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HomeMy WebLinkAbout0077 ELIJAH CHILDS LANE v r , . o a a y p , Town of Barns able ermit: TMe Building Department Services ate: 9I 15 9t.157 Brian Florence,CBO - -Sy M ' Building Commissioner ee o 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: '508-862-4038 qv/t0/Aj(V: ,08-790-6230 TOWN OF BARNSTABLE . C T . SOLID FUEL STOVE-PE R] N�O- T.01:Nov Z01� R „ Owner:MlLFI&IGi Mictftr-'W:-- Q)N6boN Phone: 1-74 -J l �b'-7 Install at:'7tr7 I±1,I jRN C N►4/JS /,A".E Village: CE W'(-El;g L,LE Map/Parcel: i`�1 "l Dater Stove A.(t Pe Used B. Type: adi Circulating C. Manufacturer: V FPtic)tiT c=45,T r N G.S Lab.No. r'3!S- -605o3;&IE D. Model No.: Z t 1�S /z c t S' C16T Chimney A. lU�"/Existing (If existing,please note date of last cleaning B. Flue Size Q1� C. Are other appliances attached to Flue? No D. Pre-fab Type and Manufacturer V oa-C 15 Di y h /r4 CM1 K"'CY E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: NT� Installer Name: Address: . Phone: Location of Installation: H.I.0 Registration# Construction Supervisor# _ OR check Homeowner Installing,no license required LICENSED INSTALLERS SIGNAT APPLICANTS aE ' ds:—._ APPROVED BYSA Please make thethe Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev:08/16/17 A 77se Commompealth of- assirdjussetts /71 Department&fbtd=1rid Accider& Off we of•Frrstigadom 600 Washbiglon,Stmet, - Baston,CIA 02111 wFPj-v m=Lgov1din Workers' Compensa#m Insax-ance Affidavit BuHti6rsdCuntractarsM ans/Phimhers , A mUUcaIIt Information Please Print Na= cin�cclY�caaniraEirnt![nd" na �� f{,/�j., rS. �ONG�i�9 V Address `1 /� 1< f ►f C hl 1 LD$ (? ' cis/st t L-� CrN-reK"4 ►-Lf_ Phow--3-7-7 44 1 Are yk an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employes U ith 4. ❑I am a general contractor and I 6. ONewconsauction employees(full armor part-ime),s have liked the sub-contractors 2.❑ I am a sole proprietor or partaer- listed on the attached sheet. 7- ❑RemodeEng r ship and have no employees Thee sub-contractors have S.,❑Demolition wadkiag far me in any rapacity_ employees and have wafers' Bnilc addition s INo W.06M ' Comp-fimm ce Camp.n, 5. ❑ We are a corporation and its 10❑Elechical repaim cr additions 3. I am a homeowner doing all work officers have exercised thtir 1 L❑Plumbing repairs or additions. "' o workers' right of emotion per MML 1?❑I�nafr ep� insurance required-]o�� c.152,§1(4�andwe have no employees.[No wo&as' 13.❑other camp required-] 'tiny WKcs=&at ched3 boa iF1 mast also fM aM1the sectionbeaw showing&&Wwleze compMs fi=pcIicy inia=afoxL �E€ameeavaers Who submit this afiidacit indiiratimg thzy axe daiao sg c�axt sod�hoe a�sideco9.tcactrrts xnnst Submit a new affcdagit indicati�saeSi fCanuactms thsr drecY tbis ben must•attar-17 M additiaasl street shoormg the mine of die sob-camusctom Xad state Whew ar oat those entitiesbsva ewkrjen.Ifthesub<untmctesbmmrpiayees,theY pmvide&w saorlress'-xnp.13o1ky.gumhez t I am atz elieplOyer fierrt is prutadutg workers'co�eresm�ion inrrirartca,fvr�c�earpTo}�e,es Setoty is f)ta pv8cy rcr�aid jeF�site information. . Insurance Company Name: Policy 4 or Self-ins.Tic.;k FspiEdion Date: Job Site A&lress= CitylStafellZtp: r Attach a copy of the workers'compensation policy dedTaration page(skowing the poPicy number and expiration date). Fail=to seams coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties-of a fine up to$1500 00 and for one-year imprisanmerik as well as civil penalties in the form of a STOP WORK ORDERand a fine of up to$250-00 a day as t�the-violator. Be advised that a copy of this statement may be ceded to the Office of Iavesdgatinns ofthe DIA for insmnnce coverage ued5cation. Frio keraIry ce fjr riardsr the pairt�dpanaIitas of 1y thatthe ir�forma#iari pnavfrFr*d ataot�a is itrug and avrrect �Sizflat"^w' /t/`^� Date /I Phone Z`4 6 J C7 7� � - 021ciai use r nly. Do stot write in fills area,&t be evinpiete+d by c*y ortetcn ofj`rciat City or lawn.• Per:ttitlT tense;ff Jssuimg Authority(circle one): I.Board of Heat$ 2.Build-mg Department 3.f Aylrown Clerk 4.Electrical hmpector 5.Phtmbing Fnspector Ch Other Coact Person: Phone#- -formation and Instructions ' Massachusetts G&=-g Laws chapter 152 regoaes all empIoy=In Isovide w0131eas'eompersatton far their MnPloyees_ '+ Pursaantto thus state,an ernployee is deemed as."