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Home My WebLink About0025 HUCKINS NECK ROAD 4 , ._ r � O . �,- . . . . . �, ,, . ry K zR �,.. 0 � o �, �� i �� 4 _ � o 0 19 .. } a .. .. ° i3 -. L. � _ 6 F zME r Town of Barnstable *Permit#o�,U0960 ° aY� Expires 6 tenths fro issue date X Regulatory Services Fee • sr : ERIT Thomas F.Geiler,Director 9�A MASS. 2009 Building Division Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 62601 www.town.barnsiable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address J esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �r� / ' Contractor's Name . C'�J�/S�' /6✓� Telephone Number Home Improvement Contractor License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) / 92-1k'e-roof(stripping old shingles) All construction debris will be taken to Z?'r J)� l� ❑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: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 5� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Ar" x el— 60"f T- //I/C_ Address: City/State/Zip: (14-1-ero /p Phone.#: dG 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 employees(full and/or part-time).* have hired the sub-contractors ..2:❑ I am a sole proprietor or partner-' listed on the attached sheet 7. .❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workin for me in an capacity. employees and have workers g Y P t5'• $ 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 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,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.#: 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 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 certify under a pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 77 6 A 9 Official use only. Do not write in this area,tb 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#: 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 m a joint-enterprises meladin`g.the legatrepreseh _Yndemased�mpk�e �arrthe- --- 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-contractors)narne(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 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 Tel. # 617-727-49-00 ext 406 or 1-977-MASSAFE Fax#617-727MO i. Revised 11-22-06 www.mass.gov/dia IslandS& and boo ' S � s z 2 a division of RLTConstruction,Inc. Proposal to: December 29, 2008 Stan Jones 25 Huckins Neck Rd. Centerville, Ma. 02632 We are pleased to submit the following specifications and estimates for re-roofing Remove existing asphalt shingles. Install aluminum drip edge and pipe flashings: Install 3 ft. ice shield to eaves,valleys, chimneys and interwoven with step flashing. Install 15 lb. paper to remaining roof. Install 30 yr.Certainteed Woodscape architectural shingles Cedar Blend.. Install Cobra ridge vent and ridge caps. Clean up and haul away all debris to landfill. We hereby propose to furnish material and labor- complete in accordance with the above specification, for the.sum of: Five thousand five hundred dollars ..........: :; $5,500.00 (without vent.$5,200.00) - Roof repairs done on Friday 12-26-08,total for materials and labor................. $95.00 Terms: No deposit required. Payment in full is due upon completion. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices: Any alterations or deviations from the above specifications involving extra costs will be executed only upon written ordc-rs,and-v,,01 become an extra c iar e over aiid above the estimate. All- agreements contingent upon strikes,accidents,or delays beyond our control. Owners to carry fire,Wind damage and other necessary insurance. RLT Construction,Inc."carries General Liability and Workman's Compensation Insurance. Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as spe ' led. Payment will.be made as outlined above. Date of Acce tance: Signatur Start Da :1 3% fl Signature 8 yan Sebastian Drive, Unit 14 •Sandwich, Massachusetts 02563 'Telephone 508.420.5243 and 508.833.5249 Fax 508.833.0098 Email caperoofer@caperoofer.com 01/26/2009 13:35 5088330680 PALUMBO PAGE 01/01 ACORk CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDM/YY) 'PRODUCER 12/2009 (508)428-1943 FAX: (508)420-4474 1 THIS CERTIFICATE IS ISSUED < 'i A MATTER OF INFORMATION Edward A. Grazul Insurancla ONLY AND CONFERS NO Ric''11TS UPON THE CERTIFICATE 4527 Falmouth Road HOLDER. THIS CERTIFICATE D ;rS NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORD;[i BY THE POLICIES BELOW. CED MA 0�635 INSURED INSURERS AFFORDING COVERAGE _ NAIC# INSURER A;The Providence Mu : al RLT Construction -s. INSURER B; 31 Manni Circle INSURER C: Centerville MA INSURER D: 02 632 INSURER E: THE POLICIES OF INSURANCE LISTED BELO'N HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERT: )INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF A�Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFI( 1-E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED ®Y THE POL CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS JD CONDITIONS OF SUCH POLICIES. INSR DD' TYPE Or INSURANCE PouCY NUMBER POLICY HFFEC71VE POLICY EXPIRATION D E MM/DD/YY Da Mi D/YY LIMITS GENERAL LIABILITY •- X COMMERCIAL GENERAL LIABILRY /1CH 0• s1J8 1,000,000 � DAMAGE 0 RENTED A CLAIMSMAOE Z OCCUR CPP006S913 8/1/2008 8/1/2009 9 50,000 M i� o reen 5,000 1,000,000 ErV,,i` EGA 2,000,000 GEN'LAGpREGATE LIMIT APPLIES PER: ' X oucv P L I91' s 2,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINI(I SIPS GLE LIMIT (Eeeccid III o ALL OWNED AUTOS 90DILY I I II1RY ::: SCHEDULED AUTO$ (Per pnr3•'I HIRED AUTOS BODILY 1•.(IRY NON•OVJNED AUTOS (Per se iC 1 II') PROPER' I )WAAGE (Per a=l(i I iI L GARAGE LIABILITY AUTO ON' EA ACCIDENT 8 ANY AUTO OTMER T:,dJ AUTO ON '': EXCESS/UMBRELLA LIABILITY AGG a. OCCUR CLAIMS MADE -EACH QC 14EMPYEE AG DrOUCTIBLE WORKERS COMPENSATION AND `EMPLOVERS'LIABILITYANY PROPRIETORIPARTNERIEXECUTNEL.EACH !; OFFICER/MEMBER EXCLUDED?If yee,deecdba under EL DIE :OTHER E L e I f"3 DESCRIPTION OFOPERATION9/LOCATIONSNEHICLESJ':XCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS J= at 25 Huckina Mack Rd. Centerville, MA• � < d CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED P CI BE CA44i1 LED FORE THE Town Of Barnstable EXPIRATION DATE THEREOF, THE ISSUING 113UI ER YVILLDEAVORr TO MAIL 367 Main Street 10 DAYS WRITTEN NOTICE TO THE CERTIPP I.'T OLDER NAMED TO THE LEFT,BUT Hyannia, MA 02601 FAILURE TO DO 90 SHALL IMPOSE NO OBLIGATI- I OPT LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTTiORRED REPRESENTATIVE John LaRocca./MAIOLF '" ACO folo (2001/08) �I ACORD CORPORATION 1980'N302S(oloa).oea t1i p-vinv Pogo 7 of 2 Licensee Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 99910 Restriction RF,WS Name Ronnie Taylor City,State,Zip Centerville,MA,02632 Expiration Date 10/26/2011 Status Current No complaints found for this Licensee. Back To Search http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSL99910 2/9/2009 Licensee Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Home Improvement Contractor License tf 134286 Restriction Company Rlt Const. Inc, Dba Island Siding8:roofin Name Ronnie Taylor Address 31 Manni Circle City,State,Zip Centerville,MA,02362 Expiration Date 10/22/2009 Status Current No complaints found for this Licensee. Bps cLT�S��r b http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=HIC 134286 .2/9/2009 01/26/2009 15:35 5084204474 EDWARD A GRAZUL PAGE 02 RightFax CZ-2 1/13/2009 4:00 :51 PM PAGE 21002 Fax Server x •,•• !C•"-:�.;Z,?:'. ";•:p:•.