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HomeMy WebLinkAbout0109 ALLAN ROAD +c ` Lin ' ��. u" ' n � 1� tin ..t -'� �Y .:.: .-' -. /�q i� � * . . . . a_r't oQ .., , � v � . �. _ . . � . �. � � .� ,�,w . . . r.�� a , .� � . .. � � . � , Town of Barnstable *Permit# s Expires 6 tenths from issue date Regulatory Services Fee t Bnates ABIX 39.0 Richard V.Scali,Director 167A a� Building Division Tom Perry,CBO,Building Commissioner 0� 200 Main Street,Hyannis,MA 02601 , www.town.barnstable.ma.us t FEB Office: 508-862-4038 a4 -790-6230 EXPRESS PERMIT APPLICATION - V�76 ,( Not Valid without Red X-Press I nt Map/parcel Number Lh�U 1�07 C e,�, d TABLE Property Address j0q AtjCkA, © S (p AResidential Value of Work$ 26 l a Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 2 Contractor's Name Telephone Number Home Improvement Contractor.License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [f 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 Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: 5h � � s� � (0-6 6 V-4 `�a l�` c A- �GISeUti- ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. 011 � Separate Electrical&Fire Permits required. 'Where required: Issuance of this 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. s A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppDa cah crosoft\Windows empo' Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 ;j• Town of Barnstable ' Regulatory Services eke Richard V.Scali,Director Building Division aaxxsl'ABIA ` Tom Perry,Building Commissioner MASS. 039. �.� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Z Zt4 I I „ Please Print DATE: P, JOB LOCATION: /number � �j J � // �)street � / �;1 �j village "HOMEOWNER": /1 a&k Mc L4 .qq� CJlit_. J 68 3 q , VJ�77� name / home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sign< re omeow Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington,Street Boston,MA 02111 w►vn.mas&got/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lmbly Name(BvsmesslOiganizationitndividual): 1 Y 'C_ Ad&ess: 109 Al I� �o� 0, IS�4oJ621�_ City/State/Zip: c�5 Phone#.GO S 3�0 q• (2)Are,you an employer?Check the appropriate box: Tye of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. New construction employees(full andlor part-time).' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet: 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance. comp-insurance.2 9. ❑Building addition required-1 5. Fj We.area corporation.and its 10.[]Electrical repairs or additions 3_ I am a homeowner doing:all work officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp- right of exemption per MGL 12.❑Roof repairs insurance required.]1 c. 152, §1(4),and we.have no employees.(No workers' 13, Other comp.insurance required_] LLY l vNJ�eYW-S 'Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. 1 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 art entpinyer that is preniding itTorkers'congmtsadon insura»ce for nty employees. Betosv is thepoGcy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the Workers'compensation policy declaration page(shoving 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a.STOP WORK ORDER and s 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 under the pains and penalties of perjury that the informationprmdded abm�e is titre and correct Si lure: .u- Date: Z Phone#: D Ofj'icial use only. Do not write in this area,to be completed by city or town q,Q4esat City or Torn: Permit/Ucense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfroum Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �VE A Town of Barnstable. _ *Permit# Expires 6 months from issue date -Regulatory Services FeeERM_ Msag $ Thomas F.Geiler,Director X-PRESS PERMI 16;9. Building Division DEC 2 6 2012 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma:us TOWN OF BARN. 6A2Bo . Office: 5 08-862-4.03 8 . EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint 6 n- i0 1 Map/parcel Number ^ 1 r Property Address �d l f'C e G '� 1` � �f'1 ��� ❑Residential. Value of Work' v� Minimum-fee of$35.00 for work under$6000.00 ,Owner's Name&Address y 9�41/� o� L -svl� .,rat 0�6 . Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's'License#(if applicable) ❑Workman's Compensation Insurance Check one: , ❑ I am a sole proprietor .�am the Homeowner - ❑ I have Worker's Compensation'Insurance' Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate"must accompany each permit. Permit equest(check box) f Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ��n� �(C bvyo ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side 4 #of doors.—,- Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ` ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red.S and.inspections required. Separate Electrical&Fire Permits required. - *Where required: Issuance of thus permit does not exempt compliance with other town department.regulations,i.e.Historic,Conservation,etc. IT ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\E3PRESS.doc Tire Commonivealth ofMassachusetts* n Deparment o f Industrial Acciden r - Qywe.of.Investig0ons 6at1 i3'ashington Street Boston,4.02111. . .` wnw ma--,s.gov/dia. Workers' Compensation Insurance affidavit: B7uilders/Contractors/E•ttectr c anslPlnmb rs .Applicant Information Please Print Le-ibl-v Name Address: .City/StatrZ Are you an employer?Check the appropriate boa.: Type of project(required): 1_El I am a employer with 4. ❑ I am a' general cnntractcr and I * have hired the sub ccrntraciaus,. 6- ❑New construction employees{full andr`or part-time). 7- Rrmodelin 2_❑ I am a sole proprietor of partrtes- listed ort the attached sheet ❑ g . Ship and have no employees Thy sub-contractors have g- ❑Demolition wodcing for in any caPaaty- employees and have workers 9. ❑Building addition !No wodoers'comp_insurance comp-ins ran Z 5. ❑ We are a corporation.and its 10.❑Electrical repairs or additions d j officers have exercised their i l ❑- Plumbing repairs or additions am a homeowner doing all work myself [No workers'comp ' right'a€exemptioo per MGL 1� ❑Roofr%XM insurance required]F C. 132, §1(4),and we have no employees-[No workers' _ 13.0 Other comp.insurance ragixired:}: 'Any applicant that chedcs boat C must also fill ow the section below showing then wmkere amvensatina policy iafoT mau Homeomwnem wlm submit this affidavit indicating they are doing an wool and they hoe outside contractors mast submit a new affidavit indicating such. , j'Contracmrs that check this boar mast attached an additional sheet showing the name of the si b-co o is ton and stale whether or not those entities have employees. If the sob-contntciors have employees,they-4t FWAde their markets'comp.policy number. lain ann employer that is ptVvi&-n workkers'cot gmLyadom inmrmc-e for my ewpTuyeex Betov is theps➢;t g,.aad,job site, inforrnadom iusi naace Company Name: Policy or.5e1€ins. Lic.#: Expustiazi Date: Job Site Address` City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the poliicyy ainmber and expiration date). Failure to secure coverage as required under Section.25A of Pv GL c. L52 can lead to the imposition of criminal penalties of a fine up to$1,500_flQ and/or on impr so t,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 RWW2rded to the Office_of Invesstigatitms of the,DIA for insurance coverage veriffm ion I do hereby ceili y under thepains andpena�rlties of pe�'rury tl�irnt the infort�natio►a provid8d abarna is Gnrs and come Phone:#_ O ctal use only. Do not write in this arnz,to be camp.Wed by city'or tetwi offiiciatt . City or Town: Permit/License# )fssuing Autharity(circle one): 1..Board.of Health 3.Budding Department 3.Cityfrown Cleric 4 Electrical Fitspec#or S Plunibing.brayer#©r . 