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HomeMy WebLinkAbout0115 ASHLEY DRIVE �� AS h�� '�'jKr� ,. 4 . , ,, .� . W . a .. ..t. !� o ,. � � _ _. ... ., - � ... V U �� .. - .. Shea, Sally From: Shea, Sally Sent: Monday,June 13, 2016 10:54 AM _ To: • barnstablemechanicalservices@gmail,com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:T13-16-1500 Attachments: Ownerpermission.docm Mr. Frazier, We do need the property owner to authorize the work at 115 Ashley Drive please have the homeowner complete and send. Thank you. Sally Shea Assistant ZEO/Principal Permit Tech. Town of Barnstable Building Division " 508-862-4031 i e 44 14 J LAr t -Commonwealth of Massachusetts Sheet Metal Permit Map � 7d� Parcel /� 5 ®'�1T' R�SS PERMIT Perm Date: 131 � it# --�S �0 _ JUN 0 1 2f�10 c Estimated Job Cost: $ :5 �dor�an�nt.0F BA �V fABL� Permit Fee: $ 0 S Plans Submitted: YES NO� Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: Sero,ccs Nam: 6aj '6co'2z'e-r Street: ?3 ��ce 1�„� Street: S5 � City/Town Ik-S�-'s W,IIS City/Town: CAA -VO(e2 Telephone: ��g-`�t�E 3��`I Telephone: 6o%, a $- a 76 3 Photo I.D. required/Copy of Photo I.D. attached; T YES ✓ NO Staff WOW 'J-1/`unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./.2-stories or less Residential 1-2 family Multi-family Condo l Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional- Other Square Footage: under 10,000 sq. ft.`p over 10,000 sq.ft. Number of Stories: Sheet metal work to be completed:` New Work: Y Renovation: HVAC 4L Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: v�vXacsZ INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G:L.Ch.112 Yes 1 No ❑ If you have checked Y M indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Al Owner ® Agent ❑ Signature of Owner or Owner's Age/ By checking this boxO,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and l accurate to the best of my knowledge and that all sheet metalwork and installations performed under the permit issued for this application will be in compliance with all rtinent provision of the Massachusetts Builds Code and P Pe p g Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Pros=lress I>as I i Date Comments Final Inspection Date Comments Type of License: 3y .Masten r'be ❑Master-Restricted AIL �ityrrown: L]Joumeyperson Signature of Licensee permit# ❑Joumeyperson-Restricted License Number. =ee$ ❑ Check at www.mass.aovldnl nspector Signature of Permit Approval The Commonwealth of'1llassachusetts vDepartment of IndustrialAccidents Office of Investigations •s'iC'I Congress Street, Suite 100 Boston,MA 02114f-2017 w.mass.gov/dfi a Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers u Aulicant Information Please Print Legibly Name(BusinessiorganizationRndividual): Allan Kingsbury dba Barnstable Mechanical Services Address:737 Race lane City/State/Zip:Marstons Mills MA 02648 Phone#:508-414-3869 Are you an employer?Check the appropriate box: ❑ I am a employer with 4. El am a general contractor and I 'Type of project(required): 1. employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2,0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.t 9. Building addition required.] 5. ® We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 i-[] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MG.L 12.0 Roof repairs insurance required,].t c. 152,§1(4),and we have no 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 contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractor;and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. darn an employer that is provitUng workers'compensation insurance for nay employees. Below b the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: • Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'Compensation policy declaration page(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$12500.00 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 ce?Wfy a the plain a pen Ides of perjur}►that the information provided above is true and correct. zSi ature: �. Date: Phone#: 508-414-3869 IOfficial use only. Do not write in this area,to.be completed by city or town official. City or Town: Permit/License# ssuing 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#: I A �SACHkLTSETTlSs x lu 1 R Fold Then Detach Along All Perforationsy' E � � y „ . LICE S D COMMONWEALTH OF MIQ►S^�A f usutS � 9"°° • • • • $ 4a"Ba E NUNBEi4 f 1 BOARD©F UNE, k' 46'. 