HomeMy WebLinkAbout0113 WINDSHORE DRIVE Aj ��G��a�er
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map _ Parcel Application 40
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address
Village l l c:n V :'s
Owner (.,>a%Ja 5•k----k41: Address Sa. �-
Telephone- 50' - a— 2s L4 1
Permit Request 2�- ^�2 .�zv�. �`r z --� �9� AIL/ S .T` � ell /0 ,2
o rz--, A,44 is 6-G ape A, y", As
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation -Construction Type
Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 3 Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ 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: ❑Yes ❑ 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)
6
Name �e., 12 L I(_`i ' Telephone Number C / % �3
Address �_ � � (6 5 License#
��. ��.. Home Improvement Contractor#
Email Worker's Compensation # uls-- J4 7Or 10
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
tit, .
SIGNATURE DATE
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FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
' MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
RVAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Department o f IndustrialAccidents
- Office of Invadgadons
I Congress S&eel Suite 100
`y ion, MA 02114-2017
www mass gov/dia
Workers' Compensation Insurance Affidavit- EuMers/Contractors/Electricians/Plumbers
AV13ticant Informatior Please Print Legibly
Nagle(Business/Org=zation/Fndividual): /C4 T „��•�• c-�(c.�i''� _
Address: Y, U Jed l �S
City/S�ItelZip: �'Q e :� L`- 44(Jd 71 Phone ��30
Are yniuda employer? Check the appropriate boat: Type of project(regairedj:
1.E4 `I am a employer with e d 4. I am a general contractor and I 6. New construction
employees(full and/orpart time).* have hired the sub-contractors
2.El I am a sole proprietor or partner-
listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, 0 Demolition
worlang for me in any capacity. employees and have workers' 9 Building addition
[No workers'comp.insurance comp.insurance.$
required.] S. [] We are a corporation and its 10.C1 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.❑ f repairs
required # c. 152,§1(4),and we have no ��� li/insurance 24
employees. [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 evtside 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
ci-nployees. 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
in}ormation. /�U
Insurance Company Name:
Policy#or Self-ins.Lic.#: U �(7�'S� (��� Expiration Date:
Job Site Address: i 1 3 0'Z^A <jAy I i O r , City/StateMp: i}-o v%v%,S AAA Ord&,C'1
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 certify undqr tA a and penaldgs o er ury that the is ormation provided above is true and correct
Signature: D l
Phone
Off: W use..osrly.. Do.riot write in this area,to be completed by city or towm.off ciaL_ -. .
I
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. tither
Contact Person: Phone#:
--
OWNER AUTHORIZATION FORM
(Owners Name)
owner of the property located at
Property Address)
r
(PropedvAddress)
hereby authorize —,-4,f, ' ,' t L v i`'�z ft,617
(Subcontractdr)
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building 1
permit and to perform work on my property. j
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Date r ,
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Pa
Federal ID#05-MS629
RISE Engineering RI Contractor Registration No$186
MA Contractor Registration No 120979
A division of Thielsch Engineering CT Contractor Registration No 620120
S Dupont Avenue,South Yarmouth,NIA D26W CONTRACT
508-568-1926 X-6610 FAX 508-568-1933
Page
R I S E
PROGRAM
ENRI CONTRACT IS ENTERED INTO BETWEEN RIBS
CI,C-RCS NOINEERIaO AND THE CUBTos1En FOR WORK A9
ENGINEERING DEacwoFa 1 ELow
CUSTOMER PHONE DATE CLS:Mr WORN ORDER
Anahit Muradyan (508)237-2841 12/15/2014 185761 .00002'
Sm"STREET 61WND STREET
113 Windshore Drive 113 Windshore Drive
SERVILE CITY,STATE,LP e1WNO CITY,STATE,ZW /
I
Hyannis,MA 02601 Hyannis,MA 02601
JOB DESCRIPTION
AIR SEALING:Provide labor and materials to seal areas of yourhome against wasteful,excess air leakage,This work will be
performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of
air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other
products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are
not generally addressed.)(10)working hours.
At the completion of the weatherimlion work,and at no additional cost to the homeowner,a final blower door and/or combustion
safety analysis will he conducted by the sub-contractor to ensure the safety of the indoor air quality.
$770.00
AIR SEALING:Provide labor and materials to install Q-ion weatherstripping and a doorsweep to(1)door(s)to restrict air leakage.
