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'� "= � J �• - r;r+' fi '�•iYl� 'i,. y 1.Jy i ` , .;a, a lR.,.� r y -, ry r, ,(➢., nrn ,i =1�„n,,�. •t �.'?ff+, h ' + tit �G r / 1 r., rr ; i S y� �. i t" �: ,q r„ y n r i�''., x{ :,, , . r . i �a K r 'r p` « ! ti It, .` �' t--i s r-;_ , ri.. i, z y'T n€ l ", :pr O 1 , 7 rr „c it �X' } C c 1!: t/ ) .. 'Jr. . �b a tl . Y a r. ., _., — I Of THE Tp Town ®f Barnstable �er inq i Expires 6 nronNrs jrour'Lssrre dNc ' regulatory e -vices Fee BARNSTABLE- v� �6 Thomas F. Geiler, Director pJfoyA wilding Division !©lei Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RE,SIDENTIAL ONLY' . ( Not Valid without Red X-Press Imprint Map/parcel Number F�0 OC y �d Property Address fJ t�v Cedewlf, Residential Value of Work 500 ` Minimum fee of S25.00 for work under S6000.0 Owner's Name& Address 0A11V 0 liw, V✓11) N Contractor's Name TY f 'e i A Telephone Number d Home Improvement Contractor License#(if applicable) /� a Cons uction Supervisor's License#(if applicable) 0V J 7 83 -PRESS PERMIT Workman's Compensation Insurance OCT .6 2009 Check one: TOWN OF BARNSTABL ❑ I am a sole proprietor ❑�4m the Homeowner I have Work e'r's.,C� ��ompensation Insurance Insurance Company Name // e &PS IV"C�/-S t � Workman's Comp. Policy# ��� Copy of Insurance Compliance Certificate must be on file. Permit Request heck box) AA e 1 Rc-roof(stripping old shingles) All construction debris will be taken to IN l� I /1J � is, ❑ Re-roof(not stripping. Going over existing layers of root ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) - *Where required: fssuance of this permit does not exempt compliance with other town department regulations, i.e.l-fistoric,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission, om Improvement tors License& Construct Supervisors License is required. SIGNATURE: -f n swPrr r-csrnR rvtesFYnrr.gq\FXPR F.SSPERMIT.DOC The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ; 600 Washington Street Boston, MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le6ibl Name (Business/Organization/Individual): Address: � v City/State/Zip:. �' G% - 3 5 Phone #: Are you an employer?Check the appropriate boy.,"' Type of project(required): 1. I am a employer with 4. am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling — -.. --- These-sub=contractors have-• --- 8., Demolition ship and have no employees working for me in any capacity employees and have workers' 9 ❑Building addition comp. insurance.$ [No workers comp. insurance 10.❑Electr' al repairs or additions, required.] 5. ❑ We are a corporation and its 3.0 I am a homeowner doing all work officers have exercised their I LE]P bing 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 13.❑Other . employees. [No workers' 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 Iworkers'compensation insurance for my employees. Below is the policy:and job site information. Insurance Company Name: Policy#or Self-ins.Lic. 1� 6 l 1 Expiration Date: `j / bo Job Site Address: ��/ " City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lnvestigations of the DIA for insurance covera e verification. I do hereby certify under the pains and pen ties of perjury that the information provided above is true and correct. Signature: Dater ✓a/ — Phone# Official use only. Do not write in this area, 15 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#: I - I v 1 1V : uuU II 1I. U, ,,,� vum u, - .�✓.,� _ :,:,•.nn,.v1, lr n;1) 1 I U L J`t Y 1 Y L J - UU1! UUS, .��l( DATE_R CERTIFICATE OF LIABILITY INSURAkCE� 06/16/2009' PRODUCER (781)344-3200 FAX (781)344-1425,J. .