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HomeMy WebLinkAbout0042 MONOMOY CIRCLE Az 9 /??0110/1 (firc1c i n -- i ��� �' i� o i I I I I r TO�II Of B 7 �..�- Barnstable ' � Regulatory Service's Thomas F.Geller,Director r Building Division Tom Perry,Building Commissioner 200 Main Sty Hyannis,MA 02601 www.townbarnstablema.us . Office: 508-W-4038 Fam 508-790-6230 PERMIT#AD FEE: $ .. SHED REGISTRATION 200 square feet or less Lj�) MC)A( '-)Q y C f-CAit Cenb�-c�v L' I I Location of sued(add=) _ Village Sc"-w\,es -i- 1 . �'rch S U 6� 7 7� ' 3 31 y Property owner's name Telephone mmim a IC19 Size of Shed Map/Parcel# Daft Hyannis Main Street Water&nat Historic District? E C Old Ring's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway � Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITEOI 1 THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAH& TWS FORM MUST BE ACCOMPANIED BY A , PLOT ]PLAN Q-forms-shedreg - REV:05201 . P,I LE' # MIP 4772 CENSUS TRACT. rf 129 CLIENT : Du ning, Forman Kirrane & Terry DCED BOOK 4810 PAGE 238 .OWNER: M. Patricia Walsh & Mary F. Cullen PLAN. BOOK 27g PAGE 58LOT 4 APPLICANT: James H. Birch, III & Cheryl L. ASSESSORS PLAN PLOT Birch MORTGAGE INSPECTION PLAN OF LAND LOCATED AT 42 MONOMOY CIRCLE SCALE : 1 50' CENTERVILLE, MASSACHUSETTS OCTOBER 16, 1996 31 00 N I r- A►J D P,6/S t- 41 , 0�2 5,F LOT, 40t =►tISPECIIU N�F HIGG)1AS f STo2Y 08-00 M ON,OMOY CI PC-LE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o Parcel ` Application # [/ Health Division Date Issued Conservation Division Application Fee j9d Planning Dept. Permit Fee 13. Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 0 In 0 Village Owner. iyp �Y`(',� Address 4 b 42it Telephone 3 310 .Permit Request_A JUc-6- — /-}' S , e UyL , � fi Q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio0b 7 6"D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No ,,Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: lild-VT L Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# f � { a� Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License # /d ) Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4Ga,�&� SIGNATURE DATE ��� � F- FOR OFFICIAL USE ONLY APPLICATION# r e. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ( OWNER t i DATE OF INSPECTION: QWFOUNDATION VAi-1 4-+iA_l ro7Wi 7 FRAME ,iINSULATION A-P I% FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING . DATE CLOSED OUT ? ASSOCIATION PLAN NO. Y �e9ruer&a,� P ORNiNH mass save qa�F ei,.o�an++�v c,rciq,.cy PERMIT AUTHORIZATION FORM owner of the property located at: (Owner's Name, printed) (Property Street Ad ress) (CitylTown) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf a d_o tain a building permit to perform i ul tin and/or weatherization work on my property. Owner's: rna ure Date FOR CSG.OFFICE USE.ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services! Participating Contractor to the above referenced project: Participating Contractor Date Rev. 12132011 The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations F" 1 Congress Street, Suite 100 .:; Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ALTERNATIVE WEATHERIZATION,INC. Address:1440 STAFFORD RD City/State/Zip:FALL RIVER, MA 02721 Phone #:508-5674240 Are you an employer?Check the appropriate bog: Type of project(required): 1.2 I am a employer with 8 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. Buildingaddition [No workers' comp. insurance comp. insurance.z ❑ required.] 5• ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ 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 INSULATION employees. [No workers' 13.❑✓ Other comp. insurance required.] 'My 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. :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 and job site information. Insurance Company Name:ACE AMERICAN INSURANCE CO. Policy#or Self-ins.Lic.#:6S62U65B918901 Expiration Date. 4/5/15 w Job Site Address: cn anGl City/State/ZipCPsAA,/_III L�C_ Attach a copy of the workers'compen tion 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 Investigations of the DIA for insurance coverage verification. I do hereby c!rM unde *t ains a alti.