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A I on I 1 AM I . f Town of Barnstable G "PertNt a 105 ?_ J 0?J-XV&AS Q emonthtftocn Lque dace t owArrtRwpue i Regulatory Services Fee 39; Thomas F.Geiler,Director ® tfll Building Division Tom Perry, Building Commissioner F E B 1 1 2003. 200 Main Street, Hyannis,MA 02601 Office, 508-862-4038 -TOWN OF BARNSTABLE Fax; 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY a Not Valid without Red X Freso Imprint Map/parcel Number �v Property Address f(Q1 AmeJI i Residential Value of Work Owner's Name&Address l a n (LA'ayec Contractor's Name �G►J Telephone Number (5OZ) Home.Improvement Contractor License#(if applicable) �U3 7 Construction Supervisor's Y.icense 0(if applicable) EgWorinaaws Compensation Innuance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ I have Worker's Compensation Insurance _ Insurance Company Name l rav e_I�e rS worlQnan's comp.Policy# —I Pi L)6—q a a X Q 5 3 — 5o_ Permit Request(chock box) Z-10C-70"MetionAc-roof(stripping old shingles) debris will.betaken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this parrmt does not exempt comphanec with other town dcpartnent regulations,i.e.Historic,Conservation,etc. i Si attue !;n Q:Fomv:expmtrg Ravised121901 ACORD- CERTIFICATE OF LIABILITY INSURANCE _ DATE(MM/DD/YY) 1/16/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE 508-420-9011 INSURED Paul J .Cazeault & Sons Roofing Inc. INSURERA: Roval & Sunalliance Roofing, Inc. INSURER& Travelers In i f Il lin i 1031 Main Street INSURERC: Osterville, Ma 02655 INSURERD: 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. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE" $1 O O O O O O X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one tire) $ CLAIMS MADE [OCCUR MED EXP(Any one person) $ A PAC5912908 04/30/02 04/30/03 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2 OOO O00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 O O O 0 0 O POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO (O aoc EDtSINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ - $ WORKERS COMPENSATION AND W STATU- OTH- EMPLOYERS'LIABILITY TORC Y LIMITS ER 7PJUB-922X653-502 08/10/02 08/10/03 E.L.EACH ACCIDENT $100 000 E.L.DISEASE-EA EMPLOYEE $1 O O O O 0 OTHER E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER x ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL �_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. 'AUTHORIZED REPRESENT ETIE { ACORD 25-S(7/97) O ACORD CORPORATION 1988 r One A�hbUf t0 BOA ��`% l•. I�iLIUI !; fl'•'�Ir�C(�� 5ton, Ma O?'1 (!�,...I 6 1 , rl;UCrlOry :;Ui)L-i" I':' 1 • N �i.l. I n•I. r .tlli - .:r:ll Irlll tllr Irr.l:llrl..11ul r.i .,u; : rll .n1Jrr: '.,'nrlllllr..11llnr. 110A1iD.:01 Lic UUII_UIIJ(:; ltl_(;IM-AI1(i(r:; unso: COJ�t;;l'I<UC i'IQf•1 :'llll'I-I:VI:,I II,: Nug1Uur:'C:; LSirlhda.u:.i�01;:r)/ In.: ,.Slli Ku�lriclud:°00 PAUL J CAZLAUUF 1505 MAIN f OSTEI{VILLL, MA 0ZU55 .. i�rLrulic;lrrrtc,l ..__ cv Board of Building Regina ions and Standards J One Ashburton Place - Room 1.301 Boston. Massachusetts 02108 Home Improvement Contractor Registration ReUistralion: 103714 Type:, Private Corporation Expiration: 7/9/2004 PAUL J. CAZEAULT & SONS, INC. Paul Cazeault P.O. Box 2781 _._ _.. .. Orleans, MA 02653 - Update Address and return card. Mark reasou for cli.jorc. Address I I Renewal I Employment Lost Card /✓It; G0/N•/IL(//IIUC"14111 Board of liuilding'Rcgulalions and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registratiori: 103714 Board of Building Regulations and Standards ExpiratioA: 7/9/2004 One Ashburton Place Rin 1301 Type: Private Corporation Boston, Ma.02108 CAZEAULT&SONS, INC. zeault 3h Rd. C G . . u✓ MA 02653 _.. _. _.. Administrator Not vAi(I without signature Map ! Parcel �rmit# Conservation Office(4th floor)(8:30-9:30/1:00-2:00) _�XM Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) �3 ` 3���-\ Is" � d go Engineering Dept.