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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 02-1 Parcel' 001 601 Application # '=) 0
Health.,Division `' Date Issued CT
Conservation Division Application Fee
Planning Dept. � �'. Permit Fee
Date Definitive Plan Approved by Planning Board "
Historic'- OKH _ Preservation / Hyannis
Project Street Address 10 N a rrp ws Lv AU
Village � v i
Owner T-)sep1 4 Wee r=lavi Address 10 rya -r0i`D5 f��y
Telephone 00 S9 S�;�t�oryi
Permit Request L1,14 avk, a. f vHa eJ 1 e x 1Z addl 116ast avial 6Lkt r'oxt►Aa.1J
11 x z Z deck
Square feet: 1 st floor: existing proposed 2nd floor: existing - proposed Total new 8 D
Zoning District Flood Plain _Groundwater Overlay
Project Valuation Opts- 11 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family L�( Two Family ❑ Multi-Family (# units)
// c�
Age of Existing Structure Historic House: ❑Yes ® No On OldmKing's Highway:-,Q Yes YNo
Basement Type: ® Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Areak(sq.ft) '
Number of Baths: Full: existing new Half: existing �" ne@
�9
Number of Bedrooms: existing —new --
w
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size __ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name I a r Telephone SO$ - g1'7• t//l x -to S
D� AD�(VL � Number
Address ? �U'Hp S�0 Vt A ve License# B 31�(
Gf- Avevi Home Improvement Contractor# f 00 S0 3
Worker's Compensation # C A1JC 13L[C)R'7
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
iv f�e e1,S' d Av d
SIGNATURE `� DATE ��Zq 1,
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED +
t ,
F AP/PARCEL NO.
t •
' ADDRESS VILLAGE
OWNER
JJ
DATE OF INSPECTION:
FOUNDATION.: ®O
G o
FRAME
s INSULATION,, WE c
FIREPLACE
k
t ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
0
GAS: _v ROUGH --,, - FINAL
--FINAL BUILDING' _l ` ®w t ® L
el
s
' DATE CLOSED OUT _
ASSOCIATION PLAN NO: '
i / •
-' The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Oro nization/IndMdual): Ca`e, Fri c, �nm es
Address: Z311 gul*eslom AVC
City/State/Zip: F-al' 4 A VC in Ma. Phone#: S-0$ - 1417 - III i
Arepu an employer?Check the appropriate box;
r2.
•LI I am a employer with ZO 4. [] I am a general contractor and I Tie of project(required):
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g• D molition
working for me in any capacity, employees and have workers'
[No workers' comp.insurance comp, insurance.$ 9. Building addition
required.] 5. We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp, right of exemption per MGL
insurance required.] t c. 152, §1(4),and we have no 12.❑Roof repairs
employees. [No workers' 13.0 Other
comp,insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$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 providing workers'compensation insurance for my employees. Below is the policy and job site
information. y i
Insurance Company Name: (!�1�U"G;1/Gcrd
Policy#or Self ins.Lic.#: mLic 13q®q'1 Expiration Date: qI t 1
Job Site Address: 10 �A f r p w S C City/State/Zip: 0 8
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of he DIA for insurance coverage verification.
I do hereby ti and the pai nd al ' of perjury that the information provided above is true and correct
Si afore: 2
Date: �
Phone#: S-O F q — ////
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 S.Plumbing Inspector
6. Other
Contact Person: Phone#:
Client#:33723 CAREF
-ACOI?D,., CERTIFICATE OF LIABILITY INSURANCE DATE( M/ D1rrYY)
10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Herlihy Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
51 Pullman Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Worcester,MA 01606
508 756-5159 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Interguard Insurance Company
Care Free Homes Inc INSURERB: General Casualty Insurance Companies
239 Huttleston Avenue
• - - INSURER C:
Fairhaven,MA 02719
INSURER D: -
INSURER E:
COVERAGES
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 MAYBE ISSUED OR .
