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Home My WebLink About0082 HELMSMAN DRIVE g� yE� lqs MP�i✓ r�� . POF" 1. N S U L A T l'C 'U� fi XYLN 4iA44 39AMLL44 fMLAT fOAM 4Y 4YLXYLp - LAT44 YUT44p4 IXi WA41pX GLf ILNp4^'a¢ ; :. +yy : + - 1-800-696-6611' ° Town of Barnstable a ry A Regulatory Services r Building Division 200 Main St k l-lylannis, MA 02601 r • a Dear Building inspector' E Please Accept this Affidavit as documentation that Cape Cod insulation, inc. perforcited &. completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to'the specifications'listed on-the building permit h application. All work has been inspected.by a certified Building Performance Institute (BP-1) inspector. All Work preformed-meets or exceeds Federal& State Requirements. 11roperty Owner Property Address Village r AV IN,Ga,Td lrisulation installed: Fiberglass 'Celltdose R.-Value Restricted Unrestricted f Ceilings r; Slopes x h loors Walls Sincerely, p , Fie ry L C:as: y Jr', President e Cod l ulatzon,'lnc.' 4 : r } / r- ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ta Parcel c2A App licatioiq- 01 Health Division Date Issued Conservation Division Application Fee ' Planning Dept. Permit Fee 3: Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner�r/ylf C�2 ,>� Address' .Telephone 273�-. 7-_0�,(/a z Permit Request �Id 1{ ��° & LSJ Square feet: 1 st floor: existing proposed 2nd floor: existing propos` Total 4w Zoning District Flood Plain Groundwater Overlay yn I "" ~ Project.Valuation v 1=Construction Type%,�.fv Ca Lot Size Grandfathered: ❑Yes ❑ No If yes, attach upportirag doCq;r nentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes *No On Old King's Highway: ❑Yes/N6 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /r/�� C/ Telephone Number JZel_77� Address � /2��2d��J C/ License # O/J Home Improvement Contractor# Worker's Compensation #�✓G'�Gb.5r��9�j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��/f r e' FOR OFFICIAL USE ONLY S APPLICATION# r DATE ISSUED_ t -MAP/PARCEL NO. f j; ADDRESS VILLAGE OWNER DATE OF INSPECTION: 5. FRAME LJNSULATION.ff <' FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING. DATE CLOSED OUT i ASSOCIATION PLAN NO. r . 1 . OWNER AUTHORIZATION FORM 1, 4M MCC (Owne 's Name) owner of the property located at (Property Address) M4 0 2 3Z (Property Address) . hereby authorize Ca QJ tQ, I , (Subcontrac r) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Sigriature Date i r• The Commonwealth of Massachusetts Department of Industrial Accidents I ' , Office of Investigations l 600 Washington Street Boston,MA 02111 www.mass gov/dia` Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AvOcant Information Please Print Legibly Name (Business/Organizadon/Individual): l� Address: City/State/Zi /� T� 19 o ,)Phone#: Are you an employer? Check the appropriate box: Lq I am a employer with 4. ❑ I am a general contractor and I Type of project(required): employees (full and/or part-time).* have hired the sub-contractors . 6• ❑New construction 2.❑ I am a sole proprietor or partner- 'listed on the attached sheet, 7: Remodeling ship and have no employees These sub-contractors have g: Demolition working for me in any capacity. _ employees and have workers': [No workers' comp. insurance comp. insurance.x, 9..❑ Building addition . required:] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL I insurance required.] t c. 152, §1(4),and we have no 12.0 Roof repairs 3a.