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HomeMy WebLinkAbout0190 SCUDDER AVENUEf i X-PRESS a -z PERMIT �t Town of Barnstable. *Permit# Expires 6 months ro �sne date �T Regulatory. Services Fee v 8' '""sa BARNSTABLE Thomas F.Geiler,Director i639 �� fp MA'I� Building Division " Tom Perry,CBO, Building Commissioner 260 Main Street,Hyannis,MA 02601 www.town.barnstable.ina.us Office: 508-862-4038 Fax:508-790-6230. EXPRESS PERMIT.APPLICATION RESIDENTIAL ONLY - ,0rr�� ( Not Valid without Red X-Press Imprint Map/parcel Number Property Address f__ ��V6C:1kVk.t `.Y1'��C c El-Residential Value of Work S( 7 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name i S, 0( jkw ...�eywt e_ Telephone Number Home Improvement Contractor License#(if a plicable) Construction Supervisor's License#(if applicable) IV":� ❑Workman's Compensation Insurance Che ne: I am le proprietor' ❑ I, the Homeowner have Worker's Compengation Insur ce Insurance Company Name Workman's Comp.Policy# /"1 G� ,� . i f�3 Q b/ � Copy of Insurance Compliance Certificate must accompany each permit. - Permit Request( heck box) 4 i Re-roof(stripping old shingles) All construction debris will be taken to ' �✓ � � ❑Re-roof(not stripping Going over u` existingdayers of roof) ❑ e, ere- Re-side #of doors: a. ❑ Replacement Windows/doors/sliders.0-Value (maximum.44)#of windows "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 Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required.' SIGNATURE: a C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO.\EXPRESS.doc Revised 090809 HIC Registration Lookup Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) - Mass.Gov Consumer Affairs and Business Regulation Home>Consumer>Home Improvement Contracting> - Home Improvement Contractor Registration Lookup " The list is current as of Wednesday,June 30,2010. You can search/filter the registration list by any of the criteria below. - - RELATED LINKS Search by Registration Number 1166334 - - Flumc hnpnivenicnt Contractr Search Registration Number) Rgku:nion Home Page I Search by Registrant Name -- R - Search by City Zip Code - .. Search Registrants - - Click on the registration number to view complaint history.You can also vic,amitratwn and Guaranty Fund huton. - Search Results .t REGISTRANT NAME RESPONSIBLE REGISTRATIONS ADDRESS EXPIRATION STATUS INDIVIDUAL NUMBER DATE - INTEGRITY HOME i PECKHAM JR.,RICHARD 166334 P.O.BOX 1269 5/13/2012 Curren[ SOLUTIONS ... HYANNIS,MA 02601 1, - O 2010 Commonwealth of Massachusetts - X 1 , A http://db.state.ma.us/homeimprovement/licenseelist.asp 6/30/2010 ^f �y�3 v •sE � �, 3 a a ( s `mot e T :r fg ?7VI- .- rg § e� - C .'p -5tt i— F If T 3aaA�ICY 6• - r - 1i.tss�echusetts- Depatrtinenf of Pubic Saferi �' � Board of Building Regulations and Standardsr � Construction Supervisor License ' License: CS 94193 Restricted to: _00 ,s ' x RICHARD J PECKHAM.JR $ n� r._ 204 SCUDDER AVE � � ' HYANNIS, MA-02601 'y 146f A Expir_ation:.7129/201:1 ('omniisiuner Tr#:.'1608 F < r • lt►aNSrABI$ • 3 9. 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: 508-8624038 Fax: 508-790-6230 Property Owner Must `Complete and Sign This Section If Using A Builder as Owner of the subject property, hereby authorize_hi`G /i�(� _ �PQ Dn1P �d�oqf�o act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job �3(� i ture of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decolU\AppData\Local%hcrosoft\Windows\Temporary lntemet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual Insurance Company Burlington, Massachusetts NCCI NO 26158 (800)876-2765 POLICY NO. I AWC 7024230512010 ITEM ����hA M PRIOR NO. I NEW BUSINESS 1. The Insured . Richard Pecham Jr dba Integrity Home Solutions Mailing Address: P O Box 1269 Centerville MA 02632 No. Street Town or City County State Zip Code ❑ Individual ❑ Partnership ❑ Corporation ❑ Other FEIN 76-0795452 Other workplaces not shown above: 2. .The policy.period is from05/05/2010 to 05/05/2011 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here; MA B. Employers Liability Insurance: Part Two of the policy applies.to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident$ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance:Coverage Replaced By