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UNV12302
MADE IN CHINA
Town of Ba
rnstable Building
. .
PoSt`This Card SoPTliat it is Visible From',the Street Approved Plans Must:be"Retam'ed on Job andahis Card,Must be'Kept` '
M,d Where a Ce-rtifi ate of Occupancy11s Require red,such Building shall Not�;beOccupied until a F � � � Permit
p a
final Inspection"has been made:
Permit No. B-20-1593 Applicant Name: Jonathan Whipple Approvals
Date Issued: 07/02/2020 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 01/02/2021 Foundation:
Location: 14 GORHAM LANE,CENTERVILLE Map/Lot 193-101 Zoning District: RC Sheathing:
Owner on Record: TEMPLE,SUKARIE O&MYRIE,SHARON M Contractor Name.JONATHAN N WHIPPLE Framing: 1
Address: 14 GORHAM LANE Contractor License: C5078683 2
CENTERVILLE,MA 02632 w Est Project Cost: $ 1,252.00 Chimney:
Description: Insulate attic,vent existing bathroom fan,install 8".roof vent and Permit Fee:
i home air sealing. Perform combustion safety test Insulation:and blower door Fee Paid: $85.00
test.
: 7/2/2020 Final:
Date �1
Project Review_ Req:
Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for.which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and strIuctures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for{jublic inspectio j for the entire duration of the Final Gas:
work until the completion of the same. 1
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call inspections Required for All Construction Work:' Service:
1.Foundation or Footingw.
2.Sheathing Inspection Rough:
- -F.
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection) Low,Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel \® Application # d ® 40
Health Division Date Issued
Conservation Division Application Fee J
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board ;
Historic - OKH _ Preservation / Hyannis
Project Street Address X'\ L.c'a. w a. - n+�
Village Q. �,..�•bbL v �`. C
Owner c-- &g- Address 3\\-\ 5 Cr�.b
Telephone oZ- 3%-\S- o 1 `%% N c. Z o toy
Permit Request �„�ca�•�.Z.ze.�.d*� `. .•��-:.. .... �.+►`� ��.....��ox� 410-1 =- V.j
♦G.. ♦aSrw..` �" Crd`...VI.oS� ♦� �`..000.E� ����C+ .
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ♦'goo. Construction Type
Lot Size Grandfathered:- ❑Yes ❑ No If yes, attach s ®-orting d6dument+ation:.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure t gam Historic House: ❑Yes ❑ No On Old K g ighway:c0 Yes-a❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft 1
Number of Baths: Full: existing Z new Half: existing new rn
Number of Bedrooms:. 3 existing —new
Total Room Count (not including baths): existing L new First Floor Room Count
Heat Type and Fuel: ❑ Gas I ❑ 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 c o,bo'4_ v r.c.% .a �'Z Telephone Number t3z b% - '%%N - 4 y
Address 3k License # d t ZZ
Ma cs w •.-_.e'S�c. ��o c.%k a Home Improvement Contractor# -.>\
Worker's Compensation # t.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
DATE SIGNATURE a I L(
t
FOR OFFICIAL USE ONLY
l� A
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS ` VILLAGE
OWNER
•
DATE OF INSPECTION: '
11FO.UNDATIONJUI--at i'�l,iJ v,f mT."I".
w FRAME
E
INSULATION_
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL`
r GAS: ROUGH FINAL
FINAL BUILDING- `
DATE CLOSED OUT ,
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
Depatnzent of Industrial Accr'dents
Office of Investigations
60 Washington Street
Boston.MA 021,11
wwwanass.gouldia
Workers' Compensation Insuranee Affidavit: uildl rs/Contractors/.Electricians/Plumibers
ARRficant Information Please Print Le 'bl
Name.(Business/Organi atici /Individual) POnse'rVision Energy
Address: 376 Route 130 Suite C
City/State/Zip: Sandwich, MA 02563 Phone #: 508-833-8384
Are yop an employer?Check the approprike box, Type of project(required): .
