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0327 ELLIOTT ROAD
tab, `9'777R75 Ail W, .... .. Ulf U2 mc PCIF �Mkbq gene K�L It!M lIng M-i AA ERR ,4.1 mr m INV" "g 'ey K WK l'-- IN him low c'ON V by, MIX �m R 11", IN "MI WERE VM�'iA -,MAVI plus- Milli p f" 19' SV'l .......... URV c COMMO TH OF MASSACHUSETTS h� 4 iDFr ,,T,�N'T OF Y.NMUSTRIAL ACCIDENTS 600 WASHrNGTON STREET BOSTON, 1,12SSACHUSET"TS 02111 fames.: Cam:)Dei' �c--n ss�one WORKERS' COMPENSATION INSURANCE AFFIDAVIT 1, LLI)4h L <Gk1LcL7,£ (licensee/permincc) with a principal place of business/residence at: / G d (/vie► C. Gfh �R Gl1. L.� ' . - (City/Statc/Zip) do hereby certify, under the pains and penalties of perjury,that: r ( ) 1 am an emplovcr providing the following workers' compcnsarion coverage for my employees working on this job. Insurance Company Policy Number 1 am a sole proprietor and havc no one working for me. ( J 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed bolo A, who have the following workers` compensation insurance policies: Name of Contractor Insurance Company/Police Number Dame of Contractor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number Q 1 am a homeowner performing all the work myself. NOTE: Please be 2warc that while bomco-Amcn wbo employ persons to do maintenance,construction or repair work on a dwelling of not more tban three units in wbieh the homeowner also resides or on the grounds appurunant thereto arc not generally eonsidcrcd'to be employers undcr the Workers' Compensation Ace(GL C 152,sect. 10)), application by a bomeowner for a lieeosc or permit may evidence the lcgaJ status of an employer undcr the Workcrs'Compensation Act_ 1 understand that a copy of this statement wi0 be for•,:dcd to the Dcpurmcnt of Industrial Accidents'Ofiiee of Insurance for.eoveragc verification and that failure to sccurc coverage as required undcr Sccdon 25A of MGL 152 can Iced to the imposition of-;I6minal pcnaJucs consisong of a fine of up to S1.500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a Gric of S 100.00 a day against mc. 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Archi-Tech'AS4Jce , an imhi",Cmrnt of cr cm.. rn m rn a N H rn m <V N N O � D '21 Z v r s v v fca m A A Ilk w 3 � z O � N � � I C> S t 1 P ViE rqk -�- The gown of Barnstable s "^� �;, D I�artnient of IIralth �afet� and I-ri ir-onmcntal Ser. ic�s 1659' �� Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph C rossen Fax: 508_775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"deconstruction,alterations,r+en( ation,repair,modernization,conversion, improvement, rema%al, 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,N%zth certain exceptions,along with otper requirements. Type of Work: �1�J V '<l�!'r►� Est.Cost !�� Address of Work: 3 Z G�GL4� j6 r Ae1p Owner Name: 6 G G Date of Permit Application:_�;; F7. I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S1.000 Building not owner-oocupied Owner pulling own permit Notice is hereby given that: 0WNTERS PULLING THEIR OWN PERMMIT OR DEALING N TI H UNREGISTERED CONTRACTORS FOR APPLICABLE HOME INiPROVENIEN7 «'ORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UDDER PENALTIES OF PERJURY I hcrcbN.apply for a permit as the agent of the owner: 141,7, 112 OVq Date Contractor name Registration No. OR Date Owner's name t ENTERVILLE)for(E-20-1583) /611 3u-!/ LLE)for(E-20-1723) w�`xs..z`c.•� ?`,.k:u'Wit;#?'w��'. � �' .>..�-:t,}�$a..z.a�4»�,u+,m:'x'�.^p;. RVILLJ�•)for(E-2071010) r _��, r.;•�,xt.�°i�x.e*tix,�k.1„,, ,��xir�: a�.� �*�.�.� �,,.✓.:: ;�.x, �< xx� 3t .