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Town of Barnstable
�t Regulatory Services
Thomas F.Geiler,Director
w :ALMszABIX. ; Building Division
Thomas Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
September 1, 2011
Ms. Jeanne Aylward
217 Horseshoe Lane
Centerville, MA 02632
Dear Ms. Alyward,
This is in regards to a porch which is being constructed next to your house. I am
assuming that your request is in referenced to 227 Horseshoe Lane. This
received a variance from the Zoning Board of Appeals. This variance was never
appealed rp operly so the permit and variance are in effect.
Sincerely,
Thomas Perry, CBO
Building Commissioner
c/o IYD
�`r�s BEES. 1;,�.Al 91Y
o�l ` /�/Se SyDG
� �l�J✓��My{lOd1E�
w , :X
Ce#tm✓ire, Ah LAW-
aG3
ongoing
necessary to make an,appointment with the
establishment is not open during normal wo
call 862=4644 between (8:00 - 9:30 a.m. or
inspection.
Enclosed is a food permit application form.
# . along with the required payment on'or befor
Barnstable, addressed to the Public Healtl
;MA 02601. Upon satisfactory compliance a
two current ServSafd`Certificates, you will I
;. permit(s),for calendar year 2005
-'Failure to renew permit on or before January
;of,$10.0A late charge. '
If you should"have any questions, please fee
`: • office at•86 =4644. -�
� .�
N 890 45'35"E S 89*JO'20'E '
29.9!' 49.50 _ - — — — — —
c _
°q `a PROPOSED
WIDE
b L.O T 26: PORCH
11.600 •/- S.F. �i
O cn
Q -
.- #2217 1
GAR
. o.
Z
ZONE RC
SETBACKS
FRONT - 20 S �3-55 / J
S/DE 1 D.
REAR /0' [� l
HEREBY CERTIFY: THAT - `� OF
THE DWELLING DEPICTED ON THIS >' � ti PLOT PLAN
PLAN WAS LOCATED ON THE-GROUND A a� IN
BY SURVEY ON FEB /6j .2011 AND o WHtT19VC�
No.29869 BARNS'TABLE. MA
EXISTS AS SHOWN AS OF THE DATE s o
OF LOCATION_ . p`ssf� STE@��JQ,�a SCALE: I.'-20 FEB. 189 201I
REV/SED FEB. 21 2011
THIS PLAN IS FOR PLOT PLAN /c� EAGLE "SURVEY I NG , : I NC
PURPOSES ONLY AND NOT FOR 5��'`v!/` "
923 Route BA
RECORDING, -DEED DESCRIPTIONS Yomiouthport, MA. 02675
OR ESTABLISHING PROPERTY LINES.3 ``' �� (m) 362-8132
(508) +432-5=
THIS"PLAN IS :VO/D`!F NOTmomm
;
STAMPED AND SIGNED /N RED, 0 : l0 20 40 PROJECT NO. 141/-0/l
` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ace pp Z Parcel I Application # 160 �o
Health Division Date Issued 1 Z 9) 1
Conservation Division Application Fee
Planning Dept. Permit Fee .�
Date Definitive Plan Approved by Planning Board Ok /12,S1G!
Historic - OKH _ Preservation / Hyannis
Project Street Address
Village
Owner n J� L 20-k ROW De-1 1-aVddress /02�
Telephon r �� 7
_ k ) ,
pp --
Permit Request A'Al
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ._, Construction Type ` Z'
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes JNo On Old King's Highway: ❑Yes ❑ No
Basement Type: Wull ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing_ new Half: existing new
Number of Bedrooms: existing —new _
✓
Total Room Count (not including baths): existing new ' First Floor,.Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
7.
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: Ll Yes ❑ No
Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 new sizeco
t
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: t:,
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use ��rP_
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name i- a A--r1M_5 Telephone Number - "7 ?�%✓`� U
Address D c�I License # /(�gI
Home Improvement Contractor# Z
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY _
APPLICATION#
I� ~ DATE ISSUED
MAP/PARCEL NO.
