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0030 GLENEAGLE DRIVE
� Clenea� le �r . EF P, (!�Ajqbl COI�ISTRUCTIOI\1 CO. Luc 79B MID-TECH DRIVE,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 508-778-5010 WWW.TUPPERCO.COM 711� ��y Date: Town of Barnstable o Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 - (508) 790-6230 fax Re: Insulation Permits r t Dear Mr. Perry This affidavit is to certify that all work completed for permit.application Issued on (� ��� has been inspected by a certified Building Performance Institute (BPI) inspector- All work performed meets' or exceeds. Federal. and.State requirernents: Sincerely,. Perm it Address ,3 0 Gleh e.c5 Richard Tupper . License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION To 3 pp T _2J Map-- Parcel �� '�rl Application all jx`iu ,_ Health Division A:1 Q: 10 Date Issued 40 2N 14 Conservation Division Application Fee Planning Dept. �j� Permit Fee / Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis . Project Street AddressJO 0,e,4�cm la Err Village V° I - ` y; Owner Address C� 6/71'6 % Telephone_ ,, V CP 7'_ 71D ���1-T�/�,I✓1�(� o�lr%QJ �. Permit Request TA�/ ��'� / .��/� of * C��lJ1` L'?1(G(10L C2�7 tC� P , r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation--�Tf?k . Z Construction Type_Able I-ao , Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family J-/Two Family ❑ Multi-Family (# units) Age of Existing Structure 9�a Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: d'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: V_ existing _new Total Room Count (not inching baths): existing new First Floor Room Count Heat Type and Fuel: O'Gas ❑ Oil ❑ Electric yp ec c ❑ Other Central Air: ❑Yes �o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 01existing ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) `Name 7d7atb / C, QPe1L_� - »- -Telephone`Number, < 7 y I Z�Z X 1 , �s 0Uq o�f� Address /� License #� �..C��'�-!J� da�07� Home Improvement Contractor# o l Email Worker's Compensation #AXL� j� ALL CONSTRUC ON DEB' IS RESULTING FROM THIS PROJECT WILL BETAKEN T0�7 SIGNATURE DATE U i FOR OFFICIAL USE ONLY « APPLICATION# tL - DATE ISSUED t MAP/PARCEL NO. s } ADDRESS VILLAGE - OWNER t P - DATE OF INSPECTION: FOUNDATION FRAME F . INSULATION RREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING _ DAT&CLOSED OUT E ASSOATION PLAN NO. i I� r i H Uit.LXNU It"I f t u 1 t.W C MBUathusens-Department of Public V 10741:11 es hoed.Suft IT0 bfisa safety I MML NY r2 s Hoard of Building Regufadtins and Standards E8771'd.4 1274 ietM+ :.seense: CS-069058 RICHARD S TUPPER 79 B MID-TECH DR WEST YARsMOUIrH b Rif TLqw ..., `.� .. .cif Expirnon. •'{ of ` FOR VESWTIVISAMFicPWfGHWt� CL>Mrt,sSs<i;str 121$112044 Peopte Hering people Build a Safer World" Mcbard Tupper Tupper Construction suming Safety Proressionai Me Aber#:8158119 f=xp:4/30f2014 «` Office of Consumer Affairs.&Business Regulation License or registration valid for individul use only SOME IMPROVEMENT CONTRACTOR before the expi date. If found return to: I $egistration: . I78434 Type: Office of C ffairs and Business Regulation piration: :4/16t2016 LLC 11)Par aTa-Sui a 170 Bo ,MA 021 TUPPER CONSTRUCTION CO;LLC. RICHARD TUPPER 79 B MID-TECH DR. Q W.YARMOUTH,MA 02673 Undersecretary No tthout signature 77 ACORN CERTIFICATE:OF LIABILITY INSURANCE °"' ` ""°°""""' 12/03/2013 THIS CERTIFICATE IS ISSUED'AS A MATTER OF.INFORMATION ONLY_AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.:THIS CERTIFICATE OF INSURANCE DOES NOT.CONSTITIITE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER:. IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.'If SUBROGATION IS WAIVED,subject to j the terms,and conditions of the,policy,certain policies may,require an endorsement. A statement on this Certificate does not confer rights to the I certificate holder in lieu of such endomement(s). PRODUCER . . - - - . . Lo NAME: ra Lowe . - - Southeastern Insurance Agency, Inc: PHONE . (508)997-6061 arcNa:(503)990-2731 