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HomeMy WebLinkAbout0026 HADRADA LANE � �` �J Town' of Barnstable EcEi s ' 4... -a 200 Main Street Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-2734 Date Recieved: 8/9/2017 Job Location: 26 HADRADA LANE,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: BRIAN D DENNISON . State Lic. No: CS-095707 Address: Chariton, MA 01507 Applicant Phone: (401)714-6399 (Home)Owner's Name: DOWNEY,JAMES E Phone: -0 --� (Home)Owner's Address: P 0 BOX 501, CENTERVILLE,MA 02632 Work Description: replace windows Cn M Total Value Of Work To Be Performed: $5,403.00 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). 1 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: SOUTHERN NEW ENGLAND 8/9/2017 (401)714-6399' WINDOWS LLC. Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: , $5,403.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.00 8/16/2017 $35.00 Visa:XXXX-7CXXX- Credit Card JCXX-7716 .................................................................................................................................:......................................................................................................................................_................... Total Permit Fee Paid: $35.00 v .Maw- Town of Barnstable ` .*Permit#a U p Expires 6 months from issue date Regulatory Services Fee • ■asxsrnsrAKAMER • ,09 Richard V.Scali,Director ISS PERMIT Building Division Alt� �o Tom Perry,CBO,Building Commissioner U ti- `p, 200 Main Street,Hyannis,MA 02601 TON OF Bt1f11UST�9BLG, www.town.bamstable.ma.us Office: 508-862-4038 I9 • - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �. Property Address. .26 dW j r G��e) C wt}-G d e P ❑Residential Value of Work$ W y SV • Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address j qrh t Contractor's Name 01 0+;i o<_ e,�'� ,r� Telephone Number ?�j T2-Z ©522 Home Improvement Contractor License#(if applicable) Email: ` Construction Supervisor's License#(if applicable)_ 105 Ct S) ❑Workman's Compensation Insurance Che,&one: ®'I am a sole proprietor ❑ lam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toA�Yvl"b ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ti ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. A copy of the Home Improvement Wtractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 1 ?lie Commonwealth Q,f as'sachusetfs DeparayriuM of Industrial Accidents Owe o,f imles'tigations 600 Waslihiigion Street y.. . Boston,MA 02111 ivrvtu:mass gov1dia Workers' Campensation Insurance Affidavit Bu ilder-JC.ontractarslEIectricians/Plumbers Applicant Infer-mation Please Print Le:QibIY Name(B eexr e i . if en Sfi,r k c r ire• Address: cityls 2- Are you an employer?Check the appropriate b Type of project(required): 1-❑ I am a employer vrith 4 ffI am a general contractoi and I 6- [:]New construction employees(full artWor part-time).*, have lured.the sub-comt¢actofs 2.❑ I am a sole proprietor orpartner- listed on the attached sheet: 7. ❑Remodeling These sub-coalractors bave ship and have ILO employees. $. ❑Demolition working for me in any capacity. employees and hate wodcers' [No workers' camp.insurance comp-insuranim-1 9. ❑Building addition e required-] 5. ❑ We are a corporation and its. 10_❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work officers have exercised their li-❑Plumbing repairs'or•additions o ' right of exemption per MGL ni5' € � ,�or� �F= _. 12:❑Roof repairs insurance required.]i c.152, §1(4X and we have no r employees.[No workers' 13-❑Other camp-insurance required_] 'Any spplic=fst checks box OR maw e]so fill out the section below showing the'¢woikere compensation policy info tiaa Homeowners who submit this afiidat*indicating they axe doing all wa l and then bile outside conusctors matt submit anew affidavit indica=.v sud, =Couusctors that check this boat must attached as additianal sheet showing the name of the sub-cautractoxs and state whether or not those des have " employees.I€thesub-cont®cturshave employees,theym wprovide their workers'romp.policy number. 1 am an empl-1w that isprmiding it�orkers cotngm-nurffan insurance for uzy employees Below is Yee policy and job site inf ormatiom 6 Insurance CoL:ipany.Name: Policy,41,or Self-ins.tic-9: Eocpiratioa Date: Job Site Adds.=- 26 �14A( t JI) ►� 'Lc41 r��) � //UI/L Cityistatdzip: 40— Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as requited under Section 25A of MGL c- 152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 and for one-year imprisonment,as well as civil penal ies.in the form of a STOP WORKORDER and a hue 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. 