HomeMy WebLinkAbout0240 PUTNAM AVENUE 1jP077VeM 1fl'
Town of Barnstable *Permit# 66 Al
Q„ Expires 6 onf/ fi m issue date
„",,s „B,E : Regulatory Services Fee
l ,0� Thomas F.Geiler,Director
Building Division
X-r RESS PERMIT Tom Perry,CBO, Building Commissioner
!� 200 Main Street,Hyannis,MA 02601
OCT 2 O 2006 www.town.barnstable.ma.us ('
Office: 50&-8 2-4038 Fax: 508-790-623
ABLE
TOWN OF �RESSS PEERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint.
Map/parcel Number 3 -7 114 063
Property Address Z `G o ��J )am
Residential Value of Work ���jQQ Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address P ,
arr�ic�c�
1
Contractor's Name n�A � \) I T Telephone Number
Home Improvement Contractor License#(if applicable)__1 Q3
Construction Supervisor's License#(if applicable) 2(DJZ S
10Workman's Compensation Insurance
Check one:
❑ :I am a sole proprietor
❑ I am the Homeowner
?rI have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# Q�5 b uC k 0
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
�Re-roof(stripping old shingles) All construction debris will be taken to
El 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. -
Fmellm)rovementcont ctors License is required.
SIGNATURE:
Q:Forms:cxpmtrg
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PAID 2 0'
A�IT;'�TEN(�EfiC�kr� _` �2rypn1(�{"`.w�, ,��` - �•
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�s 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 LelZibly
Name(Business/Organization/Individual): C
Address: 1 O 3�Nc'�� S�
City/State/Zip; �1 1 Q Oro o�bS�Phone #:
Are you an employer?Check the appropriate box:
Type of project(required):
1.0 I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling
` ship and have no employees These sub-contractors have 8. [] Demolition
working for me in any capacity. workers' comp: insurance.
[No workers' comp.insurance 5. 9• ❑ Building addition
❑ We are a corporation and its
` required.] officers have exercised their '10.❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12Roof repairs
insurance required.] t employees. [No workers' �'
comp. insurance required.] 13.❑ Other
*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.
lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: I ('�C�( \Q cs M S
Policy#or Self-ins.Lic.#: )b o % b u�A-o Expiration Date:
Job Site Address: �(\( f0)2)ACity/State/Zip:_ 9)N 02(9 -2-)S
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 the DIA for insurance coverage verification.
I do hereby eery under the pai and penalties of perjury that the information provided above is true and correct
Si natur : D
' Date:
Phone#: 2 Fl— '7
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department.3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6:Other
Contact Person: Phone#
i
Town of Barnstable
P �
Regulatory Services
4 1AMS[ABLE,
Muss. Thomas F. Geiler,Director
_
v
1699• ,��
o►u.�" ,r. Building Division.
Tom Perry, Building Commissioner
200 Main Street, liyannis,MA b2601
Www.town.b arnstabl e.maxs
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner*Must
Complete and Sign This Section
If Using ABu.ilder
.Owner of the subject property
hereby authorize `S e, Jam+�Qe_9 to act on my behalf,
in all matters relative to work authorized by this building pemait application for:
(Address of7ob
OI�p
Signature of Owner Date
R-k
(TP nt Name
4-
t Q:F0RMS:0WNERPERMISS1QN
-P
Board of Building Regulati ns and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Reqistration: 103714
Type: Private Corporation
Expiration: 7/9/2008
PAUL J. CAZEAULT & SONS', INC
Paul Cazeault'
1031 MAIN ST
OSTERVILLE, MA 02658
Update Address and return card. Mark reason for change.
Address .� Renewal I Employment ! Lost Card
DPS-CAI it 50M-05/06-PP�C8490//�� /����� J� /
✓/tEVO�/ftAltOOtll/ECLI.L/L 0�✓l�GQ40¢GtCfdF,�d .
