HomeMy WebLinkAbout0047 GROUSE LANE 7
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MESSAGE
OPERATOR:LLB_
0 23-024-400 SETS 23-027-200 SETS
1 '1
Assessor's office(1st Floor):
Assessor's map and lot number o�
Conservation(4th Floor) i
Board of Health(3rd floor): ,
E f, CO
ci
Sewage Permit number ' E��VI� WITH TITLE
Engineering Department(3rd floor):. /✓/ r �NMENTAL CO \
House number T®�i�
Definitive Plan'Approved by Planning Board T 19 , 1 REGULATIONS
APPLICATIONS PROCESSED;8:30-9:30 A.M.and 1:00-2:00 P.M.only `.
-� TOWN - OF BARNSTABLE
'BUILDING ' INSPECTOR
APPLICATION'FOR PERMIT TO f4/ � w. /Ryv/p 11 X /7 x -6- �
TYPE OF CONSTRUCTION
19 �3
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 47 (40 USg
Proposed Use Aapez C//•�/2
Zoning District Fire District /,,'y
Name of Owner P/ e 06�0leAl Address
Name of Builder Z Address
Name of Architect Sr4 Address
Number of Rooms Foundation
Exterior Roofing
f
Floors Interior
�r
Heating Plumbing
Fireplace Approximate Cost z ✓l--M
Area
os
Diagram of Lot and Building with Dimensions Fee
,see
J
0 4-
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
Construction Supervisor's License Lw��3
OGDEN, WILLIAM
BUILD
^' 36215 HANDICAP RAMP '
No Permit For - v
Single Family Dwelling
r
LOcatil Grouse Tana
Hyannisport
Owner • William Ogden �' r
r'
Type-of Construction w--d Um y
Plot Lot
Permit Granted Oc'wber 5 19 23_
Date of Inspection: _ a
ryys to/�'a/� _ ," - •..
Frame 19'
Insulation 19! = `
Fireplace 19
Date Completed ' �� 1.. 19
61.
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COMMONWEALTH 'I DEPARTMENT OF PUBLIC SAFETY
I OF P. 1010 COMMONWEALTH AVE.
MASSACHUSETTS :1 BOSTON,MA 02215 I'
L_:1:I-;E:N!:-;; :E
CAUTION
c r7 t-:(-
t EXPIRATION DATE y�
RESTRICTIONS I EFFECTIVE DATE LIC-NO.
FOR PROTECTION AGAINST
i �> THEFT, PUT RIGHT THUMB
i c-rc-r 07 PRINT IN APPROPRIATE
BOX ON LICENSE.
11 LEBAI iCIN BLASTING OPERATORS
�_,S �# i)::4 :�,I-_, —i i'i�-�4 �5 IYlial�ll"Ai I.IF I-Ih
MUST INCLUDE PHOTO.
I PHOY_ TINE OPR ONLY) W Y(-'�R lvl L I i._I"I H P'1(—) („)2 7:_;:
FEE:
ire NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
t SC HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER
DOB:
THIS DOCUMENT MUST BE Z�i�2 /// ! K/w'
Q '• « SIGN NAME IN FULL ABOVE SIGNATURE LINE
tr CARRIED ONTHE PERSON OF - SIGNATURE OF LICENSEE'
EN
THE HOLDER WHEN
OTHERS=RI B PRINT GAGED IN THIS OCCUPATION..'-�,...
4
�x "ROV. AL_ITH.
_ COMMONWEALTH OF MAS$ACHUSETTS
DEI'ARTN ENT OF rNDUSTRIAL.,ACCIDENTS
600 WASHINGTON STREET
�y
fames Gamooei BOSTON, MASSACHUSETTS 02111
�e-�ss,one WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(licensee/permincc)
wirh a principal place of business/residence at:
/ /&- 3
(Ci Sta(e/Zip)
do hereby certify, under the pains and penalties of perjury, that:
j J 1 am an employer providing the following,,A•orkers' compcnsation coverage for my employees working on this
job.
