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0331 BUCKSKIN PATH
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'r,, 1 11-11.1,111, 1, „. s s� a lilli a wv. u«x.a a a.l �, a �,z „r:,.gk 2 u k.:., L to tr,...,.rJ,r c to wx..l as,..,>Is9 sa,�n r. o-k{ v3 sdamc Arh 7, �bP v u. 4-r c,q�,rt-41uL4•m:u•A4�etaVm,�A,sL4F-w1+Y#A �. �- q .,_ �_ �•�w A Town of Barnstable *fermi # Expires 6 mo r su e �T Regulatory Services Fee snxivsrnBce ; 16� ,�' Richard V.Scali,Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL S ENTIAL L ON Y Nr1j a* ot Valid without Red X-Press Imprint , Map/parcel Number Property Address /� [/Residential Value of Work$ a 5-, {/,6,,�, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V Contractor's Name —S'X Telephone Number jXT Home Improvement Contractor License#(if applicable) 6 9 7A r Email: .$ t14 Construction Supervisor's License#(if applicable) ®Workman's Compensation Insurance S Check one: 1 ❑ I am a sole proprietor SEP 17 2015 , ❑ I am the Homeowner T�wN OF ZI have Worker's Compensation Insurance /- BA81V TABLE Insurance Company Name 1 tit ,�22 .: , l- Workman s Comp.Policy# ���" �� b/ 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). Z�Re-side [/]Replacement Windows/doors/sliders.U-Value Y 3 n (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: Q:\WHILESTORMS\building permit forms\EXPRESS.doC Revised 040215 ` SHAPIRO BUILDING&REMODELING 4 DEER RIDGE RD MASHPEE MA 02649 OFFICE-508-477-6886 CELL—508-789-3088 PROPOSAL OF WORK-For Contract Specifications Description of Work #1 Supply and install Certainteed double 4" vinyl siding with no J channels . Rear, sides ,dormer and cheek wall at chimney only to include stripping, dump and new typar house wrap #2 install side door with $700.00 allowance fo'r door'& $350.00 allowance for storm door supply install new interior trim and new exterior. 5\4 & 611 Azek trim with built in J, channel. #3 install only (storm door) #4 remove existing aluminum trim at double hung windows( 11 ) and replace Jwith 514'- & 6 PVC trim with new PVC sill. #5 replace all corner posts with one piece 514 built-in j channel PVC corner posts with pvc air board and cut back front vinyl siding. p' #6 supply and install new aluminum trim to all rake boards and extend to Clear, a gutter. #7 supply,and install new PVC freeze board entire back with built in J channel. #8 supply and install new PVC trim with built in J channel to sliding glass door. #9 Supply and install new PVC trim to octagon window #10 trim out bulk head and 2 legs of bay window. M "° #111 sheathing,window, framing rot extra To include flashing over deck framing,new deck board would`be extra #12. Add 5 Harvey Brand,new construction windows:To be white Classic with 6 over.6, x grills between the:glass White hardware. Also retrim all 5 window interiors with,new stock.- #13. Remove all trash to.dump , y Pric6:$25,400.00 ` • WE PROPOSE to hereby furnish material and labor and complete,in accordance with above Specifications�fo he sum of$25,400.00.The start date of this job is weather permitting.We intend to complete the job, r' weather permitting within a 2 weeks time.A deposit of$8,466.00 will be needed at contract Sig with progress payments as the job progresses. Disbursement:` • $8,466.00 when windows are installed&siding is ready to go on. • $7,220.00 Siding complete • $1,248.00 at job completion of punch list • This price carries a$500.00 discount(coupon use) • All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to specifications submitted per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the proposal. • My name is Steve Shapiro DBA Shapiro Building&Remodeling. My Construction supervisors license#is CS-056965. 1 am a state registered Home Improvement Contractor# 109728.. • Shapiro Building And Remodeling and it's agents are fully insured for liability&workman's compensation. • DO NOT SIGN THIS CONTRACT IF THERE ARE BLANKS OR IF THERE IS PERTINENT INFORMATION YOU FEEL SHOULD BE INCLUDED IN THE DESCRIPTION OF WORK OR THE METHOD&TIMELINESS OF COMPLETION OF SAID WORK. a For:Shapiro Building And Remodeling As owners of the propeh4 at 331 Buckskin Path Centerville, MA r x• . y /ee [pac�L�noruaealf/z a`C%(/G�c�aachcceelld } Office ofv Consumer Affairs&.Business Regulation i. OME IMPROVEMENT CONTRACTOR egistration �.�109728 Type:. •, - ,; Expiration`9/24120:1.6; DBA " SHAPIRO BUILDfN �REJV'0jj E-I NG STEVEN SHAPIRO �_ _ ylx� " 4 Deer Ridge Rd.. MASHPEE,-MA 02649' " • _ .i Undersecretary , F !