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HomeMy WebLinkAbout0136 GOFF TERRACE t t F l I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel A licatio # I P Pp , Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis � ed Project Street Address 13 o lerface- C'�e,-k,,3Le.. d CQ 3 2 Village Owner Address Telephone SB$- _J-e(2- 07gq Permit Request A Se,, 1,hkA N), G1 Lam e4­,� 4s{a d.-s(13 9--?& (23), 9-33 CQ 1/ylose fz dash 4, 6) �?0� �FFf �•• �`(kll, Square feet: 1 st fliQQr. existing proposed 2nd floor: existing proposed Total new Zoning District VC Flood Plain Groundwater Overlay Project Valuation 39 W, 31 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family f2C Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished ATea&s%jft r-n tl Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new JUN 05 2017 Total Room Count (not including baths): existing new First�Wr Roo'rnPWIMBLE 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 _?oland La- ,(n Telephone Number s48 -579 ?- 20 Address q,10 0)f5vt S t License# /D 3 $W �d I R�i�XC 0-L7 a-O Home Improvement Contractor# Igo 7t17 Email Worker's Compensation # X ,is- 5`Yv�(I &741 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2t Dubltervr[¢S ✓4 i'r oa,,� l a I f P,t'vtf,- m O�- 7 a-o SIGNATURE ��� '" DATE (!O FOR OFFICIAL USE ONLY APPLICATION # i DATE ISSUED MAP/ PARCEL NO. y ADDRESS VILLAGE 4 OWNER DATE OF INSPECTION: ` FOUNDATION rS FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL y FINAL BUILDING a DATE CLOSED OUT '•t ASSOCIATION PLAN NO. t 1 1` 4 The Cominonweakh of tM assachrtsetts x Department of 1ndustt ial A, ccidents a I Congress Street,Suite 10(1 Boston,MA 02114-2017 Y 3` ww►v.mass.govIditt Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pi`umbers. TOBEFI,'.,"ED WITH T)-1.E.PERmn-nN('r AUTHORITY. Applicant Information. Please Print Lezibly Name(Bilsines�/Organizatiotilin,dividual) Insulate2Save Inc. Address: 410 Grove Street City/State/Zip: Fall River MA 02720 Phone:#;'508-567-6706 Are you an employer?Check the appropriate box: Type Of project(required): I.Q l am a employer with 20�employees::(ful)andlor part-tiitie).° 7. .New construction• 2.❑I am'a sole proprietor or partnership and'have no employees-,vorking for mein 8. FIRemodeling any capacity.[No workers'contp.insurance required] 3.01 am a homeowner doing all work myself.[No workers'comp:insurance required:)? Demolit Un 10 Q Building addition 4.M I am a homeowner and will be hiring contractors to conduct all work on my property. i will ensure that all contractors either have workers'compensation:insurnncc or are sole 111 E Electrical repairs or additions proprietors with no:employees: ►2.Q Plumbing repairs or additions S.C]1 ant a general contractor and I have hired the sub-contractors i ste8 on(lie attnehe&shect. 13.Q Roof`re paiCS: These sub-contractors have employees and-have workers'comp.insurance,.; G.R GVe:are acorporattnn and its officers have nxatro(sed�hcir right';of exemption perl(5L•> 74,[]x'(7ther�Insulation 152.S1(4),and we have no;einployees.[ho:workers'coin p.insivancerequired.] *Any applicant that checks.box#I must also till out the section below showing their workers'compensation 1 olicy information: Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit`iadienting such. _ tltonu-actors that check this box mwaattached an additional sheet showing the name of the sub contractors and slate whether or,not those.entities have employees. If the sub-contractors have employees;they must provideth''eir workers'comp,policy number: l ant an employer that is providin{#workers'co Mnensation insurance for my employees. Beloiv is the policy and job.site information. Insurance Company Naive: Liberty Mutual Insurance Policy#or Scl.f.-.ins.Lie.