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED"BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER" POLICY EFFECTIVE POLICY EXPIRATION
LTR NSR DATE MM/DD/YY DATE MM/DD/YY LIMITS
GENERAL LIABILITY - EACH OCCURRENCE $
HCOM
MERCIAL GENERAL LIABILITY _ .DAMAGE TO RENTED
occurrence)PREMISES(Ea $
CLAIMS MADE OCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $
'- GENERAL AGGREGATE $
GEN•L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG $
.POLICY M PRO- LOC
JECT
B AUTOMOBILE LIABILITY CBA0816810 07/01/10 - 07/01/11 COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $1,000,000
ALL OWNED AUTOS -
- BODILY INJURY
X SCHEDULED AUTOS (Per person) - -
X HIRED AUTOS
- BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE - $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO - EA ACC $
- - OTHER THAN -
AUTO ONLY: - AGG $
EXCESS/UMBRELLALIABILITY - EACH OCCURRENCE $
OCCUR CLAIMS MADE - - AGGREGATE $
$
DEDUCTIBLE
RETENTION - $" - - $
A WORKERS COMPENSATION AND CAWC134097_ 09/01/10 09/01/11 X Two
CSTATU-I OTH-
EMPLOYERS'LIABILITY ER
ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under -
SPECIAL PROVISIONS below I E.L.DISEASE-POLICY LIMIT $1,000,000
OTHER -
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
TOWn.Of Berkley DATE THEREOF,THE ISSUING INSURER-WILL ENDEAVOR TO MAIL -30 DAYS WRITTEN
Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
1 North Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Berkley,MA 02779 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
C t
ACORD 25(2001/08)1 of 2 #M42357 PB2 0 ACORD CORPORATION 1988
Care Free Homes Inc. 239 Huttleston Ave
Fairhaven, Ma 02719
MA Builders Lic.#021330 Phone 508-997-1111
MA HICL# 100503 Fax 508-997-1297
Joseph and Betty Elovitz
10 Narrows Way
Cotuit,Ma 02635
Description of Work:
Build an 18' x 10' sunroom on a pier foundation. Build an approximately 22' x 10' deck to the
rear of the sunroom and house. The following is a list of specifications for all work completed:
Permit Care Free Homes will obtain all necessary building permits.
Sunroom Foundation Install pier style foundation to support new sunroom
Bulkhead Remove existing bulkhead
Install sill seal and 2 x 6 p.t. sill with p.t. plywood to enclose
bulkhead
Sunroom Framing 2 x 12 p.t. floor framing at 16"o.c.
V Structure subfloor glued and nailed
2 x 6 k.d.wall framing at 16"o.c.with%"plywood
2 x 10 U.headers over windows and doors
Remove existing roof over small sitting area to reframe with new
sunroom roof
2 x 8 k.d.roof rafters at 16"o.c.with 5/8"plywood
Electrical Wiring permit
Install receptacles and switches in sunroom to code
Install 2 fan boxes to the sunroom
Install 1 outside receptacle
Install 1 outside light
4° 4jp
Insulation Install X'RI insulation to the walls
Install 9"R30 insulation to the floor
Install 9"R38 insulation to the ceiling
Drywall Install %2"drywall to the walls and ceiling of the sunroom.
Tape and 3 coat system sanded smooth.
Interior Trim Match existing trim in house or customer choice.
Install pre-finished wood flooring to the sunroom.
Interior Paint Paint all walls, ceiling and woodwork'in the sunroom with 2
coats of paint.
i?oo riod On Auj'rt kws-e to ! uUnroa.et. IQJ P
I Lee shleiJ , i-s-14 414 PAr«, Oir' Bell t
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S t e vi cl v� 5��t1( wGec�t C'x+!'�, Cecj,tr SlzikA jie.S
Care Free Homes, Inc. Page 2 of 2
Exterior Paint Paint all trim on the sunroom with 2 coats of paint to match
existing exterior trim
Rear Deck Install pier footings
Frame rear deck with 2 x 10 p.t. at 16"o.c.
Install composite decking material to the rear deck.
Install p.t. rails and balusters with composite decking rail cap
Finish under deck with composite vertical boards
Dump Fees All construction debris removal will be handled by CFH.
