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HomeMy WebLinkAbout0128 ANSEL HOWLAND ROAD y a,. _ .. e n: t. �. s. 1 � �.'. e`, ;. yr i - .n r - £ T � _ .. o �- � V .. . .. � r. � N • .. 4�. a G _ - _ � fir. �r.. .. e._r �. .. yh: .. .. - - ,. n u _ �,. .. e a ` ,. � a n .. .. ,. � c ... V n a - _ o .. � rs .. 6 y o .a .. n _ _ ,. a ., - .. x _ �. - � x m .. u �. .., .�. o i .:. � a. � ., e � - � e � - ., ,. ... z. ., � .. o � � r ,. y 0 � e [ .. .. e P .. M ,_, r p s r i .. a V• �n. - o 'a .. �' n - _ .. �. a :. _ e � e R x «gyp o. �, � a a <� �, _., �. M1,; . e o ', '� `. m, �s' - � , Q„ s - e �_ � e .. ,. e ,"., - u q � #; „ o � v �.. � � � y- .. � U - .. � r r c � u. _ _� a� „ '• ,,.. a .. .. �. _ .. 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Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us -Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1-71 a6i Property Address n O [P Residential Value of Work 'P c3 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 0CLACV r OL y is �-eS�t e (Y\(� ©t lQ05 Contractor's Name Sri �� ✓Y1e: GV Telephone Number 50s-- -7 7.5- 11,1 Home Improvement Contractor License#(if applicable) 1 O 3 7;.5 7 Construction Supervisor's License#(if applicable) PaNlr Workman's Compensation Insurance 4 Check one: J E P 1 Q 2 j ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE 9-1—have Worker's Compensation Insurance Insurance Company Name�d1S�G�C i -A Zv)dLISj ,C-15 �h Workman's Comp.Policy# U3 _7 W y 9 4 30( -2,odcj Copy of Insurance Compliance Certificate must accompany each permit. r Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) { ❑ Re-side #of doors Replacement Windows/doors/sliders. U-Value_ (maximum.44)#of windows—4 _ *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. A co of th EWme Improvement Contractors License&Construction Supervisors License is requ' ;;. SIGNATURE: £ Q:\WPFILES\FORMS\building permit forms\EXPRFSS.d �E Revised 090809 i. I , Office tCw i ons m i" 'trt s ��7s ness egu a oe License or registration valid.for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration.date. If found return to: Reglstratlon.Q1.2 57 Type Office of Consumer Affairs and Business Regulation Expiratwn:: Private Corporatic! • 10.Park Plaza-Suite 5170 Boston.,MA 02116' .S ., KLE HOM _ - TjkNC. G Brad Sprutkle - w M i. rnstab�e y.. � -' Ui��ersectetavy Not valid without sign.,'ture Mi<ssaehusetts- Depurtme'nt of Public:$stetN Restricted to: Od Board of Building; Re(Mations.and Stiindards 00- Unrestricted Construction Supervisor License iG-1 2 Family Homes License: CS 6643 f I Restricted to: 00 j BRAD.K SPRINKLE Failure te.possess a current edition of the I '' t90 LQTFROPS LAND '``' Massachusetts State Building Code I W BARNSIc4BLE, MA 02668 is cause for revocation of this license. Refer to, WWW.Mass.Gov/DPS 1. Expiration: 10/8=11 Commissioner Tr#: 5478 � SPRIN-1 RV CERTIFICATE OF LIABILITY INS' RANCE oP�U DS DATE(MM/DDIYYYY) 01/05 10 PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR- 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-775-6060 Fax:508-790-1414 INSURERS AFFORDING COVERAGE NAIC.# INSURED - 4INSURER A Associated In of MA; Sprinkle Home Imp INSURER Improvement Inc. INSURER C - 199 Barnstable Rd- Hyannis o — - Hyannis MA 02601 SU - --- --- INSURER E:' -° COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR _ MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS."- LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE M DD/YYYY DATE MECTIVE EXPIRATION D�I LIMITS, , GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea oNt:ccu end— $ CLAIMS MADE OCCUR i I MEO EXP(Any one person) $ PERSONAL&ADV INJURY ,.