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HomeMy WebLinkAbout0089 HORSESHOE LANE gg l�o�-=se sha� �r�� v �" � u � , , . c z . : o n .. e .. e �, oFsKEr Town of Barnstable Building , 0 . Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job-and this Card Must be Kept iy�SI;A tip tl'AULE.7 \v� Kam. Posted Until final Inspection Has Been Made. Permit RFD NtPla Where a Certificate.of.Occupancy is Required,such Building shall Not obe Occupied until a Final In'pection has been made. Permit No. B-17-3784 Applicant Name: INSULATE 2,SAVE, INC. Approvals Date Issued: 11/27/2017 Current Use: - Structure Permit Type: Building- Insulation- Residential Expiration Date: 05/27/2018 Foundation: Location: 89 HORSESHOE LANE,CENTERVILLE Map/Lot: 2077102 Zoning District: RC Sheathing: Owner on Record: FRANCESCONE;ANGELINA ET AL Contractor Name: • INSULATE 2 SAVE, INC. Framing: 1 Address: 21 RUSSELL ST-APT#2 Contractor License: 180747 2 BROOKLINE, MA 02446-2431 Est. Project Cost: $ 2,150.00 Chimney: ' Description: Weatherization Permit Fee: $85.00 Insulation: Project Review Re Fee Paid: $85.00 Pro 1 q: Final: Date: 11/27/2017 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration ofthe work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN*OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division12 Date Issued Conservation Division Application Fee Planning Dept.. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address B h) ,sesAve. L� ('o�Jt rw'I(e r"tA oi&2 Z Village Owner 6 -..' &nald j%r,�,CaSCshe- Address 8-' Telephone (o 1,7 T K 91- 3-00 17- 7(0 3 ` 6)5_0 Permit Request Ar St Jvw, ; 2,4 1QZ p 4. d!!! 1'2aij 6a" 4- a ►�. "h. g jq 7f n IaSS b 5;f S� S y 1¢ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation . 1 S-0 1 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 ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 9,0(a-,1 LMCCOK Telephone Number Wig- S(o 706 Address 1410 Grit Sk License# ( O3$Lo /bt II (Z;,,-cr MA 62\2>2 Home Improvement Contractor# (E-G ?(17 Email � Worker's Compensation # -5-&W 9,7 q/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1pkr R� 1✓afr 12�, r ®�-�io SIGNATURE /�� j� DATE �� r 1: FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts z t Department of Industrial Accidents s .1 Congress Street, Suite.100 Boston, MA 02114-2017 www.tnass.gov/dig Workers' Compensationansurance Affidavit; Builders/Contractori/Electricians/Plumbers. TO'BEFI'LE'D wn.1-[TH,E 11E12MI"T,nNG A,U1,110R1'ry. Applicant Information Please Print Lejibly _ Name (Business/Orgar7izatiott/Individual): Insulate2Save Inc. Address: 410 Grove Street City/State/Zip: Fall River MA 02720 Phone# 508-567-6706 Are you an employer?Check the appropriate box: Type of project(required): l.Ex i am a employer with 20 employees(full andior part-time).' 7. FINew Construction 2-n I ant a sole proprietor or partnership and have no employees working for me in $, Remodeling capacity.[No workers'comp.insurance required.] 9. 0 Demolition 3.E]I um a homeowner doing all work.myself,[No workers'comp.insurance requited.]t. 10 �Building-addition 4.O 1,am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I t E] Electrical repairs or additions proprietors with no employees. l2,�Plumbing repairs or additions S. I am a general contractor and I have hired.the sub-contractors listed on the attached sheet: ❑ I3.�.Roof repairs These sub-contractors have employees and have workers'comp.insurances 6.n We are a corporation and its officers have exercised their.right of exemption per,MGL c. - I4`�X Other Insulation 152,jl(4),and we have no employees.