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HomeMy WebLinkAbout0188 ANSEL HOWLAND ROAD r. - .� _ Town of BarnstableBuilding vt `;,,�", � �� .h•. r s a.• ..z,a.. �. w .,�, °sYa .d' Post This Card So That it is V�s�ble Fromahe Streeter Approved Plans Must be Retained on;lob and this Card Must be Kept ,i WTN9'PABLL. '� a.� a r.A. _ '" Posted Until Final Inspection HasBeen�IVlade % 163A a.� f e ` , r : mr r Pern11t N Where a Certificateof Occupancy-is Required,such Building shall Not be Occupied until a Final Inspection has bee! 1 Permit No. B-19-3624 Applicant Name: Roland Langevin Approvals Date Issued: 11/04/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 05/04/2020 Foundation: Location: 188 ANSEL HOWLAND ROAD,CENTERVILLE M Map/Lot _,171-266 Zoning District: RC Sheathing: Owner on Record: ST PIERRE, DANIEL L&ELIZABETH PContractor;Name':,::;,,INSULATE 2 SAVE INC. Framing: 1 Address: 188 ANSEL HOWLAND ROAD Contractor'License 180747 2 CENTERVILLE, MA 02632 R Est Proiect Cost: $4,506.00 Chimney: Description: weatherstrip door&add sweep, air sealing, R 30 unfaced fiberglass Permit Flee $85.00 to attic flat,8°roof vent, 2" rigid board to common wall, R19 FGB to v r Insulation: 1 Fee Paid;; $85.00 m basement sills,ventilation chutes, install theradom�e,4 .flapper kit Final: through gable,insulate bulkhead door,flip/slashiexisttng insulation, -x Date ;` 11/4/2019 duct insulation. - �, � ..�-^� Plumbing/Gas Project Review Req: Rough Plumbing: `Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized bythis permit is commenced within s months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st ctures.shall be incompliance with the local zoning byl wsd codes. This permit shall be displayed in a location clearly visible from access street or-road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. " Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Budding and Fire Off cials ar a provided on this;;permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection ection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Per ting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). rn Fire Department _ Building plans are to be available on site Final: c All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ;i Application number........"..t. .......` �a �4 Date Issued... . ....... i BARNSTALS, " ®v ............................. B op aa39. ��`� = Building Inspectors Initials... ... ------------------------ `O�Fo DEC 0 6 2018 Map/Parcel........17i.......Z. 6.......................... HNSIABLE TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/W NDOWS/DOORS/TENTS/STOVESIWEATHERIZATION PROPERTY INFORMATION Address of Project: 197 An ge � f�nw(�.,r( NUMBER STREET VILLAGE Owners Name: than A !6e 4t, S4. ;T i'e r cc Phone Number D _ Z8 �9 6 s Email Address: cue_ p e'Co-mca, n e Cell Phone Number Project cost$ 5 y/0 Check one Residential ✓ Commercial O 9'V l EWS AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 7,80 CIVIR Owner Signature: See Cori T'c-ac.-� Date: TYPE OF WORK Sidin Windows no header char e '# 0 Insulation/Weatherization g ( g ) __ _ E-J Doors (no header change)# Commercial Doors require,an inspector's review `J Roof(not applying more than 1 layer of shingles) Construction Debris will be going to W a,s-E �, _ a p��,,7`-CJ-,, n o.,-tL I-1 A CONTRACTOR'S INFORMATION ' Contractor's name' Home Improvement ContractorsRegistration(if applicable)# /1 Z 7 8 S (attach copy) i Construction Supervisor's License# (attach copy) Email of Contractor Phone number 4o/-7 iV-6.3 7 9 ALL PROPERTIES THAT HAVE STRUCTURE OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY 15 IN A HISTORIC DISTRICT, YOU!MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Vents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hovers of 8:00am-9:30 am or 3.30 pm-4:30pm. Commercial events may require Fire Department approval. *W®®D/COA LJ/PELLST STOVES ®V ES Y Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EL9JLM 1 IO Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 cCMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date 2 5 All permit applicatio are subject to a building official's approval prior to issuance. Home Improvement Agreement: Page i Home Depot License Number(.