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Geiler, Director l �ArF1639,MP'(b. � -PRESS ERITuilding Division Tom Perry, CBO, Building Commissioner MAY 1 t 2009 200 Main Street, Hyannis, MA.02601 TOWN OF BARNSTABLfww.town.barnstablei.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_.__._11_4 2i10 ` Property Addressll,/,e [ (tesidential Value ofWorl. S/�(�. l�U Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address �p1710 C_b�dIzo Contractor's Name c Telephone Number 5 �7'd I Ionic Improvement Contractor License#(if applicable) ;� � Construction Supervisor's License 4 (if applicable) ❑Workman's Compensation Insurance rhke: a sole proprietor the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) Re-roof(stripping old shingles) All construction debris will be taken tou' /Jl� ❑ Re-roof(riot stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: i \kPl II.I:SU(IRMS\huilding pe mit forn •\EXPRESS.doc Revised 100608 ,. ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Les=ibly Name (Business/Organization/Individual): � "L Address: �� / ��� �� P✓ 1 l% City/State/Zip: ��l�it a�/L. Phone.#: ��� �VC)��y Are you an employer? Check the appropriate box: Type of proj&ct(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part time).* have hued the sub-contractors ..2:❑ I am a sole proprietor or partner-'. listed on the attached sheet 7. .❑Remodeling ship and have no employees These sub-contractors have g_'❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'••comp.-insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3jo I am a homeowner doing all 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 c. 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 anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have erryloyees. If the sub-contractors have employccs,they must pmvidt their workers'comp.policy number. Iam an employer that is providing workers compensation insurance for my employees Below is the policy andjob 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.'f criminal penalties of a find tip 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 maybe forwarded to the Office of Investigations of the D IA for insurance coverage verification. I do hereby certify under the pains-and penalties ofperjury that the information provided above is true and correm Signature: Date: S In — Phone# Official use only. Do not write in this area,tb be completed by city or town official s 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#: Information and Instructions �. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this.statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing-engaged m a omt en nse an mclu�n` a le .re resen-fa�L VEk—JG- derzzseti empiuye�orthe-=--.-- - -- g g g g• J rP Il; g P receiver or trustee of an individual,partnership,association or other legal entity,employing employees.'However the owner of a dwelling 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,construction 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL.chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance With the in-sur-ance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),-address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly..The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be'used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all-locations in (city or town),".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permifs or licenses. A neW affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i..e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calL The Department's address,telephone-and fax number: The Commonwealth of Massachuwl s Department of Industrial Accidents Ofte of Investigations 600 Washington Street Boston, MA 02111 TO. # 617-727-4900 ext-406 ar 1-$77-MASSAFE EZevised 11-22-06 Fax# 617-72777749 www.mass.gov/dia T►Eri Town of Barnstable ti ' Regulatory Services r r • =AETibTAtLE, • s, � $ Thomas F. Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town_barnstable.ma.us Office: 508-862-403 8 Fax: 509-790-623 C Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this bading permit application for. ,(Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. ' n i Town of Barnstable THE Regulatory Services t Thomas F. Geiler,Director � RI RA/CTLA ta�A 4C . Building Division �lEO Tom Perry,Building Commissioner . .200 Mairi�trcet;--Hyannis;M—026D 1 _. ..... ... - _.._. . . _._.._..... www.town.barnstable_ma us Office: 50 8-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION p�©DAT Plesse Print E: JOB LDCAT10N: dY4 number street village "HOMEOWNER': name home phone# , work phone# CURRENT MAILING ADDRESS: eityhown state rip code The =cut 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 BOMEOVr7-,ER Persons)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 homeovimcr. Such . "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that be/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"bomcownrr"assumes responsibi1-ity for compliance with.the State Building Code,and other applicable codes,bylaws, rules and regulations. The undersigned."homeowner"certifies that.hehhe understands the Town of Bar,. stablq.Bi ldiug Department minimum inspection procedures and requirements and that he/she will comply with said procedures and r ' ements. Sign2blvit of Homeowncr Approval of Building Official Note: Thrce-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 bdn=v mer perfart g worts for which a building permit is requuad shall be exempt from the provisions of this section(Section 1 D9.1.1 -Licensing of eanstruetion Supervisors);provided that if the hamcowner engages a persan(s)for hire to do such work,that such Homeowner shall act as supervisor... Many homeowners who use this exemption ale unaware that they are assuming the respwmbilitics of a supervisor(sce Appendix Q, Rules&Regulations for Licensing Constivetion Supervisort,Scetion 2.15) This lack of awamumess often rrsulis in serious problems,particularly when the homcown er hums unlicensed persons, In this ease,our Board cannot proceed against the unlicensed perstrn as it wrould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/ rr responsmbmlitiea,many communities require,as part of the permit application, that the homcowncr certify that hdshe understaxids 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 fannlcatifiea cro.for use in your community. Q:forms:homccxcmpt r To Date Time WHILE YOU ERE OUT M r Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILLCALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator d' AMPAD 23-021-200 SETS h EFFICIENCY® 23-421-400 SETS CARBONLESS To ' Date Time � 2 WHILE YOU W=T M of ryry�j q Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message ' t S Operator d' AMPAD 23-021-200 SETS h EFFICIENCY® 23-421-400 SETS CARBONLESS � Ga S PQ i TO D 3= Date � Time RILE YOU WERE OUT . M of Phone Area Code Numb?;,-' Extension TELEPHONED PLEASE CALL. CALLED TO SEE YOU WILL CALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message r Operator AMPAD 23-021-200 SETS EFFICIENCYe 23-421-400SETS CARBONLESS amc- I 30, g--94 -TsX _ - --- - ---- - -- - _ 1 Town of Barnstable Building Department _ ComplainVInquiry Report Date: �— Rec'd by: Comp Assessor's No.: ® o Compl aint Natne. Location A � Zc2 I�Ii - 7 ddress: Originator Name: _ Street Vim: State: Zip: J � _ Q tie: D 1: G} Telephone: / � / P. Complaint . Description: Inquiry Description: I For Office Use On! Inspector's — Acdon/Comments Dace: G / Ittspeaor. fff 1 Follow-up Action.. ;U7 P02 Ad(Etional Info. Attached Copy Distribution: I to-Depar=cnt File x*�&„v,Inspector w .... `- 4 � � 1 � �� f• � 'lwal� L 1, ti ,\ , Town of Barnstable Budding Department' Comphi Wfnquiry Report " g Dates 7-1 - Rec'd by: Assessor's No: _• Complaint Name: Location Address: M/P Originator Nmne• Street vd � � State• Zip: Telephone: DIE Complaint Q. Description: ] Inquiry 0 Description: For Once Use Only Inspector's Action/Comments Dace: �p�r Follow-up Action Additional Info. Attached Town of Barnstable Building Department Complaint/Inquiry Report " Date: / — �/ ` &C"rl by: Assessor's No: Complaint Nacre: Location 1,,�14 Address: wr � Originator Name: Street: vdlag ; State: Telephone: D/E Complaint F� . Description: e/y Inquiry Description: For Office Use Only Inspector's Acdon/Comments Date: �P r Follow-up Action Additional Info. Attached Town of Barnstable Building Department ComplainVInquiry Report " Dom; / Rec'd by: __ Assessor's No.: Complaint Name: Location Address: M/P � Originator Name: Slr ct: state: Zip: Te1ephonc: D/E __, — 7 Complaint a . Description: j s Inquiry � Description: For Once Use Only Inspector's Action/Comments Dales �P�r Follow-up Action Additional Info. Attaclied Town of Barnstable Building Department ComplaintUquiry