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0041 LATTIMER AVENUE
,. i� �� .;. II �� � � 2z -Q� 1 o1 sh CAPE COD INSULATION [�7 MEIN OlAt7 IIAMU$3 SPRAY FOAM SVSPINOtO IATT, OVTT INI IN t Ut ATION CSItINOI 1-800-696-6611 Town of Barnstable Regulatory Services , Building Division g 200 Main St Hyannis, MA 02601 _ Date: 60 Dear Building Inspector Please accept"this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address -- Village OCR 101"A A114 q1 ,c a#I hjFlt 14,- '` 4v*4J Insulation Installed: .Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( (:R5 ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls �`� ( ) ( ) ( /141) ( ) 06 4iv-e r 6VO r ll F'P r)r0 r'*rz'W — ice Sincerely H ry E ssi r, President pe C Ins ation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -i - Map V D Parcel Application �19 Health Division Date Issued Conservation Division Application Fee `a Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address J�/ ,L,�, e z..c/ Village z�is Owner Address 14411 Telephone Permit Request /jzd�r � z lweje i2T-5 ' e_/Z'�J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation l Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach:s pportinT doc entation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) ., Age of Existing Structure Historic House: ❑Yes g g ANo On Old King'4l'Highwa'y:' ❑ �@s 6 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other a Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.1) ?- c 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 �16 /�'Sd�/��D� Telephone Number Sa�,77 L71 Sy Address ,/244&e')'W r,i2 License # V'o Home Improvement Contractor# Email Y�11C�1 P�/� j'%✓,�i�/�4 ded 6.yu Worker's Compensation # Z./.��Fi�U`-3/Z'6/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f .Aug.'25. '2016 9:58AM No. 0312 P. 4 z `1t�`to `&*Vios DOW, Mlvikon pPficc: Sfl8r$aIQ•4038 Fa+� •�0�:7'�.t�¢23,p. . ifi A.== rs•r&6io,..& iixaa g:pemai.IAPECRti6u-'f . • �� �z�ixrer nn i s /� DoZ6'ol • w ` • M'V W` �•��W1` .,'•r W�.. . 1�•4• a� ��Vi'AY �N• IYw•Yr•/ ^fir L�•�V r...... ,(Y�`•f�/.`I', :, '•�cY���::ctz:t�d,� aPr�..�e�'IIc��s;� �• I; . Ar • 08' 3 . The Co/"o/cwerclt/t of Massachusetts Deparon.ent OflnrlustrialAcddents 1 Congress Street, Suite 100 b Boston, MA 021R-2017 ►VWW,1?W8,g0 V/d 1 a ,;,, 11'•urkers' Compensation Insurance Affidavit; Builders/Contr•actors/Electriclans/Plumbers, licant Information TO BE FILED WITH THE PERMITTING AUTHORITY, Nam(Business/Orgenizalion/individual)' l Please Print Le ifs Address: " ' ! 2 --_ City/State/Zip; /- 'G/�- �/ G! Phone #; y Arc you nn employer? C eck the appropriate box; .�'t am a employer with— =�____ employees(full and/or parrtime).' Type of protect (required) 2.[]I am a sole proprietor or partnership and have no employees working for me in any Capacity.(No workers'comp. insurance required,) �' NeW constlUCtion 3.�1 am a homeowner doing all work m self. 8 'Q Remodeling Y (No workers'comp. insurance required,)i 9• � Demolition a I am a homeowner and will be hiring contractors 10 conduct all work on m ensure(hot all conlractors tither have workers'compensalion insurance or arersole� I will i Building addition proprietors with no employees. 1 Electrical repairs or additior•�•., 5.Q I am general contractor and I have hired the subcontractors listed on the attached sheet. LThese sub-contractors have employees and have workers'comp. insurance.t l2'[]Plumbing repairs or addilir;,,. We are a corporation and its offwer3 have exercised their right of exemption per MGL e. 13.[]Roof repairs 152,§1(4),and we have no employees (No workers'comp, insurance required.) !4,(r�,0ther 'Any applicant That checkF;box NI must also fill out the section below showing their workers'com ensation ' Homeowners who submirihis affidavit indicating they are doing all work and then hire outside contractors must Contractors that check this box must attached an additional sheet showing the name of the subcoontra to and slat information. F employees. If U�c sub•contractors have employees,they must provide their workers'comp.policy number, submit a new affidavit indicating such. - !ant«n employer t/cal(s prov(r(irrg workers'conrpensatton lrc a whether or not(hose amities have infornratlon. surance for my employees, Below(s the policy anr(Jvb sire Insurance Company Name: �--' JZ• .