- perjury that the in ormadon provided above is true and correct Si ature: Date Phone#:508-567-4240 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#: 77 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175683 Type: Corporation Expiration: 5/29/2015 Tr# 241009 ALTERNATIVE WEATHERIZATION, INC. TIMOTHY CABRAL 1440 STAFFORD RD. - FALL RIVER, MA 02721 _ Update Address and return card.Mark reason for change. scn 0 zonn osn, Address ; Renewal J Employment � Lost Card r'��r`�r.urrir�•nrrrrr�/�r��"l/rr��nr�ri.;r//; _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only � lOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r'. . Registration: 175683 Type: Office of Consumer Affairs and Business Regulation f Expiration: 5/29/2015 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 ALTERNATIVE WEATHERIZATION,INC. TIMOTHY CABRAL 1"0 STAFFORD RD. FALL RIVER,MA 02721 v ---—-- Undersecretary N� t vali itthout signature . f - : nctrttrtiun CS-105454 Ti1V OMY CABItAL =- ' 58 IDICIGRINSON ST Pail River MA 02-721 - 05/08/2016 aco CERTIFICATE OF LIABILITY INSURANCE DATE 04.04.ZQ,4 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(iss)must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: VIVEIROS INS AGENCY INC. PHONE FAX 375 AIRPORT RD A/C No Ext: ac N : FALL RIVER,MA 02720 E-MAIL INSURER(S)AFFORDING COVERAGE NAIC i! INSURER A:ACE AMERICAN INSURANCE COMPANY INSURED INSURER B: ALTERNATIVE WEATHERIZATION INC INSURER C: 1446 STAFFORD RD FALL RIVER,MA 02721 INSURER D: INSURER E: .INSURER F COVE RA CERTIFICATE N M THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUB POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMI00 MM/D LIMBS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISE occurrence) CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ POLICY PRO-JECTLOC -- $ UTOMOSILE LIABILITY a M81 ED SINGLE LIMIT $ • ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED 9aPE�RTY AMAGE $ UMBRELLA LWB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ IDED1 I RETENTION S $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY M OFFICER/MEMBER EXCLUDED? N 6S62UB 04-05-2014 04-05-2015 TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVyyyyyy NIA E.L.EACH ACCIDENT $500,000 (Mandatory in under If yes,describe under 5B918901 E.L.DISEASE-EA EMPLOYEE $500,000 DESCRIPTION OF PE TI S below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACsch ACORD 101,Additional Remarks Schedule,It more space is required) CERTIFICATE HOLDER CANCELLATION NATIONAL GRID SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 40 WASHINGTON ST CANCELLED BEFORE THE EXPIRATION DATE THEREOF, WESTBOROUGHNA 01581 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTA7;:5�JOIHN I J.LUPICA President 2010/05 ©1988-2010 ACORD CORPORATION.A rights reserve ACORD 25 . ( ) The ACORD name and logo are registered marks of ACORD L ITA ALTERNATIVE WEATHERIZATION Rate Town of Barnstable Building Division 200 Main St. Hvannis, MA 02601 Yle The insulation work at has been completed in accorib Z. . CMR.. � vas - othv Ca raCY President °. CSL105454 T NOC�MAIL:COM 58 DICKINSON STREET I .FALL RIVER,MA 02721 � (5Q8) 5b7-4240 I ALTEI2NA IVEWFATHER ZATIO Town of Barnstable Asti ¢ fHE T Regulatory�oF o,,ti Services ate: Thomas F.Geiler,Director B„R,UAB Building Division . 'r 1 `�$ Tom Perry, Building Commissioner �ArE�►��°' 200 Main Street, Hyannis,MA 02601 N r Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE .� -t r SOLID FUEL STOVE PERMIT 1 fi i Owner: Phone: J�I�LI 14 Village.Install at: 7 0? UVJO t D g r co Map/Parcel: Date: // J' +n Stove A. New/ se B. Type: . Radi /Circulating S ©U�•- C. Manufacturer: 7�uSS c7 Lab.No. D. Model No.: e vU Chimney ; A. New xistin (If existing,please noteldate of last cleaning) �/�o( S 7�� B. Flue Size i� �7 �+ tef,s �.a ` �" �1�� �7 � �d' w.4� C. Are other appliances attached to Flue? e� D. Pre-fab Type and M m r_+ E. Masonry: I ed/Unlined l�t�ew►r►=rZ C i���' ` `r� ; Hearth .. A. Materials: , B. Sub Floor Construction: C,`,w v"N Installer Name: 701Me_s- 6i- Address: Phone: Location of Installation: APPROVED B G Please make checks payable to the Town of Barnstable ='�Thisconstitutesanoff cial stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove { '� aim ti • • x ,. _ 1- ""` ;°+tug �.�. t `� AMP �� r {. �, �� � �'�A of � N_.� - ��Y{+��;4 '�"F ��° �� 3 YES � � r �. � a $.' '�F�.. �.�; �JA�Ai� i...� N i^ � R'R'�'-�:, _._._-- _._—. ..._. _. , .. ,' _ .. -.. _ c .:.• ,. .. .-. ...�:: �. :�.,s n. ... i. ,. : _ .,-... a ..: _ t ., { Assessors ma and number p d l ......... ......... r THE Tod 3 40 Q f 1�- Sewage Permit number Q R..�,r�..,1�e. .�� .1517XA&�- SEPTIC SYSTEM LE, i House number ........ ............................... SEPTIC CO 0� Y.I,H TITLE- 5 E YPY a' TOWN OF B;ARNSPAV NT (;0DEAN BUILDING- INSPECTOR APPLICATION FOR PERMIT TO ...... ..1 ...........6�C t..:?........Pfi2-6-n-2...,........................... TYPE OF CONSTRUCTION ......L, 1.Cx:a.5.. ...A............................................................................:..................... ...��..��.........19-IFO TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .......LY.L.Q. :�.` . .�........ti.,.-./ C . s......... L� '� d .: l..Z .. ..:.......................... ProposedUse .... ...... .o.m.ey-i.....r...........................................................................................I......................... i Zoning District ..................................Fire District .............................................................................. J.. I�,{1. . �!.l z L . Name of Owner .... .sL'P.......A.b.U..617-.Address ...��...,I�GS.t'1•�i/Y)y...... .i..