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'Lic;��"! , , ,� ,"i -.,,,,�,��,�"",�,,�",?,�,,�,.��,��-oi,J��t":�,�, Roo� .T � tt��5 i, ," , l�,��,,�)���,��k"�"*.��,-.,t;�.��i�!�,', - ,!�� J, � , ,, ,,�it,;, _� � ,!�� ,!��I ,!��I ,!��I ,!��I �� � 1.�,,Ii-�'f,,�'.-��,,,,,,';,�,-m V Ud ,!��,� - v I ,i 1 , ♦ 6 y�Fmrry Town of Barnstable C . 4 Expires 6 in onlhs frow issue date SARN6TADLE, R.egluilat Ass. ory Services Fee yM g _._._. _.. Thomas F.Geiler,Director E lA '].Building Division 9 1416c; Tom Perry, Building Commissioner SEp 4 2006 200 Main Street,Hyannis,MA 02601 fl�otp Q2�ARN$T g EXPRESS R]MT APPLICATION - RESIDENTIAL ONLY Not Valid widi out Red X-Pms lmprilrt Map/parcel Number 1 q12 0"2) Property Address I 0,JQ0 I-e_ �]�Akm �(A� QJ0 Reside&W Value of Work Minimum fee of$25.00 for work under$6000.00 3wner's Name&Address 1 14 n-M contractor's Name Telephone Number dome improvement Contractor License#(if applicable) 00`� O :onstntction Supervisor's License#(if applicable) Workman's Compensation insurance Check one: ,Q I am a.sole proprietor fl I am the Homeowner i have Worker's Compensation Insurance nsurance Company Name Vorkman's Comp.Policy# :opy of insurance Compliance Certificate must be on file. 'ermit Request(check box) n Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers ofroof) Re-side boor.), CC---A0eM) Replacement Windows. i 7-'value - CP (maximum.44) �l (,tom t n Ltm *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property©caner mast sign Property Owner Letter of Permission. Home Improvement Contractors License is required. iguature �A�91F 01 :Porms:expmtrg evise063004 Home Improvement Inc. I, Thomas Capizzi Jr., owner of Capizzi Home Improvement, hereby authorize Lisa Haworth, to sign on my behalf for permit applications filed through the town. Signed: Thomas Capizzi, r. Date: Haworth Date: 1-1 645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX(508) 428-1547 ragciuii CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT IN CP,�}�i/;�9� f MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME.IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. i I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: 'n A 24eA OWNER'S ADDRESS: OWNER'S TELEPHONE:' -7 7, - 6 S 30 LESSEE'S SIGNATURE: ' ' LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE:41 (�( APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 L RESPONSIBLE OFFICER: RESPONSIBLE OFFICERADDRESS: RESPONSIBLE OFFICERi'TELEPHONE: 'ate: 6/1.3/20()b lMe: U-flu AN 1'O: (4 9,1,b084261S47 - K&G 1nS. AgCY. Page: 001 Client#:47298„ CAPIHOM ORDT� CERTIFICATE DATE(MMIDDNYYI') OF LIABILITY INSURANCE 06/13/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS'CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY TH E POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Natbnai Grange Mutual ins.CO. Capizzi Home Improvement,Inc-, wsuREtie; GUARD Insurance Group — INSURER Enterprises,Inc. INSURER C: 1645 Newtown Road Cotuit,MA 02635 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR 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. lNbK AU L NS POLICY EFFECTIVE POLICY TYPE OF INSURANCE POLICYNUMBER T (MMDD M ATE MMID LIMITS A GENERAL LIABILITY MP010707 06/08/06 06/08/07 EACH OCCURRENCE s1-0OO OOO X COMMERCIAL GENERAL LIABILITY - _ DAMAGE TO RENTED $500 OOO -,Ea occurrenrei CLAIMS MADE a OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 00O 000 GENERAL AGGREGATE $2 OOO 0O0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY jE O LOC A AUTOMOBILE LIABILITY M1010707 06/08/06 06/08/07 COMBINED