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HomeMy WebLinkAbout0297 LAKE ELIZABETH DRIVE d97 L,a1feFirurbdhw r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION" SOWN OF BARNSTABLE � i�- `451 Map Parcel Application # Health Division A;( n, j Date Issued 7— Z 3 �-1-7 Conservation Division Application Fee Planning Dept. Permit FeeYV7 TON Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 1U Laic na Lk-s Village ccwjd�"(Je Owner Acvm eCv Address 1� �9KS �2 k"S r Telephone Permit Request CAKtw ReAcc 0 L� E f'i i; C��+� `� C6 3)c R `i'f 1 �dI FIX AVASW Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District A Flood Plain Groundwater Overlay Project Valuation Construction Type 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 ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑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 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ST` l`Y' Telephone Number Address License # Home Improvement Contractor# Email STEM? C� StCUC / gS� y, Cc� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LgLAP 1 SIGNATURE DATE ��(� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. x ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r - DATE CLOSED OUT ASSOCIATION PLAN NO. . Co�ram�ea ��r�srfcJr - i�e�c��e�tOffice - cOrpedkoazrs. a Basibn,MA 02.UI WurkD& Campensafimhmm7mce Affidavit13,Oder*C - hers N=w Address A:re u an employer?Qxe*the appropriate bay Type of px ject{rer}uire : L I an i a employer wiffi 4. ❑I mn a general confmctar and I * leave lbedfif w sub-conkadbm 6. ❑New a=truc:6, tm emgIayees(fall for gam-th��. 2.❑ I am a sale psupdgtos orpartaw- `fisted ca the aftacbfA- sheep • 7- ❑Renmadeling slip and have no employees , Thne scb-co actats have 9- ❑Demolifion wading- forme i a any Capacity. `qEdayew andhave wadz8' INo woders,oauzP-insurance camp.inm mn�1 9. ❑Building addifraa . 1 5.0 We are a corpom iflm.and its 10-[]Elechicai repairs.or aeons 3.Q I am a homeowner doing all mark � , .officers have exercised thew 1 L O Plnmbiagrepaiss or addzfians my-self LN° 'o=p- • ight of you get 1i M . � ' i ramce reTEre ]d. 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Faib=to secvm coverage as requirednuder 5ecfi=2 5t1,o€MM(--lP cm lmtf fo the imposiliaa of cri.ffimal penalises of a fine up to SI 4o:aG andlar are-gewimpciso as�ae31 as ci�1 penalties ffi�e fay of a STOP WORK ORDERLand a rime of up tar a day against ffie violator. Be advised&d a cep'of this sfiatmr�maybe fx vmded to the Office of Izye Eg ions of the DIA hr;•,e mwe caverage vecEffcaficka- Ida heraby tlts pwaWw a fgerfW7 thiatffia irnfor prnrfded abate h bus and carrext a,�d we Do oat teats in tkb oxen,to be armp�fete d by city artalFn O icfai 0ty or'I'n a: Z erinitiL�t3se _ Ling-Amfimar€fy(cirde true): L Board of nealffi y Degart mcz& 3.EitpTown+Clerk 4L Elech'iral Imspectnir 6.PtumTfitg Emspeclor 6.Othtr Coact Person: Flume _ — 6 .■./■■� �■nl�•- I �n1■ •`�R n tl ■• a- ••n■��F r■Inn�!■ .n•ta {aI [•' 1 .i■at• • n Y■r_nt u u .. r_nn. -.a ■.t•t■�. :•- � ■�•-■■ it is - . ..■•at� to■� .I. • rat■lt _r • ■■. �.�u :,.� . not ►• ar. a ••nn.a • ■ i�u • •i a�7au�■ _u u n nu: r-■ n.?R nn _••...Ir_n•■ r.1 •a J•w n .u�+ �7 a.nt ■, _n• ••• n n n ' �• .■ _ •■■ �■laii alalA- -u■ n 1■Ut■_ it - - n L..�/Ir••w ■ = ■ 1 �■ :r..n ••r a1 t■ � i.3, • ■ ■ [�- • :It n•■• ■n_ •.I ■t rF■t1. -.��•...Y.at an •1 •it�. -'J: �i■■t • rnl• a• t■: �+■■a. ■• •'- •••■�• �• •• 1 t■' ■■. t-•t■- I• la t, - ■■-■1 all i .■a:I an i•Il :It■ ••■• wY■ ■■a �In ■1 to ■ r/t.�.11 • [•- /••- I as. ••■ •- • :1•••■ •'■• .+a a I •' t iiA•1■ n ■• ■■-tlalloa.t/r' •I■ t t ■•■ al a.al •'■/. •n ■ 1 ■•' 1■■■ ■.■A" ■ •I■ a• J •■.a• a: Not ■ as .■..n tiia.In a■�1 - 1• a I a■ r ir:It ■ • .a �I■■a ••a■I.al ■- 1 i�aa�■ ■• •- J■ �n1a • J�'■ t-n lit • ru:., i■.c -•�t r ■- . _t r: _ -_ _a ,■ a at I ■• u t u ta- r • utn w. a u r■sY■ .r a+r ■ n_ a •. - r■.nn . . 