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HomeMy WebLinkAbout0077 HEADWATERS ROAD ,. - «_ m 0 0 p. - �. a - � � .. � y � .. n il) - �. c, .. .. - - � ` � .. �. �. '_ _ � ., � � F ofstr Town of Barnstable * ermit# Expires 6 nionths jroun issue(late HAPNSrABLF- Regulatory Services Fee C7 S" 6 ,m� Thomas F. Geiler, DirectorL�,y� Building Division / Tom Perry; CBO, Building Commissioner 200 Main Street,.Hyannis, MA 02601 www.town.barnstab Ie.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY (, Not Valid without Red X--Press Imprint Map/parcel Number Property Address`22 A t.)44v_- 2-5 ( i [e esidential Value of Work �� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Al ff2c?fFk--7 At_,G 1 Contractor's Name rl�t��2cJ ./ Telephone Number q0/ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable)EW- orkman's Compensation Insurance PERMIT one: APR ESS❑ I am a sole proprietor ❑ I am the Homeowner .SUN 3 ® 2009 ©- fhaVe Worker's Compensation Insurance c1� t TOWN OF BARNSTABLE Insurance Company Name +� 1 n ✓1t � Workman's Comp: Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request.(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑.Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side . [Replacement Windows. U-Value G, J (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ro rty Owner t sig Proper Owner Letter of Permission, me I ro ent C tractors tcense& Construct Supervisors License is required: SIGNATURE: Q:\WPFILES\FORM Express\EXPRESSPERM T.DOC Revise06O4O9 t � . 0 0 ° ® 0 O 0 0 O 0 0 0 O 0 O l From our Home to Yours MA Reg#146589 ... f G tt,�1\�. Federal ID#20-2625129 f ! I CT Reg#0605216 1\ v1,LWPAU 5 8 6 15 6 RI Reg#26463 v Windows,Siding and More Corporate Headquarters,26Cedar St,Woburn,,MA,(P)800-342-2211(F)781-933-9626,www.newpro.com 1v- THIS CONTRACT MADE THE �G / "day of c/ U't Z 20,�;9 between 1 (Home Owners) (Home Phone) (BueC.11 Phone) of f/� 1 e` �� C°e. fe•�. 4,A�31) (Address) (City) (State) (Zip) the"Owner"and NEWPRO Operating,LLC,"NEWPRO". E4- e)o address is a condominium. NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following described work at the premises located at (Job Address) (E-Mail for proprietary use only TOTAL �p� Additional Model TOTAL Windows Purchased NEW RO Work Number Oty CASH �� a Window Color In: frJfi` 0ut:e-j I Sliding Glass Door PRICE /tea Capping Color / f Steel Security Door Door Color In: Out: DEPOSIT Model Name Model Numbers Qty Sidelites WITH t Double Hung New Construction Unit` ORDER � � Picture Window Storm Door BALANCE Casement Obscure Glass M DUE AT 2 Lite/3 Lite Slider Screens FULL INSTALL J Bay/Bow Frame Please Initial: Roof: ❑ t: Customer understands that NEWPROO does not L.idto SH Garden Window do any painting or staining. (ie:when removing Balanc staller allation Awning or replacing interior stops or trim) Hopper NEWPROO is not responsible for conditions or Shaped circumstances beyond its control including con- NAN Other densation resulting from or due to pre-existing Bank completion f ed at installation - GRIDS Euro conditions. DESCRIBE WORK: �yy/ ✓Z (�/� Cdi�r Ca+S CI Y. t�S /! t�tly �� w r Ont/ // eff - S' S o eic s /eL ��;'✓/ v�:5 i`�Hi /L 11-2/S Grae, Est.Start Date: �11s2 Le Customer understands this is an"estimated date" Est.Comp.Date: 3 mtia s Initials to r u derstands all steel securit doors will have a 3/4"aluminum threshold installed over existing threshold. It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owners a their own construction-related permits,or deal with unregistered Contractors will be excluded from the guaranty fund"provisions of MGLC,142A. All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburton