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0030 MONOMOY CIRCLE
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I ,." , f 1 w I 1"M -11 � I, i , 1, 1" 1111121 � ___ �'t,��e, "' ,11��,, , Town of Barnstable *Permit#CX1Q Expires 6 months from issue date Regulatory Services Fee P ' h Thomas F.Geiler,Director APR 0 9 2007 Building Division Tom Perry,CBO, Building Commissioner -1-®WN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.toAn.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 � Property Address 0'Residential Value of Work ;j ` Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name ��>�i�,La r,� Telephone Number ` dd� c-n 0 i:�-�- Home Improvement Contractor License#(if applicable) % 3 Construction Supervisor's License#(if applicable) --�;-r-- ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Q�I have Worker's Compensation Insurance Insurance Company Name i /w (,A Workman's Comp.Policy# L-V C' U P 11 30 /20 61 C,. Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ 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. SI6NATURE: 2� Q:Forms:expmtrg Revise061306 A(vORD CERTIFICATE OF LIABILITY INSURANCE I DAT07252006 Y' TM. PRODUCER Phone: (508)987-0333 Fax: 508-987-0063 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OXFORD INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 BOX 370 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR OXFORD MA 01540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: A I M Mutual Insurance Company LIBERO MOLINARI INSURER B: DBA MOLINARI HOME IMPROVEMENT INSURER C: 11 SHEEP PASTURE WAY EAST SANDWICH MA 02537 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MMIDDIYY DATE MMIDD/YY GENERAL LIABILITY NONE EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAIMS MADE OCCUR MED.EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG.JECT $ POLICY PRO.PRO- LOC AUTOMOBILE LIABILITY NONE COMBINED SINGLE LIMIT -. ANY AUTO.:::. (Ea accident)_ dent)ALL OWNED AUTOS � � BODILY INJURY FK (Per person) $ SCHEDULED AUTOS Q x HIRED AUTOS `. 'v BODILY INJURY I.-,,,VNGD AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY NONE AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY NONE EACH OCCURRENCE 1$ JOCCUR ^ AMIS MADE AGGREGATE IS DEDUCTIBLE $ RETENTION$ Is WC WORKERS COMPENSATION AND AWC7008113012006 05/21/06 05/21/07 TORYTLIMTS OTHER EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1 QQ�QQQ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below +. E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT%SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION COMMUNICATIONS LINK SERVICE CORP. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE 15 TECH CIRCLE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE NATICK,MA 01760 TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S AGENTS OR REPRESENTATIVES. FAX: 1-508-650-5124 AUTHORIZED REPRESENTATIVE � ��Attention: Joseph E.Anastasl ACORD 25(2001/08) Certificate# 36643 ©ACORD CORPORATION 1988 M1 \ Board of Budding Regulations and Standards License orregistr iUon valid for mdw`r,duLuse on HOME IMPROVEMENT CONTRACTOR i before the exriration date If found return t s. I3bard of Building Regulations and$ `nd, ds ' Registration-. 102322 �" )nc Ashburton Place Rm 1.301. Expiration -71/1/2008 - !!• Bostor:.M a.62108 . 11� T/pe- BA MbLINARI ROO 113 #x� Libero Molinari "` " `~ a'•... of valid without signature 11 SHEEP PAST EAST SANDU�'ICH,MA 02537 Deputy t�ilninislr itol ' i ,n Page No. _1 of _ -1 Pages MOLINARI HOME IMPROVEMENTS PROP®SAL 11 SHEEP PASTURE WAY EAST SANDWICH,MA 02537 PH/FAX 508-888-3750 508-771-5266 PHONE DATE TO i • JOB NAME/LOCATION CltTrR;?TI 1 C tvlrl 11114�• x w.hMr t JOB NUMBER JOB PHONE . _ c We hereby submit specifications and.estimates for. -,. ":r_ C?G•l l,Fs,f xt � f.�"}f.�r�'�,�W r t�.b"':4 C`G:-x.viAi.. �:i�'E';'!�r's' ,:�..-`-,... - �3t - -- _.,...•t_,_.;—,-,,,� •fy — ,..kl l...:l a... .J.1 ..< r :,.. .:. -n - - - - . kf I c.-T 0'rci ng t_. 'Y^'T'TNh".: i-in r'. Q.L. T Mf:I w TY i y..,frW T'r'1: r`r'r1P,;,7 Ial(`lr"n w W T hi:"'-! "r->-ini lfll lf':b-t i'I f' .h.i ! !ra t"iw r`„ I 1G"rwLJ'7 _ �. 1 ft 1. .f T-\I^I Iw'' r� lAi-11:)I(h C*tIC.', r•r"sVi0,C,'M<: 1'T'Tr1til hftt'1 i T!'•.:rTl T.'I'V 7r.{r.:I Iti::1+1iir`r We Pro, hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: (rI:!G Tisr1t !C"'i1h1t'`...,f "-r1Jw .W(1i.!r`,0„i'; •_,.,.,r ; .,.. dollars($ :.. Payment to be made as follows: - - 1flw J/k! ! f"t1 Ca,. r'r!�'1'i", I !t Cl!! f f fn�1":'tfe C'f4irMT r), Ci.11 ^.Yrft 1: -(pif'1D 1"L1C t:a(,I "iti ^r: rr"1 ,7X" ,..