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Home My WebLink About0023 ANSEL HOWLAND ROAD Q " a 3 1 ttL 10 c Jo . . o o e p t C r ! TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # l� Health Division Date Issued 3 ff-1 I Conservation Division Application Feel Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis t Project Street Address 31 1?d . Village t-P 1 Owner E! CAk-G& Address 3 q- Rd. _ Telephone 50 8. 3 6 7. 55 '7 Permit Request ,fin fPJt,t 3 xA &A"Aa�t, tet& c-). Ae. AAtm /`1,0•r�yrt ® gkz. .l 4QO,v'!., AJo71•ynl to SVUAAXUAZ I2.32- Square feet: 1 st floor: existinb proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation$5r000 +- Construction Type Lot Size . 3Y• Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family L9" Two Family ❑ Multi-Family(# units) Age of Existing Structure 3! wu Historic House: ❑Yes Ao On Old King's Highway: ❑Yes CdOONo Basement Type: Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinishe Area (s�fp2 3 2 Number of Baths: Full: existing- 2. new 9( H Aisting 1� new � 9 Number of Bedrooms: _,,�_ existing 9 new ®C$AR. AlS'AR4 Total Room Count (not including baths): existing new First Floor Room ount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: iYes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes YNo Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Yexisting ❑.new size _Shed: ❑existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes CH( No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name Z �,Telephone Number 509 367 55 7 Address 3 il- aA,14� License# -94AttAAHDp&. M)P, Home Improvement Contractor# ,+Email cow i ll6M a rd e y ah oo. d o m Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q " -4-8IGNATURE DATE 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 . FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l U W U Ul u al M45 Lauxc Regulatory Services pfr ra,_ Richard P.Scali, Director . Building DivWon � r a■I* +A . : Paul Roma,Bnadmg Commissioner MASS 200 Main Street, Hyannis,MA.02601 ~� w*w towmbarnstable ma.us Office: 509-862-4038 Fax: 509-790-6230 HOMEOWI4ER LICENSE EXIION / Pieme Print wille eJOB I.00ATTOI�f: !1S + vma oe nnmbar'. street namo 3�c 5 7�c wodc phone# CURRENT MITI INaADDRESS: 3 I'f ns&/ ff o_ld la nd 2d citshown sib up codo The cogent exemption for"homeowners"was extended to incfide 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. . DEFRIMON OF HOMEOWNER Person(s)who owns a parcel of.lmci on which he/she resides or intends to reside,an which there is,or is intend Ed to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm sfivctares. A person who constructs more than one home in a two-year period shall not by considered a homeowner. Such "homeowner='shall submit to the Building Official on a forth acceptable to the Br9ding Official,that he/she shall be responsible for all such wo&perfumed under the budding permit (Sr, 0 109.1.1) 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 min;n,mn inspection procedures and regoaemeuts and that he/she will comply with said procedures and requirements. Sigaetruz ofHameov ARproveI ofB Official. Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Bug"Code Section 127:0 Comstraction CantroL HOMEOWNER'S E o4nox 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,partiadulywhen 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 tie 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. Orn the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. ' ToWn of Barnstable - Regulatory Services s Richard V.Scan,Director 16.3 Building Division Paul Roma,Building Commissioner 200 Main Sheet,Hyamiis,MA 02601 www.tawn.bamstable.ma.ns Office: 508-862-4038 Fax: SQ8-790-6230 Property'Owmer Must , Complete and Sign This Section , If Using A Builder' as'owner of the subject property T, j . hereby authorize to act on my bebali t - in ail�natfPss relative to worn authorized by tbis buA peimit application for ' • Y (Address of Job) are the responsibility of the applicant Pools Pool fences and alarms ,p ty PP are not to be filled or utilized before fence is installed and all.final inspections are performed an&acceptecL Y a Sb aj=e of Owner Sign.atare of Applicant 3 i • Print Name ' Print Name Date o.FOFhU:owr MERMssForeoor.s ' Ctark cgx - e-Of Basirvi;HA MU IIIfa a PlenaPr Dame - T-CA yi ll .Tr- fss: 3q- )rose pd, e �02&3 Phnn�-,,qx 508 367. 