[No workers'comp.insurance required;] *Any applicant that cheeks box is I must also fill out the section below showing their workers'compensation policy information, i'liomeowners who subnut this affidavit indicating they arc 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 suite 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)vorkers'compensation insa'ranee for my employees. Below is the policy-and job site information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins.Lie.tt: XWS 56418741 Expiration Date: 12/10/201.7 P'_ Job Site Address: al City/State/Zip: �o,r �y,((¢ /-1,4 �S2 Attach a copy of the workers'_compensation policy declaration page(shoving the policy number and expiration date). Failure to secure coverage as required under MGL c. I52,'§25A is a criminat violation punishable by a fine up to$1,500.00 . and/or one-year imprisonment,as well as civil penalties in the form_of a STOP WORK ORD'ER and a fine of up to$250.00 a day against the violaior. 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 the t' s alm miu4ties of perjury that the information provided above is trne and correct. Signature: I Date t3o%er'7 r Phone#: 508-567-6706 Official use only. Do not write in this area,to be completed by city or town vfficiii/.. City or Town: Permit/License#' Issuing Authority(circle one): I:.Board of fealth 2. Building Department 3.City/Town Clerk 4.`Electrical inspector 5. Plumbing'Inspector 6.Other Contact Pei-son: Phone# Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improveme`nt' Co:,n�tractor Registration _ Type: Corporation Registration: 180747 INSULATE 2 SAVE , INC. I Expiration: 12/28/2018 410 Grove St Fallriver, MA 02720 ' Update Address and return card. Mark reason for change. ;CA 1 G 20M-05/11 y el]-,4dd_r_ess—Q Renewal. ❑Employmont ❑Lost Card �ie�arrir�era7zwea�!�o��rz,°a�cciccacC�i. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: C Office of Consumer Affairs and Business Regulation }egistration Ex irR ation 0747t 12/28/2018 10 Park Plaza Suite 5170 x. Boston,MA 02116 INSULATE 2 SAVE 'INC Roland Langevin 410 Grove St " /1 (:2�— 0 /f,» ,....-"' " Fallriver,MA 02720 t Undersecretary Not valid without Signature 'Cl Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards { Constrwctt�Nb;,p rvisor CS-103.861 Ei pires: 08/2412019 � q e ROLANDLANGEVIN,y fm � „ 56 HIGHCRESt-ROAD 1 FALL RIVER MA02720x d ' Y So C��1 COTrIi'nlSSiOnt?r ACC? CERTIFICATE OF LIABILITY INSURANCE °ATE'MM/°a,""' (►.►� 12/8/16 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(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anthony F. Cordeiro Insurance PHONE FAX 171 Pleasant Street N.L fAIC, , (508 677-0407 / No: (508) 677-0409 ADDRESS: hsouza@cordeiroinsurance.com Fall River, MA 02721 INSURE S AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Insurance INSURED INSURER B: Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURER D Fall River, MA 02720 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SR WVD POLICY NUMBER MM/DDIY MM/DD/YYYY LIMITS A GENERAL LIABILITY y Y BKS 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 11000,000 NTED X COMMERCIAL GENERAL LIABILITY DAMAGE occu PREMISrrence) occ ence) $ 300,000 CLAIMS-MADE a OCCUR ME FRCP(Anyone pe son) $ 5,000 PERSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $ 2,000,000 x POLICY PRO- LOC $ A AUTOMOBILE LIABILITY Y Y BAA 56418741 12/10/16 12/10/17 EOMBW�EDtBINGLELIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Per accident $ A X UMBRELLA LIAB X OCCUR Y Y USO 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000 DIED RETENTION$ $ A WORKERS COMPENSATION XWS 56418741 12/10/16 12/10/17 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERMIEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTIO N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) "For Insurance Purposes Only" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: may, 3 �rmg K. ! x= ' ;.7�H�itirtt�l�YL'�tiC��Outl1$ar'mDUiLt�':Yl!'A ENGINEERING'. 