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N t' ix ti 1 r - � � ' n 5 i 4: i .� .. � - .. .: .� C. - �- � �" ., :", - .:� ��. _ ` JR .'� .- r .. .. + r � ;:. � r n , �-� �. , .. �.,, > - � .� ., ..„. � -. _. ., +. ` T w • ��.. F ;. ,. ' p - - .. ,. -. _ �. ,. - - ° C .-. ' '� Qcn III Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 10/29/15 Thomas Perry CBO Town of Barnstable l :y Building Division 200 Main St. CIO Hyannis,MA 02601 D RE: Insulation Permit 201506493 Dear Mr. Perry This affidavit is to certify that all work completed for 84 Helmsman Drive, Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey S. C� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma 1,13 Parcel ? 3 T "� = t" f C P ?; 0 F BARNSTABLE Application # Z� (J��O �� Health Division s Date l 1 Issued 10 � tl; _ D Conservation Division Application Fee Planning Dept. Permit Fee S5'00 Date Definitive Plan Approved by Planning Board S jON Historic - OKH _ Preservation / Hyannis Project Street Address Hel cnSmax, Village Owner �g. �n j C m rVq rah Address S' mP_ Telephone SOB ag 31"49, Permit Request CP,���A,�0 s� ft-fl -{-�eG, enulbv 10 a no Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Ll Ll 0 b Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished 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 lo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RdAA,5k1ei/ 5�vt Telephone Number 503 3 9 R 039U Address 4" f. . ^ License # C S'. Vs,r -F 0 6 4 Home Improvement Contractor# � �� 3 I1 b Email Worker's Compensation # W W C 313 6 fly;bi ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y hIn SIGNATURE DATE f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER u - DATE OF INSPECTION: y FOUNDATION FRAME �. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The:Commonwealth.of Massachusetts- Department of Industrial Accidents 1 Congress Street,.:Suite 100 Boston,MA 02114-2017, = ate' www.mass govLdia. ' «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electreians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. AmAicant Information Please Print Leeibly Name(Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue - City/State/Zip:South Yarmouth, MA 02664 ' Phone# 508-398-0398 Are you an employer?Check the appropriate bog: ' Type of project(required): _ 1. ✓ I am a employer with 20 - em to ees full and/or art-time.° ❑ p y p ) 7. .Q New construction 2.❑I am a sole:proprietor or partnership and have no employees working for me in ' .8. E]Remodeling any capacity.[No Workers'comp.insurance required) 3.a I.am a homeowner doing all work,myself.[No workers'comp.,insurance require d:l t ' 9. Demolition •4.❑I am a homeowner and will be hiring contractors to conduct all work on my property..I will 10 Building addition ensure that all contractors either have workers'compensation insurance:or are sole 11:❑Electrical repairs or additions proprietors with no employees. 12 Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13:❑ROof:repairs These sub-contractors have employees and have workers'comp..insurance.t 14.[]✓ Other Insulation 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c:_ 152,§`1(4),and we have no employees.[No 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:theyare doing all work and then hire outside contractors must submit anew 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; I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job.site information. Insurance CompanyName.Wesco Insurance Company - r Policy WWC3 4.36274 #or Self-ins.tic,#: Expiration Date:04/0972016 Job Site Address. 