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to:
Registration,.;103714
Board of Building Regulations and Standards
Expiration: 7/9/2008 One Ashburton Place Run1301
lug
Type: Private Corporation Boston,Ma.02108
PAUL J.CAZEAULT'BaSON$ INC
1't
Paul Cazeault
t
1031 MAIN ST
aC, -
':1 OSTERVILLE,MA 02658:'` -'" Deputy Administrator Not valid without signature
3
i
Board of Buildin egulations
One Ashburton Pace, Rm 1301
Boston, Ma,02108-1618
License: CONSTRUCTION SUPERVISOR LICENSE .r.: Birthdate: 10/20/1959
Number: CS 026325 Expires: 10/20/2007. Restricted To: 00
PAULJ CAZEAULT
103I MAIN ST
OSTERVILLE, MA 02655
Tr. no: 7696.0
Keep top for receipt and change of address notification.
i DPS-CA1 0 5OM-04/05-PC8698 '
------------------
-_...-....._...- ........_/.__..._......_
' � ✓/te -t/Jo9�vI)2o0uuCCLGUL o� p�u[GP,�4
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
i Number VACS, 026325
B�rt�tdate°10/20/1959
expires 10/20%2007 Tr.no: 7696.0
Restricted; 00
PAUL J CAZEAULT
__1031 MAIN ST
' F
ATE(MM DMYY)
PRooucER` .TKiS GERTIFICATE IS ISS.IiED AS A+rA.TTEFi:CIF I�u-iri;wcc,�u>`, .
DOWLING & 0 IJE IL INS AGC ONtY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
222:NEST>h1AIN .STiwET. HOLDER. THIS CERTIFICATE GOES NOT AMEND EXTEND''OR
ALTER THE GOVERAGEAFFOR W_
. HYANNIS 1.1A 02601 COMPANIES AFFORDING COVERAGE
`22 LGir curJFAw.
INSURED
A TR.AVFI,KRS PROPERTY CASUALTY COMPANY OF AMERICA
COMPANY
PAUL J CA"LEAULT 6 SONS INC. B
1031'11A.IN STREET
05TERV I LLE'MA•G 2655 COMPANY
C
COMPANY .
.,, .
�T'Hs
R'
Is� POLICIES ,TQ CERTIFY t•.,•FYry
THA
T TH
O FI NSUR N .,TE D BELOW H.V.•. �;i;.? •: �
INOICATEO,'NOTVJITHSTANDING ANY R O I A EBEEN(.,SUED TO'THE•IN.,UREONAMED'AETOVE Fi7..,.
E U REtdENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 7ro�.'
"CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE IN AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
"EXCLUSIONS AND-CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY'HAVE BEEN REDUCED BY PAID CLAIMS.'-
CO TYPE OF INSURANCE POLICY EFFECTIVE• POLICY EXPIRATION'
LTA POLICY NUMBER LIMITS DAT'(?=DMYY) OATE(MOd�DU\YY).•
'GENERAL LIABILITY
GENEIIAL AGGREGATE g '
CUMAdEHGlAL GtNhFViL iU1klILIIY'
MNUUU(:I`,S-l',UMF•IUY'Ml(s, S
CLAIMS MADE a OCCUR. PERSONAL A AOV.IN.IIIRY
(3YrhC-f('S a t;iiN7RAt Tufty pH01.' g
EACtIOCCURRGNCC q
FIRE.DAMAGE(My one lire) g
AUTOMOBILE LIABILITY MED..EXPENSE.(Any onn person) g.
ANY AUTU COMBINED SINGLE g
LIMIT
ALL OWNED AUTOS
SCHEDULED AUTOS BUDIEY INJURY
. ,r NIflCD AUTOS " (Per Person) g
NON-OWNED AUTOS BODILY INJURY
(Per Accidem) 3
PROPERTY DAMAGE g
GARAGE IJABIUTY'
ANY AUTO 'AUTO'ONLY:EA ACCIDENT' g
' ,
TITHER Ti.AN AUTO ONi.Y:
EACH ACCIDENT. S . •
EXCESS LIABILITY AGGREGAIL g
UMBRELLA FORM
EACH OGCORRENCE . g
fOHM AGGREGATE g
OTHER THAN UMOHELLA
WORKER'S COMPENSATION AND. _`'
A EMPU1YEtisLlA0lurv' (LIB-00951369-A-06) 08-10-06 08-10-07 STATUTORY LIMITS ° NIA_' ,.
THE PROPRIETON EACH ACCIDENT
PARTNERStEXECUTIVE INCL g
OFFICERS ARE: EXCL DISEASE—POLICY LIMIT g
WIMtK DISEASE—EACH EMPLOYEE g
L LI.
T1tI , R6FLACE; ANY PRIOR CERTIFICATE If,:,U1rD TO THE CERTIFICATE flOLDGP. AFFECTING {10RKCR.; COMP
�'.•:w, �I c .:Frr QL I''.'' i:::, si3 323: } 's. gP COVERAGE.
