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Home My WebLink About0111 CAP'N LIJAH'S ROAD . � � . . . , .. � .�,:. _, .. :. .. � .. T +. �, e '. Fr .. .. l�� .. . �� .. �p .. - - f. �r. .. - PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 09/01/06 TIME: 14:24 -----------------TOTALS----------------- PERMIT $ PAID \25,_0-0� ANT TENDERED: 25.00 ANT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 20062958 PAYMENT METH: CHECK PAYMENT REF: 1047 1 of Town ®f Barnstable *Permit# 0a(.0 C5Expires 6 months from issue date Regulatory Services Fee 42 �ast9 Thomas F.Geiler,Director • Building Division ® SS PERMIT Tom Perry,CBO, Building Commissioner �! 200 Main Street,Hyannis,MA 02601 SEP 0 1 2006 www.town.barnstable.ma.us o> qro --s F BARN qq Fax:508-790-6230 EX NWUM 'APPLICATION - RESIODENTUL ONLY e• Not Valid without Red X-Press InFrint Map/parcel Number f Property A ess s � (lrC.1 Residential Value of Work c Mnimum fee of$25.00 for work under$6000.00 Owner's Name&Address _ , M Contractor's Name P,C)6cra C-1-41 TelephoneNumber 41 7 V Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check o am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) e-roof(stripping old shingles) All construction debris will be taken.to 4!Z, yt 5Z+::; ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. 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. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 e� l Board of Building R'e'�a gulation and� HOME IMPR tandards OVEMENT CANT Registration RACTOR :1.4,99 r Exp�catPc� :3 9 1/15/2007 c ROBERT BRO ( {; Ba �;" -ROBERT �N`CIFS�QIki-B.. B r ._: Ut g 563 OLD g OWN y f ZING REMODELING l7 CENTERVI�RAWBERR 1' -killLRD. 02632 �::4 - Administrator I t '1 Town of Barnstable DAMMAM& XAM, rb39 Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Clio Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder akner of the subject property hereby authorize (O � C— ' 1�e9�`�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job Signature of Owner Date e2��67- Print Name Q:Forms:expmtrg Revise071405 The Commonwealth of Massachusetts �• `s; F Department of Industrial Accidents ' 4 Office o Investigations f� f 600 Washington Street Boston,MA 02111 3 x www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): elcD C - L----t/� Address: c ( lb City/State/Zip: � u 1 �� WA- Phone#: 23 7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I * have hired the sub-contractors 6. ❑New construction empl�s(full and/or part-time). 2.[3'I am—a sole proprietor or partner- listed on the attached sheet. I ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.f t employees. [No workers' comp. insurance required.] 13.❑Other *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. tContructors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-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. I do hereby certify under the pains and penaltdes of perjury that the information provided above is true and correct SiF_nature� i Date Phone#: Official use only. Do not write in this area,to be completed by city or town ofciaL 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#: ,r �p11HE r Town of Barnstable *Permit# 9 O� Expires 6 months from issue date B.AMsrAet L • Regulatory Services 00 v019.HAM Thomas F.Geiler,Director a� �AIED 1A`'` Building Division Peter F.DiMatteo, Building Commissioner :: 367 Main Street, Hyannis,MA 02601vi Office: 508-862-4038 MAR ;? 2005 Fax: 508-790-62D EXPRESS PERMIT APPLICATION - RESIDENTIM)UNOY LARUR-STAELE Not Valid without Red X-Press Imprint Map/parcel Number. Property Address /// Ci�T�'/ �lt� ! RZ) . residential Value of Work �/�® Owner's Name&Address Contractor's Name /ls �f��/�� Telephone Number, 6';9gf 9 ,971111 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) I . r Worlcman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I.am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof). ❑ Re-side ;Re pl ement Windows: U-Value (maximum.44) Other(specify) � � /9jo 'Where required: Issuance of.this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature + QTomu:expmtrg:rev-070601 opTM�roe Town. of Barnstable Regulatory Services 9 Loh Tjiomas F.Gaiter,Director �, �� • Building Division TomPerrh Bdift9 Commissioner 200 Main Street, $yannis,MA 02601 www.iown.barustable;ma.us Fax; 508-790-6230 ' Office: 508-862-4039 Property Owner Must Complete and Sign This Section if Using A.Build.er as Qwner of the subject property I, a ,� � .