HomeMy WebLinkAbout0014 CENTERBROOK LANE :w
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F1HE T r"��v�l �� �,� llst`lbl` Expires 6 n+o++lRsjrom issue date
Regulatory Services
Fee '
a A"ST E.$ Thomas F.Geiler,Director
tb79• `m jOrE 639: Building vlvlsloll
Tom Perry, Building Commissioner X-
� S PAR1
.200 Main Street, Ilyantus, MA 02601
Office: 508-862-4038 AUG 0 1 2003
Fax: 508-790-6230 ��RNST
EXPRESS PERMIT AI'1�LI�oA RertO.Press I p►SIllEN �' "►� A5LE
l Not f all
Map/parcel Number � � l
�1 ab1� Ln
Property Address
Value of Work
Residential q� rn'
Owner's'Name&Address q � ,
1 `
'�Z` Telephone Number .�
> ontractor's Name
one Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
Jorkman's Compensation Insurance -
Check one:
❑ I am a sole proprietor
❑ I m the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name
c
Workmau's Comp.Policy#
l 0
CIN
Permit Request(check box) '
�Re-roof(stripping old shingles)
existing layers of roof)
❑Re-roof(not stripping. Going over g y
❑ Re-side
❑ Replacement Windows. U-Value
(maxunum.44)
❑ Other(specify)
_ Historic,Conservation,etc.
Where required: Issuance oft.his permit does not exempt compliancc with other town department regulat
ions,i.e.it +. ,
PAW W1
Signature
o:Forms:expmtrg -
gCN *� /✓� �
CAPIZZI HOME IMPROVEMENT INC .
SPECIFICATIONS AND ESTIMATES PAGE I OF 5
CAPIZZI HOME IMPROVEMENT P �
Established 1976 , Serving the Cape for 27 YearsGG-
Registration: #100740 �Cf7
1645 Newtown Road ,
Cotuit , Massachusetts 02635
508-428-9518 1-800-262-5060 Fax 508-428-1547 Dater
Name : l �� G �?�/ ( Job Address : S AC
Address : Town:
city:: Al �' � ��G"� ( Home Phone:
� �r✓?G� �, Other Phone
9
Estimator :
� Job No. :
We hereby submit specifications and estimates to furnish and install new
roofing as follows : ?
1 . Strip existing roofing and remove debris . Calculated layer (I layer
2 layers , 3 layers . Anymore layers of roofing needed to be st will
be additional .
2 . All gutters will be cleaned out; grounds cleaned up and nails extracted
with magnets . We utilize magnets so. as to minimize your exposure to ,
personal injury and/or property damage from nails left behind at the :
job site.
3 . After removal of roof , 'wood deck will be inspected for splitting , rot or
other deterioration. Owner will be advised of need for wood replacement
prior . to commencement of wood replacement work.
4 . Along all eaves -of house , Ice & Water Shield waterproofing underlayment
will be directly adhered to the wood deck. Full-width under-layment will
be installed so as to extend from eave edge of exterior overhang.
Waterproofing underlayment is installed to eaves to protect against
interior leakage and subsequent damage from wind-driven rain, ice and
snow dams , and freeze back conditions.
5 . Install waterproofing underlayment in full width ( 36" wide) to all
valleys . _ Install waterproofing underlayment at all vent pipe collars and
any other ,projections and skylights . Underlayment adds additional
protection against leakage at critical terminations . Over remainder of
house,, 15-lb. felt ,.pape,r will be installed and nailed to the wood deck.
6 . Install new white drip edge to all perimeter eave and gable edges. Drip
edge is installed to protect from leakage and -rot - and to provide a neat
and clean perimeter profile , or copper if doing red cedar roof .
7 . All existing vent pipes will receive new aluminum vent pipe flas_hings
with neoprene gasket collars , or copper if doing red cedar roof .
ACCEPTED BY DATE
THIS PAGE IS ART AND IBC NFO N 'E/^ ITH PROPOSAL #
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# /0
Health Division Fq-1 p 2g o 3 ��� Date Issued 4 _ 0_
( OD
Conservation Division - I3 Application Fee
Tax Collector D --6-M/o 3 Permit Fee o
Treasurer o k SEPTIC SYSTEM MUST DE
Planning Dept. INSTALLED IN COMPLIANCE
TITLE 5
Date Definitive Plan Approved by Planning Board ENIARONMENTAL CODE ANO
TOWN REGUU-TIONS
Historic-OKH Preservation/Hyannis
Project Street Address ei,3T-Ef C 0 ,A-0 E
g n �U l tr
Village C� E ry �'
.ef
Owner o ayn (gy m 12 Joe 1 I Address _14 0.,pA,�e to k �cru tF
Telephone
Permit Request r am
u;4-k 4u bcSp ftl-p + LU 04'L W/ti D-z Lo #r)�p 2
f2?%; �� �- � /"'mil c°i1 uJ •� J r-S'T ��- cz— 13 A'1s�
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
S • Project Valuation UD Construction Type
•Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes Vk On Old King's Highway: ❑Yes ❑No
vBasement 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: ❑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
BUILDER INFORMATION
Name I Obm1--6 O-A'P122 i r—. Telephone Number 429- 9519
Address IJt-L-_3iibV30 Z t� License# (2S S-7b3�2
tea( IS— Home Improvement,Contractor# C 6 9`{
Worker's Compensation# CAul e L4 i`) 10L4'3 1
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 11('r1At)V_4
SIGNATURE DATE �6
FOR OFFICIAL USE ONLY
+y.