❑ I am a homeowner acting as a employees. I3.Q Other �'G,�/ general contractor(refer to#4) �o Workers 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. (Contractors 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. 1 am an employer that is providing workers'compensation insurance information. for my employees Below is the policy and job site j Insurance Company Name: Policy#or Self-ins. Lic.#: J 5'y'�5-2/ Expiration Date:G/Ja Job Site Address: �o? .�� kU- '1-J4/�p 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 im sition of criminal 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 penalties, 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 certify unW the pains an"d penalties of perjury that the information provided above is true and correct Siana Date: Phone#: .� 2 2. 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#• ACC)RZX r CAPECOO.27 KLIGETT CERTIFICATE OF,LIASILITY IIVSURANCE ` ' �DATEIOO/YYYY) 6/13/ 14 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(les)must be endorsed, if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies certificate holder In Ilea of such may require an endorsement, A statement on this certificate does not confer rights to the PRODUCER endorsements), CONTACT Rogers&Gray Insurance Agency, Inc, NAME; Barbara DeLawrence. 134 Rte 134 PHONE _+. fAIC.No xt F ) - 2— _- iouth Dennis, MA 02660 EMAIL (Alc No): 877)816 56 ADD Es ;bdelawrence@roRere.oray.com j..- --.._..-------- F INSURERS AFFOROINO COVERAGE NAIC q NS Rhp INSURER A;Peerl@Ss Insurance Com an INSURERS:UQMMERCE INSURANCE COMPANY Cape Cod Insulation Inc ----------_ A INSURERC:EVanston Insurance Company j 18 Reardon Circle INsuRERD;ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURERa S INSURE R F; CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES UI INSURANCE LISTED BEL. W HAVE BEEN ISSUED TO THE INSURED NA REVISION p A OnVH NUMBER:, THE POLICY PERIOD C:R.TIFICA NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C R,TIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, NE Cj USIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY-HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE POLICY EFP POLICY EXP TjCLA RCIAL GENERAL LIABILITY POLICY NUMBER MM/DO/YYY MM/ ly _ LIMITS IMS•MADE L X] occuR CBP82630ti3 ' } EACHOCCURRE $ 1,000,000 �' 04/01/2014` 04/01/2015 P REMISES(a occurrence) $ 100,00(Any one person) $ 6,000 ------ - -- - MED EXP GN'L AGGREGATE LIMIT APPLIES PER: + PERSONAL&ApV INJURY $' - 1)0001000 POLICY L,r..l JECOT LOC `�` " ' GENERAL AGGREGATE $_ 2,00.0,000 OTHER z PRODUCTS•COMP/OP AGG $ — 2,000,000 AUTOMOBILE LIABILITY - — tCOM8INED SING E LIMIT. $ C ANY AUTO 14MMBCKVMK.` - Eaaccidenl 11000,000 ALL_ AUTOS OWNED X SCHEDULED - w 04/01/2014r 04/01/2015 BODILY INJURY(Per person) $ AUTOS 80DILY INJURY(Par aceldeN) $: HIRED AUTOS X AUTO$JNED -- AUTOS - i. + ' PROPERTY pAMAGE t° Per accident $ X UMBRELLA LIAR X OCCUR i, $ - EXCESS LIA6 cLAlms•MADE XONJ453514 !^ EACH OCCURRENCE $ 1,000,000 DED X RETENTION 10,000 } 04/01/2014 04/01/2015 AGGREGATE $ WORKERS COMPENSATION Aggr@gat@ $ �,000,000 ANp EMPLOYERS'LIABILITY } ANY PROPRIETOR/PARTNERIEXECUTIVE Y r N • WC 626904 W +• r - - STAT TE ERH• OFFICER/MEMBER EXCLUDED? N 1 A 06/30/2014 06/30/2015 E;L;.EACH ACCIDENT --- - (Mandatory In NH) $ 1,000,000 II yo5,describe under ^ _ DESCRIPTION OF OPERATIONS below_ E.L.DISEASE-EA EMPLOYEE,$ 1,000,00 E.C.DISEASE•POLICY LIMIT $ 1 100,000 lei IRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)` Sergi Compensation Includes Officers or Proprietors, J4,81 Insured status is provided under the General.Liability and Auto Liability when required by written contract or agreement with the Certificate Holde r. iTIFICATE HOLDER _ CANCFI I ATION i Massachusetts -Departrn'#nt of Pjblic Safety .soard of Building Regulations pbl Standards Cunstnrctiuu Supenisor •T License: CS-100988 ' HENRY UCASSll# rr ,. 