HomeMy WebLinkAbout0057 AUTUMN DRIVE E _.
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CAPE -COD
INSULATION
FIRER GLASS SEAMLESS SPRATFOAM SUSPENDED
RAT" BUTTERS INSULATION CEILINGS - -
1-800-696-6611
P_»4
Town of Barnstable
Regulatory Services °a t
Building Division
200 Main St I
Hyannis, MA 02601 c
Date: ��/f
Dear Building Inspector
Please accept this Affidavit as documentation umentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements.
Property Owner Property Address Village
ItA-W DK C114,kW1 lie-,
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings ( ) ( ) ( ) ( ) ( )
Slopes ( ) ( ) ( ) ( ) ( )
Floors ( ) ) ( ) ( ) ( )
Walls
Sincerely
He y E C sidy , President
Cape Cod nsulation, Inc.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map U0,1100 Parcel Application #���
Health Division Date Issued oi Z,
Conservation Division Application Fee Vu
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
D °t Ze L
Historic - OKH _ Preservation / Hyannis
Project Street Address V,/2yl/ �7✓�'
Village �� ,��✓�Y,���
Owner�j9// �f �OPi2r� Address
Telephone S'O o Z
Permit Request ,J�f i �,2��/��6�6��0/,�/��s 5� ��✓�
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation /GOD, 6 Construction Type /V.
��
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documenta it on.
Dwelling Type: Single Family J2"' Two Family ❑ Multi-Family (# units) p�
Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Yeses A9 o
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
/ (BUILDER OR HOMEOWNER)
Name l � Clued ./,c��'v/,Q i�� Telephone Number
Address �/e2 !/'i�,� License
46W_�z Home Improvement Contractor#
Worker's Compensation #����D)
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
A
SIGNATURE DATE Z
• FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
k
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
` INSULATION
FIREPLACE
`t ELECTRICAL: ROUGH FINAL
r PLUMBING: ROUGH FINAL
t -
GAS: ROUGH FINAL
FINAL BUILDING
r DATE CLOSED OUT.
k
ASSOCIATION PLAN NO.
s
f
r, y`� 1C_��E14'I1GYY�1�Y ��Gi14ll jrJliII+67�
' -- 10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 153567
Type: Private Corporation
Expiration. 12/15/2012 Tr# 206433
CAPE COD INSULATION, INC
HENRY CASSIDY
455 YARMOUTH RD.
HYANNIS, MA 02601 --- _.._. _.....
Update Address and return card. Mark reason for change.
LI Address C.J Renewal C I Employment �-� Lost Card
DPS-CAI 0 SONI-0.1/04-G101216
Ofice ur suurer fUrairs B/us�ne:c liegut uiuu Licen,e or registration valid for individe! use e^!;
HOMCPf�'bVIffJ`ftmTF2aC7f5u1e��et�i before the expiration date. If found return to:
€ Registration: 153567 Type: Office of Consumer Affairs and Business Regulation
Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
OD INSULATION, IND
HENRY CASSIDY
455 YARMOUTH RD.. ;'.. ..
HYANNIS,MA 0260:1
Undersecretary Atalid ith t si ture
Mall" -�cltartntcnt of Public safet%
Bo.Ll'd uf'Buildiw, Rc},ulati(ms and Stan(Iards'
a Qonstruction Supervisor License '
License: CS 100988
HENRY CASSIDY
8 SHED ROW
WEST 1.ARMOUTH, MA 02673"
c-
�"'�"" Expiration: 11/11/2013
('uuuru..i,ncr Tr#• 7620
z. LUI [ irrivl No. 1b05 P. I
Client:4597 CCINSUL
ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE(MM1001YYYY(
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
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 IN5URI R(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the cerllficate holder is an ADDITIONAL INSURED:the policy(ies)must be endorsed.If SUBROGATION 13 WAIVED,subject to the terms and conditions of the policy,cartaln policies may requlry an endorsanieriL A statement on this certificate does not confer rights to(Ile
Certlflcate holder in lieu of such endorsemen((s).
PRODUCER
Rogers&Gray Ins. -So.Dennis NAME: Mal aret Youn
PHONE 508-760-4602 FA-
434Route 134INC,No Exl): A/c Nc: B1�•816.2'15B
E-MAIL ----
South Dennis, MA 02660-1601
508 398.7980 _INOURER(0)AFFORDING COVERAGE NAIC N
INSURER A,Peerless Insurance 18333
INSURED -"'--
Cape Cod Insulation Inc INSURERB:Evanston Insurance Company
455 Yarmouth Road INSURER C:AtlantiC Charter Insurance — -
Hyannis,MA 0260I INJURERD:Commerce Insurance Company 34754�
IN9URER E:
_ F
COVLRAGES CERTIFICATE NUMBER: T INSURER F;
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BCLOW 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,4FPURDED aY 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.