PERMIT NO.
DATE+ISSUED - 7
MAP/PARCEL NO.
ADDRESS- VILLAGEµ -71
OWNER
IT
DATE OF INSPECTION:
S FOUNDATION
FRAME
INSULATION g, �
s
FIREPLACE
• `t
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: . ROUGH°"� - t FINAL ,
FINAL BUILDING
DAT LOSED OUT ' ` r
1
ASSOCIATION PLAN NO. l —
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MR..& Mrs.-William Campbell'
14 Centerbrook Lane
Centerville, MA 02632
1
Proposed work: To add an addition to the existing house for a master bedroom, size of
12 x 15 with full basement.
• One entry door # S262S— U-VALUE 0.40
• 6 WINDOWS - 2 REPLACEMENT WINDOWS TO EXISTING HOUSE AND 4 NEW WINDOWS
TO NEW ADDITION TO MATCH EXISTING WINDOWS.
• CLASSIC DOUBLE HUNG WINDOWS U-VALUE 0.39
• 1 NEW HALF ROUND WINDOW— UNIT # HRD 24-21-
• 2 VELUX FIXED SKYLIGHT WINDOWS # 306
• 2 HOPPER WINDOWS OF BASEMENT
• TRIM COVERAGE ON ENTIRE EXTERIOR OF ADDITION.
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I'VIIOEESAIf PRICINGIlf'
---- _
Designer shapes below are for use Willi all Classic and casi n)enl nrly conslruclion winLlows.—
Ilnd Ilnuvnsmn 2'S 1/2' Ilnit Ihnu!nsum 2'9 11;1' mind Ihnuvlsw❑ J 11/2' to s
Rough Opening 2'-6
Rough Opening 2•.10•
Rough Opening 3.2"
Unit# IinD 241 Unit A I IHD lfll Ihul# HRD 301 h Grid n A00 COO# AIIll Gild# A09
_ rfry
•rP„I
.rYlu
Unit Dimension 4'If 3/4' Unit Dimension 5' ]314, Mill DnoenSroml 3'11 112' d.l
Rough Opening 5'.0 II4" Rough Opening 5'-8 U4" Rough Opening a•0•-
I. .
m ,
<v N N N O
Unit#
HRD 24 2L Und# I InD 28 21
Grid Alo U°it# HRC401.
A10 Grid# Grid#
_ A09
If Mulled Add: 30 5/8"to R.O. Height 34 5/8"to R O Height 24 1/2"to R O. Height
of Double Hung of Dolrble Hung of casement
r
Designer similes are available separately or nullled 10 olhcr New Conslruclion windows.
Designer Shapes come slandald will) factory applied I_min. '
Half rounds include grids set up to match corresponding 01-1 (1-1111)) or casement FIRC units onl
( ) . y. 1111'
MUlling over non corresponding units will resell in grids not aligning.
2l -01 11' : 24A' Tc?C ` ri-ica"t Sc-r•vicr,s P - U5
TMERMAUTRV .
DOORS
PErtF 3 Thermal Transmittance inL m(W IYSIFM v]U CAN 9WEW,q
FIBER-CLASSIC 8/0 EMBOSSED ODORS _ SMOOTH-STAR DOORS-
PRODUCT U-VALUE I R-VALUE PRODUCT ` U-VALUE R-VALUE
FC860 0.16 �+.25 5100 0.15 e.67
FC861 0.17 8 5210, S270 0.16 6.25
5296, S936 0.17 5.88
FIBER-CLASSIC 810 DESIGNLINE DOORS S236, S237. S296S 0.18_ 5.56
PRODUCT U-VALUE RVALUF S255, S256, 5260, S454, 0.19 5.26
81000 0.14 7.14 5554, S654. S754
81205, 81206; 81305, S237S 0.20 5.00
81306, 81405, 81406, $104LE, S105, $115, S273,
81705, 81706, 81706, 0.24 4.17 5289, S289E, $330, S370,
81806, 81905. 81903 S400, 3430, $470, S530, 0.24 4.17
81021 0.26 3.85 $630, S670, S700, S730,
81407, 81807, 81907 0.28 3.57 S930, S970
S206LE, S262LE 0.25 4.00
81201, 81202, 81201-15,
5102, S103, S326, S350,
81202-15, 81301, 31302,
81401, 81402, 81501, S426, S450, S600, S726, 0.27 3.70
81502, 81601, 81602, 0.29 3.45 S926, 5950
S104, 5150, S151, S152,
81701, 81702, 81800, S206, S206E, S250; 5262,
81801, 81802, 81901, 81902 O.ZS 3.57
S262W, S526, S550, S626,
81307 0.30 333 S650
81200, 81210, 81222, 0.33 3.03 S108LE, S1181_E, S128LE 0,32 3.13
94
81300, 86000 S118B 0.34 2.