§): visit www.homadepot.com/c/S\_HS_Contractor_License_Numbers for latest license info MA:107774, 112785 Salesperson Name: Janice Campbell Registration No. (if applicable): Home Depot U.S.A., Inc. ("Home Depot") or service provider named below ("Service Provider")will furnish, install or zervice the equipment listed below at the.price, terms and conditions as outlined on this form. ST PIERRE DAN BETH New England South 1-9GJOMYG Customer Last Name Customer First Name Store#/Branch Name Lead/Customer Order# 188 Ansel Howland Rd centerville — 1 MA 1 . 102632 Customer Address City State Zip (603) 289-3968 deimstp@comcast.net Home Phone# Work Phone# Cell Phone# Customer Email Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC., 2455 PACES FERRY ROAD, BLDG. B-3, ATLANTA, GEORGIA 30339 or EMAIL The Home Depot I @ customercancellationnortheast@homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD.THE STATE SUPPLEMENT CONTAINS A FORM TOUSE.IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENTS WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS,AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED` TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDINGRETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OFYOUR RIGHT TO CANCEL. Acknowledged by: 10/17/2018 Customer's Sionature Date Contract`Price and Payment Schedule Payment of the*Contract Price is due upon.signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price.: 5410780 Includes all applicable taxes.Excludes finance charges..* Sales Tax: 0.00 (If applicable) *Maximum deposit ON. Y applicable in MD, MA, ME(33%), NJ, .DWI(99%) Dep. 25.0 % Deposit Amount 11.352.70 Remaining Contract Balance 14058.10 The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-.Customer Care:1-800-466-3337 •Customer Agreement(C,E,I)(31 Jan.18) v 50.1.2 �w e e w.,Fs•e>-�:eti s=fi �.A,.f�e£GTi'#9 SETT�i MIT t �Ft3 # eX?.� int�,� rx.Ssrr OCV _Y P.V. Sox sus �_ - F--EKOW MA 02771 . '1 r The Commonwealth of Massachusetts Department of Industrial Accidents �! Office of Investigations 1 Congress Street, Suite 100 Boston,M4 02114-2017 n-ww.mass.gov/dia workers'Compensation Insurance affidavit: Builders.'Contractors/ElectriciansTlunnbers _, licant Information Please Print Le 'blv Name tBusinesstOrgwuzadoEL ndividuai): � �i 1/ 4,� _ Address: Cire'StateiZip: s� sd /� yiSY-5' Phone : 7 2 7,- - Are you an employer" Check the ' propriate box: Type of project(required): I am a general contractor and I 1. I am a etnpiover with 6. ; !New construction employees (full and/or part-time j.` have hired the sub-contracrors _ _ ^ 1 am a sole proprietor or partner- listed on the attached sheet. '. I Remodeling ship and have no employees :These sub-contractors have i S. 7 Demolition Workma for me in any capacir,. mmovees and have woriters 3. i Budding addition COm rn irrtn ce.= No workers' comp. insurance 71 We are a comoration and its !: i 10.