1.[ 1 am a employer with 8 _ 4. C] I am.:a general contractor and I 6 Now construction,.
employees(.full and/or part-time):* have hired the sub-contractors
2.0 I am:a sole proprietor. or partner- listed on the attached sheet. t (� Remodeling'
ship..and have no employees. These sub-contractors have $: :[] Deriolition
Working for me in:any capacity, workers' cornp, insurance;.
9. 0 Building addition:.
[No workers'comp::insurance S. Q We area corporation and-its,
required.]
officers have exercised their 10.0 Electrical repairs or additions
3.❑ I am a homeowner.doing all work. right exemption per MGL l l.❑Plumbing repairs or.additions
c:.152, l 4. , and:we have no
myself. [No:workers' comp.. § ( ), 12:E] Roof repairs
insurance required.]} eIll 0es:.[No workers'
comp tnsurance required.] 13 [� Other WeOthenZatlOfl
*Any:applicant that checks box#1.Must also fill out the section below:showing their: workers compensation,policy information:
t HorneoWnets w16 submit this affdavit indicating they are,doing pll;work and then hire outside co.ntmetor, mnst submit a new affidavit indicat nit such,.
tContractors that check this box must attached an additional sheet showing the.name of the.sub-contractors and their:worker."comp.policy infoi;mation.
I am:an employer:that is providing workers'compensation insurance for my employees. Below is.the policy and job MO..
inforutation.
Insurance Company Name:: CS&S/WORKCOMPON
Policy#or:Self-iris.tic.# 6011316349 Expiration Date: 03/11/2015:
Job S.tc Address; _ City/State/Zip:
Attach a copy of the workers'compensation:policy declaration page(showing the policy:number and expiration date).
Failure to secure coverage:as required.under Section 25A of MOL c. .1.52.call lead to the imposition of criminal penalties of a
fine up to$1,500.0aand/or one-year irnpr sonrne it,as well as civil pen allies it the forin of a:STOP WO K ORDER and a.:fine:.
of up m$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of..
Lnvcstigations of the DIA for insurance coverage:verification.
I do hereb ' r der th rrs nd enallies o er'wr that the an urmatian rovided rabave is znte artd correct.
fY P P fP J Y P
Sr aature . . Date: , -:
Phone#i
Official use only. Do not writ&in this area, w be completed:by city or town official
City.or Town;; .. 'Permit/License#
Issuing.Authority(circle one):
1 .Boardof Health 2. Building bepartment:.3.CityfTown Clerk: 4.Electric !:Inspector 5.:Plumbing Inspector
6:.Other
Coi t4ctPersom.,
OATF(MM1DOtYYYY)
,AC40RO CERTIFICATE OF: LIABILITY INSURANCE
0311712614
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THECERTIFICATE HOLDER.THIS'CERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER'THE COVERAGE AFFORDER BY THE:POLICIES.'BELOW.THIS CERTIFICATE-OF INSURANCE DOES
NOT CONSTITUTE A:CONTRACT BETWEEN THE ISSUING iNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCEITj AND THE:CERTIFICATE HOLDER.
IMPORTANT If the.certMcate holder is an ADDITIONAL INSURED,the palicy(les)`must be.endorsed If SUBROGATION IS::WAIVED,subject to;ihe terms and conditions
of the policy,.certaln policies may►equire an,endorsement, A statement on this certificate does not confer rights to the certiNoate hoider in Ifeu of such endorsement(s).
PRODUCER. .. . :
CONTACT
CS&SIWORKCOMPONI= NAME
PO'BOX 946580 PHONE FA1(
(AIC,No,Ext): (AIC,No
IVIAITLAND,FL 32794.6580 EMAIL
Phone-877-724-2669 ADOREss.
Fax-877-763-5122 INSURERS)AFFORDING COVERAGE NAIL#
INSURER A 'ContinentA Castalty Company 2p443
INSURED INSURERS:: ..
CONSERVISION ENERGY
376 ROUTE 130' INSURER c,
SUITE C INSURER.D:.Continental Casualty t6mpany. 20449
SANDWICH,MA 02563 _INSURERS:Continental Casualty'Company
MI
.. .. _. .... .. . .. _..INSURER Fc
COVERAGES CERTIFICATE NUMBER:..