�:<i�S;�.4""c:)'l•�, ISSUE DA?E y,{:. $>:L :}?�'r,:5:2Y: •;!�}: ;` -f (,r•, �L< .+Z.ydr, 2:y 1 :.�.. 2::..o'LL:si?i=:Y�:c:S'�'? Eri; ,,iI':' ,52;$;::;; ':ld:d..;:',Zc: :oS.:: �:,�• R OP'INFORMATION ONLY 77i1g CeR7IT+tcATE IS rc4uBD AS A tNA FRODUCF31 AND CONFR,RSNORIC,97'S UPON TFIL.CERTIFICATEHOLDE�R.TMSOF CFRnPiCATE DOGS NOT AMEND, J 1 AFFORDED BY.71.1E POW0 B>$ EDWARD A GRAZULINSURANCE COMPANM- RIDING COVERAGE 125 ROUTE 6A mMPANY SANDWICH MA 02563 LerrEa A IiARTPORD UNDERWRITERS1N5URB��E COMPANY $ ._...-..-•'-i ['t1�'I S INSURW LKmR U RLT CONSTRUCTION INC 31 MANNI CIRCLE A cO�Mt`AA�"� C cOMPA`w _ D C,P_NTERvIUF.MA 02632 LE*17ax v THIS 1S TO CHR t�Y TH AT T1tE pALicll s OF 1NSORANCE 1.15fED RR1 OW}[A VP&Ef:N 1SSi,fPD TO THE!INSURED NAMED ABOVP_FOR T1{E POLICY PERIOD i HIS 13 TO NOTWJTHSTANDiNO ANY REOrJII(�t.TERM OR CONDI fFDN OF ANY CONTRACT OR Oi1Q'R DOCUMENT W7TH RESPFCC TO W H1CH TI[IS Cr EXCLUSIONS AND coNDmoNs OF 3 P rR iIN.LIMITS SU SHOWN MAY'AFMR1tAVE>�EEN R®UtCED A nID TMs BEDM.MNis SUAtt�C[To ALL 7FtL iT1tMs• CO TYPO.O E�C OF POLICYNLTIBER POLICY POLICY LIMITS �� FFFi(VE DATE EXPIRATION DATE DDNY M/DDIYY' OFNLVtALAQORIiaAT[4 $ GF.NF.RALLIABTi.iTY PROoDcrsCOMMOPAOo, S ❑cvM1wiERCIAI.OUTIMAL I,IAEILm PERSONAL A AOV•INIIIRY $ ❑ CLAMS MADE ❑ OCCUR. 9c"n occvRRENCG $ ❑OWNER'S s CONTRACTOR'S PROT. f-WS DAMACIU(AIV OM T•im) $ ❑ Mt(D•JJYPENSE( pmu $ COMBINEDSINCIt. IT $ y AUTOMOBILH•LIABILiTY ❑ ANY AUTO yODILY INJURY $- ❑ ALL OWNED AUTOS (Pe.PY�onl 0 SCHEDULED AUTOS - - BODILY LWURY $ 0 NIRFDAuroR (PrAcckcml 0 NONZWNED AUTOS - PRO"A TYDAMALIE s ❑ OARAOE UABIUTY Q EXCESS LIAPILi7Y EncR OccuRREN4l+ 1 41 UMDRL't.LA MRM AWRLOATE $ (] 1111UR TITAN U.RCLLA ro FrATvroitY UMrrc X ER ID $100.000 A WORM.'SCOMPENSATiON oI." AMd11CY'MIT Boo,000 AND 6S60U3- 12-24-2006 12-24-2009 1051C045-08 �100,000 EMPLOYR..R'S LIABILITY DISE/SE4IIAdk a(PLOYM OTRF•R THE 90LE PROMIM- WARTNFR(S)ARF. TNCLUM X EXc L[JDED DRSCRWVONOFOPERATION?rt+OCATNW9gM HICLIeSISEGIALARMS TEM INUUR% 'S MA WORKERiO COMPENSAMON POLICY AND 1T9 LAnTU)Ort=STATFIi INSURANCE FyaDORS¢MENT AUT MOR1789 THE ANV STATE YT OTHER 7" TOR CLAIMS MADE RY "RVSOREO A MA EMMATYF IDi IN 9TAT OLHER THAN MA.NO AUi�iOR17.ATION 99 01 VF:N TO PAY CLAIMS FOR BENEFITA m ANY 97AT1 OTHER iiiAN MA IF TIIB U49URM MPLI,OR HAS MI UP,IMMMMEES OUTS=OF MLA THIS POLIO n0»8 NOT CROVIDR COvdRAOr FOR ANY STATp OTHER THAN MA. JOB: AT 25 HUCKINS NECK RA CENfERVILLE MA 7199 REVEACKS ANY M WNCERMFICAM205070 (RR7iRiCAT IDBA AFPR wORK61tS COVERA :�!�:o:l., •.:j{;.•:d:i•yv�5;:•`:�tj'`:c':<'Y.�:-.�.��...rCYn:{.:{.�.;•: �1w� - •1d.10�).:.:•. -t.)�5?'•..r.:':• '•:):ii:::;..;... .'.4. I......::.•:i.rnS . . ' . . ...._,.•..........:.......... SHOULD ANY OF THE AIIOYB DE9(70BIGD POLICIES 86 t:nNCSLLED BRp�THE &IMRATION DATE TkiMtDOV T RE uAMNG COMPANY WILL EMIrAYOR TO M AIL TOWN OF RARNSTABLF tp WarrM NOnOe TO THE CERT 7CATC HOLM NAMED TO THE.LT Fi. 367 MAIN ST BUT FAILURE To MAIL SUCH NOTICE SHALL 1MPO99 NOORIOATION OR iIYA1VNIS MA 92bDt L'ARn FIT•OF ANY RiND Tn�ly TTlR COMPANv rt9 AGCNiA OR RHPRESENTATIVFS Aim AEJ71i1sAnveJ WMEL4 GASTZ-FL-0 fla .rr. .y:ti<•� •7 i,t;5.1: .;�,; .��p;.,,8.t;y;:ii;?7:;F:L�Yry�'i;: :B�:Y:�::,:nn%:til�.v.