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THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. ff SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MURRAY&MACDONALD INSURANCE SERVICES, INC. CT "oA Shaven Rabesa . (sos 28g-41so FAX Not ADDRESS: sharen0riskadvice.COm 550 MACARTHUR BLVD. INSURE it AFFORDING COVERAGE NAIC BOURNE INSURED MA 02532 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURER B: KADY STEVEN DBA STEVEN KADY&SON MASONRY CONSTRUCTION INSURERC: P O BOX 493 I"SURER D: FALMOUTH MA 025410493 INSURER E COVERAGES ►NsuRER F. CERTIFICATE NUMBER: 84092 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LLTTRR TYPE OF INSURANCE ADDL U POLICY NUMBER EFF MM/DDY EXP COMMERCIAL GENERAL LIABILITY Lams EACH OCCURRENCEIE CLAIMS-MADE OCCUR A PREMISES a occurrence) MED EXP(Any one per N/A PERSONAL&ADV INJURY GEN`L AGGREGATE LIMIT APPLIES PER: POLICY❑j� LOC GENERAL AGGREGAT OTHER: PRODUCTS-COMP/OP AGG $ ✓ AUTOMOBILE LIABILITY $ �MBBINE—pSiNGLEUMIT $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS N/A BODILY INJURY(Per acdderd) S HIRED AUTOS NON-OWNED AUTOS PRer a tDAMAGE $ UMBRELLA LIAB OCCUR EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE WA AGGREGATE $ DED RETENTIONS WORKERS COMPENSATION $ AND E MPLOYERV LIABILITY YIN X STATUTE FORTH A OFRCEOR/M MBEREX EXCLUDED?ECUr1VE WA WA NIA E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) 6HUB931X732116 08/29/2016 08l29/2017 If yes,describe under E.L.DISEASE-EA EMPLOYE S 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 WA DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddMonal Remark;SenedWe,may be attached N more space Is requlrred) Workers`Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the polity in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensationlmvebtgaforis/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Bamstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 C Daniel M.Croy,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) r The ACORD name and logo are registered marks of ACORD BeverEs! L Pefersen 6591 29T 4akeside DrNe W '—�'° Unierwlte,MA 02532 Sd" �� 53'�" . I God Bless America A�ankofAmerica��.� - Lir*6 59 even a y + Phone: 508-563-2515 Ma.Licensed Construction Supervisor#059847 Toll free:800-567-9787 P.0`Box 493 Falmouth.Ma 02541 Cell:508=566-5087 Fax:508-563=2516 N Email: Steve@SteveKadvMasonrv.com www.SteveKadyMasonry.com PROPOSAL January 28,2017 Beverly Petersen; ' i 297 Lake`$ide Drive West Centerville,Ma. 480-707-2067 Beverhr p(o?`camcastnet WORK TO,--.BE PERFORMED: • Construct ground staging • Construct roof.staging • Remove center chimney down to roof line • Panflash • Re-construct chimney; o Using Rocky Mtn.Blend Bride o 1 With detailed crown }.z..o` Re-install stainless steel chimney cap TOTAL: *Labor,Material,Disposal 9 osal&Building Permit., $6,500.00 *Pricing includes supporfing-undemeath of deck to accommodate the weight of staging&roofing 50%.to.Schedule,°balance due ypon cornpleddn z 3& Massachusetts Department of Public Safety f Board of Building Regulations and Standards License: CSSL-059847 Construction Supervisor Specialty STEVEN L KADY PO BOX 493 FALMOUTH MA 0254 CA, Expiration: . Commissioner 10/03/2018 r= Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR TYPe 'I egistration: ;.K1X)14 ividual Ind `I O ExpirationM i r 'W- - STEVEN KADYI " STEVEN KADY 10 ROCKLEDGE DR."< = N.FALMOUTH,MA 02556 Undersecretary je`�Construction Supervisor Specialty Restricted to: CSSL-MA-Masonry Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit:WWWMASS.GOVIDPS registration valid for individul use only :L►cense or reg date. If found return to: }' hefore:the exp iration . ulation office of Consumer Affairs and Business Reg i 10 Earle Plaza-Suite 5170 MA 021% I Boston, !' I I, Not valid without signature s`• Engineering Dept. 3rd floor Map Parcel Z S''�ermit# �Sz244 House# ��Y Date Issued CF-a5 -1 Board of Health(3rd floor)(8:15 =9:30/1:00-4:30) L Fee �',� , S b'1 Conservation Office(4th floor)(8:30-9:30/ 1:00-2:00) - -974,44 _ "�. Planning Dept.