HomeMy WebLinkAbout0125 CEDRIC ROAD Awe
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Town of Barnstable *Permit
>! F_ipi nt from issue date
Regulatory Services F
®
� lARN5fAB1E, �
MASS. R
i63o. Richard V.Scali,Director
TOW RS � � Building Division
nn Tom Perry,CBO Building Comm issioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS P MIT APPLICATION - RESIDENTIAL ONLY
2 Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address 125 Cedric Rd. Centerville, MA
K Residential Value of Work$20000 Minimum fee of$35.00 for work under$6000.00
_ Owner's Name&Address Richard & Joyce Amiott
125 Cedric Rd. Centerville, MA
Contractor's Name CARE FREE HOMES Telephone Number 508.997.1111
100503 dana.j.pickup@carefreehomescompany.com
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable) CS-095228
❑■Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑■ I have Worker's Compensation Insurance
Insurance Company Name HERLIHY INS. GROUP INC
Workman's Comp.Policy#33723
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) S E E KO N K
❑■ 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)
❑ Re-side
0 Replacement Windows/doors/sliders.U-Value'36 (maximum.32)#of windows 1
#of doors: 1
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
C:1Users\Decollik\AppData\LocaI Microsoft\Wuiuuwsucutpuia,y mtriu uu...vutlook\2PIOIDHR\EXPRESS.doc
Revised 040215
J
U ;Massachusetts -Department of Pudic Safety
Board''af Building Regulations,andi Standards
License: CS-095228
DANA J PICKUP '-'
239 Huttleslon Avtt
Fairhaven MA ,02119
. CX.�3lifitl4r?.
;omrnissroner 03/22/2016
�,,. �:��C f(nn777K'IirnCn�/� !:•7('/J.Wrleri.ir(%.1
fficc-of Consumer lffairs 6 .13usiucss I2Zeulatii n Licen::e or registration valid for'individul use only
OME IMPROVEMENT CONTRACTOR before the expiration d!te. If found return to:
Office of Consumer Affairs and Business Regulation
egistration: 100503 Type; 10 Park P1a71-Suite 5170
Expiration: 6/19/2016 -Su k'nent t'.+rd
P?.- Boston,.MA 02116
CARE FPEE;HOMES,INC. r
DANA PICKUP JR.
239 Huttleston ave -.6..�8_
Fairhaven,MA 0271,9
Undersecretary Not valid without signature
Client#:33723 CAREF :a
ACORD. CERTIFICATE OF LIABILITY INSURANCE °osi szola
THIS CERTIFICATE IS ISSUED AS.A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING-INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,"certain policies may require an endorsement A statement on this certificate does:not confer rights to the
certificate holder in lieu of such endorsement(s):
PRODUCER
NAME:
Herlihy Insurance Group Inc. PHONE 508 756-5159 ' 508-751-5747
A/C No Ext: AIC,No: :.
51 Pullman Street
ADDRESS:
Worcester,MA 01606
_ - PRODOUMCER 10 B:
506 756-5159 INSURER(S)AFFORDING COVERAGE. NAIC C
INSURED w INSURER A:Liberty Mutual:Insurance Co.
Care Free Homes Inc INSURER8 .EastGuard Insurance Company
239 HutNeston Avenue INSURER C:Safety.;indemnity:InBurance Comp
Fairhaven,MA 02719
INSURER D:
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BEISSUED'OR MAX PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH,POLICiES.LIMIT&SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INISR EXP
TYPE OF INSURANCE - OL ..-;1 POLICY NUMBER't� MAALIDYD E�j POLICY
DO"yy .LIMITS
A GENERAL LIABILITY BKS56134197 9/01/2014 09101/2015 EACH OCCURRENCE $1 000000
DAMAX COMMERCIAL GENERAL LIABILITY PREMI O.RANTED
PREMISES Ea occurrence $100000
CLAIMS-MADE F_XI OCCUR - - . . . - MED EXP.(Any one person) $15,000
X BUPD Ded:250 , r q PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG s2000,000
POLICY1 71
PRO- LOC $
C AUTOMOBILE LIABILITY 6213850 D710112014 07/0112015 COMBINED SINGLE.LIMIT $
(Ea accident) 1,000,000
ANY AUTO - .BODILY INJURY(Per person). $
ALL OWNED AUTOS. .