�! Massachusetts-Department of Public Safety ♦ , / Board of Building Regulations and Standards - Construction Super Ji5fii License: CS-OW965 -�,:.r i s STEVEN M S11"oo , ' '4 DEER RIDGE RD JU,001w MASEIPEE MA 92644, ,"• � Expiration 12/29/2016 Commissioner SHAPBU1 OP ID:GB ACORO" DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 0910412015 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 CONTACT NAME: Gary M.Bruno Paul Peters Agency,Inc. PHONE FAX P 0 Box 669 A/C No EA):508-548-2500 Arc No): Falmouth,MA 02541-0669 E-MAIL Gary M.Bruno ADDRESS: INSURER(S)AFFORDING COVERAGE ° NAIC# INSURER A:Safety Insurance Company 33618 INSURED Shapiro Building&Remodeling INSURER 8:Liberty Mutual Insurance Steve Shapiro 4 Deer Ridge Road INSURER c 3 Mashpee„MA 02649 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. I�iRR TYPE OF INSURANCE ry D POLICY NUMBER tNMIDD EFF MPOWDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR BMA0021768 04/2412015 04@4I2016 pREMISEs ETO a occurrence $ 100,000 ` t t MED EXP(Any one person) $ 10,00 ' PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PRO- POLICY ECT LOC _ t PRODUCTS-COMPIOPAGG $ 1,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ R Ea accident _ ANY AUTO , BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS .NON-OWNED PROPERTY t DAMAGE $ HIRED AUTOS AUTOS Per accid en� � - $ UMBRELLALUIB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ - $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE EH R B ANY PROPRIETORIPARTNER/EXECUTIVE Y/N WC5-$1S609074-015 0210612015 02/06/2016 E.L.EACH ACCIDENT $ 100,00 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under ' DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ - 500,000 ---------------- DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gary M.Bruno i ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) k The ACORD name and logo are registered marks of ACORD M t� TTie Comynorrivealth o;f-Vassachusetfs Deparment o,f Industrial Acciderds - - f3}fue o,f rmwtigations 600 Washington Street ' Boston,CIA 02111 f P1nnniasmgovldin Workers' Campensation Insurance Affidavit:BtdldenIC6ntractorslElec(iicianslPlumbers ApplicantInftarmation �S1i �o �u.��i. � .�/�� Please,PrintLegibIy Name(BusmesstDrgan�tianfludit�ual}: �S'�'�v'e- :f'��,OJ �� Address: 1�eci�C City/stalwzip <-4 A" phone 4--+ ,S be - 9' Are, �an employer?Check the appropriate box: Type of project(required): « I.ILA I am a employer veitfi Z 4. ❑I am a general contractor and I . have hired.the sub-contractors 6. ❑New consi=ucfiara employees(full andfor part-time)-* r 2.❑ I am a sole p%prietor or partner- _ listed on the attached sheet. 7. ❑Remodeling- ship and Dave no employees. These sub-contractors have g. ❑Demolition worldng far me in any capacity. employees and have woricers' 9. [:]Building addition. [NO su orims, camp.insurance comp.insurance. required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs-or additions officers have exercised their' 3.❑ I am.a hameoumer doing all work 11_❑Plumbingrepairs ar'adc£itions Mysf [No workers'comp- right of esemption per MGL 13.❑Roof repairs c.152, 14 and we have no insurance required.]6 employees.[No workers' 13.❑Oilier _��� comp.insurance required-] ! D ou ;Any applicantdat cbe&s hos Pl must also fill out the section below showing Ede.¢wnrkexe caimpensario-n policy infoEmstion- I omeowners who submit this affidzxit iadkztmZ they are doing all wol and then hire outside contractor amst submit a new affifteit indicating sach- fContracmis thst check Ws bait must attached sa addiiianal sheet showing the name of the sub-cantmuors and state whether.or not those entities ham employees. Ifthemb-contramis hive employees,theymusrprovidetheir worken'tomp.policynumber. - I ami am earepiaJ�er flint is pra�zdin workers'coirapeaasa[ioai iirszirarrce for a:y*enzpFuj�es Hetoiv is flea poticy and job site information. Insurance Company Name: L. ,���` �h ,�e�_/__ii All Policy 4t'or Self--ins.Lic.9: 3 Z J ea -7 !Z l irpirationDate: d Job Site Address: City/State)Ztp: /V Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required3.under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and+'or one-year imprisonment,as well as civil peualties.in.the form of a STOP STORK ORDERand 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 ofthe DIA for insurance coverage verification. « I do hereby cattrfy under the prriris and penahYes ofpedury that the iaaformadbn prm t&d abmv is tram and correct Signature- _ Date: Phone 91 4, a�X Official use only. Do not iwrite in this area,to be coomtpTeted by city or fonrn offidat City or Tomm: PermatfLicense# Issuing Authority(circle one): 1.Board of Bealt i 2.Budding Department 3.CityjTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Ph-one#: . , Lnfarmation and Instructions ` Massachusetts Gdanr l Laws chapter 152 regimes all employers'to provide workers'compensation for their employees. Pm sirantto this stafine,an. Zoye---is defined as."_.every Person in the service of another under any contract of hire, express or implied,oral or written_" . An ezrrplayer is defined as"an individual,par(nersb-ip association,corporation or other legal entity,or any two or more ; of the foregoing engaged is a3omt enfPrpnse,and including the legal representatives of a deceased employer,or the receiver or trustee of a a individual,pa taeasrship,association or other legal entity,employing employees. However the owner of a dwelling house having not more fhan 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 ksurance.coverage re_ u ed_" Additionally,MGL chapter 152, §25C(7)states'Neither the commonw'ean nor a'ay of its political subdivisions shall enter into any contract for the perfoffiance ofpublic work uaa acceptable evidence of compliance with the insn7anc6._ re ubl emenfs of this chapter have been presented to the contacting arfhority_" Applicants Please fill out the workers'compensation affidavit completely,by checking tine boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their ceriificate(s)of jusu:rance. 