�.,na: �, MILLS)for(E-2071484) for(E-20-1588) WEST BARNSTABLE)for(E-20-1374) BLE)for(E 20 1707) . + VEST BARNSTABLE)for(E 20-1429) /-/ 30 or(E-2071k,669) ; /.'3C)-a; 693) r 'd r� 1- 9/V2009 n APPUCATION NUMBER....................... :.................................: *For Tents Only* ' Date Tent(s)will be erected _ Removed on number of tents total - Lai Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X , Ca Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event.. Check one:Food served Yes No 4 . �. , Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs.or>Yes - No ,if yes,a gas permit is required. Natural Gas Yes No . ,if yes,a gas permit is required. - Ijjood is being served at your event please obtain a Health Deparftnent approval between the hours of 8.101am A-30 am or 3:30 pm-4:30pm.Commercial everts may require Fire Dqarhnent approval. *WOOD/COALRELLET STOVES Manufacturer# = Model/I.D. Fuel Type Testing Lab. _ Offsets from combustibles: front Fback left side right side HOMEOWNER'S LICENSE EXEMPTION . Y. Homeowner's Name: - Telephone Number Cell. r Work number. I understand my responsibilities under the rules and regulations for Licensed Construction' , Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Y Date Signature APPLICANT'S SIGNATURE - Signature .z..Date . All permit applications are subject to a building ofikial's approval prior to Issuance. p��J Application number ill...��.:-:.............. 60 Fee............ ......................................................... • BUILDING DEPT. Building Inspectors Initials....................................... -SEP 11'2020 DateIssued...........................................I...................... TOWN OF BARN I AF 1_E ,a�a..7...... .7.2....: Map/Parcel.... SCZ7c u TOWN OF BARNSTABLE E EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 7 4141OT7 3/ d Ceal r e)Zu,Ile. NUMBER STREET VILLAGE Owner's Name: F1 T at f Phone Number_S—O e'. Email Address:j�{.�{ n S,Srm 1W,rem Cell Phone Number Project cost$ C:26r p®6 �c! Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for building permit in accordance with 780 CMR Owner Signature: Date.' TYPE OF WORK Siding EZfWindows(no header change)# E Doors (no header change)# OInsulation/Weatherization Q Roof(not applying more than 1 layer of shingles) 0 Commercial Doors require an inspector's review Construction Debris will be going to 0 Certificate of occupancy with no construction (complete below) Occupant/family relationship or business name or Existing amnesty apartment(attach a copy of recorded comprehensive permit) CONTRACTOR'S INFORMATION Contractor's name 9ed'A 2�Q> 2 GTAZ ;%L.A4 2 Home Improvement Contractors Registration(if applicable) Q (attach copy) Construction Supervisor's License# nn Q `7 t c (attach copy) Email of Contractor r tr_1<q i irric-ct ut r, it,k Phone number? ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN-BE ISSUED. APPLICATION NUMBER ° 7 *For Tents Only* Date Tent(s)will be erected Removed on y Fry:_ number of tents total Does the tent have sides?Yes No (If yes`'please'attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. ,r ,, ; e Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being,used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes,`a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. I -- r44, The Commonwealth of Massachusetts Department of IndustrialAccidents 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): 4"L a/ is a 9� t A;-CA.)C-,4-tJ ' Address: �5/ �t���S e or- 2c) City/State/Zip: Q Az Phone#: Are you an employer?Check the appropriate box:: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and I « have hired the sub-contractors 6 ❑New construction employees(full and/or part-time). , 2.[21 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, El Demolition working for me in any capacity. jemployees and have workers' 9. ❑Building addition [No workers'comp.insurance comp. insurance. required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work _officers have exercised their 11.❑Plumbing repairs or additions right of exemption per MGL myself. [No workers comp. � � P P 2 1 .❑Roof repairs' insurance required.]t c. 152, §1(4),and we have no 13.