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0045 PEEP TOAD ROAD
-. ,R _ ,� 0 �. �` . .. . . � ., . .. .. w � �. ,., a ,, ,y �. ti .. p ^ �. -. � c _ r i. .. .. ,. .. _ , �. - -. < _ �� e. ,. � ' �y. _ s .. w .: - �. �, � _� .... .. . Ih � - � - - � .� u. g _ _ - .. ., .. _ ,. ��— - - � a _ .. - � �TME Town of Barnstable *Permit# Regulatory Services EFee s 'AMSTAIM XM Richard V.Scali,Director Building Division ---Pawl-Roma,—Bailding-Commissioner -- —`--�-------^�-----------�---- 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 Property Address y,✓ ��/0lEt'I l/Cz i l`r f� 2 +& 32 esidential Value of Work$ -r ?��� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address rA Rl 5,-lA /L s`Mg, � -rid Q e7 2 0 Contractor's Name i 7;A T. Telephone Numbers' 7.31bZ Home Improvement Contractor License#(if applicable)1®06 Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance _ Check one: E&,Vam a sole proprietor ❑ I am the Homeowner OC1' 3 0 2017 ❑ I have Worker's Compensation Insurance TOWN OF , Insurance Company Name E Workman's Comp.Policy# 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 r000 ❑ Re-side [B-replacement Windows/doors/sliders.U-Value Y (maximum.32)#of windows pi g G��l��� l v✓4 ln�et�t�e�� Sec n/v ?'®d4Y#of doors: aA�� *Where required: Issuance of this permit does not exempt compliance with other town 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 require /t A SIGNATURE: , W :\WPMESTORNIMbuilding permit fonns\EXPRESS.doc 0 125/17 Office-ofb 600'Wadiagion, r shin,M-U12 I— • wFv��mc�gErv�c,�u� Workers' Camp ensdim Insm-mce Affif avit Sudess/C mb7cfars/MeeEicin sfflluxabers A=Hcant Infmm at;ma Please Pry I Addrem Are you an employer?tbeckthe approprtafe ba= ' Type of project(re%pir ed): L❑ I am a employs waft 4 ❑I am a general coaiiuctas and I 6_ ❑Neer oo employee;C:ffid aaftr parWime).* lme hir2 lfie Mlb-contmdws 2_PTam a sale dos orp3rtner- Tined anthe*attached shheeL, 'I- ElRemod.ate sfiip and have so employees, rob confrae..�^m have . g_,❑Demalifioa woddng r is any may- employees andbare walkers* 9. ❑Buildirig addition. ENO SGD conIIp. u COOP."'q '�'r I [ res -j �. ❑ �e are a•z�para6fluamd ifs •, 1�❑file�ical repaiis or ad�oas 3_❑ la a ham er doing ati off cers have•�xR,*'+�ed their 1L❑Pinmbiagrepairs or a tma Myse3i [NO Wokkare oaf_ ,§i{ ie rMaL lry❑Roof repairs Mploy5m,[Na WO&e&. Comp-m=ncz Mpi j �itG g ayapgff 'a- cbeedcsbtor#ltaas3WsaMamttheswE=bdav9ardg@ie¢wor7ceeCMMRMSariaapoTugiO5Mzoaa t sabn� g tip midwaliiea�sid+ec acmrsam suEr�tsaew �tiactica MfL TCa s Sit ebec3�ti�boamast affach m-Adififfial sheet sbaidngtbeameof the sad styewhP6 araott'hme e3ditiesbive emy4opees.'if the sab-c�I--MgkY IAtheyamsrpmtiaefiwirssor�' .pareda�teL law art err�p r 9�af is prauirIing n�r7cers'Coto risrdi�rn insnrat�ce�`or�rcy empPn}�es. $dow is fitepoffcy and jab spa irt, oraud am Ia�mancer Cauigaupl'Fame: ' FoRcy or Self-sm Ii--- a = Sob Me Addle GiiylState��.ig: AE-tach a COPY of the workers'compensatfonpoFcy-declaration gage(showing the policy,number and expiration date). Fad to secure covemge as regnimdunde r Sew 25A of MC CH a 152 can lead to the impositian of czi-inal peoalti of a fine up to$I5aa 4U zWor one-yearimpiisogmed es well as civ2 peaslfigs m fhe foua of a STOP WORK ORDERand afma; of up to$25f LOQ a dap against:the violatar. Be advised that a copy of the rt domed maybe forwarded to the Office of Isvestigaiims of the DIA for iasuzc4-,coverage venfimbnn- 'Ma bw''eby xhfy axdff &�mlP� � F 1F iiurtifis iformefimprm.ideff abm%h bars and correct a —3B Ojkh l sass amity. Do not Write in tkis area;€rt be cmugfe dd by edp artow n Offic&L My or T aww. 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A or• .- • - Ir V 1 �■ r•Illt..r■ ..•1 • �c �1 it-1 /■ H .rr - r.i■ - 1Ir11/.�. ur ■.L& 1•pits volt-1.- a1■- • I - •- ••.t - t..1 ll- -nt■ •I rHuu �1- :■■. •1•Iltli. • ■•" .oil••. 1 P •l 0 .1 .n 1■ b: - •1 O- A►- . r`l%+•_.■•1• l. n Hup: •. - .■ • n: I■ _■■■ r-.n v_ - _.. - .. i7 u n . •.. n �. •non. ■s ••Is .l I . .1-�. : alp �..- nnu. . ...n■a■ :.. .... r:■/1 n_I n1.• v.•/■ I /. •l.lo •%...It �v 1.. r"1..II Iv -.o• 7 �■ 1 ■��/ •■ J.lv■1. oil ■■/•• I ■■• r=.1■• .■■ �• ■• /• ■■n. ••r 1 I..:. .I :l■■ .