HomeMy WebLinkAbout0066 WEQUAQUET LANE i ��t. a.tfl�7!m�.";r°A ��M' Y✓f��k �f/ It .'Y,'x� b�5l�,7�`.
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SttE Town of of Barnstable Building
A � i
' lding
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Post"ThisCard So That:it°►s Visible From:the Street:=A rovedPlans Must bekRetamed orr=Job:.and this Card Must be Kept
BARNMABLB.. ." t •
6' Posted Until Final InspecttonHas Been Made sip �� y
s W ere a Certificate�of `„a anc >iskRe u�red'suchBuil'din sHall Not be Occu ied`.unt�l aFinah "ris ett�on has been made 4 Permit
Permit NO. B-19-2026 Applicant Name: Roland Langevin Approvals
Date Issued: 06/19/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 12/19/2019 Foundation:
Location: 66 WEQUAQUET LANE,CENTERVILLE Map/Lot 250 ^24 Zoning District: RD-1 Sheathing:
Owner on Record: VOTTA DILL 5&CAMILLE I TRS - Contrac�tpr Name ��ROLAND LANGEVIN Framing: 1
o" a.
Address: 16 WHISPERING PINE TERRACE s Contractor License CS-103861 2
x.GREENVILLE, RI 02828 Est Protect Cost: $4,449.00
Chimney:
21.
Description: Attic Damming Fiberglass,Attic Flat Cellulose Insulate Attic Hatch, Permit Fee: $85.00
propavents, Bath exhaust hose,soffit vents,kneewala slope. Insulation:
fiberglass and rigid,air sealing,
�Fge Paid$ $85.00
g g g Final:
Date 6/19/2019
'
Project Review Req: S -�
Plumbing/Gas
Rough Plumbing:
. . F g Buildin Official
. ,
Final Plumbing:
This permit,shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsafter issuance.
All work authorized by this permit shall conform to the approved application;and theapproved construction documentsafo�which this permit has been granted. Rough Gas:
i `All construction,alterations and changes of use of any building and structures shall,be incompliance with the local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access street o�`rdad and shall be maintained open for public mspection for the entire duration of the Final Gas:
work until the completion of the same.
; 3 Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Budding and Fine Offcels areaprovided on this permit.
Minimum of Five Calf Inspections Required for All Construction Work:
Service:
1.Foundation or Footing
Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
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
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
J
Town of Barnstable *Permit# K3 ,- 1
Wires 6 Months frpin Issue date
s` Regulatory Services Fee 2�
.61e. 6.� Thomas F.Geiler,Director
Building Division
Tom perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
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 4P �p 4 Aoa& ( ,A-k)FEE Ce 0 WVj(le � ��7 a 2 c, -7 72—
Residential Value of Work lf lSQ0 . 160-0 Minimum fee of S25.00 for work under S6000.00
Owner's Name&Address J 1f Q 7
Contractor's Name &ZA Telephone Number 4W
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workmen's Compensation Insurance
Check one:
.- �T M -,b
y y w Y d 9 5 N5,
J P t' r1�.b5 4Y A
❑ I am a sole proprietor t � � s +. + i t
„ s .�
�x ; r�e
lam the ftomeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workmen's Comp. Policy#
Copy of Insurance Compilance Certificate must be on file.
Permit Request(check box)
YRe-roof(stripping old shingles) All construction debris will be taken to -v�
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (max imurn.44)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,COnsOrvation,etc.
s "
'Note: property Owner must sign Property Owner Letter of permission.
Ho a IA47vement Contractors License is required.
Signature C�
Q:Forms;expmtrg
Rcvise063004
TO 39Vd 06Z906LBOST6 b6:60 566T/60/T0
� � -�
j
i
r`Engineering Dept.'(3rd floor) Map a Sy Parcel Permit#
House# Date Issued
Board of Health(3rd floory(8:15 -9:30/1:00-4:30)T.3-' I'Fee :
ONA
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ( / r— ABC -
Planning Dept. (1st floor/School Admin. Bldg.)