PI,Room 1301,Boston,MA 02108,(617)727.8598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement,such Agreement shall include a time schedule of payments to be made under f said contract and the amount of each payment stated in dollars,including all finance charges. The Retail Installment Sales Agreement shall be incorporated -,herein by reference..If the Owner is obtaining a revolving credit line to pay,in whole or in part,for the contract amount herein,the terms of the revolving ` hne of oredit including interest rate and payment terms,shall be clearly set out on the.credit application. The portion of the credit application referencing }! a time schedule ofpayment,to be made under this contract and the.amount of each payment stated in dollars,including all finance charges,shall be - t s mcorporated herein by reference - E G ry'NEWPRO represents that it carries Workmen s Compensation and Public.Liability Insurance in the amount of$100,000-$300,000. > c If the�Owner refuses to permit tVEW PRO to proceed with the workherein,or in:the event ofany breach of the Owner of this agreement,for any reason ' yx `whatsoever shall cause the owner to pay,NEWPRO;s sum of money equal to'thirty-three and one-third percent of the price agreed to be paid,'as fixed, gradated and aseertamed damages and:not as a penalty without further proof of loss or damage aNEWPf20 shall not be heltl liable m damages for delays m the perfo'mance of this contract due to causes beyond its reasonable control f OwMner warrants-that he is tqe owner of the pr h operty oo which the work is to be performed or at he is otherwise authorized on behalf of the owners to enter �firitothsagreemen( i x z� tt3 r I r:; t m Th s,contract represents the'enbre agreement between'Ownee and NEWPRO and cannot be changed excep writing signed by both the Owner f �$�.�'�,•��+�3�1 ��„s�` Y~�,r`;°':�"' rou are endued to a dopy,or rhe,ContracE^at the time you„sign: Keep'it to protect your legal irvghts�`' aro a`sald owns s certify thatimmediately after the signing,of the afonesaidagreement,:a-.copy was furnished foul. ou"may cancc/this.agraement if-it has-6een.sigried by a.party thereto at place:Other than an address Of the ` sef(er,Whfch may be hfs main"office,'or branch thereof,provided you notify seller it writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement.:(Saturday is a legal business day). See the attached notice of cancellation t„ form for an explanation of this right r DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. owner has seen sample warranties that will be provided by.NEWPRO upon irOAlation. Sample warranties provided to Owner. t ' "�IN WITNESS WHEREOF the part shave hereuntorsgned their names this ll —day of li's'7�' 20� * Marketing Representative Printed Name tii EIN# 3 Signed (,r Accepted NEWP Operating,LLC+ wrier Signed_p b{ r3 , CORPORATE OFFICE Owner 26 Cedar St SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE Woburn, 151-153 Memorial Drive Business Pk Woburn,MA 01801 24 Minnesota Ave (P)800-242-9974 From NE Suite B-C ( ) Shrewsbury,MA 01545 Warwick RI 02888 s5 ; ``.