$108W 0.36 2.78
FIBER-CLASSIC 810 DESIGNLINE SIDELITES 5108, 5118, 5128, S138,
PRODUCT U-VALUE R-VALUE S140, S141, S316, S516, 0.37 2.70
81305, 81405, 81705, 0.26 3.85 $616, S716, $916, S917
81305 81905 T;
S104S, 3131, S132,_S137, �` g .,
81402, 81502, 81602, 0.30 3.33 0.40 2.50
81702, 81802, 81902 $206S, S243, S2G2S
81202 81302 0.31 3,23 S 140S. 5141 S 0.44 2.27
81800 86000 0.33 103 fiTi0ss, S1185 S1, 0.56 1,79
81200, 81200-6, 81300 0.34 2.94 SMOOTH-STAR SIDELITES
FIBER-CLASSIC 810 FLUSH-GLAZED DOORS PRODUCT U-VALUE R-VALUE
PRODUCT U-VALUE R-VALUE S700, S900 0.25 4.00
8000, 8000-12 0.41 2.44 5330, S350, 5370, S430,
645U, S470, S730, S750, 0.26 3.85
SMOOTH-STAR FLUSH-GLAZED DOORS S770, S930, S950, S970
PRODUCT U-VALUE R-VALUE S1601 S151, S152, S210,
2100E 2150E 0.23 4.35 S250, $263. S263W, S273, 0.27 3.70
2100 2150 6.27 3.70 S289E, $530, S550, S630,
2000E, 2010E, 2050E ` 0.33 3.03 - S650, S670
2000,2000B, 2010, 2050 0.43 2,33 S102 $103, 5600 , 0.30 3.33
S316, S416, S716. S9113 0.31 3.23
SMOOTH-STAR 8/0 FLUSH-GLAZED DOORS S100, 5138, S308, S516, 0.35 2.86
PRODUCT U-VALUE R VALUE S616
8000 8000-12 0.41 2.44
Note: U-Values for 8/0 giber-Classic and Smooth-Star doors and sidelites are estimates only and.have
not been verified by an NFRC certified independent licensed lalmratoTy.
Page fi R E R I_ �� Issued: Dec 2000 Product Manual
Thermal Transmittance Thw(Ad-Tnt and Fib.-CIA.sk Are Qg.% gd.red°,VkA of ihernia-Tru COrD-' ..
ymoOVF51Pf,• VademnrY of Thartna-1 n,Cory.
- - .0 2000 TherrOG-IN COrp.
1llU11 12i19 '1'LIE 12:21 FAX 1 GU8 771 3217 HARVEY IND. INC. Id1001
Affo
v�:. � �r�l p W
U-Value Test Results �.:°� ��
• Based on residential sizes • H Value 1 divided by U-Value
• Whole window values • U Values are subject to change
• U-Values in accordance With NFRC - 100 without notice
��
Windows Clear Insulated Low-E AdvantE4e
1 J4c ?E • Classic Double Hung (Mechanical) 0.51 0.40 0.37
Classie'Double Hung (Welded) 0.51 0.39 0.36
• Classic Plus DH'W/CFW ' _ U.33 `0:27 U.26
Signature Double Hung 0.51 0.39 0.36
• Signature Double Hung (Welded) 0.60 0.39 0:36
• Slimline Double Hung 0.52 0.40 0.36
•Thermal One Single Hung 0.53 0.41 0.37
• Majesty Double Hung 0.54 0.44 0.40
• Majesty Fixed Casement (PW) 0.53 0.40 0.37
Majesty Picture Window (DH) 0.53 0.43 0.38
• Vinyl Casement/Awning 0.47 0.36 0.33
• Vinyl Casement/Awning &Thermal Panel 0.32 0.26 0.25
• Vinyl Designer Shapes 0.49 0.34 0.30
+ Vinyl Hopper 0.47 0.36 0.33
• Vinyl Picture Window 0.46 0.33 0.30
• Vinyl Roller - 2 Lite & 3 Lite 0.50 U.38 0.35
VICON SERIES Clear Insulated Low-E AdvantEdge
New Construction Vinyl Window
• Vicon Casement/Awning 0.47 0.36 0.33
• Vicon Picture Window 0.46 0.33 0.30
• Vicon 1000 Single Hung 0.53 0.41 0.37
• Vicon 2000 Double Flung 0.52 0,40 0.36
• Vicon Classic Double Hung 0.51 0.40 0.37
• Vicon Designer Shapes 0.49 0.34 0.30
HARVEY PATIO DOOR Temp. Clear Temp. Low-E Temp. Argon
• Sulid Vinyl Patio Door 0.50 0.41 0.38
• Vicon Patio Door N/A N/A N/A
. -
ype
• Model FS 0.58 0.37 0.41
• Model FSF - - 0.40
• Model VS 0.60 0.43 0.47
3�
4
_® TV a
I�VINYL HO.P—PE.Rd
I—IA INDUSTRIES WINDOW-', -�
WHOLESALE PRICING
Standard features include: Optional Glazing
Size Colors M
• 7/8" Intercept®Warm Edge Glazing add for each unit
• Vinyl head expander UI White Almond Low E Low E/Argon $ k
• All mulled units have t
ztsz " r
one-piece head expander U to 50. ,"`
p $102.00 $112.25 $9.25 $14.50 ���e;
• Extruded screen frame with charcoal 51 to 60 117.00 128.70 925 1450 x '
c aluminum wire . .
• Aluminum sill angle Add for each $2.25 $2.40 See page 251 h
• Double locks on widths of 30 1/4" UI over 60
and greater
UNITED INCHES IUII: Round the width and height up to the nearest inch,then add the two figures.