8 SILED.ROW C - W E,ST YARMOVI.1-1 rl Expiration _ Commissioner 11/11/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, MassactiLlsetts 02116.' Home Improvement CoAt�rtor Reglstration K` ' Registration: 153567 f Type: . Private Corporation Expiration: '12/15/2014 I'll 233831 GAPE COD INSULATION INC HENRY CASSIDY a. t 18 REARDON CIRCLE ';: ":':: '"� ----� _._ _......................................�... ,..., : ' S0. YAf2MOUTH, MA 02664 i --= --•---._. _..._...._.__.._....__............ . ___-- U. ..I; ;k Update Address and roturn curd. Marie reason For change. _ ;. ...• [� Address �.12enewal �J Ln,ployn,ent [:a 1.ostCnrd %��: `((r.4rrr.'rrr.r.�r.tvc;crll� c��C�L�iced�ac6twtslC _ pY :: .. Ulfiec ul'(bnsunu:r Affairs& 13usincss 12cgulntiu„ License or registration valid'for iudividul iise only QME IMPROVEMENT CONTRACTOR before the expiration date. If found return to; ' egistration: 153�67 Type; Office of Consumer Affairs and Business Ilogulation x xpiration: 12/1-$/2014 Private Corporation 10 Park Plaia-Suite 517U, Boston,MA 02116 E.(OD INSULA•I'IQN,i,;IMC{. , RY CASSIDY EA=N CIRCLE -� Y NIOUI'H, MA 02664 IlndersecrclarY otval' Fvitho f ' not re 7 4- Assessor's map,and lot number ................................ ....... Q�pF �y THE Tp �. Sewage Permit number ...........� 5. ...�..�. .�...... �,w o� Z BARHSTAB El i House,number ........... ...........................................................` ` so NAes r C i639. \0� 0 BP1 TOWN OF BARNSTABLE S` II I SECT® / , ,,� APPLICATION FOR PERMIT TO -� � � -�.. .. ....... .............s..... .....- .........:....... ....................................... TYPE OF CONSTRUCTION .................../�!t:'1 .44.. ..................................................... 4 ....... :...... 1:I .................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies forma permit according to the following information: Location .........�_ �3f..�...........1..... ,l '.. ��e� G:�%4 k� ..., /..f�. G�C.!�-�...�. ....t :�'t � �" ................ ProposedUse .. !/ c- *� ."r:.:'s? ! ................................................................................................................... 42 Zoning District ........:f��"� x. � ..........Fire District{�( .•{ ��1 '....j�. .u''; n r Name of Owner � ..........Address /`•. -- ...........................................................�..�' r •^ Name of Builder, t.. �� '! .��A.1........ .........Address ��-U� -1!r� C--'� .................... . ... ..... ..................... 1 � F Nameof Architect''............................................. .............Address........ .................................................................................... Number of Rooms ..................................... •f ... Exterior ...( .. ..: ........ ...�'f..'..`S.................Roofing ........:. � ........ dr 7 Floors ` Heating ......<,94��.... ........ -` ..................Plumbing ............. ........ /,............................... Fireplace ..................... .........................................Approximate. Cost ................ .... Definitive Plan Approved by Planning Board ----------19 214 . Area 4�. . ........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS. E S REQUIRED U D FOR NEW DWELLINGS hereby agree to conform to all-the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .y �!