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HomeMy WebLinkAbout0031 MERIDETH WAY I-S A�iA�( � r 0 x zd Town of Barnstablism e 200 Main Street Hyannis MA 02601 508-862-4038 k Application for Building Permit Application No: TB-17-887 Date Recieved: 3/30/2017 Job Location: 31 MERIDETH WAY,CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776 Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: AZIZ,FREDERICK J JR& MARY A Phone: (508)280-6745 (Home)Owner's Address: 31 MERIDETH WAY, CENTERVILLE,MA 0.2632 Work Description: Add R-37 cellulose to the attic.Air seal the attic plane with expanding foam. it Total Value Of Work To Be Performed: $3,700.00 w J r— rn Structure Size: 0.00 0.00 0.00 Width Depth , Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief All permits approved are subject to inspections performed by h-representative of this office,. Requests for inspections must be made at least 24 hours in advance. Signed: William McCluskey 3/30/2017 (508)398-0398 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $3,700.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 3/30/2017 $85.00 XXXX-XXXX-XXXX- Credit Card 0299 ..... .......... ...................................... Total Permit Fee Paid: $85.00 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 5/15/17 Thomas Perry CBO f Town of Barnstable Building Division 200 Main St. BUILDING DEFT Hyannis,MA 02601 MAY 2 6 2011' RE: Insulation,Permit 17-887� TOWN OF BANSTA► b Dear Mr. Perry This affidavit is to certify that all work completed for 31 Meredith Way, Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCloskey r Town of Barnstable Regulatory Services Richard V. Scah,Interim Director sBARMABM : Building Division s6 q. ��' Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date:_ '/5/'3 Name: i9 Z Z a 'o• Phone#;/firL�t" Address: /�`�f'/lid%? �• /ill/� Village: r'o Name of Business:I7 -7 : 2_ Ca r.�e•.. �-�, "r!/� �- / 'fo ���7� -a /✓,s atyr/ J Type of Business: i lJy Map/Lot. ��- INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the � premises which would suggest anything other than a residential use;no increase in tragic above normal residential volumes; d� and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of i (\ normal household quantities. \� • Any need for parking generated by such use shall be met on the same lot containing the Customary Home , � Occupation,and not within the required front yard. • There.is no exterior storage or display of materials or equipment. �j • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. "Y • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersign ,have read and agree with the above restrictions for my home occupation I am registering. Applicant: c Date: 1A11 3 Homeoc.doc ev.103113 5 - YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures`on this form at 200 Main St., Hyannis. . Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. O ttn3 -.,'t614 t'L {^J :' .. DATE: / `' Fill in please: '' y APPLICANT'S YOUR NAME/S.� 7C��_ I� u zi Z BUSINESS YOUR HOME ADDRESS: 3/ 1-tFt4,, , 4e-j lU / TELEPHONE # Home Telephone Number 1• •ur r �/ 4• " / �. r,Z�C• NAME OF CORPORATION: � � z .'.?� ' NAME OF:NEW BUSINESS TYPE OF BUSINESS: IS THIS,A HOME OCCUPATIONS YES NO ADDRESS OF BUSINESS" ': ` p� Ct %Lf7G'r// AP/PARCEL NUMBER' -{ V . . . 5.;5 (Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the'appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIO ER'S OFF(CE This individual h s n irifar �fi f a pe mit requirements that pertain to this type of business. GUST COMPLY WITH HOME OCCUPATION Au,horiz� Si na e** RULES AND REGULATIONS FAILURE TO ENT : ('n f -------- r okApL Y MAY RESULT IN FINES -S 2. BOARD OF HEALTH This individual has een mf, rm d of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. CONSUMER AFFAIRS(LIC NSIN UT ORITY) This individual has beer(infor a of h licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: -- &.2)TM • #J_ 'Town of Barnstable *Permit#� 00 Expires 6 months from issue date Regulatory Services Fee FEB ® 1 2007 Thomas F.Geiler,Director ' � Building Division TOWN OF ggRNSTP`B�iomPerry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint [ap/parcel Number, � � p roperty Address C ftav 27`"`��- C ]Residential Value of Work I ::�G�u� inimum fee of$25.00 for work under$6000.00 iwner's Name&Address 77e"OL A-Z'Z_ :ontractor's Name l W 1 t.L- -+'y'1-S Telephone Number '7�j�—iSC3�S [ome Improvement Contractor License#(if applicable) l b�pZ oZ 1=:cense­*`�'iftppiieab4e) ]Wokkman's Compensation Insurance Check one: - s:E�am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance ssurance Company'Name Vorkman's Comp.Policy# :opy of Insurance Compliance Certificate must be on file. 