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Home My WebLink About0263 OLD CRAIGVILLE ROAD m _ ,: .. � � - p o is 7//��l 3 �1-4 4 'Town of Barnstable *Permit F20/3 Tres 6 the om iuuedate Regulatory Services Fee + BARNSTASL6, + 9� 1659 � Thomas F. Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www'town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 01 3 Q L((' (f T�S y>✓` I�G1 �, 9 1 , ❑Residential Value of Work$ Q d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address GU G (// I-Q Contractor's Name wr/G' Telephone Number d-j Home Improvement Contractor License#(if applicable) `' /� Email: Construction Supervisor's License#(if applicable) I®q / D "CbS ❑Workman's Compensation Insurance PERMIT Check one: JU ® I am a sole proprietor L 15 2013 ❑ I am the Homeowner �. I have Worker's Compensation Insurance . TOWN OF 6�RN�T� Insurance Company Name l � ""�-" � ) t`t✓o�^I/L�CIn�✓(�e(I � f)Le Workman's Comp.Policy# &Ct A G WC a4- Dd—©ow 9,q -0r Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box). Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to _ r-,4w . ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. , *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 e 'red. SIGNATURE: f`^'G` f Q:\WPFILES\FORMS\buildin permit formsT)TRESS.doc Revised 061313 f The Commonn�ealth of Massachaseth Deparhnent of industrial Accidents Office o,f Inmligations 600 Washwgion,street y Boston,MA 02111 nmrw:mrrss;gov/dia Workers' Compensation Insurance Affidavit: Builders/CnntractwsfElectricians/Phungers Applicant Information Please Print Legibly Name Address: ZQ G�6p 1r/ Citylstate/zip: Phone##_ Are you an employer?Ch . lc the appropriate bona T ofproject r 4_ I am.a contractor and I Type (� �- I.❑ I am a employer with ❑ �� employees{full andlor part-time).* have hired the sub-contractors 6_ ❑New construction 1 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 wort ing for me in any capacity. employees and have workers' [No workers' camp.insurance comp-insurance-1 9- ❑Building addition 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 l l.❑Plumbing repairs or additions myself [No workers°comp- right of exemption per MGL 12❑Roof repairs imsu mCe 1equired-]T c-152, §1(4),and we have no employees-[No workers' 13.0 Other comp:insurance required-] `Any zpphcazt that sheds boor#1 most also fill out the section below shuwingth&vmdes'compensationpolicy inf ns ion. T Flomeowmers who submit this af#idintid;indurating they are doing au vmk smd then line on=&contractors mast submit a new affidavit ind csting such. Mors that c1lack this boar tmmst attached an additional sheet showing the name of*e wb-caaftactm and state whether arnot these entities hive employees. If the mbtanta=rs have employees,dteynautprovidetheir workers'comp.policy number. Iam an employer ihatis provi ng workers'conTensrrlfon inmrance for my engdojwes. Below is thepolicy and job.sits information. Imurance Company Name- Palicy#or Self-ins.:Ue.#: (a l ( �a .�� O GO -A .()S Expiration Date: <:,;'- � Q Job Site Address: a�PG, y I/A Rid CitylStatelZip: Attach a copy of the workers'compensation policy declaration page(showing the;policy number.and expiration Mate). 