SINGLE LIMIT $5OO OOO ANY AUTO (Ea accident) , ALL OWNED AUTOS $ X SCHEDULED AUTOS BODILY INJURY(Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE (Per accident)- $ GARAGE AUTO LU\BILITY AUTO ONLY-EA ACCIDENT $ ANY OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSNMBRELLALIABILm GUO10707 06/08/06 D6108107 EACH OCCURRENCE $5 000 000 ElX OCCUR CLAIMS MADE AGGREGATE $5 000 000 DEDUCTIBLE ' $ X RETENTION $10000- 5 OR B WORKERS COMPENSATION AND CAWC702365 12125/05 12125106 X wC STATU- _ 0, _ EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 If yas,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF7HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #M22681 MEE 0 ACORD CORPORATION 1988 "qj 1J11 t,ti1i,�il,"iUln' C()zrrrrc;��sa�.ic37� >-:�t;tr�a-5/�i;��?�:�.xi�iax�sl�'�u�'�l:r�:r;� rr12)i :�ir� 3n�i3r xaa ira7i 373�t: �3:3135J3tCSSIU�'?d?iiLalj.t»1/11JC�)VldlldJ�= Caapini Home Ir11n1'(Jyepient 1i1C 5 NnuUta�,rn Rnn�1 d o Ss: Cotult, MA 02635 • Tel;g28��5�.�3 1.800.262=5�fiD - __. , xa ,ewp)oyer7+C&'a, e,a t ro ai•e o I am a Io a ix� 'fie of project (re-91xWed): . o ees'31 -- 9' a geaera� conadaaxd New coxzsr�aro�a ,err p 3r � a dlO.pa -i e).�' have�+d fbe sab-�omLmIors El a a'a sold�,ropfieioroz part-0cr- isi o�#iae atla ed 6cei 7- El F-,�mfld.o-iug s d�aave�o'er�,plo��ees t sesnb�oai�aac�oasli�Y)c 8: Demo'Niaa �'� g zoa nae iD any capacity M* - worken, c .M—S, ?, n ,C . El �o �o�a�=�o�• -,ace �_ 9. � ��di�g a �" • , _ We az-e a ccsTPoaB60n and it ofcem have exercised ihei- p-,paars oa addifioms :a I LNo wx�.erdozug a +uoa o f,eaempiion PCXMCL II-I �.'ix?mbing repays or addi-Lons r yse7 o Y.ar�r e i c.152,§1(4),and welaveno �s .��egcec ,� 3 1ZQ�rai3 s y-�.���� - • EDIT 3_ '33S i C�� TtiCCrL 3-3-El other. yica�;3.:aYr "floe;�ulalso �ratUescoY�on�elo ora,xlc-s W110 ice' s = . . _ r si3oii�ing file error ers' o w ensflii n 3 �ygifla cio=3ffisY x iec7 iitis fox me cat e a13 c�+ox ax�a cb inre or3isdemnY aoYflzs ssLsu� i s nerd davit c csiiu saae� .,der-'died��id�iiofls3 s7�is7aor,iug 7�e�sme o�ilie sub-coat,-aoiors and r7sc�v.o�.cts'��_�o�noy�o•�aiion.'' . •rz ace comps� . CQ �� Oz.����.L��.�: CAWC-7 0��, ---- radon-Dais: �.�ddz-ess_� . . . . • i.a.cppy of e�nx�exs'coxa� ox .. ��io;ac�dec�arai.�oxa babe f�s#�nr�g e�oi�try aa.xxx�.lrer�aat� +��pxx��xx•da•[.c�_ io s coare�e as�xiix�d wader S - •°- to :I,}0�3_�0 aucvoz ore-to �o���o����L c ��2 can ��e�osa�©�4���nm�7�enal�es-of a :. '� �z so e��,as Tel as rt eaa tieszn i1.e form of a S ' 7U Ca d a e 3 abaaii�sieIataire adjsedaai a taopr otzs sicrzae naay�eoxed #sae�Qice �aiio�s Qe DIA corx✓ T �-'�i-7��-�-.�?�.�-.�ze•,�rsrrz�+�.�".:��.�es�..�'�� >.x•�ix>��x� x - _ are: to bc,roxzz{� ha xt ox t rerW- ifUr-eue� eta cue o3Qej oard of leapt, 2,tond%x epa taoaeaoi 3 r -tact rersow - _- JXe _= = Board of Building Regulations and Standards One Ashburton Place - Room 1.301 , �,. Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100740 Type: Private Corporation Expiration: 6/23/2008 CAPIZZI HOME IMPROVEMENT, -INC. Thomas ' Capizzi, jr. 1645 Newton Rd. Cotuit, MA 02635 Update Address and return card.Mark reason for change. oPs-CA1 w 504=04ro5-PC8698 Address Renewal 0 Employment Lost Card . ✓,ie z0oa.w�1?wveal� o each deen r" =fir Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ Registration: 100740 Board of Building Regulations and Standards Expiration: 6/23/2008 One Ashburton Place Rm 1301 Type: private Corporation Boston,Ma.02108 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi,jr. 1645 Newton Rd. -` ''�-- -- T� Cotuit, MA 02635 Deputy Ad,ninistrator Not valid without signature~� ✓�ie&�ii�izo rccveall ot°, --- 130ARb OF BUILDING Rt=COLA-UbNS License:`-CONSTRUCTIONS f Numb e .CS• 057032 i a Bj.rfhdate 09/�6�1.63 `5 F Expu'�s'+7�/26/20D7Xft Ja TH O AS X cam:.. L:=`• r�y s CAPIi� , i 1695 NEWTOWN RiJ. _? Jai • COTUIT, tdlA 02636 . COt'n'rntsSiOtior f - Barnstable *I'eruut# ©� OW ll O 1J Months rom issue date aF1HE Tp� � .