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HomeMy WebLinkAbout0504 BAY LANE 0 el X Vxwz__� CC= A 41 .......... I A k 71 M;t A `t"141 t", I';jt� 'tljp ­q, V'-- a,,Wl slV 34 OWN", ME MEN 11C i U 'vwl NIP 0 �i�, U -0-m- I'VE Ty fl-R W ) I i H RK84(6 MMENKNOW MEN �r� F4A ),� , -.,&� if"ifigr- ME I Aig a yPa RM 2's-11 1_"WAR Oil 'No McMinn gnol , 1 �q IN, IT Rp" vl F to ro Im I'l Nit" gpig IN I'M NOW OMIT a'.q;, 1r,41 0� i Bill I Him I I _14� 41i TIN' ZR 'Ail RAM OfAft Ply-- Ilk It, ;L q "4,r fy JIM-- "Ell "N '15 tp. gq§ Ib ggp of, i w­;, g �j F! - W-P zit f� R A �,W4 1ptl M,41 AX, "Af g )4,15M g it 1,AMUNT N�t J g, � �x PZAA x® ' I � V Ap SINE ry own of Barnstable *Permit# I ZOO6 Expires 6 months from issue date ` s Regulatory Services Fee r�VI BARNSTABLE Thomas F.Geiler,Director i639. �0 gEora Building Division Perry,Lem 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 142770(D? Property Address SO A ZAY L IJ. e e&.55— LV/l( M 6 [Residential Value of Work _g DOO. c�u Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address _bQ f2 I I P.rf n S 1151)4 ';?sA..r L j e4 1 rnh Contractor's Name On LT t'.At 4?125 Sic— Telephone Number 51D B ^ 4 a8 .q 8 3 Home Improvement Contractor License#(if applicable) $01 CA 3 Construction Supervisor's License#(if applicable) C 5 Q S 713 4 dworkman's Compensation Insurance Check one: ❑ I am a sole proprietor Vam the Homeowner I have Worker's Compensation Insurance Insurance Company Name Rwc> Workman's Comp.Policy# (A)C,000 c13'7 4 .Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) /Re-roof(stripping old shingles) All construction debris will be taken to Dymp lra,/ _D%!MaAR(z, ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) . *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: P erty Owner st sign Property Owner Letter of Permission. Home Improv ent Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 V. ing egu ations�nd Board of Bu' CONTRACTOR HOME IMPROVEMENT r n �5 Registratip,.w� 225312008 y Corporation k ' p GCI BUILD ERS IN •'`t�= ..����.` NIAZZOLA .t RAUL 1 ROAD $j' peputy Administrator 644 RIVER ILLS,MA MARTONS M a P i 1 The Commonwealth of Massachusetts i Department of Industrial Accidents t Office of Investigations lit 600 Washington Street 11 Boston, MA 02111 �r g www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C Address: ?o Tw)r Sb l (o 141 R lm ?b, City/State/Zip: I(Y)A2STbp rV, 9 #1A OA618Phone #: 50t3 -ga89A34t Are you an employer?Check the appropriate box: Type of project(required): I.M I am a employer with- Z-- 4. ❑ I am a general contractor and I 6. ❑New construction. employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12. Roof repairs insurance required.] t 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-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below.is the policy and job site information. Insurance Company Name: Re 014 t sS,a we-F Cni2yyD- - Policy#or Self-ins.Lic.M. (�C 000 a 374 Expiration Date: ST B/0-7 Job Site Address: SD4 iZ'�Anr �-�• City/State/Zip: CCUTf%;,1f &A N648 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 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 D surance coverage verification. I do hereby cent'y under t pains andpenalties ofperjury that the information provided above is true and correct. Signature: Date: XO Duo Phone#• SM 8 - 4ag f9 94 Official 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#: �1 tNE rq�, ti Town of Barnstable URMABM y Maes: z639. Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, `� ^ �5 , as Owner of the subject property �^ .SjU� `tlQ�s ,�I(�C to act on m behalf, hereby authorize � Y in all matters relative to work authorized by this building permit application for: 5L)14 36LU taAe, ,lie. �. oa (�3 d Address of Job) QA Signature o net Date 2 Print Name Q:Forrns:expmtrg Revise071405 J.U/jU/ZU.Ub 14:L4 rAA )VO lwV loll rntn aai� //J �— C CERTIFICATE LIABILITY 1 v 0✓3 PROCIFCER (508)775-3131 FAX (508)790-1677 THIS CERTIFICATE IS ISSUED AS A MATT-OR OF INFORMATION The Fair Insurance Agency, Inc � ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 43p HOLDER.THIS CERTIFICATE DOES NOT Al4�END,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 619 Maim St. Centerville, MA 02632 INSURERS AFFORDING COVERAGE NAIL INSURED F BUILDERS INC INSUWRA: National Crange PO BOX 509 INSURER s: Saver's MarstoRs Mills, MA 02648 1NSUaEuc: . INSURER D: COVERAgES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,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 YmE POLICIES DESCRIBED HEKIN 1$SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CI 11%5S. INSR TYPE OF MiSURANCE PCk kk RUMBER POLICY�PEC7IVB POLICY RA71OV rENIERALLIABILI7Y MP143707 05/28/2006 U5/28/2007 EACHoccuRRENGE S 1 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO R04TW $ so, CLAIMS MADE i -- E QCCUR _ - MED EXP(Arty one pawn) $ 51 A PERSONAL$ADV INJURY $ 1.000.0 GENDIAL AGGREGATE $ 2. 13, GEN'L AGGREGATE LIMIT APPLIFF'$PER: PRODUCTS-COMKOP AGrp $ 2 C- �. POLIGY JPEC�T LOGAUTUMOSILIE = LtT'Y COMBINED' `L=LIaA1T ANY AUTO ALL OWNED AUTOS 80DILY INJURY � SCHEOULEDAUTOS (PerEmwn) . HIRW AUTOS BODILY INJURY $ NON.OVINEOAUTOS (Pcraccldant) PROPERTY OAE $ (Per aaident) GEUABILftY - AUTO ONLY.FA ACCIDENT $ I ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESSILINBRELLA LIABttJYY EACH OCGUftRENC $ O=R ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE y RLTEI`MON 5 $ WORICERS CQVJW M7X7N AND WC0002374 05/28/506. 05/29/2007 we STATLy OTH EMPLOYM Luumm B gl�spRipR AD(CLUE NE E.L.EAC 4 AOCIDEN? $ 100AW Kyyaa.,dr.�clba under E.L.DISEASE-FAEMPLO $ 100,0 SPECAL?RO•JSiONS below EL.DISEASE-POLL UMIT S 500,0 , . t1IMNT FLOATER 05/29/2005 OS/28/2007 TEREX LIFT TELEHANDI A SERIAL#09664 VALUE 47745 1,0000 DEDUCI71BLE DESCRIPTION Or OPERATIONS I LOCATIONS I VERCLES I EXCLUSIONS ADDED BY ENPORSE,I M l SPECIAL.PROVISIONS 6z !e CERTIFICATE; OLDERCANCEL!ATIQN S`MOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANGLLLEa BEFORE T4E EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE GERYIFtcATE I FOL.MR KAM TO THE L Ew, Shirley & Robert Wi)l i 8! s BuT FAILURE TO MAIL SUCH N0710E$HALL NPOSE NO O8UaATL0N OR LIABILITY 504 Bay Lane OF ANY 10ND UPON THE INSURER,rrS AGENTS OR RPMENTATFVM Centerville, MA 62632 AUYHORmw REPRESENTATIVE Ita Silvia/I AI Is f ACORD 25{2001 08j "CORD CORPORATION Ian Assessor's Office(1st floor) Map_ 'I Parcel Per t# Conservation Office(4th floor)(8:30-9:30/1:00-2:00)' 3 a qG "Date Issued jO Board of Health(3rd floor)(8:15 -9:30/1:00 4:45) E-3-106P� /�� "'3�9�ee- �®. Engineering Dept. (3rd floor) House# �I„E - :SEPTIC rd 19 IN STALLE (\ i WIT U I IA V TOWN OF BARNSTABL VIRONMENTAL CODF k + f Building Permit Application T®WNEGULTI Project Street Address E ��^ - Village g .��t�w1 � Owner . t Address .ti Li—_Rc.�_, �.•v`_ �`.�+� l Telephone ,Permit Request LA;V\�4-00 wA ������^ �� �.C�fvy. Dcc_,�c , First Floor i square feet Second Floor square feet Estimated Project Cost $ ] C)C)() Zoning District Flood Plain Water Protection Lot Size 3 oZ�C=(DU Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use (`�S;tQc'_,nt z.. Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family---- Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths 5 No.of Bedrooms ,3 Total Room Count(not including baths) First Floor Heat Type and Fuel 0'1 I H 1,) Central Air Fireplaces i Garage: Detached Other Detached Structures: Pool Attached ✓ Barn None Sheds Other Builder Information Name `-sC_V�C V3 E Q Y"c:ra c v\_ I-, Telephone Number Address Ce License# 0 0- t-U-7 1 Home Improvement Contractor# Worker's Compensation# X 31 k l o( y s NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ,L'2 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) $ FOR OFFICIAL USE ONLY. - PERMIT NO. + DATE ISSUED { MAP/PARCEL NO. s ADDRESS ' VILLAGE a t t OWNER s , DATE OF INSPECTION: ' FOUNDATION , FRAME- 112 ; INSULATION FIREPLACE. { ELECTRICAL: ` ROUGH FINAL PLUMBING: ROUGH FINAL " k GAS: ROUGH , i . FINAL t z �7 r , t.. i FINAL BUILDING '� • � � . _ -� 4 DATE CLOSED OUT 1 ASSOCIATION PLAN NO. a ` ► 125. oa i AZ- v+ I(r / /�/ _• AXTEP 2�.Oati 1 .. H IZ�' / r�� jig ill�(j The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main SUrd,Hyannis MA 0=1 Office: Ralph Ralph� ftc 508-775-33" Building�� For office use only • - Permit no. Date AFF'IDAV1T HOME a ffROVEMENTCONTRACTORLAW SUPPLEMENT TO PERMIT APPLICA71ON MGL c. 142A requires that the"r=nstruction,aiterations,renovation,twit;modern=tion,co11101' improvement,.mmcn-4 demolition. or construction of an addition to any Pre`Cdsdng owner o0=pied bniIding containing at least one but not more than font da►dIiag vents or to s which are adjacent to such residence or building be done by registered CmMactors,with Certain Cxoepaons,along with other tegttireaeats. !, Type of Work: Suyv-f-oi�✓� C` Est Cost 1 COO Address of Work: � Q'-I � I ? � ✓ J v l<< Owner.Name: Y\Ac, Date of Permit Application: l Fuca C.-L, I herein•ce tifv that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not oamer-ooeupied pwnerpullingownpConit Notice is hereby gnren that: OWNERS PULLING THEIR OWN PERMIT OR DEALING Wr M UNREGIST�CONTRACtO� FOR APPLICABLE HOME WROVEME gr 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. . I 1 Date Contra name negmration No. OR The Cuninunnhealth 1!f Atassachusettt; Department of Industrial Accidents • ; ':!� OIIlceollo�►ga1lolls . ,. E is �.!'._r•�' 61111 ii'asilingun Street Banan,Marx 02111 �'•' Workers'Compensation Insurance All davit Rttficant nformat Plebe PRi1VT le"—.• --*-� name: �(?,t✓�c iiS L 1 i f�C�G'/1�' V ✓� incatinn• a�r.�s vv'4' YV\_A `77 -27U� nh � �, nhpnc# 5 ❑ 1 am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one work-in;in any capacity 01 am an employer providing workers' compensation for my employees working on this job.r earn IT Mine! �YI oc c.,,. _.r Z"C_ address,_ Li Lf 2- 1J� �. • cih•- c MA phone#. 7 7 8 O t•/3 7 insurnnce co. nolin.# /. 2/U L1_ P -7 /0 4 O ❑ 1 am a sole proprietor,general contractor,or homeowner(carte one)and have hired the contractors listed below who have the following workers' compensation polices: company name, address! .cih^ phone#! insurnnee co- # comnanv name address- city: Rhone#s insurnnee en nnfiev# Atiach additional sheet if neeessa. ':=a':-:-= �.,:..,+ .�rr.+.�t _- ra{. ._' _••.��� L—�'- - - - - :,+� Failure to secure coverage as required under Section 3A of AIGL IM can lad to the imposition of crioduai penalties of a line up to S1.900.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP«•ORK ORDER and a fine of S100 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 verification. I do herebr tend•under the pains and penalties ofpedurf that the infonnation provided abort is true andcornea _ Signature /%?