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HomeMy WebLinkAbout0074 HITCHING POST LANE .>a f u r �tI+E Town of Barnstable *Permit# C� Expires 6 months from issue date Regulatory Services Fee_ ,,- � bn • aARNSTABM � 039. `0$ Thomas F.Geiler,Director Building Division X-PRESS PERMIT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 l�s ) www.town.barnstable.ma.us t. OWE Office: 508-862-4038 : 5 EXPRESS PERMIT APPLICATION - RESIDENTIAL, ONLY Not Valid without Red X-Press Imprint Map/parcel Number 7:??/0 sef Property Address -7!1� 1-h Mol dLr ?,o5T Lk n1 C [2(esidential Value of Work Minimum fee of$35.00 for work under$6000.00 t. Owner's Name&Address t4) t—W A-M O 4*4—e ?+ r-r-t rLc a►�t cry �osT ��>s cys-�n c� u MA- Contractor'sa Z�3 Z Name S11OVf=A`- A-o Telephone Number 0$- Home Improvement Contractor License#(if applicable) /O/Z 5/ Construction Supervisor's License#(if applicable) j -3 E5 g 5- ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor WI am the Homeowner have Worker's Compensation Insurance Insurance Company Name th Cc— Workman's Comp.Policy# Gc1 00 SS /S Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)'(not stripping. Going over existing layers of roof). ❑ Re-side #of doors [Replacement Windows/doors/sliders:U-Value . 30 (maximum.35)#of windows *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 Contractors License&Construction Supervisors License is / required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 `. 9Xe G� � Office of Consumer Affairs and Regulation 10 Park Plaza+ Suite.5170 f Boston; Massachusetts 02116 Home Improvement Coritractor Registration Registration: 101251 Type: DBA Expiration: 6/25/2012 Tr# 299182 STEVENS HOME IMPROVEMENT CC Steven Alves - ---- — -- 119 ALDEN ROAD` -- --- ---- . — Fairhaven, MA 02719 Update Address and return card.Ntark reason for change. �I'Address Renewal ❑ Employment `i Lost Card OPS-CAI 0 SOM-04104-G101216 - - - OP ID: DT CERTIFICATE OF L"ABILITY INSURANCE - DATE118DlYYYY, �- 02I18111 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 CONSTITUTE 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(ies)must.-be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. CGNTACT PRODUCER 508-678-5267 NAngE: - Ht-,DLEY INSURANCE AGCY INC 508-678-4539 PAIC",ve Exl arc.No': 246 DURFEE STREET E V.AIL ADDRESS: FALL RIVER, MA 02720 PRODUCER. STEVE-1 Christopher M. Hadley CUSTOMER 10s: INSURER(S)AFFORDING COVERAGE NAIC f - INSURED Stevens Home Improve CO Inc "" I NSURER A:Chards _ - 23809 . 119 Alden Road B:Merchants Mutual Ins. Co. Fairhaven, MA 02719 c: INSURER D " .. INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: " THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELCW'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 9Y: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. TKSRDDLISUB POLICY EFF POLICY EXP - LIMITS LT'r� TYPE OF INSURANCE POLICY NUMBER 'MMIDDNYYY` MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 Alv A— 100,000 B X COMMERCIAL GENERAL LLABILITY .. - PREMISES Ea occurrence! $ MEDEXPIAnyon person) $ 6,000 CLAIMS-MADE OCCUR BOP 9096633 07/21110 11121111 PERSONAL r A.DV iNURY g 1,000,000 GENERA-AGGREGATE 2,000,0OC GEN'L AGGREGATE LIMIT APPLIES PER. PRGDUCTS•CGMPIOPAGG S 2,000.000 POLICY PR LOC O- AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ 1,000,000 lEa acader,;) B. ANY AUTO BODILY N,URY(Par person) s ALL OWNEDAUTOS - - BODILY INJURY(Per accident) $ - B X SCHEDULEDAUTOS MCA 7014643 07/23710' 07/23/11 PROPERTYDAMAGE X HIREDAUTOS - I IPeraccident) X NON•OWNEDAUTOS $ UMBRELLA LIAB OCCUR _ EACH OCCURRENCE - 5 EXCESS LIAB HCLAIMS-MADE - - .AGGREGATE` S DEDUCTIBLE RETENTION $ I S WORKERS COMPENSATION X WC SC"."TS OTH- AND EMPLOYERS'LIABILITY ToFY'�:In417s ER ! A ANY PROPRIETORIPARTNERIEXECUTIVE Y❑ NIA C 005,871839 02104//1 02/04112 E,L EACH ACCIDENT S 1,DDD,DDD OFFICER/MEMBER EXCLUDED? - - (MandatoryinNH) I E.L.DISEASE•EAEMPLOYEE S 1,000,000 II yes,describe under - - DESCRIPTION OF OPERATIONS below I. F I. DISEASF-POLK,Y LIMIT S 1,000,.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,:Additional Remadis.Schedule,if more:space is required) - CERTIFICATE HOLDER CANCELLATION INSURED , SHOULD ANY.OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Insured - AUTHORIZED REPRESENTATIVE _ Christopher M' Hadley I ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD t�lasx:tclntxctts - I)cltar-(nu•n( nl•['uhlic Safct� • I3nartl nl I3ttildint: Re'—'Iilatinn. and Sf:kj) ;lf-(k I Construction Supervisor License License: CS 13895 Restricted to: 00 STEVEN ALVES 119 ALDEN RD " FAIRHAVEN, MA 02719 Expiration: 7/15/2011 -- , ('onuni..i nu r TO: 20308 r r _ 4r - F The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Slreel Boston, MA 02111 wwfv.mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Illectricians%Plunabers Applicant Information L / Please Print egibly Name (Business/Organization/individual): �Teyen s '7�JaYv\e Address: R City/State/Zip: / /rYA Je�i' t�- p� �t5 Pliol>e #: Are you an employer? Check the appropriate box: Type of project(required): �.X.I am a employer with/O 4. ❑ I am a general contractor and I 5 New construction employees (full and/or part-tbne).