439 State Rd. E-MAIL ADDRESS: P.O. BOX 79398 PRODUCER , - CUSTOMER ID M. N. Dartmouth, MA 02747 INSURERS)AFFORDING COVERAGE NAIC p . . INSURED iNsuREaA:. Arbella .Protection_ Insurance .i Tupper Construction Co LLC .' �. ... INSURER B: AEIC _ - INSURERc: CNA .Surety 27 Roberta Drive INSURER D West Yarmouth, MA. 02673 INsuRERE: -- .INSURER F: I COVERAGES CERTIFICATE NUMBER: 2013/14/1 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . IR LTR TYPE OF INSURANCE . ADDL SUVBD POLICY E POLICY EXP SR W POLICY NUMBER MM/DDIYYYY MMIDD LIMIT$. . . GENERAL LIABILITY- 8S0000874 11/01/2013 11/01/2014 EACH OCCURRENCE - S. 1,000,00 N NT MERCIAL GENERAL LIABILITY PRE AISTO a occurrence) 5 100,00CLAIMS-MADEaOCCUR MED EXP(Any one person)' & S;00A _ .. . . -.- - x'. _ '. PERSONAL&AUV INJURY . . _ . .. GENERAL AGGREGATE 5 2,006,00( GENT AGGREGATE LIMIT APPLIES PER: - PRODUCTS'-COMP/OP AGG $ -2,000,00 POLICY JECT: LOC AUTOMOBILE LIABILITY- 5666240000 12/01/2013 12/01/2014 COMBINED SINGLE LIMIT:. . $ . ANY Auro (Ea accident)' _ 1,060,000 BODILY INJURY,(Per person) :$ ALL OWNED AUTOS BODILY INJURY(Per accident) S A X SCHEDULED AUTOS PROPERTY DAMAGE X HIREDALJfOS (Per accident) $- INC X NON-OWNEOAUTOS 5 $ UMBRELLA-LIAB X OCCUR "` 460005836 11/01l2013 11101/2014 EACH OCCURRENCE S 1,000,00C A. EXCESS LIAB CLAIMS-MADE - . Y AGGREGATE S1,000,00C DEDUCTIBLE RETENTION AND wlaiCOMPENSATION Y�s uA�uTNY YIN WCCS00559301200 10/0312013 10/03/2014 X T Y_LIAT1% .X _ER OTH. - - - ANY PROPRIETO"ARTNER/EXECUTIVED NIA ,. RICHARD TUPPER I E:L.EACH ACCIDENT. S 11 000,00 B, OFFICERIMEMBEREXCLUDED? (Mandatory Ia NH) I LUDED FOR. WC COVERAGE E.L.DISEASE-EA EMPLOYE S 1,000.100( If yes,describe:under DESCRIPTION OF OPERATIONS below E:L DISEASE-POLICY LIMIT S 1,0002000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(Attech.ACORD-101,Additional.Remarks Schedule,If more space is required): - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEI^ORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 'DELIVERED IN. ACCORDANCE WITH.THE POLICY PROVISIONS: "For Information Purposes Only Tupper'Construction CO'LLG AUTHORIZED REPRESENTATIVE 27 Roberta Drive .W Yarmouth',' MA 02673 Lora Lowe ©1988-2009 ACORD CORPORATION. All.rights reserved. ACORD 25_(2009/09). The ACORD'name and logo are registered marks of ACORD • - - - s, OWNER AUTHORIZATION FORM (Owner's.Name) owner of the ro p party located at II (Property Address) (Property Address) hereby authorize— l UEL La.l5'Q Jci1'd : c6, (Subcontractor) an.authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date I The.Conimonwealth of Ma isachuseils Department of IndllrstrialAcciden& ll, 1ce Of'INVOSA"tions I Congress MrveA Batik 100 Weston,M4 02114-201 WWW ntas&govldi a 'Workers'COmPeusstion Insurance Affidavit: Bnilden/C.ontractorsAE]ectriciiulns/Plum APP-1icnnt Inforinatieft hers— PleasePrint .emi - Naln Tupper constructi6n. Addtess.7913 fAd Tech Or City/smte/zip_V est'v tmotath. MA 0267 p 0>ttty .50t3y773-f1 I11 Are you an emploper?Check the appropriate boy; Type of project(required): l. 1 am a employer ri►i�. 4. 1 ant tt general contractor an l p 6, j�New construction employees(full andior part-3ime).* have hired the sub-Contractors I J an a sole proprietor or partner- listed on the attached sheet: "I: :L]Remodeling strip and have no emaployees 17hese sub-contractors have 8.:E]Demolition wot�kit 9 forme in my capacity. employees and have workers, : (NO Workers'cbarap,.instarance COMP. ittsurartce 3 9 ❑Build in g addition wired,) 5. 0 We am a corporation.and its 10,0:1Jlectrical.repaimoradditions 31 it a hotneowner doing all work' officers have exe>cisud their l l,[1.Pitlmbu4 repairs tar additions AVSelf JxNo workers' wrap, sight Of Me-niption per MGL i 12 n Roofirepairs n3uraror a air l•] c. 1S2,§l(4},and we have no employees. (No.workers' 33,r>10ther Weather' zation% COMP.insurance required.