- ,THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parsons Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6 Freeman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 527 Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NAIC# INSURED Naranjo Construction Inc. INSURERA. Northland Insurance Company 3.87 Station Street INOSURERE: Hanover Insurance 22292, Stoughton, MA 02072-1664 r to-lsuR.ERc National Union Fire Ins Co INSURER D INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRSED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CP-574340 06/15/2009 06/15/2010 EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY M DAMAGE PREMISE;(EA oc,uren,Q RENTED 100,000 CLAIMS MADE �OCCUP, MED EXP(Any one persmj_ S 5,000 A PERSONAL&ADV INJURY - S 1,000,000 i GENERAL AGGREGATE S -2,000,000 -PRODUCTS-COMP/OP AGG. S GEN'L AGGREGATE LIMIT APPLIES•PER: � � � � � • - 1,000,000 POLICY PRO- LOC JECT _ AUTOMOBILE LIABILITY AMN-2318565-01' 12/O7/2008 .12/07/2009 COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO � � ' ALL OWNED AUTOS a - BODILY . S X SCHEDULED AUTOS Per person) 100,000 g X HIRED AUTOS 80011Y INJURY - S (Peraccident) 30O 000 X NON-OWNED AUTOS - ' .° , PROPERTY DAMAGE S (Per accidenQ 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA.ACC S ,. .. .AUTO ONLY: , AGG S � EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE S ' OCCUR ❑CLAIMS MADE AGGREGATE _ S - I� DEDUCTIBLE S RETENTION $ IN S TH WORKERS COMPENSATION AND ` -WC6765497 04/.30/2009 04/30/2010 X T vrTMN O R EMPLOYERS'LIABILITY - - E.L.EACH ACCIDENT 500,000 C ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEPJMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE S 500,000 If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE.-POLICY LIMIT S - S00,000 OTHER — DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED B.Y ENDOR�Ef&t Ti�PECIAG.PROVI$IONS Residential carpentry, siding & roofing contractor HD at Home Services, Inc. ^and the Home Depot a"re Ancluded,as Additional Insured with . espects' to General Liability Insurance, CERTIFICATE HOLDER _r C NC_.ELLATION I. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE °XhIjtATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1'HD At-Home Services, Inc. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, dba: The Home.Depot at Home Services U r 2690, CUli�erl and Parkway BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Sul to 300 OF ANY.KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Atlanta, `GA 30339 AUTHO&IZEDREPRESENTATIVE ` Davis 'arsons: ACORG25(2001/08) FAX: (508)756-8823 _ ©ACORDCORPORATION.1989 f 09/21/2009 11: 1;; 7813411444 NARANJO CONS PAGE 01 v ' Jea %fT.rBuil.di,n.g Regu,lat ons anal Standards ®ne shbu-ton Place Rootn'1301 Boston. Ma.ssa,chusetts 02108 Home Improvement.6 tractor Registration E. ::::_;....: :' ...... `.a Repis4ration: 163124 - "Type: Individual Expiration: 5/11/2011 tr# 284065 GUILLERMO NARANJO GUILLERMO NARANJO _-- 187 STATION ST, __...._-- STOUGHT N MA 02072 Update Address and return card.Mark reason for change.Y (*'I Addreos ��. . �,1 Renewal �OPS•G Employment ' LostCard '^ :;lAA T!�/J99➢Mt4AA//JFpl,�f /�ill/r.044(J:r�DEr.7d .. .,. - -\ Board of building 1102tttaf4ons and Standards License or registration valid:for individul use ngly ' HOME IMPROVEMENT CONTRACTOR before the expiration date. If.found return to: Registra66o . 163124 hoard of Building Regulations and Standards ,Ei>ip�rmtltsrt,-jf.11/2011 Try 26d0i35 One Ashburton Place Rm 1.301,' :yp® ntllliltlual Boston,Ma.02108 GUILLERMO NARANJO---- GUILLERMO NARxkJt '::- ••: 187 STATION ST. STOUGHTON,MA 02072 :, Administrator Not valid without signa•tu BOARD OF BUILDING REGULATIONS License: CONSTRUCTION.SUPERVISOR Number-CS 093783 Birthdate: 05/10/1987 Expires 05/10/2010 Tr.no: 93783 Restricted:::00 JASMANY G NARANJO 187 STATION ST ST STOUGHTON, MA 02072 -- Commissioner HOME)1vIPROVEMENT CONTRACT PLEASE READ THIS '$ Sold:F.utnished and Installed by i- THD"At-Hvtne Service.