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�n Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee 3 sf
• 201
9� $ Thomas F.Geiler,Director
1 �m
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Building-Division
Tom Perry,CBO, Building Commissioner
-° - 200 Main Street,Hyannis,MA 02601
t- • www.town.barmtable.ma.us
Office: 508-862-4038 - "- " ` Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY =�
Nat Valid without Red X:Press Imprint
Map/parcel Number
Property.Address L U_r A 4S1E1\X ILL LL &9 -1`FC r-.r• ((,e- W l� o 2(e 3;),
Residential Value of Work Snn• do Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address -1 o A r� �fl-��� `�A/14 LEE—j 'rA...c af
Uoj cc i o c4 kz, wr'_LLVh^Ka.., o tyg 1,
Contractor's Name Telephone Number
1
Home Improvement Contractor License MA 02090
Construction Supervisor s License#(if applicable)
{
❑Workman's Compensation Insurance
Check one: r
❑ I am a sole proprietor "
I am the Homeowner
have Worker's Compensation Insurance
Insurance Company Name:
Workman's Comp.Policy# W L So 9 SK
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over--existing layers of roof)
❑ Re-side
_... . .._.• __ #of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
--- -Smoke/Carbon Monoxide detectors 4 floor.plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
- -***Note: Properly Owner must sign Property Owner Letter of Permission.
A copy m
of the Home Improveent Contrac s License&Construction Supervisors License is
_-- required.
SIGNATURE: L F.
Q:\WPFIL.ES\FORMS\building permitforms\EYP SS.doc
Revised 053012
P�O�7HE Tp�~O. •
* IARNMELE, +#
mow, "�: ,�� .'Town of Barnstable
rEt)MAC q
Regulatory Services _
— i Thomas F. Geiler,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma,.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sigri This Section
9-• hn K 'r"ri'{`rS ; as Owner of the subject property
hereby authorize A Ol to act on my behalf,
in all matters relative to work authorized by this building permit application for:
r L�����-1- �� l l �o��, �-�
(Address of Job)
I
Signatuie of Owner Date
z2 7—
Print Na e
. -- If Property Owner is applying for permit,please complete-the Homeowners License Exemption Form on;the
reverse side. ::
QAWPFILESTORMS\building permit fonnAEXPRESS.dOC
Revised 070110.
Department of Industrial ff ccidenis
office of Investigations -
__ --�600 Washington Street$oston;MA 02111
qu www.mass.gov/dia
Workers' Compensation insurance Affidavit: Builders/Contractors/Elecfricians/Plumbers
Applicant Information Please Print Lem
Name(Business/Orgauizatio ADT;I )
Address: 410 University Avenue -
West oodl M 02, '
City/State/Zip: Phone
Are you an employer?Check the appropriate box: rD
t(required):
1.[}-I am a employer with 4. ❑ 1 am a general contractor and Istruction
employees(full and/or part time).* have hired the sub--contractors
contractorsling
2_❑ I am a sole proprietor or partner- listed on the at
sheet
ship and have no employees' �.
These sub-contractors have tionor ' for mein an c act - workers' comp_insurance. g additionking Y—aP tY{ — �__[1�Io workers' comp.insurance 5 ❑ VTe are a corporation and its al repairs or additions
required-] officers have exercised their
t f ex lion erMGL ILEI Plumbing repairs or additions
I El am a homeowner doing all w righ'of emP p L11H
Zf repairs
myself_ [No workers comp. — -
c.152,§1(4),and we have no
insurance required_]i employees. [No workers' f Alt ,
—. comp insurance required.]
*Any applicant that checl5 box g must also fll out the section below showing their w 'compensation policy information
orker inch
I Homeowner who submit this aftdavit indicating they are doing all work and then hire outside contractors mst usubmit a new affidavit indicating
:Contractors that check this box must attached an additional sheet showing the name of the sub-cnntraclnr aad theirwmiom'comp_Policg information_
I am an employer that is providing workers'compensation insurance for my empinYees• Below is the-policy and job site
information
Insurance Company Name. .
_. . "
Policy#or Self-ins.Lic.# �`4�_ �' q5`� `�`1 /
• � �Job Site Address: City/StatelZip:
I ca L �,- (�cN h•� <<- '
Attach a copy of the workers' compensation policy-declaration page(showing the policy number and epiration date).