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 andlor one-year imprisonrnenl,as well'as civil penalties in the foam of a STOP WORE ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be formarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby carhf,under th ' sand venafiUs ofpedury that the information.proij ed a fs bra d correct Si Date: J3. r'" Phone#: L OBiial use only.. Do not writs in this area,to be completed by city or town afrdat City or Town' PermitffAcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3.C ity/rawn Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 07-15-'13 09:59 FROM-C A FRONT DESK 7877258849 T-720 P0001/0001 F-621 LeRoy and Verna Ferguson f 26 Newport Drive Bloomfield, CT 06002 This serves to authorize C&F Remodeling to remove and replace the existing roof at 263 Old Craigville Road,Hyannis,'MA, and to perform the other services as agreed upon. r b '`s- LeRoy and and'Verna Ferguson pb s , , . _ -+- „a..ykw ... wm.tnr+.+W�ww'•5++'.w"w ^ yyi*.w.r'^.^'++*"^�wrv,•.+-e.--...w+..-H^M +arr.'.ms+ 'a,!^+M°-.-,n!+r.«!.w�w•' ._ _ e'�rwew�,•„ � 'h r License.or:registration Office of ConsumerAffairs&'Business Regulation; 'valid for individul.use l�� S IMPROVEMENT CONTRACTOR' .. -before tlie.expiration date.�If,found return,to, ' MEIMPROVE t - egistration: 1b3792 Type: _ ,Office of Consumer Affairs and Business Regulation ,expiration: -.1/8/20fi5_ D6A 10 Park Plaza-Suite 51.70. Boston,MA 02116 i C&F REMODELING"+ I CARLOS FIGUEIROAA 1 4 y 20 CAPTAIN NOYES RD S.YARMOUTH' MA 02604 } Undersecretary Not valid without signature `. f x + a , {_ A °"= A tts3C•?.# '# � t, ".' rig#.5 ow, v owl P V 1 ft a . C , s104107IT ' CARLOS .IaIGUEIROA 20 CAPTAINNOYES RD . '- e .k SOIJ.TH YARMOUTH MA 02664 J.� �y "n r�=s rasr.ada qr 6/25/2013 £ f x1r+tt+t+r �,rs s r 'r h 104107 E .. , �OFfME Tp Town of Barnstable *Permit# C Expires 6 months-from issue date " Regulatory Services Fee d • snxtvsrnsLz. +' v� mass. Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 v EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY; Not Valid without Red X-Press Imprints C; / p < n Map/parcel Number�7 3� /0 O- &' > C) 70 zX Property Address Residential Value of Work /6� t — rr �,/ M Owner's Name&Address V N V4 Fellkhw `� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Lxw& Construction Supervisor's License#(if applicable) �G7� ❑Workman'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# I 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 roofl ❑ Re-side [/Replacement Windows. U-Value (maximum.44) L,�*VAF ❑ Other(specify) - *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature ��✓ " "`"�' ' Q:Forms:expmtrg Revised121901 JUL-18-2002 11:16A FROM: TO:15084855121 P:2/2 r �.r�u. r n•�.teuaak/ w �1+ MC We.Hu.onra9� Job 4 S��: 7'S NII LJo.mg.