� 4121 5 L Print name ti- c ��r Phone# ZZ 7 O V 3 7 o>Tcial use only do not write in chic area to be completed by city or town official city or town: nermit/lieense# riBuilding Department OLicensing Board Q check if immediate response is required OSelectmea•s OBice (3Iiealth Department contact person: phone f . MOther Imvned 3M PJA) . �/ze �anvrreare..uea.C�c.o�✓�aae/uael�i DEPARTf{ENT OF PUBLIC SAFETY CONS'RDCTION SIii3'r,'VTSOR LICENS" NIiIlDeIt ExpiYes: B _:hdate: CS 02E@9i ;0/03lLS7 10l03li947 Restnct'ed T0; 00 HANCIS E YOGA.R t. Qy 442 BAY LN t; I CENTEMITU ,.A 02E32 t � � �� (( �_� * i��i a u y�•��iaa a�s�ee!!a� 4',t BIOME IMPROVEMENT CONTRACTOR, �a Regstration F100718� x , YTyper z PRIIVAtt CORPORATIONS {1 Ejx�pira(tion06/23/96 , ;� nrf1 ,,Mogan Conc _r0o, 5 Francis E."Mogan,-,Jr s ,!U C661 'I`sland Road `a. ADMINISTRATOR Y`y"CeptBfVile KA 02b32 µ.:;,4 .....�.L•..:.... � .-. ,.....,. .i. .. +r,�*w'i?.-:+r ♦S. a..rSrM.rr....... ..vw.w.arr..4�. .,. . _.......... ..� - ...�.. _— _ .a .. i- a w+ i <' �• y. srF�,. d„ _ _,/'. ty�h O.l7�' s"'\ ; r - �< rd °, r »-,�. '.�ds '"?k n 'i 'r, t _ - t rr .«''�s t4�, fJ SvY - `Y�, t._ ?. x .• � •�.,� Y r �` S 'ice"—" '.,. � ��# "C•,:','`Y ,r " 1 t__-,v -. .. - - d' p erM•QY`i) _T.� } f .. , ��ct 1,SCwlc . ! •_��.-_. '1 yam. _ �— ,}'. t �r � �_,.f�� .L_a`ti.Dc�---- .f E„�"� ✓ to _� _ .�c!: 'A?'I&A.\rw FROM TOWN OF VARNSTAS U, -BUILDING ILDING DEPARTMENT . { t Mr. Francis Lahteine Tarn Clerk $fi7 MAIN STREETHYAN1�tiS, A 428t1# � . . - x. „'r'M'a 4+t xe 4 r�8 iw+R.w R'M•w.n-Y!r II = ^ Phone. 77 120 SUBJECT: FOLD HERE 1 DATE _ - - June 6, 1984 MESSAGE Wbr ,has been oxap le ed under' 25648 & 26Q©2 (Silvia + �t _ .r a+r 4e crar+Y d(s axa��R"a �L"•'^�ra.<�x t & Silvia sociatesY -P1ea release Bonds -. _ M�r•.&ira�a�r„�q�ar�a",,�.-+e,.�rvt �.sv.w .'-t�.�s'a.II,. *aw.s,.., ' - • _, .� - .. � SIGNED ., _ . -DATE -� REPLY Ne7•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY ti • - . PRINTED IN U.S.A. - SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH-CARBON INTACT. I we TOWN OF BARNSTABLE 2600?__ `. Permit No. _ Building Inspector NA"IT.a"YL Cash • ____.__. 63v. OCCUPANCY PERMIT Bond _---____ Issued to Llyid & Silvia ASSOcia�, Address T/It. 5, 504 Bay T.ane a (>nt*--r r0',- Wiring Inspector Inspection date Plumbing Inspector `r! / Inspection date Gas Inspector / Inspection date Engineering Department ��y( Inspection date Board of Health �.� ,'i' 'I Le. Inspection date 41 �- THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector I;I �jl►JCaLG +FAM11_Y - BCORooM �,I No G•Aa.BaGE �G FL:ovN 0 j 1. 5EPTIC TA► K = a3oXl5p'/• �19iG.Po fi •' '' „�•1 —l- -,----- 'U5C-" .1000 GAL. 015Po5AL PIT U,5 looO 6AL. .. . f lI S DG vdA�L AsLGA. = 1 Jo S r r ^ 1 ' ; " .I�j0 $.F, X. �•5 - 37�7 G,P D, �,,,.(� � �A�-f 4-N'�J� '. � � ��',a I: BOTTOM • AREA= ,�0 5r•_ 5 c x I o 5 `II � • 'T oT A1- l7E.SIGN : 425 G.PD. �• � � . -ToTAL, pA►%-Y FL-OW 1 �Y I, PE�LcOLA.TIoN RATE - I'IIN 2MIN or LE55 •i�c I, �S.' tib 0 p�SN OF Mks i ALAN i U RICHARO Z W. �I f A. a i JONES �; p DAMP ;# Na 24048 N 25100 A �Q is Q I_ -------------- Top Fug= � yam•� � `� I� Ioov INS• INJ pIST. . GAL, ZI � StJB`adL Bvx ' a EPTIC P'! II Z I voo INS Zl.�i -rn,N►-d LCA�u INV. INV. PIT �I 1 h. 6TuNG /U�• EL-I S �'� SAS �•- GE2TlFIGO PLoT PLA1.1 ' I• L o c Az 1 o N I�TETZa/ I c_LL� ' I� I.10 SCALE SCALE i ICI-- o"'�� pLp,N REFS2.EN4E rt+ A � SNo�YN a N 1aT T N E >1+c a:l-L-I G. `{6,REO N GOMC�L`(5 y�11TN-C HE S 1 of LIN � ,�,.pT S ' ` A►J ;> zowN o� '�3AR�15TABu3,nN� 1S �,., G• '�? �� 3� LOGATE0 WITNI �- BAXTEcze IJ`(E INC. REG I O't�QF�••�'1-A110 5 u Iry EYoe 'T111S PLAN 1 �j IJ0,T ['St,.e C n o►d A1.1 dSTE2VILLE- MAess �I 1�5-I-R�MEI.1T 9- eY E_ "TNF nISETS Sllou4� ti SIL/IA, 4 r,c-TFtz '�I /.