1 da hereby cedtf fy seeder tine its aced pert erfury 8tatflts ut,formatia prm ded abm a is true and correct Sirmature: hate_ ' Phone i� Z D52 2 Ofj'aciaL use only. ,Do trot write in tars area,to be completed by city or town offrcrat City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health, 3.Building Department 3.CftylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ; Massachusetts General Laws chapter 152 regoires all employ=to provide workers'compensation for their employees. Pursuaot-to this statute,aa..eraplayee is defined as."-.every person in the service of another under any contract of hue, express or imrplied,oral or writtem" 8-is defined as"an individnal, mInership,association,corporation or other legal e�rty,or any two or more An erRplay P 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 a d house having not more than three apartments and who resides therein,or the occagant of the - owner of welling vmg - dwPT�house of another who employs persons to do maim mance,construction or repair work on such dweIImg house or on the grounds or building appuitenmmtthereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25q,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.covexage regnsed." Additionally,MGL chapter 152,§25CM states"Neither the commonwealth nor my of its political subdivisions shalt enter into any contract for the performance ofpublic work unit acceptable evidence of compliance with the incrn2nc0.. requirements of this chapter have been presented to the contracting auihozity-" Applicants Please.fll oi± the wodceas'compensation affidavit completely,by checl®g the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone numbers)along with their certificate(s)of ;nsi ce. Limited Liability Companies(LLC)or L-mmitr-d Liability Pm nerships(LLP)with no employees other than the, members or partners,are not repined to carry workers' compensation imsorance. N an LLC or LLP does have employees, a policy is regn ed. Be advised that this affidavit may be submitted to the Department of Industrial' Accidents for confnnation of msarance coverage. Also be sure to sign and date-he affidavit The affidavit should be ret=omed to the city or town that the application for the permit or license is being requested,not time Depart ramf of Irrin.cfriai A ccidents. Should you have any questions regarding the law or ifyou are mq i ed to obtain a workers' compensation policy,please call the Department at the number listed below. self-insured companies should enter their s elf-i R*r n ce license number on the appropriate line. City or Town Officials . t Please be sine that the affidavit is complete and printed Iegiibly., The Department has provided a space at the bottom of the affidavit for you tin fill out in.the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill is the pem ah/license number which will be used as a reference number. In.addition,an applicant that must submit multiple pmnit/license applications in any given year,need only submit one affidavit indicating cmi at policy infirm ation(if necessary)and under"Job Site Address"the applicant should Wri- "nit locations in or town)-"A copy of the affidavit that:has been officially stamped or mariced by the city or t1)wn may be provided to the applicant as proofthat a valid affidavit is oa file for fume permits or licenses A new affidavit must be filled out each e year.Where a home owner or citizen is obtaining a license or permrt not related to any business or commercial ventur (Le. a dog license or permit to bum leaves etc.)said person is NOT rt-.q d to complete this affidavit The Office of Investigations would at to thank you na advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Dt--R7bnenCs address,telephone and faxnumber_ -Thc C:G.=m1mwe�a1a of Massachussfat Department(if ladial Agents Offi(ve afkve&tikatio.= 604 Vh;sb CYII t BQstoll.,MA G2111 Tf,-1.#617 727-49GO cxt 406 or 1--977-MAS&F Fax# 617-727-774 Revised 4-24-07 - w w Lr-masg-gavldia I r %NI/12/2015 MON 13: 5 FAA 5089923538 southeastern ?A 2001/001 ' coRv CERTIFICATE OF LIABILITY INSURANCE DATE(MM10C1YYYY) 1/12/2015 Hf5'CERTIFI'CATE'IS ISSUED AS A MATTER OF FNFORMATiON Q:NLY AND'CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BELOWICATE DOES NOT.AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ' IMPORTANT: Ifthe certtficate holder is an ADDITI'O:NAL INSURED;:atie poi.icypes) must 6e'endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pbl, certain policies may require an endorsement.'A statement on this certificate does not confer rights to the certificate ho_tder In.Lieu of such endorsem:ent(sl. PRODUCER - 0 '� FLAME: Joanne Bretton Southeastern Insurance Agency, Inc. PH2NE —' alcNu: (50B).997-6061 FAic.No; (soe)990-2731 439 State Rd. MAIL: P.