#:. XWS,56418741 Expiration Date: 12/10/2017 Job Site.Address: 1,36 G se raee— Ciry/State/Zip s i�a. . l`t/s a�3� Attach a co of the workers' coui ensation policy declaration page(showing the olic number and ex� iration date). PY p p Y p �. � l; p, Y p ) Failure to secure coverage as required under MGL.c. 152,§25A:is a criminal violation punishable by a.fine.up to$1,500.00 and/or one-year imprisonment,as well as civil.penalties in the form of a STOP WORK 0RDER and a fine of 4 to$250.00.a. Y g copy g nstirance. day against the violator..A co of this_statement may be forwarded to the Office of lm esti ations of the Dl�for i coverage verification. I do hereby certify antler tiro a' s an en ties of perjrrty that the infor/nation proviited above is trite rind correct: Signature: Date: a- Phone-#:--508-567-6706 Official use onfl. Do riot►vr to in this ak eet,to be completed by city or,town,offIcial. City or Town: ._ -Pertnit[License. Issuing Authority(circle one): 1. Board of Health Z.Building Departmcn# 3.,City/rowl t-1 rl , 4.Eleetrical.lnspecto"r�`5. Plumbing inspector, b.-Other Contact Person: Phone#: Y2 Office of Consumer Affairs and Business Regulation 10 Park Plaza -Suite 5170 Boston, Massy husetts 02116 Home Improvem � �. ,tractor. Registration r° Type: ` corporation INSULATE 2 SAVE , INC. ReglWation: 180747 H Expiration: 120/2018 410 Grove St Failriver, MA 02720. - scAI 0 Update Address"and return card. Mark reason for'change. c 7x a r }{.., /. e R C1 E 1 gy{rn'ent C host Card �2�nG7%tti�tr�l�t F�4�&LdCrCttrtxlcl,� , { ottlee of Consumer Affairs&Business Reguiation HOME IMPROVEMENT CONTRACTOR _ Registration valid for��ntltvidual�use only p�TYPE:Gorporalion before the e*raticn,data. If fourid return to: Eaka ygn Office of m Consuer Affairs anti Business Regulation r BtT7 a 10 Park.Ptaza•$u1te5170 INSULATE 2 SAVE N t3ostan,'MA 02118 Roland Langevrn 410 crOve St Faliriver,MA 02 Undersecretary Not valid without signature I t Massachusetts 0 partrneot of P6blle Safety Board of Building Regulations"arid Standards R 4iceE�se:GS'-it73881 ; ° Construction Suprwr lao Jli ROLAND LANGEV N 56 H1,0 iCRE3T ROA FALL AIYER MA 027 _ 4 p crn: Commissioner ,r r - ® CERTIFICATE OF LIABILITY INSURANCE °ATE`MM12'�16) . ACORO THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anthony F. Cordeiro Insurance PHONE - (508) 677-0407 ArX No: (508) 677-0409 171 Pleasant Street E-MAIL ADDRESS: hsouza@cordeiroinsurance.com Fall River, MA 02721 INSURER FFOROING COVERAGE NAIC# INSURER A:Li ...... ... ..... ..__. __.._ ......... -.......... ..__..........._. INSURED INSURER B: i Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURER D: Fall River, MA 02720 INSURERE: 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 TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SR WVD POUCY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY Y Y BKS 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL $ -__ 1'REMI.SE�_(E�9ccurte�e) _ 300,000 CLAIMS-MADE X I OCCUR MEDEXP(Anyone Person) $ 5 - ----. ..... ...... QQQ _..._...._._ PERSONAL&ADVINJURY $ 1,000,000 i GENERAL AGGREGATE $ 2,000,000,- -- — GENTAGGREGATELIMITAPPLIESPER 1 PRODUCTS COMP/OP AGG $ 2,000_,00.0...._-- P 0 LOC X POLICY $ AUTOMOBILE LIABILITY 12/10/16 12/10/17 COMBINED SINGLE LIMIT A Y Y BAA 56418741 _Eaaccident __ $ 11 OOOL00 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED INJURY BODILY (Per accident) $ AUTOS X AUTOS -- -_... --___-.:_ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X ( $ AUTOS Per accident A X UMBRELLALIAB �( OCCUR Y Y USO 56418741` 12/10/16 12/10/17 EACHOCCURRENCE $ 2 000 ----..-_......-_...---.....deed...._...._.._._—......_...- --'..........._._.._�_000 _.. �{ EXCESSLIAB CLAIMS-MADE ' AGGREGATE $ 10,000 DED RETENTION$ I $ WORKERS COMPENSATION 1 12 10/16 12/10/17 WCSTATU- OTH- A XW S 56418741 / X_........TOR__L IMJTS_.......---._......E.R.-Is ... dee AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 5_00d--,_00__-_0 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) ._Ej_DISEASE-EA EMPLOYEE_$ 500,000 If yyes,describe under DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) "For Insurance Purposes Only" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: r DEWS FORM. In accordance with the provisions of MGL c.40,s.54,a condition of Building Permit Number is that the debris resulting from this work shall be disposed cif In a property iicenseii solid waste disposal facility as definer!by MGL e, iii,s 151DA This Debris will be disposed of in,; Re ublic Services Dum ster: 1080 Air ort Rd Fall River, MA 02720 (LOCI ATIO OF FACILITY) A/ Signature of Permit Applicant Date IF DILMPSTER #S 80 IN EktSS OF SIX 6 CUBIC,YARDS A PERMIT FRrD `THt .. EIR9 DEPARTMEI T 1`S