(F)781-933.0717 (P)800-356-3312(From NE) 1' (P)800-456-0555(From NE) —,,,,---•__. �j -0 Page of JOB# ✓ � J Windows,Siding and More — CUSTOMER G16"4jfi'r✓� "7�� -'•-/�� E-MAIL ADDRESS HOME PHONE �( DE + /(v C/ WORK/CELL PHONE AT (Circle one) ADDRESS NC2C Vic' J BEST DAY TO INSTALL: M T W TH F CITY, STATE ���'� ` �i I/J r. (Please circle one PRODUCT SPECIALIST � BRANCH: ' ESTIMATED START DATE TOTAL#OF #OF DOORS WINDOW COLOR WINDOWS #OF BOW/BAY/GARDEN Storm,Steel,Patio Inside/Outside CAP COLOR & OPENING SIZE STOPS NO. STYLE W x H U.I. LOCATION GRID SCR IN OUT ADDITIONS OPENING CUT W r xq) p �� xyd�`� OC2 6a TAP' zZ s3 / 06 air x5� a a l�G S 8yS3 gl Ilse `11 x5� '1'� xSv GOS 7S� YS 8 �3�s� 6. ' A x Sr Dqo 255 F-X53 �� se `l� x 'y xy3r �l �S3 77f�e Y Xyti' r aql� x`�`t'y owl �� `�`-f x 7 x�� x x - x x i x x x x x x x x � Initials (� Date. rew Size Needed Time Fram to co o job Capping Type Special Installation Instructions; �� i ref cr✓ S S ev e-- C��S�G�YI�� C:c�'► `�tn i� Gr�Gv� �-O' f� �� ------------- -01 ,4 Directions to site: l- Revised 11011 A g •g a •A g - Quallfled In all zones NFRC NEWPR®4000 DOUBLE BUNG Cellular PVC frame, Double glazed, NatlonalFenestratlon Low E coating(e=0.034,S3), Ratln_ gco, uncllo Argonfairfilled m DEV•K-27-00005-00001 ENERGY PERFORMANCE RATINGS. U-Factor(U.S-A-P) Solar Heat Gain Coefficient 8 UNJ I ADDITIONAL PERFORMANCE RATINGS i Visible Transmittance Air Leakage N.S.II-P) Condensation Resistance 57 Manufacturer stipulates that these ratings conform to applkaWe NFRC procedures far detennining whole product pertormsnce.NFRC ratings are determined for atbed uct and o� wmentalarmni the dtfio s and f erry specttic pproduct slie NFRC does not recommend any rature for other product paftmancs Irdormatlon, product for any specific use.Consult menufacWhc.arg i DATE PRtuUD0h1ti,,; r -_ R , CERTIFICATE . a I � g INSURANCE PRODUCER (508 s<:?-8161 FAA _..__.a,... ;HIS CERTIFICATE G lc',�S:J�n As;k"AA.T T SR OF INFORMATION ONLY AND CONFER3 NO n G "ry I.?IvON THE CERTIFICATE i Macki.- .-I re Insurance Ara-n Inc, ! 1 ! rIC.LI: R.7 11S CERT'rl4 r DOES NOT Ait+''-.ND,EX T EN i)P 11 West Main Street A!7`R T�iE v0�)FR ,3C At"ORS ED 9'i�T4?E Rt?L'!�I S r3Ll'J'Ad, c w- I—_— — - Westborough,, NA 0 �::+� 1 h'<1 NSURERS AFFORD IG,-OV � GS NAiC i vpd 3..11:g -L',. F r!2» _i,vL9ra`IL. Co, 2 419$ 26 Cedar St" F I Woburn, MA 01801 -, 4=: ---- -------— --- --—1 ---- -- ------- - ------ L. C. tll. RAQ C THE POLICIES Or iPISURdNCE US-EL'PELCUtI HAVc BEEAI ISSU_D TO T'rtE.I?UUR'cG"iAtiiE 7 A80'v`i FAR THE PCLT*Y PERIOD INDiCATED.N074VITHSTANDIN' ANY REQUIREMENT.TERM OR CONDITION Ci ANY CONTRi+CT OR OTHER DO U1P•ENTiJ'?ITH RES?EC-TO')VHhcH Tl4!S CERTI !GATE MAY EE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES rDE:3CRIBED HER.'II�I IS SUBJECT TC ALL THE TERMS.EXCLUSIONS AND COND71O`JS OF SUCH POLICIES.AGGREGATE LIMITS SHOGN Vk(HAVE SEEN REDUCED BY PAID CLAIMS. RACO'L POL'CYEFFcCTI'JE ?CLIL.rtfP143TIvN - - '"`PE OF INSURANCE— -POLICY NUM9=R p,c'E fIVINV D:^M car Lw ;.rvL •---f�tl-S— GENERALLIABILiTf CBP 8588370 12/31/2008 121'31/200s, F...4 .FF fJCE `L'000,000 X :jha',li_R L�F;E?.:,- ,Ty P9t I I t•I I '{ 300,000 FI_ ? 2,000,000 -^ --- 2,0_00,0,001 AUTOMOBILEL.IAB'LITYI— --_-- $.A 8584174 12/31/:2003 1.2/31/2001; 000 ALL GARAGE LIABILf+Y — — ---- �1.�.- It.Fi•IT n "T"EP THAN 1 EXCESSIUMS.RELLALIABiLrY CU 8:582578 12/31/2008 12/31/'1009 4C.h l IRF;.EJ E 5,000,000 X :UF. D PF, .= g 5,000,000 X FETEfJTii s•d ?: 10 A 00U --------- .{; WORKER9 COMPENSATION AfJD ..---`beC8645074 05/01%2009 0?;,/Q1;2011Q C x E;- ----- .. EMPLOYERS LABIL,Tt A e Ei. L 1, .ILErI g _ 500,000i c �iC FY?f:dBc E.t UcFO' ' -------- ------ --- I 1. I ch Fes.rllr!:YvFF -5Q0,QQ� I =ECI LFF('iISIGN•;h?Irs, EL '. E-FULI 4l.WIT T 500,000 OTHER -- ----'—_-- .- --'---'--- '__'— ----�_ .�.