HomeMy WebLinkAbout0048 AUTUMN DRIVE .rq uvm -> r�v-e
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Town of Barnstable Buildin
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- �Post-This Card�5o That�it is:U�sible From�theStreet ;A_;;roved Plans Must be,•Retam'ed on�Job�and�this�Card,Must-be Ke`''t�, ,
Posted Unt11 Final InspectionfHas Been Made ,� y �q ���; �� � '�> � �
Permit -
�° ;:` Where a Certificate of Occupancy<i Regyirec�,such�BwlcJmg skull Not be�Occupied unt�i�a=;Final�lnsp�ect�ort has beery made ;
Permit No. B-18-2468 Applicant Name: JEFFREY WRAGG Approvals
Date Issued: 08/01/2018 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/01/2019 Foundation:
Location: 48 AUTUMN DRIVE,CENTERVILLE Map/Lot 168-028 Zoning District: RC Sheathing:
g,,•"� . �' '� �T'i4 fry"¢ � i ?t- G
Owner on Record: REILLY,JOHN P&ELIZABETH A411
Coniractor Name JEFFREY L WRAGG Framing: 1
5AR
Contractor;l icense C�S��075746
Address: 48 AUTUMN DRIVE 2
, <
CENTERVILLE, MA 02632 Est,, Project Cost: $6;000.00 Chimney:
Description: reside, replace 4 windows £`, PermltFee: $35.00
I Insulation:
Project Review Req: Fee Paid $35.00
Date 8/1/2018
Final:
��� i
_ Plumbing/Gas
M Rough Plumbing:
Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorit ied by th s permit is commenced within sin",
after ssuance.
�� E �- Rough Gas:
All work authorized by this permit shall conform to the approved application amd the approved construction documents foKiRhich this permit has been granted.
a
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zomriggbylawsand codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road nd shall be maintained open forpublic inspein for the entire duration of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work '
1.Foundation or Footing Rough:
IN
2.Sheathing Inspection ••.
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:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
4 Building plans are to be available on site Final:
�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Application number
Fee.....................3.,.S�.................. .. ....................
Building Inspectors Initials.,. ..... .. ...................
JUL 3 12018 Date Issued........................ x......................
Map/Parcel*......... t..... ......................
TOWN O� bAKIIS I ABLt
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVESIWEATHERIZATION
PROPERTY INFORMATION
Address of Project: Amumo DyLlIJ6 CU—`
NUMBER STREET VILLAGE
Owner's Name: Phone Number S09-
Email Address:,LtreI1SD &L_Gov- Cell Phone Number A08 _A4 _S�3 a
Project cost$ 60000.6o Check one Residential LO/ Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authani-ze i A
�;2
to make application for a buil pe cordance with 780 CMR
Owner Signature: Date: /�"I/�fYPE OF WORK
Siding Windows(no header change)#_�1_0 Insulation4eatherization
Doors(no header change)# Commercial Doors require an inspector's review
Roof(not applying more than I layer of shingles)
Construction Debris will be going to �A Vfq OUIAP
CONTRACTOR'S INFORMATION
Contractor's name LjW
Home Improvement Contractors Registration(if applicable)# 1�9773 (attach copy)
Construction Supervisor's License# (attach copy)
Email of Contractor j'&40) ca &ne_r&nJq,1,C-om —Phone number -77Y,-?53
ALL PROPERTIES THAT HAVE s TRbcTuREs OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE.ISSUED.
' APPLICATION NUMBER............................................................
*For Tents 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.
Purpose of Event
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 hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
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
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signatu Date
All,p mi;aica re subject to a building official's approval prior to issuance.
