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HomeMy WebLinkAbout0022 ROLLING HITCH ROAD v . st t r 0 j a 6 r TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION .� - A Map f �Parcel c; — _ _ - '� pp lication# 660 C Health Division Date Issued. 1 Conservation Division Application Fee Tax Collector Permit Fee,, Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board }, Historic-OKH . Preservation/Hyannis ca Project Street Address/ e Village Owner,�R-J,,9/6 Cad'/yCcll L(fi AyL= C > OUG//PkAddress Telephone Permit Request A1021-01,11na b Square feet: 1 st floor:existing ; 66 proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0.0 Construction Type 60000 ` Lot Size 012 l J/ s-F Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi Family(#units) ICt77 ayl�QAox, Age of Existing Structure 2s o l'd Historic House: ❑Yes A No On Old King's Highway: ❑Yes XNo Basement Type: IQ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) _-;. `�",`"/w�"7 Basement Unfinished Area(sq.ft) Z/O? Number of Baths: Full:existing c) new Half:existing new Number of Bedrooms: existing_ new 6 Total Room Count(not including baths):existing l£, new First Floor Room Count 49 Heat Type and Fuel: A Gas ❑Oil ❑Electric ❑Other Central Air: JAI Yes ❑No Fireplaces: Existing New Q Existing wood/coal stove: ❑Yes �13 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:))existing ❑new size S96 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# -Current Use —L Proposed Use �f--�-�-- BUILDER INFORMATION Name __161hgnac. GCS fP _ Telephone Number LOS- 7,;7/ .6ao Address /,O go License# e `h X114- 1 016 3 A Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l���d/�7 a FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ; 1 ADDRESS VILLAGE OWNER, • I � n , DATE OF'INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �t Y� THE Town of Barnstable OF Tp� P� ~ Regulatory Services H � g Y BARNSTABM Thomas F.Geiler,Director 9 MASS. t6.19• A,� Building Division rFn '� Tom Perry,Building Commissioner r f 200 Main Street, Hyannis,MA 02601 l www.town.barnstable.ma.us 1 1, } Office: 508-862-4038 Fax: 508-790-6230 ------------- ------------------ HOMEOWNER LICENSE EXEMPTION Please Print + DATE: A2 ODD D ��/ / / ® /I /�/Q JOB LOCATION: �� �dLLU/l/C �V/ jG� ' ( �� �,�V/�/t� � /'�r number ` street village "HOMEOWNER"425�4fG OJ'^11/I4)iLL&1yc name home phone# work phone# CURRENT MAILING ADDRESS: LL d . ,t l �D i n� �i c1v 12 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s).who owns a parcel of land on which he/she resides or intends to reside;on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in atwo-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official; that he/she shall be responsible for all such work performed under the building permit, (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations: The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and ements. ignature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i` OtIHEr, Town of Barnstable Regulatory Services " an MASS. Thomas F.Geiler,Director Maas. � �A 1639. �m TEv�.ra Building Division Tom Perry,Building Commissioner 00 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:- 508-790-6230. Prope Owner M st Complete an Sign Thi Section g If Usin A Buil er L as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by his building rmit application for. (Add ss of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Zbe CCommonbueaittl of A1ag9;arbu5ett5 (INSTRUCTIONS ON REVERSE SIDE) STANDARD CERTIFICATE OF DEATH 0 0 02 3 IG FOR USE BY ' PHYSICIANS AND _�'�� REGISTRY OF VITAL RECORDS AND STATISTICS REGISTERED NUMBER STATE USE ONLY MEDICAL EXAMINERS DECEDENT-NAME FIRST MIDDLE LAST SEX DATE OF DEATH(Mo..Day.Yr.) STATE USE , Madeleine C. Ouellette F 3 April 12 2007 ONLY PLACE OF DEATH(Chy/iown): COUNTY OF DEATH HOSPITAL OR OTHER INSTITUTION-Name(it not in either,give street and number) <a Barnstable 4b Barnstable 4c 10 Rollin Hitch Rd. PLACE OF DEATH(Check Doty ore): - 7 --- 5 WAS DECEDENT OF HISPANIC ORIGIN. - RACE(e.g.White,Black.Amenean bMian.eta.) DECEDENT'S EDUCATION(Highest Grade Completed). (If yes,Specify Puerto Rican.Domin6can.Cuban.etc.) (Spedly) - Elementary See(O-12)1 College(1-4,5) 5 Type (Y7 NO Q YES . Bb 9 AGE-Last Birthday UNDER 1 YEAR I UNDER,DAY 11 Sherbrooke Canada MARRIED,NEVER MARRIED LAST SPOUSE(It wile,give maiden name) USUAL OCCUPATION, KIND OF BUSINESS OR INDUSTRY WIDOWED OR DIVORCED (Prior-d Refired) t0 Age 12 Widowed 113 Joseph E.L. Ouelette 14a Homemaker 114b OWn Home. - RESIDENCE-NO.B ST-CITYITOWN,COUNTY,STATFJCOUNTRY AP CODE 15a 22 Rolling Hitch Rd. Barnstable Barnstable MA ,5b 02632 FATHER-FULL NAME STATE OF BIRTH(ifnot in us. MOTHER-NAME (GIVEN) (MAIDEN) STATE OF BIRTH(it net in the US,. . nay 11 name country) 16 Elzear Blais 15 ` � Canada ,6 Odelie Carime 11, Canada ,7 INFORMANTS NAME MAILING ADDRESS-NO.&ST.,CITY/TOWN.STATE,ZIP CODB.tun 02 632 RELATIONSHIP - 15 OAState_.... •- .. LVri p Johanna Ouelette 2110 Rolling Hitch Rd. , Centerville, JDaughter 23 METHOD OF IMMEDIATE DISPOSITION - FUNERAL SERVICE UCE14SEE OR OTHER DESIGNEE - LICENSE a BURULL ❑CREMATION 23 Disp �TIo�OTK SPEC.EMOVAL FROM STATE Lawrence J. Bennett 25 : 5586 a •• • PLACE OF DISPOSITION(Name of Cemetery.Crem elmy or other) LOCATION'(C 1y/Town.Slate) 2r>a a 26b Bourne NiA 31-M A� DATE OF DISPOSITION NAME AND ADDRESS OF FACILITY OR OTHER DESIGNEE 3 778 Falmouth ( Day,rf enc Funeral Home E 27 - 29 PART 1-Enter the 65eases,injuries,Or 00110c3dons that caused the dealt Do not use onty the mode of dybg.such as cardiac or respbatory arrest,shock or heart tenure Apprmdmate Lntetval List only one cause on each One(a through d)PRINT OR TYPE LEGIBLY. Between Onset and Death 34 Manner IMMEDIATE CAUSE(Foal disease or condition resuthrug a. •� ) YG�' in death) �11 .- DUE TW OR AS A CONSEQUENCE ,- y�/. (��I v 1 35C Work bl) SAY bpi cordtio s,6 b. A TO(OR(OR AS A 1 Cyr,pF) � ')S 1 ' • 1' + any,teadmg to immediate cause.Enter UNDERLYING - CAUSE(disease of Injury that C. dda - kted events resulting In - DUE TO(OR AS A COASEQUENCB OF) 35f Piece death)LAST .. d PART II-Other sofficam co IMM caninbuting to death but not(esugbug in uMerlying cause given In Pan 1. WAS AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO (Yes br No) COMPLETION OF CAUSE. SS-37 Can OF DEATH?(Yes or No) 32 No 30 EXA91 MANNER OF EATH ATE OF INJURY [IME OF IN INJURY AT WORK 40a Pmn NOTIFIED? ATURAL (�HOAAICIDE❑COULD NOT BE DETERMINED (Mo.,Day,Yr.) (Yes or No) (Yes or No) �f rl 2 /`r lJ ACCIDENT SUICIDE ❑PENDING INVESTIGATION 35a 5b M 35C DESCRIBE HOW INJURY OCCURRED PLACE OF INJURY(AI Itorre. LOCATION(No.