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Barnstable car 200 Main Street;Hyannis MA 02601 508-862-4038-: 4 Application for Building Permit' c = Application No: TB-17-916 Date Recieved: 4/3/2017 ' Job Location: 199 PATRIOT WAY,CENTERVILLE Permit For: Building-Insulation-Residential M Contractor's Name: WILLIAM.J MCCLUSKEY State Lic. No- CSSL-102776 Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: DECKER,CRAIG M Phone: (617)512-3614 (Home)Owner's Address: 199 PATRIOT WAY, CENTERVILLE,MA 02632 Work Description: Add R-44 cellulose to the attic.Add R-38 fiberglass ,to the attic.Air seal the attic plane with expanding foam. Total Value Of Work To Be Performed: $4,106.00 r Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor;subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have; been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office.:Requests for inspections must be made at least 24 hours in advance. Signed: William McCluskey 4/3/2017 ,5 (508)398-0398 Applicant - Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $4,lOQ.UO Date Paid Amount Paid Check#or CC# ( Pay Type Total Permit Fee: $85.00 4/3/2017 $85.00 XXXX XXXX XXXX-� Credit Card 0299 Total Permit Fee Paid: $85.00 Cape Save Inc. - 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 4/25/17 Thomas Perry CBO BUILDING DEP Town of Barnstable s Building Division MAY 2 6 2017 200 Main St. Hyannis, MA 02601 k TOWN.OF EARNSTABLE RE: Insulation Permit B-17-916 Dear Mr. Perry This affidavit is to certify that all work completed for 199 Patriot Way, Centerville has been , inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. x Sincerely,, William McCloskey` 3 4 Town of Barnstable *Permit#�-7b �7Jr Q� Expires 6 months from issue date MAM 1 Regulatory Services Fee ' Thomas F.Geller Director Building Division Tom Perry,CBO, Building Commissioner (� 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number / 9 31 9 5 Property AddressP—a rt, t ly-2 4 o aG 3 [residential Value of Work ;?U"ZJ"Z� --Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number 50 g— Home Improvement Contractor License#(if applicable) 1 oC JN 3 Construction Supervisor's License#(if applicable) zworkman's Compensation Insurance X-PRESS PERMIT Check one: . ❑ I am a sole proprietor ElA U G — 2 2007 I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# C( R Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to s ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ElReplacement Windows. U-Value (maximum.44) 1~ r" 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ro Owne ust sign wner Letter of Perii�ssib�.l` ` 1 Home ense is required. SIGNAT RE: -- - - . Q:Forms:expmtrg Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street s Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: 1$unlders/Con>t>rachoirs/Electtricians/plumbe>rs Applicant information Tease Print I,cgabl� Name(Business/Organization/Individual): j( Q Address: City/State/Zip: Q a6 35 Phone#: Are you an employer?Check the appropriate box: I am a employer with�— 4. 6. of project(required): Lt ❑ I am a general contractor and I New construction employees(full and/or part-time).* have hired the sub-contractors 6 ❑ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑Remodeling ship and have no employees . These sub-contractors have 8. 0 Demolition working for me in any capacity• workers' comp. insurance. [No workers' comp. insurance 5. El We are a corporation and its 9' ❑Building addition required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no I2,�koof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13 [:1 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 7 1 q X 6 t I? Expiration Date: Job Site Address: 1/ K/1 zei City/State/Zip: A— Q 26 3 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 Investigations of the DIA for insurance coverage verification. I do her =er sand errsf s ertt�a}'p ry that the information provided above is true and correct. Si ature Date: Phone#: 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/ 'own Clerk 4.Electric' inspector 5.Plumbing inspector 6.Other Contact Person: � A *4 Star Warranty Upgrade will be applied if proposal'is signed and returned within 10 days. (see enclosed brochure) 2% if paid by check Payable immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 18%for every 30 days the payment is late. Possible Extra -After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$50.00 per hour, plus materials,plus 20% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the.shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any,deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control.. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Homeowner Fras Construction f :: DATE ::::.::.:.:.:::.::::::::::.::. ::::::::::::::.::::•:::::::::::::.:::.:::::::::: .... .: .::::. PRODUCER ....................:.:�:::::........:::.�::.::::.:�:.:::::.:;:.::.;;:.:.;::.>::.;:;;.;>::::;•;::;:;:.:;:.:.::<::.;: :::.::.:;:.'•::::....:>......:;;:.;;:.;:.::; THIS CERTIFICATE IS ISSUED AS A MATTER OF IINFORMATION WISE & QUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR., 449 PLEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BROCKTON MA 02301 COMPANIES AFFORDING COVERAGE COMPANY . 2RED M PANY HARTFORD INSURED COMPANY UNDERWRITERS INSURANCE COMPANY FRASER CONSTRUCTION CO B PO BOX 1845 COTUIT MA 02635 COMPANY C COMPANY D ...........................:............:........ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST .... ..........:::::::::::::::: :;::<•;:.;::.;:-;;:::»:>;:»:::>:>.:::>::>:>;;»::>::>::>:«::::::>:<::«:;;::>:<::::::»ED 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. CO POLICY NUMBER L TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION TR DATE(MM\DD\VV) DATE(MM\DD\YV) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL UABILITY GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG.CLAIMS MADE 0 OCCUR. $ - PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIAR W TY MED.EXPENSE(Any one person) $ ----------------------------- ANY AUTO COMBINED SINGLE $ ALL OWNED AUTOS 'LIMIT SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) $ NON-OWNED AUTOS BODILY INJURY (Per Accldent) $ GARAGE LUUIILITY PROPERTY DAMAGE $ ANY AUTO AUTO ONLY-EA ACCIDENT_ $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $, ' $ OTHER THAN UMBRELLA FORM AGGREGATE A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-794XG 19-1-06) 09-26-06 09-26-07 STATUTORY LIMITS THE PROPRIETOR/ EACH ACCIDENT $ PARTNERS/EXECUTNE X INCL OFFICERS ARE: EXCL DISEASE-POLICY LIMIT $ OTHER DISEASE-EACH EMPLOYEE $ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIDR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER ::. ;:.;.:.:::.;:I � :H# R.::.<.;;;;:::::::.:.;:.;;;:.::::::::::.:.::.:.:;;::::::._.:::.;.;::::.;::.:.:::::::;:;.;:.;:;•::.::::::.;.;:.;:.;:.;:::.,...:....: ...................... CT I NG WD RK E R S CD........�.�.�::::::.::.::.::::::::::::.:�::.�::::::::::::.�:.::::::::::::::::::::.:�::::::::::::.�:.:::::.�:::::::::::::::.�::.�•.::::::::::..�.�:::.:: .. ...:.. .....::.::::.�::::.::::.:._.................... MP COVERAGE. HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL F RA$ER CONSTRUCTION 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO BOX 1845 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR COTUIT MA 02635 LIABILITY OF ANY KIND UPON THE COMPANV,,ITS AGENTS ORREPRESENTATNES. AUTHORIZED REPRESENTATIVE MOW" ..........: �.: : : .......:::::::::...::::.::::::...:::::::::::::.::.::. ..: . ::::::::::.:.::.::.:::.::::::.::::.:::::.:::::::.::::.: :..::.:::::::::::::.. .:•:::::::::.::::. j. I £ / 7 BOard Of J3Ufld'n9 One Ashb Reg�lat�0ns and Stand injon Place - arils Boston 41�Iassaehusetts00na 1301 �I®tee �Vr®vement', � 0210� 0.9t°aetor Registration F�EER C® Registration: 112536 CONSTRUCTION ' DEAN ��4SER RUCTION CO. Type: Di3a i P.0. Expiration: 3/23/20D9 Tr# 127920 f E®� 1845 COTUIT, MA 02635 } DPS-CAI 50M-05/0&PC8490 update Address s �e d return card. °'n"y1lz --- — - ❑ Address mark reason for change - --- ❑ flSenewal "card of"unding P-glations --- - ❑ EmploYruent . - HOME 1MF+ and 5'tandards ❑ Lost(Card IeVEMENT CONTRACTOR License or r Registration: i 12536 before the registration v individul slid for' . �PRation: 3/23✓2r009 T Board of���g On date. gf found return to use only Type: p�� 127920 One�burton P egulations and Standards FRASER CONSTRU Boston,11a.02log Place 1301 CTIO►y�0. )1 . DEAN FRASER ,/ 4556 RT 28 y COTUIT,MA 02635 Admnistra � ... Not valid out signature -^ice i The Town of Barnstable • RAIU gear e, 9 � �' Department of Health Safety and Environmental Services a59- �"tee Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION 0a c 0 Location of shed(address) Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg i LOT 28 c S88 07'09"E 165. 