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HomeMy WebLinkAbout0130 WAGON LANE y Town of BarnstableBuilding x Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept w..f,ARtVSTABLQ *. .- ,.. '"" �$ Posted Until.Final Inspection Has Been Made..: 6s� , _ m w �.r• . Where a Certificate of Occupancy is Required,.such Building shall Not be Occupied until a Final Inspection has been made Per it Permit No. B-20-2208 Applicant Name: Adam Glenn Approvals Date Issued: 08/18/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/18/2021 Foundation: Location: 130 WAGON LANE, HYANNIS Map/Lot: 270-212 Zoning District: RB Sheathing: Owner on Record: PHOTAKIS,CONSTANCE Contractor N m HOME WORKS ENERGY INC. Framing: 1 Address: 130 WAGON LN , Contractor License: 181 8 2 HYANNIS, MA 02601 Est. Project Cost:" $5,128.00 Chimney: Description: insulation and insulation work in the home Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid: $85.00 Date: 8/18/2020 Final: . 0 Plumbing/Gas Rough Plumbing: I Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withiri�six months after°°issuance. All work authorized by this permit shall conform to the approved application.and the approved construction documents for-which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road a�,d shall be maintained open fo r+public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this.permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation ' 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 0WL�� � r Town of Barnstable *Permit#C�0/0d5 (5o/ Expires 6 months rom issue dote Regulatory Services Fee s,— • aARNSTABLEMASS « r� 1 ��� Thomas F.Geiler,Director X-PRESS PERMIT Building'Division OCT ,� / _ f `Iv Tom Perry,CBO, Building Commissioner 29 2Ui�� no Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.bamstable.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 c-22i!l �c2 Property Address /3Q tA),v 2n 6—yxyx ' S [ Residential Value of Work �q�f�lp [ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 6h,7 )115°- /c3Q 6,9 2.>a L N �2. IlGh`I/S l�G Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) J (O Q n Construction Supervisor's License#(if applicable) / yy 77 , MWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have.Worker's Compensation Insurance Insurance Company Name tlsyoe/G 4d O'm��OU °cr. r �-rS- /i1cllc Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors [� Replacement Windows/doors/sliders.U-Value 11410 (maximum.44)#of windows *Where required: Issuance ofthis 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. T: SIGNATURE: p C:\Users\decollik\AppData\Local\Mier somwindows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 c. (7 i r OF THE �I + IARNSTABLE, 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: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize .1. 7JePt« _P V R—� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Add ess of Job) 1117 Signature ner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 Dtt— 8/19/2010 Time, 1,29 PM To, B 9,15083626115 Faye, 00" CIWO:9742 2BAKERAS _ -w ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(FNIrNu°DOlYYT^f} _ 08l19I2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 973 lyannough Rd., PO Box 1990 L Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A, National Grange Mutual Insuranc Baker 8 Associates,lnc. INSURER a Associated Employers Insurance P O Box 923 INSURER C Centerville,MA 02632-0071 INSURER D. INSURER E COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD1YY DATE NIW —__._-- LIMBS A GENERAL LIABILITY MPJ7223M 04/19/10 04/19/11 CACHOCCURRENCI: $1000,000OAMA _ X COMMFRCIAI.GENERAL LIARII_11Y PREMM:S t RENTED $500 000 CLAIMS MADE NX OCCUR MED EXP(Any ono portion) $10 000 f-TRSONAI,8 ADV INJURI $1 00O 000 GENERAL.AGGRE(AH: s2,000,000 GFVt AG(.;RFGAFF LIMIT APPLIES PER: IVO[AICIS-COMPIOP AGG s2,000,000 PULICv LOC PRO AUTOMOBILE LIABILITY COMRINI:-D SIW-.I F UM;I $ (Ea T,xide0) ANY AUTO ------ --------'---- A11.OWNFD AO103 BOD!t.'