' y
Definitive Plan Approved by Planning Board 19 �0
;TOWN OFBARNSTABLEb, � �
R Building Permit Application •3 �<�
,Project Street Address
6 Q Aqw-r LANc (vim, ua-*
Village C Q . t-
cn,
Owner �11� S • . i,�0(LA Address q 1 b t �cYV. i (�2�6�'
..Telephone
Permit Request Req F C. //
8' to
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
'Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure_ Historic House ❑Yes 4No On Old King's Highway El Yes *No
Basement Type: IdFull ❑Crawl �❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished AreaAsq.ft) bokl - tAcw
Number of Baths: Full: Existing I New Half: Existing New r0
No. of Bedrooms: Existing No.
Total Room Count(not including baths): Existing New d r First Floor Room Count c;
Heat Type and Fuel: WrGas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes XNo Fireplaces: Existing New �-O Existing wood/coal stove ❑Yes Jid No -
Garage: ❑Detached(size) Other Detached Structure's: ❑Pool(size)
t -
Attached(size) ❑Barn(size) 'a r
❑None ❑Shed(size) f
❑Other(size) �O
Zoning Board of Appeals Authorization ❑ App
eal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
Builder Information -
ame 0-7_&y-� Telephone N ber
dress License#
Home Improvement Contractor#
Worker's Compensation#
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 �DATEM
BUILDING PERM DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. ' Y
DATE ISSUED `. r
MAP/PARCEL NO.
ADDRESS , i VILLAGE
OWNER
DATE OF INSPECTION-
FOUNDATION _-
FRAME
r
INSULATION
FIREPLACE 111 - -
ELECTRICAL: ROUGH FINAL
PLUMBINQ TROUGH FINAL•
GAS: ' 'ice OUGH FINAL 1 ,
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. '
FROM THE DESK OF
JILL SANDY VOTTA
*7 th�wrz yo u You a tf-bL '
t My Q u c to�S . 1l t
Poi �y � � 0u u
fl,tv WOW Wa(W—
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IN } .
The Town of Barnstable
Department of Health Safety and Environmental Services
�,�,�� Building Division
367 Main Street,Hyannis MA 02601
f
�Office: 508-790-6227 Ralph CrossesBuilding Comr.
Fax: 508-790-6230 r
For office use only f
Permit no.
Date tDAIVIT
`
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
T�eofWorlc• R�1? l 2ep��cc Dr�c East: sty
- ® -
YP • -- ---r-- —�
Address of Work:�¢.L�
Owner's Name' 1 G L S Vo < <�
_Date of Permit Application:T Uwel
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit f
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IIVIPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL G 142A
` SIGNED UNDER PENALTIES OF PERJURY
I he for a e e
of the owner.
U�t
Date Registration No.
V I .
. 4 I
w -
T11C C(ll11111U1111'calth of:)fassaL•husetty
Dcpartllullt of ludrlstrial.4ccidelrts
.�� ;;;• �i':�' 600 !f'ushiugtun Slnrt
'�; �� ;.• Boston..
Workem' Comp_ensution Insurance Afd:tvit
i li�tn inf•rrn inn.. —_"'--• _ _. __r�. ... �. _....^. -•,.._............--------^'....._.�--- ----
� � � L S Yo — A
ttc� n•
city ------------
Ceti Il/ir V Q 'I f'�V �.� ��n. t 77
�!1 am a homeowner performing all wars: myself.
�"l —��...--------
I am a sole proprietor and have no one workin= in any capaciry -
�.L.
7 1 am r n empiover.providin_workers.- compensation. for m� employees working on this job.
not tam name! -
•idrlrccc• ,
hnn
t,
c r3-
[I I am a sole proprietor. scneral contractor, or homeowner(circle one) and have hired the contractors listed beio�� A-
the following workers' compensation polices:
cnm :tm• nstine-
1iltlrcac:
hnnc d-
cin•
mien M _ ...�.
cnm inv nntne,
;tddrecc�
hnnc 0•
ritt•-
Policy 0
insurance cn ; .. -- .., ,_�... _
Attach additional sheet if necesiarv� =. �-•�". `�''�"i
Failure to secure coverage as required under Section:SA of A1GL 15•can iead to the imposition of criminai penalties of a tine up to S1SDU.Uc
unc can imprisonment ns weil as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a dad•against me. I understanc
copy of!Ilia statement may sic furwnrdcd to the Once of Investigations of the DlA for coverage rei-ification.
