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HomeMy WebLinkAbout0016 SKIPJACK LANE i� cT�� cr, �,a,�, � / - — — � \, OPEN SPACE 8�69 OPEN SPACE LOT 5 7,783 sq.ft.f `fS- FOUNDATION N 1' `k N 1 32.0' 19 LOT 6 N a LOT 4 N d 1� cp o a� N ol 00 cD L_42.37' R_52.50' r SKIPJA CK LANE t4 s°Aor doX40L 1 12/27/901 INIIIAL ISSUE IELK THIS PLAN IS NEITHER INTENDED NOJ DAB I DESCRIPTION IBY FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 5 MORTGAGE LOAN PURPOSES. SICIPJACR LANE BARNSTABLE, MASSACHUSETTS Fft j F UL GREENBRIER DEVELPOMENT CORP. A.I CERTIFY FOUMT N �n( 1 EIVY SCALE: 1' — 20' JOB NO. 1497 SHOWN ON ISIA v} Pecs. 10617 � 0 20 40 ON THE GRO D AS I '� \\15����',c��' 1Y , LgGY, ELUR�DGE ak 1fAGH&R 9SSOCIA9'ES INC. ATE REGISTERED LAND SURVEY R MCM »AXE= KAMM IM CIS 889 WEST MAIN STRYM qvilmn.LF, MA 02632 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application G S-U-0 Health Division Date Issued P? Conservation Division Application Fee Planning Dept. Permit Fee S 5 3 '0,6 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner2 *&,ee Z,,QL7,dA Address PO& TelephonelZ V- Z 3 8' z X- 9/ Permit Request G A/- e P/C Z e A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /�0 a, Construction Type v �o 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 ANo On Old King's Highway: ❑Yes f$'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ;❑Yew ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# - , Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name AVJV Telephone Number Address /� �,,�al�o�/ License# ,�O 4 9 8' Yi0 077c Home Improvement Contractor# Email Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE c FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER w DATE OF INSPECTION: f FOUNDATION t f FRAME INSULATION f r" FIREPLACE k ELECTRICAL: ROUGH FINAL t: ,1 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Y DATE CLOSED OUT ASSOCIATION PLAN NO. f + Town.of Barnstable. Realatory services ss - • Rich"V.Scali bi rector, t ,�s�► Buiidwg Division Tom Perry.Bnaftg CommEsstoner 200 M&Sow Hysa*f MA.02601 *vwADwa barmtable ma as Office SQ.M62.4038'. Fax: S08-790.-6230 Property Owner I1"t Can Iete and.S*u This Section If us.m. z ABuilder' iv, be ✓1 I C V 5 :as Owae of�e sabject properly. hernbyagffip1 z$ to acC;au.uipbeba f, M ftU mat M,iek'iV a to. rk Mthoii�ed by►tliis bonding permit application.for. . "z x ;t Sk, 1c. qt-l-c- Iayq) , is OAddress�of16B) *"�ool fe i=- and.alarnms are the mpon lay-of the-applicant. Pools . aye not to: }e:#iJXed or. d Before fence is installed acid all final inspections am�e oIIIIed and accepted. ou S of Owner , { S* of•Applipm PziuC:Nae PriatName Date �.Pc��s:owr��uss�oxpoois _ � Massarhusett:. ••Uepar�tment of Public Safety: ` .Board of Building Regulations and Standards Construction Supervisor : License: CS-100988 HENRY E CASSIDY' %r ' 8 SHED ROW <J WEST YARMOUTH � 2{ Expiration Commissioner 11/11/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza.- Suite 5170 Boston .Massachusetts 02116 Home Improvement Contractor Registration `Registration: 153567 Type: ;Private Corporation !' Expiration: 12/15/2016,, Tr# 259188 CAPE COD INSULATIONJNC HENRY CASSIDY 18 REARDON CIRCLE: SO. YARMOUTH,,:.MA 02664 k; , 'Update Address and return card.Mark reason for change. sca •:5 zoM-oen 0 Address D Ren Employment,[]Employmen ,� Lost Card V/ae cpar�v�raaracaeaLC�a�C�/l/lu���ac�c��eC� - _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR' before the expiration date. If found return.to: egistration -z153567 Type: Office of Consumer Affairs and Business Regulation ;7 xpiration 12l151201.6 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULATIOIJ,,,INC HENRY CASSIDY 18 REARDON CIRCLE /007 SO.YARMOUTH,MA 02664- Undersecretary N valid wi ut sign e y The Commonwealth of Massachusetts i Department of Industrial Accidents ! Office of Investigations + ; 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 1! �, Name (Business/Organization/Individual): Address: i City/State/Zip: ; , U&—m. rk , f irb Phone #: 15 `� 71151 Are you an employer? Check th appropriate box: -Type of project (required): 1. I am a employer with 4. ❑-I am a general contractor and I have hired the sub-contractors 6. ❑ New construction employees(full and/or part-time). • 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 me in any capacity. employees and have workers' comp, insurance.t 9:: ❑ Building addition [No workers comp. insurance p required.] 