/INJURY $ (Ptx persrxti SCHFDULFtl AUI05 - ----- HIRLD AUTOS F30DII Y INJURY $ (Pdt:.:dde- I) r -ONMED AUTOS _.—_.._.— ----- PROF'FRI Y DAMAGE $ (PW acddn�ll GARAGE LIABILITY AU{C ONLY LA.ACCIDFNI $ ANYAU10 01HLR ItIAN LA ACC $ AU TO ONLY. AGG $ EXCESSAIMBRELLA LIABILITY '--_ F.ACII OCCURRENCE $ OCCUR ❑CI AIMS MADC. $ DEDUCTIBL,F _.._. ------- --------------- H=FENIION $ WC STAID- O1H- B WORKERS COMPENSATION AND WCCSW2454012010 04/23/10 04/23/11 X EMPLOYERS'LIABRITY E L I_ACI I ACCIDFNI _hS500,000 _ANY PROPRILTORJPARTNERJEXFCUI Mt -- OFFICFWAk'MBERFXCLWED"7 NQt.I..DISEASt: IAEMPLOY000rydesaiw omen F I.DISEASE POI.ICY I.IMI 000 SPECIAI.PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECULL PROVISIDNS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATBWL Town of Barnstable DATE THEREOF:THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_ DAYS WRIFTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE No OBLIGATION OR UABRJTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTAI7VES. -----AUTHORIZE PRESENTATIVE PRESENTATIVE ACORD 25(2001108)1 of 2 #S71887/M68180 LS1 @ ACORD CORPORATION 1988 Ma ssalChl9wtts - Depa llnictit 01' Ptll)"c S? lfe" Bt)atrd tot' Building Regulations ns il"d St.alndaa+•ti Construction Supervisorcense License: CS 74477. r : Re.0dcted.to : ay BRET T .BUSSIE E 111 VlfARNI LAKE SHORE D EAST WAREHAM, MIA 02533 1/6/2011. Tr#: $715 ( aeC19�A13Q�:LNrli�cy�` �i I Board of Building Regulations and Standards _ One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement',C.ontractor Registration Registration: 162600 Type: Private Corporation Expiration: 3/26/2011 Tr# 282115 BAKER & ASSOCIATES INC. - MARK BAKER .yi P.O. BOX 923 ,> CENTERVILLE, MA 02632 " 3 �' - _.. ..- ---- ti Update Address and return card.Mark reason for change. µ 1 Address ,F Renewal Employment most Card OPS-CA1 Co 50M-04/04-G101216 I— " Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement"_antractor Registration Registration: 162600 Type: Supplement Card Expiration: 3/26/2011 BAKER & ASSOCIATES INC. ;g BRETT BUSSIERE ' 521 SHOOTFLYING HILL RD =�` =. •` ---------- -- -:_-- -- _ . _ _. }' [ CENTERVILLE, MA 02632 -- s v Update Address and return card.Mark reason for change. DPS-CA7 0 50M-04/04-G101216 __' Address Renewal ' Employment Lost Card The Commonwealth of Massachrlsetts•W- ilha n Francis Galvin -Ptibl; 9rowse and Search Page I of 2 The Commonwealth of Massachusetts �- Wilfjam Francis Galvin i = Secretary of the Comes-onvvealth,Corporations Division } One Asbbuaon Place, I7th floor Boston,MA 02108,-1512 'Telephone: (617)727-96.40 BAKER & ASSOCIATES, N i< 'dvnar`rr SCt`s'aen _NT_�`r quest a�Certificatel� The exact name of the Domestic Profit Corporation: ASSOCIATES INC: The name was changed from: BAKER_QrSjQk1 AL?MINUM&VINYL COMPANY.INC. on 1/8/2004 Entity Type: Domestic 1'r�it Cc?rpc axis_ Identification Number: 000522085 Old Federal Employer Identification Numb( (Old HIN): 00(QQ0000 Date of Organization in Massachusetts: Current Fiscal Month I Day: 12.