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HomeMy WebLinkAbout0154 FIVE CORNERS ROAD I tIT'R., �Iqvjf Erg p"", SIN iygl Ell BEN vieur mum ; '41 VIP ly 4 T ITT if't UJIV 1201 moil Al WAR Slow A804"PI "fill,4A, OR '1,514 1 " `I �j f T �:,Nu marmall hit"11hrox -1� ;g i "All HOW MUM UT 1"' Am Iq IU U j1, 0 vim Ic I,., P&Pq lo OWN I.A mitt .�,qy� MMMMUN y, 1"41 MUM ON �MM xn�q nt Ogg 1 ) W111 Uf 0131 41 qu tv, in own, W K. AJ;, NMI a"', j-j, '-4,T n4"�q�N Tow RAN IT 1�e I lit .,11.1�.­j -,�1041t_jfll� RUN PC r r vii -7-�7 U a WAW ­Aq itt; SwW Eno too IRTUTS NNW fi N was all tit 1'ii 7 EMIR?I40WIP IRE, Mgt no A A Rwg4l Why in; mew 111- jq,�c -4 1, AIN Y" Elm I .-j jyq� pk j,"'y PygQ4 tummy q�)Jjmn 1 cost: is !tvi ir"11 roig Np- loop yj;P01 top ��qel M" I'll W !�f'!"J�1 flllv -1 NQ Q Q, vNif -41 I lv4, MM K, oil Ar lawn _(pf­1j,,qj!�illip-j r I, MW Pug ogge,hl-I" . .I I I I I I.... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel w $ , lication #.3® , . Health Division ¢¢ Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board ¢'i Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner 2e aQ a ly 22.1111P Address Telephone Z7,0.g'a/ X�'// Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation !::5 Construction Type_��jJ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family /�k Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 4 No On Old King's Highway: ❑Yes A No 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 Number 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 Detached garage: ❑ existing ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Q a %/62 Telephone Number Address IZ6&�Z License #_ /'O°D f rf �"Ll Home Improvement Contractor# 45__Y_ � Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO d SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 'max DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 0 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. \ 1 he Uommonwealth of Afassach usetts Department of Industrial Accidents `. Office of Investigations: *` ...600 Washington Street F Boston, MA 02111 ' www,mass,gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricians/PluiT i Applicant Information Please Print Legibly Name usiness/ s � Qrgantzationlindividual): �, Address: City/State/Zi •Q�V ` AV N u� Phone# - � .� Are you an employer? Chj,6k he appropriate boz: �'- - Type of project.(required) ' l. I am a employer with 1jr'j . 4, ❑ I am a general contractor and I employees (full.and/or part-time).* -have hired the sub-contractors 6•;❑ New construction 2.❑ I am a sole proprietor or partner- listed'on the attached sheet, 7, ❑'Remodeling ship and have no employees These sub--contractors have g• E] Demolition working for me in any capacity, employees and have workers' [No workers' comp: instuance comp, insurance.t 9, ] Building addition required:]; 5, ❑ We are a corporation and its 10.❑Electrical repairs or ac'd 3.(❑ I am a homeowner doing all work officers have exercised their • l 1.0 Plumbing repairs OF ;- myself. [No workers' comp. right of exemption}per MGL insurance required.] t c. 152, §1(4), and we have,no 12• Roof repairs 3a.[l I am a homeowner acting as a employees, [No workers' 13. Other general contractor.(refer to P,4) comp,'insurance required..] 'Any applicant that checks box#1 must also fiU out the section below sbowing their workers compapsation polity information. t Homeowners who submit this afHda�rit indicating they arc doing all work and then hire outside contractors must submit anew affidavit indicating.,c.c;.. ;Contractors that check this boz must attached an additional sbe.et showing the name of the sub-con employees, If the sub-contractors have a to ecs th p� hactors and state whether or not those entities h vc mP Y ey must, vide their worken,.comp,policy number. " I am an employer that is providing.workers'.compensation insurance for my employees. BeloWls'th informatione policy nndjoG.,rr,. Insurance Company Name Policy# or Self-ins, Lic. #: id ! 