__every person,in the service of another under any contrast ofhfir, express or bmpli ed,oral or wriftra_" Auz e773pIoyer is defined as"an mcfividoal,paifnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a job ,and inchnding the legal rePr esentat[ves of a deceased employer,or the receiver or trustee of an individual,pmtimslup,association or other legal entity,employing employees_ However the owner of a dweIling house having not more thann three apartments and wh6 resides therein,or the o=q)amt of the - dw Ring house of another who employs persons to do maiabman.ce,consft ct on or repair wow on such dweIling house or on the grounds or budding ng appurtenant thereto shaU 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$ie issuance or renewal of a license or permit to operate a business or to construct braidings in the cornmonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.covexage required-" Additionally,MGL chapter 152,§25C(7)states'Neither the cc= myrzlth nor a'ay of its political subdivisions shall an into any contract for the perEmmiance ofpublic woricumtil acceptable evidence of compliance with the;,,swaT,ce.- reg?nrememts of this chapirs have been presented to the camttaciiog mifhoi ty." A pplicaufr Please fill out the worl='compensation affidavit completely,by checldng the boxes that apply to your situation and,if necessary,supply sob-contractor(s)name(s), addres (es)and phonemrmbe;r(s)along with theircestiffcat*) of ;ncr„-Qnce. LimitedLiabriity Companies(LLC)or Limited LiabilityPartaeasbips(LLP)withno employees other than the members or partners,are not regimed to carry workers'compensation insmm<ce. If an LLC or LLP does have employees,a policy is required. Be advisedthat this affidavitmaybe submitted to the Department of Industrial Accidents mr confamation of ins rmcz coverage. Also be sure to sign and date the afyndavit The affidavit should be retrame d to the city or town that the application for the permit or license is being requested,not the Department of Turin stri al Acci. mtr, Should you have any questions regarding the law or if you are regmred to obtain a workers' compensation policy,Please call the Department at the number listed below. Self-insured companies should enter their self-m: ¢ ce license number on.the appropriate line_ City or Town.Officials Please be scar.that the affidavit is complete and pri>ded legibly The Department has provided a space at the bottom of the affidavit for you to till.out in the event the Office of Investigations has to coact you regarding the.applicant Please be sure to fill in the pent it/license number which will be used as a reference number. In addition, an applicant that must submit multiple peffiitllicense applizalioms in any given year,need only submit one affidavit indicating cma'ent policy infonration(if necessary)and under'cJob Site Adtjress"the applicant shoud write"all locations in (cftY or town):"A copy of the•affidavit that has been.officially stumped or madced by the city or to may be provided too the applicant as proof thatavalid affidavit is on file for futoze pe®z(s or licenses A new affidavrtmmist be filled oiit each year Where a home owner or citizen is obtanmg a license or peanut not related to any business or commercial ventne (i_e_ a dug license or permit to lean leaves etc)said person is NOT regrm-ed to complete this affidavit The Office of Investig-,dioms woudd like to thank you in.advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Depa immenfS address,telephone and fax mbar: a Cozon=qFMItIE cf .chnsetis - D�egaz�menfi c}f Iiiad��ial Acc.�-minis . BasWu�MA( III 2`(,-L 4 617-727-4900 cxt 406 or I-9 MASSAFE Fax 0 6I7`27 7M Revised 4-24-07 _masV-gWIdhL ,' / 4 Q. ho is responsible form application th " ermlt? - -- - for-- -- --� Application for a permit is required to be made by-the owner or lessee or their agent of the building (e.g.; the H1C registrant)), if application is made other than by; he owner, written authorization of the owner must " accompany the application. Such written a uthorzation'shall be signed by 'the owner and shall include a statement of ownership and shall identify the owner's authorized agent, or shall grant permission to-the lessee to apply for the permit. The full names and addresses of the owner, lessee, applicant and the responsible officers, if the Owner.or-lessee is a corporate body, shall be stated in the application. Please note: It is the res onsib 111tv offhe registered HIC to obtain all . ermits necessary for work covered by the Home improvement Contractor Recgistration Law, M G L c 142A.. An owner who