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 regnirad. Be advised that this affidavit may be submitted to the Department of Industrial . Accidents for confumation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retnned to me city or town that the application fur the permit or license is being requested,not the Department of Ladu¢tTial Accidents: Should you have any questions regarding the law or ifyou are repaired to obtain a workers' compensation policy,please call the Di partiment at the numbs Iisi>:d below. Self-insured compa nies should enter their self-?lM.U- ce license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of the affidavit for you to fill out is the event the Office of Investi�ons has to coufiact you regarding the applicant Please be sine to fill in the penmdtllicrose number which will be used as a reference number. In addition, an applicant that must submit muhiple pemutllicense applications m any given year,need only submit one affidavit mdicatmg current p olicy in:[6 ation Cif necessary)and under"Job Site Address"tie applicant should write"aIl locations in (city or town)-"A copy of tile-affidavit that has been officially stamped or marked by the city or town maybe provided to the ' applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be fRed out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventUre (Le. a dog license or permit to bum leaves etc.)said person is NOT ri-,c e to complete this affidavit The Office of Investigations would like to thank you is 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. It commmwedth of Mass ch�tts ' Depaement of IIIdnstrial Amident_,-� =(:P,of Investigafto.� Bostan=MA G2111 ` f,-L 4 617 727-49QO Qxt 406 or I--a -MASSAFR Fax 617-727-77D Revised 4-24--07 mar,,- Wdia r�;.TE.M�' i ':,�;;i '. #..",. + p.. - L has s »:'Y {4.".A.-o: . Assessor's office (1st floor): Assessor's map and lot number ...... �� . ..N!. /......... Q�oF TNe toy♦ Board of Health (3rd floor): o d � Sewage Permit number .....:: .'...�. ��.� L..z. :............... Z BAUMBLE, i ingineering Department (3rd floor): U *� rasa House number � °o +639• ...........................� .,.......,................... '°�a war a Definitive Plan Approved by Planning Board ________________________________19_______ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. .only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................... ....f ...:....:.....:.....'....... ".........'........................................................ TYPE OF CONSTRUCTION � �" a.<a..:�.........&��A.,e............................ .............................................................. ......... lam...........io.............19.,! TO THE INSPECTOR OF BUILDINGS: �ll ��The undersigned hereby applies for a permit according to the following information: Location �F �U!"`. r'�i�..4......d/ ............0 ,c'j!t,/,c�^..r�.l.!1..f:...</,,/! SS°.......�> ��....`'�....... ............................I.... � � 6. ........... � ProposedUse ............ VKOt,.P, .................................................................................................... .............................. ZoningDistrict .............. ........................................................Fire District .............................................................................. d I J r> Name of Owner ..t/?... .Y';7......! � .(, ,./.:... .!1l,'.l>..../~?'.............Address ........ 1 ?t ........................................................... r Name of Builder + ti.....�f..• ...................................................... Nameof Architect ......+ ..............................................Address ..................................�................................................. Number of Rooms .............. .y'i.v.............................................Foundation ........�:G�hGy". /.. .............................................. 0 ; Exlerior ..............J,41!."f.jr..�' e'er. _/..:�...................................................Roofing ..............�1/�.�.L.6::-�:....... ............................................ Floors ......... ll. �.ul.,?.v..[? ........... Interior ...........,5 ^,�;t;-1 C•1G- Heating .....d..... .......................................................Plumbing .............. C./ ..................................................................... Fireplace ............. . ?. ..P;✓....................................................Approximate Cost ........... ...+ J( ........................................ .... Area >: ...1.... ........... ....r:............ Diagram of Lot and Building with Dimensions Feet` _ r 1. '4 .3 F t - y 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. -� 10 Name ,. '........ .......!(_. .;.e .c.+ r........_....�...... Construction Supervisor's License e .. CONNOLLY, JOHN V. A=171-0 1 29 No Permit for ....)Build Addition .......................... ........51m.gle- F.am-1.1 . Diae.11ing........ Location .. 331 Buckskin Path .............................................................. Centerville ............................................................................... Owner ....John V. Connolly................... ..............I......... ..... .. Type of Construction .......Frame..........:........... ............................................................................... Plot ............................ Lot ................................ Permit Granted .........January... ........19 89 Date of Inspection ....................................19 Date Completed ......................................19 , 61C SYSTEM MUST BE Assessor's. office (1st ,floor): �. q �.-. Assessor's map and lot' number : / � / ..::... °FT E rot♦ , Board of .Health(3rd floor): 1�R .... .-..1.. .a... �: .. ..:. �►/���� p Sewage Permit number ® �1sVsil6.f�TIONS - Z BA"STADLE, ifngineering' Department.(3rd floor); J� �+ NA°A House number-.............................. .3. 1....... ........ ., o��e OM 9. \e� Y. a Definitive.Plan Approved by Planning Board _______ 2__.19 APPLICATIONS PROCESSED. 8:30.-9:3.0^A.M• 'and 1:00-2:00 P.M.'only - -TOWN OF . BARNST,AB.LE BUILDING INSPECTOR APPLICATION f.-A... ....... ...... FOR PERMIT TO TYPE OF CONSTRUCTION ... :.... ......................................... .:...:... : .....:......: .V.. 'v..........�. ...... ..... M TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies ,for a-.permit according to the. following information: ( Z.OT' ' '/0 Location•......:.33...1...:...U � s1 /il......, / ! ... CcA •t'.• t�l.l..!.° �51,' . 3 . . + f. Proposed Use ............. N.Y..'O. ....... .......:........... .:... ............... ......... .q........:......... 1 Zoning District ............... . .c c......... ..:...... ........Fire District .....:.. .... ......... ....... .... Name ofOwner ..:UQ.,,f� r'd......�/.'.... .f7e�r 1� . .. .....�.'...Address ............ ! 'l% ......... Name of Builder° .. > ..... ?. ress ........:. ....... ............ .. ........ c�GL d(i� Name of Architect ....:.1?.Q?a. ..!...:....... ....Address ... ...... .. Number of Rooms ...........Q.. .. .......... .... .........................Foundation ..........0:Os?e''r'e.. . Exterior .............. ............................ ......Roofing .............. ... .... .............: .. :.....FloorsLa.c!/,D4Cy S//c� ✓/ .... .............................t..... Interior ',...1!'P. !.................:. . .............. Heating ...... ............. .. .................. ,.................Plumbing ............. .............. ................ ..... ....:.... p .........Approximate Cost .:........� G Fireplace ..:.......... .. ......... .................... .. �D Area ��v... ,. .. Diagram of Lot and Building with Dimensions Fee 94:.J.Q.. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS F 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 .. CONNOLLY, JOHN V. • No 32621- r Build Addition ........ Permit for ................ _. Sin le Famil Dwellin location .. 331-..Buckskin...Path................ �. .. .....` .`...:...Centerville..... Owner John V. Connolly ..... Frame - TypeX ��' � �Y i• ;� � • « of�Construction ................. n �l .......... + ..... r` ,..... i ...... ................ Lot ` .,...... . i Permit G an`ed .... January 6 , 8 9 %9 Date of Inspection ......................'.� .�....19 i Date Completed T •.; tl9 « ' �^'t �r�c � " �.��: �✓'� � { .tom .. Z ^�; ^. ,' _ MA C3 f is i - � �, • ! �l THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IA , I m / L DATA tt ✓ �( �: k Yf L+}' .X �f ywxi�. ;' ,�G:A. a.ae r.,^-e +vr -ro.3s»H.•,mow- 3 U' P -+. .,•�rw ` • Y x� •. a ti ,a t `-4 ,d a i rw,xt.y r ^..•4. �,d'�i$ 1° v .s p q ¢• ',�'4'S &- i ryd. e^Y h;"-d' ht' .[ , �'"3+ty"�-Yb'„yiy M' i S� '"i'���� �""•�'�f^� @ fir,'� �, ir, ';�� r :•,� s 4��r��i y:a �+��� ratia ` ���.max; ✓fy�•s,.^.i+'"'r"��.:•(fix�,�:,� +a Fw ti f �yx n f'r• e .;'`�,...a �.F-,k. .� X t J •v r�f } c d•�fit. 7` ti. f.. ?''e. �.:r. ,„.ggL a.`h14 a e P c.-.-v:_�t v> , '>I'M � `t ,+:���� a.. $t } e 'y +K• F s '2f tp z°'�-r p'L 's y` r ,iag. "§';',..s. �' r v. ac,€at§'a� ,1.545�sy {"3 '',+ •F''x Y ,1^`� :s�4K: t q :r r.:5, t t.. ti KY., _-r -d '•� }r u.•K.t tn^ a a �At' r5 �' � � y,*4's'k r5+�lr � +<{�,y° �. ,�` � � �:� '.L S f�'• � z�4r'r ,, �L,.,x* ?�4,-nil 5' ti.,:S` �F•..� ,,x .n�t 3. s yF }' � t..�� _ f _ •�t:4�i rs'- n § �Ea}}' 1 t is i + ! t r' r•• � � s .. R: jz__' i L GG� j`i U e•.. � �.4 I''' . _—_— + ( C_C:is 1 11— `{ i i-i 1•->,1 l i-1 i1-1 . I ""� C�'�'�:;�\C.6l �..'l }t µ✓t-'�,/� �-1 t x� L✓i- T 4-e C t TOWN OF BARNSTABLE BUILDING DEPARTMENT .. ,, HOMEOWNER LICENSE EXEMPTION Please print. DATE 1,441 � JOB LOCATION ,�v � ti ��rv�• . . um er Street address Section of town "HOMEOWNER" -Name ome p one _76-FrR p one PRESENT MAILING ADDRESS City/town State 1p code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to eng6ge, an, in- dividuaT for hire who does not possess a license; provided that the owner acts as supervisor. (State Building Code Section TG777T ,DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to re= .side, on which there is, or is intended to be, a one to six 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. (Section109.1.IT- The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned homeowner 9 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 HOMEOWNER'S SIGNATURE APPROVAL'OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,' or larger, will be required to comply with State Building Code Section 127.0, Construction Control. ' v • r 1 I HOME OWNER'S EXEMPTION The Code state that : "Any Home Owner performing work for which a buildin permit is required shall be exempt from the visions of i c n (Section 109.1 .1 .