Loading...
HomeMy WebLinkAbout0167 JAMES OTIS ROAD G OTis t 0qq .I z x Town of Barnstable ermit# �oF °wti Expires 6 ma tksfrom issue dale Regulatory Services Fee BARNSTABLE ► yb mass. g Thomas F.Geiler,Director ljp t639. ��?s tED MP't Building ]division Tom Perry, CBO, Building Commissioner 200 Main'Street, Hyannis, MA 02601 www.town.barnstab le.ma.us Office: 508-862-403 8 Fax: 508-790-623 Q EXPRESS,PERMIT APPLICATION RESIDENTIAL ONLY f n Not valid wif/rout Red X-Press Imprint- Map/parcel Number n � Property Address J 1ne1 s OAS Residential Value of Wort. (: ` Minimum fee of$25.00 for work under$6000.00 0��ner`s Name&Address /r7 r4L- ` eett - Contractor's Name ,oa/y TelephoneNumber 40 " r) "1 lko [Ionic Improvement Contractor License#(if applicable ) SS P��Ird9� " Q / X is DRESS ER � ® � Zman's tion Supervisor's License#(if applicable) r2�t/ n,, _ Compensation Insurance TOWN.OF BAF��ISTABL Check one: ❑ I am a sole proprietor V1 in the Homeowner I have Worker's Compensation Insurance Insurance Company Name A)4/ �I"16 cc� Workman's Comp. Policy#. . g h s) Copy of Insurance Complianee Certificate must be on file. „ Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re de Replacement Windows/doors/sliders.U-Value - 71 0 (maximum .44} kWhere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission.' A copy of the Home Improvement Contractors License is required. SIGNATURE: SU'0.RMS\building permitr foms\EXPRESS.doc Kevised 100608 --- r- �Y ,., �"^^'. -r Gu+on+n Ktrr,y. [j.�...t'.�.��. .F Yw ilnsla: -.,.._ Rz.acwai br AnSrntn c4 Rbnrtc!3xw0 at .. ��. Sales A+regiment ^ham !c> «7'+3ri�S o7'rs bYAndersem city.smle.23p &a2 L4� n�a :2unde�P�.uub..: 1)�xi l Eaz lh+c �..... � ._ iVn:amochR.Rloaas» _ a+n�am a�.ucaswwr ..ti.i..�.«r:.w... Fssc-L a,.._1..r>u. .-.. SC. li..R Ri•3a ."ti.i-I ZZ"MA F".3; lflY'IS - GfFAL/S - .. - r- 1 8�R3+ .. It n� ? 9 a dg i D dig d * • } 4 * - t,o.-y�7 !_o . s_ � toL jJ16 5 3 � 3 I ?...._... '...' ice-€14 7 - tC r _tlb 3 1.4 x ► i _ 1 . '� �+ yog s= i 410 JK3 hA«f Ae-M.n.a�ana�, ERGn 9cwJ wR+e8n.4 q�wm'1'11e, �(HyyyyPr�jryApR'Lv e6 � � .. ~n - wIn,M Ytefwwel�mrr'Fr'^b LvA(vow•.,....wY9«'+�..�Lf�Rw�kw«*��M�`n+II+r R7.wec � �� "'T"�^ K3u.e.ma to ,v¢....� ..... lm.mttz.n - t i.:.e�.te,���ne•,p wM�u«,erw.ue+f.+..e:w,w!�wm, n.� ......_.—..--��._._.__....,—.. oekrtStt®lr. .: S�beclA'4�oawefii$e!Tm�ffi'e+a�a.a�S�naaWltYoaa�� .{Wcib armaog.,� - ..—......... - .H�ca3a+e+aK�t3x%mes�s���W.�aae�����;a�w4lxmtl�m���Ilaai��&+r:au _•---•�-._�...__. _ I �N —. carer a...frtr'aoeu.«+oA o,•iiw«n ...�b�iA'.�. vkb`ox` T "+x.m-`.s,."-°r..._...._ ' «.R+w+� ..,mi.MSnrr'W,�a.a4�.�. .yw` -- � ...._.�._._.. ____-�-�-�- _ ............. _.._.._...� .. _ _ '.,.,wq.«w+v.. .w�..aagw.�. ...,,...w...wr.«� �s...,on.w..,.w.ar ;.. ... 1,_._.. _............ ��� ......_....... :� m:.` ,'�" ,..xv+ft .a,� .ewa.mw..mwe..+�R•rW.a .... J1{�_— ,{f �L._._...,...__._ s+ �,F�,/ ��.....s..«auW..R«..�.�w.e,w. wwc n.naw +xn..�.pGs�w.!,mi.!a<.em...r .ffiw+��:.�.!'SYva7nfF.•maxa.�troet . ' .t� .........�..,..da..w...�.o...,-.«.,,._.._..ova...,.�,..�.<r+.�...�..;..we.:.M...a......aa�.. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600-Wash-ington-Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 4 A Please Print LelZibly Name (Business/Organization/Individual): MOON • 5 Soc' P U , Address: H 3 % ✓ Mfrs �� . City/St to/Zip: Ur l�lsc�G�t 1�-1- (� ��S Phone #: � 1 G �l` G� Are ylln an employer?Check the appropriate box: Type of project(required): 1. I am a employer with C) 4. ❑ I am a general contractor and.1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑gNconstruction 2.❑ I am a sole proprietor I.or partner listed on the attached sheet. 7. odeling ship and have no employees -These sub-contractors have g- ❑Demolition workingfor me in an capacity. employees and have workers' Y p h'- 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 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL. 12.