5r2 TYPe OF INSURANCE ADOL SUER POLICY EFF POLICY EX
R POLIcYNUn18ER MMIDDIYYYY MMIDDIYYYY LIMITS
A GENERAL LIABILITY COP8263063 0410112012 04/01/2013 EACH OCCURRENCE $1 000000
X COMMERCIAL GENERAL LIABILITY pQ ��qqCEET ErIrED
Pf1LMISEST aoccurrence $1QQ QQU
CLAIMS-MADE OCCUR MEDEXP(Anyonepamon) $5000
PER$QNAL&AOV INJURY $1000000
GENERALAGGREGATE ' $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG s2,000.000
POLICY El
PRo- LOC
$
p Auro ANY
ALIT UABILm 12MMBEKVW K 4/01/2012 Q41011201' (Ea
accident SINGLE OMIT 1 000 000
A1JY AUTO BODILY INJURY(Pm person) $
ALL_ AUTOS4NEOWNED SCHEDULED
AUTOS BODILY INJURY(Par Accident) S
X HIRED AUTOSWNED PROPERTY OAM S
H X UMBREOCCUR XONJ453512 4/01/2012 04/01/201' EACH OCCURRENCE M000000
EXCEgS _ CLAIMS-MADE
AGGREGATE $1 UQQ QQQ
oEo X RETENTIOt,I 1000Q
WORKERS COMPENSATION $
C WCA00525902 6/30/2012 06/30/201 X WCSTATU. FR
AND EMPLOYERS'LIABILITY � e
ANY PROPRIE70 PgR'(NE / ECUTIVE,Y/N E,L,EACH ACCIDENT 1 000 000
OFFICEWMEMBER EXCI-UD�( NNIA
(Mandatory is NH)u yae,oeaclfoe Undar E.L.DISEASE-EA ENIPLOYEE $1 QQQ 000
DESCRIPTION OF OPERATIONS bola. E.L.DISEASE,POLICY LIMIT $1 QQQ QQQ
DESCRIPTION OF OPERATIONS/LOCATIONS!VENICLES(Attach ACORb 161,Addlllcnnl Remarks tichedW9,I(rnQr0 BpgcB le requlfoa)
"Workers Comp Information
Included Officers or Proprietors
Certlflcate Holder is Included as an additional insured undar General Liability when required by Written .
contract or agreement.
CERTIFICATE HOLDER CANCELLATION
Cape Cod Insulation,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OF CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL IBE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHOWED REPRESENTATIVE
t
®18e -2010 ACOAD CORPORATION,All rights m5erved.
ACORD 2,1(2010/05) 1 Of 1 The ACORD name and logo arc roglstered marks of ACORD
#$838491M83840 MFY
The Cornrnvrtlt t ,;'th of Massachusetts
Departrrlen.t ,,l bJustrial Acc•idents
- w Office lvestigations
600 V i. (tin Eton Street
=T Wye bo)1, 1 A 02111
� ;, � �L.,;u� rvl•l�lt ;.; I,.�,gvv/ctia •
Wortcur's competrs4ttiotr 111stlrance Atlir ., ;1: tiudders/Conti•actor•s/El lectricicans/rIt►ttibecs
tltpliruttt LnPorru�ttic►n 1'lo se Print Legibly
Nautt: (I;tlsittc:. s/Ut ;�ttGi.z, tti.orl/laldividual): t C t
r 1�
`z r/7
-1 rc y ou an etuploye"? C:l►ech the: appropriate box: _
Type of project(requiri'tl):
I [dill a 4. l afro l,,u �:d Contractor and I have 6. � NOW conSlulctiexl
cl11plvyrr5 (lull anal/ut lr ul-tlnle)."` hued thr 'ith ,:,,nrraetors listed on 7. E] Remodeling
the att<lC I t;d .II:dt.:[
El I mt, ,t sole proprietor or partnership These sui, ,,.• tractors have 8. DernatitiotY
auul have, fit.)clnployc;es working for employee:,:nld have workers' comp. 9. Building addition
me ill any capacity. [No workers' il1Su1`,ulr,.1 10, U Glccuical.rohaits of ajdaiuus
ruulh iusura11CC, rrduircil.] 5. ❑ We arc a,,,i potattion anti its
11. k'lurnbin* rc Taus ur addilious
officers irn: :.�rrcised their right of 6 1
a hutut:owuer dainb all work exempla n I., r A(IGL c. 152§(4),and 12. Roof repairs
myself. I Nn workers' corxlp. we have i,,,,,mployees.[No workers' 1 a
` f3. Other���r�-IC'�1ZCrf iC1
ntsur:ulic rcyuired.I [ Comp. ue:ut: r r I- quired.)
y,pii aut thus ncUcks boo Ill must also fill out the section below sho ,, lb,it workers'compensation policy infortnatioti.
