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HomeMy WebLinkAbout0150 HIGHLAND AVENUE /So )41- ULq o cc cam, I UCQ167 3 Town of Barnstable *Permit# Expires 6 months from issue date G Regulatory Services Fee °Zscso Thomas F. Geiler,Director X-PRESS MRMI ` Building Division v� Tom Perry,CBO, Building Commissioner ,U� fi 200 Main Street,Hyannis,MA 02601 TOWN OF_BARNS 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 0 Property Address fl?4T�J�� Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name. Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �I have Worker's Compensation Insurance Insurance Company Name Z�l � Workman's Comp.Policy# �7V ZZ Copy of Insurance Compliance Certificate must be on file. I Permit Request(check box) eRe-roof(stripping old shingles) All construction debris will be taken t0i�Ti�ii�i'. �1� ❑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. Home Improvement Contractors License is required. SIGNATURE: Q:Fomu:expmtrg Revise071405 The Commonwealth ofMas�achusetts Department oflndustrldAccidents Office of Investigations 600 Washington Street ' Boston, MA 02111 N".mass gov/dia' Workers' Compensation Insurance Affidavit: Buflders/ContractorsXlectricians/Plumbers Applicant Information Please Print Legibly Name Q3asiaess/0rganizad /In&Adu4: 29LZ,0 Address: 1!.2 ZZWZaA2 E Z� City/stato7ip: 1el 2 o,Vj e&47 4,W ohme M J'o)7 Are you an employer? Check the•appropriate boa: Type of project'(required): 1,i2ri am a employer with -// 4. ❑ I an a general contractor and I 6. []New construction employees(fall and/or part tile).* have haed the sub-contractors 2.❑ I am a sole proprietor c r partner- listed on the attached sheet t 7. Remodeling ship and have no employees These sub-contractors bane 8% ❑ Demolition worlemg for mein any capacity. workers' comp,insurance, g. Building addition [No workers' Comp.insuranoe 5. ❑We are a corporation sad its required.] officers have exercised their 10,❑ Electricalrcpaus or additions 3.❑ I an a homeowner doing all work right of exemption p er MGL 11.❑ Blnmbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.ERoof repairs insuraaee required.]t employees.[No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#1 mast also M out the section below showing their w0ams'compensation policyinformation: t Homeowners woo submit this affidavit indicating they am doing all work sadthen hire outside contractors must submit a sew amdavh iadicating such (Contractors that check this boa mast attached as additional sheet showing the name of the subcontractors cad their workers'eoomp,poTay fnforma ion. ram an employer that is providing workers'compensation insurance for.my employees. Below is the polio and job site 1njbrm4t10n. ' Insurance Company Name: ZZl policy;.or Seiimi Lie.0 U Job Site Address: %S�/y/C� G�9il, c�1 - City/state/7.P: /2=17—�-2,Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Faillure to securc-coverage as required undei Section 25A of MGL c. 152 can lead to fhe imposition of craamal penalties of a fie up to$1,500,00 and/or one-year im;nisonmenr�as well as civil penalties in the-form oi'a STOP WORK ORDF—R and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Si tire: Date: Phone#; 2 Z! �3 v f c at K36 . Be fid%ft,£in IMS Ma,fis U oiled.b ck,or UM offixid Cityor Town: ?ermit/Litense# � Imuinm Authority (circle one): 11.Boa*d of Health 2.Building Departmeie 3.C1ty/-1 own Clerk Q.Electrical Inspector 5.Plumbing Iaspe&tar• 6.Other i Cozaact Person: ?hone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to providewbrkeW compensationfor-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,6W or written." An employer is defined as."an individual,partnership, association,corporation dr other legal entity,or any two or snore of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an in►divibal,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartinents and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work gon inch dwelling house or on the grounds Or building appurtenant thereto shallnotbecause of such employmentbe deemedtobe an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" AdditicnaIIy,MGL ebapter 152,§25C(7)states-Neither lhe commonwealth nor any of its political subdivisions shall cuter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requaemerTts of this chapter have been presented to the contracting authozity." Applicants Please