3' E iration Date: Job Site Address:l ✓ C,B21D�/� �� ty�S�tate/Zip, Attach a copy of the workers'.compensation policy declaration page (showing the policy number and ezpiratiort Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impositionsof criminal peoaltic, i' fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDFR of up to $250:00�a day against the Niplator. Be advised that a copy of this statement may be forwarded to the•Office of Investigations of the DIA for insurance coverage verification. I do hereby certi and the pains and penaltle3 of perjury that the information provided above is true-'and'correci.' Signa Date: Pbon #: Official use only. Do not write in this area, to be completed by city or town official City or Town r P• e rm'tll,ic ease Issuin Abthori --=------- 8 . ty(circle oqe); I. Bawd of Health 2. Building Department 3. City/rown Clerk Q, El.ectrica.l Inspector .5, Pltimhing Ins�ecfor 6. Other * i Contact Person: Phone ; From:Rogers&Gray Iiisurafax: F` To:+15087786736 Fax: +T5087785735 Page 2 of 2 0313012015 10:04 AM CAPECOD-27 BDELAW_RENC;E_ Al�OROr DATE(MM1DDlYY)Y) CERTIFICATE OF LIABILITY,INSURANCE 313o12D15__ 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 I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed, If SUBROGATION IS WAIVED, subject.to I 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 CO . C — NAME: Rogers&Gray Insurance Agency, Inc, - , PHONE - FA - 877 434 Rte 134 arc No Ext: (A/C,No): ( )81 6-2156 South Dennis, MA 02660 E-MAIL -- ADDRESS`. INSURER(S)AFFORDING COVERAGE NAIC a INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED - INSURER B:SAFETY INSURANCE COMPANY. - 39454.- Cape Cod insulation, Inc, -INSURER C:Enduraince American Specialty Ins..Co. 18 Reardon Circle wsUReR D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664e 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY'BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR TYPE OF INSURANCEItIsa POLICY NUMBER MMIDD/YYYY MM/DDNYYY LIMITS A X COMMERCIAL:GENERAL LIABILITY - .. - EACH OCCURRENCE ' $ i 1,000,000- CLAIMS-MADE CBP8263063 - 04/01/2015 04/01l2016 pREMISESEzoccun'ence $ _ 100000� MED EXP(Any one person) $ . 5 000� PERSONAL&ADVINJURY _ $ 1,000,0ola" GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 000' X POLICY JECT 1 IOC PRODUCTS-COMP/OP AGG $ 2,000,000. r• OTHER: ----- ---; AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident _ B ANY AUTO TBD 04/01/2015 04/01/2016 BODILY INJURY $ i. ALL OWNED X SCHEDULED,' — -- AUTOS AUTOS BODILY INJURY(Per acridenq $ �NON•OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Peraccident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000 10001 C EXCESS LIAR CLAIMS-MADE EXCl0006635000 04/01/2015 04/01/2016 AGGREGATE DED I X I RETENTIO(V$ 10,000. w Aggre ate $ 2,000000; WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY YIN: STATUTE I I ER D ANY PROPRIETOR/PARTNER/EXECUTIVE WCE00431900 06/3012014 06130/2015 E.L.. EACH ACCIDENT $ 00: OFFICERIMEMBER EXCLUDED ❑N NIA 1;0000_ (1 yes,d ory be and - E.L.DISEASE=EA EMPLOYEE $ ` 1,000 000, II yes,describe under�_ � � - _, DESCRIPTION OF OPERATIONS[)slow - E.L.DISEASE-POLICY LIMIT $ 1,000,0001 6 DESCRIPTION OF OPERATIONS/LOCATIONS IVEHIn�LES (ACORD 101,Additlonal-Remarks Schedule,maybe attached if more space Is required) Workers Compensation includes Officers or Proprietors, Additional Insured status is provided under thg General Liability and Auto Liability when required by written contract or agreement with the Certificate Holdoi. I• . I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. Cape Cod Insulation,Inc, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVE RED IN 18 Reardon Circle ACCORDANCE IMTH-THE POLICY PROVISIONS, South Yarmouth, MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered.marks of ACORD_ aA11?1 0/v/�' Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170. ; Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tru 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE ---------- -- SO, YARMOUTH, MA 02664 Update Address and return card. Maxl( reason for clum,,a. r] Address (� Rene>val ❑ Employment f..._ L,nsl C,ird SCA 1 20M-05/11 �� •�e cCoorz-�,�.avztucCr�C/r. O/�C����CIJJCI.C��FiCGYJ � r , aCA_\ Office of Consumer Affairs& Business Replatlon License or registration valid for:individul use only ITANIMMiOME IMPROVEMENT CONTRACTOR before the expiration date:=If found return to: — � egistration: 153567 Type: Office of Consumer Affairs and Business Regulation y=;t C•O dW:txpiration: .12/15/2016 Private Corporation - 10 Parl<Plaza -Sliite 5170 Boston,MA 02116 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO.YARMOUTH,MA 02564 :-- — -- - - --- --- --- -'- Undersecretary N valid wi ut sign -e Mas•sst;husett.; . 