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Home My WebLink About0215 SADDLER LANE ai5 �dlev- L ,_re OxfordNO. 152 1/3 ORA m Fo; � ,:. .. ->^.+t.•�r��'�,"=s'sra;�.��`5,�"`- "yt-,, `'r�-S ��.,�x�-��,+..r.-��,a--=•o::�=•ems�m....�.---�r�-`'�tS>.°1 >,, a• » TOWN OF BARNSTABLE Permit No. ----- Building Inspector Cash - __-- • Ewa OCCUPANCY PERMIT Bona Issued to S L S Trust Address Lots #'32 & 18, 215 Saddler Lane, W. Barnstable Wiring Inspector Inspection date Plumbing Inspector \\, Inspection date Gas Inspector `a 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. ........ . . _.a ...., 19 � ,_ ..... Buis ing Inspector • ��..° °�•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: �- An Occupancy Permit has been issued for the building authorized by 4Building Permit #...... .. .................................... ........................._....... ........ ............ _ _......»» .....�._ . j issuedto ��„ .. ....................................... . ....................... _..� ... _....._ ._._.._ _.__ ............ 1 Please release the performance bond. i II B •` - U i �, �� TOWN OF BARNSTABLE, MASSACHUSETTS A-151-004-006 PERMIT JOB WEATHER CARD -4z 29099 DATE is�rrll Jhi 19 sil PERMIT NO. t APPLICANT ADDRESS Ili HS l (N0.) � (STREET) (CONT�R'S LICtENSE) OF PERMIT TO T{IIT rl Th-1 1 ]„4�n,. STORY ��7if ;.E? 1'ti1L1'1.}' Dwelli?ly, DWELLNUMBERING UNITS (TYPE OF IMPRAEMENTI NO. (PROPOSED USE) ZONING I AT (LOCATION) Lots Vs 32 & 18, 215 Saddler j que, W. garns tahIr, DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) f LOT SUBDIVISION LOT BLOCK SIZE I BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION f i j TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) i REMARKS: Sewage #85-971 )REA OR OLUME 1112 :iCl, it. ESTIMATED COST $ 50s000•00 PERMIT Bond (ifi_ (CUBIC/SQUARE FEET) YNER S L S rusc DRESS - .}rci(U718 BUILDING DEPT. i. J i�-.771.r' '- BY N. Jr ,�TJ 1,% 11S PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART T ;ERE,OF. EITHER TEMPO1RARI Y OR 7MANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER TH&'BUILDING CODE,'MUST- E AP- -:VED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED 1 THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS ..1 APPLICABLE SU9DIVISION RESTRICTIONS. iUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE t.CTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMI'(S. ARE REQUIRED FOR -ONSTRUCTION WORK: ELEC"RICAL, PLUMBING AND '1NDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECH.'�NICAL INSTALLATIONS. iOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL M'AL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. .,AL INSPECTION BEFORE ,i CUPANCY. ' POST THIS C14RD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 fy Ila �f�_ 1 Vil i 2 � z z 9�5? i PfRO O i= A71-T4-tl_rt4 r 3 - HEEAA TIINGaIINNSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS OV 2 i WGFK SHALL NCT PROCEED UNT;L THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS INDICATED ON THIS CAR^ :NSPECTOF SAS APPROVED 74E VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR By TELEPHONE STAGES OF CONSTRUCTION, µI , IS S'i)_D AS NO•.D A'3OVE. OR WRITTEN NOTIFICATION. � PcR T I C rr. ' _ t SECTION A sEw t. ,GE . k 21 -SEPTIC TANK- .�jl -"D"BOX - 31 -LEACH �I T TOP OF FON I (MSL)* u2..OF US TO lb" WASHED STONE '' IN• OUT• fit, y 9 IN• OUT• IN• �sy / �D , 1-- G �. 02:70 p sEPrlc �_ yy��I 0 ` ELEV. ( 2. - TANK IO2 I� Q i�O •.' _4 t4i + y1: .14! ` +�"s' ELEV. ELEV. ELEV. 1 [OI 61 d li \ ELEV. ELEV. 15.10 I t f1. \ - O iWASHED STONE L��E s TEST HOLE LOG CO- 42,10 Env, 87.4 �5 LE .'