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HomeMy WebLinkAbout0044 WEST HYANNISPORT CIRCLE �f W ����-� e,� _ _ � ��i �� JOUW Town of Barnstable *Permit#�§O llw I Expires 6 mor f 1 sueo e Regulatory Services Fee RAUSrests. _ Thomas F.Geller,Director QED tV1A't a Building Division 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 PERMIT APPLICATION - RESIDE ONLY Not Valid without Real X-Press Imprint Map/parcel Numbe4(jp ® / Property Address WEST lS 11-'T Residential Value of Worlg �— Minimum fee of$35.00 for work under$6000.00 Y j kIL:4-4 Owner's Name&Address 4nitt s'AAAlZr9 h / 1#A nZ o t Contractor's Name Arjft� i°itJ�UISC/lJ/'��t Z �Melf kjelephone Number!'22�II —�(wt) Home Improvement Contractor License#(if applicable) l 73?�,6 Construction Supervisor's License#(if applicable) FT 7 Workman's Compensation Insurance �a W- Check one: 'S [] I am a sole proprietor ❑ I am the Homeowner NOV I have Worker's Compensation Insurance /j,� 62013 Insurance Company Name ! �" row, �gA Workman's Comp.Policy# Ait, 9 L,Z�_e �y Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 0 Re-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-Values 3d (maximum.35)#of window ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this pemtit 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 t me Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: 14 C:\Users\decollik\AppData\LocaP\4icrosoftl ows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 CUSTOM W71�1Dt1W AND DOOR RYMODELING AGMEZ:L N"r P"cf'Jy!We►a_v_" - C M' y" euy-;elLuh�9P„ ,�l7Pc!sL:anb'npcedcPPttr_ I�1� 1 r - Er'�1'�4�d' " r9ii1Lis».�6�ILr. ' "' J?r `J•�914y�i' nn _ And bra ih zwordance. wikh ct drocr kid,an.the fizn[and the rr t,-.-•-of situ .araesAlr: 3c .tJu attxrLeil' ceAuC"xn fh[ rc)(tr_:I(eG +a� ; tis '!lxecznectt �1wtoaic a Gonda, 0. OA ' Tamilo �krrwcne: 1 +�} n s a MechodOfP ny Ci*&Ca ;d'9afvxcepnad f(W- Lcr r-ffwCmurn h!3 of the of ialarer jc�b c y• P 4 t:g".R�a� sae re2h+�rw Pby�rn�rt ITi n F3�r s ri the ;: :at 5aat j JUA j - Agrc,o.�s,te,ire�e. � dne the�arsa�t 3tirt�fJ�'�'�-hr I E�ahnre a:n auJ,tta�tix�' a eaan s�F Ali c®nr cpt r$�ffmde by Credit. &lrncs an Sui,st J comppCoo"a 'pMp cudland mm t ae tnsd`e!by peftwof C><!04,Ckoe.4.or MOO.. Sayvj ss j age rces.sad unde-stantle that tWs event,coaos ituses:the eu&r,6 andemianding hefwcen:the pard"- and N. RC third,arc no vurbid un&vmA dl—no ch=ham;an-y of&0,:k-r-MS of cl.G,z dg!+-&--meaL 13,uyes(s) nowrledgem . ,Buyer(s) � ) rsad wI-4 tr underslaA&tb.e test iO4% of th s 'ai�and has received a c rai ned;:and dated of emE.i lud the to o sttaclied Notices of Cazkm l zdam,an the date firwt written,zbmm zmd:(2- was orally informed of Huy 9 siytt to Q iRQ4 z ix-Aiv eamgnt.ID NOT,SIGA'THIS C®!1 MACT IF TEMM ARC a43Y'f'AEI ARMIKS-RA S. � :I� asdSags: 5�1 TQjE=:LIo�ftrr.(,'I)Do a xM'sAgnemo�,t.af svrof'toospam :too a tormw to TIt ntof eh a iDahlein&ramation®arc lei talw&.(2)Yon aw endtledl to,n CgpY.4$"tWW F oa,mtr*t zt&a time Van it. (3)'Yau nor at wan — pair of the.fuU nt ld',h a ane uad�thic�ceamFemtt►aud.�sod Yos�e�r be[arstie�i't� receive ra prattiol rmb ! of 4k;"ce:,"Al Lwurasm char;,se'(*1 the S4Ugr bas Re atfpt to v�a��>ec+�� �e=W' ea. or kr�c�of psocs m rept}secea good i pv>ec ead under thois,Aarovm�an�(5)SPoa m�v ranfiel drys hg=eement i$it'hMS Met hsC"=wed ac zhe cffiise or aiirastch o[�e e�tho 6uih9r,� _cd you as c]!�c sr9lcr ac'lue3 ar Ieter arnan: �,ticx or.l'yr,-�41t+rs�a:a:�hsn,�,i ia:�e Agr�eme�at:Uy reglster+ed or�ert��c1 w�J;�r.a�►�11 tie poatecl nos h�cr t'h+� +aiE she c>!s d: r'tse y on w It ,tie her}+e� g P 4hoA ,.e fed g Snn:9 y and n±�holfdat on which. ancy mail.cl not:nnde.See the o_u4,ww,&S u4tlee of dnn lforrn for as ea�la�tion of abnyrr"6:ri s. Ruyce.k)s dic ce rr adac t elabenni'la;faavUrA b r kh jodc:' rd h �cix es'I iStr3u_n Bo6 E d, °'�'�;e?ls!I- Renewal t '; xa d. o S=thcxn%7e w Eftian�a 6u ) ,S, 4_j�tp� A �, Sw W41oma!sf P4nd,-c sec oreit Nsrle P5ir2Nne 'h'! u. 