Endorsement WC 20 03 06A D. This policy includes these endorsements and schedules: SEE SCHEDULE �y ggg; t0PCt 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Ra lans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated Total Annual of Annual No. Remuneration Remuneration Premium INTRA 002632 . SEE EXT NSION OF INFORI 4ATION PAGE Minimum premium$ 500.00. Total Estimated Annual.Premium $ 500.00 As indicated,interim adjustments of premium shall be made: Deposit Premium $ 500.00 ® Annually ❑ Semi Annually ❑ Quarterly ❑ Monthly MA Assessment Chg. $291.00 x 7.2000% $0.00 This policy,including all endorsements,is hereby countersigned by 05/11/2010 Authorized Signature Date GOV GOV KIND PLACING CLAIM NAME SAFETY STATE CLASS I AUDIT I OFFICE OFFICE CHECK GROUP Bryden&Sullivan Ins Agency MA 5403 12 1704 _ Inc WC 00 00 01 A(11-88) 88 Falmouth Road Hyannis,MA 02601 Includes copyrighted material of the National Council on Compensation Insurance. used with its permission. WORKERS COMPENSATION AND,EMPLOYERS LIABILITY POLICY POLICY NO. AWC 7024230012010 EXTENSION OF INFORMATION PAGE ITEM 4.CONTINUED PAGE NO. 1 Estimated Total Rates Per Estimated Annual Premiums CLASSIFICATION OF OPERATIONS CODE Annual $100 of NO. Remuneration Remun- Subject to eration Modification All Other MA-20 Intrastate. I.D. 002632 Richard Pecham Jr dba Integrity Home Solutions 204 Scudder Ave Hyannis, MA 02601 No. of Employees Per Location 0 CARPENTRY NOC 5403 If any 11.92 0 CARPENTRY NOC 5403 If any 11.92 0 CARPENTRY - DETACHED ONE OR TWO FAM 5645 If any 7.50 0 CARPENTRY - DETACHED ONE OR TWO FAM 5645 If any 7.50 0 CARPENTRY - DWELLINGS -THREE STORI 5651 If any 7.50 0 CARPENTRY - DWELLINGS - THREE STORI 5651 If any 7.50 0 Total _Average Number of Employees: 0 i- i- AP 4921.01 (9-89) WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY POLICY NO. AWC 7024230012010 EXTENSION OF INFORMATION PAGE ITEM 4.CONTINUED PAGE NO. 2 Rates Per Estimated Total Estimated Annual.Premiums CLASSIFICATION OF OPERATIONS CODE $100 of Annual NO. Remuneration Remun- Subject to All Other eration Modification MA-20 Intrastate I.D. 002632 05/05/2010 TO 09/16/2010 Total 'Scheduled Premium For Period 0 Terrorism Risk Ins. Act of 2002 - Certified Losses 9740 0 09/16/2010 TO.05/05/2011 Total Scheduled Premium For Period 0 Terrorism Risk Ins. Act of 2002 - Certified Losses 9740 0 r l AP 4921.01 (9-89) WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY POLICY NO. AWC 7024230012010 EXTENSION OF INFORMATION PAGE ITEM 4.CONTINUED PAGE NO. 3 Estimated Total Rates Per CODE $100 of Estimated Annual Premiums . CLASSIFICATION OF OPERATIONS Annual NO. Remuneration Remun= Subject to eration Modificatio@ All Other MA-20 Intrastate I.D. 002632 Total Estimated Standard Premium 0 Loss Constant 0032 50 Minimum Premium 500 Expense Constant 0900 159 Terrorism Risk Ins. Act of 2002 - Certified Losses 9740 0 Premium to Equalize. to Minimum 0990 291 Policy Total 500 Subject to Mass Assessment b Mass Assessment 7.2000 0 AP 4921.01(9-89) 'a�o � oFSNE row Town of Barnstable *Permit# (O �-� �. Expires 6 months frons issue date • Regulatory Services Fee ' BABtvszaBLE, v� "ASS. Thomas F.Geiler,Director 1639. Building Division Tom Perry, Building Commissioner �r-�®�S PERMIT. 200 Main Street, Hyannis,MA 02601 .AA 1R� Office: 508-862-4038 MAY 8 2003 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTh*91M BT , p Not Valid without Red X-Press Imprint Map/parcel Number;1 �a [ /0 /0 Y Property Address A O'Residential Value of Work— y©o Owner's Name&Address / /!/ G U/1 2�/ /9 0 s C U D 412-Al l Contractor's NameLL �� -���✓-lBUz '�'�� Telephone Numbe�� Home Improvement Contractor License#(if applicable) XQ&"�f,_2 Construction Supervisor's License#(if applicable) 0-5— [ Workman's Compensation Insurance c Check one ❑ I am a sole proprietor (sii ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 92�L �i�a;L; #A NDVz/z /NSGfz�i/G� �' Pz Workman's Comp.Policy Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) Ri?z_A{ iZ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 n °FTHE l° Town of Barnstable *�P Regulatory Services BAMSUBLE, Thomas F. Geiler,Director 9 MASS. `5A i839. g Buildin Division TfD MAC A Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 tY ProP er Owner Must Complete and Sign This Section If Using A Builder 4 AT/ h , as Oyner of the subject property to act on m behalf, hereby autho�ze U Y in all matters relative to work authorized by this building per 't application for (address of job) Si a of Owner ate Print Name Q:FORMS:O WNERPERMISS ION :. 