�� to act on my behalf; hereby authonze: (/in 2 fitters relative to work authorized by this building peanut application for; r : (Address of Job) i� ate Signature of Owner Print I'�ame The Commonwealth of Massachusetts _ = _ Department of Industrial Accidents -- _ Office ollnuesdondens 600 Washington Street, a Floor Boston,Mass. 02111 Workers' Compensation Insurance Affidavit:Buildin lumbin /Electrical Contractors name address: f/ , /�, zip: City �iQ/y�� state: g• �� phone# work site location full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction Wernodel ❑ I am a sole proprietor and have no one Working in an ca aci . Building Addition I am an employer providing workers'ccompensation for my�employees working on this job f g�iy�2� w�.. � 'ti, �'7•�t 3 � c E K , a `i* �t '.d ,S7 per.-u rt�`"h Y/ *'Y+' i C / Cl > s f r l t t i xl Y ItO�le) rt' f Y ansUran e.cti: ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices cari an ltame.. `' - L 1 i ai3.dTesS, j:r., t, b ,rn �°t:�:•{u r I a.r: �, F , xitR DlfOrte � i y c0inaanv tikYhe T; : city } nfione# l 'o rc Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties' e form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement7may be forwarded to thoffick of Ines ' ations of the DIA for coverage verification. I do hereby r un er a pains an p al' p jury th the information provided above is true a[d correct Signature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# []Building Department' []Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2003) • Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 in a joiEt enterprise,and.including the legal representatives of a deceased employer,or the 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 section 25 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,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 insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with.a certificate of insurance as all affidavits 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. City or Towns 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 pennit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,71h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 ,i Assessor's map and lot .number , . . .........:.... SEPTIC SYSTEM MUST BE 4•;, .,. j — INSTALLED IN COMPLIANCE So ea�ermit& number,. WITH,ARTICLE II STATE _ SANITARY CODE AND TOWN °fTHE TOE` TOW N ® N L PiIRL evP o c x �9h O , L I INSPECTOR" ,6. \0 APPLICATION' FORr PERMIT TO .. c ; . r .................... ..................... ...... ..... .............................. ,TYPE OF CONSTRUCTION .....`l !Z?......... l? :�.......... .......................................... , q �"" ' o ....... ........... ...........19 . T:o��=r-ie:-tt�SP�CTOK€"OF�BUlLDI1VG5: -�` The undersigned hereby applies for a permit according to the following information: Location ....,....��..............G ,�� .......................................................................... Proposed Use r� ... :................. C.............�?'................................................................... ZoningDistrict ........................................................................Fire District ....... c' ................ .................... Nameof Owner .. .c ......... .............. ........ ..:................:.................... Name of Builder ... . X...................................Address� .�.......... Name of Architect .....:.. � r...........................Address .... Number of Rooms ....Founda n................................................. ,...fP... ."..'.`..�..................... Exterior, ......�� .... 5......................Roofing .. s ... /�........... -? . ................ ................ .... -C.S .. Floors ...�.:........ ...............................................lnteri�r .. c/��.�f?c� ................... Heating �✓� s ....... ......................................Plumbing ..........:. � .....z. ...... . e Fireplaces�-Ga .. �i- � ...............Approximate Cost ........... .:...................... .. ....... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area !. � ''............. .. CPS Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Iy'. f 2 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................... ........... ................... Tell ~ � � | � '� ~ l 1/2 story m .