557� Arayrnr==3pIayerZCfiecktfeapprhiafebma L❑I arts a pzi#ii" � []I asx a a T ca�ct�r�I Tgpe gf project(rcq=L�4-- . emgl�ees(f��f°f par�#im��- Ir e I,a Qse suJr caadaacfas 6- 0 N�consiagd 2.0 lam a sole osarparfues- . 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P.■a ■n wrt _.u • �■••1. _n. r.■ nun•. so .._ �I ■ ..war. r . ■w ■ .-Ir-Ir.._r d ' ►N ■G1 ...tiSIn` ..71 ■ �� 2012 - .■ 1 1■.r. •-■ • ■Ir r OEM so MENEM OEM MEMO No�� ■ SIM ■ P�oFTHero�ti Town of Barnstable *Permit# 4,5 3z l � C Expires 6 months-from issue d.te)4 '+ BAMNS SLE, Regulatory Services Feet v MASS. Thomas F. Geiler,Director lE�MP't Bnlldmg Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02 XLPRESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 NOV 1 5 2002 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press ImprWW N OF BARNS IABLE Map/parcel Number ? ' l Property Address K.r S� t LGe't�-CY le d❑Residential Value of Work 6 o vim.O Owner's Name&Address Contractor's N:;Tn OltaCAM ice. c�2� Telephone Number , y Home Improvement Contractor License#(if applicable) /Z :". --3 6 Construction Supervisor's License#(if applicable) Torkman's Compensation Insurance ' Check one: CD ❑ I am a sole proprietor = =' I am the Homeowner u�' I have Worker's Compensation Insurance F ,Insurance Company Name Workman's Comp.Policy# Permit Request(check box) 2�Re-roof(stripping old shingles) All construction debris will be taken to Ch vvwu ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e!liistoric,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application ' �II ld 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 n s ow aq Village ✓� V 4 G e Owner K /"d4 Address S44q e Telephone Permit Request r Seed w �C=% C�pif `�o 41-c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation W Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. Dwelling Type: Single Family a 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 p new ` Number of Bedrooms: existing —new == Total Room Count (not including baths): existing new First Floor Room Courrt,, Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/foal stove ❑Yes ❑ No W n+ Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 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) Name WM Wk 1,� C 69, 6C Telephone Number No )S?6 03 7 y Address � �''��'� �v� License # AZ �96 Home Improvement Contractor# A 139 v Email Worker's Compensation #7wc 33-3 9 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE // C t FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL J ` GAS: ROUGH FINAL ti FINAL BUILDING P' S DATE CLOSED OUT ASSOCIATION PLAN NO. r'.z Building Permit Authorization I, Robert Pion Y _, as owner hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 ' Office:508-398-0398 to take all necessary steps to obtain a building permit.to perform work at my property located at 23 Ansel Howland Rd Centerville, MA 02632 Signed f Date_ '� ��( Ilk I Nnnc rarrr� i The Commonwealth of Massachusetts, Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 f Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/P m bers Applicant Information Please PrintLegibly Name (Business/Organization/Individual): Cape Save,Inc. Address: 7D Huntington Avenue City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398 Are you an employer?Check the appropriate box: F6. [] f project(required): l.0 I am a employer with 17 4. ❑ I am a general contractor and I New construction employees(full and/or part-time). have hired the sub-contractorslisted on the attached sheet. Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition comp.insurance [No workers' comp. insurance 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I a homeowner doing all work officers have exercised their I I.[] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]fi c. 152, §1(4),and we have no Insulation employees. [No workers' 13.21 Other comp. insurance required.] 11 *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 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Technology Insurance Company TWC 3353968 Expiration Date: 04/09/2014 Policy#or Self-ins.Lic..