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'1�(a tr.a�`J'r'YrJv, r',7Jrn �Yt_Yt...c,,���!r..v�'. _�,.s'f J. r ., ,�n a Y,,L,irr.'/!P' zq��r ..}••' �� - ,g- p tl�r •x:' Ar .. � :lY.•'Nagj?'"-;- ,r.rY{... ^�... 4 a: � !'.r rr.��>. ..-�(,' R3,;i �' rr ,. k, r, .�r".•" r 6aJ, � `Cr' /':. n, �`�_'.�:•1 ''°rr , ': '� ,, y„ d rr' ^a•' fA+ hnr .�4,r r• � '3' yrr > rAlc�s ti.�,4- �r`, , c T� r� ,t y{ u vka•fl }t" x Sa ".,z rr.lfa� j -- ^ ,:�. �,,l�.. . , ..,, ,'�..,,r..s,.f_,.� m,. _ ,. .i +k e nw .-,,,J.. s .4t`t, ,_•n _"., ,, ... .n? K.,,_ +F�: .- F.' .,;�,.+t.,,rr ,,.,.. ,- 1�6�t#.. ".- sr TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ;v l Map � �' Parcel / � Permit# -TOWN OF BARNSTABLE Health Division v " -7 7-37 J Date Issued Conservation Division �,� �14aR 2 8 PN. �: 09 Application Fee ' i 0 d Tax Collector Permit Fee 6, 7,- Treasurer N L DIVISION- Planning Dept. EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED TO_3_#OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address 38 HENR-Y F L_Qk T JU 0 Village C E NJ RI V I L^ h E Owner 'ON N + PAT IN 41 T t Address 3 6 H L N 3 F LO IZ-1 0 1 . Telephone 506 - Lt Z 0-Me Permit Request SEASOM PO" LU/ SUS( bECK SO Square feet: 1st floor: existing E00 proposed 2nd floor: existing proposed 0S� Total new 15'S-G Zoning District �J Flood Plain Groundwater Overlay Project Valuation 60 Construction Type WOM rlAnE Lot Size 9 f I �� 1 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) ,I Age of Existing Structure 2 Historic'House: ❑Yes YkNo On Old King's Highway: ❑Yes No Basement Type: )o Full O Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I SQQ !S� l�t Number of Baths: Full: existing 2 new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes L No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes ' No Detached garage:0 existing ❑new size - Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage: existing ❑new, size Shed:'6l existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Y(No If yes, site plan review# Current Use R.ES 1 NL 1SI,Y A-L. Proposed Use BUILDER INFORMATION _ Name_ A P' ES Co R K0 Telephone Number Address 2� WlEk LN . License#CS DCO SOM L_A KE V IL LL. rA A OZ SY Home Improvement Contractor# 13 O s E39 Worker's Compensation# OsoZ. Rol 10q 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &Ur�-ISLE C.40 r ILL S� Te -K SIGNATURE DATE S Izz 0S r T � T s FOR OFFICIAL USE ONLY ° sy i PMMIT NO. DATE ISSUED MAP`/PARCEL NO. - 1 , • ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION n 1 u FIREPLACE ELECTRICAL: ROUGH 2SE FINAL T 1 m PLUMBING: ROUGH 0 FINAL - O GAS: ROUGH IFINAL. FINAL BUILDING C) 0 ^ r DATE CLOSED OUT �d ASSOCIATION PLAN NO. ' RESIDENTIAL BUILDING PERK UT FEES t APPLICATION FEE , New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 �• j j l FEE VALUE WORKSHEET NEW LIVING�SPACE 2J l Q square feet x$96/sq.foot= �—f � x.0041= J plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus frombelow(if applicable)' GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120.sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) a x$30.00 Deck (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S 150.00 �� (plus above,if applicable) Permit Fee ✓ Projcost Rev:063004- The Commonwealth of Massachusetts Department•of Industrial Accidents 600 Washington Street • /f Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses iiii i as � � name: address: 2� / -7r• city -U�-E state: /v l A Zip:Q 7—;T / phone# S08— q 711[-J Z work site location(full addressl �Z] t I C.IV I'-Y I = w� �� lac=kTL--P y�l.LA� �•t� d��3 Z T�Z I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em to er with au bees(full& art time). ❑Other %/ /////%��l/lrl//%///////%/%%%%%��/%%/�///%%%//%/%%//%%%//% I am an employer providing workers' compensation for my employees working on this job. company name: address: :. . city' phone# '.. insurance.cot-' .:. ..' I am a sole proprietor and have hired the mi dependent contractors listed below who have the following workers' compensation polices: coinpanv names - --- —-- II address:. city phone insurance co. olie"` # comueny name address city`' 7. �� Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereb ce ify under the p s atdealties ofperjury that the information provided above is true and correct Signature Date : 7-2- 0� Print name �! /"'°� 1`' Wft�Q1L Phone# SV�" q97- Z5 L F s' official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office i ❑Health Department 6 contact person: phone#; ❑Other (revved Sept 2003) �L I Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law', an employee is defined as every person in the service of another`under any contract of hire, 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 152 section 25 also states that every state or local