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HomeMy WebLinkAbout0241 MONOMOY CIRCLE _ r ° •I.P. F e r ° o 4 i .. "' w, Town of BarnstableBuilding P>.ost�Tthls Ca'rd�So That�t Is V,is�ble From the Street Approved�Plans Mustsbe�Retamed onJob�and"this CardkMust��be Kept �� •- M 'ABus. '';� ;. °ti'�I `s�;3 ''�Y '` ii °'` k "` y 7 ' :.-a y .; r Posted Untr1 Final InspectionHas Been Made , - < ... - "" 3be Occu red urttila F>>inal Ins ectionhas been..mad'e Permit a W�haecea C�ertlficaof*O�ccupancys Requd�,suchlding shall Note Pip _ 4, p� ,rcso Permit No. B-18-2439 Applicant Name: PERSSON CONSTRUCTION INC. Approvals Date Issued: 08/01/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/01/2019 Foundation:, Location: 241 MONOMOY CIRCLE,CENTERVILLE Map/Lot 191 217 Zoning District: RC Sheathing: Owner on Record: SIMON,JANET M TR s "! Cone actor"Name m KENT E PERSSON Framing: 1 f, A Address: 241 MONOMOY CIRCLE : Cot„ractorcense CSSL-099507 2 CENTERVILLE, MA 02632 Est Project Cost: $10,200.00 Chimney: Description: re-roof-sandwich " E Permit Fe: $52.02 Insulation: �eePaid $52.02 Project Review Req: §` d 77 Final: Date 8/1/2018 Ww" z ; ` Plumbing/Gas " F. � Rough Plumbing. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a th&11A by this permit is commencedwithm six months after'issuance. P Rough Gas: . i g All work authorized by this permit shall conform to the approved application and3thapproved construction documents for which this permit has been granted. �. A All construction,alterations and changes of use of any building and structuresshall be incompliance with the local zonmg,'by-laws and codes. Final Gas. This permit shall be displayed in a location clearly visible from access st eet orroad95, and shall be maintained open for public mspection for the entire duration of the work until the completion of the same. ' J�yfn Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided oA permit. Service: Minimum of Five Call Inspections Required for All Construction Work: R �, 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection - 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 'r. r Application number-4/4...:7..........(.......... Date Issued................. . ................................... '• sAgNSTABM KAM Building Inspectors Initials...�l Map/Parcel...... :�7 m...x �................... - 1. TOWN OF BARNSTABLE - EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: M 0 KQM®y c i ft NUMBER STREET VILLAGE Owner's Name: 50A�1&= mA Phone Number `7$1• y -- ']O L f Email Address: Cell Phone Number Project cost $ /T 00 Check one Residential y" Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature- Date: TYPE OF WORK ❑ Siding 0 Windows (no header'change)# ❑ RInsulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review 12'Roof(not applying more than 1 layer of shingles) Construction Debris will be going to -5.9rt)Du!(Ct} CONTRACTOR'S INFORMATION Contractor's name NT _ 2S56I i Home Improvement Contractors Registration(if applicable)# / 73 Z3 Q (attach copy) Construction Supervisor's License# �qs'®� (attach copy) CbVA Email of Contractor P1EcQ95o(Q 6y/NAo yJS P ffd TN1gZ Phone number So-$• 3PoQq'02 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................:............... *For Tents Only* Date Tent (s) will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approvab *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back . left side `` right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. All The Commonwealth of Massachusetts Department of Industrial Accidents Office3 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): MarT &,Q SS o t.➢ Address: aa- COLONY A City/State/Zip: $pU(ZNE— Phone#: 53 `73-q— 'FFY I Are you an employer?Check the appropriate box: Type of project(required): 1. am a employer with 3 4. ❑ I am a general contractor and I •- 6. ❑New construction employees(full and/or part-time).* have hired the'sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' $ 9. ❑Building addition [No workers' comp,insurance comp.insurance. 10. Electrical repairs or additions required.] 5. We are a corporation and its ❑ P 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.[ oof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I 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: VL(&42"rY 1k(fUd L Policy#or Self-ins.Lic.#: kC L 91 5 ' 36 IO Expiration Date: Job Site Address: Af 000 A": QZ City/State/Zip: CF&r F_2Q1Lt-,0_ 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 bf 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 certify under the pains and penalties of perjury that the information provided above t is true and correct. Signature: "'6 14AV-- _ 'f Date: 74(./ Phone#: g 360 to 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#: . t r Information and Instructions r' r Massach eneral Laws chapter 152 requires all employers to p vide workers'compensation for their employees. Pursuant to this sta e,an employee is defined as"...every person' the service of another under any contract of hire, express or implied,or r written." An employer is defined as individual,partnership,associatio- corporation or other legal entity,or any two or more of the foregoing engaged in a' mt enterprise,and including the egal representatives of a deceased employer,or the receiver or trustee of an indivi( 1,partnership,association