Report Date. G •. / 7 Rec'd by: Assessor's No.: Complaint Name• Location , Address: �`7` �v ZIL&Z.!4- -7— Originator Naine• Street: vim: State: Zip: Telephone: D/E Complaint a . Descripdon: ael Inquiry Ze��e-Zs Description: For Office Use Only Inspector's Action/Comments Date: Inspector. ],Follow-up Action Additional Info. Attached aibutron: g7ute.Department File 9 F E NE T TIME REPO LOCAL - -__-... ._ _ C. _.. O FENSe~( t2� OffEN AT . fJURRE TIME OCC - EO REF OFFIC IR y YPE CODE. Aft Aeeesl 00 ComPkinanl MP MissinpPerson lilt�wnei= )lif 7n1u�1=eison -RF fi�P�6Ag_Persd7f- Stt-SUslpec% YI'Vicaim W ss rip ID ;TJ -- co YPE COOS: AS Abandoned al Bicycle £Y E ideme FN Found LO Lost PR Properly AP Recovered SG Seized Guns ST St*n TW Mmed MV Vehicle rip TYPE ()TV STATE REGISTRATION YR WAKE MODEL COLOR DESCRIPTION-SERIAL OR VIN EST.VALUE OISPOSITiON m u m V d rrl m V t VCIOENTDETAILS:(USESUPPLEMENTALCOWINUATIONAEPORT FORM IF NECESSARY)WARNIMG-This @sanimadepanmentalrepm.itisasumnwryard does not NECESSARILY oontain all the fitasorinlamafanknow/nwhehecKce � v/L L _T 6Or 0 4 em . .✓t /2 00 S� � ra �0?- SUPEiIIOIl REVIE SPECIAL ATTENTION TO INVEST T OFF 'S SIGNATILI CONCUR 0 INCOMPLETE(RETURN TO OFFICER) O IM £STIGATING OFF�CER'S�AINTEO N DAT£ O YES C)NO ewe unr m n REYIEtN1NG OFFICE R i , ,I / ;., Barnstable Police_Department ;NUATION REPORT- (L/ OFFICER'S REPORT PAGE# _EMENTARY.-REPORT t I - m ®v �G0 f j w h � k/ c !/� U 3 00 CIO r � IT1 C m 0 m U 0 CD ry r- m gNING; This is an intradepartmental report.It is a summary and does not NECESSARILY oonfaira�PIVES s aAIINo O'FIC� S I°t °J Er FURTHER A�� r` PERVISOR REVIEW SPECIAL ATTENTION TO Hem fl EVIEVYING OFFICER � YES O NG ;oMPLETE{REWRN TO OFFICER) O Town of Barnstable ,*'THE T°� I Regulatory Services Thomas F.Geiler,Director * snaxsrnsM • MASS.i639-9 � Building Division iO�En Nw+°i Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 `. Office: 508-862-4038 Fax: 508-790-6230 PERMIT# 0 FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village T16 �,v Sd �� S-�d Property owner's name Telephone number C Size of Shed ' Map/Parcel# E3 r°Q- c,i M Signature Date Hyannis Main Street Waterfront Historic District? IV Old King's Highway Historic District Commission jurisdiction? , — Conservation Commission(signature required) DS l ' PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 w �. o7- 17 42,) KN 0 71 P I� 1 �1 _ oo CERTIFIED PLOT PLAN L O CATl ON:C..,4Ew7 ;E,pl/IGGE, oyW. FOR: L�BE L-S oGGb tlJS O,E!/�'Gao/yl�.vT � P SCALE= 30' D.ATE: ocr. z9, R E F.E R E .N C E: �6E i�/G GoT/5�3 �9 5 S h�o�v✓ 6 zn; pA-1/::: qZ �.i,eE Go20, ,QT fj,q e�/57-•4 A T ,v;�4-Z ps I CERTIFY TO THE BEST OF MY . KNOWLED E LAND SUR YOR AND 6EL ( EF FROM ( NFORMAT ( ON ACQU ( ED . _.. . THAT THE f 61440AT/44s-HOWN. ..ON -TH..IS._ ( S LOCATED ON- T--HE-- G-ROUND AS SHOWN HEREON. of � "EPM M. c� MONAHAN,At H No. lii� J. M . M 0 N A H A,N .9 JR . & ASSOCIATES PROFESSIONAL LAND SURVEYORS & ENG ( NEE.FtS �gosrstE�`�°o¢ sully T.OWNE PLAZA -. 900 ROUTE I34 .. SOUTH: DENNI..S� MASS. � �� ,t a s yQ�Tot ro�u TOWN OF BARNSTABLE Permit No. 30149 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ....X... 0 CERTIFICATE OF USE AND OCCUPANCY Issued to Lebel Sollows Trust Address Lot #143, 146 Braley Jenkins Roach Centerville, Massachusetts 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. April 3, 19......8.7 .�................... ............................ ........... Building Inspector f Aj •'�y��•: TOWN OF BARNSTABLE BUILDING DEPARTMENT _ »i°T ' TOWN OFFICE BUILDING riot a639. HYANNIS, MASS.. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy" Permit has 'been issued for the building authorized by BuildingPermit #..... _ ... C.. ._........_.............. ......................................................................... .. .._......_ ......._. . . issued to/ f r!G rAG� d .....y............. ................. .......... ........... Please release the performance bond. THE, FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IMA DATA DINGW ZP 3ARNSTABLE, MASSACHUSETTS , i.�r�� `j■ . c. •: a17{12�y3L�� DATE ,r^ l r 19 RA PERMIT � i'�.1,.!• ..• L'ft1T�'IC t�C1 APPICANT ,• ADDRESS 13 �,:_•, �LL�'CI•�II'.)-s r2�' ` Y .) S T )r C T LICENSE 1 NUABER OF PERMIT TO (1L_) STORY 51n�lal_n F�michb 1h�p �3i]{j-OWF,1�L4 NITS ..it. .. � �(i PE- IM �LM! irlb (PROPOS USE1 VONING PC f AT'(LOCATION) +• s ISTR STREET . s BETWEEN' � � AND (CROSS STREET) (CROSS STREET) ; S LOT 1m.