`' Electrical repairs or addition., required] i am a homeowner doing all won/ office-s have exercised their 1 U:] Plumbing repairs or additions m.5e1; pie workers' court fight of exemption per VIGL i2,f I Roof ep=s insurance required l ` c- 152, §1(4) and we have no ' i emprovee�. [ o workers� I,. Other comp. insurance required-] rt'/�'IQC�/�'IL°/1 _ anon:can[_ba chc:k;box i!:must also fill out the section below showing LbeiT workers'compensation po[ict,tnformaboo. _]Umenm,:-s who>ttbmit this affidavit indicating they are doing ail work ane then bire'outside coax actors must submit a new affidavit indicating sn:.b_ - ornzciors that check this box must aaaehed an additional sheet showing the name of*he sub-convacrors tmd state whether or not those raatim have -.mpioyecs. 1 the;ub-contracterss have=plovees,they mast provide their workers'comp.policy rrtIInber. I am an employer drat is providing workers'compensation insurance for my employees. Below is the policy and job site infonnation. f _ Lmsurance Company dame: l 'x'J -e'r Polio I or Self-ins. Lic.#: }� ! I' % Expiration Date: / rob Site Address: �i-i SQ' 'Q✓1 ?cx Citv'SZate;Zip: �lrT2aril llPIt A ittacb 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 VIGL e. 152 car-'lead ro the imposition of crb rival penalties of a fine un to$1;500.00 and/or one-ye impnsoument, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S'50.00 a day ag sit a lator. Be advised that a cop),of this statement may be forwarded to the Office of Investigations of the DLL r ce coverage verification I do hereby cerdfi,Lin e i at the information provided above istrue and correct Si attme: d Date: Z ' S�— Phone#: O F nly. Do not write in this area,to be completed by city or toµ�n offclaL : permit'Lieenseority(circle one):ealth 2.Building Department 3. City;"Tovsn Clerk 9. Electrical Inspector S.Plumbing inspector 6.Other j Coutsct Person: Phone f: i I Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 51 1 Boston, Massachusetts 02 i 16 Home Improvement Contractor Registration Type: Supplement Card Registration: !12785 HOME DEPOT USA INC Expiration: 04/22,12019 2055 PACES FERRY RD C-11 HSC ATLAN�rrA,GA 30335 Update Address and return card. Mark reason for change. Address ❑ Renewwa! 10 Employment ❑ Lost Card Office of Consumer Affairs&Business Regulation —= HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE Suoolemeni Card before the expiration date. If found return to: Registration Expiration , Office of Consumer Affairs and Business Regulation 12165 04i221201 10 Park Plaza-Suite 517C .HOME DEPOT USA INC Boston,MA 02116 ANDREUJ SWEETtikes= /59 2455 PACES FERRY RAJ Gf 1 HSC ATLANTA,GA 30339 Cl ithOU Signature Undersecretary J DATE IMMIDWYYYY) 1 �eC® CERTIFICATE OF LIABILITY INSURANCE 02012018 THI�RTIFICATE 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 policy(ies)must have ADDITIONAL INSURED provisions or 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 endorsement(s). CONTACT PRODUCER NAME FAX MARSH USA,INC. PHONE Afc No TWO ALLIANCE CENTER 3560 LENOX ROAD,SUITE 2400 E-MAIL ADDRESS: AT.LAMA.GA 30326 NAIL t INSURERS AFFORDING COVERAGE CN101642069-HaneD-GAW-1B-19 INSURER A:Old Republic lnsuranceCo 24141 INSURED INSURER B:New Hampshire Ins CD 238G I THE HOME DEPOT,INC HOME DEPOT U.S.A.,INC INSURER c:HDmeRisk Capwe Insurance Company 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA.GA 30339 INSURER E i INSURER F COVERAGES CERTIFICATE NUMBER: ATL-004353439-16 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED- NO T WITHSTANDING 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. j EXCLUSIONS AND COND17IONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR. ADD L SUBR POLICY EFF POLICY EXP LIMITS .