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I ,,, �o: �. _',��_, , I'A",1,l,'�ip -�,,..,;,,,.,,,', d.�,-.,i,#',,,;, --;i���,��,�.�a�,'��,,�i.1l'Ol��,:�,"�,!.Iqmjl?oiolf4I K M Mo .11,1� , , , - __ , �V,� -1- 1­ �­,­­­­­-­111 - �.v"�,r, , 4 1-"�,�, G Altisource Solutions, Inc. c/o Alma Emery 1000 Abernathy Road, Northpark Town, Building 400,Suite 200 Atlanta, Georgia 30328 qR � �� REOISTRATION AND CERTIFICATION FORM .FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with.Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering,under Massachusetts law, please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party;court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town_ can review the exemption and update its records: Section 1 —Property Information : Property Address: 67 Autumn Dr,CENTERVILLE,MA 02632 Assessors Map.#: 168 Parcel #: 168/060/ IZE A . Land area and description Building(s) description and contents ° Occupied: Occupant(s)(if borrowers so state and include name(s)) I t M Phone: email: other: Vacant: Date: 04/21/2017 Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone email: other: Has possession been taken YES' If so, please explain and complete and file the maintenance and security plan rform (unless s exempt as stated above) Property,acquired through foreclosure: Section 2 —Foreclosin PLM Information Wells Fargo Bank, National Association as Trustee for Soundview Home Loan Trust 2007-OPT1,Asset-Backed Certificates,Series,2007- Foreclosing Party (full name/title) OPT1 c/o Altisource Solutions. Inc.-Balasubramanian Suzan Foreclosure Case Court: Docket# r Date filed: 12/16/2015 Current Status: Foreclosing Party's representative(s) for property (entry, management,'repair, etc.)(name, title,): Darren Wisniewski (Waltham Resident) Company (if different from foreclosing party):. Altisource Solutions, Inc. Address: 1000 Abernathy Rd Northpark Town Center, Building 400 Suite 200 Atlanta, GA.30328 Phone: (866)95276514 email: VPR@altis.ource.corn other: If an exemption is claimed, please do not complete the remainder. Other representative(S) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information (i. e. "none or."see above")). Name, title, other: Darren Wisniewski(Waltham Resident) *Please mail correspondence to Company (if different from foreclosing party):. Altisource Solutions, Inc. Atlanta office,Darren is local to address Address: 1000 Abernathy Rd Northpark Town Center, Building 400 Suite 200 Atlanta, GA 30328 property conditions and emergency Phone(s): (866)952-6514 email(s): VPR@altisource.com other: matters. Name, title, other: Company (if different from foreclosing party): Address Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Alma Emery' • — Date: - —�� Name Title: Assistant Manager, Vacant Property Registration I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224,73 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable r ti d f 6/13/2017 67 Autumn Dr, Centerville Record Owner: Newton/OCWEN Loan/Wells Fargo 1 Style:. Split level 2 bedroom 3 bath Garage: Attached 1 car Lot Size: .37 Construction Year: 1974 Registered: No Occupied: No Condition: Fair- Good Lawn: Overgrown Posted: Yes Hubzu 888-876-3372 Lock: Combo lock front door Secure: Yes Notes: Windows open (screens in place). Needs paint, broken window pane in side garage door. RR ties (walkway) and roof needs repair/replace. 6/13/2017 Altisource'called on a recorded line and left a message with the following phone number: 770-612-7002 X293096. The message indicated they wanted to know about code violations. No one answered when I called back and there was no option to leave a VM. Original permit in file for a SF issued 51211973 # 16187 Permit 35106 to re-side w/14 sq white cedar shingles 121211998 Complaint about trailer—811811997 THE ,� `^� OF r TOWN - OF BARNSTABLE NAS& 1639. ou BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........................ .............. .................................. .................... ................................................................................... TYPE OF CONSTRUCTION ....... ............ ....................19.73 TO THE INSPE R OF BUILDINGS: The undersig e hereby applies for permit fT1,accor�g to thn , 1 form, ,n --, Location ............... .... . . .. .. ........ ... .. ... .................................... ...... . . .............. .............. .................................... Proposed Use ............. .. ... .... . . . ...... . ........................................... ..........................I......................... Zoning District . ......... . ..... I ......... .................... ....Fire District ........................ . . ............ ............ Name .......... .. . . ........ .... ..... .. . .. .. of Owner 69.eilitf ...Address Nameof Builder ..... .. .......... .. . .............................Address ................................................. Nameof Architect .... .... .... ......... ...... ..... .......................Address ..................................................................................... Number of ounclation .......... . ........................................... .................. ......................................F ...... .......... ....... Exterior .... ... 1 ..11•.. . . ..i5� ....................................Roofing .......... . ............... ....................................................... Floors ........ ... .. . . ................. ......................................Interior ... .. ....... .....i�).Od Heating . . ........ ....................... Plumbing ... ........................................................................... Fireplace ............t%1'.............................................:....................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ------------------------------- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH Iuj 0 ca z 0! < LU Cn U) 0 < W Uj 15 . 0 < U) <z UJI 2, Col. Ael I hereby agree to conform to all the Rules and, Regulations of the of Barnstable regarding. the above construction. Name ........................... Russell E. Ginn, Inc. 16187 one- story No ................. Permit for ..................................... single family dwelling ............................................................................... A 'AutU'AutumnDrive Location .......................................................... Centerville .............................................;................................. Owner ............Ru.s.sel.1...E....Ginn.,...Inc. .... . ...... . ... ....... . ...... . frame Type of Construction .......................................... . ................................................................................ Plot ...... Lot .................................... .................. Permit Granted ......... ...................ig 73 Date of Inspection .......................... .........19 Date Completed ...... ..... ...710 ..3...19 PERMIT. REFUSED ................................................................ 19 ............................................................I.................. ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... REGISTRATION AND CERTIFICATIONTORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has'been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law, please state the reason(s) and complete section 1 (property information) and-the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address: 67 Autumn Dr,CENTERVILLENA 02632 ;m Assessors Map#: 168 Parcel #: 168/060/ = - Land area and description Building(s) description and contents r rn Occupied- Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: Date: 04/21/2017 Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken YES If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Property acquired through foreclosure. Section 2—Foreclosing Party Information Wells Fargo Bank,National Association as Trustee for Soundview Home Loan Trust 2007-OPT1,Asset-Backed Certificates,Series 2007- Foreclosing Party(full name/title) OPT1 c/o Altisource Solutions. Inc.-Balasubramanian Suzan Foreclosure Case Court: Docket# Date filed: 12/16/2015 Current Status: Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name, title,): Darren Wisniewski (Waltham Resident) Company (if different from foreclosing parry): Altisource Solutions, Inc. Address: 1000 Abernathy Rd Northpark Town Center, Building 400 Suite 200 Atlanta;GA 30328 Phone: (866)952-6514 email: VPR@altisource.com other: If an exemption is claimed, please do,not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none" or"see above")),. Name,title, other: Darren Wisniewski (Waltham Resident) *Please mail correspondence to Company (if different from foreclosing party): Altisource Solutions, Inc. Atlanta office,Darren is local to address Address:. 