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0025 QUEEN ANNE LANE
S Ue � r Town of Barnstable ijj 1 Post This"Card So T:hat1 is Visible From the Street Approved.glans Must be Retained on Job and this Card Mu st be Kept ° * enrtreas E s PostecJ UntitFinal Ins ection Has Been Made0174-, r:16-3 r ° Where a�Certificate of Qccu,pancy�s�Required,such Building sh"all Not:be Occupied„u:ntil�a Final Inspectionxhas beenmade ej mit .!._Fd <-_H s -.-.�.s.,. Permit No. B-19-3171 Applicant Name: Emily Hutchinson Approvals Date Issued: 09/26/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/26/2020 Foundation: Location: 25 QUEEN ANNE LANE,COTUIT Map/Lot 022-114 Zoning District: RF Sheathing: Owner on Record: KAISER,ERIC M&ROBERTA J Contractor Name:. ,RICHARD M BRYANT Framing: 1 Address: 25 QUEEN ANNE LANE Contractor License: CS`:082435 2 COTUIT, MA 02635 Est Project Cost: $48,278.00 Chimney: .Description: New siding, 13 windows,3 exterior doors and`1 skylight Permit Fee: $246.22 Insulation: Project Review Re Fee Paid $246.22 1 q= _ Final: y .:. Date. 9/26/2019 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by tnis permit is commenced within siz,months after>issuance. All work authorized by this permit shall conform to the approved applcation:and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road a d shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. y - Electrical =Fir , "fficia'I` a rovidedomthis permit. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and e O p� ,,p Minimum of Five Call Inspections Required for All Construction Work x Service. 1.Foundation or Footing r 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map dl@�) = Parcel I�L{ Application Health,Division Date Issued Conservation Division Application Fee --- — � Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH Preservation / Hyannis Project Street Addrrees a5 ok xm*1 VillageC.e i Owner��l(? Addresas C� C14 C Iw a . CRX-id[ k Telephone mod- ermit Request 1 r '. bl? Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation�, 1� Construction Typ c e Lot Size o '"1 13 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Yes �PNlo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: XGas ❑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 Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial .❑Yes - ❑ No If yes, site plan review# v Current Use Proposed Use dWk APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name - =iO �'_ Telephone Number Address� � �1. _ License# 5""_1 032L M 2iS Home Improvement Contractor# � Worker's Compensation # �U71 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE 3 FOR OFFICIAL USE ONLY ~ APPLICATION# DATE ISSUED MAP/PARCEL NO, ; ADDRESS VILLAGE n I OWNER DATE OF INSPECTION: ` FOUNDATION ,� Bs 7' III FRAME I� 1 r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH 'FINAL— GAS: ROUGH —'FINAL---- FINAL BUILDING ' I DATE CLOSED OUT r I ASSOCIATION PLAN NO. t� 12 z _ 6 9.4e � Board o ul in e ula o s and tat g g 1 ards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction 'Supervisor License - _ License CS: 57032 Restriction: 00 Birthdate: 9/26/1963 Expiration: 9/26/2009 Tr# 3801 THOMAS X CAPIZZI JR - ---- - - _ - -- 1645 NEWTOWN RD COTUIT, MA 02635 ------ Update Address and return card. Mark reason for change Address Renewal Lost Card DPS-M Co 5OM-05/06-PC8490 -- Board of/i'3uildint;Regula(i I and Standards Construction Supervisor License License. CS ;)/U32 3.- Birthdate: !I/;'!:1963 ExQ{ration: 9/26/2009 Tr# 3801 Restriction: 00 I FIOMAS X CAPIZZI J.R,..:! 1G411 N1-WTOWN RD= C()I!hT, k1p 02635 Commissioner ,o� ✓�e l%'.'n.