~,Inc: e Services Boat, Branch NName: Date: d!bla The dome Depot At M 1 41607 �t � 145A.Greenwood Street,Unit 2•v''Fax L508)756 8823 Toll Free(800)657-5182; Bzanc6 Ntuaober:31 Fc t ri t tD#75-2b9f146f):MG Lic C UZ439:Ri Cont l i#)26893 tic#565522:MA Home Improve nt fonvltccror Rcg. i _ City St t�e Lip Instattation Address: Home Phone Cell.Phone: Work Phooe: [ � I Horne. ddross: City U (If different from Instal)ation Address) t a E•itlil Address(Co-receive pro)ec-t e.onttnunications and Horne Aet>v Pates)'. d j Dn NOT wish to receive any marketing entails from The Home Depot ees to buy, address, t agrees t)f iteetly)�elt of wftichrgenQotPora the nedail toh S lnstiatUu by-this MIS )ttfornoation: Undof ersigned(,,customer'),the owners of the property located at the above installaaoation(,,In t,2 and TFID ottte Services,.lnc.("I'be Iionie I)epo ) g all materials described on the.below and,.an the reft reseed Spec S reference,along With any applicabtc'State 5uppletnent and Payment Summary attached hereto and any Change Orders(collectively, 'Contract"): Project Amount Prodocts: S Sheet(s)#: Tobtl:.au ��tv«�> -- �uylndnWs ❑lnsutation Rooting ❑Sidim. . 0C7uttcrs 7 Covers 01,,16 Doors.❑ 170t111� 51d1a{ ❑Windows.❑insulation $ _ I [].Gutters/Corers ❑entry boors O_.,-..--- Rooting Siding Windows ❑insulation . $ �Gutt _1 --0 rrs Obntty,doors:0-_.._ j Windows. Insulation `� Roofing . Siding . �Gutcer l Cove, 0Q niry Doors ❑ Miniiiium 25%Deposit of contract Amount due upon execuGoti of this ronewrct Total Contract pmoitnt $ C ✓' btwite.Puurchasers miaY not�W more than one-tWrd of the Contract Armunt ✓✓✓ xe:cut aComple er will CtrsiomeT agrees that,ittunediately,rl&ondmidual Spec�l�tion of the S eet)rand payCanyrba ante due,mAs apple able`ea h Customer t under this iv (one for each Product as deti.ned by . Contract agrees to be jointly and severlly obligated and liable hereunder. Tlie Home)depot reserves the right toassue a Change:Order or terminate this Contract or any individual Products}included bezels,at errors or be its discretion,if The Home Depot ttr its aue a.: ed'Set vice provider determines that it cannot perfo4a-a its obligations due to 3tntetunil Problem with.the home,enviro)tntettial'hazards such as mold,asbestos or lead paint,other safety concerns.pricing rro= work required.to complete,the.job'wa tti�2 included iA�and ract. included as part of this Contract, sets forth the total t�nvmi+rlt SuttimarV: The.Pti1'tttent Summary K - Conuactamount and payments required fc)(the deponal p r»ents by product(as applicable;). NOTICE TO CUSTOMER YOU..are entitledComt let on olejely filled illete fv-in c of the r eation CertW ch listed Product as defined by ct at the tinve individualn. DSpec Sho not eets)betopeework on that Product there is on :p is ccomplete. In 6e and eevent jces f termination ti The his Cople 3pot or Autbo.r ize Customer dr Serees vice Prurfderothrome ugh the dateof terme costs or tutiafian�,lplus ean other amrtttnts set forth inthis Agreement r aliol ed ulider applicable plicabIT a law.T PAYMENT OTHER PAYMENTS MADOME DEPOT MAY E WITOHOUT OWED-TO..THE HOME LIMITING THE HOME.D.RPOT'S OTHER REM DIES FOR RECOVFI2Y Of SUCH AIviOLfe agreement g. Acre isnce ande nototho'rizatti n: tc OSWOnxiuei and l�stalationrscrvds��ceshat l,nd ups cedes all rceincot is tprior tdiuusste stalidagreemeetween Customer n5 thea acid The Home Depot a vr' 6rai or written,rclaung-tu said Produc:5 and Ittstuilution.This Agreement cannot he assigned or amended except by< t Ling signed by C.us written,r The Nome.Depnt.Cu aonicr.acknowiedges and a9reeS that Customer has read.underswnds,volu '1i ily accepts the terms of and has received a copy of this Agreement, c. SuboO)"sUlan : A'c T by: x �.G Sat 5 i atureDateCi er's Signature v i7ate / /]Gy—7�• ,-'-7, , _ elephone.No- Cusmmec Signature Date Sides Consultant 