-0. Box 79398 jbrettoh@southeasternins.com North. Dartmouth IN AFFORDING COVERAGE NAIL t MA 02 74 7 --------- IC I ----- A iNSURERA rbella Protection Insurance 41360 -INSURED INSURERS AEIC A11 Cape Exterior Remodel'ing LLC IttsuREFic: 1 12 Baldwin Road _ `INSURER Et ---- Dennis MA 02:638 --- INSURER FI: COVERAGES CERTIFICATE NUMBER:2015 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:ISSUEED OR'MAY PERTAIN THE INSURANC9 AFFORDED BY THE POLICIES'DESORIBED HEREIN IS SUBJECT EC ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN"MAYHAVIE BEEN itEDU,CED BY PAID CLAIMS; iNSR. ..... .. ..AID .LTR TYPEAFINSURANCE. :.POLICYEFF I, POUCY EXP "-'--- — "' POLICYNUMBER; -.MMIP3 ::MMIDDI. i LIMITS GENERAL LIABILITY EACH 1,000,000 I X C-Z)-Mf,1ERQ.4L GtaJER L_€A3i ITY I A r•A t '--- AIM,d AJ C^'OCCUR' � 500.04:1,933' L'1-14/2015 L/14/2016 I ! 5,OnV_D GSP,Any=,e car. - I ,. !.PERSONA:&ADV!_N_JJR! L: 1,000,000 - [GENERAL .AGGRE g 2000000 1—�1 AGGRc ATc LIMIT ��1=S =E I G 1� , , — _. X i :irY i C I COS:t�r0� 2,000,000 v :. LOC I i L .. ... . ;AUTOMOBILE LIABILITY- AW'AUT:; • - i. _(yes ^e b - ' ---._-'-- �.—{fi:1TOS t I A:1T�.c i _ a. I (•FOCI 71N'(..r. y.3.y : i :DAUT: e�(, _. LABOCCURSS i C N'1S-I A.DEI I RETENTION§ I ---'t.._.—'----- $ YIORKERS COMPENSATION i AkD EMPLOYERS'LIABILITY i ` " OT l i Y`N I i 'I_..� cR I ANY PROPo ETORPA-TFiR h�CUTiI•F ------ I ER.r 1' 2E CiLUD 3� �IN/AJ II Fa . - T Ii 1 000,000 (Mandat.ryinNN) _—%; WGC5:0078962014A:. 1�/9/2015 /9/20.1.6 r ! J----'- �lyes de<mCe urdsr I - h_a. Ac' _A E.IPLO-5 i 1,000,000 DESCRIPTIvN OF OPERATIONS be;cw I -:: --- iSE ASE-P�LXY_!M-T000 O00 1—_—_r_ i I i .DESCRIPTION OF OP ( - - i F,RATONSI LOCATIONS?VEHICLES Attseh*.ORb t01 Additional As marks Schedule;Irmoie space.is required) CERtm.&ATE HOLDER `CANCE[LAT!'ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA710N DATE THEREOF, NOTICE WILL BE DEL)VERED IN H- Advisor ACCORDANCE"YifITH THEPOLICY PROVISIONS, X4023 Denver West Parkway Golden, Co 80401 IIUTHORZED'REPRESENTATIVE Joanne Bretton/JB. ACORD 25(2010105) 01988=2010 ACORD CORPORATION. All rights reserved. i • , CvKEY & CORE CONSTRUCTION 1672 FALMOUTH RD #117, CENTERVILLE, MA 02632 RH,ONE R� UIBBER !i —F, —F, --lb RE % R0QF1NG. PROP'OSAL June 20, 2015 JAMES DOWNEY 26 HADRADA Tel: 508-419-7135 CENTERVILLE,MA COREY & COREY hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles from the Dormer. Supply and Install NEW RUBBER ROOFING MEMBRANE TOTALLY ADHERED over%" STRUCTODECK UNDERLAYMENT Held Down with Plates and Rubber Coated Screws. Supply and Install NEW RUBBER EDGE TAPE with CLEANER/PRIMER on All of the Existing Rubber Roofing Seam and on NEW C-6 WHITE ALUMINUM RAKE AND FASCIA AREAS. Supply and Install NEW SELF ADHERING WITCHES HAT WITH CLAMPS, WATER STOP and LAP SEALANT on the Bathroom Vent Pipe. Supply and Install NEW SMART SINGLE SIDED RIDGE VENT on the Entire Main Ridge. Supply and Install NEW CERTAINTEED LANDMARK AR ENHANCED RIDGE CAPS COLOR: BIRCHWOOD , Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT ------------ $ 4450.00 i0 +� Loo u R E Y E Y___ CONSTRUCTION POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 80.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion,. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 60 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Therefore Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. Please Make Checks Payable to: ARMEN SAFARYAN COREY & COREY Warranties the Materials and Labor for 10 years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: JAMES DOWNEY CHARLE , CONSULTANT HOMEOWNER COREY S Y CONSTRUCTION i • �£a`` �� �, -� �, � � � °� �„s xis.. <-�, H 3 ss3rt�sss E3ear€rnwi*r of PuG1c 5y 3 v1 13trifdtag RtxgUta`I ant' �"trrss son~6u)ers�i�rrr Lice, SIR CSSL,-105951:.. `` 1ttt31�} f?ZG3g �. z = `. fl �AS r License or registration valid for individul use only 'Office oft.onsumer Affairs&BusinescRegulation before the expiration date. if found return to: F#OME IMPRQUEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation e Registration: 173192 Type l0 park Plaza-Suite'170 ;`Expiration: 9/19:12016 �JBA Boston.NIA 02116 COREY AND COREY CONSTRUCTION PATRICK CLIFFORD' 12.8ALOWEN RQ DENNIS.PW 02638 l ndersecretacy Not.and"'itho*2nc i ON FOu.c/D ry' � � a tl l P J a. ��° 'G��'�4'T/0.6/: c'�.c,/T��✓ice[.