or er legal entity,employing employees. However the owner of a dwelling house havin not more than three apartme is and who resides therein,or the occupant of the dwelling house of another who em oys persons to`do main' ce,construction or repair work on such dwelling house or on the grounds or building appurt ant thereto shall not be use of such employment be deemed to be an employer." ).A MGL chapter 152, §25C(6).also states th "every state or 1 cal licensing agency shall withhold the issuance or renewal of a license or permit to operate -business or to onstruct buildings in the commonwealth for any applicant who has not produced acceptable vidence of mpliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states either th commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public ork ntil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the r acting authority." Applicants Please fill out the workers' compensation affidavit comple ely\date cking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) pum er(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited iaartne ps(LLP)with no employees other than the members or partners,are not required to carry workers' co pe insuran If an LLC or LLP does have employees,a policy is required. Be advised that this affidaItumay submitted a Department of Industrial Accidents for confirmation of insurance coverage. Also bign and date t affidavit. The affidavit should be returned to the city or town that the application for the pe ense is being requ ted,not the Department of Industrial Accidents. Should you have any questions regar ' gw or if you are requir to obtain a workers' compensation policy,please call the Department at the numb rbelow. Self-insured com es 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 legibly. The Department has provided a space at a bottom of the affidavit for you to fill out in the event the Office of Inve igations has to contact you regarding the plicant. Please be sure to fill iri the permit/license number which will be e&as.a reference number. In addition,an plicant that must submit multiple permit/license applications in any give year,need only submit one affidavit indicat g current policy information(if necessary)and under"Job Site Address"th applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or arked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits o licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit of related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT re wired to complete this affidavit. The Office of Investigations would like to thank you in advance for yo cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massaah efts Department of Industrial Aeczden ' Office of Investigations 600 Wasbixaagton Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASS Fax##617-727-7749 Revised 4-24-07 www.mass.gov/dia r DATE(MM/DDIYYYY) AcoR�® CERTIFICATE OF LIABILITY INSURANCE 8/9/2017 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,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 G H DUNN INS AGCY INC NAME: r 215 MAIN ST PHONE FAX BUZZARDS BAY, MA 02532 E MAIL E A/C No): ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: LM Insurance Corporation ..33600 INSURED INSURER B: PERSSON CONSTRUCTION INC 22 COLONY AVE INSURERC: BOURNE MA 02532 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 37167790 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE INSD SUER POLICY NUMBER MMIDDNYYY MM POLICY EFF POLICY EXP LTR IDDfYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE_7CLAIMS-MADE OCCUR PREM SESOEa occurRENTErence)nce $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY1:1 JECT PRO LOC PRODUCTS-COMP/OP AGG $ PRO- OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ HDED RETENTION$ $ A WORKERS COMPENSATION WC5-31S-363103-027 8/7/2017_ 8/7/2018 ,/ STATUTE �RH AND EMPLOYERS LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ d500000 OFFICER/MEMBEREXCLUDED7 ❑N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION LILY POND OVERLOOK CONDOMINIUM TRUST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2E HAWTHORNE COURT ACCORDANCE WITH THE POLICY PROVISIONS. POCASSET MA 02559 AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 37167790 1 1-363103 1 17-18 WC n0270258 1 8/9/2017 1:25:25 AM (PDT) I Page 1 of 1 . r _ _ �cn rn nao nwea&X_/0 a—ac4uie Z Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR T— ipe: Corporation __ Re`istration Expiration 1 --M2 11/05/2018 Persson ConstrUC--lrt Kent Persson 22 Colony Ave. Bourne,MA 025322C -.:' ' Undersecretary- I ` Registration valid for individual use only ' before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signature I Restricted to:Construction Supervisor Specialty CSSL-RF-Roofing CSSL-WS-Windows and Siding Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Commonwealth of Massachusetts Division of Professional Licensure Call(617)727-3200 or visit wWw.mass.gov/dpi Board of Building Regulations and Standards Constructi9kbls eFv?sorSpecialty CSSL-099507 Eas�ires: 01/02/202 KENT E PERSSON 22 COLONY AJENUE BUZZARDS BAY°MA 02532 Commissioner r jvvf-lzori-ner - verizon Yarloo man https://mail.yahoo.com/nl Message Persson Construction Prop®s,.. 