$77.00
ATTIC FLAT:Provide labor and materials to install a 14"layer of R-49 Class 1 Cellulose added to(1056)square feel of open attic
space.
$1,636.80
ATTIC ACCESS:Provide labor and materials to insulele the back of(])attic hatch with 2"rigid Thermaa board.Weatherstrip the
perimeter.
$42.50
VENTILATION:Provide labor and materials to install ventilation chutes in(66)rafter bays to maintain air flow.
$230.34
BASEMENT DOOR:.Provide labor and materials to insulate the back of the basement door.ieading to the bulkhead with 2"rigid
board that meets the sections:R-316,5.4 and 316.6 requirements of building code.Seal'all edges and seams with FSK tape.
$72.22
RISE�Engineering will apply:all applicable,eligible,incentives to this contract You will be billed only tha Net amount.Currently,
under the Landlord Incentive,for eligible measures,the Cape Light Compact offers 100%incentive-not to exceed$4,000 per.
calendar,year and an incentive of 100°/,for the Air Sealing measures.To participate in the Landlord incentive,please return a copy
of this contract signed by both the landlord and the tenant,as well as a.copy.of the year-round rental agreement.
r For the safety and health of your homes indoor air quality,we will be conducting a blower door diagnostic of the available air flow in
your home both before the work is begun.and after!he weathenzalion work is complete.We will also conduct a full assessmcm of
the combustion safety of your heating system and water heater.This has a value,of$90 and is at no cost to you.
$90,00
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RISEEngin"Ang IdceeA,4rtleos tb#IU
MA Cwdmeaw AWStM ba NO 136070 j
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5Doponl Amore,SOWN VamoOlh,MA 0266/ t
. .. - 59&*60.1916%4610 FA741�-36&193.) CONTRACT
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PROGRAM lss ma9AOl.aanxoAaoaOWcaAw j
ENGINEERING
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113 U'lo6horeDHve 113 A'iadshon Ddve
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Hyawds,MA 02601 11yarads,MA OM
JOB DESCRIPTION
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Total: $2.918.86
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Program Incentive: $2,918.86
Customer Total: $0.00
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019AWadw,4e&
Office of Consumer Affairs and Business Regulation
10 Park Plaza- Suite 5170
Boston,Massachusetts 02116
Home Improvement C`�� Registration
Registration: 160461
Type: Private Corporation
j..�' Expiration: 7292016 Trek 252915
RETROFIT INSULATION, INC.
JOSEPH REILLY 'M
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P.O. BOX 105
SEEKONK, MA 02771
`l ster
' Update Address and return card.Mark reason for change-
Ica, 20M-0srr1
Address Renewal Employment G1 Lost Card
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
IMPROVEMENT CONTRACTOR before the expiration date. If fodnd return to:'WE
shation: 461 Type: Office of Consumer Affairs and Business Regulation
ration:� Private Corporation 10 Park Plaza-Suite 5i
Boston,MA 02116
RETROFIT INSULA p, .tr
JOSEPH REILLY -
344.RODMAN ST
=ALLRIVER,MA 02724 Undersecretary o alid without signature
firs - 77
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mac..` -��"lam'-'_�_.. .}"= . . . -.. .. s--�•'_�'_�:"
Rigb�tfa„t,C3-2 8/4I2014 8:44;21 AM PAGE 9/022 Fax Server
Ac a CERTIFICATE OF LIABILITY INSURANCE E 2014
'ee..-
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 INSURERS?.AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: ff the certificate holder is an ADDITIONAL INSURED,the policy(es)must be endorsed. If SUBROGATION IS WANED,
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 endorsemengsj
PRODUCER CONTACT ,
NAME:
VIVEIROS INS AGCY INC PHONE FAX
140 PLYMOUTH AVE A.C.W—ExY: r1 -Net
FALL RIVER-MA 02723 E
;NSURER(S)AFFORDING AVERAGE NA1C k
INSURER A-ACE AMERICAN INSURANCE COMPANY
INSURED RdSURER B:
RETROFIT INSULATION CORP
INSURER O
PO BOX 105
SEEKONK,MA 02771 INSURER D:
R0.SURER E:
BdSURER 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 DC1':;UMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN:THE
INSURANCE AFFORDED BY THE POLICIES DE-SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND
CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTRR TYPE Of ENSURANCE FNSR 9. POUCY NUMBER {M ODl1US POLICY mY) POLICY�WY L"TS
GEMS L LIABILITY I EACH OCCURRENCE S
COMtaER;1AL GENERAL UABILI T Y I DAMAGE TO RENTED S
LAfMS-MADE I OCCUR i PREMISES Ea oaumJncer
.J MED EXP(Afty arc Pcrscn) S
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PERSONAL&ADV!NJURY S
I Ga4ERALAGGREGATE S
GEN'L AGCREGATE L;MIT APDLIES PER: i PRODUCTS-COMP.CP AGG S
POLICY PRO- LOC: S
JECT
AUTOMOBILE LUU311nY $OP;BINEO SINGLE L"T S
r a:,M'!