508-S68=I9Z6 iFAX"3�8-Sbi;=:1933' . ' `Z;- rage PROGRAM' . � ns�s caxsaaer��urptac.n+ra a�saa�rasa s N?Gc d E$'. ruma;re+Ecusroraatr�xwonrcas, . ,oeso:erxow:_ narE eciaur : h _ : is Ma iana.'Silvesfi,.. (6 1)489.206 98/28/203 241042 0520� ; St ,sTi ,;; . 89:Horseslioe Lane-. $8 HIlcrest:Rgad 8ERVFCE Cr6,STATE,w - - - , i Centerville IvIkO2632 Belmont,l 02418, Y:... J BE -QB . - SCRUT OM, .: AIR SEALING:Provide labor and niatenais to seal areas of your`liame against wasteful excess r I his,work wl be jWdrraed 0 flo � leakage u to concert wtth the use of cia!tools and dtailnosnc tests to assure that your borne will be ieR wttlt a heahhful inn of air exchange and tndoar an quality Matenals to be used to'sea!your'fiome can:inctude caulks foams weatheistrtppu+gand oiher`.products Prunary areas for sealing tnctude au lsakage:to anus:basements,attactted;garages and other unheated acas{windows are nqt generally addressed.).(&):worlun hours A reductton in cubic feet a r t g." per minute(efm)of ar,,nffl axon wtll occur but the actual nigri*of cfm is. guaranteed r. ,,'•=t s AIR-SEAbiNG Fronde labor and;matertals ti tnstall Q=lon weatitesstrtppiiigand a doorsweep'to(3)doai(s}tu'resiict ati ieattaga rafter•area - b fire rattng;t {225)squaw feet,o;kneewali 4 „ SSSti 25 IUIEEWALL SLOPE Probtde labor and ntatertals to tnstail Z ri 'd oard;wttltthe r ATTIC ACCESS Pravtde:labar and raaierials W utsufatt the back:of(I)attic hatch with ngid board at 1t=lo ar greater mth tte requared` pp ftre�iatutg,Wtat�terstnptl►e:perimerer..: - " a BASEMENT Cfiit ING Pcovtde labor and matertats to.:nstall(144a i�near feet of I2 I:9 unfacedftberglass iTsulstton to ih perimeter of $3 t5 3b ttie Yasement ceiling at ttie house,sill, } " RETyiOVAL:.�emove{30j square feet ofbatt stye itsl ti from.the.basement area g29 I O ! � s 0 i E RlSllr.XBje seenng .. S Dupont=Avenne,;Sosa&Y rfiidkb;; t1?6 p ENGIN N � �v SO8-56&1926� " �'AJ{s0&,rsG3=1.933, pa ge e =2. PROGit" Tres cDxTRacTt�ENTERED;IidTOEEiWrExalsE' ' NBC-i<&�S victiaa aiap THE iwaToatER raR vdDmc'ais DE$CRIBEDBECOtM _ ... _ _._..,.. _,.. _... ......,..._.................... ........_......................................_........ ... _...-......._. _...... tUSTONER .. pww a .DATE CLIENT ffi`. YtORK ostm .`. Mariana Silvestri {61?)489 2.i)69 0812$/2{}37 240U2 05202 ' _..... _.............................,,.......... ..._,.......... ..........._.._._....._...._..................._..........__......_... ........._..._-....._.........._....._..........._............__...... __...,.._..._.:..........._.__.._...... 'sER1RCE:BTitFbT - - BlES.YHIti:$Tkar - $9 Horseshoe Lane 8S.Htllcrest Road w...... SERYttE CITY,8TATE,Z!P <: BE.L ,CfT,STATE.MP .., Centerville,.MA:02632 , ` Delmont, A 0247$ LltvtlTEU TIAJlE SPECIrtL iNCEtdI IVFS t or.a limited ririte NmobW Gnd°wili waive-the cap on tfieir.lnsulation ldceniTve. RISC will reduce yotuxost by 75%on,all;the weatgeri istion avark outlined in,thu proposal;This special s�uttmer uscent vc Is i"tab}e to liom T rs who sign their weatherrxatcon; proposal before Deccmi cr 3 i 240 and submitted to:';RISE by=January$i 201'8,_ NationaiiG d wi}}also olio an additional:$l00 inantiva:towards"the;weattterization Work outlined in this prii}iasgl,amounrnot:to: end the dollar Yalue of.your ao pay This spesialsuinmer tnfieriitve;is svas}abie,to tiameo hers ia9ta sign ihetr.