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HomeMy WebLinkAbout0127 PRINCE HINCKLEY ROAD 0 . .� � ,. J _ cy ;; ., c _ �. ..� � - }. .. ,: .. �� � � � � . v � _ .. y � o .: i d .. � .. .. .. I v e o 4 Town of Barnstable Building BARN$TA81 L 1Post This Card So That it is Visible from the Street-Approved Plans Must be Retained on Job and this Card Must be Kept IPosted Until Final Inspection Has Been Made. 1039. Where.a Certificate of Occw anc is Re a red,such Building shall Not be Occu ied until a Final'Inspection has been made. rermit Permit No. B-19-1707 Applicant Name: Thomas Capizzi Approvals Date Issued: 05/22/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/,22/2019 Foundation: Location: 127 PRINCE HINCKLEY ROAD,CENTERVILLE Map/Lot: 172-195 Zoning District: 'RC Sheathing: Owner on Record: COVELL, BRENDEIGN D Contractor Name -CAPIZZI HOME IMPROVEMENT Framing: 1 INC. Address: 127 PRINCE HINCKLEY ROAD 2 CENTERVILLE, MA 02632Contractor License: 100740 l Chimney: Description: Replace the Slider at the rear of the sunroomwith anew Harvey Est Project Cost: $4,000.00 slider. Harvey Vinyl Patio door is energy star rated with a U value of Permit Fe,e: $35.00 Insulation: 0.29 Fee Paid:" $35.00 Final: Project Review Req: REPLACEMENT SLIDER IN EXISTING OPENING Date:, 5/22/2019 Plumbing/Gas E Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.i'ssuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. 2 + Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical L The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are,provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: _ Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. " 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 dN�-ANC Application number._.Az i`T ..P33.. e ;. Date Issued...........BARTABLE S ...................NAM z639. `eMAR� Building Inspectors Initials........ Map/Parcel...........l2Z.....1,75............................ 3S TOWN OF BARNSTAiBLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/wEATHERTZATION PROPERTY WFORMATION Address of Project: 2_ 7 cXley ,? / NUMBER STREET VILLAGE Owner's Name: Phone Number Email Address: �jii� ,/e, , loo , Cell Phone Number Project cost$ 9 L 5'L — Check one Residential 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: Sep A-9,42a 00,-(cG.4 Date: rYPE GE WOE ❑ Siding Windows (no header change)# ❑ Insulation/We.�_ athenzation ❑ Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 1Jas4e-12,7 1a CONTRACTORS INFORMATION Contractors name fir�G n i��n.�,'so r, - -2Ae cn We-i Fr, IW4 t%Jr1'1)chow S Home Improvement Contractors Registration(if applicable)# 17 3 Z.q.5 (attach copy) Construction Supervisor's License# E 7 0y (attach copy) Email of Contractor $Lj2e- q5eenq 1• C f2 M Phone number 1101 z 2 R -9 R ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 11V A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. 1 APPLICATION NUMBER............................................................ *For Tents Only* bate 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 2 X IX 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 approval *WOOD/COAL/PELLET STONES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMTTION Homeowner's Name: Telephone Number Cell or Work number I understand nay responsibilities Baader 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 CIMR and the Town of Barnstable. Signature Date PLICANT9 S SIGNATURE Signature v Date fill permit applications are subject to a building official's approval prior to issuance is G X Office Of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 H-Dme Improvement Contractor Registration Type: Supplement Card 1?32�4 SOUTHERN NEW ENGLAND WINDOWS, LLC Registration:Expiration: 173245 10 RESERVOIR ROAD 2020 SMITHFIELD, RI 02917 Update Address and Return Card. 3Cd. .. :YO-05,t' Office of Consumer Affairs&.Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoolement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 173245 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS.LLG Boston,MA 0211�8'��` t BRIAN DENNISON �, C� �x-- �A 10 RESERVOIR ROAD SMITHFIELD.RI 02917 Undersecretary I'vvl. aa�.. without Signature Board of BuAding Regulations any p anda Clz -09.579 7 tXp i res : 09/08/2020 RIAN D DENNISO CHARLTON A :.01507 Commissioner . r� The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Con;;ress Street,Suite 100 a Boston M4 02114-2017 www mffs.gov/dia 11--orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PER- MIING AUTHORITY. Applicant Information Please Print Leaib(v Name(Business/Orrasattization/Individuaq: (x. h (d) DtAIS Address: City/State/Zip:SM t1%A e1d l R! 04M J 7 Phone#: 410 —Z/Z Fr— Are y as employer"Check the appropriate box: Type of project(required): 1. 