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HomeMy WebLinkAbout0195 SCUDDER AVENUE 145 Scucbl¢� -AVO,- a�+a-a8-ov�, f • e Z—7-1� �/Q .,Tow_ n of:Barnstable; *Permit# p4 Expires 6 months] ue date • • . Regulatory Services Fee • 1ARN6rAB1�, • 1639. Thomas F Geiler,Director { Buildin' 'Division v Tom Perry;CBO, Building-Commissioner 200 Main Street,Hyannis,MA.02601 www.town.bamstable.ma.us Office !508=862=4038 .'. - - Fax: 508.790 6230 EXPRESS PERNUT•APPLICATION RESIDENTIAL ONLY ' Not Valid without Red X-Press Imprint ,Map/parcel Number °C O� ., "d C� Property Address ' �cek14e. yainCf Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&�"Address D':Z el. Flu L- 617 40 - E Sp e . ome mprovement rink Contractor's Name 199 Bamstable` � M Road, annis A 02601 - Telephone Number. 508 775-1778 Ext.-10 Home Improvement Contractor License"#(if applicable) 103757 Construction Supervisor's L_icense#(if applicable) .CS 006643 .` M 6workman's Compensation urance Check one , ❑ I am a sole proprietor. FF� — 5 20 4 ❑ I-am the Homeowner, �] I have Worker's Compensation Insurance Insurance Company Name: AIM Mutual Insurance Co. TOWN OF BARNSTABLE- fi •Workman's Comp:Policy"# 100494301201'3'° Copy of Insurance Compliance Certificate must accompany each,permt. ; Permit Request(check box) :, ;f1. Yarmouth Transfer Station ❑ Re-roof(hurricane-nailed)-(stripping.old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)r(not stripping Going over existing layers-of roof) ❑ Re-side #of doors Replaceme- Windows/doors/sliders._U Value_ (maximum.35)#of windows . ❑"Smoke/Carbon Monoxide detectors,4 t]ooc plans marked with red S and inspections required. Separate Electrical&.Fire Permits required. 'Where required: Issuance of this pei-' does not exempt compliance with other town departrnentregulations;x,Historic,Conservation,.etc: F ***Note: Property Owner must sign Property Oviner Letter of Permission. 'A c e e Improvemen't Contractors License&Construction Sup ervisors.License is A re ; SIGNATURE. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temp Internet Files\Content:Outlook\QRE6ZUBN\EXPRESS:doc Revised:05301.2 . °r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www ntass gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/OrganizatiorAndividual): Sprinkle Home Improvement Address: 199 Barnstable Road city/state/zip: Hyannis, MA 02601 Phone#: 508 775-1778 Ext.10 Are you an employer?Check the appropriate box: Type of project(required): 1. X I am a employer with 10-12 4• ❑ 1 am a general contractor and I employees(full and/or pact-time).* , have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. .❑ Remodeling ship and have no employees These sub-contractors have g,.❑ Demolition working for mein any capacity. employees and have workers' . (� [No workers'comp.insurance - comp. insurance.% 9 Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3-❑ 1 am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers'con right of exemption per MGL p 12.❑ Roof repairs insurance required.]t c. 152,_§1(4),and we have no . er W�nG employees. [No workers' 13 � comp. insurance required.] *Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such: :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-conyactors have employees,they must provide their workers'comp.policy number. am an employer that Is providbtg workers'compensation insurance for my employees. Below Is the policy and job site Information Insurance Company Name: AIM Mutual Insurance Co. . Policy#or Self-ins.Lic.#: 7004943012013 Expiration Date: 1/01/2014 Job Site Address: City/State/Zip: ay\niS S r Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern and penahies of perjury that the information provided above is true and correct. Sign Date: Phone#: 508 775-1778 Ext. J0 OfJ?cial use only. Do not write In this area,to be completed by city or town oJj`iciaL 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#: t SPRIN-1 OP ID:DS •a►�Rv CERTIFICATE OF LIABILITY INSURANCE 121211/2 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 CONOT17U M A CONTRACT BETWEEN,THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND TILE CERTIFICATE HOLDER. IMPORTANT: N the !holder is an ADDITIONAL INSURED,the pollWles)must be endonsed. N SUBROGATION IS WAIVED,subiset to the tarns and conditions of the policy,certain policies may require an endoaement. A statement on this certificate does not confer rights to the cerdlicate holder In Neu of such s SullivanIns Phone:SM77 gBrryy icy --- 88�aMnouth Road Fax:508-760-141 - - FAT-. Nyamds,MA 02801 - ---— --- - IKceeli ss R INsuREM)AFFORDING+COVERAGE "Cc g�r1 pro INSURER A_Associated Indua&les of MA S1suRED; : ' 1E8 Banatalba Rd vem0M Inc INSURER e.