4• Persson Construction, Inc. 22 Colony Ave. Boume,MA 02532 Phone-, (508)759-8959 xvww.perssonremodeli ng.com DATE: F. Joanne Kinsman 781-2.48-2704 5/10/18 STREFT: JOB NAME: ARCHITECT: 241 Monomoy Circle j: CITY,STATE AND ZIP CODE: JOB LOCATION: DATE OF PLANS: Centerville,MA g We hereby submit specifications for: Strip off old roof shingles from entire roof and remove to the dump. Inspect roof deck. Install a layer of 30 lb. felt paper on entire roof deck. Install ice and water barrier on all eaves and in all valleys. i Install new aluminum drip edge on all eaves, new flanges on all plumbing vents, and new flashing where needed. Install new 30 year Tamko architect style roof shingles on entire roof. Shingles €. will be fastened�using 6 galva7' �d roofing nails to insure 130 mph wind rating. Color will be140(lI rXI U rtti '— Install ridge vents on all dges. � (� Job site will be left clean, and all debris will be removed to the dump. f Start date (weatlier permitting) finish date MA HIC 9102365 MA CSSL#99507 YOU HAVE 3 BUSINESS DAYS TO CANCEL THIS CONTRACT We.Propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: ($10,200.00)ten thousand two hundred dollars. I Payment to be made as follows: $3,000.00 down, balance on completion � .a,y u•rol:me nsincn kyat lhbswpc of us cMnmd will to illetl sclmnm y - " ' : os extra wak.'Phis inclwNs-,Ulan,,which cadAnnt bc(nresan tj,the f!� UIIII it'IJr.III wL Cvtlll Illc ct Authorized Si-nature: �w 2 ",'m ak"W"M W" "" . Na anlun nue lu roynylpnreelinvd Innllepynv,1 — lilnsssuec l Kent Persson { Note:This proposal may he withdrawn if not accepted within 30 days. ACCCptalrECp 01 !rOpOSa1—the above prices. u' 6`�1�A specilicahon,and conditions are satisfactory and St nature. arc hereby accepled. Payment will bu made as oulliaed• Signature: Date of Accerataer)ce: g { The Raberf S.-S':Imow Tt.o i ' aA&opthoci&!*t,Aopioiritfaditwas Tfustee: N I,, :Jortno L. kE'ifi§Mn, til` RO:ditland: WA airhutd ts; .betaV. !lede'`i. 'appGm Ni. -of- Rbr . ;$Im# T a� Feri uf`�5t d:e ,by APIS��i ian:of Trot,06 e.d June:2, -1-09-3:arid:re-cord0d.at.. arpstaC,1 4.too*.Ag ' ;De B �.�15Q5' Pa e..29.8: M..acce tarn. i f a irt�nnc .; :.�c�?k. g: -v P e RR� c�:�..�aGcqslon.�;:�}r ir3 ineapa�ity q-f gapet;M': Sjmon,ppy-, to>TINELFTH;of soil7cuof. ' I, E�oecote&#s a t(Wed irtstrWiterit this: / .day of Odtbb-aF A �. -�om�tow�ealtF;Yo�'IUlassa�f�us�tts> �01t �Sis. dad' bf Octo 9l 017 etora'pia, 'tht 't1Yidottjo'r�ed rt t iy public, :p$zsc�nally aopsor.. Joanne L. FCnsm@q,,,. pro-m to : iii �ici? 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Assessor's map and lot number 1.:"........................ . � � roe♦ Sewage Permit number .. tId�i �r'L SE�����'�/ s'�M 1�1 0� i )►// . `77� e t INVAUM IN COM 1 9 ADLE, i Housenumber ................................................ .................... WITH TITLE039. �MASI,. 0m' ENVIRONMENTAL C� om TOWN OF ,,.BARN-STATB,%LE-­ BUILDING- INSPECTOR APPLICATION FOR PERMIT TO ..Add to dw41�9................. ............... TYPEOF CONSTRUCTION .......Wood.................... ............................................................................................... 1980 ........... ..................19......... TO THEINSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tothe following information. Location .............�J...y,......, .......t r/l!/r /"` �J 5. ..................... Y Proposed Use ...............Added livin ..space/ c=� 2 C-� ... ?R......... ................................................................ Zoning District RC ........................................Fire District ... ,enterv:ille—Osterville Name of Owner ....... erard Besse............................... ...Address ........41n.0..44..O.Qvp....................................... .. Name of Builder Sturgis St. Peter0 Buckskin Path Centerville Address ................ .................................................................. Name of Architect None Address ............................................................... ............................................................... ..................... Number of Rooms 2 ......Foundation Poured concrete ....................................................... ..................................................................... Exienor White cedar shingles ...Roofing Asphalt....................................................... ................................................................................. ............ P1 ...ood .Interior P:QW.?.11......................................................... Floors ..................� ......................................................... ............. Heating e- xisting.................... .........................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ...... Q9wQQ..................... Plan Approved by Planning Board -----------_------_-----------19________. Area .....�Q...7�v­ Definitive . ...... Diagram of Lot and Building with Dimensions Fee ............. SUBJECT TO APPROVAL OF BOARD OF-HEALTH 1 ^1 s /7� .. : I I hereby agree to conform to all the Rules and Regulations of the Town a arnstable re g r ng the above construction. r F No ..... ....`Ce............................. ... SSE, GERARD ADDITION No ...� 7 3.3. " - P.... .. Permit for ..................................... Single in.g................. Location ......2.4.1...m.onomo.Y...C.irc.le .. ............ .. A .... .. .....................centerville.............................. Owner .....Gerard Besse ............................................................. Type of Construction Frame .......................................... Plot ............................ Lot ................................ December.. 80 Permit Granted ..................................... Date of Inspection ..............19 7— 00 Date Completed ....... z 19 PERMIT REFUSED .............. ......t?..................................... 19 M > ......... . ...... ................................................. 0 ................. .5�-=................................................... P..................................................... ................................................................ INC 9-! AppriMid. ................................................ 19 ............ ................................................................... ............................................................................... PLOT PLAN SHOWING LOCATION OF BUILDING IN . CENTERVILLE BARN STABLE MASS. FOR ALAN E. SMALL -INC. SCALE' I° =60� DATE: SEPT. 3, 1975 CHARLES N. SAVERY INC. REG. C.E.a L.S. 712 MAIN ST HYANNIS , MASS. 3� 37 1_OT 54 5,0 00 S.F. -o 0 0 0 53 0 LV 55 /A N Dwelling IIJ 19'+ 2 o'± GO.2• +ri p 9� N ml Do.oo' MONO M O Y CIRCLE I hur.by certify that the 5uilding exists e.....4 on the ground as shown on this plan and �����" J` "AS` is in :icaordance with the zoning ROBERT C rtqulrements of the Tuwn of Barnstable. ; F. o sUNIK19 -� f �J 4 Registered Lend Surveyor '<<\`��'�7�� THIS LOT IS NOT LOCATED IN A FEDERALLY DESIGNATED FLOOD PIN ZONE.LA ` 72238A "� Aj,,iessor's map"'and'lot (number .............................. SEPTIC INSTALLED lid COft1pi -I 7 " ? WITH A' ."I'h"XE if Sewage Permit number .. ..........19,10. -r ,. . ..... .. _ �A. " SANITARY CODE S c 2�ldi�. 4 REGI� � ` "LATI. OF7NET�� TOWN-'- OF BARNSTAB�� F4 9MARN03, y DI C: EX, NG - ' NSPECTOR p �E4.MPY d� - ;ro n AlAPPLICATION FOR PERMIT TO .....1. ...... . .................... ..............:................................. .'� . • 4� • �..•} I TYPE OF :CONSTRUCTION '...... :- ; -:. . ........:.... .........: ... . .............................. ..... .� �` %fir .............�...........................19...... TO THE INSPECTOR OF BUILDINGS: The undersigned' hereby.. pplies for a permit according to the following information: Location ............. ......�w�.....�....... ...... ' .../y1� � '-p'1!? .....................................:.............................. ProposedUse .......f. ..i ..... ...........:.................:....................................................................................... Zoning District ................A ..............................................Fire District ...t.. L/ Nameof Owner ... .............. . ........................................Address ..................................................................................... Name of Builder ...................................Address Name of Architect ............... ........Address Number of Rooms Foundation .....................'........................................................ .............:.... Exterior Roofing ' . / ................... ............. ... �. ...................... Floors ..............G9 .....................................................Interior ........ . ... ......�....................... Heating ........1..:.................... ..............................................Plumbing ........1...�?�......: ..............................:............... Fireplace .......t............................................... .........................Approximate Cost fir....... . Definitive Plan Approved by Planning Bocyrd ________________________________19________. Area ......��..®.. ..�'. O Diagram of Lot and Building with Dimensions Fee ........... �..................... 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. Name. .............................. ........................... Small, Alan 17923 . one story, • No ...................Permit J8'r..................................... single family dwelling ............................................................................... Monomoy �Circle LocatioA................................................ ........... Centerville ............... ....—******—**—*****'.............. ..................... Alan Small Ownerr................................................................. frame Type of Construction .......................................... .................................................................... #54 •=Plot ............................ Lot ................................ • ✓ L/I Siptem ber 3 75 .Permit Granted ................................ .......19 k Date of Inspection Date Completed . . ..19 ........... ..... .. PERMIT REFUSED 457............... ................... ................... 9 IL ........................................... ................................... /P '00- ........... .............. ................... -7 ....................... .................. ............... ............................................................I................... ( C�Approvecl ................................................ 19 ................................................................... ........... . .............................................................................