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HomeMy WebLinkAbout0031 BLACK VALLEY ROAD �Jry 4� !Y 11 7 F V 7 .. � ,,r ,. �'il1;' ;� �,. � ...� •�1' �,� ;".� r K�, v�° tr, `���r, �.x4 $.rr. ,rF, ! �,.'��, tW' - t"e•r. - "�a;',,. . ��t_u:trf-,r:} „�.;, !l^'4qq r,. /r'�.'±�rr 4F:' ptt.: s� `.F' � �';/f� �'��' ✓,h,1 �{t�, :,1�'r,3'i r.t1 rtn �.t{ it `'Af h� L �,y-.t r 7, _ a k u }fi r � o • r / I i s � g fi fk 7, Town of Barnstable Final Inspection Affidavit f Date: Building Division 200 Mair-Street Hyannis, MA 02601 RE: Insulation Permits Dear' This affidavit is to c of t work o leted at: Street: Village: has been ins ed by a certified uilding Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit applicatio num er: —1 Issue date:' 17 Sincerely, a Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com F R� J N TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V Application. Health Division, Date Issued Conservation Division Application Fee Planning Dept. Permit Fee /T Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis OvLt fir.?-e Project Street Address - Village Owner ,y�1� /�� �� Address�`,�, H � U �`� UE) Telephone - � —�1� IILYI L'1 l�tl Q-�/'(� CZ123C . l Permit Requese C 1 �3� r of Uv o2k&6c7 !- t 07 Square feet: 1 st flQoL existing proposed 2nd floor: existing proposed Total new Zoning District Kz Flood Plain Groundwater Overlay Project Valuatio d 0D Construction Type t Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half:'eJjYt'ir5Pg0NG DS1 *- new Number of Bedrooms: existing _new AN 2 ® 2017 Total Room Count (not including baths): existing new First Floo. Room.Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 01' o If yes, site plan review # Current Use '�-1 Proposed Use fos�laen 44+c_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nam - ULTelephone Number 7 �/_ l Addressl'ITI K&A2LA M License# &VziL , M A qa k-:31 Home Improvement Contractor#"O� Email Cares Compensatid (AD-f7L763)_5%176 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1%4- SIGNATURE n DATE FOR OFFICIAL USE ONLY APPLICATION # 4 " DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 'f F r r a OWNER ; 7 DATE OF INSPECTION: FOUNDATION r FRAME M.r INSULATION JFIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. 61 — hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home l agree to the following: 1. 1 give permission to Housing Assistance Corporation to access the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this a ../clement and give my consent. ' Home Owner(Signature)t � Home Owner email: NO (A�fG C, Date: Agent:(Signature) 1 Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Tupper Construction Cape Cod Insulation a V -, I'�LU C�tT2P)t!'Y.f4;�----a � ,_ ea1th of hfass acltusetEs . rtr = r ; Derirtmettt.of Intrstriirlt ccirler cts ` f" .1 C'on ress Street,Suite 100 r Boston, MA 0311 a-,01_ ? f)v1dift 11 ar'Hers't;oa alaen5ati ao iiasurancc �F ttarwit::B:ntlticrs;'t,i7tttracEiary `lectricisiri/1 I umbers. {;Cl`BE FILED wi,rH THE I LIZ 1It""TIM.:<CTHta MTY-. app{!icani {n brniation P{cast Pk nt Le;i�l:` fVc1CI1 iRussras` r+ tntrizorv'inzttutdtrislq ?? i' ) i 11 L '( l',e� a*fit Address: Ci(<l/State/Gip: ,° ;` fvt f'horie .ore you an.emptoyer'Cheek the rttprnpriiiii'lwx: ( Type of.protect(required).: t Iama.emplo,crv:itii t ��crnpiovice. (fil!.a71'ur-.part-tircj' l; `ew construction Lama a sale pr6prietar tar I:arincrsl)m and haac ro emaioyees w(okot_d'qr me m, S. f2etriteling ally papacit, (hfn work tromp snsu cacti qr ire :f KID am a homeowner do,r a all work #' Comp, i �, �f�emtai 1t Can ;useIf[No 16rker insurance rquirc.i,.s am a hover.owner and will be hiring contmmit s to:coruuct s!work On rn.p roFCr): twilt ,l) E3lirl tn�aila;bran enStrrc oar all caratracta s�atIrP€�axc wrack,.,.., cumht iv,atwfl�nstuaoce or are sake !1, f fearical epairs:or additrot S praprtetz;rs ws Is ao ciaa Irayaes_ i j 12.