— WIA Ur..No.12asse SALES: FOR ALL HQ (C� New York Dept.at Coesumar i:« New York: SERVICPPIREPAIRS " t m_A''`�� Af alas Lin.No 0T306a8 r f300.842 A111 PLEASE CALL T)1e °�"�Side DI Scar, Naarwu Lie.No.H276d1flooDD 8oaton: 88s-243.7n4 190 Cedar Hill Road Falb Uo.No.21111Wit 800-SEARS-31 Marlboro,MA 01752 YoRkara veer HaWord Area. Wearahostbr WCWI$mirr 1`11OOD•SEARS•99 CONTRACT C nneo'feYlJept. Lat,au WINDOW QomleallttK Dept.of Carwme► Providence Area: a1M,FmblWA a IrmuNl in IM Rn abRaelm Vital too.a,lbreel.la. Ansel Lle.No.ODaama 888 sam q@wlied srmreetar VT Ito.No. 888•SEAA A-s1 41,Ragm kane.ciarem,rn 11M Rhoda stand Lie,No.taro? CfArF�ru V6D /_4�,; CITY`✓ Ua�» ,i.L V PHONE(Homa):0_d) Jr'�S 6TAIt zIN n PHONE(Weiii .•'2 d ' JOB 0rtE ADORESS pl dlMorent)—. cY l'�� ,• Cl>/ 61. �! APPLIED VINYL WINDOW SYSTEMS General DornilpGvn of work at Above Addra&xv AlN]rox Start Data dpls/' I— TYPo of}louse(TX Fiume; ❑Masonry Approx.Completion Date SPECIFICATipN9 9rwr5 npprpved maleRala wig ha Rrmishyd erW bm�b,end M area t;pecuxaiama• YES NO F1 I-ASP nCAn CA►kEF(R I Y ONLY TI V.-I I EMS CHF('KEO"r t`T ARF INCI IIDCD IN YQUR Onnirn me t. 01 ❑ Rcr a wlnd045.ueur 9m inga where mny now tiqfFka, 2. (?Q. MRST I FvgL a Qmninpi f New Window.: „•L'�, S ❑ 2 SlFrAND LCVCL N Operi N N.w 4. 11 ES TI IIRD LEVEL A Operli radewf d U BMFMFNT LCVCL - M New W ndowc — G n OTNCR � � N New WY)&iwa — r rJ Ilemavof ni Mt♦al or other units rppe�atp^pert N µew W1�+dow! a ❑ III. InAlso Frew IMebte Malrro n A ,00 In'Opt"am Y ODe+Ilnpe N of Unhs 1� Pa ^u• Inelde gloat:r m ningf Clemehell or CIaSn p al 9. ❑ Instal slew Master F'famr. !of Open n0a D Openings 10 ;IQ ❑ New Vdndaw I mly to have douD16 eirt+qlh insuleree plaaa�7ra•Iqd thkAaree. 11. rp j� ❑ Nt w window unito to hauls 6tcirm welded sash I, 1 New window rarilr.In ly,ve fuller,waked Ireno N — 13 ❑ New winAnw urns to have Clbrar Ir,.rh Deakagt eonalaUreO nl I ow-E coated: Argon Red Ineuleled gr= N of unlei 14. L7 New window lalilr In hnve Cam Lorxlp)of Latch Locke) is ❑ V, New window units to have t X)Mfl 4('Jess N _ _ Halt— rug 10 DI IJ New window t"It kr hnva hap(1 Jy screen(ins ocreen on CojBpOefl Windom 1 r ❑ Inebdl PVC.crnted etuminam to wiatnw narnes COW LIT �1 Jr �c A r//t of Upelmar.:le. r"1 t:nita,and,vat wlndawnwrm 3 pIXnt System C C 4�a 19. Li Romove and taspnae or exbting wlnelow y rxyor steno windows 20 ❑ Color a Wintkrwn in M While n—now__ 21 ❑ wanAewe to have Gride _. Colwal -Dtiu,nond it run ❑ W Additions Into 22 ❑ Told N at Double I I e Iglel Nat caaemen� / Tulal N of Hopi . Tblat N OF Awnings Net N of Two I as 3k ms 7901 N or'I nmc r.ne gliders Sid or Equa1...._a TOUT N of Ornrl I haMkjuraa..._ 70611 a'td Basement 911datc 23 b ''T SperJal ONer Windom(In AMItern to Abova) .. as U Clean up M Inb related debna w ll Irk.rmnoved lam plppei,y tm nMrplellon N wank — 25. 1`1 Ilm"Ae,cr-All werkmaim mmreerrfaaon and hoDlty e,mnWahred )lr1 I /J 20. IJ Warranty—Mailrrl ro antumer upon cwnpirrem find MI payment is murivrd LF.'(N�u/.ill. na.,nt d"- 27 ❑ Payments—((ke non"named ordara va•" I s vayoblr to tnara0er rn nth of 4,slellalfon. 20. [7 AOOr+!*)ln)bRavabeeneWyfirsl I �1rrr.�rarzla.;r.F..W..er,,,ati.,4 f Cdsb Sale Total 5 FA eposi(33%$—. Cash SAlanrm�. OthOr Payment(II any ❑ CASH FINANCED S does old include Intele5l DalanCe oft SubslanlNl Camplollon t? (A,1 If ltnarKed.brdrer• ) - n payable In moMf»y IrytlJlmenle W:rpnmxhnat S _4 it litcmtad palter then[]taut r wi � �' .