} rise a ion gay applicantthat rhMh box 0 must also fill out tho section belnkv shavAlig their wOrkOis'OOrrept tasation policy intbmiatiou. - t Noffieouvm who subtuit this aRidm*indieatiag they nit doing all work and then hire oiatside contractor must submit a nc iv affidavit hidicating such: . iriraettir�finer check this box must 3tmt:hw an uddititiml shftt shnwing the mane ofthtr sub-cOntraCinrs and state whether nr not those entities haves entplOyWs. It the sag-coiitracaors havre vtrtployte%they must provide their %witCois'ettinp,policy ntunbsr. cram an emploller that is proiliding loorlcers'it;fa era�tpeastrtiiyto itisureattc�etfar rny employees. Blow iS thrr policy and j(i1i bite. : rr�siatiox. huurance Company Name:.AEIC 'policy N or Self-ins,Lic. :WCCS005593012007 Job Site Address- 30 Gleneagle .Dr . . . Expiration:Date:10/3114 CitylStatelip: Centerville MA 02632 Attseh a eppy of the worl:+ers'compensation polity declaration page(Showing the policy number and expiratioh.date). Failure to sure coverage as t quir0d under Suction 25A of-MOL c; 152 can lead to the imposition of criminal penalties of ti dint'tap to$l,Stl0.00 attti/tyt tuie� ar"'ROSOnnaer►t,as'Well as civil penalties in the rearm of a STOP WORK ORDER and a fine o"f up It8$250,00 a day flint the vMaw. Be advised that a copy of this>;tatetnerat rreay be f®rvvnrded to d>,c�Ofltice of 'hwes i�adons of the 1A for disc o coy a verification, do here►y inert un tl anti'penalties eperjuru]neat the information provided above is true and correct Date:. .:6/10/14 P1to ie#• 50877801 . 1 i�f i'eiol:use on1-..:Do not write in 1h1v area,to be completed by City or town official. City.or Town: Permit/Lieense.# Issuing Atithor�ty.(circxs one): .. t Board.ofRealtb 2.Building nepartment 3;City/Town Clerk 4.Electri G.other cal Inspector S.Plumbing-Inspector contract'osonf Phone#: s_ �oFt T°wti Town of Barnstable *Permit# p G Expires 6 months from issue date Regulatory- a�srwet,>r. gu rY Services Fee MASS. Thomas F.Geller Director �p s63Q• ��0 � Building Division Tom Perry, Building Commissioner aoo Main street, Hyannis,MA 02601 X-PRESS PE 77 Office: 508-862-4038 JUL 6 - 2004 Fax: 508-790-6230 EXPRESS PERM APPLICATION - RESIDENTIA d F BARNSTA z Not Valid without Red%Press Imprint Map/parcel Number . Property Address 3 0 Gi I t � �I I [JResidenti'al - Value of Work ► " " 1070 Owner's Name&Address f'� ►� 7 /�-- �" /10 Contractor's Name J M M h-'' Telephone Number 9M Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance 7 k one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) nn d0Re-roof(stripping old shingles) All construction debris will be taken to 4WA ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *where required: Issuance of this permit does not exempt compliance with other town d`. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR ***Note: Property Owner must sign Property Owner Letter Registratian`;. 124310 Ho provement Contractors License is required. ExP,ra_on:`_61142005 Type:; Indio AIGATS Signature mes Curley P�J games Curley 287 Fuller Rd. � Q:Forms:expmtrg Centerville,MA 02632 Administrator oFTti Town of Barnstable Regulatory Services z BAMSTAB� ' Thomas F.Geller,Director Miss. 9`� sb,9• ��� Building Division plat rat'' g - Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I . the.subjectpropertp-. ......._._... .. hereby authorize :. .to:act on ruy.behalf,. in all matters relative to work authorized•bg this building.pexxx3it-applicItiont for: 30 to (A aLso ) Signature of Owner Date Print Name .b................ .. t. Assessor's-map,and-lot number .... ... ._ � � �? • "� � �THE r -'Sewage Permit' number ` Z BA NSTABLE, i House number .. .^. ...:.......................t........................ `i so MA86. 16 0� TOWN OF BAR. X/ M AMI N r I 5 31111 HIM B U I�I.DING, ' I H S P E ��� �w ������. ��� f- N - vq 31SAS 31MU APPLICATIONFOR PERMIT TO .......................'..................................................................................................... ... TYPEOF 'CONSTRUCTION ...................................:::......:...................................................................................... i - ..........................1.. 