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HomeMy WebLinkAbout0077 CANTERBURY CIRCLE 77 �pi1fP�G�+iz� (%rc/� --- — — � J Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 (a 12/16/19 z 0 0 Brian Florence CBO N Town of Barnstable Building Division ' 200 Main St. Hyannis,MA 02601 ._. RE: Insulation Permit B-19-3153 - Dear Mr. Florence: This affidavit is to certify that all work completed for,77_Canterbury.Circle,Hyannis has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, . William McCluskey Town of Barnstable Building Rntil Pot Thar03 Pte Final Ins ecton Has-Been Mallet Permit a Where a Certificate of,Occupancyls Required,such Building shall Not be Occupiedunt�l�a Final Inspection has been made . ......:..,u .;. Permit No. B-19-3153 Applicant Name: William McCluskey Approvals Date Issued: 09/24/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/24/2020 Foundation: Location: 77 CANTERBURY CIRCLE,HYANNIS Map/Lot: 249-123 Zoning District: RB Sheathing: Owner on Record: MCDANIEL,DELVASHAH Contractor William J McCluskley Framing: 1 Address: 176 CRAIGVILLE BEACH Contractor.L`icense: 102.776 2 HYANNIS, MA 02601 Est Project Cost: $5,000.00 Chimney: Description: Add R-30 fiberglass,and R-19 fiberglass to the,basement.Air'seal Permit Fee: $85.00 the basement with expanding foam. General w $85.00 eatherization. Insulation: Fee Paid° Project Review Req: Dater^ 9/24/2019 Final: Plumbing/Gas y M i;L Rough Plumbing: ;.>:_ in icia This permit shall be deemed abandoned and invalid unless the work a thorned,by this permit is commenced within six months after i� an Final Plumbing: All work authorized by this permit shall conform to the approved application and theapproved construction documentsfor wfikhthis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws'and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public�mspeetion for the entire duration of the work until the completion of the same. Final Gas: a t The Certificate of Occupancy will not be issued until all applicable signatures by theBwlding and:Fire Officials are.provided on this:permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:` r 1.Foundation or Footing ! Service: 2.Sheathing Inspection x Rough: 3.All Fireplaces must be inspected at the throat level before firest fluehnmg Is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection . 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: dW LJ�i� Town of Barnstable fi2i /05��s Regulatory Services Fees6 »ths omissuedare g y 1.3 BARNS 4BL6, 16A Q. A Thomas F.Geiler,Director 3 FD MA'I Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint. Map/parcel Number �(�"� Property.Address C a S— ( Zo� Residential Value of Wok (p�ja0. Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Trnay, 1c, 1 � 71 elr f'%j0 --�5 Contractor's Name 1�rd K,��" ����Y^ (� � C, Telephone Number •�(��- Home Improvement Contractor License#(if applicable) Co truction Supervisor's License#(if applicable) Workman's Compensation Insurance -PRESS PERMIT I Check one: ❑ I am a sole proprietor O C R 2 Q 2009 �I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name_�SS�CtaAeCL Workman's Comp.Policy# ACC S lib;XAS`I Q k ©O IR Copy of Insurance Compliance Certificate must be on file. . Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [Replacement Windows/doors/sliders.U-Value . Ito (maximum.44) *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 Pro ner Letter of Permission. A c e Imp ement C tractors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\MY7NB4IL\EXPRESS.doc Revised 1.0060 OFF _ Town of Barnstable, Regulatory Services Thomas F.Geiler,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 H,-Tvi Fo9) 3- 2 , as Owner of the subject property hereby authorize'-; )0-�4al`k R G t QAS T1:e to,act on my behalf, in all matters relative to work authorized by this building permit application for: 7 y cP,r-f-T � 2"V 2y (Address of Job) Signature of Owner V Date Print Name if Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\MY7NB4IL\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 t. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant.Information Please Print Le ibl Name(Business/Organization/Individual): C G%Q- Address:__ x a3 City/State/Zip: CeY _M ALe_ 6 Phone.#: 150$' 3(.3- a4A S AZe an employer? Check the appropriate box: Type of project(required): 1. am a em to er with 4• ❑ 1 am a general contractor and I - p y �* have hired the sub-contractors 6. ❑New construction employees(full and/or part.tim.e). Remodelin 2.❑ I am a sole proprietor or'partt]er-' listed on the attached sheet. T. ❑, g ship and have no employees These sub-contractors have 8. '❑ Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'•comp.-insurance comp. insurance. its 10.❑ Electrical repairs or additions required.] .5. ❑ We are a corporation and ' 3.