secures his or her own permits for such shall be excluded from the guaranty fund.' provisions as defined in IIII.G,L. c. 142A. Back to Top Q. 1V1y contractor told me 1 need to obtain the permits fo constrfttion. Mav I obtain the,relevant permits from, tmy local building" department or. is the contract-I - �req wired to do that? While you may certainly obtain your own permits, be aware that if you do, YOU �yill fall Into a homeowner exemption that'will disqualify you from being eligible to-receive recourse through M.G._LC_- 142A the`H1C Law, or the, statutorily authorized Guaranty Fund, should a"problem arise; It is the responsibi-ft of the registered H1C to obtain all permr-fs necessary for work covered by the Home Improvement Contractor Registration Law, M 142A. If the H1C you are contracting with refuses, YOU May wish to reconsider using that contractor's services. = . Town of Barnstable Building Bepartment services R Brian Florence,CBO 163 Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns - Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign!as SecIthe 'If Us' A B I , wner ject property hereby authorize to act on my behal f I in all matters relative to wo authorized by this building permit application for: dress of Job) **Pool fe ces and alarms the responsibility of the applicant Pools are n t.to be filled or u ' ' d before fence is installed and all final ins ections are performed d accepted. Si tune of Owner Signature of Applicant Print Name P ' t Name Date Q:F0RMS:0WNERPERMISSI0NPWLS Rev:09/16/17 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner RLAJ �. ; 200 Main Street, Hyannis,MA 02601 1 MAW www.town.barnstable.ma.us. 039 Office: 508-862-403 8 Fax: 508-790-6230 1 HOMEOWNER LICENSE EXEMPTION DATE: /1 ` Please Print JOB LOCATION:_.'7 ( IZ�''1M1j Lb5- ��I 4Ry 1'`.-4 number street village "HOMEOWNER": ►J ►�, f't►�N AhRt.y N <AWA 7 7 y-21,l —8-i61 name home phone# work phone# CURRENT MAILING ADDRESS: —7 CM 4g 4 40t' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellines 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 strictures. 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 an5Veq /e is and that he/she will comply with said procedures and requirements. u 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 currentlyused b several towns. You may care to amend and adopt such a form/certification for use in Y Y P your community. Q:IWPFHM\FORMSIbuilding permit form\EXPRESS.doc 08/16/17 Town of Barnstable4 . REcE1PT 200 Main Street, Hyannis MA 02601 508-862-4038 ;639� Application for Building Permit Application No: TB-18-546 Date Recieved: 2/22/2018 f Job Location: 77 ELIJAH CHILDS LANE,CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: Elwell H Perry, Jr. State Lic. No: CS-104088 Address: Acushnet, MA 02743 Applicant Phone: (508) 992-5770 (Home)Owner's Name: CONGDON,MICHAEL& MICHELE Phone: (774)361-8781 (Home)Owner's Address: 77 ELIJAH CHILDS LANE, CENTERVILLE,MA 02632 Work Description: 9 hrs. Air Sealing. Install 11" Cellulose to 1720' open attic. Install 100 prop-r-vents. Install R-38 fiberglass to 50' for damming. Vent bathroom fan through roof. Insulate bulkhead door w/2" rigid ins board. Install(3)8"x16"soffit vents. Install an insulated bath exhaust hose. co _ 0 9U Total Value Of Work To Be Performed: $4,354.00 m w - Structure Size: 0.00 0.00 0.0Q f n Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a.permit is issued,it is a permit.to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Elwell Perry 2/22/2018 (508)992-5770 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $4,354.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 2/22/2018 $35.00 i XXXX-XXXX XXXX-= Credit Card i 4419 ..�..—. --- Total Permit Fee Paid: $85.00 2/22/2018 $50.00 XXXX-XXXX XXXX- Credit Card 4419 � THI 1�''Assessor's map and lot number .( !. � .7 age ,Permit number rS� f<l.l�-bus `�> ��Qyof THE rod`+► ISTAU H6use number ... ..... ............................ ... x r+►es 1639- f TORN OF •BAR.NSTABLE BUILDIW 11SPECTOR APPLICATION'FOR.-PERMIT TO .....f...` ... 1... .......................................................0 ... .. U ...........................®.................................... TYPE OF CONSTRUCTION .........;.........©... ....... ....... ..................................................... y....... .......19...V3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby apg Jes for a permit accor jing to the following information: Location ....