Ml out the workers'compensation affidavit completely,by checlag the boxes chat apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone nt mber(s)along with their certificate(s)of insurance. Limited Liabft Companies(LLC)or Limited Liabilzt'y Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Ac advised that this affidavit may be submitted to the Department of Industrial Accidents for canfirmtion of insurance coverage. Also be sure to sign and date the affidavit. The•afidavit should be returned to the city or.town that the application for the p emzit or license is being requested;not the Deparfi ent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensatimpolicy,please can the Department at the munber lzstedbelow. Self-insured compmda t out s;aTer then self-insurance license number on the appropriate line. City or Town Officials . Please,be sure that the affidavit is complete and printed legibly: The Department has provided a space at the bottom. of tai for you to fill aatin the dent the Of Ce of investigations has to contact you regarding The applicant. _ Pleasebe sure to fiII in the permit/lieense ncmzberwbich will.be used as a reference . In addition,an s plicarit that mnst submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Iola Site Address"the applicant should write"all locations in_ ' city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to fhe applicant as proof that•a valid affidavit ism file for fatme permits or licenses. Anew of davit mustbe filled out each ' year.Where a home owner or citizen is obtaining a license or permit notrelated to any business or commercial venture (i.o. a dog license or permit to bran leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give w a call. The Npartment'a address,telephone and fagmrcnber: The C0mm:0nwea1!h of M- usadmSetts Depa_rtrn.ent of In,dustzia,l.Accidmts Office of is 600 Washington Street Boston,MA 02111 Tel. it 617-727-4900 e-r t 406 os 1 o77-MASSAFE Fa-{#617-727.7749 . Revised 5-26-05 -vrw me--s5.gov/dia �aFISE T Town of Barnstable Regulatory Services 9 MASSSsi.E,� Thomas F.Geller,Director �pEEDMp.�p,� Building]Division. Tom Perry, Building Commissioner 200 Main Street, Hyamnis,MA 02601 www.town.barnstable.ma.us office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usirig A Builder I, OiOi W-25— as Owner of the subject property r hereby authorize _ ,��/,� �� to act on my behalf, in all matters relative to work authorized by this building permit application for. J. (Address of Job) gnature of Owner nate Print Name Q:FORMS:O W N ERP ERMB S ION f �'�e;Pomrzuviicuea�C�i`a�✓�aaaclzudel� --- --------------,-„�.-„ Board of Building Regulations and Standards License or registration valsd for.individul use only HOME IMPROVEMENT CONTRACTOR before the ex iratio p n datem found r et ur n to: - _ist�akro r�1Re 049 Board of Building Regulations aud�r'tandards x yr IS�12006 One Ashburton 'Place Rm 130.1 -. Type 'We Corporation Boston,Ma.02108 DAVID COX, ING�' t David Cox _ .;.. 19 LAVENDER LNY W.YARMOUTH, MA.02673 , .: Administrator of valid without signature r' t Date:6l712006 10:39 AM Sender's Fax ID:5088629270 Page 2 of 2 I AC®RS v CERTIFICATE OF LIABILITY INSURANCE CSR XG DATE(MMIDDANYY) DAVID-2 06/07/06 PRODUC'cP. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Eshbaugh Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 1 - Phone:508-771_1632 Fax:508-778-1789 _ _— INSURERS AFFORDING COVERAGE NAIC0 INSURED INS_PERA, NORFOLK & DEDHAM_ 23965 INS._R'EP.E: ST PAUL TRAVELERS David Cox, Inc. ------- P. 0. Box 401 I INS-REP S Yarmouth MA 02664 D — - - �— INS_RER E COVERAGES IH_-QUCIES(w INSVP.A',OE L'STED B=L,'dW HAVE BEEN IS VEC,TO TH_.INSURED NAMED ABOVE FOR T-E POLI:�"PERIOD NCI-ATED NOTNff-STANDING ANY REOU REMEIII-,TERM OR COND!TICN OF AN''CONT:AC T JR OTHER tOCUMENT'J'Jf-FI RESPECT TO WHICH THIS CERTIFICA-E II BE ISSUED OR MA"PER-AIN,THE NSURANCE APFORDEC=Y THE POL CIE5 7ESCRiBED H=REIN IS SUB.IE-:T TO AL_.THE TERMS.EXCLUSIONS AND CONDITIONS_',F SUCH PC.LICIES.A01_�R_GATE LIMITS SH:`NN MAY H<.V°?EEN REC:UCED BY FA D CLAIM1-. TNSR LTR IN.A SR� TYPE OF INSURANCE POLICY NUMBER DATE(MMIPULI DDr(Y) DATE(h1MlOONY) _ LIMITS GENERAL LIASILrry -- — E4CH OCCUP;ENCE $1000000 COWM°RCIAL ENER•AL LIABILITY _ `�' _---0 `-- _ PREMiSESrEaoccu�en:ej _ $50000 - ----- iAPASNIAUE IX �X.'CUR � R4EDEXP{Anycmeper=on; $SOOO A X Business Owners R00309545 03/14/06 I 03/14/07 