^^.+) 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) REMARKS: n �j - ,�G'�PtL✓C �, Bold AREA OR .. +� .. PERM•, . VOLUME. 1138 sq. It. ESTIMATE COST � N.000.00 FEE ''� (CUBIC/SQUARE FEET) �l 4 .t r OWNER • A v. J � BUILDING' dEPT, h. ADDRESS y BY1 1p A / THIS PERMIT CONVEYS NO RIGHT -TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR Y PART THE O�'b R- 61Yi6R'ARILY 1 PERMANENTLY. ENCROACHMEN rs ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMIT T UNDER THE BUILZ ING CODrA, MUST BE A ® PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS-MAY BE OBTAINI FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE COND!TIO i OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 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 WORKt ELECTRICAL PLUMBING AND t. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATrns. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). - FINAL INSPECTION HAS-BEEN MADE. 9 FINAL INSPECTION BEFORE OCCUPANCY. ram` R POST THIS CARD SO IT IS VISIBLE FROM STREET --_ :`< •,fix. ,:-BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL_5 zl II op a /�. cl"65NOI,67 3 HEATING INSPECTING APP O ALS • REFRIGERATI SPECTION APPROVAI fNE ING } , t I OTHER 2 a ti�� �-� z B RD OF HEALTH WORK S'iALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS INSPECTOR HAS APPROVED THE,VARiOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEP STAGES OF CONSTRUCTION, • i OR WRITTEN NOTIFICATION. ,,,'}'� PERMIT IS ISSUED A�$.„JOTED ABOVE. � � . j So. o o �07— /4ol-3 �s ys—� , t 30 l CERTIFIED PLOT PLAN L0CAT( ON:CAEA17Ie 4 <4 '00w"q F 0 R: LlE l3E L-S oGGO tUS O�cJ/cGop/��.v� P SCALE: DATE: REFERE N C E: 7- /�3 f�S S�yoWti/ �6 $ro 0O4,q A.1,eE Go IZOe> ,47 &,-PAe- IS 7 A* o AT oZEG/S7-,*'-'/a;= LAND S U Ri?/111 Y O R 1 CERTIFY TO THE BEST OF MY KNOWLED E AND BELIEF FROM INFORMATION A C Q U I Eo THAT THE ��U�/Di4T/D�SH0WN ON TH15 N - - - - - IS LOCATED ON THE GROUND AS SHOWN HEREON. Of Z� � G JOSEPH M. -� v MONAHAN,JR. H � No. 13M J. M . MONAHAN , JR . d► ASSOCIATES 9fs(StE4`�°o� , PROFESSIONAL LAND SURVEYORS & ENGINEERS �'�NOSUR`► T.OWNE PLAZA - 900 (3OUTE 134r 50UTH DENN(._5.* MASS. Ape y%2--A6 Assessor's office (1st floor)- PTIC SYSTEM �� �� `THE TOE Assessors map.and lot number ........_... ............. .... y ii STAL o Board of Health (3rd floor): �� " LSD IN ���-8��� fO Sewage Permit number 4 WITH TITLE�.�.�......'Z..' •..®•'• 2 BAsaSTABLE. En*eering Department 3rd floor B// rillAL ENVIR 90 39 Housenumber .................:....:..:.........................................:. y APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. ,only' TOWN-. OF B A R N ST-A-B-LE— BUILDING . INSPECTOR APPLICATION FOR PERMIT TO .. .1 teb.....J..t e7".. rb12 y.....� S C. ............................................. TYPE OF CONSTRUCTION ......... ..'.'.: . ..M.Gr I.E............................................................................ ..............IT...#qA y... 19.Q. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inform tiV: VdJA Location /... .. .................................. .................... .........., ..... ...... . ........................................................... Proposed Use ......-!�f.1 -�— ZoningDistrict .........R.C..r-....................................................Fire District .............................................................................. Name of Owner !-4%. L� ���d ......Address ... ..I. oLD �7G J J`I.....JN1„oj -...... S. ....................................... / ( c.o�s - L' Name of Builder .(...��.�4....�!.4�1�.....................�t,.�....Address ..................................:................................................. � 11 W Nf p n Name of Architect ../.vQ. "S.l.f �.............. C ). .Address ..f rf�.6�..... ........... .r..1............................. Number of Rooms ..............................................Foundation ...../..... ......................................... Exterior �L ..P ..��'JlfflJ.�-'�. � ...Roofing ........./7. .f .. � ................. ................. ......................................... Floors .Interior T P- �f �c- ............................................. ....... ...................................................... Heating G-7,10S g ✓C An" Z �!"qT -� 5 . ..........'