84 Helmsman Drive City/State/Zip: Centerville Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under.MGL c. 152.MA is a criminal violation punishable by a fine.up to$1,500.00 and/or.one=year impriwilment,: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.A copy of.:this statement:may be forwarded to the Office.of Investigations of the DIA'for insurance coverage verification. I do hereby certify under th pains and.penalties of perjury that the in forma tion.provided:above.is true and correct Si Mature. Date: Phone#:508-398 0398 Official use only. Do not wrifein this area,to be completed by city or town official, City or Toren; '_ Pecmit(License# " Issuing Authority(circle one): 1.Board of Health 24 Building Department 3.City/Town Clerk 4.Electrical Inspector 5,.Plumbing.Inspector- 6.Other - Contact Person: Phone#: • . ACC t7� DATE(MMIDQMNY) CERnFlcot 0F LIABILITY I�SUR14NCE F3124/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORPAATION ONLY AND CONFERS NO RIGHTS:UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND Oft-ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. THIS CERTIFICATE OF.INSURANCE DOES NOT 60NSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER'S},;AUTHORIZED REPRESENTATIVE OR PRODUCER,:AND THE CERTIFICATE HOLDER MPORTANT: if the certificate holder is an ADDITIONAL INSURED,the PQficY(1w, mtast.be endorsed. it SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an.endorsement; Aatatement on this certificate does not confer rights to the certillcate holder In lieu otsuch t�dorseinent s PRODlJCER NAME: Colleen CrOWley Risk Strategies CompaIIy - - PHONE (78l)986-4400 FA C.No;1781)963-4420 2S Pacella Park Drive tAWAILADDRESS-.ccrowley@risk-s£rategaes.com Suite 24Q . . INSURE S AFFORDING COVERAGE NAIC# d43ph IyffA Q23SB INSURE ®1' iTlnerica izA:Se'iective 2ns. INSURED INsufWRe Ai.laleriaa°Fiaaaoial Atlisgce 0212 Cape Save, 212c INSURERC-wesco Fmsuraace . an 7 D Huntingtoa Ave : ....... -' ...... INSURER D. , INSURERS r. Ssu'th. Ya> 5lith 826+54 INSURERF: .. . ::. COVERAGES CERTIFICATE NUMBER:CL1,532491501 REVISION NUMBER: T#IIS IS TO'eE#2TIFYTIiAT THE ff3L(CfES<3f 1NSURAiVCE tfSTED'BEiCRE HAVE BEEisI{SSitED TO THE'INSURED'NAMED ABOVE FbR THE RdLICY PE3tI0D iNDICATED. N©TWITHSTANDMIG ANY REQUtREMENT,TERM OR CONDITION r OF ANY CONTRACT OR OTHER;DOCUMENT lNRN RESPECT TO NMICH THIS CERTIFICATE MAY BE ISSUED OR MAY:PERTAIN,THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED IS:SUBJECT TO A!L THE TERMS, , EXCLUSIONS AND CONDfriONS OF SUCH POLICIES.LIMITS:SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS. LTR TYPE OF INSURANCE DM 9 OLICY EFF POLICY p(P POLICY NUMBER i M) LINKS GENERAL LbAaurY c: EACH OCCURRENCE III 1,0001 000 X COMMERCIAL GENERAL LIABILITY 'DAMAGETORENIED PREMISES Ea ocarrence $ 100,000 XJ A CLAIMS-MADE :OCCUR 1994480 0/16/2014 O/26/2015 M ED EXP r(Any orre)person) 3 l0;000 PERSCINAL:B:ADu INaipY s 1 r 000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE UNIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO FXJ IOC $ AUTOMOBILE LIABILITY M.L-de 1,000,000 B ANY AUTO $ sobu INJURY(Per pemonALTdSMED sALC,To uLED 0796600: 1/6/20I4• 1fb%cols BODILY flVJURY(Per accident).$ ,X HIRED AUTOS X NON-OVfA!FL; _ ". ._ r . T'tiDfifitAbE AUTOS X ". <.. gperaesideMI X UMBRELLA LiAB:: OCCUR EACH OCCURRENCE $ 1,600,Oo0 A EXCESS LIAR CLAIMSMADE AGGREGATE $ 1,000,000 DED RETENTION 9I 1994460 0f1tij201;4 0/7 6j2015 ' Cr W0RK.ERSCPMPEN$A714N flie rs Ii�eluded fo'r b�csTAru o H AND EMPLOYERS'LIABILITY X ANY RIDECUT)VE Y r N PROPRIETORIPARTNE Overage 71Y ER OFFtCEPJtrEMBE7?DCGLUDED�7 a N.IA E.L.EACH ACCIDENT $ 500 000 (Mandatory to NH} 1362 r4 19f201`5' P9I20]b if yes,describe under { ,•r e E L.DISEASE=€A EA-LOYE $ -00 o . DESCRIPTION OF OPERATIONS below ELL.DISEHSE-POLICY LIINIT. $ 500 000 DESCRIPTION OFOPERAMONSI LOCATIONS I VEHICLES(Attach ACORDQot,Addttlonat Remarks Schedule,if more space is requ retQ Issued as eviderice 'of,3.nsurance.... Th elsch Engineering-, Inc. is listed as additional insured:_as respects+General.La, ality as .r cPai'red,by writ .contract CERTIFICATE HOLDER CANCELLATION y E0S1IIi,=�nt+?7 olttnnan ,Ox5: SHOtSL$i$t9YOf r#4re)�BOYE DESCiftBFD I+OLICtf=$sE t.ANCELL2D'BEFORE TrtE EXPlRAT11jN DATE'THEREOF, No tci WILL IbE DELIVERED IN Cape Sight Compact ACCORDANCETI M THE POLICY PRtOVItJONS. Atta: Margaret Song VO ,AiQX 4Z7/SCH I . .AUTHORIZEDREPRESENTAMVE - . . ..... .. 