PE�ALSA.Dv Nj_F;Y 41000000 G=NEF.AL AGGFEGATE j$2000DOO GEfJL AGGREGATE LiV!R APPLIES PEt PRODUCTS-CCdnPiOPAfG $'2000000 Pc��_Icr ��JEcr LOB ! CSL 2000000 --- AU70MOBILE LIABILITY CSMBINED SI\GL__II $ �J 41'AUTO I I I(Ea accicent) I ALL OWNE-D vJTO:l BCG L'r'INJUR-, { �-CN,-DIJLED ALF OS (Per p�rsorl HIRED A..TO'= BCD L'f INJUP" $ i NQN-0,iNED.AUTCq', PROPERT'r-,AMACE y. (Per accidert) GARAGE LIABILITY ALTO OIL"_EF.E,CCIDENT $ ' AJJ"ALTO I i OTHER T-AN3---- AUTOO\L" A.GB $ EXCESSIUMBRELLA LIABILITY I � EACH OCCUR?ENCE $ i I OCCUR CLAIMS MADE AGGREGATE b _-----_---- ECDUCTIBLE $ r RETE IION $ I - —'— g---- ------- WORKERS COMPENSATION AND I � EMPLOYERS'LIABILITY I I T:�RY LI"ATS ER B kIJ'r PROPRIETORrP4RT\ER+E)(ECUT VE 6YUB910X742205 j 07/15/05 07/15/06 EL.E',CHACCIDET _ $100000 _— OFFI_EWMEMBEREXCL.,.I_FCp - EL.UISEA:E-EAEMPLOYE= $100000 If yes.de;xibe�.ndar --- SPECIA_PROVIzI.-NSbelnv ! F.L CISEASE=POLCY-WIT I$SOOOOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS, e e y C,r;1 CERTIFICATE HOLDER CANCELLATION - TOWNBAR SHCULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA ELLED BEFORE'THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TiMAIL 2 O,DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,-BUT FAILURE TO DO 50 SHALL TOWN OF BARNSTABLE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 367 MAIN STREET HYANNIS MA 02601 REPRESENTATIVES. AUTHORI c"PR :-NTAT � ACORD 25(2001/08) 0 ACORD CORPORATION 1988 . „o• a TOWN OF BARNSTABLB . Permit No. I »>T� Building Inspector cash ■YL 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 Chester I. Redmond Address 150 Highland Road Ext. Cotuit Wiring Inspector j Inspection date Plumbing Insp r - Inspection date v6 Gras 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 t REQUIREMENTS. ..............................»...............».», I9.......»... ..................................... ..............».» Building Inspector r " TOWN OF BARNSTABLE permit No. 1_9 4 4 7 Building Inspector Cash __ 7 Rua �B..v OCCUPANCY PERMIT Bona 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 Chester I. Redmond Address 150 Highland Road Ext. Cotuit Wiring Inspector 1r r , "" Inspection date Plumbing Inspector � t . ' w ._.,. Inspection date �P_; Gas Inspector � s' Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ........................_......................_._, 19_ .._ _ ...................................................................._� Building Inspector TOWN OF BARNSTABLE Permit No. Building Inspector � rm 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 Chester 1. RcG;Titond Address 150 Hic.:rluncl Road '_:i_ty. rntui Wiring Inspector 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. ................................................_, 19_.__ ................................... ................ Building Inspector , 7 --IN 4t OCRi '�.v 78 31 CERTIFIED PLOT PLAN ZOT Z _- 141(;HA,4No.S RP. _=X7,4°-CO I T ' NEW CONSTRUCTION ONLY TOP OF ,FOUNDATION IS .:5.sr FEET ' I - - IN ��1 •4 ,�3 OVE .LOW POINT OF ADJACENT SAISfJ�jll j,W�i5l6 AD. f :7 l _ ' SCALE- /114 4O �rDATE°,J► � 271977 �. E DREDGE ENGINEERING CO.IN I CERTIFY THAT. THE `Foww,vAr±yrj CLIENT Rv�oN o EGISTERED LISTERED - SHOWN ON THIS . PLAN"IS LOCATED CIVIL LAND JOB NO. 770.34 ON. THE GROUND AS INDICATED.,'-HO ENGINEER4 VEYOR DR.By: A ,A,M• C('0NF0 RM5 TQzy �H E.ZON'I NG LAYYS . `OF 13ARNS igLxE, s, 33 NO. MAIN ST 712 MAIN ST. CH.BY' 2 ,. SO< YARMOUTH, MASS: HYANNIS, MASS. -Z� • SHEET L OF ? DATE REG. LAND SURVEYOR. 20 FT. M//V. /0 CLEAN SANS 4 GONCRCTE FL�V. IDo•t� MIN. P/TCN , ,e.• COVERS �9"pF,p CONCRETE CAST z�LAYER . IRON P/PE 1DOO +o�• �o" AF //8 b MIN.P/TCN CYA4. 0 1 • • _• ► • • • 1 a A� WASHF 2?N O S? E SEf�T/C TANK D e sT. . o b • • . • • . • •'•' A u Q BOX P 1 B • • • • • 1 .•O p e Q A 4 ' ` 34 y •� 1 /o 0 0 1 • •EFFEcrrve' • d ° r 1 • DE/�TN • • • ' • v WA5HE0 STONE O;: :b n o o • 1 1 • • • • • ♦ • CO . • o r a + • • • • • • • . p•c•y' PREC,,4S T,SEEF'AG E` v • o r • • • • • • • • ' a o P/7 0R EQV/V• /MVeA r eLEi/AT/OMS o a o T INYERT AT QU/L.D!/VG D FT 6 F7" D/ra/"1• T INLET. SEPT/C TANK q b8 FT i_ !O F - VIAM T�18LLATlCJN> O/JTLET SEPT/C 7-,4NK 9G-6 FT INLET D/5TR/8UT/ON BOX FT SECT/ON'aF GRpvNO js1,�17ER TABLE Dt/TLETD/5TR/Bt!'/'/O/V BOX 3 FT. , lNLETSFEPACiE oiT 21(,. 0 F7. �'E'wAGE OISPOSA L SYSTE/Y! - T,g4641LAT/01V L EACH/NG FP/7' SCALE : ! = /`- O" 0/ME/VS/0N A FT. DESlaV CftITER/A DeMENSeaN g 'FT. NUMOER OF BEPROOM.S 3 o/MENSioN C _F T• GARBAGE D/SPOSAL. 