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HomeMy WebLinkAbout0028 BENT TREE DRIVE �. - - o 0 0 a �. ,. � - o o � pal o I f ff 00ke l�lR/lam oFTNE Tow Town of Barnstable *Permit# Fxpires months from issue date CR Regulatory Services F Richard V.Scali,Director pjfC V A EI Building Division /V TOW Tom Perry,CBO,Building Commissioner N 200 Main Street,Hyannis,MA 02601 OF�ARST,�BLF www.town.bamstable.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 y/. Property Address �� �er7.j /re e ®ter b-e Ce+7 plo-!P f//// H1 E 0 62.2- Residentiai Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address O� I JT a pS�i %P'fP �/�i V,e Contractor's Name �o4n C Galke Telephone Number Home Improvement Contractor License#(if applicable) Email: �Jo n Cif C �a,-- e � Construction Supervisor's License#(if applicable) C1_�''1060 0-2 ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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 iYRe-roof(hurricane nailed)(not stripping. Going over I existing layers of roof) ❑ Re-side ❑.Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 required. SIGNATURE: - C:\Users\Decollik\ ppDat.\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI01DHR\EXPRESS.doc Revised 040215 r amvnz"'I'alsln"Qss Rev lattou 1 " ie YP fairs&B Office of Consumer A T s -TRAC?OR TYPe tMPRpVENtEN Ot4 , ME tion 179252 tndividut_ eg►st Xpuation: 71912016 JOHh C•CIARKE ` JOHN ST UIIdersec;e4ac9 t, 15 H9DGES lEl D,MA 02048 �r. MA -r• Public 5a t.s Department°f d Standas husetts utations an " �lassac r uildin9 Reg Board of 6 Suf�Crri`O °' # C(instructloCS.106082 3; e icense'• CLAP`r x A E^�, �or )�mrnissio^er f Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPSS) Mass.Gov Home State Agencies ensee Detailsemograoh . ion ull Name: HN C CLARKE ender: er Name: dress: ddress 2: ity: Amherst tate: MA ipcode: 01002 o nt : U 'ted tates icense atinn lcense o: Inform-- 8 License Type: Construction Supervisor rofession: Building Licenses Date of Last Renewal: 10/15/2015 Issue Date: Expiration Date: 10/17/2017 license Status: Active Today's Date: 10/29/2015 econdary License: oing Business As: atus Chan e: Lic se Issuanc o Prerequisite Information Discipline No Discipline Information ocumen um v Close Window ©2011 Commonwealth of Massachusetts Site Policies Contact Us http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=71953... 10/29/2015 I of TIE rGy * BARNS'fABLE, + 1639• �� Town of Barnstable QED MA'I a Regulatory Services Richard V.Scali,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 I, t 'q9 t ,as Owner of the subject property hereby authorize J 04,1 �ar�P to act on my behalf, in all matters relative to work authorized by this building permit application for: AnT Tree 40- 7 C�� ���r�e "A (Address of Job) Signature of Owner Date Y-OA -a G-/' Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 .77ie Commot'meakh q,f-Vassr chusetts Department o,flndus-trial Accidents - O°face of°lnvestigadorrs 600 Washington Street , Boston,41A 02111 bk'fk'1fh7r7a�£�t�V�l�lll , - Workers' Campensaf an Insurance Affidavit:Builders/Contracfur--JEIechicianslPlumbers APPlicant Infarmafian Print / Please Name(Business ganiz onfln rhvidna� `J lam/ 1/' Address. A City/Sta,&Zip.�� �� I`ll ©�S aar 33 36^ 11 Are you an employer?Check the appropriate bow: ' Type of project(required): 4 I am a general contractor and I I. I am a employes with ❑ 6. �New consfiuction employees(full anWorpart-timed* 9 avehiredthe sub-comtractc 2. I am a sole proprietor or-partner- listed on the attached sheet. 7. ❑Remodeling s and haze no employees. T�ese sub-confractors have.� 8.-E]Demolition woddng for mein any capacity. employees and have weaicers' INo n-orsecs camp-insun- „ce comp.insurance l 9. ❑Building additiost required] 5. ❑ We are a corporation and its 10:❑Electrical repairs or additions 3.❑ I am.a hnmeouMer doing all work . officers have exercised thew 11.0 Plumbingrepairs or additions 123)' �o set£ -wockm - right of exemption per MGL 12_�Roofrepaiis insurance required-]i c.152, §In and we have no Io o workers' 13.❑Other employees-[N _ - comp.insurance required.] 