3' 009 SHEET METAL WORKERS :ISSUES THE FOLLOWING LIc'.., AS A I a-r MASTER UNRESTRICTED ALLAN C KINGSBUf2Y 3R Q 1� Au c C rT �q 737 RACE LN s 73I:RACE LANE r tu -��- MARSTONS MILLS MA 026481942 MARSib-4i MI1L5,MA: .2648 4942 �� a �z !'�i�r ; /i%`' _ �r soh 1 r ,� //s oo;oa oe tou Rego m9 / - -- �' J ' 9813 04/28/2018 48592.;' i _.................. ..................................-_. . - r Town of Barnstable iru Post;T �s Card So--,That,ft,is,V�s�bleh'rom the Street=A roved;Plans;Nlusi;be;Retamed�on Job and this Card Must be Kept erm M" Posted.Unt�l Fin al.InspectionHas'BeenIVlade y . Q f c u'anc 'xis-R�e' aired° uch Bu ldm :shall Not be.Occu ied untit a F�nal:lns „ection has been made :..k It Wfiere a Certificate o O Permit No. B-16-1877 Applicant Name:- FOUNTAIN, MILTON R&VIOLA I Map/Lot: 172-125 Date Issued: 07/14/2016 Current Use: Zoning District. RC Permit Type: Shed-Residential-200 sf and under Expiration Date: 01/14/2017 Contractor Name: Location: 115ASHLEY DRIVE,CENTERVILLE c. Est,Project Cost: $0.00 Contractor License: $35.00. Owner on Record: FOUNTAIN,MILTON R&VIOLA I Permit Fee . , Address: 851 WASHINGTON STREET f Fee Paid $35.00 FRANKLIN,MA 02038 Date7/14/2016 Description: 8x10 shed AR Project Review Req : T 8x10 shed Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit islcommenced w ithin six months after issuance. All work authorized by this permit shall conform to the approved application and the pproved�construction documentsifor which this permit has been granted. �T All construction,alterations and changes of use of any building and struct ru es shall bye+in c6mpliance`"'wi h the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street br,road nd shall be maintained open for public+n�spection for the entire duration of the work until the completion of the same. � - t The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing - , 2.Sheathing Inspection ' 3.All Fireplaces must be inspected at the throat level before firest flue lining s installed Q A 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy "�'" �" _"" Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ri , • Town of Barnstable ` ��-�-• sue' "E'+ Regulatory Services BUILDING DEFT Richard V. Scali,Director i s BARNSTAJUX MAS& ' Building Division JUN 3 0 2016 FC ► Paul Roma,Building Commissioner, 200 Main Street, Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 ' Fax: 508-790-6230 PERMIT# L `9-'— FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(addressy Village Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? N d Old King's Highway Historic District Commission jurisdiction? y✓ You must-file with Old King's Highway Conservation Commission(signature is,required) . Sign off hours for Conservation 8:00-9:30&3:30-4:301 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE.ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. --� THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:06/20/16 1 S-63111� VMS r Town of Barnstable *Permit# F'" Expires 6 months from issue date Regulatory Service, Fee + =A MASS,LE * ,r s® i6gq. v� 39 Thomas F.Geiler,Director "" ♦� RFD MA'S A Building Division.( MAY 23 2016 Tom Perry,CBO, Building Commrisrsc � 200 Main Street,Hyannis,MA 02601 A www.town.barnstable.ma.us IVST-A°YL� Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 172 125 Property Address 115 Ashley Dr Centerville Residential Value of Work$ 4200.00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Dave Frazier 851 Washington St Franklin MA 02038 Contractor's Name Richard Tupper Telephone Number (5 0 8) 7 7 8-0111 Home Improvement Contractor License#(if applicable) 7 S a:3 a Email: adminatupperco com Construction Supervisor's License#(if applicable) CS-0 6 9 0 5 8 :aWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �cI have Worker's Compensation Insurance Insurance Company Name AEIC Workman's Comp.Policy# WCC 5005593012012 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ® Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Nauset Disposal ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value. (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: erty Owner must sign Property Owner Letter of Permission. A co y of he Home Improvement Contractors License&Construction Supervisors License is qu SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 i CY t''Ef CONSTREUOMON CO.um 546A Higgins Crowell Rd West Yarmouth,MA 02673 Phone 508-778-0111 Fax 508-778-5010 Regist►ation#178434 License#069058 ®ate: S.