6T, e ieamonan� /�aaoac�tuae%ta j BOARD OF BUILDING REGULATIONS a License: CONSTRUCTION SUPERVISOR ' Number: CS 000605 Birthdate 05/21/1946 Expires:05/21/2004 Tr.no: 24409 •onr...•-T- -- Restricted;'00 i RICHARD B HASKELL' 25 PORTSIDE DR - HYANNIS, MA 02601 Administrator -Tk eammam4waN o1,4&madwm& tt Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 105521 Expiration: 7/17/2004 Type: DBA HASKELL HOME IMPROVEMENT RICHARD HASKELL 7 Portside Dr. Hyannis, MA 02601 Assessor's map and lot number Sewage Permit number .......................................................... i °`T"ET°�y TOWN OF BARNSTABLE Z SAHBSTULL i " 9 o w BUILDING INSPECTOR �FaY a' ? �. ... . V JAPPLICATION FOR PERMIT TO ..... .................................... TYPE OF CONSTRUCTION /!�U f f f ,.i 1 ! �tl <t.r� r� l fi�/h r .. ..................................... :: ...:�. ..:.....Js .........19.7tA TO THE INSPECTOR OF BUILDINGS:..,,____—,.. The undersigned hereby applies for a permit according to the following information: Locationra .........!�.r.,...... ..�. �: ....................................r-.../. ......... ........................... Proposed Use .... . ...... .! . ?.....!..t .......................................................................`.......................................... Zoning District Fire District .............. Name of Owner rP.A,,17A 7 . .......................Address .................................................................................... Name of BuiIder :A+ !:tC, n l� ^1 ::..I tt%—.K...r.N...Tn?t.Address f.�.Z..... !j.., �M la d+ ....�. .... '1 .. . ......... .: Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...........7.7..................................................Foundation A h �p tld �2_, Exlerior .!A..T;% .......................................Roofing ... �....................................................... Floors Interior `�ra. l ...................................................................... fi✓ "� Rvc. 1C ....................................... ...................................... Heating �3 f1 ......................................................Plumbing Fireplace ...,. ::.L.......................................................................Approximate Cost ...:. ..r�/ /1................................................. 0. Definitive Plan Approved by Planning Board ________________________________19________. Area"`.............................. ............... .... . . ............ c Diagram of Lot and Building with Dimensions Fee ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ..r 3 a74 / d a ' - f f T r ! r� L V f { I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / / Name '..."..., GG..::f....-?..................................... Landry, Ernest A=289-128 ✓ `/ No 18 Permit for ......1 1/2 s tort', 1 single family dwelling I.......... ........ / /'76 ve_ ! Location '........................................................... Hyannis ........................................................ ........... ......... Owner ..Ernest. . . ...Landry . ...... . . .................. ... .................... 11 Type of Construction frame............... ........................... ....................................................... .... ....... Plot ......................... . Lot ........#14..... ........ Permit Granted .........Janyary 29 19 76 Date of Inspection .............. ..................19 Date Completed ... .................19 PERMIT' REFUSED ................. ................. .................... 19 ............11. .... ... ............................ ..........Y............. .... ...... .............. ..................................................� ....................... Approved ............................................................................... ............................................................................... Assessor's map and lot;-number ... ..