•. �E 1` TEST BY i2owhL GAF u,co 0 u014 TEST DATE 3 WITNESS3 -BEDROOM HOUSE DESIGN T.H: r 1 T.H. s 2 �(� ELEV.0101,� ELEV.IoI,& NO — LOB"- ..I�I/3I — 1nl 2�'I-ry 5l! SOILpI''� I21� IdO:(o PERC RATE L 2 MIN/IN. DISPOSER DISPOSER �'jl 1 , FLOW RATE 330 (cAwDAv) O I(1 /� e 'y SEPTIC TANK A51 )Sbl� q(p'' F OZ ,3,(O R EO'D SEPTIC TAN K-SIZE � u �• �T �s5�sF F LEACH FACT LI I , 11 rite g 1.�0 SIDE WALL VZG = 1 (l i.r) d G/D. ilk 7� BOTTOM 49?�2)zar (I,(V). . SO! G/D. TOTAL USE::I d � LEACHING NQ. WATER ENCOUNTERED /� err' (�i�Mr X lG GF�� DG��Thi' �E�� aPdC►� { NOBS: (UNLESS OTHERWISE,'NOTED) P F--1-��sO�I t4a 2.DATUM(MSU TAKEN FR M h p (GT QUADRANGLE MAP GI'�2 1 v1� PEVE�PI 2:MUNICIPAL WATER VAILABLE• �,1 Of 3.PIPE PITCH:w"PER FOOT .� 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO• n Y✓ ARNE H. 1. I _ S.MIN.GROUNDCOVER OVER ALL SEWAGE FACILITIES:(1)FT, cj 6;PIPE JOINTS SHALL BE MADE WATERTIGHT CIVIL y+ ~ I�� -�� S 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. I STATE ENVIRONMENTAL CODE TITLE S 0. 0792 (�I -7,51 SITE S�` AN 8. T�.a« p, >=oz � � w,a+uC c ,�� .a ��-w�,�� A��.r ST `�H•4F t LOCUS: �T- 32� I� S��LEi� VI�1 tio'r• �8 t,1�D T"ra�. �ito�-L�`f L�vCT �c'd.C"..►ts � ��t. _`�, I ' q, 1�.Ld. Ll�hul'i��l.r: Mp-tEKial. �TklEty� emu, �7,�Q REG.PROFES I L •A LE INEER' NE yG� � • �p'PNgTi�R�LL � Mo•S5. tI H F>, 3f :2ro) 6E,�: IZWOYF,�p &4D ► L(7N- 1 C!):. OJAL.A REF: e-t,5 .4 M EP I U G M To o,a.Rsr Fo< Io I WOWCa►*Pe eftgifteeorinof �. sas � PREPARED' �'�erst ;ITT J�• FOR:� CIVIL ENGINEERS / kc BOARD OF HEALTH LAND$ E O —REG: R I I i A URV Y RS CONTOURS (EXISTING)----•----•'•- GATE `� I G :YiA onvillib� SCALE = 4O �d (PROPOSED)-O-O-O-O- APPROVED e*f:: �J`� �L� ?._ ' DATE �5 �2 IS .rr, � LANE A'SS•00 9eq�q 2j l_oT 31 N L— oT 32. ,e N, \= ro _GoNc. / C�QELt-1 SPAGG� Liz 19 0 L.aT 10 +/ n TaTC„ /SlQeA 14 Z.o 5 SF± � Fir 130.00. JOB # 85-215 CERTIFIED PLOT PLAN PREPARED FOR,: LOCATION: LOT 18/32 SADDLER LANE SCALE: 1=40 DATE: 3/12/86 REFERENCE: LEBEL / SOLLOWS I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON A1ASS4 o�� •AR�� CyGs down cape • engineering CIVIL ENGINEERS �� t),l z AND SURVEYORS ROUTE 6A YARMOUTH MA DATE .1[ SURVEYOR o/a(9/�� D /e /35 Assessor's map` and lot number ... .. . .....I /, .. v 7 v O...... THE T II oK 4 C, SEPTIC SYSTEM MUST °` Sewage Permit number ......... . .... ......f................... . INSTALLED IN•� J_. Q,IVI L1 . Z BARNSTODLE. i 1lIIITIfi`TITLE - M�a House number. ........... o?./...a......... .................... �NVIRONMEItlTAL.COVE p� i63q. `0 TOWN OF BARNSTABLE BUILDIM.,G I SPECTOR APPLICATION FOR PERMIT TO o� . TYPE OF.CONSTRUCTION ................U ...... .... ........ ..................................................... ...........191./. . l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .....��. .t ..� zo. : l ProposedUse ............:o ./..�f� ..................................................................................................... .. Zoning District ................�� ..................................Fire District ...................�� Name of Owner .......................�. ..� f........ ....Address ... . �............. ................................. l Name of Builder O•..1� 6.1....... �...�.....�..�.!J......Address .................................................................................... Name of Architect ..................Address ......... . ... .............'.......... Number of Rooms ...................+....,1........................................Foundation .... .. ...1 �'✓l 5./..� �� .p/� v........... Exterior .........<��. .. .