■■■�: •. �Il- ■W :+w.. i - :�•. •rul ..• l •••P" -:I •r:■. o u 1.••• .■r• • ■l .tut •I O./ ■_ .�/ • i■... 1• CI■.P�■ ■/ U."...w .• t.- •11 N n••/ O .- rl •• ■�• 1• U- a.. ■v_ro_ : .1 •• ■.-1 _ ■ -O.:• 1 vlv a- 10/ Hurl - •.+.0 IL .1 `?)nl - ■- n■.• 1 m . 71�■ •n .r J _t t1.i+ ■•■■ - .'•l•�• •1 •Ill /�'.l .•Y.rn a ►�':■�- .1 •i:n/11 .. :.�■ l• .t. •.Yry wV. • ►•Iu1.•� w_ �?.u.t i - ..• r.l■ - • ►r,■u I 1. •.1■. � it Y►/ .�+F►Il /: � �■■to �\ f/ r•Illl. i1: ntl. ■■• 1 ■- 0■ - ■ . •w•i■ "a r)1 •••■ . .1' tr t..... •.1 .v .. .1.r 1•) .H r.■►i? .l.•1■ :... ..t . •■o v • .■■• •.i�■.1. ag ql i �.�:..tin■.• l._I ti. ►� i■ ia_I IJ - 0 IN �. 1 Town of Barnstable Regulatory Services NAM Rimed V.sc,nwetor. Building Division- Pant Roma,Bmldfmg Comnda&wx 200 MWn Street,Hyannis,MA MWI www.towa.barastablemana Office: 50"62-4038 Fag: 508-790-6230 Property Owner Must Complete and Sign This. Section If Using A Builder ►QNcs ,as Ow=of the subject property hereby antholize �-J , YI</rim!' �Qf/1��•�� to act on my behalf in an matters relative m work authorized by this building peunst application for: t 104 r7 �b. �CNT�R-Y� GL i i (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized beforc fence is installed and all final inspections are perfomaed and accepted. Signabne of Owner `, APPh=t c-I A d V, Print Name Print Name., Date Q-.FoxM DWNERPERMMSIaN? ols r TJ: Town of Barnstable *Permit#dQ070q� " Fxpir ,6 montlrs from issue date Regulatory Services F �. X-PRESS PER Thomas F.Geller,Director 'T Building Division U AUG 13 2007 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE 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 � v�" Property Addressl5 Zr Jdf,P A, y/P g V 144� , - P-Iresidential. Value of Work ! 6 t" Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name C. d '� �6l 'i,,�1� 1/�L f� Telephone Number t�o -3 ' '� 1 �•-L Home Improvement Contractor License#(if applicable) �� © r✓` Construction Supervisor's License#(if applicable) °y ✓r", �anvrno�uuecr�C�a a� �eutu�ae ❑Workman's Compensation Insurance Board of Building Regulations and Standards Check one: [�am a sole proprietor ..iug HOME IMPROVEMENT CONTRACTOR ❑ I am the HomeownerRegistration;, 1000.53 ❑ I have Worker's Compensation Insurance ExpiraUony_ 6/812008 Individual Insurance Company Name VICTOR J.WIINIKAINEN r Victor Wiinikamen Workman's Comp.Policy# 58 CAPE COD LN Copy of Insurance Compliance Certificate must be on file. p y ne ut Administrator BARNSTABLE,MA 02630 Permit Request(check box) 1 ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) c ❑ Re-side e i0,—If C. i % E/S6� w G �C� te.. j [ Replaceme Windows doors/sliders. U-Value • 3,$ (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of Home Improvement Contractors License is required. c C t SIGNATURE: Q:Forms:expmtrg Revise061306 f Massachusetts The Commonwealth o Department of Industrial Accidents = Office of Investigations m d 600 Washington Street Boston,MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): .V'r G v Adt3ress: �' eA C C� City/State/Zip:4,4R iv 5 G �1. Are you an employer?Check the appropriate box: Type of project(required):. 4. I am a general contractor and I 1.El I am a employer with ❑ 6. New construction . employees(full and/or.part-time).* have hired the sub-contractors 2.J�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 employees and have workers' working for me in any capacity. 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ 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 repairs or additions myself. [No workers' comp. right of exemption per MGL 12,[J Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.eOther 1�rrfN OFoeb employees. [No workers comp.insurance required.] *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. tContractors 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: Policy#or Self-ins.Lic.