�..�..:`.... v f �a SEPTIC SYSTEM K--,T�T BE 7 INSTALLED l �l CC ;r LIANCE Sewage Permit number ................tL�............................................ WITH ARTi--E II STATE SANITARY COD..Z AN,,Q TQW ?"ET°�� TOWN OF BA.RiX9TXTsLE. H9HH9TSIILE, i "b 9 -AMS 0 M BUILDING INSPECTOR PY a' Ha APPLICATION FOR PERMIT TO .. � �.1�.C..T....I1I...C!V....... .�......G.................................. TYPE OF CONSTRUCTION JS/A?Ia.. &....A'.�/ln.1.. l3.&.F.1-2............................. f 'TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location &ctT...l. ... rWi./t-TS l.rJ ......Da........................h'v. ./I✓ft// �. .1.�.... .s.. ................... Proposed Use ... (.�i ......r Yh.t...l..`�1........................................ .................................................. I......................... Zoning District ....................................................'....................Fire District ... '!..y/�N j...f.......................... ..................... Name of Ownern�✓�S'� � �`!�� ....Address Name of C.4..T-A Address L..... .:... 1 .o! .... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms h .............. ...................................................Foundation .lb.........� v,..rz ........................................... Exierior .W.9 T4.....(.Ed.r4rL r.......................................Roofing ... ........................................................ Floors ..A Oj� Z .l^/T�'Z' T / C /�. Interior ................. ........................................................... HeatingS g d/'!�..................................................................................Plumbin ........................................................................ Fireplace ..Y477. .......................................................................Approximate Cost ........ _..... .............................. Definitive Plan Approved by Planning Board ________________________________19________. Area ...............A162............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Z azq ��- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namer2A �L'.. Landry, Ernest I l 18151 1 1/2 story, N 'w................ Permit for .................................... .....+ ...$.in le ; nmily..dwelling.................. Location ........Pgrtside„Driv„e.................•...... ........................#y.nn s........................................ Owner ...........Ernest„Landry i Type of Construction .....iKAPPA.......................... ................................................................. ........... #14 Plot ............................ Lot ................................ r r. 4 Permit Granted ......January 29 19 76 tt Date of Inspection R {. Date Completed ..1. ... ''77a.. .............19 PERMIT REFUSED r ................................................................ 19 k'• ail�r' ............................................................................... A .......... ................................................................. Approved ................................................. 19 ............................................................................... i PLOT PLAN SHOWING INLOCATION OF BUILDING . B A R N S TA B L E MASS. FOR ///,a r» � a, C e SCALE. / " . G DATE: .7a 0 AG, l 9 74- CHARLES N. SAVER INC. REG. C.E.aL.S. 7I2 MAIN ST. HYANNIS, MASS. 33 • h'/, C7 .a• GL � 1 ' ? y Q sk m S o r- ='-y - v o ♦ U AI t \ Q � A .-i .5 i stk �f R. .27.v1 ,5.0 - Nay/ �S `- / /- A ve hereby certify that the building exists /K OF y4 f on the ground as shown on this plan and ors ROOERT �sG is in accordance with the zoning : P. KIS r rements of he Town of Barnstable. eu 8420 na.enzo o ��� � � -OIIITE�`�OQP Registered Land Surveyo[ �O oua+� 7 SO O / r Assessor's map and lot number ... ... r�.c / r ,L C'� CF T E t0 Sewage Permit number rJ..,�� :. / Z 8A"STADLE. i v House number ................... ..... ..... y NA86: 0 039. ♦0 SEE YFY�`\ TOWN. OF BARNSTABLE BUILDIN-G INSPECTOR APPLICATION FOR PERMIT TO " 3 f i . �. �✓ / r F^.......................................................... TYPE OF CONSTRUCTION .......... !`�' ?!?. ° ...., .:.: !` .