( floor/School Admin. Bldg.) eA�/�� Definitive Plan Ap� ved by Planning Board 19 y r®�i� TOWN OF BARNSTABLE F v �� 4% Building Permit,Application Project Street Address 2 c12 eelc` Z-'I,,;Ly4e fi-t e " ��z Village Ors�S u le Owner A o s el- ug Si"/Oo tee • e t Address tTelephone Permit Request loofic First Floor `ZILI�-o• square feet Second Floor square feet ,Construction Type Wvoao Estimated Project Cost $ "),,5-00-c7O Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ #Multi-Family units) Age of Existing Structure / k Historic House ONO On Old King's Highway ❑Yes L�(/No Basement Type: W/Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing / New Half: Existing New No. of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing b New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes /NNo Fireplaces: Existing / New Existing wood/coal stove ❑Yes ❑No' - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None Zhed(size) - ' ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 6wrcs, e--e— Telephone Number 4ZL8• 7 � Address -R�x �r-f2 License# C-5 OS4}0f-3l CeA M A-.o 2-A:'Z Home Improvement Contractor# /©/e1Q7 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURF DATE 4o t, 22- l5� ', B IL NG PE IT F FOL WING REASON(S) FOR OFFICIAL USE ONLY _. PERMIT NO. �� t lam•}.'e E i a - ; DATE ISSUED t1 _ 44 MAP/PARCEL NO. _ 9 aJ + ADDRESS VILLAGE f... c �•� f E.• -' } .` ! f _ � i ', ¢ { � 'sue„ OWNER - 'DATE OF INSPECTION: FOUNDATION' , FRAME INSULATION• x ,'. •~ _ .. _ -FIREPLACE ELECTRICAL:^' ROUGH FINALS ! PLUMBING: fi ROUGH FINAL t GAS: Y•I • ROUGH FINAL ` FINAL BUILDING% DATE CLOSED OUT ASSOCIATION PLAN NO. l' +� Tyr(• Co►nntonwealth of Ahvvsachusetts --. 1:_ Dc nrti»utt of Lnlrrstrial.9ccidcnts office of/nvest/921/0os 6(l(l 1f'aslrirrrttirrStrcct .46 Boston. Afa.vx 02111 Workers' Compensation Insurance Affidavit i li irit iriftirmation: Please PRINT name: ��t� ^Cn 'G ,{�fde✓t Incatio too G''^4e-, ui Ile &Q o2 - 3 2 city nhone# I m a homeowner performing all work myself. I am a sole proprietor and have no one work-in-, in any capacity .. . .�.+..•,..�.'�.v ... fi�•�;�re vs..�.s'!s}rr,7..�+'ifs:!+�.:..Imr...+...w..��...�w,�gw+..... �;+�...r.....••�..�...�,..,�_..`_.. . 1 am an employer providing workers' compensation for my employees working on this job. cnnmam• name: address: city: Phone#- insurance co. plies # CI I am a sole proprietor, general contractor, or homeowner(circle are) and have hired the contractors listed below who have the following workers' compensation polices: r company name: address: ' r city: phone#• insurance co. Pniicy# 71 ._..__._.... ..- ...�_�....... _I.L..✓�J:...._... .:.4�:i1r'..w.n.lr -w -11 t� -1� - _.���:..�:Y�Y._... .Y��� company name: address: rhnne#- insurance co. nolicy# Attach edditi0nai sheet if tl[CCS9a =• :;.r r +� T :�•"."'.=''"�:'`-.'_iti~—r-`.''C''+^_=�_ '. 7777 _ ryry ..... «.�Jw�_.:a_�..=-__�_•�"�'_trr�r.:J:f.!_Sr ,_..._.��—�.'_��-'.'-.".�i 'O►�a�—`-��•ira_-'_..."`�.T_..�..•iSatt'�wL��i.•.N:ci:�i TL Failure to secure coverage as required under Section 25A of NIGL 152 can Icad to the imposition of criminal penalties of a tine up to 51.500.00 andior one%-cars' imprisonment a.well as civil penalties in the form of a STOP NVORK ORDER and it fine of S100.00 a day against me. I understand that a cope of this statement may be forwarded to the Ofricc of Investigations of the DIA for coverage verification. I do herehr certif urr le the pairs and per allies of perjury that the information provided above is true and correct. Signature Z`^ Date 1,4 S Print name Phone# official use unly do not write in this area to be completed by city or town official city or town: permit/license# r jBuildin-Department Licensing Board check if immediate response is required Selectmen's Office f, C]Ilcalth Department contact person: phone#: rjOthcr «« riw 'Information and Instructions ; •_: a ` ° . •�a" ra:.re Massachusetts General Laws chapter 152 section25 requires all employers to provide workers' compensation for tile; employees. As quoted from the "iaN%`.•an cmphtree is defined as every person in the service of :trnnhcr under am- contract of hire, express or implied, oral or written. - • _ "-- - 'An cinptorer is defined as•.atiVindividual. partnership, association, corporation or other legal entity, or any two or more the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or tile receiver or intstee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house haying not more than three apartments and who resides therein, or the occupant of the dwel link, house of another who employs persons to do maintenance, construction or repair work on such dwelling hou or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commonwealth for an,% applicant who has not produced acceptable evidence of compliance with the insurance c_overage required. Additionally. 