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HomeMy WebLinkAbout0075 BELDAN LANE v ti '. .} - .- „� .. .. ,. .. ,. � � '�. 0 .. o., � e . o > p a v 05 2018 10,52AM Tupper Construction Co. 15087785010 page 1 q 1 �, - TOPPER CONSTRUCTION CO_LLC WA Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-6111 FAX: 508-778-5010 WWW.TUPEERCO.COM Date: ` o Town of Barnstable o Thomas Perry CBO - v, 200 Main Street Hyannis, Ma 02601 0 (508) 790-6230 fax w Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application # Issued on `���$ ` has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Address: �cJ � I Richard Tupper License# CS-69058 . Town of Barnstable Building 1?ostThls Card S hat,it:r Visible From the Street ApprovedPlans Must be Retained on"Job and this Card Must be Kept M" Posted UntilFinal`Inspection Hays Been Nlade 63q R i \' " c Permit Where a�C has been made Permit No. B-17-3500 Applicant Name: Richard Tupper Approvals Date Issued: 10/18/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 04/18/2018 Foundation: Location: 75 BELDAN LANE,CENTERVILLE Map/Lot 189 031 007 Zoning District: RC Sheathing: C ntracto�Name ` Richard S Tu er Framing: 1 Owner on Record: CAMIRE,JOSEPH E&JOAN M PP g Address: 75 BELDAN LANE Contra for License CS-069058 2 FW CENTERVILLE, MA 02632 3 Est Project Cost: $2,600.00 Chimney: Description: Install 9" layer R33 Cellulose in attic space. Permit Fee: $85.00 Insulation: Fee Paie1 ` . $85.00 Project Review Req: i Final: ,Date 10/18/2017 Plumbing/Gas a w �� Rough Plumbing: ' ` Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within siz'months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application;andithe approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shallibe in compliance with the local zoning by,laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open fo p biic,inspection for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the 6ulldmg and Fire Officials are provided ow, is permit. Minimum of Five Call Inspections Required for All Construction Workz Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed _ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGLc.142A). Fire Department Building plans are to be available on site, Final: \ All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable RECEIPT ' ` S"MASS` 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit pP g Application No: TB-17-3500 Date Recieved: 10/10/2017 Job Location: 75 BELDAN LANE,CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: Richard S Tupper State Lic. No: CS-069058 Address: West Yarmouth, MA 02673 Applicant Phone: (508)778-0111 (Home)Owner's Name: CAMIRE,JOSEPH E&JOAN M. Phone: (508)957-2434,1 (Home)Owner's Address: 75 BELDAN LANE, CENTERVILLE,MA 02632 Work Description: Install 9" layer R33 Cellulose in attic space. Total Value Of Work To Be Performed: $2,600.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is.true and accurate to the-best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Richard Tupper 10/10/2017 (508)778-0111 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,600.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 1 ......... _ ........ ......... ........................................... ......: Total Permit Fee Paid: $0.00 I - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map te"0 Parcel Application #p?®/ Health Division Date Issued �3 Conservation Division Application Fee Planning Dept. Permit Fee • �� Date Definitive Plan Approved by Planning Board �?lWIZ Historic - OKH _ Preservation/ Hyannis Project Street Address Village �.�Y U,��� Owner (am. nA I i e., Address 5 &?Jkoe Telephone 50k - 4 5"1 _Q g 3 9 Permit Request t-i,n i 5 of ,r► - a y� C� ���tAm. 4'L.!� �V't 1 �V 1�J rVv s 1 � AJI t/ •�vV •• L./L.IV44 l g� ►l fAA) W, r A.,_.)S 0_(Ona 4c��3�e '4J o �IornG l�C`.' Square feet: 1 st floor: existing proposed / 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ffg DD-GD Construction Type��%Z Lot Size At,- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Sin Ig e Fa ily Ca/' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes W-Mo(# On Old King's Highway: ❑Yes ❑ No Basement Type: Yfull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 00 fwr Basement Unfinished Area (sq.ft) 2640 L4111 Number of Baths: Full: existing new Half: existing / new Number of Bedrooms: existing -- Total Room Count (not including baths): existing new /� First Floor Room Count y Heat Type and Fuel: &Kas ❑Oil ❑ Electric ❑ Other � Central Air: Yres ❑ No Fireplaces: Existing New Existing wood/coal`'stove: 0-:Y: es ;G o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existi g ❑ new sizes Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 7 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ � Commercial ❑Yes // a'No If/yes, site plan review # Current Use Proposed Use 57~, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1`� � ��, Telephone Number `7?u/ Address License # to1 G9CB Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I Q f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 0t to INSULATION 64a FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL fi FINAL BUILDING Mb 1111S1IL.& DATE CLOSED OUT ASSOCIATION PLAN NO. { l The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: . City/State/Zip Phone#: 0' Are you an employer?6Feck the appropriate box: general contractor and I Type of project(required); 1.El I am a employer with 4. ❑ I am a g nployees(full and/or part-time).