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HomeMy WebLinkAbout0034 LISA LANE v ` L'l.-r<A LN r i UPC 12543 No mac'0°sr-coNS°�� HASTINGS, MN `T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 6 �( Parcel q 0 � Application I Health Division 100 SEP 1 Pri ?_: 58 Date Issued d Conservation Division Application XF Planning Dept. DI./I�f Permit Fee ur: Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address P Village Owner t1 ev-v o ri fs Address Sc, 4 *�S y Telephone S� v3 V U 0 Per it Request hi S � " 1 G ' l e-i e SL a-voyc°-v. H✓ e-� ct'�14✓•� d46� Square feet: 1 st floor: existing proposed 2nd floor: existing .proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Lf •0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U / 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 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 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name WIY 11'(4 M InC AfAtY lCVeSa e Telephone Number Address U� 11R. 7 Ale License # Q &V � Home Improvement Contractor# d /l 0 Worker's Compensation #t `u C 916 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE q, //7 IL kr FOR.OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: :y -4-Az,FOUNDATION,: Lg FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING • r • DATE CLOSED OUT - - ASSOCIATION'PLAN NO. Building Permit Authorization I, 'Cheryl Momz 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 34 Lisa Lane West Barnstable, MA 02668 Signed Date 2^- �-013 ' i The Commonwealth of Massachusetts — Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 y Boston, MA 02114-2017 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 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: Type of project(required): 1.❑✓ I am a employer with 17 4. ❑ I am a general contractor and I 5 ❑New construction employees(full and/or part-time).' have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- sub-contractors have ship and have no employees These8. ❑ Demolition working for me in any capacity. employees and have workers' q ❑ Building addition o workers' com insurance comp. insurance T [N P• 10.❑Electrical repairs or additions required.] 5. M We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no 13 ❑ Other Insulation employees. [No workers' comp. insurance required.] 'My 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. tContractors 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 the policy and job site iiifOPntatlOn. Technology Insurance Company Insurance Company Name: Policy#or Self-ins.Lic.#: TWC 3353968 Expiration Date: 04/09/2014 L�/ f� Job Site Address: - l 1 s�t �l City/State/Zip: 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 pains and penalties of er'ury t at the in ormation provided above 's trr a and correct r Si mature: Date _- -- - - -C -- ----- - -. -- - - - --- - - - - - - - Phone#: 508-398-0398 officialonly. Do not write in this area,to be completed by city or town offciaL n: Permit/License# ority(circle one):Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son• Phone#: AC40REX® CERTIFICATE OF LIABILITY INSURANCE DIDDNYYYI� 4/9/29/2013 TI 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 endorsements). PRODUCER CONTEAcr Colleen Crowley Risk Strategies Company PHO o E (781)986-4400 IAX No:(781)963-4420 IAI�15 Pacella Park Drive E aIL SS- Suite 240 IN S AFFORDING COVERAGE NAICI Randolph MA 02368 INSURERA:Selective Insurance INSURED msuRms:Safety Insurance CcmanV 23618 Cape Save, Inc iNsuRERc-Technology Insurance Company 7 D Huntington Ave INSURERD: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER CL134960509 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 DOL SLJ13R POLICYEFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIOD OD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRERIISES Ea occurrence) $ 100,000 A CLAIMS44ADE ❑X OCCUR S199448001 0/16/2012 0/16/2013 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEPPL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PERCT LOC $ AUTOMOBILE UABILITY COMBNED SINGLE LIMIT (Ea accident) $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 208200 1/6/2012 1/6/2013 BODILY INJURY(Per acciderd) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS AUTOS Peracadard X X Undennsured motorist BI s of $ 100,000 A X UMBRELLA UAS X OCCUR 199448001 0/16/2012 O/16/2013 EACH OCCURRENCE $ 1,000,000 REXCESS LIAB CLAItdSAIADE AGGREGATE $ 1,000,000 ED RETENTION$ $ C WORKERS COMPENSATION Officers Excluded from NCST.4Tl� OTH AND EMPLOYERS'LIABILITY YIN X T IM R- AN't PROPRIETOR?ARTNERE)ECUTIVEa NIA overage EL.EACH ACCIDENT $ 500,000 OFFICERMEMBER EXCLUDED? 