Insurancc Company Policy Number
1 am a sole proprietor and have no one working for me.
j J l am a sole proprietor, general contractor or homeowner (circle one) and have hired the eonEmaors listed below
who have the following workers' compensation insurance policies:
Namc of Contractor Insurancc Company/Polic-y Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurancc Company/Policy Number
Q 1 am a homeowner performing all the work myself
NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dwelling of not more tba.a tbrcc units in which the homeowner aJso residcs or on the grounds appurunant thereto are not geoerally
considered to be employers under the Wori<crs'Compensation Act(GL C 152,sea- 1(5)),application by a homeowner for a license
or permit msy evidence the legal status of as employer under the Workers'compcnsation Act
i un6erstan6 that a copy of ties statement wiu be fon.•ardcd to 6c Dcpa:t:-.cnt of Industrial Accidents'Of►iee of Insurance for.envera=e
verification and that failure to secure eovcragc as required under Section 25A of MGL 152 can lead to the imposition oWminal penalties
consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and dvil penalties in the form or:Stop Work Ordcr and a
fine of S100.00 a day against me.
Signed this G day of t4j 19
Licensee/Pcrmirtcc Licensor/Pcrmirtor
... .
ISSUE DATE(MM/DD/YY)
a1a�i:��® CERTIFICATE OF INSURANCE
10/04/93
...._.. _....... _ _ __._..
.................................................................................................................................
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Rogers & Gray Hyannis (2) CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
640 Iyanough Rd Rte 132 POLICIES BELOW.
Hyannis MA 02601 COMPANIES AFFORDING COVERAGE
COMPANY A Worcester Insurance Co.
LETTER
COMPANY B
INSURED LETTER
Steven M. Lebaron COMPANY C
54 Montague Drive LETTER
West Yarmouth, Ma. 02673 COMPANY D
LETTER
COMPANY E
LETTER
..........................................................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................................................
.............. ..............._................................................._.............................................:_._...... ..
... .::
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T O THE INSURED INAPAED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
A NOWNER'S
COMMERCIAL GENERALUABILTTY To be issued 10/01/93 10/01/94 PRODUCTS-COMP/OPAGG. $ 1,000,000
CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY $ 500,000
&CONTRACTER'S PROT. EACH OCCURRENCE $
500,000
FIRE DAMAGE(Any one fire) $ 100,000
MED.EXPENSE(Any one person) $ 5,000
AUTOMOBILE LIABILITY COMBINED SINGLE
ANY AUTO UMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
GARAGE LIABILITY PROPERTY DAMAGE
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
.......................................
AND EACH ACCIDENT $
DISEASE-POLICY OMIT $
EMPLOYERS'LIABILITY
DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Carpentry
CERT.IF.LCA7E:H9LDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Barnstable EXPIRATION DATETHEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
Bldg Dept. MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Main St. LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
Barnstable MA 02630
AUTHORIZED REPRESENTATIVE
RQGERS do GRAY INSURANCE AGENCY,INC.
;:.>. : ®ACORD CQ:RPORATION i9'i0::;
L�
Map : Pa
r
cel �� ermit#
Conservation Office(4th floor)(8:30-9:30/ 1:00-2:00): / / �iG'DInj Date Issued
Board of Health(3rd floor)(8:15 -9:30/4:00-4:45)
®/Engineering Dept. (3rd floor) House# 2 SEPTaC t' ; y a.�.�B
E
INSIALLE ANCE
E V6�tOhiMa ®E AND
TOWN OF BAD ,TOWN RZ-GULATJ0;S
O RNSTABLE
Building Permit Application
Prol t"Street ess
t ,
Village = j
,Owner / Address
Telephone 7 —06!6
.Permit Request Z6
First Floor square feet
Second Floor square feet
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential cl_�'
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure a 3%n e Basement Type: Finished
Historic House Unfinished
Old King's Highway Af d
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel ala, Central Air' Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None -'' Sheds
Other
udder nformation
Name -•� f'L e nS ' ✓ �Ac�r S C�'' fielephone Number 'y 7�'y� `7
Address 1 0 C CL= �y� �icense# Q S' !} J 9 1-
Z2 ax �,2e e /,Zg_ D S/ Q /Home Improvement Contractor#
/ /Worker's Compensation#
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
AA
SIGNATURE DATE - 9 g
BUILDING PER DENIED FOR THE FOLLOWING REASON(S)
I
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED ;
M ►P/PARCEL NO.