�v therfzati0 propo i befotc AD ust 3i,2017 and subm rio RfS by September iTNii Srog : :.. - YdEAGREEHEREBY.TO.FifRidSs}: ttN{CEs='Ci APLUEINACr.3 DAt&CEYtf!rH VE,Si'EL1F1£k310id8:Wit.THESiItA;LDF 'p"¢T n H600 Thlr -blue&5U1100 DoUtt. $239,5i1! .UPON'FSL6L"a PE AP'PROVAL'By,RISE i'C1k570&rfR bGi£&.B TO REtt.17 AtAa1l1d7 0UE W PUL.I.:iNTEr2E&T Of i! YditL BE'CNAftaEI3 AdOtdrklY,OAI�A2t1+, UbdPAifl aALAkCE AFTER DAYS.S'EE REVERSE AAkT WORtAATM OH OUARAWM-,OF$Me= R SCHSVUU=AMD CLiNTRACTOR:REGISTRAT�7d. _ r RDE 1tE'✓Rg.SE.TiTATrifE: .... .... .- tiUffi'r#AER.SIt7KAT,UR£�: ., �- . ROTE:THi9 COtdiRAL7 MAY, 9E;WtTHLR AWN:BY Us tF-AST E>g2CUTElf�YJit'fittt ..:DATE`OPAccEPraracE� �.._ 'ACCEPTW'j:'oi CONTRACT THE AscVe PRICES;8PHCIftCATIONB AHO CO OHS:ARE. . ._ 3ATiS ;TOW -tkEiEIMACPEPT'MYOUARE'AIrrHOR12 '-,M'OOTH£378RK ;A88P£CiitEhi,PAYAlEAD`WRtBEMAtf£,A$OUTASOYE.'"�� � .•. inbuialte wti,cr AvtY 0,)r zI or to rtr f r °" ' 1�zr'3. The vrudor5leC1ed bc-/, f;, d.gfy „�W(,/)ro tdp(J Fa (,sr)tti OR m it t"t'Prtd*, ft ' t,€fate S;Ive f.ryf<..ie'g !; r-.;l !`,r�r.:.r��„,tC1?' axf'.,y4,,tY<t`.!i,"; 41907 47 .1,�`.".:",�w pp,-nt for j!r°�r�"Ett�fr)3 !£"a tdx, )Cf F;� a:;f tL)t st !"� .f: ho pr>,rfrjr rns,!a at trt the event t of t (r or" f will r'01,if tFtp-, trK01 Bul'It ing �We �;gol of .�f E,, r r Building off760119"O / / -.... .—r-.. R����,r..�y.ry/i^+'Y+"_�rT Wr�e..y. ^.rti+ +`..�.�+.•r.1M�+':�i'Y'."M.'.✓+�r."I'�+^'�4°°.'F�W.�.�.w.rw-.wrvMy..�w_. .h�.IiY'wV�"'M �+.� Assessor's map and lot number SEPTIC Ws " e �_ If��STAI_L ED ill COMIANZE f ' ('Sewage Permit number .. .. j � , I!: 'I A a C 4E SATE TOWN OF BARNS ` of TH E rO� ♦'� t 33AWSTAMLE, i mum . BUILDING INSPECTOR O•Fp M {r APPLICATION FOR PERMIT TO ............... .... ... .... .. .......... .................................................. TYPE OF CONSTRUCTION ..............................................//................................ . 7.. .�1......................9.....f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby oppli for a permit according to the following information: 0 Location ............l.�- ........ .. ...!..... ............ .. .. ... .....�-�{ ` .............. .- h`Zr. .................. ProposedUse ........;?..1.... ... ................ .........1.. ................................................................................ ZoningDistrict .............................Fire District ... ........................................................ q�Name of Owner.-1...U..at... &. -�y.�`'Yl . ' ..•••Address ......Ir Name of Builder ... . ........................................Address .. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior ...........................................:........................................ Heating ..................................................................................Plumbing ......................y. ..�........v............................ Fireplace ..................................................................................Approximate Cost ........................... ..................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... " Diagram of Lot and Building with Dimensions Fee .. a� ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH G I hereby agree to conform to all the Rules and Regulations of the To n of Barnstable regarding the bove construction. ... .....................�.... ' ...... .................... Perlman, Ivan ' � . 17813 dormer & add No ____________ _ aeck��TS dwelling ----------------------.---- ^ ' 89 Bozmaohme Lane ` Location ................................................................ Centerville ---------------.----------- ` Ivan Perlman � Cwne, ---___________________ frame ^ , Type ofConstruction .......................................... --------------------------' i �Plot ............................ Lot ___________ \ . ( � . � July 14 75 PermhG,onte6 --'---^-------lP ` r Dote of Inspection ....................................lg - Doto Completed � � ' PERMIT REFUSED .----_-------.-------.. lg -----------------'—^------- ^ '—_----------.------.------.. � .—.--..—.--------.--.--,—~—..~--. � -------------^----^'—^'----`— � , � � Approved ................................................. lA ' -------.--.--------.----..--- ^ � -------`----------------^^'` ' ~- / Assessor's map and lot number .. d �.............1�2.......'... Sewage Permit number 1. +`- •... .-! �r�, ', /,v ... �t r .` %THE.T TOWN OF BARNSTABLE 88HH3TABLE, i 039.w BUILDING INSPECTOR ar a•e 7� � X r Inter.-i^'c •••..•.••..•••••..•••.....•.••.•••.••....•• APPLICATION FOR PERMIT TO ............ -/ .- ............., . ............................... TYPE OF CONSTRUCTION ........................ ...r t..._. 1 ......................... '................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r , Location FC .... ............... + /i-A �G.�-�-� .................................. U .m..il.....V..... ':..'�.. .......... .........................................................................Proposed Use ........ .............Fire District "�' r Zoning District .......................................................................... Y.. .............-ry p J Nameof Owner :.................................,...,...............................Address ......................:......... :.............:................,..�,. ' _.-ice Name of Builder ...... ...............�"�--' 'i '-,e. Address ...,,...!:...... ............. .�........................... V Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ......................s_... ............t ... ......C..U................. Fireplace Approximate Cost ' -----19--------. Area ..................................-�� �a Definitive Plan Approved by Planning Board __________________________ ........ r, _ Diagram of Lot and Building with Dimensions Fee � ............. .:.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �r r p I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name.:.... :::...:y`'.................... .......................'": ... Perlman, Ivan A=207-102 No 17813 '~p d rri for .,, ormer & add deck to dwelling ............................................................ ...... .......... Location ........ g...Horseshoe. . . ..Lane....... . ........ .. ...... ... . .............. Centerville ......................................................... Owner Ivan Perlma�q ........................................................ Type of Construction ........frac e .................................. .................................................... ........................ Plot ............................ Lot f............................... Permit Granted /.Ju. ... ............ ...... ...19 ly 14 75 .... ... .... Date of Inspection ...............................19 Date Completed ..................................19 PERMIT REFUSED ..................................... ....................... 19 ............................................................................... ................................................................................ Approved .... ............... ............. ......r................. 19 ................................... ..........................................