[yarOther�Srur°u),gC�x employees. [No workers'. comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: + d 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 under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce Vnrthepaz' and penalties of perjury that the information provided above is true and correct Signafore: 7J Date:' t b 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): 1.Board of Health 2.'Building Department 3.City/Town Clerk .4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . r 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 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 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 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 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 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 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 like 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 luvestigations 600 Washington.Street . Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE T Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia Town of Barnstable Buil ding Department Services' KAM Brian Florence,CBO mBuilding Comissioner nW r. 200 Main Street,Hyannis,MA 02601 ' www.town.bwmstable ma.us . Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using''A Builder I. Stuart- map Power of Attorney for as Owner of the subject property. Lea*F. Fitch hereby authorize LL Richard P.Gar en au, --Jr,.• '. : j.: 'to act on my behalf in all matters relative to work authorized by this building permit application for. 327 'Elliott Road, Centerville', MA- 02632 ' , (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools ' are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. . Signature o (Owner iSignatwPmmof Applicant , fin ea , Print Name Print Name `Z _ { t Date Q"RWOW 4WERMISSIOMWIS Rev:08/16/17 -Office of Consumer Affairs and Business Regulation 1000 Washington Street= Suite 710 Boston, Massachusetts 02118 Home Improvemen#,Contractor Registration Individual RICHARD P.GARNEAU JR. Registration: 166170 251 WOODSIDE RD. Expiration: 05/04/2022 W.BARNSTABLE,MA 02668 Update Address and Return Card. SCA 1 O 20M-05117 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constru t%ft%b0ervisor CS-009714 • spires:04/04/2022 71 RICHARD P GARNEA%JR 251 WOODSIDE ROAD„ WEST BARNSTABLE NIX 02668 C Commissioner doe Town of Barnstable - Building Post This Card`So`that`it is Visible From the Street Approved.Plans Must be Retained on Job and this Card Must be Kept y 14 sAiLvirAsm MASaPosted UntilFFinal Inspection HasiB en Made. r ° t654p,�6 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made _ rer l Permit NO. B-20-1824 Applicant Name: Rick Garneau Approvals Date Issued: 07/30/2020 Current Use: Structure, Permit Type: Building-Deck Expiration Date: 01/30/2021' Foundation: Location: 327 ELLIOTT ROAD,CENTERVILLE Map/Lot:. 227-077 Zoning District: RC Sheathing: Owner on Record:' FITCH, LEA F TR Contractor.Name: RICHARD P GARNEAU,JR framing: 1 Address: 749 MAIN STREET Contractor License: CS-009714 2 OSTERVILLE, MA 02655 , Est. Project Cost: $22,000.00 Chimney: Description: Remove existing deck. Build new deck in exact footprint. New sono Permit Fee: $ 110.00 tubes, new frame,new decking. Existing deck rotten beyond repair Insulation: Fee Paid: $ 110.00 Project Review Req: Main beam must meet span requirements Date; 7/30/2020 Final: Plumbing/Gas ' Rough Plumbing: r g g Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.issuance. .All work authorized by this permit shall conform to the approved application 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 and shall be maintained open forpublic inspection for the entire duration of the Final Gas; work until the completion of the same. - ,t: y.: - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection _, Rough: 3.Al 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i E� •'-" ttt'mow* )xs � .a.,�xr.. ;`.x- k ':: r• ��# t � �, ay �' Nk � ray K't `'�i> k -.z'-' y;. r �,"^ �=. 3.-- a i?,� .