(:1' Previous Fiscal Month I Day:00_/_00 The location of its principal o9'fice: No. and Street: 521SI�Ot�I}L`hI?G IJII_L_�2', _ Country: USA City or Town: CET TI %1_.1_,F. State: MA Zip: 02632 If the business entity is organized 44PhollY to;Jo business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: Name: No. and Street: City or Town: S!:ate: Zip: Country: The officers and all of the directors,of the corpor:'t?on: Title IndllrirauallaKtlem u��v Address (no Po Box) Expiration dl Last,-S B Address,City or Town.State,Zip Code of Term First,�'did,�, ..utfir tY PRESIDENT. aR m� MA X BAKER 521 SHOOT FLYING HILL CENTERVILLE,MA 02632 US TREASURER CAROL RAKER AARS 521 SHOOTFLYINGHILL ROAD CENTERVILLE.MA 02632 US SECRETARY EsRE1T EU`iazI RF Ri.2 w- 521 SHOOTFLYINGHILL ROAD CENTERVILLE,MA 026323 US I DIRECTOR �iIAR-1 gp.Kt R IviRv �v 521 SHOOTFLYINGHILL ROAD i CENTERVILLE:MA 02632 US �� .. . f,,,. ,•.,,,.. .,.,.a ��._.,,irr,fk.�a:, 1�`�: ar1?rxl�ry asn?ReadFrornDl3=Twe... 3/25/2009 G- ✓�ie 'C9a»aryca�aulP,a�C�z a�..,UGaJlac�utvell6 - = Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: - Registrat Board of Building Regulations and Standards ion ,162600 Exp!ra-I6 3126/2011 Tr# 282115 One Ashburton Place Rm 1301 Boston,Ma.02108 Type Private Corporation BAKER&ASSOCIATES INC MARK BAKER 521 SHOOTFLYING HILL'RD CENTERVILLE, MA 02632 Administrator Not valid without signature 6-7e VarrUnaa�zu�eal a�/�/faaoae�i lug Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration:,-162600 One Ashburton Place Rm 1301 Expiration 3126/2011 Boston,Ma.02108 Type Supplement Card BAKER&ASSOCIATES;INC BRETT BUSSIERE 521 SHOOTFLYING HILL RD / CENTERVILLE,MA 02632 tAdministrator otva gure <` The Commonwealth of f Massachusetts Department of Industrial Industrial Acczalerits q Off"o,f Investigations 600 Washington S ryeet Boston,M54 02111 wwdw.mass.got�'ifia Workers'Compensation Insurance Affidavit:Builders/Contractors/EElectricianmumbers Applicant Information Please Print Legibh� N;the (}rgauizatiotrllnclivi 1: r Cr oel f Address_ City/state/Zip_ / e_ Phone 4: Are yo an employer;'Check the appropriate bog: Type,of project(required/): 1. a employer with & 4- ❑ I am a general contractor and I employees(fall andfor part-tie)_# have hired the sub-contracta�rs 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7_ ❑Remodeling ship and have no employees Thy sub-contractors have g. ❑Demolition working for me in any capacity. employeesand have workers' y- ❑Building addition [No workers'camp.insurance comp.insurance./ required_] 5. ❑ the are a corporation and its 10.❑Electrical repairs or additions .3_❑ I;am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No wDrkere comp. right:of exemption per MGL 12.❑Roof repairs insurance required] c. 15°2,§l(4),and we have no 7 ] employees. o workers' 13_W der comp_insurance required] Any applieam#bat chec9c s box#1 in=also fill out the section below showing their wergken'compensation policy information_ Horn prs who submit this afftdasat indurating they are doing all work and then hue outside contractors rust submit a new affidavit indicating such- Contractors that check this bag must attached an additional sheet showing the name of the sub-contractors and:state whether or not those enfiries have employees. If the sub-contractors have employees,they must monde their larorkers'comp.policy number. I alit an entployer that is prow dutg workers'compensation insurance for my employee. Beiow is the policy and jots site- information. /- Insurance:Company Name-�SV Ar,lam/ �i�T l/�7/T �"W41&/fit`-2 — Policy#or Self-ins.Lic. ;-O/Z Expiration Date: Job Site Address: City!StateJZip: _S4" II& Attach a copy of the workers'c pensatian 