'Tim s$[TMCS)+.*AT-C-4;'= , ,� S R ►Chol!T A. :� 1'ZBir>� ]E'�RIOR �rtIDI�G$'1' OE �)EII�D I �,SIItiIE &I3 i E DATE OF THIS,T1 �S1 TJo�Y.ShF' Aj_YACMZp NOUICE4ff> !Y:To T oN;AK3R $ - NOTI S-OF CANCELLATION D ert Tra6saction ,� Xdu r°nay, Wince! ;� Q e afl,W*asoxtion �.you r�i�r'eatlee thza.tc'anzaciaony rrathvut any penal arr at:l�ation, withan thin trmnamcdon, withWt anr',ponalty o o'bingartton, Wiithin. , �: ati+w z:d itn eat d+ , ea r if eons ,a s', thrti h„SinMj &W$ rn sire...a �e .II t� e;,,nrccl"art pmperty traded in.,any r,rfwm merle by you t+rider the '1 pro,,perq trades hfi,. r Mmorm nada by you under the anEraet or 5�aleT and any neaEe�blo elstztarTgaL� eCtlted 1': Cis or Sn9 ,synch rll�337nttia6L�e. crstrwrw±nt ruce�rfcd' by'yvd w0l'he rtu d iviti'ilfi ten bus rkesir days fhlfdc+w�iig' U 'b �'p' AR r yi irrted 'hNNltll°rt1 n blJtF d$ .f01i4sving. ra e,pt by tl:e S91tor of�r a wllativn r lakan and a n ro ei, by' t .Se91ce aF'your Easnexxllatia,,n noW:cap and any sac- I i iiftrEiie, t .,r ;mrg nu+e of Chc, tra ra�ttfen +w111 IfiE seer Meyr •,Irrecr,ext arlslrng• �aue of eFee crannaerinrti a be to nceled.If you c> i,you must,mah xra[f o to they Saft r ° canceled,W you:canceL y..����uu rtltusc Malta+;available,to tW,ScRur at yotar resecCence,en e+iabs rnha:flyt ac c+ond�oat e+s wr? nn I ail yotcr^art%drtnrey v'cr sectyst�eentiall`y�s 9gtrdl t+ctoditiO n at rvinwn ireceiVedl, So ds dsaltx�er+�d to you,under this Con zt at ii rccc rrA`&nY•ko*dsh defil+eivd to'ii i under this Coatract or Srelei.0r;yaus ntWjf you welsh,cotn*,With the InstruWons of li Sale*or,.yrou,rna%if you vrisk cm*with thez Uis&ucdons of the Salter rs miffin.S,ffis reAwn shipment of'the goods at the � the'Seller reprdirW tfiem6i:n ti sihipment a l'the$acwts at the- Set1 errse.anal slr.vEY u do mak*,th*,g*d%avalNibc4anrponso aa�d vl :llFyatiy day afca�;tfiv good- 1.ar+la to 'Seller and_tIre 5e114e t(11tits 00t pltk tm up.wft.htn. to the S�Rer amd, the$Mier dc�l 0t-jWck.thm, :up r�l+ln: twe.- art Of+dl� d� Ot C21=02taom�fir, rnayr e�,�ain ar I� >:+�ntyr dV r�#�Poto datm of eaireallatian,�noul may �oaain or o of-the aoodt t4khcut rink iairth.er db�RSadan.if vu it di pie of t1w g�«fs nut r fitrsb��btilj;rban.)f you: fahli to mate dtie g db araitaW jQo the"Seller.air if,YM'agrt7C• p fill to., tine.Soods'otrauihib�e to tfie Seljeirp or if you i4O&B ter,iraturnr the>;o� to the'�SaMer and fey to do sc rV r�you I, 'W M iir+ thb S;�r,&to tlae Seller and.Wl to do io,strew yea re Min tijl�le far performance of all a 14.adogns: under the rem�fn, .I,yDIC for ftCrdoltttantt=df gall Ql�ligasleins amd'er the Gan -m *cancel this�on�,,mail or deliver s s"d °' CorvamM,To can al'.shls tcon iari,errastl oIr d' iw a signod .and ditcd cepr of this cancella- on notice or any other a and dated' copy of th s canceilat n: i9fice Qj anX 90 wr The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ir www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AEplicant Information Please Print Ledbly Name(Business/Organization/In/d�ividual): r kou) mLVIA)AM6U Address: City/State/Zi : phone#: �� '�Z�" �D Are you an employer?Check the appropria-box: �+� 4. Type of project(required): 1. I am a employer with 2 6) � I am a general contractor and I employees(full and/or part-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 s These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' insurance.¢ 9. ❑Building addition comp.