HomeMy WebLinkAbout0230 KNOTTY PINE ��� ��`
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BIKE rA Application numb ......................................
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Date Issued.. .?:� Q
O ♦♦p`'�v�. p ............... •.�........ • ......
BAN STABL&
MASS.
1g39, �0 Building Inspectors Initials..........
Fp „l � u ,Map/Parcel.........�..............� ? .'...
......................
61,48%
T FU/iN, STABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATIERIZATION
PROPERTY MORMATION
Address of Project: ,23O (<no-K v (l',I e-- L /1 . �8•���f✓� I
NUMBER STREET VILLAGE
Owner's Name: Phone Number (�
Email Address: lie(0y.d 6,1 r ka n @ !,M4.4 Cell Phone Number 2/7- 9 -7
Project cost$ 9 8 Check one Residential V1 Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to matte application for a building permit in accordance with 780 CMR
Owner Signature: S e,- Ard z cJneX 06-4s-r-� Date:
TYPE OF WORK
❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization
Doors(no header change)# Z Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name �t i Gn `��n�►�so � ��� �� ��S(�N� n cow S_
Home Improvement Contractors Registration(if applicable)# 17 3 2-L4 5 (attach copy)
Construction Supervisor's License# 01 S�7 0' (attach copy)
Email of Contractor Gi S W 2 f 9 �' /r!a C Phone number �0l- z 2 8 1900
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF TIME SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MIDST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATIONNUMBER............................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Check one:this event is a:for profit non-profit event
Check one:Food served Yes No
Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent
pf food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval:
YWOOD/COAL/PELLIET STOVES
1L' S Y
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOIEO CV NER,S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State wilding Code. I understand
the construction inspection procedures;specific inspections and documentations required by 780
CMR and the Town of Barnstable.
Signature
Date
FLBC 9S SIGNAXTURE
Date
Signature
All permit applications are subject to a building offuial9s approval prior to issuance.
Renewal Agreement Document and Payment Terms
Andersen. dba:Renewal By Andersen of Southern New England Kelly Donithen
Legal Name:Southern New'England Windows,LLB. '230 Knotty Pine Lane
Rl#36079, MA#173245,CT#0634555, Lead Firm#1237 Centerville,MA 02632
WINDOW NE LACEMENT 10 Reservoir Rd I.Smlthfleld,RI 02917 . H;(602)791 9342
Phone:866-563-2235 I Fax:401,-633:-6602 I sales@renewalsne.com 917)972-C:( 7585'
Buyer(s) Name: Kelly Donithan Contract Date- 09/10/18 : h
Buyer(s)Street Address: 230.Knotty.Pine Lane,.Centervllle, MA 02632
Primary Telephone.Number: (602)791-9342: Secondary Telephone Number: (917)972-7585
Primary Email: kelly:donithan@gmail:Com Secondary Email:
Buyer(s)..hereby.jointly.and severally agrees to purchase the products and/or services.of Southern New England Windows,LLC d/b/a
Renewal By Andersen of Southern New England("Contractor'.),in accordance with the terms and conditions described in.this Agreement
Document and Payment.Terms,any.documents listed in the Table of Contents,and any other document attached to.this Agreement
Document,the terms.of which are all agreed to b .the paiiies and incorporated hereinby 154 rence:(collectively, this "Agreement`):
Buyer(s)hereby.agrees to sign a completion certificate'after Contractor has completed.all work under this Agreement.
Total Job Amount: .$8,986' B.y signing this Agreement;you acknowledge that the:Balance Due;and,.the Amount
Financed must be:rriade by personal;ch' k;.ba' k check,credit,card,,or cases
Deposit Received: ._. . $4,493. . .
"
Balance Due: . .
$4,493 Estimated Siart•. � - Estimated.Completion:`
Amount Financed: 7-9-Weeks -9 weeks
7
-'.$8,986
Method of Payment Financing : We schedule installatioris:based on the date.of the signed contract and secondarily on
:'the date in which we complete the technical measurements:The-installation date that
- we'are providing ai this time is only an estimate.We will.communicate an official date
and.frme at a later'date:.Rairi and"extreme.weather are the most common causes for'
delay
Notes: 50% deposit by bank,balance'on completion by-bank
Buyer(s)agrees and understands that this Agreement constitutes.the entire understandings between the parties and that there'are no.verbal
understandings changing or modifying any of the.terms of this Agreerrient.No alterations to or deviations from this Agreement will:be
valid without.the signed,:writteri consent of both.the Buyer(s):and Contractor.Buyers)hereby acknowledges that Buyer(s) 1)has.read this
Agreement; understands the terms ofthis Agreement;and has received a completed,signed;and dated copy of this Agreement,'including
the:two attached Notices of Cancellation,:on the date first written above and'2)was orally informed of Buyer's right to cancel this
Agreement: .
