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HomeMy WebLinkAbout0019 COVE ISLAND ROAD 0 0 i �� Town of Barnstable *Permit#2,,3�q Regulatory Services Expires 6 montdes rom issue date s-1 ,AxNsrws Fee• SMJ¢6 Thomas F.Geiler,Director .ry..' . Ess Building Division •i%j q :• Tom Perry, CBO, Building Commissioner0 200 Main Street,Hyannis,MA 02601 v (01C _8, � www.town.bamstabld.ma.us Office: 508-862-403 8 ��`����• Fax: 508-790-6230 EXPRESS PE NUT APPLICATION - RESIDENTIAL.ONLY Q Not Valid without Red X-Press imprint Map/parcel Number u 59 Property Address �`� '�' �trv� j�yGf i zl!'6 v Residential Value of Work Sj Minimum fee of$35.00 for work under S6000.00 wner's Name&Addre� i r MA C' Contractor's Name d mi l$+id'oili' � ++ Telephone Number Home Improvement Contractor License#(if applicable)/ Construction Supervisor's License#(if applicable) ���s�~�" ❑Workman', ompensation Insurance Chec one; KIamam a sole proprietor the Homeowner ❑ I have Worker's Compensation Insurance [nsurance Company Name Workman's Comp. Policy# �opy of Insurance Compliance Certificate must accompany each permit. 'ermit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to � � � ❑Re-roof(not stripping. Going over V existing layers of rood ❑ Re-side replacement Window doors/sliders. U-Value #of doors (maximum .44)#of windows 7� *Where required: Issuance of this permit does not exempt compliance with other town de partrnent regulations,i.e:Historic,Conservation,etc. ***Note; Property Owner must sign Property Owner Letter of Permission. A copy of the Rome Improvement Contractors License& Construction Supervisors License is required. GNATURE: ei i WPFILESIFORMSIbuilding permit formslEXPRESS.doe vised 070110 i I ✓12CVC7.Y.Y,��YGOiI7,l!/62GUL Oy i/I�GCld6CLC/LCLQC .6 y-.--•T-T . Office of Consumer Affairs&Bdsmess.,Regulati' Li } . cense or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR, before the expiration date. If found return to:. _ = Registration 135884 Type: . Office of Consumer Affairs and Business Regulation Expiration 5/16/2012 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 ER F. D'HEDOUVILLEJr ERIC D'HEDOUVILL } � 11t%CAPESKET RD rALMOUTH,.MA 02536, Undersecret ry Not vali with ut signature Massachusetts- U(I a tmcnt of Public 5 tt Board of Buil(lin!g Re!gulati►►ns and St:in(lards Construction Supervisor License License: CS 65558 ERIC F DHEDOUVILLE 5 A 115 ACAPESKEP RD J, EAST FALMOUTH, MA 02536 t , Expiration: 9/17/2012 ('unuui.sioncr Tr#: 4596 t The Commonwealth of Massach usetts Department of Industrial Accidents 1.4 ,• l� Offce oflnvestig ations 600 Washington Street `Io %� Boston, MA 021.11 www.mass govhlia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly ✓ y Name (Business/Organization/Individual): '00ii!> ' Address: . cam- ' 4e City/State/Zip: Phone #: Are ou an employer?Check the appropriate box: Type of project re Yp, p J (required): 1 a employer with 4. ❑ I am'a general contractor and I 6 New construction ployees(full and/or part-time).* have hired the sub-contractors 2. am a sole pniprietor or partner- listed on the attached sheet. 1 ?•. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp. insurance. g• Building addition [No workers' comp. insurance 5. We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.0.1 am a.homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §](4), and we have no 12.0 Roof repairs . insurance required] t employees.[No workers' comp. insurance required.] .13.❑ Other *Any applicant that checks box f 1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractom and then workers'comp.policy information. I am an employer that isprovulmg workers'compensation insurance for hu employees Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip. Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required tinder 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 1 for.insurance coverage verification. I do hereby certify under thepaLw andpenahles ofper' ry that the information provided above is true and correct Signature: . Date: Phone#: Official use only. Do not write in this area;to be completed by city or town bffX101 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 J 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, express or implied, oral or written." An 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 receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling 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 too operate a p p 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 until acceptable evidence of compliance with the insurance requirements 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-contractors)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 Tequired. 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 Depart meat 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 self-insurance license number on the appropriate line. City or Town Officials Please be sure that the-affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out iii 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 town).".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.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. . 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. # 617-727-4900 ext406 or 1-877-MA.SSAFE Fax# 617-727-7749 of T y Town of Barnstable Regulatory Services 9' Masa �+ Thomas F.Geller,Director ` Building Division Tom Perry`,Building Commissioner 200 Main Street,Hya=is,MA 02601 www-town_barnstab le.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Mus t Complete and Sign This Section If Using A Builder I, Owner of the sub.ect property. 1 .p pert3' hereby authorize ' to act on my behalf, in all matters relative to work authorized by this budding permit application for. (Address of Jab) signature of Owner a Da y S cv YAd' print Name If Property Owner is applying forpermitplease complete. the Homeowners License Exemption Form on :the reverse side. 'I ' f P��Yxer�y Town of Barnstable Regulatory Services Thomas F. Geller, Director � 1439. Building Division �fO { Tom Perry,Building Commissioner . 200 MamSlrcct; Ayannis,MA 02601 T wfv_tomLbar•nsfable_tna.us Office_ 508-8624038 Fax: 508-790-6230 so]�o�+x1~.x Ltc�l,�s�F.XElrfPT7oN • Plisse Print DATE J03 LOCATION: number street village '7 iOMFA WNER": . morn= borne phone# work phone# . CUR-RENT MAILING:ADDRESS: C*/tuwo state rip code The current extm?ption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEF=ON OF BOMZOWRTR Per-soh(s)who owns a parcel of land on which he/she resides or intends to reside, an which.there is, or is intended to- be, a one or two-fatly dwelling, attached or detached slructurcs accessory to such use and/or farm structzn s, A person who constrgcts more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official ou a form acceptable to the Building Official, that helshe shall be resporistble for all such work yet:formed*under the bu:ldint=permit. (Section 109.1.1) 4 71te undersigned`homeowner"assumes responsibility for compliance with the State Building Coda and other applicable codes, bylaws,rules.and regulations. The undersigned certifies that,hc/she.understands the Town of Barnstable Bwlding Deput=. t mini urn inspection procedures and rcqufim eats and that he/she.will comply with said procedures and requirements. Signature of Homoawner Approval of Burlding,Official Note: Threc-family dwellings containing 35,000 cubic feet or larger wrll be required to comply with the State Building Code Sutton 127.0 Construction Control. • SO1l�OwIQER'S EXEMPIZ�N The Cade states that iAay hgmeownc pafmmmtg work far which a b'Iding pa-mit is required shall be exempt from the provisions of this section.(Sectian I D9.1.1-Lieauiirg of eanahvetioo Supervisors);provided that if the homeownrr eagagcs a pcson(s)for hire to do such world that ruCck Homccwnasha�l act as supavisor,• 1H'aay homeowners who use this accraptioa are nnawart that they are zssurrsng the responsibilities of a supervisor(set Appendix Q, Rules&Regulations for.Ijc=Tinz Coastrar:6-Supervisor:,Section 2.1-) This lack of awm=c=bRrn results in serious problems,particularly when the horn=wna hires unliecased persons. In this case,our Board cannot proceed against the unliecnscd person as it would with A licensed ;upervisor. The;homeown a acting as SuperfLzr is ultimately respo=ble. To=uurt that the bomcawncr