IF
OPENING SIZE LIMITATIONS WIDTH HEIGHT WIDTH HEIGHT
Min. 121/4" 161/2" or 161/4" 121/2" i
Max. 421/4" 421/4"
Max.UI 76" s
F
' S
t
The hopper window can be mulled, stacked or used in combination with the Harvey
vinyl picture window to accommodate a variety of openings.
3
is
• I<
S
S
OPTION DESCRIPTION PRICE
Dryer Vent Hole Consists of two sheets of acrylic, sealed with butyl with an add$1.5.50
4"hole for 3 1/2"vent overall thickness of 7/8". A 4"or 4 1/2"diameter hole will be cut
4 1/2"hole for 4"vent(most common) through the acrylic to allow standard dryer vent pipes to
for hopper units only pass through. NOTE: Harvey offers no glazing warranties s'
on dryer vent units.
Glazing, Grids and Misc. '
see pg 250-252
Window Sample Case Table Top Design Item code: 111900600r
$50.00/ea
Also available for loan with a$50 refundable deposit.
[77 `ALL DIMENSIONS ARE BASED ON OPENING SIZES. II
Not all products stocked at all locations. Call your local branch for availability.
Pricing and information are subject to change without notice&may vary from region to region. ;'',
For current pricing, call your local branch or visit www.harveyind.corr►.
Effective 3/17/03 242
1009 .12/14 TUE 12:21 FAX 1 BUS 771 3217 HARVEY 1ND. 1NC. L 0 001
J/V,i>"S 7 rL rr
mro
U-Value Test Results
• Based on residential sizes • R Value 1 divided by U-Value
» Whole window values • U Values are subject to change
• U-Values in accordance with NFRC - 100 without notice
Windows Clear Insulated Low-E AdvanEc ge
• Classic Double Hung (Mechanical) 0.51 0.40 0.37
• Classic Double Hung (Welded) 0.51 ' 0.39 0.36
• Classic Plus DH W/CFW 0.33 0.27 0.26
t \ Signature Double Hung 0.51 0.39 0.36
• Signature Double Hung (Welded) 0.60 0.39 0.36
• Slimline Double Hung 0.52 0.40 0.36
Thermal One Single Hung g 0.53 0.41 0.37
• Majesty Double Hung 0.54 0.44 0.40
- Majesty Fixed Casement (PW) 0.53 0.40 0.37
• Majesty Picture Window (DH) 0.53 0.43 0.38
• Vinyl Casement/Awning` 0.47 0.36 0.33
- Vinyl Casement/Awning & Thermal Panel 0.32 0.26 0.25
• Vinyl Designer Shapes 0.49 0.34 0.30
• Vinyl Hopper 0.47 0.36 0.33
Vinyl Picture Window 0.46 0.33 0.30
• Vinyl Roller - 2 Lite & 3 Lite 0.50 0.38 0.35
VICON SERIES Clear Insulated Low-E AdvantEdge
New Construction Vinyl Window'
• Vicon Casement/Awning 0.47 0.36 0.33
• Vicon Picture Window 0.4.6 0.33 0.30
• Vicon 1000 Single Hung 0.53 0.41 0.37
• Vicon 2000 Double Hung 0.52 0,40 0.36
• Vicon Classic Double Hung `` 0.51 ' 0.40 0.37
• Vicon Designer Shapes 0.49 0.34 0.30
HARVEY PATIO DOOM Temp. Clear Temp. Low-E Temp. Argon
• Sulid Vinyl Patio Door 0.50 0.41 0.38
• Vicon Patio Door N/A N/A N/A
• Model FS 0.41
• Model FSF _ 0.40
d vS 0.60 40.43 ,,.` '0.47
Town of Barnstable
Regulatory. Services
BARNSTA$LE, = Thomas F.Geiler,Director
MASS.
`gyp 1639. 0. Building Division
Tom Perry, Building Corrunissioner
200 Main Street, Hyannis,MA 02601 =.
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must_Complete and Sign This Section If using A
Builder
L , as Owner of the subject property
hereby authorize i22` -.-Fmprboe*teJ t act on my behalf,
in all matters relative to 6rk authorized by this buil ' g permit application for(address of
job)
Sign ire of Owner Dat
atu
,�1 /(L/
Print Name
°FIME T Town of Barnstable
Regulatory Services
* r
BARNSTABLE, * Thomas F.Geiler,Director
9�A039. a�0� Building Division
rfD MP'�
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date 2 !
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion,
improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions, along with other , � 5 AS E
requirements. p �Tt o "T' 9,X i5 re NG µit E %$-X l F^iag-r-�Z aor►1
Type of Work:
Estimated Cost��f
Address of Work:
Owner's Name.--" V' A'
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
r Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit the agent of the owner:
Date on or Name Registration No.
OR
Date Owner's Name
Q:fonns:homeaffidav
II
The Commonwealth of Massachusetts
E^ - Department of Industrial Accidents
Office ollnreWYNIons
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
i,
•
name:
city 04 Q-2-6 3,5— phone# / �
l am a homeowner performing all kork myself. /
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
V
address::: Alk tl"Oh Ldif
❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who ri:,
the following workers'compensation polices:
comnanx name: .::..,
address:.