#: Expiration Date: 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 Investigations of the DIA for insurance coverage verification. I do hereby c/Je///�JJi under the pains and penalties of perjury that the information provided above is true and correct. / � ` C _ \ Caw Si ature: J`'' �/jv�_/J Date: d "" /D 047_ Phone#• b l F only. Do not write in this area,to be completed by city or town officiaL n: Permit/License# hority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,<al or written." An employer is defined as an individual,partnership,associati/arepresentatives ration or other legal entity,or any two or more of the foregoing engaged' a joint enterprise,and including the of a deceased employer,or the or trus e o in ' .'dual artnershi association or o entity,employing employees. However the owner of adwelling house ha \g not more than three apartme and who resides therein,or the occupant of the dwelling house of another who employs persons to do mainte ce,construction or repair work on such dwelling house or on the grounds or building app enant thereto shall not b ause of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states t"every state o local licensing agency shall withhold the issuance or renewal of a license or permit to opera �a business or o construct buildings in the commonwealth for any applicant who has not produced acceptab� evidence f compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)state "Keith the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of pu lic ric until-acceptable evidence of con pliauce with the insurance requirements of this chapter have been presented t contracting authority." Applicants Please fill out the workers'compensation affidavit omp etely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),addre s(es)a d phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or invited 'ability Partnerships(LLP)with no employees other than the members or partners,are not required to carry wo ers' comp anon insurance. If an LLC or LLP does have employees,a policy is required. Be advised that affidavit y be submitted to the Department of Industrial Accidents for confirmation of insurance coverag-. Also be sure o sign and date the affidavit. The affidavit should be returned to the city or town that the applicati for the permit or 'cease is being requested,not the Department of Industrial Accidents. Should you have any que ions regarding the 1 w or if you are required to obtain a workers' compensation policy,please call the Departme at the number listed low. Self-insured companies should enter their self-insurance license number on the appropria a line. City or Town Officials Please be sure that the affidavit is complete d printed legibly. The Dep ent has provided a space at the bottom of the affidavit for you to fill out in the event a Office of Investigations has t contact you regarding the applicant. Please be sure to fill in the permit/license n ber which will be used as a refere ce number. In addition,an applicant that must submit multiple permit/license app 'cations in any given year,need onl submit one affidavit indicating current policy information(if necessary)and under'Job Site Address"the applicant shoul write"all-locations in city or town)."A copy of the affidavit that has bee officially stamped or marked by the ci or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or license- A ne affidavit must be filled out each year.Where a home owner or citizen is obta g a license or permit not related to any usiness or commercial venture (i.e.a dog license or permit to bum leaves )said person is NOT required to complet this affidavit. e of Investigations would like to thank you in advance for our cooperation and ould you have an questions ,— please Office g � Y Y P Y Y q .�,' please do not hesitate to give us a call. The Department's address,telephone-and fax umber: e Cgmmonwealth of Massachusetts Depa gut of Industrial A.wi&nts Office of Investigations 600 Washington Street )30ston,MA 0.2111 Tel. ##617-727-4 900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 �ww.n�ass.gov�dia Town of Barnstable FZHE l�ti Regulatory Services " BAMSPABLE, t Thomas F.Geiler,Director 9�'AtE1639. � 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 Owner Must Complete and Sign This Section If Using A Builder GI A dA KN IF S ,as owner of the subject property hereby authorize / C 1Y to act on my behalf, in all matters relative to work authorized by this building permit application for: . �o�o C ow!£ gL/i�L �, (Address of Job) �_ � L/�-• /✓ate••.