* The Company hereby proposes to furnish labor and material to complete the abgve work for the
amount herein. Fulfillment of this order is contingent,however,upon strikes,fires, ability to
obtain materials or other conditions beyond the control of the company. Care Free Homes,Inc.
warrantees the work done for 12 months from the date of the occupancy permit.
Total Cost of Project$40,095.11
Payment terms $3,000.00 Deposit
$14,000.00 Completion of sunroom framing,roof and window
installation
$13,00.00 Completion of deck
$6,000.00 Completion of insulation/drywall/interior trim
$4,095.11 -Completion of job
We, the customer,may cancel this transaction at any time prior to midnight of the third business
day after the date of this contract.
We,the customer, shall 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,re nable attorneyWees, interest, and court costs.
Nathan J.Pickup Jo �pphElovitz
�74 6 Ui
Date Betty Elovitz
tiINI Iss.IChusetIS- Department of Public `afctl j
Board of Buildin!l, Re-mlations and Standards, i
Construction Supervisor Licerise
License: CS 83166
Restricted to: 00
•
NATHAN J PICKUP
239 HUTTLESTON AVE
FAIRHAVEN, MA 02719
`Expiration: 1/18/2012
(lunulis�i nu r Tr#: 13584
" ✓lte �omvmo�zcuealC/ a��czcfivael�6•;_ -.,. . .� .. . _. _ . . . . II
Office of Consumer Affairs&Business Regulation License or registration valid for individul use'only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
Registration ;100503 Type:: 10 Park Plaza-Suite 5170
Expiration -6/19/201.2. Supplement and Boston,MA 02116
CARE FREE HOMES INC t
P ..
NATfHAN PICKUP,
239 Huttleston aveFairhaven,.MA 027191`'r'' Undersecretary ( Not valid without signatu e
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' TYPICAL POET B Br;tl OON5TR110TION s SCALE:N.TS. veFalON u
0 qq 9 OGALEr N,T.E.
`ppiHE Town of Barnstable
BARNA--';. .
Regulatory Services
V MASS. 0�
°639 Building Division
prED MA'S
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection 1\J ;—e a
Location /o Al A i-,e n oz,%,s Permit Number
Owner L o r/ I ?Z.- Builder aC u e
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
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Please call: 508-862-4-ga8 for re-inspe
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Date
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� �IMEr, Town of Barnstable Permit# 3
&ptres 6 months from issue date
N �S (,7
,,,R„S,O Regulatory Services Fee
r� MAS& $ Thomas F.Geiler,Director �l (Ito ---
1639• �0
'°rEDMv'�t' Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner X-PRESS
PERMIT
367 Main Street, Hyannis,MA 02601w r
Office: 508-862.4038 MAY 1 5 2001
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION TOWN OF BARNS TABLE
Not Valid without Red X-Press Imprint i�
Map/parcel Number 017Z/ 0 0 L
Property Address /h41
�1
❑Residential OR ❑Commercial Value of Wore �7J
� J
Owner's Name&Address
Contractor's Name Telephone Number.✓c y�U �� %
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
Fam the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box)
❑ Re-roof(stripping old shingles)
�e-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exeTPCUTP' ce with other town department regulations.i.e.Historic.Conservation.etc.
i
Signature
expmtrg
gu'
� .. l L D I
NG�
TOWN OF BARNSTABLE, MASSACHUSETTS PERMi
w C JOB WEATHER CARD
DATE �` c 19__?L!j:7 PERMIT NO. '' 7S
'AP�LICANT ADDRESS X rraa
" IN0.) (STREET) (CONTR'S LICENSE)
p.
NUMBER OF /
PERMIT TO (—_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. 1 (PROPOSED USE)
/^y ZONIN
AT (LOCATION) 2 • •D Q DISTRICT
(NO.) (STREET)
BETWEEN AND aT7
(CROSS STREET) (CROSS STREET)
LOT
,SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE -FT. WIDE BV FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
j' REMARKS:
'
AREA OR e .�� PERMIT ;
VOLUME, ESTIMATED COST $ FEE
(CUBIC/SO UARE FEET)&�44
�j.,�/��OWNER �L LLLS iZ2 / ( BUILDING DEPT.