(3rd.floor) House# ez4 1NE BARNSTABLE. ` 19 � �� ,9 `" a l'.0� • . � �o���� ��r.t�dOg�� Em � TOWN OF BARNSTABL �0 Building Permit Application Project Street Address Village Owner Address Telephone 7(o S II Permit Request �c c t&d_ -e X'LEA i Lk� v Lti C C a,v- q OL t-Ck-�C_ w�o Ca q a re�cg2 First Floor o2 square feet Second Floor — square feet Estimated Project Cyst $ pd d Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family T Multi-Family Age of Existing Structure ao2 r- Basement Type: Finished Historic House — Unfinished Old King's Highway -" Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached V Barn None Sheds Other Builder Information Name Telephone Number Address -License# CS OoI fa�-> 0--4-wg Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE !`2��/�� DATE -7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) i FOR OFFICIAL USE ONLY P MIT NO. - {o Di rE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION !/ - FIREPLACE, /�1//✓l� ELECTRICAL•. ROUGH FINAL 1 ' PLUMBING: ROUGH - FINAL ; =_ r; GAS: ROUGH V. r FINAL FINAL BUILDING ' '��fs i DATE CLOSED OUT j ASSOCIATION PLAN NO. d ' D.1GlL • GARBAa(,E 6aiwD617- V0 >I��( F:L0W ; Ito x 3 = a3C7 p sPTIG -rAQK - 330><150"/• =`�956.P. .USC- loon GAL. �.r AA&A 15Po5n�- PIT u5E 1 U o0 GAL. i /koa / .. ra,+.c S 11)SWALt_ 150 BOTTOM AREA r 0 5 F•- -- 50 5.F= x 1. 0 �. �.a G:P o =� ,�,- 30't "TOTAI- -TaTAI-• DA I�. { F1-oV•! = 33o G.Po � � � _ � � , I E�Got,.ATIoN RATE s I IN 2MIN o�LE55 I� yy`a ��11 t1f o AIAN ,' RICHARD G�� (ze W. BAXTER _ r 25 )0/ Mo,24048 / Top Fwo=*62,'* "Tr-- Fry;w i� � locoINS, I S11F�iG11. 6�X INS. $ C. 6PTI 5& 2� I000 INS. TANK SAID LEAG41 INV_ INV. PIT 58� SS.4- 6�4Wal. WIT" WASNG D 1{ 6TvN6 CESZ.TIPIGD PI.oT PLp`I'"I' P R O F I LG 1..o C A't►o N L L IrL 5 No SGALE 5 ALE dap .. SATE IZ 1 $'3 p (i(/ATBTL �' - p L P.t�i RED 6R.EN G1•c ` G•E R'f IFY 'THAT 'TH6 SHE EIEREOAI GOMPI.`(;S VATN A-UP SET�.GK R.6Q�►tLEMEN'1'� 1�F1'C1�� o W t,1 O F_IB4R.AI'STA R L$A N'D LOCp.TED •WIT ►J '�N'E FLooD R CarEW L-LG dvow . aATE �13' Cl J 6AXT6�e WYE INC• R.EG I S'T f�Q6•'D'I.Au D 5 u 0Y EYo, I Tu15 PLQN IS Norr at-5r-n 40d AIJ 0,61'C-9-YI _LE' • MA-ss• •,11J5-I-R,uMENT SvtZv�Y -rNE oFFSE.'r5 6WOU0 , o t3E 'v ,E.o-ta oE'reR1�IIJE LoT �,.IN�.S APPLICP.N'r... plan drawn for: - Mr. Donald Rogers 167 Ansel Howland Rd. _ Centerville, MA drawn by Bill Liimatainen 428 - 9303 2x6 rafters 16"o.c. (match existing) 1/2"cdx sheathing 12 match existing 3 tab shingle: 6�— 1x6 collar ties 4' o.c. 1 x6 hangers each joist f2x6 ceiling joists 16"oc 5/8"firecode sheetrock ceiling no insulation-unheated 1/2"sheetrock walls 2/2x10 garage door header Existing sunroom 1/2"cdx sheathing,we shingles 2x4 wall 16"oc �— 2x6 PT sill 10"poured concrete walls plan drawn for: Mr. Donald Rogers 167 Ansel Howland Rd. Centerville, MA drawn by Existing Sunroom I Bill Liimatainen 428-9303 I ' I 1 I I I I I -------------------- ------------------------------- I Oil concrete wall 4"concrete floor existing.electric panel I ,1 1 II 1 II I ,1 I II I eK19 I I I I II 1 ,I I II I ,I I II I II Existing Garage o ' cv i reuse existing window II I , I remove wall except at elec. panel I I ,I I ,I I ,I I II , I I ,I I II I II 1 II 1 .I I II I I I I new overhead door existing overhead door ------------------------------ - f— 121011 14,0" own of Barnstable The T ' Department of Health Safety and Environmental Services was.& i6,59' Building Division 367 Main Strut,Hyannis MA 02601 Ralph Crosses Office: 509-790.6n7 Building Coon` Far_ 508-775-3344 For office use only Permit no. Date � - AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION nstruaro alterations,renovation,mpair,modernization,conversion, MGL c. 142A requires that the"ttxo n, owner occupiedimprovement,.rzmo%-4 demolition, or construction of an addition to any Pm'c .�am adjacent building containing at lean one but not more than four dwelling units or to straws � nt to such residence or building be done by registered contractors,with certain C=pt ous, along Oth tzquireraents. �ell d a � Est COST Type of Work: /tzU\A `� E( _ U1 Address of Work: /4 N,o ,Jla , � Owner.Name: r��- v�ccl ��►�r"� Date of Permit Application:` I her certify that: , Registration is not required for the following teason(s): Work excluded by law Job under S1,000 Building not owner-occupied -- Owner pulling am permit Notice is hereby green that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WTrH L1NREGI HAVE