5. ❑ We are a corporation and its 10,0 Electrical repairs or additions f oficers have exercised their 1.1. 3.❑ I am a homeowner doing all work Plumbing re❑ gairs or additions P myself. [No workers' comp. right of exemption per MGL l 2.0 Roof repairs insurance required.] t c. 152, §.1(4), and we have no employee s.•[No workers' 13: Other 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'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Sri�1V � t Policy# or Self ins. Lie. #: kcl N Expiration Date: Job Site Address:/� Aktl�E /­61�K � y �//� City/State/Zip:, O -,a- 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 $1,506.00 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 insuraW coverage verification. I do hereby certify ad the pai an penalties of perjury that the information provided,above is true and correct. Signature: z Date: Phone#: 2 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#: CAPECOD-27 BDELAWRENCE ACORQ" A " DATE(MMIDDIYYYY) CERTIFICATE OF. UABILITY.INSURANCE. 6/30/2015 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). I PRODUCER CONTACT Rogers&Gray Insurance Agency,Inc. PrAONE FAX 434 Rte 134 A/c No Ext: A/C No):(877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# h* Peerless Insurance Companysee LIBERTY MUTUAL INSURER A: INSURED INSURERS:ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,In'c. INSURER C 18 Reardon Circle INSURER D: South Yarmouth,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 REQUIREMENT, TERM OR CONDITION.OF'ANY CONTRACTOR 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. lLTft TYPE OF INSURANCE ADDL R POLICY NUMBER POLICY MMIDD� LIMITS'. A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEI—XI OCCUR CBP8263063 04/01/2015 04/01/2016 PAMAGE TO RENTED-- REMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJ URY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES P,ER: GENERAL AGGREGATE $_ 2,000,000 X POLICY❑jECT LOC PRODUCTS-COMP/OP AGG $- 2,000,000 OTHER: t $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED, AUTOS AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE AUTOS HIREDAUTOS A NED $ AUTOS � Per accident 4 - $r UMBRELLA LIAR OCCUR * EACH OCCURRENCE $ E XCESS LIAB CLAIMS-MADE - AGGREGATE $'. RETENTION$ $ WORKERS COMPENSATION PER OTH- _ AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCE00431901 06130/2015 06/30/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH)If E.L.DISEASE-EA EMPLOYEE $ 1,000,000 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000; DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES'I CORD 101,Additional Remarks Schedule,may be attached'If more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE •EXPIRATION' DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 18 Reardon Circle South Yarmouth,MA 02664 . AUTHORIZED REPRESENTATIVE C _ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD OPEN SPACE .65 OPEN SPACE LOT 5 7,783 sq.ft.f Ss, FOUNDATION �v N N 32.0' _ . _10T..6 .- - a LOT 4 to N m $ �cp O a� N C c° L-42.37' . R--52.50' SKIPJACK LANE Pvova'� Ae s° LK THIS PLAN 1S NEITHER INTENDED N 1 2 27 90 INITIAL ISSUE o DATEI DESCRIPTION IBY FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 5 MORTGAGE LOAN PURPOSES. SKIPJACK LANE � °• `� BARNSTABLE, MASSACHUSETTS FM RauL A �, GREENBRIER DEVELPOMENT CORP. LEVY SCALE: 1' = 20'1 JOB NO. 1497 j I CERTIFY FOUN ATION No. 10617 y o 20 40 SHOWN ON IS 0 ATED �� a ON THE GRO D AS I AT D. "ISTF�`�• tsU� t �S rg�V�� LIn D WY, ELURI�DGE TKNER ASSOCIATES INC. ATE REGISTERED LAND SURVEY R mum I�� W= i uo�is 889 HEST FAIN STREET CENMVII.LE, MA 02632 ti �h u t I � tsj,• �..Y,po.�1++w4 ' - - 9�Ir� `mob• 1 11r �� ���y.r w ♦ 1 •ice. i I y 4 �� Ys'� .CO.L►� 1 1 1 b.+��pf.t _ �y�i#fvfY►+S CY.'/t 1 5- UJ4 t _J 1 I :t • � I 1(,/ � z.� a Ic ale_ � ��7c 6��P¢ � •l I i1 v 1 L_ 1 -Y--- -- — ----1 I ' '• i �I ��esa IL•>i tl' '. r•-a.0 Al i t y , . M• i n� ji�Z I 'I I I • N N 'TMA. r � �� 't. �, �- `."4.J' .fi Yt_ s .��t�Y,- _.v. a,.� �r�„�rY,�+-..I'"" "�� �'�• '... a..F { s;, r.i,�Y"�1nr' r'"''�'.`�"`tw.,.•v"tr'4 �...--:ti...,.•r'^' �/ - „�'�'I�}<.T�.