�,a/xo�iuretalC�, a���2i'aatu�uee,'I Board of Building Regulations and Stanch ds _ License or registration valid for individul use only ` — i HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 100740 Board of Building Regulations and Standards ^,. Expiration: 6/23/2010 Tr# 267955 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi,jr- -- � 16,g5 Newton Rd. �— Cotuit, MA 02635 Administrator Not valid without siQnatu e i Page 7 of 7 e. CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, ERIC KAISER, OWN THE PROPERTY LOCATED AT 25 QUEEN ANNE ROAD IN COTUIT, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN A CORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: 25 QUEEN ANNE ROAD, COTUIT, MA 02635 OWNER'S TELEPHONE: 508-428-7442 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: r Client#: 47298 CAPIHOM ACORDTM CERTIFICATE OF LIABILITY INSURANCE 06/12/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 434 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1601 South Dennis, MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: NGM Insurance Company Capizzi Home Improvement, Inc. INSURER a: American Home Assurance Capizzi Enterprises, Inc. INSURER C: 1645 Newtown Road INSURER D: Cotult,MA 02635 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 NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS A GENERAL LIABILITY MPB1075H 06/08/08 06/08/09 EACH OCCURRENCE $1 000 000 �( COMMERCIAL GENERAL LIABILITY DAMAGE S( RENTED PIS crr $500 000 CLAIMS MADE 7 OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PE O LOC 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 p (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CUB1076H 06/08/08 06/08/09 EACH OCCURRENCE s5,000,000 X OCCUR CLAIMS MADE AGGREGATE $5 000 000 DEDUCTIBLE $ X RETENTION $10000 $ B WORKERS COMPENSATION AND WC6716562 12/25/07 12/25/08 TATU X TOR LIMIT' OTH- EMPLOYERS'LIABILITY El EACH ACCIDENT $500 000 ANY PROPRIETOR/PARTNER/EXECUTIVE `- OFFICER/MEMBER EXCLUDED? E.L,DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL A DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S36540/M36539 KW © ACORD CORPORATION 1988 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/Organization/Individual):. 64M4 mnroyement Inc. Address: 1645 Newtown Road �+t IutA �2635 City/State/Zip: Tel. 428.951811.800.262 50 0' [2. re you an employer?Check the appropriate box: Type of project(required): I am a employer with 4. ❑ I am a general contractor and Iemployees(full and/or part time).* have hired the sub contractors6. ❑New construction ❑ I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. S -Building addition��� [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.[_1 Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] HE Other *Any applicant that checks box NI 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. u; C;;q;cUyer uhai rs pruviding workers'compensation insurance for mp employees. Below is the policy and job site information. Insurance Company Name: 0 co M Policy #or Self-ins. Lic. #: ��)e Upi oP �a Expiration Date: �z)l Job Site Address: � �q� _f1 � �� City/State/Zip: 7i,,—} 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 unprisonment, 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 cert fy under the pains and penalties o t the information provided above is true and correct. Si nature:` - cc Date: Phone#: 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): LOther Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector on: Phone#: • I . Information and Instructions. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, eIpress or implied, oral or written." AP employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the reI eiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the oN,mer of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dNN elling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be 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." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work.untiI acceptable evidence of compliance with the insurance requirernents of this chapter have been presented to the contracting authority." { Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability 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. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their - - i- o i ui pi lot"Zinc. 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 the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or toffff n)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.el a dog license or permit to burn 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 uestions please do not hesitate to give us a call. q The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 w w\v.mass.gov/dia l I Q PN � , .F 9d� wo �. 