NOTICE.TO BUYER: Do.not sign this contract if blank'You are entitled to a copy:of the.contract at the tinre you sign.
YOU,THE BUYER,.MAY.CANCEL,THIS TRANSACTION.AT ANYTIME NOT:LATER THAN MIDNIGHT
OF 09/13/2018 ORTHE THIRD BUSINESS.DAY AFTER.THE DATE OF THIS TRANSACTION;
WHICHEVER DATE IS LATER:SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
EXPLANATION OF THIS RIGHT.,*
Legal Name:Southerit.New England Windows,LLC
dba:Rene A etsr_"n o uthern New and Buyer(s).
Signature of Sales Person: -. Signature Signature
Paul Sandrey Kelly'Donithan
Print-Name of Sales Person. :. Print Name Print Name .
UPDATED;.'09/10/18 . Page'2 P 16
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvemerit-Contractor Registration
-_ = Type: Supplement Card
Registration: 173245
SOUTHERN NEW ENGLAND WINDOWS,ILLC Expiration: 09/18/2020
10 RESERVOIR ROAD -
SMITHFIELD,RI 02917
'CA 1
Update Address and Return Card.
G 20M-05/17
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:.SuDDIement Card before the expiration date. If found return to:
Renist ation__ Expiration Office of Consumer Affairs and Business Regulation
IZ3245= 09/18/2020 1000 Washington Street-Suite 710
SOUTHERN NEW.E-NGLAND WINDOWS,LLC Boston,MA 0211
BRIAN DENNISON �, C �)— +1
10 RESERVOIR ROAD C.�
SMITHFIELD,RI"02917 Undersecretary tvva a� Without Signature
r
Commonwealth of Massachusetts
Division of Professional Licensure
a, s Board of Building Regulations and Standards
Canstr c 4 n' St pe.viser
CS-095707 = rN Ep i res : 09/08/2020
BRIAN D DENNISON
8 BLACKWELEt DRIVE , ti ry
CHARLTON MA:--01507
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J
Commissioner CIL
J
The Commonwealth of Massachusetts
l Department of Industrial Accidents
I Congress Street,Suite 100
t` Boston,MA 021I4-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organizes on/Individual): ,�;,,• ,erg
Address:
City/State/Zip: ;e_ Z 0 z'� 17 Phone#: �O 1-Z28-9�DD
Are you an employer?Check the appropriate box: Type of project(required):
1.�I am a employer with eR O+'employees(full and/or part-time).* 7. New construction
In I am a sole proprietor or partnership and have no employees working for me in $. []Remodeling
any capacity.[No workers'comp.insurance required.]
In I am a homeowner doing all work myself.[No workers'comp,insurance required.]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 I l.❑Electrical repairs or additions
proprietors with no employees. it
12.Q Plumbing repairs or additions
5,711 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑R f repairs
These sub-contractors have employees and have workers'comp.insurance.' //
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other O do O e-
152,§1(4),and we have no employees.[No workers'comp.insurance required.] V r e Cl ri 'ce, ww S
*Any applicant that checks box it 1 must also fill out the section below showing their workers'compensation policy information. t
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.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site
information r
Insurance Company Name: 1'l reM e_A 5
Policy#or Self-ins.Lic.#:_ GI/C j .3 I.S-Sr 72-cj Expiration Date:
Job Site Address: .Z 3C� (�rtc,-�.�Y, City/State/Zip: V,'I__e M1�
Attach a copy of the workers'compensation policy declaration page(showing the policy number and el iration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal 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 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 certi under the pai and penalties of perjury that the information provided above is true and correct.
t
Sienatur Date: —
Phone#: L(O I —Z Z 9—ffSD D
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):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
A �U CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDD1YYYY)
12/29/2017
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
CoBiz Insurance, Inc.—CO NAME:
PHONE
1401 Lawrence St, Ste. 1200 .303-988-0446 AX No):303-988-0804
Denver CO 80202 ADDRESS: COMaiI cobizinsurance-com
WSU S AFFORDING COVERAGE NAIC it
INSURED ESLERCO-01 INSURER A:Acadia Insurance Company 31325
Southern New England Windows, LLC. INSURERS:Firemens Insurance C_m2any of WA,D.C. 1 21764
dba Renewal by Andersen of Southern New England iNsum c:Homeland insurance Company of New York 34452
10 Reservior Rd INSURER li
Smithfield RI 02917
INSURER E:
INSURER F: i
COVERAGES CERTIFICATE NUMBER: 1252851165 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.