- - - - - — -- - - Hyannis,MA 02601 — :, alStIRER D: _ . INSURER E: - ---- - -_ 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. NOTWiTMANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VWTH 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 SHONM MAY HAVE BEEN REDUCED BY PAID CLAIMS. TVMOF MURANCE POLICYLAM NUMNIM LgItTS G6111PAL UABILIIY r—; ! EACH C.OYYERGAL GENERAL LIABILITY S I. CWMS MADE C OCCUR. f MED EXP(Any one peram) S r r t- F—. 1 PERSONAL&ADV INJURY S 1 I 'GENERAL AGGREGATE I S GENT AGGREGATE LIMIT APPLIES PER: ! PRODUCTS•CONPIOP AGG 1.$ fr POLICY LOC 1 a ANY AUTO a i BODILY INJURY(Psr pown) S ALL ONMEC SCHEDULED AUTOS I AUTOS BODILY INJURY(Per*=W& )I S NON•OMMEO -- +— - I HIRED AUTOS .—��AUTOS b-- i-_-.1 S UNBRIK"LL18 I OCCRRENCE S_ i , EXCESS LIAs CCU UR EACH O t CLNMSJIAOE 'AGGREGATE �S I RETENTms 1MOasW OOirOIMT10N A LI H- I re AM rj.IAIIIILnY AND A p� YIN D N/A j WCTOOs943012018 ^ 01/01/1S 01101N4 ±E.L EACHAWDENT y S --- 600, - (IhAd"y In N O I j E.L.DISEASE-EA EMPLOYEE E 500, N OKabs W�dsr - TNNIS Wow i E.L.DISEASE-POLICY LIMIT I i 500, DESCRIPTION OF OPERATIONS I LOCATIONS I VIROMM(Aurae ACORD 101,AOM*W ftmwft 800duM.N awe epees Is wo*") CERTIFICATE HOLDER CANCELLATION SPMVJ40 N ; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ' ACCORDANCE WITH THE POLICY PROVISIONIL M W Mack 188 Balm4tltble Rd. AUTHOR=ROWSA NTAME Hyannis.MA 02601,x ry, Kelley A.Sullivan ' O 1888-2010 ACORD CORPORATION. All NgMs reserved. The ACORD name and logo are registered marks of ACORD 1 Uu►estriftd Buddtgp of OW Use gramp u,hwh tam --< toss dmm 35.008 pt(tsC�(99l1a')of. . :,nclo.cd `+bass u nusetts :jepanmton: aoaro of 3uilaing Regu lations snc _,cens,e =AD• + K . ... rmiluretopossma odkOnofsQmumbusem no state Bwift Cods"S puss ter �BAZa(S>'!1lSS8 damn of Of Ooeam nv,`CW4" +iMtlonwa 7 mss�onei 10108120/5 OAaoe or CoaIMOr AV AIM Im Liceoso or Valid for i dlv"ure Q* l�P1tOVRY1SIR CONTRACTOR befode the eotpirsges date. if fbmd raum to: 1—-. TYM Of1lee of(-=M ner Alters r` : 719QOt4 Private c4mwatior 10 Park Pb=-SultO$170 ,NRINKLE 140M IN .� �0.MA 02116 Sproft '`�eanu�bie ftd yann s AAA 02901 t eqq Not Valid w Town.of Barnstable Regulatory ServicesaAM ' MAM Thomas'R.Geiler,Director eD Building Division Tom Perry,�Building.CommFssioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862=4038: Fax: 508-790=6230. Property Owner.Must Complete: Si n'T'Iiis Section. P g If Using ABuilder as( er'of the subject property hereby authorize .Sprinkle. Home4mprovement. to.act on.ruylehalf,. in all rMMI.Is relative to.work authorized by this.building permit application far UjOiDOZ (.Address of job) —Z— tc/� ;2 •-3 Signature of Owner: Date r. LC Print'Name . If Pro e` Qumer is a.POP, for. errrut Tease co lete the: P PP Yx g P P. P Homeowners,Acense:Exemption O' fmbn the reverse side... (1•F11RMfi f1WNF.RPRRAKf.Cg1nN �FfNE PER41own of Barnstable *Permit# U Expires 6 months from issue date G 2 X '013' Regulatory Services Fe , -- r r r r r L11W3TAB1E, MAC' Thomas F.Geiler,Director FD S�1 +'1!"✓py (NS-W3LE Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not valid without Red X-Press Imprint Map/parcel Number p Olt Property Address l i t-►�(e. ' rNnV�l S Residential Value of Work VW 0- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Dctflie.1 do 6 Sprink a ome improvement Contractor's Name 199 Barnstable Road,Hyannis MA 02(i01 Telephone Number .508 775-1778 Ext. 10 Home Improvement Contractor License#(if applicable) 103757 Construction Supervisor's License#(if applicable) CS-006643 ' tWorkman's Compensation Insurance Check one: ❑ I.am a sole proprietor ❑ I am the Homeowner. ® I have.Worker's Compensation Insurance Insurance Company Name A.I.M Mutual Insurance Co. Workman's