._.__._.__. . .w.,, .,,.w.....�.�:,.•s::..w...,. ANCELI:A'TIQN,'=;:;
-SHOULD ANY OFw THE VABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE r
Paul J.Cazeault&Sons EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR THE
EMAIL
;nc•
Roofing, 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR
ect
�03� Mal IStC LIAWLITYOFANY,KINGUP6NT•HLC4AWii1i, ►TIYES..•
Ostervillc, MA 02655 ITSA6[►iTSGgRGi�FiES�yiT!
AUTHORIZED REPRESENTATIVE
`Q� � di!>�,� t>;>• Baas:;xr:.cl;? , '
>:• > QJ' OFtu
r l,I
i
Client#: 19989 2CAZEAU LTPA
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE
519106°
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dowling$O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
222 West Main St PO Box 1990
Hyannis,MA 02.601 INSURERS AFFORDING COVERAGE NAIC aY
INSURED INSURER A: Western World
Paul J.Cazeault$Sons Roofing,Inc. INSURERB:
. 1031 Main Street
- - INSURERC:
Osterville,MA 02655
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 MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MMIDD LIMITS
A GENERAL LIABILITY NPPI012091 04/30/06 04/30107 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY PAMA SETO REN ED occurrence) $50 OOO
CLAIMS MADE 5_1 OCCUR MED EXP(Any one person) $2 500
X BI/PD Ded:1,000 PERSONAL&ADV INJURY S1,000,000
GENERAL AGGREGATE $2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $1 00O 000
POLICY j�T DLOC - -
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $ '
SCHEDULED AUTOS (Per person)
HIRED)AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accidenl)
j PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO
1 OTHER THAN EA ACC $
AUTO ONLY: AGG $
I EXCESSIUMBRELLALIABWTY - EACH OCCURRENCE $
OCCUR ❑CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
. RETENTION $ - $
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERS'LIABILITY
ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $
J If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $
i
OTHER
I
�I
r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDER BY ENDORSEMENT I SPECIAL PROVISIONS
h Certificate of insurance will be issued directly by the insurance carrier.
s
.i
Ii CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Informational purposes only DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
i
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Ij
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
III REPRESENTATIVES.
i AUTHORIZED R€PRESENTATIVE
ffI' ACORD 25(2001108)1 Of 2 #42866 LS1 O ACORD CORPORATION 1988
1,
I
s -ay'y;, v� 'r'kh'?�. "*°'+{. ��"'4Tr¢ rn�::-++'.fit = � _ ±.,.r#. :tee,, .:gip1994�Ji� .� �s�,-��`" �� F�i�'P(* �.•`. �; ..F. ,
r �
Assessor's office(1st Floor):
Assessor's map and lot number F RT' OF
Board of Health(3rd floor):
Sewage Permit number 7
i Dsaa9?ADLE : r
Engineering Department(3rd floor): r.ea
House number q VQ 1639.
Definitive Plan Approved by Planning Board
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNIS�TABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO �r4
TYPE OF CONSTRUCTION p(1)
19
r
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: t
Locationn`� -ate `'_" c -�
Proposed Use
` Zoning District"' Fire District �f
Name of Owner 1 i - �� t9a ° + cc�+. Address <9
Name of Builder---_I sf='t,,_1. Qa - Address
Name of Architect J Address
Number of Rooms Foundation
Exterior LX, a.;rk,111 (VIc-s a' Roofing
Floors
3' icr !, �i �1,tr �� Interior
Heating Plumbing
Fireplace �.-�.•v�__. Approximate Cost
Area >a 7,2
Diagram of Lot andBuilding with Dimensions Fee , /l
M _ „
t .
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
ThE HENDERSON REALTY TRUST A=0:47-016
037 -D/1- •�O�
No 33874 Permit For 1 Story
Single Family Dwelling
Location Lot #3, 240 Putnam Avenue
Cotuit
Owner. The Henderson Rea 1 tv Trust
Type of Construction Frame
Plot Lot t
Permit Granted July 19, 19 90
Date of Inspection 19
Date Completed 19
1ell,
�4t Pf+ ''w` .:#`. 'r^"' ''c' r.. 1 '�'' `
�' i L l
,aTw� TOWN OF BARNSTABLE Permit No 33874
. .
BUILDING DEPARTMENT
I ' I TOWN OFFICE BUILDING Cash ................
wa
X
HYANNIS.MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to THE HENDHRSON REALTY TRUST
Address lot #3 240 Putnam Avenue, Cotuit
USE GROUP FIRE GRADING OCCUPANCY.LOAD'
THIS PERMIT WILL,NOT Bt VALID, AND THE BUILDING SHALL:NOT, BE OCCUPIED;UNTIL
SIGNED BY THE :BUILDING.INSPECTOR'.UPON_SATISVACTORY COMPLIANCE.WITH TOWN '.
