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HomeMy WebLinkAbout0162 MONOMOY CIRCLE O a I `ems p Town ®f Barnstable Permit# Expires 6 months fron,issue date Regulatory Services Fee 3� Z nARNSTABLE. ` � MASS.; � ��and V.Scali,Interim Director nr 9 ?Q�� Building Division O ,/I8/v Tom Perry,CBO,Building Commissioner �'1 ,U�'Tq p�c 200 Main Street,Hyannis,II�IA 02601 [7 C www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERIMIT APPLICATION - RESIDENTUL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �q/ /f qs� Properly Address N 2 m 019orpo ll C1 rd.[ ®Residential Value of Work S 77,MO.? Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Q 1 r ?K% N 2 M? Qno m�l�CanA e Y t,ft', Contiactor's Name('(, -�a n W t W}nd ; j nan Telephone Number!qb i t�1�lUun Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) C}Cj>7 1 DJ. [&Worlanan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ] I have Worker's Compensation Insurance Insurance Company Name_Arocn O iL± I rysjffljo(�2 (�. Workman's Comp.Policy# 9,�71 9 32 3 6-2-23 9Z4 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ e-side Replacement Windows/doors/sliders.U-Value . 30 (maximum.35)#of windows 5 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked Vdth red S and inspections required. Separate Electrical&Fire Permits required. 4%cre required: Issuance of this permit does not exempt compliance with other ton-n department regulations,i_e_Historic,Conservation,etc_ ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requ' SIGNATURE: T:\KEV1Nt—D\Buildinz ChanQes\EX?RESS PERMIMMMESS.doc Revised 061313 .a .y Re latr l 311a�nr.a�bEJ79. �aE+Ilde15PJ1 KEs�I'vAL By A DmEN +xiaa aat.h:xrs ''"'Nid OMS 4[7it.nt Ma1G.'StlLn"'S ��. 1'4�ac&lili.JD3.2Y.39!Flt�lClld333.6�4A. Q CUSTOM WUU)OW ACID D00R RLMODULNG AGRMZ T w,.ers+�a .c�sa..�rpflee.ra�ea _ . __J1 .MOblw C/Oe __--- -- &yrsit)ImOyauaffy mid ittendlyvgm to pwdim'ft pmlilmAndfarsmicoofSaudieruNiv.ROM itixnt9Ws,116dlbin ft. �cca1 l�Andrnrn ar Scsalhot'+��hc �"Gcmt�$"!,����:�iQ,ilex tnm;�xi.c+oacditw�a da���d u7i alp fnmu aid ehr ararrsr a� I d},nt1�.1CP.W 4p ahcaauuietdalraifih�,tuarrbrr+ai' ;e ►rl�;Qaa• ccereicm t� 1316m ie I1 Conde DIM M? FSdMM4 020M Nedhadollns 'eta . �csl► oaposrttac:wed .3 /_ ue6a,C Sarea ,cJtvc 19tar atlnnotrtsweorloeWild. '� vro3ecsco�s •�taeflax9�ied;a Ayeq+ lrouacl,�a%eed�es d,c B' ae 5�rcdlo�sne a� "/' eaaaaaoc oa Su�sssnWl ���, ������ 1l�r+cs an Sv1 Cait�oe of job cev�ot bed by aeda I�tanpleeiah olltb�I:.��'L_ ardxd mg6e ewe 6�perte+n1 deck dsa7c dot Or n� Bawer(*)agress and understands that this Aareement consotates the entire undersmadft bttwm a dw pieties,aid that else are no♦erbal andersmadi�s:ahsn87eg euty of dbe fetus of thiaAgretnaent..Ruyar(■)acknowrledges dm#Bayer(•) (1)has read this Agreement,andern=ds d w terwA of tlaia Agrewnewy.and Las recelad a cow0dcd,Wined,and dated eM of Cadet➢sties,onthe date first wphten dw►z and M wasorally ct'armaorsayee*tightcomnwi9usAgreem ouDOsOTSIGNTMCONFRACrZF M MAMAA'YBLVh-MSPACES. (RAodelatandsalc. *)rroaeems, n(1}Do�otstga' s.A�se�PsotifasyafdmMia..ivt.e8safcr the agreed terms io tfteCtoDrotof tleenavntha)tie ioibrmatioaarale3k b2anl�.(2)You age eaddedtoa copy of lhisAgreeasentat d wliwcyana� + it.(9)Foes may at any dmspry a0'cite hA unpaid tab s deowader dda.Agremuzznt,and la so doinglao maybe catf bil to o a partial rebate of she Ilaanea sad iosaestaee ehaeges.(1}The slier has m raand to, inter yoarprewsaes or connnit saybm&of etas peace to tepossese goods pun6ased tinder this Agreemeor.'(5}.Yoa may eaoeel this Agreerneat. if it fins sot bees a siigacd at flit rmin of&e or abraa&aMee of At seller:provided you aadry the seller at his or her a» office aehranth ofee sbnwafa meAgreesnent'by regiscesed or cer"ed.m=il,.rt,irb"Al beposted aotiaterAsemidnialt oithwt4dr4o04nd day after the day esnwhtesdwbulvrsigosiheAgreeraeat,•sctadiagSaad"and*ry holiday oawhheb ro,galaraasil dcboc d*s artoota m"Seethe aeaompanybpadaeof eaaaelladonform mown esplao.eonaf boy er's rigbm Bnyat ymYiud thcounruarocrc+3ucaEiuii matuiai�prmici d b�ilrc Rhseft Wand Ctintru:w5 3'1r.0_*'1Wt ,.. tJa- Rtwevasl aciaeaSmy1fiern Ncvv Waod Bu Bayzt(a} . Sigma of Afarha}yr. S4paaturc P+iut\tine of Pft*KKt NIanwor Print i WW. - Prinz"ante To%THE SUYER(S}, ati►Y CMCEL MUS.TRIINSALMON AT-ANY:T= FMOR TO MIDMGHT OF THE TO= BUSMSS DAY AffFRTHEiktUOF7HISTRANSAMON.ruEETHKAX1'ACERDNCMCEOFGANC LLMMONFORMS FOR AN EMANATION OF 12M RIGHL a.