00' zz I LOT 32 ----_-- 2.0 i. V LOT rO ® a fro 4.1" / ` 4' _==GAR-= -- 24.3" (4) i S88 0709'E 169. 31 ' 169. 31 ' — g,. LOT 26 RES. ZONE. "RC" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" . Bank Use Only TOWN: _C_ TE_VILLE ______ REGISTRY OWNER: MARY M._KEVILLE____--__--____ DEED REF: _ CTF 84950___----_BUYER: REFINANCE ___________________ DATE: _4�22/97 ___________ PLANC. 38507_B_ SH_4 __SCALE:1"= 30 FT. I HEREBY CERTIFY TO FIRST CITIZENS FEDERAL_____ CREDIT UNION -___THAT THE BUILDING �c5*� of SSp� YANKEE SURVEY -_ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS UL yc CONSULTANTS SHOWN AND THAT ITS POSITION DOES ___ CONFORM A. TO THE ZONING LAW SETBACK REQUIREMENTS OF THE � MERITHE9Al 40B (SUITE 1) TOWN OF _ BARNSTABLE _________ 6r, �'' � INDUSTRY ROAD __AND THAT c, �� IT, DOES_ NOT-_+"LIE WITHIN THE SPECIAL FLOOD HAZARD '�fG� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D: MAP DATED 8A1985 _ F , , x TEL: 428-0055 Co • mu wt -Panel 250001 0015 C ��<t. ,, '� FAX 420-5553 ____ THIS PLAN NOT MADE FROM AN INSTRUMENT 20694 A L A. MERI EW PLS SURVEY NOT TO BE USED FOR FENCES ETC. l Engineering Dept. (3rd floor) Map J 2 Parcel �J .. Permit# <p St House# j C1 1 " Date Issued (Q 2 Board of Health(3rd floor)(8:15=9:30/1:00-4:30) ��HY /'�f" Fee Conservation Office(4th floor)(8:30-9:30/1:00-'2:00) 6 Z �� � ✓ Planning Dept.(1st floor/School Admin. Bldg.) *. E Definitive Plan Approved by Planning Board 19 SEPTIC SYE INSTALLED! CE TOWN OF.'BARNSTAB&C, W"AL CODE AND Building`-Permit Application TOWN REGULATIONS Project Street Address e �ipT'�1��. � t nn _ Village Owner_/,�f� ,� C_ ,ptay Address -Telephone , Permit Request ;ram Z2 --'-A 1st/ f ' First Floor square feet Second Floor / /AQ square feet Construction Type e> /�,16.�* Estimated Project Cost $ � Zoning District Flood Plain Water Protection Lot Size c Grandfathered ❑Yes ' (J No Dwelling Type: Single Family )2f Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 43 No On Old King's Highway ❑Yes j No Basement Type: 417ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 4v A Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half. Existing New No.of Bedrooms: Existing New s�j Total Room Count(not including baths): Existing o4 New First Floor Room Count Heat Type and Fuel: -0 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) /Y X 7 Z ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes;site plan review# Current Use Proposed Use Builder Information Name ZZ,61 C,L/,V^7 ,�c ,1-4 Zi L Z 6" Telephone Number -�7/ Address 4ca <'—' dL-gck Z5�0t 5 r License# 1 q 0 `Z� i�l✓I�G�: Home Improvement Contractor# Worker's Compensation# Z�C Z 0 2 31?Z 5- 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 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) I ash Co e-C-� ir ; . �C FOR OFFICIAL USE ONLY _ •PERMIT NO. _ DATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE OWNER 4 r DATE OF INSPECTION: rt FOUNDATION 4 I-q,? - - - • FRAME �pTM INSULATION: . -FIREPLACE , ELECTRICAL: ROUGH ,a FINAL • , PLUMBING::" ' R666�I � 1- FINAL ' GAS: FINAL �`y ® Pi tr FINAL BUILDING 9 �z 4 DATE CLOSED OUT ASSOCIATION PLAN=.NOS f i , { ........,r-•••-.•r.ti .-..-.r .ter". - •-•• �.� - _ . r• . .-+••r. ,r._. e�,r`''r. -v..-rip.,W•.1. -. �..,ti.• «ti ry ,:,.. ....» ,r _ _ iME ipr,. .The Town of Barnstable ' Department of Health Safety and Environmental Services BARNSTABLE. MAq-q 1619• `0g F �Fo Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location �� {�T 2,,o T c z-) Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Lr S �P r 2 oc �z Gfm (c 2 — �— i9 Please call: 508-790-6227 for re-in ection. �l Inspected by Date I o ® ® Schulze Building Company ® ® ® 288 • Cent l L n . P.O. Baas ervi le, Massachusetts O1631 ® (0 ® (508) 771-8604 OR VAL,- C 01 ooPOO 117 r � i Vav LEi�C7TA- you 13LE 4A)tq 2.,(12 L V L R-y C JC 15( 199. j,�iaT.. Copy. 24310 / / 4 i a N 2 a I b op 61EL RL�A :3 v „ hod 2 e0A-4-RqZ� FC31® 67 Y LOT �8 S88 07'09"E 165. 00' LOT 3,2 ° a=-: ==_='* A .� LOT 27 , cl C� S88'0'7'09"E 169.31' 169.31 ' ly LOT 26 RES. ZONE.- "RC" This MORTGAGE INSPECTION Plan is ForO nly FLOOD ZONE.