name of Owner 1-- m bO�1'U�S I •............Address .�.� /fa l 4 W�1 V��� .......i..,...................................a............. ... ... ...... .............. ............ Name of Builder .....UDvlb ..��.:...V. N. ..�!i...................Address �Q`1�i��� �l� '. ......................... Nameof Architect ..........I........................................................Address .................................................................................... Numberof Rooms ..........1{'................................................ � h.......................:......Foundation ..... � X ............................... �L Exterior ..........................�.Ct.�� ..............................Roofing ........�`.�.�......T�!�................................................... FloorsIW G ............................................................Interior ...........................................:......................... ....................................... Heating ..............FI!,w �`L.............................................Plumbing ........�.................:b�.......................................... .. Fireplace ................ ...:�:.................................................Approximate. Cost ...........�t.� .......�.............................. Definitive Plan Approved by Planning Board -----------____---------------19-------- • Area i ......A Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH jy � oZ 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. 17 Namee�....L..... .. ................. y Construction Supervisor's License VJY. 1.../........� /' I4.-.-A1,-,c-'3UI1-DERS, INC. too 2:TH7..... Permit for Si;9-.ry................ Sipg;Lp.gwnijy ............ ....... . ..Iaellinq....................... Location ....Lot..6.......1.09.. .................. ......................... L. M. Builders, Inc. Owner .................................................................. Frarm Type of Construction .......................................... ................................................................................ Plot .......................... Lot ................................ Permit Granted .....June 10.....................19 85 ............... Date of Inspection ....................................19 Date Completed ......... ............... AK' Z1Z t o• TOWN OF BAR,NSTABLE Permit No. 27997 _ - -- Building Inspector sias.r i Cash �e 991 OCCUPANCY PERMIT Bond _ _ } � 1 Issued to L. M: Builders{, Inc. Address Lot #6, 100 Coachman Lane, West. Barnstable Wiring Inspector 61 �� ��' Inspection date ./Plumbing Inspector C'/ �_�� Inspection date JGas Inspector v r' Inspection date XEngineering Department /% — Inspection date Board of Health f 1 f 1i,� �1 �� � � � Inspection. date 3—C^-6 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �� 1�'?�....�.�, Building Inspector f �' . .,7. . � `i� :�. t .. '•*;c.;_ ��i � '�}:-�.w: i.;�rr "_ r..'tG= .*„ .�-« r �. �.. •..�Y•.r.►'• � .�. -r. � .. r:-'� �s,. — . y., A e �A r TOWN OF BARNSTABLE of e� BUILDING DEPARTMENT TOWN OFFICE BUILDING rua gab •6J9• HYANNIS, MASS. 02601 II . 4. MEMO TO: Town Clerk FROM. Building Department DATE: i An Occupancy Permit has been issued for`, the building: authorized by t BuildingPermit $k.... .. .L. ...................... .._....Y-.....................�... _ .._.........._._.._ . issued to ............_ . . .. � -d;�! i Please release the performance bond. I. 4 Ol C� ,q( S �p1INE r Town of Barnstable *Permit# C Expires 6 months from issue date Regulatory Services ` SLy Fee _35� BAmsrrAaca, , MASS. {y '� a 16g9. ��� Thomas F.Geiler,Director c �Eo �a C ` Building Division ;!Vf; U " it ;)0jft Tom Perry,CBO, Building Commissioner TO wN 200 Main Street,Hyannis,MA 02601 OF /3A www.town.bamstable.ma.us `sr�{B� Office: 508-862-4038 Fax:508-790-6230 r EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY r I Not Valid without Red X-Press Imprint Map/parcel Number I5 6hod Property Address /()d (�nG P 4 Mo /) LalLQ residential Value of Work 600, 60 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L-09 Y r Contractor's Name G7A Telephone Number Home Improvement Contractor License#(if applicable) /U D 7 D Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner l have Worker's Compensation Insurance / Insurance Company Name 4J^ Y 6—a,/1 Workman's Comp.Policy# &W CC 'C Sa Y Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof'(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors replacement Windows/doors/sliders.U-Value z (maximum.35)#of windows��C 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e..Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requ'ted , SIGNATU . C:\Users\decollik\AppDataV cal icrosoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\ExPRESS.doc Revised 072110 The Coin'monwealth of Massachusetts Department of lndustrialAccidents Office of 1r vestigations ' a t 00 Washington Street Boston,MA 02111 `' sv www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): .. V r ZL 1 Z))L\, V'e.iK-e i'j V Addres s: (] /J-��(,c� n U�0:CL D� City/State/Zip: 6 Phone.#: S/' ,Are you an employer? Check the appropriate lox: Type of project(required):. 1. . a employer with 4. [�I am a general contractor and I employees(full and/or art-time). * have hired the sub-contractors 6. El New construction ❑ I am a'sole proprietor or partner- = listed on the,attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity: employees and have workers' co insurance.$� 9. 0 Building addition [No workers' comp.insurance mP• required.] 5. ❑ We are a corporation and its' 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work : officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.[!]'Oth�er W),�c�p�J employees..[No workers' `s ; comp.insurance required.] Glb r SIt an d rd��oor *Any applicant that checks box#1 must also fill out the section-below showing-their workers'compensation policy information. ­9006'•e t Homeowners who submit this affidavit indicating.they are doing all work and then hire outside contractors must submit anew affidavit indicating such. v Contractors that check this box must attached an additional she8t 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 atm an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 Insurance Company Name: Policy#or Self-ins. Lic.