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HomeMy WebLinkAbout0109 MIDWAY DRIVE id 1 _ •:Y d, Application number................................................ 'Date Issued............�.2 .` �1............................ e an�xxsrns� MIss. 16g9. ®� MAR 2 6 20119 Building Inspectors Initials........ .. . ...................... rO��l�� Ma /Parcel........... :.5.:z...... ..?'. .... ........... TOWN OF BARNSTABLE - 1 EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY MORIWATION Address of Project: l o /1,c�l�,,/�t NUMBER STREET VILLAGE Owner's Name: Bann _L iawn e S Phone Number Email Address: n y,2tioo.Cow Cell Phone Number Project cost$ I 5 5-1 — Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Oe,4,4 Date: TYPE OF WOE din U Vi�indows no header char e # ❑ Insulation/Weatherization g ( g ) �-_ Doors (no'header change)# 2. Commercial Doors require an inspector's review 17 Roof(not applying more than 1 layer of shingles) � Construction Debris will be going to GPI a s4e-r?aiJa�PN1P/1 CONTRACTOR'S S INFORMATION . Contractor's name (�[ u n i��n.�;so✓� So �c� �2�J Fr 5,eV4 Home Improvement Contractors Registration(if applicable)# 17 3 2-L 5. (attach copy) Construction Supervisor's License# S 7 07 (attach copy) Email of Contractor SLJee- ; (• C 6 M1 Phone number L101 z 2 R -1900 ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTOR/CAPPROVAt BE/:ORE A PERMIT CANBE ISSUE®. APPLICATIONNUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total_ Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent z If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: ` Telephone Number Cell or Work number I understand away responsibilities under the males and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICAN11TV'S SIGNATURE Signature Date 3- Z C-19 All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal B Andersen of Southern New En and' Y Bonnie LeBames Legal Name:Southern New England Windows,LLC 109 Midway Drive RI#36079, MA#173245,CT#06345551 Lead Firm#1237: Centerville,MA 02632 wisoow PE IACEMEXT 10 Reservoir Rd I Smithfield,RI 02917 H:(508)648-1013 Phone:866-563-2235 1 Fax:401-633-6602 I sales®renewalsne.com Buyer(s) Name: Bonnie LeBarnes Contract Date: 03/09/19 Buyer(s)Street Address: 109 Midway.Drive, Centerville,.MA 02632 Primary Telephone Number: (508)648-1013 Secondary Telephone Number Primary Email: bon2wine@yahoo.eom Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). , Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed,all work under this Agreement. Total Job Amount: $19,551 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $9,776 Balance Due: $9,775 Estimated Starr. Estimated Completion'. 6 to 8 weeks 6 to 8 weeks Amount Financed: $19,551 Method of Payment: Financing We schedule installations based on*ihe'date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we:are providing at this time is only an estimate.We will communicate an official date. and time at a later date.Raiti and extreme weather are the most common causes for delay.:' - Notes: Plan 6.99%fixed at 10 yrs Buyer(s)agrees and understands that this Agreement.onstitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any.of the terms of this Agreement.No alterations to or.deviations from this Agreement will be valid without the signed,;written consent of both the Buyer(s) and Contracioi Buyer(s)hereby acknowledges that Buyer(s) I).has read this Agreement, understands the terms of this Agreement`and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation;on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE.TO BUYER;'Do not sign this contract if blank.'You are entitled to a copy.of the,contract at the time you sign.' YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 03/13/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF.THIS TRANSACTION; WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT Legal Name:Southern New England Windows,LLC dba:Rene wail B n of Southern New England Buyer(s). Signature of Sales Person a Signature Signature Paul Conboy Bonnie:LeBarnes Print Name of Sales Person Print Name. Print Name UPDATED: 03/09/19 Page.2 / 10 1 Office of Consumer ,affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts .02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS, LLC Expiration: 09/18/2020 10 RESERVOIR