—�month.paYebfe AY'fT"ndr to rortreletor,but by w 0 Pay saw amount In Dr.lending InStituliOn plus atadr balmsl and mart service Limp or mid lending umtiluTan D' ie dbedy ro me reading irathuaon finis ing skron marAt to,UWnar•:,n l Will eXeCIRO a Retail IneF,lprOrn1 n A,T r d19 ms ludan In connrx:lmn wilt sold tom— ,! / n0 any domnrw,la roeuked by ro h Aftliw,al Information— rat ❑ Work Nut in Im norva Cl7NT'RA(:IUFl I8 NOT nC7r1ON318Lh FOR ANY CXI ST1NU 4l-CURITY SYvrCM^: PI FAyh REMOVE ALL,SA4Ar1f-, VEnTICALS. 1`11114I)S.CURTAINS.til4ftRFS nR WINDOW MU1]Atrgn AID rONDITfUNEHS PRIM Tm TI IE INSIAI I.ATICN4 0P YOUR NFW WaN- If)UW.9 I1JRtnt.(1 fl4_nor•N01 FIFjPONFIDLt:rort IIlk•IItNIOVALon INSTALLAI ION CFT14ESETVEC3 Uh III MR NeNeek 11 gnafiaed,any holder of Inds Cat tInn,er C/ae11 centrad IS sub. CONDENSAI IIIN INSIDE THr NoUSE Dnts NU,INDICATE A WARRAW 1119110 all Claims and delamas Which the debtor could arse„against TY PROM FM the cellar OI goods or aa►vlcal aala►ned poncefil henite or with the Bracaeds hercol.Ric very by the dehrors(lgll pill e]tceed amnllnrs pall 3AI FSMAN HAS NO AVTIIOPIIY I0 CIIANCE ANY ITFreS ON MAKE ANY ydeh lot ftempndCr. I11''11ESE41A110115 OTHER I11AN CONTAINED IN THIA ABREEffiF.RT "OWNER REPRE$ENTS TO HAVE READ AND RECEIVED A DUPLI- hkuro llruN rY rwurnTSY(lU IAlK LNIII11ft In A COM LEo 1Y CATE ORIGINAL OF THIS AGREEMENT AND TO BE 1NE AUTIIO• 1,111F0 IN DUr(I(A1t 11Rh)NfAI III`T10F,AOAr rmrtl1. RIZED AGENT Or At I "OWNERS" OF THIS PROPERTY UPON THE BUYE R WHICH THE WORK OR T YOU,T III MATERIALS ARE TO BE SUPPLIFID TIME r HER TOR CANCE L THUS InANSACTION AT ANYHIREf BUSINESS DAY CO•SIGNEq(gl, NOTICE THE HOME OWNER(S),GUARAF1TOp($),LESSEE($), AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION raRM FOR AN EXPLANATION OF Contractor;At file eepense al owner,shall proaar0 all permits required THIS RIGHT.ON ALL ORDERS CANCELLED AFTER THE RECISION by IOWne>`w p Sccure their nwn permits Will be efcluded from till ADMINISTRATIVE AND R S CUSTOMERS ITOCXLL INO FEE, DLF FOR A d5o! uaranty fund provlslons of AISL Chaplet 142A. 2• ny person who Shall have cn-signed,guaranteed of&failed any THE COMPANY WILL DEPOSIT ALL MONIES RECEIVED FROM 01011111 oppNCallaebf Role raIn ins to this egrae igni hereby asnep(s to be aotlnd by this a9raemdll IN AN ESCROW AI;000NT AT CHASL MAN UIT1AN DANK f1I05 1 3.OVne1(T)represents Ural 140 contents on My back o1 thk agreement 0E20"WITHIN FIVE BUSINESS DAYS OF ITS RECEIPT. t&i Irue yyad hercol and has baan read and aecepted by Owner. 4.Ali.IRBYALLATION LABOR OUANANTEE01(ONE)YEAR. Dail no no►aign 141,agreement before you read It cril t comaju any elam later or if it does not aontef r everytning agreeipnn. DATEPrint .",tlosman'a HA, yl ,( prralure �'1� . r' Sateama�i a 7L.� f�atvmvr rJpn►Ny� .. - . Lrnmge NO. ..- vlgnaturs Srr•REVERSE SIDE rOR ADDITIONAL TERM5 AND CONUI WN3 Raised 4101 I A ArDRa CERTIFICATE OF LIAIJILITY ?