'ermit Request(check box) Hof(stripping old shingles) All construction debris will be taken to t;yr, 4 �. ❑Re-roof(not stripping. Going over existing.layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc, ***Note: Property Owner must sign Property.Owner Letter of Permission, A copy of the Home Improvement Contractors License is required. ',IGNATURE: k gFor=:expmtrg .eYise061306 The Commonwealth of Massachusetts ndu 'f o De artment I p strral Accidents rz Office oflnvestigations • 600 Washington Street . Boston,MA 02111' www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Elect inns/Plumbers- Applicant Information Please Print Legibly Name(Business/Organization/lndividual):-.7z>o vim, L A_)'ri- S • •Address: �,� tc��o�. ' � p . City/State/Zip: eev, Tru,2-��(�� .lint--Phone.#: °� ��_"�S�L� Are you an employer?Check the appropriate box: :Type of project(required):, 1,❑ I am a employer with 4. ❑ I am a general contractor and I ' e�a;m:aa lees(full and/or part-time).* . have hired the sub-contractors 6, ❑New construction . Ild proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling have no employees These sub-contractors have g ❑Demolition ayorking for me in any capacity, employees and have workers' [No workers' comp,insurance comp.insurance t' 9. ❑Bu>7ding addition . required.] 5; ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing i2-work officers have exercised their 11.[1 Plumbing repairs or additions myself.[No workers' comp, right of exemption per MGL 12,❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp,insurance required.] *Any applicant that checks box#1 must also fill Out the section below showing their workers'compensation policy information. f Homeowners•who submit this affidavit indicating they are doing all work and then hire outside contractors mu§t submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the pub-contractors and state whether ornot those entities have. employees, If the sub-contractors have employees,they must providt then•workers'comp,polio number. I am an employer.that isprovidiq workers compensation insurance for my employees. Below is.thepolicy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic,#: / Expiration Date: - Job Site Address: City/State/Zip: e2 Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration 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 tip 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. Be advised that a copy of this statement maybe forwarded to the-Office of Investigations of the DU for insurance coverage verification I do hereby certify� under the pains•and penalties ofperjury that the information provided above is true and correct, Sipiature: ` ' �� Date: O Phone#: 1`��'—fj c!U Official use only. Do not write in this area,to be completed by,gty.or town official City or Town: ' Permit/License# Issuing Authority(circle one): t t 1.Board of Health.2,Building Department 3, City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other t Contact Person: Phone#: JLR1UF1HUL1UJ1 UJJU 1111al UCUU113 . . Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for then employees. Pursuant to this statute, an employee is defined as".:.every rson in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership,ass ciation, corporation or other legal entity,or any two or more of the foregoing engaged in joint enterprise, and inclu ' g the legal representatives of a deceased employer, or the receiver or trustee of an in ' 'dual,partnership,as n or other legal entity,employing employees. However the owner of a dwelling house�ha g not more than three a ents and who resides therein,or the occupant of the dwelling house of another o toys persons to do tenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall of because of such employment be deemed to be an employer." MOIL chapter 152, §25C(6)also states that"every stat or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business r to construct buildings in the commonwealth for any applicant who has not produced,acceptable evident of compliance with the insurance coverage required." AdditionaIly,MGL ehapter:.152,§25C(7)states"Nej r the commonwealth nor any of its political subdivisions shall evidence of tom l%atrce thtlie insurance- act o the erformance ofv blic. until acre table p ws i enter into any contract for. p P . . . requirements of this chapter have been presentd to contracting authority. Applicants , Please fill out the workers' compensation affidavit pletely,by checking the boxes tliat apply to your situation and,if necessary,supply sub-contiactor(s)name(s),addres s)and phone number(s)along with their