� P011cy N or Self ins. Lic. #: Expiration Date: Job Site-Address: w` Attach a copy of the workers' compr,nsatlon petit e city/State/zip: Gyd Failure insecure coverage.as required under MGL c.ylSecl§25A os a crg'e b viing the policy number.a®exp atio alai. and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK OR-DER day against the violator. A copy o'f,ti;is statement may be forwarded to elation punishable by a fine up to$1,500 Grr coverage verification. the Office of Investa ons of thenDIA e Of o to$250 r in urance l to /rereby certify urrr(er lice pairos a�cr(percalttes ofperfr{ry that lire lt{/ormatlon Sr nature. i'� : provided above is true and correct. Phone#, Date; Ojfic(al use only, bo.-1`col write In tIcls area, to be completed by city or lorwc 4ff clal — City or Toirn; Issuing AuthorityPerrolt/I,icense #�� ji (circle one); j 1, Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Ins I) 6, Other Inspector 5, Plumbing Inspector j Contact Person; Phone#; '� t CAPECOD-27 CLEDDUKE ACORO" DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F71l/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Barbara DeLawrence Rogers&Gray Insurance Agency,Inc. a/co Ext:°N FAX 434 Rte 134 South Dennis MA 02660 E-MAIL bdelawrence ro ers ra ADDRESS: 9 g ycom INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company INSURED _ INSURERB:Safety Insurance Company 39454 Cape Cod Insulation,Inc INSURER C:Endurance American-Specialty Insurance Company 41718 18 Reardon..,.ifcle INSURERD:Atiantic Charter Insurance Company 44326 South Ya�mOuth,MA 02664} INSURER E INSURER F: COVERAGES CERTIFICATE;NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF;INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY:;;REOl7IREMENT 1 El2M 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$UCN POLICIES.LIMITS SHOWN<MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE " POLICY EFF POLICY EXP LTR INSD'WVD POLICYsNUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY t• EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR x CBP8263063 04/01/2016 04/01/2017 PREMISES(Ea occurrence) $ 100,000 t>. MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES-PER s GENERAL AGGREGATE $ 2,000,000 X POLICY PRO= JECT" LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000 Ea accident) $ ,000 B ANY AUTO 6232707 COM 01 ?t 04/0112016 04l•01/2017 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ �( �( NON OWN p(r PROPERTY DAMAGE ) HIRED AUTOS AUTOS , { Per accident $ '. ? e' X UMBRELLA LIAB n OCCUR, s• FPCHsQCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS=MADE EXC10006635001 04/01/20�16 04/01/2017•'AGGREGATE $ 10,000 DED X RETENTION$ y Aggregate;;p $ 2,000,000 WORKERS COMPENSATION "7 :�: PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N CE00431902 .� 06/30/2016 06/30/2017 EL EACH ACCIDENT ',,, $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEA$S{PQLICY LIMI,T,•',$: 1,000,000 j,y k• ;r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedul@ may be;attaofted if more apace is required) Workers Compensation includes Officers or Proprietors. ,a I Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agYeement'wlth the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 94A Co tg erce Park South ACCORDANCE WITH THE POLICY PROVISIONS. Sou hatham,MA 0265$ AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: 08,100900 ConstruCtion Supervisor. VIV HENRY E CAS-SIDY. BSMEDROW .% i7 'I�I ��•'dr• WEST YARMOUYH 2' rfiP,11 Expiration: Commissioner 11/1112017 } Office of Consumer Affairs and Business Regulation 10 Park Plaza • Suite 5170 Boston, Massachusetts 02116 Home Improvement C6..1�t.r4"ctor Registration Registration. 1535V �•��„ Type: Private Corporation Expiration: 12/15/2010 Trfl 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE 80. YARMOUTH, MA 02664 .' Updata,Address and return card. Marl,t reason rot- change. $CA I �'+ ?OM-osr11 [] Andress R Qenewal. [] Employment U Lost C'nr\ ce arrr��caruvea./G/i o�'O/�rWdcrc�udaGt"o a�w.\ •Qrflcc,o.rConsunwr Afrnlrs& Otis lies;Regulntlon Llcense or registration valid for Indlvldui use only OME IMPROVEMENTICONTRACTOR before the explratlon date,' If found return to: eglslratlon: •:1:0567 Type: Office of Consumer Affairs and Business Regulntlon j xplratlon;-;:;1:?7:45120:1.6 Prlyale Corporallon 10 Park Plaza • Suite 5170 . :�..., Boston,MA 02116 CAPE COD INSUTA7461N-;:INC'`.:.; HENRY CASSIDY 18 REARDON CIRCLE: . So. YARMOUTH,IAA 020$4 a'" Undersecl'etnry 7N• valid wl tit sign ,e I _ _ ,_ y 1 _ � _ ,� _ '� t � � r ;.,ti, ' .