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 an&or one-year imprisonment,as well as ci-^il penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be ad%-ised that a copy of this statement may be forurarded to the Office of Investigations of the DIP:for insurance coverage verification. ° I do hereby cerhfv under thepairts artd .naities of per/xr}that the information provided ahm a is&ue and correct �SiJtiire Date:. Phone#: j Official use only. Do not write in this area,to be completed by city or town of ciaL City or Tome►: PermitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfl`o nm Clerk. 4.Electrical Inspector 5.Plumbing Inspector � 6.Other Contact Person: Phone#: 6 FROM TOWN 4F BARNSTABLE-,- BUILDtNG DEPARTMENT Mr. Francis Lahteine .��,����«..��s�������367 MAIN STREET HYANNIS, MA -OM 'ICJ m Clerk Phone: 775-1120 SUBJECT: FOLD HERE - DATE Feb. 22 1954 E S S A G s Turk has,7 been caVl eted �r PW.t`; 5 � C �,$m ac gaffe, .Ides 1 � Please, -eriqqp���r�:.,.�r.,aa r a�'�*4'vart'#s ew+►a'E`°EBa c���#+e f J SIGNED DATE REPLY SIGNED Nei Rmi AECIPIENTi RETAIN WHITE COPY,RETURN PINK COPY' PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. • .��'�i'�: TOWN OF BARNSTABLE Permit No. ----2593$ »n.n Building Inspector cash ________ rug '�+o■,Y•> OCCUPANCY PERMIT Bond Issued to 6radgate Builclen, Address I;Dt 12R, 1.30 taacacin lane, Rvannis Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department r y �/.1� Inspection date Board of Health ='-�. `+ ' Inspection date 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. ...................................................._, 19......_._ _.__...._.........._._........._......._.__....._ w_. Building Inspector SEPTIC Assessor's map and lot number ...`�. ................ ,l f' SYSTEM �) /< _ %'/s`-d'3 y.... . 'N?S 'ALLED IN ��391 P S tNE T��t Sewage Permit number ..:..................................................... WITH T3TLE 5 ENVIRONWN �+- ^ AL CON • aa�ssnLS, i House number ��.� .................. y, Tt?�,ovfi �1 io �fr6,9 0 IO M a' TOWN OF BARNSTABLE BUILDING INSPECTqqOR v4 - U APPLICATION FOR PERMIT TO ....., ,�. .. . .............................................................. TYPE OF CONSTRUCTION ............� .......... ................................................................... ( ..................19 TO THE INSPECTOR OF BUILDINGS: .' The undersigned hereby applies for a permit according to the (following information: Location ..............t: .�..... .. ...... N`. ....� ......7... .4.I........... .................................................................... ProposedUse ... .`'.-.�•�L....... ................................................. ... ............................................................ Zoning District ... �. .................................. .....��............................ . .............................Fire District ......... .... ... .�.................. �r . Name of Owner .�., ! r'. ...................Address .....V �......: ... ........�. ...1............ ............ Name of Builder Address A.".: � :.:......................... .........She.<.................................................... Name of Architect ............. A/.......................................Address ....... ..........................................................�.................................................................. Number of Rooms ...........(�....................................................Foundation ......... :. ./ ................................................ . e. .fT G�� Roofing Exterior ........... ).. .