•.!::�=:;5:"fi:: :I.t.i•!''::2:y:tii':' ;;Z�[!!.':j::� ;'r,C:vY: ;[:o.. :1::: Assessor's offioe (1st floor): OFI E. Assessor's map.and lot number /�. . ..Q.��.... ., !L Board of Health (3rd floor): Q Sewage Permit number .... . ......? . „ i BAL39TODtE, Engineering Department (3rd floor): 5 0o rb q 2 . � House number 3 �0 APPLICATIONS PROCESSED 8:30:9:30 A.M. and 1:00-2:00 P.M. only TOWN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Add to dwelling...................................................................................... TYPE OF CONSTRUCTION ..,•WOOd i............................................................................. 11/3V/87 .......................... ....................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: KLocation 25 Huckins Road Centerville , Massachusetts 02632 ..................................................................................................................................... �. +. Proposed Use ...Family room `nl� RD1 k Zoning District Fire District Centerville..................... .................................................................... �CCK Name of Owner Stanley Jones� Address 25 Huckens Road,Centerville , .......................................... ........................ ...................................................... Name of Builder Stanley E, St. Peter Address ....3715 Main Street,Barnstable .................. ........................................................... Name of Architect .,N011@ ...Address t .... .:........................................................ Number of Rooms one oured conc$ete - ...................................................Foundation .............................................................................. i i Pine trim W.C. Shingles Roofing ......Asphalt.....................................:...................:.. Exiei ior ........................ ..................................................... Plywood underlaYme Drywall ll Floors .... J ...... . ..., .....nt............. Interior .......................................................:.f Heating Toe space heaters g existing ' ....... .................................Plumbin 00 ( Fireplace ® � f .......................................Approximate Cost 15 000 ..\ �:........ ................ �. ......... ... Definitive Plan Approved by Planning Board --------------------------------19_______ . Area .............D Diagram of Lot and Building with Dimensions Fee ... D 00 SUBJECT TO APPROVAL OF BOARD OF HEALTH,, tr a ? I OCCUPANCY PERM ITS,.REQUIRED FOR NEW11DWELLINGS I hereby agree to conform to all the Rul ' and Regulations of the Town of Barnstable regarding the above construction. t 3' 1 Vim . . . `� Name ...... .-01 Ooa3W16 Construction Supervisor's license .................................... JONES, STANLEY A=252-011 31469 Permit for Addition,,,,. Si.>1gIg-,.. Location 2. ....5 Huckins. . . . ...Neck. . ...Road......... .. . ....... .. . .. .. .. .... .. .... .. r Centerville , ............................................................................... , Owner Stanley Jones x ............................................................. Type of Construction Frame w ` ..................................... t ......................................................... .........I........... Plot �........ Lot a Permit Granted .December•.•4.e..........19 87' M Date of Inspection ....................................19 Date Completed .....19 t I /111le G��`� Assessor's offioe (1st floor): `` Y�AK. '�; SYSTE MUST �',��= 0*THEAssessors mapand lot number /•al�... - LLED IN .. Board of Health (3rd floor): a WITH TITLE 5 Sewage Permit number ....P..