�' iP//'A s'� �/o o® c"�4�- '�`�v7-iG 7.#.a./.�,.�t� � ��` } ®j::;7AQ/G. E: /IV- Oro ' ?OA7TC-6. /� / � 1 � °�.,; � Co���JJaj Al/T 7�✓/'7r /!,',BF yt/f /f✓s � vSTAiCIX, � AyAyAy''� i��S7 i / iw. �_ r Q a °� �•y�y� 4 • ��� /v&E OaV" C6',-°T/FY TNagT 7.4O SCJ/L.D/1/4e r �WW Ili �Av/ r"/S APL *A.1 /S L..00 q7-0 , OA/ TLVE s90 -VWOWA-1 f/Ea'i�3®oti/ �a�t� 7-/bo97' /T x#' 4-0' To 6 I •Y/j e�: '�,Y-�L.6�JEN5 �O� T�,/E 7'?76N�1./ OF �.t�.f/5Ti9/�G/� d .. ��\��,/"•""'`' 1.{� � �y '�� ee , ,R:/�/t/ COiVSTE'GJGTEA. O gF?f�E ySG�//+; 'J i' A--' �• r^ e1�� ` �x'e: i{ CJTE �A^-Y eMOGJTf,/ MASS. af?TE s Via- Asse K's' ap and lot •number . ! 1 ( G ...... ► r EPTI,C SYSTE_', F vs @E { • � FIJAN •w �_� r_ � •. . �,�/ a f.,- INSTALLE0...1�, CO�.`4 . • ""!� r� "~ F II STfiTE 'C Sewage Permit number .................................... i VV11TH A cT1>.,1 ' ' r SA,;ITA:? CC', p qlp TON1N y�F7RET��� `c) f. TOWN : OF' 13ARWTWBLE `y 9 MABL{I ` RU.1, D.1N INSPECTOR�p i639 `0 �0 NPY c 0 t e; .r zl , c, APPLICATION: FOR;PERMIT TO ............ .... .(�✓.°.-�/ ....................................................... TYPEOF CONSTRUCTION ... . . ........... ....................................................................... ....... . .................19 5. TO THE INSPECTOR OF BUILDINGS: The undersigned h eby a plies for .a permit acc rding to the follo ing information: ./•7- Location ............ ......:........... ..................... ......................:................ .. . ............................ .. .......: ..........,.... ........... ProposedUse ......... �,,�- ... ..:.. ..... ..... . ... .. ......... ................................ ........................ .............................. ...Fire District ............ ...... .............Y.. Zoning District ......................�.............. .................... ................... !....................... Name of Owner .. ....:. e..................Address ...... .. . ... t (>C Name of Builder ....... ............................Address Name of Architect ...r-..............................................................Address ... ................................ . .. Numberof Rooms .................7....... ....,......... ....................Foundation .... ......:......... ...... ............................................... Exterior ......... .. ........................Roofing ....... Floors .......... .. . ... . .....:.�U*4'".2 . .... ........Interior ..... . .. ./1.... .. .... ................................................ Heating ........... .4�' ........ .............:....Plumbing .................................................................................. Fireplace ....................... .......................................................Approximate Cost ............. Definitive Plan Approved by Planning. Board --------------3-____________197 -- Area .../2t/* 6......-:..��..�Q��� Diagram of Lot and Building with Dimensions J Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' o I hereby agree to conform to all the Rules and Regulations of the To of Barnstable rea rding t e abov construction. Name Capewide Development .......... 18M... Permit s.t?Fy....... -fArqily'.dwelling..................... .... .... . ................ Hadr ada, Lane Location ................................................................. Centerville ............................................................................... Capewide Development ti Owner .............................i.................................... frame Type of Construction .......................................... • .................................................................. ............. 17 -14 #17 Plot ..................... Lot ................................ Deeember/lT 75 Permit Granted ........... ........19 .Date of Inspection ...... ..... Date Completed ... PERMIT"REFUSED// .................................................. ...... 19 ........................................................... ................... ................................................................................ I - 'Ool. ................................................................................ ......................................................................... L A V- 14, Approved ................................................. 