1 ADDRESS BY
THIS PERMIT CONVEYS NO,RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPO.R-. L
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST" BE AP
PBOVED BY THE JURISDICTION. STREET.__.OR,_ALLEY GRADES AS WELL AS DEPTH AND'LOCATION OF PUBLIC SEWERS MAY BE OBTAINED.
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PE-RMI-T-DOES--NO-T-RF'CEAS.E-THE<A�P'PL'IC-ANT F$O.M T.HE".CQNDIT IONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. -
i
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE A.PPLI.CABLE SEPARATE
�^ INSPECTIONS REQUIRED FOR, CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING:- AND
I' ELECTRICAL,
FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
IOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
t MBERS(READY To LATH). FINAL INSPECTION HAS BEEN MADE.
L.
INSPECTION BEFORE
Ij '.,.1 P IL
ANCY• POST THIS CAR® SO IT IS VISIBLE FROM STREET
__.�
'�'� BU:LUING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTI N APPROV S
jjI• -
1.' 1 I 1 y
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1:
2 2 , 2
3-_---- ------ -------- Iaas
HEAT7NG :N ?F_GTiNG APPROVALS RE N�InVCTJJrWJF LS
- - - - = - -_
f
'r R
_ 2 3 D cce-m M6r 9BG. 2
— HERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSFECTiONS iNDICArED ON T 1�
WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE caN 9E RPANGED FOR 8y t ,r ^nF_
. OR WRITTEN NO?'Ik iCATION'.
( �...
15SUED AS NOTED ABOVE. i '
r � - �� T� . �'�'✓�, ICI 4 .N�, � �.,,r''r�� . _ � t ..•
Assessor's map and lot number `"...,,;..... ......... :......
�pF THE t0�
Sewage Permit number /..�/.
/ /V t BAUSTADLE. i
House number ' v S �1 .... [/l Ypea
5 '..........................,,, /.. .........�1. ............... 9� 6 1
79•
.. 'FO YPY die
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO � 1.....: ✓.<�...
TYPE OF CONSTRUCTION ................................................ �.�. ....�.....................................................................
........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a per it according to the following inform
L6
Location ........ :.............................
ProposedUse ........ .. 9�� *- .. ............................................... .. .............................................. t:
Zoning District ...... .. Fire District .... ...... �.........
. �'
f Owner ...... .I. ............ti ............:.................. .....Address .......�.f..........................................................................�
Name o O i� t'
Name of Builder ............... .. ............................Address .............`.:.. ......................................
.............
1
Name of Architect �1.Tn f S•:: ...........Address ............. ...'^.................,........................................
Numberof Rooms ................. ............................................Foundation ............................,............;
1 00
�� .s
Exierior ..............................................<..........................................Roofing ..........._�`\��,.�..............:...... ........................................
Floors .. ..............................................Interior .................. ..... ....... .......................
Heating .... ........�.� 6!'L... �i t�..1....................Plumbing ....... .. ... j........................................
o
Fireplace .................... ................................................Approximate Cost ....!�1.... ...`...........................
Definitive Plan Approved by Planning Board ----------------------_---------19_Q_ Area ...... ..............
Diagram of Lot and Building with Dimensions Fee 115��r............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 ...........................,......................................................
Construction Supervisor's License Dl �
ARCHIBALD REALTY A=21-3,
s,
28737 One Story
No ................. Permit for ....................................
Single Family Dwelling
............... .... .....................
L kZ6--Q���Road
Location ...........................................—
Cotuit.
...............................................................................
Owner .........Archibald RealtY-�
..........................................................
Type of Construction ...................Frame.......................
................................................................................
Plot ............................ Lot ................................
Permit Gran+ed ..........December 6........19 85
...................... .