Cltl+::.;:::
phone#• :::. .;.::: .:.: :;;:::.:: .,.::.... ... .:.
insurance co:.:
policy#
companv:namc
city: phone H:
suranceco: policy b
Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to SI,500.00 and/w
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do herb a "nder the pains and penalties of perjury that the information provided above is true and correct.
Signatur Date . C�
T —1 �-ttt'_—
Print name ` - Phone# '
official use only do not write in this area to be completed by city or town official
city or town: permit/license# nBuilding Department V�
[]Licensing Board
[]check if immediate response is required []Selectmen's Office f.
[]Health Department
contact person: phone N; nOther
t
(tevited 3/95 PJA)
J
��\ ✓�ic %�anv»ws o�./f�.aafac✓weelle ,
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
N" Registration: 100740
{ Expiration: 6/23/2004
Type: Private Corporation
CAPIZZI HOME IMPROVEMENT,
Womas Capizzi,jr.
1645 Newton Rd. �
Cotuit,MA 02635 Administrator
XAZ
xr� +� ✓�c �omrmorrusea�� o��urddar�tude%ta
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 057032.
�. Birthdate: 09/26/1963
;•;. ;� Expires: 09/26/2003 Tr.no: 5790
Restricted: 00
THOMAS X CAPIZZI JR
280 PERCIVAL DR
W BARNSTABL.E, MA 02668 Administrator.
ACORD . CERTIFICATE OF LIABILITY INSURANCE oPID DATE(MMIDDIYY)--
PRODUCER-r� THIS APIZ-1 01/1,
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Norcross & Leighton Cape Loc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
C.J.McCarthy Ins.Agency,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
437 Station Ave ALTER THE COVERAGE AFFORDED BY-THE POLICIES BELOW.
So.Yarmouth MA,02664' '
Phone: 508-394-0946 Fax:508-760-1407 INSURERS AFFORDING COVERAGE
INSURED INSURER A: National Grange-Mutual Ins. Co
- INSURER B: Safety Insurance Company
Ca izzi Home Improvement Inc. INSURERC: Guard Insurance Group
16&5 Newtown Rd INSURER D:
Cotuit 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.
TN§ TYPE OF INSURANCE POLICY NUMBER POLICY-EFFECTIVE POCICIT€RNRATIO
LTR DATE MMIDDIYY DATE MMIDDIYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000OOO
A X COMMERCIAL GENERAL LIABILITY MPS02733 04/01/02 04/01/03 FIRE DAMAGE(Anyone fire) $ 300000
i
CLAIMS MADE �OCCUR MED EXP(Any one person) $ 10000
PERSONAL&ADV INJURY $ 1000000
GENERAL AGGREGATE $2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $2000000
POLICY PRO- LOC
JECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
B ANY AUTO 1601064 04/01/02 04/01/03 (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $ 1000000
X SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY. $ 1000000
X NON-OWNED AUTOS (Per accident) .
PROPERTY DAMAGE $ 500000
b (Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO ` e OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
WC STATU---r--70TFr
WORKERS COMPENSATION AND X TORY LIMITS I I ER
EMPLOYERS'LIABILITY
C 'CAWC401043 01/01/03 01/01/04 E.L.EACH ACCIDENT $ 100000
E.L.DISEASE-EA EMPLOYE $ 100000
OTHER E.L.DISEASE-POLICY LIMIT $ 500000
DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER IN I ADDITIONAL'INSURED;INSURER LETTER: CANCELLATION
------1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
Town of Wellfleet NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
_ `
30 0 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF A IND UP THE INSURER,ITS AGENTS OR
Wellfleet MA 02667 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Bob Lindquist
ACORD 25-S(7/97) t6ACORD CORPORATION 1988
C.J.McCarthy Insurance Agency Inc.
1-- I
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit # I
MAScheck Software Version 2.01 I I
Checked by/Date I
I —I
CITY: Barnstable
STATE: Massachusetts
HUD: 6137
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM-TYPE: Other (Non-Electric Resistance)
DATE: 5-1.3-2003 d
DATE OF PLANS: 5/5/03
TITLE: CAMPELL
PROJECT INFORMATION:
12 X 15 ADDITION
COMPANY INFORMATION:
CAFIZZI HOME IMPROVEMENT
COMPLIANCE: PASSES
Required UA = 85
Your Home = 77
Area or Cavity Cont. Glazing/Door
• Perimeter R-Value R-Value U-Value UA
--------------------------=---------------------------
CEILINGS 240 30.0 0.0 8
WALLS: Wood Frame, 16" O.C. 595 13`.0 0.0 99
GLAZING: Windows or Doors 42 0.330 14
GLAZING: Skylights 15 0.370 6
--------------------------------------------------------------
COMPLIANCE; STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code. .
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equi ment selected to eat or cool the building
shall be no greater tha 25$ of the d si- load as specified in
Sections 780CMR 1310 J4.4.
Builder/Designer Date
4 � h
r
[ ] I Ducts shall be insulated per Table J4.4.7.1.
I
I DUCT CONSTRUCTION: 1 and return
( ] I All•accessible joints, seams, and connections of supply
ductwork located outside conditioned space including stud bays or
joist cavities/spaces used to transport ai.r, shall be sealed
using mastic and fibrous backing tape installed according to the
manufacturer's installation instructions. Mesh tape may be
omitted where gaps are less than 1/8 inch. Duct tape is not
permitted. The HVAC system must provide a means for balancing
air and water systems.