ROAD SMITHFIELD, RI 02917 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Reouiation 173245 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS.LLC Boston,MA 02118'��` i BRIAN DENNISON ;K C� �— �, 17 ', \ 10 RESERVOIR ROAD SMITHFIELD, RI 02917 UndersecretaryWi�h�ut sis�ratt�re Board of Bu'Iding REgi*diatlons and S4a ida -09 �t 8 BLACKWELL, RIVE � CHARLTON MA. 01507 The CoittmottwealtIt of Massachusetts Depart»tent of IndustrialAccidents I Con,-,ress Street,Suite 100 a Boston,Mai 07114-2017 w w w mnss;ov/dia tiVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITI'LYG AUTHORITY. Applicant Information Please Print Lezibly Name(Business/Orsaniration/Individual): G. h e r e I) Address: 1 USA UDt �� City/State/Zip:-5 tq I-HI 1 e-IJ,R. 0Lg 17 Phone#: 401-22- -- ? ff-0y A�yao employer"Check the aapppropriate box: Type of project(required): a employer with 20- employees(full and/or part-time).* 7. New construction 2.[I am a sole proprietor or partnership and have no employees working for in 8: Remodeling any capacity.[No workers comp.insurance required.] 3.M[am a homeowner doing all work myself.(No workers'comp.insurance required.)t 9. ❑Demolition D4.❑I am a homeowner and will be hirin;contractors to conduct all work on my property. [will 10 B..dilding addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5M[am a general contractor and I have hired the subcontractors listed on the attached sheet 13.❑R f repairs These sub-contractors have employees and have workers'comp.insurance.* 6.M We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other Alin U r 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information r 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 andjob site information. n ��(n � �1 _ Insurance CompanyName: Fr0e 5 (IrS�faltx- �7 . oF= YV�f., /,. ti . Policy#or Self-ins.Lic.#: WC A .3 [5 R "7 ZGl 2- Expiration Date: Job Site Address: /O% /l't-41Q y/ City/State/Zip:�i�'P.i'✓-� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerIM under the pai d penalties of perjury that the information provided above is true and correct Sianature: "4,,.A Date: —1—D— Phone#: 0) 7 9 g: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 7111, ACC> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1.� 12/28/2018 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 CoBiz Insurance, Inc.-CO NAME: 1401 Lawrence St., Ste. 1200 (AJC. o Ext: 303-988-0448 FAX No:303-988-0804 Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC k INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:Firemens Insurance Company of WA,D.C. 21784 Southern New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER C: Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER D: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR . POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1i112019 111/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR DAMAGED PREMISES Ea occurrence $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 POLICY❑PRO- OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 ii1/2019 1/V2020 COMBINED SINGLE LIMIT $ Ea accident 1 OD0.000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED OS BODILY INJURY(Per accident) $ ALIT AUTOS X NON-OWNED PROPERTY DAMAGE X HIRED AUTOS AUTOS Per accident $ $ A X UMBRELLA LIAB X OCCUR CPA3158728 1/1/2019 1l1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,000.000 DED X RETENTION$a $ B WORKERS COMPENSATION WCA315872924 1/1/2019 1/112020 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000.000 OFFICER/MEMBER EXCLUDED? N❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$1.000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Liability 7930073340000 1/1/2019 1/1/2020 Each Occurrence $2,00D,OD0 Claims•Made Policy Aggregate $2,000,0D0 Retroactive Date 06/20/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 9 , Assessor's map and lot:number ..... �� ' t ? .. ..... - y�F THE p , Sewage Permit number t5 3......... � �+c.. a A TI SYSTEM MUST d�Qp AB39Te. B+ rd� IN �aV�Li�House number ..... 9 raa ...........:. 039 �o�• WITH TITLE 5 aMAXa`e t TOWN OF IAA IjrTjj, (C 0 D E A TIONS BUILDING 11SPECTOR APPLICATION' FOR PERMIT TO . .......1,� .L.44, .... ..../ ..... .F ��1. ......&*.A.... ......Z✓ TYPE ,OF CONSTRUCTION .......................... ....... ................. ...................... �....I.......19..P....