❑t'lunihtng repairs or additians S t t!,pneW coact a t ar an f I have h€red zt ,ut <artractor,is°e� on the gar c e!at at. t ne t nu`•conracinr,has snt7tt r�us ark.+av�wunc� u„€.u unit e .�Ranf rep am; I 6.0 sr:,acnrpor irwi arld its o+ i4cr�t.tvc xerrssedtticrr n f of tC!.tputi a p r r1t,i[,c. y:ffetliet t/�{ w tf/l✓(x'� ,C�1, I IS', §1t4i,and we nave:au impl,)y es:(No workmi'tansp,insurance rett;irzd.l l s •1tiy atypi icantihm check lox fi I mtts2 xi,a tit nut e se fort beer u;hvonr~dteir workers C>ntpeastion onlres information t kusneoumers who subrrrii th R atrl ivit n CAat<7g t,ry r veto n a.l,up and then hire vats ilt.cumructom musr ubm.t a new at idava in.'icwing such.. j riontry oa s f t crrtck rMf.box ras:?.cache i tar.:adttsppn i 5hcx t S 7o vtng the tiur C of thz stria-contratct$s and state whether or not;apst C:tides,have i emplo ees. If thchub eCr tCe ctors?tuea+mpiacces;tiny nsust:a,r eictC ih it workct; comp,pAlicy cumber (C n(Cr2 enr(J a_yer tlt(ft_:tS"iDlRasf4Cng}Uf1r1CL'!S' C,at71(3(?nS(CXtOn tn.Vi(ranj2C.'for my eFtployee3'. Below is the poilicy[Init joh:ske information. risuiance Company.Narne A- t ,��,� laal-C or Self-iris. is u\ r r 5` L / Y-_1 . I.CL E:<l?tranonIDate {`JobSitz raddrtss b Z�itylStriteil ���attach a copy of the workers' cottia#iota p is}`ilcciarativn pagc.(shoaa'inn'the policyHunt er and cz iration date). J Failure to sec tie ccivc age asiequired under t11(.L c 151;q'225A s a c.rSrni xl )iaEation punishable by a Crne up to 1;500 )G and/or age-year t npriscaruil4nt;=as pelt s civil penalties in the fa to aa,STOP wokk or,r)t R and a r.ne taf'up to 3250 00.1 dayagairist the vicriator.A ceapy,afthis atatenien' -ray be:,s'NnVtir_ed to the t) fic..of In �C.gat.ons Of the GlA. ar insurance Coverage kr fication. I do hereby certif r ant/er,the pidn'S•a Xter'of l>erju:ry Mal the infornratj#rr prravirted boy rs true rir d correct. _ Signartara: [)ati Qf/tCiri(.ii.s'�.t�rtly. Do no1:wrrle[n this area to Ge Coinyleterf bti ciXy or tUt+fr offsarrt City or'Foy u: Pcrinrt�License.11 t _ Issuing Authority(circle on>`l: L Beard of NeaM 2. Building DeparYnient 1.C icy,I nw;n C'(pxk- 4. C retricral Inspector S. Plurttban! rispector t U.Other f t i s C>ontaCt`Rersou, __ Phone 4; � _ r I j ACORL7® r ATE(MMIDDIYYYY) C01 CERTIFICATE OF LIABILITY INSURANCE 03/16/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER . NAME:c Rogers and Gray Processing _ ROGERS & GRAY INSURANCE AGENCY INC AA&._Q�)_ (508)398as8o _ _ E-MAIL mail f0 erS ra com ADDRESS: g g Y• 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B --"--- ---"------`-- -----._..._...... ----- FRONTIER ENERGY SOLUTIONS INC INSURERC: INSURER D 502 HARWICH ROAD INSURER E: BREWSTER MA 02631 INSURER F: COVERAGES CERTIFICATE NUMBER: 134675 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER ! MM DDIYPOLICY EYYY MM DDFF Y EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR bATuTAZ'ETOT.�EU7Eb PREMISES Ea occurrence $ MED EXP(Any one person) $ NIA I - PERSONAL&ADV INJURY $ G_EN'L AGGREGATE LIMIT APPLIES PER : j GENERALAGGREGATE ,$ —_ ..._—j PRO- JECT I -.__._...._—.._..__..._.— POLICY LOC I PRODUCTS-COMP/OP AGG S OTHER: - $ AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED LI SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ __ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS I "-Per accident)_ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X ST PE ATUTE IEERH AND EMPLOYERS'LIABILITY I �--� YIN ANYPROPRIETOR,'PARTNER/EXECUTIVE I E.LEACHACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? NIA NIA NIA VWC10060153152017A 03/14/2017 03/14/2018 (Mandatory in NH) I r I E.L.DISEASE EA EMPLOYEE $ 1,000,000 If yes,describe under —" —"— ---- --""-- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 I N/A I � I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE.H OLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Frontier