Comp.Policy,# 7004943012013 Copy of Insurance Compliance Certificate must accompany each permit. r Permit Request(check box) Yarmouth Transfer Station _, e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value- (maximum .35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 cop a Home Improvement Contractors License&Construction Supervisors License is - r i SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 Unrestricted-Buildings of any use �n less tl>san 35,000 group which r pt�C feel(991n13�pf Massachusetts Department of Puoljc Safety Ci1C�p gee' .Board of BuildingRegulations ulations an eg d Standards C,I n truction Super%ivmr License' CS4W)6 $ BRAD K SPRM" Failure to L90 LOPS Possess a current edition of the Massachusetts W BARNSTABLL'MA„ = State Building Code is cause for revocaition of this license. For Dn UCM^6 information visit: www.Mass.Gov/caps J . xorauor rommissi 10=18 013 .�. OIRee of Coesamr Affairs&Besi" /• .• Reealatioa License or registration valid for individul use only E NPROVERNIM C before the expiration date.:[f fottad reW re i 10s757 Oi>i1RACTOlt TIIPo: Of�Foe of Cossttmer Affairs dad B �� Regalattoa , x s '7AM14 Private Corporation 10 Park Plaai-Suite 5170- Boston.MkOZ116 SPRIT CLE 6011E IMPROVEM ENT.INC.. " 99 Barnstable Rd. .. Hyannis:M A 02601 Uadersteretary, Notwalid vvitho signature ;.� , } } SPRIN4 OP ID:DS CERTIFICATE OF. LIABILITY`INSURANCE 1=1 a '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 REPRESENTA71VE OR PRODUCER,AND THE CERTIFICATE HOLDER . IMPORTANT: If the carti8aabe holder is an ADDITIONAL INSURED,the poliey(les)must be endoreet If SUBROGATION 18 WAIVED,subject to the tens 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 s. PRODS Phone:608-776.6060 CWTACT Br 8 8uHim Ina Agency Now- 88H8yyFa uth Road . Fax:b08-780.-141 No: IQWI9yA8ulllvv2 6 01 INSU AFFORDIM C01MRAGE! NAILS u�sURER A:Assoalabed Industries of MA INSURED Sprinkle Home Improvement Inc. B. 188 Barnstable Rd Hyannis,MA 02601 wsuReR c WSURER'D b NISURER E o 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 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. TYPE OF N✓ISIIRANCE am wun POLICY NUMIIER fl0VDDhnhm L IAM GBIRRAL UABILM EACH OCCURRENCE S COMMERGAL GENERAL LIABILITYPREMISES DAMAGE TO RERrE137 y CLAIMS-MADE OCCUR s MED EXP one ) S 1.: .:- PERSONAL&ADV INJURY, $ ` GENERAL AGGREGATE $' r. GEN'L AGGREGATE LIMIT APPLIES PER:' 7 PRODUCTS-COMPIOP AGG $ . POLICY LOC S AUTOMOBILE LIABILTY COM LIMIT - ao - ANY ALTO BODILY INJURY(Par parson) $ ALL OVMED SCHEDULED AUTOS AUTOS . BODILY INJURY(Per aadderd) S HIREDAUTOS AUTOS � P� S S ULIBRELLA LJAB OCCUR EACH OCCURRENCE. $ EXCESS L M CLAIMS-MADE AGGREGATE;` $ DED RETIENTIONSS b EYPIAYBRS'LIASYJTY v A ER FF A ANY PROPRIETORIPARTNevEXECUTIVE YIN WC70O490(14 13. 01/01/13 01/01H4 E L EACH ACCIDENT S � OFFICERAIEMSER EXCLUDED? NIA E.L DISEASE-EA EMPLOYE $ 600, B(Mendetory b NHM ) I OPERATIONS below ' EL DISEASE-POLICY LIMIT $ 600, DESCREI 1 OF OPERATI W I LOCATIM I VEHICLES IA b ACORD 101,AddNlwM Iftimu a Sdodda,V im q—In regrdrad) CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, THE EXPIRATION DATE THEREOF, NOTICE WILL BE :DELIVERED IN Sprinkle Home Improvement,:Inc ACCORDANCE WLTH THE POLICY PROv1810Nti.. Margo Mack 188 Barnstable Rd. MnNOR®REFRESENTATIVE Hyannis,MA 02601 Kelley A.Sullivan 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010f06) The ACORD name and logo are registered marks of ACORD oft Town of Barnstable Regulatory Services ae MAE& � �• Thomas F.Geller,Director ift Baiilding Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.nimis Office: 508-862.4038 Fax: 508-750-6230` r Property OwnerMust Complete;and Sign This'Section If Using A Builder A�n3y �- }CTL�C ,as Owner of the sub`ect ro I' , prtY herebyauthoiize{. Sprinkle HoM&Improvement . _ ,- _ to act on:mybe6ff, ' in all matte s'.relaiive.to w o rk authorized bythis building peinik application for. .(Address of job 3 Signature of Owner 1?ate - Pnnt Narrie If Property Owner is applying for permit please complete the Horneoviwners4,License Exemption Form on the reverse side. • !1•F(1RMC•f1CVNF.RPRRMLCCInN • - �- a r The Co ntnottweaUh of Massachusetts Department of Industrial Accidents: .Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia. , Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly NaMe(Business/Organization/Individual): SPrinkle Home Improvement Address: 199 Barnstable Road. 4. Cityistate/zi Hyannis.`rVIA 02601 Phone#: 508,775-1778(:'Ext 10 Are you an employer?.Check the appropriate box: ' Type of e project(required): 1,�I am a employer with 1 4. 1 am a general contractor and I P i - Pto Y 0-12 New construction❑ , ... employees(full and/or part-time).* <. have hired the sub-contractors 6. , 2;❑ 1 am a sole proprietor or partner- listed.on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. 0 Demolition working for me in any capacity'. employees and have workers' g Building addition [No workers':`comp.insurance comp.,insurance.t ❑ g required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their `{LE]Plumbing repair`s or additions myself.[No workers'comp.' right of exemption per MGL 12.0 Roof repairs insurance required.]t C. 152 §1(4),and we have no 13.q�y,�`er_(�el employees. [No workers' J "�' comp.:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'-compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. . :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'conrensadon insurance for my employees. Below is the polky and job site' information. . Insurance Company Name: A.I.M Mutual Insurance Co. Policy#or Self-ins:Lic:#: 7004943012013 Expiration Date: 1/01/2014 Job Site Address: (,IS.F .i2 �� City/State/Zip: YG44h('5. WA_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine ' of up to$250.00 a day against the violator. Be advised that,a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby ce4TJ ins and penalties of perjury that the information provided above is true and correct Si Date: Phone#:� 508.775-17,.78 Ext. 10.. Of Ial use only. Do not write In this,area,`to be completed by city or town oJ,)`iciai 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#: 3: I Assessor's map and lot'number ... 0... OfTHETO Sewage Permit number ...... .... ..... sepmed�'� ♦� �j r J S "STALLED 33 TABLE, House number ....................................l. ................:................. a!' "y n LWIRO L C TOWN 'OF BARNS-T U��o®� BUILDING INSPECTOR APPLICATION FOR'PERMIT TO ...... X�%' ..iP4o ....... cri. .°. .................................................. 0 U TYPE OF CONSTRUCTION ..................................... ...................47;�....................................................................... ............. .......192 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..�.R. .... CU.F.0..........+�.!�.�.............t^t���N�.E �'............... �.......................................... Proposed Use L�f OD�?'1. ........................................................................I......................... ........... .......... ................................... ZoningDistrict .......................................................................:Fire District .... . .............................................. Name of Owner ../.1:�C?!u901 1Y R e.......Address Name of Builder ..,V,4Q,P.. "et1. ....R,..... .7.................Address :I��r!..1=1'�?/ �"......`c"..�.......�''r«.",Ot1111/=...... �r�• Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......... ......................................................Foundation T / /,�k s/(' J r•--T Exterior .../... ....................................................f Floors ......... .0.°. ................................................................Interior ....... .r 7T.....6�P.G.e�...................................... a g t ( �i`'� ••iv.o.i '�..............................Plumbing ........AX6.iS�Heating ......... � FireplaceA 1r.#V /" ................................................ . Approximate Cost ....... a6....J..........^................................. 144* Definitive Plan Approved by Planning Board _______________________________19________. Area ...��.. ��......................... Diagram of Lot and Building with Dimensions Fee ................................. -/ .....`�.....`.......®................