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 lu been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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. City or,rowns 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. Plea. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned v the Department by mail or FAX unless other arrannements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question: please do not hesitate to _give us a call. - The Department's address. telephone and fax number: m w. The Commonwealth Of Massachusetts _ .•.,Department of Industrial Accidents Office of investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone 4: (617) 727-4900 ext. 406, 409 or 375 �TMe rq,� The Town of Barnstable 9EARM S$ Department of Health Safety and Environmental Services ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements.. Type of Work: 4-QM-_,_rS tl-c rd, - Est.Cost Address of Work: 'L9 7 Za`e- Cf Zv 4et< Owner's Name JG 5 Q r 4XI".6 L, Date of Permit Application: e� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby,apply for a pe s t agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Love/ =d <►1 D- ,ddo �,•Nw, ` '�' { 6L - d�f o I�o %o• Go S F'D Wca �by 4.�,••• :-:� G�'c� ,} ,� � .`._ /moo . v 1 g,� .0 �,� EA Tyr �M>: �, l EL-11 p41 ►fib :+� NiNC� I .7 \ 1 �o M rr� _ r I <w ``""♦ TOWN OF BARNSTABLE __.______________ Permit No. Building Inspector VAINST.X Cash oo -------------- awl-\� OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Rn,-7z?r & Ann flashburri Address 4 297 Lake EZiz-' Wiring Inspector `,7 / ✓�" Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ...................................................... 19......_ ........................................................ ..._._.._...._ Building Inspector d Assessor's map and lot numbe . 'f SEPTIC SYSTEM MOST-BE- ' �FTHE?G INSTALLED IN COMPLIANC Sewage., Permit number ...... .........(a..a. :............................ 6 g WITH ARTICLE II STATE , SANITARY; 00EAND TOW " ' q BAB LE, MAO& House number ......... ... .1....��............................... ' REGVLA�'{( i _r . 900" 2639. \0� f QYPYA• TOWN 'OF -BARN'STABLE 4, _ SUBJECT TO APPROVAL OI- BARNSTOLE CONSERVATION BUILDING IN'SPE�CT0R r � ? (;QM�SSION APPLICATION FOR PERMIT TO ..........u.4. ...... ......................... . ...... .................................. TYPE OF CONSTRUCTION ..............A)Q �.... ...... `.................................... .....:. fX ........................................... ae k ................................ .......19..7.... TO THE INSPECTOR OF BUILDINGS: The unclers' ned hereby applies for a permit according tto�the following informaatioynn:- Location ...... ................................................�� � ,d/`E................... .4/.'....--���h{.0......................................... . ProposedUse .f........ �.t?l i .... ,4�?e `.\! ...............................................................................................................:...... Zoning District Al Fire District � r)�✓u fS.. ..lJl`fl>m. Name of Owner ......Address {P�.MA -.!.. Nameof Builder ....OWN. 9............ .......... .............Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......... ......�..................................Foundation ....po!�y '.G.f e .................................. 00 Exierior YV �....CL,4P-8O� ........................Roofing ............. >; )V1Q\°-...................:.......:....`. .......... Floors ..1 D.0d......................................................................Interior ...... �jX >�1�A��............ ............................ Heating - P:�'...4i.l.lr...•............ .. .......... .......... .Plum6ing .... .yl�. .�.�A Y ZJ)S ..................................... :4 ' Fireplace .. ..............................................................................Approximate Cost !............................ jk + , Definitive Plan Approved by Planning Board _______________--__----------- 19________. Area ..... ................ Diagram of Lot and Building with Dimensions Feel '. . SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 r C O Ns av v - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . 1,.. �b '���r.............................. Washburn, Roger & A227-145 {,NcQ13,33........ Permit r .singl.e..family. i. •-dwe.11ing.....................................................r.:.:.. Location ...1•©t..