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
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.�. 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
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