Failure to secure coverage as required under Section 25A of MGL c_152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP V10RK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may b-forwarded to the Office of
Investigations of the DIA.for instu ance coverage verification.
-- - - tltat-the information:ptovided above is true and correct
'I do hereby cerii -rdider the p p P�7ToY
--� Date:
Si !a t t t(
Phone
l.- SS--
#: �� V�- -
s.. OJId 1 use only. Do not write in this area,to be conpleted by city or town ofjcciaL
_ T or Town — - - - - PermitlLicense#mi Authority(circle one): inspector
L Board of Health 2.Mdbg Department 3.City/Town Clerk 4.IIeetrical Inspector S:Plumbing InsP
6.Other
Contact Person Phone#:
(MT5lDD/YYy
� � CERTIFICATE OF LIABILITY IN90RANG� - _ D�D5tIl114
'T-11S 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
RcPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policyOes)must be endorsed. If SUBRO ON IS WAIVED,subject to
GATI
the teens 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).
CONTACT
PRODUCER NAME. FAX
Marsh USA Inc PHONE AiC No:
1550 Sawgrass Corporate Pkay,Sutle 300 WC.No
Sunrise,FL 33323 . ADD�RSS:
S
- INSU S NA1C AFFORDING COVERAGE 15535
M53-ADT-GAW-13-14 INSURER A:Zurich Am�icanlnsuan�e C unP�Y
40142
INSURED INSURER B-American Zurich Insurance Compal
ADT,ITC
ACT Seaudy Services INSURER C
1501 Yamato Rd. INSURER D:
Borg Raton,FL 33431
INSURER E'
INSURER F:
COVERAGES CERTIFICATE NUMBER: AIL-00328723M3 REVISION NUMBER:O
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE➢TO THE OTHER
D NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM-OR CONDITION OF ANY CONTRACT OR OTHIER DOCUMENT WITH RESPECT TO ALL
WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN)5 SUBJECT TO A11 THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH PDUCIES.IJMJTS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS.
.. POLICY EFF- POLJCYE- LIMITS
INSR. _
LTR TYPEOFINSURANCE DL LIB POLICY.NUMBER MMfDD MAD 7,ODO,DDD:-
A GENERAL LJABIUfY GLQ 5095899 02 10101RO14 111101/2015' EACH OCCURRENCE 1 D00 000�-
DAMAGE TO RFJ`TED $
X COMMERCIAL GENERALLIAB'U-" PREMISES nyommenrE 10,00D
Mm EXP(Any me person) $
CLAIMS-MADE M OCCUR 2 DOQOOD
. PERSONAL&ADVINJURY $
GENERAL.AGGREGATE
x 4,DDD,ODO
PRODUCTS-COMP/OP AGG $
4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER' $
X POLICY JECTPRO- LOC COMBINED SINGLE LIMIT 1,0DD,000
B ALITDMOaU-EUABILnY BW509590002 10/01/19i4 10101 015 aumdent $
X - I BODILY INJURY(Per Peron) $
. ANY AUTO - arradert) $
ALL OWNED SCHEDULED BODILY INJURY 0'er
AUTOS AUTOS. PROPERTY DAMAGE $
NON-OWNED _ -. Peracddenl
HIREDAUfOS AUTOS $
EACH OCCURRENCE $
UMBRELLA LJAB OCCUR
AGGREGATE $
EXCESS LIAB CLAIMS-MADE
$
DED R> EMnDNs 10J012D14 � 112D15 X WesTATu NTH
B WOFLKE RS COMPENSATION VE 5095897 02(AOS) 2,DDD,DDO
A AN-D-T-sePLOYES LJMLInr Y 1 N WC 5093B9B 02(MA,Vq 10101014 1NIO15 LL EACH ACCIDENT • $
2ODD,DDO
ANYNRDPRETDRPARTNERrUTIVEFN] NIA -EAE7Pi0
OFFICERIMEMBEREXCLUDED? EDISEASE
$
(Mandatory In NH) 2,0DOPOD
If yes,describe under EL DISEASE-POLICY LIMB $
DESCWPTIDN OF OPERATIONS below
DESCRIPTION OF OPERATIONS 1 LOCATIONS f VE MM(Attach ACDRD'1 ut,Adddionat Remarks Schedule,if more space is req-red) _
CERTIFICATE HOLDER CANC€LL-An -
ADT LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFIJ BEFORE
AIhLTOMLg THE E7PIRATION DATE TktH2EOF, NOTICE- W0J_ BE'DELIVERED IN
4t0 UNIVI32STTY AVENUE ACCORnANCE WITH THE POLICY PROVISIONS --— —--
WE61YVDDD,MK 02090 - -..__ —---- -- - ——
AUTHD�REPRESENTATIVE
cf Mkmmh USA Inc _
r
. - Marosta tJru)dtietjes _ �'LKF'f2.