'. ADDRESS VILLAGE '
OWNER
DATE OF INSPECTION:
-- tt
x FOUNDATION Sarres co
•
FRAME
INSULATION I
FIREPLACE
=R ELECTRICAL: ROUGH FINAL
k.
4 PLUMBING: ROUGH FINAL
GAS: ROUGH `FINAL
' FINAL BUILDING
DATE CLOSED OUT
't ASSOCIATION PLAN NO. i
t
k'
P. 1
Communication Result Report ( Mar. 14. 2011 3:23PM )
2)
Date/Time : Mar, 14. 2011 3: 15PM
File Page
No. Mode Destination Pg (s) Result Not Sent
----------------------------------------------------------------------------------------------------
4869 Memory TX 95087881813 P. 5 E-3) 3) P. 1-5
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ojYNF, Town of Barnstable
j � Regulatory Services"
�Ba M�irsssL� Thomas P. Geiler, Director %
1639. Buildin 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
FLAN REVIEW
Owner: Ko.Yv% aw s t Map/parcel: ,,LO d$o
Project Address s2�-'7 es Lh Builder:
The following items Were noted on reviewing:
hrs �w, s ..
Reviewed by:
Date: �IZa�ll`
Q:Forms.:Plnrvw
The Commonwealth of Massachusetts
I Department of Industrial Accidents
Office of Investigations
,r 600 Washington Street
a Ito Boston, MA 021-IL
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual):_K7i— L
Addresst
City/State/Zip: LGr i)` R f/e° d A Phone #: OR ?S L/S�a
Are you an,employer?Check the appropriate box: Type of project(required):
1.❑ I am a em to er with 4. ❑ 1 am a general contractor and I
P Y 6. ❑•New construction
employees (full and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. Remodeling
r partner- ""�.
am a sole. ro rietor o artn
2. ❑ I P P P
ship and have no employees These sub-contractors have 8. Ej Demolition
working for me in any capacity. workers' comp.'insurance. 9. ❑ Building addition
[No workers' comp, insurance 5. POJWe are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 1 1.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#I 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,niust attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
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. #:, 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 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 the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct—_,
Signature• C �— Date: I—aO �. 1
Phone#:
FOth&��
only. Do not write in this area,to be completed by city or town official
n:. Permit/License#
Authority(circle one):
Health 2. Building Department 3. City/Town Clerk 4..Rlectrical Inspector 5. Plumbing Inspector
rson: Phone#:
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 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
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 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
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
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-contractor(s)name(s), address(es)and phone number(s)along with their certificate(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 insurance. If an LLC or LLP 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 permit/license 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 citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn 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
.Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax # 617-727-7749
www.mass.gov/dia
License or registration valid for individul use only
before the expiration date. If found return.to:
y Office of.Consume'r Affairs and Business.Reg'ulation
10 Park Plaza-Suite 5170
Boston,MA 02116
L
Not valid without signature
L,"II:U UtiCnt fit rtltlltl: JHICtl, .
✓�ze �arrvnuyaureal o�/l/la�aaclucael7a 31.
Board of Building Regulations and Standards
Office of Consumer Affairs&B stness Regulation i
HOME IMPROVEMENT CONTRACTOR Construction Supervisor License
F Registration �,-102227 Type: j' License: CS 16981
Expiration 7/1/2012 DBA Restricted to: 00-------------------
eg `
D LAS L.WILLIAMS CUSTOM+BUILDING k DOUGLAS L 'WILLIAMS SR .Y, +
PO BOX 1069 ,0.a
Douglas Williams ��`k
CENTERVILLE, MA 02632
222 PINE ST n
CENTERVILLE, MA\02632 :4 Undersecretary
Expiration: 3/7/2012
('unuuissiuncr .Tr#: 19320
Igo . Williams Custom Buil,dingCo.
P.O..Box 1069, Centerville, Massachusetts, 02632-1069
508--775-1.500 fax 508-775-1501
e-mail homebuilda@-comcast.net iAr w .ca-pgcodhol3iebullder.com
�r .
t__/�C?���'•` '�... j9i�' y✓s ........of.. ......