ACCESS TO TIC FOR APPLICABLE HOME IMPROVEMENT' WORK DO NOT ARBITRATION PROGRAM OR GUARANTY FUND UNDER MQ-c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply'for a permit as the agent of the owner. ` tab �1� „� ��� t`�������' 7 0. Date Contractor name Registration No. OR { Owner's name . CV C\1 d • 0 1,. C d . o �-�/�-oa•- og �� 17 Y �y N O •ti C ® d Y 7 d d O Y y5 • a�YY � d ® Q fp ip i0 N j \ -7k loo-rn�xo�e«ea�e o��uae� A o�"+ HOME IMPROVEMENT CONTRACTOR as..r Registration 117090 M Type INDIVIDUAL = m ~ W Expiration 08/23/96 WILLIAM LIIMATAINEN a W e J WILLIAM A. LIIMATAINEN FLINT ST "°""'"isTanroR MARSTONS-MILLS MA 02648 Q �� •�m d - i i `t it . The Conrnuonlrealth of Massachusetts Department of Industrial Accidents _ i , _ . 0!/ICeO/layes�lgal/oas �•'` i'�' 'a' 6110 If adkini ton Street Boston,Mass. 02111 Workers' Compensation Insurance•AMdavit _ A(�niiennt nfnrntatin`ni Plestse PRiNTIe t - - ' �'— _ /� �... . name: w t( 1 U.vVv location• 54t ` \Ik vI, 1 J+ cite• I \A j t d I�LS �'l 1 1 a D nhonc 3o cl 1 am a homeowner performing all work myself. �1 am a sole proprietor and have no one working in any capacity ❑-1 am an employer providing workers' compensation for my employees working on this job. comnanynnme: ol,WA �1tv►/���41tV1c4A , L���G� address! F( K \ Rhone#: 7n)- ' insurance co, w a_U SA-U nolicl•# 1 am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address- city- Rhone#• insurnnce ce_ RnlieV# fir' ..�•,:-►::-• - .sntos+4:..•.aa�vR'�"!'z.�`}•r{t''"Fr.."9F -- •fit%?"'; 7 - .A�`!!�`"•"� eemnany name: address: city: phone#: insurnnce co, nnficy# Atiach addiddiai-sheet If neeeisa^•' "" *'"s"''�'�-�+"r•�'•rf+ r` '' "� "�� �FZ-'"�' -"x "'' ~ -` Failure to secure coverage as required under Section'SA of INGL 152 can lead to the imposition of crimiod penalties of a fine up toSIJ00.00 and/or one Years'imprisonment as well as CIA penalties in the form of a STOP WORK ORDER and a line of S100.00 a day against me. 1 understaad that s COPY Of this statement may be forwarded to the 011fee of Investigations of the DI1A for coverage verification. I do herebr cerrifj•and the pains d penalties jpe�rr that the iajonnwion provided above is true and correct Signature ate -! L f;� T b Print name Phone# oiliciaf use only do not write in this area to be completed by city or town of d21 city or.town: permit/lieease# nBuilding DepxAM'ent OLicensing Board IJ check if Immediate response is required CSelectmen's Mice 011e2ith Department " contact person: phone#; nOther ry� Information and Instructions : = Massachusetts Gencral Laws chapter 152 section 25 requires all employers to provide workers' compensation for their �ce is defined as every person in the service of another under any employees.- As quoted from the"law",an emplm contract of hire,express or implied, oral or written. An emplyyrs is defined as an individual, partnership,association,corporation or other :.gal entity, or any two or more the force=Dins enpa=cd in a joint enterprise,and including the legal representatives of a deceased cmployer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling V • • ► 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 hou. or on the`rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1.52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter h. been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affida�•it. 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. •'•4-R7 w.....o�•eYl.wR!��.�. :�' •. _ rY: ti.,:f1'.�'.�t :wr_.♦: .r:7.2:'...:-..•w- a... L .a.,. ..... �f•:�7..3.ir. �. ,+�R�iK��S:7N7'71..F. .rr.i y.t -- tw:s.i� T.r'.t i!+••'r,F•,se•,• :i,•- City or Towns -~ 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. Plea be sure to fill in the permitAicense number which will be used as a reference number. The affidavits may be returned t( the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question: please do not hesitate to give us a call. R�wr�.�l!�'.�a^. ... -r...�v:• �•.i _ti...i.:s a•r •J.:.•.«•:••rwi�:�ai.w;�rUf.is'iai.w ii.%ri..+. ^c-.r..-�:-. _ .. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Insestigadons - 600 Washington Street . — Boston,Ma 02111 fax#: (617)727-7749 " phone#: (617) 7274900 eat. 406, 409 or 375 1 i TOWN OF BARNSTABLE Permit No. __----.