-• ®1988-20t0 ACORD GORPORATIOt1. All Lights reserved
RD
AGORD 25(ZDI WDS), The ACORD name and IDgo are registered marks of ACO _
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Tay, Town of Barnstable *Permit# 0 2 3
Kri*vs 6 months from issue date
` Regulatory Services Fee o 9
p�U" S Thomas IF Geller,director
'ED Mli►��,��
Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner �
367 Main Street, Hyannis,MA 02601w
PRIG S PERMIT
Office: 508-862-4038 DEC I.
Fax: 508-790-6230 2 ZOO
EXPRESS PERMIT APPLICATION TOWN OF BARNSTABLE
j'/� Not VaW wdwul Red X-Press imprint
Map/parcel Number ® V
t
Property Address Z /U
esidential OR ❑Commercial Value of Work
Owner's Name&Address
oe<Af 40 z z
Contractor's Name Telephone N g 22_2��._
Home Improvement Contractor License#(if applicable) ! rZj �-
Construction Supervisor's License#(if applicable)
❑W.orkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am_the Homeowner
�_ ave Worker's Compensation Insurance
Insurance Company Name�,9
C
Workman's Comp.Policy#
Permit Request(check box)
❑ Re-roof(stripping old shingles)
i
❑Re-roof(not stripping. Going over existing I yers of roo N
� C:7
e-side • ,el
❑ Replacement Windows. U-Valtie (maximum.44) ";
2 tV
C? �
El Other(specify)
*Where required: Lssuawe of this permit does not exempt compliance with other town department regulations,i.e.Histori ConservalM.etch
co
tJl' r
csl r
Signatu
expmtrg
FURN,.ISHED'& INSTALLED'AR �,
BY BOston:;800 SEARS-31. .
SOLD,
Hartford Area.800 SEARS-99
RII Ray Alumilinum Siding C®rp■ providence Area:888-SEARS-51
®f Queens, Inc.
HO(17et°I VICES New Hampshire:800-829-2375
A SEARS:AUTHORIZED`CONTRACTOR
JOB# 113 Cedar Street, Unit S3 • Milford, MA 01757 F.I.D. No. ti '2szoaas
MAINE LIC.NO.DW 893•NH LIC.NO.
•MASSACHUSETTS LIC,NO.120456•VERMONT LIC.N0. •RHODE ISLAND LIC.N0.13707
NEW YORK CITY DEPARTMENT OF CONSUMER AFFAIRS LIC.N0.0730686• NASSAU LIC.NO.H2704150000 r SUFFOLK LIC.NO.21194HI •YONKERS 1397 •PUTNAM PC934
WESTCHESTER WC0613-H87 LONG BEACH GC2001 • NEW JERSEY LIC. NO. 9949269 • CONNECTICUT DEPARTMENT OF CONSUMER AFFAIRS LIC. NO. DD532774
SIPING CONTRACT
TOLD DATE_ d �}
f �}oh �ia t� _ '�'J�d�'I✓;E ITY '�' STATE .ZIPJ %a /`�
ADDRESS_,/rl�Ll--�- ,*
PHONE HOME l5 -�9 - ���� -- - ��i--•-)!�1 < - �®� EMAIL
15/
JOB SITE ADDRESS (IF DIFFERENT) �` C ??sS ✓4-�'d'- '� �`���`-�l
APPLIED VINVL &ALUMINUM SIDING
General Description of Work at Above Address: L /�� / �' /} Type of House: ,FRAME ❑(RE�MASONRY.��
Date which work is scheduled to begin: Date.which work is scheduled to be.substantially completed:
r t ' Sears approved materials will be furnished and installed to these specifications.
PLEASE READ CAREFULLY:ONLY ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER.