BODILY INJURY(Per accident) $
X SCHEDULED AUTOS
PROPERTY DAMAGE $
X
HIRED AUTOS. ,
(Per accident)
X NO O EO N• WN AUTOS
$
UMBRELLA LIAR OCCUR. EACH OCCURRENCE $ .
EXCESS LIMB - - - ...
-CLAIMSMADE - AGGREGATE $
DEDUCTIBLE $
RETENTION $
B WORKERS COMPENSATION CAWC587199 9101I2O14 09/01IZO1 X WCSTATU- OTH•
AND EMPLOYERS'LIABILITY YIN ,
ANY PROPRIETORIPARTNER/EXECUTIVE NIA E.L:EACH ACCIDENT $1,000,000 "
OFFICERIMEMBER EXCLUDED? ❑N -
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
Ir describe under - - - E.L.DISEASE-POLICY-LIMIT. $1 OOO O0O
DESCRIPTION OF OPERATIONS below -"
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) .-
CERTIFICATE HOLDER CANCELLATION 10 Da s for Non-Pa merit
'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED'BEFORE
THE EXPIRATION DATE'THEREOF;NOTICE WILL BE DELIVERED IN
Town of Barnstable,Bldg Dept ACCORDANCE WITH THEPOLICY.'PROVISIONS.
367 Main.Street`
Barnstable,MA 02601 - - AUTHORIZED REPRESENTATIVE
m 988-2009 ORD CORPORATION.All rights reserved.
ACORD 25(2009169) 1 of 1 The ACORD name and-logo are registered marks of ACORD
#S734WM73450 JXC
CARE F R:E.E
QDIri7�1C�S5 �ta�ac
239 I uttleston A-6u.4. Fairhaven, lVl.ass 02719 k
Telephone 508-997-a 11.1 Fax 5087997 ,1297
Wchsile: wwwcarefrechomeScurnpa�y.cani
To the
Job llddre5S.: n
owner
ULIsteocr Name
of the home-
at the shove location, authorize Care Free Homes, lnc, as rny:igcnt to oblaiil all necc�sacy
permits acid to.Pei'forin all house irnprovements to:my home a- stamed iir the-accornpinyiug!
,.
contract and,a'ph I icatioll. F .
54
L°ustomer:Sig,nature. Date
J.
r=:
f .. 0101304 (�
Town of Barnstable TOWN�"E' Regulatory Services OF BARNST���E
Thomas F.Geiler,Director ZLI$ OCT 19 AM Q: 04
RAMSUB
MASS.LF, ' Building Division
6�� Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us DIVISION1
Office: 508-862-4038 Fax: 508-790-6230
PERMIT#� l.1O FEE: $
SHED REGISTRATION
200 square feet or less
�4/ / D
Location of shed(address) Village
6e Aeej A/V/o77-
Property owner's name Telephone number
L NE
Size of Shed Map/Parcel##
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's.Highway
Conservation Commiss_ ion(signature is required)
Sign off hours or_Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OFANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
TINS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
J
i
Q-forms-shedreg
REV:05201
Map Page 1 of 1
T twe-of Barnstable Geographic Information System New Search Home
Parcel Viewer Custom Map Abutters Map Size ®® Zoom Out j!111 1111In
�hi ® riy g_JPG Map: 172 Parcel: 148 Full
Proper
Location: 125 CEDRIC ROAD Info
Owner: AMIOTT,RICHARD H&JOYCE A
171130 172147
x.11e 'e Is Location Information
Map&Parcel 172148
Location 125 CEDRIC ROAD
Acreage 0.37 acres
172161'
Cyp . #IO ._......._....___..._.___._...........____.—.....__—.__ __—
�\++S. ICurrentOwner
Mailing Address AMIOTT,RICHARD H&JOYCE A
125 CEDRIC RD
- CENTERVILLE,MA 02632
17137 ? - Appraised value(FY 2012)
Extra Features $21,700
'� Out Buildings $2,500
. - Land $106,000
Buildings $169,100
172148 Total Appraised $299,300
®125
Assessed Value(FY 2012)
* ' Extra Features $21,700'
Out Buildings $2,500
17214E Land $106,000
�149079 _ 017_ Buildings $169,100
m 140 Total Assessed $299,300 -
;Construction Detail
Style Cape Cod
Model Residential
172150 Grade Average
N7.