— DESCRIPTION CF OPER,%TIONS 1 LOCATIONS I VEHICLES)EXCLUSIONS ADDED BY ENGORSENIENT 1 SPECIAL PROVISIONS — — .. •� it �IC TE HOLDER _ _ CANCEI_L.ATIQN SI-.OULD ANY OF THE ABOVE DESCRIBED POCCIc5 3E CANCELLF.O BEFORE THE ' EXPIRA110N DATE THEREOF,THE ISSJING INSURER W_L ENDEAVOR TC MAIL - _10—DAYS WRITTEN NOTICE TD THE CERTIFICATE HOLDER NAPAED TO THE_EFT, - BUT FAILURE 70 NIAIL SUCH NOTICv BHA./_WOSE NO OBLIGATION OR LIABILITY j OF AW k1ND UPON THE INSURER,ITS AGENTS CR SEPRESENTATTVES. - rALTHORIZED REPRESENTATIVE --' I rimoth J. w1c 'na ACORD25(2001!o$) FAX: (617)898-109E CIACQRL)CORPORATION 1988 f �.a✓liim'o , >f :l/./; �% ±v J f r r 1, �1 1J,EFD61;111_.Wli , ��LLL:C-^;J �i DTkET'S C!DM. pensat.an Insurance Af idavit- B � lrlEr ,!Con�ra�.t.o�s/���ctr����ns/P�urn��rs Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: s2 6 City/State/Zip: 1 =1 S S Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. M I am a employer with 4•❑ I am a general contractor and I have ' 6. ❑ New construction employees(full and/or part-time).' hired the sub-contractors listed on 7. ❑ Remodeling the attached sheet. 2. ® I am a sole proprietor or partnership These sub-contractors have 8• ❑ Demolition and have no employees working for employees and have workers' cornp. ,, 9. ❑ Building addition me in any capacity. [No workers' insurance.$ 10. ❑ Electrical repairs or additions comp insurance required.] 5.® We are a corporation and its officers have exercised their right of II. ❑ Plumbing repairs or additions ❑ I am a homeowner doing all'work exemption per MGL c. 152 § (4),and 12. ® Roof repairs myself. [No workers' comp. we have no employees. [No workers' 13. ® Other ' insurance required'.] t 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 a new affidavit indicating such. TContractors that check this box must attach 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. 1 Insurance Company Name: r�,4 C''T hC- Policy#or Self-ins.Lic.#: 1 —G / Expiration Date: f J Job Site Address: �r � � /C 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 c under the pa' s a pe ties of perjury that the information provided above is true and correct. Signature: �" Date:--- Phone#: Official use only.Do not write in this area,to be completed by city or town official V&V City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: '1-1!1�11�11 Or 31j�C71's'--u -a val�d f)? a ild-h I!z 7R a 7L�a:. �11—,-.3 return, to !M; n , a F Bull,U i u Pz-Pla.. n 'A-id nd r, g;3:7-stlom, i-L, q, I Rim i --�5 h.c",T,D ri Type- S lam:,...C a Ird TO 8 E 0 A R 3 T A-3 r i io, val.lur hou-.5i Mature atur e p��,of Building kegoiati0'IS 2M�.j Construction.s,ulloolN or License icense: .......... -v Tr# 06093 E ­- U66'..`4 81201 0 Ro Q0 slrfa.con, THOMAS ---------- PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 10/16/06 TIME: 10:08 -----------------TOTALS------------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 20063867 PAYMENT METH: CASH PAYMENT REF: Town of Barnstable Regulatory Services snx�vsTnBi.E Thomas F. Geiler,Director MASS. � Building Division `s -4 �Ecrr►ay° Tom Perry,Building Commissioner � 200 Main Street, Hyannis,MA 02601 6 QCT 16 www.town.barnstable.ma.us ' l Office: 508-862-4038 508-790-623( �C�U/ % FEE: PERMIT# $ SHED REGISTRATION 120 square feet or less / L ~ 7 Location of shed(address) Village 60 U �� Property o e s name Te one number Size of Shed Map/Parcel# . Signature ate Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM. MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 L_C3CAL_1r1 o N ca F:;,. C3 R-ry t_a ^y P4 c3� E CUR^-r STANDARD LEGEND — NOTE:not all symbols will appear on a map L; GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES I ^" EDGE OF BRUSH I €. ORCHARD OR NURSERY I EDGE OF CONIFEROUS TREES MARSH AREA - EDGE OF WATER 3 DIRT ROAD DRIVEWAY �—PARKING LOT PAVED ROAD -- — - DRAINAGE DITCH ----- PATH/TRAIL ---- PARCEL LINE** i MAP 2 MAP326 E-- MAP# 021�PARCEL NUMBER #367 L E HOUSE NUMBER _....................