Town of... �.7e7 t../%........ . ..... ........ state of
Phone .. 4..b'r. :7 ::����`I� .':. . give permission to Doug Williams.
Custom Building Co., Box 1069, Centerville, Mass.�02632 to apply for a building Permit
For work at 227 Horseshoe Lane Centerville, Mass..
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HAROLD A. DONAHOE JR.
REGISTERED PROFESSIONAL LAND SURVEYOR
18 NICHOLAS RD.— BRAINTREE, MA. 02184
Dale : (617) 843-0905 Job No.
Land in 61q o,,1ST/a/3C owner(s) A).
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FOR MIORTGAGEPURAOSES ONU`7No1 to be used fo determine properlp lines or to consfnW fences,Or/ondscapidy,etc.
1 C£RTi FY THAT THE BUILDINGS ARE LOCATED AS
R SHOWN, AND CONFORMED TO THE ZONING IN EFFECT
WHEN CONSTRUCTED EXCEPT AS NOTED.
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THE PROPERTYa LIES IN e��t!` of Mtr�'cyG
ZONE AS
SHOWN ON THE NATIONAL 8 /ONRHOEB "'
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mICHELE
CUDILO
U
NO.34774
STRUCTURAL Iz
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it
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oFIHE Town of Barnstable Per #
pExpires 6 mo,:lrs jror 'sue date -
Regulatory Services Fee
BARNSTABLE, +
9cbA 639' Thomas F. Geiler,.Director
l
A
Foy AhJ
Building Division 1 �/
Tom Perry,,CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstab16.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
*��l.-�S� Not Valid witboui Red X-Press Imprint
T
Map/parcel Number Z0
Property Address 4,7i C 26- j
J .
esidential _Value of Work
,# L`,l� r�' Minimum fee.of$35.00 for work under$6000.00
Owner's Name &Ad es (���,��rciid�
Contractor's Name cl U-),f Ct ✓ ✓,/ ✓S ( 4",/ ,ilf r . Telephone Number ljG�s
Home Improvement Contractor License#(if applicable) .102,
Construction Supervisor's License#(if applicable) e
❑Workman's Compensation Insurance
Check one: IA
'91', am a sole proprietor_ c
❑ I am the Homeowner. ! OVVIN OF BARNS l ABLE .
❑ I have Worker's Compensation Insurance,
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction.debris will be taken to
❑ Re-roof(not stripping.. Going over existing layers of roof)
❑ Re-side
#of doors
Replacement Windows/doors/sliders. U-Value �,�,Z (maximum.44)#of windows 7
*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: 1
Q:\WPFILESTORMS\building permit formsIEXPRESS.doC
5 �i Y
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
ttii t, 600 Washington Street
Boston, MA 02111
` { www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Y ,
Name (Business/Organization/Individual) �JJtt �1� CE6747-f �`� e,-�
Address:
City/State/Zip: Ile - - Phone#: �4 -'�r ':%�`�rJ
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. Ellam a general contractor and I
* have hired the sub-contractors 6. _�New construction
employees(full and/or part-time).
2.kip
m a sole proprietor or partner- listed on the attached sheet. t ?• ❑ Remodeling
and have no employees These sub-contractors have 8. Demolition
working for me in any capacity. workers'. comp. insurance. 9. E] Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.�Electrical repairs or additions
3.0 I am a homeowner doing all work .~ right of exemption per MGL I I.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12,Ej Roof repairs
insurance required.] t employees.{No workers'
comp. insurance required.] 13.❑ Other
*Any applicant that checks box#l 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.
#Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic. N. i` 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 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 the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: Tc� Date:, /-Ji
Phone#:
j 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.'Plumbing Inspector
6.Other
Contact Person: Phone#:
S
y '
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 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
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
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(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 insurance. If an LLC or LLP does have
employees,a policy isTequired. 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 permit/license 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 citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn 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
Tel. # 617-727-4900 ext 406 or 1-877-NIASSAFE
Fax # 617-727-7749
Revised 5-26-05
www.mass.gov/dia
IVlassachusetts- Department of Public Safety _
p , f po�nm�.uuea,�C� p�./�aaaac�Zuaella 4
Board of Buiidin!g,>Re!gulations and Standards � I .� Office�Con umerAffairs&Bdsiness Regulation
Construction Supervisor License _ HOME IMPROVEMENT CONTRACTOR
License: CS 16981 I - Registration .r�102227 Type: j
I
Restri.Fted to: ,00 .�l ���>`� ,� Expiration: 7/1/2012' DBA
D LAS L.WILLIAMS GIJSTOMBUILDING j Z,
DOUGLAS L WILLIAMS SR r +� = i '
PO BOX 1069
CENTERVILLE, MA 02632 ` " Douglas.,Williams
222 PINE ST.
CENTERVILLE,MA 02632 - 'f Undersecretary
Expiration: 3/7/2012
(lrnui�isiuncr Tr#:'19320
e _
License-or registration valid for individ'ul use only `
" before the expiration date. If found return to; I
Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170'
Boston,MA 02116 tg
Not valid'without signature 1
x
,
e
Doug- Illia s Cus- tom BuildingCo.
P.O. Box 1069, C-enterville, Massachusetts, 02632-1069
508-775-1500 fax 508-775-1503
e-maii honAebuilda on cast_net w w ,.caecodhomebuilder.com
Town of... T ....................state of.../lI.Z........ ... ...
Phone 1... d.b'!. .7.�:: 'y ��......... give permission to :Doug Williams
Custom Building Co., Box 1069. Centerville, Mass. 02632 to apply for a building Permit
For work at 227 Horseshoe Lane, Centerville.,Mass..
.... 12/29/2010
�oFTHE.. TOWN OF BARNSTABLE
BAHHSTOHLS, i
9� 0 p9a\ , BUILDING INSPECTOR
t
APPLICATION FOR PERMIT TO .................. .c.. .. .....................................................................
„ r
TYPE OF CONSTRUCTION ................ ........... ..................................................
................. . . ...... . ...19..��
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ... .�j........ � 4. ��:•e....... iC�"/J.�
� P
Proposed Use ..............:
I.. ,�... ..............................................................................................................:..........
......................Fire District ...........
Zoning District ............................................. ...................................................................
(Cedar Acres Reatty Trust
Name of Owner ........................24.GreatPandJXVA............:....Address Add. ......... ...............................::........................................
South Yarmouth, Mass.
a
Nameof Builder ._ •: �•° ��`Zg•jc• ...Address .......................................................................:............
Name of Architect ............. Address ............., ..............`...............................
e
Number of Rooms ............ .. „�1 ........................................Foundation .,...... ................................
Apr:
Exterior ... . .. :... ....Roofing ....... .
Floors ................. .e ................................................Interior ...........4..
\\''
......................
.
/ / Y
Heating ........... C` 4....... `c ....#.................Plumbing .........................lF. :...... .... .. . .................
Fireplace . . . . ............................................Approximate Cost ...................../ -..&Q..�...............
Difinitive Plan Approve by Planning Board ________________________--_-___19 . Q o e
Diagram of Lot and Building with Dimensions C
10
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ?
4
4�' Name
Cedar Acres Realty Trust
DEC311970
No ....131 Permit for .....one story,
single family! dwelling..........................
Horseshoe Iane
Location ................................................................
Centerville
...............................................................................
Owner .........Cedar....Acres. ...Realty. . ...Trust........... ........ . ...... . .... ..........
3
Type of Construction ..................frame........................
................................................................................
Plot ............................ Lot .........#26................ r
Permit Granted ....... 19 70
Date of Inspection e�A'�...e>k.......'S4.......19 76
Date Completed I
PERMIT REFUSED
................................................................ 19
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S
....................................... .................................... - -
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............................................................................... .
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F
E
f
Approved
............................................................................... (�
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