* have hired the sub-contractors 6. ElNew construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have.no employees These sub-contractors have g, []'Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.$ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall 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 a 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers:compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-y ar imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$251.10 y gainst th violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o the for ins ance coverage verification. I do hereby certify r the p s and penalties of perjury that the information provided abov is true and correct. Si store: Date: f . . Phone#: `77L/ FEOfficialuse only. Do not write in this area,to be completed by city or town official n: PermitlLicense# hority(circle one): Health 2.Building Department 3. City/Town Clerk 4 Electrical Inspector. 5.Plumbing Inspectorson: ' Phone#: V � E lti Town of Barnstable Regulatory Services * BARNSTABLE, 9 Mass Thomas F.Geiler,Director �p i639• ♦� rF039 6. Building Division Tom Perry,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, C<nn� , as Owner of the subject property hereby authorize to act on mybehalf, in all matters relative to work authorized by this building.permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is 'nstalled and all final inspections are performed and accept Sign tune of Owner Signature of pplicant Print Name Print Namelod Date ` Q:FORMS:OWNERPERMISSIONPOOLS 6/2012. Town of Barnstable �pf THE 1p� ` Regulatory Services . sAMsrAsLE, . Thomas F.Geiler,Director MASS. i639• A Building Division rFC Mp'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt . "�`; 'i� t:��ich{rsittti �!s , 1 ortiiir�t r�S•1'rrllu �afct� P E3tt4i P H Y.: r 3 r/►ns antl St.tnilarrls 66nstrirk.2 SUpery i �r ,Lice sp License GS 101696 — Restricted to. 00 pr TIMOTHY, eJOHNlSON 8.16.OLD STRAWBERRY HILL R F. CENTI-RVILLE, MA.02632 Expiration: 8/23/2012 F C'ununisciuncl" Tr#: 101696 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ` OME IMPROVEMENT CONTRACTOR :.. before the expiration date: If found return to: _ egistration 159982 Type: Office.of Consumer Affairs and Business Regulation x / xpiration 6/13%2014: DBA 10 Park Plaza-Sui 5170 Boston, 02116 TIMOTHY.P JOHNSON CONSTRUCTION ij TIMOTHY JOHNSON` `,j—g' 180 MEGAN RD HYANNIS, MA 02601 "-' — Undersecretary. Not"Iffi without signature J Ich sir hx�° FX a 0 ( Oaql�o oFr Town of Barnstable *Permit# ti X-P �� . Regulatory Services �Fees6ttrs r°j rrednle EtA p J9 0 Thomas F. Geiler, Director sly Mp"V Building Division144- TOWN OF BARfVST ol� g��l/0 �BL� Tom Perry, CBO Building_ Y g Commissioner. 200 Main Street, Hyannis, MA 02601 ` www.town.barnstable.ma.us Off-ice: 508-862-403 8 Fax:308-790-6230 EXPRESS''PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 2 Residential Value of Work. Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address" Contractor's Narne �/ � �. ~�e.�/` j! Telephone Number. Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) lt� CWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name f�CRI Workman's Comp. Policy# .. �— 3 K2/ - o2 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side .#of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum_35) #of windows *Where required: [Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is req ed. . SIGNATURE: G Q:\WPFILESIFORMS\building permit forms\EXPRESS.doC Revised 072110 - r Tlae Ct?nnnoirweahly Hof Massachusetts ..� -- - Department of Indristrinl Accidents �—` OffiC't°Of ITPvt°Stfrgl7,tlOTTS 600 Washington Street p fi Boston, AL4 02111 tb'ffwl'.TrrtrSS.gavldla NVorkers' Compensation Insurance Affida-vit: BuildershContr-,tctors/ lectiic ins/Plumbers Applicant Information Please Print Lepibly Name. (Business,^Organizationihdiivi�dttal): A ddre-ss: City/State/Zlp: !'t' t Are you an employer?Check the appropriate box.: Type of project(required): 1.Pal I am a employer with '51 4• ❑ I am a general contractor and I erzzployees(fu11 and/or part-fiime). * have hired.the sub-contractors S ❑I taw construction 2..❑ I am a sore propne—tor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition urorking :far me in any capacity. employees and have workers' Y 19. ❑Building addition [No workers' comp.insurance comp_insurance, , required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ :1 am a.homeowner doing all work officers have exercised their 11.:❑Plumbing repairs or additions rn self No workers'comp. right of exemption per h'1GL t c_ 152, 1 ,and we have no 12.