Loading...
HomeMy WebLinkAbout0053 CROSBY CIRCLE .. _ ., � ,fit,: ,. � _ _ .. ..:. � - � � �i. ` �� i o �� � � e � - , 3 .. '� - - a !. - c ,. yb Town of Barnstable *Permit# V a Ex�rres ronth oe date Regulatory Services Fee srAs "Richard V.Scali,Director Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 026,01 LC www.'town.barnstable.ma.us Office: 508-862-4038 = Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number i Property Address //'` Gj G esidential Value of Work$ Minimum fee of$35.00,for work'under$6000.00 Owner's Name&Address Contractor's Name (r( fie/- Telephone Numberd.� � Home Improvement Contractor License#(if applicable) Email: .801 jit4' oG Construction Supervisor's License#(if applicable) - 060x ❑Workman's Compensation Insurance Check one: [']yam a sole proprietor ❑ I am the Homeowner r ❑ I have Worker's Compensation;Insurance Insurance Company Name - Workman's Comp.Policy 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) ©ICe--side 1 d eplacement Windows/doors/sliders.U-Value _ (makimum.32)#of windows / #of doors:_ *Where required: Issuance of this permit does riot 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 uired:' ¢; SIGNATURE: QAWPFILESTORNIMbuilding permit formsTNPRESS.doC 01/25/17 Ile Cammaznveakh of Massy diusetts DVarhnent of r'adushialAccidads ; Ohre of brVedkM.iom. 600 Washingion Street -- - Bast-on,-41A 02111 wFvtv.musLg0v1Wa Wnrkere CQmpensatiou lm-arance Affidayif-But>l&rs/Cnntractars/Medd.cmnsfPhunbers AppUcamt hfm=fian ) Please Pr nt Eye llv SIIIZJncinPcg�Y7cMan�i�atirm/Enr�Rc*erinalr�, L� ( �Vy°L/�L Gd lazd4eal 81 Y?d cifgfstaw (. �Pr[Wfllrl Are you an employer?:£beck the appropriate bans: T of project r I.❑ I am a employer with. 4 ❑I am a general coai�ctor and I Type FT°1 t equired}: b G. ❑ogees(full an&or Pat-time)-* have hiredthe sub-contractors N oausizgc as 2.P m.a a sale proprietor orpa�aer- Usted on the attached sheet` 7. odeliag slip and have no employees These sob-cofactors have g- ❑Demolition r waking for me in any capacity` employees and have wogs', 9..❑EEu d,addition LNp wodm .'comp.insurmce.: Camp_insurany required,] 5. ❑ We are a-corporaiitm and its lO_❑Electrical repairs or adds 3.❑ I ama homeowner doing all work officers have•e acised their 11-❑Plumbingrepairs or additioas myself[No worl=''gip_ right of exemption per M(M 13.❑Roof repairs immzanre requim, &]T,- c.152,§1(4} andwe have no ' employees.[No=An re 13.❑Other cone_inmate required-] 't�apapp�is �stcheds'bos�ltmrstRhofRoslthesecticabeiow�s4iaglheawo exs c�p�•�,fi^••paTicgi�oe�saiai ; =Fameavraerst6hosnbmats fsaffidavitinEx7ft- dleyRmdaiagsgwatsud&mbimoutsideCntxctmYsmStsubmita new affidadt'mdi-linosacb_ 1Co tlist ebea this bax mast a3t ch sa addiiianal-sneer showing d eauae of the sub-�a and state whether at not Emse eaktiesl.we employees.'If tbemb-=tactaeshnmmnpIcyea%d ieynnistpmvidetheia Srarm&cm=p.,VGHgnumber. I am are enipiyer that ispraiid rta tvork¢rs'coutperLsrdiart ursairattce fur ax}a empFQy�ees $etoat=is 1ite�pa8cy ar�rI jab side' hzformrrlinn. Insumace Company Name: ' -Policy;A,or Self-ice€Iic B�piratiosDate: 4 Job Site Addre= citglStafelz�p. . ' Attach a-copy of the warkere compensationgoUcy declaration page•(showing the policy number and expiration date). Fail m tca secure coverage as requiredunder Section 25A o€MGL n 1527 can lead to the imposition of criminal penalties of a fine up to$1,54U OD andlor mie-y6irimprisoumeuk as well as rivil penalties im the farm of a STOP WORK ORDERand a fme of up-to$250-0 I a day aggainst the violator. Be ach ised'&at a copy of this statement maybe forwarded to the Of of: Investigations ofthe DIA for ibsumuce coverage terifita#ion. T 110&ere.by cer*' rya apuinx and parr ' of er t 'thatthe informa€i mprin- d a w ls bars rd correct j AV Sitstature Date- Phmejg7 OBIchd um only, Do ant emits in this Brea,to be minpTetesd by ciiy artaiEsi a,;dat City or Town: P •t_Ucense;9 Issuing kUftwrity(cir&i ine): i L Board of$eaItfi "f.Bwifirm Department 3.ctyamm clerk 4 Eiec&ieal Inspector S.Plumbnag Inspector ° 6.Other Contact Person: Phone#: . Information and Instructions Massac_7;,:scar Geberal Laws chapter 152=I==an emplU=In provide workr&=nP satM for flies Maploye=. p==ttO this fin,an defined as.¢.==ypersanin die smvice of anofbrr order any cozdxart ofhQe," express or imphe4 oral or rhm." An arPIvyEr is deifmrd as"an indirvidnal,parfn assoQafi on;corporation or other legal entity,or any two or more of the foregoing=UagCd is aJoiot ,and inchzdmg fhe legal=lses.