�. �f� ..............................Roofing ........... .......................:.................... Floors ...........................................................Interior .............�p.... ... ............................................... ,f•.• .. C1-2 Heating .............................Plumbing Fireplace ................ .. ...............................................Approximate. Cost ........n ... ....................... Definitive Plan Approved by Planning Board _________-291za__ ______19 ___ . Area ....,/............ �. .. Diagram of Lot and Building with Dimensions Fee v...................................... . .... SUBJECT TO APPROVAL OF BOARD OF HEALTH l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of rnWbIen the above construction. Name .............................. Construction Su rvisor's License / j.. S, L S TRUST 29099 1' Story o ................. Permit for ...... ............................. Single Family Dwelling ............................................................................... Location Lot's #32 &18, 215- Saddler Lane ................................................ W. Barnstable ............................................................................... Owner .......S...L...S.....Trust................................. Type of Construction ...Frame............................. ................................................................................ Plot ............................ Lot ............................... Permit Granted ......March...2 6..................19, 86 Date of Inspection ................................ ... Date Completed ....... ........19 f to Assessor's map:;and lot number. :. ..........1..:. ' l %C THE 0 .. ...4 Tp`I Sewage Permit number .........gs.^.. .1..�................... 5 Z BASH9TABLE i House number ..............':......... .... ...L...................................... v0 rnea •t 0 Mix d TOWN OF BARNSTABLE BUILDING I SPEC-TOR . APPLICATION FOR PERMIT TO .. ...........................................� %. �......�.��................................ ... . ....... TYPE OF CONSTRUCTION ................. ./l/ 0 U ,3�/�p.�J..........................................�. .............. ..... ............,9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tothe yfollowing pinformation- ��,y� Location ...../ ...� .;l.� 1./....rf 1/ l! ..!•• -� ....... /� '..ci/✓!`....��7/. ............ .............. ............ ....... ...... . ProposedUse ............:� ��1.. ., ,/...... . ....'�1............................................................................................................... Zoning District ................ ...... ..................................Fire District ...................s / .........Address i Name of Owner ............. .i. Name of Builder .0�.� .. ..J�� .!' f ,(�..W./?.....Address ...................'.................................................................. / p... ....::...................Address ......... � ... ....� .. ...'....Name of Architect .. ..,..�?. -... .. :�..--.. P ,� 12 Number of Rooms ...... Foundation ....I. ..�,.........(�.. ...:.`. .. Exterior ...........� '..!..............................Roofing ............(!�...�.�............................................ J ` 1 Floors — ............................................................Interior .;:..........(.!J.....:...P............................................... Heating ..:..... .... g C ... .... //........ GG i ... ........ ,,7............................Plumbin .:...... . G/ , Fireplace ............... ../>................................................Approximate. Cost .......... /.C................. ",;e Definitive Plan Approved by Planning Board _________J 1 L± __ ------19 ___ . Area .............. Diagram of Lot and Building with Dimensions. Fee ............................................. I SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations'of the Town of 'g rnstable rega din the above construction. Name :.(. " � Construction Supervisor's License .�.�..��/......�.... S L S TRUST = 151-004-606 No Permit for ................ Single Family ..................... Location ....Lot...#.'.s...32...&....18.,...2.15...S.add.l.er Iane ... . .. ... . ...... . W. Barnstable ............................................................... .......... Owner ......S L S . .Trust ................�...................... ............ ...... Type of Construction ....Frame............................... ...... . ....................................................I............................ . Plot ............................ Lot ......... ....................... '. 86 Permit Granted .....-March 26:'$ 19.................................... Date of Inspection ................................19 Date Completed ......................... ............19 Cd VIA i The Commonwealth of Massachusetts Department of Industrial Accidents Office 9"HY95017 17S 600 Washington Street --= Boston,Mass. 02111 Workers' Com easation Insurance Affidavit name: location -:2- "C,/O/ city /,'r1,111 d �I vhone ❑ I am a homeowner performing all work mvseif. I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers compensation for my employees working on this job. com nnv nante• address- city phone#- insurnnce co. nitcv# //a/oiaii/i/i/////////aa/i/aia/iaai/ii�aaaiia//a/iaiaia.:....a/i//aa/aai/ ///a//a/ia ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have , the following workers' compensation polices: :. ............ com anv name" -••.••.••:•:•• address- :.. hone#.. d :,.. . insornnce co. company name- address: . . :... .. hone#-. city insurance co.. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Me up to 51.500.00 and/or one vean'imprisonment as well as civil penalties in the form of it STOP WORK ORDER and a tlne of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the omce of Investigations of the DIA for coverage vetillcatiort. I do hereby certify under the pains and penalties o perjury that the information provided above is tru,.and correct Signature Date Print name t,f Phone# 77//62�— CC3 do not write in this area to be completed by city or town omcial permit/llcense 0 ❑BuNIng DeF ment QLicensing Bo once is required ❑Selectmen's ce ediate reap 4 ❑Health Department phone sh, ❑Other�� (tsvum 995 PIA) n0 CMR App=ft 1 Table JLLIb(eontlnned) Prescriptive Packages for One and Two4exudy Residential Bnitdings Heated with Fossil Faela MAXIMUM MINIMUM Glazing Glaring Ceiling Well Floor Hatemeat Slab Heating/Cooling �'(y) U-value= R-value' R value' R value' wall Paiateta EquiPmmt F.fScirsicY' package It value' R value 5"1 to 6500 Heating Degree Days' Q Ir/. 0.40 38 1 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Now S 12% 0.50 38 13 19 10 6 85 AFUE T 15Y. 036 38 13 25 N/A N/A Normal U 15% 1 0.46 38 19 19 10 6 Now V 15010 0.44 38 13 2S N/A N/A 95 AFUE W 1S'/. OM 30 19 19 10 6 95 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal t 19% 0.42 38 13 19 10 6 "AFUE AA I r/. 0-50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a L TMe The Town of Barnstable 9 umn Department of Health Safety and Environmental Services � •`° Building Division 367 Main Street,Hyannis MA 02601 Office: 509-790-6227 Ralph Crossen Fax: 509-790-6230 Building Commission: For office use only Permit no.