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0492 ELLIOTT ROAD
r _ XV •t � k i Town of Barnstable *Permit# q Q eoRESS Expires 6 mont�hs from issug date egulatory Services Fee . C� �E omas F.Geiler,Director TO , E 2 Y 1006 Building Division wN OF BAR/VS Tom Perry,CBO, Building Commissioner BAR/VS. Main Street,Hyannis,MA 02601 www.town barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - PRESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number`1',(pt�V Property Address �� I D Ed , Cyr, 1^yJ ( a ,Residential Value of Work POW '' Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address /� t A YI® �' �—�-.e C T7" e 77 k_-1-,��} �- 1, A - Div H A 1A g _ Contractor's Name� � � f�- Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 0 2—b 3-S ' �NrWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name j Y-,a1/L l,�p ns Workman's Comp.Policy# /3 onq.,s 8u 11A- o5 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) M�Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) r ❑ Re-side 0 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 Town-of Barnstable v ~� Regulatory Services Thomas F.Geiler,Director Building]Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us • 4 Office: 508-862-403 8 Fax: 508-790-6230 Property- O•vMer Must_ Complete and Sign This Section If Using A Builder I, ' } `. IV 1 . 2 as Owner of the subject property hereby authorize Pt--wLl 2,10AD c to act•on my behalf, in all matters relative to work authorized by this building permit application for: _. (Addtess of Job) ioL4 e Signature of Owner Date r Print Name 1.1 �lP ? F , i d- Q:FORM&OwNERPERMBSION �. " fie �V �c Board of Building Regulat•ons an tan ards� One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement''Contractor Registration Reqistration: 103714 Type: Private Corporation l; Expiration: 7/9/2006 PAUL J. CAZEAULT & SONS, INC.; I .1 Paul Cazeault ' 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason[or chang DP3-CA1 Ca 50M•04/04•G70121G Address Ej Renewal Employment E] Lost Card . �2. -VOOJYIJw'"veaal. 00✓[ZQJdQ�Kl4P�4 11- Board of Buiidiag Regulations and Standards HOME IMPROVEMENT CONTRACTOR License ul.regixU•atiun valid for iudivid,ll u%c unh RogistraUon; 103714 before the cspiraliun date. It'found rcluro it): Expiration:; 7/9/2006 Board of lluilding Regillalions alul Slandal ds One Ashl,urlon Place Rut 1301 ;Typos' Private Corporation 13utilou hia.02108 PAUL J.CAZEAU•LT,&.SONS,.INC*. Paul Cazoault" Y 1031 MAIN ST OSTERVILLE, BOARD OF BUILDING REGULATIONS OSTERVILLE,MA 0265t) Administrator License: CONSTRUCTION SUPERVISOR Number;.,C,S 026325 Birthdate 10/20/-1959 Expires,:,10/20/2007 Tr.no: 7696.0 Restricted 00 PAUL J CAZEAULT 1031 MAIN ST ?.`r` '.' OSTERVILLE, MA 02655 Commissioner VJ 1 r-MVILLt, IYIH ULUDD -'-- ' Administrator_._.__ ne -� Board of Buildin egulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE" Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/200.7. Restricted To: 00 PAULJ CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 f *" • Tr.no: 7696.0 Keep top for receipt and change of address notification. DPS-CA1 50M-04105-PC8698 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,, Map o)a Parcel I a-�., r Permit# R7 Health Division— I oG 5 2� Date Issued 5/27/QQ Conservation Division s �� 1 Fee , .b �/ 0 Tax Collector.: - - 6 M— q _.. ' ✓ �. ( � 3f Treasurer �. SEPTIC SYSTEM MUST BE f` t. INSTALLED IN COMPLIANCE Planning Deppt. WITH TITLE 8 Date Definitive Plan Approved by Planning Board a ENVIRONMENTAL CODE AND r' TOWN REGULATIONS - Historic-OKH Preservation/Hyannis ?