`�I TYPE OF INSURANCE POLICY NUMBER MMIDD MNW X COMMERCLAL GENERAL LIABILITY MWZY312717 031012018 03I012019 EACH OCCURRENCE S 9.000.000 �—� ! DAMAGE RENTED j CLAIMS-MADE I``J OCCUR 1 I I I PREMISES EaacwrrenrP I S LDOD.OD01 I I LIMITS OF POLICY XS MED EXP IAny one Person) S EXCLUDED 1 OF SIR.S1N PER OCC ! j 9'0T.000 I PERSONAL 8 ADV INJURY I i ! GENERAL AGGREGATE 's 9000.100 GEN'L AGGREGATE LIMIT APPLIES PER: I �I i 9.000,OOPE� S-COMPIOP AGG S POLICY 1 JT LOC I � � I S OTHER: A AUTOMOBILE LIABILITY MWTB312718 1 031012018 10310112019 i CEOM�BIINEDISINGLE LIMIT j 5 '•OOG,OOC j X I ANY AUTO BODILY INJURY(Per person) I S 'OWNED i SCHEDULED t ;SELF INSURED AUTO PHY DMG ! BODILY INJURY(Per acadenq,S AUTOS ONLY I AUTOS i i 1 —,HIRED �—j NOT-OwNEG I I ?ROPER?Y DAMAGE I g AUTOS ONLY H=AUTOS OS ONLY i I i Per acudent I C I I�UMBRELLA LIAB OCCUR i I EACH.OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE! I I _ ! ,AGGREGATE I s I DED RETENTIONS _ Is B I WORKERS COMPENSATION I WC 0141225Ti (AK,NH,NJ,T5 031012018 031012019 ' �ATAT UTE ER I AND EMPLOYERS'LIABILITY I ! B Y I N I WC 014122578(WI) 03101201E 03/012019 ANYPROPRIErOR/PARTNERIEXECUTIVE L ACCIDENT SI OFFICERIMEMBEREXCLUDED' A I 5.01M.ODOj(Mandatory in NH) ! . ASE-EA EMPLOYEE S I0 yes.describe under Conlinued on Ad�ti0nal.Page EL.DISEASE-POLICY LIMIT S 5 ODD.DDC DESCRIPTION OF OPERATIONS below C ;Excess Auto I 297-1-10011-00-2018 03101201e 03f012019 Umt: 4.000000 � I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) EVIDENCE OF INSURANCE ` I I 1 I CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-2D ACCORDANCE WITH THE POLICY PROVISIONS. i ATLANTA.GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I I Manashi MukhBrjeE _I"tav�Qo'4 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD f AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta A�c®rtJDP� ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY IVIARSH US;,INC. j NAMED INSURED i i THE HOME DEPOT.INC POLICY NUMBER HOME DEPOT U.S.A.,INC. i 2455 PACES FERRY ROAD — — j BUILDING C-20 i CARRIER ATLANT�,.GA. 303i NAIC CODE I ADDITIONAL REMARKS EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE- Certificate of Liability Insurance I i I Workers Compensation Continued: Canner:Indemnity Insurance Company of North Amenca I P'alcy Number'A'LR C6478315i3N.SC So.TP'N� 4' Effective Date:03/0112018 Erp!ralion Data.0=112019 lEQ Until 51.0001.000 I Zarner Pier:Hampshre Insurance Company - I Policy Number,INC014122576 (DC.DE.H!,IN.&![].jAN.MT,PIY,P,I) - ftective Dale:031012018 oualioii Dale 03101/2019 I! ;EL;unut S-,000.000 Carrier ACE A.mencan insu2nce Company I 1 ! Policy Number WCU C6t783221(CS11(Ara.CA.l,NCAR,VA,WA i Effective Dals:03101/2018 I E Pralion Date 03/012019 i (EL)Limn:S1,000,000 i SIR 51,000.0%SIP,for the states of .CA,IL.NC:)R,V j A,'NA i Camera Nahona Uruar,Fire Insurance Company Policy Number XWC 4595580 OSI) CO.0 T.GAAE,,( ( 'NI,Vy,OH,PA.UTj i Effective Date 03101/<018 1 apcahoa Date:03101120i9 1 (E;Lrmil:51.000,000 f S7,000,000 SIR!or the states a;CO.,1AE,NV,;AI,CH.PA UT j S75C.900 SIR for the stale of GA j 5350.000 SIR fer the state of CT ) I i Camer Nation;Union Fire insurance Company Policy Number XWC 4595581(OSI) 65ecGve Date:031012018 Expiration Date:03/012019 (EL)Limit.SI 00000o SIP. S500,0130 Tx EM00yers XS Indemnity. Carrierllhnios Union Insurance Company Policy Number TNS C4916693A(TX) Effective Date:03/01016 Erpfrahon Date-03101019 (EL)Linar 510.000.000 ISIR.S OOD.0010 i I � ACORD 101 (2008101) Cc 2008 CORD CORPORATION: All rights reserved. The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE �! Permit No. ------------------------------ 1 SA..ITAX Building Inspector � rPra Cash -------------------- - OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structures all 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 klan smali Address 'enterville rY Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department f�= i./roc°> /�s 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. ...................................................... ................................................................................................................. Building Inspector is LAC,L.