licensing 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,neither the corranonwealth 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 pernrit/license number which will b�e used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a.call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 8illcce o(I®vos�gatlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-77449 phone#: (617) 7274900 ext. 406 ' Town of Barnstable of�r+e rosy . Reguiatory Services i 13AMMasIs, Thomas F.Geller,Director Mn p�A a`�� Building Division QED MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME LMIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. p T e of Work: �U���-� Po f`�" t b�'C'' \ Es ted Cost 000N 3'P Address of Work: � � 1 V LoQ�G L CE�� tVl —L .�0 Z Oyyner's Name: V r1 P UTT W iR M 3 , Date of Application: zz �a�_ I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []owner pulling own permit Notice is hereby given that: RED OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH NT WORK tNREGISTF NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMP ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND TJIYpERMGL c.142A.. 'SIGNED UNDER PENALTIES OP PERJURY I hereby apply for a permit as the a ent of the owner: SB9 3 z� J Registration No., Dat Contractor Name OR Date Owner's Name Q:forms:homeafFidav if 0R>,Z`: .SIINROOMS" aches tState utldin Co B G7VIIt " Pen ; echo The Massachusetts State Building Code(780 CMR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to,an existing house (780 CMR, Appendix J, Section J1.1.23.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom29 of any size, configuration,orientation,form of construction or percent,glazing,but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may, wish to consider before/actually constructinglinstalling a"sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential. energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - • Type of Glazing • Insulating value • Solar heat pin • Frame materials • Glazing to frame sealing and gasketing materials!seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.123.1,._requires that the actual nroverty owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the info ation in this doc ent concerning sunroom comfort and energy conservation. ,11. c Signature of Actual Building Owner Date Ala l�,4• ��i l i e 3 ?r Ne4 k Print Name Address of Permitted Project Owner Address(if different than project location) Owner's telephone number OP ID BD ACORD CERTIFICATE OF LIABILITY INSURA DATE(MMIDD/YYYY)NCE coNNo-1 1 03/24/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gammons Insurance:Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 1235 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 328 Bedford'Street - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakeville MA 02347 Phone: 508-947-3460 Fax:508-947-6844 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: St Paul Fire s Marine Ins Co 'Connor Construction INSURERB: Commerce Insurance Company 34754 DBA James Connor INSURER C: 23 Baker Lane INSURERD: Lakeville MA 02347 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ON LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYM DD/YY EFFECTIVE POLICY (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 B COMMERCIAL GENERAL LIABILITY YS1402 PREMISES(Eaoccurence) $ SOOOO CLAIMS MADE OCCUR MED EXP(Any one person) $ 5000 X Business Owners 07/17/04 07/17/05 PERSONAL BADVINJURY $ GENERAL AGGREGATE s 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT LOC w AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS r BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) ' - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ k $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER A EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 0302BO9104 12/07/04 12/07/05 E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under , SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1 $ 500000 OTHER PROPERTY 5000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry ry CERTIFICATE HOLDER CANCELLATION TOWNOFB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Of Barnstable" 200 Main st. IMPOSE NO OBLIGATION OR LIABILITY OF A IND UPO INSU R,ITS AGENTS OR _ 200 _ . Barnstable MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ` Lewis Gammons 'Insurance A en 25 c ACORD (2001/08) z e ©ACORD CORPORATION 1988 Permit Procedures#11 03-28-05 Property Owner Letter of Permission I John or Pat White give permission to James P. Connor, DBA Connor Construction, to act as the general contractor in the construction of our three season room and deck. He, as well as any subcontractors hired by him,have our permission to be on our property during the construction of this project. Signed: Date: O S^ Signed:T' 1 `mot Date: g- a x t /ae V�anvrra�atuea�i a�.,�.aoaac�ucae�d , BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number:_.CS 068029 Expires: 0 26/20'06 no: 20586 Restricted:: 00_ ` JAMES ON NOR 23.BAKER L LAKEVILLE, MA 02341 Acting G mis osier i ,� ✓/re i�lanvnwnalea�z a�ivGaJoac�uiae� ' . .