- Attn: Building Department I hereby authorize Tupper Construction Co., LLC to pull the permits necessary to complete the project described on the attached permit application form. Thank you, Owners' Signature Print Owners' Names: !/►<„ lam/ ,r 1;� r� Street Address:x' x' ell — The Commonwealth of Massachusetts UVDepartment of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/lndividuai): Tupper Construction Co LLC Address: 546A Higgins Crowell Rd City/State/Zip: West Yarmouth MA 02673 Phone t 508-778-0111 Are you an employer? Check the appropriate box: Type of project(required): 1.❑X I am a employer with 10 4. ❑ I am a general contractor and I b. ❑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. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9: ❑Building addition [No workers' comp.insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[3 Plumbing repairs or additions myself ' right of exemption r MGL ❑ Y � 12. Roof repairs insurance workers comp. pe pe required.] t c. 152, §.1(4),and we have no 13.❑x Other strip & re-roof 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.a ffidavit 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: AEIC Policy#or Self-ins. Lic.#: WCC5005593012015A Expiration Date 10/3/16 Job Site Address: 115 Ashley Dr City/State/Zip: Centerville MA 02632 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 S 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 e pains and penalties of perjury that the information provided above is true and correct: Si attire: . Dater_ . 5/18/16 Phone#: 508-77 -0111 Official use only.,Do not write in this are#,to be completed by city or town official. City or Town: Pmult/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector b.Other Contact Person:- Phone#: Aco O CERTIFICATE OF LIABILITY INSURANCE FDATE'MMIDD"YYY) 12/1/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CER'PIFICATE 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 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). PRODUCER NNAOMe CT Lora FitzGerald Southeastern Insurance Agency, Inc. PHONE Ext (508)997-6061 FAX. iAAX No:(508)990-2731 439 State Rd. A o ss:lfitz@southeasternins.com P.O. BOX 79398 INSURERS AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERAArbella Protection Insurance 141360 INSURED INSURER B:BOStOn Insurance Brokerage Inc Tupper Construction Co LLC INSURERC: 546A Higgins Crowell Road INSURER 0: INSURER E: . West Yarmouth MA 02673 INSURERF; e COVERAGES CERTIFICATE NUMBER:2015-2016-1 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 INSR i ». LTR 1 TYPE OF INSURANCE POLICY NUMBER MMIDD EFF MMILDIDN LIMITS S X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE 1,000,000 A CLAIMS-MADE 7X OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence S 9520045208 11/1/2015 11/1/2016 MED EXP(Anyone person)_ S 5,000 PERSONAL BADVINJURY .S 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: ! GENERAL AGGREGATE $ 2,000,000 X i POLICY- JEC 11 LOC PRODUCTS-COMPIOP AGG S 2,000,000 OTHER: $_^ ------— AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee accident $ 1,000,000 A HAUTOS ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED 1020009389 12/1/2015 12/1/2016 BODILY INJURY er accident AUTOS � ) X I X NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ r I I Uninsured motorist BI split lime $ 250,000 1 UMBRELLA LIAR OCCUR EXCESS LIAR EACH OCCURRENCE $ A � CLAIMS-MADE AGGREGATE $ !! 