REQUIREMENTS AND IN'ACCORDANCE WITH_SECTION'11.9.0.6F THE MASSACHUSETTS'STATE,
BUILDING CODE
r
October 3 91 f
19 `Bu�ldinganspector
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
_ r AN& � TOWN OFFICE BUILDING
� ru
t6J9' HYANNIS, MASS. 02601
�OII�Y M.
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has beeenn�issued for the building authorized by
�/' -
BuildingPermit #............... 4. ..�?.» .. »..........»................... ................................»»...
issued to ». ....»...»... »..............»..»»»»
Please release the performance bond.
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
MT A L
DA
T
A
` T044&-AF BARNSTABLE, MASS 4USETTS '
(LDING PERMI'
A-037-U16 ti DATE U s. i.9 19 90 P X. ae)Ll d.'Y.
APPLICANT Joseph F. Breen 1,2 F�II�IrF-'8' I�i�3���C�t3 g— —IIVg7W-
ADDRESS
(NO.) (STREET) (CONTR'S LICENSE
PERMIT TO Build dwelling 1.� 61int;1e fairtily dwelling NUMBER OF 1 '
(_) STORY_- DWELLING UNITS _
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
OC .0 !�) r.�1tC' C7 ri4T'!)L.C. Cotll t ZONING
AT (LOCATION) DISTRICT
' (NO.) (511111 I)
BETWEEN AND
(CROSS STREET) (CROSS STREET) -
SUBDIVISION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY ____- 1-1. LONG BY_ FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I TYPE)
REMARKS:
BOND
AREA OR 1271 aq. f C. 60,000 101.75
VOLUME EsIIMATEO COST $ � �_____ FEE PERMIT $
Icuelc/fouaRE FEErI
OWNER
The HeeaderL>ort AOiIiLy Trtt;:!-
e. —Tta J��3T�I-T T1 T JI 'rt7 DUILUIN�i DEPT.
,ADDRESS
BY 1
MTHIS PERMIT CONVEYS NO RIGHT TO'OCCUPY`A'NY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, ITHEjTEMPORA jILY I
OiPERMANENTLY. .ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICA,LLY PERMITTED. UNDER THE BUIL ING CODE, MUST--BE A
l. PROVED BY THE JURISDICTION. STREET. OR ALLEY GRADES AS WELL AS/DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINI
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO
OF ANY APPLICABLESUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATH)BEFORE
FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS _ PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1
3 Q HLAI ING INSPECTION APPROVALS E T
BOARD OF EALTH
OTHL - SITE PLAN REVIEW APPROVAL -
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION
INSPECTIONS INDICATED ON THIS CARD CAN
70R HAS APPROVED THE VARIODUS STAGES OF � WORK I$ NOT STARTED WITHIy.SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRIT'
$ONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION,
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S.CAU: 114 •1':0 APPROVED BV:
PATE:
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Assessor's office(1st.Floor): SEPT/
Assessor's map and lot number f f�Rr 03 �/6 ' INSTAL Fp N��!N1i9ST "E
Board of Health(3rd floor): 906^�� � EN�s�� myj TOE 5 o
L� w
Sewage Permit number N�ENTAL >: DAHII97ADLE
Engineering Department(3rd floor): -W -. �� �F �:�®E reaa
House number � C � �� p i639-
2 ��9®�S
Definitive Plan Approved by Planning Board 19 0 .
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1.:00-2:00 P.M.only
TOWN .,, OF ; `BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
,k TYPE OF CONSTRUCTION W D Of�C
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a`peerrmit according t�the following information:
Location T- f 3
Proposed Use A-t."
Zoning District 4
Fire District
Name of Owner Address
Name of Build _ Address
Name of Architect Address
Number of Rooms !D Foundation
Exterior i aj Roofing
Floors Interior
Heating 4 Plumbing t @
Fireplace - C-W— Approximate Cost GD f)OC)
Area
Diagram of Lot and Building with Dimensions Fee �, /c
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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.
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THE HENDERSON REALTY TRUST
'No* 33874 Permit For 1 i Story
` Single Family Dwelling �.
Location Lot #3, 240 Putnam Avenue - —
Cotuit -
Owner. The Henderson Realm Trust
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Type of Construction Frame - -
Plot �` ri`- Lot n
Permit Granted "+ July 19, - ^.19 90
Date of Inspection ` 119
Date Completed, / -� r 19
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