certificate(s) tof h insurance. Limited Liability'Companies(LLC)or L' 'ted Liability Partnerships(LLP)with no'employees other than the members or partners, are not required to carry worke compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this davit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. s be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application f theemmit.or license is being requested,not the Department of Industrial Accidents. Should you have any questio reg ding the law.or if you are required to obtain a workers,' compensation policy,please call the Department at e n ber listed below. Self-insured companies should enter their . self-insurance license number on the appropriate' ' e. City or Town Officials Please be sure that the affidavit is complete-and p ' ted Iegib . The Department has provided a space at the bottom of the affidavit for you to fill out in the event the ffice of Inv tigatious has to contact you regarding the applicant. Please be sure to fill in the permit/license numb which will be ed as a reference number. In addition,an applicant that must submit multiple permit/license app i .. ions in any give ear,need only submit one affidavit indicating current policy information(if necessary)and antler"J Site Address"the pplicant should write"all locations in (city or town)."A copy of the affidavit that has been o ciall, stamped or ed by the city or town may be provided to the applicant as proof that a valid affidavit is on a for future permits or 'tenses. Anew affidavit must be filled out each year.Where a homeowner or citizen is ob g a license or permit n related fo any business or commercial venture (i.e.a dog license or permit to bum leaves•et .)said person is NOT re ed to complete this affidavit. The Office of Investigations would like to you in advance.for your c peration and should you have-ny questions, please'do not hesitate tc give us a call. The Department's address,telephone-and ax number:: ew�ax anww o Ma G t s . (,.at of ladustdal rtm Aeczts C��ce of lnveAt gauorks 604 W binpli St and B ay:IA 02111 . . TO #617-727 4 00 e xt 406 ar 1. "�-MAS.SAFE Fax#617-7274749 Revised 11-22;06 www.mi?mg6v/din Towm•of Barnstable Regulatory Services 4 O,� mwsrABLF,$ Thomas F. Geller,DirectorXASS . 9�p�ED► . � Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 509-796-6230 Property Owner Must Complete and Sign This Section If.Using A Builder 1'Y �rn(� as Owner of the subject property hereby authorize W•�—L°�'"� L �� to act on my behalf, in all matters relative to work authorized by this building p ermit application for: ile (Ad ss ofjob) ignatute of 0-VM Date Print Name Q:F0RMs:oWNERPERMISSI0N s Results rage t ui I, Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: * AND :_) OR Search Search Results Reg. No. Applicant Street City State Zip Name Title Expiration DOUGLAS L. WILLIAMS BOX Williams, 102227 CUSTOM 1069 CENTERVII.LE MA 02632 Douglas Owner 7/1/2008 0 BUILDING Total of 1 Records matched. Back to Home Page BBRS Privacy Statement .5 i .ny:` l/0�I7!IjLl192C1/CIGGC/Z (l f.;14GQ4:1lbfl2LCdCGIA BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 016981 3 Birthdate: 03/07/1947 a Expires: 03/07/2008 Tr. no: 16167 a . Restricted: 00 DOUGL'AS L WILLIAMS SR PO BOX 1069 G— CENTERVILLE, MA 02632 Commissioner http-//db.state.ma.us/bbrs/hic.pl 1/28/2007 i Town of Barnstable Approved Regulatory Servicesor A BR TABLE f'A6LE Fee =70 Thomas F.Geiler,Director Building Divi�� JAN 24 AM 1!: 14 Tom Perry,Building Commissioner 200 Main Street, HyannissZ4A-02601 C�1VISIOPJ Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: Name: /?C DF!21__C_-�_i/ /� Z Z Phone#: )i f `f2D Address: / "jEj�n2,,�y 1ZI Ate✓ _Village: L Name of Business: Z 1 le 4:4 HOP4 rl/2lof Type of Business: 1—*S Q gA%Wc Q Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess of normal household quantities. Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigne ,have read and agree with the above restrictions for my home occupation I am registering. Applicant: V..manr ljnC ` TOWN OF BARNSTABLE �.�` •e Permit No. _-------- --_- t Building Inspector Arua Cash -------------- OO OCCUPANCY PERMIT Bond ----—_-------� l_J "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Box 306. t.,entt-rville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. .....................................................1 19......_ ............................................................ .. ._ _ ............... ....._._ Building 1r.;pector - s►��E �LW\IL_`•( - 3 �»er�otic ME,�iD�. �,�•� �,,/�1 Y t>dt L_4 FL.ow = t 10 34D G.P.V w A T e tr, -5 = 33o-e 150 % • 49 y7m O S �'O�SAL T - t,SE (ono `--'Me"/ALL AZE•A . I',,,o S..P. 5 l�•o SF BuT MM ACEA= 950 yr- TOTAL -r�>ESI6Q r- d25 G•RD. , i Toro t_ d 1 t_�t FL aw = 33D 6.1?D• is_ • .'otrr✓diy C>4 TioN Gv-fZCDL TIOLJ V.