is fully awa7=of his/haresponnbilities,many communities r=*r,as part of the permit application, ,at the homeowner car*that he/she undcrstmds the rtsponsibilitier of a Supervisor. On the last page of this issue is it.form cui=tly used by ecro towns. You may care t arr=d and adopt such a form/ecrdBczUon for use in Your community. Assessor's office (1st floor): E} of THE to Assessors map and lot number ............. ............................... �� �`♦ Board.of Health (3rd floor): T'7 Sewage Permit number r.'1 :...ED i 9aEa5ITaDtE Engineering Department (3rd floor): 900 1639• Housenumber .................................... ................................... o Mar APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only � TOWN OF BARNSTABLE ,X-�/ �- -BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... 11....5 E 16J.K..( f�''�.. To.... kl5 1.•(,! ���. .,,t 4(}tl • .. ................. TYPE OF CONSTRUCTION ..... ....H..! ................................................................................. I........... ........ .19._ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ............E3.... zcd .....................s. -�. ..`? ?1............................. 7 r 11..............L.....................`.. ....... ProposedUse !�F S t CJ .t f ................................................................:............................................... ` \../ ...... ...... ...... Fire District U X- Zoning District ....... ,. ,...... .........��......................................... C no-1 T„� �~Name of Owner .. - ! IC.... .f-...(,.n�.1,...,...... ?.,........Address ................,..................................................................... Y5 r�� 5 Name of Builder ( `.`:...Address Name of Architect ....sw�L.! !! ,- ........ !•..!. ...............Address ............ k?? p-�. � 5-`?..... �1�...................... Number of Rooms "NtR.. .........Foundation � '-P .AC� ................./... .............�................... .................... ........................:............... ;z Exterior .....r!' ?.G\....... `?..........Roofing ..........! ►_ i�a .................................................... 1..1CU 'F' ...............Interior .......c?� Floors .......:.,. �...`a J ...... E........ .............................. Heating .................... ..:.'?.a.................................................Plumbing .......... Fireplace ............. .� .. ' Approximate Cost ..... ®J..C!..�..".......,/.,.,...,,.., ,,. �1 Definitive Plan Approved by Planning Board ________________________________19-------- . Area ...!>�............................ Diagram of Lot and Building with Dimensions Fee . 00 ..�.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH (ids, t� 'r `'�\, � �fJ�.-- x ,f 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 . .- ..................... L Cos license nstruction Supervisor' ...... .......................... d BESSE, CHARLOTTE A=187'058 No ... ... Permit for ....Addition to........ single family dwelling ......................... Location ....1.9...Cov.e...Island... . ...... ..... . ............. ............................ ...... ............................ Centerville ............................................................................... Owner ...................QaKI.Q.tte..Ressp Type of Construction ...frame............................ .................................................................................. Plot ............................ Lot ................................ Permit Granted ..................k1a —23..........19 86 Date of Inspection ....................................19 Date Completed ......................................19 41 Assessor's office�(1st floor): d5g Assessor's ma and lot number �F?NE TC �( 'f Board of Health (3rd floor): �J� SEPTIC SYSTE Sewage Permit number .......................... i/�.s .. u, INSTALLED IN Epgineering Department (3rd floor): House number ..;�. ............ WITH TIT i639' ,0 S s....................... ENVIRONMENTAL �U RIIENTAL r APPLICATIONS PROCESSED 8:30-9:30 A.M. and: 1:00-2:00 P.M..only; 'ro.V'JN PEGULATOW Ull N OF B A R N S T A B L E ILDING INSPECTOR APPLICATION FOR PERMIT TO 3 ?.... ................... TYPE OF CONSTRUCTION .....w�L .... ................................................................................. t ............. -..