06partment-of Public Safety .:':Board of Bul,ldlilg Regulatlons and Stondarcls ' Cunstruetlnn Slrperl istir - . - llcense; CS i00988.;` - p, HENRY B CASSTDV .,.AG.J4Vi v 'K - 8 SHED ROW •�' � ':^ ... - WEST YARMOUrfH ✓,�.-. JJ�y'� Expiration Commis'sloner 11/11/2015 _. ='•- —�.. :i.:i� ?w: ... .�,:. -..:.il.•. .: �h <:..... . -`'YES. .t..ta... w _:;w . .�.�..... ... � ��:.is» 4'_.. �:Y M ..'ie�:'`.!. n�lZ-r<' . _.__ .. Wore 8tjk }.' S c mass saveCONTRACTOR PERMIT AUTHORIZATION FORM I I, DEBORAH TE80 owner of the property located at:. (Owner's Name,printed) + 154'Five Corners Rd CENTERVILLE 4 (Property Street Address) *: (city). hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to,act on my behalf and obtain a building permit to perform insulation and/orweatherization work on my property. Owner's Signature 616 Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: COO Participating Contractor' Date r For Office Use,only Rev.12132011 Assessor's map and lot: number �6d.:' ...'.. 74 61/f 7 _ SEPTIC SYSTEM MUSS' 94 INSTALLED IN COMPLIANG9 Se'wa a Permit number - WITH ARTICLE, II STATE- - 4G�, SANITARY COCE AND:TOWN �oFYHFr 4 : TOWN, OF BA GAll.Ag P f fps � �•n 1 5 f• •� I � � . W" Z BASB9TAIILE, b q-,•`� `+ BUILUNG INSPECTOR o MaY i F , ` APPLICATION FOR PERMIT MTO ........ ..... .. .... ..T.... .. ... ':�?...... .......... TYPE OF CONSTRUCTION .......0A..... ................ ..... ...........19..77 TO THE INSPECTOR OF BUILDINGS: The undersigne hereby applies for a permit acco ng to the fol ing information: C.c.c �.. Location ..... ...................................�f -/, ? ................................................. . "..................... . ...... . .... VProposed Use •..C....'........................................................................................................................... ZoningDistrict ................................................ ...... ...............Fire District ..........................................:.......... ........................ Name of Owner ...Address .Z ... ..........: ... ...... ................................................ �............. i Nameof Builder ...... Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ................... .....................................Foundation .........1©............11.`..c................................... Exlerior y o ` .0.. . ... -'.� -�K- . .. �1,,,r ...Roofing �4/ p . .. ';................................... .... Floors ........................... . ....h............................................Interior .......... ... . . . Heating ....T ... 4.... ... j............. .................. ...Plumbing .......... 2 .: �.�............................. r ... ......... ...... . Fireplace .............1�....-.................................................Approximate Cost .... 0 .......................... Definitive Plan Approved by Planning Board -------------------_-----------19 _ . Area ......�. ....S:G.... Diagram of Lot and Building with Dimensions Fee 16!.. 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 ..... . , . ' ' . . . . ` . . - . ^ ' ^ . 19688 one story single family dwelling Location Five Corners Road Centerville frame- bate of Inspection 7 19 � Date Completed' �- kfi^0�.��.------]A - . ^ _ . PERMIT REFUSED � .'r-.--..--.''.--.---------.. 19 . � ---.—~-- ............................................... ' --' ' � ` . ~ ' . -._—.—.—..^.--..-.—....—~—.--...---. . .^ . -^........—.-----.....,—...---.~....~..^ . ----.-----....^...^...~.--..----.. , � . ^ ' � ' ~ App,oved ................................................ lg . -------'-------^^^''^—^—^—^^^—'r ----'------'^---^—^--`—^^^^--~^' ' - �� � / l ,. - . Assessor's map and lot number .......................................... , 77 Sewage;Permit number ypF THE 'SOWN OF BARNSTABLE r0� - b�P y�► Z 323JHB9TAIILS, BUILDING INSPECTOR ° c ynY ale APPLICATION FOR PERMIT TO ..........: �,u 4 t: ' t .... f-{u:."'... )1U. ., J � t ............... TYPE OF CONSTRUCTION .................................... KJ•.. ................. ................ ...................................... .............. ...... ...........19..1.1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: location /� �f ^/' &..r_e— /i h.rr�t Jan `� ore �JC LL, ��'r. ......��........ ............................................................................... ............ ...................... ................. ProposedUse ........... .........:......::.................................................................................................................................. Zoning District ...Fire District .............................................................................. Name of Owner ......�y...�r. F.f.�...�.�.....�. �..�....Address ..�..�Z....4_ :..� 1/tut t...�Ylit� ...... Nameof Builder ...................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms tt�.....................................Foundation ...........1A, P. -................................... Exierior ........ ........ ... .- . x d........r .......................Roofing ...............!'`•Cl9ii✓.l..:.......................................... Pj� Floors ........................................................................Interior ...................... !..... ....;........................... ................ Heating .......!...............................................................Plumbing ........... ......... ......1........L................................... Fireplace f ...Lc_.................................................Approximate Cost 1 1 tJ ................................. .........:.......................................................... Definitive Plan Approved by Planning Board ---------------__-_-----------19--------. Area ......�..'............................... Diagram of Lot and Building with Dimensions Fee 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.................................................................................... J. P. Breen Co. , Inc. A=168le(not plotted) A .- 19688 one s for f No ................. P rmit for .................... ............ single amily dwelling ' ........................ ..... ....................................... Y Sive Corners Road LocStion ....... ......F.................................................. Cent.......... ..ervi e .......................... ............ ............... Owner P. Breen C�q. , Inc. ..... ......................... ............................... frame Type of Construction ....., ............................... ......................r............... .... ,. ... #8 Plot ........................... Lot .......................... ..... Permit Granted .I....Octob...... ..:.:. ........ .....19 77 Date of Inspection ............................. ......19 Date Completed ......................................19 PERMIT REFUSE .. .v................... ... 19 .................... .. V ....... ............................ .....:..................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... a-, - T.ND v d.✓.CCID.FN7S ' coo ?N 50S70.\',MASSACH US3::I S U.2l11 �c—=:ass�+c• 'WORxERS'CAMPENsAauoN 1NSi3RATK£AF D�yn �Iiccaascrl�trstictcrJ �>'` •A irh a prindpal P12oc ofbtuiQ=drCddmmac - ZX '-o _do hcrcb < tyJStat<JZ,p) - - a Y Ccrd6,.under the p2ins and pc=jd s ofperjury tha I=man cmplovcrproviains ncc followingwo,kcx'compc=rion covcTs orm cm to cs K�orki b'ef y P Ye ns on 6i< , �- — C •r2 �iG 1721,7-an-7--tall lnsurancc Company r Policy Number I) I am a sole proarictorz*nd h2vc nooncworking for me 4 i am a sole proprietor,gene)eona-aor or homeowner(eirdc one)_nd h:vc hired the eonrraaors Ii.:red belo.