* _have hired the sub-contractors 2.❑ I am a sole proprietor or partncr- listed on the attached sect. + 7. ❑ R.emodeling ship and have no employees Thesc sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' conip. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We arc a corporation and its. required.] officers have exercised their 1.0.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 I-❑ Plumbing repairs or additions myself. [No workers' comp. C. 152, §1(4), and we have no 12. ❑ Roofrepaus insurance required.] t employees. [No workers' .. 13.0 Other comp. insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'conipcnsa(ion policy infortnation: ' t Homeowners ivho submit this affidavit indicating they are doing all work and then hire ouisidc contractors must subnut a new affidavit indicating such, lContractors that check this box must attached an additional sheet showing the name of the subcontractors and tlicir workers'contp.policy information. I um an employer that is providing workers'compensation insurance for lny employees. Belo iv is the policy and job site Information. TT Insurance Company Name: -- Policy#or Self-ins.Lic. #:_ WC, 005 ) .i b 3 Expiration Date: �-- Job Site Address: _74-HlTah ►ems- po<-, Lail![= e�xri'�t�1e,L� City/State/Zip: t M n, Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration-date). Failure to seture 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.tivs statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce!!Ty under thepatns and penalties ofperyury that the information provided above is true and correct Sizpature: (' J`�v �—' Date: 8 / Phone#: S� R 9 -7 9 cl q-5— Ogicial use only. Do not write in this area,to be completed by city or town official. City or Town: Permiaicense# 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#: �IME * 13A1t.STABtX • , ` ,�� Town of Barnstable RFD MP'�p Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 601a/AW . O 14AYLC ,as Owner of the subject property hereby authorize �Zi -VeWS 4Dmes 1MPRocX-1-Aet I,yC to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 -7+ f-hrewlNX. l'osr I J Cr_ O H Office of Co t ns� mer Affairs and us i Q Hess Re elation s 10 Park Plaza : Suite 5.7 Boston; Massachusetts 021 16 Home Improvement Contractor Registration Resist a;ion: 101251 Pipe: DBA - _ -_- Expiration: 6125i2012 Tray 299182 STEVENS HOME IMPROVEMENT-cc::-'. -- Steven Alves - ---- — 119 ALDEN ROAD _— Faiihaven, MA 02719 Update Address and return card,Mark reason for change. Address Renewal f j Employment ;D Lost Card OPS-CAI 0 _`J1;,-p4�7+-GfJ1216 "3� Assessor's Office(1st floor) Map- -?,3 Lot O Permit# Conservation Office(4th floor) J Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) a 2 7 ee a Engineering Dept.(3rd floor) House#1 �� f �NSTALLE®1 BE Planning Dept.(1st floor/School Admin.Bldg.) � " ,�CE Definitiv roved by Planning Board 19 ►eFF AND TOWN OF-BARNSTABLE, uildin erm' AP Dlication , Project Street Address Village Owner Address Telephone c r Permit Request Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential i Dwelling Type: Single Family _� Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms _ Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None �`i'� Sheds Other Builder Information Name 'GL�iL�- - i/?)Z, Telephone Number Address C License# r i Home Improvement Contractor# 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 / r" r SIGNATU DATE �� A-9, t� BUILDING PERMIT D D FOR THE FOLLOWING REASON(S) � FOR OFFICIAL USE ONLY PERMIT NO. #37808 DATE ISSUED 5/31./.95 MAP/PARCEL NO. 173.039 1 _ s :.. ADDRESS4 74 Hitching Post Lri.' VILLAGE • Centerville, MA 02632 Peter Dubo t + OWNER- Y DATE OF INSPECTION: ' FOUNDATION } FRAME INSULATION ; FIREPLAgE t > ELECTRICAL-,• ,ROUGH FINAL � ` PLUMBING'- OUGH .FINAL !, GAS: ', `ROUGH FINAL _ w FINAL BUILDI � DATE CLOSED r ASSOCIATION Pd "ENO f ` a I r �, ��.- I .� ��.. ��. f r � ` .' \ ....� __. _. - -. - s I� 59,3 -- - i 4 g.8/ I� i 7- 1 7 . Lo-r i 1-7 £r S, F. w No d6 � � A LjN 3 ' i711i nJG �v ST L-/I N �1,/i 7,ff F. B. ` CERTIFIED PLOT PLAN 1�Of LU T 7 �//7CH IA/C; y� C NL/ LLB IN 4'�'o sut SCALE, /,/_3 D A T E N t cK`�"t S I CERTIFY THAT THE LOR.. ENGINEERING CO.IN CLIENT SHOWN ON THIS PLAN IS LOCAT' EOISTERED REGISTERED JOp N0. �3 °?S ON THE GRTUND A INDICATZONING ED A CIVIL LAND /� ;� . CON ASS. ENGINEER SURVEYOR DR-By' OF BARNSTABLE , . The Town of Barnstable • a►tuMeM4 • 'A tee$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen 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"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, 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,with certain exceptions, along with other requirements. Type of Work: 4J-C-----EsL Cost Address of Work: `!