�. ............................................. ` . ( . ..... ..... 19...'.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ..` ,?.......... ?. .. :� ✓r?! ....*�......... �... %......... {� .! i', 1. ......................�• _ . ProposedUse ....✓:. "!:.r .c ..... j� ; � . ° :................:................................................................................................:...... ZoningDistrict .... ..... .........................................................Fire District ........ `! .r'... ::... ......................................... ., et Name of Owner .... !�...>• .. .? .< ''!�!?!:.. .......Address ...: J....:::'. ... . `?f 1 . .'.. ....................... Name of Builder r;5� .r .. � ..... .P?.ix. ,T ;% rAddress 2.j� .O�`` l ....a%'J:..... :......�.t'.`: ... ....ti Name of Architect fi'( t:kf' c...................................Address .................................................................................... / r » Number of Rooms .......................................................Foundation ...................... = :C<!.....t;" - t'" w ✓ ,:�. f� f .................................. 4 Exierior ..... ?f..... . ..Roofing .....1.': ... v4-f,` Floors Interior `. ::......%.......� ..� .......i........................................... Heating .!.7(n .. ..'.-�:'............................................Plumbing ...:'".t.': ....: '.............................................................. Fireplace p `..::...7............ ....................................................Approximate Cost ..................... ............................................. ............................... ..... Definitive Plan Approved by Planning Board ________________________________19--------. Area .........-�'.............:?........... Diagram of Lot and Building with Dimensions Fee ..-:.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _ � a .�� t4 i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` @Nw~-- [ ' Laudry, Ernest A=289-I28 ^ . . . ' . 210I5 add to frarfif No ................. Permit for .................................... dwelling ............................................................................... ° IgO Scudder Avenue Location --------.-------______ , Hyannis ----------~----'----------- Eroeot Landry Owner --------------________ frame - .',- of Con— .. .......................................... . O � Ln� / � - Permit Granted ..........�Aptw.�.g.r...4.......19 9 / tDoteuf |nupecion .l9 Date Completed PERMIT REF SED _____,_____ ---.. lV � --------.. � - - —. ..�-8L,— —.,c------.---_—. ' �. ' ^ ' ~^'----------^--^---~—`-----' -----------^---'--'~^—^—'--^—'' Approved ................................................. 19 ' --------^------^--^----^---'' ................... � Assessor's map and lot number .. .... . THE p� Sewage Permit number .........La.Aty.. . . . � � sEM SYSTEM IN Co agar E. House;number rnea ........................................................................ .. . 1lViTH TITLE o, 1679. MMONMENTAL C0 ° 4' TOWN OF B A R N S T AVM*GULATIoNs BUILDING INSPECTOR ............. . .. .�.j. y� / APPLICATION FOR PERMIT TO C.�.l..�.f�........�.�dl.?l...l...f�....'0z1..............:......................... TYPE OF CONSTRUCTION ..........1te"'�..0,49.... ................................................................... TO THE _INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...../.1..�•9... ..y.s. C. ��>� 0�...... .. / (. .............................. Proposed Use . '�!4- ................................................................................................................. .......................... .. ........ ........ Zoning District .... ...............................................................Fire District .. �/�. ,S Name of Owner ,t A.y.......Address .../J."d !GP.49W q�r..................... Name of Builder / r�' : .lam. �..... 'P.. f�?�.�1Lb;Oddress Nameof Architect .............4�.4 ...........Address.......................... .................................................................................... Number of Rooms ..................................................................Foundation ....CIO.�?!. r' 1. ..1 .. C /J Exterior �.. /�� .Roofing ...../R�' S /�'.