<- �_._ .too ha.rc the followiagworkc:'com tion i pain asurincc liacr Po 2�nc ofCon�cor '- Irsur-..nee Comp=yk'oiicr Number Nzmc'0fConrrzczor Insur�nCcCo:ap:ny/J'oiic7l�rumbcr l�Zzmc ofConrr_aor Insurzncc ComP=YrnolkyNumbcr 5; D I=.m=3�o.^..co..•ncrper:or:::rag_I!z?xwor•.cmy:dL 3�OTr: PI<c c be <L:t._3c Lce«.-:<r.�?o<raloypccsecr to Lo taaieteeasc;eeerwa;ceacc?ait�-ec<oa�c 1.-c1f:��cf moo=core L: Lr«cc7u icJ-:.x L<�rxoY<c s7so«siLci of oc tSc FrcarcLr:�tsrtrt eenr:Lcscltobce�pleycrrcL<rticZ7el<n rr atttSerctotee Doc EeoerJj' Cc p cs:t.oc Act�GL,C 752,<cet ](S)),appl:c:t:oe by a b<cxc—oce foe a 1<<eos< o• <rrait r..:ye.yL<eec u<hr.0s;:r.•r<f z:cvzle�cr celer 6<�6fIcrr . 'Coopcorat.ec/.<t = �•�L<L etc.c:Gca :a1 tt;a!�acr<u:«Crc��:1c rccc:rcl vr.Lcr S<cticr.?S/,cf J1GL]S1�.kl cc tSc ir..per:a,cn c;c inina3 pc�_7t,c: <cr.:;:cr.-cfcfc<c(vY<c57SGC.C{c.L/cr'_,rr•<rr..ctcfv tocrc as �. � froe e(S 7 GG.00 P �—.L e;rr'per:Tc:c:%�eSc(er;a e!c S<ep ZleeI:OrLcr-r.0: Signcd this Lccn_cclPcrmir;cc wow COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY I,I OF 1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON,MA 02215 LIlE.WSE EXPIRATION DATE UNSTR. ;UPERV1St3R IqE%Qg4jNj94 EFFECTIVE DATE LIC-NO. 04E234 1 2 FAMILY HOME r � TIMOTHY GRAY Z _. 4 �. �—TSS N 032-52-5273 r s 01� PHOTO(BLASTING OPR ONLY) FEE: SIG I �1.'1.f1.1 1 O HEIGHT: NOT VALICUNTNED BY LICENSEE AND OFFICIALLY ! 1 STAMPED-OR-SIGNATURE OF THE COMMISSIONER ' a DOB:. :' 01 1 /30/1959 lG THIS DOCUMENT MUST BE a ATURE OF LICENSEE CARRIED ON THE PERSON OF ` a; \ _ THE HOLDER WHEN EW)s j I. S \� COMMISSIONER ; OTHERS- Li YHUMB PRINT GAGED IN THIS OCCUPATION." �,�� .., .... .. �..r arif sa'P�vr.�•1rr+ea� o a.�.�....u_�r-��t� ....._i^���k� �\ HONE IMPROVEMENT CONTRACTOR I u. Registration 102634 Type - INDIVIDUAL Expiration 07/02/94 Timothy Gray Building 3 Resod Timothy Gray 15 Tobisset St AMN)STRATOR Nashpee NA 01649 Assessor's office(1st Floor): Assessor's map and lot nu D� // / ��TN(t Conservation(4th Floor): Board of Health(3rd floor): ° ► _r ��� ��� � ' (' Sewage Permit number '� � ';. EHS72ALLED IN COM Engineering Department(3rd floor):- ' �'; `' WITH TITLE 5 'a `. House number ' p,VIROoENTAL Mr, Definitive Plan!Approved by Planning Board .APPLICATIONS PROCESSED 8:30-9:36 A.M.and 1:00-2:00 P.M.only r f TOWN ; Of BARNSTABLE [ ' BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO IA/FOgll 'TYPE OF CONSTRUCTION �'G✓/w l � t 19 TO THE INSPECTOR OF BUILDINGS: -- — The undersigned hereby applies for a permit according to the following information: c Location ,�/t-o � C 6_19 ,l 12, Gc�T Proposed Use /`'4lkl lx�/�rAO�r/J I Zoning District C Fire District C £ O 04 !y/ Name of Owner. /;f9V-4Z91-,4 Address S GalEr 45__ /�v� l�n 2��s✓`�� Name of Builder gT� y Address a Name of Architect /�� Address Number of Rooms Foundation Exterior °�' Roofing Floors Interior Heating Plumbing �~ a Fireplace Approximate Cost GDO Area Diagram of Lot and Building with Dimensions Fee �— i' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License V1117 V � h k TRAINOR, BARBARA r ' INSTALL NEW WINDOWS ` 1•� No � Permit For Single family Dwellinq Location 154 -Five Corners Road. _ Centerville Owner' Barbara Tra i nnr � - I ' Type of Construction Frame Plot Lot April 6 Permit Granted Apr , 19 94 _ - Date of Inspection: Frame, — 19 — Insulation 19 Fireplace 19 ®.._ � �wt �_.. Date Completed 19 9`t F r � 145 .S �o e.�ri o r/ /�C� 7-' t i �� �` vti// r�i . _—_____ _•._.., _—_ �---_ .—. �O/Y _s T Jr' ✓C, T- i !�/�/ /� n r o v c� Q4✓ » .s T 4 ,!i %r ,�. i. . � . ` k. 3/, ' `'� ✓_� , 0r' 49 i- vor*7 Al d, 1-1/ A49ck 1 1 u l O Z 9 i1 /� 1 v y i v o / 1 7 4 /COL / Q + ! �� �� ,]• - - — —� \ / /i #�G� /J� �e 7 1 a 7{/o•-, c s f" e s s .G rY G,, 8/.�:�yv )� I t / 7, T2�2 u r { v PV/ fi .S r o�. r �/i 3� ✓. /i vc c�4,t/� .� - I { / 0 9 . -,4 7 ' 13 k B of LAND ' f e by 7 ,6- it ///L 'L E MASS. OWNED BY I CERTIFY THAT THIS PLAN SHOWS 00"" �fy�s��, vim""�. � •__1 c� _ �' t r l`a:� � �/ THE ACTUAL L(-)CATi(-)N OF THE �! FRANK �`�' ; FRANK FRANK CONERY 5 TRENTON ST. � TRl1CTl.�FiE- CAN THE LAND AND `' vER HYANNIS, MA . U2b01 THAT IT CONFORMS WITH THE i hn6232 j SS C? = BY-LA.WS OF THE TOWN ��At�/- rE vcu trwm¢�w r i +u� RVlV(q i o 6GALE tN =1G FT•