1 do herchr If fit•pnii t !tall/cs of perjun•t/lat t/re information prodded above is true and correct
. � 3i /q97
Sianatu /
Print name
1 t✓ U V rJ Phone 0
y�r�.rrr�
�fJiciai use only do not write in[Isis area to be comp
ictcd by city or town o icia
permitilicense it _r ouilding Department
city nr tmvn: �Lcensing nuard
OSclectmen•s U>Tcc
_._ �rnuirrd r-tttraith Ucnartmcnt
lassac"tusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thei
nplovecs. As quoted from the "la��". an amplgt-ee is defined as every person in the service of another under any
)ntract of hire: express or implied. oral or%%Titter.
n eiziplitrer is defined as an individual. partnership. association. corporation or other legal entity. or any two or morc
c forcy_oin�_ en__ased in a,joint enterprise. and including, the legal representatives of a deceased employer. or the
cciver or trustee of an individual . partnership. association or other legal entity, employing, employees. However tltc
vncr of n dwelling house haying not more than three apartments and who resides therein. or the occupant of the
.-cllin" house of another who employs persons to do maintenance , construction or repair wort: on such dwelling hou
on tltc ::rcunds or buiiding appurtenant thereto shall not because of such employment be deemed to be an employer.
vL chapter I52 section 25 also states that even•state or local licensing, neency shall tvithhold the issuance or
tonal: of a license or permit to operate a business or to construct buildings in the commoniveaitli for an•
el
nlicant who ltas not produced acceptable evidence of compliance ,%vith the in coverabe required.
ditionali; neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
formance of public work until acceptable evidence of compliance with the insurance requirements of this chapter iia
n presented to the contracting authority.
dicants
.sc fill in thcbworkcrs' compensation affidavit completely, by checking, the boa that applies to your situ:.uon and
fying company names. address and phone numbers as all affidavits may be submitted to the Department of
strial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The
:avit should be returned to the cin• or town that the application for the permit or license is being, requested.
.he Department of Industrial Accidents. Should you have any Questions regarding the "law" or if you are required
,gain a %vorkers' cotnpcttsation polic}. please call the Department at the number listed below.
or Towns
be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
-itd::yit for\,ou to fill out in the event the Office of In►estigations has to contact you regarding, the applicant. Pleas
re to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
eparttnent by mail or FAX unless other arrangem-nts have b,en made.
>ffic:e of Investi=ations mould like to thank you in advance for you cooperation and should you have any questions.
do not hesitate to ;,give us a ca11.
,eparttnent's address. telephone and fax number.
The Commonwealth Of Massachusetts
w Department of Industrial Accidents
Office of Investigations
600 NVashinbton Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or "175
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE'
r ou /
JOB LOCATION rod Wh QIJA U C7 MN( C eh k/v yi
;Number Street address Section of town
"HOMEOWNER" :T1(��; . ��i i.� ��I• q 4 q,o3 G 1 401, ��� -45.5
i_ Name ' 1 Home_ phone Work phone
PRESENT MAILING ADDRESS: go 0 S
-
-City town -State Zip codE
The current exemption for "homeowners" was extended to include owner-occuDi
dwellings of six units or less and to allow such homeowners to engage an in
dividual for hire who does not possess a license, provided that the owner
acts as sumervisor.
DEFINITION OF HOMEOWNER:
Person (sj who owns a 'parcel of `1:&nd on which he/she ° 'resides or= intends to r
side, 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 structure
A person who constructs more than one home in a two-year period shall not b.
considered a homeowner. Such "homeowner" shall submit to the Building Of1i
on a form acceptable to the Building Official, that he/she shall be resnons
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes , responsibility for compliance with the
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Departament minimum nspection procedures and requirement
and that he/she will co wi sa r edures and requirements.
HOMEOWNER'S SIGNATURES
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35 , 000 cubic feet, , or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
Lod'
Ob 2
44ot
oFc"r .