I ,
TEMPERATURE CONTROLS:
[ ] I Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor_ shall be provided.
I ,
HVAC EQUIPMENT SIZING: stem is
( ] I Rated output capacity of the heating/cooling system
not greater than 125$ of the design load as specified
in Sections 780CMR 1310 and J4.4.
I
( ] I SWIMMING POOLS:
I and
h
All heated swimming pools roust have an on/of[ heater switch,
heating energy is from
require a cover unless over 20% of the
non-depletable sources. Pool pumps regi.ii.re a time clock.
I
[ ] I HVAC PIPING INSULATION:
HVAC piping conveying fluids above 120 F.' or chilled fluids
below 55 F must be insulated to the toll-owing levels (in.) :
PIPE SIZES (in.)
HEATING SYSTEMS: TEMP (F)
2" RUNOUTS 0-l" 1.25-2" 2.5-4"
201-250 1.0 1.5 1.5 2.0
Low pressure/temp. 0.5 1.0 1.0 1.5
Low temperature 120-200
1.0 1.0 1.5 2.0
Steam condensate any
COOLING SYSTEMS: 0 5 0.5 0.75 1.0
Chilled water or 40-55
I refrigerant
below 40 1.0 1.0 1.5 1.5
( I CIRCULATING HOT WATER SYSTEMS:
pipes to the following levels (in.) :
Insulate circulating hot water
PIPi, SIZES (in.)
I
NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
RUNOUTS 0-1" I
0-1.25"' 1.5-2.0 2.0+„
RUNG
I HEATED WATER TEMP (F) • 1.0 1.5 2.0
170-180 0.5
140-160 0'S I
0.5 1.0 1.5
100-130 0.5 I
(1.5 0.5 1.0
----NOTES TO FIELD (Building Department ,Use Only)-----------
-------------
MAScheck INSPECTION CHECKLIST _
Massachusetts Eneray Code
MAScheck Software Version 2.01
CAMPELL ,
DATE: 5-13-2003
Bldq. I
Dept. 1
Use I
I
I CEILINGS:
[ ] I 1. R-30
Comments/Location
WALLS:
[ ) I 1. Wood Frame, 16" O.C., R-13 '
I Comments/Location____ _
WINDOWS AND GLASS DOORS:
l ] I 1. U-value: 0.33
I For windows without labeled U-values, describe features:
I # Panes Frame Type 'Thermal Break: [ ] Yes [ ] No
I Comments/Location
I
I SKYLIGHTS:
( ] I 1. U-value: 0.37
[ For skylights without labeled U-values, ,describe features:
[ # Panes Frame Type Thermal Break? [ ] Yes [ ) No
I Comments/Location______ —
I
[ AIR LEAKAGE:
[ ] [ Joints, penetrations, and all other such openings in the building ,
[ envelope that are sources of ai.r leakage must be sealed. When
I installed in the building envelope, recessed lightinq fixtures
[ shall meet one of the following requirements:
1. Type IC. rated, manufactured with no penetrations between the
I inside of the .recessed fixture and ceiling cavity and sealed or
gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no
more than 2.0 cfm (0.9d4 L/s) air movement from the the
i conditioned space to the ceiling cavity. `The lighting fixture
shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
I difference and shall be labeled.
I VAPOR RETARDER:
[ ] I Required on the warm-in-winter side of: all non-vented framed
I ceilings, walls, and floors.
I MATERIALS IDENTIFICATION:
[ 1 I Materials and equipment must be identified so that compliance can
[ be determined. Manufacturer manuals for all installed heating
[ and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
I marked on the building plans or specifications.
I
I DUCT INSULATION:
4
RESI
DENTIAL BUILDING PERMIT FEES 2
APPLICATION FEE
New Buildings,Additions $56.00 V a
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq. foot% x.0031= _�
plus from below(if applicable)
r
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.= x.0031=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number) t
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00 '
f
Above Ground Swimming Pool $25.00 `
1
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee �5 7 -
I
i
FILE 11 MIP 2902 CENSUS TRACT # 129
CLIENT: Dnnning.Forman Kirrane & Terri DEED BOOK PAGE
OWNER: am N. & Deborah A. PLAN BOOK PAGE LOT
APPLICANT ; ASSESSORSPLAN PLOT
MORTGAGE INSPECTION - PLAN OF LAND
LOCATED AT
14 CENTERBROOK LANE
SCALE : 40 ' CENTERVILLE, MASSACHUSETTS MARCH 11, 1996
LOT
14
!-CT 17
\
j..
t
-Lcvr 15
55.00 I g5,00"
LoT 16
STD
r �
. Slo►Jt; ..
DRIVE it
I OQ.00,
CEN-I-LF<1 ,o01< LA/J E
AN
I CERTIFY TO DUNNING, FORM , KIRRANE & TERRY, CITIZENS MORTGAGE CORPORATj
AND ITS TITLE INSURANCE COMPANY, T11111IS11P LANERE AWASRE NfO'REPAREllEUNllEROMYFIMMMEDIAENTS �I
EASEMENTS EXCEPT AS SHOWN AND fi
SUPERVISION , `
k r ��5
THE- LOCATION OF DWELLING AS SHOWN 111=IZL:OfJ IS ,��' '„L -Tl ;.