- r or rl.. r r •.t i..•r.. r n.}.., ,,: ...,, ,.- .....,, .,...r, ,...e ,r...r•, r?11 1'f"i I I n r-1 rd r^(1;JI L>1 i 'r T i'-I M / All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving extra.costs will.be executed only upon written orders,and will become an extra charge,over Authorized and above the estimate..All agreements contingent upon strikes,`accid'ents ordelays beyond"-r - "` Signature our control.Property owner to carry fire,tornado and other necessary insurance.Our workers . are fully covered by Workmen's Compensation Insurance. Note:This proposal may be t I & * withdrawn by us if not accepted within days. Acceptance of Proposal -The above prices,specifications and.conditions are satisfactory and are hereby accepted You are authorized / Signatur ��/� i to do the work as specified.Payment will be made as outlined above. �.� . Signature 1 F Date of Acceptance: r r .3 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. 600 Washington Street �< Boston,MA 02111 www.mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual); Address: S�?n Okz V /V)4 Phone.#: %� ' 3 C o e'7 41 S City/State/Zip: �� ;�� Are you an employer?Check the appropriate bog: Type of project(required):• 1.Oi am a employer with 4. 0 I am a general contractor and I *. have hired the sub-contractors 6. ❑New construction.. employees (full and/or part-time). Remodeling 2.❑ I am a'sole proprietor or partner- listed on the-attached`sheet. g ship and have no employees These sub-contractors have 8. []Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp,insurance comp.insurance. , 5.. We are a corporation and its required.] 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ILL]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.0 Other employees. [No.workers comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside.contractors must submit a new affidavit indicating such. tContractors 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 and job site information. Insurance Company Name: A / Policy#or Self-ins.Lic.A A 2 0c? t 3 G la voC Expiration Date: le 7 Job Site Address: y City/State/Zip: 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 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. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the DIA for insurance coverage verification. I do hereby certify under the pains-and penalties of perjury that the information provided above is true and correct. �� Date: iK/ c 7 • Siena e_/�k'•� `zt� r' %.,L' — . Phone#• G k -3C 9-Y 1; Official use only. Do not write in this area, to be completed by city or town official. e City or Town: Permit/License# i 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#: Information and: Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as"an individual, artnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterp ' e,and including the legal representatives of a deceased a Toyer,or the receiver oLtrust individual. artne ship,association or other legal entity,employing emplo ees. However the owner of a dwelling house having not mor than three apartments and who resides therein,or th eccupant of the dwelling house of another who employs pe ons to do maintenance,construction or repair wor on such dwelling house or on the grounds or building appurtenant th reto shall not because of such employment be erred to be an employer." MGL chapter 152, §25C(6)also states that"e ery state or local licensing agency shall thhold the issuance or renewal of a license or permit to'operate a b'siness or to construct buildings in the ommonwealth for any applicant who has not produced;acceptable a 'deuce of compliance with the ins nee coverage required." Additionally,MQL chapter 152, §25C(7)states' either the commonwealth nor any, fits political subdivisions shall enter into any contract for,the performance of pu 'c work until-acceptable evidenc of compliance with the insurance requirements of this chapter have been presented't the contracting authority." Applicants Please fill out the workers' compensation affidavit c letely,b/W-or ng a boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address( )and phoe� s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or L' ed Liabili ships(LLP)with no employees other than the members or partners,are not required to carry workers' ompensaance. If an LLC or LLP does have employees, a policy is required. Be advised that this affi vit mamitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also a sure nd date the affidavit. The affidavit should be returned to the city or town that the application for the p rmit.oe is being requested,not the Department of Industrial Accidents.. Should you have any questions regar g th if you arerequired to obtain a workers' compensation policy,please call the Department at the numb lisw. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibl a Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of In estig ,`ons has to contact you regarding.the applicant. '-,,Please be sure to fill in the permit/license number which a use s a reference number. In addition,an applicant that must submit multiple permit/license applications in, given yea need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Ad ss"the app � ant should write"all-locations in (city or �tewn)."A copy of the affidavit that has been officially st ped or marke, by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fu a permits or lice ,es, A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a lice se or permit not re' ted fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said p son is NOT required complete this affidavit, Office of Investigations would like to thank you advance for our coo 'on and should you have an uestions - The OffiY Y P Y Y q �� please do not hesitate to give us a call. The Department's address,telephone-and fax num r: The,Ca auwealth of l�lassaehusets Dep. �mt of Indu trial Aeoidemts cc of In-Vestigatiens 00 Washington Street Sastm,IOTA 0.2111 Tel. ##617-7'2- - 900 ext 406 or 1-977-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia N Town of Barnstableti (1 RAPNNa -ABLE Regulatory Services M BAPMABM Thomas F.Geiler,Director O 6 R 6 3 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 D I V t j ON www.town.barnstable.ma.us Office: 508-862-4038 Fax 508-790-6230 PERNIIT# 91.Sa 3 FEE: $ SHED REGISTRATION 120 square feet or less .l •ram1-Joy" ram• w V/ Ile_ Location of shed(addressy Village Property owner's name Telephone number p� — Size of Shed Map&a"rcel# ly/, kAl. Ajdakure Dates Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) 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 REV:121901 Z L CAL 'N P PE RTY 1 N ES CCU RATE STANDARD LEGEND 1 (' NOTE:not all symbols will appear on a map 1 _ e r 9 9 <—"-_ GOLF COURSE FAIRWAY J j )'-, ! EDGE OF DECIDUOUS TREES 1 j i 4 EDGE OF BRUSH T ORCHARD OR NURSERY EDGE OF CONIFEROUS TREES MARSH AREA / -- - ----- EDGE OF WATER t 54 ,110/2 __-- DIRT ROAD i DRIVEWAY t Imo=PARKING LOT PAVED ROAD 1 j — — — DRAINAGE DITCH -———— PATH/TRAIL jjj PARCEL LINE M P I 0 MAP 326 MAP# \ / 021 PARCEL NUMBER `1 #367 HOUSE NUMBER 2 FOOT CONTOUR LINE ii� 10 FOOT CONTOUR LINE Elevation based on NGVD29 m 4.9 SPOT ELEVATION �• / c— x:� STONEWALL ------------ — t 1 . ell ( X_... X FENCE RETAINING WALL' '— ----I---?- RAIL ROAD TRACK 5 / \ o i _. STONE JETTY i f POOL'i SWIMMING POOL ---------- r - ( PORCH/DECK / \ t/ ❑ BUILDING/STRUCTURE DOCK/PIER HYDRANT 190 `; , e VALVE O MANHOLE {; 1j o" POST O" FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N I T a SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are onlygraphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James n TOWER w A��E 1"=100'smle map and may NOT meet of property boundaries.They are not hue locations,and MSewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE 0 15 30 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards -0- LIGHT POLE O ELECTRIC BOX s 1 INCH=30 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessors tax maps. -�; Regulatory Services Fee bass $ Thomas F.Geller,Director y U3 te5¢ fo�u►t. Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w Office: 508-862-4038 Fax: 508-790-6230 . EXPRESS PERMIT APPLICATI W RE S S P E MT I Not Valid without Red X-Press ImPriat APR 2 7 2001 Maprparcel Number TOWN OF BARNSTABLE Property Address �3c� �Lo +.� t� v ✓ Residential OR Q Commercial Value of work L3 Owner's Name&Address A . Telephone Number Contractor's Name "�A ' Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) z [1 Wori®an's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workatan's Comp-Policy# Permit Request(check box) Re-roof(stripping old shingles) ❑ Re-roof(not stripping. Going over_existing layer of roof) ❑ Re-side Replacement Windows. U-Value 6.5 (maximum•4 ) Other(specify) •Where required: Issuance of this permit does not exempt compliance with other town department reguiattotu.i.e.Historic.Consen noon.etc: Sienantre ezpmtrg .P. REMODELING Job Number. 