_ ... REVISION NUMBER:
THIS IS:TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED:TO THE INSURED NArMrED ABOVE"FOR THE POLICY PERI00 INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM QR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITHRESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE,INSURANCE
AFFORDED BY THE,POLICIES DESCRIBED HEREIN IS SUBJEOT TO ALL:YHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUC{ES.UM1TS SHOWN MAY'HAVE BEE@I:REDUCED:BY PAID
CLAIMS: .. -
SUBR
LTR TYPE Of INSURANCE: INSR Wm POLICY NUMBER MMtt1f) MMfpb .. LtIL11T3
GENERAL LIABILITY EACH OCCURRENCE $1,O00,000
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES(Ea ccwrence) $30O,000
o
CLAIMS-MADE Jfj OCCUR $10,000
A Y N 60113.19336 01/1/12014 :..Will MED EXP(A onee n
PERSONAL 6 ADV INJURY $1gO00/000
GENE RALAG GREGATE : 521000,000
GEWL AGGREGATE LIMIT APPLIES PER:
POLICY: PRO LOG PRODUCTS-GOMPIOPAGG $2,000,000
JECT
T
BI AUTOMOLE:LIAB COIu181NE0 SINGLE LIMI
I&TY $1,000,000
(EA:aCCfden' _
ANY AUTO . BODILY INJURY(Per persi)
ALL OWNED SCHEDULED:. BODILY INJURY(Per abodem
A AUTOS AUTOS. N N 6011316335 03/1112014 03/1112015
HifiEd AUTOS NOWOWNED. PROPERTY DAMAGE
AUTOS.
(Pet<aCc dent)
FJ
UMBRELLA LtAB: OCCUR 1,000,0 O
EACH OCCURRENCE
D EXCESS.LIAR: 6LAiMS4AOE, N: N 6011316352 03111/2614 .:0 111/1015 AGGREGATE r1,000,000
DEO IXL
RETENTIONS 10,000
IRfORKER;`sCOMPE?,N$ATION :. :.WCSTATU- OTH-
.AND EMPLOYERS'UABILfTY. - "TORY LIMITS .ER.
ANYPROPRIETORIPARTNERlEXECUTIVE YIN $100,000
E OFMtFRIMEMBER EXCLUDED? N. ` N 6011316349 03119/2014 03/11/2015 E.L:EACHACGIDENT
rLr
(Msnoat cry In:NH
If yes,desa 6e under E.L..DISEASE.-EA EMPLOYEE $100,000
DESCRIPTION OF OPERATIONS below
E:E.DISEASE:-POLICY LIMIT $500,000
DESCRIPTION OF'OPERA71ONS 1 LOCATIONS VEHICLES (Attach ACORD:101,Addiliona6Remarfcs Srliedule,it mole spate s taquhed);
Certificate Holder Is;added. ls an additional insured as provided In the blanket additional insured endorsement:
CERTIFICATE.HOLDER . . CANCELLATION.
ES2: ngtneenng. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE
1341 £IrtnNOOd:Ave THE E)fPIRATlON;DATETHSREOF,IdOTlGE.WILL BE DELIVERED IN
Cranston,RI 02910 ACCORDANCE 4YiTH THE POLICY PROVISIONS.
AUTHORIZFO REPRESENTATIVE:
Q:19884010 ACORq CORPORATION..AII rights reserved:
ACORD 25(2010105) The ACORD name and.logo are registered marks of ACORD aCasss,
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Hoy o. MA 62416
CON-SERVE E ENERGY
CONOR P CINER.NEY
37 RC3t3T E`i 3�SUITE 4a
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11/14/14
Thomas Perry, CBO
Town of Barnstable
Building Division
200 Main St
Hyannis, MA 02601
RE: Insulation Permits
Dear Mr.Perry,
This affidavit is to certify that all work completed for insulation work at 14 Gorham Lane
(application#201405078)has been inspected by a certified Building Performance Institute(BPI)
Inspector.
All work performed meets or exceeds Federal and State requirements.