1_icense No. _ '(s �pplicnble} , CANCELLATION: CUSTOMER MAY CANCEL THIS j 1�1AGREEMENT WIT] HOLiT PENALTY OR OBLIGATION r BY DELIyERING WRITTEN NOTICE TO TIIE HOME .DEPOT BY MIDNIGHT ON THE: THIRD BUSINESS >?AY AFTER SIGNING fEtiS.AGRE.EIYIENT. THE STATE—SUPPLEMENTT ATTACHED HERETO CONTAINS A k0"f TO U$E IF ONE IS SPEGikIGAbLY PRESCRIDEI), BY. LAW IN THLS COTlR4CA CUSToMER'S$GATE PA"1tE j �/ ✓1ZCV0977/I9200ZLIJP.CG(,/,fL �--' �./�aa�aclw.ae Board of Building Regulations and Standards t�a HOME IMPROVEMENT CONTRACTOR Registration;, 126893.' r Exp?ration g813/2010 _Type Su element Card The.Home Depot At Home 5 rvice DARREN DEMERS 3200 COBB GALLE ��A`PKVVY� 20 � TLANTA,GA 30339 Administrator ] elk- r, e License or;registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 Not vand mlithout Signature Town of Barnstable *Permit# _ °F WE Tp Expires 6 montthhss from issue date 19 • Regulatory Services Fee IAANSTABLE, y MASS. Thomas F.Geiler,Director 1639.�AlEDMPiA`0 Building Division IT Tom Perry, Building Comiiussioiier APR 1 6 2003 200 Main Street, Hyannis,MA 02601 �v Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790-6230 RESIDENTIAL ONLY EXPRESS PERMIT tAPPLICATION/ Press Imprint. Map/parcel Number �n �� o OPQ ,,� vi It✓ �(3 Property Address � � t'�e Value of Work 3�° Residential Owner's Name&Address ' /� - _ Telephone Number Contractor's NamC _ i Hone i Improvement Contractor License#(if applicable) 1 ® �0 � p Construction Supervisor's License#(if applicable) 5 ' � orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �iave Worker's Compensation Insurance Insurance Company Name CL, h Workman's Comp.Policy# L Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side - ❑ Replacement Windows. U-Value (maximum.44) �8 LZ V w• � it L`.1�'T �'�btl1� i� � /� !i i [�ther(specify) � �����.�� A� r� 'BA .A 1(ott onf Z/�S�XN� +Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg I. ' _ L / • tl � {� • M BARM"B = Department of Health Safety and Environmental Services 6 ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE Permit: .43a ac� SOLID FUEL STOVE PERMIT Date: 4 2--0 � Owner: I 1'1 n )( ft Gf (n Fee: 25�00 _6' Phone: .� 7�SP Gf,�J� >y A o 3e.f L n Address: t�S Village: Map/Parcel: C a Date: Stov A. New � Used , B. ype: Radian/Circulating C. Manufacturer: u)q..�e 0 Lab. No. D. Model No.: Ze"c;{ a-u i-\ o u4 J'1& A r/t Chimney A. New/ xisting (If existing,please note date of last cleaning `7 S l B. Flue Size -' C. Are other appliances attached to Flue? /7 0 D. Pre-fab Type and Manufacturer E. Maser Line o nlined Hearth A. Materials: t C B. Sub Floor Construction: Installer 1i AJ Name: K �� O�-S�Q u E? �s Address: 2.Y IUA' J4 G� Phone: Location of Installation: 3 N AU l e-1- C A C U l/-z APPROVED BY: J Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc TOWN OF BARNSTABLE 2!.109 t"` ` t Permit No. --------- - aRISTAU te""' : Building Inspector Cash --___—� rua 039 OCCUPANCY PERMIT Bond X 7 R "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to ,TcB K. 1:IZti1 Address lot #30 35 Nauset Lane. Centerville � Wiring Inspector � �� -' Inspection date Plumbing Inspector Inspection date r t Gas Inspector r Inspection date X Engineering Department ' Inspection date ?" c - THIS PERMIT WILL NOT BE VALID; AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE. WITH/TOWN REQUIREMENTS. _, '•"' ............ ........ ... 19 . _ "'J� Building�Inspector� ,� � � WO GAIZBAGI= 69-INU61f2. DAtLy Ft-OW - IIo x 3 = 330G.RcP $EPT1G TAtiK = 330915C>% =495G.P. U51= 1000 GAS_. V 3` , �°�� T �+ .oa `,.•moo+� / . \h0 , 015Po5At_ PVT uSE {GOD GAL. t50 S.I= X 2.5 = -:375 G.pp } ra• _';. 53'f �; `` ++ F X 1• 0 -TOTAL- DESIGN = 488 G.PD- -ToTA.t.. ".PA t t-Y FL-ova! = 330 G?O. PE2G0LATID�1 RATE : I''lN 2M►N oR:t_E55 �. q1:..:. /_ [" tpR Ir So 'It Zjk� OF 2 i,-'a RtCHAAL N f� te PAXTER Top FWD_%40.q8 I Hot_E loov z DtST. INS. 9G.