%OouceR —` " - 'NLgR�11 =Ll1 5/15/02 SeanaY, rae. �C IC MldI�U�DASAM,1 p P-0, Mm 220493 ONLY 4N rWj;"..NO RtaHT>i U � � 11 G:aao Avsftua HOLMR TNIA CC OCATt DC2t NOT .CERT� OR c�Mat ?steak DTY 11022-0 49 300 ALT'f_RTF�idCOV�" RACE AF FORDft tIY 7He poL=n LOW. Dhon*t 516-406-8007 zas;sl6.f129-6a37 1NatMeD INSURERS AFFORp#4 COVERAGE BURSA A: HQrdL{� ZawVS:anQq C il 1-Ita llwninufa didiac weua�s: 8tata Inapt=usar mad OMO A eiuyors K it�� ttt Ao Calftr ' c: Aaottsdale Insurance C nt NY 11 09 R+euRERC tnsieh-.lmatiasss Snsuxancm Co. �VtRApts wauREA tional a Co THE EQUI Es CTF INSI.R A C LISTED 9ELOW HA1rE BEEN 1bbUED TO THE MR p NAMED ABOVE FOR THE POLICY PRRfOo INDIG�Tf D MAY PEER a µg ��OR ANY CONTRACT CN OTHAR 0O=m1N-r wrrj RCSPLCT TC WHICf1 THW CZRTP7CA ATED, OE tSSU C>tNG POLcgs.AGpRpGA(EU�£AFFORDED BY THE POUCE3 DESCRf9dD.HERBW 18 SUBJECT TO ALL TH4 TEfU�{7,EXCLUzfOVICAT CONDI'la= 9✓JCf1 L1W*'SHOWN MAY HAVU PEEN RERUCfJ BY PAIO CLAM. TYPGOF w&URANCC ACLICY 1LAdpGR (SOY PEAL i4AwLn NMRi A X EOMmi:CULQ9NGRALL1A71UTT ROL431943 EACH 000URReNCE F 1 000 000 CIAS49 MACE �O1R - 08/25/O1 00/25/02 Aps DAwn(Any of llt s 100 000 M®O1P(MY m oor"fl) s 5 000 ;3M"ONL°ACV IN� 11 000 000 ac"L AaCRcaATa u � W- ar Aaa Pm 09tAL AGOP29ATI s 2 000 000 PO1� LOC PR=uCTa.CCMPAPAaO 91 00A 0a AUTOMMLE LLA uTY ANY AVM 0 O7WOlL LIMR Y ALL OW =HGDULGO AOtS WOOLLY NJuRY I` HIRED AUT" �wwep N0N.CWN9DALT03 L MNJURY 3 i [IAAAGE LIAikITY = E ANY AUTO AVTO ONLY•X.A ACCIO&M f QT OR THAN RA ACC s txC GLIA&WTY •AUTOONLr. A00 i A X Oc-:a CCL,uuas,ADE I .900032Sg , EACHOCCURRENCI: sZ 0049,090 08/_5/O1 08/25/02, AOORGaATE 2 000 OOq I O�DLi I I I ` RfiTHNTION t I 1 `AbRXCRBcoY�CWAnoNAND � 7 s a�PLoveAa LSADILm X I E I vs7A9azc D - �y On/11/p2 Ob/14/09 E.L.EACHAcc"Nr s 5 0,000 �ac�as�o�oi - o p5/11/42 05/3.1/03 cl a8lA6E•EAeAEPLOTE t b 0 000 °T'CR aL Dt6lAse-POJCYLMR t 5 0 000 D Dirahiltiy B.natit 1794036-001 10/01/01 1p/01/02 d atutozg► Dssc+aPTlon Of O►dIATwHalLOC1AT7p„yy)•„ICLCy Cw3W71]ADO D ay GIDOR7CMBvr(XtGA/rRaVI�IDns I I i I CERTIFICATEHGL.&dER ArVc cuLjx"pm;IxcuR7RLirrm - i '31-A=- SHOULD ANY OF TUG A20";nJm&Mico JOL d49 3q rs,+ns„ ifF ! rwa IXD 4A7 Gh; DAII T'rifiREOP,THB Ib -44-IHWREA MLL-724EAVDR TO A" ]AYG WftrT---14 "TICE TV THE C`RTIFICATE HOLDEN r"EV TO THE LIFT,$UT 7A1LU TO DO 30 di+dL- : UAPw HO lOa 401!'CLEiL1T )cko UPON rw IMAC L ACG4T0 OR j R Acaft 21,a(7)87) GACORD C TwfV lore =_==_ II 51 Board ofBuildin RcJ t 1 --�� lat10 ns and Standards One Ashburton .Pl<tCo - Room t30 t Boston- N/hISS�lChUSCUS 021. 08 l=tome I'll proveme"t C'onlractor Registratiol7 Registration: 1)0,1.`Sl i _ -�4Ue: Sul)lil�riti.�iil t .nil Expiration: 10104 BIL-RAY ALUM. SIDING CORP JOHN 0'1\]EIL - - - 40 ELMONT RD - -- ELMONT, NY 11003 111rtL-tic r\tltlt^ss and rrinrn artl. alai It i a:nn I r rli:uil;r. I ,\tlticcss I l Rcncw;tl I I:niltln nn ut I I.n;l (:artl / rr' I. `y��:11."�^ .S ISuartl ur ISuiltlin Rc ulaliuns antl 5landa.rtls I.itcnsc nr Ict�isfI:Ihon alirl roc indi\itluI nsc only HOME IMPROVEMENT CONTRACTOR t?.`.iJJIL,;•// Irclnrc Ilrc cslrit alion tlalc. If fuunrl return In: Registration: 120456 Un:n tl nl liuiltlinl, Ilel,nl,rlinns and Sl;urtlartls Expiration: 112104 Ooc ,\slilnuimt 1'Iecc Rot 1301 Type: Supplement Carr) Boston. 1M;i. Il?108 UIL-RAl' ALUM. SIUIhIG CORP ,I0I-1H O'HEl1_ ,10 ELrvIOrIT RD ELMOHT, 1 Il' 1 1003 i\tltninislralo, Hol 1;ilitl till i u tit sil�nalnrc r�� 7MEt��y� TOWN OF BAR.NSTABLE i 3oARNSTADM p AYAr, BUILDING INSPECTOR APPLICATION, FOR PERMIT TO .... ...... ..........