&SL.City OM.State) - Pronounceinent of Death farm sheaf i8aony,once bmg.. Fom(R302)on File:) etc..)Specify 35d 35a 351 z 36a.To the best of my go,de occurred at the time.date.and place and due to the -37a On the basis of 0=111 nowt ardor investigation in my opinion deatiu ocwhed at the are, a 5 cause(s)stated a¢m date,and piece and duce to the cause(s)stated ty > (Signature v_ tuna . ;offrode)= and Tde — DATE SIGNED(Mo.. HOUR OF.DEATH-.;..r—'•,:.:; lM)q-.Day...._,___._... .._ HOUR.OF.DEATH...._._- -. w z . DATEIQN-0 I -_ ..0 � b N) _I �� 38c • 4u M $ao �PRONWNCED DEAD(Mo.,Day.Yr) PRONOUNCED DEAD ft) M c F NAME O ATTENDING PHYSICIAN IF NOT CERTIFIER o u 36d 37d 37e M NAME AND ADDRESS OF CERTIFYING PHYSICIAN OR MEDICAL EXAMINER(Type or Print) LICENSE NO.OF CERTIFIER 38 �rL r. W.e l�,et/s»0 '133 bv,�'1atr i ST G�hiS M/`- Q 1 �i4 �SoSy13 WAS THERE A IF YES.DATE IF YES,TIME. 40d E PRONOUNCER _ TITLE PERMANENT PRONOUNCEMENT FORM?PRONOUNCED PR4ocONOUNCED ((� 2 BLACK-INK ONLY (vas a NO) e AQ"t 1!2 Zao} 81;k tt A G1 V C G,V{ T a�C Cc{� b� R N. P.A.ON. DATE BURIAL PF�R IT i ED RECEIVED _S DATE OF RECORD R-301.05 T a I q P�J Z 1 SIGN -BD tCLE S "� / ® HFAI A - SIG 43 ZQo r 41 SI .0000, 1,the undersigned,hereby certify that I am the Toren Clerk for the'fbivn of Barnstable,that as such,I have custody of the records of births,marriages and deaths,required by laiv to be kept in my office;anck-I.do herehow certlfy that the abnre is a true copy from said records. WITNESS:My hand and the SEAL OF TIIE TOWN Oi"BARNSTF,T3,i E ATRUE COPY?1I`TEST:at Barnstable,Ivtassachusetts Linda E.Hutchenrider,Town Clerk,Barnstable (If this attestation is not in red,this document has been illegally copied-do not accept it.) The Commonwealth of Massachusetts The Trial Court The Probate and Family Court Department Barnstable, SS. Docket Number 07PO656EP-1 ESTATE OF NOELEINE C. OUELLETTE At a Probate Court held at Barnstable, in and for said County' of Barnstable, on the 8th day of May in the year of our Lord two thousand and seven, On the petition of JOHANNE M. OUELLETTE of Barnstable (Centerville)- in the County of Barnstable and of in the County of praying that the instrument(s)therewith presented purporting to be the last will and testament of MADELEINE C. OUELLETTE late of Barnstable (Centerville) . in the County of Barnstable, deceased, may be proved and allowed, and thatode/shexlC-be appointed- executrix hzi3lir,tZa -thereof first giving bond with-out-sureties; And on-said petition-motion-further praying that-te/she -be appointed temporary -execut rix -thereof first giving bond with-out- k sureties;and it appearing that all persons interested having been notified in accordance with the law or having assented thereto;and it appearing that said petitioner(s)-is/am-competent and suitable person(s)to be appointed to-said trust; IT Is DECREED that- said petitioner(s) be appointed temporary - execut rix. - x � ��-thereof,first giving bond with-out-sureties,for the due WF 4 a 4 performance of said trust in accordance with M.G.L.c. 192,sec. 14. The authority of the temporary- 1 execut rix -named herein is limited to a period which expires on August 6,2007 to Justice,Probate and Family Court Department COMMONWEALTH OF MASSACHUSETTS THE TRIAL COURT OF THE - PROBATE AND FA MILY CO URT Docket No. ' Barnstable, ss: } MOTION FOR APPOINTMENT Estate of ) OF TEMPORARY EXECUTRIX Madeleine C. Ouellette } tied matter and Now comes Johann M. Ouellette,the Petitioner in the above-e Leine C. Ouellette mIn es for an order appointing her Temporary Executrix of the Estate of Made support of this Motion,the Petitioner states that: I A Temporary Executrix is necessary with respect to this estate,pending appointment of to the the