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HomeMy WebLinkAbout0020 GUILDFORD ROAD s' i t l Town Of Barnstable REc°EiIPT M ' 200 Main Street, Hyannis MA 02601 508-862-4038 ><6"3� a, Application for Building Permit Application No: TB-17-3768 Date Recieved: 10/30/2017 Job Location: 20 GUILDFORD ROAD,CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: Carl J Rebello State Lic. No: CS-084358 Address: Swansea, MA 02777 Applicant Phone: (508) 567-4109 (Home)Owner's Name: HOLMES,THOMAS N Phone: (617)959-1858 (Home)Owner's Address: 20 GUILDFORD ROAD, CENTERVILLE, MA 02632 Work Description: Insulation, Air Sealing& Door weatherstripping. i? CZ W Total Value Of Work To Be Performed: $4,783.00CM -- rn Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers"Compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance'with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless-he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate°to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Carl Rebello 10/30/2017 (508)567-4109 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees 'r Total Project Cost : $4,783.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 10/30/2017 .$35.00 Paypal Paypal Total Permit Fee Paid: $85.00 10/30/2017 $50.00 Paypal Paypal I YOU WISH TO OPEN A BUSINESS? �J For Your, Information: Business certificates (cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you 09 must.do by M.G.L: - it.does nor,give you permission to operate.) You must first obtain the necessary signat.urcnson this form at: 200 Main St., Hyannis. Take the completed forni Icr the Town Clerk's Office, t st. FI., 367 Main St., Hyannis, MA 02601 ffmvn Hall) and get the Business Certificate that is required by Ia\w- DATE: i Z Fill in please: `® APPLICANT'S YOUR NAME/S:., C C&_Tf 1�r1Ts�' 'w of BUSINESS YOUR HOME ADDRESS: Zc - (-rv.'!d Fyrck i?_6 ! SC�'� ��c�_1�d'�3 G�+e��.v SIP , ✓� TELEPHONE # Home Telephone Number yoe- 54-11 4 } ! NAME OF CORPORATION: iT cS S NAME OF NEW BUSINESS z,�: u^ "I`�c+��` TYPE OF BUSINESS. •Co�s�i�:a.fi�.� `IS THIS A HOME OCCUPATION? Y NO. ADDRESS.OF:BUSINESS -Z0 6✓i-1,J rg: l IZ-1 > MAP/PARCEL NUMBER /7Z0C�.3 (Assessing) Ge✓t vr4!(eA When starting a new business there are several things you must do in order to be iri compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You.MUST GO TO 200 Main St: (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate yourbusiness in this town. 1. BUILDING CO MISSIO ER'S OFF This individua a e n-infor d ftykpemLiequirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION ' RULES AND REGULATIONS. FAILURE TO ¢ horiz Si rtur COMPLY MAY RESULT IN FINES.C MENT GL. 2. BOARD OF HEALTH This individual ha bee fmo d of the permit requirements that pertain to this type of business. MUST >OMPL`1(WITH ALL 1r) i.7.ARD0US MATERIALS REGI_,'L.ATIMic Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LI ENSI A THORITY) This individual has bIn inff o he licensing requirements that pertain to this type of business. Authorized.Signature* COMMENTS: .V J f " IME Regulatory Services P Thomas F.Geiler,Director ? * s�xrtsrwst,E. « Building Division MAMTom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:.508-7790-6230 Approved: Rjj� Fee., -19-3s Permit#: a o iae 5 Xff HOME OCCUPATION REGISTRATION Date lZ Name: i 'A-co^ Phone SIP?8 Address: cul, rck IZt> Ville,. GiPn kAV r•lie- Name of Business: &✓l6+0C 'W Type of Business: Map/Lot: /7Z 66 E*T'ENT: It is die intent of this section to allow the"residents of the Town of Barnstable to operate a home occupation within single f<-amily dwellings,subject to die provisions of Section 4-1.4 of die Zoning ordinance,provided that the activity. shall not be discernible from outside the dwelling. dnere sliall be no increase in noise or odor;no visual alteration to die premises which would suggest anything,other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundvv ester pollution: After registration mrith the Building Innspmtor,,a customary,home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by die permanent resident of a single family residential dwelling unit,located i-i' that dwelling unit. Such use occupies no more thaii 400 square"feet of space. • There are no external alterations to die 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 die production'of offensive noise,.vdbrntion,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�riiaterials,in excess of normal household quantities: • Any heed 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 are no commercial velhicles 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 die same lot.contain ing the Customary Home Occupation. • No sign shall-be displayed indicating die Customary Home Occupation. •. If the.Customary Home.Occupation is listed or advertised•as a business,die"street address shrill not be included. No person'slnall be employed in die Customary Home Occupation vvho is not a permanent resident of the d"'e unit. , I, the undersign nave read d agree tvidi die above restrictions for.my.honne occupation I aim registering. APPlicant G •.: . Date: Honaeoc.doc Rer.01/3/08. Date:112 'I,Co j 2- TOWN OF BARNSTABLE ��, +�;e� TOXIC AND HAZARDOUS MATERIALS ON-SITE NAME OF BUSINESS: tjRts 5livc BUSINESS LOCATION: Z-o re,4,v" Ue .k4,7 INVENTORY MAILING ADDRESS: l �{ , (.1Q r��P� TOTALAMOUNT: TELEPHONE NUMBER: S� 56c CONTACT PERSON:' htcr `5 rein �5 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District:. Waste Transportation: Last shipment of.hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch.A11, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW . ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW Ll USED (insecticides, herbicides,rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel; kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW, 0 USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages ` Wood preservatives(creosote),. Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes. Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Z ado ►��la+� yv�\ Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY.BUSINESS plic#s Signature $taff's Initials r' f - ' Town of Barnstable *Permit# b7012LIy F.Vires 6 months from issue date Regulatory Services Fee as -ov Thomas F.Geiler,Director . Building Division �9/Z?log 0 Tom Perry,CEO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number d O� Property Address �Ao v *esidential, Value of Work I�v Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address I VV 5 C A5 ft ' 1 _ y� Contractor's Name I`�1�1� � '�''/ Telephone Number . lr)� -qwa to Home Improvement Contractor License#(if applicable) ` 70r :Is o Supervisor's License#(if applicable)Compensation.Insurance Check one: ❑ I am a sole proprietor - ❑ L4lm the Homeowner I have Worker's Compensation Insurance Insurance Company Name &551JC,4'-�-D Workman's Comp.Policy# VC W-j ,5 DO 1 aU� _ _ Copy of Insurance Compliance Certificate must be on Tile. .� RR Permit Request(check box) S E P 18 2007 ❑ Re-roof(stripping old shingles) All construction debris will be taken to T(`il;m,i P ,s Q A,Pe r- ARe-roof(not stripping. Going over j existing layers of roof) y ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum,44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. I A copy of the Home Improvement Con rtors License is required. l j i SIGNATURE: ' Q:Fornu:expmtrg Revise061306 �---- T The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 , www.mass.gov/dia Workers"Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers ADPHcant Information Please Print Legibly Name(Business/Organizetion/Individual):. C -Address: LQ ola City/State/Zip: 1'1 �'0(. Phone.#:_ Are',you an employer? Check the appropriate box: 'Type of project(required):, 1 I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part-time).* have hired the su'b-contractors 6. El New construction . 2.El am a'sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition worldng for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required-] 5. ❑ We are a corporation and its 10:❑Electrical repairs or additions '3.❑ I am ahomeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12,7kRoof repairs insurance required.] t .e. 152, §1(4),and we have no employees. [No workers' . 13.❑ Other 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 providb their workers'comp.policy number. . I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. ) Insurance Company Name: ,/�'1 f( rjV • jjnADft, ,Z O�W Policy#or Self ins. Lic.#: b Y_a0 Expiration Date: (Tow acbO Job Site �� uK-t/Address: (�/�'� jW City/State/Zip: �J 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 QDIA for insurance covers e verification. I do hereb ce under ins•and pen es of perjury that the information provided above ' tru and correct: Sienature; Date: Phone#: Official use only. Do not write in this area,'to be completed by city or town oYj'77c1aL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: .,Phone#: f �oFIHE, y 'Town of Barnstable. Regulatory Services w SARNSTABLE, + MSS.. $ Thomas F.Geller,Director Building]division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If using A Builder as Owner of the subject property herebyauthorize � � 6 giommml'o act on my behalf, in all matters relative to.work authorized by this building permit application for: uL LD .O PDkD- (Add ess of Job) Sign tu:re of Owner 5ate , Print Name Q:F O R.NI S:OwNERP ERM IS S ION r- JOB ESTIMATE K.P.REMODELING&CONSTRUCTION 19 Guildford Road Centerville MA 02632 (508)420-2163 Cell (508)360-633 This estimate is only for work specifically outlined. Any unforeseen problems will be an additional charge above the estimate proposed. JOB LOCATION 20 Guildford Road Centerville, MA 02632 ESTIMATE FOR : Spiros Bourloukas 57 Highland Road Brookline, MA 02146 K.P.Remodeling&Construction will roof over existing roof with 20 square of new shingles and repair the chimmney flashing on 20 Guildford Road Centerville,MA. The total estimated cost for this job is: $3,200.00- "Please note that dump fee will be an extra charge. **A check