1 am a employer with 20-[ employees(full and/or part-time).* 7. New construction 2.[]I am a sole proprietor or partnership and have no employees working for me in S: El Remodeling any capacity.[No workers'comp.insurance required.] 3.®1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑[am a homeowner and will be hiring contractors to conduct all work on my property. [will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.[]Electrical repairs or additions proprietors with no employees. 12.(]Plumb ing repairs or additions 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.o R of repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.ff0ther J*iii�t✓ 152,§1(4),and we have no employees.(No workers'comp.insurance required.] r('P�G(�ilrZ/iy *Any applicant that checks box 41 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 providin;workers'compensation insurance for my employees Below is the policy and job site information. /� 1I fQ Insurance Company Name:-Fi roer)s ;ISLMO/W_ W . O VVf�, Policy#or Self-ins.Lic.#: \A/C a _3 15 e 7 2-Ci L Expiration Date: Z-U Job Site Address: e' Ff%iic lUe y City/State/Zip: Attach a copy of the workers' compensation policy decla ation page(showing the policy number and expiration date). j Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$L,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.A copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby.certi under the pai d penalties of perjury that the information provided above is true and correct Sianature: ' 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/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: C��a DATE(MMIOD/YYYY) A C" CERTIFICATE OF LIABILITY INSURANCE I2/28/2018 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 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 CONTACT NAME: CoBiz Insurance, Inc.-CO PHONE FAX 1401 Lawrence St., Ste. 1200 c o Ext: 303-988-0446 Alc No:303-988-0804 Denver CO 80202 A DR SS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:Firemens Insurance Company of WA,D.C. 21784 Southem New England Windows, LLC.dba Renewal by Andersen of Southern New England INSURER c: Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER 0: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 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 TYPE OF INSURANCE ADDL SUER . POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY CPA3158728 V112019 11V2020 EACH OCCURRENCE $1.000,000 CLAIMS-MADE a OCCUR DAMAGE PREMISES Ea occurrence $30000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,0130,000 X POLICY❑PRO JECT u u LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 11V2020 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 Ix ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS X AUTOS Per accident $ $ A X UMBRELLA LIAB X—I OCCUR CPA3158728 1/1/2019 1i1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,000,000 DED I X RETENTION$n I $ B WORKERS COMPENSATION WCA315872924 1/112019 W/2020 X IR STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑N N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$1.000,000 H yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Liability 7930073340000 1/112019 1/1/2020 Each Occurrence $2,OOD,000 Claims-Made Policy Aggregate $2,000,0DO Retroactive Date 0&20/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All tights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks,of ACORD Renf!Wal Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England Brendeign Covell Legal Name:Southern New England Windows,LLC 127 Prince Hinckley.Rd RI#36079, MA#173245,CT#0634555,Lead Firm#1237 Centerville,MA 02632 wiNoow NE LACEMENT 10 Reservoir Rd I Smithfield,.Rl 02917 C:(508)776-0473 Phone:.866-563-2235 1 Fax:401-633-6602 1 sales®renewalsrie.com Buyer(s) Name: Brendeign Covell Contract Date: 03/02/19- Buyer(s)Street Address: 127 Prince Hinckley Rd, Centerville, MA 02632. Primary Telephone Number: Secondary Telephone Number: (508)776-0473 Primary Email: brendeignCyahoo.com Seconday Email: Buyer(s)hereby jointly,and severally agrees to.purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in.this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,.this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $9,252 By signing this Agreement;you acknowledge that the Balance Due;and the Amount Financed must be:made by personal check,bank check,credit card,or cash. Deposit Received: $4,626 Balance Due: .