��G � fit c Owner Name: ^ za<C� Date of Permit Application: I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Pate: Contractor name Registration No. OR Date Owner's name L • 11%02194 17:02 $6177277122 DEPT IA'D ACCID 0001 r- Cort7anonuuealtli, o/ �Wa.66aclzusett t�apartmenl o��ndudtria[�cc . 600 1/V ul inyion Stnrat James J.Campbell Uo1Eon, ///ama duds& 02111 Commissioner Workers' Compensation Insurance Afflidavit (aomteelpamara) with a principal place of business at• (Ow st"izly) do hereby certify under the pains and penalties of perjury, that: () I am an employer provid'mg workers' compensation coverage for my employees working on this job. mpany Policy Number Insurance a sole proprietor and have no one working for me in any capacity. () 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor insurance Company/Policy Number () I am a homeowner performing all the work myself. 1 unders=d that a copy of this statement will be fo:v:zrded to the Office of Invesdr.2tions of cite D1A for coverage verification and that failure to secure =c e'age as rec.ired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties cotuisdn¢of a fine of up to s 1,Soo.00 and/or cr= years' impriscnnent as well as civil penalties in the for:of a STOP WORK ORDER and a fine of s 100.00 a day against me. Signed this c day of 19 ; Licensee/Pe cttee Building Department Licensing Board Selectmen Office Department De Health p TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 L TOWN OF BARNSTABLE BUILDING PERMIT # --3 o-� -2 Assessor's map and lot number. ......... .................................. T' �s TH E t0 S4wage Permit number .`...... .. ........................... 4 Z BAUSTADLE, i House number .......................b Y 9 NAB& r. ....... .................................. 0 �O 39• �0 0 MAY Or• TOWIN OF BARNSTABLE BUILDING U NG INSPECTOR APPLICATION FOR PERMIT TO ....... . ...... .... .................. TYPEOF CONSTRUCTION ......... -! :.5'�,................ ....................................................................................... f r............................19.`....�, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies �for a permit according to the following information: Location .s ��.l.......� ..........j.e!.1�...I'�...i::.�:f. !c r....... !'.. : !. ......................... ProposedUse ..... .1�z� � <....... ,.s5y ................ .......... . .............. ............................................................................... /,S GV u .... ..................Fire District ��7 Zoning District .......?° ............ �. ....... .................................................................. 4 Name of Owner ....�1 :5.'1`✓CC.'....................... .Address .../1.✓F%....... Nameof Builder ....................................................................Address ....................................... Nameof Architect ...............................................:...Address .................................................................................... Number of Rooms :...... / ...................................Foundation / +.......C-(. r/rc� �t ........ .................................. Exterior !...... r�!.<./.✓.............................�..!: .................Roofing ...........................................................,/.� �/.. .. Floors ......... .......................................... . . ...........Interior ..... .,................................................. Heating ........c;t' .r......cce�.�.........................................Plumbing .................................................. Fireplace ........ f ..........................................................Approximate Cost ...... 4 Definitive Plan Approved by Planning Board ________________________________19___----. Area .......... .................1�.......... 'j. // cad Diagram of Lot and Building with Dimensions Fee .S .....�........... Q SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 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 ..!...t ..... .. ..... - .. ..... -:.... ........ r, Construction Supervisor's License .� . .. .... ....... .... NICKULAS, LARRY A=173-39 z y No ....'25134. Permit for ... ........ ..................... S.a.z1J.e...k' m�.ly...J� e 1.i:rig.............. Location .,Lot 17, 74 itching Post Lane Centerville ............................................................................... Owner „Larry Nickulas ...................................................... Type of Construction .............Frame............................. ............................... ... ............................................ Plot ............................ Lot ................................ May 31, 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 G/ ddr II Q / / 6 -o•,,'�e TOWN OF BARNSTABL•E Permit No. Building inspector cash era+' OCCUPANCY PERMIT Bond ----_----ok Issued to Larry *?ickulas Address r 417 74 Hitching, Post I-nne. Cen tt-rvi l le _ -- Wiring Inspector G�. = �_ Inspection date Plumbing Inspector,` j� _ /l Inspection date Gas Inspector Inspection date Engineering Department -- , /,� , Inspection date Board of Health 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. :.........:...... .. 19......_.._ ................. .. :._.................................................._............. ...Building Inspector v F7c��tvf� L-( D/1/1 c�i.t t-{.�►do ly'.LE'-l� ; 07, t o f Nr 4), j r - CERTIFIED PLOT PLAN .;: IN NA sum SCALES ' 3 D DATE s/ � !J l C1�u/-.�t S L® EDGE EN�INE'E lN� I .IN I CERTIFY THAT THE Fo�nr��t 7 .0•✓. ChIEI�T SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED g3 07S ON THE GROUND AS INDICATED AND CIVIL LAND.:", � , �Q� ,NO CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR&PY; OF 9ARNSTA®�.E A$S. M} el, EF 712 MAIN ST. CH.10 � :�___ FIYANNiS� MASS. 'DATE S. LARD SURVEYOR Assessor's map and lot number ........17. ..... ,^y �0*THE TO Q 1` Sdwage Permit number ..... .5. ..... ............ INS� .� `tA� House number ..........................�. ��, ;V �.� 'i.cttAEa9T11DLE, : i I "i ',' MM6 rd; J OD 1639• Tnmy TO OF R�rARMSTAB.Uju- ByUILDING 'INSPECTOR APPLICATION FOR PERMIT TO ....... //!. L...... !�7. -TYPE OF CONSTRUCTION .........gevc.. ...................................................................................................... ..........................'...19.! s TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a permit a5pjding to the following information: LocationQ.7.... 7......... Q.�f f.. ...0 /.. ............. ....... ................................... ProposedUse ..... .,�l. r ... ../ � .................................................................................................................................. Zoning District .........ec f d ...................Fire District C., ?. Name of Owner ..:...........:..:......Address ..,1.2. 7...... �'�£4r/..//....,1i�4 ....A-Y Nameof Builder .............. ':................................ .........*Address .................................................................................... Name of Architect .Address' r Number of Rooms ....... ................................................:.:.:Foundation. .../..Ci........C4?`l« ,(C............................... Exterior ....... ✓.................................Roofing .C/iri�lca/ ....................................................... Floorslip.JG.d ......:...................................................lnterior .... .r�G. .... �i��'................................................ Heating ...... f...... ?n. . ........................ Plumbing ... 5%F �r........................................... Fireplace ........ ..................................................:......Approximate Cost ......1. .:... 4....................... ...... Definitive Plan Approved by Planning Board-_________________________------_19________. Area s" Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' C-> • p V //^J � r � Y ♦ . 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 . . {.... NICKULAS, LARRY J14. 25134" 1�2- Story .............. Permit for .................................... Single/Family Dwelling .. ................... ........................................................... Lot 17, 74 Hitching Psti Lane Location .. g o ............................................................. Centerville .. ..............Larry..Nickulas......arry Owner .............................................................. Type .of Construction ......Frame.................................... ................................................................................. 'Plot ............................ -Lot.................................. Permit Granted .....Ma.y...3.1,......... : 119 83 Date of Inspection . 19 Date Completed A?/�7 ................19 T j 'il w .. a ._. .. ' r• r / /A{ y �i.. { ..� T . ♦ - ' - ` _ . Joy .. a - - a" + ice' , �Y� r Py i` ' t ,...�.....:s.+:•+.T. •at`.,p�lk%lrr k`-.-w+v....;v..�._�•r�.Clea+.^...y'^.aY^^ W.�n^T'1+... .�,oah.,.t,. .'°,.ffi-. _.'e3+.� - .a - ..., ,...ram„-L.. } 1 a n ( f� t a' e � , r ^-Wnw