4...........>I9. a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies �for a permit according to the following` information: Location .... 4R Q IX ............ `" ........... :....... .................... ................................... ProposedUse .... .......................................................................................................................... ZoningDistrict ........................................................................Fire District ........:..................................................................... Name of Owner ........) C' O ��e ... ..............:....Address ....!..� x..S.c�.`....... ..:... o `�......... Name of Builder' ` 1 .L.... \2ca .......Address :.............................. Nameof Architect .........,a.................................................Address ....................................:............................................... t1. Numberof Rooms ..................................................................Foundation ....� ........!1../ ................................................ Exterior ....C.4. i .......................................................Roofing ...... ....................................................... <<- .. � Q :....Interior Floors ......�S.ri°�..............�:`'......... ..........:......................................................................... Heating �`j�.re�J....-...`!�� .... -- .. .....................Plumbing .. �.k a .-....Cv..t? ...`:.......V.�...... 11 ..... ..... � .... Fireplace ....0�Q....................................................................Approximate Cost �U �.l ........... .. Definitive Plan Approved by Planning Board ---------------—_--__-__ ------�9-------. Area ................................... ...... Diagram of Lot and Building with Dimensions t Fee SUBJECT TO APPROVAL OF BOARD OF',HEALTH 6 N� ) 3�1 FMY")�] G�S� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby..agree °to conform.to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , + Name ?1 .3. DACO Realty k -�3-113 No :.23779r Permit for .......Me...StOrY......... single family dwelling, . ................. Location 30 Gleneggl.e..pr.' ................................ .......... ................................Centggyi .................. Owner .... AAM..Rq�4 UY.......................... Type of Construction ...................franc............ I................................................................................ Plot ........................... Lot ....................#53............. Permit Granted ..........January .......19 82 Date 01-lns=pecifCoa.-nItr3�, -"7....................19 Date Co pletedY :..4... I�2 w* �„��""'• TOWN OF BARNSTABLE Permit No. _____23773 YY Y� Building Inspector CashRAWL ,639 OCCUPANCY PERMIT sons 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 DA00 Realty Address lot #53 30 Gleneazle'Drive. Centerville Wiring Inspector U ��..- Inspection date Plumbing Inspector ^ Inspection date Gas Inspector Inspection date YY! p t X Engineering Depa rtment ment pr p r � .> ��!./ Inspection date r 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. 19 44. �� .� Building Inspector � capKA t.1 Gikz -w-E 6tzt z1Z IL>1&1L%4 T7t.Aw Ir %10 x 3 , 3S�10 !,. .v I. . : . .' ",; �E�T 1G �f' a.ItG �30,. (SC `e • As C!6.P.D. �PD • ' ' �'iT P it. ,'• .�(SPo•�At.. °''PtT u�.E toot Gd_ . : i.j � . . • , � .T� k•�?� . . �� ,•_. + SZ .:_..SU S+ =. �,• t .o s SO_�.PD: .� __ 1 "__ 1/J:.t I �iVD'.'_E .. v__-_ �` •L . . ..' .-. I 3 ToTA L '17 t=SIG1J s �125 G..RD.i . �F TZ>TQ L C>Al L-( F L ow s 330 61PD. �So I !� . : GIfC2G1Jl,pT1�DIJ 6ZeT� : t"iy 2�c�tt tJ�o¢ �.•Sr � : N �:;; ' ` ,.. � . . . � u; • y f" t w.St vv i?v-*�j•tr�ry� P �,y�...._fit C_� ! �. .ir;{• _- _.�{�--�� .. , � _i.•( �/: Irk . ��+�. . �'' I` ♦1 ...•I 1':. r k� 4��,1"_dim /��r'' A .��� / '��^r�' `..�... ,. I ...�..