— Board of Building Regulations and Standards, ` HOME-IMPROVEMENT CONTRACTOR E Registr xpiration:.3128/2006 Type: Individual CONNOR CON JAMES CONNOR 23 BAKER LN,` LAKEVILLE,MA 0234T_ Administrator BC CALCO 2003 DESIGN REPORT-US Thursday,March 24,2005 12:47 Single 1 3/4,' x 11 7/8" VERSA-LAM®3100 SP File Name: BC CALC Project:RB01 Job Name: JIM CONNORS Description: Address: 38 HENRY F.LORING RD Specter: City,State,Zip:BARNSTABLE,MA Designer: Joseph Mozzone Customer: Company: Mozzone Lumber Co.,Inc. Code reports: ICBO 5512, NER 629 Misc: RIDGE BEAM �0 12 Standard Load-25 psf 115 psf Tributary 08-00-00 AL AL BO 131 1600 Ibs LL 1600 Ibs LL 1007 Ibs DL 1007 Ibs DL Total Horizontal Length-16-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 16-00-00 Live 25 psf 08-00-00 115% Member Type: Roof Beam Dead 15 psf 08-00-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 10427 ft-Ibs 85.2% 115% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs n/a 100% Tributary: 08-00-00 End Shear 2284 Ibs 49.4% 115% 2 1 -Left Total Load Defl. U195(0.984") 92.2% 2 1 Live Load Defl. U318(0.604") 75.5% 2 1 Live Load: 25 psf Max Defl. 0.984" 98.4% 2 1 Dead Load: 15 psf Notes Partition Load: psf 1 Duration: Design meets Code minimum(U180)Total load deflection criteria. 15 Design meets Code minimum(U240)Live load deflection criteria. Disclosure Design meets arbitrary(1')Maximum load deflection criteria. Minimum bearing length for BO is 1-3/4". The completeness and accuracy of Minimum bearing length for 61 is 1-3/4". the input must be verified by anyone Member Slope=0,consider drainage. who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+112 intermediate bearing evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALCO, BC FRAMER®,BCI®, BC RIM BOARDTm,BC OSB RIM BOARDTm, BOISE GLULAMTTM, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND'"', VERSA-STUDS,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 The Town -of Barnstable O� BARNSTABLE ::MA w Department of Health Safety and Environmental_Services ' SS. +e3w .00 °'Eo .•• ' Building Division 367 Main Street,Hyannis,MA 02601 )ffige: 508-8624038 'ax: 508-790-6230 i PLAN REVIEW Owner: k C Map/Parcel: 1 —7 2 `� 7 Project'Address: l Q-n\r l- v��n Builder: 3 ` (16'n VA C.) The following items were noted on reviewing: 1 J_ • USe_ • 2.vG u )as ll -s4udc o C>b��erS ( S C Us S_Q c( 2 . S ► r' - e (' TC S lrl o d2Y S Ul S� to c6 C'>> S ' I a Reviewed by: C� S Date: -A..:7 J.__.l_-..___.-___. Assessor's map and lot:number ..�..f.:�.�.. ....: , 1 ' Get /0 ?� v r.Tl ENI �,� •. :dNS7A��S�ST iVtUST BE : ED IN Sewage Permit number .................. ............................: V1/1TI1 q TICL COMPLIANCE C w SAN'ITAr?Y E II STATE R•"'rL� CODE AND .TOW ` Qy�FTNETa� TOWN' OF sBARNS 'A' 'LE a i BAS$9TAUL i s� 0AM pYa _ �z BUI 0. LLDING INSPECTOR � ter•; . �� y.: `j APPLICATION FOR'PERMIT TO r° TYPE OF CONSTRUCTION ' ` 4.+.. .. ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for. a permit according to the following information: Location ........./-. ........ . ... ......... .............. ProposedUse ... -� �'�... ............................................... .............................................................. Zoning District .............................I...........................................Fire District Name of..Owner ................................Address .................. ... 1 Name of Builder ............../............................... .....................Address .................................................................................... Nameof Architect ..........Address.......^..�............................................. .................................................................:.................. Number of Roo s .........1.......................................................Foundation ................. Exterior .... ...... ........... ...... ..............................................Roofing Floors ..... ,...........................................................Interior ...... ....(� ................................. z (.CJ Heating ..............................'...................................................Plumbing ......:� ... Fireplace ................................................... ..............................Approximate Cost ........ ;...................................�. .... Definitive Plan Approved by Planning Board ------------_--__-__---------19--------. Area ......