��.Z.5 ...��?'J.lt'/t/JCl( Name of Builder�a.(/..c.... ...44._j5 . p.1*.'-Y?..AC..0.Q... Address .Name of Architect J� . Address .................................................................................... Number of Rooms ......O.P2.. .................Foundation ..7.Q.c,i ...� ...:.4--f ncz-,e7-c.......Zc..6........................... 9 .3)l. . a .....................Exterior / .Q . / ..... 00in Floors ... � ...........................................Interior .,1 .. ..t.....�.............................................. ,p Heatingy<X`�. ..5 ......................................................Plumbing ........... .. ............................................... Fireplace ...........WOA.. .e....1......................I....................Approximate Cost .... Q� ........................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ........1..(...6........ ?C..FI , Diagram of Lot and Building 'with Dimensions Fee ................. i SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. c • No ... ABDOTLT, PHILILP No ... Permit for&a�!W.op........ ........ Single Family Dwelli g ................................................................ .............. r d D t e .n 1�d �w Cj 1 42 Monomoy Circl 4 Location ............................................. .................. 41 Centervill . .............................................. ................................ 0 t Philip Abbo t ............... Owner ................................... ... ... . .. . . ..................... Type of Construction ..Frame........................................ ................................................................................ Plot ............................. Lot ................................ Permit Granted .........June 9 .............19 80 Date of Inspection ...............19 Date Completed 19 .............. PERMIT REFUSED ................................................................ 19 t ............. ........ ............................................... ............... .......................................... . .............. ........ .............................................. .............. . ... .................. . ......... .... (5 n ApproveAV ................ ............................ 19 ..............r................................................................ ................... .......................................................... As Lessor's map and lot nu r ....�..I >�. 1 �:1(\/4�y.�fy t-..- 04`• L. D..... v... • - �' SEPTIC SYSTEM MUST BE -INSTALLED IN COMPLIANCE Sewage:Permit number .. fed.P:.r/C..f�G� � VITF! APTICLE II STATE M ,YY SANITARY CODE .AND TOWN yFTNET��y w- TOWN OF BARNSATIAMLE • Z , BA-USTADLE • , 1 q -16 -� BUILDING INSPECTOR �Ep MPY a\ rrp r� APPLICAtIdki FOR PERMIT•TO ............... ...... . .........................................:........:......................:.......... a -TYPE OF CONSTRUCTION .. .:........... ° `.. .......................................... ............................................ ......... ... ..........G....19"le . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according-to the following information: Location ......la.7.....�. 41..... .,...G-,,n1- 5;�o ell"e. ................................. ............I/YaD �� �7.. ! .................................... Proposed Use ..... ....... .... .... .......................................................... ZoningDistrict Ad�..........................................................Fire District ......^................................................................... P/20,/..4/.n... iGi�Q� �....Address 1cr .. ..c-/./CG `Name of Owner ... ............• L'9YVS ( o /�'o�.L L� Name Builder ...... . .. ... ...........` .... . ..........................Address ............�..'/.f!.��..............—.................................... . . Nameof Architect .........F= .. .. . ...........................:.................Address .................................................................................... Number of Rooms ..................................................................Foundation ......4: c9/L'C/ i . .................. Exterior ......... --5............................................Roofing .................................................................................... Floors �`X i�S �P/�UC�'Interior ................. ........................................... .................................. .... Heating .............. ....................................................Plumbing .................................................................................. O-S............................:.......................Approximate Cost ............ 1�..........� Fireplace ................... f 9 ---. Area Definitive Plan Approved by Planning Board -------------------____-_ �....... . Diagram of Lot and Building with Dimensions Fee' ..........�!