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HomeMy WebLinkAbout0015 HOLLY LANE - - 9 /=-o � ,�. M �. � j M y a :. � .. � w. .. .. ... 't V ' �. .. n 0 k Town of Barnstable Regulatory Services Thomas F.Geiler,Director BARNSTABM r Building Division o ��� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnStable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# j c�d3 s0 0 FEE: $ 3 S(� SHED REGISTRATION 200 square feet or less �5 l l l� Leto &OA4.o 1, Location of shed(address) _ Village . Property owner's name. Telephone number Si e of Shed Map/Parcel# _ �- Signat re Date _ Hyannis Main Street Waterfront Historic District? ,� Co Old King's Highway Historic District Commission jurisdiction? co ' Conservation Commission(signature is,required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR.DETAILS. s THIS FORM MUST BE ACCOMPANIED BY A , PLOT PLAN Q-forms-shedreg \..� REV:042911 r usmiu 'Town Boundary I 228-028 123-456 Parcels FY2011 I #23 a 1234` Address Street Numbers I. Buildings I. Approximate Locations of k_:_• New Buildings from Plot Plans Decks/Patios QMJ Above Ground Swimming Pools OD In Ground Swimming fools t �•��• �_ o Walkways Improved _ C Walkways.Unimproved ;.'. Paths `p �--� Stairways Paved Roads (^�J Unpaved Roads L .. Paved Driveways Unpaved Driveways c Painted Lines v u Paved Parking Lots Unpaved Parking Lots lJ N Bridges t•.' .k .-0 " Railroad �1� 228-027 F(1U1� # 15 —X - Fences A. •—�—.Guardrails �• + - Retaining Walls o-oo: Stone Walls OQ Spots Areas 228-170 y M1 Golf Areas #412 > + w h t Y � Docks/Piers o Boardwalks y try+'Jz°r ' T f f p IyM'ytaxlt Jetties -- Streams - - Drainage Ditches 4 ♦Ip Marsh Areas Water Bodies Spot Elevations(NAVD88) Topo ro ft Contours(NAVD88) y Woorj�e•L�RSCt nto trSEI�tVR@A� .. ACatchbaMns ^ Monuments (l1 Lamp Posts 'Powers Manholes 0 Utility Poles. ® Satellite Dish Signs ®®rucl't'anks Water'ranks �� 1?<gpoFs Q Utility Boxes O Posts O ';`Pilings .a. x Daitit SOUI-Ce Human-trade features, Disclaimer 'Ibis ma planning purposes only. It is 1 tnch 0gtt[tls 20 feet N Town of Barnstable p is for tannin hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination ,Conservation Division interpreted from 2008 aerial photographs and representations of Assessor's tax parcels.'rhe y or re ulalm inter rretalion•This r heel g ) 1 uap does not 0 5 l0 20 ;;0 4o t lE http://ww%v.town.barnslable•ma•ns may have been updated from more current are not true property boundaries anti do not represent an on-the-ground sumcy. 200 Main Street,Hyannis,MA 02601 sources. Parcel lines were digitized from represent accurate relationships to physical Enlargements beyond a scale of 1"=roo'may (So8)862-4093 FY22u Town of Barnstable Assessor's maps. objects on the map such as building locations. not meet established map accuracy standards. 3 dill Of THE TOE Town of Barnstable *Permit# � 71 Expires 6 nrorr rs jrom issrre oWe— Regulatory Services Fee x BARNSTABLE, v� 1639. ��� Thomas F. Geiler, Director ArED MPS A Building Division Torn Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us ^ Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint k1ap/parcel Number Property Address _ ry Residential Value of Work ,, 776 �0 Minimum fee of$25.00 for work under$6000.00 cC� Owner's Name & Address / 'J 0 2-C, 3 ZJ Contractor's Name ��Q7S��/ll Telephone Number 1 Ionic Improvement Contractor License# (if applicable) Construction Supervisor's License# (if applicable) 077 171 L4 ❑Workman's Compensation Insurance Check one: X-PRESS PERMIT 91 am a sole proprietor ❑ 1 am the Homeowner JUN _. 1 2,00.0 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp. Policy # Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Vte-roof(stripping old shingles) All construction debris will be taken to ��� J ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE::' --�. PI-II.IS\I ORMS\building permit forms\EXPRESS.doc Revised 100608 Z. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): ,�--,44 Address: r'c i U, City/State/Zip: M el 6 Phone.#: 0 2A/Z: Are you an employer?,Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction craployees(full and/or part time).* have hired the sub-contractors ..2.[ a sole proprietor or partfer-' listed on the attached sheet. 7. .❑Remodeling ship and have no employees These sub-contractors have g_'❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'-comp.-insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself-[No workers' comp_ right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required_] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have�cmployccs,they must provide 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: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure io secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimiaial penalties of a finq tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of.up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerfi&under the and penalties ofperjury that the information provided above is true and correct. . Date: , Q Signature: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: JU Information and Instructions ` Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engag in atom en ipHse`�iR&15dm` gthe leg -represen-ra' wk-6f-Tdeczasrd-empioyer�or receiver or tiustee of an individual,partnership,association or other legal entity,employing employees.'However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . �' ce enter into any contract for the performance of public work until acceptable evidence of compliance with the in.�ance . requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)andphone number(s)along with their certificatc(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation mi Durance. If an LLC or UP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self--insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly..The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permittlimnse number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all-locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that'a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or oitizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license of permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA. 02111 TO. # 617-727-4900 ext•406 or 1-977-MAS•SAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia 1r ✓ zT � Town of Barnstable Regulatory Services v U $ Thomas F.Geiler,Director '` Building Division Tom Perry,Building commissioner 200 Main Street,Hyannis,MA 02601 www.to w n.b arnstab l e.m a.u s Office: 508-862-403 8 Fax: 508-740-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Adder (s of Job) Si //XI/�I- f ture of Owner ate Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. .• O:FORMS:OWNERPERMISSION i Town of Barnstable Regulatory Services � RI RNCT� _ Thomas F. Geller,Director MA3-4 g . 9.6S9-- Building Division PrED Tom Perry,Building Commissioner _._.. _. •200-1* airi.-S-trcct;--Hyannir,-MA-.02601 www.town.barnstable-ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMF,OWNBR": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The cturent exemption far"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"sha11 submit to the Budding Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) i$e undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned."homeowner;'certifies thathe/she understands the Tpwn of Barpstable,Build'..g Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Budding Official Note: Three-family dwellings canbdning 35,000 cubic feet or larger-will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any bomeowoer performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1D9.1.1 -Mcuuvtg of cmrtrvetion Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this acemption are unaware that they are assuming the rcsponsrbilities of a supervisor(see Appendix Q, Rules&Regulations'fm Licensing Construction Supervisors,Section 2.15) This lack of awareness otierr results in serious problems,particularly when the homeowner hurts unlicensed persons. In this case,our Board cannot proceed against the unlicensed persori as it would with a licensed Superviscr. The horrncowncr acting as Supervisor is ultimately responsible. To casure that the bomeowncr is fully aware of his/her nsponnbditics,many communities require,as part of tlnc permit application, that the homeowner certify that heashe understands the respmmbrlitics of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt sueb a foamkertification.for use in your community. Q:for ms:homccxcmpt I • ; II I istration valid for individul use on + f if found return to: License or g p an Wars iration date. C e u a wds an before the"�XP, Regujations and Standards Bo� eott m ►ng g CTOR Board of Building 1301 1 OVEMENT CONTRA One Ashburton Place R►n I HOME IMPR - 021011 Registration: 128528 Tr# .284326 Boston, i - - ExP►rat►on 41,1512011 'I — T pe Individual t y 'A' I th out signature �i1.�valCPAULN.CROSN I PAUL CROSSEN ;i` 317 MAIN ST l< r Administrator . HARN►ICH•MA 02645 E ' public 5.tfctj u•tmcut of uIL111T. s pc►: and St! MaSsachusctt� s Rc'-ulations' _.,�•.. d rvisor License r of guiltlin- '! Construction SuPe Boa r 74174 License: CS Restricted to 00 Ry. ►.c w PAUL N CRpgSEN '� 317 W ICH MA 026-P 10 HA 1y14120 Expiration' g006 t TOWN OF BARNSTABLE Permit No. ______28713___________ .