❑ 1 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.t0ther_r,oof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13. , comp.insurance required. *Any applicant.that checks box#1 must also fill out.the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. (� Insurance Company Name: kSOc%0_, e& Co. — Policy#or Self-ins.Lic.#: W C<—' 5 b e 8 G 00 a Expiration Date: Job Site Address: l l GQY11��'�uh� C1C �uG,�ny��5 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 crimiri4l 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 perjury that the information provided above is true and correct. Date: eS.i ature:_� — Phone k Official use only. Do not write in this area, to be completed by city or town official. City or Town: PermitElcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Information a'nd Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation'for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal e 'tity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs to s persons to do mai ntenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local-lice-rising agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the perforr ance of public work until acceptable evidence of compliance with the insurance � requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conti actor(s)nasme(s),.address(es)and.phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should rm be returned to the city or town that the application for the peit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials, .Plea.se be sure that the affidavit is complete-and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition, an applicant that must submit multiple permit4icense applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit.that has been officially stamped or marked by the city oritown maybe provided'to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year:Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Departmamt of Industrial Accidents Office of Imvestigatim 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia 10/20/2009 10:35 5083626115 BAKER: PAGE 01 uAT;91 o�ao/dVV9 Timm X117 TM To, Q 9,15083626115 - raQet vva C 2BA ERA ACORD,. CERTIFICATE OF _LIABILITY INSURANCE 6128/�°"""' PRODUCER THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION Dowling$O'Neil Insurance ONLY AND CONFERS NO,RIGHTS UPON THE CERTIFICATE Agency HOLDER.THI$CERTIFICATE DOES NOT AMEND,EXTENO OR 473 lysnnough Rd„ PO Box-1490 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis,MA 02001 INSURERS AFFORDING COVERAGE NAIC# INSURED INSJRI=RA: National Grange,Mutual Insuranc Baker&Aasociates,lnc-P O Box 923 INSURER e: Associated Employers Insurance INStIRtK(;; Centerville, MA 02632-0071 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.-PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT/UN.THE INSURANCE AFFORDED BY.THE POLICIES DESCRIaED HWF_IN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NIJ1111INER LIMITS . A GENERAL UAeiLAY MPJ7223M 04/19/09 04119110 FACm OCCVRRENCI $1 000 ON E rp KEN,Eo X C.�MMFRC,IAL GENERAL LIABILITY g60000 CLAIMS MADE a OCCUR MED EXP An ona pamr-I $10 000 _ PCRSOK4 d ADv INJURY $1 000 000 GENERAL AOOREOATF $2 00O 000 aENL AGGREGATE LIMIT APPLE 5 PER: PRODUC15-COMPION ACG $2 000 000 POLICY PRO ImLOC AUTOMOBILE-LIAOUTY COMBINE.0 51NGUP UWT $ 'i ANY AUTO awoarn) ALL OWNE°AUTOS BODILY INJURY $ SCHEOULFO AVrOS (Per pamon) HIREOALITOS BODILY INJURY $ ` ora0d P 6en1) . NON•OWNED AUTOS - ( - H . PROPERTYDAMAGE, $ �Per W.Mw) GAPAff LUkOL TY AUTO ONLY-EA ACCIDENT $ . ANY AUTO OTHF,R Ti" EA ACC $ AUTO ONLY: AGG $ EXCESSAIMMELLAuneanY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCn9LE $ RETENTION $ B WORKER5COMPENSATIONAND WCC5002454012009 04t23/09 04123/10 X wcsTATu. @tdPLOYERS'CIABiriy - N.IIIL CL EACHCCIDFN1 ANY PROPRIETORIPARTNER/F.ACUTVE A 5100,000 OFFICERIMEMBER EXCLUDF.07 NO E, I- EMPLOYEE $1 OO DSO !I 6escrlbe under PR ISI E.L.DISEASE-POLICY LIMIT 6OO 000 UTNEk DESCRIPTION OF OPERATIW 0 LOCATIONS I VEMCLES I EXCLOSPONS ADOED BY ENDORSE$AW I SPECW PROVISIONS Officers are I ncluded under the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions;other limitations and endorsements. Nothing contained In the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions CERTIFICATE HOLDER CANCELLATION 10 Da Xs for Non-Pa ment SHOULD ANY OF THE ABOVE DESCRWD POLICIES BE CANCELLED BEFORE THE FJ<➢MtAT10M Town of Barnstable DATE TEEEREOF,THE ISSUM0 RNSURER WALL ENDEAVOR TO MAL 11f) DAYS WRI 1FIN Thomas Perry NOTICE TO THE CERTIFICATE MORAFR NAMED TO THE LEFT,SRrT FA11LUU TO DO 50 SMALL 200 Main Street IMPOSE NC OBLIGATION OR LIABILITY OF ANY KIN°UPON THE INSURER,ITS AGENTS OR hyannls,MA 02601 _ REPRESENTATTVEB v ACORD 25(2001/08)1 of 2 #S5911o1M5846a LS1 G ACORD CORPORATION 19ae massatchusetta - DeIMI-t Me"t 'it' Pul)Iir Saft-t` Bmtrd ail Bu >ldi:n Re ulatit►"s Mid Staxsclm-ds Construction Supervisor License Lices�: 74477 n , Re'tricted-t® 00 i f, BRE1'T .! B�S.SIERE s 111 V+JAR'EI' LAKE H4RE D ; EAST WAREHAM, A 02538 Expiration: 1/6/22011 ( 41 Mill.