- Expire 6 x j yPv ti� r 3 � Re mlatory Services 4 � Fee "[ / MASS. � Thomas F.Geiler,Director_ �''lEprAptA`0 Building Dlvls1011 ; -PRESS PERMIT Toni Perry, Building Commissioner 200 Main Street, Ilyantiis,MA 02601 JUL 15 2003,0 Office: 508-862-4038 `GOWN OF BARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY Not Vniid without Red,Y Press Imprint Map/parcel Number Property Address —7 ' 3 Value of Work ❑Residential Owner Name&Address Own �2 Ron Dpo . r (L Telephone Nutnbery � Contractor's Name r Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 219,0_rkman's Compensation Insurance` Check one: ❑ I am a sole proprietor " ❑ I m the Homeowner I have Worker's Compensation Insurance a Insurance Company Name C Cj Workman's Comp.Policy# i -Pel-mit Request(check box) ` �Re-roof(stripping old shingles) e-roof(not stripping. Going over existing layers of roof) R PP g , , E • ide Replacement Windows. U-Value. (maximum.44) Other(specif y),. *Where required: Issuance of this pennR clots not exempt compliance with other town depaiLment regulations,i.e.Historic,Conservation,etc `Signature Q:Fomis:expmtrg font ' CAPIZZI HOME IMPROVEMENT . INC. SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT f I �H D0 Ln IN G eL-t spy yi��'� MASSACHUSETTS. � / I I HAVE AUTHORIZED G0." /?-1 � l 0,C TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN A CORDANCE WITH 780 CMR, THE MASSACHUSTTS STATE BUILDING CODE. I GIVE MY PREMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: 1 Opt D0 y ✓1 OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN Rn. , C.OTITIT, MA 012635 APPLICANT'S TELEPHONE: 5081428-9918 I RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE r THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # IHI2 bVCE I2 bVEI OE VMD IM COMLONWVMCE MIIH bBOb02VF # .+ VCCEbIED BI► DVIE BE2bOM2IBI'E OEbICEB IEI'EbHOKE: BRb0MMFE- OLLICE,K VDDEE22: NE2bOb12IBI'E OLLICEB: HbbI'ICVMI►2 IEPEbHOME: Vbbl'ICVMl t 2 VDDEE22: NVY IdEMIOMM ED �c . ti � VbI'I ICVMI►2 2ICAVIDEE: '� ' ► ,� I'E22EE►2 LEPEbHOME: I'E22EE►2 `dDDEE22: rE22EE►2 2ICZVIaE: OMb1EI4►2 IEFEbHO➢IE: ; OMYIEIS►2 VDDBE22: 2IcmvlllHE OE OMLIEB: WV22VCHfl2EII2 2IVIE BnIrDINC CODE' FE22EE IO VbbFA LOU V BIIII'DIZC bEBWII IM VCCOBDVACE MIIH AN CWK' ME I CIAE WA bEEWI22I0M IO IHE w2mHn2II2 2IvIE BnlrDIMC. CODE' IO VCI V2 WA VCEMI IO dbbll LOU V Bf1IPDIMC bEURII I➢1 VCCOKDVMCE MIIH 180 CWU' I HVAE ` IIIHOKISED I14 WH22VCHn2EII2' OM➢1 IHE BRObEBIL rOCVIED VI ruiEB ob dnIHonsvIIOH iO bbbrA hoB v BurDIMC BEBWII ?IVIE O,b WV22VCHII2EI12 2bECIEICVIIOM2 VMD E2IIWdIE2 bv'CE Q OE C CVbISSI HOWE IWbBOAEWEMI IAC ' ,a=, rYaMww +wRvMlf.A'MWl"F*}+v,N,;.n+;;41"Kan?+�M9ri"u h,r.li:y. =ii4vx3t+�7.61wun9*ri� ::w1e'a,H/.�rfr•,a5tt�. .may _..-._. ..... _..__ _....�- i. • !1;\ ✓Ir! 1p0llNlrOlrlllClllAIL O��/{�,Q��Q� 1 Hoard of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: g alion: 100740 ram`5 Expiration: 6/23/2004 Type: Private Corporation , CAPIZZI HOME IMPROVEMENT, Triornas Caplzzi,Jr. 1645 Newton Rd. Coluil,MA 02635 Administrator . ��� � ✓e Go»lolromueal!