•6 t= OAA h uo GA.tzsc�.t= GRt+.tc� _ D>atL,4 110-4 3 = SSC> �•�•D �, �- -ao EPT-tc -r+�.t�C = 330" 150 %. • 441:5 c4.P.V.< A lalO C USE-' l o00 CAL-. 5 loge +a h15Po5Gl. `PtT Usel0cao `6A�... J AZeA - ISO S.t=. s _ +ru LG TU7 r m =EAT 50 � S+�'. `';� t .o � Sd 6.P D, , . _ .mod„o: _ • ToTA C_ 'i7 ESIGIJ =d25 all -roTn L. M>,d t t. -( F LD W = S-W&FD. v r ALA VE2GOLQTI�t.I rZl�TE : 1"tU.2.�4t�1J�OtZ�.>cStS. �r 0 � A JL1�. (LY NES; N . ` • /� ��C,•* •p�{•t� �. � ,� !Y C�. � tit t .. tYx L i •t., f .. �. a_ Tf v�g 1 !f V5 fi w `wry r �• IJTrJ�j - i • 1. ~�. G�i, r• TOT �MOs�17 . wo(. 4'P� ..Y I oae itN. •a St18S'Jt( 4 � ..a . �+ A t t TAOaK S ptJGY( 1 10� � tNV. 1MR t. LAN A ' Gr W T�I { •i t t , C MZTtF1EU pLC)-r IOCAT1OW .r " ►a o Sa p.tr.�- IL 50 ATM LGtZTtF' -rkAr,. .To 1-C7V AT1Qt� StlowlJ Pt' t.l R i t-lf:}:L01-1 Cc�AApLVS W tTt-t TM1Z: 'S1DE..LI�-1� t f: /�.1.lD SETt'ACIC �C-QUt�E�VtciiT� of T►•►� .. �'•� -tIT ITo w►i O 4D J-�-r- A tJ�iT'�1►�� IL,.. �43 ��.. . �L VATM Tt-115 PL.A►J tS uOT aA•Scv> 0" A,64 osTEev��w o 14CASS• ; ►W,rQJMEw ��cJc:�/c•{ 7tdC. UFC'•;�Ty al�vuCAt-.�-r SI-ICiW LD t l�r CU. U�,U:0 Lo t_twa es LAB � IjWIAc.L.�, s� Y / �� � � Assessor's map and lot number ......G ....... .. ............ ,. • e����®ems.SYSTEM � SHE Q MU " Sewage Permit number ,K. STALLED IN 1; ' ~. 1TH TITLE Z BARISTSBLE. House number ..........1 .................................................... : ,,: EWRONM ENTAL Cnn9 rb 9 TOWN REGULATION TOWN .OF BARN.STABLE Iwo BUILDING - INSPECTOR . APPLICATION FOR PERMIT TO . . ..... .......... .............................. TYPEOF CONSTRUCTION .............. ...............................:..................:.................................................................... ..........c�z.4................,9.k/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followiig, information: Y Location .......... ............... .... ...........:.........................:...F..... ........................ ProposedUse ................................................................................................... ................... ................................................. Zoning District ................................Fire District ............. 47 Nameof Owner . ............................".``..y`....... ................Address .................. .. ............ ............................................ Name of Builder ................................Address Name of Architect ......:... .......... .:..........................................Address ........................ Number of Rooms ... ..........................:...:....:.::................Foundation .... ..,.:.........................: G Exterior .. .. ......................................................Roofing ...................................:,.... .......................................... Floors .......4 -:...............................................................Interior ............. .I.......... Heating 1. �17 �.................................................Plumbing Z-. _ ............................. ................................. .... . .... Fireplace ................ ..........................................Approximate Cost .. .................................................... Definitive Plan Approved by Planning Board _____________________19________. Area . .U...... - sC� Diagram of Lot and Building with Dimensions Fee .......... .. ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH { I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable garding the above construction. Nam . . ........ ...... ............................................. ' SMALL, ALAN vw .--�—.. Permit for v .................................. - Sio.ole Family [weIIizig ---^---------.-----,—~--.