&TE ( i&j Zmtw O21B6S. NJ • _ Q` U.t'u�ar ��EXPO Q� N� ref - A"�0�=!�,� •. -f � Q•f fart^ � l ?F + rt �r 1 a."ST a/Z7/71. ' .• r�'' TOE 1-NV 100.0 WoLf- RL .-•r 10,4Al �•P e tNv- 9�.00 SdBSD�, 4'pP� IW GAI, 9L.7o :� > 2" 'Box 9c.go Sepnc 10 uV Te>s•t K loop 116 8 tw �►+v 91 GAL. U-0 LAN A PIT i3 WAS,•IED i . ;sroNrc g 9• j LOCAT10" �3CAl_CIIN= 40FT, AT� S`f <a��I ., NU I!clArs�Z s � CCIZTt 1=�{ 7F-lAT TNs= Fou N,��T.if1R45uo�vU %4z.1,Gat-1 GoovlpL_vG W ITk L TNT:: �jIDE.LIN� OT 70 � . . A1.ID 7ETL',AC1� 1~'GQt,1�E�G�.tTy of T►�G. , *To W U Or ��in,T/� i�t..•- C TZ O S 17ATC ?'Z(o l�� t - � ti '' Ive. �. �- .�.�. a a XTc V- RCGIS IL �D 1-A►•1G 5uZvaYotzS 1 05'TEV-VVL- r-- o. . �rCASy. tttl�!`J:nc_tJT �,v►,��t_K ,�T+{L: c�F�-i; Fri 51�cwlx� APr.,l71 t�1T Lour L_Iwe Ei y , _ Assessor's map and lot n'umb OF E TO Sewage Permit number ... ..D` ...... .,'� ..................:...... ` SEPTI TEM MU P�� �♦�. INSTALLED IN COMP g� . ( I.'..� S TADLE, i House number .... ::....................... ..:..................... 90o 63 L WITH TITLE 5 ENVIRONMENTAL CODE 9 % TOWN. O1 BA.,rTt1 \ Srf.X%L LAT10NS e BULDIN-0- - 1 SPECTO.R APPLICATION FOR PERMIT TO ......sing.16-f:dlC ily..dw.ell.ing...........................:................................. wood frame TYPEOF CONSTRUCTION ...........................................................................................................................:......:.. ' ..March..26.... ....................1�.�..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Lot 10 Merideth Way, Centerville Location ..........................................:............................................................................................................................................ Proposed Use .single...family...residental.......................................................................... .. ...... ..... s .f .r . Centerville-Osterville ZoningDistrict .........................................................................Fire District ...........:......:........................................................... David Realty Trust P.O.Box 308 Centerville Nameof Owner ......................................................................Address .................................................................................... Name of Builder David Realty Trust P. O. Box 308 , Centerville ................................................Address .................................................................................... Nameof Architect ..................................................................Address ...................:...................:............................................ Number of Rooms ...............seven......................................Foundation ...P.Quxed...conanete.. ................................. g ...Roofing ..........asphal.t...shingl.es... ............. Exterior ......................ce�dar...sh.in 1es...................... ................. . .Floors ...........�...........c.ar.saetin�g..:...................................Interior dr.y�rall.............Heating f .h.w by oil ........................Plumbing ..... PVC ..................................................................... { brick and block $45,000 Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area 1.62.4...s....f:.,................. Diagram of Lot and Building with Dimensions Fee b`` ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ��� ; f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameQCam. . ................................ David Realty Trust r a 22965 • No ................ Pemyft r ig...:.....one..s tort' Single family-dwellipff { Location 3.1..Merideth. ......Way.................... .. .. ... ... .... :.............. Centerville........................... David Realt . Trust Owner ...:................................Y........................... i Type:of Construction frwmn.......... .... ....... .... .... .... ........ Plot ............................. Lot ............Ro............. 1 Permit Granted .......................3.....0 ...aC1 ........19 81 Date of Inspection .............................r.... * 19 Date Completed ,lam` .19 �2z/ed PERMIT REFUSED m .... . .... ................ ....... ... 19 F°{ y ... .�.0.-r............................................... !^ ................................................ ....................................... ... �, s j Apprc ed�' A ............... ....................................................... - .• R•c-..