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 10 f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. Name ............................. ..... .... .......................... Construction Supervisor's License. ..................................../ , PERRY, RONALD, JR. 33261' BUILD ADDITION No ................. Permit for ............................... ..........Single...Family Dwell in.&.................... ...... . .... ...... . . .. .... . . ...... 195 Scudder AveLocation Hyannis ............................................................................... Ronald Perr Owner ................................ . ........ ........... Type of Construction ...Wood............Fx.ai.4p................. ............:...................................................................... Plot ............................. Lot ................................ Permit Granted ....Octoher..4................19 89 Date of Inspection ....................................19 ,-Date Completed ......................................19 VM Assessor's map\and lot number ...=....`.... �.. f n/ S, + / ..... FT ETA Sewage Permit numbe .................................�=..:-"-'.. '""[ �'�. s f�,. BA"STAILE. . House number `tom . l �.......................... y MAO& 00 039. \00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........... y t .. ...........::: `1 .�r...fl `.: .................................................. TYPE OF CONSTRUCTION ............``�_ `.".. .......::. :?. .:`.:> l.� x ......................................................................... ............ .................. .....19 TO THE INSPECTOR:OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. . . r...:� ,„� >�.r. ........ ..................... ............... . .:..............tom.. ::o... . ..j...!1 .......................................... / r ProposedUse e O i"O©!?T............................................................ ..............................................................I......................... Zoning District >� .`........................................Fire District `� Name of Owner ..A)4)4.kY........!'<=;x,: r{'•! �!'.A.......Address ................................. n Name of Builder v /�r1.. ��........�f�.'!v..��..................Address Add.... ..... .... ..................................... ... ......Y.............•.• w Name of Architect ...............f..................................................Address .................................................................................... Number of Rooms ' "' `^- �`.........:�......................................................Foundation ..............:.....:.........:��.. `.".-.s.:.C.............................. Exterior ...'.'.:r��•,�........'.:;�.. ......... Roofing .... ..................................................... l Floors ......... A?O o ..... .......•.... ..................Interior ...... !!T r .. /t r, /,' Heating .. "..............................Plumbing ........ ':...°.. r.... �. Fireplace " .....................................................Approximate. Cost .......�.. `J �cJ Definitive Plan Approved by Planning Board ________________________________19________. Area C-/2.............................. Diagram of Lot and Building with Dimensions Fee `�.-,`o� ....................... ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ' r4°U A {-ns � � ' I . ..'_._ _.� n --•^."sue+ � f t q tt OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................................:!...........:................... Construction Supervisor's License ......:............................. PERRY, RONALD, JR. A=289=078 33261 BUILD ADDITION No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ......1.9.5...Scudder...Ave......(lot. ...9)...... ...... . ..... . Hyannis ............................................................................... Owner ......................................Ronald Perry, Jr............................. Type of Construction .....Wood Frame............... ............................................................................... Plot ............................ Lot ................................ Permit Granted ....Or-.tQbe3:...4................19 89 Date of Inspection ....................................19 Date Completed ......................................19