IN COMPLIANCE WITH THE LOCAL APPLICABLE
ZONING BY-LAWS WITH RESPECT TO . I IUR I ZU(JTAL M-1,PF A
DIMENSIONAL REQUIREMENTS ,
THE DWELLING SHOWN HERE DOES NOT "FALL WITH `► ,�,
Tt\I A SPFC.IAl . FLOOD HAZARD ZONE AS ;� '�► _._:.�.
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These drawlr�15 were prE�red uv CNpizri Nome
Improve ent tar the use of( p ent
:�viitfafiAlnt �vmm -.-CfirL1P..,(:.fit,-i...-,ilE..�_,.�iLC.-_.f!�`i.•',�. _._. � !"� r
em�i;,., ,.:si;'�cortrnctors. r
dr ro: lnyona using these
i 1 ilertt�f 2II P.X��n�cnnCtltt�na� APPROVED BY: --[DRAWN BY C ;p.
tQ f('(• 6CAlE:' r! .r')l
cc•:;, a)ana state butld'n,,
•` 'Uncy Qf these c'a DATE: (.� : - REVISED `
In r WiracCla. Ca,51 rM
�p,r��, .,TMrs>�~Iivfr�tlrr C�FTA(nsr e�a yf�rYe aA�k t�uryr,f or s-n y and 11
r `' 1 —/ 4, H7�,�
�Yo',or_•;e r DRAWING NUMBER
I
to cz
- -
EMENTS
ON OFA
3ER AN
ECTORS �-
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U MUST
'E YOUR
:OPRIATE
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ItAr,+TS ARENEGJ t=DROOM. WILL'TRIC
UPGRADE OF THE SMOKE DE
&pA FOR THE WHOLE HOUSE. YC
PLAN.ACCORDINGLY AND HA
B .
ELECTRICIAN TAKE OUT THE APP
PERMIT AT THE FIRE DEPARTMB
SMOKE DETECTORS OX,
DN .�`7 6L $4
NS ABLE BUILDING DEPT.
k
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27.E "W
R r 9 i GrQ ax y SHo�6 .:, --
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`ppfHETp The Town of Barnstable
P p
BARNSTABLE. A Department of Health Safety and Environmental Services
9 MASS. e
t6}q. �0
pTFOMA+° Building Division
-4t / L9 200 Main Street,Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
Location 1/4 CenAc.r 6 L n Cc.f\4 Permit Number
Owner Builder
One notice to remain on job site, one notice on file in Building Department.
The following item`�s�( need correcting:
V l(Q- C(—I Sr L ( fi
1
/'fie..
C, X1 r Lr/,3 n(3
Please call: 508-86��2-4038 for re-inspects n.
Inspected by
Date
6
The Town of Barnstable
Department of Health, Safety and Environmental Services
. ; Building Division
KM
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Home Occupation Registration
Date: CP
Name: pL
Address: H e [ Village: c
Type of Business: Map/I.ot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home
occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,
provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or
odor,no visual alteration to the premises.which would suggest anything other than'a residential use;no increase in
traffic above normal residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject
to the following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,
located within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,
and there is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in
excess of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary
Home Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or
one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and
not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of
the dwelling unit.
L the undersigned, and agrce the above restrictions for my home occupation I am registering.
Applicant: Date:1, /�
/mil/,/L•R-. .V/�
Assessors map!and lot number THE
/7a fit. `4
.. QyoF toy♦
Sewage Permit number ..............- f-.........,...........:.„,„.:_.
r/ Z BASB9Ta�E, i
House number ....:o ...�.:............/................................ 'O�,e,M639, tCD
MAY a\e
TOWN OF BA-RNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ................... ..............................................................
TYPE OF- CONSTRUCTION ...............................1�/�v. F..... ......................................................................................
10
.......��v.........................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location LO.. ........................................... C�..
............................................ ....................... ..
Proposed Use ..................................... //.....'t.......... fp s..C`?.....:.......................................
J
Zoning District ........................4.c......................................Fire District .............................`.0.....................................
Name of Owner ................(./�..C/«Lt..�!,. y ,........... .Address ............... r?..*........ .......
Nameof Builder ..............................5 ...............Address ....................................................................................
Nameof Architect .........................:........................................Address ....................................................................................
G
Number of Rooms ..................................................................Foundation ..............r....... ,,//
lit/...C. ,5`�.-.1' �`fRoofing ................�.y.. L/.........��........ ..................Exterior ............... ...... ........................
Floors .....................na e .7�.... >....vl.�`�?.`-...............Interior .............................. .........
Heating 1�'/ ..........1�.... 7 Plumbing ...........................-�............�fl` ......................
Fireplace .................................... .............................................Approximate Cost .................. ..................
Definitive Plan Approved by Planning Board -------�S✓o�_-------19 _`7. Area
l
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�i2� 2y
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 ....... �3 9 7
GREENBRIER CORP. A=172-19-
One Story
No ......Permit Qor ............................... ....
.. .....SiAgle--Famj-Ly..Dwelling................ ........
Story y-/ooq
Location .....14 Centerbr Lane
.............................. ............
Centerville.
...................................................... ........ ...............
Owner ...Greenbrier..!�9KP.!....... ....................