- Project Street Address �qa Village 1�r vQ Owner Pei e Address rill t Telephone S Permit Request o Rl�,„ . srn P/_� 1 s� S •�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Coss09-1` Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size d h� 9- . _ Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No -On Old King's Highway: ❑Yes ❑No Basement Type: OrF'6ll ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing . new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count ' 4 . Heat Type and Fuel: ❑Gas E Oil ❑ Electric ❑Other Central Air: ❑Yes ❑144o Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes a-116 Detached garage:�isting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:®existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑' Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name W6A." K l � �� -:r Telephone Number 66)T �s'!L Address es S p -�� 6 + .� License# 6�99 Home Improvement Contractor# Worker's Compensation# A OCO 1�3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE FOR OFFICIAL USE ONLY F ` PERMIT NO. DATE ISSUEDe Alt MAP/PARCEL NO. Illo ' f ADDRESS = _• VILLAGE OWNER r DATE OF INSPECTIO •, FOUNDATION FRAME r y { INSULATION 23 ' q It • : - , _ - FIREPLACE ELECTRICAL: ROUGH' FINAL t t PLUMBING: ROUGH FINAL'cc GAS: ROUGFQ I-- -- i- FINAL .s • � FINAL BUILDING �& � GGam• i3Jvv -� �� D - DATE CLOSED OUT ASSOCIATION PLAN NO.i / a v , it fi It LAI I E � 1 t i �� 'i j � j j I • �ceel� .t'otC� LtnJer wa.� IZ��tcCc.tiuc�'!i- K - Y s- - g 1 P/.T a _ OJC 1 axe i o�X(c TAU �p�vCE. �Po r We s - r . : T� a i •, t v 1 i II Qc, 47-. „ V I = 9 I Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 i Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building'Commissioner 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: Estimated Cost_ /0 o,o oc, Address of Work: ��g � � I i a �v�� �ev�er-u%1G sv►�- Owner's Name: L.,- Date of Application: S b9,5 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law [3Job 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. Date Contractor Name Registration No. OR Date Owner's Name q:fbmis:Affidav V Department of rnrlustrial Accidents .W ��� =__ �== ,� Ofllcenflayestfeatlaas , 600 Washington Street ► Boston,Mass. 02111 Workers' Compensation Insurance Affidavit i�ii t` t:E" irrlaia uitirz !!!%%%%%%�%��%% %%/� ii��� �- i.!�%�/ Own "�•-. name: location- city phone# ❑ I am a homeowner performing all work myself. ❑ I ama sole roarietor and have no one worldnLy in aav capacityME gz/z ��� I am an employer providing workers compensation for my employees worldng on this job. comonnv name: _>���o K �c r.S �� �►,�� address: I\���: A -� `sYs � rs :. city: n�csJ�L'V� (�� , phone#: insurance cn. "niiev# ✓� (j �� ' ❑ 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: comynnv name: address: ,.. :�:•.,„ :;:'.. dtv- phone�!- insa-rnnce cn ✓ comaanv name: address- city phone#? ; :. ;:,:.....: ..:.. ..: ......... .y +''.•.:w?k::'.,..;::•. :...:�5•. .'.::..�ir:t,:N•}�f::W.?;,�./..{]Yt' ri;:Aa'.i .M•..{i:�...n•:,R4sri': insurance co. .....,. `.�`..:". .. .. . . .. oiiev# .:. Faaur.to aeeutz coverage as requited under Section 25A of MGL 152 can lead to do imposition of ertadnd penalties of n fine up to S1.50Uo and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tote of 5100.00 a day against me. I understand titan a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby crrt tender the its and penalties ojperjury that the information provided above is tro mid eontd Signature Date =,�5�1 _ Print name �Je. o l e__ Phone# �So l'—C-6 a—Ste" C(C3 ial use only do not write in this area to be completed by city ortown oflldai. or tow pesmitNt ense it QBuilding Department . [3Licensing Board heck if ht�tediate mponse is required ❑Selectmen's OMce ❑Health Department act person: phone#,, ❑Other (tewea 9,95 P1A. Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the- employees. As quoted from the "law", an employee is defined as every person in the service of another under-any cam of hire, express or implied, oral or written. An employer is defined as an individual partnership, association, corporation or other Iegal entity, or anv two or more c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the re��s•e; trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartmc= and who resides therein, or the occup=of the dwelling house of another who employs persons to do maintenance , construction or repair work an such dwelling house or on the grounds c. 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 renews. 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 ofthis 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 and supplying company names, 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 Departtneat 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 camta.ct you regarding the applicant Please be sure to fill in the permittlicense number which wilI be used as a rc&rcace number. The affidavits may be rcturited io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thanks you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. Ell The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents emce of lWasugaffoas 600 Washington street Boston;Ma. 02111 ••• fax#: (617) 727--7749 phone #: (617) 727-4900 eat. 406, 409 or 375 f' 1 -ORPORATIff �`� � �• r _ � 4 BAN=�YyUNIT�,�z * F''��k9["�s' sti1°LF.fYC - '•'�-m�a..v�r�-s- _ T� BOARD OF"BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS O42943 ' ! �Blrthdate. bl*1961 r� 2 . Expires•_'�0/08/20.00 Tr.no: 4576 Reswcted To: 00 SCOTT D WOLFE 11 JAN SEBASTIAN WAY#1- � SANDWICH, MA 02563 Administrator a ' I _ Table JSZlb(eemlaaed) Ps ma ptive Packages for Oae and'1 wo4amiir Readeadal Buildb w Heated with Fad Fula MAXIMUM MM MUM Olazing ON* ceiling wall floor Basement Stab Hadowcooliag Am'(9A) U-vduj R value' R value' Z-valuer wail pa meter Equipment Etfici w? Padmae 1 Rwiue, Rvalue' 5 l to 6500 Headng Dunce Dare' Q 121's 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12•/. 0.50 38 13 19 10 6 83 AFUE T 13% (0.36 38 13 2S WA WA Normal U 15Y. 0.46 38 19 19 1 10 6 Normal V ISSA 0.44 38 13 25 WA WA 25 AFUE w 15ve 0.52 30 19 19 10 6 85 AFUE X 19% 032 38 13 25 WA WA Normal Y 18% 0.42 38 19 25 WA WA Nomral Z I8Y. 0.42 38 13 19 10 6 90 AFUE AA 190/4 OSO 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: ���� Lr'l f o 4- dc) l'�✓ter i7 t��� .M �1 � 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: c) 3. SQUARE FOOTAGE OF ALL GLAZING: f ET."Y�, 41- 4. %GLAZING AREA(#3 DIVIDED BY#2): 698- % 5. SELECT PACKAGE(Q-AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q•forms-t980303a Footnotes to Table J5.2.1 b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and ; basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. 3 The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-�8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or.mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages). Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor, basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r NJ N J LD -4, OD LD (31 m 00 OJ OD i W OD qt J J 0 F- q r: 0 `Z Ul 11 atIWO Vgg1 -�JSP aroe Twaa ro i � V J l.ti' <�1o'J15c'••'» wvq GR EE. r nL�fll '` -Zl � urp pL I A - 4��d 0 0 RD ASV 4NY.Y -'�- � � ....._ ♦; ,-...._...._i 3 w.I o I o - -FL/•ry 0MN6 M' OG'461 �W.AA.bAR4 P&V he L+ydr . odd ,+•,d' nebAdev w,d•tieN g1y'.1'.dl ,k v oil Ref�*��',,�v,� }�'ne��v �ii -L.j C.