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Office of Consumer Affairs&Business Regulation ;
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:--Individual before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
b7, 149773 02/21/2020' 10 Park Plaza-Suite 5170 -
JEFFREY W RAGG Boston,MA 02116
JEFFREY L.W RAGG ,, �� CGPx�—^
54 EILEEN STREET -
t Id w' out signature
YARMOUTHPORT,MA-02615 Undersecretary
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` Commonwealth of Massachusetts
-i` f Division of Professional Licensure
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>: Board of Building Regulations and Standards
gf �, Constru&i'oniSiS`pervisor
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CS-075746 -; qq �
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JEFFREY L WRAGG f - ` .'- A
'7 k 54 EILEEN STD *A fi � >, ,
YARMOUTH PORT MA 02675 1. -k ,;
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The Commonwealth of Massachusetts
I I Department of Industrial Accidents
,a, h
i 4--- Office of Investigations -
- 600 Washington Street
02111
Boston,�'VIA •
www.mass.gov/dia
Workers' Compensation Insurance Affidavit Builders/Contractori/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Or_eanizadon/Individual): <T FF FIE� WR.. 3-
Address: —SLI L _�17 y
City/State/Zip:_ (lbLMPO( T AIA- Q Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.El am a employer with 4- ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.PI 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'
com insurance.? 9• ❑ Building addition
[No workers' comp. insurance p
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
I❑ I am a homeowner doing all.work officers have exercised their 11.❑ 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 ❑ p
employees.[No workers' 13•❑ Other
comp.insurance required.]
*Any applicant that checks box R 1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of die 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 thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: ExpirationTDate:
Job Site Address: Ll� .AtilU a 41tt City/State/Zip:&M1:VL VtU1r
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c.,152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOPWORK 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 certi the pains and penalties of perjury that the information prowled above is trite and correct.
Sisnature:_,-. . Date: 4_l
Phone#:
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Ofjr lal 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 Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#•
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CERTIFIED PLOT PLAN
LOCATION9Av1"Ur+�rJ L •C�'UT�7Zv/C1� !{;
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I CERTIFY THAT THEN! .,�W
s'1 SHOWN ON THIS PLAN IS LOCATED ON THE GROL
• • • AS SHOWN HEREON
DATE .3/3
PETITIONER:S
REG. PROFESSIONAL LAND SURVEYOR
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LADDER IN O
RAISED POSITION t
.,SWIM AREAS AVAILABLE, ~A
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5/4'x4' RADIUS A I 0
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RIDGE DECKING 1
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till
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PLAN VIEW (*ALE- 1's4') A POST AND
2'X3' POST
WALKWAY io
STEEL CAMBER BAR �,4' TYP(16)
2' 3 3/4' 22 1/2' 22 1/2' 22 1/2'
TYPICAL _ r/
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9 3/8' TYP(4) DETAIL AT TOP 2'x3' 1'X4' 2,X4• 22 1/2' 13' f
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7 1/2' 2' SAND OUTRIGGERS CONCRETE..
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HINGE PLATE 1 1/4' x 6' WOOD
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BELLY BOTTOM _ AND STRINGERS O1
m TYP(4) BANDS a N FISH PLATE �1;35 3/8' END VIEW OF DECK (SCALES 1'=6')1 1/2'xl/4' r!`O CORNER TYP(2> i/4,STRAP 6 -- _ IL d
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TYPICAL CAMBER DETAILS FOR 24' SIDE a
BLOCK ON 4' CENTERS z
CORNER 3' TYP<2> 12 1/2' 1 ` --
32'-9' DETAIL 5 1/2'-�„—
BOTTOM FRAME ASSEMBLY (SCALE, 1'=4')
SCALE, 1'=1' OUTSIDE LADDER (SCALE, 1'=1') CAMBER DETAILS FOR 2% SIDE a a
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Assessor's office(1 st:Floor):
Assessor's map and lot number kI> / �/1 AAA.C� ��o • THE
- � TOE
NV
Board of Health(3rd floor): ® '��*
rr� o
Sewage Permit number 6 Z. - �. • s�"
Engineering Department(3rd floor: Boamwndw®J mt�� as to
House number `) �Fa. ' °'
Ar
Definitive Plan Approved by Planning Board 19 ov
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN . OF . BARNSTABLE
BUILDING INSPECTOR g
�
APPLICATION FOR PERMIT TO Can $�~ `'`' d✓P 00
TYPE OF CONSTRUCTION
3 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned-hereby applies for a permit according to the following information:
Location
Proposed Use U e 5 r �e C r e Z V e a-,
Zoning District `— Fire District26 G O
Name of.Owner ''" ` 1 r S S Address ✓ �-- a.