ADDRESS VILLAGE t i
OWNER
,. iti
DATE OF INSPECTION:
FOUNDATION
FRAME'
INSULATION
FIREPLACE '
ELECTRICAL: ROUGH f FINAL -
PLOMBING !tI ROUGH FINAL
GAS: - € :R(QUGI;y FINAL
■ •
+I! •1
1
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Pr t
FINAL BUILDING� r e "� _ � I": t !
DATE CLOSED OUT,g loft
!
(
ASSOCIATION PIL O.
,
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i
: The Town of Barnstable -
g Department of-Health Safety and Environmental Services
Building Division ,
367 Main Street,Hyannis MA 02601
Office: 508 790-6227 Ralph
CrossCu
Building Commissic
F= 508 775-3344
For office use only
Permit no.
Date `
i AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
' SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"teconstnrction,alterations,'renovation,rePair,modernization,conversion,
improvement,.remrnai, demolition,_or construction of an addition to nay pre- ece
owner opied
building containing at least one but not more than four dwelling units or to stractu—which are adjacent
to such residence or building be done by registered contractors.with certain eaxeeptions,along with other
requirements. -
Type of Wo Est Cost
Address of Work:
Owner.Name:, -�%�
Date of Permit Application: 9
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under SI,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that: OR _
OWNERS PULLING TI4iR OWN
PERMIT IMPROVEMENTWORKG Do NOWT' HAVE
ACCESS
ToCONTRA THE
FOR APPLICABLE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL C- 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor name Registration No.
OR
n,,p Owners name
The Commonwealth of Atassacbuser
_... Department of Industrial Accidents
;;,; - ��!� 011fceol/aees7/gat/oas
' "i: _i 60l1 !f usltin�►tun;/ -F �, Street
\% � ;�' Boston,Muss. 02111
Workers' Compensation Insurance AMdavit
Applicant ntormatione' Please PR11VT`1
•
name: •--J�9/"►C S �, / �i'9 Cow► �location- lfe l /L ✓r'
city 4 e--e Al 12hilne �7�- 7`l
I am a homeowner erformindJ11 work myself.
�am a sole proprietor and have no one working in any capacity,
1 am an employer providing workers' compensation for my employees working on this job.
company nnme:
address!
cih• phone#:
insurance co. o�y#
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:
company nnme:
address-
ci phone#:
insurance rn_ nolicv#
:.arse'Q�"i?" •ret�s........?nyF:+eyL'
ct►ml nv name:
address: -
city: phone#•
insurance co.
:Attach additioeal'shcet if aeecmry••.,�
rerequired
- .� ,�z�t'K-,�,�"id!r+� -`•.., ='z�rL .• T'"_`
Failu iu securc coverage as requir under Section 25A of D1GL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a line of S100.00 a day against me. 1 understand that a
copy of this statement mav be forwarded to thejo ,Pce o4n,* t Invtioas of the D1A for tovenge veriBntioa
I o herehr cerrify u r/c rile pains andd pen at the information prosided above is true and correec
Signature owe g" g G
Print name —J/�/'1-eS /� ✓ / eo A �lr one>r 'y 7 2'14/--) y
official use only do not write in this area to be completed by city or town official
city or town: permitilicense# nBuilding Department
(3Ucensing Board '
check if immediate response is required ❑Select mews Office
C311eaitb Department
" contact person: phone#; nOther
Information and Instructions
Massachusciis General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees., As quoted from the "law", an einpliryee is defined as every person in the service of another under any
contract of-I ire, express or implied, oral or v-,rinen.
An emplimer is defined as an individual, partnership,association, corporation or other icgal entity, 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 persons to do maintenance , 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 1'52 section 25 also states that every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commom%,ealtli for any
applicant %vho has not produced acceptable evidence of compliance with the in coverage required.
Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have
been presented to the contracting authority.