� 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for ai permit according to the following information: �i S Location . , A.b.0-1.1-Y........��"���...............................lP.f:' .. j.....`Y.r.. �-..... �. "T' Proposed Use ......... 1.^.��' / :....� .�1.';?........ eh�.......f.. :... ........................................ Zoning District ......r,�If.....t.... i3�booms ......Fire District .�(�..�!...... ............................................... Address ............ ✓Name of Owner ..... . . `e ... .'�. 1� /..�.Q....... Z' 7C ..:....� ./?lJ '!�l�S�.?!!�./..yJ VVName of Builder" .. ...!7. ,......:. !!....(. Andress ......ZO.�....1................A/h-A.1.. ...... (..4'��� Name of Architect .......... s�...,..� .......... Address. ......(,/.. luoa>T .......:w �l........: Number of Rooms ............... ..(.. 1a.C4.. .�.5..................Foundation ......... . ,4f. ...... Exterior .. ..... .Roofing ..... . ................................................. � ®o . .,.....Floors ` C14 ......................... _ Heating .1G.f'.S 1. .....................................................` Plumbing ..... d:� ........:. ... 9.M�7....F-�": - .... -�/ j �. Fireplace ......./f'. `�...t� � ... . ......... .......Approximate Cost .................. ...' ............................ Y // Definitive Plan Approved by Planning'Board ____If w _ ____19 Areal........................ Diagram of Lot and Building with Dimensions Fee .... SUBJECT TO APPROVAL OF BOARD OF HEALTH { OCCUPANCY PERMITS REQUIRED FOR "NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. n' Name .... 1: ......... ..... ...... A,j�r ® �A/, !.. CARREIRO, CHARLES 24442 N ................. Permit for ...One Story................................. Single Family Dwelling ............................................................................... Location ...............Lo t #.4........109.......................Mid way........Dr..ive . ... Hyannis ............................................................................... ;Charles Car'reiro'' Owner .................................................................. Frame Type of Construction ............................. ........... ......................... ........................................ ............ Plot ........... ................ Lot"— .............................. Permit.Granted ..qetbber 7 . .....I............. .......19 82. Date of-Ins ection ....................................19 .Date Completed r- 4_1 Ails�'\ , c� Wit $ S H 7F. _ G 4 S re�`�� G 3 h0 k su L� J , . > it E \ a .9 Qom{��jX/d" ( � 'ir�. Q' C cs1 d. Lo►,lE— — l �J 3c) F . P . LEGEND of CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OAO EXISTING CONTOUR --- 0 ---- Q=�°.. E T 9 FINISHED SPOT ELEVATION [ 'A. FINISHED CONTOUR 0 MORSE — Q No.10951�C 1 N APPROVED , BOARD OF HEALTH FGISTEP o�FSSIONA��a�\ � DATE AGENT SCALE, / 40 DATES 9 /o LDREDGE ENGINEERING CO! IN E , �a`��E CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. $Z/Sr7 BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS DR.BY f1.o9,1y/; A S S.- � r- r . ENGINEER SURVEYO ------- OF BARNSTA LE , 712 MAIN STREET CH. By ,,, a G to ®2 _ _ --•�.:�_ HYANN I S, MASS. S H E E 0F Z-' A E G. LAND SURVEYOR „.a ...+e.:r..i-y:. a::.ei'a .-..,..u.•aie.-asura :'ravd+Yss:..c..;i n s...A.,.......F. .... .,.,.....-e.. ... .. .,.. ..,._. ... ..... .,........_ _ ... _ . . - _ - l 20 FY. MlN. /MOTE /F E/7-H4iffR TNE.SFPT/C TANK OR GEfiCHlNG P/T ARE MORE ToI /Z"BELOrV /O F7 M/N• rRAOF, A 24'O/AMETEK COINCeET_= COpIEA' SWALL EE EROUGNT TO 4,TA Z>E.(:f;,ti EXTRA GO/VGRETs 40PYC P/PE JyrEAVy Cif 57- IRON COVER .S111II- 3E USED ELC(/, t OZ fJ CODERS- M/N. PITCH /F/N ,OR/VEWA y �•. �g PF.Q FT. 2•J 6 .DOE / CO ✓ER CL EA/V .SA/V O � LQ[//O L Ef/EL 4ST,, Z'LAYER:= ROH P/PE C>c�v • a,o , moo o"r //8 . M/N..P/TCN ORL. D/ST, o / • • • • • • • ► • •4 WA SHED STONE /4 Pca)-r SEPTIC 7AAI/C s • • • . • • • • • e BOX o I 1 • o • • • .o• •• 1it;. - e •D 1 • IEFFECT/VE • • ,r 314 `�' , • i • • Q�p�H • • • • 0 WASXE0 STORE AP v 2:y z 47o r si I . • • • • • • p •moo PREG45T SEEPAGE lN/iPR'r �LEYAT/DNS' -78 X 1.0 -78 a r• • • c . . . . • e o P/7 OR EQU/V. I'/TCAPAc(71 5-48 677A / AY . • . s ��c-� 9/•O lItT,A7- 0u/1-D/N6 79. 