............................................................Plumbin .................................................................................. Fireplace ...................!.. 5.................................:................Approxim t?Cost ......... �t7� Definitive Plan Approved by Planning Board _______�_ _=_______19________. Area .............. .. .. O. Diagram of Lot and Building with Dimensions Fee .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. .......... .. ......... ........ .......................... Construction Supervisor's License 0�34- `r.................................... EL SOLLOWS TRUST _V0 112- Story N a Permit for .................................... Single Family Dwelling .. ............................................................................... Location .....Lot #143, 146 Braley Jenki-Els Road-' ........................................................ Centerville ................................................................................ Owner ... Lebiil Sollows Trust ....................... ........... .................Frame Type`of-Construction ..:....................................... .............................................................. ti Plot ...... .................... Lot .................................. Novernb(E�r 6, 86 ra .............. .. ... ....19 Permit G('!nted .......... .... ... Date of Inspection .....................................19 Date C ..e np I t d ......e .... CI > in M Assessor's office (1st floor): ,_- Assessor's map and lot number oFTNETo�y Board of Health (3rd floor):Sewage --� t fO Permit number .................................... Z MUMBLE. i Enaideering Department (3rd floor): le:� .. f; 'o MA°6 , Fes � 0.s�1639 House number . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR f APPLICATION FOR PERMIT TO .. .1�P /� .:�..�.�y �%a�s TYPEOF CONSTRUCTION ......... ...... 2 ..!"l.............................................................................. � •.............� .q.A y ........................19 0. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 47177 f.. f3.L- .....� NlG1lvS..... J�......................................................................... ProposedUse ..... � .L-L /`-' ................................................................................................................... ZoningDistrict .........9.0......................................................Fire District .......... -: .... ................................................... i3E�....�ar.....►...... ,i s-r' I r l�L b...��TG....1.3'l �...(y }/J Name of Owner ................. Address .....:..................... / S LO cA�;s Name of Builder .f,..��.;,��.......c��,�.......................... :...........Address ............................�.� ..................................................... A FLi I-s l - 1��s1 �r b A Yt2 rvi.��{P i Name, of Architect ..... ...:........... ...........................C,��'!f.Address .......... Number of Rooms . ........ ...........Foundation ... G2-�� �^........................................ Exterior ......... GL�..�fS..;l-` .{.!`��.� ....................Roofin /rf� �ffA L`T g .................................................................................... 12 Floors ........... LL.IJ. j.y3...............................................Interior ................... Heating Plumbing f�✓G /�cu Z jji 'l-� Fireplace ...................!.. s..................................................Approximate{Cost .......C�.0�,00�. ...................................... pp Y 9 ------ /� ��.s )o...�./ Definitive Plan Approved b Planning Board �1��_____________19________ . Area .................. . Diagram of Lot and Building with Dimensions Fee. .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Nam(` .......................... Q4 343Y tConstruction Supervisor's License LEBEL SOLLOWS TRUST A= O� 72 No ...30149. Permit for ....1'..Story............ ... Single..Family Dwelling . Location ...Lot �6143, 146 Braley J kins road Centerville Owner Lebel Sollows Trust Type of Construction ...... rame F.ram.e.......................... ................................................................................ Plot ............................ Lot ................................ November 6, 86 Permit Granted .._.......................................19 Date of Inspection ....................................19 Date Completed .................19 �i