^datives of a dmcased employer,or fbe receiver or trustee of an indrvlaml,pmtnecsj�,amDda m or otbeclegal entity,employing emplDyees_ However the owner of a.dw�jlinghouse haviognotmore,than th=apartmeais and who resides or the occaPaot oftbe- dw Mug house of mDfer who employs persons to do maims ce,ca= nct on or repair wol.on such dweI&ng house or on the grounds or bm7rTmg alinSd�theretD ffizU notbecanse of sac'h employment be deemed t o be an employer." MM cbaptrr 15-2 §25G(Q also stairs ffiat¢every staf a or local licensing agency shaII withhold ffie i_=�ce or renewal of a license or permit to operate a buskess or to construct biuffffkgs ut the coiumonweatth for any applicant-who has notproduced acceptable evidence of compliance with the msui�ce.coverage regulre Addition ly,MGL cbaptrr I52,§25CM states-Neither the coTTn mrwealfh nor Lyy of its political subdivisions shall Mnr filb any contract for the perfnmance ofpubHo wmicvatil acceptable evidence of comp liancewith the ice:.. reqnrements of this chapter have been present!Afo the cr, , aathoity-" Applies Please fill oht the worl=' compensation affidavit completely,by g ft e b=es that apply tD Ypzs sitoafion and,if s nam s address es and a nr= ex(s)along with then o�cate(s)of iLvo s ca- s�Iy s wrthno Io ees other than the ;ncnrance_ LLimiitedLiabi7ity Companies(I.LC)or LimitedLiabiIity Par�bip (IZP) �p y members or par toes,are not regtm-ed to cant'worke& compeosafrcm fi=m e- If m LLC or LLP dDes have employees,apolicyisrcqufimd. Beadvisedf3atfiusaf idayitmaybeso dtniheDeparfinentof Iudngtrial Accidents for conffimation of msm",ce coverage: Also be sure to sign and date the affidzVit The affidavit should be retained to the city or town that the application for the permit or license is being reqnesb�d,not the D ep ar[meut of ; Lndastzial,A c-ci d=tS MmM you have any questions regarding the law or ifyon are requi and t o obtain a works' compensation policy,please call the Depa tme t at the number listed bebw. Self-in a companies shy ci entr tbea s elf-fi sm'aacce license=nber on the appmpziain Iine. City or Town Officials . t - Please be sin a that the affidavit is complete and prhtedlegibIy. 'Ihe Departmcmthas provided a space at the bottom of tine affidavit for you to fid out in.fhe event the Office of Invesd9utiOnShas.t-o coxttictyo¢regardmgthe applicant. Please:be sure to fillinthepermit/Rceaseznmberwhichw7lbe-used as arefe=cennmber. In-addition,an applicant that must submit M-UhiPIe permitllicense aPPHMtions in.any given year,need only submit one a$tdav$indicating==mot policy infraatian Citn y)and under`fob Siiz;A� ess"the app icaat should val a"aII loca#>ons in--(may or _ town)-"A copy of the-affidavitthat has been officially stamped or marlo;d bytl>e city or town may be provided to the " applicant as-proo-fthat a valid affidavit is on file fbr fninre petmi�s-or licenses A new affidavit must be:filled oft cacti year.Whew a home owner or citizen is obtami o g a license or pewit not related to any busio=or commercial verb (ia-a dog license orpeffiit to burn leaves ete_)saiciperson is 1�TOTrequiredtn complete Ibis affidavit: IkeOfficeofln,? -Gv-�'nnswovIdltkefnt kyonzaadvanceforyou coopeazion and shorld you have way q�►ice please do not hesifafn to give ns a call- Me.Deparbnenfs address,tnlephone and fax rmnbeT: cOziM= M of�mem • �cif A�denfs .: - Bastmax&oil11 Tfl-L 161'-' -4 Q:xt4-06 or 1-M-l S,4FE Fat 617 727 7749 R.evisecl4-24-07 R �� r� f Town of Barnstable Regulatory Services NAM Richard V.Scali,Director s639. Building Division r Paul Roma,Building Commissioner k , 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 A .Property Owner Must Complete and Sign This Section If Using A Builder I; ii x Vld lI 4AS , as Owner of the subject property S C J � Vl` � hereb authorize q. t Lam. to act on m behalf Y Y in all matters relative to work authorized by this building permit application for: (Address of Job) - **Pool fences and ala ms.are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature-of Owner S' e of Applicant G _ _ Print Name Print Name 7 . Date Q:FORMS:OWNERPERMSSIONPOOLS ' Town of Barnstable Regulatory Services. drrtK Richard V.Scali,Director ' Building Division s41tv9rA1= + Paul Roma,Building Commissioner &�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": 4 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER - Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a 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. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"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. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 Office of Consumer Affairs&Business Regulation!. HOME IMPROVEMENT CONTRACTOR Registration valid'for individual use only, • TYPE:Individual before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation' egr Rstration Expiration 1T1 1(f 03/22/2019 10 Park Plaza-Suite 5170 Boston,MA 116 SCOTT QUILTER` SCOTT QUILTER r _ 247 Strawberry Hill,Rdz � ' Centerville,MA 02632rr Undersecretary Not valid without signature f Public Safty + Massachusetts Department u ati�nsfand Standaeds . Board of Building Reg License: CS-078000 � ;t - Construction Supervisor, SCOTT H QUILTER• , PO BOX727 #' WEST HYANNISPORT MA 02672` Expiration'. 02/0312018 Commission er _ P. FEE °° TOWN OF BARNSTABLE, MASS. d �9b� a !�j En 19 do � wgpa o� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO Cc AO v > 4=3o O m as (PROPERTY OWNER) (ADDRESS) OeSS � TO .........................................................................................................._