8 A�br rja.�J ICA3'� . CEQTIFtED PAC--F �''+::fa-;�,✓* L DCA T l o tJ �AA SS c:� _ 1 << � ATE✓ . IU' zl � I Ct--iZT1FY THAT T141=Gt�lC. Frc�,� 5�lotivll PLA►.1 akicE-:- 4WV-1 " COAAPLYS W ITN TOG 51DE.L.1► E= ,WD 'SETt!,ACK SZC-QU1cZENt&NTS OF TNF: �.p'�-• �f,� j IwU o� ��t��-�=�_� E 15 u� 1 ►�G� GP�� N I �� , L ATG:) 1►J ATE SU► �� � I - r ' B/�XTEtiZ 1Y uYF 14.1G_ � � QE61S mjZan, LA wr_> SU�v�Yo S Tt-1ts C��n� l� t-!OT e,nSEp U►J A�.1 OSTE��/1L_LG o �trC�.SS. :rC'rJMLt,I;_SUzvcY �� T:AL- Aunt I f i I t Jp S � _ — — YO _ — a — _.. - � �L_ L ' 7 Ta T A. , , r L � S 9 f I 1 4 — — — —N g _ s _ i _d , AJ I f : ft f s � e .I 7 F _ a , (I , i 3 , �R f , 3 1 � 2 .._. 4 f E � f - e F. e . —.. — k E f" + + \ 1 I ,. p , No T IfOF T-o - ;- i ry I I if Dc I � I : i 1 T 4 ! t •i: I .... x ! , i I - - 7- G i fr' : /.11 # I I I - ! i : i 1 , II - { 1 _ j AS' : , t ' I _.. i Assessors map, and, lot `number ...M. ..Z....... f E TES __ � T E SEPTIC Ell Sewage "Permit number....5././.:......................... ...... INSTALLED IN COf9 PL!" ro °� WITH TITLE 5 � t 33m TABLE, House number ................ ' .......:.......... . -�- ENVIRONMENTAL CO® - M�a � IT ..............:...... TOWN REGULATION" p ,''�c�av:0, TOWN 'OF-''.'BARN•STAELE ` SUBJECT TO APPROVAL OC y BARNSTABLE CONSERVATION D.0 I L D I N G' INSPECTOR C®mmiSSI®N �.-. APPLICATION FOR ,PERMIT TO ..� ... h�:7 '..�...... C.e�e ,1�..�?..�a/ �� �.. ......... TYPE OF CONSTRUCTION ......... �� ..............................•...........................:.......................................... ;. ........................ .�. s ...........19V 1.. TO yTHE INSPECTOR OF BUILDINGS: The undersigned hereby applies AAfor a//p��jermit according,' `to the following information: LLocation ......... .....F..3..A......4 U r �....64J!�J. ... �.:.. .� ................................................ Proposed Use .........` c: .......l..fr!!d! :L.7.........1J. ..k�`- -4/ ................... .. ......:..................................... . .Fire District C'� l V Zoning District ... .. ......................................................... !... ...................................................... Name of Owner ..... .......Address .f� ..�.` ..� ...R/..Fft.DZG .. . � . J Name of Builder ......Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... ... .- Number of Rooms ...................�.......................................Foundation .....:.�`.-��1..��.:>'.�......../..U............................... Exterior ...........................Roofing .............../. ...... ........................................ Floors S �/ GEC/ C"....P.....U.L..................................................................Interior ...�... ......... ....(-- ................................................ . 4 HeatingL. :.........:............Plumbing ...:.....:..` ............................................................ Fireplace � ................................Approximate Cost l..�J Definitive Plan Approved by Planning Board _______________________________19________. Area .. Diagram of Lot and Building with Dimensions Fee '................. SUBJECT TO PROVAL OF BOARD OF HEALTH _ 23 � f I hereby agree to conform to all the Rules and Regulations of the Town of Barns le regarding the Above construction. �jL!l l 0121-�( �l Name .... ....... / ........... -GODLEY, WI.LLIAM P. ~� No 23532. Permit for 9a:1 l/2„Story, " Single Famil Dwellin ........... . Y......................5........ .5.en� X! Location ...Lot...#8.3A.....25...Op e11. .Aan. .' -- _ 1 _ cotuit {6 ............................................................................... Owner�t lWil,liam...P.....God],.q.y................ - Type of Construction: .....Framp.... .................... `. '=:....t................ .'.......... ......... ... ........ PI ?...':: Lot. ............................... October. 23 ' _ Permit Granted -•...••;!, ..19 Date of,lnspectio . .5,�. A....................19 Date Completed ./' "!� !'. . ....19 r ?y' ` �z PERMIT REFUSED ..................................... 