�f. ....X-'L1. �� .. fl �� .......L. ....... .///Zze.........H� Proposed Use ..."J.� ... `�Qa.�'✓..................... ................................. .................... .#4. ............................ ... ..... ..... . '0� ZoningDistrict .... ly........... ........................................Fire District .. .... .........................................../........ Name of Owner 1�..�` �F l ' f .........Address ../.... . .. .,1.. './.. ....... ,C��....f7, Name of Builder'�..� ...��..... 4. .. ...Address /.�b... y f.�./�.eep)L�.....��..?1� .....:. Name of Architect ...........:......................................................Address ............. Number of Rooms .......©/. t................................. . .....Foundation ... Dyy ............................................................ [�/® � Exienor ..�.I..®oo.......Sl!.1.. ...................................Roofing' ......... � �/1�G� ......................................... Floors ...4..D. cam. ............ .............. ....Interior .... :.......................... Heating ®/v. .......................................................Plumbing ......:........... ®,N.................. ::.. Fireplace ..........d.11.. ...........................................F.....Approximate Cost .....d/........ QIJ�� Definitive Plan Approved by Planning Board -----------_-__---------------19______. Area ......... .... .. Diagram of Lot and Buildingwith Dimensions g Fee. ......................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ON • � - � � � � _`` cis C OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the To n f Bar able regardi he abov construction. Name, ... ......................................... ............. 0 C)0 s,� .... .. ... . BARRETT, CHARLES No -`Permit for ..A.DDITION x `x Single Family -Dwelling ............................................................................... Location 77 Elijah Childs Lane _ Centerville ................................................................ .......... Owner ._Charles Barrett 1 ................. .........Frame....... ........ Type'of Construction '.............. .................... ...... . ............ . Plot .............................. Lott................................ , .� 83 Permit Granted ..r..ay ..... ... .......19 Date of;Inspection ..... ... ......... .1,9 Date Completed r'..................................19 f Assessor's map and lot number ......... . ./441 /f o�THE rTo age Permit numbe /...... . !?[��5- ram. f d .► r f �•� ! ............. DJHd9TAML • H6use number .......................................... rAss ,�... 1� t639. _ ON d' TOWN OF BARNSTABLE BUILDING INSPECTOR . 0 /11 APPLICATION FOR PERMIT TO .. /...: ..............................................� .. . ..................... ... . � TYPEOF CONSTRUCTION ........... �. .. ................................................................................................ ...... Z.......{ .......:... 9... .. TO THE INSPECTOR OF BUILDINGS: Thei following i undersigned hereby applies for a permit according to the . information: � S Location .'..2....Z. d.....:' /5 ....... �' ..,.... : T„ / ...� � G-��.................... ProposedUse ...... / ............. 01:/1 ............................................................I...........................;!;.............................. c� Zoning District .... . .``r`....... .................. ....................Fire District ......... .. i✓� ............ . f.3 Name of Owner .. ..........Address �/ Name of Builder".1 .. . ....llzA lf� ..: '...Address/..�'d ( 't ....'�� j .................... . Name of Architect .................................. . ...........................Address .......... __...... ................... .................... ......... Number of Rooms .. ...... .......:...............:.......:....Foundatian .:. ! 9 '.. -- Exienor .....f�' ...... .`. ....bJ l............. .................. .Roofing ......... ��'T ............................................... Floors /,.".�� .ir ................... .Interior ..... Heating... ... .46(. ...............................................................Plumbing ................. ......................................................... Fireplace ......... &f; Ati,;,,... ...... Approximate Cost ... :w ,, ............ ................ M1 .