� yo �� ,...� -��, . ��� �� �.. it � �`.; 11��`� ti�: . 1 � n� ./ -G,, s ln �ox �9 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2�g Parcel s 5 * " Permit# Health Division tz!E� Cl 5 —)v) -t 10 a-glozl Date Issued �� � 4,\-? Conservation Division 4 �� ^d 4 �> 1 � j Application Fee Tax Collector Permit Fee S— d Treasurer U Ss o -` SEP mf� T`S.A�.IC SYSTEM!MUST 0 LED IN COMPLIANCE, Planning Dept. VWTK TITLES Date Definitive Plan Approved by Planning Board `'°3'+ P-0i ,ES+lTAL ®®E AMC TOW4 REGUO,12, 0N.3 Historic-OKH Preservation/Hyannis Project Street Address 9 4ol l,*l e- q ^� Village /" AI Owner Xc /` Address r. up 2� (Z%o 4 Telephone YZ .s— S' 1 r.1 toVg1 . Permit Request 'Tk d"V -T A v r!y 2 /� y Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District c flood Plain Groundwater Overlay Project Valuation O Z Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No f Basement Type: L3'611 ❑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 6' 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 O new size Barn:O existing ❑new size Attached garage:Cl 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 w_ _- _ - Proposed Use ^--T BUILDER INFORMATION 1 Name N(C_i4A__e_ Telephone Number Address 66 11111141 -i-v- S License# ems' �141ZMOJ4 Home Improvement Contractor# ld�7 �$�•. Worker's Compensation# 43 O B 72�1e1Xy ALL CONSTRUCTION DEBRIS RESULTING FRO THIS PROJECT WILL BETAKEN TO Fe SIGNATURE DATE 3 M1 s y FOR OFFICIAL USE ONLY PERMIT NO: — DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE DATE OF INSPECTION: FOUNDATION FRAME J3 rQM D 20aoJtvo3 9,4-.gAo' INSULATION ���v,SL✓ �I ef✓�!/�®®� FIREPLACE ELECTRICAL: ROUGH FINAL —PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT ASSOCIATION PLAN NO. s. 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O��• :'�;'«� . t• ,�:n?;•y,},.a i6}.\.,rtn....: 2:. ,....,,,..;....:...:r:^r. y:..,.. ,:,•::})r::n:}.:...,.n x•h.. •rt]CITSIICe.CO ••:t:••.}:•%•}:•K4)S:fi.::%aaa•::..n•.::......: .$.,.%•. .4::::}::. •:••. .• t`" / Failure to secure coverage as required under Section 35A of MGL 152 can lead to the imgositioa of criminal penalties o[a 8ne rap to SI,SOO.QO and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me: I mtdenatmmd that a copy of this statement may be for"arded to the Office of Investigations of the DIA for coverage verification. un I do hereby certify der pains penalties Poly t information provided above is trur and coned signature Date Print name official use only do not write in this area to be completed by city or town official . city or town: perndt/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; ❑t?ther�� 4cv;md 9195 real Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compe nsation for their employees. As quoted from the"law", 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 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 legal en ' employingemployees. However the owner of a r other ' association o g �S', individual partnership,trustee of an rn �P pdwelling dwelling house having not more than three apartments and who resides therein,or the occupant of the lling 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 152 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 commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe 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. FINIZZZA Applicants �• ' `t z ` � I .f� � situation and Please fill in the workers' compensation affidavit completely,by checking the box that applies to your supplying names,'address.and phone numbers along with a certificate of insurance as aII affidavits maybe submitted°to the Department of Industrial Accidents for confirmation of inciiinCe coverage:' Also be sure to sign and �- date`the affidavit 'Y'he`aflidavit shakild be returned to the city or town that the application for:the permit or license is . Accidents. Should you have any questions regarding the"law"or if you being requested, not the Department of Industrial are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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 piii i 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. 