Executrix,to satisfy outstanding and ongoing expensate rs es f the a tof thelreal property of mortgage,utilities,insurance,real estate taxes,repaiix the estate and the expenses for the medical,funeral and buriapot of he testatr ed and remand the testatrix's outstanding credit card debts,which were previously outstanding and overdue,as well as to assemble the Personalty of the an estate bank account for safeguarding,'sale and/or reinvestment, and to se p accomplish all of the above. ary pp Executrix in her Will. ji The testatrix has requested the appointment of a Tempor All he at law and next of kin have assented to the appointment of the Petitioner as c Temporary Executrix. w u, Cam-' g Q Dated: April 5 ,2007 anne M. Ouellette BARNSTABLE,ss. a 2b b 7 The within motion is hereby allowed. odffldgdV 4Roe candurra Justice, Probate and Family Court r -.mmonwealth of Massachusetts The Trial Court Barnstable Division Probate and Family Court Department Docket No. 07PO656EP-1 Probate of. Will */Without Sureties Name of Decedent Madeleine C. Ouellette Domicile at Death 22 Rolling Hitch Road, Centerville (street and no.) (city or town) Barnstable 02632 Date of Death April 12, 2007 (county) (zip) Name and address of Petitioner(s) Johanne M. Ouellette, 10 Rol 1 i ng Hitch Rnad, Centerville, MA 02632 Status - Dauahler 1 i CD .' Heirs at law or next of kin of deceased including surviving spouse c�-I Name Residence Rela-I ionship-J ,. (minors and incompetents must be so designated) . Johanne M. Ouellette in Rolling Hitch Road. Ronald J. Ouellette 31 Sassafrass Lane arst son Shay Gina Ouellette Htnt 7 Ensign Road Centerville er Dennis Ouellette 8 Museum Way, Suite 1506, The Regatta Riverview Residennns Cambridge MA 02141 Grandson That said deceased left a will herewith presented, wherein your petitionerfsj is/afe named execut rix and wherein the testatrix had requested that your petitioner(o) be exempt.from giving surety on -fYrs/herAheir•bond*. X® The petitioner(e) hereby certif ies that a copy of this document, along with a copy of the decedent's death certificate has been sent by certified mail to the Division of Medical Assistance, P.O. Box 15205; Worcester, Massachusetts 01615-9906. Wherefore your petitioner(sl pray(s) that said will—at may be proved and allowed, and that be/she/they-be appointed executrix thereof, wiW/without surety on-his/herftheir bond(sj and certifLes under the pgnalties of perjury that the statements herein contained are true to the best a ftheit knowledge [ te (-A Ar l� QS �, bo`l Signature(s) Johanne M. Ouellette The undersigned hereby assent to the foregoing petition and to the allowance of the will without testimony. UJCo ¢� DECREE All persons interested having been notified in accordance with the law or having assented and no objections being made thereto, it is decreed that said instrument(s) be approved and allowed as the last will and testament of said deceased, and that said petitioner(s): Johanne M. Ouellette of Barnstable (Centerville) in the County of Barnstable and of be appointed execut ri thereof, first giving bond with out retie for the due ert us . Date 2,4y c.,P 2(1 trot) Ju tice of the Probate and Family Cou �p�OcS�d C hAN4� - �3�►sLM�,w,� -��c.