19 ................................................... ........................... fj .................................................... ..................... {r (Z-o T i s .� is, az� �'� �. °, is • ,. ! , To IAA S. W ° b � q'� i• � 4 � -� � �.. $�QI�Y ..a_. ;� -O t � � F �i} �yf ` �� 'i s dY s' x m it t Avs GE.c/7' �✓iGL /odo Ca G . "E pTiG 7729 A.44t ATE: '0 O �' ems^- ���.✓; QGo.� 2a�3/ .1P/�' M11�s�✓ M"CJWAl OA/ /S 40ct97-a-0 OA.1 Nc wwb(dA/0' jQ.W 3M0WA/ 76•d@L0494:)" 6*7vD 71"q7, /T �r .fir CO7t/P'®,L'.t-'• 7'o rs•✓c Ao rL-I 7'od/ tl OF / F.✓if/39P�7 G/a ` L,t\ h`7��/ \ ` r s" i t,. y ada �/ C�,t/�TECJCTED. ARPlZ fAP OJAI 1; a c^y/15lh7_�.tit a V �"�`OdJTE 6�i^-��'MOC,JTf-•/m MRSS. afarE "�� �' ,, ,���''►Y�O,,&.'��_`�''` ��* Ass is" fiap, and 'lot number / ♦;f-f 'j. jj , ♦ �! XW 1 Sewage .Permit number . , THE.T TOWN OF BARNSTABLE - Z BABHSTOBLE, i ° oaya�•�9 BUM " ' INSPECTOR APPLICATION FOR PERMIT TO .. s.....�............ .. .... y............-'�....... ................ .............................. TYPE OF CONSTRUCTION ........`! `7 -ram' •"� + M s .......................................:................................... / - ................... ...�:.................19 ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby,'applies for a permit according to the following information- Location ........ _ ` ,./�........... .: Proposed Use ....... .•a! ^! ! �t•• �;�r1;.,!. ,..� �*"t. ......�':.:���(rt. er........ ........... .............................. .. y� ..................Fire District rr ......................................... / ZoningDistrict ............................'.�...... .....`�... �:.......f............:�`........... .......... ........ r....... ,.. ... C. l�/�'L[/'a� .�- ems/+ ' Name of Owner ................ ................,. ...... ......................-.��:+:.......::....:............................Address r ,�X" rr �r / r i Nameof Builder Address..I.......�f .................... ........................................... ( ......... (r.................../r. ..............................................................r Name of Architect ............ .............................Address Numberof Rooms ...............................................Foundation ........................ ........:........................................... {J E J+,•••Exterior f '! ?6�- lww'41f-w ...Roofing .......... f ' l/ /� Floors :.: .1 ......................................;...........Interror .......,........./I....::�:`�:...... Heating ........ t//r :!,...... �i•'• ?�w1.........Plumbing .......? ................ . ................................................. Fireplace ....... .........r.4.......................................................Approximate Cost ......�.��.��.................. ya .-Ault Definitive Plan Approved by Planning Board _____________ _____________19a__, Area ...:�..�..•./�^:......... ��s... 4rti� Diagram of Lot and Building with Dimensions Fee S SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town1of Barnstable regarding the abov/7 construction. Name 'llj.tll�. ram"" ...... ..• ..,,�. --•;,• l Capewide Development A=148-97 18098 1 1/2 story, Permit for .................................... ................. single family dwelling ............:.................................................... Hadrada Lane" V Location ................................................................ Centerville .............................................. ................................ Capewide De)elopment , Owner .................................. ................................ f f ame Type of Construction ......... ................................ ............................................. .................................. Y/ Plot ............................ L.t ........#17........................ Permit Granted ........De em 10 75 ei, .... ............ . ............19 Date of Inspection ...................... ...:..........19 Date Completed ....................... ..............19 PERMIT REFUS ID ................................................. ............ 19 ............................................................................... 4 .............. ............zAI,77' ..... .......................... ........................................................... .................... LApproved ......................................... ..... .19 . .......................................................... ........................................................ ...............