❑Roof repairs insurance required.] t c. 1.52; §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. $Contractors 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.-tf the sub-contractors have employ—eT th-eTumst provides 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: G'�'n! 4 C� Policy#or Self-ins.Lic.#: Expiration Dater /U Job Site Address: tP 'AMC alS City/State/Zip: (iE' 1a��e ��-�3 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$250.00 a day against the violator.-Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: .; �i�—�--._ � Date:: 10 �6 Phone#- 40/_ � 7 c'0 Official use only. Do not write in this area,to be completed by.city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector.5.Plumbing Inspector 6. Other Contact Person: Phone#: i r yr biqbu d CommttAf rairi Susl:.'HOME IMPIRqy�m TO -28W8 �x�segutat fa tr , ' ykoG #ion AME jAm m re „ seo& ry i , •�Y�l��i k�'�s�Ss4�,°��� �(;�t�€E"e�}'.���$Z�T'��dJ� �i�Y�`."�t 1 y;i '' .. i a i and, It ` I7JA ON Putt am! Op 1 I }, �2 as� cum d hr z € a , ' to t 41 1 i From:Shaunna Robinson, Hunter Insurance At:Hunter Insurance,Inc.'FaXID: To:Denise Glode Date:9123/09 09:45 AM Page:2 of i! / ACORD CERTIFIC4TEI�QF't'LIABILITY INSURANCE OP ID S DATE(MM/DD/YYYY) MOONA-1 09/23/09 PRODUCER a ,"p., THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION #. ONLY AND CONFERS NO RIGHTS UPON-THE CERTIFICATE Hunter Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 389. Old River Road, P.O. Box 1 t 6 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI 02838-0001 Phone: 401-769-9500 Fax:401-769-9502 t. INSURERS AFFORDING COVERAGE NAIC4 INSURED Moon Associates Inc. INSURER A: gational Gran 14788 DBA Gutter Helmet � grange insurance Co DBA Renewal by Andersen of RI INSURER B: Beacon mutual insurance co. DBA Gutter Helmet Roofing I. ' DBA Moon Works - INSURER C: 1137 Park East Drive *I' t; uJsuRERD:. Woonsocket RI 02895 'INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR - "MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH - POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRF TYPE OF INSURANCE ' 4 POLICY,NUMBER DATE(MM/DD/YY) DATE(MM/DDfl(Y) - LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10 0 0 0 O 0 A X COMMERCIAL GENERALLIABILITY.j' MpS26619, 09/16/09 09/16/10 PREMISES(Ea occurence) $ 500000 CLAIMS MADE }� OCCUR ; .. t +' ,... ) t " � MED EXP(Any one person) $ 10 0 0 0 PERSONAL&ADV INJURY $ 10 0 0 0 0 O. GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMRIaAPPLIES PER: PRODUCTS-COMP/OP AGG $2 0 0 0 0 0 0 POLICY JECT LOC - AUTOMOBILE LIABILITY,,, r 1 f - + COMBINED SINGLE LIMIT _ A X ANY AUTO }' B1526619. # ' f. •09/16/09 09/16/lo (Eaaccident) $ 1000000 ALL OWNED AUTOS ).:.'.. " , it - 17 SCHEDULED AUTOS 4 f ✓j," I e a F - .; ! BODILY INJURY ' $ r I( I. (Per person) HIREDAUTOS + , BODILY INJURY NON-OWNED AUTOS ! (Per accident) $ PROPERTY DAMAGE, $ (Per accident) ` GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER EA ACC $ THAN AUTO ONLY: - AGG $. EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE, $ 1000000, A X OCCUR CLAIMS MADE CUS26619 Q9/16/09 09/16/10 AGGREGATE $ tt $ DEDUCTIBLE X RETENTION $10 0 0 0 $ WORKERS COMPENSATION AND k { +- •+ X TORY LIMITS ER B EMPLOYERS'LIABILITY �3 - ; ' ANY PROPRIETOR/PARTNER/EXECUTIVE x�' 28586 i - ! +I _ 10/01/09. 10/01/10 EL EACH ACCIDENT - $500000 0 s.describe EMBER EXCLUDED? {{ ( E.L.DISEASE-EA EMPLOYEE $5 0 0 0 0 0 If yes,describe under � '� 1 `��- + ? p - SPECIALPROVISIONSbelow .