Stories 1 3/4 Stories
149087 - Exterior Well Clapboard
ti 141 Roof Structure Gable/Hip
Roof Cover Asph/F GIs/Cmp
1.9gU88' Interior Wall Drywall
N to
Interior Floor Carpet
0 43 Feet nsaeg Heat Fuel Gas
- 124 Heat Type Hot Water
AC Type None
Number of 3 Bedrooms
Set Scale 1"=q9 �I ' I Aerial Photos_ _ � I MAP DISCLAIMER `Bedrooms
Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIs
BarnstableMA v1.2.4379[Production)
http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=172148 10/4/2012
The Town of Barnstable
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph'rossen
Fax: 508-790-6230 Building Commissioner
SHED REGISTRATION
Location of shed(address)
Property owner's name Telephone number
Size of Shed Map/Parcel#
;per Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
-�� Conservation Commission(signature required)
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
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Engineering Dept. (3rd floor) Map Parcel Permit# J O
House# Date Issued 46
Board of Health(3rd floor)-(8:15 -9:30/100-4:30). �Gd ��F� Fee '�O
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)
Planning Dept.(1st floor/School Admin. Bldg.) INE
_ SEPTIC S�� .�� �
Definitive Plan Approved by Planning Board 19 INS'TALLECBE
TOWN OF BARNSTA97MRONmENr,�L ®®E AND
Building Permit Application TOWN REGULATPVkS
Project
Village /e / � A
Owner zr��a� / >,O�;r Address
Telephone
Permit Request :2� dt/� a1/e .�'t Ge4�/l2 �0 �/[ ��F e.D► ui,gy �pa7y�
F9UAJZ>A- 1,aA) 7d lV ate/ yr�i c,r�9't�cla►aa c, aAG��S/iN sicA�ne-.J
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $
Zoning.District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Ur Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes @Ko On Old King's Highway ❑Yes 2.<O
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No. of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size)
❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes 31 If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name w C / i t' Telephone Number 412b?
Address& V-S' Wes, Cry' License# d v 9 D 3 2
.-,`eV 11 Home Improvement Contractor# 16o 7�
Worker's Compensation#CAIJ &Z 7 aeC�
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
1
SIGNATURE DATE e,'
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. 09
,
DATE ISSUED.
MAP/PARCEL NO.
ADDRESS >: . VILLAGE
OWNER
DATE'OF INSPECTION:
FOUNDATION
FRAME � '� � •, F i � � >4 ,r _ ' . ! '• �--
INSULATION
FIREPLACE
ELECTRICAL: ROUGH .FINAL
PLUMBING: ROUGH FINAL,C
GAS: ROUGH FINAL
FINAL BUILDING
f t
DATE CLOSED OUT
ASSOCIATION PLAN NO.
t
- �. �� . . �.' _7 1{.�-t --:-• .: .�, tit ♦;.'ti�-tom 1!•�� r. r.•.'•�•
IMPROVE't'-ENT CONTRACTORS R13LSTRAT1Qr4 t
��oard ar EluLidirng ReSulations acid StZndarcis . L
�Orte AsLQurtart Place , Roac. 30Z
jEosto rn, tiessachusetts 0=06
IuP.�OVEM;=T{► CON—MACTOP, t '
a_is ct 10074o Expiration C6/Z3-/96 t c1�?,,. •fdl,,<r_ __:."..-
PRIVATE CORPORATION °z_�(w=� C',YTR;C.UR
y
C PO`1VEui=l�{lC. 9f fit �Se�r!-
C�;_77T �;0�.�. �t'`• .� ( litut ALL?'.574 N /c�
1 TtQres CZQizzi Sr . ( .
1 Newtor< Rd . Gaz t F, Lc W �Yi_r 1K
Co-UT t i~tA 02635 t, _ %teas UP. , e,
xiitla Rd.