- "C" TOWN: Bank Use_ ---------- REGISTRY OWNER: "_Y A_t_IKZVIII '______________ DEED REF: _.CTF_,B401)--------BUYER: _RFFNJNCZ_ ------ — ------ DATE: _ 221-la_______—___ PLAN REF: _L C.._38507 B SH_4---SC—ALE:I"= 30 FT. 1 HEREBY CERTIFY TO _ CREDIT UNION _____THAT THE BUILDING ����N OF �q�I' , YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ _ CONFORM � A. �^' TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MEP.ITHEW 40B (SUITE 1) "� I.ro. ?2:195 INDUSTRY ROAD TOWN OF ---8�1RL��'�--------- _AND THAT •�,};:, ,,, _•::,�, :� ARSTONS MILLS, MA. 02648 IT DOES_NVOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD ►4:` '" AREA AS SHOWN ON THE H.U.D. MAP DATED_8/��.�� TEL: 428-0055 _ • ;• C0mM]A0jX - anel 250001 0015 C " } " FAX: 420-5553 THIS PLAN NOT MADE FROM AN INSTRUMENT 20694 A A RI E P -- SURVEY NOT TO BE USED FOR FENCES ETC. ., TOWN OF BARNSTABLE Permit No. I saa.rnn Building Inspector Cash OC'•�---�i�1`j WO OCCUPANCY PERMIT Bond ---—_-_-- "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 Sufiblk healty Trust Address Pox 308, Centerville pt 127 149 Patriot Way, Centervill Wiring Inspector _ Inspection date Plumbing Inspector Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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......_ ............................................................................................................ Building Inspector r Assessor's map and lot num ypF?HEt� --- Sewage Permit number �✓� SEPTIC SYSTEM �Q. ♦� .................................................. INSTAL MUST WITH ARTICLE IN COMPLI AS�LE. House number* ................. ..... .....: �.. ........................... 4TICLE II oo: _ ..... SANITARY COD STATE 1MPY. ♦� , . E AND TO 0 °r• f, TOWN OF BAR.NSTI�` BUILDING IN.USPECTOR APPLICATION FOR PERMIT TO .............SuffolktRealt.. Trust.......................................................... TYPE OF CONSTRUCTION single„family..residential ........................ .......Dec.. 19 i....................1978... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........Lot,.# 27 Pa_triotJ.—WAY.......Ce2ntQ Y. .a, .Q.,...MA........02fz3.2....:.......................................... Proposed Use ...........single„family...r.2sidenta;s37....................... ...........................................I..................::... Zoning District ....Single..,familA..,,res,identi,al,Fire District ..... ............... Name of Owner ....,Suffolk Realty, Trust............Address ...........P...Q......HQX...3Q8......C.ent.ervi1.l.e....... Name of Builder ...........Same...............................................Address ........................Same................................................. ... .Name of Architect ..................................................................Address .................................................................................... Number of Rooms ...................7............................................Foundation ...............PQ..Ur.Qd...CQacr.ete....................... Exterior cedar shingles .. Roofing asphalt..shingl es............................. Floors ........ .unQr. 1,aYIeXIt....................Interior .....Skim..GA.at...pla.SAP..X.................................. Heating forced—hot water by...QiI....................Plumbing ................puc.......................................................... .. Fireplace ........br; ,Ck..&s...b.1.0Q.j................................... .Approximate Cost .............B.J`.e.Q.M.,.QQ................................. Definitive Plan Approved by Planning Board --------------_----------------19________. Area ......1,24Q......................... �i .�_. ..00 ............ ... Diagram of Lot and Building with Dimensions Fee p ...... .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 7/ S`slB t \ e I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ....................... L p Suffolk Realty Trust 9 ' , Q-2 ' — e story— ..�.��.. -- ' / oingla�fa�i dwelling ___ . ... ...... _,_~..__, '- I09 B�triut �a� "Location —.---.---------------- Centerville --------.---...—.---.-------. ' . So�folk Realty Trust ' C�vnar ------.—.-----.-------. � �ra�e Type of Construction ---- ---—------ . . `-----'''`----------------'--- Plot ---.-----' Lot _----#2T___. ` . December 21 78 Permit Granted ---------.-- lV—.. �. . � ~ . Date of Inspection .. ........ 'Dote Como|a|o6 l..!"�—........... ` ^ ^ .' PERMIT REFUSED . � -----'---'---~--------- lA � � ' �---^^---------^-----r.—'^---- .............................. | —'—^—'^^'—^'—~-'^^'^^^---~^^~^^'—''``' ` .. ..... .---.— � ----..---..---..--. - —.. �. 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