�. ? "�"` - :? ✓•: .s '.a"k YK R� 'F'.wt`. ' ,°•`" '+r^4 t.,nm,,#'a s '*°x` 'i # e.:.:.j.,`t+r' A '5,�' : d'tiue {:T ':'r dt ,, 3 Ye.*r �''7i. �'''. bik' , 5ttw r,r,' r�r.a�3�. ' :`u"..3 �'3. .C'�s`..,, "�. r,„,...=eN r 'r "�r a - ti'sx v •fix _,.,e",' '-ti k, ', •v+; A•wg•� �,Fp{Z. ���, „ g� ;>+tom-t�.rgsk.� , ;5a.;�s�.a:. x..v.�. .r"+• q NY r ti,.3d's. sY2 An`#'�t�,=.�• �, '�• h.�.<� c YE.,n':�,�y;,a"' ,Yh - ✓.* ,+�i- d'.�,-a�,`�T�...,:�;;:' b��`:�.w:�. „K da.;to t *��ti6.�:N�j c�:'". 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C't� '.F,-FF 1;. k§._ '' Y t y t 4..t *t�t 'y ;S f .A„ 2 `"''-'y: ,4a :.r 4'a- 4'"•:�• ry.. y4.b " - en, i� x 7tCGLiQ11 q„ yi,ga z*ckt''G I, .„ 'K+ f {'� #p a �ryt��r.. •. "t +T r/�.. p s /♦ 9n + T t,r '' .a~ a^, At it f� *•� �a ""n.Y ' ,.xwnhGi�.'�e, <:r ,c'� �1 V +,Vrx`. p�j :M..1�,• - a r� N_.V '1 � `ei�"+ �5,� .G► {a tl w 77, �a�• �� ws` � �a,�... A' �a.;{§w�T+-Y,,��� c _: � t-r" r` '•�t¢> �5 t Za�`'�� `,� �"'r r r i#d�2 .-A -pr, © A 2A A It 4 77173 3 9.,• .. ati w jet4 FILE # D11159 CENSUS TRACT # r CLIENT: John Roberts, Esquire DEED BOOK 3 PAGE 179 OWNER: Ruth L. Ferguson PLAN BOOK PAGE LOT APPLICANT: Robert C. Fitch ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN OF LAND I N '� BARNSTABLE' SCALE: 1 =50' JULY 30, 1986 a n' LOT 5 Cb Deus t H# sit 52 •76 /o o.00 EkLr,of Road 3�7 I CERTIFY TO .JOHN ROBERTS, ESQUIRE, COMFED MORTGAGE COMPANY, AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS WITH RESPECT TO HORIZONTAL ' •' '''' '� DIMENSIONAL REQUIREMENTS THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS -•"�"" � DELINEATED ON A MAP OF COMMUNITY #250001 DATED 8/19/85 BY THE F. I .A. Land Surveyors Civil Engineers Abe'110fon �ittna �$u1ueg (Qo., �itc. 172 gilliarn Wtfu �tbfura, cV 02740 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con- structions. 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({�` :a" t� '4 S"�,xb-€� Y -+�• w: C' ✓:.- ,-•;,` a »a �s ,` t� �a`S`� � i ifi e # Y k�i p, .s'da V J 3"f".3 y tr,hr•,,,,t r�,e"r _ t"t n�" ^'r' + '°'' '{ � ,> ``'+ �# 'i .a < �._ „�5,.; x.',-t Y `.4�3 � R S �•s,:�;a 's.:`i"' ,�^,.-: • ` r• _ _ r^' #, �:C w"' .r -i4r r �+ :iF PiF,i-' T '� a��.i',., r .,t,,�-r .,» . �As_ scsr's Office lst floor MaD Lot 1 �(ifj Permit# Conservation Office Oth floo c Date Issued O 3i Board of Health Ord floor On EngineeringP e De t. Ord floor House# 7 Pis., PlanningDept. Ist floor/School Admin.Bldg.): ® �� Definitive Plan Approved by Planning Board19`'t` (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) TOWN OF BARNSTABL , ��� Building Permit Application , '> i Project Street Address 327 G L L or PC Village /`TLrl7 i,ll. L Fire District Chvncr Address Telephone Permit Request: ' G7/C 46 g Ein Zoning District I(.(U Flood Plain Water Protection Lot Size 22, S Z 9 SG, ft Grandfathered Zoning Board of Appeals Authorization Recorded Current Use oeG$ Ish T/ IQ Proposed Use Construction Type / d D n . / Existing Information Dwelling Type: Single Family l/ Two family Multi-family Age of structure r7 Basement type /9a t.IC t o 7c)), e Ls't'ar Historic House Finished N d Old Kind's Highway Unfinished 1/ Number of Baths Z No. of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel jL1. /it�• C-, Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached -Z Barn None Sheds Other Builder Information Name Zl GL I sq Ah L Zt Telephone number Address L License# Home Improvement Contractor# / Z 0 4 Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 6147✓1 S rAA L LL Prx S ��_v'oject Cost -Z 0, Q Z�.AIA_n SIGNATURE ATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ' BPERM T FOR OITICE USE ONLY i ADDRESS 327 Elliot Road VIlIAGE Centerville r 't Robert Fitchr' OWNER , � �� .•' rr DATE OF INSPECTION: j Axiv FOUNDATION it, J L FRAME -FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: "ROUGH FINAL GAS: ROUGH FINAL/. i r 1 FINAL BUILDING: DATE CLOSED OUT: - C ASSOCIATE PLAN NO. " ,- � /'�''". , i �. '• �, �. 1„i" if �i r +