~—.. ` . - Lot #41 188 Ansel Howland I,z1, . Location Lot ` ` Centerville ................. ........................................................... ^ SmallOwneralI Owner ^^�~^^ Small Frame T�ma uf [onu�uchon' --. ................................ ^ ^ ................................................................... ` P —_.----^-- �� —.--.�—.''---. . . ( < October 26 ,' 31 Permit Granted lV ' ' ---.---------~ ` , ' . Date of |rispection ....................................... ' . � Completed ~�� �u�' ��� _- "°= ' | PERMIT REFUSED lA —'--'------'-----^' ......................................................... .............................................................. � .—. —....—.—.---..--.---...- Approved ^ ................................................ lQ ^ —`....-----.'.------.--.—,—~—..—.—. . � .��..,, ^ � � ,.. Assessor's map and lot number ...... TOWN OF BARNSTABLE 131.111DING INSPECTOR APPLICATION FOR PERMIT TO --�~^ .��.- �------.-----.-------_..______.______ ��� ' TYPE OF ~—--���..����.----------.—.-----.-----'--.----.---- .............................. ................lQ..>r.� TO THE INSPECTOR OF BUILDINGS: � The undersigned 64vo6v applies for o permit according to the following information: . ' Location --'��—�—ej— � � '/—... —..'..// .. .���~'�' —.—. ... .. _..~/^ ________.. � Proposed Use .............................................................i District ------.---....---.--------Rve District -----------_—_____________ Name of Owner ...............^.~..— ��.. .... ------.—A66reo ----. ..................../� :��. . .�~..~-------- � / . . . Nome of Builder ----------------------..A6dreo -----------------.---------.' Nome of Architect --- ..A66res ---------------------. . . ��---------------.—' — � ----' 6 �� Number of ;Rooms ---}------------------.Foundation --.���-^'�--...r—.{.--------------' Exierior _'�� /����. ..................................................Roofing ---�' ��... ^--. 7~---------------' / ~�^ ^,�' / * F|no,o --�/���!.��-------------.--------|nterior ':.�.����.f—.'!.����----------__—____.. ' Heating —. ......./c /c�'.................................................Plumbing --.........—. . -----.--------.. ~7 �^~_ Fireplace '---_--------.L—.-----------.ApproximoteCoo ..... ............................................................... Definitive Plan Approved by Planning Board 1g--------. Area ......................... Diagram of Lot and Building with Dimensions Fee _______________ SUBJECT TO APPROVAL OF BOARD Of HEALTH | � ` ` � � ' ` ` ^ ` + ! � � ` ^/ , | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable f6garding the above construction. .� Nome.. ............................................. SMALL, ALAN II C'�'A==17�1-266 No 2 3 5 9 2 permit for One Story Singl-...:am l_y... welling............. Locations ..Lot.. #,41 188 Ansel '.Howland Ln. .................................. .. Centerville ...... ......................................................... Owner ... Ala. ... n Small. . .A.1a...n..... ..................... Type of Construction ....Frame ..............:................................................................. Plot ............................ Lot_ ............ . ................ fF Permit Granted ......................... ^ October 2:I.'........19 31 Date of Inspection ..................... ............19 Date Completed ................... ...............19 f aI PERMIT R#FUSED ................................... /...................... 19 ................................................................................ ............�J. ............................ Approved ................................................ 19 ............................................................................... ...............................................................................