1000 Abernathy Rd Northpark Town Center, Building 400 Suite 200 Atlanta, GA 30328 property conditions and emergency Phone(s): (866)952-6514 email(s): VPR@altisource.com other: matters. Name,title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Alma Emery (�JDate: j Name: Title: Assistant Manager, Vacant Property Registration �;� I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable i 1' r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ; Map .. Parcel y - ' Permit# Flealt sren w Date Issued Fee �' J Treasurer C% P� , Date-Defiai#eve-%n-Appr-aVIE���oard H' oric-0 erva ion yannis � � • .Project Street Add e�_ 1" 1/ DJ ') Y Yi` a—) ' Village' Owner �►^ �i� L°Y� �`l y Address d ` , 65 GpS Telephone l ql�TL Permit Request �� � a2 6�, ,� �a • 3 l .o v�; F Square feet: 1 st-floor: existing proposed . 2nd floor:existing proposed Total new Estimated Project Cost I Z9 GO. Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. welling Type: Single Family ❑ Two Family ❑ `.Multi-Family(#units) ge of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No asement Type: ❑Full ❑Crawl 7 ❑Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new umber of Bedrooms: existing new otal Room Count(not including baths):,existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑inew •size ttached garage:❑existing U new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®o If yes,site plan review# Current Use, Proposed Use BUILDER INFORMATION Name `17:�3p_4'�D 77>TXZ 1 A_X1. Telephone Number Address l��'1 '����� License# _rJ0 H�JAx, YYAa,O 01 Home Improvement Contractor#1 Q 3 7 7 Worker's Compensation# AWL 1(30 43 9 s—01 —°�8 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ^(( FOR OFFICIAL USE ONLY `i I r w " y . ' Y ; * -. .L •' •I4 •• - ..^ ` « 4'j tit .i a - PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS y ; f VILLAGE OWNER , IL DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE F f t ELECTRICAL: ROUGH- FINAL PLUMBING- ROUGH FINAL GAS: , ROUGH FINAL FINAL BUILDING DATE CLOSED OUT Y, ` ASSOCIATION PLAN NO. r The Town of Barnstable MAM f srnai.E. • . Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Gr, CV rZ-_ Estimated Cost Address of Work: V v�V\(n Owner's Name: Date of Application: 1 Z 2—`c'a I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav �4 F Ilf,7-;,7 l,-., Y � •'Z W fly m -1 A = 'c�"b p � N � i7 T#¢f� C a V f x�c `••� v x �c'm of y � t �„x '�"'.-r ��f: �o (�C � Z N _a rr.'O o so aA"o• C • f m v ..._ rn O 04 f 4 • f The Commonwealth of Massachusetts `=- Department of Industrial Accidents oNceallfiruffaatleos - 600 Washington Street " J Boston,Mass. 02111 Workers' ComJ tion Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole �rietor and Dave no one worlds in acity m � //%%%%%%%/ %//O/////////////00///%%/%���%/%/%%%%%%%W/l/m/%a%/�///////////O//////% ® I am an employer.providing workers'compensation for my employees working on this job. eompsnYname.:: pr..; .�t3.1r :.e..H1eIt#:iL` ZT1I{@1I: r.::,:Tl . :::. :..::. address. nst.ab .e. oac ... ..... .....:'. :..;::.}'.:: ; . ": ;:. :::::,:;:t � * :u : .< : :» ; Insurance o :>}:};::::> ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractom listed below who have the following workers'compensation polices: ,... ::......r...... .::::.::.:.:.:.:.::.:..:::::..::.... .......:. .:. ....::.::::::::.....:................... ............ com arty name ' ` - ;<::»<. »::'. ; ::>>; ':>:?; ;:::>::;:::<:>::.::>.:>::<>: ?:��::::>:<:::::?>';'............ i p :;;:<;.is ;: ... G :f'r,::•'.: i s i::t :?:::::;: i:::.: : :' :::: :: ` its 44 :::?� :;i ?:`•i'::;;c;>:. :. ;;:. _ ... .. .....:...:... .. }:•;}:•}:.}:•}:;•}}}: }:;;}:n:?•}::;:ti>i:is ;:};:<;:::;;i a: ii:i:Y r:ii: .fiiiiii......iii:}:};..... iiiiii::;:;;:;:ti::;;<;}::}};}:}}::<.}}}};};:>:;}};::}i is}i:}:i :iii::i: f ?%^ campanv name:<;. ::,>:::::; }i:i:Jii:vi%^:?.i:4iii: ...................}}:{•}:??•i:???6);?•:fiii::.i}}}}i}J}}}'U:::::::::::::::::w:}iii::.i}}i:?•}i:J}}}}}}}}:v}}}}}::::::::::::::::.:.......':'.::::::::.:. ....... }:k+: :�::v:n.: ::. ... ..::::':':Y: address::. ;'':':.:o.'.. tv: :.; :, anent. iiti+4ii?lrii::i:;:,.r)w•?2:ii:;.i; ............... :•::^::!:::.:.::.:..::.....:...::.:.::::.................................:::.:.::::...:.:...:::::::::.::::::}.v:::•::.v:::::::::v::;r: 'Y•i}:::::iii v:::::ii;•}::.:::::::::?y:Y:isii}:i:;ii:yYi>::::'i:}j}}:ii:}'fij;:?i:>:i:}}iiii$iS:}i{. ....^}YT>....i........n.. . ...:... :::::.: :n�:::::::::.::.�::.................:........,......... :.._ ..::.:;..:::.:.........::::;:n:::::.:::.:::::::::::::w:J}:•}:•Yi'r:J':. ......................... atnrance.co.. :::.....:.................................................. olica.#.........................,.:::::.:::•.n.:<?.:.}::??.:.