-.. ......./� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a permit according to the following information: Location .....!---!✓..`........l.a. ..... `........:6,.,t. .................. .... 1�'.......... Proposed Use .......4\� .1..{ `?�✓1 ... Zoning District ........�. - .... ...... ........... .. ��?! .....6 .................................. .. . Fire District ..... Name of Owner .. `'. ttt Q... .. �/.K.�ddress ............ ......... .......... Name of Builder ........ Y�/W.907 .Adclress ........... ...... ..... ......................................... - l Name of Architect .... !�'{!✓4�?�.�.... :�!VL.. ... .............Address ........... Ar� S..... L►.�f�..................... Number of Rooms ..........` Y..ILS4...................... .....................Foundation .......... . z,Q.........CtC.�...... .. Exterior .....C.��k .�� 2 ........, `. ..........Roofing .......... � t ................................................. Floors ........ ...dN. ...............................................................Interior ....... .SV. ....-... .1. ,............................. Heating ........... (............. ..............................Plumbing ..........N .�.................................................. Fire lace ........... IJ j' /1�. ...................................................A Approximate Cost ef(� p PP ..................... ............. . ........ Definitive Plan Approved by Planning Board --------------------------------19________ . Area ........' ........... ©0 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH C. .� off. `' �3�.���► ;a aC>Il-r f OKI A4�, r 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 ..... . .................. BESSE, CHARLOTTE A=1 -058 , ra 293�8 Permit for Addison to s���-e...tamily..dW I. g... . . ............ ....... r� { ,} Location ...19 Cane.t; sl"arid.. ,d................... .... r O a r ' Centerville• ................................... Owner ,•.••Charlottes Besse Type of Const • .. fe............... � t� - f. 1 ti it.••-. Piof ri...:............... Lot .. "............ _ t r, - • ,� i + _y._ 1 .k Permit Granted May..2.3.............19 86 Date of-Inspection ........ - ............... .19. f Date Completed ............. ....................19,-Y7 �~ , r 011 4 iS ter • ;� / v t . ' e �. J 'N i t w � N'' ►.� � o0 1� � o .x, qo Sol ID • U {v - IRS /VaTt; EZEYAr�o,�s BA,sEa o•v r 3 �• /yEA�t/ 'CA Zev4m t CERTIFIED PLOT PLAN F ® LOCATION C'ENViL[ . .. �'lftsS SCALE . /it_ � DATE JuG Z /J79 PLAN REFERENCE o� EDWARD 9 , 60uO/VeZ. AO--'D Z5Co0 7CD /AI. . . I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND 5U AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE'TOWN OF .BR� S7;ct'$4477. . . . . . WHEN CONSTRUCTED. /"/N DATE - /yam PETITIONER: REGISTERED LAND SUR OR N59345 ------- ,a., .c:c��hr=r•� Lw4 i4i �is { , i i , c i t At�P�I`� � ! � ;i p.gr{�"-i' .(r;x��-�T• T__.:..j,� �a� Jv-��IL it . h�•:j� I{ fi _i(o�;, UI(i1 , I I C! .: r tl.. ��I _ F. Za al u 14 x i ' t r d T F t c - F lei, .-::Ijv Ij 7,7 l• I I { ----- A.:.GC•�:sJf=r-- Ali-It}i<41�! I 'I i; ' j , .-t Y C t / .14r = J J rt _ I l,� o �; _•fi,�l. vt.r��L,.I!� y��._ � �r>.,�,'l �/�r v I I�' p^.:o 11 I 77 i 1-T. Tv ,t I�' � � - /z <.� 'c.tJ<>�, •:�'�-}:� is f kJ i` M a'rtJ-! /fir 7C`2C• r � i V � - e -jtq i hG� Ir'[er� ^71Nl7yiJ hl� I ... S� x �r l ,�{ .� �4�_� � �v a `�F�2'-.--• _q„ac`z' Ap,�~ a ice'" �y�� �"`�✓:�,�,`^'t�y''�n` . , Tf s 6' f � �J � t yI qp "7 1. f LA g' t .. - SCALE: APPROVED BY DRAWN BY ' DATE: � � I ^ DRAWING NUMBER 4 / �3 • f Assessor's map and' lot`number l.. .� Q:'.. ... Sewa Permit number ................. ,....::.............., •`. g / OF7NEt� r� ®F .BA� READ `.�. Z , BAHBSTADLE 9,o NASIL ILI'NC}; • I SPECTOR �'Q MPY�`• 1 � Lf (4. (�to APPLICATION FOR PERMIT TO C .:.......f .. LL/X�Cf.................................................................... TYPE OF CONSTRUCTION F9 e ............... f Y • • 2, .............. ......... .............19.11 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies"for a permit according to the following information: Location ....... .........