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 0: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 t ' 114Er, Town of Barnstable Regulatory Services snxxsrasr,E. ' Thomas F.Geiler,Director 9 KASS Building Division TED MP't Tom Perry,Building Commissioner " 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION P 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: Estimated Cost Address of Work: C Owner's Name: :�j Date of Application. I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law p ❑Job Under$1,000 []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 B2ROVEMENT WORK Do NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. r SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owmer: Date Contractor Name Registration No. OR Date Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE e g Aft—square feet x$96/sq. foot= /off x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) w square feet x$32/sq.ft. x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00` >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf_ 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney., x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost r 7so CMA AppardU 1 Tsble d51.1b(eoatIzued) tlt FouO Fuels p�.rlptive F:ekigm far(n=sAd Two-Fsaslli'Aesldeatial Haildiags gated t+i Hcating/Cooling MAXfM 1 g ceiling Wdl floor! H w� etet Equipment ElFiciencY' Perim U-v dU l R-valuer R-valuer R-value Rwall � R valuer Pa�3° 3101 to 6500 Hestiag Degm Di� 6 Nanaal 0.40 38 13 I9 10 6 Namud 0.52 30 19 19 10 6 13 AFUE 0.50 38 13 19 10 N!A Normal T 15'/. 036 31 13 23 IVA 6 Normal 15'/. 0.46 38 19 19 10A 33 13 15 AFUE U ZS N/A 0.44 d 15 AFUE 30 19 19 10 N!A Normal W 13 ZS N/A L 18`/. 032 31 N!ANormalIS'/. 0.4Z 31 19 25 N1A 31 13 19 10 19% 0.42 12% 0.503019 - I �t� 1. ADDRESS OF PROPERTY: . L4 PC VA 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS; o 3. SQ DARE FOOTAGE OF ALL GLAZING: //►►►►� c4. e/a GLAZING AREA(#3 Di BY 02): •�® 5, SELECT PACKAGE(Q--AA-see chart above); NOS; OrEERM ORE INVOLVED METHODS OF DETERMINING ENERGY REQLJIgEMENTS ARE AVAILABLE, ASK US FOR THIS WORMATION. t BUIDING INSPECTOR APPROVAL: N0: YES; , q-fccros-f980303 a 780 CMR Appendix J Footnotes to Table JI .Mb: lass doors, skylights, and a Gl�g area is the ratio of the area of the glazing assemblies ('including sliding-g basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area., expressed as a percentage. Up to la/c be excluded from a building dese excluded from the U-Yalue ign witty 300 fl o glazing area.requirement. For example,3 f�of decorative glass may 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for the National whole units: center-of-glass U-values cannot be used. The ceiling•R-values do not assume a Wised or oversized Eruss construction. If the insulation achieves the full insulation.thickness over the exterior walls it t co pros insulation.A Ceiling R values represent the su30 insulation may be m of cavity Insulation and R-38 insulation may be substitutedfor insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R.values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing,and interior drywall.For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus A 6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. d The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages)-Floors over outside airmust meet the ceiling requirements. ". 3 x q, i The entire opaque por'tian of any�indviduaf bascrizent wall with.ari`average depth less than 5doors below of conditioned mczc the same R-value requirement as above-grade walls. Windows and sliding glass basements must be included with the other',glazin&Basement doors must meet the door U-valuc requirement described in Note b. 'The R-vafue requirements are for.unheated slabs.Add an additional R-2 for heated slabs. 3 If the building utilizes ele,tric,'resistance heating use compliance approach 3;4, or S. if you plan to install more than one piece of heating-equipment or more than one piece of cooling equipment, the equipment with the lowest efficlency m�meet or exCCea the efnclenCy required by the selected package. For Heating Degree Day requirements of the closest city or town seaTable 15.2.Ia NOTES: a) Glazing areas and U-values are maximum acceptable levels. insulation R-values are minimum acceptable levels. R value requirements are for insulation only and do not include structural components. b) Opaque doors In the building envelope must have a U-value no greater than 0.35. Door U-values must be tested or U.vzlue and documented by the manufacturer accordance�ldaggregate hU-aloe rating for that doorC test procedure or tais not available,from the oino ode the in Table 11.5.3b.If a door contains glass glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0,35). basement wal slab-edge,or crawl space wall component includes two or more areas with ' in wall floor, � c)If a ceiling, � different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R.