6.Other �oF1►IEr�,� Town of Barnstable Regulatory Services * =ARNSPABLE Thomas F. Geiler, Director, 1639.lfo 3�& Building Division' Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma:us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: /� o.,� a c.,A (j� �6✓w �G` number street village „HOMEOWNER d! L k� ,S-Ug name home hone# work phone# CURRENT MAILING ADDRESS: 1/417 city/town state zip code' The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license; provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who.owns a parcel of land on which he/she.resides or intends to reside,on which there is, or is intended to be,a one or.two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations: The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requiremen and that he/she will comply with said procedures.and requirements. . Signa omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109..1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q Rules&Regulations for`. Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the un I icensed.person u it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately. responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is-a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: aaRxsrnsEX, MASS.. Town of Barnstable s63q. �m _ ' prED µp'l A 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: 5 8-79 6230 Property Owner Must. Complete and Sign This 'Section '\. t` '�+ 4 , If U-sing' A Budder -• �� - • as Owner of the subject property hereby authorize - to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) _ Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners.License Exemption Form on,the reverse side. \WPFILESTORWbuildin Q�: -. B Permd forms\EXPRESS.doc _ SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent o Print your name and address on the reverse X far ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Da of D livery N Attach this card to the back of the mailpiece, !f 2 a� or on the front if space permits. D. Is delivery address different from item 1? ❑Y s 1. Article Addressed to: If YES,enter delivery address below: R No �- I 3. Service Type iHACertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number + (Transfer from service label);t r; :, 7 0 0 2 1000 0005 0 7 81. ??4? PS Form 3811 August 2001 Domestic Return Receipt't I 1 fill! r 11 1 111 102595-02-M-1540 I it iiifll � r'ii r SI � I � ;i ;i ii UNITED STATES POSTAL SERVI®���� M �� I Postage&Fees Paid t LISPS i Permit No.G-10 • Sender: Please print youffhh he, address, and ZIP+4 in this box • Al TOWN OF BARNSTABLE Permit No. - 27956 i Building Inspector cash - --------- -- - • '"Y � OCCUPANCY PERMIT Bond 4 Issued to John ('., McKeon, Jr. Addre-,s Loi- 109 Allan Ro.: Wiring Inspector Inspection date` �. f� Plumbing Inspector ((� Inspection date /O lkS Gas Inspector Inspection date .�✓� c• ' Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SMALL 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. Building Inspector 'Ir....*. lr TOWN OF BARNSTABLE BUILDING DEPARTMENT S susaSrA = TOWN OFFICE BUILDING rut HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department Ale- DATE: : An Occupancy Permit has been issued for the building authorized by BuildingPermit #......... .........2..:..;7.. .».................................................... _.............»................................. h /JA ��ov .��- �7 �0� ALL issuedto ..... .......... N...».. ..».........:...C.»................ .... ..»................................... .......................... .. .......... .»...». ......»....».»» Please release the performance bond. i✓� 7?F Fa v✓U0.9 '\ � SET 3�i G•K5 $ �' . � L-0 T �n r 1 8 ,4 3 v Z S s. r 8 � 5 6 X r I `It rL. �Z14 lAp N LOT ,6, ~4 r V) S - _ A x JN OF M CERTIFIED PLOT PLAN cy p.-7r v. L0'T 7 4-LL /y'R6AZ5 f ROBERT J1 ELDREDGE N r s: Na,r"M67 o x IN GIST A�i� A A L si L LANDS ' SCALES / 40 .5 DATE, 12z/�S" , t Ko L CERTIFY THAT THE Fvv�oA T�an� _ �1.IINT` . i � gag"r 01 T R RK8ISTER R "' SHOWN ON THIS PLAN 13 LOOAT$p ,MOB f4, ,.,,°b ON THE GROUND A9 INDICATED 'A" p f .i,CIYIL.. LAND L=` rr '�NOINEER SURVEYOR M CONFORMS TO THE ZONING LAW' >i' h' A OR .�ARN$TA® E, MASS 3 {7 C 2' M A I N' S.T FI E ET �� C1i,144Y; �.,...., a E,.,. W MY.AN►�iS, MAS 5SHUT. L.OF REG. LAND SURVEYOR 'A 4 Assessor's map'and lot number ............ e THEToffy SewagePerm'h number �.5.