- - — — — — — — NOME dw cm ON Dace of Tranucth n -/y You,ny Cancel n Dwa of Transaction -- -You may taneel this tlw"awonr witkout'any ptaaT yy or oblation.wkMn this transa cdcA wkbftn any p ly ar.abf�asioes,witlhhn tttreit bhriarss dahys from the a6o+rt►dabs.If you anhael,and n thuea bherirhess dsrs*W"this Gore _If you ranae�say piepaty traded i%any paym�enb tirade by you under rile n. traded K-arry psymumi made by you under the Contract or Sale6 and ow ntoodablo imtntan►am t x¢etttrA t or Sale.and any nepn IaMe imawnent excumd- by you will-be returned widW.ten budnen.days f'oUa -erg 1 by you wW be retwned wk1dn tan bvibms dap f6um ir4 reads blr*4 Seiler of your canalalon eat m and any t rocdpt by the War of your emw ellatios no&%and any securrly interest arising out of the amunWon will be secwky ont+erera-arising out of`the transacdon wig be eancela if you canal, mint make Stan"to the SeUer t tanoded ifyou cane4you must atutihe maib&e too the Seller atyour eoddenct.ias sea sGY as sood eatdMon as when o at your residente,in st*avid*us Vol condition as when .ete;•ed,a,q!goods dal:.nrad to you under d ds Contract or a-reoek*4 any goo4ddMwW to you under chit�Comraec or Salvor yrw majnN You r tt.a:orthphy with the iratrutdorst of 8 Sdssor you ereagr If you wS ,e3orrtly with the fnatnxAmn of the Seiler reaanSna die return 41 epmwt of the goads at the the Senor;jM.Z the mtum WWmmt of thegmds at the. Sdle and risk.Hyow des make the goa&a ndhkMe � SeUer's expense and risk.Hyou do make the goods av"Ale to'dre seller and.the Seller dom not pkk dum up wWm to gee Seller and.ft Saer.does not:pkk them up within twenty'doys of the d to of tmtn4at#oa,you may rgC;im or. ' twenty flays of dw-daft of cancelia loll,you nq m retOn or eSspou of"bhe Foods without any 16Woer oblodon.it rou 9 dispose of the pods ovhIm&any further obfiga"L If you fall;o make the aawds waMable fo the Seller.or if you agree 6�if to make dtie geoab ayaflabie to the.SW&r,or d you ag rft _ to MMM die goods no:the Seller and'fail-to do so,then you t.'as return the goods to the l Snit sad fail to do so d"you. main liable fv cc of ail otiG under the ' remWn M*for perfonnanee of ail oM*atie m tatter the . Corbnact:To this transasctioe>,mail or delEirer A�� COirtOraCt.Yb Cit10Cl'$tit�miu`t or t a itianed' and dated Copy of dhir eanediathon notice or airy otbw l :and-dated can of this'cancelhalon notice or any odw . . writtennotice.orsmdatntramtoR*ftwilbgAndersenof ' written notice or sends, -1--m— byAndersenof Southern New En st Alibion 3toad. RI f#ls6S. o `Soodrom New f at 16Alblon Road,L y IU 0236k NOT LATiH1 THAN MIDNIHT OF — - t NOar t M i'M MIDNIGHT.OF Date (Date) I HERMY CANCEL711STRANUCT10N. . 1 fIiE YCANCEITlhitYRAtiSACT1ON. earerUsiDhtetu. ltisrtaauau. ou. ]� eus.�ssiDm.• rtrctran. ee, Z�_-c }t ci.90��L W En©SLbY1A. .A£aL fZ tQi9tit ?. ' Southern New England Windows , . d.b:a Renewal by Ander' sen-of SNE Massachusetts=Department of Public Safety. Board of Building Regulations avid Standards Construction Stipernisor License CS-095707 K BRIAN D DENN06N 7.LAMBS POND Charlton MA 015Q7 . ��,G,,,..�j�n l�l� _ . Expiration..• Congnissioner 0910912016 �ie.