`� .... � ................... Construction Supervisor's License ... 5" y" SMITH, JAMES K. A=193-238 No ...28995 . Permit for ..,,ONe Story SinRle..Family Dwelling ocation Lot 82 Helmsman Drive ............................................... Centerville ................................................................................ Owner ........Jam ... es K.....Smith ............................... ... .......... Type of Construction ....Frame '. ........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....March 5, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 c� o�THEj, TOWN OF BARNSTABLE Permit No. .?R`- 9.a.. .. BUILDING DEPARTMENT FF { B"';a I TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to James K. Smith Address Lot 09 , 82 Helmsman Drive Centerville, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 1-19.0 OF.THE MASSACHUSETTS STATE BUILDING CODE. June 22, 19 81 i.. ...� Building Inspector r' i t a`ty�•�'. ,1 TOWN OF , BARNSTABLE BUILDING DEPARTMENT r�1°T ' TOWN OFFICE BUILDING MAIL i639 � HYANNIS, MASS. 02601 �o r�r�• MEMO TO: Town Clerk FROM: Building Department DATE: 2_ 7— An Occupancy Permit has beenissued for the building authorized by BuildingPermit $k......... -f.. ................................................................................._..............................._................................»_ issued to ... - ...:.ti. ............ ...�....... ��r � �� ........ Please release the performance bond. , r CiY.11ixM1y4'xn'� T7'(!'.'FRT!".�r PINK 'UEP FILE COPY/WHITE FIELD COPY/"YELLOW APPLICANT,COPY I L�,ING <a I TOWN OF BARNSTABLE; MA UCHUSETTS `PERIiIIIT':r r� VALIDATION DATE.. Mar.chySf 19 • 86 PERMIT-NO._N2 APPLICANT `Tames„K Smith ADDRESS Barnstable 51 O r it 9 ..• .:. - . INO ) �;,,-; :�.�(57REET):,.;, - •(C ONT.R'S"LICENSE) , PERMIT TO Build Dwelling (. 1 ) STORY '.:Sing,lE' Familyt 'Dwel'lirig . NUMB OF DWELER UNITS' ,(GT.YPE OF IMPROVEMENT)...... `. NO:.. .(.PROPQ.SED USE) AT:(LOCAT ION.) Lof '��9,.`:,82. Halmsman Drive;:.Centeville` ZONING AN0.) .. (STREET) DISTRICT BETWEEN' .. ... (CR OSS.STREET)... :. <,kAN "'.(CROSS. STREETY D LOT .• t SUBDIVI51.ON : LOT BLOCK SIZE d BUILDING IS TO BE FT WIDE BY FT. LONG BY FT IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO TO TYPE' USE GROUP• BASEMENT WALLS OR FOUNDATION .(TYPE') REMARKS r,- Sewage #86 '161 Bond e -AR OLUME 1684 3qt• ESTIMATED COST 70,.000•O.O ' PERMIT :ESTQ 75.75 (CUBIC/SQUARE.'FEET) �P OWNER .tames.'K Smith t. Barnstable..-'.: BUILDING DEPT • BY / . . ,..�;�..: ..-. .,. •:;. ., : :..' ,., :,. ' ,..� �� .tit ;';�, „' ALL CONSTRUCTION WORK: CARD KEPT POSTED LINT CTION HAS BEEN ' +P..� )--- -- ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI To LATHE FINAL INSPECTION HAS BEEN MADE, ' 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET- BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS U� Z Z ` a� 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I OTHE BOARD 0 HEALTH ' A WORK SHALL NOT PROCEED UNTIL THE INSPEC- ' PERMIT W!LL.BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED INSPECTIONS INDICATED ON•THIS:CARD CAN BE CONSTRUCTION ,wITHIN SIX MONTHS OF DATE THE I PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTEN • F. NOTIFICATION. ' . `Ue 46 5 l�1GLL f FAM I Ll. -- 3' �C IZn o l`� 's• : ' a Z3 ►,�.' Al2A Cs E G N D E2lCIz. 11-1f iFl.ovJ 110 X 3 :330 G.P, 0. / �s .. . . w VSE GAI,. / �z l.aT c► 100o TAi�K. . . ' - 62,3 °( og y� %psi DFSPoSAL p�"I': - v5E C�� t000 GAI.. 3 • ,a �Ir .