3353968 /9/2013 /9/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If Noss describe under DESCRIPTION OF OPERATIONS be,'ow E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS!LOCH-nONS r VM41CLE8(Attieh ACORD 101,AddWenal Remarks Schedule,if mere apace is required 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. CER11RCATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 427/SCH 3195 Main Street AUTHORIZ®RN�RESENrAT1VE Barnstable, lei 02630 chael Christian/CLC �� ACORD 25(2010105) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).ot The ACORD name and logo are registered marks of ACORD u t�Q massachuse:Ls -Deaa.r men:or?ublic Sala y Board of Building Regulations and Standards Construction Super-risur Specialty License: CSSL402776 WILLIAM J MC CLUSIKEY 37 NAUSET ROAD West Yarmouth NIA 02673 ;::ommissione- 06/28/2015 ( Office of Consumer Affairs and 2USiness Regulation J� 10 Park Plaza� aza- Suite 5170 / Boston, Massachusetts 02116 Home Improvement C.6ntractor Registration' - _ Registration: 171380 Type: Corporation _= - Expiration: 3/14/201.4 Tr# 222184 CAPE SAVE INC. _-- WILLIAM MCCLUSKEY _ 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 - =-- -- - Update Address and return card.Mark reason for change. oPs-cai'u sor.Woa-Gioizis Address !.7 Renewal ❑ Employment 17 Lost Card _..... ...... Office of Consumer Affairs&BZA ess Regulation License or registration valid for individul use only nWfi - :?HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: !� Registration: .=171380 Type: Office of Consumer Affairs and Business Regulation R 10 Park Plaza-Suite 5170 rij Expiration: 3l14l2014 Corporation � •� :.:-=s'`= Boston,MA 02116 WILLIAM McCLUSKEY_?. 7-D HUNTINGTON AVENUE= SOUTH YARMOUTH MA;02664 Undersecretary Not valid wit d signa Town of Barnstable Regulatory Services Thomas F.Geiler,Director . STABM MAW. MA ' Building Division 0p A�1 39- Tom Perry Building Commissioner �. 200 Main Street, Hyannis,MA 02601 )ffice: 508-862-4038 Fax: 508-790-6230 C MPLAINVIN UIRY REPORT Rec'd b : v► `�� Date. Y Complaint Name�> Map/Parcel LocationC C Address: O _( V Originator . Name: Street: 3L US All Lo Village: State: Zip: • Telephone: Complaint Description: FOR OFFICE USE ONLY Inspector's Action/Comments' Date: AInspector: �onal Info.Attached n:forms:comnlaint y #Town of Barnstable *Permit 6?� T d S � Expires 6 mon[hs from issue date . Regulatory Services Fee L �S - 00 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY - Not Valid wit out Red X--Press Imprint Map/parcel Number ( ( ( ��S _' Prop rty Address 4i9 ✓U /� � � Residential Value of Work C/c2c/ Minimum fee of$25.00 for work under$6000.00 ' Owner's Name&Address �jGh Q�"G' /y/'0 fU/Z , F 2 z .z i 54 1�l Contractor'sName /,! /eA€ S' Telephone Number_,� -S Y Home Improvement Contractor License#(if applicable) /��A 9 Construction.Supervisor's License#(if applicable) ❑Workman's C mpensation Insurance �'19'd1SN�`d8 �0.NMol Che one: n,d I am a sole proprietor LD�Z ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(ch ox) e-roof(stripping old shingles) All construction debris will be taken to /JAG i ❑ Re-roof not stripping. Going over existing layers of roof) ❑ Re-side H 01 A t 0 ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: Issuance this rmit does of exempt compliance with other town�epartFnent.regulatiopsi:j;,jgHist4ri ,Conservation,etc. tl-7 KQ C 1 �� ?i Lll•JG ***Note: ro a er sign Property Owner Letter of Permission. A op of e e Improvement Contractors License 6"required <1 SIGNATURE: Q:Form:expmtrg Revise061306 David Richards DBA DAVID RICHARDS BUILDERS 508-534-9655 Home Improvements `T Page No. of Pages PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME CITY, STATE AND ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS. JOB PHONE — We hereby propose to furnish materials and labor necessary for the completion of: 6 t I II WE PROPOSE hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: 1 Payment to be made as follows: dollars ($ -r All material Is guaranteed to be as specified. All work to be completed in a sub- stantial workmanlike manner according to specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra Authorized C-A costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents ordelays beyond our control. Owner to carry fire, tornado and other necessary in- Note: This proposal may b I surance.Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by'us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and condi- tions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outline above. Sigpafifie Date of Acceptance: Signature + The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,M4 02111 www.mass.gov/dia Workers''Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):.�i9y i,o Z Gl/VVT ' •Address: 75- City/State/Zip: /WvvA Phone.#: . S 6-.`5 3 c16�S Are you an em yer? Check the appropriate box: Type of project(required) 1.❑ I mployer with 4. ❑ I am a general contractor and I loyees(full and/or part-time)." have hired the sub-contractors 6. ❑New construction . 