19 ...... .; .4 .. .................................................... IS "." d........................................................ —�. .. . .-.. . `................. .'............................. _ r /.............. .. . .......... ..� .................. .` • • ` 1 r" a ram,. Approve� • 19 ............................................................... a .................. ' ./ , i • _ d _ Assessor's map and lot number ... „ • " 2.Z. I 1 1X fl rj �� �v O Sewage Permit number � �. .... ro � Z B9HB9TADLE, i House number `.•'5—/nj r rasa C .......................................... CD 1639. �00 E � TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ..........'':! .�........ .. ......................................................................................................... ........................9,...1.3...........19T.).. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... a 9;....... ?..,�?A.......6(�... ..... . ... a .,..... � . .?.! .....:... ProposedUse ........�5..1. ..:C...... y I.L ....... ..................................................................... Zoning District ...h ,i"�'...........................................((...............Fire District .. `. ..Name of Owner ..` ' !.�r�-�.1 'Y�!�.....P'.,C�t ".V�tC.. ......Address .l`' l!...a......��...!J.. f`.!✓�..�..�. .► •... .�.... Nameof Builder/�.1.,..... ...d...., ..d........... .. .. ........Address .................................................................................... Nameof Architect ..................................................................Address .............................................../.................................... Number of Rooms 7 .... +...........................Foundation ..... .<_..1........C...�../.......................... Exterior � /f'!Q• �/y/�( 4� ...........................Roofing ..... ��/ )� ......................................::::. w.Floors . U. ..................................................................Interior ...l !Q. GC/ ?.. . ............................................. _ .Hea ing. ...: !`-�G` .!:...................... :...:......:..:Plumb'ing ..... r .:. .... �•:........................................:................. 14- .ems Fireplace :..... .....................................................................Approximate Cosh .... ,:.�1.G. �......... ,�,- Definitive Plan Approved by Planning Board ________________________________19________ . �' Area _....:::....,:_:.:..................... Diagram of Lot and Building with Dimensions S g 9 Fee .............. .. .....�................ t 9 a'�" SUBJECT TO APPROVAL OF BOARD OF HEALTH t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re-arding the above construction. Gf�/� �G� Iy Name .. . ........... .... /............... `. GODLEY, WILLIAM—P . /A 22-114 qw No .23582 Permit for One 1/2 Story r, .................................... Single Family Dwelling �• �,' �' _ ........................................................... ..... .. .Y`^" Location ,Lot #8 3A 25 Queen Ann t ............................................... Cotuit - ............................................................................... Owner ...William P. Godley - ......................................... Type of Construction F.rame... .. ................................. ................................................................................. Plot ...........................: Lf ................................ Permit Granted Oc ober 23, 19 81 Date of Inspection . . ..... ...............:........19 ' Date Completed .......... ..........................19 PERMIt REFUSED /L i ...............d.ji .... .�.� .�:........y................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................. 19 .....................:......................................................... ............................................................................... ��• *o�* TOWN OF BARNSTABLE Permit No. -_-__--------------- Building Inspector i NA"STAM Cash -------------- -- rua g't0 39►. OCCUPANCY PERMIT Bond --__----_--__ Issued to LI j Q k. IaCJL3 P`: Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. �� .............. ,.......... u........................................ Building Inspector • FROM - (— TOWN OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahteine . 'Imm Clzrk . y" MAIN STREET HYA€NIS, MA 02801 - �gb'b'Nt#6"2!Rq 4`r lis eu..e w.vF♦e.,.aa wrK a.. 1 Phone: 775-1120 SUBJECT: „ FOLO HERE - t .. ,DATE n _Oct. `16;. 1984 1_.w �: __. .. ... _._w, M E S.S A G'E Work has�been cappletedunder- Pewit x#23582, (William P. Godley).:.. Please release-Bow:µ------- - avw�,y^.4!w WK a.P'Bt'Y..�.��^.+q,.r R'sY•ac«ra . -'SIGN' D DATE REPLY .SIGNED .. - E c Ne7•RMI_ t RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY ` ,. PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. G 1 ' 1 it �• �.y . f x - _ f 14A! Y F ^t F _ tOCATIOV-4 �- 46 I G6I:ZT1Fof T"AT TI4E<n-t)1,C,. Tb(,nuC)• 5LAa% 1w PL_AIJ R��c�'c�10E t^1 t=Q E atil GOvV�PL�(S vl/1 TN TI-AG �51 D E.LI►-iE 1 A A1JD FEET$ACK.,..{ZE4tJ12EAAE: �.�Z'�S;' OF TNF ~C3 F � • o a. bi3 is uar C. A'llc�• i►J �l ►.a G�, G P.J j l ILI, ^� REGtStcaZ�D LA1,tC� Su2v�.�(o�S 1e,, WOT BASr--V 0"4 AW OSTEIZV1t-lL- o IIrCA.SS• 114JC!ZIJ.cnt4W '-Uz1vT.{C-_ oe-s='Sr-_TS Slloeula i.� APPI..I GAJ T 1 �1`.Lt{,�1"l r, '�,y tF- ��� ,�.�� r r. Assessor's map and lot number., . .::,���.............. ... pN�TAL SYSTEM MUST BE Of THEtO� y SEPTIC` LED F IN COMPLIANC Q� �Sewa a Permit number g ........ � � .:..1. .��...1..1.. .....: . WITH TITLE 5 �. ENVIRONMENTAL CODE A • BJBBSTABLE, House number ............................................................ �.@�J. rnea T N REGULATIONS '�o 1639. APPROVED =Ban�ta,ble Conservatiol p F B A R N S T A L E �aed DatbUILAING . I INSPECTOR APPLICATION FOR PERMIT TO r:!..ate......... .6llofv........................................................... TYPE OF CONSTRUCTION d C32`i� ..:........................................................ �r/g, , '. ....... .��......... A / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..-Z.�. .Gl� J..14!(/is!! /i r _ .. T .1�.......... .............................................................. Proposed Use . 4A.q IV..(. ... r-; eJ�U ....................... c ! ......................................................Zoning District ........................................................................Fire District ......`:'.`.�1..�.IT................. .. .... Name of Ownerl�v�L�.1/5 .... .....�Z! L4- ...Address ..��.... �!��.�!�� .......�........ 11 Nameof Builder .............. ...................................Address .................................................................................... �jA�ali!G'J L/ Nameof Architect ................ .......................:..........Address .......................................... ................................... � Number of Rooms ..............l....................................................Foundation ...... .....ef6.4}'Pi .......................... ia� �. /d/�.L�..................................................Roofing Exterior . ... ......4A. 4�7......��..�!1. . ................ Floors .............................................................Interior ................................................ Heating ..�. .............................................................Plumbing ....... pp....../'�.:.t� Fireplace ...............,/ ...........................................................Approximate. Cost�(�d Q................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ...... ................. Diagram of Lot and Building with Dimensions Fee / �� 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 R..C. P474 .................... Construction Supervisor's License ....U„ :........... GODLEY, WILLIAM P. 28678. Addition No ................. Perb' it fo ................................. Single 'Famlly Tf-lling . ........................................Q ................................. 25 t� uee ee• Anne Lane Location ........ iy........ ..................................... 0 Cotuit Z ................ ........ ..................................... k 173-iam P. Godley Owner ..........�. ......... ...................................... crFrame "Type of Construction ....................... .......... 