� PLRN - 22 1tolli�� 1+�� �, Ccl� e r 0 0 Roots ® urv�iNi�M � Roam _ T3oa� � II, !9,40 � 69� FI ooR PLAN -- Z2 Roj.LiN$ t-rl:rc+j RD, , CC-/V 5 _ w MASrt�z W RoOM I<i�ehcAd 0) BAVT44 "4 �6AST�►Z 13�DRoaM l3Af�1 1� s s C Ak G A R..A9S 0 t _ ti W J Llv j Nq Room _ ' y ►fit D Qoa M - C36D i2ccl�► 2W ► 29 i Q.j y RISCMCMT Fdooig PLAN Rd CZ --- WIF I 14.5 R®dry ROOM urn i�v rSaa�A Room �r CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT ( DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route.28•Centerville, MA 02632-3117 t 192 508-790-2375 x1 • FAX:508-790-2385 ` John M. Farrington,Chief Martin O'L. MacNeely, Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M. Pulsifer, Fire Prevention Officer December 18, 2007 Mr. Thomas Perry - Building Commissioner- Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Commissioner Perry: Pursuant to MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of two finished.basement bedrooms without proper egress at: 22 Rolling Hitch Road Centerville, MA During a sale and transfer inspection at this address, I observed a finished basement with a large common room,bathroom and two finished rooms resembling - bedrooms. One of the suspected bedrooms had a made bed and associated furnishings consistent with bedroom use. Neither of the bedrooms had secondary means of egress. We are holding the certificate of compliance pending.resolution of actions as required by your department. Please call me with any questions you have relative to this issue at 508790-2375. Thank you for your anticipated assistance with this matter. Sincerely, i Francis M. Pulsifer Fire Prevention Officer Cc: Robin Giangregorio .Commitment to Our Community" p ����S� Assessor's office(1st Floor): 2 _ q n �NSTALLE®ly�� Assessor's map and:lot number �0 1 �r0 Board of Health(3rd4floor): _ �N��R Q Sewage Permit number TOwN REC7 Engineering Department(3rd floor): �53 (lL� nea House number 39. Definitive Plan Approved by Planning Board 19 rev a r APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only A P P R 0 VaN ® F BAR NSTABLE Barnstableconservatl �\2-3J DING INSPECTOR � Date ned IT TO �APPLICATION FOR PERM d � r J c TYPE OF CONSTRUCTION p no) 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: • �-oT Location C C Proposed Use T o G t/ eG -&£' 14co Gr e 0 U2 V' Q tS� /' h Zoning District Fire District Name of Owner , U e 1 e.� C� Address % T.C�� Gf• C 1� , Name of Builder to k1 4 121 Address Y J(p in lam, A f Name of Architect Address Number of Rooms Foundation b� S1 LI CO t,C vee Exterior C & el Roofing ! Floors Co hA r y e T. e Interior /In , /7/:2 Heating t'1 Plumbing 6q Fireplace Approximate Cost © 0 ©o O Area © CG ®D Diagram of Lot and Building with Dimensions Fee b L S�R ce r /0 /Jo 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 &"LU=0� Construction Supervisor's License o ,roo 9 OUELLETTE, MRS. a - No 34451 permit For Build roof Over Deck t'J ` Single Family DweTlina a Location 22 Rolling Hitch Road Centerville - - ' Owner Mrs. �Ouelle;tte Type of Construction Frame . f Plot Lot N -, Permit Granted July 11 ,-- 19 91 Date of Inspection 19 Date Completed �� /gJ -19 ' e i . x _ , �` e , l Ho ug e� V\GV P'te o � sL � � i � F .a �y i 'r ! F vV JJ 1 I sir c~' Assessors ma and lot number SEPTIC SYSTEM P0UST BE INSTALLED IN COrAPL-md �� z - 1�' 3/,- �� WITH ARTICLE II STATE - SANITARY CODE AND TOWN r.' Sewage"Permit number ...............................................,........... ._., REGULATIONS. 0 yo�zNE,,� TOWN OF BARNSTA.BLE :4y Q k" Z 33 TODLE, i RI*LLrG INSPECTOR c� O .1679• �g� =o ' 01 n c� APPLICATION FOR PERMIT TO ` ' .' ...........( ✓! 1...'!P.l.1'��/............................................ TYPEOF CONSTRUCTION .................................. ............................................................... ivi G J .................../..2....... ...........19. TO THE INSPECTOR OF BUILDINGS: ^ The undersigned hereby applies for a permit according to the following information: Location Ql�...y h`ii,h l4Gae.C� lCEN.7b.f.V11-�................................... ............................................. n ... ... ProposedUse .....�/.(r. ........................................................................................................................................................... Zoning District ..........►\..............................................:...........Fire District ... fl ✓'.lf.t�l�..... .... i^S�s.�r/.t.T� ........... Name of Owner .......hsep.4...t.... �c el�� � ...Address ..y�` .!ll�fc+r??n...:. ?N......... Name of Builder ..44...-.. s .:...: ssoGlaf S...,.......Address ........1. v'j...... ........ VC Lw.4.c,4....M, Name of Architect .. :Pc id......R......Tvkn4°?`. ..............Address .... ........ � .h.......1.'la Number of Rooms ..................................................................Foundation .............9! G- h Sf.................. Exterior C- ...Roofing ti Floors ......... .....................2q'�� ..............................................Interior ....ti�4 E.IC-1 ."OrIA....................................................... .......... Heating ! ... i.`............6.... .�a:s.......................................Plumbing ... .............................................................. Fireplace ...............Approximate Cost �����...�f:i4rdf.„.... ...�.................................... .......................................... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ...cz)./..5:�....... .!... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t3G • _ • I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. v/ Name . ..........6..... ... .... ................................. l8RO� .' one story � Per� � . . ` family dwelling-garage � ------'_—^--------------'' ^ ' Rolling Hitch Road Location --_____.._____________.. ' ^ Centerville ' ^-------------------------'' . . Mr. & Mrs. Jmmaoh E. 0D0XXX Onelette Om,ne, .............................................. � frame Type'of [ono �Construction ---------.----.. . . . . � -----^—.---------------.---' . � Plot ................... �� ................................ ��--. Permit G,on/o6 ...........Da '31__1976 � . Dote of Inspection —`~.�~...lV ' � ��' � Date Completed —�e6� ..f .�.v,-----..lg ^ - . � ^ � � � . _ PERMIT REFUSED �c lA ..��.��.�� -----------..�--- j. �� � .. —.------------.-----.. . ' . ..,----------.-----------.--. ' ................................................. . ^ . � '.'��------'' |` ) - .---.------~----..—...-------. � ` . , . . - ` � ' ^ lV � ,,-`-- ................................................ � �� -----. .. . � ^ '.'.�.. .......---. -------..--. . . ---------------------.—....,,- � ~- ` r 83 1 .. I�3/ zz, •mot,// � � _ 'V .a Lo7 3 �2•o Z rJ � i t (l f'1D HEREBY CERTIFY THAT THk f �. 1� . !_i� 53 i RUCTURE rSTRUCTU-RE SHOWN HEREON WAS .t_�rC�tTEC . -BY AN ACTUAL FIELD_ SURVEY OFI ON_ cc To .1976 AND CONFORMS TO THE ZONING BY-LAW OF.THE TOWN' Or 49G�-:, MASSAGHItSE;'"CS� IN MASS. r.REGISTE,RED LAND SURVEYOR SCA L C I"=�'n ' v �,197 ~ATE o JA 9JF - s H. • CAPE Cr::Dj _1RVEY "0NSULTANTS A I)i\II.,;CNd- t%r POSTON SURVEY CONSULTANTS, INC. t