Name of Builder S Address
Name of Architect �'��� Address
Number of Rooms Foundation
Exterior woad �/=,6�� Roofing
Floors Interior
Heating Plumbing
Fireplace ��� Approximate Cost d
Area
Diagram of Lo and Building with Dimensions Fee V
�oo I fj
� .�' •� CT t-o un.� c..a
11 � � Fer.G PC
yv1 /r
OCCUPANCY PERMITS REQUIRED FOR NEW WE GS
I hereby agree to conform to all the Rules and Regulations of the n of Barnstable regardi - the above construction.
Name
Construction Supervisor's License
BLISS, DEXTER
CONSTRUCT
s;
No 3 3 0 4 2 Permit For SWIMMING POOL
Accessory to Dwelling a
Location
48 Autumn Drive
Centerville
Dexter Bliss -
Owner j
Type of Construction
' F
Plot Lot
Permit Granted July 7 19 8
Date of Inspection 19
Date Completed 19
Cl 'sa H
f
Assessor's office(1st Floor):
Assessor's map and lot number
Board of Health(3rd floor): -11-IfSewage Permit number PV •
t >i BAH39T ABLL
Engineering Department(3rd floor): Y0.0i
House number �0�i639-
Definitive Plan Approved by Planning Board 19 rAr d•
i.j
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION '�✓�"d `�'� / __
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Locations
Proposed Use y,� s f 7 e c re y r
Zoning District— Fire District
Name of Owner . J p 1") 1 1 S C Address ✓��—^ -- �-
Name of Builder Address
Name of Architect r'�d' Address
Number of Rooms Foundation S �' �'� e
Exterior U d d� / �� �''Z 5 SS Roofing
Floors r✓/ Interior
Heating Plumbing
Fireplace / Approximate Cost
Area
Diagram of Lot and Building with Dimensions
Fee a �
t
F
lien
0,%
ik `'c `"
o
„5 .
A� \
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELL NGS
I hereby agree to conform to all the Rules and Regulations of the °own of Barnstable regardi g the above construction.
1,L.
Name
Construction Supervisor's License �72
i
BLISS, DEXTER A=168-028
- y
BUILD
No 3 3 0 42 Permit For SWIMMING POOL
Accessory. to dwelling
Location 48 Autumn Drive
Centerville
Owner Dexter Bliss
Type of Construction
Plot Lot
Permit Granted July 7 19 89
Date of Inspection 19
Date Completed 19
C o Yo-
Assessors map and lot number ..........
� CF?H E
Sewage Permit number ........................................................
Z a STILE, i
House number ... 9°o Mb9•
....................................................................
'Ep NpY a•
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .�°..S ..l'`Y :.f.....`....`....�...........6.........../e.�.u✓e....
TYPE OF CONSTRUCTION .(`O°0) °-2� �'..............................................................................................................
...............................70.....19.�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: _
rar, / « G?rry Prr V
Location .......�.�..... .7v �.......!O' C........ .
ProposedUse ..... . ..... ......................................................... ... .......................:................ .... '.... .............. ....
Zoning District ........................................................................Fire District
Nameof Owner ..................:. .............Address .........5.. ........................................................:......
Name of Builder ..... : .. Pf.........:........... ....s.................Address ........ .........:`......: -
Nameof Architect ............................ ...................................Address .:..................................................................................
Number of Rooms .-V° ..Foundation s C f )............................�.................
Exterior ....,O"�. ° t u f T w,r ....... ... '...... . ......................................
7.............Roofing
Floors
"0/ e Interior ................� /�
� ..�':'. 5 .................... .................................................................