-Value requirement for that component, Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). I ' I DFISETpk, Town of Barnstable P ~ Regulatory Services 9 8 I E'$ Thomas F.Geller,Director o;A'. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder C,VOwner of the subject property hereby authorize L 1 e /// to act on my behalf,. in all matters relative to work authorized by this building permit application for: 4 - (Address of Job) J S' tare of Owner Date C Print Name F Q:FORM&OWNERPERNIISSION f �rrrih r ,��izuie License: CONSTr• Ritm* f RUCTPQN SU , Numbers S . 064'855 t Birth- pit a�e ��22/ 959 p+ $tF(22/ 004 Tr.no: 9974i Ref efe! x MICHAEL A HEALY I 72 OLD.MAIN ST ". ` SO Y'A�R`IIAOIJTH, MR�2`fi64.• ' ��� � = 1 Adrrrnistra"for :: �lze Zr�o .zuea�l/:00� aelztiaetta Board of Bmlding Regulations and Standards HOME IMPROVEMENT CONTRACTOR leglstralio n: 107187 Plration ..7129/2004 Type Individual 4*j &AEL A HAY '�'� - ealy �, ,. rl;dministYatvC R t 10p p0 N7g 0 27.6' EXISTING SEPTIC AREA s cn LOT 39 10,737f S.F. ? EXISTING � DWELLING 17.5' �'- EXISTING os BULKHEAD z ti 40.0' z EXISTING DECK 21.5' 12.11' 0" S7 a.40'1 W 100 03 PROPOSED RENOVATION / ADDITION TO BE 16.5' x 8.0' SCALE 1 " = 20' PLAN VIEW #41 LATTI M ER LANE IN HYANNIS, MASSACHUSETTS SHEET 1 OF 5 Q Existing dwelling Existing deck with rails 1 SCALE 1 " = 8' ISOMETRIC VIEW #41 LATTI M ER LANE IN HYANNIS, MASSACHUSETTS SHEET 2 OF 5 2'X4' walls 2'X10' joists 2'X8' ceiling joists 2'X8' rafters insulate walls, ceiling and floors 9.6' T i) ri 11.4' span in 's proposed proposed new laundry room entrance hall 12" sono tubes 4' o/c 4' min. below grade SCALE 1 " 4' SECTION #41 LATTI M ER LANE IN H YAN N I S, M ASSACH U SETTS SHEET 3 OF 5 i J 42.5' 16.5' 0 N od i SCALE 1 " 4' ELEVATION #41 LATTI M ER LANE IN HYANNIS, MASSACHUSETTS SHEET 4 OF 5 w. Mq,N S WEST END ROTARY M D N LOCUS MAP: NOT TO SCALE CURRENT OWNER JOHN FITZPATRICK ADDRESS 35 ELLSWORTH DRIVE BLAUVELT, NY 10913 TITLE REFERENCE: DEED BOOK 9042, PAGE 248 PLAN REFERENCE PLAN BOOK 96, PAGE 137 ZONING DISTRICT RB SETBACKS FRONT 20' SIDE 10' REAR 10' FLOOD ZONE "C", 7/2/92 250001 0006 D ASSESSORS MAP 288 PARCEL 155 PHONE 1 (845) 548-9312 RECORD INFORMATION #41 LATTIMER LANE IN HYANNIS, MASSACHUSETTS SHEET 5 OF 5 FINE Tpy_ The Town of Barnstable BARNSTABLE.e` Department of Health Safety and Environmental Services MASS039. . 0 pjED Mw�a`0 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection F--t t-) (A� Location A� Permit Number 2 Owner 4-ci FiT-:0Nft l C-64, Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: c �J (C &Va s� L cGtCl ate Please call: 508-790-6227 for reeinspection. Inspected by R " zy Date q` z' Assessor's Office 1st floor Ma 8 ISS- ��� Permit# Conservation Office 4th floor Q - Date Issued 77 Board of Health Ord floor) SEPTIC STEM MUST 3v Engineering Dept. Ord floor House# '., IN 0PAPLIA"I'MM Planning Dept. (1st floor/School Admin. Bldg.): 6'�EFt �.�* j��,-. Definitive Plan Approved by Planning Board 19 71 (Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) TOWN OF BARNSTABLE Building Permit Application Project Street ress 'e2?' m� Village Fire District r � Owner C Address Telephone a j Permit Re guest: 13 1 — O 13>�o ee,® K Z Z w s 2 s c 6 Zoning District Flood Plain Water Protection Lot Size /dO >c /O . Grandfathered Zoning Board of Appeals Authorization Recorded Current Use .S/i(J iT.t� Y Proposed Use Zg2E-f Construction Type Existing Information Dwelling Type: Single Familv ✓ Two family Multi-family Age of structure Basement type �i4P� cd,p Historic House Finished i/ Old King s Highway Unfinished Number of Baths ,Z No. of Bedrooms 3 Total Room Count(not including baths) s/X First Floor 5 1 X Heat Type and Fuel NA-7t XAe- (—,4S G1/4)94Cern ral Air Fireplaces orvE Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Aq f C.L//-/- Telephone number Jv� Address y S"c10,4P %U TA C 940 License# 0 /2 S-6 2 ✓/ L L D--63 Home Improvement Contractor# / -3 Worker's Comoensation # � NEW CONSTRUCTION 0R 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 � �'�—/I� —7 Pro'ect Cost Fee D� SIGNATURE DATE p_ J(,//X�� �� 7 F' BUILDING PERMIT DENIED FOR THE FOLLO REASON(S) BPERM T FOR OFFICE USE ONLY 7/25/95 9301 288 155 ADDRESS lattimer lane VILLAGE Hyannis John & Elizabeth 'Fitzpatrick ' `. } OWNER DATE OF INSPECTION: FOUNDATION FRANE40 r � �LATION` _ FIREPLACE - �> ELECTRICAL:.`ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: , ASSOCIATE PLAN NO. U. A NEW CONSTRUCTION a CUSTOM CARPENTRY REPAIRS-RESTORATIONS CONTR.UC.k 12562 INSURED Jerry Phillipp Homes Built With Pride" FREE ESTIMATES 45 CAFN JAC RD. ., 508-362-4566 CENTERVIUF, MA 02632 ._. _.�._ € Mt�tfsStlbByldj COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY , -Owe isMwsoforrowoswov OF ONE ASHBORTON PLACE atAlsf�eMi•1• MASSACHUSETTS BOSTON,'MA 02108 EXPIRATION DATE �114w3 CONSTR`ISUPERVISOR CAUTION - 0 2/14/19 9 6 FOR PROTECTION AGAINST EFFECTIVE DATE LIC-NO. RESTRICTIONS j THEFT, PUT RIGHT THUMB NONE 06/30/1993 0125.62 ;' ` PRINT IN APPROPRIATE I g BOX ON LICENSE. i GERRY R PHILLIPP �,. 45 C A P'N J A C R D BLASTING OPERATORS SS 015-34-7128 CENTERVILLE MA 02632 m` MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEO Q • .{. NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY PAID HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER �i3D DOB: 02/14/1945 AUG. 4 1993 THIS DOCUMENT MUST BE r ' «_SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF ~OFTHE IEDONT WHEN-EN-OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION. NER +/o i s • .,.... ... ..— AT r�, kyC ? try - ' HOME IHPR04EHENIGONTRACTOR Type P D IpVAI 6l:XAL IL IPP CAP'N'1A�RD ADMINISTRATOR �x%�_ n r �ttte . �: The Town of Barnstable • • NAM " Department of Health Safety and Environmental Services ` Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph Cmssea Fax: 508 775-3344 Btrildiag Commis; For office use only' Permit no. Date AFFMAVIT HOME IMPROVEMENT CONTRACTORIfAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,.repair,modernvation,conversion, improvement, remcn-4 demolition, or construction of an addition to any pig owner occupied building containing at least one but not more than four dwelling units or to sauctures which are adjacent to such residence or building be done by registered eontractors,with certain cmeptions, along with other Type of Workcon Address of Work: Z-4 777/K F--If /• Owner.Name: T-a 41V F�f Date of Permit Application: r • I hereby certify that: Registration is not required for the following neason(s): Work excluded by law Job under SLOW Building not owner-occupied Owner pulling own permit Notice is hereby green that: ` OWNERS PULLING TfOR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE 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 awner 11 Date Contractor name Registration No. OR ' KC(C Date Owner's name 11:02'94 17:02 $6177277122 DEPT IA'D ACCID -::E. —�;. coituno�ttue AM o Madiachudeffi - ..„ Via;- — .1�o�aatnreRf o�,�iu�wEriaj�ccic�rti 600 whi-yfos shod James I Campbell &16it, //laedad asEfe 02f t f Commissioner Workers Compensation Insurance Affidavit with a principal place of business at: t. do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees workia this job. ins, rance Company ' Polity Number E I am, a sole proprietor and have no one working for me in any capacity. O I am'a sole proprietor, general contractor or homeowner (circle one) and have hired tf contractors listed boloyr who have the following workers' oompensadon polices. tractor - Insurance Company/Policy Mum: Contractor tasucance Company/Policy Num. Contractor Insurance Company/Policy Nam: O I im a homeowner performing all the work myself. r I tiC_,st ne.t.,:t a cot: of this statement will be fo..xarded to tee Office of imrcsdCadons of the DIA for cv%w2ge veifintion end that failure cc,ef:Fe zs retuned under Section 25A of MGL 152 can lead to the imposmon of crimbw penahles eonswoz of a fine of up to's i,500.00- years' imprhorment as well as cMi penalties in the fom:of a STOP WORK ORDER and/a fine ofvS100.00 a day apinst me. Signed this day of 9 Uce ee/Permittee Building Deparanent Licensing Board Selectmen Office Health Department _ _ . ^-F wnnn 'VAn't wnw nnr Ana �7 r / 14 3 L • i F'.CoN fib( /S3a fs�Pr,c. 5 7AW _ lY ZY 01 0 y 3 _ o 6 i to / oln E 2 v C) l-,t k;Om?NOoV1S /mac T i SFPTIC SYSTI-N DESIGN 01MER " j DATE �-L :F-J05L T/d/U-S Y—It/ Y,6�: ,n 1)I:SIGII,)' G /Q off' I- Av� L L //� ' e-!