3195 Mai:-n stxftt Barnstable,, MA .;;Q2$30: chael Christi an/CLC `'':cS ACQttD 2E(Zt)iDlUS) �41QACORD'CORPIMAT4 lAt A!#"aeghts reserved.IIdS025(zolooa):ot The ACORD r►ame and logo ao registered marks of AGf3RD h egulao Services �, Tticttart�'V Seali Ditecinr - - a6�9� Tomperrp,�3t Lng nmmis"sioner 24fl N1ai�Shrew I y s,A+IA.:0166 fowl barnstabie mans Office 508=$52-4438 Fax; -Sty&-79Q.-623`0 1' operty. Owner. st. Ctrmpee axzd Skg x' cs Section: �f.YJsA�B :r�e�r Ut?` V `t't ,:`a5 pcs+z�erof the°subJectpz+oprxcy' 1iez�byauthtanze rk a' of d b this ba ' l cation far; m all m2ttexs.rt zo' Y. Pe1° DPP ry:iyy oal fen-es.and:alaxms,'re t e r+esp�z��lzf�of;fie�plica�� Pools are nottob�:�ifl�ct ar�ut�ed befvr�fence xs:xnstallee�::`a�da�fug uis.�ec�ns axe=perfoinecl.and accepeerl: A ' tit .. ..: ... oft. vaner- of.lpplzcarit Da.�e �Xe (�2 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116. Home Improvement Contractor Registration 14 Registration: 171380 Type: Corporation Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM MCCLUSKEY — 7—D HUNTINGTON AVENUEa SOUTH YARMOUTH, MA 02664 ----- --- ---- -------- _ _ �t� ( -•���� Update Address and return card.Mark reason for change. scA i t 20nn-05 i i _ r Address 0 Renewal Employment Lost Card �T� �,,,...��-,,.u��/r/�.��l rtaarkejeM Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 171380 Type: Office of Consumer Affairs and Business Regulation Expiration 3/4/20:1-6. Corporation 10 Park Plaza-Suite 5170 _ Boston,MA 02116 CAPE SAVE INC. &MR WILLIAM McCLUSKEY � 7-D HUNTINGTON AVENUE= SOUTH YARMOUTH,MA 02664 Undersecretary Not vali ithout signature c Massachusetts -Department of Public Safety Board of Building;Regulations and.Standards S r-- ♦01Ntl.tiltlilli Ju r11Crv:.1)r SpeLlAl v. License: CSSL 102776 WILLIAM J MC ��. 37 NAUSET'ROAb j3ODIt West Yarmouth NIA Expiration _ Commissioner 06128/2017 _ Map Page I of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Map Size El Zoom Out.h�I"E E 0't fl In JPG Map: 193 =27'-NI-1 194A1 1 M�691 1194092 , 9=MM ' Location: \ 194090 # 54 # 68 213006, #441 Owner: tt # 38 194o88 1'38'�66 194089 # 80 .# 20 213005 Location In # #45 1 085 193238 Map & Parce 194CF84 '# 0 194 0�87„ # 82 # 7'7 2130 4002 Location Acreage 19 3 341 214007TOO 2131004001 19 79 2 # 0 #4165 # 1,05­ < <iCurrent Oin 1930151 #,115 -193236 Mailing Addi # 86 AT -i 193237 213003 't 4� MP 193038 # 84 #483 213008 193235 '# 116 jAppraise #460�- d ' 93016 # 88 4�� 213001- ?13014 z 4f Extra Featuf # 125 # 503 #49-0) Out Building ['193054 2 1H09 4KN-A— Land 134 193049 #496,),' Buildings .AU -# 521 19:301 21,013K-A 7 193024 Total Apprai # i J­�, 1-93261002��_ 504 # 0 19 3 P26 193023�'-�"`� # 541 �Z� K lAssessed V 1133057 �-193027 1�1 I __-�-.193261131.311' -. IV 555 '030— V /#.,14 9 �tl 0 Extra Featur # 547 1931� 8 0.? J( Dr A"', 193 3:3029 2 5 Out Building # '3b18 t 14F"I" # S' # 193032 193031 -T" Land P Buildings 11294 Total Assess Set Scale 1 TOS Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comment! BarnstableMA v0.2.7 [Production] ���ySfS Cr4 a r- 'C' 2- http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertylD=193237 8/17/2006 i4 4_ � � .FYI Assessor's map and,lot number .. . .............................. s /� i r Q�Of THE Tp�y Sewage Permit number .................. G...-...L -'BAR35TADLE. i House number .... / p�' 9 MAa 1............................. 00 i639 e00 TOWN OF B ARNSTABLE UIL® I Nft I N St"iTO APPLICATION FOR PERMIT TO 7. ..', .... TYPE OF CONSTRUCTION .........................�' !. ! .� ..r�::r {:e��C�:?cS.r ...r . �� .............................. (21 ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...4-t:'J :. 'I..... i rdc,-ram .f?i3�:.:�...... :�c�c�'} '. . ... ........r�.!`f ................ ProposedUse A.'v !. P :^ f;'�.. ,. /......................................... .................................................................. Zoning District ....... .,. ..f'< !µ ` ., (..1 ................Fire District t °- ��C<f �r�; -f .. ...'.. Name of Owner ..