® 8o�c 56PTkG - . GQO•� ItJJ 9TAO GRAVC LEACH 1 �. -PIT .... -- -INV.-90 ,INY!97.eo-:- ._ I M-vIVM sANp 3/ /4-!/z V G�9—TIFtGO PLTO PLAN! ..1 _ sl PROFILG ; . . : LoL4'Tlot�t G E tyT ERA l L.l.:_E ,....8b= w0. SCAl_e__ SCALE IN V NTa I, � =.goy•;.. 8z ` P1-AN RE.FEVZSNGE CERTIFY THAT TNrc 1~ouNDATfiory SHolrt(N.; ! HE2EOW GOMPL\. 6 WiTN L0"T' 30 P,VJ0 sET5ACK 2�c�u►L21rM�r�TS oF -rNE- : T�v�1N a ?�ARNSTh�t:E AND ,5 ROT P�� hN F o2 1I t_OGp.TC-D WlTN11J 'CN6 GLodD P4AlN, , ROGER J. b p0120T11Y F GA6N0K; ` S ATE 5-1-82. Q N o Y+ 5, I `% 81 '�..'"'" gAxTEVZe 1.1•Yr- I.NC. 1 R-E.GIS'tf��'ED'LAWoSu2:Yc_yc'zt. Y T1�15 PL&M 1-5 KIvT 13A56D 4Id AN OSTEIZVILLE- • �P.aS.• {'� I,� iA;ST(ZuM6NT S�e.v��( �-rWE of=F5ET5 5uou� .., '�( I AIoT 5a 1.1E �j APP1-IGANT �,e,�M�s •k cJM.I'r14 ,f1 a , ... A4¢gssoA map and lot number l7 ' ..../..'. .9, .. O!!� R�/�� C� �L iTHETp�I �I Sewage Permit number ....................... NSTA House ' umber ac SEPTIC SYSTEM �il,6ST �E 9 BaaMASIL E, INSTALLED IN dCOMPLIAN '',�oNaY'a�0 , TOWN OF BAR91,WK ro' E AND .r y II . BUILDING INSPECTOR . APPLICATION FOR PERMIT TO ...............ns� ..... ......... .........................1 .... TYPE OF CONSTRUCTION ............... W 0.... ....: \ �.t m ,..... ............v................:.. ..........19.... ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies \for a permit according to the following information: Location. ..4-P 30......1"�j.�u���.... �-Gl tie ...... �'-�.v�� �-'............. Proposed Use .......d�,f�. :1 ... �T.Q fY�►.�? ..s ......... ......... . ... ......... .............. �.. Zoning g .District \`�5,.........A\.51�\........................ ....:Fire District ...4�(1�.�V.?.�1e...-..�. T.)T.�t V.� � ........ NaYroe of Owner : �i. .....K... �.. . .................Address n. Zf,, .e-.................................... Name of Builder ......)6..... i ?.. ........ .....Address ............... ... .:...................................................... Name of Architect ....::..Address Number of Rooms ...:...... ..:.................................:......:...:....:Foundation' qv�MA........caqw,`-?"................. Exterior L ��o..0 a..... ....... .............. ..... .ekl n \ \ ...........Roofing .... Floors ..... .... ......... ..................... ...:Interior ..; ....�or.�W ............. ........... Heating ...A. ..::.....r.7 ... ...................:..........:..:.......Plumbing - ......................... .... Fireplace ..................................................:.........Approximate Cost ......:. .- ..Q ...................::::..... Q �- Definitive Plan Approved by Planning Board -----------____________ - ' ------19-------. Area ... .. . ....... .... Diagram of Lot and Building with Dimensions: Fee .... :C, 7•_".......................... SUBJECT TO APPROVAL OF BOARD OF. HEALTH' OCCUPANCY PERMITS,REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .Ca .�..... . ..YN. ......................... SMITH, JAMES K. NbJ4 24109 112 Story ................. Permit for .................................... k. Single Fami ly . ....................................... ......9.............. Lot #30 35 Nauset Lane Location ............................................. .................. Centerville ............................................................................... James K. Smith Owner ............................................... Frame Type of Construction .......................................... ...................................................... Plot .......................I..... Lot.................................. 82 Permit Granted ........................June 4;................19 Date of Inspection ....................................19 Date Completed .......................................19 LC9 Y':Q ti