�D................. .......... ................................................... ProposedUse ... .I� ........14.4'cJ N.r�.......... 5 r • .../�1 .L........................................................................... ........... C ............................................................Fire District .............................................................................. Zoning District .......... Name of Owner .�. i���1�..� ........ 5.. ...........Address �.:.............�Fl.. U�LLC� Name of Builder ..................... C�fQ./�/.. .............:.....Address ..0 /�S.r�(.?.d.N...... . ........yy/,4.. Name of Architect .t d.. N . G �/l�S.........Address .....1f� �Rg 7`L 190 T' + ��- QQ �..... . ....... ................................. Number of Rooms .... ............................................................Foundation ..........v�E I� Co I(r F•IZ�L= .................................................................... ...w�.4?.p........5..1' /.Nor.L., ...R..C',LL;�P)5.4.5...Roofing ..........!5,P�� `�C�?.........5'�(ZIh Exterior .................................. Floors .... ''f L.� Gvi}�C_ G� . . �x/�. . S S T 2�c ............Ply!......................... D.....:.................. t�........ ..............Interior ..... ° Cr ................................ Cc� �g. f�7fN�r ? L�i�� L � ��T 1-� S HeatingaI��..(... �Q....................C.................... 07.........�Plumbing .........................................."'........................... Fireplace ...... ........................Approximate Cost .. .: �" ................................................ ............................... . ..... Definitive Plan Approved by Planning Board ----------------------_---------19________. Area ...1..C1...1... ... ......".... • 0 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTHQ • 3L N N'h -IV :D �; �U 6> I hereby agree to conform to .all the Rules and Regulations of the Town of Barnstable regarding the-above construction. Name .......-....... .......... .s". ......................... 21443 Besse, Charlotte " 2 ' !N,o,�-1!+43....... Permit for 1 B..sWry..dwellirlg � ............ "! ' Location ..1©t.# 1fa..B..19...Cove..Is•land••Rd.-+ ...............CenteLvi.Ll.e.......................... .............. r--I r"` t - Owner ..........mr.lotte...Besae...................... Type of Construction .'ram......................... 3 'F r _ ...................................... . Plot .......:.................... Lot ................................ r . •� Imo/ c 'Permit Granted .......July......1Q..'.:......�-19 79 IY t v Date of Inspection . ,.,A Y • 19 6� 1 t• _ c I � •1+ Date Completed ...X/�.L T.�, ........ 19 z PERMIT REFUSED ............. ! ........ ..... .. . ..r j ......... ...................................... Approve .......................:.... 19 ..................... ......................................................... ell _, Y . r -AL iL- t gpAv Pr 64 '°env _ Q S P' It � U °• BASED o.� s /y&7W SE'A l.EvEZ t J- Gi-o CERTIFIED PLOT PLAN LOCATION .r'�� z /9 7y SCALE . . � -. �. . . . DATE . . . PLAN REFERENCE . El.!YttG. . o�tvaH�� �,� Cov�f,/E .4�D ,eKa�eDGD /A/ I R1F E.. fL,QAC 309 i2'8f � 8C.3.3/ /�; �tg . . . . . . . . . . . . . . . . . . . . . . I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND Ink AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF 77r- . . . . . . WHEN CONSTRUCTED. PETITIONER: REGISTERED LAND SURY&ORj N59345 Assessor's map and lot number ........< .. A Sewage Permit number ................ ......................... f r; OF BARNSTABLE Z BARNSTABLE, i q BUILDING ' INSPECTOR BEN MPY Or' APPLICATION FOR PERMIT TO ! C ........ l/wFLL/1�/Cr .................. ................................................................................................... TYPEOF CONSTRUCTION ....... .......rJ�/t-1 �= .................................................. .................................................. ...............: ,..z.3.................t9..7.1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... .r.... `ELF h/I?....... �.................. l //[�L G �/4 ProposedUse .....