$ ; GENERAL AGGREGATE $. p GEN'L AGGREGATE LIMIT APPLIES PER: PRODUOTS•COMP/OP AGG $ POLICY I PRO- LOC -- -- ! JECT AUTOMOBILE LIABILITY I I COMBINED,SINGLE LIMIT ANY AUTO - _ ..J _ - (Ea accident) . - - ALL OWNED AUTOS I 'BODILY INJURY i$ SCHEOULEDAUTOS ` (Per person) HIRED AUTOS 1 BODILY INJURY NON-OWNED AUTOS I - I (Per accident) $ • ' PRO DAMAGE (Per accident) I$ GARAGE LIABILITY i AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS/UMBRELLA UABIUTY I EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE _ $ RETENTION $ I - S ,. WORKERS COMPENSATION AND EMPLOYERS'LIABILITY TORY LIMITS ERR A ANY PROPRIETORIPARTNERIEXECUTIV� AWC7004943012010 01/01/10 I 01/01/11 .EL.EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) I r E.L.DISEASE-EA EMPLOYEE $500000 II yes,describe under SPECIAL PROVISIONSDelow E.L.DISEASE•POLICY LIMIT .$500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS.,. CERTIFICATE HOLDER CANCELLATION .,• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SPRNKHO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THECERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Sprinkle Home Improvement, Inc IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR' Fax #508-775-1350 .REPRESENTATIVES. Margo Mack AUTHORIZED REPRESENTATIVE 199 Barnstable Rd. Kelley A.Sullivan annis MA 02601 ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD " The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street' Boston,-MA 02111 www.mass.gov/dia. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information i' P,lease Print Legibly Name(Business/Organization/Individual):S' ,r1�Lj2 tt w-e— Zhn d raVe_rng-nT Address: 199. �''Z' arnS Lle PooA City/State/Zip: a i5 Q (0.0 Phone#: 5�0�f' 7�.5 1?7 3 Are you an employer?.Check the appropriate box: Type of project(required): ,-,� 4. I am a general contractor and I 1.IJ 1 am a employer with Ct 6;.:.[]New construction ' employees(full and/or part-time).* have hired the sub-contractors „ 2.❑ I am a sole proprietor or partner- , listed on the attached sheet., 7. Q Remodeling ship and have no employees These sub-contractors have g,' Demolition workingfor in an capacity.- employees and have workers' Y P ty.- ; V 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. We are a corporation and its IO. Electrical repairs or additions t 3.❑ I am a homeowner doing all work officers have exercised their I LFI Plumbing repairs or additions myself.[No;workers'comp.. right of exemption per MGL `° 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no qu ] r'13. Othe employees.[No workers'. . . _ 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 outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. .4 I am an employer that is providing workers'compensation insurance for my employees."Below is the policy and job site information. I Insurance Company Name: Q5so G Policy#or Self-ins.Lic.MAUX, 700 9 9 36I ktb lb ,YExpirution Date: nt I Ol I Job Site Address. ( _� ► Jl �GW K �CD�d City/State/Zip Attach a cop y_af the workers'compensation policy declaration page(showing the poUcy number and expiration date). F,iilgre to ser.lue coverage as required,under Section"25A of MGL a 152 can lead to the imposition of criminal penalties of a fine ug 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 r inauzammmoverage verification 1 do hereby ce e p,' and penalties of perjury that the information provided above is true and correcit Si natutre: Dalqj Phone#: Offlcial use only. Do not write in this area,to be completed by city or town ofJleiaL City or Town: PermiULicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: / rti Town of Barn-stable ° Regulatory Services sBARNSUMA uAes Thomas F.Geller,Director � ` � Building Division. Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ina.us Office: 508-862.4038' Fax: 508-790-6230 .Property Owner Must Complete and Sign This Section If Using A Builder- Jnev Oaf n,00 in as Owner of the subject property hereby authorize r ' to act on my behalf, in all matters relative to work authorized.by this building permit application for: (Address of Job) Signature of Cam;,- I?ate . �, CGe..r✓l Print'Narrie If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the-reverse side. n-P nRMR-nWNARPFRMTR-9)0W Town of Barnstable *Permit# OAP%CAS Expires 6 months from issue date Regulatory Services Fee ' X sP ESS PER I homas F. Geiler,Director /� Building Division JUN 2 6 2GQf Tom Perry,CBO, Building Commissioner �00 Main Street,Hyannis,MA 02601 TOWN OF BARN �f� lr www.town.barnstable.ma:us Office: 508-862-403 8 Fax: 5 0 8-790-6230 EXPRESS URN=APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint . [ap/parcel Number ropertyAddress I2 ce. Z311SJ C-1—y-c.2.JtL R sidential Value of Work Minimum fee of$25.00 for work under$6000.00 owner's Name&Address �4�0el-1 G-A4-.0 1 O r :ontractor's Name_ v trl � % '1 _Telephone Number A®fig come Improvement Contractor License#(if applicable) k Z cs C1 S 1 ,onstruction Supervisor's License#(if applicable) J�orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ the Homeowner I have Worker's Compensation Insurance asurance Company Name Workman's Comp.Policy# V� C, -S3 0 Lk O ?n Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �e-roof(stripping old shingles) All construction debris will be taken toy... o.�•M � S� - ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement.Windows. U-Value (n imnm .44) *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. Home Improvement Contractors License is required. SIGNATURE QTorms:expmtrg Revise071405 \ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 y 'y www.mass.gov/dia Workers' Compensation'Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name usiness/organiz tion/Individual): Address: `t . City/State/Zip: �� J Phone#: �� ^2-? S : L{`-t 01cS Are y an employer? Check the-appropriate bog: Type of project(required): 1.DI am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. $ �� ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. workers' comp,insurance. g, ❑ Building addition o workers' Comp.insurance 5. ❑ We are a corporation and its � 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs oT additions myself.(No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t . 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 outside contactors must submit a new affidavit indicating such 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy inforrnstion. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: t� C Z 3 l ��` o 02- Expiration Date: Job Site Address:1 C6 � �Z L,JVIVI�jJ City/State/Zip: 44 02- 2 Attach a copy of the workers' compensation policy declarations 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 under the pains andpenalties of perjury that the information provided above is true and correct Si store: Date: fo Zb ip Phone#' .SO ti6 -S-22 '--1 b q O- Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Realth 3.Building Departmeaitt 3.City/Tow Clerk 4.Electrical Iaspeetor 5.Plumbing Inspe tur 6. Gther Contact Ferson: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or inplied,oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity, or any two or more engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . of the foregoing ] receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another Who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employmentbe deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or license or permit too operate a business or to construct buildings in the commonwealth for an renewal of a 11 p p Ss Y applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commoirvealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the imuzance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents fur confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant . Please be sure