�� --��--. Permit for..................................... ~ing^ / '��--- � ^ ^/ Road Location .--..-.---_'..................................... � _ Centerville ----_--------.-----,-----'—.. 1 Tel%mgan~Ferrona ' Owner frame Type-of Construction -------------- ' . . —.��.---------------..-------. . / ^ \ . ^, #l� Plot . �� ' --------- ---- ------' '\ ' ^ ' October 26 76 ' Permit Granted -------------]P - � -Dote of Inspection . ---]V Date Como��a6 —��.�// ��,�'�----lA ' T - - . ^ . . PERMIT REFUSED � . � ''`----_—.------------- lV � --.-------.—.-----------.'---. -' � ` - � ' ----.-----..-----.—..------.— ----------..~..~~--.—~----... � . ^ � ^ ^�. ---------------.--.—..-----. ` ' ` � � 'Approved ................................................. lg ' � ' ^ -------'-----------------''-'' ' ------'^-------------.....—.— � . ' ` ` � - Assessor's map and lot number, ...... ................................. Sever ge Pbrmit number ................................ t -; �0F7HET��y TOWN OF BARNSTABLE BARkSTADLE, i BUILDING INSPECTOR APPLICATION-FOR PERMIT TO ,ram ._y i e TYPE OF CONSTRUCTION � '..� •�,'✓' ` ....... .........................19� . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......,....n?........................................... .... ........... s...,....,: ..y........................................................................... ProposedUse ......fj'" :..................M/ rrJC,./!=-� f............................................................................................... Zoning District ........................................................................Fire District ......F.... 'I,......:....... ...................... Name of Owner ......:^"��''/.� ,aF�kes .) ." .ems.,-, t2.. 1 .. ................................................:Address ....... .... .......................................................... Name of 'Builder �'��-'�/�� _ -�.:..:...............................Address..................... ...................................... Name of Architect ... ./%.��.. --..-....r...........................Address ................................................................... I... .. Number of Rooms 'r .....Foundation +' ..................................................` PCs'_ � ti Exterior �j..........'... �^�'...� .. ............Roofing ? /�-: ... :.. _ . *.....:............... ..........r........................ J �./� �/' i Floors .sf� .Interior Z7,• /. c_ . r- 1 .+ .Oc { F y/�_ `. Heating ......... :: ........... ................................................Plumbing ......:_.......-....,.:.........,................. Fireplace �� s��'' ' ' -SS�7 �i Approximate Cost -'f �`�'�� !1 .................................... !•' .,..:........ ..........................f........ / Definitive Plan Approved by Planning Board -------------------_-----------19-------- , Area .... ....�-�......................... Diagram of Lot and Building with Dimensions Fee -�..... SUBJECT TO APPROVAL OF BOARD OF HEALTH aq . 1 -171 !i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above co*,struction. Name ....� ...... =^ '" .. .........� .."' !: -.:......... Tell egen-Fe rrone A=192-165, V/ 64 1 1/2 story, permit .............................. No .�847. ;....* t for ...... single family dwelling ............. ................................................................. Location % Li jah Road .................................... Centerville ............................................................................... Owner ............Tq�!�,&en-]Ferrone ........................................ Type of Construction ...........fr;4%e,.................... ................................................................................ Plot ............................ Lot ...... Permit Granted ............October......................26 ......19 76 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... .... .......... Lp .. .....Al.7. ............................................................................... ........f.... .... . .... ......... ..... Approved ..... ......................... ............. 19 .............................. .............................. .......... .......... ............................................ SE h! 7�- - Assessor's office(1st Floor):�- Assessor's map and lot number /lO�. _' ��7.4 i Conservation(4th Floor): U l 3 �� @3�� f, `�� ► Board of Health(3rd floor): jW11 Sewage permit number ! 