�pa� n�yreusea a �aaaczc�ii�6e Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston;Massachusetts 02116 Home Improvement Contractor Registration . . _ Reptakatlon: 173245 ' •' Type: Supplement Cab $ . K SOUTHERN NEW,ENGLAND WINDOWSLL ; Expiration >I/Terzols DENNISON BRIAN' f� 26 ALBION RD - S LINCOLN;RI.02865 '#, _ '•'a ry'Update Address and return nrd.Mar4 reason for ehaoge: M.no,tr .. O Address p RLniwal p Employment p Lost card . Rke of l:onsamer AlT�ln @ Bedoea 8egoladon LA anae or ngietratloo valid for individel use only ME IMPROVEMFM CON71eACTOR Deforotheeaptmtloodate Iffoandretunito: Office of Consumer Again and Business Regulatlon - r - letratlpn:s732E5 - Type - 10 Park Plan Salle 5170 . (. Eaplrnlonl gft8rz078. - .Supplemem:.anf. .Bo9.m,MA 02116 • SOUTHERN NEW ENGLAND WINDOWS LLC., RENEWAL BY ANDERSON, _ DENNISON BRUIN 28 ALBION RD LINCOW -U RI 02885 - . "' aderaeerttary, � of valid without signature z . ---`' The Commonwealth of Massachusetts Y j1 - Department of Industrial Accidents t; F-=+t= Office of Investigations Con less 1>> �' Street,Suite 100 , � l Boston, MA 02114 2017 �'tY www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print legibly Name (Business/organization/Individual): SOUTHERN NEW ENGLAND WINDOWS LLC Address: 26 ALBION ROAD City/State/Zip: LINCOLN, RI 02865 Phone#: 401-228-9800 Are you an employer?Check the appropriate box: 1. I am a employer with 20 4. ❑ I am a general contractor and I Type of project(required): 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 slip and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity. employees and have workers' [No workers- comp. insurance comp. insurance.* 9. ❑Building addition 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 re❑ g pairs or additions myself. [No workers- comp. right of exemption per MGL 12.M Roof repairs insurance required.] t c. 152, S1(4),and we have no [No employees.em to workers' 1�-�Other W'NoowREPLACEMENT p Y comp.insurance required.] Auy applicanttltat checks box rl must also fill out the section below shoving their workers'compensation policy information. Homeowcters who submit this affidavit indicating they are doing all work and then hire outside contractors must submit news 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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name_.ARGONAUT INSURANCE COMPANY Policy 9 or Self-ins. Lic. #: WC927938352394 08121/2015 Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' com ensati p policy declaration page(showing' 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$L500.00 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 rlify under die pains and penalties of perjury that the infonnadon provided abo v is ue and correct. Sienature: d /O 1 Date: / Phone#: 4�01-228-9800 LE only. Do not write in this area,to be completed by city or town o fficicrZ. vn: Permit/License# thority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector son: Phone#. AC R® CERTI DATEty E CERTIF -- FICATE OF LIABILITY INSURANCE 08/12/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND-CONFERS NO RIGHTS UPON THICATE 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(fes)must be endorsed• ff SUBROGATION IS WAIVED,subject to the tenors 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 endorse s, PRODUCER Willis of Nov Jerse y, Inc. C/o 26 Century Blvd PHONE F P.O. Boot 305191 1-877- 45- 7 :1-888-467-2378 Nashville, TN 372305191 II8A ADD�RE :certificatesewiliie.co® INSU S AFFORDING COVERAGE NAIC ti INSURER A-Selective is raaca of S8 39926 INSURED outhern Nov Saglsad Windows LLC INSURER Ill Beacon t[utnal Inenraace /B/A Renewal by Andersen 24017 Albion Road INSURER C- ut Iasurance C 19801 Lincoln, RI 02865 INSURERD: INSURER E: INSURER IllCOVERAGES CER7FICATE NUMBER.W529160 REVISION NUMBER: 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 S EXCLUSIONS AND CONDITIONS OF SUBJECT TO ALL SUCH POLICIES.LIMITS SHOWN MAY THE TERMS, INSR HAVE BEEN REDUCED BY PAID CLAIMS. _ TR TYPE OF INSURANCE ADD C OU POLICY NUMBER POLICY EXP „ D COMMER LIMITS X CAL G ENERAL LIABILITY CLAIMS-MADE a OCCUR EACH DAGOCCUU�ICE $ 2,000,000 A PREMETO ISES rrence $ 100,000 NED EXP(Any one Dew) $ 10,000 8 2029459 08/10/2014 08/10/2615 PERSOtJAt&ADVINJURY $ 1,000,000 GENIAGC tEGATEUMITAPPUESpER - GENERAL AGGREGATE $ 3,000,000 POLICY a ECT A LOC PRODUCTS-COMP/OPAGG $OTHER: 3.000,000 AUTOMOBILE LABILITY $ �M&NEDSINGLELIMIT $ 