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HomeMy WebLinkAbout0165 GREAT MARSH ROAD y 4. ",�' ry ` (}' °�.,i .. rn^.b �,f..rl �;.: c ✓"•h�' �L,..�tr ... w a R 5 .> s:+. ?�..� .1 z ;• - tl,,.� Sir � ,. ,,.. •. � i:`s3 - ,ra _ F �= ,� a �•Y y n ' r � r e � • a� � c ` ` oi- ' 6 bu Une�S on r Town of Barnstable *Permit# Expires 6 mnn rsJr m issue ate } Regulatory Services Fee * BARNSTAaLF, 9� $ Richard V.Scali,Interim,Director QED Mpi�' Building Division ` Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY i h Not Valid without Red X-Press Imprint Map/parcel Number ell i Property Address 6 recrr N1 a OL )6-S- C'w er V,'I/n Residential Value of Work$ �000 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address flO�er r T{ or,) &n /6s 6req j 1'1'aGrs' p A Cep i eryi11P. . /0,4 oa63 Contractor's Name I?0 CPC/ I�G fto ) Telephone Number' SOR— 73 7 60yG Home Improvement Contractor License#(if applicable) Email: P T 350k 6GA-,g;f. Cam'+ Construction Supervisor's License#(if applicable) - EP ,z � ❑Workman's Compensation Insurance MAR 2 7 2014 Check one: ❑ I am a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)' 5rRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to P I C4 -San 1GT 16V1 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. A copy of the Home Improvement Contractors License&Construction Supervisors License is rrequired. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 The.Commonwealth of Massachusetts _ Department of IndustrialAccidents, Offcce of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OMm izationadividue): e(ALCE NM a0f) Address: City/Mate/Zip: t)- v' A O(M Phone#: ��� 23 7— Le qo Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a Y emp to er with 4. ❑ I am a general contractor and I 6. El New constriction employees(full and/or part-time.).* have hired the sub-contractors 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. Demolition workingfor me in an capacity. employees and have workers' Y aP tY• 9. ❑Building addition [No workers'comp.insurance comp.insurance.# required.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.ElPlumbing repairs or additions !!!/ myself. [No workers'comp. right of exemption per MGL 12.[]Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any.applicant that checks box#1 must also fill out the section below showing their workers compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. 'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: _ Expiration Date: Job Site Address. r 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 MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. 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 eerfi under the p irs and penalties ofperjurp that the information provided/above is true and correct Si afore: Date: 3/c��/�/ Phone#: C�� Official use only. Do not write in this area to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in-a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than'three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." - MGL chapter 15.2, §25C(�also states that"every state or Iocal licensring agency shall withhold the issuance or renewal 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,MGL chapter 152, §25C(7)states"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 of this chapter have been presented to.the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 contact you regarding the applicant. Please be sure to fill in the pmmit/license number which will be used as a reference number. In addition,an applicant that must subm-if multiple permit/liceme applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. ti The Department's address,telephone and fax number: The Gommonw' ealth of Massachusetts - Deparfinent of Industrial Accidents Office of Mvestigations 600 washin ton Street. Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-377-MASSAFE Revised 4-24-07 Fax#617-727,7749. wwW.mass.govfdia T Town of Barnstable Regulatory Services oFttlF t � Richard V.Scali,Interim Director Building Division snxNsr.+sra. *` Tom Perry,Building Commissioner 9 i634 200 Main Street, Hyannis,MA 02601 www.town.barustablema.us Office: 508-862-4038 Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION //— Please Print DATE: 3 h JOB10CATI02+1: r/ Gre.,I Inc.ys.� 0 J Ctoqq y;/l�e rnumber street village "HOMEOWNER": 1t0bfrT Thoms on :Og- 737- 6GE-1G name home phone# work phone# CURRENT MAILING ADDRESS: M gS W r� city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner".certifies that he/she understands the Town of Barnstable Building Department minimum inspection proc es and requirpments and that.he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often' results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case;our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. -�� 3 • �VETti Town of Barnstable Regulatory Services • seaxsr.�is�. • $, Richard V.Scali,Interim Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 r Property Owner Must Complete.and Sign This Section If UsWg A Builder as Owner of the subject ptoperty hereby authorize to act on my behalf, in all mattets relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Town of Barnstable *Permit a� 3 4qZ3 Fapires 6 months from issue date Regulatory Services FeeMAM s— = snxxscna[.e, • .039 Thomas F.Geiler,Director i639 �� ram,, • Building Division X-PRESS PERMIT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 J U L 03 2013 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ( YOF BARNSTABLE v 3 C-617e y Not Valid without Red X-Press Imprint Map/parcel Number a Property Address ��5 (�►ee1/ •"!$k-(2 d' )If /I,1A 0323. PrResidential Value of Work$ 3 GOD.V Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address-S -P cis c ,,_• Contractor's Name J�rb�T 16rM p.