/� �7��",e I/ 5 c_: 7/'T�! �a!1 J/l C Ic. %. ✓J C .G it/7- y r L L E -W-4c)2 6 .jo SOIL. DATA . �`�`-'�M':_:[> f�•.M. . • EL, 100,CIn • ►-.tAIt— IJ is T_.11. 2 pGOT - /0CA IV,' /00,10_ 100170 10©,60 FT T�-7:a A S r ' r�,A,•,1 E A�� i G��11>s�L Qate►�r�' ' zs� ----...— f 60 m: 2 40V by N . � 3 /3? 3 , �eY �/.II/ - l ,'7 0 � o /l` � r-/•/o NSA_89,122 io 7, NO W^1 ,Q 30' PERCOLATION HOLE DATA: (T.kc, a /0 i �=�6'I• /�Id, Groundwater -+ Wit_, — - - r� -- ' 1vo, Res C S t ra t UnI N n,�E. d9,EA,O, :,F-/VQ L - Ledge )' rc, Test 1);It � ' '^ /�i` eoro i tnossed By SJ5�077C 've vo/-4114E "-fora FFFLLir�/�/T` Lam,. PvI-(:olaC Il)n 1\:Itl': �� , 100 .coo . + Jerry Phiilapp NEW CONSTRUCTION "Homes Built With Pride" CUSTOM CARPENTRY -,.. J To G� Date ! Z—�Time j WHILE YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator �1 AMPAD 23-021-200 SETS �J�.] EFFICIENCYe 23-421-400SETS CARBONLESS Assessor's map and lot number .r �.���% Q,/�.: y0F?H E t�<r Sewage Permit number r Z BAUSTADLE, i House number .........../... ...................... .............................. ' SEFWC gym aea 9 A'STALLED �N O o T®WN OF BAR N S R ja PITH TITLE 5 To ? DUILDIG INSPECTOR APPLICATION FOR PERMIT TO � . . .firms, ..... .... . .,X..J. ....... ..... TYPE. OF CONSTRUCTION ..... .4 e?.. .4....................................................................................................... ..... .�., ...19.0 j TO' THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...../I......�.��.�/..�'7�1.� ......kz)..�............� /A.Q.................................... ProposedUse ......6..O.Y.L....R.e.Fxyl.......................................:..................................................................................... ZoningDistrict .............. ..........................................................Fire District .............................................................................. Name of Owner �...7.4.?./!W...y'$4,120.N(Address ....;7..�..... �✓../... t.la4 /.� .....y./.. 1.��� Name of Builder Da-t, 1. . ...m... w.rl.,,C.AG7Address ... ....... Name of Architect .5. —a. .e.-..t..5.... .(.p.t..i.JX!(Address .................................................................................... Number of Rooms .......QA....................w . ......../.i._..j....Foundation ... . . .......CGtn.zia-c.....w.tr.r, ..1 ,P. T' /! l� ' ��1 .� v 1" �at/Sl�rn�t�� v / r �-s`hA.G�' S mt r/►� GS'� Exierior ..p2k ......5LQ C�' ..OR...C`,r.�� f�X, Roofing .. .... /�, �Fjitdre9.. ..d!/ t X�. � � y Floors t°.l�n.0 ra. ............................... ..................... .....).A.0.. Heating /..E .Q./�..�1. g .......l ............Plumbin eif ............................................................................................... .. Fireplace ..:...�64. �. .....................................................Approximate Cost ......�,�.��.............. . .... ... .. .. .. Definitive Plan Approved by Planning Board ________________________________19 -------. Area ../QzD:d .C-F-7-e _. r�S Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 31 6 q.2 33 100 - o , 1,$ a to Zoo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . r Name ,.�l.: ✓. .. ..... .. . .... ............ .� ` POLY, zHERum A - No -. . �.\) [�� ���t�� — SiooI�� Iraoziln D5���� ------'~'� '' --''~~— 7�~�^--'' � � / ' Location ..4.l—I�at ..I�a%t��—..v---.. . . . .................Hyannis............................................ . . Cxwne, ..'Az�, ..���]ybr�^—��l��0�..��.�Dol� . - Type of Construction XXAMe---------. --------------------------� . Plot ............................ Lot ----------' . . Permit Gnonn*6 ................Mkomc.h..2,8...lg 80 ' Date of Inspection .. lV --------.. � ' Don* Completed /���°��.�� .l9 ^ ` / � ! � . PERMITREFUSED ' ` lV-----,--'------------. / ' - ' ' ......................................................... '- . - ^ ................. ...................................................... t: �� . . . -----' '----' i - ' ` ................... r---'—'--'~'^--^--~—' � � == . � Approved lV �- .................... D.~L.--------------.-- ` ���� ° ' ................... / | ^ Assessor's map and lot number � .!�..:...... ..............:..(�. d. ...,. THET�� Sewage Permit number .a.!,ewe......r? ....<.e.oa•.s�...r>rc, A/' w w Z BAUSTADLE, i House number ................ riles ..:...................::.............................. r * �p 1639. \0�� a• TOWN OF BARNSTABLE BUILDING INSPECTOR f� APPLICATION FOR PERMIT TO — , TYPEOF CONSTRUCTION .....!A,, ,{ G,c: ............................................................:............................................ XA a' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... ...... :. �... .%.� ! ')..S". .... :.?��......... � :.. ..<✓!.... .:: .. ............................ ... r' ProposedUse ...... .............................................................................................................................. Zoning District ........:.. ............................................................Fire District .............................................................................. Name of Owner .,� .1�/�l'. ... "i !Y1....? ,.. Address 1 �! ,y� !'. �. .....r. :!r:...... :.?r ✓'.. .1 ...:........... .....f . . Name of Builder )r.. _!..r..^- ...� . .. "`?'_: 1�!.s.r. :z..�.Address Name of Architect .. .:._..,' .%r'.....0.... ` L�CAddress .................. 'Number of Rooms .......0-10..e.............................................Foundation ..... ?...2........ r {Pw..%.�'.....'..<.:.e.' ............., ,T,,7C LOA Exterior ....f.. .. .. T,; wtt..... .. �.y.yrl�,r�.� .r.:.,.Roofing j r� �' .. / Interior .....�` �..✓. .C ....:1.. .a......... . r Floors :......./...........: ........................................ Heating ..... !".. '?...? ...........................................................Plumbing .......: f �. .. ............... Fireplace .... ?/...! ,'L..d ........................................................Approximate Cost ....�... 7 �.?�......................................,,1 Definitive Plan Approved by Planning Board ___ __________________________19--------. Area Diagram of Lot and Building, with Dimensions Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3a 33 lbo 17 , 2. 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. o"� Name. ` ]; ?,c.:..✓✓✓.. ...... /// �....!t;�a ✓........... :...., - _ _... �... q.....-::.. Gs....:'i..-_.._ ....t•»....w..... ._..i•..0 -...a-. .:h.1.S::.:+e^ t K.i,:•...b.i ...._.....M...r-,iw..E.., ._.. ...,... .x�.v..._, ,._..._.....c._....._1 ..._c _..,..-a. .r......_...a.e..«.,a.., -.� ! n POLY,THERON A";,- NO2-2-G-rB...... Permit for ...Nad on iti ............................. .... i..n..$. g.jq...FAMi.1 y..DWq.j ling................ Location ..41 Lattimer Lane .............................................................. .................. ........................................... Owner ........Theron...A#'....P.Qly..................... Type of Construction ..Frame........................... ................................................................................ Plot ............................ Lot Permit Granted .......marab...2.8............19 80 Date of Inspection ....... 19 Date Completed ... 19 ......................... • PERMIT REFUSED .............................I.......... ........... ........ 19 .................... • .........rz........ ................................ ........................... .. ................................................ Approved ......................... ....................... 19 ............................................................................... ............................................................................... f I' ` I�l wr,r5 AA .. - ..�.. � �w j•-��.I �-�.r ,..-w �■_ •_.-...'..��.. � - _ ._ .u:' ° •fit j, C ry F 6 ' I c U,/ ! nn ------------- on zr- If I � c 1117C F Y rt s ' , I 12 5' II54) I I lei ct44 1: e,r- Add APPROVED By SCALE: ;D .A�"Jt, f'V DATE N 5 G — / 7 — � s 6 1 � � y i IZ + — 43cp��rrry JJ Zb Qi1r s Ya� !�i t !Z 3Z7. t ►23� -- �23� i a s ------------- s 2 ZI iiP Al -73 � 55 � 3G V IL y - ' � ♦ I/ � i j SCALE: APPROVED BY DRAWN BY , DATE: - � - > Jr- 4 DRAWING NUMBER N NEW CONSTRUC^.ON CUSTOM CARPEI'1TRV ^,L REPAIRS-RESTORATIONS G U'=.T CONTR.UC.M 12562 INSURED r Jerry Phillipp GAS&OIL _ - 'Homes 8urlt Wit%Pndc' 131 RESIDENTIAL-COMMERCIAL CONTR. LICJ12187 FREE ESTIMATES CA.P'N JAC-3 362-4666 CFJYr; Vlll=1AA 02M Jerry Phiiiipp 'HEATING&COOLING FIRE= =STIMATES 45 CAP'N JAC RD. (508)362-4566 CENTE.RMLLE, MA 02632 o P . I ( StZ� i Q I ! r ; W e, �Lo i s _� `, Q w Z _ c ��� �N , � %" _ Q fly L-1 �. STO , 1 1 � I still f - / 0 r c� b ` 0w L__j , s• � { Ll I trl.- N o 0 w _.R... a ,77 22 + 3 #YAl Al 7ZAX 7XICC I& p I 1 I I / I r, Tjf�Fr /' r t i # i ' + i i f 1107 own 8ExOS— M