YES NO YES NO
1.J, p SOLID VINYL SIDING-cover I al eas desfgnated for siding 16.U GUTTERS/LEADERS-remove existing and replace with new custom
excepti o;e areas de ' seamless gutters and leaders. ❑White Cl Brown
Size Color ern 4 Package�� 17.❑ Wf SHUTTERS-provide&install pair approved polystyrene
Custom comer posts oor �' /"shutters. Color
1 A� ❑SIDING will be applied tothe following areas only: 18.46 ❑MASTER MOUNTS rovide&install for exterior light fixtures only.
❑ Front Elevation ❑ RearElevation ❑ Other 18A. Lights# 18B.) .ater/ElectQutlet#_�-
Left Elevation ]l$ fight Elevation q Other, 18C.3 Dryer Vent,# Color
Partial Details: r ❑GABLE VEN S-prpvl d install nerds:
AL
❑ Entire Details: Color _ No circul r ortriangle vents.
2.1&0 INSULATION-cove o y fl Pwall areas designated for siding with 20, CLEAN UP-property at completion of work.
Inch insulation. 21 INSURANCE-All workman's compensation and liability to be maintained
3. ,❑Use approved GAL NIZED STEEL STARTER STRIP where contractor 22• ❑WARRANTY-Mailto customer after completion&lull payment is received.
deems necessary. (Not available with Nailite.) 23. ❑PAYMENTS-on NON FINANCED orders Installer is authonzedto collect
progressive payments.
4. ❑ $itlingto be applied over existing foundation. . 24,E DDITIONALWORK-not s ecified above_
5.A LJ Use approved PERMA TABS AND FINISH STRIP where contractor deems a ' � �:� 4f.�
S.
necessary in same color as siding.(Not available with Nailite.)
6. ❑WINDOW OPENINGS: : 12.7 -5 s 4AZ _9d
O Custom wrap with approvedvinyl clad aluminum``
n # Color 25,�,'1Work Not to Be Done
"`rrr 111 ❑ Jump over casings with siding and U'channel
Clv # Color.., ,�T�s'. 2 ' [" B1°G/` stJ. L..J 0Y Le
( Channel ezi inflow only(eg.Anderse ty a rpdevio. .ly
wrapped) # Color ->�
Other details 26.JA Q Repair or Replace the followinq woods 1
7.A ❑CAULK-all sills with rubberized color coordinated caulking: n. J 1/lilac ��'p!�
8. ❑ �DOORS-custom wrap with approved VINYL CLAD ALUMINUM.
#of Doors .Color
9. ® 6LGARAGE DOOR FRAMES custom wr with approved VINYL CLADHiz
ap
ALUMINUM. Colon TOtaU�JaI,g
10. F❑ASCIA7Custo w Single Q oale with wdhapploved ❑ DOUbleNOMUII Deposit INDICATE FORM OFPAYMENT��o $
❑VINYL CLAD ALUMINUM. PP ;:, Color P . .. .
11.®A-SOFFIT(eaves/overhangs)cover with approved SOLID VINYL SOFFIT Payment on:
SYSTEM.Except area noted below.1/3 Vented.Color Measure or Start
12. ,❑ROTTEN WOOD-Will only be repaired or replaced where specified on Balance Due on
line item#26 listed below.Any additional areas heeding'a repair Substantial Completion 3 �e .$
will be estimated upon their discovery and priced accordingly.
(Does not include'wood studs,or exterior sheathing.) Total Amount of
13.I] .Remove existing material exterior of house,-'❑Other Balance t0 be Financed -
❑Vinyl ❑Aluminum ❑WoodShingle� ❑Wood Siding If.'financed, balance payabl' i monthly Installments of
14.❑ )d PORCH CEILINGS-coverwith approved SOLID VINYL CEILING MATERIAL approximately $. mo h, pay le by 'Owner to contractor,
in the following areas: but.if financed by Owner then Owner will ay said amount to the lending plus such
interest and credit service char of said. lending institution payable_
directly to the lendin institution loaning such monies
All Q ssounls
15.® BEAMS/COLUMNS wrapwith rovedVINYLCLADALUMINUM. to 'Owner' and will execute a Retail Installment aeengpplleQ
aPP obligation and any documents required by such ('''� oarer�ed Payment
(No circular or round columns) Color lending institution in connection with said loan. ICI mrenast wiliAccrue
Notice:If financed,any holder of this Consumer Credit Contract is subject to all SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR.MAKE ANY
claims and defenses which the debtor could assert against the seller of goads or REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND
services obtained pursuant hereto or with the proceeds hereof. Recovery by the "OWNER"REPRESENTS THAT NONE HAVE BEEN MADE TO OR RELIED UPON
debtor shall not exceed amounts paid by debtor hereunder. BY"OWNER".YOU ARE ENTITLED TO A COMPLETELY FILLED IN DUPLICATE
"OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE ORIGINAL OF ORIGINAL OF THIS AGREEMENT.