- Licensing of Construction Supervisors) ; 'provided that if�a Home Owner engages a person(s) for hire to do such work shall act as SupervisSupervisor . " , that such Home Owner Many Home Owners who use this exemption are unaware that they are assumin the responsibil'9ties of a supervisor (see Appendix Rules d Regulations. for Licensing Construction Supervisors, Section2.15) . Thislackofawaeness often results in serious problems, particularly when unlicensed persons. In the Home Owner hires this case our Board cannot unlicensed person as It woulsA the d with licensed Supervisor.. The rHome dOwner rf'acting as, supervisor Is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use In your community. } R Town f Barnstable *Permit Expires 6 months front issue date Regulatory Services F e X-P.RE,SS PERMIT Thomas E.Geiler,Director JAN m 6 �GO0 Building Division f /-7Ia9 Tom Perry,CBO, Building Commissioner TOWN OF BARNS-TABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790=6230 EXPRESS PERMIT APPLICATION - RESIDENTUL ONLY jj Not Valid without Red X-Press Imprint Map/parcel Number L Property Address �^ Mesidential Value of.Work �2 l O U Minimum fee of$25.00 for work under$6000.00 . Owner's Name&Address Contractor's Name F/l 0-4-LIt. p �t c Telephone Number J�� Home Improvement Contractor License#(if applicable) J�P Construction Supervisor's License#(if applicable) C cJ 174 6 [ orkman's Compensation Insurance Ched one: I am a sole proprietor ❑ I am the Homeowner (3,l have Worker's Compensation Insurance. insurance Company Name. - r Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) aRe-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders,, U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town:department regulations,i.e.kIistoriq Conservation,,etc ***Note: Property Owner must sign Property Owner Letter of Permission,. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg . kevise061306 — I 5 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 _ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): FA L C, Address: 1�CJx City/State/Zip: C�jb1Ul �1/1� bo'�(35 Phone #: 56 9 Are you an employer?Check the appropriate box: general contractor and I Type of project(required): 1;,� 4.I am a employer with ❑ I am a g employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 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 12.0 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 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: cl z Policy#or Self-ins.Lic.#: Ll 13 - 3 1 m 5_6 6 — y Expiration Date: Job Site.Address:_3 3 l 13 PaA— 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-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 DIA for insurance coverage verification. Idoherelycep&4nds he nd pe lties of perjury that the information provided above is true and correct Si ature: Date: Phone#: oC Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: RightFax C2-2 10/1/2008 1 :00:56 PM PAGE 2/002 Fax Server ....................... :::. ...:..}:{:= = }:•:•is}•:: :•} ISSUE DATE 10/01/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW WISE&QUINN INSURANCE AGENCY COMPANIES AFFORDING COVERAGE 449 PLEASANT ST BROCKTON MA 02301 COMPANY A HARTFORD UNDERWRITERS INSURANCE CO LETTER INSURED COMPANY B FRASER CONSTRUCTION LLC PO BOX 1845 COMPANY C LETTER COTUTT MA 02635 COMPANY D LETTER 7SIcN }:}�}}k_r{::{i}'{::�:}:•}:{}:}•}}:�:•{}: Lfii78R OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD REQUiREbiENT,TEIRM OR CONDI170N OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AY BH ISSUED OR MAY PERTAIN,THE INSURANCE AFFORD®BY TIDE POLICIES DESCRIBEDHI'RIDN[S SUBJECT TO ALL THE TERMS, ND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE MM/DD MM/DDl1lY' GENERAL LIABILITY GENERALAGGREGATS $ PRODUCrSCOMP/OP AGO. $ ❑COMMERCIAL OENERAL LIABILITY PERSONAL&ADV.INJURY $ ❑ CLAIMS MADE ❑ OCCUR. EACH OCCURRENCE $ . ❑OWNERS&CONTRACTOR'S PROT. FIRS DAMAGE(Any One Fire) $ ❑ MED.EXPENSE(Any ow person $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO - BODILY INJURY $ ❑ ALL OWNED AUTOS (Per Per=4 ❑ SCHEDULED AUTOS BODILY INJURY $ ❑ HIRED AUTOS (Per Accident) ❑ NON-OWNED AUTOS PROPERTY DAMAGE $ - ❑ OARAGE 11ABIUTY EXCESS LIABILITY EACH OCCURRENCE $ ❑ UMBRELLA FORM AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM STATUTORY LIMITS X A WORKER'S COMPENSATION EACH ACCIDENT $500,000 AND UB- 09/26/08 09/26/09 DISEASE-POLICY UMR $500,000 0341M556-08 EMPLOYER'S LIABILITY DISEASTrEACH EMPLOYEE $500,000 OTHER THE PROPRIETOR/PARTNERS/SXECUTIVE _ OFFICERS ARE INCLUDED. DESCRIPTION OF OPERATIONS/WCATIONSNMCLBBISPECIAL ITEMS THE U49UREDIS MA WORKERS COMPENSATION POLICY AND ITS L MED OTHER STATICS WSURANCE ENDORSEMENT AUTHORIZES THE PA YMIBYI OFBENEFlT9 FOR CLAIMS MADE BY THE BNSURED'S MA EMPLOYEES IN STATES OTHER THAN MA.NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BHVEFM IN ANY STATE OTHER THAN MA IF THE ENSURED HUM,OR HAS HIRED,E MPLOYEES OLITSIDE OF MA.THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. UHS REPLACES ANY PRIOR CERTIFICATE 1991)IID TO 7m CBB.TIFICATB HOLDER AFFWTI NG WORKERS COMP COVERAGE :�.........................