[No workers'comp,insurance P• required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs 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 employees.[No workers' 13. Other�rp40 V—) comp.insurance required.]' fn *Any applicant that checks box#1 must also Gil out the section below showing their workers'compensation policy information. f 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 isproviding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: A Policy#or Self-ins.Lic.#: 1�9?—7�f E36'—0 39 y Expiration Date: g 2-1/1 Job Site Address: �� LS •/G. City/State/Zip: /$ I� 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 er the pains and penalties of per jury that the information provided above is true and correct Signature:- Date: Phone#:F[Of—ficiale only. Do not write in this area,to be completed by city or town o,,jJircial wn:. Permit/License# ssunguthority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supers kor . License; CS-095707 1 1 BRIAN D DENNISON - 7 LAMBS POND EIRC+'E CMrlton MA 01507 ` Expiration Commissioner 09/08/2014 VINT A/(R//(/v�'.��e/4(/J'Jt� - ! � d Office of Consumer Affa1rS n Business egU aUon yj 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration .. Registration: 173245 . Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 911912014 DENNISON BRIAN + 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 Update Address and return card Mark reason for change. _ . sc.,o Address C.J Renewal 0 Employment 0 Lost Card '6f;"Lomce of consumer ArBin&Buduen Regulafiaa Lkeose or registration edid for Individul use only OME IIOPROYEMENT CONTRACTOR before lhn expiration date.If found retum to: eglaVatlon: 173245 omrc of Consumer Attain and Bustaess Regulation i TYPO 10 Park Place-Suite 5170 EAPIndidn:911WO14 Supplement Lard Boston,MA 02116 'SOUTHERN NEW ENGLAND WINDOWS U.C. - - . - RENEWAL BY ANDERSON DENNISON 1137 PARK BRIAN 1137 • -' - PARK EAST DRNE WOONSOCKET,RI 02895 -Undersecretary Not vatid without signature_ " Client#:30124 SOUTNEW ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/06/2013 THIS CERYIFICATE 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). PRODUCER CONTACT Anita Little NAME: Willis of New Jersey,Inc. P,ti"�"N Ext:856 914-4660 ac No): 856-914-1881 1015 Briggs Road,PO Box 5005 ApDRIEss, anita.liftle@willis.com Box 5005 Mount Laurel,NJ 08054 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. 19801 Southern New England Windows LLC Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER C 26 Albion Road INSURER D: Lincoln,RI 02865 INSURERE: 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY S202945900 8/10/2013 08/10/2014 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES RENTETD $100 000 CLAIMS-MADE I OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY F PECT LOC $ A AUTOMOBILE LIABILITY S202945900 8/10/2013 08/10/201 COMBINED SINGLE LIMIT Ea accident 1,000r000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A X UMBRELLA LIAB OCCUR S202945900 8/10/2013 08/10/2014 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 00O 000 DED RETENTION$ $ C WORKERS COMPENSATION 0000068028-RI 8/21/2013 08/21/201 X WC STATU- IER OTH- YIN AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECLMVE AIC927818352394 8/21/2013 08/21/2014 E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? I NJ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE p ' o ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S215109/M215088 AXL Assessor's map and lot number; ��...:� ... ..f .......,.W. �pF Tp Sewage Permit number .. � ..........;.... .' d Z SAUSTADLE, i House number ............ .................................................... 