/g
0 % 0
0 N
10
l23. 9-
THIS MQRTGAGE . I nISPECT 10 PLANo IS FOR
TOWN:. .CENTE'RV/LLE BANK USE ONLY
DEED REF: BUYER:
OWNER:._ CAPR/CORN REALTY TRUST
94722 B ://LL VO?Td
DATE:• 8/3/88 - PLAN REF: SCALE: 1
ere y cert y that t o ui ing 30
shown on this plan is located on \ZH OF M
the ground as shown and it y�`� 9� YACVKEE SURVEY
Position does o� ti� C0N_,SU(_-FAMT-S
conform to the E PAULA 70 RASPBERRY.LANE
zoning la STABLE setback requirement of ER • y
BA 32os8 .
MARSTONS MILLS
and 'does not lie within the special CSZ MASS 02648
flood hazard area as shown SUR�E
on lgNOy�Q
the .u.d. ' flaod map dated 4547
Paul A. Merithew RPLS is plan not aadc frog an instruaent
survey not to be used for fences etc
r
o or-
6ql4A elk
r
TOWN OF BARNSTABLE Permit No. _2 __
Building Inspector cash
.... ---------------------
--
YRY�\ OCCUPANCY PERMIT ------- ...
Issued to S L S Trust Address
66 �'rynl`!l l.a?7»ni- T;:1nP, f'!7'13-!�'�^'C•'( 'I �;'�
Wiring Inspector ! Lr' Inspection date
Plumbing Inspector Inspection date
Gas Inspector h/.�. Inspection date
Engineering Department �/�� _ '` c�dyL�C--, Inspection date j--/
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
:... .: .' ......�. ...._. 19........... ............... ....`....---:..." ..................
Building Inspector
• _•• 4
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I j lv GC3
7
F,cl ti7• 14 I.
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140 0 �
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-
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4
IAA Mp N I l ' 3 a ' O I E 1 2. 3 � ,. Grn
i
On the basis of, my kn9wledge, information and
belief, I certify to Tae r®�vr, eAaz-Ava 40,LE �oua.10�.TIotJ Cr=Q-'1-i�IG,d�TIOti!"
that as a result of. a .uurvey.. made on the ground; I wE0LJAaLj eT aaNe
on zi ,..:I 'find that: GfrNT�l2Vlt...t�[r,ra�.t2N5T/�t'�LE�MA.
The structure(s) are located on the site as
1
shown.//! Ceoo�phranee Av7A-- 7vagn Zmninyy 0dy.Llt�cJs ,� M. �JQ.r2u.l IGl�. �Ah5G1C. 1>aJG.•
The title- lines and 'lines of` occupation of the 1
site are as shottn hereon. >�x So► N"- �at.Mo"rA';wt4 .
The site iy situatedd-' in: 'Plood ::one Alzn
.. P�l0 Os,�q�,r
Community :Panel 1�o*Zgg 0/ Date: --� to'� W►µ AM 4yN
.Date: G =z a
WARWINo
CK• �.
N
1"illiam Warwick y tt'LS css��{p¢
O -SURv� 1
Assessor's-map and lot number ..............:.............................
THE
3�y
Sewage Permit number .. ...� ..... .....:......`•n'uL,•�/" -r--—�l C •' - `� � +
Q �
SYSTEPOMU�T BE
+ g�S� Z BARNSTABLE, i
(�. ALLED IN COP+�PLI M�a r,
House number ............................................................. C ro
.TOWN O V. �A
w
T BUILDING-, INSPECTOR~
APPLICATION FOR PERMIT TO .............�.�. , ......L�?..��.....�......................... . ....................................
,
TYPE OF CONSTRUCTION ......;....`..:. C'� . ' .....:: s . .... ' ....... ..................
z•. L,�� ......... ... � • ` .1
7.3
TO THE INSPECTOR OF BUILDINGS: -
The undersigned hereby applies for a ,permit according to the following information:' � J
Location ............ � . .!/...... .... ..lX .. .11. �'C�. . CN/„ f �,I ... r
ProposedUse ............. .� t'F ... .�..... ......... ........................................................
Zoning District ............... 1Z "_J.............................Fire District ........... .............. �.o..............
Name of Owner .... ... 0 Address ..../..: '.... :}.�J- .-i . ; ..... 1 /,��
Name of Builder . ... ..... .. ........Address ...........................................: ` ............
'+
Name of Architect . . ........ Address .,... � �.. ....... / .... ..