�.�.r�!�•�!�.�••Tw.,�.....w^�w i:::'!.. •�.Yl. •i _ 1� +7 .,•,� �•^1l•P'.sw•r...r.p.r....—�_
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying-company names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date tl�e affida�it. The
affidavit should be returned to the city or town that the application for the permit 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.
r�+s.
City or Towns
Please 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. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
.' 7..,+.,...:•.,:.... V rMwr'r . .. . •-fit. •:.R.'. .• y.l• Y�
The Department's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
office of Investigations
.....� . 600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749 •.
phone#: (617) 7274900 eat. 406, 409 or 375
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N� o^R `OCUS
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'-ALE 1"= 2000
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TO BE COMFBIWED WIT}-I & BECOME
_
h A G.o.RT OF L.OT .4
� NOTE.SEE BARNSTABLE COUNTY REGISTRY OF DEEDS PLAN BOCK 248
PLAN 59.
CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY' WITH THE RULES
AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COMMONWEALTH OF MASS.
°ERVED FOR REGISTRY OF DEEDS
USE ONLY LAND IN HYANNISPORT, BARNSTABLE MASS.
OWNED BY
FRANK CUSTER Et Al.
SCALE V 40' DUNE 21;1977
40 0 40 a0 120 160 .
RENEY .BROTHERS, INC. REGISTERED ENGINEERS& SURVEYORS 7.1'
i:. BOX 434 WORCESTER, MASSACHUSETTS 01613
APPROVAL UNDER THE SUBDIVISION CONTROL LAW NOT
REQUIRED BY THE TOWN OF BARNSTABLE PLANNING BOARD.
A . 2 3
. 11 i '
3 SCALE
t 61
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7
10
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COMMONWEALT4� r• ',DEPARTMENT OF PUBLIC SAFETY
1010 COMMONWEALTH AVE.
OF t
- -" MASSACHUSETTS BOSTON�MA 02218
L I CEN`��E CAUTION
04/ �/1c,c) Ca�N-JT�. SUF'ERVIMOR
EXPIRATION DATE FOR PROTECTION AGAINST
4 EFFECTIVE DATE LIC-NO: :THEFT, PUT RIGHT THUMB �
RESTRICTIONS PRINT IN APPROPRIATE
1 i3 1 & 2 FAMILY HOMES 1 1/O 1/1'�'�`� u�-''%,1`��' BOX ON LICENSE.
BLASTING OPERATORS
TAME S F_ MAr_:i iME�ER "
_ M, # ��,y;1_5��_5 �,1 ?1 RIVER RIJN MUST INCLUDE PHOTO
MAt HFEE. MA 02649
PHOTO(BLASTING OPR ONLY) FEE:
HOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
i STAMPED•OR-SIGNATURE OF THE COMMISSIONER y
HEIGHT: i
DOB:04/2 '
SIGN NAME IN FULL ABOVE SIGNATURE LINE
_ THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE
�y .CARRIEDOI, EPERSONOF � !
i
_ THE HOLDER WHEN EN• -1 ;
J
I GAGED INTHISOCCUPATION.
- :�• _. OTHERS•RIGHT THUMB PRINT 1'�'n .
f
-S .,p�71
_ �v�1�P.�'�I`�'y"f��' ✓A!"'I1TGN7�t�WOx(I.��'G�..�aQ�.[JddQd�[[dCQd r
fi�a HOMEIMPROVEMENT CONTRACTOR I,
T
� IrExPiration �08./10/97� b g;
t°§ref',,� s:�: "f°' arh
Yg .r� �3 v3 is r t #�7I
. 1 DAMES E.T MACOMBER
+G� a o1'RIVER RUN RD
d V ADMINISTRATOR,3 MASHPEE MA'02649
Py�FTMET��� TOWN OF BARNSTABLE
i EAEBSTADLE, i
0
NAM ,•� BUILDING IN
0 MPY a'
� .... .........�.w..�.(C.�
APPLICATION FOR PERMIT TO �Y.!�..1Y�. �.....��J.c.�t}^..?.`�
TYPE OF CONSTRUCTION .............. .. ..............I.. ,i7C.�'j!�. ....'.... �.?