❑Roof repairs insurance required.] � ( ) 13.0 Other employees. [No wort ers' comp. insurance required.] *Any appticaut that checks box#1.mast also fill out the section belma,showing[heir workers'compensation policy information_ I Homeowners who submit this affidavit indicating they are doing-all work and then hire outside contractors must submit a uew affidavit indicating ankh- °Contractors that check this box vsun attached an sdditional sheet showing the name or the sub-contractors and state whether or not those entities have employees. Ifthe sub-c.ontractorstave employs,they:nnM provide their workers'comp.policy number. I ant Rrl e>repiny ear thrri is prouiclirlg itrorkers'carrperesrxt on irtsrrrrl:rrce for Any'Pttlplol ees. Beloiv is Cite paltry Anal jab site irlfarNltEtIDlt. , Insurance Company Name: Policy#or Self--ins.Lie. r Expiration Date: 4 -PA6/0 Job Site Address: /�Y'1/�J�y City/state/Zip:. ®W. Attach a copy of the workers'compensation policy declaration page(showing the policy number and eipu•ation date). Failure to secure coverage as required under Section 2.5A of MGL c. 152 can lead to the imposition of criminal penalties of a tine 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of . Investigations of the D.IA for insurance coverage verification. I do Irby certify and €hePains and penalffes ref pe itty that the it fortr1Rtion pro,ide f a1171,lo baiv is trite and correct. Si Lure: Date Phone#: `�S Q0"lriall�se:ocely'. Da not",rite in this area,to be co!lipltrted by city or torten official City or Tomm: Permit/License# s Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Pluinbin.,g Inspector 6.tither Contact Person: Phone M 6 P�oJHEr, Town of Barnstable Regulatory Services IR^I;(i^ B '$ Thomas F. Geiler, Director . A39.,ta Building Division Tom-Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: N8-862-4038 - . - Fax: 508;790-6230 --------------------______—_ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: s� 13?'L 05ZA— number - street _ village h ..HOMEOWNER" arp- 4<� C,;—e-s �� ®`�� / /��e S. name home phone#' work phone# CURRENT MAILNG ADDRESS' R12 (1 F city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less'and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is or-is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. Xperson wh"o c'onstructs,more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work-performed under the"building permit (Section 109,1.1) t � �• �. The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner certifies that he/she understands the Town of Barnstable Building-Department minimum inspection procedure nd r quirements and that he/she will comply with said procedures and requirements. Sig ature of Homeowner Approval of Building Official r Note. Three-family dwellings:containing 35,0' 0 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control, HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this,section(Section, 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." `r>4< "I N Many homeowners who use this exemption are unaware that they are assuming the responsibilities of'a supervisor(see Appendix Q,Rules&Regulations for ' Licensing Construction Supervisors,Section2.J5) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. r To ensure that the homeowner is fully aware of his/her.responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in yourcommunity. Q:\WPFILESIFORMS\building permit forms\EXPRESS.doc Revised 072110 • r OF IKE TOE w BARN5rABLE. "SS Town of Barnstable �IFD MA'S A Regulatory Services Thomas F. Geiler, Director Building Division Thomas 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 as Owncr of the sublcct property hereby authorize �� SCL� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 9117116 Signatur o£Owner Date �� CAPS Print Name .If Property Owner is applying for permit, please complete the Homeowners License Exemption Forma on the reverse side. QAWPFILESIF0RMSlbui1ding permit forms\EXPRESS.doc Revised 072110 TOWN OF BARNSTABLE Permit No. ----------—--------- { Building Inspector cash • ---------- —- �°"O OCCUPANCY PERMIT Bond ----—_------- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ........................_............................1 19......_ ................................................................_....................._................._._ Building Inspector �,.+r�.' � ,a.-rlti•.......,.y> -- ....:...:....•,.......-+.-+�..y:D.... —.-....- y. 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EET t, a ''„ q x £� b1 r�o,NT a o� ADJA ENT' A.� 3 Al S TA ° 4(/n.. / R.._ •. �,•a ( Y �mt.S C .y.� .t a,::;`�i T `M 3 t+ •S ' ' - SC A L,E k /'/�� V A 7 T �r'7g A''tt7e•'e+' ��'` y �'-.1` 41�I ` (lii ►E '�I NG C41 �c-��✓32�r:� . : 7 sGLIENT MEN � -Y THAT T , ' 4 "�A.�OI TLREOI1 `_ SHoww" ON rk.IPLAN �:S i @ r z ? k A Nth€ J09 MO 79� r ON .THE "GR WINO AS i �f ATr, hs r s E $UR•VEXOR ice• 0;6 A,,�4/Y1 C4ri'DAbS Tp,''THE ZGNt�14 x; at j Of BARNs.T/ O4 , t A # f ism (,N K • n C Q.Iy / /:f 3nN ! 01kE T 0!� /.. ty .................WAlTsessor's map and lot number 3.... ...... ....... ........... %1NE Se\v,age Viermit number .(3.Qn.....7y......... SEPTIC SYSTEM MUM r7 C INSTAUED No COMKAA STAXLE, House number ...........k-.?........................................................ MUM VKM TrrLE 6 2639- IDEA T TOWN OF BAR9M.1, Xiltm ITIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... .......................................................... TYPE OF CONSTRUCTION ............... e...................................I............................................. >....................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... z........................... ........................................................... ProposedUse ........ ......................................................................................................................... C z ZoningDistrict ..............................................................:.........Fire District .............................................................................. Name of Owner 0............................Address et4 .... ............................. .......................... Nameof Builder ......... ...........................................Address .......... ......................................................... .Name of Architect ..................................................................Address ............................................................................ Number of Rooms ..................15........................................Foundation ... ............... . .. .. . ........... ..................Exterior .......... ......C /..........................................Roofing ..................VX."-_.5/ ..................................... Floors ......C/IV/1 . .................................Interior ..........5-'�/ ........................................... Heating .... .Y..............................................Plumbing ..... ............. ........................................ Fireplace ................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ------o�/_ -------19 Area .... Diagram of Lot and Building with Dimensions -J,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 ............................. .. ............ - - . GREENBRIER DEVELOPMENT CORP. ' Ipa�ill� Dwell1z�g '' —' x—~------- -------^-----' - Location .Lot-7-7.5—B�l��ao..Laoe___. . . Centerville --------------------------. � Greenbrier Owner _ Development . . ` I7zazue - ' Type of Construction -------------- _..� —_---------._------��---- ' � . ' Plot ---------. Lot ----------' . ` - . ' "^Permit G,on**6 --'J�ill/_�9�� __lV 8O _ ���� ' t�»f Date of |nspecton� -----..�[�����.—.lA '~ ' . ' Dote Completed ..........lA . ' ~�^ WiRMIT REFUSED . � � --- —.' `-----_---..�—. lA �. .��----------------.. ^ .......... .............................................................. / � �� , —. -----~—.—~--------.--. —.. .�.� A. . ---------------- lA ~ � / . -------------.-------.--.—..— . .. . ae Asseor's ma and lot f number V� �'�� ��• ��.,�.. rss TN E Tp� Sewage• Permit number ..8.©7......7.`,!'.......... Z 33AUSTAMLE. i House number ..................................................... 9� MABa p� pow t639. `00 " QED MAY a' '.TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ � .......................... `............................................................ TYPE OF CONSTRUCTION o...� "fie ................................. �/,�,Qp.................... t TO THE INSPECTOR OF BUILDINGS: , t The undersigned hereby applies for a permit according to the following information: Location /d /✓C/ G/d/ir� �Pi✓/7`/!i/%f��a:.......:...............................................:........... ............ ....... / at ProposedUse S `✓/ •• f�/IJ/% `...............................................................................................I......................... Zoning District ......��:j'�/'�i`-�/J.�.............................Fire District ........�..... ........................................................ ; Name of Owner ......................Address ..,/ v' �d..... ....1.��t /��C............... ... .Name of Builder ........... rrrfy�,...........................................Address ............:;A ........................................................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation lI/./.�1 .......... !1!uc'!s�'l�....:..::............... Exterior .......... - Roofing...... ...,....< . FloorsdG% (, /,••, /✓L /.............................Interior ........:. f .......................................... Heating ..' .s'� ...................................................... g ........�/����� Plumbing � ............... Fireplace ..:./ fl%!f! �................................................Approximate Cost ..............'�� / ............. Definitive Plan Approved by Planning Board �_______19_ Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH . v I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding,the above construction. Name ................................ -ter..-. .............. A=18 9-3 1, GREENBRIER DEVELOPMENT CORP. No .22a&Q... Permit for .0ne...Stary........... a iP 9. M ily. ..Dwelling................ Location ....V 7.5...ftldaxx...Larle...... .................Ce.n.te.rville................................. Owner ..Gre.enb.r.i.e.r...D.evelqpMq�p.t...Corp. ....... ....... .. . .. .. .. ....... .. Type of Construction ....Ft-KAMQ......................... ............................................ ................................... Plot ............................ �ot ................................ Permit Granted ............ ...........19 80 Date bf Inspection ... ................................19 Date Completed 19 PERMIT REFUSED .................................... ........ ...../0 .1. 9 ........... ..... . ........ .............. ... .........I............... ................................. ............................................. .............................. ..................... ........................................... ......0............................ Approved ................................./............ 19 L............................................................................... ...........:...................................................................