..
Number of Rooms ...................I?.............................................Foundation .....��,/^ � " ,� •
s
Exterior ��?,,EE ::rV0. ........................................Roofing ,7—( .. .
Interior ....
Floors ..... ......... ...:........ ..` .. ... .. ...... ..................
yam\ 'h "�� ..
�.
Heating -...... .....��:�•.-�•�.....L......................:...........Plumbing ...... ................ ....��
Fireplace ................... � ]. ........ Approximate Cost .+...'......yl ...:............ .. /L
Definitive Plan Approved by Planning'Board "------_ =_ __-___-_19________. Area :: —� ....�..:..... ..
Diagram of Lot and Building,with Dimensions'•' Fee ?
SUBJECT TO APPROVAL-OF BOARD OF HEALTH
r �
OCCUPANCY PERMITS'REQUIRED FOR NEW DWELLINGS
I.hereby agree to-conform to all the Rules and Regulations of the Town of i table regarding the above
construction.
Name ......... .....................................
f
Construction Supervisor's License l. . .. 1�........
S L S" TRUST
; 713
No•i..252 Permit for. 1 z Story............ _
Single,Fami:lY..Dwell.ing................
.............
Location .•Lot 1, 66 Wequaquet„Lane „ s
.Centerville � ; _" •� �; � •-
Owner ....................Trust' S .................................
. Fra
TYpe�of Construction .................me.... .................
#� Plot ............................ Lot _ w
Permit Granted ...► ..une...30.r. .... 19 83
Date ofYlnspe 'o ..................<..'..�?............1Q��✓
Date Completed �P�....:�.�..........19
-- r
° e '
f
�ff
Assessor's map and lot number ............ ..... ......... ... ... THE
Sewage . Q .
Sewage Permit number ... ...3.'..................... �.••W�!. �. d� °�
Z B9B LE,Huse number ........................................................... VAG&
. .. i
�e
1639: \0
�E'p71PY�`•
TOWN OF BARNSTABLE
' b
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... .9............................... ..................................
TYPE OF CONSTRUCTION ............... . .............. -' 1.. r � �t ......................................
................ ./.. ............1
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby, applies for a permit according to the following information:
Location .......... �� �X�> .Z�i :��.i.)<`'_C L. ......��"�/y,/. �..................................... .
ProposedUse ..............1, � r..... ..'! ..<:....... � .. ...v. .............................:.........................,
Zoning District ............... . ��..l.l...:...................................Fire District ..........`.�-- .�? :......... Cam./..............
l
Name of Owner .... .t- ......1..... -v��' .............Address ....L2.... ....:r�a.... ..........
� r
Name of Builder ..�i{�. :.... .�/l.l .... ... ...Address .....................r.....................................+.......... �.
Name of Architect ? ,�!�, ��...............................Address ......A �nl �f ................................. .... .
Number of Rooms ...................�?...........................................Foundation ......
Exterior ........... ....................................Roofing .........., .. ...... ... .... ...... .. .....! . .;..� !
Floors .... '�E �/ll� / .. .. �&...........Interior ............ ...../t,��� � :..
Heating .........................Plumbing .._
Fireplace ....................?!'F'c��. ............................................Approximate Cost ...t/d:.�..� c ............. r
i - -
J 1` -
Definitive Plan Approved by Planning Board -------------------_-----------19-------- . Area ....%„ ... ......
Diagram of Lot and Building with Dimensions Fee d c; ..
SUBJECT TO APPROVAL -OF BOARD OF HEALTH
t�v
t, Y/
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Bar, table regarding the above
construction.
/�..&YW,
Name . .........................
t���'';;
� Construction Supervisor's license .�C1./.....-..f.:...::..............
i.
S L S TRUST A=250-47
252.n� 12 StO
No s..�.............. Permit for ....................................
Single,, Family Dwelling
.......................
Location ....Lot 1, 66„Wequaquet,„Lane.
Centerville
Owner ......S..L...S...Trus.t "
....... .................................
Type of Construction Fran►e............................
................................................................................
Plot ............................ Lot ................................
Permit Granted .....June,..3 Q................19 83
Date of Inspection ....................................19
Date Complete ......................................19
I