------------ Building Inspector .... Cash - --- — -- A 1639 ! ,? 1 rOY�Y�\ OCCUPANCY PERMIT Bond ----------------- Issued to Address cat -47 147 FAnepl ITriyrinfl!l. Road. f7rnn!-r—yi1lP Wiring Inspector Inspection date Plumbing Inspector r/ `x" Inspection date Gas Inspector r Inspection date Engineering Department s Inspection date Board of Health !! - ' '-c.+ fi<. Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .....................I................................, 19........... ........................................................................................._..................... Building Inspector FROM '- (- TOWN OF BARNSTA13LE } Mr. Francis Lahteine : ;,�g _ .. , , BUILDING.-DEPARTMENT Town Clerk 367 MAIN STREET WYANNIS, MA 02W1 Phone. .776-1120 k SUBJECT: FOLDHERE • : DATE - Jan. 13, 1984 . .. . . . � .�I _ `{ Work has been completed,�g4cl%r..ge ! t.0 �.5.],Z�.-(Alan .g.. Small), P1eas 'rlease Bond. SI NED J l) DATE RtPLY [IGNED N87-RM1 . RECIPIENT. RETAIN WHITE COPY,PETURN PINK COPY ' - - PRINTED IN U.S.A. SENDER: SNAP OUT-YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 51w(,Lr FAMILY( WO GARBAGE G2iNDE2 DAILY FI-oW .. Ilo x 3 33o G.P. R �3Co I S �o 15EPTIG TANK 330K150% =g9yG.P. R J ySE 1000 GAL. j 0 1 P PiT `l Aaff4 o15Po5nL PIT v5E t000 GAL. rk c •$I DSY/ALL. A261s = I�0 5•F �+ r»u PA BOTTOM AREAS-IOTAt-.-TCTA%- DA►►-`( FLDW = 33o I• ' PE2GOl.ATIOt4 2ATE s 1'�jN 2MIN OR.L�55► op ,, Ads OF $. O� AI RICMARD A JOKES S y Na 24048 B , , TOP F:Wp Lo`L i i TE��T rLosG( •Yny i jo. DiST. IN 56P7)G 51f , � i {, 0�X � E '1' l000 INY, 5l''G .TAµ►� ".,.� , SArtD LEAG41 INY.. INV. WASNGD I i. �AIJD 1 I GERTIPIGh PLoT PLA. PRoFIL� i. 1_oc4'T1oW 4L Wo SCALE ScA�E I I_ SLj:.. _-. , it P A EQ.E►� G>✓ (�A REF � ct'fI Y—THA'i' THE' �ot;4bAT IOa SNowtj l f • s NER 6ot t GOMPU. 6 VJITN-THE S I o�LIN� Lam- . : ,. Auw �1 -t5e►GK R,6GjV►Q>~MENT'� F-tNE- } (AWN OF"�3p.R►J'STQ(3 l$ANv >rocAT� W 1'i' 11J TN'6 G Loo D P a 11,4 Ct 'EsR.!✓I l.(,(� 1 l..A�47S ' DA'T.E. NM INC•' a , 6V5 ' REGIS'TE.�6V �1.1D5umNEY _ I • S. L No'T LA . gL�j �D Id ANT4115P Q V1LLB' IN5TRufawr 6v9ve - VAS oFF5ET6 $Qouo sE 'v5E.DTc s .�. oe7ep-A04S LcT .LINE..S.. APPI.IGP.NT . :�(•At�. �•_..;�p!�-.�4L t. ssessor s mop and lot number ................/............... L ::, ,� • Sewage Permit number .......... ��� A � L�O` a°tt�9��' 1 Z B9HBSTJIBLE7-1 i House number :................................................................. .. 7 �a ..,,, .'! : nda` 11639 4 TORN OF 'BA` �I�� �' jBLE. BUILDING . 1?HSPECTOR APPLICATION FOR PERMIT TO ....... .... TYPE!. OF CONSTRUCTION . ..... r .................................... ..:.....,:.J,".._... TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according to the folio `anf%.rriatJon`f.��R: enf Location ....�t .l........ ..7.......� . .......... ....... > -:.,•f•,,. ... 1� ...... �... i Proposed Use .4�1 ...... ....... ...................... Zoning District ........................... ......................Fire.District .... Name of Owner' ......Address Nameof Builder .................................... ..` Address .................................................................................... Name of Archi.tect. .................................: ....... .:...: .... . .........Atldres:x :::........... .. ....... , i Number of Rooms ........ ........... ...............::. :....Fourxdation :... .:.............. .. Exierior ..: D �... .................. ... 1Ki ! -, r F Floors ..... ............................................ .....:.Ineriorw •' J... ., ............ ........ 41— Heating /. .......................................................VPlumbing cq,,y. ......... .a..J:.. ............................�..,. ... 1. Fireplace ...... .... .... . . ............................................Approximate Cost .....1.�7 J _ Definitive Plan Approved by Planning Board -----------____---------------19--------. . .. _ Areo .................... s .i... .. Diagram of Lot and Building with Dimension's Fee SUBJECT .TO .APPROVAL OF BOARD -OF HEALTH . ` r { .. .. .... •. ..a a" n..t. ., .J .. fv. ;4 #� n�4"F ,{ ! .� �. 