� u n!.. ..........! .! .A/,.& .............................................................................. .......... ZoningDistrict ........ 12..).....................................................Fire District .............................................................................. Name of Owner l I,(-l��.U7 ��� � / � : ................................................:....:..:.............Address ........................ .............................................. .. Name of Builder L. r/ T i2,�Nc / , c / �S TC/s n� S r ..,....,� VAAll-If S. '..............`....................Address ......t../......... .............................. ....... Name of Architect r� � f N ��! �iG//l/5.........Address . 42A•�(aU7'14 P&/27'� M/-� ..:......................:.......... ................. ................................... ............................................ Number of Rooms ..........................................Foundation .... �u . h ...Cc t2e�TL . G1/APP S /� Zi�� /_ �, LLI/�/�'.D.!'...Roofin SPl I_T 57(z/p Exterior ...................................................... ..... g ..........��... .................................................. -5NCFT Floors Interior ...........I.n..d...C...K..........d.......�.../..N.....C._....................... Heating . /:.. Tft� VtJ... ./1!�5Y1/A.7�,M6.... �J ; (,G< .Plumbing :....:�'......P� A-T 1-4� ::...:.:.:.`..-....:....`. :.:� ":`.. .... .... Fireplace ..... ........................................................................Approximate Cost .. 7r�...U......D............................................. Definitive Plan Approved by Planning Board _________________________ / �Q .S .J` .. ------t 9--------. Area :... ....:......�...... . Diagram of Lot and Building with Dimensions Fee ~� SUBJECT TO APPROVAL OF BOARD OF HEALTHd lip 117 IN I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ell Name ...................�� .:. .r- 21443 Besse, Charlotte . . . . . . _ � ' `A=l87—A No2.1443...... Permit for . � ~ � . . � -----------.-------.-----~... ^ ' .' . .]9�l]unza..Island-'Rd, � ' ----------..�e^.-e^.^^^^=-------. Owner --(:TW-:r1Q-tte..Bjasoe--------.. � . � Type of Construction ........Frame...................... � . . ' ^ nm � . . Permit Date of / ' . . ' Date Completed . ' /PERMIT REFUSED � ' � ............ ... ----- / un _ —_. ' /y ' '�.-<�''--`»^'--''x ' --_—~—^--^ ..............�----..-----...-----.. � ,\ � . `----------^----'^'—^--'—^---'' ~ . ~ � ' � Approved ---------------- lQ ` . ^ --------------~^^-----`--^—' ° ---------------------'^^—^-- � n „o• ' TOWN OF BARNSTABLE 21443 S� a Permit No. -_-----�-- 1 n.0 i Building Inspector cash -- ,639 �DVAV OCCUPANCY PERMIT Bond X _ "No building nor structure shall be erected, and no land, building or structure shall-be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Charlotte Besse Address Centerville lot #10B 19 Cove Island Road, Centerville Wiring Inspector / e ✓2 Inspection date J Plumbing Ease Inspection date �(_/ � Gras Inspector Inspection date Engineering Department Inspection date - j — THIS PERMIT WILL NOT BE VAL AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INS _TOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. _� 190 " uilding Inspector w Speed Letter. TOWN OF BARNSTABLE �Mr'. 'Francis Lahteine MASSACHUSETTS To From Town Clerk January 22, 1980 Subject -No.9&10 FOLD - MESSAGE Work has been completed under Building Permit #21443 (Charlotte Besse) . Please release Bond. Date Signed REPLY I -No.9 FOLD - No.10 FOLD - - Date Signed Wilson.Jones Company 01974EFN"MD INU. 9-FART RECIPIENT-RETAIN WHITE COPY, RETURN PINK COPY G LI•PRINTED IN 12 S S eed Letter, �T N' r BARNSTABLEE From Francis Labtaine To kiASSACRUGETM `own Clerk ' January 22., 1980 Subject -N0.9a10FOLD MESSAGE Work bw been' completed under Building.Fit 021443 (Charlotte Bye). Please release mod. �'• Date 'Signed REPLY 1 E d -N0.9FOLO i -No.10 FOLD .. Date Signed Wilson Jones Company RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY. o e 0N•PRINMIwNUSAP TURN OVER FOR USE WITH WINDOW ENVELOPE. FILL IN NAME AND ADDRESS HERE FOR RETURN IN .WINDOW ENVELOPE -FOLD -FOLD