0 FT. /NLET "Pr/C TANK B S F'T / ° FT (. SEE TABULATf0�1/> OUTLET SEPTIC TANK 98,3 FT, /NLET D/S7R>8!/T/ON;BOX 9E .9 FT SECT/ON OF GROUND W,,47, TsaLE I. OUTLETD/STR/®llT/O/V BQX �7 . FT. /)I LZACNIMAO 01 97• C FT. 7,gBl1LAT40N LEACHING JO/T DIMENS/ON A DES/GIY CRITERIA SCALE : %s” _ /= o" DlM.ENS/ON $ FT. NUAlBER OF BEDROOMS GARQAGEO/SPD.S/FL UNIT NONCE SOIL LOG 1 TOTAL E1T//�TEG FLort/ 33 y G.4L.�DAY SOIL TEST d�'/ SOIL TFST�r2 SOIL TEST / NUMBER AF 40ACMI/VG P/T3 �_ f`FtEb! g8-9 �^�-EL�Y. 7/fgZ S/OF L.G'AGHlNG PER P/T �S R7. GATE OF SO/L TEST 9/ 7 � Q G _ 2 RESULTS WITNESSED dY Je� BOTTOM L6�ICN/NG PER P/T $Q, �T. �D�-� A PCRCOLAT/D!V MATEI S A M/N�/I/VCl'! TOTAL LEACN/NG .AREA 221 SQ, FT. R0SBRVELEACN III AREA 2 SQ. FT. M.C�.Sfi,✓.ram , OF�I._ ��-(';� r lv�•�.rf•� .o C7,'A 29674 p No.10951�O EL O RED GE ENGINEERING CC,INC. •�� O �F�c 6�� EL EV S �' 9 7/2 1//Y ST. HY.grc/N/S, M.gSS. 0. ,�k S Np SURV� '�Y SIONAL. NO GIeOlJNt7 YVi4TL`R IrNCDUNTERL�O v ce V G'L/E/VT: l3�uE DFITE 9 Q GM UMO LVA rjER AT ELEL! _ r-2 TOWN OF BARNSTABLE Permit No. ----_-_2 " Yam' l VAUTT1YL b Building Inspector. Cash 7 YYL a x • OCCUPANCY PERMIT Bond _ _—_����,. No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector.",,( Issued to Chaftes Carrei o Address lot #4 109 Ificlway Drive, Hyamis Wiring Inspector - �`l'` Inspection date Plumbing Inspectp/1 n .. , Inspection date Gas Inspector �n Inspection date Engineering Department �� " .��� 'fi _.'-.,� Inspection date ��.�,t�- v'�" THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Building Inspector " Assessor's map and lot number .......••� ... Qy�F THE Sewage Permit number ............. .... .;R .ate. ....... d� �+► EARNSTAELE i .,4ouse number ...................................... /c� g..................... o rb 9 3 • �. s tjk/G �OYPYa� ti TOWN OF . BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ..;... .�,ct ;... , .....:. TYPE OF CONSTRUCTION .." ... ... .......... .. ....................................................................... ....... :: .i: :......191 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the .following information: it//(//S Location ..... n. .. .• C ........ .. .3....::............... (. .............7......i......f. � .. /........ $. ProposedUse ......... � ... :. . . ..... . . ... s . ..................... ......:: ........ ..: ................ Zoning District ..�.. ... ........... .......... `.....:. •••.• I.........Fire District . T'••,. ........................................ �ryi � ' > i fi ��f f f C3 Nameof Owner .�...... ... � .... ...................... .............Address ...... ... . ...... .:.. I�? t...... �....... ..�s�.. Name of Builder' ...i, Ct?? it?... '' > 461, ;d�ress ..... ��.3 .. .:.......e rl Frw::.� ..... Name of Architect .........!� t,.s.?.. ....... 9 CCp 1;0............Address f1t...� Ar. .✓. �"? .........'.2.....I41 �: J ........ Number of Rooms _ . ............... .... .Foundation s Exierior �.►1��,}, (- ......... .. ✓j4}ef ....Roofing ....... r�� `�..... ...... . ...........Floors : . ............... --Heating .. �� :?!�.:.........-................ . ............Plumbic g ..... " 4 ....... ..... ..,•r�•••o •1 ... :� Fireplace ... 1. ... €(" .....P4..... .. ...Approximate Cost . .. ` • r` ... � Definitive Plan Approved by Planning Board _ ats=4- 1.9 a >~. Area ..... &...................... Diagram of Lot and Building with Dimensions Fee ....................... ,.: SUBJECT TO APPROVAL OF BOARD OF HEALTH •t C� } I c /_;,;:,Yv. � V � �' � ,\.k..r.:a_,G,.,•. ,r�_ i..r` 4��cv,. �.�w,._��..C� 5,.,!.,ti,►..�.rr t, �.�.,"c u L1 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 ............ CARREIRO, CHARLES A=252-54 24441' ` ' One Story No ................. Permit for .................................... Single FamilX Dwelling Location Lot #4 _._ 10 9 Midway Drive ...............HY.anni s............................................. .T Owner ... harles. ...Carr. .eiro. . ......................... .. .. ....... .... .. .. Type of Construction ..Frame - ........................................................................... Plot ............................ Lot ................................ Permit Granted ....October 7. 19 82 Date of Inspection ....................................19 Date Completed ......................................19 I o 0/0I '� 'CO