• .... ......,,.,,.•••,.,,,,••••.,•,•,••••.,................ ..••• FR4SSER ENMTERPRISESS LLC SHOULD ANY OF THE THEREOF, DESCRIBED POLICIES BE CANCELLEDENDEAVOR EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAD. PO BOX 1845 ID DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, COTU1T MA 02635 BUT FAD.URE TO MAMSUCH NOTICE SHALL EVIFM NO OBUGATIO�J OR LI njTY OF ANY KIND UPON THE COMPANY rig AGENTS OR RBPRFBENTATIYIM AUR[OBI7ID pBpRB�VPAT[ilE PAMEZA C07M.-WI ER III ......�.............�...............:'.'::.:�:,�::::.5;.;:N. ................ ..... ......,.....�..Y:L'V ::.:....ti..:•:•.� • •••••••• .:}.VN.:•;.'1•l:•1•••••ti:'l L•}:titi:•:tiYht1••. •:.1:tY.1 N�;:f.::}:{1;.1.;.••�.:b,.1111�V.::•.:.:}� rd o '$mldt ` } 1 eged iQus•,md S6udinds ` s ru E an 9"emggr. jbense `. Rirlda 7195i7 fiira_7 r= %p11 T4# 9:.7.38 INS_MW _o� DEAN FRMSR 104 TW-INNAAEW L:k' EAST FALUOUTW,. 02-536 CommulAonir a One Aah-burton Ons and Standard's -Bost Place - Itoojm Rome In'J"030- Mwsachusett,9 8 Registration D�N L1 $sP. BC7[®N G®• 1 1�� OX , o®A sM�� 200® 710 vara2oA ®28,s5 I Op8`CA7 � H011�1.G9/OB.Ppg4�9C . . -� U daft ��� — �� Au a ---° ❑ o for . FP®nB�lAliP ❑ Lwt card Rvka*64 "amne or for to Adw use I;Pa colds e' [] 82D one to. $s n Ph-am PRA82R ' C�o.a� dO.I®Pg s rurr,rm r jk ' Fraser Construction, LLC CONSTRUCTION Roofing & Siding Specialists ROOFING ' P.O. Box 1845, Cotuit MA. 02635 SPECIALISTS Email: fraser construction@verizon.net 508-428-2292 www.fraserroofing.com FAX 1-508-428-0123 PARTIAL RUBBER RE-ROOFING PROPOSAL DATE: April 1, 2008 PHONE: H 508-771-8514 NAME: John Connolly W 508-790-3122 x544 MAIL ADDRESS: Same JOB ADDRESS: 331 Buckskin Path Centerville, MA 02632 FRASER CONSTRUCTION, LLC hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. REMOVE & DISPOSE - EXISTING ASPHALT ROOFING SUPPLY & INSTALL - .060 EPDM Rubber Roofing OVER Y? FIBERBOARD SUPPLY & INSTALL - .32 White Aluminum Drip Edge Around Parimeter SUPPLY & INSTALL - New Cap to Match Existing Roof Clean & Remove - Debris from work area daily. TOTAL INVESTMENT: EPDM RUBBER ROOF PRICE- $2,100 Initial COST OF PERMIT PRICE- $50 Initial -� Payable immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru _ Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS t * Any payments not made within 30 days of completion will be charged 1 ''/2%for every 30 days the payment is late. I i Possible Extra—Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead t. = flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$55.00 per hour,plus materials,plus 15% overhead mark-up on total extras. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: 71 7 Q,t�v�/�,r4t om caner Fraser onstru ion, LLC pFTHE Tok, Town of Barnstable *Permit 4 Jt; Expires 6 months from uA date EaaxsTeBLE, . Regulatory Services Fee rJ� Thomas F.Geiler,Director �prFD MA't A` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X"PRESS PERMIT Office: 508-862-4038 - Fax: 508-790-6230 NOV 2 0 2002 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint I UWN OF BARNSTAriLE Map/parcel Number 117 1 Property Address 3 cJ (�CiIL � ��-1`Yt �� n4,r A k n Q residential Value of Work o� Owner's Name&Address (1 C>n n b l 1 ( (LP- Contractor's Name & & cr Sn�,�u d Telephone Number 52 — Home Improvement Contractor License#(if applicable) Construction Supervisor's License.#(if applicable) - - DW_0_r_kk`U_= Compensation Insurance '` CD Chec e: c�! I am a sole proprietor —p Z , ❑ I am the Homeownerca =p ❑ I have Worker's Compensation Insurance r -- o rn Insurance Company Name Workman's Comp.Policy# Permit Request(check box) 3GQ3.G.R I i1mr, /�Do� Y done ❑Re-roof(stripping old shingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Foims:expmtrg Revised121901 y ��Qy�FTHE'?��♦e TOWN OF BARNSTABLE i BST BABA"JBM i 9� D 9.At `� BUILDING INSPECTOR " APPLICATIONFOR PERMIT TO ............................................................................................................................. ,1 TYPE OF CONSTRUCTION ................................................19 TO THE INSPECTOR OF BUILDINGS: The undersigned,hereby applies for a permit according to the following information:: Location . . °° % ..�...... ....� �,J?3.�G � �....s.: / � �.. ... .!?��� y Proposed Use ........; ' ZoningDistrict ............. .........................................................Fire District ..............!°.................,. ................ ........................ Nameof Owner .. ! /!�, ........ ........Address .............. C. ................... ......................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ................... s............................................................. J Numberof Room ............7.................................................Foundation ............................................................................... s . Exterior ...:'�v Roofing f �.............. .............................. ..................,,................................................... Floors ....`'"..................................................................Interior .... .... ................................ Heating ...Plumbing...... .............................................. ........................................................................ Fireplace ..... _ ................................. �................................Approximate Cost ............/1.................................................... Definitive Plan Approved by Planning Board ---------------_---------------19________. Q Diagram of Lot and Building with 9imensions J o-� SUBJECT TO APPROVAL OF BOARD OF HEALTH O ` W 7 lL. ® m I<� F d _ J IM t-NJC, OLij W N 0OLi LLJ " Om OV) < Iza0. �Q ,� : F— con 31 'x�, w � � U) z4- CL < n0 LIJ Lu 'L, w r. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................................................. Small, Alan 15025 1 1/2 story No ................. Permit for .................................... single family dwelling ..........��..��................................................................ .. Location`...!..$uckski.. Path............................. Centerville ............................................................................... Owner Alan Small ................................................................. Type of Construction .......frame ................................... ................................................................................ N C� `0 .lo \Q C Plot ............................ Lot ....... ................. Permit Granted ..........�Y....9..................19 72 �J Date of Inspection ...................... .............19 Date Completed ... . ... ^.....19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................... ............................... ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... .......................................................................... =- Assessor's map and lot number ....:.1 ... i(�%(;... . �TNer o� 4ewage Permit number:--: —,,—^.. ,2.�e r:..e'��ar 'r.s.-c��..... d�' `°► Z BAHISTADLB, i House number MML ,ems 039. �ELMAR a\� TOWN OF BARNSTABLE BUILDING INSPECTOR 'APPLICATION FOR PERMIT TO .... .. ((� :C!rlI................. TYPE OF CONSTRUCTION ........... .... ....... .. !L ? d,.�: .. ............................................................. +' .......... /,/.% ...........19........ TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according to .the following information:• Location ............... .�...:..... .. ..l S. G?'�....... ...... ........... ............. ......... ........ .. .................. Proposed Use ............................. .�'....:� ... ...... ..... ... .Fire.Distract..... ..�'� Zoning District ...................... .....:...... ......... Name of Owner ....�,q.. o.....V.:......t....�7. y1 J.�� .. .........Address 3..3.. ....�r'J..L:� .SF;..... ................i�l� Name of Builder" : . l.1.. ...,..1/.... ... .........................� . . Address......... ..................... Name of Architect .....:............................................................Address ..................................... Number of ,Rooms .:.......0 ... Gti�dj �! d� f'1...... ...... ...................Foundation Exterior !?.t.!3. .1.��. . ..c, !: "'......... Roofing3 ............................ GC M c.,T .Interior .. .. ......... . ....Floors ................ .................... .................... .......:. ........ ......,............. Heating !!�(IN...'................................................. . .. .Plumbing .......... ,...?.. .. ................ .............. ................ Fireplace ... s..........f. :.............. Approximate Cost.... ... o.0..�.;.i7 t.. .. ........ c.............. Definitive Plan Approved by Planning Board ------------- ---------------1 9--------. Area .. ...... ...�....... . ............... Diagram of Lot and Buildingwith Dimensions 9 Fee ..... .... ..... ...r... .. .... ..... SUBJECT TO APPROVAL OF BOARD, OF HEALTH 41 l7 f 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 ....... ....... . ..........Q.,......( ...... .......... ............... CONNOLLY, JOHN J. A=1 1-2:9 24412 Build Garage No ................. Permit for .................................... .Accessory to Dwelling ................................ Location .... 31 Buckskin Path ........................................... Centerville ............................................................................... Owner .....John J Connolly Type of Construction ...Frame ............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ........SePt......28...........19 82 Date of Inspection ....................................19 Date Completed ......................................19 I C?� o i <..Assessors,map and lot' number < + >wr . � � . . ....., f � fTKE S a a Permit •number �. SVSTt:i :INSTALLED . €N ! s�a"e "�i'1 _ 898d9TADL8, i kHouse number ............:: . ....................... ...........:............. WITH TITLE 5 A R/$i TOWN OF BARNS TIONS . 'BUILDING INSPECTOR APPLICATION FOR PERMIT TO 4 � .............. ... .....................:.. ... ...... .... TYPE OF CONSTRUCTION :.. �...�........................................ .. ..............:........ 7.2 ..........19....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli fora ermit accord' to th following informati �l1 v J� Location ....................�.�......... .c .. ........