t EC,U t a FOR COMMERCIAL, INDUSTRIAL,iNS'T 1"t.1TIONAL AND MUL'I'i-FAMILY R IC�CNTI-L CtVER.,20 LINtTS t?EMO, RENOVA`i"IONS OR ALTERATIONS OF THE.EXISTINAG BUILDING- C112CLE ONE +*',,iAE YOU SUBMItTi b THE ACI06'NOTIFICATIGN TO THE MASSMCHU'SE-M btP YES NO, RISE Engineering RISE ENGINEERING 5DuPont Ave,South Yarmouth,MA02664 ^OA,r�w^� (40t)784-3700 FAX(401)784-3710 CONTRACT RAC Page 1 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE CLC-HES ENGINEERING AND THE CUSTOMER.FOR WORK AS DESCRIBED BELOW _ CUSTOMER PHONE .DATE. CLIENTS WORK ORDER LISSA JOHNSON (508)292-0794 04/10/2017 233845 31502 SERVICE STREET BILLING STREET 136 Goff Terrace 136 Goff Terrace -----CITY, --_.._......._...---- --- SERVICE CITY,STATE, .. .. - .. ..BILLING CITY:STATE,21P Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION AIR SEALING:Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed $800.00 in Concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air:exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) (10)working hours. A reduction in cubic feet per minute(cfm)of air infiltration will occur,but the actual number of cfm is not guaranteed. AIR SEALING:Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to(2)door(s)to restrict air leakage. $160.00 DAMMING:Provide labor and materials to install a 12 layer of R-38 unfaced fiberglass Batts to(23)square feet for damming purposes. $56.58 ATTIC FLAT:Provide labor and materials to install a 9 layer of R-33 Class 1 Cellulose added to(1242)square feet of open attic space. $1,863.00 ATTIC ACCESS:Provide labor and materials to install(1) easily moved,insulating cover for the attic access folding;stair. A small flat. $237.65. surface of plywood will be created around the opening within the attic. This will allow the cover's integral weather-stripping to restrict air leakage. VENTTLATTON:Provide labor and materials to install(2)insulated exhaust hose with roof mounted flapper vent to exhaust future $237.50 bathroom fan(s). VENTILATION:Provide labor and materials to install ventilation chutes in(70)rafter bays to maintain air flow. $244.30 VENTILATION:Provide labor and materials to install(8)4"X 16"rectangular aluminum soffit vents to increase.ventilation in attic $231.28 areas.Specify color.White or Gray: r RISE Engineering _ RISE5 DuPont Ave,South Yarmouth,MA 02664 ENGINEERIN CpNTRACT G (401)784-3700 FAX(401)784-3710' Page 2 ; PROGRAM ; THIS CONTRACT 18 ENTERED INTO BETWEEN RISE, • ..: CLC-HES .- ENGINEERING AND THE CUSTOMER FOR WORK AS t01 DESCRIBED BELOW ----------------- CUSTOMER - PHONE DATE CLIENTS WORK ORDER LISSA JOHNSON (508)292-0794 04/10/2017 233845 31502 ............. SERVICE STREET BILLING STREET 136 Goff Terrace 136 Goff Terrace --------------- SERVICE CITY STATE,ZIP _ BILLING CITY,STATE,ZIP .. Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION INCENTIVE:RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. $165.00 Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$4,000 per calendar year,and an incentive of 100%for the Air Sealing measures. For the safety and health of your home's indoor air quality,we might be conducting a blower door diagnostic of the available air flow in your home both before the work is begun,and after the weatherization work is complete(not to be conducted if asbestos is present).We . will also conduct a diagnostic assessment of the combustion fumes in the exhaust flue of your heating system and water heater.This has a value of$90 and is at no cost to you. The Permit will be secured by the insulation contractor.This has a value of$75 and is at no cost to you.It is the homeowners responsibility to close out this permit by contacting their municipality at the completion of this work. Total: $3,995.31 Program Incentive: $3,277.73 Customer Total: $717.58 WE AGREE HEREBY TO FURNISH'SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Seven Hundred Seventeen&581100 Dollars $717.58 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMITAMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 3 AY5.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. .. �. � .