-- 0�' �a o Signature of Owner Date Print Name Q:FORMS:0 WNE RP ERM I S S ION I , i Assessor's Office(1st floor) Map Lot (J(o ermit# Conservation Office(4th floor) Date Issued —CRY, —9,5 Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Fee �® dd ✓Engineering Dept.(31d floor House#1 Planning Dept.(1st floor/School Admin. Bldg.) B � BARNSTABLE. Definitiv Ian A oved by Planning Board 19 MASS. 9 TOWN OF BARNSTABLE Building:Permit Application , Project Street Address ?`0 Village L L C— . Owner fC,(A -// Address G<IjV G-ro N - /-I( Telephone .Permit Request � "�0� �" !/N� �9E (���c lZ g t pw e s' Total 1 Story Area(include 1 story garages&decks) square feet F I 0 O I Total 2 Story Area(total of 1st&2nd stories) / square feet Estimated Project Cost $ 3 2 G, Zoning District Flood Plain Water Protection Lot Size Grandfathered ? �r Zoning Board of Appeals Authorization Recorded Current Use /f 49 710 � //<I oS Proposed Use Construction Type LO 6 cb 0 F Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure / 7 y a2S, Basement Type: Finished Historic House V C3 Unfinished Old King's Highway Number of Baths �o� No.of Bedrooms Total Room Count(not including baths) 'S� First Floor Heat Type and Fuel Fo V Central Air Fireplaces d L Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information dl G��Name V/ ��( OR J, Address !;az J c- ttj / Pt R R P License# a C3 0 9 �7 1i Cl? L V/ 9 �1 � �,;� Home Improvement Contractor# O p Worker's Compensation# evQ/t 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 T0819 s �s SIGNATURE .� 4 �— DATE BUILDING PERMI DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - - PERMIT NO. #7 913 1 DATE ISSUED June 29, 1995 MAP/PARCEL-NO. 173.064 ADDRESS 45 Peep Toad Road VILLAGE Centerville, MA 02632 - OWNER Patricia A. Barnes ' t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL j4 r. GAS: ROUGH •FINAL FINAL BUILDING �� C DATE CLOSED OUT ASSOCIATION PLAN NO. f . OF[HE Tq�, Town of Barnstable *Permit# ���- Expires 6 iaondis fra�x�ijss/ue date ,,,MSrAB , : Regulatory Services Fee v MASS. Thomas F.Geiler,Director �� i639• p�0 Tfc tom+ Building Division Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601w Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid witlsout Red X-Press Imprint Mapiparcel Number [ 3 Pro a Address - rty �� (d�� ��• e � U l C `%G�/l— p _ Z34e'sidential Value of Work Owner's Name&Address rt� Contractor's Name 1�/ !'m J5 V %C��/I�1 F N Telephone Number Home Improvement Contractor License#(if applicable) © Qa 577 Construction Supervisor's License#(if applicable) i' 1. { ❑Workman's Compensation Insurance " eck one: a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side eplacement Windows. U-Value ( 44) t ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic.Conservation,etc. 4 X-PRESS PERMIT Signature AUG 2 7 2001 Q:Forms:expmtrg:rev-070601 TOWN OF BARNSTABLE C TOWN OF BARNSTABLE Permit No. -----------------------_----- { ` Building Inspector Cash 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 Address F1 i.nt St., , h?aretnna Mi 11 Wiring Inspector F `,a+ �o Inspection date Plumbing 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. ...............................................1 19......-_ ................................................................................................................_ Building Inspector � •t ,plj \\5� d s - r. �, t ( s F _5 tF f..' G r � Sf''•{ ` .d y iv af' � y;! t ,. 5 t r r r � 7 5�� ,'s , ,.'M �� •.'Y •yir = - h t{ •, �'��., `�T h+,.. .s. v t. 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Js;Lt� ,...y '1 s � i,:'f j�� f {C iY'P� •+✓t axa4ht�+'rwx � 't � .�42 ^; { � r - Y a/,.yx ,y,. 5 �a \ ," * e a.�M � ! r �: Fag ., .� .;� `.r 4 t zn � tl •..� r :�• �. � ,r. s r CERTiFif 0.;. " PLOT jjV*UCT ION ON LY A Qd[ A.' �����,A\ �• �,:� 5 ,,� L � °� �: , „ ' °' ' t 71 , ; ! :�4 , L A�;�`� �' �'��� rq?��'�'° a��� � a qv �� `�' »�Jx as „�5 ` � e°�tx' � N !�° � "` ._ t l\.�/V���,v��..�.-Ga�M�$s• `� t ?� � i r E,N.• RX' .yjr"�'•`.;"'_.�_ .�� . �r fit `t°. �v,i•e�, 1�. ., ��€'�f "' i FOI N®A,T I O N it ___...