Date of Inspection ....................................19
Date Completed .......................................19
9 Co c 78--2
t4 j4
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.. ..r � ..:. „�-.. .. ..� .. ... _ , . ..-.-yr.'1....�.. .r~t.--.,�.-6 .._.e+.:.^�,�h.....,,,r•r � i:..1 F:.:�•��; ..-r ti� . ., r - ' '_
ofTK90 TOWN OF BARNSTABLE Permit No. ..2.8.737
BUILDING DEPARTMENT
{ 78EMIL I TOWN OFFICE BUILDING Cash
:.
ar1,Y HYANNIS,MASS.02601 Bond ......x...
CERTIFICATE OF USE AND OCCUPANCY
Issued to 4rchibrtld Realty
Address Lot #9 , 176 Old Oyster Road
Cotuit, Massachusetts
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
Januar% 12, 19....$.�........ �G� f.
.............I............ .......�..............y ... ...............
Building Inspector
a'�y�••'. TOWN OF BARNSTABLE
BUILDING DEPARTMENT
= NARISTAU
A39
'� ' TOWN OFFICE BUILDING
�g °9. � HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
4 4y�
An Occupancy Permit has.beenM issued
~I-6r the building authorized by
Building Permit ,J;„„ .'.�-"� ................................. _........_..................
issued to .......( t ' !;! 1/raP:.. �•!. ............. .......................... . .._ ..._ w ......_.. ... »_. .
Please release the performance bond.
SEPTIC SYSTEM,
ssesso'r's map, and lot number .....Z � :...... ��� ���'� THE
......
LLE BN-COMPLIANCEyou
J
Sewage Permit number ...........��- ..�/.'� .T .. F� TITLE 5
L CODE AMA, t EasasTJ1DLE,
House number/76..,.............. ....... ... .S................... . REGULATIONS 90 M6 a r
O 39• �0
0 90 y.
' TOWN OF ,BARNSTABLE
} 00,1 L D I N G`i INSPECTOR
:APPLICATION FOR PERMIT TO .........��" ••-......... �...........................Z..... ✓.�!.��..........
-,'TYPE OF CONSTRUCTION ......................... .
36,
1..........................1
TO THE INSPECTOR OF BUILDINGS:
The undersigned her by applies for a per •t according t the followin i form nr
Location ........ . ....... ... .........D............... ..... .al. �/ ..... ..........................................
ProposedUse .... � C ` ..............:........................................ ..............................................
Zoning District ...... ....... ::..Fire District . ............ ... ....... .. .... .. ..... ..... �. .......I. ...... ........
..
Name of Owner .. FA.... .......�........,..................... .....Address .......�f.�.................................... .......................�
y..::"�.`Name of Builder ................... .........: �.......,....................Address ............. ......:.......................................... .,
Name of Architect ......................... t'l:.C�::............:.............Address ........
Number of Rooms ................. ...............:..................:.........Foundation ................:...�
Exterior .............. ........ .. .: ...........................Roofing ............ .. .. . . .... . ......... ........................................
Floors .........Interior ..........
.. ... ..... ... ...
Heating ..... ...............l0 n :. .. ..: :.Plumbing ... .....................................
Fireplace ..................................................................................Approximate. Cost ....v..'....` ..C....:.`...............
..................
Definitive Plan Approved by Planning Board -------------------_-----------19_Sl_�. Area ......... :..............................
Diagram of Lot and Building with Dimensions Fee ...� b>oi......
. . ..... .....
SUBJECT TO APPROVAL OF BOARD OF HEALTH C �
i 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 ............................ ..................................................
s5
Construction Supervisor's License .......... ........................
1
ARCHIBALD REALTY..-`�
• 28737� One Stor v
M1 I
tuo ...........:..... Permit for ..,................Y................
Single Family Dwelling
Locatioh �ot 9,
Cotuit
�. .. ...... .'..Archibald Realt. .......:.......... �-
Owner .. Y. ............. .�... .... Frame r ...
Type of Construction
r"
....... \....... .................................. .................. f .
Plot ... ........................ Lot ........... . .
r
Permit,Granted .... De.cemb.er,..b.,!:..........:19 35
Date of Inspection 19 "
'Date Completed /
� 7�. .................19 ^r _
s r _
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