'Ligyapp@icntthatchedabox#1 i also fillcutthe section below showing iieirwoike 'componatiaaperv-yiafnrmauon_ Homeowners who submit dtis affidavit indicating they are doing all wod and then hire outside contractors am_ct submit anew affidavit kdkl iag MCC Icont actors ffiat rhxir iMs ba x mast attacbed sn addiiinoal sheet dLowing the name of the sub-ccmirscto-rs and state whether or not those entities have employees.Ifthesub-contmctorshave emplayers,ifieymustpmvide their workers,camp.Porky number. .Tani an enipLq-wr that is providing it orkers'corulmtsad47ii iztsrtrance for inyT¢nrploj�ees HoToov is tfie policy and job site hiformadon Insurance Company Name: Policy or self-ins.Lic.Ilk Expiration Date: 9 � Job Site Address: City/StatelZtp: Attach a copy of the workers compensation policy declaration page(showing the policy number and ezpu-ation date). Failure to secure coverage as required under Section 25A of MGL c 1572 can lead to the imposition of crirniml penalties of a fine up to$1,5.0aA0 and.'or one-year imprisonmmf as well as tint penalties,in the form of a STOP WORE ORDER and a fine of up to$250-00 a day against the violator. Be adtdsed that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage,6 erffication_ I eTo hemby c.gtliftr e pants a Laltres ofFerjury thatffie in,f ormafiou proii&dd abm a is b-m-e/and correct Sitanature: Date: IW ` Phone Official use only. Da not awite in this Avea,to be-completed by city artoti n officiat City or Tonu: PermitUcense# Issuing kuthority(circle one): 1.Board of Health 2.Building Department 3.CitytTo rt Clerk 4.Electrical Inspector 5.Plum-big Inspector 6.Other Contact Person: Phone#: Information and instructions Massachusetts General Laws chapter 152 regoires an.employers to provide wormers'compensation for their employees. a Pursuantto this stare,an evn7LU ee is defined as."..every person in the service of another under any contract of hire, express or implied,oral or wain.." An anproyer is defined as"an individrzal,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 or trustee of as individual,partnership,association or otherlegal entity,employing employees. However the owner of a d, emDi tg house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,consfrucfion or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25CP also sues that"every state or local Iiceasing agency shall withhold the issuance or renewal of a ficrose or permit to operate a business or to construct buildings-in the commonwealth for airy applicant who has not produced acceptable evidence of compliance with the insurance,coverage required." Additionally,MCM chapter 152,§25CM states"Neither the commaavin h nor airy of its political.subdivisions shall enter into any contract for the performance ofpiblic work until acceptable evidence of compliance with the i„cnra ce.. rupriremeu s ofthds chapter have I;eenpresentn-ea, the contracting aafhority." AppHcauts Please fill oin the wo>kers'co emaiion affidavit coin lebEl b ch the boxes!hat to our situation ifs mp P, Y, Y ecIong� aPP1Y Y � necessary,supply sib-contractors)name{s), addresses)and phone numbers) along with their certificate(s)of asiara ce. Limited Liability Compaaies'(LLC)or LimitedLiabi7ityPartnerships(LLP)with no employees other than the members or partners,are not required to caayworicers' compensation insurance. If an LLC or LLP does have employees,a policy isregiired. Be advised that this affidayit may besubmittedto the DepartnentofIndustrial Accidents for confnmatioa of insmauce coverage Also be sure to sign and date the affidavit The affidavit should be ratrmmed to the city or town thafYhe application for the permit or license is being requested,not the Department of Lo-dusbrial Accidents. Should you have any questions regarding the Iaw or ifyou are required to obtain a workers' compensation policy,please call the Department of the number listed below. Self-insured companies should enter(heir self-m� ce license iL=ber on the appropriate Ime. City or Town Officials f _ Please be sure that the affidavit is complete and pried leginly. The Departmmthas 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 