�i� CA Jul 0 girl— M wwcAs avp i ?'(ilLII .�PTO P 1 1 _... 1 r for+ M Lr+me l �Jt,,IcL I � :.� ❑_]CJ C10 I � �K (d1'E1• - ,. Iryhw' `-g=`�-) , 1w'p I fdMLY I e -GCICI f_ICIC 1 ". i .: t L'.I' j Ii.11�N N�Elllm�la I41'' I(•I 4'•b° li.lJ pµp 11dY1 I'/ A'`y' e p. f9. ,•:d: -Y_._ .. /... .Y�,.�,uV• xNNN JL{L.f .. .....::y.� E{ )'� �i.. ,;� _-- �� N W U 6e'Le .77 LwY1 • � uE pflrl�"'"i •`` pror ' ' _�- ..I �_..M1.-tom .. I � f. t pwr.Nex a 5'•ao' L%T KPImfx 64'•6d dfrlx/5�fr�ww�M dl•I o' 6+fi s+eveMd aX. . D G — .� 5WfN0(Lhl` �MdYoM(5) - 7 PeVrhM� �I ito �JI i =4 t— � �r G. I t i reb/NI Nf L { fi 3VH6f/+ r, Rry( '.,, ' i-WNr' MIMI' .. DeY�frrn � rNr• artrflG z. _._... .—_-----_.._ -- ow",�Mf• MIFF f � n;rFf` MNef I r I � rl l'"TM �vftlM o'f••r�• od•rm wevrrnM g4•t.o• � `. MDfltl DMP'✓^ FfpYDM b - _ ;.':�:.f fry Vir 47 Yq �•} a i. ��l •,�: c:: `i ., 'y' + �35� a�3k''H�kr t ,y,�a �' t'� r3'A2'e'•t' t G I.tE r! i }. _, ��" ' `' s,i+��'l+'�e+L�v F>;,�'•,«�� ��' :'s <�v���,�+.�c nr h'�t,���r�$.� _ "'. 1S y- TOWN OF BARNSTABLE Permit No. ----------___ Building Inspector Cash OCCUPANCY PERMIT Bond ____-_— 3- --i- _ Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................................................... 1 19......_... :........... .. ..�._...... ... _...:... .........._.... .::..................... Building Inspector Yi TOWN OF BARNSTABLE BUILDING DEPARTMENT _ >tsar3TAIM TOWN OFFICE BUILDING rua .639. HYANNIS, MASS.-02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit-$�..........(„X,��f�;; ..... ,..............................».....................».....................».......................... »»». issuedto „� 1�J LGa ........................:......» ...»»....»»» ...»»».».»...» »».»»»»» Please release the performance bond. •' t Assessor's map- lot number �!�!; .. .. • i TO�y Sewage Permit number i......^•f©d�..� . ............:�...•. L' y 1 = BARNSTAXE, i Houser number ......... ............................................ 90 NAM p 2639. Nxi a. �r TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO f /� �/A........ se., [C441. .,!7•. !`� ........... TYPE OF CONSTRUCTION ........ 0. ... .,1.�: ........................................................................................ , i PU.... ................19 R . IN TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordinng� to the following information: Location ............6.7 -.4"AA....f� ....... M7-1.s',vi���....................................... ................................... Proposed Use ...........kX:S. .T.H-C.X................................... Zoning District �L..C..............................................Fire Distract ....... rxi,.���.���.1./tl. t�tl.:.!.11�...... Name of Owner ....� G9ur.'.!�..��,..;3.9.�(i�!...........................Address ...l .D..d?x.0;!f z...t... !yi x�i r,�; /�4....4.Z•G 7�� / Jodi z...................Address `�.y �....!�/:..1..//��r..�.... '�:.....4- 7-i\�, '���r Name of Builder ......� A.u.c`.t�... ...r�Y. FI.,.,K......:......�... Nameof Architect ..................................................................Address .............................................. ..................................... • r r Number of Rooms .......... !N! .............................................Foundation ....... oy% . .... °!7F1r'A I*f1.4......................... Exterior l .............c ��.A;.x .... �','.. .�.. ...............................Roofing ......�a S. 4?/i........ 'e,. .�2........................ Floors ,M�Jt3�.!r./a•{,a...rl.. M. ."............................Interior ........ ./ ./ ,J.?.�1............................................... ..... / 1. •-_ ,., _ ,. Heating ....... �y..�al......!