�. ..5�Gl...S. ..:...... Diagram of Lot and Building with Dimensions Fee qz / SUBJECT TO APPROVAL OF BOARD OF HEALTH � 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re arding the above construction. -`i Name ..' .. ................ .....:.............................................. Small, Alan B. . 19603 _ one story No . .. ..... Permit'for' ................................ single.`family dwelling " - ... ...... :::. . r A ' .............................0V ,h Henry Loring Road Centerville .. .. ........................................`a .................. .1 f �!' -� s L 0S:. e, Alan 8. Small < ;, L Owner ............................................ ............. 4J / Fry Typefof Construction ..........frame j ►� �. tiz i» At .................... . ............................t: ............. `Plot ... �-- ... .. Lot ............ 118............ Vi � w Permit Granted .....Se tember. ..l6. 19 �� 4. { r '. ....1 ....... .. ..... ..... o o�-�/-7 O ,•-Date of Inspection ... .................... 19 '' � Qz at .-Date",Completed ....... <'PERMITREFUSED ...................................... 19 ........................................................... .... .^i...j CI ................ f ... irP 4�Y•('• :f ` • �, �� / f r 1r'n"� 1 '0 I` Approved ................................................ 19 . .........: ......................................................... Assessor's map and lot number ... + 1 Sewage.':Permit number ..... .........................................� Qy�ffNEt��♦ , TOWN OF BARNS-7TABLE ii • 9� s639. .� BUILDING INSPECTOR tea.war ` APPLICATION FOR PERMIT TO C'.. .... ` r TYPE OF CONSTRUCTION? ' = *�$ ,, lr ......................................................................H........................................................ ................................................I a. f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ' Location ......./.:..-/ � .../�.: .........r .......... :....:. �:...... �'f: . . ..'......................... Proposed Use .... .. ................. ........ ........................................................................................................................ J ZoningDistrict ........................................................................Fire District ...�.......................................................................... Nameof Owner� ... .��............ !..�:. ............................... Address .......... ........................' .7............................................. NameSof Builder ...............!...................................................Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ' ..�.........�......................................................Foundation ....1........................................................................ Exterior ................................... r:......:............................................................Roofing �c:::� ... Floors .....!..................t.....J......................................................Interior ...........�f ... ............................................................ Heating ..................................................................................Plumbing .................. ..... ..................................................... Fireplace _ ..............................Approximate Cost ........................................................... 1(? � Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ... .......{............... f ' �5'U Diagram of Lot and Building with Dimensions Fee ........................... ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH Y I hereby agree to conform to all the Rules and Regulations of the Town`of Barnstable regarding the above construction. Name .................................................................................. ^ � ~ ~ _ ' � . ' ` — ' . ` � � ^ .. � ' - ' ' ' - . ' ' � ` Small, Alan E. A=172-177 single family dwelling .300 Henry Loring Road Centerville Alan E. Smal Type of Construction ame Plot .................. ...../Lot ..............#.118.......... Date of Inspection PERMIT EFUSED (?,0+...,.I.......I./i..let............. 19 ........................................................ \ - -` ' '--'—^ � � ----- ----' ' Approved -------. ------ l9 ' ^ ---.------.......—..—,.—.,— ` ` ---------'--~—~—`^`^'^'~~^ . ��— _)IVA ZB�A I C) )k Tl- EC'rTCIAA 4'9--'EA, 0- 'Jit OF VF44-14 A Vr, mj r�9 11 40'- 95, 7,.�A.1 A-- 9z I'vl,v ge CIA;-A AJ BOTrOAj A10 S4,44Z LOCATIO" 494e .AIM-D /7-7 Rev - h�j q CMCZTIP-� T"AT- T64F-: �7oo"t)A-TIPQ lzf=P:Ezewca Wr-ZQo" CcmAPt--.eS Wlt$4 TWE: -SIDV- Uwe= AWZ:> %Te�AC&4 -To W Li ap: I:AOL S A. T C--Q— �-J`e E: I C 05'TEV-V%L.LC- o AX A,;,e,. 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