' • ( �c7.�.��?�„ C._t.Ii: fix'. 0=:
y.
5•'JPE<yi5CR LICENS= a • '
L;P =7t.Expires �tlzdat?
L �:•10_•:;2�3(��/9��IZ511S=r7 ,, aS1Z�l1c� ; - ., ., - •
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_ The Commonwealth of Massachusetts`
Department of Industrial Accidents
r 9�=- ' OflICE O1/nYesffgatlons
6O0 Washington Street
i Boston Mass. 02111
Workers' Compensation Insurance Affidavit
am ZZ
ca i
din phone# ZB-9S/!3
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
m anv name:
2ddress-
citv: phone#•
�r�D..
insurance cti y.. �f Policy# d��f�>3 Z` 8.� ^': >:
-_
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:
com a v name:
address:
cri phone
i #:
insurance co policv#
om anv name:
addre
city phone
insurance co poliev#
'Attach additiotiaCsheetifnecris_aJ_ t—' -'' =—f-:__---_. ly -y ,�."�."""�`
Failure to secure coverage as required under Section 25A of HGL 152 can lead to the imposition of criminal penalties of a fine e. to undersS1.500tand
and/or
a
one years'imprisonment as%C11 as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. i understand that a
cop)•of this statement may be forwarded to the Mice of Investigations or the DIA for coverage verification.
I do herebr certtfi•u pains a penalties ojperjury that the information provided above is true and correct
Sienature
Print name f d�� � �`�// Phone
oRcial use only. do not.+rite in this area to be completed by city or town Orrcial
ein or town: per
9 oBuilding Department
Licensing Board
t C] check if immediate response is required CSelectmen's O(Tiee
aHealth Department
hone 9' r 1Other
contact person: P _ _ t
tr—wd i'nc P1A1 '
Y �IME
The Town of Bar
,,,� , astable
9. `0�' Department of Health Safety and Environmental Services
Building Division
_ 367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: Est.Cost 5,eC,,!!D®
Address of Work:
Owner's Nameee �
Date of Permit Application: e6 --/YI-17
I hereby certify that:
Registration is not required for the following reason(s):
- Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply,for a permit as the agent of the owner:
00 7
Date Contractor Na a,gr Registration No.
OR
Date. Owner's Name
77 _.
y...-....+-•--•--v.-�.-�.�...-. �+..--..-��..ram.,..-._.�--. �.-��..--+..+.c`.^..r'...�i--�'�'.�-...•..-`�.-....f.....`.�. ,,.,..�..-..�,..--� ., ... -..-�...
Assessor's map and lot numberop
7'
INSTALLED liy T BE
CO�PLIANCt
WITH ARTICLE 11
r. Sewage Permit number ....".r��.7.Q..................................... SAM7'ARy STAANOB
REGULA
TIOW .
OF7MET��♦o TOWN OF . BARNSTABLE
L 8$�B9TADLS, i ..03 -
MAY
BUILDING INSPECTOR
O� : .
�Mp ♦� i {:
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`- APPLICATIOWFOR`PERMIT TO ..................... ............................................... ................................................
TYPE OF CONSTRUCTION ..r..........wo.od frame dWelllrig ....... �.`I�.... t�.Cz.
............................19.74..
TO THE INSPECTOR OF BUILDINGS: - - ---
The undersigned hereby applies for a permit according to the following information:
Location ...Lot 28 A Cedric Road.... Centerville,..,.Mass,.
.................................. ..........................................................................
ProposedUse ...................Residential....................................... ................................................................... .........
Zoning District R I. ....................Fire District .�ntez'V 111 -0ste 'Ville
.............. ..................................... ..................
Name of Owner NOY'IAeSt„H.omeS...In.g.jt............ .......Address ..NQ.tilil1�;ham...�Xvr...........................................
Name of Builder ...........Same...............................................Address .............5.4;M?.............................................................