�.�. ....... .. .... ......�. .. . .... .. ... ....... .. ...... .................................. 4 Floors ... .` a. ..........................................Interior ��/' ����� ........... Heating ............... ....:..... .. .... :...........:...�..............'............Plumbing .................................................................................. 1.0 Fireplace .......... ...: ............................................Approximate. Cost ...........:...«...!............................................ Definitive Plan Approved by Planning Board ________________________________19________. Area ..... �.. t?.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH !6"o 6�0 N" 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 /............................ F I *BRADGATE BUILDERS r• ,,25938 Permit for One Story No - --_ Single Family Dwelling Location .....LQ.t...125.....2 3.0...Wagon...Lane ................ ......................................... Owner ................... 4 NO Type of Construction ....FXame......................... 1 , ................................................................................ -'• .Plot ......................... .. Lot ............................... 1 ? Permit Granted JanuarX 3, 19 84— Date of Inspection ....:19 ` Date Completed ��� . fie'`/f F y`.....,F 19Pf r� , ' r No 5iW6Lr FAMtL-Y 11 DAILY FLOW 11 SEPTtG TA►JK = 33ox 15o`/. = •49 j G.P. o �� V {I USE- I 000 GAL.. o%5PDbAt_ PIT v5E 1000 I S 1 DG F GAL. AeCA - t5oWALL t5o 5.F X 3?5 G.Pr? BOTTOM AZV A= �0 5.F"._ Popp. A � ') 5 O G.P D. yg,S Per x I• O n AWW - II 7oTA I- D E5IGN = 42- II -TOTAL- pAIL�( FL-OV/ I, PE2COL.ATION RATE*- 1"IN 2M►N ot`LE55 ilk 9?o �' .��• 3% �eZ AbAN s�. p RICHARD ,�, VV zA. BAXTER JOrJES Na 240480 ` a ,�'.CC 4 1ST vy0� ti x GY At � SUR TE'�T �231d- I-L�=99 -TOP FND=too.a qjg toou INJ. 2 pow �EPr�C {000 tN�( 961 TANK SA4>1G c.►.. 9L LC AC" G2A PIT INV. INY. W/ITu QL'Z Quo 4 WAS NGD 6TvNE TU { t C E R.-T t P t c-- D P t-o T P L.A►J Cow S PR.UFIL� Lo4A-T ►0tJ FAG NO, SCALE 15CAL.C. o d0 U A7- BX--• t, ps�� P L-A t`I R E P E ZE N CE � CERTtF�( THAT "fN� H-avSC•s SNo�rlN .�� NE.2E0 W COMPL\` 5 Y,JITN-T HE A► C> 56T5AGK 6R�►FLEMENT� F "TµE- q To W N or- SARWSTA 16 Z Ao ►S �T• � .- ZL3� 7� - ~L 1 LOGp.TED WITHI T E G1.0 D P N DATE l�� � BAxTEcze tJYE INC• REG I S-T f---Q6D'LAN 015 u FLY El'oe5 IT►al5 PLo.N ► � NcrT . 4n5�_D o►d AtJ os-rE2vILt.F- - Ml�°55. 'IIN5TRUMENT SvE SuoUt( E � APFLIGP,►-tT _ I N o T D E U S E D Td D E T E.Ftl^I►-1 E t_.c'�" 1.►t•-t E�j I�L1 T�.� 4T f" ;I'S1►JGl-L-. FAMIt_�( - � BEOR�oM _ ;ri,'�.10 � 6•ARBAGE �,wNDE2 � L � I� I� �ia►t �( F=LoW II U5E- l o0o DI.5P05AL PIT U's I000 GAL_. C7o C0•o �.v I � 5►Dcr/A�v AeCA ► o s.F 150 5.F . X 2.5 - 37 5 G P o �P �1 AaIiA BOTTOM IaREA r . o $F _ PB'P 5 . o � .5 O G.P o• yg Prr 0 A N�. S.F x 1 II 'ToTA I- II •ToTAL DA l l-Y I } I, PE2Co1_A.TION RATE . 1''►N 2MIN oP-t-t~55 P Wo C Of ALAN RICHARD A. yil BAXTER H iZp � Na 240480 4� SUR��y To P FwD = loo.o t-�p�� H•II83 �-�� �� ,,>�Y• ^ �11 loov lN�• Gc��. 2 p014. Q �EPr�C I oo0 ENV I(/' TANK s Gay.. 9L �.cacu G2AV pl r INV. INV. �. w�Tu � 9G•Z 4G'4- JI Ca I'�3/q•I�i 4 WA'NGD 6TvN6 . TTU C.El`T'IF1CD P�oT P1.A1J Cow � PRUFIL LoCA-rloN _ t4o• SCALE Scp �G Ildp DATE °(-ld--S3 gL � 1 A N REF E 2E N CE I CERTIFY THAT 'TI4V--- F;-oV SNowN A6•REON COMPL`(5 YJITN TAE Sto6LIN � �� IZ AWP 66'T5ACK 6Q�►R.EMENTS F 'TNE- q f o W N or- 7$A R►•J sTA .�Z Ao-0 I S r F sErl LOCp.TED -WITNI T 6 G1.o DRIP 11,4 6A)kTEQ.e 1..1`{E INS• • , r REG!