�.::.. 79................................ S Z B6Hd9TADLE, • Engineering Department (3rd floor): MENTAL CODE AV House number [ l? f Zn E0U AT t`� oo 039. \0� ..........................................fir...... �D VO or, APPLICATIONS PROCESSED 8:30-9:30 A.M. and. 1:00.2:00-P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Add....o...dwellinp....................................................................................... TYPE OF CONSTRUCTION ....WOod .............................................................................................. 11/30/87 ......................... ....................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location........?5..Huckins...Road Centeryi.11e.a...Massachusetts......02.6 2............... ProposedUse .....Family..room..................................................................................................................I......................... Zoning District ......................... re District Centervile��[l sterville l -O ......RD1..................................1...4. Fire Dii .....................A i.v ............................................ v Name of Owner Y Stanle Jones Address .25...Huckens Road,Centerville.. yy....................... 4 .............. ............ Name of Builder , Stanley E, St. Peter, ` ` Address ....371 Main Street.Barnstable ........ Nameof Architect ..None ..........Address..................................................... .................................................................................... Number of Rooms .............o..... ........ Foundation Poured COnCY'ete .......................... Ex,erior ....Pine trim W.C. Shingles...................Roofing .....AsPhait............................................ .. .............................................. ............... Floors Plywo.od..underlayment Drywall Interior .................................................................................... y, existing � FieclfMg. .......TgP...S.Pa�s.�...�1�i1 .exS..............................Plumbing ...... .g l�00 I / 000. Fireplace ............. .e.....................................................Approximate Cost ...�5 .....................................01.............. Definitive Plan Approved by Planning Board --------------------- -------19________ . Area ...� �................ ......... Diagram of Lot and Building with Dimensions Fee ... ��................. .............. SUBJECT TO PROVAL OF BOARD OF HEALTH �� 7' x kX 11S* h ��:��i� v la o �V IFA to(( &OVA 1 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,r��/I.LU.......... .... .... . Construction Supervisor's License 0 O 4 3 6 jONES, STANI�EY No 31469 permit for .•Addition ..................... , Sin le Family Dwellin�l..............g............................................. .......... Location ....'.S...Huckins Neck Road ............................................... �. x. Centerville :=• t- -, Owner .......Stanley...Jones.......................... r Type of Construction ...Frame•....,•••••.•••••• •••.• - ` °........ :................................................ .................. Plot ......... Lot ...........'.... ............ Y f Permit Grand ...December ...4...........19 8 , ,e .................. a c.. Date of Inspection .................I......^::.........19 Date Completed ..................:.........:.........19 r 03 - Ln t - CA