Energy Solutions Inc. 502 Harwich Road AUTHORIZED REPRESENTATIVE Brewster MA 02631 ,i; Daniel M.Crowjey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD License or registration valid for individufll use only office of Consumer Affairs 3z Business Regulation before the expiration date. If found return to: `_ HOME IMPROVEMENT CONTRACTOR Off ce of Consumer.:4ffairs and Business Regulation fi Registration:,"="�160854 Type. 10 Park Plaza-Suite 5170 l ' - Expiration 918/2018 LLG } - Boston;NL4 ti211G z . FRONTIER ENERGY SOLUTIONS,' ' FRANCIS SHEEHAN + 502 HARWICH RD. BREWSTER;MA 02631 Un(W.rseeretsry foal ithou stgniiture i Construction Supervisor Specialty Restricted to: mpssaci�usetts Department of Public Safety CSSL-IC- Insulation Contractor i Board of Building Regufat`ions anc# fitndrtt t License., CSSL-105941 .. f construction V.. t r r .:£r.v� r'cet6'.It h. € FRANGIS S SHEEHAN 502 HARWICH RD BREWSTER:NtA 02631. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. „`�' w _ '.� DIPS Licensing information visit: WWW.MASS.GOV/DPS € <r ,ss o€es 02(1712018 I i i -Assws or.s oifioe,,(lst floor):. DUST BE oFTNE o —As�ssor's 'map and lot •number ................................ SEPTIC SYSTEM Board of Health (3rd floor):`' , (�� �: . INSTALLED IPI COMPLIAN Sewage Permit number ........... .........: ..... TITLE 5 L E ; Engineering Department (3rd%floor): ���I�oAL 6} (�,0®E t; 0.0g 9. House number .............. .. !�7/� ,.... ®up ' MAI APPLICATIONS PROCESSED 8.30-'9.30 'A.M. 1:00-2:00 P.M. only" - TOWN OF BARNSTABLE ' B UL D I N G INSPECTOR t - APPLICATION :FOR PERMIT TO '• ........ .. ..F. ....... J .......... .... ..... .............................................. %; TYPE OF CONSTRUCTION ....:..:...... '�. ................19..v!.. TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according to the fol lowing:information: Location .......... ... . .. . ........ ....... ... ,.. .................. Proposed Use .. ........................... .......................... ... .. ......... ................... :........... .. ........ Zoning District ....a...:....................:...............: ........:...:.:.......Fire District . . Nameof .Owner ... ................................... ....................:......Address ..................................:................................................. w .Address Name of Builder ..........................................,.....::....:.:........:... ......:............................................................................. Name of Architect Address ,.....k................. .... ..t...............4. ................ Number of Roo ...... ... ........ .:..': . .......:..°:.'....`.... ..Foundation ....`........ .... i .... .... .... t Exterior ... .. . ............�. .......Roofing .......... . Floors ;, � ...................Interior .............................:............................. , ............ .............................. N a. ` .. Heating .....�...... . ....�......................•..... ..:.....Plumbing _....... ............. � .............. Fireplace ... ... ........Approximate Cost ........ .. ,,.... ........:............. r�.... Definitive Plan Approved by Planning Board_________ _______________ ______19_ Area . ...... ..�r.. .... .�..,.Y• 'Diagram of Lot and Building with Dimensions ,` 'Fee SUBJECT TO APPROVAL- BOARD 'OF HEALTH•; OCCUPANCY PERMITS REQU►RED'FOR NEW DWELLINGS x I hereby agree to conform to all' the' Rules and' Regulations of the.Town of Barnstable regarding above ' construction: {, Name ................................ .. ' - °' Construction Supervisor's License SMALL, ALAN E. 3183�3. Permit for ...4Q...S. Ox.y......... - , 1 Single Family...Pw.Q.II.i)ag........... �- t Location Lot .#.6 7 2.........3.1...ala.Ck....V.alley Road' Y f tnt .Cente ...... i Owner'....Alan`.'E...-Sma.�. ...... 