#;Z....297..La"--E1•izabeth-•L`'r. �. ....................�@ ,�,gyy�•11@......:........ - r Owner .......Roger..&.Am..IaTashYaum...............j Type of Construction _ ,.................................. ............................... ... Plot ............................ Lot ..................................k s Permit Granted Date of Inspection .........;..........................19 ., ` . Y . Date Completed .. ..... ........... ...............19 wa t PERMIT REFUSED .....:.......................................................... 19 ic. .......y. ..... .................... .a ` - c ".7. ..... .....l•s... ...... .. • ........ ......... • • •..............- .• .. .......................... •. .............. . ............ .��.�.............................. m Approved ..................5.14'...................... 19 ` ............. . ... ....... .... ........... ......................................................... f. Assessor's map and lot number ....:�... '.'.�..-.....t.'. ..'� ... L ?HE �oF Toy Q Sewage Permit number .....�� z 6/4. ................................................... � . ... ........ Z oMAHBSTAMLE, House number .......... Mas . ..................:.... i • pq�2639. 00 �F0 MPY a\ TOWN OF BARNSTABLE BUILDING INSPECTOR ? '410c A;,11) APPLICATION FOR PERMIT TO ......... k%%V1 � "���� Cl _�_4/ ^A....................................................................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 6't�? ).....1 ,e,E.....E. uz lgA.�.�.......j/21 i1C",....................(16V =?LVII-A C ....................... ti . . ProposedUse ..........................\. r[:. ................................................ ...................... ...� .........................J. / i. Zoning District A - ...............................................Fire District ... `. ....... ............................. a -Name of Owner ..Qcov�.r A ..�\d�nC� �Ir1 Address (�{111n�v�,� - c�Clf n . . .... .................... ...... .................... .................................. ,.......... Name of Builder ....... .. ...................Address........................................ .................................................................................... Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ..........1.; ........ ..................................Foundation ...:? ?X c cw�r .� ............................... Exterior Roofing SrC►;1....................................................... Floors t n nrl .................Interior r-St�mK6 t aC RnP.k Heating r g hr..�....lhrc..,,,..,C Plumbin .. Fireplace .. ..............................................................................Approximate Cost . ....................................... Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ......... .! ...`=#!............. Diagram of Lot and Building with Dimensions Fee ' .. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH J ,k 0 0 ,r r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name A y"f ....:�?! r/ se,� -..................... . � . Wzsh}nurtI, � AmA227—l45 ' ` ' ^ , No ' ..... Permit for .. ....... dwellilIg...................................................... � '�e�o�'���m��»�t�']��. ' .......Centerville.......................:....................... � Owner &^ . - .. '_—_ � nm "^. Permit Granted .........../May.....31.......1979 Date of. y~°~- . Inspection ` ' . ` � ~ ............... '>' ... ~--.......... - . . � ^---''............... ` ' ^^--~~'--'' _ ................. ' > « ' | —.--~....0 ..—... � . . Approved ................................................ lg � -------''^----''—'------~''----' ----^------''----'^-----~~^'~^^ f : 1 � ' t , S ; , "N y. - -- --- - ---- J Fu , i ` { « 1 i _ • I F I r : I i i - i , I - - --- - - - v ly ...•.__.�._- - - - ! 1 --F- j •-T--j i I ; j � f j j �� i I I� 1 I I I I , j��- - i I I. � I I , . t cewri V-( T 11AT -nA G F,00 Nv AM 00 O TI G Th�ttb.! D"F -ENA P—�TA'F>L S yt TA �t)OtApf. wo 6,-AeR3AG2y elx;�IJ'DSIL A AV6, 'MI LI '`t.o V J =d X i lD- 410 6,RP, �'�` ISEMC- TatlK.. - A4*,4 15010- (oGv ��L.TAIJK,o_- \ / sIDt+JA l.l,. m L 3 �32+SL.� i�o825� 238 P`� \�� ho $0-r rOAA AA4EAtt, GS iv t p � t -MTA,L. 'tom, GAG G,p p. 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