� , " E.L.DISEASE-POLICY LIMIT $500000 OTHER { t it I I DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS f . CERTIFICATE HOLDER (, 4 CANCELLATION I e BUILDIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ,DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1.0 DAYS WRITTEN Building Cont. Reg Board Dept, of Administration NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL One Capitol H111 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Providence,RI 02908 REPRESENTATIVES. AU T D REPRESENTATIVE "#I ACORD 25(2001/08) ©;ACORD CC1R.PORA ION 1988 +. I 1 i • ' 00 I A , i m N N N N I N N 1 N coI V f m , U7 A ' �W/ N O cD W V (T A f W N I —• O I (D CO V CA 4 Vt A W N 1 44 cl rb i I I 4 �cz, ov C-1SYTi Ld t. I { I a G(J �S ` 1 ' I I s—Y x 0 J v 1� �' 71 co I f L4 4 t I ' I �� 1 C 0 h C trey'&, Ste,'v 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 ' "' 56 I coto V co n t rn N .Np, W N i , i 1 i 0, , co ; w cn a w v CD cn f w v m j En a. , CO N 1 his Cool �- s //C -�Irv,c 1� , 1IN , i Le S1 t LV In I � i CIO { .set , i � II 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 Assessor's office(1st Floor): �26 Assessor's map and lot numb_er,- a� �i SYSTEM ��� THE T0� Board of Health(3rd floor) f% � `� i�7 ��.��IN COIRIMPLI ' o sewage Permit number A Engineering Department(3rd floor): amwloc7, _ a 9fiDLL J House number ��. ` °o 1639• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION (� C� Cj e Ke e !j a IU 19 TO THE INSPECTOR OF BUILDINGS: T The undersigned hereby applies for a permit according to the following information: (� Location Proposed Use Y ► �► C Zoning Distric ' ` Fire District .41 0-1 M R G Vid M r se a ree-re Address �"� Name of Owner � '"� C� w, E�� /T_ �Ol, , ee:h{,�-L, je Name of Builder (4���l 1/y-FYl q L Address 138 .J o t)eAd M G s Name of Architect 0 h Address ` Number of Rooms Foundation C 0 C� Y ,S LAG Exterior S L ej Roofing A— • M ci Z Floors C O h C e- -� Interior a i+ J Heating 0 n Plumbing i 'r Fireplace / 6 0 h Approximate Cost / D 0 D, p Area40 a2 d y oO Diagram of Lot and Building with Dimensions Fee 130 r f� 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 2 � f)0 i O'KEEFE, MR. &. MRS. F No 33532 Permit For Build Sun Room 3 ` Single Family Dwelling Location 167. James Otis Road - Centerville _. Owner'--' Mr. & Mrs. O'Keefe i Type of Construction Frame 1. Plot f Lot } Permit Granted February' 27 , 19 90 3 Date of Inspections/�� � 19 ' Date Completed x�4 19 Ri• //•A �.y f t p �,�� G�i W ♦ Z +1 k 1 4�,: —: � 7._-,n-x.:s3±'w..;r. `5`s•e,.4• .-. .tY'_h. 1!' s,,e/+;�. i, Y 6fi''++.a� +... .� ;y,.,.an,iv�.+.�6r�.-FYeti.._,r+ , -'-'�`"�: _ Assessor's office(1 st Floor): Assessor's map and lot number / � - / L Q�o�T r EjTo`` Board Health(3rd floor)*;:6 ,Sewage Permit numberr „r Z IDS 37;oDLL i �. Engineering Department(3rd floor): raes ,House number i �o '°s-9 definitive Plan Approved by Planning Board' 19 �� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only = TOWN OF BAR.NSTANBLE BUILDING INSPECT fO C APPLICATION FOR PERMIT TO �� t O O X 11 f to 4 G YI TYPE OF CONSTRUCTION 1990 ' a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ,/ { J 5 ( . # Y '1 Vf t l e ` An Proposed Use X s �Y{b-•.. Zoning District ^' Fire District i �f �` / , Name of Owner f �t M e S- {1 �r Address t` �1C? n�+ a t 'i 5 l Name of Builder "t k) #`1 q rt L Address 36 ,To h ens I"f Uf os/VjPe to ` Name of Architect ' t 6 Address - .. • i I Number of Rooms h Foundation Co r i _ Lc, Exterior ' r* Roofing L Floors_ C Y-t C `,r e - Interior t° Heating A f , n Plumbing h 0 Fireplace (2 fA e- Approximate Cost Area �f, Diagram of Lot and Building with Dimensions Fee tJ t Y�) f Q yY 5 ~OCCUPANCY PERMITS REQUIRED FOR,NEW DWELLINGS may! � tics r i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I Name Construction Supervisor's License O`t{EI;FE,, MR. & TARS . A=170-3.68 . - No 33532 Permit For Build Sun Rciom Single Family Dwelli nr Location 167 James Otis Road Centerville Owner Mr. & Mrs. O' Keefe 1 Type of Construction Frame Plot Lot Permit Granted FebruarI7 27 , 19 90 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/1/ c// 7,4 1 TOWN OF BARNSTABLE Permit No. - -—--------- IAMMU Building Inspector Cash OCCUPANCY PERMIT Bond -------- Issued to Address sruil Wiring Inspector Inspection date Plumbing Inspector 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 FROM _ •. TOWN OF BARNSTABLE. ' a BUILDING DEPARTMENT AIr. Francis Zahteine 367 MAIN STREET HYANNIS, MA 0 Tom Clerk Phone: 775-1120 V, SUBJECT: FOLD HERE - - DATE .. C dbt bbe 15;- 1984 w, .