..........................
Z............ .............19. 7
TO THE INSPECTOR OF BUILDINGS: r
The undersigned hereby, applies for a permit according to the following information:
Location ........... ... p�U.V..`?.e-....... �;t�!� .�................... ......
ProposedUse ...............P?.e.S.�...I.l�.e.6l..:.VA.U` ..\..........................................................................................................
Zoning District . ...................Fire District ............................. n
Name of Owner ..... Q ,,1...1,C ! ..........C.aA........Address .... .. K
Name of Builder .....A:� ..`C?.VAS.II..r.,..�(o..........Address ...I..�.O .Q.la T.1,..<.1.V.1.......P O...............
Name of Architect ... .�! .`'�...WQ..SJC�!y!� .h....Address ....... .I(�..��, .�.... !4.S...S..........
Number of Rooms .............................J....................................Foundation .......P-Q.S1.R—...g...0........Co. ..C.(ZQr�. .A...s ✓J/
Exterior ........W,..C.:........ v; I S. ...Roofng ./Sf.kaaf
........................................
Floors ...........0..�:�........� ......................Interior .......... .�� . . ..v........ Q.��,ti.�!`.�.........................
Heating .................tF...w..A.........6.0....... ...........Plumbing .......�Et Q.�..�.c,J.�.1.Sl�C�...r...... ./..4Q9�
Fireplace .........................../....................................................Approximate Cost ............... f ...........................
Definitive Plan Approved by Planning Board ________________________________19--------. D 0
Diagram of Lot and Building with Dimensions Fe
C O o�
SUBJECT TO APPROVAL OF BOARD OF HEALTH u
W
0 , 23 0 � m
z � I4- fm—
OW q = z
L it < L� m LL Id-
h C
9 �� % oii ¢ 0c� O
fD �� �--
=— �oQ �lo o- �
= W - m �
W w '
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XX � L, o
CL Q � � Q
W t— [] 1 w �--
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....V ...... .. ..... c ......................
` Regal Construction Co.
�
`
- one ----°No -.��.....,... Permit for . --..-_-- ^
�
single family
dwelling
------^-^~^-'-'~-'-`'^'-`'--`----'
Grouse Iaxue '
Location— ----------''-'---------''
West Hyannisport �
.............................................—.`.=----.--.- '
�o `
Owner --..�����'�����.���������--.�_--.
'
Type of Construction -.--'frame......................
} `
---.-.----_-.--.--..---.------... ^ /
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#4
Plot ............................ Lot ................................ �
'
,
Date of | ---
� �
' \
Date Completed .
| � `
PERMIT REFUSED
\
-.--.-..--,-.-.-.-.--.-----. 19 '
. �
-.---.---........---.---.-'--.--. /
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^-'-~~^'~^`^~'---''---~---''-'------'- /
-..-----------,..--..-^.--..-.-.--..- /
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'-~'~^''~^'-'---'-'--~^-^^--'^~'--^-' � >
Approved ................................................. lg
�
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------------'--'--'-'~-^^'-^^--' i
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-'---'------^------^-------^`'
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��L�omv�navuuea/��✓11.�«� i
HOME IMPROVEMENT CONTRACTOR
Registration 114630
a Type - INDIVIDUAL
Expiration 10/07/95
STEVEN M LEBARON (,
STEVEN M. LEBARON I
54 MONTAGUE DR 1
ADMiNis-MATOR W YARMOUTH MA 02673
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�. ;AND i C'FiP RRMPS ARE Tt PER (700 .
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COST . 1-855_00
PtflNS FORa �0 6 J 0 N
CR0USE LANE
HYANNFiSPO"' i 1ASSw
r sUHLEs 1_ i Fp°Prv::D BY: D}lpwN B'': S,M
x aE•rs�r,: I
S.M.LEBARON aAT�:9 28-.1993
rn Pohcs��
DES fGNER' HAND i-C=AP R. 4 P
YARMOUTHyMA� 02673 :,w ,l6 Num-PER
5.9' 28
'TOTAL FEET HCR-28
1 394-8146