........._.........____.......................................................................................................................................... (BUILD) (ALTER) (REPAIR) p � O 0 (TYPE OF BUILDING) (APPROXIMATE SIZE) w o � LOCATION ................._......._............................_................................................._..._ ..._......................................................................................................_... _..__—__ V y (STREET AND NUMBER) (VILLAGE) mNAME OF BUILDER O R ...._C O f� R A C T O R _._....... ...._.................................................._....._.............._......_.....................__........._.....___............_.._.__ p, /,T � � APPROXIMATE COST d d sue. mcs I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN d OF BARNSTA7 REGARDING THE ABOVE CONSTRUCTION. oRlop • U� in N C N (OWNER) (CONTRACTOR) CS o O U ._._..__..._..._....__........_......___............................__.__............................................................................. BUILDING INSPECTOR Subject to Approval of Board of Health. i ` .� �,'•. �A '� r t f/ L� l," bap ct... �� F 6.. ems: �. ,?6 � a•}T7e. 4t' .'a`,F�.SiI r, ,a A 1.3 { s �..N�..� rr'1/��.1�"•. "+.fry.r..-...,r•Ws••4�+�•I�ti,•�!�'�.n^."`Y.•.r..'��`--.('�.Mti�v�ry.'4.�•`vy,.�I�,,,.�+v+ Assessor's map and lot number �Sewage Permit number .....L''`'.. ....... ... . ......r......... � , R � THET TOWN OF BARNSTABLE i j BANNSTADLL "6 RUILOING INSPECTOR t�9'1vVb�l APPLICATION FOR PERMIT TO .... .�...................�..........,. ...............,..,. . .... ...�.�...���.�f.'+� TYPEOF.: CONSTRUCTION ............... ! ............................................................................................................ \ TO THE INSPECTOR OF BUILDINGS: The undersigned-hereby applies for a permit according to the foljowing, information: Location ..:.... `f ... . .. .. ......... f ......................................................... Proposed Use . ............... ��.:�"' ► /79 Zoning District ......... .....................,.:....................................Fire District ..............., +' .. ......: fill d5p Nameof Owner ... ... .:'....... ± ..............Address ..... ........:........ ................................................... Nameof Builder .....................................................'..............Address ..........,.................................................,....................... Nameof Architect ..................................................................Address .................... .......................................................... Numberof Rooms ...................... . .........................................Foundation ............................... � t ..........Roofing..� ........: _ ../. _.,.y+.�.i.�.,.,.�.../..—... ..........................................Exleyfor /� 4 �(.., . ,a'.r. Floors ........Interior ................:...:. �..:.�.:.: ................................. V Heating �-.�+�.,�*'° ...................................Plumbing .................................................................................. ........ ...,..�.... ....... s Fireplace ..................................................................................Approximate Cost .......... :" ................. Definitive Plan Approved by Planning Board ________________________________19________. Area d QDq- 0* 6• ...................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to conform to all the Rules and Regulations ofWpdple regarding the above construction. Name ................................................ Cook, Lester D. No 1411 permit for ....remodel garage i .................... to .dini.ng room : ' Locat6 .. 01 ........... ., ti 4 . +,or. ... .... ................ r Owner r Type of Construction ........,.. ............. l ....... ................................... ..... . Plot ............................ Lot ................................ Permit Granted ....:.. Or..fit p.har..,M..........19 74_ ., .. r Date of Inspection .......19. ........... Date Completed t PERMIT REFUSED :............................................................... 19 f .............................................................................. ; . .......................... ....................................... . ............................................................................... f a� t Approved ................................................ 19 ................................... .................... ......................................................... s i` i Assessor's map and lot-.number J...$..: ... :,..... , _ � Y Ere wage Permit number .. tit y0FTNEr��y TOWNS OF BARNSTABLE 33ASH9TADLE, i s IT °oOY�,��� OUI'LDING ( INSPECTOR APPLICATION FOR PERMIT TO ...... .. _..... A!'°... ....... ....... ... ........ TYPE OF CONSTRUCTION V ..........97 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby a plies for a permit accord*gg to t�oll.o.w.i information: Location ......... .... . .. . ...... ................. ........................................................................... Proposed Use ..�i,�1 ZoningDistrict ........................................................................Fire District .............. ....... .... ................................................ Narde of Owner : . .... &14................Address ..... Name of Builder .........�1.0,q.A1 Q� +S ( .............Address .............................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ...:...... .......... ..........................:............Foundation .... ... . ......................................................... Exterior ...... . . ..........................Roofing .......... .. .. ... ..... ................................................ Floors ........................................... .............Interior ...... .... ....... . A`G...!................................................... Heating ....... ...... ...Plumbin ................. ........................................................ Fireplace ..................................................................................Approximate Cost ...... • ."" " ........:......................... Definitive Plan Approved by Planning Board ________________________________19________. Area A.. ....!. �� � �� ; � ='............................ } Diagram of Lot and Building with Dimensions Fee �` ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r a I hereby agree to conform to all the Rules and Regulations of the Town of'Barnstab a regarding the above construction. AL....................I Name .. ................. ............................. � Cook, Lester B. � = _ � lq4ll remodel ' .........,�emnm� �� -_.__._--.-. � ' ( ^� to dining room w ~ ---' --_........................... � rcle, '` ~ - --~--~`~ '--''-,r�- ---'' Centerville � ��\ - ....................................................... ----''' Lester B. Cook Owner .................................................................. frame , Type mfConstruction _-_------------- ....`.............`.......... ........`..'...'...`................... ` Plot ............................. Lot ................................ ` Permit Granted ..............Octobe�_3l_]p 74 Date of Inspection .................................... Date Completed ...................................... - � . � � PERMIT REFUSED -^---''.----------.------' lV .--.----..~.--.----'-'-.------ � ~-~-'^-^'^~^---'-^-^'~'^^--------' . . � ...'...'...............'......`'..............`^'...^^^'...^............. � ~~^'----'-'~~^--'~''^~~-^-'--'r-^'- , ' . Approved ................................................ lA � � ' —^-^-^'-^--'---''^''-'~^`-'-'-^^---' ~..............-'....... - ............................................... . . � .~ Assessor's map and lot- number ........ IF41,;TALLED IN C PLIAI Sewage Permit number .:7�5......................................... WIVA ARTlat, 11 STATE yOFTHETO TOWN OF BAR E BARNSTABLE, 1619. r_ BUILDING ' INSPECTOR O,p�O MFY a APPLICATION FOR PERMIT TO ............�W � V��:�l.... .... TYPEOF CONSTRUCTION .................... .. :.. . ...................... ..... . . . ..:........................................... ,�. . . .................19. TO THE INSPECTOR OF BUILDINGS: The undersigne hereby applies ape mit according to the following information: Location ......... ... .. .:. ..: ...:.... . ............................................................................................................................... ProposedUse ....... .... . ........:'.. ...:. ...................................................................................................................................... Zoning District Fire District ......:..... r�... .. S ...... .,QJ. .......... � ©.. ............................... Nameof Owner .... : ............ ............................Address ...... ... ... ............................ Name of Builder ...�.:.,.. . ..... ;.< :..:.......................Address ................ ..... ... ....................... Name of Architect ....... . ........ Address ...... . .:-:. .,. .... ..:.:.. ..... . ... ...... ........................... Numberof Rooms ....................................................:.............Foundation ............ ... ...................................... ................... .. . ........Roofing ...... Exterior ....... . .....:�....�,,...: .:•: ...,...P......................... ... ...... ::......:...................................................... Floors ............ . .........................................Interior .................................................................................... Heating ........................................>.............Plumbing .................................................................................. Fireplace ........................................................