is the penniYlicense nunnber which will be used as a reference number. In addition, an applicant that must subm.fr multiple pennitllicense applications in any given year,need only submit one affidavit indicating current policy ini6mation(if necesary)and under"Job Site Address"the applicant should write"all locations n (ciY or town)_"A copy of the-affidavit that has been officially stamped or madced by tile,city or torn maybe provided to the applicant as proofthat a valid affidavit is on file for fiinre'peam 3 or licenses A new affidavit midst be filled out each year.'There a home owner or citizen is obtaining a license or permit not related to any business or commercial venue (i.e_ a dog license or permit to bum leaves etc.)said person is NOT regr±:ed to complete Ibis affidavit The e Offic of Investigations would Ike to thank you is advance for your coopmafion and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. x The Ca Weaj*of Massa.Ghusze-tts ;-N �Dtpaxfnent c)f Indu-�:tLzal Ai: i{ennts Office ref ve�Cig tioA`i '' r ; ` 1500 washi an Stz�t ' `I`�1. 617 727-49QO Qxt 406 or 1-977-MASSAFE Fax 9 617-`27-7M Revised¢24-o7 -Mass gavldia r•%'"` .,+D'"'„!'^""" ".:t *.r.. .,...,, y. .,.-r...,,,.: e.-..: m+.. ......-..-,;x�••;,,,: ':,, ,..i,,,..,,n,-..,,:{'s...�..r'sy.,.,,, { tf THE TOWN OF BARNSTABLE Permit No. .310.4.7........ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash i6jq ' r` HYANNIS,MASS.02601 Bond .....x... . CERTIFICATE OF USE AND OCCUPANCY Issued to Simple Simon's Realty Trust Address Lot 42. 28 Bent Free Drive Centerville. Mass 4 USE GROUP FIRE GRADING OCCUPANCY LOAD 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. December 29, 88 ............................ 19................. ................. ............ Building Inspector i t TOWN OF BARNSTABLE BUILDING DEPARTMENT ! NAEalr18L :rya TOWN OFFICE BUILDING � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #.....`.-3 .__............................................................................................._........... ...._...... ........._ . ....» . issued to %ouPE' :J�. ovS7v.. j................... ' J�e.c�� Please release the performance bond. ,R SEPTIC SYSTEM MIDST ®E Assessoorr's.off5oe' (1st •floor): �' ,. TNF r ,,Assessor's ma .,ond lot number ....��-`+�..I(afr....j--oi'..5-� a�J1. INSTALLED IN COMPLIAN of o�♦ ;A p •: • o Board of Health Qrd,;floor): l_. J��� �� r WITH TITLE 5 Sewage Permit number l� 6 ' ENVIRONMENTAL CODE A S �9TAXE. ..i..l................................ .y.......... ..� Engineering Depart `�t (3rd floor): moo TOWN REGULATIONS M�a House number, .�. �.... qq ,o,t6}q• 0� Q�.�. . .......... L 'f0 MAI d\ APPLICATIONS PROCESSED 8:30-9:30 A.M. 'and, 1:00-2:00 P.M. only A P P R 0 V ETOWN OF BARNSTABLE 8 rnst le Con ervation C/, 81M.LDING s 'INSPECTOR Sned �—' APPLICATION FO�a tM1T TO . �. .4.................. TYPE OV CONSTRUCTION ........Ulf }Q.(>.... R.. m.Ft ......................... ...................19.. . TO THE INSPECTOR OF BUILDINGS: The undersigned. hereby applies for a .permit according to the following information: � �r o r Location .....'r ::..cJ`L�! ..Tttlt.£....h ,. .zr�.1. .£2U.(...... AL. ..........:......................................................................... Proposed Use .....C?jY1t `£,....FptvnAl.!:�..... £Sj.1��4.g............................................................. Zoning District .......:.....1.^...................n ........ ...........Fire District . .r`s~0IV1 ................ 5 i m p '�'i anonas � t s.i• ' ... Name of Owner .........�A'f3WI S 1&41&:A,'?- ?4:..........Address .. `f7...1'YI&1N..5e:..... /-h'11 c.3S.... nr............ Name of Builder ... !??.5.. ^sK l 1 ....................Address .�h.... `_77: A40--v AM.............. Name of Architect ...�Omt,<)ea� ao,...................Address `\ Y. Number of Rooms ......... ...................................................Foundation' ...P... .T�u� T ..:............ Exterior .f� ... ..Q.... ... Roofing ...... ... (��1V� '.....�A ...... ......................... r ................................... Floors . .W...CC I..................................Interior .... `!