11000,000 aw/n A ANYALITO SCHEDULED BODILY I UURY(perperson) $ - AUTOS AUTOS S 2029459 08/10/2014 68/10/2015 BODILYiNJURY(Peraeddent) $ HIRED AUTOS X. AUTOS PROPERTY DAMAGE A X UMBRELLA LAB X OCCUR $ EXCESS LAB EACH OCCURRENCE $_ S;000,000 CLAIMS-MADE S 2029459 08/20/2014 08/10/2015 � DED RETENTI011 S 5,000,000 WORKERS COMPENSATION $ B ANDEMPLOYERSLABRM YIN k_ X STR FOR - ANY PROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? N/A E.L.EACH ACCIDENT $ 1;000,000 (Mandatory In NMI 0000068028 08/21/2614 08/21/2015 IFyeS describe under E.L.OISEASE-EAEMPLO $ 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 C ork Camp/6L Covg: WC927938352394 108/22/2024 08/21/2015 .L Be. Accident tatutory Limits - ITC - $1,000,000 .L. Disease Policy Lmt - $1,000,000 L Disease Be. BmPloyes - $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addid*rW Remarks Sdrodule,may be attached If more. space G required) CERTIFICATE HOLDER CANCELLATION M ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE •DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. x Southern Na LLC AUTHORIZED REPRESENTATIVE Albion Road fd s All- • ` cola, RI 02865-0000 , ACORD 25 2014101 01988-2014 ACORD CORPORATION. All rights reserved. - ( I The ACORD name and logo are registered marks of ACORD OR IDs6629625- BATCE:Batch,#- 79627 i Town of Barnstable *Permit# �31 e' Expires 6 months from issue date Regulatory Services Fee ,5, Thomas F.Geiler,Director Building Division A% Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 NQV www.town.bamstable.ma.us TWNQ Q , ZQ45 Office: 508-862-4038 QP& Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLYST'�BCF � Q Not Valid without Red X-Press Imprint Map/parcel Number G �� 1 1 v Property Address 1 � �O VYI ( i 11�'C �. E'Residential Value of Work "�� Uy® Minimum fee of$25.00 for work under$6000.00 t Owner's Name&Address �� \ 1,\Gtyv. S -- Contractor's Name 4(mP_ !r Q I C* C Telephone Numberk-0c�S�9�o Z-L,4 4 Z- Home Improvement Contractor License#(if applicable) 1 )-UN 3 Construction Supervisor's License#(if applicable) [�Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ©<have Worker's Compensation Insurance nn Insurance Company Name_Z S 6- 6 F Pe 0 Q . Workman's Comp.Policy# S N 9q 9 2— 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 2—replacement Windows. U-Value _(maximum.44) o c+Q MJ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner mustsign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 o , �.TMe Town of Barnstable Regulatory Services Thomas F.Geiler,Director gf%6. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property 0�%rner Must Complete and Sign This Section If Using A Builder ,as Owner of the subject property hereby authorize r� i'�L f-�t X�G to act on my behA in all matters relative to work authorized by this building permit application for: inrcl,e (Address of Job) Signature of Owner Date Print Name Q:F0RMS:0WNMEKZS SIGN Mew _ Tyy�HE' - . M ®p/ $LTANTAv GA MM a f --- - Kitchen Customer—/3;,__I_ T�KA� Date Address Phone AMERICA'S CABINETMAKER" Planning Sheet 2 Merillat Industries,Inc.,Adrian,MI 49221 By Sheet*—Of Sheets 0 2 4 6 8 10 12 14 16 18 20 17-1 F ............ ............ .................... ............ .......... . .................... ..................... .............. .... 4 - , F................... ............- .. ................ ............................... ...........- 2 .... ........ ............. ....................................................... .............................. ... ............. ........... .......... ........... ................. ............. T­ ........................... t ...................... .........I. ....... ............. .................- ............... .... ...... L-J.".- L 4 t ....... ....................... ..... ........ it ...... ...... ..........S i T.. ............ .......... II . ........ .......... .......... ................ .......... .......... t 6 ........... .. ......... .......... .......... F . ............. ....... .......4 .......... 