1 }' A � . T� r . i 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. 16 7S-7 Construction Supervisor's License ..... .............................. SMALL, ALAN E. 251 4*. One Story N� .................. Permit for .................................... Single Family Dwelling ..........;............:....................................................... Location ......167 Ansel Howland Road ...................................... Centerville ............................................................................... Owner E.Alan E Small .................................................................. Type, of Construction ..F.ram.e........................... .. .. ... .. ................................................................................ L Plot ............................ Lot ................................ -May 27, 83 Permit Granted ........................1*...............19 Date of Inspection ........ ....................19 Date o Complete 7". V............................19 7 + 1 4 Assessor's map and lot number ............ .. .................... ,;,f T E Sewage Permit number .......8 .......3���� w Z BABBSTABLE, i f House number r NAea ..:............................................................ O� 1639 9� aN a\ ' TOWN " OF BARN,STA.BLE BUILDING INSPECTOR -� �� f APPLICATION FOR PERMIT TO �r�..................�......................................................................:........................ TYPE OF CONSTRUCTION ..... ....................................................................................... - - 2 < TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .. �... .... ...... y ?�� '`` �: :c:.....::'�.......................................... ProposedUse ..........�.. ,: :...::.... ...............................................................................................................I......................... s. ZoningDistrict .................. ....... ...........................Fire District ... ..... ... .........................:.................. Name of Owner . ......................Address ......... �.. .....^ 3 s Name of Builder ...................................?..'.............................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... � w Number of Rooms Foundation t � .... ` .. .................................................................. .....:........................................................................ Exterior ....�`.�..................... .....................................................Roofing ...................:................................................................ Floors E . . ............................Interior .... r'.Fi' .. Heating ............... ................................................................Plumbing• .................................................................................. Fireplace ..... . ....................I....................Approximate Cost................. ...`J..... ........................................................... _ Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ... �.......,1..........5.�.:... Diagram of Lot and Building with Dimensions Fee ............ `{�... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..................................................... 0 C7 'Construction Supervisor's License .................................... i SMALL, ALAN E. A=171-236 w� 25124 One Story.' No ................. Permit for ....................................... Single Family Dwelling . .................................................................................. Location .,Lot 7, 167 Ansel Howland Road ...........................................:.... Centerville . ............................................................................... Owner „Alan E. Small ........................................ Type of Construction Frame s� ................ ................................................................................. Plot ............................ Lot ................................. Permit Granted ....May 27, 19 83 Date of Inspection ....................................19 Date Completed ......................................19 O � �