#: N W �S3 3 Expiration Date: Job Site Address: 140 eoaQGf LGi'lp City/State/Zip: GV• ��i7S�� R ( otr?g 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 MCL c. 152 can lead to the imposition of criminal penalties of a ' fine tip 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 ' urance coveraize verification. -do-her-eby-Et=rtifv u r ains-a-nd-penalties-df-per-jupy that-the-infor-matian-pin'vided-abdve—is-tr-ue-and-car-xect Si afore: Date: Phone#: d Official use only. Do not write in this area,16 be completed by city or town official City.or Town: Permit/License# Issuing Authority(circle one): L of Health 2.Building Department 3s City/Town CIerk 4.EIectrical Inspector 5.Plumbing InspectorPerson: Phone#: 71 ,D �✓G . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME 1,MPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 1007.40 Type: 10 Park Plaza-Suite 5170 Expiry{i_;3n_532}12 Supplement Card Boston,MA 02116 CAPIZZI HOMEEr,kh IMfOUE[VIENTr"'INC. _ tom• �.-• t GARY GUSTAFSQ 4P::! _-;.- 1645 Newton Rd. Cotuit,MA 02635 :: `" Undersecretary N/V� id without signature Massachusetts- Department of Public Safety Board of Building Regrolations and Standards Construction Supervisor License License: CS 74640 •. '; i`?S cF,' 'fin GARY GUSTAFSON. '' 8 SHORT WAY SANDWICHMA 02563 ffi Expiration:. 11/29/2012 I Commissioner Tr#: 7058 , Client#:47298 CAPIHOM ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE TE(MM2010 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 NAME:NTAC Karen A Walther,CISR Rogers 8r Gray Ins.-So.Dennis PHONE 508-760-4630 508-258-2230 434 Route 134 A/c,No Ext: evc,No ADDRESS: waltherka@rogersgray.com P.0.Box 1601 FKUUUULK CUSTOMER ID#: South Dennis,MA 02 6 60-1 6 01 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:National Grange Insurance Co. Capizzi Home Improvement,Inc. INSURER B:ACE Property 8r Casualty Ins.Co Capizzi Enterprises,Inc. INSURER C 1645 Newtown Road Cotuit, MA 02635 INSURERD: 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,TF;(E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES."L(MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ALDDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/2010 06/08/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREFNTEIT MISES Ea occurrence $500,000 CLAIMS-MADE 5XI OCCUR MED EXP(Any one person) $10,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEM_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRa LOC $ CT A AUTOMOBILE LIABILITY M1 M28044 06/08/2010 06/08/2011 CO D accident)SINGLE LIMIT $500 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON OWNED AUTOS Uninsured $250000/500000 Underinsured $2500001500000 A X UM13RELLALIAB )( OCCUR CUB1076H 06/08/2010 06/08/2011 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ 10000 F $ B WORKERS COMPENSATION NWCC45843208 12/25/2009 12/25/2010 X 1TW0CgSyTLA1TMU1jSOTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEF-N N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE i I ©198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S52549/M52541 KW Y Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I ro ? u bt /1 OWN THE PROPERTY LOCATED AT &Jyl--� IN ` i�(Vl� �,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO.APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: Assessor's map and lot, number oFTNEr .......... ................ ...... Sewage Permit number j.�.:..l.Z 0 Z 339SH9TABLE= i House number ...:.... ................................................ 9 rasa _ Apo,i 63 q. `00 C /-- '£D YPY W. TOWN OF BARNSTABLE BUILDING INSPECTOR ......J-!��l... !�ui�i)�Rh, APPLICATION FOR PERMIT TO .......................................................................................................... TYPE OF CONSTRUCTION ......... F.41W .. ........................................................................................................ .................A.p... .L..... ........19. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . JJ nn . Location l� I.O.A.fl� yl A 0......:..L--(t:N ;.......:. 1) i�� rz�5 T1 .�r.�. :.............. ............... ry..,... n ............................................................ ................. Proposed Use � Ti� �............... '... ....�'JvF��ii�� .... i`A�E�?� .. ............................ ......... .:.�................... .. .... .... ... ...... .............. ZoningDistrict ............. .!.r....................................................Fire District .............................................................................. Name of Owner ....� . ...........Address " .. . . ..... .... ............................. i. . ` .,...... ;....w.G..!.! .()........... l-Ut'f11hE2fiA�C TOIL- 5 yAIZfr1uUT71 Name of Builder ....� �)V�. ... .:... f (V,l�, ,. :....:...............Address ........................................................ Nameof Architect ..................................................................Address ...................................................................................... Number of Rooms ......... ......................................................Foundation ..... ' .. ... ............... Exterior L ................Roofng . J.. .........�...l�.......�..�.......`.• Floors .Interior .......... �^ 1" ' i , OA ll S Heating r ;h >. ................................................Plumbing lJi-L .1 Fireplace .................� �.- ......Approximate. Cost /� J.......:.I....................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH L i I 1 l 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 �e �................ ••. Construction Supervisor's License y T L. M. BUILDERS, INC. AF4-52�01 p� No ...27997... Permit for -17 5 15taxy................ ...........Singl.Q.FW114 .y...Well..i:.ng................... Location ...Wt..6,......IN_Coaclunan..lane...... ..................WestA"Muth--FAsr.h.S C.. Owner ....... dei's,...,Inc.................. Type of Construction ...F.zarre.......:.................... Plot ............................ Lot ................................ Permit Granted .....June 10,.................19 85 Date of Inspection ....................................19 Date Completed ......................................19 TOWN OF BARNSTABLE Permit No. - ------ Building Inspector NA"3TAK cash ----------------------------- �Y9 i67p. °MAI OCCUPANCY PERMIT Bond Issued to Address Airing Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................................................... 1 1.9....... ... ......................................... ....................................................................._ Building Inspector