7 ... ....... ...... ............................. ............. 8 -4- ............................ ........... ............. ......................... .......................... ............. f- ............................. L J. .......... ........... .......... +jjiji .......... ............ ....... ... 10 ............ ............. ... ................. ........ ..._J .......... ............. ..................... r ........................ i�of ........... ill t J., ................. L 12 -4 1_4 ................ ..... .I + .... 1 4 ................ L 4 .4 ............. Scale: 1/2" = IV' (Each Square = 3") Note: At corners check both cabinets and appliances for clearance of doors and drawers. P 7524 (109306) R/7/83 se or's offioe Ost floor): ✓ _ / CfT"E SYSTEM MUST Assessor's map and lot number ......] J . ......./... _ �® UST BE Board of Health '(3rd floor): . IN COMPLIANCE e Sewage Permit number . ..........�J`-.Z7.r.F17.......................... WITH TITLE 5 : BARESTADLL. 2 „r., a .7r rasa Engineering Department (3rd floor): �,�_ ���� ,�['p.-�;l cos,039. j' House number ............ O'EDYPYd\e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ....BU12....DFCK................................................................................................ TYPEOF CONSTRUCTION ...FiPJM....................................................................................................................... ....................2-2 .........._.......t 9.8-7.. TO THE INSPECTOR OF BUILDINGS.: The undersigned hereby applies for a permit according to the following information: Location ......162.. !`C?N MQX...C•TP.,....•CEA'T.F I JE- 14.1........................................................................................................ ProposedUse ...D.ECK................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner WILLII„THYS„•,,.•,,,,.••..................... . ....Address lb2••1�`G1� C�Y...CZR.....CERTTER�T.II�FA.................... Name of Builder ............................Address .. K V.k 1. s..i"a.....smW.Zal9...MA............... Nameof Architect ..... . .......................................................Address ............................................................ Numberof Rooms .....N/&.......................................................Foundation ...S.,,.N,...T.•JEES...................................................... ExteriorpRCS•. .. ...TREATED-T1MEf{..................................Roofing .......NA...................................................................... Floors ..X/.A.............................................................................Interior .......N/A.................................................. .................... Heating ...NIA.........................................................................Plumbing .....N. Fireplace .....N/k......................................................................Approximate,Cost ..1.000;................................I...................... Definitive Plan Approved by Planning Board ________________________________19________ . Area -192...Sq!....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ... .. .............. .. .. ..... .. .. ... .. .. ... GARY. H. THISTLE Construction Supervisor's LicenseKh.�...LIC.#0o1666 ' 30671 ADD DECK .................................... � �~ SingIe Famill/ DweIliog ' ------------------------' - . ' 162 M000rzoy CiroIe Location ---.-----------------.. ' CenterviIle _ L --------------------------' [ WiIliam ��bro [�vne, --------__.�----------- ' y � + Frame Type of Construction -------------- ' ~ ` ' --------------------------' ~ ' � ~^ . � Plot —~.. �* [ � -------� ----------' . � Permit Granted ....... I—�27z___ly 87 ~ ' ' Date of Inspection ................... lV ' Date Completed ....... .—'l9 . / . � � (V -_�� � in . � ` ��- .~ , . Assessor's map and lot n ber :. .�....�...