�C- or l_ I► IE'S APP�.ICA T r r •lip VJ - J t • }+�r 4 1,41 Am 41 I end14 41 Lo t-ovAJ PA TioAl 411 r -- 1 Vti%OF A9'fS�4C � f: RICHARD yJ c� r A. a ,•` cz BAXTER Na 2.1048 �lsT � cEeTr 1e� PLOT' P>L- t�tit f 1 o sUt� - L or-ATIOt-! z a ' 1 +(c A,� (-(o- i THAT TN6. �Dl�l.�?. `�101J 5"a,,u . 1 ;C6RTIF�f I r t-IEQEaW GgN�FLYS W tTN T H E 'StaE.Lt►-1� 1�� +41JD SET$tiCIC QEQUItZEN�EuTS OF TN I_'ro W U OP, -f3Arz iJI'r AiW A.�.tt� Is L, G•G► �-O� � ' �P�T� s ;LoGA'C�.� WIT%-lt L00 F1�.t� BA7CTEIZ �. uYE• t�ac. t'C1ZED 1.�1 t„l o S U eV i+`f o ctS T4.{l5 VLAN IS UOT BASED U�-J AeJ OS.'TE.QV%Lt� o Mass, o UJS'T'r�cJME�JT ra StJCZV `( i -rt4c UFCSFTS 51401Uw APPL-t GA.►-1T' p C3 r- u e'-0 T'G,D a:T C.vM l w C LOT L I V4 '5 •. Assessor's map and lot number .... ... ....... �� �o�tHelo� Q Sewage Permit number U.....�...../��................(�..!...... . Z HAHd5TABU, . s1il� v . _ House number ............................ .. .9........................... �S;gL.1.�D � ,+ 'mac M63e Ale x r W'?" ,sue �FQ YPY d' TOWN OF BARN STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO/'., 1/V .G-.E........ pQ��/l/...... ................................................................... .421 TYPE OF CONSTRUCTION .. 0 -4.........., A0............................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. Q./.... - ........ � ........ .................................................................................................. Proposed Use .J..l N q L C........... ... (1... ........... C�/!/ � .G.�.................................................................. � Zoning District.LiP{1.�.........1.....�..... ....................Fire District 4,*r �� (rf/ ��................... .... ........ ................................ Name of Owner ,, �L(/14........ G.4 U(4:..^47r!oG.Address ,�el9p.....e .Z4�y.......f!...: Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ..........��......................................................................... Number of Rooms Foundation .50(�1 �� CUB!oA .................................................................. .............. ....... .................... Exterior .............5l...............................................Roofing ..11S .. A L./....................................................... Floors ©w..f.4........................................................................Interior 1. �1: •%C... ..r.. ........................................ l lvar:.,g •Cr6.- ......... ott.��tc� ........G��./....Plumbing �'OP-.4.0....... . Fireplace ...../........................................................................Approximate Cost .. .1Fj . . ....... i5 .�, Definitive Plan Approved by Planning Board _ Z�______________19__ Z Area �J.4a'rJ.. .................. Diagram of Lot and Building with Dimensions Fee .... .............................. S JECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. P Nam ..................................................... °�6 4-r SILVT,Z, & SILVIA ASSOCIATES 26002 One Story Mo. ................. Permit for ............................... .... ., Single FamilX„Dwelling Location ...... 0 4 Bay Lane ...... ........................ Centerville ............................................................................... Owner ..Silvia & Silvia Associates ................................................ Type of Construction Frame............................. Plot ............................ Lot ................................ Permit Granted .,..January 23, 19 84 Date of Inspection ....................................19 Date C mpleted S` fm' .................19 GJZ PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... V� Assessor's map and lot number ............... .... .. ..........I........ T HE Sewage Permit number ................................... ......... 13ARNS'TAXLE, House number ........................................................................ r MAS& 1639.Ar- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO -? 4 .......................;;q" I/ ...................)..................................................................... TYPE OF CONSTRUCTION A�.10n%4.......... ............................................................................. -7 ........................................ 19. 'TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... ......../, ......................................................................................................... .... .. ..... ........ ............. . .................. ProposedUse �. ... ...... �t?:.......... .................................................................. Zoning District .........1........ .)— Z. ..............Fire District .... �..-. .o........ . . ..... . . . ................................. Nameof Owner �/q... Address......................../10"0..0. ........................................................................... Nameof Builder ....................................................................Address .................................................................................... .Name of Architect ..................................................................Address .................................................................................... Number of Rooms .....................Foundation ........................................................... Exterior ..............q�-/ ....................................................Roofing .........�, .................................................... Floors af!..t.........................................................................Interior _..(- P ............................................. Heating .......... ......... .........Plumbing ...........1/,1." ......................;............. . Fireplace ....../........................................................................Approximate Cost ......Zkf r .�✓�' ...........................I.......... ........19 —...4�2 Definitive Plan Approved by Planning Board Area A..fl? ......i..................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................................................................ SILVIA & SILVIA ASSOCIATES A=186-44 -a 7-7 No Permit for . .One Story,,,,,,,,, Single„Family, Dwelling.............. Location ......Lot,,, „r.... 0 4 Bay,, Lane ............... ...... Center.. 1�...........` Owner .......Silvia & Silvia ASSOCr., ............... Type of Construction .F' �ll�........................... Plot ............................ Lot ................................ Permit Granted ..,.January 2 3,........19 84 Date of Inspection 19 Date Completed ......................................19 PERMIT REFUSED ........ ,0....... 19 ............................................................................... .................................................. ............................. .............................................. ................................. Approved ................................................ 19 ............................................................................... ...............................................................................