� AUTHORIZED SIGNATURE-RISE Engineering - CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS,AND CONDITIONS ARE 30 SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS.OUTLINED.ABOVE of t Town of Barnstable Regulatory Services • a•.resn�m8 suss �. Richard V.Scali,Director a63? �e ' Building Division Tone Perry,Building Commissioner 200 Main Street,Iiyannis,MA 02601 www.town.barnstable_ma-us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must. Complete and Sign This Section If_Using-ABuilder Lissa Johnson CL�� l S r � as Owner I, bf the subject propctty lierebyauthorize Insulate 2 Save to act on inybehalf, in all matters relative to work authorized by this building permit application for 136 Goff Terrace Centerville MA 02632 -tAdclIrss **,."Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final uspectio are performed and accepted- t.rler) Signatwe o er Signature of Applicant i +S4� lahnso o _ Print Name Print Nanne Date Q:FORMS:OWNFRP£rCAJSSIONPQt)LS TOWN OF BARNSTABLE permit No. ---------------------- Building Inspector su Cash ---------------------- UM& --- oO'rO MAY•\ 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 Address 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...... „ ......................................................................................................_.... Building Inspector Assessor's map and lot(number : .......................................... /" THE Sewage Permit number ��.�.!..!.... ......... BARNSTABLE, i House number ..................../, ..................................... y� Mae6 p 10 39. \00 YPY a• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........::..-kl(/J- j... r';' /��iC� ................................................................................. TYPE OF CONSTRUCTION .................. ...... a. ' ...... . .: ..... ............................................. / ...:..::... ..J.... ��..................19:....C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............—c..7........... .............. n ..� ....... ..E'.'............ ..P: �. r 1i ` ........... t.{'..r� ... ProposedUse .................................................. :?.......... ..`.�! .........! ..' ........L:.!.n'. ..............................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner :� A�'S� Ar vc Address .................................................................................... Name of Builder '.�:�..�..... ..............................Address .............. .......�"...................................................... Name of Architect rr�e !+'t c�f A-.Xia? r{ "'................... ......................................................Address ...... ........................................... ... Number of Rooms f Foundation G pA-1C)-p T H 11 .::..................................... ............................................................................ Y^K ` J Exterior .• .', ....................Roofing 4 � > L T ........... - .`.......................................................... Floors if .Interior +�r H t .� r 'i ; Plumbin �o ,�a `Y �crtler�- C-v . Heating g ............. ................ ........................ ;. Fireplace 1..................................................................Approximate Cost c3 Ci C1 c� ..:............. .................................................................... Definitive Plan Approved by Planning Board ____/ _-------19_7(a Area `s SY 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 ......... .......�.� ......... BRUCE, JAMES A. A=14 /-37 22848 One Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ,,,Lot #12A 136 Goff Terrace Centerville ............................................................................... Owner James A. Bruce ............................................. ...... . Type of Construction Frame .................................... Plot ............................ Lot .� ........................... Permit Granted ...... ebrktary 10, 19 81 Date of Inspection ......... ..........................19 Date Completed ...........................19 PERMIT REFUSED 7. ......... 19 ..... ...................... f � .ft ............ ... .1. '.............................. ............................................................................... ............................................................................... Approved ................................................ 