$4,626 Estimated Start: Estimated Completion: Amount Financed: 6-8 weeks 6-8 weeks $9,252 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondaril on _ Y the date in which we complete the technical measurements.The installation date that we.are providing at this time is only an estimate.We will communicate an official date and time at a later date..Rain and extreme.weather are the most common causes for � ..delay, Notes: 100 financing,half upfront, half at end. Taxes in Barnstable Buyer(s)agrees and understands that this Agreement constitutes'the entire understandings between the parties and thar.there are no verbal. understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement;and has received a completed,signed,and dated copy of this Agreement,including ; the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement: NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy,of the'contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 03/06/2019.OR THE,THIRD:BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION; WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC. dba;Renewal By Andersen of Southern New.England Buyer(s) Signature of Sales Person Signature Signature Aaron.WOrlando Brendeign Covell . Print Name of Sales Person Print Name Print Name . UPDATED:.03/02/19 . Page.2 / 12 Y Town of Barnstable *Permit# dOO '73(,,, �. Expires 6 months from issue ate Regulatory Services Fee Thomas F.Geiler,Director �_� ®k Building Division RE$S PERMIT �[ Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 AUG 2 3 2006 �V www.town.bamstable.ma.us TOWN OF , Office: 508-862-4038 - Fd WA%S- 230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ap/parcel Number roperty Address /tz 7 0�eilvcg amaee C&WT&_72 V1 6&E , 1177A p. u_ Residential Value of Work (J � Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Aft4 6`6 1116":� 11AAe G 0=V I?b. iV k/s 646 AIM-, Contractor's Name � � �� AIV1796-75 Telephone Number_,. 11a,8 Home Improvement Contractor License#(if applicable)_ / 09 O3 Construction Supervisor's License#(if applicable) gwl*"orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compenssa�tion Insurance Insurance Company Name Workman's Comp.Policy# 6c5-"/4-;2 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (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. me Improvemen Contrac cense is required. SIGNATURE: Q:Forms:ezpmtrg Revise071405 Men MA. Builder's Lic. #021330 OFFICE: (508) 997-1111 Home Improvement FAX: (508) 997-1297 CARE FREE Contractor's License TOLL FREE: 1-800-407-1111 ores inc. 4100503 MA. WEBSITE: 239 HUTTLESTON AVE. (RT 6)•FAIRHAVEN, MA 02719 #15179 R.I. www.caref reehomescompany.com NAME /�//�S DATE 5to�t3 ADDRESS /0�7 I�/� j/1� ITIIVG��1 ZIP CODE ADDRESS OF JOB TEL JOB DESCRIPTION -15 3 W-AT L :If? cy/GG Ace /41W CZAI OrMea OP Scheduled Start Scheduled Completion o2' 04-.Y s A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2) layers of shingles each additional layer to be charged @ ft2. D. Replacement of rotted roof boards/plywood to be charged Q ft2. E. Existing chimney flashings will be reused; replacement, if necessary, is not inclu F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires and any natural disasters, the ability to obtain materials, or any other conditions beyond the control of the Company. Cost of Project$ PAYMENT TERMS ' Date d 6 1. You,the Owner,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the Owners,agree to pay any and all expenses incurred by Care Free Homes,Inc.in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees, interest and court costs. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES CA E EE HOM /n�s,y+y A��C��CeeEPTED- Buyer acknowledges OwnerBy: :+ receipt of fully completed CAR FREE HOMES,INC. copy of this Agreement Owner_ - --------- All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston,MA 02108 Tel. (617)727-8598 00170 o�TM`'• TOWN OF BARNSTABLE Y��.. •,ew Permit No. --------- —----- 1 VAUSTAU Building Inspector Cash $400.00_164/1 OCCUPANCY PERMIT Bond -----------________________ "No building nor structure shall be erected, and no land, building or structure shall be uYed 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 Alan E. Small Address Centerville lot 089 127 Prince Hinckley Road, Centerville Wiring Inspector _ Inspection date Plumbing Inspect r/0 { e4— Inspection date �r V 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 REQUIREMEfNTS. f 19 Building Inspector tx �jt s,.1C91,� FL11MtL�'( — 3�3>✓biZL�QN� .t { sl � '' ��- :114� C�A2SA6�' GRI�to�1Z �r- -, .