to fill in the permi0icense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is an file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ent 406*or 1-877-MASSAFE Fax 7 617-727-7749 Revised 5-26-05 wwW.mass.gov/cia . Ct Liberty Mutual Group Liberty PO Box 7202 7�/�u�_,�1_�J Portsmouth,NH 03802-7202 m LUdl Telephone(800)653-7893 Fax(603)431-5693 May 25,2006 TOWN OF BARNSTABLE 720 MAIN ST HYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance Insured: OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH,MA 02664 Policy Number: WC2-31S-338804-025 Effective: 12/28/2005 Expiration: 12/28/2006 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: Bodily lnjury By Accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500 000 Policy Limits, As of this date, the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement. term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confero no rigl t upon you,the certi icateholder.This certificate is not an insurance policy and does not amend.extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP. This Certificate is executed by LIBERTY NPUFWAL INSURANCE GROUP as respects such insurance as is atTotded by those companies. cc: Insured: Producer of Record: OLIVER KELLY SANDPIPER INSURANCE AGENCY INC 9 PEREGRINE LANE 12 ENTERPRISE RD SOUTH YARMOUTH.MA 02664 HYANNIS,MA 02601 5/25/2006 OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH PH/FAX 508 775 4498 MA. REGI 128957 MA 02664 INSURED May 18, 2006 Proposal submitted to Nancy Carrigan of Ansell Howland Road Centerville Ma.. We propose to supply all materials and labor necessary to remove and replace the existing roof at the address above „ All debris to be removed to town transfer. 8 Aluminum drip edge to be installed on all eaves. Ice and water damage protection membrane to be installed on first three feet of eaves. Remainder of deck to be covered with 930 felt paper. 30 year limited warranty Architect style shingle to be installed. Bathroom vent pipe boots to be replaced with new. Cobra ridge vent to be installed on entire length of all ridges with hand nailed caps. Protect all walls, windows, decks, plants and shrubs etc. during roof strip Repair Chimney flashing as necessary. Obtaining of town permit. At a total cost of$6000 u Payment Schedule;30/o with signed contract, balance upon completion. Respectfully submitted, Oliver Kelly oposal accepted Date / /2006 J00 i �Ite joard o Bui ding Regina ions an tan ards One,Ashburton Place Room 130-1 Boston. Massachusetts 02,108 Home Improvementtontractor Registration Registration: 128957.` _ Type: Individual Expiration: 6/14/2007 Oliver.Kell y Oliver Kelly 9 Peregrines lane S. Yarmouth, MA 02664 . s Update Address and return card.Mark reason for change. . DP8•QA1 A BOM•04/04•0101216 (� Address Renewal E] Employment [].Lost Card dow-SISJujuipV } �- 499ZO b'W'41nouueA 4anoS euei oupoeied g AIle>I Jen110 IenPIMPuI ed S• . L969Z� tuopc ;aJBea V013"IN001N3W3AOi Al 3WON sPJepuVIS Pug suopgJnBeg BuIPIIaB Jo P reog e , „�• • TOWN OF BARNSTABLE Permit No. ------..---- Building Inspector s,ua.a Cash ----------------- art OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector.” a;,, y rf��,_c ;t Issued to =,1 an E. Sma 1 j. Address Wiring Inspector r;' Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TORN REQUIREMENT$. 19_ _rr! '' _ Building Inspector g1NGLL- FAMIL%? - gEOR�oM - ►.JO GA¢5AG6 69JWDER. :5G—P ( FL.o WK!I a3oxxl5 %3 -4";6.Ro � t_ �OvjL.l�►.1D 5EPT1G TA � USE- I000 GAL. o15Po5AL. PIT v5E 1 v o0 (CAI.. 1 III .3� S%pr-WALL AS2.CA = 15pS.F I <<j sl& i5o 5.1: x 2.5 = 3?5 G.P4 BOTTOM AREA s . f ``%F• 5o S.r- x 1. O = 5 o b.P.� 3, I 4 r►4 � ' 'TOTAL- T>A►4-Y :f/p.,.::. _ GOLATIOW P-ATEi 1''IN 2MIN oR.