�. _ ...__ M E S.S A G E , .. .. se•M of,B!'F`s a.��•,.a•.h..y.'i.in .. _ .. .._.... s _ ._..._ Wrk has, been C leted under Pear dt 26714_(Alan.E. Small). _ ar x•�•.x•<x:�, .w;F.,.....w •.: a»' „e w Z u.. x.« .. .„ Please release Bound. SIGNED 6 `•{-q- .. �+.� - DATE REPLY SIGNED N87•RMI - N RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. - SENDER:.SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. <?tat•ft�•��FAMILY ;3 BCORnoM � ,�. rNQ "GARAGE Ga.►NDEcz �+ F; �a 6EPTIG TANK = a30x15o%,= �9yG,P. R ��30 V5s-. 1000 i / •r t T• D15Po5AL' PIT.._... -v5E - 1ao0 GAL. ► 5S � � � -� +j M�� - �30 115 0 . 5.F •5 = 3?5 G.P q ► T6,/ Pp�P c \a T gOTTO/K AREA= 1�o5F•- �- I , isle, ' .. o � 2�'4' �3s o 5 o G.P o , �P I I ?PBAL —TOTA 1- ES1GN : .g 2 5 G.P. D. b Aee3A p �.a.TpTA4_ DA►w,(; FLov.! = 33OG.P0. • _ 3`Sf ��� 32 s I�� � i z o `. .. 2c4>1-A.T1ou GZATE. 1''IN60 2M1N.o I-65S " I t r .0 s Of ; H Of M J i s } N DAVIo �y RIWARD Ck ae A. THULIN b >. BAXTER y ' No. 29976 D' l �•�I 'Na. 4048' i A 'AF L l�'�pf���C7STER�O� }t.: �O�f,C IL Px'� �y0 ��• = NAl � � i_ N� 'SU 1.0 -rop FWD 'TEST UsTs:r r - it ►oou 1NV• } 4 S 1 7P11. D►ST. INS SEPTIC Y1o' ryes 's I r ' I h Bu?� 51,L TANK �• 4.-�-� r s I S A '� F OI.EALN ,PIT INV.. INV. , pt CERTIFIGO PLo-T PI..AIJ_h;. ' L o G A'T 10),J Gd�2wil o' SCALE 5CAL 'L - DATE G-Zo ,8A.3 ;. N -- I 50 t , a W aTES>�'. PLAN R E F'E 26 N GE• I I,"� T N A'T T N I`ov 1JaATIolJ 5No�nIN x HER.6oN• GoMPL�(5'YJITN'THE S I o�LIN I_o-�- 31b Fk�•k ,� A1.1P •SET5.GK 9-6QvIR.EMI=NT> F 'TNE- T O F:'$AQ•,�STA.'MLa A N� 1 S -�►>ti3 Fc2 ,br..A I.1 oHIN , �..G1.00.D PLAIN S9E6T '4 o P S ;t : IT FJ. ppTln M A PAL , t4 6AXTE2t IJ`(E fN�• r f =, No u�vEYoes �t115 PLn.eJ 15 Nei' 4n5c D o1d AN . OST Ee.vILL� - MA55• 01=F.SE"r5 6POUL'3 c ►-1-r NoT C�fc'"USEDTO.m.DE'( E._�ZI^I►.1�. l.cT' �.11-1r�j A PP I A , 0 5 D4403 Assessor's map and lot number,..............:...... .... .... .... ...`� .* THE t �y� a r� Sewage Permit number . .... ............:.. :... f1t '.....:. W "'' T ��Q �♦� 411 BJSHs House number ..................................... ;..... y 3'➢s Z TADLE MAB 6. aVi t`A TI3 HAX { TOWN OF BARNrS BAR-LE'; a { BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ....... ..... ......................:......... ............:........ ................ TO THE:,INSPECTOR OF..BUILDINGS: The undersigned hereby applies for a permit according/to the following information: Location .CrQ ..�..... .�� �.......�d .�t ,...!�f!�. ......... . .. Proposed Use . .................'.. .. . ................ ....... . ZoningDistrict ..........t.................. .......................................Fire District ........ ............ ... ................................ j` Nameof Owner ............... Address ................... ............... ......................................... Name of Builder ....... .............Address ..........: Name of Architect ...:.....:................................:.. Address .....:....................:::...................... Number of Room Foundation ........ ...... ... .....: ....:.... ..... ., Exterior .... ... :................Rogfing ... ............... ...... _. Floors ............ ..........................................................:...............Iriterior .. . . ..... . ............................................... ............ ...........................Plumbing n Heating .......t!.........��...f�[:�...". g ....................... ... ... ........ .................................. I, :*.............Approximate Cost ...a...1 r d.,.d Fireplace ......... .. .. pp /..: -- -- 19- ---. Area gr.... Definitive Plan Approved by, Planning Board _______________ Q. Diagram of Lot and Building with Dimensions Fee S _. ... ..�.... ........... SUBJECT TO APPROVAL OF BOARD.:-OF HEALTH d 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 y F` SMA1J .�• ,: ALAN E. 'S No 2�:7.a�...... Permit for one Story ............ r } ......Single..Family.,Dwel,ling.......................... Location ........76 �?�MG���`tt �e�"�1. -� - ...CPxIVa i�r...............:.... _ Owner~. . ......P�1 C1.:i1 IC 7.1............ ................. y , Type of Construction .1came............ ..... .......... _ ........... }� -Plot ............................` Lot•.. ........ ju ,Permit Granted .......... lgr..................1.9 84 Date of Inspection µ Date Comple ed A/l .`:. ...1.9 ti i s 16 Assessors map,and lot number......................................... . , �, � FTHET PLO O�1 Sewage Permit number ..:! ! �........ Z 33A"ST�LE, i House number � `�..P..�. /a 9a '� ....... .................. ........ r. � p 7639. \�0 TOWN OF. BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ........................................................................................... e t. TYPE OF CONSTRUCTION .........:....•4.....n- .............................................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- Jew Location ' ProposedUse ...... ......................................................................................................I......................... ZoningDistrict ................................:.......................................Fire District ......................;:...................................................... Name of Owner .4 . E P ...r2 !2................Address ......... ......�'"'.... Name of Builder ................................Address III Nameof Architect ..................................................................Address .................................................................................... Number of Rooms, ......................................:...........................Foundation .... !�................. Exterior ........ f r� f ``�.. ...........................................Roofing .......•C• ` ......� . ........................................... Floors ........... '....................................................:..........Interior :...� Heating ...........................Plumbing � c"G rr .......��"....../..-f.... ................... .................................................................................. Approximate. Cost Fireplace ........../�......_ —r�r k-�•.�............... �:............................. Definitive Plan Approved by Planning Board __________________________ �-� ------19-------- . Area ,;�.. A•- . . . .......�.r.. Diagram of Lot and Building with Dimensions Fee .... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH S 1 l� 1 r r f • f a [ J ! 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 ........ C !l r � t ram; ..................... ( S" 7. Construction Supervisor's License ................................. SMALL, ALAN E. ' A=170-168 1 26714 No ................. Permit for One„StorlY,,.,,..__.��.,,........... ........Single.Family... von r Location ....Wit... Rd. 0` ............... va 1le.................................... Owner .... .............•.........:.......... s Type of Construction ..k'x'c-tW............................. ................................................................................ Plot ............................ Lot ................................ Jul Permit Granted ... 18......y.......!....................19 84 <' Date of Inspection ....................................1.9 Date Completed ......................................19 i .