Name of Architect .........11,e?1e..........................................::...Address .............TAQ)le.............................................................
Number of Rooms ...............419.................................................Foundation ...........1.�. `' !!."..................................
Exterior ....................................................................................Roofing ..as.pbalt...............................................................
Floors ..................Cad'P.e........................................... ................Interior ....................................................................................
Heating ...........................................:......................................Plumbing ...:...............2-fUl..baths...............................
Fireplace .........ye...s....................................................................Approximate Cost .......
............................
Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ..........................................
Diagram of Lot and Building with Dimensions Fee ............. ...................... .........
SUBJECT TO APPROVAL OF BOARD OF HEALTH AXV
XIJ
UPI xg v
,c
��
I �v
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ........................
Normest Homes, Inc.
^
Location —.. .�m�d------_____.. +` .
`
______.. l��___________.
`
' -
^ .
/ Owner ....... .�B«muemx'.Ioc�_.____..
� Type of Construction ..........................................
` - . -
---_~--------.------------.
Plot ---------. Lot ---12QA----.� ^ z
.
.
[' Permit Granted .............JUoe..24............lq 74
^ �o�e of |n ...................................
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.
PERMIT REFUSED
' - � �
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' /�--------------- l9 c
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.........:. ��--------.....-----~--. ^
........................................................
'
Assessor's map and lot number ......... �` ..... . �
Sewage Permit number .....r�? -74........................... ............ I
{
TOWN OF BARNSTABLE
THE TQ�
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Z I STABLE. *
° oYa,•� BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .............................................................................................................................
wood frame dwellin
,.,-TYPE OF CONSTRUCTION ..............................................................g.............................
une...1 1............................19.4..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..Lot 2 A Cedric Road, Centerville,.,, Mays..
Proposed Use Residential........................................................................
........................................... .....................................................
Zoning District ......RDZ..........................................................Fire District Centervil1le-Osterville
Name of Owner NormaSt„HameS Inc..........................Address AQt�;1T�.9�'1PA..)PX'V._
.................. ..... ..........................................
Name of Builder same...............................................Address ........::..PAM
..................... ................................................................
Name of Architect ........n AI ...............................................Address ............KQz1Q.............................................................
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Numberof Rooms ..................................................................Foundation ........... .................:.`..............................................
Exierior ....................................................................................Roofing .. ,5� .Ph2.lt...............................................................
Floors ....................
Cax'Ue
.... ......................Interior ...............
Heating Plumbing .................. ....f.,1,? ........? ................................
Fireplace .........yes.........................................................................Approximate Cost ......4' a., YG6l. ?
Definitive Plan Approved by Planning Board -------------------------- �'�": �
19 -----. Area .........
Diagram of Lot and Building with Dimensions Fee .. .. ...........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH ..
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hereby agree to conform to all the Rules and Regulations of the Town of Barnstable'regarding the above
construction.
Name ..... /�} �,.g'cis'p�.......................... .9.
Jv-� �� ��� �
Nozraeat Homes, Inc. �
. � � ��' ~~ ��� ��
17171 two a
No -----.. Permitfor -.. ---. .-.
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single family dwelling
----- ....... ...... - ...... ----- - .......
\�� �6ri c Road
Location `~-�~--
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Centerville
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Ovvne, ---NatRe.s.t'JRtA9 ln.rr.,...............
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Typo of Construction ............fzmaMe................... '
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Plot ............................ Lot ................................
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Permit Granted ---'J.une..2.4----]9 74 \ ^
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Date of Inspection ------------lV
Dote Completed ......................................
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PERMIT REFUSED
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Approved ................................................ lg
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The Town of Barnstable
Peanit# a,f 7`/0
Massachusetts
1ARN19rASM = Date q
(
KAM
SOLID FUEL STOVE PERMIT
Fee
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This constitutes an official stove permit after inspection and approval by the building inspector.
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_ Owner Telephone no. o2F— F93
Address,of Property, Villa ge
zLocation and Stove Type
Date: .
Building Spector
The solid fuel burning stove at the above location passed: failed: inspection