��`!Y• E�,• a M k i4.A a}i: 5 5 'e< •;j ,"y. r44' LO•W, PINT Oi�...,' DJACf.,N't {G � +,'¢' 1.q .i s a� { r1 r 4'• ,,�r e b A�..,i'r t f'I „ `�•V'/f..DATE r v F NGlN£ERI GQ+ 1 CERTIFY rTHAT ,T1�E Y 'RE 1S' EAEE 7 0�' SHOWN; ON.,: THIS ' PLAN IS, I.pICAT �{ �l RED ON THE ROUNO AS 19001 yew `k x 'f L a..ei LANQ ,.� J©8`MO J �%�!' CONFORM TO .THE' :7ZOa1#40 t to l,3;� 4 : Y� I�IEEit�!rh$UVT4A Q� �Y C'a 0's� . P"' 34� E i as ;, a�E r ,�k-r•-w+.-«- +t,d a .5 t � tl t S � 'r f4�S ST•• r ,, `�'•�t� •MAIN,�S'T � CNr��T°• �� --T'- l ia' �/ ••s,7,.� s:,.•• '�.:`, d; a 'Ev !: /� ...—..-•..�_.'.-�...+-.�7:.., ..xi $'`t, i. AT, AA3S �< �•ll�ANrV+ .1� ►aS� REV_OP DATE " • RED. . L�1A�D`b� '� >� a rs. , _ �.f:' F�• �r .�'1J{.,•_'P, .A !. �'� •r� t ..^� 0 j ,Ay ' 'r k'v) .y p5 �I _ :�^ + _.___ rq�+�4� �r��P.t�" �'�R � .; Assessor's snap and lot number � ' ? SEPTIC SYSTEM MUST BE . INSTLLED IN COMPLIANCE SeiivageF'Permtt number .............��......................................... ,--WITH' ARTICLE_II-STATE r, s SANITARY CODE A'N D TOWN P�F:T;NEro�y � TOWN OF rBARTN " ATRLE V '� BUhLDIRG . INSPECTOR O 3 t0 r ". `', APPLICATION FOR' PERMIT TO ..�..���..5 �.. . W. ... �.. . A...... ......... TYPE OF CONSTRUCTION . a.. :................. ....................... ...... .....J.......... E.:S ......... ............... ryry �' 9................�. ..Q` ..........1 ..� ... -.--rT_O THE.-INSFECTOR.QF BUILDINGS:__—_ The undersigned hereby applies for a permit according to the following information: Location .. ..... � 170.44......054041...���................................ ............................. '(� fi ProposedUse . ....�,J ....t..... � ................................................... Zoning District ........................................................................Fire District ...C..Ae.NV�. 1. ...... Name of Owner �. .. !�:.�. Address .. 1� ..." :... a 4 A.j...... Name of Builder ...... ......Address �. .�1.....1. �! ..� . .. .Dr.i. Name of Architect t ry. . 5..:... e. c..�..........................Address..d...y .. ..!�:�... .... � �`�....i .t?.� .. Number of Rooms .....6.... `b0. .5...............:.....................Foundation Zot.ca �................................................. Exterior ................................................................Roofing .4q. ..[.!.�.`.�.......................................................... �* ,, ...Interior .. l`ll,, Floors .�'L�...�:..W Q�..................................... . ..La.S..:�e�:,.....b-aa_4.....:............. Heating —'�orcz�. h 9. W�t' e Plumbing �(' e�'.+P.V :..14i Ilia Fireplace ...1.. l. ..........kl.C...K kl.C...K............................................... Coya.9 l..O Q0........................... .... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area S' :............................... Diagram of Lot and Building with Dimensions Fee �l� . ............................................. 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. �x Name �;� ,� ............................... Lebel, Douglas 1§894 1 1/2 stony No Permit for .................................... tll.............. [4 single family dwelling ....................................................................... 45 Peep Toad Hollow Location ................................................................. Centerville ............................................................................... Douglas Lebel Owner................................................................... frame Type of Construction .......................................... ... ............................................................................ PIbt ............................ Lot ..............#8.............. January 12 78 Permit Granted I.......19........... .................... a,1_7V Date of Inspection .......... .......19 -Date Completed .......19 Yz, PERMIT REFUSED ......... .................. ...............( 19 ........... r ..eye% . . ............ . ...... ..... . ... . ................... ................... .. . .. ... .... ..... . .. ......................... Approved ......................................... ...... 19 . ............................................................................... . . ...............................................................................