Heating ...................Plumbing ..............................C� ,1
Fireplace ... .................. PP w,!' + .
Approximate Cost ...........4..........................: ,�
Definitive Plan Approved by Planning Board ________________________ ______19________ . Area ........ r.....
Diagram of Lot and Building with Dimensions { 3�� Fee ...../h... 7)..............
j 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 ......:..... ..... :..........................................................
Construction Supervisor's License a
I
BLISS, DEXTER T. A -28
No .28395..... Permit for ..BUILD EXTERIOR STAIRWAY
................
&DOOR/Single Family Dwelling
...............................................................................
Location .48 Autumn Drive
..............................................................
Centerville
...............................................................................
Owner ...Dexter Bliss
..............................................................
Frame
Type of Construction ..........................................
................................................................................
Plot ............................ Lot ................................
Permit Granted .....August„6.................19 85
Date of Inspection ....................................19
Date Completed ......_...............................19
1
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Assessor's office(1 st Floor):
Assessor's map and lot number 16 CJ o�;I N t
r
Board of Health 3rd floor:
,Sewage Permit number * / .Z J •_
Engineering Department(3rd floor: �/ nesasTsnt� '
House number ° u9
p f6}q.
Definitive Plan Approved by Plan r
Planning Board J/l 19 ��`� rd
APPLICATIONS PROCESSED 8:30-9:90 A.M.and 1:00-2:00 P.M.only e
TOWN OF BARN.STABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT 0 A, AO Ui
y 6 TYPE OF CONSTRUCTION 9 S Grr+1 1 � Od� r
r3 a 19 g /
TO THE INSPECTOR OF BUILDINGS.`: '
The undersigned hereby applies fora permit according to the following information: '
Location r ! cJ { u.,�.. .� ( � �- C ce-.� 2, ✓. Q
� Proposed Use yy
Zoning District's - r' ' Fire District '
pName of Owner M J I S Address
Name of Builder �' t S s Address.
�. •"' Name of Architect Address
Number of Rooms -- Foundation rx
' T
Exterior �r 5 �} -. +/o �� �s �ps Roofing
Floors / s ' q/°�5� I`P,i-�Q--c e) 6r G.-�V�s interior
Y /
Heating Plumbing �i A
Fireplace 'f Approxi;•ate Cost O d d
Area �o
of Lot and Building with Dimensions
Fee
Diagram
9
u �
2
4 MY i
" o
X �
•r
e ti
OCCUPANCY PERMITS REOUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
f +
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Name
'� Construction Supervisor's License'd,;p
BLISS, DEXTER T.
A=168-028
No 3 4 2 4 9 Permit For Build Act rl; t on
Single Fami1�z DwPI1in
Location 48 Autumn Dr l�7P
Centerville
Owner - Dexter T_ Rl Zca
Type of Construction Frame
Plot Lot
Permit Granted April 3 , 19 91
Date of Inspection 19
Date Completed 19
PERMIT COMPLETED}1�1�
t
�r1
Assessor's office(1st Floor): 68 �� SEPTIC SYSTEM UST BE
Qy �TMEr �`
Assessor's map and lot number "��INSTALLED IN COMPLIANCE o 0
Board Health(3rd floor): 2 d�
Sewage
WITH TITLE a*Permit number �� -7"�� .�
Engineering Department(3rd floor: ENVIRONMENTAL CODE AND DA"ITA tc
House number TOWN REGULA`DONS °o %639-
Definitive Plan Approved by Planning Board �✓;/� 19 °
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF . BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTIONS t�J /G✓dd� /— �'""-
_R> 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location -XF 19 cJ 7 4-U ✓' en ✓� // -e
Proposed Use 0` 5 / 5^-► i a / - f1: -✓.x-- _'� �11 �'K y
Zoning District ( C- Fire District C y /�l'
Name of Owner `� f t'S S Address
Name of Builder ` 1 i s Address —�
Name of Architect Address
Number of Rooms z Foundation
Exteriorj�SC uU/o ��� +� �`"s r�5 Roofing
Floors /-�'��` °��S �� arc ;� G�VY- Interior
Heating Plumbing
Fireplace Appro ' at Cosh d
Area
Diagram of Lot and Building with Dimensions Fee ®
4 4 '
;5 -7t
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OCCUPANCY PERMITS REQUIRED FO NEW D
I'hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name
Construction Supervisor's License dam 7
BLISS, DEXTER T.