ANY AUTO i BODILY INJURY(Pei pefson) S
ALL OWNED SGHEDULcO
AUTOS AU ins i BODILY INJURY(Peracadent)
H NON-0P/NE>
HIRED AU70S O.�EEZTY1MJrGE S
AL,'-, I I ace^c
S
UMBRELLA LUiB OCCUR I EACH OCCURRENCE S
EXCESSUAB CLAWS-MADE ' AGGREGATE S
Dm RETENTIONS I S .
WORKERS COMPENSATION YVCSTATD- OTH-
AND QAPLOYERS LUaBIUTY X '0,4Y L•MITS ER
ANY PROPRIE"OR+PAP.TNER!-.c T XECUIV` rN
OFFICER MEMBER EXCLUDED U N/A 6Sa"2U6 09-02-2014 I /J�-02-201$ El EACH ACCIDENT $1.000.000
,mandatory in NH)
ayes-s-tlrsti 4705P615 I E1.DISEASE-EA EMPLOYEE $1,000;000
rM under
D SCPoPtiO:�OF OPERATIONS bekv, IE.L.DISEASE-POLICY LIMT $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VENfCLES(Attach ACORD 101,Additional Remarks Schedule,9 more space Is requtreo
THE INSUREDS MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE
PAYMENT OF BENEFITS FOR CLAIMS MADE BY THE INSUREDS MA EMPLOYEES IN STATES OTHER THAN MA- NO
AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEFITS IN STATES OTHER THAN MA IF THE INSURED HIRES,OR HAS HIRED
EMPLOYEES OUTSIDE OF MA. THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA.
CERTIFICATE HOLDER CANCELLATION
BPI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B
107 HERMES RD SUITE 110 CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
MALTA,NY 12020 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUtHORMD REPRESMTATRIE
ACORD ZS(2010(05) The ACORD name and i O 19t8-2010 ACORD CORPORATION.All rights reserved.
logo are registered marks of ACORD
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TOWN OF BARNSTABLB I1992
Permit No. ________—__ _
1 •�n..i Building Inspector Cash -- —
rua -`
��D■pY �� Y
OCCUPANCY PERMIT Bond ___N/A_
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Capewide DevelG Dt Address Flyer mis
lot #7 l 3' Windshore .'Drive, Hy is
Wiring Inspector Inspection date17
Plumbing Inspeeto � / / `''�' Inspection date
Gas InspectoO./ Inspection date
Engineering Department NIA 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.
.. ... ..... 19 ( �. ......„ 9 .Building'In peetoor
ILL V i
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TOWN OF BARNSTABLL Permit No. -
t Building Inspector cash --- -
'Oo
�0Val OCCUPANCY PERMIT Bond _N/A_
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Capewide Developmnt Address Hyamis
Wiring Inspector Inspection date
Plumbing Tvspecto 1�/ Inspection datelf
r g
Gas Inspector�/ Inspection date
Engineering Department NIA 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.
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Asses!ffir's map and lot number 1V4471.:..413g.....41
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Seviiage'tI?ermir number .................... Wit'"� `R , 0t �? �tp�j.t�� .
AAMARY
u yo�t�Ero 2 TOWN OF BA.RNSTABLEfe .,;.
Z HAB:9TAZt t$ i M g ✓
y MARL ;
i639 ti RU1�1) ING, : INSPECTOR:.
APPLICATLONFOR PERMIT TO ... .. ... ...............................
TYPE OF CCINSTRUCTION .............Zt-e)ea.od.......�CTt.N .......... .......................................................