• .. ... � 7 Y I - I I { r ° *_ ''a `j ,t�O't eSM • :� +� , , A f r _i _i. �' y Tor rx . . . � � � � low twv '� I _ • • - a+sr. ' • ' j a . : loop•- 93 � � • W. ' . , , T-A.4Ic . : •�. .': i�f'_.: .' . . . • , `� WA GAL. PIT C�Ytr�.� •_. WASHED f LbdAT10 ec GGtzTtF;Y1 TtdAT THE �citJt, ?ATt�N: ' St-�aw�3 Gp Ze11-10E P• fr••1F:�t:,o�.1` �caMc�L�lS �/171•�' T1-1�.: 51 flG�.Ll►-ice - I _ . ; '• A►Jt� 'ScTC3+ACK "G4•?t1t�:E c TS OF Y64F- k , • �'�OT.... �' 'TOW J cFE ��fZ�,`'T'��L: A►4t> I ��'r . � U u►G. . �I�t`i z r LDGATEb. WITNII.I T �� p1..At4.1. ��� f ' E. ,. :.,,.,.. - R[GIS'tt-RED t�►IJG SUCVaYoct; V AW I's LIoT ZASex5 01-4 AW 05TEC�/1l.t.G o MAS��. ; {�.ISt'C,'c�M rrw�i ��lJt,�/L�( • YNL- . C11=C;�T Fri St IGwLD , . ( E.,`, APP L,CA,"T_ tik�Y' Cr U i"u neTceMl%Jt= �LD'C' -'1.,1►J�•' }pj Assessor's map and lot number .......... �a . ..:.• . THE G ?� F t� S:w°ge Permit.'number .5..)... ........3...A....:........................... d O Z LE, House number MA86 BA"STAD i p� - d itY?C...................................................... 9 0 E MAI a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO -............—-- "" TYPEOF CONSTRUCTION ..................................................................................................................................... ........................Lz!f. .............19 F. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locatio ..( R .......... ....."``:: ................................................................................................ ProposedUse ..... f,w.f�� �� _`� ........................................................................................................................... ZoningDistrict .........�......}.............(..�........................................Fire District .............................................................................. Name of Owner LJ t I U ..�.......................Address s x S �1 GJl���a ,J�.:......... ...... ` . M...:.:...................................i...... Name of Builder" �� c�� ..........................Address . c-)RC..0................................. .................................................................................... Nameof Architect ...........y` ..................................................Address .................................................................................... Number of Rooms ............................................................ ....Foundation ...�0........4.. C ................................................. Exierior ...CQ.1,;9,boaj Roofing C roC4�fZ'F Floors . . ..-.Q ..................Interior l , Heating -- `�:� :� :.......................Plumbing ...:...fT� ............ .a.', ^....`....�...`�.C-....... Fireplace ...j-t .......:.............................................................Approximate Cost .........................................0.......................... e -t Definitive Plan Approved by Planning Board ________________________________19________. Area ........................................... Diagram of Lot and Building with Dimensions Y Fee CF SUBJECT TO APPROVAL OF BOARD OF HEALTH U 's . �r IS (Doo I 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 .�`.'`.....0................. ....0.....:.. .....0.:...... DA00 Realty A=191-164 373PermitNo ..... for .....one...story. ........... ly..awp single fami .....................single _Ilirlg.................. Location .......7130 Glqrje. _agle...D * .............. r 1 V4B.............. *****C,ente.rvil.Le................................ Owner .........DAD.... ty.............................. Type of Construction .........frame...................... ................................................................................ Plot ............................ Lot ..............#53............ ....... Permit Granted ...........J.a...n......KY.21 19 82... Date of Inspection ....................................19 Date Completed ......................................19 1-143 j