Sincerely,
Conor McInerney C>
ConserVision Energy <:
CO
376 ROUTE 130,SUITE C
SANDWICH,MA 02563
508-833-8384 WWW.CONSERVTODAY.COM
1
roFt Town of Barnstable *Permit# �z
�t XVIra 6 months from ue date
r1
# „JL'MAJ= ; Regulatory Services Fee
9 X. $ Thomas F.Geller Director
%639. �m i
°?ED nun Building Division
Tom Perry, Building Commissioner e PERA41T
200 Main Street,.Hyannis,MA 02601
UC 1 8 2005
Office: 508-862-4038 `
Fax, 508-790-6230 TOWN OF ARNSTABLE
LA EXPRESS PERAM APPLICATION - RESIDENTIAL,ONL
Not Vaud without Red X Press Imprint
Ma /parcel Number I q
P
Property Address q
[Residential Value of Work A "' Minimum fee of•$25.00 for work under$6000.00.
Owner's Name&Address *A W-e-
14 0 .CAM?-A" ,6-t
Contraator_s_Name
Tel hone Number _7 Q - l -:-
Hozne.Improv=mt Confractor License#(if applicable) 1 O+`1�3 'o
Construction Supervisor's License#.(if applicable)
❑Worktnaes Compensation Insurance
Clue one: -
[TI am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Worktnan's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
dp,e-xoof(stripping old shingles) All construction debris will betaken to fiPfPrPL! a0-I W 2V21
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)•
a
*Where required: Issuance of this permit does not exempt compliance with other town departraeat regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Ho rovers t Contractors License is required.
Signature
Q.T., :expmtrg
Revise063004
r =
t r Town of Barnstable
° Regulatory Services
' Thomas F.Geiler,Director
fc16 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,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 A Builder
I hkA ep�- as Owner of the subject property
hereby authorize J C?-X�1LQw. _ 1 to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of Owner Date .
JY*..( MCU
Print Name
Q:FORM&OWNERPERMIS SION
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FEE ►
TOWN OF BARNSTABLE, MASS.
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no
vR THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO
.. _..........................................................................................................._...... ___....»..... _ ..........................................................................
O ,y (PROPERTY OWNER) / (ADDRESS)
p 60m^�
ov Qr. a TO »........._»............................................................................»......................
[.t U'd (BUILD) (AL R) (REPAIR)
......................................._..........................................................................................» ............................. ............................................................
O O `� --IF E OF BUILDING) (APPROXIMATE SIZE)
uc eoA LOCATION �.»..........._...»................................_........._ »
y (STREET AND NUMBER) (VILLAGE)
NAMEOF BUILDER OR C O N T R A C T O R ».__..._ ..._......._.._........_._..........................................._.............»._.__................_........».�..---
th
ID 4).0 APPROXIMATE COST
y w mC I HEREBY GREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN
�y OF BARNSTABLE, REGARDING;THE ABOVE CONSTRUCTION.
om
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a acs �,__.....__ »» __ ..__.._...»....__... ............__..... ...........
N d d N )OWN! (CONTRACTOR)
� caq
� cc o
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(V
BUILDING INSPECTOR
Subject to Approval of Board of Health.
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.y
i
OV T JN OF BARNSTABLE
BULK RATE
COUNCIL ON AGING U.S. POSTAGE PAID
198 SOUTH STREET NON-PROFIT ORG.
HYANNIS, MA, 02601 PERMIT NO. 2
✓ F .
ly
/ 9�5-
AJ
141
Assessor's map and lot' number ...... . . .. ....,. INSTALLED IN ZOMKjAma
, (� WITH ARTICLE if
Sewage Permit number ..................:... .... SANITARYSTATE
-N
�Qy�FTMETO�o TOWN OF BARN ?x `
t BABBSTMMNAM
i
6 PECTOR
B U" I L I N I N'S r U
0 NPR Oki' 1
APPLICATIONFOR PERMIT TO ... .............. .1................. ............................................
TYPE OF CONSTRUCTION .�Po ... ' ? `.�'"`............................................:.
a er�`r.:...� .................197r�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �j.4..U....... �.
................... ......... .. . .. .^!......... . . ..........................................
ProposedUse ........... ........................................ .......................................................................I.........................
Zoning District ........................................................................Fire District ..........� .. 0,4 ...:.................................