~ ...1� ........h........................ ............................................ TYPE OF CONSTRUCTION .19v TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/�permit according to the following information: Location ... .... ............ ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner/1�'s.. A/.` r. NP.< S .�K 1�'��............Address�a�.�• ��C�.:...✓"�Q��`.{!��1�1:.. ;�.r ............... r-.. Name of Builder ......'..... /Q! /V�."Itd..o1 ...........AddressF�/.4'1�;...s2� Nameof Architect .....°.......................... ..............................Address .....r..l................. ................... Number of Rooms .:.............. .....................................Foundation .... ...1 . V..�. . '. ..... '�.... � .. �� . • -Exterior ..........................r.............................Roo fing ......... ...... / ....:....................................... Floors ............ j.t .i........................................Interior .......�� 3'` ✓. . 1..�f.. : .....s� +, ' �✓s f) t�Heating .....:. ... fz .........................................................Plumbing .... ..... .. ..... ..... .........................../.0747-A Fireplace ................... .... .....................................................Approximate Cost ................. . .. ....................... ..... Difinitive Plan Approved by Planning Board ________________________________19---------. f. Diagram of Lot and Building with Dimensions '�/V0 ` a y aw Cn 4 rh .Y O O z .60 o ale z ' 11- 00 U \� W C, + d LQLij C1) (n J7 + m C. i ou 'tea Dr-- vC5;; a o > / I hereby agree M conform to all the Rules and�'Regulations of the Town of Barnstable regarding the above construction. Na V t . . ...................... Stokes, Mrs. Mary Jane 0fi 1. 31 1970 12720 add to single No ................. Permit for .................................... family dwelling ............................................................................... a` Old Craigville Road Location ................................................................ —vv t ............................................................................... t Owner Mrs. Mary Jane Stokes � I ........................................ A N frame Type of Construction .......................................... " �►o � Plot ............................ Lot ................................ t � � I s Permit Granted .........November.. 19 69 Date of Inspection ...../.................................19 Date Completed ...1.-.:...&.................19'/—d b PERMIT REFUSED f ................................................................ 19 i ............................................................................... ................................................... I fi. ............................................ ............................... sa Z / , Approved ................................................ 19 ............................................................................... I (� ..................... ......................................................... i v