#: Ci /State/Zip:f� �✓ �p l� � Job Site Address:�3 lfnsr HOW� �' 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 m o s B advised that a copy of this statement may be forwOa dedOtRK o Office oand a fine of up to$250.00 a day against the violar Investigations of the DIA for insurance coverage verification. I do hereby cent under the pains and enalties of er'ury t dt the information pr�W�ded;" ,sand correct. �� Date _._ _ Si ature: - Phone#: 508-398-0398 offic ial use only. Do not write in this area,to be completed by city or town offrcia� City or T own: Permit/License# Issuin g Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: ACO CERTIFICATE OF LIABILITY INSURANCE 10/22i20'1' 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 endorsements. PRODUCER O ac Colleen Crowley NAME: Risk Strategies Company PHONE E (781)986-4400 FAC No:(781)963-4420 15 Pacella Park Drive E-MAIL Suite 240 INSURER(S)AFFORDING COVERAGE NAIC# Randolph M 02368 INLSURERA:Selective Ins. of America INSURED INSURERB:Safet Insurance C an 3618 Cape Save, Inc iNsuRERc-.Tec1mology Insurance Company 7 D Huntington Ave INSURERO: INSURER E: South Yazmouth Ili 02664 INSURER F: COVERAGES CERTIFICATE NUMBER:CL13102268490 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. POLICY EFF LTR POLICY EXP INSR TYPE OF INSURANCE POLICY NUMBER MMIDD MMlDO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE ❑X OCCUR S1994480 0/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO-- X LOC $ SINGLEJET COMBINED AUTOMOBILE LIABILITY Ea accident LIMI 1,000,000 BODILY INJURY(Per person) $ B ANY AUTO ALL OWNED X SCHEDULED 208200 1/6/2013 1/6/2014 BODILY INJURY(Per acadent) $ I AUTOS PROPERTY DAMAGE Fol X HIRED AUTOS X AUTOSED Per accident $ X UMBRELLA LIAB rd OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESSLIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ of 1994480 10/16/2013 O/16/2014 $ (,` WORKERS COMPENSATION fficer5 Included for X STIMIT OTH- AND EMPLOYERS'LIABILITYY ANY PROPRIETORIPARTNER/EXECUTIVE YIN' Coverage E.L.EACH ACCIDENT $ 500 000 OFFICER/MEMBEREXCLUDEI a NIA 3353968 /9/2013 /9/2014 E.L.DISEASE-EA EMPLOYEE $ 500,000 (Mandatory In NH) If yes,desaibe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below rc DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(Attach ACORD 101,Addttlonal Remarks Schedule,If more space is required) Weatherization Specialists GL: Blnkt AI, Blnkt PNC, Blnkt WOS, Per Proj Agg, Per Loc Agg / GL Exclusions: Snow& Ice Removal/OCIP/Wrap Ups CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED .IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE chael Christian/CLC ACORD 25(2010/05) ®1988-2010 ACORD CORPORATION. All rights reserved. INS0251201005101 The ACORD name and logo are registered marks of ACORD MassachLS s'-J e7-i.n- n o F ubi;c Se ;V Bcar.''.,� of Building 'eaudri ion—z Pad Jtia:i.C2ni�S Construrti+in Super-,i%m-.Spcciah%- _icense: CSSL-102776 WILLIAM J MC C-LUSIEY 37 NAUSET R0.41<D West Yarmouth NA 02673: 06/28/2015 i Office of Consumer Affairs and 4usiness Regulation 10.Park Plaza g . - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration: . - Registration: . 171380 Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. WILLIAM MCCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Ma rk reason for change. Address ;_; Renewal Employment ;; Lost Card DPS-CA1'0 S0th04104-15701216 ✓�e �c�ir�nrnzcaealf� cO�j�as�..�del� .,. "---- -- - ,-, -__ _... _ Office of Consumer Affairs&Bainess Regulation License or registration valid for individul use only ,_,90- ;��. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ ; � Registration:_,.171380 Type: Office of Consumer Affairs and Business Regulation 5� 10 Park Plaza-Suite 5170 ?.