THIS AGREEMENT AND TO BE THE AUTHORIZED AGENT OF ALL"OWNERS" OF THIS
PROPERTY UPON WHICH THE WORK OR THE MATERIALS ARE TO BE SUPPLIED. "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR
NOTICE TO THE HOME OWNER(S),GUARANTOR(S),LESSEE(S),CO-SIGNER(S)." TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS
Contractor,at the expense of owner,shall procure all permits required by law. TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
1.Do not sign this agreement before you read it or if it contains any EXPLANATION OF THIS RIGHT. ON ALL ORDERS CANCELED AFTER THE
blank spaces or if it does not contain everything agreed.upon. RECESSION PERIOD, CUSTOMERS WILL BE RESPONSIBLE FOR A 45%
2.Any person who shall have co-signed,guaranteed or signed any credit application ADMINISTRATIVE AND RESTOCKING FEE."
--or note relating to this agreementhereby accepts tobe bound by this agreement SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS. BY
3.Owner(s)represents that the contents on the back of this agreement is a SIGNATURE BELOW, CUSTOMER AGREES TO THE TERMS OUTLINED ON THE
true part hereof and has been read and accepted by Owner. REVERSE OF THIS CONTRACT
4.ALL INSTALLATION LABOR GUARANTEED 1(ONE)YEAR.
DATE': Contract' r Accepted
Print
/�/ /1 /�'Salesman's Name g ignatu e
(Customer Sign Here)
Saleman's:
lice Ftse No Signature
(Customer §ign Here)'
02M el ray Grow,AN wyres ervea 0904
I
Board of BuildmgIiegulAtians and'Sy License or registration rand for indhadul use oniy
HDME I.IVL2ROVEMENT CONTRAQTDR before the ex ira ion.date, If found return to:
m` . Board'nfBu idingRe
'tons and Standards
&eg st i�[t: 12DA56 One.Ash'burtox Flaee Bm 13fl1
`•f (a lement Gard
.
- Yu
0
Paul DAcDanWa t"
ELIO[1T,tyG?(.1 f.QEl3,.; `pdminist{atorJ�ai _rthdu+. �nature.
4
•
,
.... y• v. yr rig+.. .a' .-� t}J .� . -E{ t.., ]f .. r .. ._ . '
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;, � -�-. -�w•.•' may , �•`^ ,� _ ' .,___....,,III z c
yoF THE Tp�y TOWN OF BARN S T A L E
r
Blom STADLE, i
"6 9 BUILDING INSPECTOR
•FD MPY a'
" (y
APPLICATION FOR. PERMIT TO,_ .U;JO... ,,0........ 0�A e�.... .cd!? �4! l ..........................................
O
TYPE OF CONSTRUCTION ....... L0. .. s ........................................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .1r .....�.�.... s�,: r: � .... .y9... ....... :2�.�*,, �R �IL� ..,.................,.::...........................................
ProposedUse ....1 �. . B...e!?.... ..!�1 �` . ............................................... ...............................e..........................
. .. . ....../Zoning District .... Fire District ct . ... �%�r'��................
Name of Owner ... . mes > - ..................Add ress�� �a� A�.... t *�a...............
Name of Builder � ? ,t.l...l�:: .,fY............
Address ..................... .....,.................................................
Name of Architect ....�.� (�.A.? .......
.....................................Address ..............................................
..................r/Q3 ...:
Number of Rooms
Exterior ............:..,....�r �;. *°.......'. ..... ...................Roofing ...!'T. ::+t!sl,.......................
Floors ............ .........Interior ... '.
Heating 'X— ......:................................ ..........Plumbing .... C. .................................................
Fireplace ....... �- .......................................:......:.............Approximate Cost ...�. .. .'..0�--t7 .............................
Difinitive Plan Approved by Planning Board --------------------------------19--------. 18.21
Diagram of Lot and Building with Dimensions Igo
Ir, -J Ul
- m 6 52,E
c3 m
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I hereby agree to conform to all the Rules and Regulation of fhe Town of Barnstable regarding the above
construction.