�_ Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: ' �.J �rx� �� Est. Cost Address of Work: ��1� � � r/ Owner's Name \/ L C 0 VI A e / l Date of Permit Application: �o I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROG:2AM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. � - 7- d yd Date Contractor Name Registration No. OR Date Owner's Name i II III n �y.Pew:� _�..• :f r. .�;-'� _ �.! •: '� .• •.1-<. �•ri.. 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IMW Pa 'K 35•tin?x s xmd rl'f r`` r.J,� L N'J;u...••� t_.:�..v"v 1�roY�ra••'•:•"1+1Sai�e 'r•.fa�� f n'i,:'i�i••,.ei.. - .t� Jux yj V _ u _ r3 � r a �s9 .. •• 1. ._ ' •,f t - _ x 'r`pG�j+ c'( yy u3�t • - �• Y -•1.r' iA ti l:b�I i �u J��G? °HOME �IMPROVEMENT �CO.NTRACTORSREGI:STRATIONj j and of�,E3uildi'ng, 2egulat2ons aril Standards • One` Ashbu`rto., Place ;,Room;1301 � - Boston;,. Massachusetts 02108 .w{• tjr 4-1 •:` r..i 4��33��.. r R "` S Y�+,:; YY t;w. iK 1`J tt ,fa '. •�>•i,iPe �.2.!_• ..a- u ,ate f�.�+ .ry � Lx,;S'�� Kt^�t�rrA .,�•�. � `S-HOME.• IMPROVEMENT +CONT_RACTOR Re9istratiori ;109404' XPiration 09/16/98 ' s 4ty _ J-a t s� ( tJ 3+�i•� R`�.>E, +d61 .% ,(.t2'X`�.+i••�i 3 �' I !f Type — INDIVIDUAL' .sL. t. bi t �,,"l,s* Ay"y rt, 7•yyy,!Y rub r Kai s i` : � tp Y j "F"'' r f i 7 ,1 �% �S t'T�`^ -:•", ' .. 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DEPARTMENT OF PUBLIC SAFETY ` CONSTRUCTION SUPERVISOR LICENSE Nu�ber � Expires: R'estnct'ed.A ; 00 GIENi tCIQUGN-JR 31<OLD°STAGE RD -A CENTERVILLE, MA 02632 I • TOWN OF BARNSTABLE Permit No. ____29099 _ i Building Inspector cash ' 1e 9.. gal ~ OCCUPANCY PERMIT Bond Issued to S L S Trust Address Lots V 32 & 18, 215 Saddler Lane, W. Barnstable Wiring 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. n/ ...............................� l. �. 19_X , ....... .� ......... _.......__._._ / Buil"ing Inspector r) Map / Parcel d Y c _ Permit# r House# a J Date Issued — Board of Health(3rd floor)(8:15 9:30/1:00 Fee D D Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)° e� Ee� 5ai6. i SEPTIC SYSTEM Planning Dept.(1st floor/School Admin. Bldg.) INSTALL MPLIA+NCE Definitive Plan Approved by Planning Board 19 5 • ENVIRO ODE AND TO TIONS TOWN OF BARNSTABLE ` Building Permit Application Project Street A ress Village Owner To�� C6h� e/� Address Telephone , Permit Request A P/, V First Floor square feet Second Floor square feet Construction Type L oa Estimated Project Cost $ /07 CEO Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family EI Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: dj.Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing oZ New Half: Existing New No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing 7 New First Floor Room Count Heat Type and Fuel: ,A Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing ! New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes pNo If yes, site plan review# Current Use Proposed Use Builder Information Name G/�°h h l�/Q J�S �� Telephone Number 7 71 Address /_J License# a 6 Q �Q Home Improvement Contractor# Worker's Compensation# Alfa NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /�7 DATE BUILDING PERMIT DENIED FOR THE FOLLOWEG REASON(S) FOR OFFICIAL USE ONLY _r • PERMIT,NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE ' OWNER '^ �J DATE OF-INSPECTION: FOUNDATION FRAME INSULATION' . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: OUCH FINAL r FINAUBUILDI&d r DATE CLOSED.OtiT-; 1 ASSOCIATION PLAN NO. s;Y � ru t