�y...... 1.��........,........................Plumbing ..........a.Av ................... . Fireplace ON! ...........................................................Approximate Cost ....y.'��O'Yl/ - kl.. .... :.............................. ` Definitive Plan Approved by Planning Board ________________________________19________ . Area ......./ ..1.. .................... Diagram of Lot and Building with Dimensions Fee / ��`� .._ .......... ...................."............... SUBJECT TO APPROVAL OF BOARD OF HEALTHQ 67 , /f/ 7 / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town •f Barnst ble regardin the above construction. Name ........ .ate-Yam ....................... Construction Supervisor's License f.vaz............ 327lJ 25983 � -No . . � Parn�t for ---. i DellSiogle Family ------------.------.—. Lot 22, 4O3 IlIi � c d .'- ^, ' ' - ' ' Location --.-----..---.----------. Centerville ^ ..l - -.—. .. ..---------- .. — ' .. ' ' '.' —.''^_'' ' —.—' ' . David R. Hoaie ' Owner --.--------.----.------- . - ' - Frame Type of Construction --.—.----------. ' . ^ . ----'-----'—'---'---^-----'--- Plot ............................ Lot ................................ . . . ' , J�a 'uary 18, ' 84 PermitPermitGron|e6 ................... ' Dote of Inspection ....................................lV ' . Date Completed ----.--------]A ~~_ ' . r ^ � ~ - . . ^ - ` . - . ' ^ . _ . . _ | ' / ' Assessor's map;and lot number .�i� .� Z./.A,� / ,� Tie ro /0 6'/ ® 4`�' �� tee,, . Sewage, Permit number ................. ..J.. 0 - x INS `LEA < ? oA , ^ : J Z House number ..... �� . .......... ::... " 4 TITLE 5 9� sTL L E� T O.W'N } O F rB AR°N `TAB LE x BUILDING , IHSPE:CTOR A s. e• m A ON FOR PERMIT TO j n PPLICATI � TYPE OF. CONSTRUCTION............ 40 u . 5/1A 7d—.:. .... .. .... .. ... . ..19.$1 TO THE INSPECTOR,,OF BUILDINGS:. , The :undersigned hereby applies for a,permit according?��to,the following. information: Location :....... �:! �le. !....1�/s. :(,,..e.!Y%. !1V%!liC..... ..... ......... . , S Pro posed,Use .. L iZ;�r`.�.eZN...C.f. w ..... . .... .. .. ..... - ff Zoning District %.).C.., � .Fire District ... 1.e�� ,titiI&C..... .� `.. /ltrt'.!�:./ .../7� ' .:::. ........ .......Address' ../....... ...Ll4k.�l.�f. ..L.`CeYl. pii.lt.l./t�:.. OrZ,?�� Name of Owner 0.�1!2. /� Name of Builder id.v.rre . . �. .; �<' Address 1. ..:GEI...I.:<fd!'�t.....�5'!. ..:..4,:,kfYT N�r.`llK.. Name'.of Architect'..... ... .. . ....... .:.::.. .. ......::.. ..... .Address .. ...... a _Number, of Rooms ......... I/...........::. ..... ...:: .: Foundation .t C.OArt'1S.... °inHraA/Z.l.Z......:: ..... 7. Exterior ....... .....1,�.�/�tit...: a ........ ......Roofing /Q,Sf%`,�f�.�i, k ............................. r ll Floors !<�1C6.ra.../'�' % /.............................Interior`. Heating ° z. .!..... ,�<�/....... Plumbing ........ . .. F�1 fit. ....,. j ....... . Fireplace •..... ©!YA. ... .....:. . ......Approximate}Cost . ��L . .�I .P�' .:.. Definitive Plan A roved`•by, Planning Board ____ ____:_ 19_ Area Diagram of Lot and Building with. Dimension's Fee f. # ......./7.. , ... �rcl7��' '-,SUBJECT TQ_ APPROVAL OF'_BOARD OF HEALTH r. a k v 4 . c OCCUPANCY PERMITS REQUIRED..FOR NEW,DWELLINGS *. I hereby agree* to conform to'all the,Rules. and Regu lotions.of.the Town A Barnstable regardin th'e above. -'* constr`uction. } 't Name . .. ... ..... .. ... .y t Construction Supervisor's License ... rHOSIE, DAVID R. 25983 1 z` Story ho Perm for .... r Y .4 • . x d Lot 22 482 Elliot Road r , Location r :a- i� .• ........................................... •v ♦ {entervl . ..: a Owne^r�..... 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