for the amount stated above is due when proposal is signed. enneth O. Perry Date ` A,-L-2 // l Ho e Owner Date 'Timer 11eUU AP1 T'OI lJ - ' s` Client#:9580 2KPRE DATE ACORU. CERTIFICATE OF LIABILITY INSURANCE 09110/07DIyrYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A Associated Employers Insurance Compa Kenneth Perry D/B/A INSURER B: K.P. Remodeling&Construction INSURER C: 19 Guildford Road INSURER D Centerville, MA 02632 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IN R DD' TYPE OF INSURANCE POLICY NUMBER DATEYMMIDDIYEFFECTIVE POLICY EXPIRATION MIDDIYIYI LIMITS LTR NSR GENERAL LIABILITY EACH OCCURRENCE $ - DAMAGE S ERENTED COMMERCIAL GENERAL LIABILITY ce l $ CLAIMS MADE F-IOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: — - PRODUCTS-COMPIOP AGG $ POLICY JEo LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO - (Ea accident) ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS - (Per person) HIRED AUTOS BODILY INJURY NON-6WNED AUTOS - (Per accident) $ C`1 _ PROPERTY DAMAGE $ (Per accident). GARAGE LIABILITYti: I�F• AUTO ONLY-EA ACCIDENT $ I, l ANY-`AUTO OTHER THAN EA ACC $ - -- AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY _'-1 EACH OCCURRENCE $ OCCUR C: CLAIMS MADE AGGREGATE $ - $ DEDUCTI BL'-E-' t $ RETENTION $ $ A WORKERS COMPENSATION AND WCC5005450012007 06/13/07 06113/08 X we STATU- ER- EMP LIABILITY E.L.EACH ACCIDENT $100 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 O00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS **Workers Comp Information** Voluntary Compensation Massachusetts Limits of Liability Endorsement Form#WC200301 Edt Date:04/01/84 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable Bldg Div. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL. 10_ DAYS WRITTEN Attn:Tom Perry-Commissioner NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) 1 of 3 #49038 ,JMH © ACORD CORPORATION 1988 ✓�ie Van�rc�i�ueccl a�✓�aaaac<euaelta ` 1 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration `1.32282 i Board of Building Regulations and Standards Expiration 2008 Tr# 124628 One Ashburton Place Rm 1301 12%21/ 1/ Boston Ma.02108 r� Type DBA' psi K.P. REMODELING ' KENNETH•PERRY �19 GUILDFORDRD� Centeivil►e,MA 02632 Administrator Not valid vvitho t e 05 � � s -_Z) U -e 1A L (�kAssessor's map and lot number ... 3 /� .........11��.............. 21 STNE ,jS' ewage Permit number ......... ................ ��House number "n? ......... SARNSTAXE. MASIL 1639. 0 MAX TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... .............................................................................. TYPE OF CONSTRUCTION ..... ....... .......... V .......................................................... TO THE INSPECTOR`OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ................ Location .... . . ......... ...................... ....... Proposed Use ........................... ........................................................ ......................... ZoningDistrict ........................................................................Fire District ........................................................... ................ ... .......�./—..A Jl�Aciclressa,2.-),�.... ... ............. Name of Owner--,� .................... .......... Name of Builder Address ............................................./..?.L....1.1.�..... ........... .......................... Name of Architect r..........Address 124. 9�� -2z -,, 0-z,, u :5�./........................................................................ Numberof Rooms Foundation............................................................. ............................................................................. W :Q Exierior .......!.......... ......................................Roofing .1...................................I................. .. . l , Interior .. .Floors �). ............Ot................. ....4.14 ........ ................................................ Heating ........................Plumbing ........................................................................................ .. Fireplace J................. I.................................................Approximate Cost 000, .................................................... / - - ') -7- .,:s Definitive Plan Approved by Planning Board --------------------------------19--------- Area .......................................... py Diagram of Lot and Building with Dimensions Fee ............................................. / /,,, 0 4 it SUBJECT TO APPROVAL OF/BOARD OF HEALTH ,0 j 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 .,.......................o........................................................ (m Construction Supervisor's License ..................................... BRENNAN, MATHEW A=172-63 No ,27263. Permit for ..One Story ... ......... Single 3`ami?1. Dwelling ............................................................................... Location .Lot 181, 20 Guildford Road ............................................ Centerville ............................................................................... Owner Matthem Brennan .................................................................. ` Frame Type of Construction. .......................................... ................................................................................ Plot ............................ Lot ................................ November 27, 84 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 I ]- '1'-Aseissw's map and lot number ...... ..7.................I............. Q/rC, aY1 ` wage Permit number ..... QQ CC�� A 1 �dr at��l �. Z BARNSTADLE, • Ouse number .............. v 'Y� t?t? �n, Maea �. L pp 2639. } a r.y TITLE 5 �OYPY Or9 ILCIE AID TOWN ' OF B A R N S�TAb �W"P � N BUILDING INSPECTOR m APPLICATION FOR PERMIT TO .............................. TYPE OF,CONSTRUCTION .................. c...... ..,..�.. ..................................... .............r............................ TO THE:INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information .................. .............. n...:. , � q Location 3 t8 �J r .. /�' 4 6�Q 's.- .. .�................ Proposed Use ........ .� ......... :.... .................. .....:.:......y.;:,;.�u:,?::: : .... f Zoning District ..........:........'.....................................................fire District ..................... !� ddress Name of Owner .. ... .......... ... ...... ..... .....................rl.. ..�`.T:.......... ...... ..... Name of Builder /u?�(. .. ... ...... ............... ......Address .............. ........,.............. .�r.... n ../..:� Name of Architect pp/ -o �• �f��� ram- .. O 2J... v ........... J.:....<4.. ........ .. ....�.............Address ... ... ................................,......:......�.................... X . D ,,....,.Foundation !'D Number of Rooms .... .................................................... ............................................................................ . e Exterior ......................... ................................................Roofing .. .� 5....... ... ................":v............ ....................... r , � �. Floors ................ ................. ... ...... ........................:.:.Triter... �' ...............................................1................... i. Heating ..........................5.................................................Plumbing .................................................................................. Fireplace ..)...............................................................................Approximate Cost ....... 000................................... Definitive Plan Approved by Planning Board ________________________________19________. Area '..:d................................ .... Diagram of Lot and Building'with Dimensions Fee ._ . ................. ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 7(3® ,0® Cuj,li�j°> ) 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 .. ... .. ...................... .-BRENNAN, MATT-HEW 27263 One Story 140 ................. Permit for ..................................... I.....sinqlqjF ly.. vellin ..................... Lactation ... 20. Guildford Road ....................................... ...Qente4 vi Ile..................................... Owner ..Matthew Brennan................................................................ Type of Construction .....Frame.......................... ........................................................................... a. Plot ........................ Lot ................................ Noverrber-27, 84.......19 Permit Granted ........ ..................... .... ..........Date of Inspecti ...... ...19 Completed .... X.......19 4 lip.......... 4j Z t y L � D /lqv R .. GU _ Zo,oD , 0 c L o 0 -0 Z __ c 8/oN O ;1 311 o comae O � ,t ZO/V," _ /4 C 2`/ A '� n)//V. /rm/w, -S, y = /a 0 N �o r t /DO 00 vv 5 390 �9 PLOT PLAN. THE STRUCTURES SHOWN WERE . IN LOCATED ON THE GROUND ON - Ivo yC�/t/rEi�VIZZ , MASS. THIS SKETCH /S FOR PLOT PLAN PURPOSES ONLY AND SHOULD /VD V. c-6 , /9 8 4 l " = 30, NOT BE USED FOR ANY OTHER PURPOSE . / CAPE COD SURVEY, CONSULTANTS 76 ENTERPRISE ROAD i �� HYANNIS MASS REGISTERED LAND SURVEYOR o, � C. ' 0 v No. 29869 r PROJECT NO. 03 - /-Ylv7- 0 0 :` �'�r TMr TOWN OF:BARN9TABLE 27263 Permit No. ---------- =- ------ Building Inspector cash` ($4�Oe 00)Oulu s,anru i i OCCUPANCY PERMIT Bond — ------------------- k Issued to Matthew $ iul n_ ' Address Lot 181, 2( Wildfo�d 1W'arI,)Centervli�t Wiring Inspector AA ` �` l ' f Inspection date Plumbing Inspectors ; , Inspection date, �•- - Gas Inspector ti s *A f-;,-r`#, d t Inspection date 1lJ;�un e8� X Engineering Departihent 6,),- IInspeciion date - sF Board of Health C,4+.� t��. - Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL=NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY #COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. t /7 �� ........... ......................... ...... 19.. . y. Building Inspector µ~