�-��--�- Definitive Plan Approved by Planning Board _ --=--- ------19-------. Area : .... a�d.00... . Diagram of Lot and Building with Dimensionsw 9 g Fee ...........:... .......:................... SUBJECT TO APPROVAL` OF BOARD OF HEALTH . CY OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abov� construction. Name BARRETT, CHARLES A=171-272 No25050 ...permit for ADDITION ................... Single Family Dwelling ............................................................................... Location ....77. ....Elij. .ah. ...Childs. . . ...Lane... . .... .... .. .. .. .. .... ..... ....... ....... , Centerville . Owner Charles Barrett - .................................................................. Type of Construction „Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ....Mai'....9. .....................19 83 Date of Inspection ....................................19 Date Completed ......................................19 by " ' r Assessor's map and lot number ...z...................... .. .... ...... I E S6wage Permit number .i.).? ::2- clo .................................................. 33AR33TABLE. 4ouse number ..........7.7..... MAM O 039- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ K,.�;i ................................................................................................. TYPE OF CONSTRUCTION ............. .................................................................................................. X.....................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ............................................... ........... . ........... .......... ProposedUse .... ...............................................................................................................I......................... Zoning District .................................... Fire District ........................ ..................................... ...................................................... . ........................................... Name of Owner ........ ..................Address ..... k�E�,2L� Nameof Builder ..........................................e.(.......................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .... ................. .................Foundation ............................................................................... LC..................................................Roofing ... ............................................................ Exterior Floors ......... Interior ................................................................ ...... ................................................. Heating ..... 11—V, / L-1) - .....................i....................................................Plumbing ..... ....... . I.............................................. Fireplace .... ...........................................Approximate Cost ......Id ....................................ow Definitive Plan Approved by Panning Board -------------------------------19--------- Area . ....................................... Diagram of Lot and Building with. Dimensions Fee .......... ............ ..... ...... .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to",allthe Rules and Regulations of the Town of Barnstable regarding the above construction. 41 enl Name .................................................... ............................. SHALL, ALAN �A=171-272 2- 106 One Stor No ................. Permit for ........................ y........ Single Family Dwelling.............. s ....................... Location ,.Lot #47 77 Id Centerville .............................................................. Owner ...A.lan Small Type of Construction ...EV.dMa......................... ................................................... s Plot ............................ Lot ...,............................ Permit Granted ...ay...12.!..................19 81 i Date of Inspection ....................................19 Date Completed ............ ........................19 PERMIT REFUSED /............................ 19 ............................................................................... ................................................................................ .................`l..'../.A...�................... 1 Approved ................................................ 19 ............................................................................... ...................:........................................................... THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM /�� C DATA 1 � TOWN OF BARNSTABLE Permit No. -------_-_---------- I Building Inspector Yu s� & Cash ---------------------- -- 00�0 WAY 4,\� OCCUPANCY PERMIT Bond ___-___ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to kl<zn Small Address f!