I il,nucu:•:ucis wim sol.,tttit this l4iduvit indicating they arc doing all wvtb.-J ih 11 hile outside Conlractols mu31 Submit u new uffiduvil intlieating suc11.
niaa tuts that I: k this box must attach an adcliItonal sheet showing tL, i,i,,;.: M the sub-contractors and state whether or not those etltil'ies have elliployees 11
<>ub.:,nu,a.tt rs httvc employees, they roust provide their worKcts'Couq, 1-ii,) number.
1 am an employer that is providing workers'compensation i,, ,r,mee for my employees.Below is 11ie.policy chid job site
ntlin nuUiun.
A ti
�h
Inauance l.'ontl any Nanle: �� �_r:._t j(1 ��V` ---
Pokey tl uI .Sell-uls. l..u:. It; Li l/ /,`1 , _��' _.._.__ Expiration Date: S� —
lui)SILc ;Adtirrss: .� _ City/Suite/Zip:
Allarh a cupy ut the worts t rs' compensation policy declaration pago i.;h,.tving the policy number and expiration date).
l`uituir w sccurc c:uverugo os rcyuircd under Section 25A of MGL c. I i.'.,Mi lead to ihC imposition of criminal penalties of a I•inc up to$1,500,00 ttuiVul
Inlc veal nI11,tlsun M'..nt, as well as civil penalties in the form of a STOP 1\'t)KK ORDER and a fine of up to$250.00 a flay against the violator.Be advised
., ,py of this stuLejricnt tna e forwurded to the Office of lnvesti ,u,",s ,t the DIA for insurance coverage verification.
l do here c h if under-the Pairis areal penalties of'pe,lm:v that the information provided above is true mul correct.
Date: g J 7i
I'lltln�.tl: J _
cil iciul ust;only, 1:)v flat write in this area,to be completed t-1 ,:rr ortowrt official
City of.Tuwrl: _- 1'crutit/License# —
lssuing Authority (circle oele):
1.Board ol•Nealth 2. Building Departrnehl 3.GtYlTumi Clerk 4.Electrical Inspector S.I'lumbi► g luspector
o.Other
r'untact l'rrsutt: T Phone#: �—
OWNER AUTHORIZATION FORM
(Owner's Name)
owner of the property located at
II
�7 fy //r•
(Property Address)
fl,qoAzle. AW
(Property Address)
hereby authorize CL) tra 4 q
( ntractor)
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building
permit and to perform work on my property.
OWn'jfs Signature
Date
Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee -7• �
Thomas F. Geller,Director
Building.Division ok /OjIS)/a
To Perry, CBO, Building Commissioner
g
200 Main Street,Hyannis, MA-02601
www.town.barnstab le.ma.us
Office: 508-8624038 Fax: 508-790-6230
EXPRESS PERNIIT APPLICATION =~ RESIDENTT AT:ONLY
Not Valid without Red X-Press Imprint <`
Map/parcel Number l� �3
IN
Property Address °J 7 Au1ti�. ���•- y l
WRrsidential Value of Work �3�0 • O Minimum fee of$25.00 for work under$6000.00 ;
Owner's Name&Address �� �
Contractor's Name Cq Telephone Number `•, V- •0u�J
Home Improvement Contractor License#(if applicable) T�.►,V
Construction Supervisor's License# if applicable) I CJ
❑Workman's Compensation Insurance -
LI 1 am a sole prop rie tor
9 P6qq
T
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
OCT 1U10
Insurance Company Name : MWN OF BARNSTABL
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
IyRe-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping, Going over' existing layers of roof)
Po
Re-side
❑.Replacement Windows/doors/sliders. U-Value (maxirnurri.44)
"Where required: Issuance of this permit does not exempt compliance with other town'department regulations,i.e.Historic,Conservation','etc.
***NoteProperty e must si perty Owner Letter of Permission.
A copy the ome Imp ov ent Contractors License is required.
l r.