�...9g. �..... ...... . .......... - �`SSEP9IC SYSTEM UST R� NSTE IN' &4rA3 v BJBHSTILIILE, i D , I Howse House number • � � / / "+�.. o ................/.........��................................. .... � WITH TITLE,ITLE, 16 0� WPi $1tf NTAEL COO F; :mot r_ G YAY a` ABLE TOWN OF - BARNS-fps' A � �, P*�) d - BUILDIHG 1-NSPECTOR' ,.� ..... ..:. APPLICATION FOR PERMIT TO ....... . .................................................:............... TYPE .. �C': . f ........:...........................................................................57 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a• permit according to the following IN information: �/ ��/' �yg Location7..........& /7/,�?,,..........�...............................4fr�.....� �.,,..................................... Proposed Use .........604..1. ........ �4v..... !�ll.�s-��/.!�.��............................. ... .. ................................... Zoning District .........:..............................................................Fire District ...........�../V.J... ... ........... Name of Owner T. (XW.....C..l.... . sr .....rK......Address ...� .......... Name'of Builder (,�.. ....Address 1 .... .. Z1. DZ11W .... Name of Architect �W. ................Address ..../�1............t .... ! .............. Number of Rooms .........�/ ...................................:..................Foundation I...`..c..t QOl7 �-� W f a/( ��%!� ................. �..... ,.... .. ........... Exterior ... ... .. ...fTl.lrr..Q /�i�...........Roofing ..,.....y `J.�'�� .....s �/v .. Floors ...............Interior �' w.`!4.�,.... ��/.�. .... I ...........�. t '.2r �. D �G Heating ........ Plumbing P���.:'f........................ ........... � ............ l 9 Fireplace ..... .17. ................. /./. �?�...........................Approximate Cost .......... �f. .........................../..�'?.... Definitive Plan Approved by Planning Board __ __ _-___________19 7 ___. Area ...�1...... .....,............ Diagram of Lot and Building with Dimensio`s Fee ...... v 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. tName .... IJY....................... ................. Construction Supervisor's License ..................... .. '1 . d6KEON, JOHN C. JR. > 6 » Story No .. ,5.",;.. 'Permit for ..... ... . ............... } } ngle••Fam '...�?T^ZQ� ag............ 1 _ Location 7.........10.9.. Ulan...Rd........ Gx.V.i.l��...... -..................... Owner UQKeQ]I,:. .jX ......... Type of Construction ......Frame... Plot Lot . Permit Granted ... `,19 85 Date of Inspection ~ ,.14 lti� Date Completed � .�..3 ................ 57 •"�19�a--- ��' � � � e �'~ !4 t -;•�r� 1 _ / !1. - .!.V ...•" J.�' �\.J ,�' `R^ }— + ter...' �fbl F •� .... Assessor's office(1st Floor): ry Assessor's map and lot num a ✓ d�• ��/ e ,, S{ q� �pT THE.TOr Conservation(4th Floor): y A e Board of"Health(3rd floor): `1' Sewage Permit number g 3�' �' S mr-s = Diar�taDt _' �i�r�gT k r�e.,m 70 rLl Engineering Department 3rd fl `'`U t� y . A House number F,, . ;����; �o a►r Definitive Plan Approve by arming Board 19 APPLICATIONS PROCESSED 8:30;9:30 A.M.and 1:00-2.00 P.M.only TOWN OF BARNSTABLE BUILDING ANSPECTOR APPLICATION FOR PERMIT TO �� U TYPE OF CONSTRUCTION + Z z 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for ao permit iaccording to the following information:( Location j/� ��(. �` ,�IIY(lS r��I�C /�l 4 Proposed Use A i./,Of Zoning District Fire District Name of Owner DGr tz d/`s/t L & Address IL Name of Builder T I //rGrOf lbd")L S Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing -� Fireplace �— Approximate Cost Area i Diagram of Lot and Building with Dimensions Fee © 3� r 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 con truction. Name Construction Si ipervisor's License MITCHELL, DAVID No 36587 Permit For BUILD S6"IMMING POOL Accessory to Dwelling Location 109 'Allan Road , Owner David Mitchell Type,of Construction Frame 1 ,Plot Lot _ Permit Granted April 4 , 19 94 S Date of Inspection: Frame 19 , t, '' Insulation 19 Fireplace t 19 { Date,Completed 19 v . � 1 _ j 1 Z 4 r ' i