•.T,,yr`..ti.7ruyyY^,"�1'v".-J1.+vd1`�^7'"ti-r'--..!"•'�-T" "' TOWN OF BARNSTABLE Permit NoA3545,..... BUILDING DEPARTMENT { ' I TOWN OFFICE BUILDING Cash 9 .6�9•39 HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. { Address Lot #5, 16 Skipjack Lane r Hyannis, Mass. e USE GROUP FIRE GRADING OCCUPANCY LOAD. 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 AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. f July 31, 90 19................. ... ....... ................... Building Inspector CI /PERMIT BARNSTABLE, MASSACHUSETTS BUILDING PERMIT 097.004 N;mrch 6 90 ® t' DATE 19 PERMIT NO. OwneY ADDRESS IN0.) (STREET) (CONTR'S LICENSED Build dwelling ( 1 ) STORY ,Single family dwelling DWELLRN OF G UNITS 1 (-TYPE OF IMPROVEMENT) N0. (PROPOSED USE) AT (LOCATION) lot ti�1ES 15 Skip�eck Lane, Hyannis b�sra c.r— RC 1 'IN0.) (STREET) BETWEEN. AND (CROSS STREET) (CROSS STREET) SUBDIVISION, LOT.. LOT BLOCK SIZE BUILOING,IS',.TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: TOWN SEWER #3045 BOND AREA OR 1076 sq. f t. 50,000 PERMIT 77.00 VOLUME ESTIMATED COST .$, FEE ,$. (CUBIC/SQUARE FEET) - OWNER Greenbrier .Corp. P BUILDING DEPT. • 'O• BO:C U ( ADDRESS. C@TLtOrV e, `) BY. FAY H Ei✓l-L'Ann l- OF ANY. APPLICABLE i SUBDIVISION UBDIVISION",..! .: ." YI.ie•LI vCnF_1d-�O Fi-TFTT'StP EW`k7'tJ�'I'1L°'1�i''�'���i - "�'�'`"I'I�'F;'�',A I�1�,�L, RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE - INSPECTIONS REQUIRED FOR.ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MI NAL INS RE INSPECTION TO LATH)BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY, POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS A?Y . r b—q cl / 3 S HEATING INSPECTION APPROVALS ENGINE ING DEPAR ENT OTHER BOARD OF FIEAL WORK SHALL NOT PROCEED UNIIL IHE INSPLC PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARIIA GII O INDICATED ON ON CARD CAN I if E CONSTRUCTION. I AHRANGLII F(il{ Ry TELEPHONE OR WRI1"tEN PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. ( I i BUILDING PFRMUT NO. C ASSESSORS PARCEL h0._a? CONTINUATION OF ROAD BOND The undersigned owner/contractor hereby agree to mai:it:.in t:ieir road bond in force until the following work ite_s ara co=leted to the sat_sfac_ion of t:,e ENine_=i±-3 Section of the Denar—.—ent of Public C/ loa= and seed shoulders as soo.. as c:ea_ner pe_-ts: LO i i 5-1.' (G:Y►" CO:;�..r',CTca) (print nz=e ) i i. i I i i i I i i ® ® i - I t i t I Ell, �� - owr.v�urw s t i ' i rml 0o r on ScAuk • a r ore i f � �(C� Assessors map and lot number Prof 6k C THE T HE 'Sewage Permit" number ..... MUST CONNECT TO TOWN SEWER 14, Z EARNSTAIiLE, House number ........................:................................................ PAZ& 039- A,- TOWN ' OF . BARNSTABLE BUILDING -`INSPECTOR APPLICATION FOR PERMIT TO ... family,, dw p.11;i ng.................................. TYPE OF CONSTRUCTIONL ...........wood. .....Frame........................................ ..... ................................................... .. .. 44 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .............. ....................... Hy aTlxl i s. ....................................................... ProposedUse .............................................................................................................................................................................. Zoning District ........ ...................... Hyannis .... ........................ Fire District, ,:'A F-X13 cop-to Name of Owner ...n t=.%_.....V--'FT'tT............s.....t.........Address .............!t=Mt.:..................................................... oZ Name of Builder ......................?............ ... .......... :........Address al..z... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... ..............................................Foundation .....P......C... .. ................................................................ halt Shingles Exterior Clapboard...and/or........................s h i.n.g. .................Roofing .....A�p .. ..................................... Floors ........�ue.t........................................................ ......Interior ......qheetrock ............................................................................ Heating .... W.A. .................................................... ......................................................................Plumbing­.T!Y�Q... Fireplace ..............Yes.................................................... .......Approximate Cost ........ ...........1. Definitive Plan Approved by Planning Board ----------19 Area ........ . ..... 7_ ea i Diagram of Lot and Building with Dimensions Fee ... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH jo /U1 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. �Iam .. . .. . .6.... .... .. . ..... Construction Supervisor's License . .... . ........ ............. .. GREENBRIER CORP. 3 3 5 4 5. Permit for .... 1?...StO ............ ........... .......... Sin le Fainily.. ........ ........................................... ..... Location a n n i s . .............................................................................. Owner Greenbrier Corp. Greenbrier.. ......................... ....................... Type of Conitruction .......Frame................................... A ................................................................................ Plot ............................ Lot ................................ Permit.4Grantecl ...March §.f................19 90 Date of Inspection ....................................19 Date Complete d ....... ...19 4 Assessor's map, and lot number ......�.................. 7 T HE _ 0* Tpf� ,..Sewage Permit number .... �.�'� .........�/..!.���.. '!?7 t BARESTADLE, i House number ....................#.. ?..�.JS......:.:.................... 900 ` rb 9 } I �O TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..Construct single f m lv dwellincf..................................... TYPE OF CONSTRUCTION ...........t".Jood...Frame'..................................... .................................................. .jc ..;.....,•........<.............. .........19... �3.t TO,jt HE INSPECTOR OF BUILDINGS: (/ The 'undersigned hereby applies for a permit according to the following information: Location .....Lot...#.5.�..............Skid ark Lane..........................HXannis.r...MA................ .... .. ........ ........ ..... ..... .. ............. ...... .... A ProposedUse .............................................................................................................................................................................. Zoning District '�"'� .�. Fire District H`zannis £/L �o,e� oX,5"/0� T£/��jC Z x Name of Owner .........Address r.............................. Name of Builder Fra.nee �•,,• „�v^...i-�? .......Address ...............................at......Re......r........ .............. ........... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Fight .....Foundation P•C ............ . .............................................................................. Exterior Clapboard and/or shingleC Roofing .....As�ahalt Shingles .............................................. Floors Carpet...............................................................Interior .....Sheet:roCk Heating ...G3S,—..W..A........................................................Plumbing ...Two-coj?Per . .. .......................................... Fireplace .........Approximate. Cost50, 000. 00 .............Ye. .................................................. ....................................................... Definitive Plan Approved by Planning Board ____-47 __2 __________19 A� Area .1100...gq......ftA.......... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree 'to conformzto all the Rules and Regulations of the Town of Barnstable regarding, the above construction. kj �. L7 i Construction Supervisor's License GREENBRIER CORP. A=273-097 . 06'4 No ...33545 Permit for ...1 z Story Single Dwelling Location 16 Ski�j ack Lane ....................... ...................Hyannis......... Owner ....Greenbrier Corp. Type of Construction ..,.Frame ................................................................................ Plot ............................ Lot ................................ i Permit Granted ...March...6..................19 90 Date of Inspection ....................................19 Date Completed ......................................19 LPEIRMITC. OMPLETED 1,1/.IL