Name of Owner ..... .f..cS .,,7...........................Address .... .. .....�..:!h f',.�:......
V
Nameof Builder ...................................................:................Address .................................................................:..................
Name of Architect -�—
............./....................................................Address ..................::.............:..................................................
Numberof Rooms ............lA..................................................Foundation .......... Cr ?............................................
Exterior .......,;Ye� ..................................................Roofing ..............;L' ..........................................
Floors .....Cr..��:, l..........................................Interior .......... ......�� - `... ..W a O...................
Heating .... � ..............................................
Fireplace ........ .....................................................................Approximate Cost ........... /........................... ..................
�o ��Definitive Plan Approved by Planning Board ---------------—_-----------19_______. Area ................
Diagram of Lot and Building with Dimensions
Fee ........... ....rl.... ......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
as
,,4 ` � � 36
,�-
gyp` ``, .
hereby agree to conform to all the Rules and Regulations of the-Town of Barn table regarding the above
construction.
Name ..
1
Stanley, C. F. C 6 3 O
17528 one story,
No ................. Permit for ....................................
single family dwelling
Location
G+..Gorham..Lane..... ............. .. ........................................
E M Centerville
...............................................................................
` C. F. Stanley
Owner ..................................................................
Type of Construction frame i
.......................
7.
Plot ............................ Lot ................................
Q.
Permit Granted ...........Die emtaer..3.1....19 74
4�? Date of Inspection ..../. ......................... .19
i9 Date Completed
PERMIT REFUSED
oil................................................................ 19
' . _ .................................................. ..................
_................................................................................
f1. ............................................................................... 1
I L1/
Approved ................................................ 19_
...............................................................................
...............................................................................
+S •�.�.�_...._-�-�...��.�-.,�",i,.. ...=1- `� `��'�-,f�4�'� ,`Cil�}�'+.ii'� ...,M� S�� ^�t...��r`.�'�/ ,..
Assessor's map and lot number ......�! ,. ..... / �� '��Ir`
Sewage Permit number ..................... ...........
�QOFTHEro�yo� TOWN OF BARNSTABLE
Z 33A"STABLL i
"b q
o M a' BUILDING INSPECTOR
� aY
APPLICATION FOR PERMIT TO ......... ..... :""`''.... ''. r''!r? 1-7/t......: .:..:...................................................
lam' � ... ;�..
TYPE OF CONSTRUCTION ..........................................:...�.......................................................................................
.......
........�. ...............................19........
Y ,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: !
Location ......::...,... ' ........�.....��.:....................�!!:�?::...........�..............................................................................................
Proposed Use
Zoning District ........................................................................Fire District �
Name of Owner T ..�" ..
Address ...............................:.
Nameof Builder '.................................................:.................Address ....................................................................................
k
Nameof Architect \................................................................Address ....................................................................................
Number of Rooms Foundation
�.
s
Exterior ........_..1 ............Roofing ....................... ..........................................................
Floors ..............:....:.....:...:......................................Interior ....................................................................-...............
Heating.f .....'.......fir .:........`...............�......�..t..+. '........'E....Plu Bing .....` ..................:..................................................
{ -
n
Fireplace .....Approximate Cost .
............................................................................
Definitive Plan Approved by Planning Board _______________________________19________. Area . ................
.................... ... .
` 'l/ `..
Diagram of Lot and Building with Dimensions Fee ..
SUBJKT"TO APPROVAL OF BOARD OF HEALTH
i
{
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
'
Name .............. .... ... ................................................... .. ... .. ..
Stanley, C. F. -�
No ..17528 Permit for .,one story
single„family dwelling
Location if Gorham Lane
...................................................
.........................Centerv'i.Lle.............................
e
Owner .............C. F....Stanley
Type of Construction ............f.rame. ....................
. . ..
................................................................................
Plot ............................ Lot .................................
Permit Granted ........December 31 19 74
Date of Inspection ....................................19
Date .Completed 19
PERMIT REFUSED
................................................................ 19
...............................................................................
................................................................................
...............................................................................
............................................................................... .
Approved ................................................. 19
a
...............................................................................
...............................................................................