-.....................Approximate Cost .......... a4l ...........a�a.............. ,�. ..�. Definitive Plan Approved by Planning Board------------------------19--------. Area �T'J / �, .;. Diagram of Lot and Building with Dimensions Fee ` ` "� .......... I SUBJECT TO APPROVAL� OF BOA D OF HEALTH G 41 i \ Al J ` r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name YL ...... . Cook, Lester No 17563 .permit for ....................................dd garage to single family dwelling ............................................................................... Location Crosby Circle ......................................................... Centerville ............................................................................... Owner Lester Cook ................................:....................... Type of Construction frame ................................................................................ Plot ............................ Lot ................................ January 22 75 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed {Y� .6...................19 S � N PERMIT REFUSED ................................................................ 19 ' S �1 ... ....................................................................... ................................................. ......................... ............................................................................... - t Approved ................................................ 19 ............................................................................... F ............................................................................... Assessor's map and lot. number /Q.. J/( Sewage Permit number .s:!'................................................ *THETO�♦ TOWN OF BARNSTABLE ro�'P n ow Z HAHBSTADLE, i "b 9 �•� BUILDING INSPECTOR O�Q YpY A 9L F APPLICATION FOR PERMIT TO *........: ' ............... ....................................................................................................... f TYPE OF CONSTRUCTION '........................ .....................................:.:?..f.� �err.............................................. ..........................................19........ TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location .......,�..:....:. - �y .... .:P........................................................................................................................................................... Proposed Use ..... ..............................................................................................................................................I......................... Zoning District C{�T ~ Fire Distract Name of Owner -.. i .. ...'...................Address .✓t - -*1 . ,............................... .............................................. Name of Builder ✓t.-��- '"'l'f ,� e :......................Address ......................... ..................................................... e7 . �...........................Address Name of Architect ....................................... ..............................:.:`".........:....................................... r. Number of Rooms /...............................................Foundation � ` ' ^--'4 11 .. ..........I.......... ................................................... Exierior ........................Roofing ....... ................... ................................................. Floors .....................................::...............................................Interior .................................................................................... ....Plumbin Heating .............................::............................................... g, .................................................................................. Fireplace ..................................................................................Approximate Cost .............::.......... ....................................... Definitive Plan Approved by Planning Board -------------------------- ' ------19--------. Area .....fl':'.1 � .., l . ............................. Diagram of Lot and Building with Dimensions � Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �(j 4 { , w ,� •..ram gyp... _� � � ` , . �• � ate 1 � •f, . i ri I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . I`µ ..................................................................... s Cook, Lester 17563 add garage to dwelling Centerville Owner ..........Le.s.ter...C.00k.............../............ Plot ............................ Lot /........................... Permit Granted .......I a Zu.,ae r-y..22..........19 75 .../...............................19 --- Completed PERMIT REFUSED 19 ................ .............................................................. � � ............ -------------.-------- / —.----.------.—.—.---..—.—..--- - ` � --.-.,...-------------.,------- r . Approved —/—�'�-------.�---.. lV ' ^ -------'------------------- -----------^---------^^'^^^'^— � �