SIGNATURE: I
Q:Forms:expmtrg ,
Revise061306
• The Commonwealth ofMassachusetts
Department oflndustrialAdcidents
Cffcce aflnvestigatlons
600 Washington Street
Boston,AM 02111.
www•mass.gov/dia
Workers' Compensation IRS urnnce.Affidavit: Binders/C011tractors/Electr Applicant Information iCianS/pIu
tubers
Name(Business/Organization/Individual):_ Please Print Le 'bI
Address: J( ril3
City/State/Zip- (9 q� 1 V•
�Q Phone.#:
Are you an employer? Check the appropriate box:
--------------
LET I am a employer with 4.,[] I am a'geneiai contractor and I )
Type of project(required ;
/ornployees (full and/orp * have hired the shb'contractors2. I am a'sole Proprietor or p 6 New construction
P P partner- listed on the'attached sheet. 7• 0 Remodeling �
ship and have no employees These sub-contractors have
working for me in any capacity., employees and lialre R,orkers' 8' ❑Demolit[on
[No workers'comp.insuiance comp.insurance.$ 9• []Building addition
3.❑ required_] 5. [] We are a corporation and its lo.
I am a homeowner doing all work ❑Electrical repairs or additions
officers have exercised the' 1 l �]p bing repairs or additions
:myself [No workers' comp. right of exemption per MGL
insurance required.]t P. 152, §1(4),and'we have n 12. Roof repairs
o
employees. [No workers' •13.0 Other
• comp.insurance required]
'Any applicant that checks box#1 must also MI out the section belowsbowing their Workers'c
t Homeowners who submit this uflidavit indicating they are doing all work and then hire outside contractors must
ompcnsation policy inforrnaticn.
1Contractars that check this box must attached an additionalshect abowin t}�employees. If the sub contractors fiaye employees,the submit anew affidavit indicating such.
g name of the sub contractors and state whether ornot those entities have
y must provide their workers'comp,policy number.
X am an employer that is providing workers compensation insurance for my employees Below islhe olic an
information, p y dioh site.
Insurance Company Name:
Policy#or Self=ins.Lic.#:
Expiration Date:
Job Site Address:
Attach a copy of the.workers' compensation policy declaration
page(shoiy g� /etaoh iP
Failure to secure coverage as required under Section 25A ofMGL c: 152 can lead to the
imposition umber and expiration date),
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalti>s iii the form o STOP of c
Of up to$250.00 a daya criminal Penalties of a
against the violator. Be advised that a copy of this statement maybe forwarded Oto K ORDER
DE oa d a fine
InveL afions of the or instuance CO-Vera8rc verification.
16
her c :r der t ep in ndpenalties ofP 1 er'u tha<th
Si a eormation in f provided aha a is ue and correct:enture: Date: 10 �' � •
Phone #; 1 I
0 Icial use only. Do not Write in this area Tb he aampleted b '
y c!ty or town official
City or Town:
Issuing Authority(circle one); Permit/Licease#
I.Board of$ealth 2.Building Department 3. City/Toy)'n Clerk 4•Electrical Ins e
6, Other p ctor S.Plumbinglnspector
Contact Person: • , . -
• • Phone#: ,
J
'pF'fHE I
Town of Barnstable.
l Regulator Service
ye rc'ices
�$ AU 9 Thomas F. Geller,Director
Building.Division
Tom Perry, Building'Con'Zdssioner.
200 Ma'�.n Stree
� H a nnis
Y. ,1v1A 02601
"'w.town.barmtable.ma
Office: 508-862-4038
Fax: 508-790-6230
r o e p 'tfiY aFvner].Ylust
Complete and Sign TMs Section
rf.Usxng A Builder
U , as Owner of the subject property
herebyauthorize w.t,
to act on my behalf,
in all matters relative to Work authorized by this building permit ap p .lication fo'r:
of U rnn rhve. . Ce(+e r
(Address of Job) 1�9 �@'
Signa e of Owner 10
Date
�01 aV- urine
Print INtme
WOR-M&OWNE"ERMISSION -
Bdamo rem, g ega�t'io ands�ari ar
License or registration valid for individul use only
_ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 124310 Board of Building Regulations and Standards
Expiration: 6/1/2011 Tr# 284683 One Ashburton Place Rm 1301
Type: Individual Boston, Ma.02108
James Curley
James Curley
287 Fuller Rd.-
Centerville,MA 02632
Administrator "—`IVot valid without signature
L Nlassachusetts- Department of,Public Safet}
a Board of Building- Regrulations and Standards -
Construction Supervisor Specialty License
License: CS SL 99138
y. Restricted.to. RF,VVS
JAMES CURLEY'..