�;.,...� .,7. , ...) ;_ -� - •�r-.-� .cx ►1..�!'�tA�:c� x ilti 3 3 4,F', .•17. i 90 t_.w r7O 'U.i�- ? kGOQO; 4,GAL. + N l j4' � i•��t F.. � PI?SAI. PIT': USE. (�G]Gj 7Cl�►t_ i ' i i 4 P i & { to r f &LJ—. d/l2E�. •�r I� i �w t' i �j�'��.�•(i T 'I I tN4 "t ll•Q , _ j 'a ��N 1' �`w�� _ i;Y^j{ { S 1 r __ T a - {: -F:�-•'� jft 1 T p �� 5 '._{ I1 T( t UA. � .::A x �_ ( 1 _ Y b t i � } j A 0eX 4.}, V f r ! 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[: . i °A t ' 7 + a f> ,' � ,f� �, ,j ,- F : � ' REG l S;t'C2�t��: �..A.( 1[7 ' �SU�v�Yc��.�• TI-�lS PyLAf-1 i (S LlOT 2AosEL7 0k-4 prt,( 05TE2V11,.1 �. o MASS►? f y r A,PP _CC_At, i t, r r Ui� GP Tc, IDtwr,(=_M1k4 l.d r , l_Ih( _9 w i c; ,Assessor map and lot nu er EE � c+N _ 7 � �Ef�TIC $`lS"FI=NI MUST Rs ' INSTALLED IN COS`th LIAN 1GL Sewage;Permit number .................../...................................... KITH ARTICLE II STATE ANIT R`f COD5 AND `VOWN FTxE TOWN OF "BARN � � B ��E E al 4 a I BAgB0 . STdDLB, • � ; "�� DUILDIHG - INSPECTOR Gp 'i63q, ,`e� v APPLICATION FOR PERMIT PTO ......! .................................................................................... ....................................................................... ..... ....... TYPE OF CONSTRUCTION .......... y ........................ .........3...........19r.Y (��ITO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ., .. .. ..... .. /�""�""Y/' """ ""........... .......................................................... ProposedUse .... ....... ....................• ................................................................................................................................. ZoningDistrict ............................................ ...:......................Fire District .............................................................................. Nameof Owner ... '... ...................................Address ......... ........................................... Name of Builder #.#...................... . .......................Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........`" ..Foundation ........................................................ ...................r.................................................... Exterior ... ... ............... .......................................................Roofing ...................... ............. ......................................:... Floors ............... ......................................................Interior ....... !!. ... ....................................... �� Heating ....................07.....�............................................Plumbing .......... `......' ........................................................ Fireplace ...... .......................................Approximate Cost .....07 .&p:......................... . ....... Definitive Plan Approved by Pla ning Board ---------------_---------------19-------- . Area ..............:/... ...5'.... ........ Diagram of Lot and Building with Dimensions Fee �i°... .................... .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Zlia,(I o I..hereby agree to conform to all the,Rules and Regulations of the Town of Barnstable regardi g the above construction. Name .... . . .......... ...s................. .................... Small, Alan E. ��l�� ' ��m story N6 Permit ` '-----' ~ ------'---'--' , | . ' m�ngla'��ouily dwelling -------------,------------.. 127 Prince Hinckley Road ' Location ---.—...--_---.—...-------.. Centerville —,--.----., .' --'^`^''~----^-----'' 1 ' Alan E. Small Owner ------_______.________.. ' - - -frame Type of Construction .................... ---...--.-----,—.--.—..~—..~---.. - . . K��� Permit Granted �av � ` lg70 ----'~`----'' --` Date of Inspection .........................m lgDate ' . - 19 PERMIT REFUSED ' ^ ........ 19 ~.—.-----.--.--.--.—..—..—..—..--- , —._—.---,--~......--.—~....,--...-- —.—~---.-^..--_.....—..--..—.--_—~. ^ ^ ! . ^ -----'^'—'~^'^—~'--~-----^'----'' ' . , ~ Approved ---------------- 19 ----------------~---~---.-- -------.------.—.—.—...—.......... /^