@'--ii4Ct`1' `Cr#: 8715 W A fj Jlte Board of Building Regula ions a tandards One Ashburton Place - Soom 1301 Boston. Massa setts 02108 Home Improveme Contractor Registration. Registration: 162600 Type: Private Corporation 1 a Expiration: 3/26/2011 TO 282115 H BAKER & ASSOCIATES IN MARK BAKER - P.O. BOX 923 CENTERVILLE, MA 0 32 � t Update Address and return card. Mark reason for change. DPS-CAt 0 50M-04/04-G101216 Address �_J; Renewal ,___! Employment Lost Card t �re -Commowavwa 0 Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement-Q. actor Registration # Registration: 162600 Type: Supplement Card Expiration: .3/26/2011 BAKER & ASSOCIATES INC. -- BRETT BUSSIERE 521 SHOOTFLYING HILL RD - CENTERVILLE, MA 02632 r Update Address and return card. Mark reason for change. oPs-cAi 05oM-04r04-Gio1216 Address —� Renewal !. ; Employment Lost Card The COnunonwealth of Massachusetts William Francis Galvin -Publ; Browse and Search Page I of The Commonwealth of Massachusetts 'f William Francis Galvin Secretary of the Commonwealth,Corporations Division One Ashburton place, l7th floor Boston-MA 02108-1512 Telephone: (617)727-9640 I' BAKER & ASSOCIATES, I G", Summary Scree:`: I LRequest a Certificate The exact name of the Domestic Profit Corporation: I3AIElZ&ASSOCIATES,KC The name was changed from: BAKER Cj15TQM,,F1Lb7Nt 9M &VINYL COMPANY INC,.on 1/8/2004 Entity Type: Domestic Profit_Corporation Identification Number: 0002209 Old Federal Employer Identification Number(Old FEW): 000000000 i Date of Organization in Massachusetts:�01/01/1996 Current Fiscal Month I Day: 12/31- � Previous Fiscal Month I Day:00_/_00 The location of its principal office: No. and Street: 521 SHO TbLY1NG FULL RD. City or Town: CLNN_1E12V1LLE State: MA Zip: --- Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street City or Town: State: Zip Country: Name and address of the Registered Agent: Name: No. and Street: City or Town: State: Zip: Country: The officers and all of the directors of the corporation. Title Individual Name Address(no Po Box) Expiration First,Middle,Last.Suffix Address,City or Town,State,Zip Code Of Term PRESIDENT MARK BAKER 521 SHOOT FLYING HILL CENTERVILLE,MA 02632 US TREASURER CAROL BAKER MRS 521 SHOOTFLYINGHILL ROAD CENTERVILLE.MA 02632 US SECRETARY BRETT,BUSSIERE MR. 521 SHOOTFLYINGHILL ROAD CENTERVILLE,MA 026323 US DIRECTOR ®m MARK BAKER MIR 521 SHOOTFLYINGHILL ROAD CENTERVILLE;MA 02632 US asn9ReadFromDB=True., 3/25/2009 H, , -4• a Assessors map and lot number ..... ... ...........'.............. 3 YNe t� Sewage Permit number .. ........ .. . .. , i9 • B9BH d! House number ....... ............... ..... ..:......` 'oo a TdD E, MABB i639.a\0� TOWN OF 'B:ARNSTABLE DOILDING INSPECTOR APPLICATION FOR PERMIT TO ��i` l� p .�/'o� ....: .... ..... ............ .. . .......... +........ TYPEOF CONSTRUCTION ....f ! ,/....................................................... .:................................................ ?.��......1...�.....................19Fj TO THE INSPECTOR OF BUILDINGS: The undersigned ghereby /applies for a permit according to the following information: C12 Locati�n ..� ..�!.f-e/L 6..... .. .....\�C.... .. ......... ....................... .... .... ProposedUse ..........?..J......................... ............................... ........ ...................................................... Zoning District �t. .......a. ......................... Fire District........................' � �j.. .........d... T....... ... *Al Name of Owner ..'./�. � 7� .......................................T 2+ ........................... L .. .. . .. . n.SG?!t>.................. ........Address Name of Builder ....... .... .... .:.. Nameof Architect � .'�..............................................Address ......... .................... ...............:.:...:.....:....................:�: 6� Number of Rooms ef� ... !!U ..................................................Foundation ......................:....................................................... � ' Exterior . ... � �Gr ti �/G PGS• • �� - �� c`! ?.. ........................... ................................................Roofing. . ............................. � .... .... Floors Interior .. .. ............................... ................................... . ............... Heating .. !.L.U•..... � .. ..............................:...........Plumbing ............................................................. Fireplace .. ......................................................................Approximate. Cost ..... .LC Definitive Plan -Approved by Planning Board _______________________________19________. Area ............26 � Diagram of Lot and Building with Dimensions Fee ..............`:............................ A SUBJECT TO APPROVAL OF BOARD OF HEALTH }f •14' :r b y .,6 7, 2' :F" 77 S OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS C�,>t,�-i-� �tO9r C I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ., .... ' Construction,Supervisor's License s r No 26840:.. Permit for �?