Name .........................� .
Normest Development Corp.
DIC 31 19lo
No .....DRZ Permit for ...... .......
single family dwelling.........................
l�C°
Location ........Lumbert Mill Roa d
...............................................
.........................Centerville
Owner ........N.o.rm®.st...Dev.e.lo merit...CoY P.. . ...... ... ...... . .... .....
Type of Construction .................frame,,,,,,,,,,,,,,
................................................................................
t
Plot ............................ Lot .......#.15..................
September 28 70
Permit Granted ........................................19
t
Date of Inspection ....................................19
t
Date Completed
` PERMIT REFUSED
....................................a........................... 19 (.
...............................................................................
...............................................................................
...............................................................................
...............................................................................
Approved ................................................. 19
...............................................................................
...............................................................................
Assessor's office(1st Floor): �p/G �!'j73 41
'Assessor's map and lot number SEPTIC Sy M E
STEAD
Board of Health(3rd floor): �' �-� / INSTALLED IN C
Sewage Permit number / '
TH
Engineering Department(3rd floor): r ENVIRONMENTALsaa9rsntt J
House number
Definitive Plan Approved by Planning Board 19 v d
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN � OF BARNSTABLE .
BUILDING INSPECTOR.
APPLICATION FOR PERMIT TO 13 U! 0; lv/W4 !A/i fO O
TYPE OF CONSTRUCTION �gl CV c�l� 9� L/,e 4,
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 196 kv•-rbt-11t t4'114L5
Proposed Use `u� Poo
Zoning District ' I C Fire District �°�w7`'—n2, —AN,
N,
Name of Owner f AUf! IMA4A'0 Address /&( uL-" br✓- L441��/S Rd
Name of Builder A►x e4 o v Pa U L S Address /y 3 vpjQs°v JOiyw/�- Dfd eWA1KQdy
Name of Architect N/4 Address
Number of Rooms Foundation L:aRl�Y�/C
Exterior �Ox����fC Roofing
Floors Interior L� L
Heating Plumbing
Fireplace Approximate Cost w�T
' 32 Area
,ems
Diagram of Lot and Building with Dimensions �' Fee
4�
1.j I 6e�)�4c�C
� I 1
� i 8
io'
/ 29 �
22'
M
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
v
MAGNO, PAUL
M
No 34173 Permit For Build Swimming Pool
Accessory to Dwelling
A 1
Location -186 Lumbert Mills Road T
Centerville
' Owner Paul Magno =-
Type-6f Construction Frame
-
r Plot ' - ` tot
ir
Permit Granted February 1;5 , 19 91
Date.of Inspection ;19 r f
Date Completed , - 1119
MW
QT _ s •
,. a�..cr ro C" is
ti vd v
�.W IS Oct `
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Assessor's office(1'st Floor): D Q �3 4//
Assessor's map and lot number / of THE To
Board of Health(3rd;floor):
Sewage Permit number q1
Engineering Department(3rd floor):
House number °o 109•
Definitive Plan.Approved by Planning Board
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1 i00-2;00 P.M.only
: TOWN OF BAR INSTABLE
PIZ
BUILDING LN°SPECTOR w
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
19 /
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies.for a permit according to the following information: a
Location I�� u m b rvf il"I L/5
Proposed Use to 11M/ oa
Zoning District ' ' L' f fire District c"7xj// ,-027,--['1 N `
Name of Owner AU IA4 AgNO ,e,/' ddress /66 L u tw 11-yi
a o L" Address /y 3 vpd�✓ /vovz� ;f z .
Name of Builder wCh s!/ 0 �wuiSDev r
Name of Architect N A .p. `` ` ►ddress °
C'
ire„u..a .,.
Number of Rooms Foundation o iJ,
Exterior Roo Roofing'
,Floors_ Interior4L r
Heating Plumbing
Fireplace Approximate Cost
32 Area
-.Diagram of Lot and Building with Dimensions 1 Fee
/t
OCCUPANCY PERMITS IREOUIRED 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
-r
MANGO, PAUL `
A=168--073
No 34173 Permit For Build .Swimming Pool
Accessory to Dwelling
Location 186 Lumbert Mills Road
Centerville
Owner Paul Mango -
Type of Construction Frame
Plot Lot
Permit Granted February 15 , 19 91
Date of Inspection 19
Date Completed 19
r
PERMIT COMPLETED 1/1A A-
y