4119e � �•�'� kG; sassr,►ntt Engineering Department(3rd floor)'. House number 1 Definitive Plan Approved by Planning Board + ' 19 , APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1.00-2:00 P.M.only TOWN `' O;F BARNSTABLE ,BUILDING INSPECTOR APPLICATION!FOR PERMIT TO �^��IO At �%6 K LTC nl I N 1/� (Zf�a�✓1 ` TYPE OF CONSTRUCTION OC70 (? 12-2 z7 19 R3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 1 CA P T �-I W -1 S (Z o�l 0 e-� Location �- TE 2 I//dt '�� (� Proposed Use Zoning District Fire District Name of OwnerAddress Name of Builder tj A t, �PI k 'ff Address EZ ��Sl�IV kA, 7- Name of Architect U 1 L Address Number of Rooms Foundation r Ou 2 �O✓� (,r/� Exterior Roofing �)h Lr4f e6 k- Floors Interior Heating - Plumbing oe Fireplace Approximate Cost 0130, M Area Z / Diagram of Lot and Building with Dimensions Fee �� l��"/ /[J 'r �rr►ram"/ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I'hereby agree to conform to all the Rules and Regulations of the Town of Barnstable ega ding the above constru ' n. Name J ?Construction Si ipervisor's License/l / �� DEiCHERT/PANDOLFINON 'p /P,2., / vi, No Permit For ADDITION Single Family Dwelling a s toad Location. 111 Capt. Li jh ._ • Centerville Owner' .Deichert/Pandolfinon Type of Construction FgaxgP I'll A Plot Lot - �, M j s f Permit Granted October '29 , 19 93 ' -.Date of Inspection: } Frame,- f A -Z 19 , Insulation _ 19 Fireplace 19 Date Completed 1� 3 C� - 19 J _ y a l� COMMONWEALTH . _ ..DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE �� MASSACHUSETTS BOSTON,MA 02108 I 1'OaOlaGsv tarrevocatloa of this lleansa. ��~E N S� EXPIRATION DATE CONSTR. SUPERVISOR CAUTION U 2/2 6/1 9 9 6 I FOR PROTECTION AGAINST RESTRICTIONS "i EFFECTIVE DATE LIC-NO. s�� I THEFT, PUT RIGHT THUMB I NONE �``'�` " f!8/31 /1993 044383 PRINT IN APPROPRIATE BOX ON LICENSE. DONALD J PI RES 192 S KU N Ka E T R D BLASTING OPERATORS CENTERVILLE MA C2E32 f y F� PHOTO(BLASTING OPR ONLY) FE ( F 0f1.1:UNOT VALID UNTIL SIGNED BYLIC SEE AND OFFICIALLY i •. --- 'HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER II d THIS DOCUMENT MUST BE I SIGN IPRIRElF71'DLL'AOVE•gIGNATURE LINECAR y THE IED ONHOLD THEWHENPERSONOF �� NATURE OF LICENSEE j_ — THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED INTHIS OCCUPATION. �MINISTRATOR iic` uc t. I fr=ria,�� AtW- Ck4nr= Ddch ert' tocatfon.ofpwpenit Cevtterove. GO t 11 l4 15 3 2 S - N Z � dweYtvv� m to-C toATI -� n cArea a 15,093 -t s. -� �. .. M9.57" ii Za r9 i �f: 77 fC,00c�paneCs 25a o41 Oo 15 C �poc��: c 1 f¢re6y certify tfiar th6yam bias 1 u-{ I fie►-w,�ct' - s {ctd s�,sa�vn �+ qhe dry sown.hereon- VCM n t i*a ". -I X-flo d Mug T. kaeanCan with,an c,�ea-hm daze of 8-11-85 and t6e ac4 ow WKWER tau vfwe dolts rrnv to tw cmc -Caws tw NO.31311 o of a� un�t fo 6y � e cr ar t -fit ttmp o7 conso uct'iom wak aspect to t, �s iona.0 uxrcmenrs.�u's pCan,was»ot m.acic,{or n�uo�r��ng i � r� es or for- inpr¢p deed descriptions. tamu i� ng Cc atcorvs,properru M dxnensiom, fmw or Cott Wnf 1yV aWd n•may 6c accon! fi"s donty an t _30' iriStT�u s;1�1vr[� `14YLOh.I �.�D1�G�" 1'U'1� ti'1�0 � �,�i L1-4'9l 1af1� 1 vr7aw 1.s �Nort�a j �� yo��s on Me�: 70 291 CO.Loni at IcNnbsu :��nc� coc n�a�n�,lw. g 269 bNWVM SCPEeC,hUVMP,WM& 023"•pf'vrie 617 826-IM PX 07-E26ASZ15 Z a'c COMMONWEALTH OF MASSACHUSE_ TTS E�F JEI'AR:MENFI OF 1NDUSI RIAL ACCIDENTS '�" 600 WASHIT�'GTON STR� BOSTON, MASSACHUSEITS 02111 games Gam=el WORKFRS' COMPENSATION INSURANCE AFFIDAVIT (licensee/permiacc) with a principal place of business/residence at, 2 aA17'Q--U(Lf-f �2 (City/state/Zip) do hereby certify, under the pains and penalties of perjury. that: Wf- i am an employer providing the following workcrs' compcnsation coverage for my employees working on this job. lnsurancc Company Policy Number [J I am a sole proprietor and havc no onc working for me. j] 1 am a sole proprietor,gcncraJ conuaaor or homeowner (eirde one) and havc hired the eontraaors listed bclow who have the following workcrs' compcnsation insurance politics:.... _ lame of Contraaor Insurance Company/Policv Number l\amc of Contractor Insurance Company/Policy Number Name of Contractor lnsurancc Company/Policy Number Q I am a homeowner performing all the work myself h07F— Plcasc be aware that wbilc boracowners who employ persons to do saaintenanee.eoastruaioo or repair work on a c'wclling of not more tban three units in wbicb the borneowner also resides