�. - \ SEPTIC SYiEM IV1U5T BE INSTALLED IN CbMPLIANCE Sewage Permit number .........../.1. WITH ARTICLE Ii STATE SANITARY CODE AND TOW TOWN OF B A RNST `tB�L� � y0F TH Er l0� 13JSH9TADLE, i "6 .e�E M BUILDING , INSPECTOR O� PY a APPLICATION FOR PERMIT TO 4",.... ............... ... ••J•.•••• ...... TYPEOF CONSTRUCTION ......... ................................................................................................. ..........195 TO THE INSPECTOR OF BUILDINGS: The undersigned her by applies for a permit according to the following information: Location ... .................��.....� ..... ... ........................... ................. .....,,, ................................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict .................................... ..................................Fire District ........ .......... .................................... 4 Name of Owner '.Z.. ............................................Address .................................................................................... Nameof Builder ............(,k.....................C...t..........................Address .................................................................................... Nameof Architect ..................................................................Address ........................................... ....................................... Number of Rooms ...... .............Foundation .... .: Exterior . .................... ............................................................Roofing .................. . ................,............................................. ..................Interior ....��...�..41?.... '. Floors ....................................... ......................................... Heating ..../........e.z.......... Plumbing ....... Z".....`s'G ' ....................................... Fireplace ...... ............................. ............................................Approximate Cost ........... ........ ............................... Definitive Plan Approved by Planning Board -----------_-------------------19_______. Area �. . Diagram of Lot and Building with Dimensions Fee .7 �. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar g the above construction. Name ,.11.1e.............................................................................. Alan Small iF No ..1.829.n.... Permit for .....Tan.l.l. n ............. : ............................................................................... Location ...........lot...Z9..Xo.n rw.y...C.jr............. � Q.................. S � - Owner .........A Lar..Small.................................... Type of Construction ......Wood••Frame............. Plot ...19......31•g5........ Lot ..........29.................. 3 ++ 7 I Permit Granted ...............Apri.l.....6........19 76 Cp Date of Inspection .. /: .. 44 9........�...1 Date Completed ;) .� ...............19 �r ,g 3 PERMIT REFUSED t A ....................................... ..................... 19 ............................................:.................................. . ................................................................................ 2f ............................................................................... • ............................................................................... • Approved ................................................ 19 R ............................................................................... t BY .....,.-DATE. SUBJECT.................................................................. ......... SHEET NO_.......-, OF CHKO. BY ., DATE ............................ ......................................!........ JOB NO............................ ......... .... .........­­...................................................................................... ......................................- 0 ljo AA �4 OF RICHARD A.HAXTEn -4 Na 24M ST su 15,7o ROT (Z" �e-,A T 10 N C cQT-aR L)(L.L.Q,* Q We r,-ere a 4 La. /7 -la LOT c- PASB/-"44 r ax)04. Z7L 4910 w AV lVeFee O/J rAle I r a iL i WL e te Et) LA�4 IV 4A 7-Z