NSR IADDL SUER {
LTR TYPE OF INSURANCE POLICY NUMBER I MNWDY EFF I MNOIlLDD EXP LMITS
A X COMMERCIAL GENERAL LIABILITY i CPA3158728 1/1/1016 I 1l1/2019
CLAIMS-MADE X I OCCUR I EACH OCCURRENCE 151.000,OOG
� I ; DAMAGE TO RENTED
PREMISES Ea occurrence S 300.000
i
• I
i I I MED EXP jAny one per, i S 10.0D0
PERSONAL&ADV INJURY 151,000,000
j GENL AGGREGATE LIMIT APPLIES PER: I
I X POLICY C JEOT �I LOC ! I I GENERAL AGGREGATE I S2.000.000
11 7X
OTHER
PRODUCTS-COMP/OP AGG I S 2ADC,o00
? l
------------
I ;5
A ;AUTOMOBILE LIABILITY I N I CPA3156728 ir1201Ei 1/112015 I COMBINED SINGLE LIMIT
i Es accident 5;OOD 000
i ANY AUTO I BODILY INJURY(Per person) 5
ALL OWNED SCHEDULED
AUTOS AUTOS I i BODILY INJURY(Per accident)'S
X HIRED AUTOS I�AUTOSWNED i I I PROPERTY DAMAGE
Per accident? S
A I X l UMBRELLA LAB' X 1 i 5
�I OCCUR i I CPA3156726 _ 11i2u16 i 111,201E
I !EACH OCCURRENCE 510:000.ODD
EXCESS L1AB CLAIMS-MADE
AGGREGATE 510,000.000
f DED X RETENTIONS
If
B WORKERS COMPENSATION i WCA3156725-20 191207E I 1/12010 I PER 1 OTH-
1 AND EMPLOYERS LIABILI Y YIN+ i X STATUTE ER
ANY PROPRIETORIPARTNER/EXECLTnVE I i
1OFFICER,MEN®ER EXCLUDED- ❑j N 1 A I EL EACH ACCIDENT 151.000.000
(Mandatory in NH)
If yes,describe under I I I EL DISEASE-EA EMPLOYE 51,ODG,DOL•
DESCRIPTION OF OPERATIONS below I i E L DISEASE-POLICY LIMIT 15 7.ODD,000
C � a �i + 793007334D000 i 1/12018 V12015 Each Occunence S1.000.000
I Retroactive Date 0512012013
II I Aggregate S1,OD0.00G
i I Detluctible 510,OOC
I
DESCRIPTION OF OPERATIONS I LOCATIONS,VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
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.
For Informational Purposes AUTHORrzED REPRESENTATIVE
f
C 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
3
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Town of Barnstable
TME rti Regulatory Services T�WN _ TBLE
Thomas F.Geiler,Directors P : 33
MM LE, ' Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.usi >( t� w
Office: 508-862-4038 Fax:..'508-790-6230
PERMIT# o?Ll/a0 1 FEE. $ S
SHED REGISTRATION
200 square feet or,less
Location of shed dress), Village
,9DO -7-7Lo-0(ec
Property owner's nag Telephone number
Size of Shed Map/Parcel#
31,93 � ,
Signature Date"..
Hyannis Main Street.Naterfront Historic District?. �
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE .IF YOU£ARE WITHIN THE JURISDICTION OF.ANY OF THE
ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION .
FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
.PLOT PLAN :
Q-forms-shedreg
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lu5-�RuMaNlr 5v9-veY �-THE or-r5ET5 -5WOULD
NP-c:DE .u515DTO DETE?.I�I►�rc L,cr VI�IE.�j APPLICA►� T f1U�� y�6i4/l�
I Assessor's map and lot number ,9 ' c
;!f FYHETo�♦
sewage Permit number (�........................................ `ri �
f e,' rI f. .� BARNSAT�LE, i
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House number" t..................................... .-�... .................... ro
p 039 9�
rf �0 YAY a�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION ..... �./.�t` ./I FOR PERMIT TO ..............................�.......ate. f...../.,,?...r.�.....................................................
TYPE OF CONSTRUCTION ............ �r. . � .f�r,l,,F;; .� '✓t4'!::i .................
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.................... .................19..s 5�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the,following information:
Location .... ......... 'A)E e� ............................... ............ .. .t.../
ProposedUse ........ ................. ................................. .............................................
Zoning District ...............P`........... ........................................Fi-re District .....................4 ...:
Name of Owner ..... :.. f:. ..... rT; /�!&ddress :, �..).. ? ......
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Name of Builder ...... rJ.Address ..... �..���1; „i� .� ... , ...,S{q
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Nameof Architect ................. 677 � l•� ............................Address ................... ...........................................................
Number-of Rooms .........°7..........................:®......,.........,..........Foundation .....................................^...-.......................................
Exterior ...... �.} ra a0 ..�� '. ,�' fc . .. f � '` �; .�Rong .......... r �l. ..`f.................. .. r
Floors4,6�.. :::�. ........Interior ....................../...(. ::..........:...........................
Heating ,�i� �•......� ..............................Plumbing ....................!.:...C�... ..�,,c.....;!y... ;�'........�...........