't Build Addition No 3 4 2 4 9 Permit For
Single Family Dwelling ;
j F
Location 48 Autumn Drive
Centerville 1
Owner Dexter T. Bliss - `?
Type of Construction Frame
JO
Plot Lot
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Permit Granted April 3', '19 91
Date of Inspection 19
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(D,A)ConoleLd 19Mo
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CERTIFIED PLOT PLAM
LOCATION [ �IrlrLrr��L�Q.C6.�1T�7Zv/GL, N,
_YcT� 7ff�P2�P�zryooers n+orr�}u wmYi� A ' SCALE . .� �3° . . DATE .;3�3/���
_!>x1G1><./s/f�Zsf�20 rLaoD ZoNS- ezaoa-"c-) f}s PLAN REFERENCE
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1ylf �e�isE� ��,rrvsr�9,/98�BY`��r.�. �p.,CEuoozc-, clvr4�&?w,1xAe*52-�IA�.
�-- I CERTIFY THAT THE �7%!,<.44)* .
'SHOWN ON THIS PLAN IS LOCATED ON T14E GROL
f AS SHOWN HEREON \�
DATE
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P£TITIONER:S ��i
REG. PROFESSIONAL LAND SURVEYOR
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Assessor's 'map and lot number: .... 0
........................................ THE
Sewage Permif. number ............................................ ............
MAWSTABLE,
House numbe . MAS&
. . . 1639-
a MAY
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO T..;....... .............................. ... ................ ................................................
:TYPE OF CONSTRUCTION ......................
S7
...................................
.......
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....... cell V,/.
................. ......................................... .........../..............................................................
-- a, -C
Proposed Use .... .....Z ............................:...........................................1./...? "'.! ..... ``�.C�/i 'S
ZoningDistrict ...................l L.............................................Fire District .............. .... . . .................................................
T
Name of Owner ...........................................6 -
.........!.S.............Address ........:�F...........z.....................................................
tO` S
Name of Builder ....................................................................Address .........:��a ..........................................I........................
Nameof Architect .......................1.......4....................................Address ....................................................................................
Li
........ ... .. ....Number of Rooms ....................Iva........ -e...........Foundation ............ ........... .. ..................................
vt pow/�5 � !�
Exterior .................. .
................... ............Roofing .................................. ..... .....................................
Floors .................................... ..................Interior .................................. .....................................
C� --r-
-,o c 4 ?.......................Plumbing ................................ .........................................
Heating ........................................................... ?�7/..
Fireplace ...............................f�!o.... e.......................Approximate Cost ........................... ...................
Definitive Plan Approved by Planning Board -------------------------------19--------- Area ... . ... ..................... ......
Diagram of Lot and Building with Dimensions Fee .....A .........................
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 ..... ...... ................
........................ ............
Construction Supervisor's License .... ... ... ... ...
BLISS, DEXTER T.I '
. . f
' .
No —2��95— Permit for ..IftUlIJ>..EX.I.EDI8.R..SI4IDWAY
............
48 Autumn Drive
Location ---------------------.
. `
Ceoteiville '
--------.--.----.--------.-- `
Dexter BIlea '
Owner —.�-------.-------------
� Frame ~
Type of Construction -------------- .
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-------------.------------- .
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Plot ............................ Lot ----------'
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Permit Granted -��o4«o ^----'lP 85 '
Dote of | ----------'lq
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Dote Completed ----.���------.l9ur�V' '
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