/ o�',�f(ae,�r/rueelle BOARD OF BUILDING REGULATIONS r ;License: CONSTRUCTION SUPERVISOR I 1 Number: CS 057032 Blrlhdato: 09/26/1963 Expires: 09/26/2003 Tr.no: 579U Reslrictud: 00 TI IOMAS X CAP1711 JR 20U PrRCIVAI_DR —71'� W DARNSTADL.E, MA 02666 ---� Administrator Engineering Dept. (3rd floor) Map 9f Parcel Whermit# 15-yo House# / 12Z-4— Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30)0 � - Fee V l 'j`(O • •: dP Conservation Office (4th floor)(8:30-9:30/1:00-2:00) �- Planning Dept.(1st floor/School Admin. Bldg.) �EPTI MUST BE Definitive Plan Approved by Planning Board 19 INSTAL a PLIANCE 5 TOWN OF BARNSTABLE ENVIRO) CODE AND Building Permit Application TOWN REGULATIONS Project Street Address Village Owner Address /�/ /�✓/D/�4/il d� ��GG� Telephone 77/—4�-15-36 Permit Request g 7-404) L, ZAIP First Floor square feet Second Floor square feet Construction Type -7,V Estimated Project Cost $ /L-�:,0d fU Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family D Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes (moo On Old King's Highway ❑Yes Imo 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) • ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Iklo If yes, site plan review# - Current Use Proposed Use Builder Information Name 1 4,21v' eAv IZ Telephone Number ���--5F.�/F Address �G �/,� � yfyrr��t] ��/,� License# �-- �.��i Z2v Home Improvement Contractor#lBo 7cilO Worker's Compensation# Qg W Yff Z -Z Ze,01, NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION-DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE X"—2-9,' U I G PERMI N F �THEFOLLOWING REASON(S) t Y FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED, MAP/PARCEL NO. ADDRESS VILLAGE ', OWNER ' DATE OF INSPECTION: FOUNDATION FRAME ho 7- v INSULATION - - FIREPLACE -- ELECTRICAL: 4 ROUGH FINAL _ W- PLUMBING: ROUGH - FINAL ' GAS: , r ROUGH FINAL FINAL BUILDING Y L LOSED OUTIATION PLAN-NO. ;s .g , r, THE lq�, o� . � . Th e Town of Barnstable . Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition. to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est. Cost Address of Work: /J/ Owner's Name_ / i� Date of Permit Application: C9* 2 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied' Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: QQ�1/tr� lr vlG ry o e, 0 Date Contractor Name �� Registration No. OR Date Owner's Name N o ,� hk 4� 0 . o. q O • nn[ V CERTIFIED PLOT PLAN FOR III MONOMOY CIRCLE CENTERVILLE,MA. LOT 71 ^-PLAN BOOK 272 PAGE 58 I CERTIFY THAT THE DWELLING SHOWN ON THIS PLAN IS LOCATED ON THE PREPARED FOR GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE MINIMUM SETBACK ONNI NIEMI REQUIREMENTS OF THE TOWN OF BARNSTABLE. SCALE: 1"= 30' SEPTEMBER 3, 1997 �N p R $$0 WELLER'& ASSOCIATES s vEl q 1645 FALMOUTH RD., CENTERVILLE,MA. 02632 _ y ,� (508)775-0735 � I t k � 1 I Sr QO, Ulu „ DATE PLA Q 272 PG 59 i / / ,.+ y+, ?A-x`r` } TIE iN� .i✓'IC't.,i �� �'� �f-Y�� /�L I�i.i�f 4�l �ih�� .t'',�11.��'- /L LL Ajsess is map+and lot (number i EPT►;C• Sy Te.: INSTALLED " �a� �4Li E: jq Seage';Permit number ....... ............................................... WITHITH {rTI^+ °.. 6lANCE wv . SANIT, ,,-?Y C5 II I oFcTNEj�� �10 � TORN OF BA- ' ;4ALE B9SBSTAIILB, t` ` g•a *r � BFUI`LDING ' IN'SPECTOR O 39 �u APPLICATION FOR PERMIT TO # .. .............................................................................. i TYPE OF CONSTRUCTION .. ......... , TO THE INSPECTOR OF BUILDINGS: The undersigned h re y applies for a permit according to the following inf ation: • Location .........:......... ............... .. .............. .. .. . ...................................... ProposedUse .. .. .... . ............. . ........................................................................................................................... ZoningDistrict ....... ..... ................ ... ............................Fire District ...........:......:..........:................................................ Nameof Owne . .. ... . ...................Address ..................... .......................................................... Nameof Builder .............. .....................................................Address .................................................................................... Nameof Architect ...................................................................Address ..................................................................................... Numberof Roo .................................................Foundation .... .................................................. ek Exierior ... ... . ........... ...`..............................................Roofing ... ::. ... ....................................................................... y Floors Interior .. ............................ .. ..... .... ...... ..... ..... ... Heating �.P ......Plumbing ..�. ?Oop.:: ........... 012 Fireplace ..: ,..... .. i .:..: ..._. ...... ...................:...........Approximate Cost ...............`!,�.Q.�.�................ Definitive Plan Approved by Planni oard ________________________________19________. Area (OQ s......................... ................. Diagram of Lot and Building with Dimensions Fee.............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ' � Y r! I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ ... ............. Small, Alan E. j., 18146 one story, ........I......... Permit or .................................... single; family dwelling ................................................:............................... \\\Mokncomoy gircle Location ......................................... Centerville ...............7..................................:............................. lan E. Small Owner ................................................................... frame Type of Construction ........................................... ........... .................................................................... Plot ............................. Lot ..........#71 ml ...................... Permit Granted ......4anuary 21 .......19 76 ...... ......... 17/.................0/ Date of Inspection . Date Completed ... PERMIT REFUSED ................................................................ 19 ..........................................ft..................................................... ........................................................... . ................................................................... ........... ................................................. .A - roved ................................................ 19 Approved ............................................................................. ........................................................... ................... I ; MOVE LL o y 4 �a'`S�Caa rvl�c f� y T > 1�E !Mt7�2. W) , i y ILL ' TR.'.AA-7-0.. �q�i' �irfLZ lt0C)F fS� rfLT Ci U' tK 'C DY 00L t , 1Gf -( WATt k- LoAdT I I . C rI?; _ 4, y (�-f"A�t./A r —.."✓ _,Ij''- ✓� _/'..may[• �yt � ._. � . .""�`.,` y TC P GG K jn17. __ ��(f P• i f _ __---.__._ ► �L_� L FT __ tfT�,2 I E 1..E VA-ri p r� ._ - r1 7_%C/ A4 I f ef L A-D f? !-, ! r ,j Lf -- SCALE: f ,� APPROVED BY: DRAWN BYs��. DATE: ? J REVISED DRAW WO NUMBER 18 X 24