�So s. aAl w t 1 So 6.F V. 14A W No.6 ToTH lr OESIGrJ _ 4ZS G, R p', 8 ' ry T TA 1.., t�A tui F-LoW = - �o 33o G-, P rc AT0.7 oN IZA'M 1 IN Z M Aj .oR (,!"SS ESN OF �s�9y; �•� PETER =; �, 23,BaSS.C. N SULLIVAN ; s, RICHARD A. a• -No.29733 BAXTER C No.'2a048 Tr c _ . G S v _ � I6�2,o0•� 12-- 3-8 [6A�t�2 R/NyE,TnCG - ;QoAl G/F)Q eo ' �� G • 641 t. ;�;, TboFs�o�GIiL g � - . zl 000 444 'A • w,TM C-D :• G',E.2T/F/E'O �G OT pL4�/ A f ST 1J E . rb QC�✓.,:S.S"p ' G• I,(+.- L4C_QT_ CCTV TZE iZV/ SRO 0'11.C .�rl� c NO SCALE 47- 9 Tf•',QT T//.E Fo uw agTioa/ SI-OWit/ _ 13i� 3 8 PG 2 7 .YE,�Eav'GdMPL}%S W/rX�TiS�E S�d�',c,� B.dxTzzz I�t/rE I've. ~ .2E41J/��I�Nr.S d ' -ToW.v OF 46 440t sT z.,LE Av a /.S it/G�- _._Y .2.E6isr�.erl,tit vo-SlieYEYo,Ps S�I�Y�t/,yE.2EGN,S�oL/G�07- 7a E.vs*x �G/S.y Loy-- a,:!-: USEp X - r ...............:....:.................... s�ssor s map and lot number ... SEPTIC SYSTEM MUST S `pi THE TOE Sewage Permit number ::. ..-.t.00.!..... .. ' INSTALLED IN COMPLIANCE WITH TITLE 5 Z BARNSTAnLE House number ...... a.....�........... ENVIRONMENTAL CODE AND 9, M�a �� O i639• '0 TOWN REGULATIONS of. TOWN OF . BARASTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............. .....:..............� . ..................................... 67 TYPE OF CONSTRUCTION ................... .......lD ... ... ..... ....................................................... ................... ....................19. �f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........` C�. .../...... ' .... . Proposed Use ... '. ... ........................... U ` Zoning District ............. . ... ,...........Fire District . Name of Owner ... .. . .. .. �.�..........Address ... �I�.. ..... ..................................................... Name of Build r k,/... .. . .......................Address ...�1� .�. Nameof Archit ..................................................................Address ..........................................................................:......... Number of Rooms ........... ...Gr�J....................................Foundation Exterior .. Y...1/�........'..•. ...............Roofing .:...... ... . ........� .. . Floors ............... `Y ...............................Interior ............... Heating ..... C..r..L ...................Plumbing ............ }} 4 O{ ......... ..�: . . .. Fireplace ....................o ..........................................Approximate. Cost ............ .. ................................ Definitive Plan Approved by Planning Board %- / - -L: . Area . . .�� i . .. 7 �` L Diagram of Lot and Building with Dimensions Fee /�' ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH �7e 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 ...... ...... ...............l..l..r.... . . .... Construction Supervisor's 'License ... /................. �L SMITH, JAMES K. rfo ... Permit for ...9�.A�Y�U............. S �iZ.le..Family ...................... Location ..L2t... ...8.':..H.e.1.msm.a.n..Dr.i.ve...... Centerville ............................................................................... Owner ....James...K.....Sm.i.t.h.............................. Type of Construction .....Frame.......................... ......................:......................................................... Plot ............................ Lot ................................ Permit Gran+ed .......March...5, .......... .................19 86 Date of Inspection ....................................19 Date Comple ed . ..... ... ......:..!.............. 011-P/ .7 V/ W > I— — c4 CC M tom- ;. s X r-PI -3 Cr ri J