Type of Construction ...Frame'
..TK .
................................................................................
Plot ............................ Lot ................................
Permit Granted ...December...2.0.............1984
.................
Date of Inspection ....................................19
Date Completed .......................................19
9 ° TOWN OF BARNSTABLE Permit No. 27349
---- - -
Building Inspector
sausrm Cash -- -------------
------
NAGL
OCCUPANCY PERMIT Bond ------_ _---
_- —_
Issued to (1,reerib.rier Corp. Y Address
f
Lot 15; 14 Centerbr LX-Le, Cerlt -Ville
Wiring Inspectori`d Inspection date
Plumbing Inspector f Yw ,( A Inspection date
Gas Inspector. Inspection date x1 ,
X Engineering Department � 71a �f,�f.��.'f�.�f'�.� '"> Inspection date:--) O �
Board of Health .`'r r' ! " �i Inspection date
z
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.
Building Inspector
a
s
FROM
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
Mr. Francis Lahteim 367 MAIN STREET HYANNIS, MA 028M
..'+S•:;x ti.�rl+r.�.�..aet a-w K�a1.-.4 9b 7+¢..sa-M re
i Clerk Phor;le.. 775-1120
• •�•e..3*ie.+a>.s•ws Sb�ri+.ry an es rt%aa.�r,:w���.�:rt,
SUBJECT: '
FOLD HERE '
DATE
..
MESSAGE `p
.. 'l+�X'R-'K..+s�a.�it s..,i.y 5'Mi.+S-a��F i Tt'1• - ; .r •
Vlark has b n£cc galeted under Fir u � 27 49 ,GS,eenb ? ..... �9
Please release bnd.
r
y SIGN D +'�jjJ• }-'-....
DATE
REPLY
SIGNED -
Ne7..RMl - :RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY
• PRINTED IN U.S.A!
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WH'ITE'AND PINK COPIES WITH CARBON INTACT. y
i
z G /.3
LD T
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Q ^�
} 31� .' O
44
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the
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19 p p l Mj
{ of L2 16
yl CERTIFIES PLAT PLAN
N 7-c=/z/3 tz C7_0BRUCE
OoB
IN
I`: ER`elt�Y THAT T�iE Foe%lt)�? �✓
D�.lT
4K, * MST RED RE�pST�R�� ,V,. v ".,."'"'". " SHOWN ON= THIS PLAN IS LOCATED
�C►�► o�� `�° ON ' TIDE, GROUND AS INDICATED AMO
L�IND'-,.•: r� .-�.~...-- -0® ORMS TO .THE ZONING LAWS -
' ENS
IN SURVEYOR : I �� ram' . "
„: . t . Off' ARNSTAQ ,-ACAS
. ./3
?I2' MAIN1:STREET t `_ Dbe•l Vs 415�
t� H YA Nib I
S' M ---'''��
r ti. AS O ---- DATE R E®.
LAND SURVEYO
WTI R.
" ki''sessor's map and,lot number
/-2a %. Cep
,
.......... .................. .. SEPTIC SYSTEM MUST 9 OFT E TO
Sewage Permit number ..... .:....�.4�. ........
INSTALLED Ill COIPLIAN�
/JJ u pdyy�
,... T' f e �6�1�i9§v§ ��� �WITH TITLE 5
$AHHSTADLE, i
("'louse number ..... I .. ..................................................... , � � 9OY t639
TOWN REGU ..w���,N-33 �'�pypYa�e�
TOWN OF BXt-RNSTABLE
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO ......................... ....................................................:.............:..........
1 TYPE OF CONSTRUCTION UG/ -�--
................... .....................................................................
...........(.'..o ....A..?.......19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �.s T... �s � fl/ 2Q�/C OD.�.�.......�� i�!� ca,
..................
ProposedUse ..................................... / ,` ..........O...t'l. 't.. ...............................................................................
Zoning District ................................Fire District ........................
................ .....................................
/ c
Name of Owner ....:........... �
...............Address ....................�. .. k......... < .....
.. .
Nameof Builder ...........I................ ...................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
,pp
Numberof Rooms ..................................................................Foundation .............. ....6). ........ ..........
/ e
Exterior . C- ,��Z..r' �f Roofing . / �?.�........
.............. ........ .......... !l�.......................
Floors ?�'..... .....y.... r'L` ..............Interior ..............................�(/LT.7. (S,- (d . ...........
Heating ..........x... :5�...Plumbing .........................��........... .......................
Fireplace p .............:....................................................................Approximate Cost ..................z5z,..Q U........:.. .
Definitive Plan Approved by Planning Board _______ ------19 ___l_. Area ......../..W.s....f:............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTHd
OA S
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 ............. . . ... . z.��_ .
G IV
- Construction Supervisor's License ....... .�..�,?..�, ...
e
GP�EE Ii RIER CORP.
No 27349••. Permit for ...One Story
` Sin le Famil Dwellin
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Location gt 15,..... 4•.Centerbrook'-Lane
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'Greenbrier Co
Owner ...... .. .. ................ ........................
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Type`of Construction ...Fri.................:.......... g
............:................................ ......... #{ • ,
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Plot .............................. Lot ................................
Permit Granted ..........Dece.............mber..20.....l.........19 84
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4� Date of Inspection ....................................1-9
Date Completed ... �:..........19
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