�f�.:l- ?4 °...,.'.)... . .. �-YL (.,✓ ,....Address ..... :..,lr 1�7.r ./ ...::........................... ;. „ Name of Builde.�r�.f. .<`e✓? f ...,. ..Address ..f✓� �.., �. Nameof Architect. ..................................................................Address .................................................................................... Number of Rooms .......c. �;-... '`t✓ ...:.............................Foundation ..., -`fir .-'E j::: ..t. .... sC �:'- iC� ~> V� Exlerior .. � .� 13:< � .��....1 ,!3.:.0.... ........... 00fing ....... ,. '� i2•l „4��: �� ............. :. �. R fi Floors 1..::....::..:�f+ ,.�J l 2/� Y t f7 < ................. .,,,. ............_.....�........................Interior ................ .._.✓�?'��........................................... Heating ....... ......... ......c.?. C '...:r.'..................Plumbing .................... ....... ......................... Fireplace .....................�� - -� �........................................Approximate Cost .............,.. ..t ................................ Definitive Plan Approved by Planning Board _--------------19 9- _ . Area ....1 Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r Ifo i r 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 ��v P)c '' ...: 3'b. ............. " '--- " Construction Supervisor's License SMITH, JAMES K. A=193-237 No ..28996 permit for ...One Story Single Family Dwelling ................................................ Location 8.4..Helmsm. . ..a.n..Drive. . ....... .. .. . ........ .. .... . .... i Centerville ............................................................................... Owner James K......Smith .. .................................... Type of Construction .......Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted March 5, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 II i 17 TOWN OF BARNSTABLE Permit No. ....�.� ... BUILDING DEPARTMENT B°$;a TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to j AINIES K. SAITH Address l !-a{• 4A .1li T-Tr�l mcrn;-;r+ ilr.i izn nfr-�r-r+ l 1 ra 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 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Q - ....... ..... �� �Buildmg Inspector 1 d. TOWN OF BARNSTABLE BUILDING DEPARTMENT t BsasesAm : TOWN OFFICE�BUILDING MYL i639' ` HYANNIS,WASS. 02601 �o r�r►• i, MEMO TO: Town Clerk FROM: Building Department r DATE: An Occupancy Permit has been issued for'the building authorized by BuildingPermit $k... -��-.! .. ... .. .......................................................................................................................................................... issued to ,.... h%Gl�a Please release the performance bond. I -- lv- �►. ,:st-L.'�.— ZVI 1 Lam(- c3�gr�ptrt,3 'is' �� m At' � Ala �•+�e� �w.�tv�R tg', ?q '.� " �°- , . '�a.���"tc�•.{ ; 3 x 1lb X -- � 330 Ex�D 9 . � n� c��,1,. 38- � Gl I�I�K. 3k 110 x so9b L��St�S�L'I�i—i -�► usfi P CtSY 15gQ 1.Q ToT�4't_��S lEcl.l 1 �7 J9&FAD � � .pt Of MAs . g� PETERS c RICHARD SULLIVAN A. Na.29733 " BAXTER ya' Na 24048 =.T E ikoL 395O ,rs/ }- -. 50�.5s �'C-[= rJ a -Tom. 4P --•- U.iY 1 Nam': 114V 1 yv "`'.�s a'� My hey ELiq�bis t �4 .I b I •9. � . .rru id�Mul. 4,0' 'E 1 1FI kTft 41 czus o L«��a.�l U P\Y 1 L`� . . 1. 27.8G �L3Z.C� -A�l � hliCL � G.�rr.-r1'F`t T►�4AT TtFE �oy�t'��'t'tai,js tta�ttil 1-440 Av4D letw c tsr.7 l n Su wvoes LLr. K& 44 . 2A1 /0 o BUi v L ma"" I N TOWN OF BARNSTABLE, MASSACHUSETTS _. PERMIT - JOB WEATHER CARD .j DATE 19 PERMIT NO. 5,996 — APPLICANT ADDRESS IN0.) (STREET) (CONTR'S LICENSE) .j...:''-. .. NUMBER OF PERMIT TO ( ) STORY_ DWELLING UNITS_— .. iTYPPE OF IMPROVEMENT) NO. (PROPOSED USE.) .. _ ..... .:�. !...- - ZONING AT (LOCATION) — — DISTRICT I IN0.) (STREET) I BETWEEN. AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION —_ _ LOT_ BLOCK _SIZE— -- BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS, i AREA OR VOLUME ESTIMATED COST $_ FEEMIT (CUBIC/SQUARE FEET) OWNER _ • +• BUILDING DEPT. ADDRESS _ BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OF PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPF.CiI"ICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEC FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. 