...................19
(LIProposed
rO THE INSPECTOR OF `BUILDINGS:
he undersigned hereby applies for a permit according to the following information: "/iJ
`�ocation �G�/.�...1.........���/! � c........i( . :.................... .. �.A✓Z.�:............ ...................................�Use .........D. ..e. ...1/1 ............................................:.........................................................................................
Zoning District ........ .f I ..(f................................................Fire Districtl. ...............................
Name of (5wner ..........Address ...........,/? ............................................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ......... .................................................Foundation ......,.el .....� .:................................
Exterior ................''U /........................................................Roofing ........... ,I,gl2�al�. 7 v .................................
Floors .4",/ %....................:.....................:....Interior ....... ).../.Ge G .........................................
Heating ....../....!./..7..' �!.:.j..... J�........... .1...................Plumbing ................�.��, .................................................
Fireplace ............... �...................................................:................Approximate Cost ............. .1 ....:.d.....................................
Definitive Plan Approved by Planning Board ________________________________19________. Area .....1As. ....:..............
Diagram of Lot and Building with Dimensions Fee 0 '�4-'1
SUBJECT TO APPROVAL OF BOARD OF HEALTH ( j
A
f ..
I hereby agree to conform to all the Rules and Regulations of the Town of Barnst regarding the above
construction.
Nq �v 'lam. .... ... .........................
7
Capewide Development Corp.
19922 one story
No ................ Permit for ....................................
single family dwelling
...............................................................................
Location ...........1.1.3..W.indsho.re..D,r,ive............
.. ............ .... .. . ......
. .........................glanu.i.s......................................
Owner ............�qf!pewide Development Corp.
...............................................
e ram
Type of Construction ........f..................................
................................................................................
#71
Plot ............................ Lot ................................
February 78
Permit Granted ................................:t.......19
Date of Inspection ...............................19
Date Completed . .............19
0
PERMIT REFUSED
................................................................ 19
...... ... ..
e ZIA XA '1...
. ...............................................................................
Approved ................................................ 19
...............................................................................
...............................................................................
Assessor's map and lot number
Sewage Permit number ..........................................................
THE.r TOWN OF BARNSTABLE
_t Z 8A"STULE, i
"b 9 �e DUI;LDING INSPECTOR
�FQ MPY Or•
APPLICATION FOR PERMIT-TO .... �-.�'� ................ .........................................................
I
TYPE OF CONSTRUCTION ...............� ^� .
...................
j I ...
. ...............19 0
.................
TO THE INSPECTOR SF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �p� 7� �.f!/!�����/taAt llJ /T F.� / +(�/ C
ProposedUse .........4ef...................r .............................................. ...............................................................................�..
ZoningDistrict .... . .. ......... .......................................Fire District ... ....... ..................................................
Name of Owner ..........Address ......... ,!a.1� ! V! li/. ............................................
i r /
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ...............................�....................................................
Numberof Rooms ........ .................................................Foundation ....... ��......+',. .:........................................
/T
Exlerior ................ ................................................Roofing ........... ��Zf�.......................................................
Floors �, �-/ �. ..Interior � .r.....!.!...
.................................. ........ .........
Heating ...........r.:`......................Plumbing ................ .::..................................................
...........................................
Fireplace ...................................� ............... ..
..........................................Approximate Cost ..�, •, fl c�U
........................................ .
Definitive Plan Approved by Planning Board ________________________________19_______. Area ..... p. �� .....................
Diagram of Lot and Building with Dimensions Fee �I
SUBJECT TO APPROVAL OF BOARD OF HEALTH
J
V ,
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name' ./��— !_ ay- ..........................
• I
Capewide Development. ^orp. i=271-138
19922 one story
No 4k................. Permit for ....................................
single family dwelling
...............................................................................
113 Winds a Drive
Location .................................... ................
Hyannis
. ......................................... ................
Capewide DevelopmInt Corp.
Owner ...............................................4V
.....................
dam
e
Type of Construction ........... ..............................
#7
Plot ............................ L ....... ... .........
Permit Granted ...... ...........19 78
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
........................... ..... ................ .. ...... ../19
II'
.. ............
... ..... ...... .. ..... .. .......
................................ .. .... ....Z..f;;o....................
........... ... . ... ...I............;....................................
...............................................................................
Approved ................................................ 19
................................................ ..............................
...............................................................................