2. I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp. insurance.$' required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ officers have exercised their I am a homeowner doing all work 11.0 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 employees. [No workers' . .13.❑ Other comp. insurance required.] . *Any applicant that checks box#1 must also fin 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. ZContractors 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. Iam an employer that is providing workers'compensation insurance for my employees Below isthepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 maybe forwarded to the Office of Investigations of the DIA fDr insurance cdverage verification. I do hereby certify un r of -an penalties of perjury that the information provided above is true and correct: Simature: Date: Phone#: Official use only. Do not write in this area,"ib 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#: ---�----�le �omUnw�zuea�C o�,/�adaac7ucaelra:� I Board of Building Regulations and Standards r HOME IMPROVEMENT CONTRACTOR . '- Registraf on 152289 r Ezpiration=g/r16/2008 I J DAVID RICHARDS�BUILDE_R� F, DAVID RICHARDS� I�`L 120 PRISCILLA WAYS, •v Caq,,,, ,`,\5 BREWSTER,MA 02631 Deputy Administrator; 3 f 'i Town of Barnstable` ra�.�; �% I 4£ Regulatory Services nnh JllN 2 7 P�'3 2: ! W � Thomas F.Geiler,Director 2 Building Division iO�Ep, Tom Perry Building Commissioner i ..r 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax.. 508-790-6230 C MPLAINVIN UIRY REPORT Recd by: Date. ' � Complaint Name: �`Z Map/Parcel Location a Address: �P Originator . Name: Street: ' Us, Lo WL Village: State: Zip: Telephone: Complaint Description: . I=— r f FOR OFFICE USE ONLY Inspector's Action/Comments' Date: Inspector: Additional Info.Attached n-fonns:complaint P-1 s . --tt,.n-ten_ Assessor's map and lot number ..... ..!,►. +.... (77�1) t j Sewage'Permit number 3�, TOWN ' OF ' BARNSTABLE r �pF THE tp�♦ C i BJSH9TaDLE, i ' 90 o YaeO� .RUI:LI) ING INSPECTOR r7 ` a t APPLICATION FOR PERMIT TO / c TYPE OF CONSTRUCTION .:.............:.........................................�.....................................,....................-.............. �.................................................19........ TO THE INSPECTOR OF BUILDINGS: ' The undersigned. hereby applies for a permit according to the following information: Location -1.5.;/� ,L A.�/ .................................................................................................. Proposed Use . 5 /CYq. :................................................................................................. ............ ..... ZoningDistrict ..� � �� 5o`� ! c!!�`' :.Fire District ....�! ���Ft �Q'' �. ' ........... . ......... ...... ...... .......'.................. Name of Owner hP/._7-' ./l .L�/ '...........................Address Name of Builder r ihP27 /,?�Q.�!=�- Address 7� p�� `�""r'��wAC4 MN Name of Architect 2 . el 6..oe7 /y©.t//.Z...............Address ..... ...........0�..............:� . Ems. ....:r�?...... ..... Number of Rooms ...Foundation .....� .!vC'�C � ............................................................... ............................................................. Exterior ..I7'a S.!?. ..yc!......................................Roofing .... ...'c��s.. l /!f!Q...e.................................... Tr, is S Floors '/D C Interior .... /?G..... ./�.. ... .. /� �"�/ y. ..Plunibing Heating 1 , . .............................. /•�...;.- ...v-e ?� .................................................................................. ............ Fireplace /c_! ........................................................Approximate Cost �+ O� ................... .................................................................... �:<Definitive Plan Approved by Planning Board ---------------------_-----------19_______,. Area ...... .,--.•^.�.........�................. Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i1 Name ...........4!:.:.:.........��'� ............................... Moniz, Robert Ck- �A=l'11-45 G 19331 two story ` No ................. Permit f#r .................................... single .family dwelling _ . ............................................................................... 3l� Lisa Lane Location ................................................................ 5 West Barnstable ................................................................ .......... Robert Moniz e Owner s f ram e Type of Construction ........... .............................. ................................................................................ i. Plot ............................ Lot ....... .............. ' Jun, 24 Permit Granted ........................................19 �� Date of Inspection ........./.................... 19 Date Completed ...................................... 