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 CAR® SO IT IS VISIBLE FROOM STREET _ BUILDING INSPECTION APPROVALS PLUMBING INSPEC-.'ION APPROVALS ELECTRICAL INSPECTION APPROVYtl- "o a- J tpC I 3 HEATING SPE..TING APPROVALS REFRIGERATION INSPECTION APPROVALS I I dc I I -- -- ---.-.---------------- I — - �i 24 . 'nICRK S'nAL_ NCT PROCEED UNT L THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTiONS iNDICA.TED ON THIS CAR( NSPECTCR -!AS APPROVED —HE VAP!CUS I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN 9E ARRANGED FOR 9Y TFLE?H!`N STAGES JF CONSTRUCT.iON. PERMIT 15 ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. f 7 qJ]� Assessor's map and lot number'..,! .�.ap...3..7.-i.n H y' SUBJECTCONSERVATION of RVATI Q� TO APPROVAL Sewage Permit number .........:........��.�:..`-.�.�.d. .... BAEa LE CORISt= �N ,�,,,,��-- '(� COMMISSIO,3y 2ooAaa2639. TABLE, � House number ...............'! .. .m........�/.. 9 3 raga CFO MAI TOWN ' OF B A R-N S T A.B L FSEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE WITBUILDING INSPECTOR E�dVIRONME T NTAL CODE ,�� NME ®E AND TOWS! REGULATIONS APPLICATION FOR PERMIT TO ............... ............ ... .. .. ....C .... ... . .................. ... ....................:.......... TYPE OF CONSTRUCTION ...................... ............................................ ..- ..........:.......9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following�information: Location .... ... .�i�-G.�j. .. ..... ...... .................. ProposedUse ..... .... ...old ..........................................................................................,......................... Zoning District ........./ . . ...................Fire District . . Name of Owner ..�!..... . ............/..,l..�... K............Address ..... i� .s � ................... Name of Build ... . .... ..... ••••.. . . ...Address .......X&. ....................................... Nameof Archite ..............................................................:—Address .................................................................................... Number of Rooms ........ ................................Foundation ... ..................... Exlerior ...�.. . .. .... . .....�C.. .... .:.C�:.�J..r.........Roofing ....... f ... .................... ..... .... . ............ Floors ............... ..........................Interior ............... . .... ...... ............................................ R Heating !`Q/LII!d:C .....�iC�[�/..................Plumbing ............................ .......................... Fireplace ........ a' ..... ..........................................Approximate. Cost .............1.� ........... J....... ... V. . Definitive Plan Approved by Planning Board ___ X1 ______________19 Area .... �!... ......1�" ..' . .. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / 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 ...... .. . .,� ..o."............. Construction Supervisor's License .........v..� ................ SMITH, JAMES K. N � '28996 One Story o Permit for ...................... ............ '.,L.Sj..ngle Family Dwelling ............... ....................................... Lot 84..H.e.1m.sman..D.r.ive..... .... .. . .... ........ .. . ...... ..................Centerville ............................................ . . .... . . .... Owner ......James K. Smith .......................................................... Type of Construction jr..a.me............................. Plot ......................... Lot ................................ , Permit Granted ,,,.....Marc..._5...................19 86 Date of Inspection ....................................19 Of Date Completed ...... ...............19 Z2- Ilk A! M M S I- sx- C' ri