�- .. ... . . . ............................................................. ...............:...........,................... ProposedUse ......... Grw,d.0 ..............:...................................................... :.........:.............:....::................. ' Zoning District ..... ................ ... �........................ .. Fire District .................4�-. .Y..........:...: .............:........... Name of Owner :...U.V..lJ.4.1.... ...Ily..............Address .... ..:.1... �'................... Name of Builder' .Address ..............La.. ..::..J...bn� .....:................. :.............................................................. Name of Architect ..................................................................Address .............. Number of Rooms .........0.`)e.................................................Foundation ..... �j. .... :��''! :...................................... Exterior` S26.t..r� '4tG .......:e-, d ..............................Roofing .......: s ........ ........................................................ Floors .....................:..Interior ..................................�%..C�)7. �!^ .......................... ..................... ................................ Heating ..:... . .00.5:.......... ..........................................:......Plumbing .......... .t' ....................................:................ 00 Fireplace ......... .0 ...................... ....... .........................Approximate Cost......... 3 d.b. .. .......:..... Definitive Plan Approved by.Planning Board ________-----------_----------- 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. Name ... . ... rkr....... '..... ...... .. CONNOLLY, JOHN J. 244412 Build Garage No ................. Permit for .................................... Accessory to Dwelling............ 331 /Buckskin Path ' Location ................................................................ Centerville John J. Connolly Owner'................................................................... Type of Construction ......Frame.................................... ................................................................................ Plot ............................. Lot ................................ 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TYPEOF CONSTRUCTION ........... ................... .............................................................................. .....%'..................................197 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �w ProposedUse ............................................................................................................................................................................. s Zoning District ..................................................... .................Fire District ........... ., Name of OwnerV�r/� �6e Address .. ............:... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect .......................0........................................"Address .................................................................................... Numberof Rooms .............. ............................................Foundation ...................:.......................................................... Exterior .. ...... ..........1.....l .. '................................Roofing :�� ".............................................................. Floors ............ .`..��....�'..."s..".........s�...............................Interior ......0 ....... ..... ................... Heating f!t-6 '� ..........................Plumbin l Fireplace ........ ...............Approximate Cost ... ,..,...0.7.0�.............../. a Difinitive Plan Approved by Planning Board ________________________________19________. R Diagram of Lot and Building with Dimensions (D 0 c F-. Q �Q Z � ® Uj Ct� ti ® o � g �1 ® a I Q .S9 ®� � C/) : � C/) � 00 ""e I O a (D ` 09 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t above construction. Name ' `,�" Small, Alan DEC 31 1970 No ....128..9.. Permit for .......one story,....... ' single family duelling ............................. ......................... Location3..3 Buckskin Path I .............................................. Centerville ............................................................................... Owner .............Alan Small f } Type of Construction ...............frame ........................... ................................................................................ Plot ........... Lot +1Q............. ................. ............. 33( February 10 70 P Permit Granted ........................................ 70 Date of Inspection ... /..:7:....!a.....��.......19 Date Completed ......................................19 PERMIT REFUSED, ....................................... ..................... 19 r ............................................................................... v .................................................. ........................ { P ............................................................................... ............................................................................... J f Approved .............................................. 19 ............................................................................... ............................................................................... I