� .. ........ . ..... 47........... ... Floors .............................................................Interior ...c` !X"!` / 4. .......................................... HeatingA../......:. � .J ...............................................Plumbing ............................................................ Fireplace B ..................................................Approximate Cost ........... +Jf©Oar-. Definitive Plan Approved by Planning Board -------------------—_____ ------19--------. Area .......................��................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH L j { ! t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ............. .. Landry, Ernest ' \ 2I615 add to freooa ' No :---...— Permit for ----- --— ---- ( . l ' ----..������ll I��.---,--------^---'' / . . / Location lgO Scudder Avenue ---.--.------~--.------. ' Hyannis ' | --------,—~.---------------. �rueot {�vvnar --------����:�.[---------. ~ . ` Type of Construction ----frame---------- . ' . ` . .. '-------------------------- , ' Plot ............................ Lot ................................ � '~ Permit,Granted ...........5 e pt.�bec..4—.]g ?g ' ' ^ Date of Inspection -----------:.�lA _ ' DateCo' ................. - r ' ` . . PERMIT REFUSED lg . -----.--`,.-.-------',--.. . ' J-i� { N� . . ,. 'r— . / .............................................. � ' . - lV ^ ',~r' W � ��—..��—.--.—.—....--------.. ' - � --------------~.----~..~—...—.' ' . . ' . ' . , SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE VATH A'TICLE II STATE SANITARY CODE AND TOWN FZEG,%,TATIONSo - b�Qy�fTNE•TD��.n TOWN OF BARNSTABLE 13AUSTAZLL i 9� o 39- BUILDING INSPECTOR CATION FOR PERMIT TO �O. Tt��1G. '..'.r� �.. 'QJZ APPLICATION z ..,V yU t(r1.1.................................... i TYPEOF CONSTRUCTION ........�2.4./A.c..v.........`.............................................................................................. 44(v-f.......... ..................19.. ..3 1 TO THE NSPECTOR OF BUILDINGS: The u7 aersigned hereby applies for a permit according to the following information: t--- Location ...eQ.t�E.1L....44-0.D0=...Au ..... .P.... O.P.T.4.I•R£ QR.I.JE.•.... ProposedUse . =............�... Per...... A!!oi........OV.rw .................................................. ZoningDistrict ........Sa.....................................................Fire District ............................................. Name of Owner .. .�................••.Address ���, „L;.ya-IAG....�C.=.2?...Q.S.T.F,,P.J1.LLf.. Nameof Builder ...h W+P..GC.rp&R...........................Address .................................................................................... Name of Architect) l �•.•� (off , 4T....�jY,,`,,��„� S.1�64.2� �i..... ..,..�'.O.Q.�rAt4. ............Address �....�•�.�Q.1 .... Number of Rooms .......$A................................................Foundation .�A.....�Ota�.£��... C.M.E.T.E.w................ Exierior .G. 1aQ�... 1.�.?.� �G............................................Roofing .Z$PA'6tT..... Floors ?u�.Milme.p...Zo0.%I?L.T... ......Interior Heating 41.wm.../ ?lL...................................................Plumbing .. �... :.. �? •��� '. . .>.. Fireplace_...d! ?.. .,......................................... ....................Approximate Cost ..... f ........................................ Difinitive Plan Approved by Planning Board ---------------_---------------19________. 0 Diagram of Lot and Building with Dimensions • f 2�Mt�E SfecT� o� f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . � ..- .�... '. .....Q:..1 • . ^ Goodale, Anne E. � - � ^ ' =�=" =~=r7 \ / ' � ' ^ � le dwelling U ' ^ Y Drive Mort Type of Construction .......frame 00OV) ilWO PERMIT REFUSED / . / . � ' ( ` � } ' . / ! ` ^ ` \. ' ^ . . - . . ^ ` . � | , ' ' h ( _ � lq . . |....................... .----.-----^--.—.—,—... } ` ............................................................ ` .--._--.—....._--.-.—.—_.--. . ( � _---.---.--..~..---..—.--.—.-..—... | ` ' ` Approved ................................................. lA . .-------.-.--------..—,---...-- ( ----.~--~—~-------.—.....—...—.. . � K` \ !"' +? 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