►-�55 I? � � o 110 ' N PER. --- i TANt� ARU 4. �. OF v RJ64ARO N op I A. �• BAXTER a J� No.24M i 4 et$Tf ,�p� T�N���� �! �Rv NAL . .. �, IN,,.IL 4S,o I` I„op� � loov lN�• Sv�3 L. D►ST. INS. 56PT�� •$ 2 lOoo IfJ� 0UX `�•L Ta.NK I �EA�u - �41AViSL.• INv. I,NY. WASUGD 6ToN6 di_ �30,L1r CEQTIFIG0 PLoT PI-A-►� P R OP I LG L o C 4"s 10 N i 3 I'Z W o 5 C AL E p>_p,N REP ECZEN GE � CERTIFY THAT THE �v�J�PTt01� SNOvYN i r µE,W OW COMPL.`?6 UIT .., '5ET�e.GK R.EQ�►2EMENY� AWP QFTµE• ' f -To>WN oFaAR�J'TP��6 AND IS �u1o'C' C'r�t.�TEt2�►L.�$ . H1u�lvar.�i S LOGp.TED WITIAW T E G oD b,04 `. DATE 6 R.EG 1 S-t>=�6r�`�.A►�p 5 u e v ecYc, Tu15 PLe.1.1 AW 115 WaT aAS�r� ob AN osT'EQ.vIL�.E• • MASs• IN5•T•R,ufAe4 SV2VG-Y 1 ' — Or E,-r5 4uoul,� t./�t� �= �NI��. ►I/sT L.c>r�,� �,«.o-tCs pC'Tc c•-MIrJf= �II-II;,� A P P t-1_A!�r'!- Ass essor's map and lot number ... . GelC. A1A4;, -fflAtfAL %THETA Sewage Permit . number ......:......�oa .................... & ;.. a r SEPTIC.SYSTEM MUST AHb9TADLE, i vlouse number ..... ................................................. N Te4Lt D IN qw/� COMP AD Mb 9• 9� WITH TITLE 5 Ar� TOWN: OF. BAR � DECODE A! F: BUILDING INSPECTOR APPLICATION FOR PERMIT TO. ....''�� ................ ................................. .......... ............... TYPE OF CONSTRUCTION ............ .....:................................. .......:.......................................:..... .19 t . TO THE INSPECTOR OF BUILDINGS: i The undersigned ereby applies for a permit according to the following information: Location .... .,3. t....... 'r!..)....... 41.4n ............. ProposedUse ... .........::..:.... .................................. ......... ............... .............................................................. Zoning District .......:...................................................:.............Fire District :.:... Nameof. Owner ....................... ........................................:....Address ..........................................:......................................... Name of Builder .Address a. Name of Architect .................::...............................................Address ....................................................................... { Number of Rooms .... ..........:...............:............ ..............,.Foundation .......... C .... Exterior ........ ....................Roofing ....... Q .............. .... ...................................... Floors .......................................Interior ' .............f..... ................. ........................................... -- Heating .... ... '................ .......... .....: ........Plumbing A - ........... ............. ...... Fireplace :...... / ,�y..t.,.Ls....�,..,.:.... ....... ...................Approximate Cost .... A.. -.GJ............................. Definitive-Plan Approved by Planning Board __--------_--------------------19________. Area ................. Diagram of Lot and Building with Dimensions ' Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ®YK� } I hereby agree to conform to all the Rules and Regulations of the.Town of Barnstable reg ng the above construction. Norrlc 00................................. .. ' - - . ' ` SMALL, ALAN E. Single Family Dwelling Lot #36 128 Ansel Howland Road Centerville Alan E. Small Frame - .� ^ ~ , \ - . � . . ' ' . | . ' ~ � .. � . , . . * . ' . / . ` TV PERMIT REFUSED lV '----. � ~ ` . - ' ----. -^L ----.--�.�_�--.....---..---.—,'. . ` / r ............................................................. ----' �' Approved ' ' - ' —:... ------------.. lQ ` —..�-----'./—.-------.--.—...--~.. -------.---~.-----....—.--~.—.. . ' . . U VC 1 I i�iv r� - �.� F l o w _ ►I v x 3 = 3 3 o G.P>7 o �Ovj L A Y Tp►.,K = 33ox15o% : A95G-P �►�El EPT\G i • v5�- l o00 6A�—. i,5Po5AI P1-r USE, I000 6aL. . ,/o , S 1 pr-WALL Cjl Z2G 'j{,� 1508o TOM AQ Ar --ToTA 1.