� Expiration 3/14/2014 Corporation �' Boston,MA 02116 CAPE SAVE INC: WILLIAM MCCLUSKEY 7-0 HUNTINGTON AVENUE SOUTH YARMOUTH MA'.g2664 Undersecretary Not valid with@ht signa i t r Office of Consumer Affairs-&Business Regulation- Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) i l: Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints z Registration# 171380 Home Improvement Contractor Registrant CAPE SAVE INC. Registration Home Page Name WILLIAM McCLUSKEY Address 7-D HUNTINGTON AVENUE City, State Zip SOUTH YARMOUTH, MA 02664 Expiration Date 03/14/2016 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search http://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=73264 3/25/2014 Cape Save Inc. 7-D Huntington Avenue Q� South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 DATE (I 11�14 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for 23 Ansel Howland Road(#201441425) has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. - Sincerely, William McCluskey ONIA10 • A �i his} • ,��Ei�1�fG�U� �V ��PYatd1 a Assessor's office Ust floor): �� ..v?�� SEPTIC SYSTEM MUST BE oFTHEto Asssessor's-ma and lot number �+�. Q.. p. �NSTALL, &Oard of Health (3rd floor): // q fO -,Sewage. Permit number "/ CfI.$:/. ,' .. ......E AND u` ... i Basa9Tsnce. ! Engineering.Department (3rd floor). ASS *� p+ ��! "6 9.. House number ............................... .o�...�>.................. ....... T09f/1�0 REQUIL ►MINS O YPY fr�9 Definitive Plan Approved by .Planning Board __ _------------_____-------19__:_____ . e APPLICATIONS PROCESSED &30-9:30. AN. and 1:00-2:00 P.M. only,'. ark 4 TUWN ".OF BARNST. . 61GcoAA� B 1LDL.NG . , i INSPECTOR: rL o p f �] APPLICATION FOR PERMIT TO.'..JT�?. . ..� .4?e-G' ... �� ' �� , ...... :............ o�C°4,�j,. ....... fP � �f TYPE OF CONSTRUCTION �. .O.M. ... .rCt!'VI.......... . ....................................................... Ss.°.?.. Ljoe ............................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a pern•iit according to the following information: t47 av Location' .....1..1 5e I.......Y.4U1h�..IQ ! ..... ......GCJ.U.L4.l. V,1. .t.4r....:..f...-A......Qr •tp,� .............. �a N d c l/ ProposedUse .......�.:.....•..........�. ....\.. ......... ..:..... ....:::. ........... ......... .. • ............ Zoning District ............ .................:.......... :........Fire District... ............C:�B.�..`�. ............................. Name of Owner ... ..Address . . / I, .S I. J .I-G.. t .......1>.. .i..... Name of Builder lG. .T..vT:C:L.`�%L��...• �-. .........Address``(. .. ..1CQ.... '...! .r�✓i7/US Name of Architect ............................................................;..:..Address ...... ...............:......... ...:............ Number of Rooms ......:.:.:............................................. ........_Foundation-` ...5. .a.: �.. .. ,.......... Exterior ............:........ .:r.................................. ....... :...... ...Roofing .........................x:...'r/ ....................... .......... Floors .................................. . � �....... . . .....:. .....:... .. .......Interior ......... IV/ ..::...............:......................... Heating ..................... Plumbing......Plumbing p�Fireplace ..........:.....•....:...... .......:. ...:..........:..... . ........ :.......Approximate Cost. ....... ..... .......i... :...............:. ........ r r :• Area .. ..1..':L::�:'. .Z ........ r s Diagram of Lot and Building with Dimensions " Fee fo SQL it 1-7 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 :C��O..Z.. ........ CHRISTI, LILLIAN & MARY 34405 ADD DECK. 4' No ................. Permit for .................................... + Siri le Famil Dwellin `' �" � Location 23 Ansel Howland Rd Centerville ` ' " Lillian` & Mary Christi Owner ............ ........ _ ...... ... t'�- Wood Type of }Construction .................. -. ........ , ...........1``. j .. ..... ... .. ..... .......... P+IO.t ... �'. ........... "Lot . " ...... Permit Granted ... . ...:. ...............19:.... Date of. Inspection .:::...... ........... 19 �' r Date�Co leted ....:. ... . . ..19 F "U s' i Vn 0L I0 .e TOWN OF BARNSTABLE Permit No. ----------_------ Building Inspector saurr.n Cash -------•-- sum OO�OYP'L�\ OCCUPANCY PERMIT Bond ---_ — �Z "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 Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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......_ .............................................................---.---.