9w rb e a No `e TOWN OF_B.ARN.STABLE--= BUILDING INSPECTOR APPLICATION .FOR PERMIT TO .........., P fAI v r- E AVLcll1�............................................... / ....I................ .......... .. / S�w�� ��was l5 sv� �r k��/ //iv TYPE OF CONSTRUCTION ................�.,..............................�Y..............................:.........�.......�........ l.....5......... r JA N ................................................19. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ...... ........ 7`. .................W... S?`...../ 1�! yM.1. Pf��` .... ..'.rc�C ............... `. < •+�.!!� .............. ProposedUse .........n.....:;Tu. .......... � C4!5i � . .................... . cr .y......,.....�.......n...!.../.►./.........................,......................... Zoning District ....................lpp.. .........................................Fire District ......../ %,/ l.S............................................// Name of Owner .../91 � ur N ..........................Address `� a�e S7� a��Gra.►t �?li s� baaSy n ,.r/............... Name of Builder �9. .......J!...............Address .c .C✓.��5 /�.�!G.r.�uis •nll� �ir`e�� � �ua�i5 Name of Arehrifieet L��wo,rd E sz� �c7......Address .....................................6A.�):�..�7�jxae........../J;;� s ........... ................................ ........ D�.xfr�r Number of Rooms S F ..... ?.U. .i.ry ••Cn!tc.!.ct•-•�'-A? ......../................/..?.�....................................Foundation ......... Y.../,/. ! ..... Exierior C �..c-..... SK..reC..�.c............................................Roofing ..........�s e �f.......sw��� 5 �/J.�4......... .............................. Floors - �a-►-QC?'�.......................Interior � /> .......C.Os � ���s7�el.. ........................................ . .......... .................... ......................................... awl Heating ...//Q......!; jc.er:......... !.........C?! ....................Plumbing ...................................... f�s� Fireplace ..................(XiOS4F..................................................Approximate. Cost ............ 0,.. . , /. ......... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ..... ?.1 ©.................. Diagram of Lot and Building with Dimensions Fee QQ/ { Lj 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, .....4�441................ Construction Supervisor's License ....C? ®... .F6..... NAaE, ARERJR E. A=267-94 No AP�M.... Permit for PP�e.At'?rY................ Family g........................ . ............. ......... Location .....5....&.....6.r..... 44 West .Ny pppr-- Circle ................IIy ............................................... Owner ... ............................. Type of Construction ....=Er ........................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ...Februa�y..16.............19 84 .................. Date ofAnspection ............................ ......19 DaW Completed .......................................19 'Pro. / Assesiir's,mSp.and lot number.....`O......... ... .... : ...�... _ SEPT TES 6�iUGT e: �--� , Sewage Permit' number .. .. G..� . .. ^. c �`♦� F to B E ABB9TAD i House number ..................................:.........................� t��. OMAO�ENT : . ' ` '�• Y :oo rb a L�° _ 39• 9 TomiTOWN OF BARNSTABLE f.� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........1!/ f1{s/. ......: �ale...............................................:......... // 'TYPE OF CONSTRUCTION .......4 ie�,........... c�.�!2i`6. .... .. CS .... r .......go.k;'&!(.!�!j..:..... T� " # TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a plit according to the following information: Location .......-�,.Q ........ ................ ?