19 -2 .... LTN 0R0 4 IV 1 . 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HM .-SPOT ELEVATION � /2A c�v �� kog 4r CONTOUR 0 r OVE®a ®OAR® OF HEALTH y:• 8� �� `����r k ; ° � ��� O• �y r, AGENT SCALE< ''� _ v ®ATE a 'DREDGE EAMINEEMNS Co* Odd CLOENT I CI RTIFY THAT THE , � RE®osTERE v �,; JOB NO _ BUILDING SHOWN Off! Tiff t. .CIVIL LAN® :1 CONFORM TO TIME ZOIJI A � I� {�. OdIA.QIEYOri ®R..®v+ �' :' '!. 1> a' '® - CSC BARNST,A®LE, W t ' C'4�. ®�o .> ,mays ' �K. 712 MAIN ST HYANNIS, MASS. � SHEETS_ OF OtA:TE RE® L s 7. '.4 t � iq i!�x'7e� •p. r� g r S N n �.. a r t h �a � f✓`t c t ... k .f 4 a 1 x,, hS kF•�,t � :J� ,�,. y, W � tk ,/00 � rr, t'F rt 7`�' . - :. . .': �• .',`qkw t� fdal;��.�+"�,tr➢ 514 j �, a .,.I� �. , •, ''Y �'w *�'`§2rsF. � ��''a r�' .. • � � Ir ..' '• - r� ,rj�'. t<t t'�f'4; n s `t. 4 ' VN AN { N zQ is iy I v 1 ' (l Y - u U -r V., qp g E w Y FdGuJ!'R7 w �;nr CERTIFI�® LOT H 4 H i fi'fl y j.E,. yrr C.t. IC0Y13TRUC'�9®N ONLY : t�f �Id,-OF FOUNDATION ,�.,� " FEET Ali 4 ,® JOINT ®F ADJACENT s9..ALEa I = yo ®ATE= r s - rr CO.IN QE C , I CERTIFY-THAT THE CLIENT ._____ __ ,:fig N ON THIS PLAN 0' 5 : µ RE® G l ,L � ROUND A� .1:"DICA LSU � JOB N® � H THE 4AND GOIdFORf�S �'® THEAILEY®R ®R.®Y4 ®� ®ARNSTA� & , MAS ST.MAINCIS,By; 712 c ��`�� ?M�G,.: 1... � ,;5 •t C:-. •� t °,{� '�4'k� C• � ,� V l g,7 J A 1;7 e-.ssor's mop and lot number ................... ........................ THE TO Sewage Permit numb.(g).. ................................. BARNSTABLE, House number ................... .3.("...................................... SEMC SYSTEM MUS' T on MAO& 1639- INSTALUD IN COMPUAN69 ' TOWN OF BAD FS B S UILDIMIS I N IRCTOR 1P . . ... APPLICATION FOR PERMIT TO ...... . .... ... . .............. ................. ............ ............................... TYPE OF CONSTRUCTION ........... ..... . .. ................. ...... ............ ..... . .. ........... . ................................... ... .. ....... ....././....................19. ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: L!... Location ............. .......t--)-..A..............G>'P.i-7.f 77........ ......... :1?0�nv........................../... ................ ProposedUse ............ ................... ........... 6.......................................................... ZoningDistrict .........................................................................Fire District ...........I................................................................... 0 r V C--e- ........ A ..........Address Name of Owner ............................................. Ir ... ....... Name of Builder ...............57A..A-j..CL .................................Address Address .............SA/C?.E� ..................................................... ........ .... .... ............. ..... r P Name of Architect ..6�n ......................... ....j.................... .!�.!:T... C��r x� V--'s.0 IV.................Address .................................... r Number of Rooms ...............to...............................................Foundation .............................................................................. C Exterior ............. ........ .. .............Roofing .............+.5 Z.r.......... ... p.k. L- 7-. _4..................................................... 'r-M .............................................. Floors ......... S.................................................................Interior ............. Heating, ..... Plumbing ... ...A . 11 . ......... ............................ Fireplace ............... Approximate Cost ..... ............................ .... .... .. ........... ................................................................... Definitive Plan Approved by Planning Board ----- 19 & ------- Area ... ......... Diagram of Lot and Building with Dimensions Fee ....... ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH It I TN V ,1141, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. . .................... ............ ^ ~ ' , , ~ ' _ ^� _ � L -� . � � - - ~ ^ 6h lol ;AV PERMIT REFUSED .................. ~- .~~ � ' - ~ lA . . .--.-,-,...-..-.. . . ' -.---~~---.,. ' t /? �~