----------------------................ Building Inspector Sty;Lr--- �76M%L?4 - 3lzwZOC>A& L10 GAtZSAG 6RI1.fflE1Z - 2 t Lam{ $`low, _ 110 -4 3 % SSO G P1? �E�r"lG 'T'A+ 1K = 330.r (SO•% • d�{�j!6..P0. { u t o00 6At_ ,•- c PIT - ust= lOoc C.AL. ®O44 �CT.,FWALL AeEA z l.oj0 SF. j e Amwa ,Z EA• So ST-. ToTA L ,'fl ESIGtJ = •425 G.P.t� � "-_� ,�, -rC>-r&L. t7A-t L�- F f LD% / - 330&RID. ( � O F v.V�,9Tio�i �lZGD U LD•TO' O&M : t"IIJ 2M i u OQ �.. H OF ray °wF,,1 �. 1.'- ��``'a . r A• t`� ,,�0 0N v k,a AL F:9ChifyFiJ BAXTE YA T1=sT P-G37 t G t` Tor Fwo e&.o �� Iuy � i .. •57 s � Co.4�;/ .��Rpe 100o IW f Iw• GAL 6® •' 'sox• Se., Evnc G S ' t l o 10 f 0O i„ . � wv. 1w. t• .;� } . �. LeAco Vol .. WASHED ? STOWS /o G.o• C Act) � P�•a. F � u� P2o>~'1L1= z: ` LDCAT10� �,U TE�ZVIL.L(� 4 Iz 1Jo Saa.L� f A 1L• ATE WATEZ CatZTIF1{ THAT TNI= v FOOtD>Xlio14 50-so pi:at� RtG�.tZE�.IGE v t-iZ-- u0;-1 C'0AAPt_%(S W ITIA Ttar: SIDE..-LSIDE. �OT � } Aua �C-TL�,AGIC �GaUIQGAE-wTs P THe loww Or-- ."-FA2w 7TAItLz CGOTSWIL z 016ALAWDS PZ BFLU3/� � DAT G 11 YCTC�Z i2GGlS,rLRED La.Wo Sur-vayo2S {• E T1415 PLAW 1,S L40T ZASGo osTEevr,�►c o INSfC'J. c:w; �,uc_•i1,�{ T11G UFC',tT�. Slaowu� AVpt-I GA-j-r t-k>r C;C u�>cl, 're) DC-lt'ccmo4c l_o-v t_twa - �Ldr1 7M/1LL �fJC, Assessor's map and lot number ....... .................................... r r CFTHE�O� ,Sewage Permit number .......... ................ 6�Q�s .♦� SEPTIC S YSTEM MUST.BE . House number ......................::..o C..................................... . r , INSTALLEDi63 ze�� B ��,yy TITLE' S o� I * QDE A�' TOWN OF BA' . A v, BUILDING INSPE_CTOR:; . - - APPLICATION FOR PERMIT TO ............................... ......... ......... ......... ......... ....... w TYPE OF CONSTRUCTION .........f ie............. ............. ................. .. : ..................... ..... ' ..... r' ................................19? .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according 4to the following information: Location .. ./L,/ ....� . .. ............ &Zii.X14 .... u L............................. ProposedUse . 4 `.. ....................................................... I`.................. ZoningDistrict ........................................................................Fire District ...f.......................................................... Name of Owner,-'.— .................................................Address .......6-L!:,�-'U ....................................... Nameof Builder .....: .... �.�- ............. .... ...Address ....................: .`. ............................................................. Name of Architect ...........Address,. . -• - ................. ... y .. Number of Rooms ....�............ ......... ..................... ....:.:..Foundation ...G..rrd!- i Exterior .... .�./ 1I�..�!................:..............:...,..............Roofing ... ............................................... . Floors ........Interior ...................... ... ........ �... . .. .: � .: ..._..... + r < Heating �.:. ....!y :.�.....................................................Plumbing ...........��' .4 _..L......:.,.......................................... Fireplace ..:,. ... y. ...........................,.................Approximate Cost ........... .. l.• ................................. Definitive Plan Approved by tanning Board _ ___ _- ---------19________. Area .....n.�..- Diagram of Lot and Building with Dimensions 1 Zee ......: . iz SUBJECT TO .APPROVAL OF BOARD OF HEALTH. C}Iv L/ x I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab regarding the above construction. NameL�..... ... ................... ......................... . . . ` . . � ^ . ' . ` ^ � ' 1 . ' . ` , ` ^ . . . . ~ ~ . 23646 One Story Permit for Single Family Dwel inc Location ...Lot #20 23 Ansel Howland Centerville It I co PERMIT REFUSED 19 � ' .......... .---,------.,' / _ ...............`. ...--------.—.—.--.,' . � - '—'--''^ ............. .r'----^---.—._.~_.__ ^ ` ` ~ '........................................................ —.---.--. ^ ~ . . - ' Approved ................................................ lQ -------.------.-......----.—.^,. . ^ � - ----..:----------'.—.--~—....—... . .