-- rP E51 GN = /g-2 5 33o G.Po oU! Zflp - ° I I? F v oLATID�! RATE 1''IN ZMIN o>~ LE®S NO PE2C_ s,ti a. ro ►ok . FOCHWA BAXTER W.2.1 48, . N Al G/y1 f d oP -T F---,-r :�I'o�0 LADLE 'e-11-�i ° F(,= Sd ^ -,�-.s�� .._ _I�• 4.g.o �:�. l, �. Lo AV* S� V p1ST. GAL. IDOL . 1N�( �,` LEIaGt'1 PIT INV. ( AVtSt 'r 41 Z WA SWG p' I { _ CECLTIPl. 0 PLoT PI_ArJ PR oFIL-G= L 0 I-A-T10N o SLALE SoAL� h U I N S p L,p,N RE F 1✓2E►�► GE 14-0pTl a 5Ko H1N I� __,, , o►� E.ot�l;Pt_�(45 WITS Z N S I oELIN �� Q VP 5 E'i'QD.GK_ R.6R v\R�>^ NTH O F -ro '�8A11tiTP�3�6AN� Is �1or CT�►��► I_OG�TE D W ITNI ICI.rt• � :G oD PLAIN ' r n U ►.AW D S u R-v�YoizS Tulg PLaN I�� NCrT 4�`SFD NE of 5t.'r5uDut,� , 5�-R.utA 5veVG-`( Fri ►1AP�L1 6-AY+'' '� �C.� `Wr__ SEPTIC SYSTEM MUST BE Assessor's map and lot number ....�� INSTALLED IN COMPLIANCE ,7"E rot► Sewage Permit number .................. WITH TITLE 5.... ........ -ENVIRONMENTAL CODE AN EAHH9T/IDLE, House number .......................................................................`... TOWN REGULATIONS 90o t639.. + 0 Mix a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......,............... ... .�. .1..X../�................................ ' TYPE OF CONSTRUCTION ................................ /.:.!.. .....„�................................................................................ .....................19..&� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby hereby applies for a permit according to the following information: Location ......I.fT.o I...!�.... ........ . ................. .... .�... ..�. ............ Proposed Use .... ...... . ............................................................................................ ....................................... Zoning District �� ...................Fire District C e Name of Owner . ............... .. ............. . .................Address ....« '... ............. . ................................... Name of Builder .....!!!.,................ ........ .............Address �( e OTC• � y2 � ao 6 2 f...... ..................... Nameof Architect .......i� ....................................Address .................................................................................... Number of Rooms ......... .TXC—]. ......... .... " .....Foundation ..:..... .. ........ . . Exierior .....� .... ................ ..... ...............Roofing ......... ... .............................. ... ..... .............. Interior 1 ° Floors ........... ... ........................ .......`...:....................................................................... Heating .......M'. l........................................................Plumbing .......�lor-y . ........................................................ . ... Fireplace ........... w. wl....................................................Approximate. Cost ........ Y.:VC��, o� ............................................. Definitive Plan Approved by Planning Board --------------------------------1.9________. Area ............................ Diagram of Lot and Building with Dimensions Fee .!`.. . SUBJECT TO APPROVAL OF BOARD OF HEALTH � d l 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 _ .......................... .................................... i Construction Supervisor's License ............ .... . .. ............... CARRIGAN, Nancy ` No ..:29535.. Permit for ....Add...ftr.r-l........... ..................Single.•FAmily...�Y1� .............. .. Location .... ........... .................................... �.; _• -.a r Owner ........NancY...Carx gall........................... Type of Construction ..Frame.............................. Plot ............................ Lot ........................... --y " ..:June..23.,........1 :19 $(Permif-Granted <r - Date of Inspection .........................!..........19 Date'Completed r :�4 rfl _ •-• � - ter. �- ,r,