��' QN................. t , ..Vglp.F=d y...]).Well-Lug. .......................... ry r I Location .....7.7..Canteburyr..Circle................. `.. ....................Hyi.s............................................ Owner ......Beaj a.x'sin..................................... • / k , Type of Construction ................................................ �. Plot ............................. Lota ............... .......... Permit Granted .. .................. r. s t ..Augiast..15 � �:1,9 84 ! f ' Date of Inspection.- ........;............. /19 t '!Date 'Completed . . G•{ldAl..... ......... ......19 b/ 1TV oil • oi Asssoc's_map and lot number ....... . • ..... uF?NET Jn ... � I Sewage ,Permit numberi'f0. ` ..:..... .:. . ... .. . Z B8flHA9eTdI1LE. i House number ................ v a �p 1639• \0� �'D 1�Py a• Z. x TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......1 ?.�f.�.t� y�.aPI Ti...'u..............: TYPEOF CONSTRUCTION ..... �`.! M ✓�.......... .............................................................. .......................... ' U ?......�..`.....................19j. 11 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................. ........................ ................................ !...................................................................................................... ProposedUse ... '''`.1......................................................................................................................... Zoning District ' ............: ..!�J Fire District e�/ ..... ar Name of Owner .....Address 22 a.L !7 y'/ 'Jd,,��.f `•.. !'. .� , /,elo Name of Builder ,.�.......o... ............. .....s.................Address ..>................... ............. ............ ..... ........ ... . Nameof Architect m.e..............................................Address .................................................................................... Number of Rooms ..................Foundation ....�xl�' (�...�? ................................................. ............ ............................................... Exterior ... ........................rwa at'! ' .......:. Roofing 145 ....- ij ............................ ............Interior .... � Floors .......................................................... ........ ............................................................ Heating / ...............r.....�,..............................................Plumbing ....:............................:.................. Fireplace ..Approximate Cost .....!�f ........................................ ................................................................................ Definitive Plan Approved by Planning Board ............... _...............19___---- Area .: Diagram of Lot and Building with Dimensions Fee /Z oO SUBJECT TO APPROVAL OF BOARD OF HEALTH k �p E � v _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS C j+ At+22lQ(/R l ^y - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. { /Name . . �. .. .Z,G!J::���. ... .... t Construction Supervisor's License0/?:3a.:�'�..2.............. LARSON, BEN, A=249-123 26840 ADDITION ................ Permit for .................................... Single Family Dwelling ......................................................................... Location ......7.7..Camteb=y..Cj-zcle.............. .................... ........................................... Owner ... ......................................... Type of Construction'. .....kXAM................ .......... .............. .......................................................... 1 PY Plot ............................ Lot .................. ............ Permit Granted ....August...15. ..............19 84 .............. .... Date of Inspection ....................................19 Date Completed ......................................19 -07 �-.'+ / Cedar Acres Trust ' 15325 one story ^ ^ No ................. Permit for .................................... ' single family dwelling � .......................................................... ' \ \ Canterbury Circle Location -.-.-._--.----''' ---' - '' '' '' ''''' ' ' ^g'aruzia .--.---..---..--...---,.----.---. Cedar Acreo I�oot [�vner -.---.----.-- .'----" ' ' ' --'-'--'--' '' frame Type of Construction .......................................... _ - � ---.-..^---..---.--_....---..---.. An Plot ............................ Lot ................................ ' - ' - - Permit Granted --- .4--.--]g 72 _ ' Date of Inspection ' 19 Dote Completed - - PERMIT REFUSED � .-----.,...-.-..--.--.-.._-. 19 - ~ - .,..-~-~-.-.--..-----.-.....~—..--- _.~~...--,-,-...--_-.-....''.':--.-.. . . .---_,-~....----.-..~_.,..~....-.-......' - .-.-.--...--.-.--.,.^......-.'.-.,----.. Approved ................................................. lA -------.--.--...--.-..---.--..--' a^ � -------.---.-----.-.-...-..--^.�' | ' ^ - ^