�'c E2E.U'I..Au o 5 v�.V EY�ZS TIa1`j PL&KI 15 WoT 4n5c v pkl A.N oSTG9-VILLE- I (N,5-rZUM6NT 'SUeVeY F- -TAE C)I.F5ET<, C NT NoT D� USED To �ETEFt/^INE �•�T -INES A P P ► P. , � T j v 0 r E t � S a ZN OF Mks c RICHARO �Gs �y � 'Y DAX ER y . Na240480 CEQTtFIEO PLOT' ` Rt A- t %!Shay/ l L O CA T I C)1J � ptA►,1 R�FEc�E►.1C C,6RTlFY 714AT TNE. F-XtST,,4G �►IP.SUo'"v� t-1 �o►a GQMPt_�(S �/ ITN THE 51 QE.�1►-tom ,LG T /Z i A►.!t� SET l3A C►C R E Q U I cZ ENt E►Jl'S O F T k 7 O6, Z q / ,LoG•A"C�� ,. WlT1-�li�l VZLooD Ft.AI►.l pAT� IO-�'g� Ct � REGISI"CJZED l�Nc7 SUeVcYottS v►-► a� OSTERutl.t� o Mass, 7'Ni5 DL.AN !S UO t.tAUF�SFTS 5idoe�w QpPt_t C.A.►�1T' i.iS"fTGUMEt•JT" 5�2umY �; 1�T USLC) To Li�� � 011 .�. Asses<rs map and lot number ....:........... ................,..... :...� THE Sewage. Permit number ..........................................:............. Z 33ARNSTABLE i House number 3 G) 9 K"& ...................................................................... Op 039. \0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... .�" 2 3 .4 !,„............��....,.- .............................................................. TYPE OF CONSTRUCTION ........... �} ... :: " :....::.............................................................. ..,S ....... ...............19: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby_ applies for a permit according to the ,following information: Location ........... �. �. ..... . ................................ ...... .1,...; ..;-.... `. ...... at.. .......................................... ................................... Proposed Use .... 'rr ;..... '` "�-`� ........................................................................................................................ .,. a � r Zoning District r .�...'....................................................Fire District ...........:`t.. . ............................................................ Name of Owner l-7-,t.4;�.4_ -P , � `,, ...................Address ..... , ..... .:........... r Name of Builder re?.� ..l........................................Address ���.???"�' .... Nameof Architect ............. f. ......................................Address ....... .......:............................................................... Numberof Rooms ...........���"�.................................................Foundation ...... ..,.............................................. Exterior .............. d..... ................................. .....:.........Roofing ........ .. .................................. Floors fc? 1� ......:..........................................Interiors ...... .................................... . Heating Plumbing r.. Fireplace ..........`.`t-� �,!.......... ............................................'� Approximate. Cost .......t ........?.......................................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ...... a..o.:5.. ?.................. 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. Name ........1��e=... .. . ......................... Construction Supervisor's License � �e "L BRADGATE BUILDERS A=270-212 No ..25938 Permit for .One Story Single Family Dwelling Location Lot 12B, 130 Wagon Lane ......................... ...............HXannis............................................. Owner , Bradcgate Builders ............................. Type of Construction .....Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ....January 3, 19 84 A Date of Inspection ....."...............................19 Date Completed ......................................19 �60 l � k,