002 19 GUILDFORD ROAD CENTERVILLE, MA 02632 08/420-2163 D HIGGINS O MONOMOY Cir entervitlle M.A. 2632 75080 Job Description: LABOR TO REPROVE FOUR WINDOWS a INSTALL FOUR ANDERSEN NARROLINE TRIM IN &OUT MATERIALS QUANTITY DESCRIPTION UNIT PRICE TOTAL 4.00 432 ANDERSEN NARROLINE 156.00 624.00 4.00 NDERSEN INSECT SCREENS 18.00:'i = 7200 -1.00 DISCOUNT ON WINDOWS 34.80 34.80 1 00 GEOCEL.INSULATE FOME 7,80 . 1.00 BUNDLE OF WHITE CEDER SHINGEL 26.23 26.23 2:00: C PINE-.'PRIME-1X4X12 _ 11.25 22 50 2.00 PC PINE PRIME 1X4X14 12.96 25.92 12 00;LF_;STOOL.CAP NORROLINE = 2 35 282Q 56.00 LF COLONIAL CASING CLEAR 0.71 39.76 7. 811.61 40.5805_ Materials total: 852.19 SERVICE OURS IDESCRIPTION AGE TOTAL 4.00 ILABOR TO INSTALL WINDOWS 125.00 500.00 _ .__ 77 Tax Rate 5% Service total. $500.00 Materials Total: $852.19 Sub-Total: $1,352.19 CHECK#114 Deposit: S694.26 Final Total. $657.93 Thank You! Please make all checks payable to Kenneth O. Perry. Assessor's map and lot number ........��d �.. .. � C`�a�- • Sewage Permit number ..!".`'o.!!2P!`'!:.. r../. �....::....... P I"E.r TOWN OF , BARNSTABLE Z BABBSTAILL 16 .•� UUILUNG INSPECTOR 'FD NPY a' APPLICATION FOR PERMIT TO ...)SO1.�.<�....th'/��J./..Tl.d�`...�.�....v. 12��. . ........................................................... r TYPE OF CONSTRUCTION ....�OU O �RFt �= ....................... 7... .......19. f� TO .THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�permit according ttoo the following information: Location S O O A10 /v",V !,ka. s � Proposed Use .............. s9 /........................................ Zoning District 1J Fire District ��wT �ST' ...... ................................ .............................................................................. avo Name of Owner .... -, .f .../'...... !. .��if!5................Address o...f.:l..d� � 0 ..... .......... `v ........ Nameof Builder ............. ......................................................e- Address ................:................................................................... Nameof Architect ..............C.(...............................................Address .................................................................................... Number of Rooms Foundation ° G, 11 ......................................� S ... P .. Exterior ..............:..!�" .. ...... .��`.1. . . ✓........................Roofing ............Olye / `................................................ re Floors ........................................................Interior .............................. .................................................................................... Heating ,,/... /... Plumbing �v®�� /Y„.. 1+�.............................................. ................. .... ....................................................... �/ Fireplace ................./Y„.. ....................................................Approximate Cost .....4�................................................... L Definitive Plan Approved by Planning Board ________________________________19--------. Area .j..1. .. .....................l . Diagram of Lot and Building with Dimensions Fee ...3...�. — ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH l�Rd N f nREJENf_ ��5� GA�r�6 9Ac R' 1 � 'PR o P.SE1 I I I Abbl7j � I I I hereby agree to conform to all the Rules and Regulations of the Tor of Barnstable regarding the above construction. Name . ........... .. . .............. Higgins, Edward F. 17713 add to ara e No Permit for g Location 30 Monomoy Circle Centerville ............................................................................... Owner E.dward. ...F... ... Higgins. . . ................... .. ' .. ........ . .. . . .... ..... . Type of Construction frame ................................ , V p ................................................................................ •F ' Plot ............................ Lot ................................ Permit Granted ...........MaY..28................19 75 { �ti t .t Date of Inspection ....................................19 ' -t 1.' Date Completed ....� .. .. S .....19 oti " 75 PERMIT REFUSED ............................................................... 19 ............................................................................... i ................................................................................ #a ............................................................................... r - ................................................... w 1 , Approved ............................................................................... ..................... ......................................................... - I