�. . Building Inspector cash % -------------- — °'"' OCCUPANCY PERMIT Bond -------x Issued to B & E Realty Address 15 H811v Lane. Centerville wiring ``,,,,,,' Inspection date Plumbing Inspector z,, Inspection date Gas Inspector �..� Inspection date Engineering Department �Ibspecon date Board of health Inspection dates a`�+.,` . 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. Q ........................ 19.1 /... .......... .......... ._sue-_ .. Building Inspector . x�' 7r ` :+."l � `i Y. ::r":.,j >" .,i.T:sF.'.�'*.,� :•�.-slie L:�g';,-��};, Ii.i��,�:�vT�.i�iSi«!'�;..+1�. ..,�.,�.��.. '•:}.^.i,.. ,. 59/.Y"init. - "t ,.. . � v �..� °•°ew TOWN OF BARNSTABLE BUILDING DEPARTMENT i ssaMAO = TOWN OFFICE BUILDING 7� 9 � HYANNIS, MASS. 02601 �o ny►• MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been 'issued for the building authorized by BuildingPermit #::.... .. ..........................................................................:........ .. N .............................................................. issued to �J.�r... .... ....._...................1��.. .L ` . .. r.. �� �:• _ _._. Please release the performance bond. �I DUPLy,ICATE TOWN OF BARNSTABLE, MASSACHUSETTS PERMI JOB WEATHER CARD DATE November 27 19 85 PERMIT NO. 28713 APPLICANT Larry Peterson ADDRESS 182 Troutbrook Rd. , Cotult 016199 IN0.) (STREET) (CONTR'S LICENSE) OF PERMIT TO Build dwelling (_) STORY Single family dwelling DWELLRING UNITS l (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 15 Holly Lane, Centerville DISTRICT IN0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #85-903 AREA OR $ VOLUME 2112 sq. ft. ESTIMATED COST $ 70,000 FEEMIT (CUBIC/SQUARE FEET) OWNER B & H Realty Trust BUILDING DEPT. ADDRESS Bay View St. , Hyannis, MA BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, OCCUPANCY. POST THIS CARD S® IT IS VISIBLE FROM STREET BUILDING INSPECTIONAPPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INS ECTION APPROVALS L 2(��ar�n ©� fiAL"T 1� 2jYCs 2 eft 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS 1 1 I f 07HER 2 2- . WORK SmA.LL NOT PRQCE.0 UNTIL-T;-IE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS INDICATED ON THIS CARD - -k NSPECTGR 'HAS APPROVEC"THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. f g„ 11-7 (10 1 ` v IL 1 W 01 1� $c, RICHARD A. .,. BAXTER y}No.240480 �CISTE��p@ ' �r S�'fiy CERTIFIED PLOT PLAN I CERTIFY THAT THE LOCATION SHOWN HEREON COMPLYS WITH SCALE if` - �,� DATE - -- THE SIDELINE AND SETBACK I 1 - 2� REQUIREMENTS OF THE TOWN.. OF PLAN REFERENCE I3AQ."Q,arsL_.1_ AND IS r,co-r LOCATED WITHIN THE FL ODPLAIN. M `'} `� 2- DATE : BAXTER NYE, INC. THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS tNSTRUMENT SURVE-Y AND THE OSTERVIL LE MASS: S14O` N SHOULD NOT BE USED TO DETERMINE LOT LINES, APPLICANT r3 T. Y- :_. �_A�sesfor's smap and lot'number ..................... THE ' y Sewage Permit number ............ ...� �� ...../.... � SEPTIC SYSTEM MUS INSTr4LLE® IN COIVIPLI eAUsrABLE, i House number, .. ro rhea .................................................... WITH TITLE 5 79. :. ENVIRONMENTAL COC ar a d: P P A 0 Y a N ®F BARN S rpAVB�EJLAT1a%S 01.4DIa Consernu a sr o > toJ ILDING INSPECTOR APPLICATION FOR PERMIT TO ...........is mac. ......F0 ........� ,�e. ........................................ TYPE 'OF CONSTRUCTION !./1/Oa(�3,Alin�;.......... ... ' c ............................ �. .d......19.... TO THE INSPECTOR. OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location am ..1 ......Qr ...... �. .. .1�i9 .....'� ..... ...t. .... ....... .. .....f-U7..f.f....... C111Uzn,.✓.<:4. .......... Proposed Use ....... j ,......r�1 +tiAv�.!'t ................................................................... ZoningDistrict ,Fire District .............................................................................. ... .� ......t................................................... Name of Owner ..:'.�. �. ........................Address R .h a/,,4,, 3. Name of Builder .r�.�.u........ .... ..�5'),ISP../.V....Address .1.�. ....../ ,1Ys,l.j ....lJ.<�.®.Q.!�.......V....l T; T Nameof Architect' .............../.........All............................Address ...........`......................................................................... Number of Rooms ...................................................................Foundation ........ .( ....tu.�l.......Pd.Woe............................ Exterior ....WM.,Tt .....cl2.da,at........!!