/................... ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH aA Q � I • !8� I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . :. Abbott, Philip S. . ' . , . ' add deck to No '�����—..Peirmkfor ................------- - single family dwelling '��--'.....--������------...------... ~' nomoy Ci�clm ^°~,."". �-------,---...--------. MQ - ` ` ^~ Centerville —^--'r--^—^----^—'--^---'----'' ' ����im S° J@x��tt �xwner .---..--�--------------'' frame ' Type of Construction ------...�------. ' ----.-.^—_------------..�---- . . . ' ^ Pk �41 Plot -----.—�—_. Lot �__________. _ Jmoxm 16 76 Permit Gionx»6 ----'..�-------lg . ' ^ X Date ....................... l9 —,--_ ---.. ' . . . - ~��� ~ . . 'Dote '—. .-�../n---jA � ' .^PERMIT REFUSED ' . ~ . ' ..------.--..—.. --. ' ^ ' . ..----.. lA . .��-------.`..—.�—.:`—..---------. —._---^—.....—.---...-------..--. ° ' .,---.--.—.--..—.:.—~--.—.-----. .' . ^ .,--------.`...----.--..--.---... � . - . Approved .............................................. 19 --------.---------.----.---. . � ----------------------............ . ' ' . � �wMONONi �JY CiR yV {. 44 i� 3°D t AtforA } CARA (-,a a 90 `� l�1 Os2 Sty -, SU CERTtF1EO PLOT PEA, L-OG^,'Ttot, A,RASTA.IsLra, Miss. fit, oo' SC�.LE 1•x3C; hTE.' t�1cv. ,Utn7 PL AJ4 r.tA c e SWO,WN 1. b T 4 AyAl PLAN NZE-c, f3P-XTEQ t NYE 1NC. D�9TE'/I/o✓ Z1/�3 r-� R�GI t,Te-Q..e.[7 I.&4CD suRVBvoFas OSTGRvt�,.�,.� , MASS. T r OR L.� /' .. oO - r. Aesso ` map' and lot ber x;r ,. SEPTIC SYST�d [� ; �� 1s INSTALLED IN CO! LIAPI Sewage Permitnumber y WITH A�TI�,I.E 11 S�a�TE ....... ........................... SANITARY CODA ,!WQ? r0�i = TOWN OF B ARI.-N� rim 'A B LE p Z. � - - - t. BV11" DING INSPECTOR APPLICATION FOR: PERMIT TO ..... ........... . .................................................................................... TYPE OF CONSTRUCTION ..... r,,.. '�. ..... ...... TO THE INSPECTOR OF BUILDINGS: -4 - The undersigned reby applies for a permit according to the following inforNation: Location .......... .... ... ..... ..toyl ... .. . . ......... ..... .... ..... ........................................ ProposedUse .. ...o . .... . .. .... i ............................................................J.............................................................. Zoning District ................Fire District .............. 00 Name of Owner mil..1. ........... "... ......................Address ............ ...:. ::......:....................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ...........:.......................................................Address ................................................................".................... Numberof Rooms ............... .. ...............................................Foundation .............. Exterior ............. .... .. ...............Roofing .......... . ..j. . ........................................................... ��loors !'�t'.....................................................lriterior. .......... . .................. ..... -......................:...........'............ Heating .. .Plumbing ........... ... .... ... ......................... Fireplace ... .... ., . ... .. .......................Approximate Cost ............./...... ;W . ........ Definitive Plan Approved by Planning Boa ________________________________19________. Area �SC�........ ........ ............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 1 � i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding the above construction. Name .C ....... ...... Small, Alan E. 18076 one story, No is................ Permit for, ................................. Singl 6 family dwelling ........................................................................ Monomoy Circle , Location ........................................................... Centerville ............................................................................... Alan E. Small Owrf6r ............................................................. frame Type cif"Construction .......................................... . ................................................................................ #41 Plot ............................ Lot ............. ................... Permit Granted .......December I .. .....19 75 ...................... Date of Inspection Date Completed ....... .......................19 PERMIT REFUSED ............................................................... 19 ............................................................................ ............................ ............................... .................. .............................................................................. Approved ..'.............................................. 19 ............................................................................... ...............................................................................