9 DIED D RETENTION$ 4600058368 11/1/2015 11/1/2016 g_ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LABILITY YIN STATUTE ER . ANY PROPRIETOR/PARTNERIEXECUTIVE E.L EACH 3 1,000,000 B OFFICERJMEMBER EXCLUDED? NIA _ (Mandatory In NH) WCC5005593012015A 10/3/2015 10/3/2016 E.L.DISEASE-EAEMPLOYEq$ 1,000 000 Vies.describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE.DESCRIBED POLICIES BE CANCELLED BEFORE For informational purposes only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tupper Construction Co. ,LLC ACCORDANCE 1MTH THE POLICY PROVISIONS. 546A Higgins Crowell Road W Yarmouth, MA 0267.3 AUTHORIZED REPRESENTATIVE Lora FitzGerald/MEM 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 nnsanii owt-witwivea.MA al, '0-Iffaza"CliaJeas Office of Consumer Affairs and Business Regulation .. 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration -�=-= ;-- - Registration: 178434 Type: LLC Expiration: 4/16/2018 Ti# 418291 TUPPER CONSTRUCTION CO, LLC'.. . RICHARD TUPPER 546 A HIGGINS CROWALL RD _ W. YARMOUTH, MA 02673 - Update Address and return card.Mark reason for change. SCA 1 0 20M-05111 [' Address f] Renewal n Employment [ Lost Card �'/artnurrnr•rrn!vrr/(� yj! Office of Consumer Affairs&Business Regulation License or registration valid for individual use only aiWI-oil HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 178434 Type: Office of Consumer Affairs and Business Regulation Expiration: 4/162018 LLC 1oP �-Suite$170 oston, 21 TUPPER CONSTRUCTION CO,LLC. RICHARD TUPPER 546 A HIGGINS CROWELL RD W.YARMOUTH,MA 02673 Undersecretary Not id without signature — BUILDING PERFORMANCE INSTITUTE, INC 107 Hennes Road,Suite 210 Malta,NY 12020 (877)274-1274 www.bpl.org BP Richard Tupper 8 1 :5040940 CE"FIED PROFESSIONAL (SEE REVERSE SIDE FOR DESIGNATIONS AND EXPIRATION DATES) Massachusetts-Department of Public Safety Unrestricted-Buildings of use group which -" �Y >� . p3 Board of Building Regulations and 5tanclatd,s: contain less than 35,000 cubtC feet(991m )of Canstl ul►ion Suprri i�� r _ enclosed space. License: CS-069058 Riclu"S Tupper 546 A Wiggins Crowell;; 'rd F s West Yarmouth h1A t Failure to possess a current edition of the Massachusetts *f State Building Code is cause for revocation of this license. °`,wr.. �.dlc. Expiration Commissioner 12131/2016 For DPS Ucensing information visit: www.Mass.Goy/DPS THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) ImF LI DATA , map:and�lot.�nurnber ,/.. ��! vage Per`mi;t number .... � •G ;y:_House_number . : Az. Y 4 g BU:I``LDING fNS APPLICAT:ION FOR PERMIT TQ •�`j TRUCTION �J 6 t r• ;,� ; TYPE OFCONS.. /v_Tb '"'t'I UL.,--PAULA s la �2 =r .....:�. Permit for ...............I............ i'S :Zgle Family Dwelling .....LOt... .1�.. 'll5 saleX JY.i w Location ............... ...... Centerville ' ....................................... .. . Paula -Antul Owner .................. ........................................... • -� Frame Type of-,Coristruction� ..............................:........... Jr ............................... .............. Plot ....................... Lot. . ....,,.. . Permit Granted ..... A -ug•L 3.�.•� •••••19 1' i -Gate of Ins,oection �.........• 19 r' Date Complete +,. ....�. •• 19 " ' •A TO THE INSPECTWOF"BUINI'tZ f The undersigned lereby applies for a permit according to the following information:�/ ....., ......P/... r�f r. .. ./s?J:..... � :?� !�.�.. /`........./;�%./.(.. Location .. s 7.� ......• ProposedUse \ .............. .. . .......... . .... .............................................. ZoningDistrict .................................................. Fire District ............ .............................................................. Name of Owner ��/'........ �'./,�/.. ...............Address /_ ............ ..l ,�e� •/•t��•..� ............... Name of Builder .....................:....Address . .fir/ s.....P .�l. Name of Architect .... .. .......... .. . .......................................... .Address ...............................................:.................................... .. Number of Rooms Foundation ��!.^'c.� . ..�<........................................... .. ........ ............................................. ........... .... Exterior ...........f .................. ,•..E� '`�.!