4 i ......... Type of Construction ,Fx.aMe ....... f ......... 3`., ........................L ............ t Plot ..................... Lot" .........'..........:.......... - f "A r%1 25 , Permit Gran,ed P.. ,.. l9 8 8 Date.of<Inspection .. ....19 Date Completed �..... .. /Gr .....:.fiq� 1, P-In . C• a= 0 ,,1 Eu:eSF arm. .. ' o . � y = + . � `! F+ - . . • .p •.i ~. , Y pp r. • .�Ji .. ' , , . • • '• 4 t • - t ' 'p. Y. �•4 �� � ./\ - • `�, � .. - . .fir � , Assessor's offioe (1st floor): tf /{� �/' To- THE "Assessor's map and lot number ............................................ ITo�♦ Board of Health (3rd floor): Sewage Permit number .......... L,..�..!..� ...!.......! • ........•. Z BAR33TABLE. • Engirreering Department (3rd floor): ��c N o• �+ 3 �0 House number ................................#�.........�.�:ll .............. ''�eMP APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only e TOWN : OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ` ::... TYPE OF CONSTRUCTION ..............�_......,......... ............................................................................................... t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ................................ ........ ProposedUse .......:..:.:' ...... ......................................................................................................................................... ZoningDistrict ................................................/..:....................Fire District .............................................................................. r 5 .Name of Owner `�.t ;:.. f ` ' Address Nomeof Builder .....................................................................Address .................................................................................... Nameof Architect ................................:.................................Address .................................................................................... rNumber of Rooms .......... .......................................................Foundation ....... ; ..........................................� CUc •Exterior ......� ........`... .........................................................Roofing .............................................. Floors fi Interior ........ �/ rz - Heating .......:. Plumbing ` `.....:. .............................................. .......... =.. ..'-����.-...... .. ................................ Fireplace ..,....F �.e:�"' .. ....Approximate Cost �"� ..:.... .'..�.'..................... Definitive Plan -Approved by Planning Board __ 19_'___ . Area - ::. :: _ ----- . ................. Diagram of Lot and Building with Dimensions Fee ! -' d SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMIT RE IR S QU ED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name ......... ......................... ` :.. ....... Construction Supervisor's License ....../.... ..... SMALL, ALAN E. =147-101 No 3183 Permit for One Stor Y...... Single Family Dwelling „ location .....Lot. #672, 31 Blac}c,.Vlley Rd. Centerville ............................................................................... Owner .....Alan....E.......S.ma. 11........................... . .. .. Type of Construction. .....FX=e........................ ............................................................................... Plot ............................ Lot ................................ Permit Granted .........April 25........19 88 Date of Inspection ....................................19 Date Completed ......................................19 I _" ae� TNE�O TOWN OF BAR.NSTABLE Permit No. .....3.18.33..... BUILDING DEPARTMENT { "8m 1 TOWN OFFICE BUILDING Cash a Ml A �duY HYANNIS,MASS.02601 Bond ................ x CERTIFICATE OF USE AND OCCUPANCY Issued to ALAN E. SMALL Address lot #672 31 Black Valley Road, Centerville 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. �1. August 15 19 88 -r. , ................. f�'` .... ........ Building nspector o�'�o °•�w TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 �saa�T TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 �o r�r►• MEMO TO: Town Clerk FROM: Building Department DATE: /j��' — An Occupancy Permit has been issued for the building authorized by BuildingPermit #........ ��.1.... .......................................................................................................»......._......»»........»...........»»». issued to .... _ `J,9 ......... ................ ....1���. !—' ,, ... � ..»Q:..... .»»». Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) mA , I / �C(�'J L DATA X yY PER■'- a STABLE, MASSACHU SETTS DATE 19 PERMIT 1 5 SiH ADDRESS (NO.) - (STREET) (CONTR'S LICENSED /("T ;.1ri . NUMBER OF . ...' (_) STORY .�. , . .L..... ;TDWELI_ING UNITSYPE OF IMPROVEMENT) NO. (PROPOSED USE) I.nt !}J!. .5 %.L,.:�t_;.!C- .\' - .` +l It._, ZONING T (LOCATION) DISTRICT (NO.) (STREET) - BETWEEN AND _ (CROSS STREET). (CROSS STREET) LOT SUBDIVISION 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) I REMARKS: (3's:N D '. �i�(} 0, -7 VOLUME ESTIMATED COST -� i.C�''.i .''{I . I FEEMIT AREA OR J 0 i.eiCS-..t)�) (CUBIC/SQUARE.FEET) OWNER BUILDING DEPT. x F'. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR. ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY.' ENCROACHMENTS ON PUBLIC® PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED.BY;THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.-THE. ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION REST RI MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNOA-TIONS OR FOOTINGS. _ MADE_. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL-NOT BE-OC-C-UPIED UNTIL M EMBERS(REAOY TO LATH). FINAL INSPECTION HAS BEEN MADE, 3. FINAL INSPECTION BEFORE OCCUPANCY. P®ST THIS CARD StO" I I "�iSi Lt FRo11 S REST BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS z z ` � z Cy HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT cl- 0 2 BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC; PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CA%. )CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR.WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. DATr CONTINUATION OF ROAD 80ND BUILDING 'ERIiIT the undersigned owner/contractor hereby agree e•i r roan bond in force until the following worx items .3ie to yhe .satisfaction of the Engineering Section of the I�epa:Y.�:�h ; 0'f �.,b i 5+: Yorks. loam and seedshouldery as soon an ' • n weather permits. other (explain) &E--7� SIGNED Owner Contractor EN INEERIN AUTHORIZATIOt t L.6G7TU LOT' (--7 z z4't} _ 03 /� LOT b7 o L o T 4 7 3 v l.nD y I .: em,T= CERTIFIED PLOT PLAN I CERTIFY THAT' THE Four3DaTiory LOCATION SHOWN HEREON COMPLYS WITH SCALE I '' ��, 1 DATE 4 -- I THE SIDELINE AND SETBACK REQUIREMENTS OF THE TOWN OF PLAN REFERENCE l3i-i?--Q 51-A v,, ll-ltz AND IS LOCATED WITHIN THE FLOODPLAIN. "- DATE.; IUl ,-_c' 1 -i` , BAXTER NYE IN C. C. THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS. .I OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES. 1APPLICANT •. •.its�}' i"f• �. � � I\l j mil I �J1N6tI.E F-AMIUi,( 3F3ED MSa r C17,"I,., Co72 1 ' V-T t'•T \ ' l�0 C'rAR3�FxC. CKII.1T�1>G(`. �� "DA l{..`� •! 1 l D X ems... .?, SEP'nc.T,�s�C : 33antsa '9 VA UsE 1 oaa Gc�.u:.ou 561��ia,►�1c � � %- � �.;tiH�, 15'PO S Al.�rT.� C1 S E 1 Oaa EzAI.►.p ty I7f T TH J @:kvW-CN*ISO sF C 2.s . . r{ 'ToT4 t._ -r-2 fi41 er kA FL o Aw t 425 Et?-P a T� 1 � '1.1r1~C.0 LA.;-r i 1J R/�TE 1.` �q lra 2 M�►.t.a¢ s�S • ' - t CHAR17 A. ( 5AXTEA (wa 24W `U , T3 �I. 30.;�,�" 7U 4B Toy aF Fti17 Ntry Z All'P�lC. .sr. S�Nt� �� roan Alt •o toaz� f ox �sr� Gtir_ �s•g ,u./ m 95�2 qS.q .Ptr 11JJ 1Nv -rf.uK WITH 11 CERTIFIED pLaT PL.Ahl E1•la s•1�uE ;! 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