287 FULLER ROAD..
CENTERVILLE, MA 02632
Expiration: 1/28/2012
Commissioner Try#: 99138
Board of Building Regulations and Standards
License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration _.1.24310 Board of Building Regulations and Standards
Expiration 1/2009 Tr# 130873` One Ashburton Place Rm 1301
aiz-Type -Individual Boston,Ma:02108
James Curley = =_
James Curley _
287 Fuller Rd.
Centerville, MA 02632` � ~
Administrator Not valid without re
I i
I
7 nC SV S d E!r, D,�US7 D,E
Assessor's office(1 st Floor): , / O n�/ Y I ED
Assessor's map and lot number
LL
Board of Health(3rd floor): } VffOTH TITLE e�Q..o
Sevfge Permit number -b - EMMM. ENTA.C00,11 .6w 1)
Engineering Department(3rd floor): TOVIN REGULATIONS = DASd9TADLL
� teas
Hofise number
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 Q/,1 Z I/r/C� 1-0 U w 9VU V//e .Yc�//0e/f/�C 00 Lr
TYPE OF CONSTRUCTION wyI tc
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordin to the following information:
Location 3 7 1011
Proposed Use f kVI/H/ a
Zoning District Fire District
Name of Owner k-, 7' d�v lu w Cv-,K Address 6-0 X v7t1 kH u 3h•/ye
Name of Builder �If/C4UV y�oo�S Address
Name of Architect — Address
Number of Rooms Foundation 61j"/
Exterior —' Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost
Area
Diagram of Lot and Building with Dimensions Fee J-6 "
erAP(f SC'iaPt-t
//e
Autuw u r�v�
t�i {I o uiT
5 e I
Jrb
Ir
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 OOoo�3�
r GUNNERY, E. T.
No 33643 Permit For Build Pool
Accessory to Dwelling
L
Location 57 Autumn Drive
Centerville
E. T. Gunnery
Owner'-+
Type of Construction Gunite
I Plot Lot
Permit Granted April 4, • 19 "9 0
Date of Inspection 19
_
Date Completed %th/ 19
f_ i n
k ti y
� ''} b 'f � yam _ `r •
i
i
I� +;�:7,,+4h;<��'i'P 'sk1+eR�'W P'�.+e`�.ird.'.'f"'�w#�+y '�6���""''�`#6+^°I "3°'�4 .-*�.a"'Ys�y'vlw.kr:'��+r} g'�+'"'.`�N,*�n;YKv.�"�.�'�'"'s*""..r'+�.��tk9,,:�a+ �'*•f•."w..'yhta,y.,�,,,,,,...._r4. .
Assessor's office(1st Floor): nn
Assessor's map and lot number rY 1< of THE T@
v
Board of Health(3rd floor):
Sevqi9 a Permit number — V/- 1719 .
.s 1 �saasTs�t;a'S
Engineering Department(3rd floor): i rues '
Ho se number °° 1630'
De'initive Plan Approved by Planning Board 19 �o YAY d°
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 /3Ui L I Vq y D U X"d J
TYPE OF CONSTRUCTIONU
F
19
TO THE INSPECTOR OF BUILDINGS: .
The undersigned hereby applies for a permit according/to the following information:
Location -5 17 Av/uvti,y /�Y/U�i Cu
Proposed Use f kll�m:l ti4 Aal z
Zoning District /`- Fire District
Name of Owner (§u n,1 Address 5� �v1�y � `A l of
Name of Builder Ayr 4 UV 40 LS Address
r
Name of Architect — Address .,.,,tt
Number of Rooms Foundation C. V y //G
Exterior Roofing TM
Floors Interior
Heating Plumbing r
Fireplace _ Approximate'Cost
Area
Diagram of Lot and Building with Dimensions Fee �!
4u-'urn v rives
yy /
-I) ()5C
OCCUPANCY PERMITS REQUIRED'FOR NEW DWELLINGS
h
I hereby agree to conform to all the Rules and Regulations of th4Town of Barnstable regarding the above construction.
. Name
Construction Supervisor's License
GUNNERY, E. T.
A=1 6 r3—030 r
No 33643 Permit For Build. Pool
Accessory to Dwelling
Location 57 Autumn Drive
Centerville
Owner E. T. Gunnery
Type of Construction' Frame-
Plot Lot
Permit Granted April 4 , 19 9 0
Date of Inspection 19
Date Completed 19
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PERMIT COMPLETED 9111-1-i
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