}:.:.}:.}:.::::::.,:.::::::,:::.::.::::..::::.:: Failure to secure coverage as required under Section 25A of MGL 152 can Ind to the imposition of crbuhnl penalties of a fine sip to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincetion. I do hereby certi nuts penohies ojperjury that the injonnation provided above is trap and coned Signature ' Date 12/2/9 8 Print name ��,� � phone# 7 7 5—17 7 8 official use only do not write in this area to he completed by city or town offic d city or town: perm Icense# ' ❑B.Uing Depart Licensing ❑checkif 8mnedi_ate response is required ❑ � ❑Sel ctrnen's Office ❑Health Department contact person: phone#; _ ❑Other or-W 05 PJ� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any roam...c, of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver c: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house ha not more than three apartments and who resides there or the occupant of the dwelling house of � � aP m, P � another who employs persons to do maintenance, construction or repair work on such dwelling house or m the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is _being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. j: City or Towns w Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/limnse number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. --' - The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imtesugadons 600 Washington Street Boston;Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat 406, 409 or 375 1 .; .l 1 <`« <:<Kig {:.:::::Y:.:Y:::.: :YLDjN 1 -:.. UILDING :;> ,. t .................. n {<:<.: Y.. .�::::::.v:::::w.vw.::::•.w:::::.�::::i::{L:.w::::::•vw::::nv::::Y:::.vw:vvvv:.v«v.�: .. «« ::.�:::::::iiiY::::::::•:;::w.w:.wnwYYY.::�:::::::{{:::v::vw.�::nw:::;n:•::::..v:..«:::v .:v..::{{....nv.....:.vv•:•:•.::.:.«:•:.:v,;:Yti:.�:ti}Y}yYYi41vy;.}}•:•:v....YYhvYY•.vYv.«'• .....:Y:•ij{:Y:{;:; ::::::.;:•.>::;.Y::Y;iiiivL:i:....::••YY:•Y:•Y:•Yt>tiXivi'r,:;::iY�{::i+YYi{i:i:i:'ii:'>,:'>:'>iti>:'L v ..n{ .........v.:: :.«............v.«...:..v.. •::.i:::v w:v.Y lli �.�'Q.9•x•�. 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TYPE OF CONSTRUCTION ............ .......................................�.. ...........�.................................... .... . !......................19.. � TO THE INSPECTOR OF BUILDINGS: The undersigned ,hereby applies for a permit according to the following information: H: Location ........... ......... ........ -- ......................!r'. .�...'................ .. .. .....V /....................................................... �- Prop osed Use .................. � .... ....... ............... .......... ........................I......................... ZoningDistrict .i............................ ......I................................Fire District ........................................................................y....... Name of Owner Lr .// C^ '26 f .................................. ........ ..I I Name of Builderr. 1..f f. /A .&; -, Address ..:2 ........................................... .. ...'. fit. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............................,.....................................Foundation �t�'ft �/! ��� Exlerior .t� .t./.,.....44 .... ...��.��..Roofing .. .;��, �r3� � ............................................ .' .- Floors .................Interior ... ...,. t � — Heatingeating ��. . :-.........................................................Plumbing .................... .................:............................................. I Fireplace • ' 3 -t................................................Approximate Cost ......�. G d 4 ...............:..... ........................................... Definitive Plan Approved by Planning Board ________________________________19-------- , Area .... � ....�:: :........... Diagram of Lot and Building with Dimensions Fee 0t'e"` ¢ \ .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH f 1 x \l j CY I hereby agree to conform to all the Rules and Regulations ofrth T Tow' of Barnstable rega dig the above construction. � f Name .. .................................................. �'.....!................ / �r � ✓ Ginn, Russell E. . No ,, 17674 permit for ,, add garage to single family dwell g ........................................................ ........ ............. Location(-Q"Autuw,R.. e Centerville ............................................./nn ...................... Owner Russell E. ................................ ...... ............... Type of Construction ........ . .................... . .............................................. ...................... Plot ............................ Lot ..................... Permit Granted .........M ...7.....................19 75 Date of Inspection .... ...............................19 Date Completed .. ...................................19 PERMIT REFUSED ................. ........................................... 19 .............I. ................................................................. 1....................................................................... ............................................................................... I Approved ..,.. . .. ............................... .... 19 ............................................................................... ............................................................................... Assessor's map and lot number .��/.:, (�. ..... :� �/� " PC"""` — _7_ 7,, SEPTIC SYST01 CST BE , �f INSTALLED IN COMPLIANCC Sewage Permit number ............. WITH ARTICLE II STATE SAItITARY CODE NQ TAN �Py0,*1NEro�o TOWN OF BARNS E, i BBBHS'fADLE. • M69 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ............. ........ ............ ...................................................................... TYPEOF CONSTRUCTION ............✓". .....�.................................................................................................. ........7.....................19..R� TO THE INSPECTOR OF, BUILDINGS: The undersigned hereby applies for a permit according to the following information: 4 -r .V7 4.k:f.P--M...........�..�.1...1V.. .............:.............................Location ..................... . .. .......... .......... ProposedUse ...........�...... -, IG................... ..... ............................................................................................. ....................Fire District Zoning District . ....... .......................................... ,,��`` ........../................................................................... Name.of Owner �l � A�/I�.........Address ® ` - "0, `�....e. ..................................... .............................. ............ ................... Name of Builder . .4).a.�—.a.......&lf. .0.1�.1"'P'. �1�ddress .. ....... ....... ......... . ........ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........................... .....................................Foundation 4�n.jqo!..r,.;... .................................... Exterior .........tC./..a.V...d...................:` ... r. ...Roofing .. .... :...... ....................................... FloorsC.6-.)�'t.voL .........................................Interior ... �*! ... ........ ... ....................................... Heating ........:.F..�'.A.-.......... ...............................................Plumbing .................................................................................. Fireplace ......................................Approximate Cost 4s- ..................... .. . .. Definitive Plan Approved by Planning Board ________________________________19________. Area .. ". ...................... ................ Diagram of Lot and Building with Dimensions Fee ........ /............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH e4A4 4 o o or� \3 I hereby agree to conform to all the Rules and Regulations o the T n of Barnstable re r•ing the above construction. Name r Ginn, Russell E. r } add ara a to f No ..17674.... Permit for ............�.......�............. single••f.....amily dwelling ••••....••••••••..•••• r Location ....... u.tumn. ...Drive.. . ...... ........ ................................ ......................G�nterv. .11�.....................:........... Owner ......... e11...Fey...Ulm........................ Type of Construction yams...................... " ..................... ..................................... i Plot ............................. Lot ................................ s ` Permit Granted ......i':I$X.. .......................19 75 Date of Inspection ......... ...... ...................19 i Date Completed .. � / 7 .............19 a , t ' { PERMIT REFUSED �- 19 1 ............................................................................... - Y r s ............................................................................... r ` flf ........................ ................................................... Approved ................................................ 19