�...............,...:....:...Roofing ......,�ll. .................................................... Floors ...... .. /!'y r .......................... .....................Interior ... ............................................ r, in ` ' 1 t"9. _. Plumbing, ........................................ - - _ _ 01 Fireplace ... . . .................................................................Approximate Cost . . . .doer............ ...... .. .. ,..:.. Definitive Plan Approved by Planning Board ________________________________19_______.- Area s , Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ( �I y I I hereby agree to conform to all the Rules and Regulations of the Tow arnstabl re rding the above construction. Name . ... ....�r,. ... . ..6. . ,.. .................. .� -�- -, - ".--.� ... s•��r»-...+rr�.t ..:-n•,u��-_ �•.—.,..•ram.i-..=.. --'.tuw'r �-7f. -... �,, I I ' � o , r y iy a � Assessor's map and lot number ./ -�..... ...............,............t....... ?OF THE t0 Sewage Permit number ....... ........................ Z BAUSTADLE, i House number .. ! /j'>?.1................................................... 90 MAB6 O 1639• ♦� 0 pPY a\ TOWN OF 9ARNSTABLE BUILDING INSPECTOR - i APPLICATION FOR PERMIT TO ( � �� -� 2 /,�• r/ . TYPE OF CONSTRUCTION :... ,........ 1......................................................................... .............................................. ..� //�...... C1............19.r TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: / Location /�� .�T. ........ . .., X 'JY.................. A........ Proposed Use �: �`•�! (,.(1(,l `��`... �, r <. ! r' .i!........................... ................................................................... L V- Zoning District ................... J:? Fire District ........... Name of caner .!•.,:, �///I• .... .� air/,%, !1 .J:� ..Address ... i??U. .. ./•. ,,.-"�'e► ./.I! . Name of Builder /.. ....�1 6,?67.....1.0......................Address ;?rT Name` of Architect ..... ............................................................Address ........`........................................................ , ............... C_.dw C 1� Number of Rooms ...�,....�....,.:a................................................Foundation :......... ...................�............................................ Exterior .......... .C.... .Y.............................Roofing .... ��• �.. j.. ............................................... , ....... W / Floorsa rr ..... Interior ...... Il.r,%. ��`............................ ............. 11 Heating ....� /_�/- ��?/�............ �4'.. ...............Plumbing n. ~� � ............................... Fireplace .......1/................................... �... �........ ...Approximate Cost.pou.............................................. Definitive Plan Approved by_.Planning Board -----________________ ---------19________. Area .......................................... Diagram,of Lot and' Building with Dimensions Fee SUB.IECT TO APPROVAL OF BOARD OF HEALTH F j. _ �� `'•.', � rte ..SFr..-«ice ', I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .....;......../�!� :.... ... ANTUL, PAULA '�-A-172-125 No 2 3 419„„ Permit for 7Cle..1/..2...S.tcar.y S in9.l ..F m7.1y.!Dw.ellira g......... t Location ..LQ.t...#.1.7......11.5...Asraley...D '•1ve ..................G Qxi t.e r v i.1.Le.................... ............ Owner ..:P.4.111.a...Ant.ul.......................-........... Type of Construction Zcame............................ ................................................................................ Plot .....................:.:.::. Lot .... ......................... ' } Permit Granted ....... ugus 31,,,,,..,1981 Date of Inspection ....................................19 Date Completed ................. .................19 PERMIT REFUSED 4" ........................................ ...................... 19 \ ...................................... i� ..................................... .Q ....... .,1 ..................................... 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