0 ............................. ......... ...................................... Plot .............................. Lot%................................ Nov,eiqb�,r 14, 1 9 85 Permit Granted ........................................ Date of Inspection .............19 ..".19 Date Completed .............. U- kilnt. j 5. S2 A �A lei 'Ag Ra ...b:r _ .��� �'�r Assessor's map and lot number .... ...........................'� C*THE rp��. ;. i.......�, 1.1 " -.Sewage Permit1 number ................. ......�.�.�� ro .• °� Z 33JflB4TLBLE, i House number ..... ........................................................ rasa pp t639 TOWN OF BARNSTABLE BUILDING- INSPECTOR APPLICATION FOR PERMIT TO .. I ........................................................... ` TYPE OF CONSTRUCTION ........................................................... hi 1 ........... 1 7 j.........19. ; TO •THC,4NSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f Location .. . '�. C;C �.. •!UIvLsY....�•1� ✓ ..... U.l ............................................................................. Proposed Use �.,....... .1.... .`J•,� c�L�?...1.......... ................................ ................. . ..... ............ ZoningDistrict ........................................................................Fire District ..........G ...........T................................................ �; . .....1 • ....... .U�L�"�y Address ..�5 �C��r�`�� /j�i(�J(/C it"N/ Name of Owner ...../......... ..... ........ ....... ...... ....... .... ............. ..................... ........ 1/ Name of Builder ...............f-4)�07 zc, .....................................................Address .................................................................................... Name of Architect .....:.......... . C....................................Address .... l • Number of Rooms Foundation ......1.�->.1� �U�C-� e ........................ .................................................... ��!! "'' ...Roofin /'/ S/� i�/� .7'..... �1/�.Exterior ..G?/;/...1..y&/.�.C.�:•:................................................ g ..:................�.. .. ,. .. ................... Floors ?..r7.............................................................Interior ... ................................................ r'7 Heating ..............Plumbing ..4.-A ?......i'c.a.�u.s�PY... f;��?ti1....: Fireplace ............. ...........................................................Approximate. Cost / U ............................................. Definitive Plan Approved by Planning Board ________________________________19________. Area ..... .... ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r N Y N � i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS `t. f'hereby agree to conform%'to all the. Rules and Regulations of the Town of Barnstable regarding the above , construction. ; n Name Aliaml ....C... `:............f. ....., t �� A # Construction Supervisor's license ........ ...... . .......... ,G0DLEY, WILLIAM P. 22 ^ v . 28678 �dditiou No ---.--. Permit for ------------ Single Family Dwelling .................................... ...................°---'---' 0ueeu Location ^---.^------.—.,.--.-----.. � . . Cotuffit .—.-----------------------_ �illiam � Qodle . Owner —�-------.�----..}[-------. Type of Construction —.. --------. - ----'---------------------- P|ct ............................ Lot ................................ ' Permit Granted .....Numeuu6ez..l4 .........lg 85 Dote of Inspection ....................................lA ` � Dome Completed ------------'lq . - � ^ � (~-- \ w- ' \ � ' h � rA ., 51 ANE L i /eV 13t en . ram`, lu.°� �5 � Zg A73bITj03� C7xll � pp 19 3' Fo• r"'/? � CERTIFIED pLoT" PL /�lJ_ tDCATto t pAT� tiU 7, i t C-r.iZTIF-,f Tl4AT' A Rr=- PEV-C�'Ica �FQE��3 COAAPLYS W ITN TOG: SIDE.LI► G-- AWt> •SETi3AC14-. QC-QUIcZEMENTS OP TNF TT o!r ��1�A►^�_� IS ucrfL A� I►J B,4XTEtiZ � �YF t4.lc_ _ RE61 rc--lZat> LA. ;V�v��fo►�S t7LAw (e, L16-r EASz-D v►J Aw OSTEV-V%LLG o MAss U�1�;«Urt�lt.IZ' SvevcY �� T:�L Uc=�Sr_rS Silc-��t� QPPLI GA►�1T t , 1 ti . RG- USC:