�'/mal-Vile.��ofing ........... ./1./a:1...L ff............................................. Floors .............................................Interior ........... .. ✓'.f}i^�Lf�O..O..fY.. �lJ ........................................... HeatingQ: '. .............................:..............................Plumbing ................ .14 Fireplace ............ iv...t...................... ..............................Approximate. Cost .2.0 Gd.l7. r 4Diagram efinitive Plan Approved by Planning Board ________________________________19________ . Area XZ..........................of Lot and Building with Dimensions Fee _r ......................... . ............. UBJECT TO APPROVAL OF BOARD OF HEALTH AB(0MaD . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town B rnstable g din above construction. Noa .. ..... ........... O/Construction Supervisor's License ............... .. ... ...y'..... & H REALTY 18113 One Story 41NO .................. Per for F alti D.W. JIU9...................... Location .....15..1J&1jgr La le il ................................. Ce*t vil e c- ............................W..12,111*11*111,*--. ..... ..**,*,**"***.... 11� . B 1F*Rea4Ly + <—7 Owner ............... .. R............................... Type of Constructio F e .....40 ................................... ............................... tf "Z- Plot ............................. Lot ................................. Permit Granted ......Ng.vg.vjb.q.r...21:......�j 9 85 Date of Inspection ............................ .......19 Ul- A Date Completed .................. tp......... 7 •......190 Z 1Z, 'az Assessors map'and lot number ......� ....... .....`.... ... 0*T E T��4 Sewage Permit number ....................-.r' . �Q o EA"STADLE, i Hse number J J..J............................. 'oo 1639 ov 1 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............ r.•/- )..n..6.., ....... ..,�c? .,>......................................:.. TYPE OF. CONSTRUCTION ...................f tJ ?:........� :.: ......................................................................... ............................:.1.Jr'�A......19.... 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ?vA.:.a-..... ....... �.... a.....7:... t�.......:...:. .1 .f.-C?7.N...... !v TM:. `.N.:.:� ........... Proposed Use � :` �. .. � / .:�! ... ... .. .. :. .. ...... ..,. ..,. w .... ... ... . .............................. ZoningDistrict ........................................................................Fire District ............................................................................. Name of Owner I ..I .......i�.!�.d ..�. I........................Address ... A✓....... �!. !�.>.!. C ........... �.. J .�` t2, ('�`T 7- Name of Builder � l9' t�..���.............�'....,�..�.�.9..i!- .....Address .1..�...� �(�, os�.`.f....1�.... .U................�.......:....... v� 4 r Name of Architect ........................ ,...................................Address ....... Number of Rooms ................... °......................................../...Foundation ........ t '� ...... !1. ............................ Exterior .... (—/S-Qoofing ........... c., . ?. .............................................. Floors ............. H. � ..........................................Interior .......... . . U, , ........................................... Heating ..��.:................................................:...:...........Plumbing .................. ......8.�?..1....A........................................... Fireplace � .................:...Approximate. Cost � 'o.<%,.... Definitive Plan Approved by Planning Board ______a____ Y 19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH F N I/V f S fi 1 t OCCUPANCY PERMITS REQUIRED FOR NEW 'DWELLINGS , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard ng th�above construction. '— Na e .. ,!f/l �n.�s!r Construction Supervisor's License ..... 1. ..... B & H REALTY/ A=228-27 28713 One story No ................. Permit for .................................... v } Single Finaily Dwelling ............................................................................... t Location 15 Holly Lane ............................................................ Centerville ............................................................................... Owner ...B &. H Realty .................................................. Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....November...27.........19 85 Date of Inspection ....................................19 Date Completed ......................................19 a