or on the grounds appurtenant thereto arc not geaerall)' considered to be employers under the "orl;ers'Compensation Act(GL C 152.sect 1(5)).application by a boraeowaer for a license or pernit mry evidcoec the lcgzd sutus of za employer uoder the Workers' Compensation Act i unocrstano that a copy of tivs statement will oc forwarded to the Dcpa:-.mcnt of Industrial Ac6dcnu'OGicc of lnsu no:for.covcratc verification and that failure to secure coverage:s required under Section 25A of MGL 152 can lead to the imposition ofstiminal pcnaJucs consisting of a fine of up to S1500.00 and/or imprisonment of up to onc year and civil penalties in the form of a Stop Work Ordcr and a I fine of S 100.00 a day against mc. /� Q one this X07 day of l J 1� 19 w Licensee/Pcrmi c Licensor/Pcrmirtor jj. I` .. .. i 1 IT 1 �I SCALE: APpgOVEO BY: DATE. ��..: DRAWN BY. REVISED , j 4 F l , f- 1 I � I i • I I , ; i . F i i : i 1 { qq; � t i . 1 S i) fff fff� f f r i f fz c.a E i r rf i { i 8 3 � � i SCALE: APPROVED BY DRAWN BY DATE: DRAWING NUMBI t9� � ��, --- _Y th � 1 Ct �� I CAP E } Assessor's.map and lot number ................... . ................... uF rNE roe Sewage,Permit number ...........:........................................ ... Z BAUSTADLE, i Housenumber .................................................:....................... s rasa �O s639. \e0 t _ �Fa mo a r t. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........Construct dwellino,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, i .S(!lcr....................... TYPE OF CONSTRUCTION ...Waad..frAffl?........................................................................................................... ..........................19:84... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ` ` i Road CenteryilleL e--n Capt. A ......... , ...................................................... ...........Locaion ... . .ss ........................ Proposed Use ,•Single famil�r ...... ...... .......................................................................................................................... Zoning District residential •,••,••••.,,,,,,,,,Fire District ..... ent-Ost,,,,,.,,.,,•....•,,,.•,,,,,,,,,,,,,,•,,,,,,,,,,,•,,,,.,, .............................. .:Ri ...:........ Name of Owner James K. Smith....................................Address ...........$ X>�� >9?bl, ................................................... .. Name of Builder ..James K. Smith Address :..........Barna bl.e...............................:................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........5......................................................Foundation .....pC1uzed..s pauzed.xoncra.t.e........................................ Exterior .....whAte cedar,•shingjAisk..................................Roofing ...........s.sph.-11.t.......................................................... Floors .......hardwood• & wall to walk.............................interior ...........drys.a.d.]........................................................... ..................... Heatingas warm air .......................Plumbing .........?,...bnths.......................................................... Fireplace .......one....................................................................Approximate. Cost ..........$65a 000........................................... Definitive Plan Approved by Planning Board ________________________________19________. Area � ./�.. /!................. Diagram of Lot and Building with Dimensions Fee' . ................:......... .ft (f SUBJECT TO APPROVAL OF BOARD R OF HEALTH � 1232 sq.. ft.. 16x24 garage 4 - FA 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.....#5190 . SMITH, JAMES K. A=194-23 1 No ...2:�7.7..7.... Permit for ........st........or Y.................. Sa!?�1 e f am i 1 y dwe.�.�.!.n�...................... .......... 7 Location l— .a...*15.. Centerville . Owner ......4me.5...K...Sm i.th................................ Type of Construction ..Frame Plot ............................ Lot ............................ t y Permit Granted . August 2.... .......19 84 + -+ Date of Inspection ......................................r19 " Date Completed ......................................19 h t - G U �! Ir ti �r a ._ r` . , �� ' j/frI 10) au.,cartom ,o + \1} ;'' x:7r L-L ' 693a k�" 16, t t 12S. 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