�20 Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner _ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. A copy of the Home•Improvement Contractors License&Construction Supervisors License is require . SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 The Colnln mweaM of Massachasd& artmmt of ind;Estrial ccidena QKwe ofinvestigations 600 Washington,street Boston„MA 02111 wrvMmass got/dia Workers' Compensation Insurance Affi,davzt;Burilders/ n slPhumber s Applicant Information Please Print IAy ly Nanw how Addrm: J&9 Grear/mr- h ad ` —City/state/zip. Phcnie 4 S off" 737- 6O V6 Are you an employer?Check the appropriate boa: T of project 4. I am.a. contractor and.I Type p ] � �= 1.❑ I am a employer with ❑ employees{full and/or part-time).* have hired.the sub�anttactads 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed can the attached sheet. y- 0 Ong ship and have no employees These sub-contractors have g_ ❑Demolition employes and have worms' waz>ring faa<me in any capacity. 9. ❑Building addition [No workers'comp.inmance comp-snsurarim, required] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.�I am a harneowmer doing all v;anrk 11.[]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required,]i c.152, §1(4},and we haven employees.[Noworlms' 13.0 Other comp_insurance required.) ''piny applicaut dw cbecks boar C mast also fill out the section below showingth&workers'compensation policy inf nination. I FFameouiiirs who submit this affidstrt im&cat mg they am doing all wank amd then hire outside camttacton amist snbonit a new sMdzm indicating sach- lCcnuactors that cbeek this boat ninst attached ait additional sheet showing the mane of the sub-caautscton and state whethw orna these entities have employees. If the stab-cantactm have employees,they mast pmuide their workers'comp.policy munber. I am an employer that is proviiTirrg nwrken'compensaifon inmrance for my employees. Betotr is the policy aced job site informattom Insurance:Company Name- Policy#or Self--ins.Uc.#: Expiration Date: Job Site 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 MG}L c. 152 can lewd to the imposition of criminal penalties of a fine up to$1,500.00 and/or once-year imprisonment,as well as civil penalties in the form of.a STOP WORK ORDER and a tine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby e ' ,under thepain nd penalties of peduty that the information prm��a�d bove is true and correct Si Date: Phone#: Ofjicial use only. Do not write in this area,to be campieted by cat} or town.official 4 City or Town: PertmitlLicense# Issuing Authority(circle one): . _ 1.Board of Health 2.Building Department 3.City Fown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 THE Town of,Barnstable Regulatory Services n ASS �, Thomas F.Geiler,Director 63 &1� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.as Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, IZl err TY o MOB , as Owner of the subject property hereby authorize /14 to act on my behalf, in all matters relative to work authorized by this building permit G�AT/✓J�irSI., YI dI (Address of Job) **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 =inspections are performed and accepted. Signature of Owner - Signature of Applicant ICU of i f �Orn PSo� Print Name ` Print Name 7 3113 Date QFORMS:OWNERPERMISSIONPOOLS 62012 o� Town of Barnstable Regulatory Services MASs ; S ` Thomas F.Geiler,Director .`� 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 Y3 r/� HOMEOWNER LICENSE EXEMPTION ON Please Print DATE: JOB LOCATION: /6C &reaLpua b Q� ��►/�'i��i I n street village "HOMEOWNER7: �(I�f�l / I yyn L-0`16 ame home phone# _ work phone# CURRENT MAILING ADDRESS: __ ._._.__ __._.._ .. .. _. _ _ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts'as supervisor. ' DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures A person.wl o constructs.more than one home in a two-year period shall not be considered-a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Si�of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit,is required shall be exempt from the provisions of this section(Section 109.1.1-licensing of construction Supervisors);provided-that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\demUik\AppData\Local\Microsoft\wmdows\Temporary Internet Files\ContentOutlook\QRE6ZUBN1E32RESS.doc Revised 053012 c. Assessor's map;and"lot number ....... ....:.....�,.. ...t.. �� �C Sewage ,Permit number . �l'���K......... :. T"Er° TOWN OF BARNSTABLE BBHBBTLBL 9� N6 9 O M �� B-U1LDING IN�SFECTOR 'EPY p" r't i_ APPLICATION`JFOR PERMIT TO .... . . .................. ........... ......................:...... 0. ' TYPE OF CONSTRUCTION n. _......�. :....... ....... .... ............197K. TO THE INSPECTOR OF BUILDINGS: / The undersigned hereby applies for a permit according to the following information: Location ...../..5., ........q.v aT.... 'e:{ ...!^...... ? ................................................... .................................................... Proposed Use ..... � ................................................................................................................................ .................................. ZoningDistrict ........................................................................Fire District .............................................................................. � (� Name of Owner .. ............''�..... a w��.l.Y'-� :.......Address ..:� ...S ........... r .1...... ....lV ...... t Address .: 'N.�..lr ....... Name of Builder ��' '......<'�� ?^ ............................ ................... Name of Architect ......... -?. .....................................Address ................ ............... .......... Numberof Rooms ..................................................................Foundation ....!.. ....:................................................ W aExlerior ........... .. '........................................................Roofing ........ ..'........:....................:.... .............Interior .......... Floors ....... ...............................:................................. ..)!�................. Heating ......W..A ....Plumbing ..........Allb'N'°'C...—........................................... ............ ............................................ Fireplace ........v.!'................--::...............................................Approximate Cost ......... �k..................: Definitive Plan Approved by Planning Board ________________________________19________. Area ........ z..... .,.................. . e j Diagram of Lot and Building with Dimensions Fee '— SUBJECT TO APPROVAL OF BOARD OF HEALTH hereby agree to conform to all the Rules and Regulations of [the(T wn of Barnstable regarding the above construction. rr,� Name .................... ..... ..... Gonsalves, Anthony 18863 add to single a e .......:PerFnit for...................................... V, mily dwelling ............................ ..... ......................................... eo�ation 155 .Great* Marsh Road -S. .................................................................. Centerville ............ Owner ........Anthony -Gonsalves .......................................................... is Type of Construction ...................1 ............. ...... X__ . ............. ................................................................................ ID �iiot............................... Lot .......... .................... December-7- 76 J_ Permit Granted ............................. ..........19 '_Pate of Ins pection ........ .......19 Date Completed . .... ..........19 p j I, PERMIT REFUSED ........................................................... 19 '4 ................................................................... ......... .............................................:.......................... ...... .......................................................................... ................... ............................................................ Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number .............. .......a..... S '.1L _ - 7— �7,4 fs Sewage Permit number .............Z l? .................................z -��. QyofT"Er°�y TOWN OF ' BARNSTABLE i BABH9TeDLE. i "6 .•� BUILDING INSPECTOR o�fp MPY�'• r APPLICATIONFOR PERMIT TO ..........::....................!... .... .. ........................................................................ TYPE OF CONSTRUCTION -.-r v'09-rn -�' . ............................ _ ' .. . TO THE INSPECTOR OF BUILDINGS: j' The undersigned hereby applies for a permit according to the following information: Location rya Proposed Use ..... S,PR G...............................................................:.... r ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner mf• �lt�'?a�v�..... '1 v�v�,at��'-2� .........Address ..,(- ,. S rf,� 7 M4v ( !`� ...................................................................... Name of Builder �'"""`..................Address � N ....................i...................... Name .of Architect ........ !lry, ?�.......................................Address ............ ................................................... Numberof Rooms ..................................................................Foundation .............Y.e:a?...................?.....�............................ Exterior ...... t�.•t ...............................................................Roofing ........ Y �!�' .........."........................................... Floorsv!.."`................................................................Interior Heating �gfl. .................................................Plumbing �..................................... Fireplace r :...................................................Approximate Cost ......... . .............................................Definitive Plan Approved by Planning Board ________________________________19________ . Area 2 ..".`.................... 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 theMwn of Barnstable regarding the above construction. l Name ............ ,... J . ^+.... --�';..... Gonsalves, Anthony A=210~130' No ..l8Q6 _ Permit _add ..bm..single . ^ family d�ell ' ...���' / Location -- t_Marsh..Road ____ . te.r.vi Owner �g�bt��� . Type of . Plot , . � ).. ^ ' . Permit Granted ----- ' Date of Inspection ..... ...............19 � . � Date Completed > ' PERMIT R FUSED . . 7 ` . ---.~--- -------------. ) ' ' '--~--'—''---'' —^-----`—'-----'^ . -----------y,~--`.,---.—.—..~— . . ' Approved ................................................. lA � . . �'. --------------------------. . - � . ------ ............................................................ ' - ' Complaint/Inquiry Report r �'� f ,/ Date: _ Rec'd by: to Assessor's No.:___� � -� u Complaint Name: LocationS� Address: NUP WISION 1,42 Originator Name: Street. Wage stag �� Tap: a Telephone D >r Complaint ❑ % hr ve p/C �iz vcd2 r 0 Description: PO"'ke f Inquiry El Description: For ON= Use Only inspector's �p�r 2 1�Q���� Action/Comments Date: "^ c - 0 — r � Follow-up Action Additional Info. Attached ap}•Disaihution: White-DeparunentHe Yellow-Inspector Pink-rnspector(Return to Office Manager) L I a t � I � . ! t I t 1 kl T a' t ! 9 t_ Mu c"N u P i T TWO z4 x?-e$ 55 hii=tom.• -- :xT-cNb -riaT ©FR iFib);r C cs�jca bti}kak curLeTs NNNTc ri P4 C o f 4PmT N/ K t c.H �Kkn�'�}you: '-p�ti►*s�=u�i �� ����� �' Rom F 1 Pi) �V!r"U _. t o�1 C 1 i DS tz (i'`mi 2`�e I a HCUSL a"- -� �v SNP-��kr,-* II ._. �p� • .++. ..:'M. A _.- ram. •.?.. w..._ rrt�:.� .•.. ..