►.....cz.1T....T.! �L .............................:... `Heating ..L.. . T .}.�.........................................................Plumbing .... ��I►4SJ 1G ... 1 �2 -FIJ t50OJ Q.� Fireplace .. P. 3�.i'+. .1................................... .... ..................Approximate Cost ...... . �ti .................................... Definitive.Plan Approved by Planning Board ________________________________19________ . Area Diagram of Lot and Building with Dimensions Fee 4.(71. SUBJECT TO APPROVAL OF BOARD OF HEALTH �N� 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 j ... .................... Con ruction Supervisor's License ��� Simple Simon's Realty Trust James Pomeroy, Trustee ! q Nei ...3Z047....Permit for 0.......1 1/2... t..r?'.... - ....a.� g ..fam.�ly, dtael.... .................. .. Location ................. &.ent..1 .ee„Drive ................................ ...................... - Owner ........Siap.e ..Simon's L It Trust ......... .ea.....y......... s _ 7 � . Type of Construction t..?U4 I .................... ...._..............-............................... Plot Lot ............ic42.............. g 3 ` Permit Granted ............E'u us....5...........19 7 , f Date of Inspection ..........................:..........19 Date Compl ted ......... ,......": ........... - _ '� A '� M. m w i R"•On iO�l` R.jOoo R0, 4z 8 if p. .Rao .t 10.00If [ ' t ,b e`0 RV o a 36 JY t 41 g p5 �� 't�oo,e o° ,ot R✓ 7 9 9 0 ^po b+ ,.o.00 G 0+ 5 +N- is at g.g 37 8 ^Nn t +e ,. . � p• / 0 i 'r- t 6 9 P 1 0 NO 00,10 00 4 `(, ge`y`y!. o 1Y19 a �, a 1u d,q'.eq 100 4,m ,0! g RO81 rss.of 35 a.{{ pp t �� 8 9q / ,. 0 0 N O t t . ]J'0° ' 34 ,Oz FtVE p;a . J=opo 'y 2 v� aq,ay'O o° to wt9•./l'df� , t.J6 4• N!f 0 rt t '!.• 'J6.q t zo°p0 / oo ii o b0 Q gh`e�0 JJ eq0' 0 1 R::°. `r���. ^ °?°p0 ; 33 b_ iq , f„<„ `p8 /3 0 , 30 ,e 0 t 'S 1I ii°p0 `I'b• ly�° w� qP'p�.40 - 2(� o .+.� 1eb p1 10, %—fb' tre '' yJ �� s��k •to - 0 a - q ,�qh.� I4. pti pbOf a 56 �' b``s o Ilgp.lObq=+ 11�;bpO�Ja�,. �'q pay IJl. [ •'sIN Ip0.0 f i.+p MSP �I 55 43 a o,42 V. ebptwo��c 'b..� t� ',. :�e9+ Js.os 4 QO t T..sY k IS t 44 27 54'e ° 6�• .'O1+ n+b� + ." 6 53 46 T. 'e .25 t 'ra'oW�, h� t �•o 'moo o 4 ° L / ♦:o S,e 24 t ;oy>r°• v 50 01 ° 23 °° 4 48 t x� o, •� \.y /e7 /9•BY. `� .R°�a c b'e} 2I 0 0 ♦a4 h k�' bh,yh j. \- 20 , w ' 4 LOCYf COnlpr/fff V /o/f 1-56 incl. • Copy of ff of pl°n 51043AZ LAND REGISTRATION OFFICE Morch 6 1962 y Scale,of this plan IWO feet to an inch r C.M.Anderson,Engineer for Court rr3 s} ' 4 J Zv �o�ItiiD, ,; CJ /X v / �,• LO'r 42 �� l t i PREPARED FOR: JN-IeS >COEF-0,- 7 CERTIFIED PL 0 T PL A N LOCATION ,��-T ,- F1'lr 4IImu SCAL E: I''=4c,' DA TE 5-ZZ- �-7 REFERENCE: LOT P B. P. L. C. P. 31 cA3 A FLOOD ZONE I H£REBYCERT/FY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE "� GP E G GROUND AS SHOWN HEREON AND THAT/T o r. JR.. ' 807 !?' L�:!✓5 CONFORM TO THE ZONING � BY-LAWS OF THE TOWN OF i=r�k=�-1,�L�1L�LE- A WHEN CONSTRUCTED. o SUR LOW & WELL ER, INC. 7/4 MAIN STREET /9 $7 MRMOUTH, MASS. DATE TOWN OF BARNSTABLE, MASSACHUSETTS A­i68-051 ' DATE_ Augiy-it 5 19 87 PFRMIT N9i .. 2ft47 APPLICANT _ Fellows Build.ing ADDRESS 349 Main St. , Hyannis, MA 0408.58. (NO.) (STREET) (CONTR'S LICEN.SE1 - PERMIT TO_ Build, djwPl 1•ins STORY Singi.? family dwelling �`Owe13ERN OF G UNITS l (TYPE OF IMPROVEMENT) ovN OO..� (PROPOSED USE) AT (LOCATION) _ lot #42 .2=K 2ti JSZ.It: Tree Drive, Centerville DINING (N0.1 (STREET) DISTRICT— PC BETWEEN AND . .(CROSS STREET) (CROSS STREET) SUBDIVISION —_ LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION � • (TYPE) REMARKS: AREA OR BOND VOLUME 864 sq ft. ESTIMATED.COST $ 75,000 FEE 59. 25 (CUBIC/SQUARE FEET) OWNER Simple Simons Reaity Trust - - Ei 1tt�i Et�7—nu B ADDRESS ' ee BUILDING DEPT. I 3/O lain St.. ,--liyQ�nls, -XA- 026Ql BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY Of toPERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY.PERMITTED UNDER THE BUILDING CODE, MUST BE AP o. PROVED BY THE JURISDICTION. STREET OR'ALLEY GRADES AS WELL AS DEPTH AND LO.CATION OF PUBLIC SEWERS MAY BE OBTAINEC FROIA HE•DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION: OF ANY APPLICABLE SUBDIVISION RES:TRFCTIONS. MINIMUM OF THREE CALL WHERE APPLICABLE SEPARATE APPROVED PLANS MUST BE RETAINED AND AND THIS INSPECTIONS REQUIRED FOR ALL CONSTRUC710N.WORK� CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND t. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. A PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. I '•3. FINAL INSPECTION BEFORE OCCUPANCY. - POST THIS CARD SO IT IS, VISIBLE FROM STREET. BUILDING INSPECTION APPROVALS- PLUMBING INSPECTION APPROVALS -7 ELECTRICAL INSPECTION APPRO AL,S:,. er A/ 2 — 3 HEATING INSPEC ING APPROVALS R RIGERAT.ION INSPECTION AP•P.ROVALS I ENG1 E 1 G OTHER 2 - - 2 BOARD F EALTH WORK SMALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON'THIS CAP NSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE STAGES OF CONSTRUCTION. CAN BE ARRANGED FOR BY TELEPHON PERMIT IS ISSUED AS NOTED ABOVE, OR WRITTEN NOTIFICATION. Assess\al t offioe (1st floor): OFTNETo 'Assessor's map and lot number .... Roo.e.... .Board of Health (3rd floor): Sewage Permit number A-113.0 ..............5 Z 339HII9T&DLE, i y............ Engineering Department (3rd floor): ))� 'oo "639, e� House number:+.��..-.41.:................... ..d-91— oho YpY Ar APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR �1 �1.C..!"....�... f ( 1 APPLICATION FOR PERMIT TO .. �k�. ....�(lxn�.. �... ? ? .•�.�b.h. ................... f; TYPE OF CONSTRUCTION ........ � A.... le ? ,......... ............................................................................ <....`. ...................19..Y-� TO THE INSPECTOR OF BUILDINGS:' e The undersigned hereby applies for a ^permit according t�g the following information: M Location .....'?.T ......ag,vl. ....✓ ....!J.. ......C.,.#..?.!.£(e.-V- f_............. r .�_. Proposed Use .... � `1 .... m..a�..y..... 5� D c`5�.?..................................................................... C....../-.,....... 9� .............Fire District Nl... ,�- 11)j�•�S. Zoning District .......... ......... ......... ................ 5 ti m p1� 5)tnoms ...�%/ Name of Owner .........4'ff?nz.s.. u£ ?�tG..r!f2uST1 ..........Address ..�a ..l....CCII !e�?..5!:.... ...y ?7, ,.fKy1�}��.r..... rr ,, Name of Builder (.Ow6... s�L.1A�tAz� ..q.. .................Address Name of Architect .. .'...................Address .. `?C "t .\\ t....................................... Number of Rooms .6................. ..................................Foundation ... .....Id eF.t�.. !�12 � ............................. Exterior .....� ............................Roofing ...... .......rk455s /7 Floors I AJ.......................................Interior � `n...0 II.�..... ,�ftSl f►P. Heating p.. ............................�`:..,.....�i.....Plumbing ...f'-�.Q r ..F.... !4ST. ».................................. _ Fireplace ..,,1.....�.L k��p ...................... �•.,.... .................�4pprox.imate Cost .....�� ' .......................... ................ I IIJJ Definitive Plan Approved by Planning Board ________________________________19________ . Area l �. .... � .... ?�.. 7U Diagram of Lot and Building with Dimensions Fee 1...... SUBJECT TO APPROVAL OF BOARD OF HEALTH \I JA A))"/Fy� , s � to 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 ...!.,.,.) ............................ Corvstruccon Supervisor's License .0 ,M.........• Simple Simon's Realty Trust A= 68-051 c � - No ....31047 Permit for .......1 1/2 story .................. ..._single family. dwelling Location ...............Z8 Bent Tree Drive .................................. Centerville ............................................................................... Owner Simple. Simon'.s...Realty Trust .................. Type of Construction frame................. ........................ . ......................:........................................................ Plot ............................ Lot ..........#.42............... Permit Granted ..........August„5............19 87 Date of Inspection ....................................19 Date Completed ......................................19 20 r i