Fireplace ......................... ......................................................Approximate Cost .............. / ..j!.U..«.......y. ........
Definitive Plan Approved by Planning Board -----------_____—------____19_______. Area ..........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
- � �,,;�c( ice. ; ;•, �
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wl' w t
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. �!
Name ::...........
Construction Supervisor's License .. .-+ . ?.. ? ..
- o`/C-um, auznA *7--191-071
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No 36I5I—` perm� fmr —��. ----..
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' Location --.i—.l9c-..230..I���tt%�.:Ei»e..L�WeCenterville
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^---^----------'^^^^^~----^--''
Owner .. . ....................................... �
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Type of Construction ..Er�m............................
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-----^^---------^'---------'''
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Plot ............................ Lot .................................
Marchl2
Permit ---.---'^..�----.]9 84
Date of Inspection ....................................
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Dote Completed ------------.]'0
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.25151
TOWN'r OF B�.RIdSTABY�E ` Permit No. -------------------------------- }
1 a ,
Building Inspector
sauxm lq Cash - ----
wA
OCCUPANCY -_ PERMIT- Bond ----------___-�` 7_
Issued to Laura Hogan '., Address
lot #19 230 Knotty Pine' Lane, Centerville #
Wiring Inspector i� � J Inspection,date ' _
✓, ram,,./ �'
Plumbing Easpectdi ,,"A _ Inspection date / fi
Gas Inspector (/ ' Inspection date
"'Engineering.Department- Inspection date - • t )
Board of Health ( Inspection date
A � f
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.
.Building..Inspector .......
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�J..�°•.ew TOWN OF BARNSTABLE
BUILDING DEPARTMENT
»°T 1 TOWN OFFICE BUILDING
rua
9 t639' �� HYANNIS, MASS:'02601
'�'Fo rur►• �
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MEMO TO: Town Clerk
FROM: Building Department
DATE:
i
An Occupancy Permit has beenn issued for the building authorized by:
BuildingPermit $ ...... . r?•1. /- !._.....a............................................................................................. _.._.. _ ...
issued to .................... r" � .ht• It S ;!'.h.�.� _..�.._....... _. ......_.. ... »_. '+
Please release the performance bond.
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Assessors map and lot number . �.,�......`. - ._
i ewage Permit number ... .cll.....!...�D.. .1 . . ` use d�Q ♦°` r',
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- TOWN, OF BA
BUILDIN * I"NS-PECTOR +
�'- APPLICATION FOR,PERMIT TO ....... .
TYPE`-OF yG;ONSTRUCTibN . . ... ..................
y.
TO.THE, INSPECTOR OF BUILDINGS:
The undersigned hereby•opp/Lies for a permit according to the: following
//information:'
Location . :, .r�.` ... ./... / �.: .Y.. �j�V ..4—,� �';Y: ... R 't ' .:.l . ,r.�/ 11
Proposed Use ......(� /?! .C�r�. . ........ .� 1.ma's.. �. ..Ll.�.. ......... ......... ...... . .....r.
Zoning District ........................Fire District ................... ..........................................
Name of Owner ......4::! Y.../(�.�Y'....1:1: L�: .:!✓..Address /i 0.- �:..I-1A0.
Name of Builder .Address �. .....✓..d.. . .!U. (:.1.\...�p � 5( �1� .
Nameof Architect ............... . . ...... .........................Address ............................................ .......
Number of Rooms ...... ,1 .....'......:.................: ..:....:..Foundation ................... :_. ................ ..... ...........
s
Exterior ........ c.,�...... ..f� ..��1.,�5. „� oofing .•......... j /�.4Q ... .....................
Floors ............... / ................................... Interior1...
r r,,
Heating . .......... ....... ............................:Plumbing ................... .:c............. ....:...................... .....�..
.—�
Fireplace .................:....... ......................................................Approximate Cost ........ . ......... ........�,
..
Definitive Plan Approved°'by Planning Board_.____________________„------19______ Area :.. .......... ;
Diagram Hof Lot and Building with Dimensions Fee ...............
SUBJECT;TO APPROVAL OF BOARD OF HEALTH
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I ,
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.
h" Name At�
G...........
Construction Supervisor's License ..Q.A5L.1..Q.—`0.....
�!! HOCAIJ, LAURA
i
�-` No .....26151....... Permit for la..S.
......Single Family..Dwelling..................... a
7. t I t 19 230 Knott
.................... Y:Location .. ' ..i1er ,r
f
Centerville
Owner' ....Laura.Hogan ...................................
Type of. Construction Fzame.........................
,•
- .............. ..................:.................... ....
Plot '............ .....:...... Lot
Permit`Granted . March 12r........~ '. 19 84 - I
Date of Inspe io ........s*... * .i�. 7?......1j9�� .. - �� , • ' }- - *`
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