^tprF7 � Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .....................................................1 19......_ .........................................................................................I.................._... Building Inspector Ott =Low - t+ta - DSO 6.P.v- `:�Fbf 495 f P3 Tor,&L 42S Gi. x�. ..., :..,. T Of �fLGDl.QTIOtJ �GT►✓ � �t.J Z/�t�:J 02 �-�75. � --.- vO � r SAV t ZG/JA 4,zs �� Tot- r440 T.64 _ !gyp'•�L"� ! _.--_ lawn iu✓. -:� '7 ---= -Box ti2G Sir-'ric 0 vV �000 52.a Jwv. t►tv LGAC"FT u�asuep C-1=_1Z1- — L0 Ch.T10V-4 CEN 2�ltcs.E L t_10_L 40 r do WA -r O Ar T O c—. F004DA T IOII 5"O�kJ TZ rm-r-c 2-- t C.t"t_at,l Cc wit�L�fS W I'Yl 2 Tt 51 pC- LIWG: Awu C= U-,ACk` VGQ:JtQGM 1.1j' C; . `t iL{ ; Lor A7es . LAIWO TW-'S I7(_IAF I 1 �- UOT L''k,-SC.10 01.4 /��.1 �S7G�V1Ll_G c> I rLS�i• ltJ y f+?:J:✓1 C�W i �t)�:�/i��' ;,�; TNC: JFC'�%=C��i �t-�Gt�.:J�D /A k,�!"�l..t l lS.t�..I T Msessor•;s map and lot number .. .� . _ roe a Sewage Permit number.0.... y ...................... ..... f Ne�P ♦� ' �, � Z BABBSTULE, i 7 7 ��House number .......... ... .......:... . :..... ............'.............. "R0 ��� v r MA86 TOWN OF BARNS7AR o - DUILDIHG . INSPE•CTOR APPLICATION 'FOR PERMIT TO � ]J/y ° ........ .... .... ..�i.,..i. i ..................s •.. ................... .....�•................. ..... ♦. TYPE OF. CONSTRUCTION .. ..... ?.... ............:................................................................. .... /I.....................19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordding to the following information: Location Location ..... �... ..................... . ..... ....4f' . .. .....!! ....... �1.[: .... . 7.......... Proposed Use ..CEO! ...................... ..................................... ......................... ZoningDistrict .................................. ....................................Fire District ................................ ............................................ Nameof Owner �� i(h:.�,`.. ....... .............................Address .....� .. .......... ... ..... .�:.......................................... Z.�.Name of Builder ..........................................a......................Address .......... ......................................................... Name of Architect ....................................................:........:....Address .................................. Number of Roo s ....7..................................:.......................Foundation d,ice ...... y�Exterior .,;.(.r .................................................Roofing :.......:....................................... Floors .........(1� ......................Interior . .... .!.... ............................................... Heating ..../..''..........l...J.�..11.................................................Plumbing ..... .. �`- ............................................................... Fireplace . . .. .. . ...........................................Approximate Cost ...... f l�.��................... ... ............. R Definitive Plan Approved by Panning Board -----------_-------------------19--------. Area ...............:.......�..... 10 Diagram of Lot and Building with Dimensions Fee ...........r...l.'""....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......................`�: ................................................... SMALL, ALAN 1., i t ; 2310 Permit for ..Qn.e...S.toxy . Single...F=ily Dwelling Z7....�1.i.�,ah...Cl�i.lds Rd. Location Lot............ .�.4..7.... � N �f GE'- wx377.11a.................................. . T Owner ... la?T...s;.iAa1,1...................................... r r�' ell I Type of Construction ....................'.......................................................... � .. Plot.............................. Lot ................................ t / } Oft, °•�• Permit Granted ......MaY...Ulf... :........:..19 81 � Date of Inspection ? -:19..J.. r IImo'" g i s Date Completed. ....: ....�? ...19r � n PERMIT REFUSED . ..= ................................... 19 .............. ..................................... '.. � ,. `✓ ......... �.. ', ...................................... ,Approved ...:.............................. e.:............ ... .. "" f Jr, ��8 Z6 77