-- 2 FOOT CONTOUR LINE j # 17 --ice-- 10 FOOT CONTOUR LINE 1 /� _ 4 Elevation based on NGVD29 \ S � -- \/4.9 SPOT ELEVATION . " c x: STONE WALL j -X—X- FENCE AP228 l/ A-1 RETAINING WALL ) 46 - 002 � �"'�-.` —'r—'--r—;— RAIL ROAD TRACK ^ } STONE JETTY 39 j 1101 SWIMMING POOL / PORCH/DECK 0 BUILDING/STRUCTURE DOCK/PIER HYDRANT Fil a VALVE O MANHOLE i o POST OF` FLAG POLE O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S Ll N 1 T .a SIGN ® STORM DRAIN N PRINTED SCALE IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrias(man-made features)were interpreted from 1995 aerial photographs by The James ❑ TOWER t' w e x- 1"=100'scale map and may NOT meet of property boundaries.They are not hue locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE Q ?Q QQ National Map Accuracy Standards at this do not represent actual relationships to physical able Corporation. Planimetria,topography,and vegetation were mapped to meet National Map Accumry Standards O ELECTRIC BOX 1 INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax maps. ¢ LIGHT POLE Assessor's map and lot number ...... -�.�( �........... /' � �l/ � Q Sewage Permit number Z BAUSTADLE, i House number ........................ .. .. .....4 :. ...�............... 900 639 m� a MAt TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. �N' 'r... x��� '`� /p� .../T:�f..G 6-XXIS 6...4499S �:::..� r TYPE OF CONSTRUCTION ....... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... �............................................. ............................................. ProposedUse /-�.....1.......... ..rj............................................... C � C . ZoningDistrict ......................................:...................�...�..........Fire District ..........................:................................................... lLfPS �T= - �'//�.2� / s�Dwr�2IlS.. "/�..... /✓j�"_ Name of Owner �£ Go�'� ... �� .�.........../. Address * -' Name of Builder ....Address Nameof Architect ... !r.`.'��`'.................................:...............:Address .................................................................................... Number of Rooms /✓..."1�.............................................Foundation .. n:.. ............................................ GfJvd� �ii✓fit Exterior .../....)............................... S .....................Roofng .... 4160 / l`........... � .�...l...c..�......�.................. Floors C/1�/ ...................................................................Interior ....'7./t`y-��''!'� ..... t>CJ ..........:.. .................................... Heating .::_..................... .................... Plumbing ...... ............................:.......:.........:.... Fireplace .. �..... y�.......................................................Approximate Cost .�....`'.. '� � Definitive Plan Approved by Planning Board 4e,4-15-5 --------- . Area ?I, -�. ................ Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH I If , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ..................... ........................... / Construction Supervisor's License ............. FOLEY, GEORGE MR. & MRS.� r �I A=228-181 No .2. D7...... Perms for .ALTEMATICN..to. Floor Single Family Dwelling Location �� Headwater'O o d ............................................ ...... ' Centerville ........................................................... ......... Owner .....George Foley.................................. Type of Construction ... i............................ ............................................................................... Plot ............................ Lot ............................... I November 16, 84 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's map and lot number .... ........... SEPTIC ST Sewage Permit number .......�.�.-/C�.,.�,•� ................ ��e�T�LLt� � � p�»���S�j ��� • ®�A �A I STABLE, • �d' fr�AABa House number ....................... ..7.7................................. EN"�1'I���+qq �'I�'H TITLES '�o,,�1639.a\0�� a�NMENT r �MPY r TOWN OF BARNSTAvffLE,ZTG rL BUILDING INSPECTOR . . f t APPLICATION FOR PERMIT TO ..�..............��1J.........................................................................:..........�C�' GvdO� /aH?Ls TYPE OF CONSTRUCTION ............................ ........................................................................................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .:/. ..Z/ s� .�c' TL�'25.....�( ............................................................... Proposed Use A4SSG,pGr1Tl�J. ....1...���Tl .. il.. ../ lsr�. cJ�l.... /............................................... �`c ..Fire District 62,0' ZoningDistrict .............................:........................................ ...... ................................................................ Name of Owner2� �f.. . (�!cGsjY !9.�/..Address ` � Ow!5� 25.•/�. .,,,.l�rGrLp-...... Name of Builder .L�r ....Cp.../ . ....Address �..:. .. /� lJI....Lam— .............. Nameof Architect ... � ''�. r`'............................................Address .................................................................................... r- Numberof Rooms .N3�.............................................Foundation ..L. LSI�...........r...................................... Exterior 5 l�ls . ......................Roofing .... ...... . .. ......................................... Floors ` ...................................................................Interior ..... T .dc` Heating �.(!.lr........:...... ..................1..�..............................Plumbing .././.................. ................................. FireplaceW.............................................Approximate. Cost .� ��.��1............................................ Definitive Plan Approved by Planning Board _________ _________19________. Area /L . ................................. Diagram of Lot and Building with Dimensions Fee ' -J SUBJECT TO APPROVAL OF BOARD OF HEALTH r IL i 1�o�5c� 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 Supervisor's License �ZG .............. FOLEY, GEORGE MR. & MRS. '',,No ..27 U.... Permit for iUTERAT1DN..to..2i.\TD FLOOR f_, 1 F 'Y ' ........Single.....F°amity..Dwell xig.................... Location .......7.7...He!, H: atex..P,.c),a.d.................... i ..................... entervine................................. Owner ........George.Fole Type of Construction ....Frame........................... �• ................................................................................. , Plot ............................ Lot :............................... 1 "j November 16 84 Permit Granted i...........19 Date of Inspection ....................................19 Date Completed ......................................19 , j i ) i f { r r f , allr. r LF- - " �' 4 lQ4 Ir t OR y }' , A vp.c ayi r t \ •, of T .. I .�. � � 'iRa _. " . � 7 r r 1, y r' wj 2 yF i � ��k� ASP nYEq 8V5 °, •'� SC `9A �WfiED " , r p a x . -r,. ,.' `,;' . .��: � .• .' _. s f- �p.t-. i. ,.a.: _..;,,�•..it y a.,m: v s "s v ' r �. a m ,.r ,v ,. ., •. . ... „ r ,.. ,. ...a „.: .4. .. , �. ..\ .: w n, :�. ..:r,.,..,��.a aw,„.:r.,.!{..v t,a,t,,.&tc.;i:..t,'"s.:Ptw:,.5m......e.a'.x .., .. v. ..° r. .. ,.. .. 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