1JNI r__ SD/L TEST TOTAL E5T1,^lATEO FLOW. 3 o 0 G.4L./DAY NUMBER Of SFERAGE P/TS_ / DATE OF SO/L TEST S/OE,C,L•AG H/NG PER PIT /8�SQ• �T. S O/L LOG P!T • 2 `RESULTS w/TNE SSED BY '` BOTTOM LE,ACH/NG PER A/T 7� $Q. FT. , TEST F'/T •fl / PERCOLAT/ON R�4TE M/NCl/NC// TOTAL LEACH/NG AREA :7 6` - SQ. FT. �t�i�AT/DIY RESERYELE.4CfUNGAREA?�'�S4. FT. ON FILr- Wi-rH 7 CDM 0IJD c:' ROBERT y� fl! !/Lf4h//.J l�f .��sX7- C-J70/7'. P. t t BUNIKIS <n� No.22162�O Po FG/sTs.a �``f E�.OREDGEEA/lr//VEERlIVG CO.,/NG. 7/2 14r1/N ST. 33 NO.1VA//V S7. r� �FrS'dNA1J� . NYANN/3 A MASS SO. )-A,9 IOU'rH,MASS, _ )o,6 No. 7-7 0 3 9- sHE.ET?oa- 2 /o ff ? '2` z1- 7 ..Assessor s map and lot number Avq I/—Ag v t �; SEPTIC SYSTEM NIJS`I ESL 77 INSTALLED IN COMPLIANCE c• Sswage�Permit number WITH ARTICLE 1i STATE M M ..... ` SANITARY COD: t rlR 'rowr, `4} �fT"ET° TOWN OF BANS-T�AsB- E Z 89HBSTADLE, i� ' 639 •�9 BUILDING ' INSPECTOR 0 3 a' a APPLICATION FOR PERMIT TO . to build single family dwelling with................................... garage TYPEOF CONSTRUCTION ......................................t?J...... ............ ........................................ .................. t .......... ay...............................19. 77 TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a permit according to the following information: � Highland ad .Ext. Cotuit, Mass. Locatior��...7..................................Ro................................................................................................................................................ F:Proposed Use ................ .QMily...Dwellinog........................................................................................................................... ZoningDistrict ........................................................................Fire District ..........:..................................................................... Chester I. Redmond 26 e Name of Owner ......................................................................Address ..................�C..t?t..Siquzr�r..$rookli,ne�..F>Rass.... ff ' Nameof Builder ....................................................................Address .................................................................................... If n Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........6..Rooms..and....2...BAthS.............Foundation .....................Cement........................................... Exierior ...................................Wood........................................Roofing .....Asghatt..;gbinglgA........................................... Floors .................One-floor............:....................................Interior ................Td%4........................................................... Heating .............Oil..Eliai.................:................ .:........,Plumbing .....................Yes.........................................:............. Fireplace ....................Qiae............................................`..........Approximate Cost ..........`...........� 6Q Definitive Plan Approved by Planning Board ---------------------------------19________. Area ....... :..... Diagram of Lot and Building with Dimensions Fee ................ 1#....-.................. 0 'SUBJECT TO APPROVAL OF BOARD OF HEALTH 37 �ZO-00 ` • 1A, ; Vm b y 37 lie I hereby agree to conform to all the Rules and Regulations of the T of Barnstab) _ regarding the above construction. Name /.. ..... ..... 5.... .... ......?..f...�........ Redmond, Chester I. Flo 7.1.9.447.... Permit for ...1...1./2....s tory......... It. . . ...... .. . .... ........ SirAgle family dwelling Zil ................................ .............. _V Highland 15W�tr��� L Zai5lo 674 ................................................................ Cotuit .......................................................................... Owner Chester I. Redmond - ............. r7 ............ Type of lConstruction .....frame..................................... ................................................................................ 2 plot . ... ........................ Lot ... ...#......................... L July 29 77 �P;ermit Granted .............. 19 Date of Inspection ........................ ..........14 -Date Completed ......... ............................19 'PERMIT REFUSED ................................................................. 19 ........................................................ ......... ............. ..................................... .. ........................................... .............I ...................... ✓ .......................................... ..................... Ld ,Approved ................................................. 19 ................................................................................. I . ......................................................................... •�. ..,-. _ n .:.-�ir.'✓a '.»�.c.n.x...�ti...'.;`...'k:.-�.��v-'4,:,r.7�..�.e..�{,y --7_....� �le�_y..y ,....r.+.h,.r�-.....,..`•sw•na.s.�•orE!�.x_:.:r..."'4•„M ,,X,r�'y,� Assessor's map and lot_ number .......................................... • Sewage_' Permit number ............................................ ............. oft"Er° TOWN OF BARNSTABLE SAWSTAIkE. i BUILDING INSPECTOR u. APPLICATION FOR PERMIT:.TO ...... ........... ..to build single family dwelling with„garage .. ......... .... .. TYPEOF CONSTRUCTION ..:................................:..Wo0d.......................:.....................................................:........ May 9 t 9. 77 ............................................... ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /- Highland Road Ext. Cotuit, Mass, Location-.....�.......�:............................................................................................................................................................... ProposedUse ......... ......F441y...Dwelli g. .4.................. .,............. ..:. ............. .. , .................................................... ZoningDistrict ..................................................................:......Fire District ..................:........................................................... y Chester I Redmond 26 Name of Owner ............................!.........................................Address ..................Kent.. quar�,..�rookline,..? ass.,.. n to Nameof Builder ....................................................................Addres`s r It Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ......... ...13Q=3..aX.IG .............Foundation .....................Cements........................................... Exterior ...................................WQQd........................................Roofing .....A.1.0?.11-9hingles............................................ Floors One-floor................................................Interrior ................ I;994............................................................ Heating !1i1..F1 �T.............................................::......Plumbing .....................`I—$...................................................... - I Fireplace ....................One—!....................................................Approximate Cost .......................$16,004.............................. Definitive Plan Approved byl Planning Board ________________________________19________. 3 Area .........'..... r t�l Diagram of Lot and Buildi ng with Dimensions feet :............:................................ CJ SUBJECT TO APPROVAL OF BOARD OF HEALTH 17 `ft k � f I .hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name sl `' �, •,,�f> t..%� ,;; ..�.�x" „ Redmond, Chester�� -12 1g447 No Permit fa................. ...I..N... ................ w single family dw ing ....................................... Hi hlan .....E) - o Location ........................... .....v ........... Cotuit ............................................................................... Chester I. Redmond Owner .................................................................. , frame-, 4 Type of Construction ...................... .....::............ ................................................. ................... .J Plot ..............p.. .. , Lo/........a................. July 29 77 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ` 4 PERMIT REFUSED .......................................................... . 19 /� .'. �....... ...... ............ . ...... x a V/w/ Approved ....................:........ .. . . ... .... 19 .....................................� � . ... ............. .. ................."I ...,� ...... �. ...........