9 PERMIT REFUSED -• ........ ...... ....... 19 q / ...... ... .... . ............ ................................................ .................. ' Approved ........ let:�:...... 19 i .... ............ � ...................... �. ... ........ ...... .1 V\. ... l.. i *r�. 19331 6/24/ 7 TOWN OF BARNSTABLE permit No. .� °. Building Inspector 31iurran • i�. . Cash ------�--_— � rua • 1611. . 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 Robert Moniz Address Sandwich, MA i Lisa Lane, West Barnstable Wiring Inspector r Inspection date Plumbing for Inspection date Gas 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 �„o•""*. TOWN OF BARNSTABLE 19331 0124/7, Permit No. ____...__�__ NAWn.n Building Inspector cash OCCUPANCY PERMIT Bondt,�A____T_... 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 Robert Moniz Address Sandwich, MA Lisa Lane, West Barnstable . Wiring Inspector `/ Inspection date ����7Q Plumbing Inspector !� Inspection date Gas 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 TOWN OF BARNSTABLE 19-i:; Permit No. ----------____----------------- 1 »n,� Building Inspector Cash ---------------- °""Y�� OCCUPANCY PERMIT Bond _-r�!r_--___ "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 Pobcrt Floniz Address Sandwich, MA Li a Lano, [lost Earnstablo Wiring Inspector f f �-4� Inspection date Plumbing Inspector Inspection date Gas 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 1 I Assessor's map and lot number IM-7.l.. .......! .. � Q /l ��� ��y `,� ...... ..... . S SEPTIC SYSTEM MUST BE 'C �.� Cl) 7 INSTALLED IN COMPLIANCE Sewage•`Rermit number .... .�� WITH ARTICLE li STATE 0-11 �, ........................ yz SANITARY CODE AND TOWN y Q�pFTHEro�y ,.: . TOWN OF BAK"TABi,E. i BAHB'9TADLE, i t Op�i6' 9, 0 ;� Y 9 `�` r. BUILDING INSPECTOR O'FDMPY a\ea :.� .ti ) 0 O O rt•t17 G pry, h c1 APPI.ld_�TIOW FOR;,PERMIT TO �.CdT .X ......................... M _ 0 i:q TYPE OF CONSTRUCTION �1 �rJ� ...1�! � AYE... , - �. ....�U4,,�'................... ....................19//....' TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to t i he $following information: Location ....... .. ...... ......:-................................................:....i.......................................................................................... s � .Proposed Use ...��.�1.:�....:/. .. ..!�.�-.............................-:.......................................................................................... Zoning District District .... �7� .. ' Name of Owner em.ez'. zvd..N/z.............. / �� t. ` • . .............Address .. .... /�.......................................................... Name of Builder �,q e17- rr f�,....................Address � .��' e/� !n......... ............................... —/��........ ........... .. c:... Name of Architect ...... .................... y...Z...............Address .. ......' Number of Rooms .......6 ....................................................Foundation .....�© . , ....................................... Exterior LVpb7T�.......JICl./../G.rf� ...Roofing .... ° , 6»itecl�� ................................... .............. ............................ Floors ..Z...../. 1f.'.'.T'J..(erX ...LtX a_�►7?,J O 'h..T! Cinterior ....�f.�. �r...�Pei?f�.t6.r............................... Heating Z. .:Pa ... .... ...Q/..!�... ,f4e.....4;0—Plumbing ..............:................................................................... Fireplace .... ��..........................................................Approximate Cost ......... //..��................ Definitive Plan Approved by Planning Board -------------------_-----------19________. Area �4.6.. ...... .. ............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t ' I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. ............................... t. Monfz, Robert � - � ~ 19331 ��� ���2�r No -----.. Permit for ------------ single family dwelling ' --------------------------. Lisa Lane ' ' Location ---------------------. ~ West Barnstable --------------------------' ' . ' � ~ Robert Moniz Ovvner---------------------- . . ' frame Type of Construction -------------- , --------------------------. Plot ..... Lot —_.----�---' Jxo�� �x� �� Permit Granted .............June Dote of Inspection ..................................... V . -. ' ' Date Completed lV ------------.. � . - ^ ' PERMIT REFUSED, ......... . . ' lA � ^ - « ....................... ^ ' .. ... A40e—.�- --.�---- , ~ -------�---.. ' ' ' . ~- ~ � '--------------------''r--~— ^ -Approved ''-------------'�—lg --------------------------. � ` ~ ~ ----------------------^--'—' ' - lrur `/, 94.UO . y A/4-30 °9 ' -4$ " ✓ ,� _ F f7a.h,,w 5f�t� ri_ f2 T _ a i>Q 94 r ELt:, r� t'' •'� j v u ak5 i._ !4,4 s. cif s$:© �r 0.o ' i CI} -till o I • APPROVED BY SCALE. DRAWN 0y DATE REVISED DRAWING NUMBER