`.....1.?} !. ! �,5�P4.!` .... .f. `c�...............17` ,G.n!.!C!l.S.............. ProposedUse ..............Si rvJl. . .......:iF _.nd!.....................yVa%;Yf.ln'`....................................................................... ZoningDistrict ....................IR.. .........................................Fire District .....:../?� !!A..... .......................................... Name of Owner ATtAuc- 6� �� Address .. .`�.. 'a-der ��` jil1�.` c�.n.....N.1:..-A.5.'....0,ROf ....�.. .f...................... .... Name of Builder ..& kVt'.... ..d1I-71.l'..... Td..............Address rdf. ,��s�vis Name of Arte44tset ...... ......S G . .!?......Address ................................... . . . ............ Number of Rooms ..................S..I.X....................................Foundation ........FY- 1l......b?.G.U.1` Exteriorec ......... ft..Lh%,1.Q............................................Roofing .......... =r`1p. It.&.......5'f ......................... Floors ............' .........C,!f P.§" .......................Interior .:..........:5. /.I??....... .oa7j'....... 2sA)e-- ......:. Heating ..}! 6?!45: ..:.�........Plumbing ......... ....`.'jf...L ?y 'S............................... Fireplace ..................0..fq.I .................................................Approximate.•Cost ............. .d�..v... Definitive Plan Approved by Planning Board --------------------------------1.9________. Area ......Z9. 2D.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �G 1 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 .... ?.Q o...2 e'6..... !,N1 G?E,`AR'1THUR E. N 26084 permit for One Sto ry r Single Family..,,Dwelling..................... - �✓ Lot 5 & �, W js jlXannis rt Circle. Location ........... �+ ........:...H.'.a????15......................... ........ r t1 ' Ar E-1ur,E•. Vale I , ra Owner Type of Construction •Frame..............................� ,^� A-, rr Plot ............................ Lot ................................ Ciao, Permit Granted FebruarX 16,,/ .pq 84 Date.of- Inspection, ............................fn......19 Date Completed . i�(jY. &'-c........ 3� 9p 7 �> A it ..} ^ 'r•• n .. t � �! f A' .. 1 FROM TOWN OF BARNSTABLE Mr. Francis Lahteine BUILDONG DEPARTMENT Town Clerk 367 MAIN STREET HYANNIS, MA Q2e9 Phone: 775-1120 SUBJECT: FOLD HERE - DATE November 19 a 1984 [cork has been completed under Building Permit #26084' (Arthur B. Nagle). Please release. Bond. rN SIGNED - DATE - pp Y j /'✓ SIGNED N87•RMr - _ RECIPIENT: RETAIN WHITE'COPY,RETURN PINK COPY • PRINTED IN U.S.A. SENDER: SNAP OUT YpOW COPY ONLY.SEND WHITEIAND PINK COPIES WITH CARBON INTACT. �,�` eo• ' TOWN OF'BARNSTABU permit No: _-.26Ct34' ___ Building Inspector: I cash _------- 'Ob MA J ''Za ury►� ., . OCCUPANCY:. PERMIT Bond: ----------- - ------- Issued•to AtthUr E' N�Ljle Address ,f 7 iDts '5 4 6, -44 -TNIB9t.Hyarims-port Circle, ':Hyannis y Wiring Inspector Inspection date Jv Plumbing Inspector � . Inspection date Gas Inspector. Inspection date'µ "6—. _X Engineering Department-- r X!� 'Inspection date f Board of Healthy 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 1 no Building Ispectr Town of Barnstable 'THE Tp�'I, o Regulatory Services Thomas F.Geiler,Director • MRNSMLE, 9� MAW. ��� Building Division iOrF1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 D� PERMIT# gyp / FEE: $ SHED REGISTRATION 120 square feet or less Location of she (address) Village Property owner's name Telephone number n It Size of Shed Map/Parcel# v CO Y' co o rn Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) ZGi zw Z PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. 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