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HomeMy WebLinkAbout0030 OXNER ROAD �� i�� a o `o � � � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel TUM CF BARNSTABLE `ANN lication#gi�;_i Health Division r,1-k iw r f Date Issued; q` -7 �6 E1 : . ac Conservation Division Application Fee C� Planning Dept. Permit Fee r/ 00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address `3y d 7-ns. Village f Owner Address Telephone G -Sy'=,L(Jtd, Permit Request 1,l�i. .ln L�.,� G (`elf•-�..� }• fh Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �/G�' Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Sr*' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old g King's Highway: ❑Yes ❑ No Basement Type: ❑ Full 0 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 Mike McCarthy Construction Telephone Number PO Box 52 Address West I2ennis, MA 02670 License # Cell (508) 280-6964 CSI -cst 633 -IC- 6ozdz Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED F MAP/ PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ` FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING:. ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ti Town of Barnstable 'Regulatory Seni.ces �"'RMASM�0 Richard V.Scaili,Director t6 9. y0 Buildiiag Division Tom Perry,Building Cununissiouer 200 Maiu Sheet,*11-y mis,Nf-0.02601 wiF' town.barnst2blema.us Office: 508-862-4038 I�ax: 508-790-5230 Property Chwaer Mus t Complete and Sicyn This Sect all If Usi r A.Builder I, ��_ �___-• _-•-• ,as Ch mcr of the suhjem:prop(tt:y hereby audio-+ize \ to:act on.my behalf, in all miters relative to Fork authorlmd by this_b ,i ciiriy pe'm7 t application for: (�ad dress'of f ob) '`Pool fences and alar= a.re tb6 responsPoilit3,of Lie applicant.Pools ate not to he filled or utiliceil before ore f enc e; talled acid.all final inspections are performe.d.and accepted. All Signor . er Siguatu.re of A.ppl►cinit: Z'rmt t ame I'lint Nazrr<`: Date Q:FORA1$;o1i�'.T};.Rf'}iRltlSS101�P(.X)LS Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cgractor Registration Registration: 169393 5 l Type: Individual Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY ` _ _ - •-. ? ;' P.O. BOX 52 P `�=P F WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. scA1 t5 20M-05n1 [� Address ❑ Renewal ❑ Employment ❑ Lost Card (91�ie Wozw wnweaCCl a1c?1aaaactiiae&j Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ­ZTT69393 Type: Office of Consumer Affairs and Business Regulation Expiratione�___6ft)2a17 Individual 10 Park Plaza-Suite 5170 s Boston,MA 02116 MICHAEL MCCARTHY MICHAEL MCCARTF'iY '1 Axot 6 RANGLEY LN.SOUTH DENNIS, UndersecretarY lid with oft signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-068633 Construction Supervisor aRMO., MICHAEL J MCCARTHY y P.O.BOX 52 x WEST DENNIS MA 02z60 A 0: . l� 1�=/►("^� Expiration: Commissioner 04/10/2018 The Commonwealth oflMlassachusetts Department of lndustrialAccidents 1 Congress Street, Sttite 100 Boston,MA 0211 4-2 01 7 www mass gov/dia llrorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TU..BE FILED WITH THE PERMITTING AUTAORITY:. A_ pplicantlnformation Please Print Legibly Name (Business/Organization/Individual): Mile McCarthy Construction- ox 52 Address: we%t Dennis, MA 02670 Cell 08) 280-6964 City/State/Zip: e# l� 69393 Are you an employer?Check the appropriate box: Type of project(required): l.fam a employer with !�_ employees(full and/or part-time).* 7. New construction 2. am a sole proprietor or partnership and have no employees working for me in ❑I l 8. �Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.)t 9. El Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure(hat all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.QPlumbing repairs or additions 5.❑I am a general contraclor and I have hired The sub-contractors listed on the attached sheet. ]3.❑Roof repairs These sub-contractors have employees and have workers'comp,insurancc3 6.Q We.are a corporation and its officers have exercised their right ofcxemption per MGL c. 14.D10ther h/c 4,, k. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill oul the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tConlraclors That check this box must attached an additional shut showing the name of the sub-contractors and slate whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Ions an employer tliat is providing workers.'compensation insurance for my employees. Below is the policy and job'site information. _ Insurance Company Name: ,-'/ I J. T,,.,�,. p Policy#or Self-ins.Lic.#: VVL_ 7010 -�ri 176'st -D-IsA Expiration Date: 1� )I A' J I 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 MGL cr 152,§25A is a criminal violation punishable by 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.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 t a' s enalties of perjury that the information provided above is true and correct: Signature: Date: Phone#: (S-00 D� —6 SC L I 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 ,,aco CERTIFICATE OF LIABILITY INSURANCE °;tio;201/5'' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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: ifthe certificate holder..is.an..ADDITIONAL INSURED,,the policy(ies)must be:endorsed. If._SUBROGATION IS WAIVED,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 endomement(s). PRODUCER 01962-001 NgME Bryden&Sullivan Ins Agcy of Dennis.Inc 0.Ea: (508)398-6060 ,No,: (508)394-2267 PO Box 1497 So Dennis,MA 02660 N URAFFORDING COVERAGE NAIC# INS R RA• A.I.M.Mutual Insurance Company33758 INSURED INSURER B• Michael McCarthy Construction Inc IN C P O Box 52 INSURER West Dennis, MA 02670 INSURER COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE 1 yp POLICY NUMBER MMID (W&WI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDe e $ CLAIMS-MADE1-1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ EN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ OLICY ECT OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ aaccident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS P 'den $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ yypRKDEERDg I I RETENTION $ y�gT TH $ AND EMPLOYERS'LIABILITY X TORY LIIJITS OER YIN E.L.EACH ACCIDENT $ 1,000,000.00 A AONYIdRory In NOR/PARTN�I j(ECUTNE Y N/A VWC-100-6017656-2015A 12/15/2015 12/15/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 1(Mandatory h NH) EXCLU D�SsCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER . CANCELLATION Cape Light Compact PO Box 427 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable,MA 02630 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f�"A 1 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I • r � 1 it 'i. l � 1 t . K` 1. : 1 � � NI, . _,. Town of Burustable Regulatory Services Thown F.Geiler,Oh sdor BuDding DivWon Thome Perry,CHo 210"ag Commiaeoner 200.M:lia Street,•Hyannis,MA 0260I www.p'w&b&metabI&ma.ua Off1w. 56462a4038 Fax: 506-790-6230 Property Owner Must Complete and Sign This Section If Using A. Builder • i ;,, /i 7��'��:r✓ �1�?�i�S7 ; as Owner of the sub jest P*oPettp hereby aur$o�sa+ %�%' �O:r to act as my behalf, is all matted nktive to anoxic jLU6*si$ed by this bonding permit application for. (Adams of job) -57 Sigosears of.Owi2w , Psint Name _ If Property owner is app"il for peraslt,pleaae.eomplete the Homeowners Lisedse Exammpfto Form en,the .� � �,4e Cc�trrtet;v.�ea7lc'k c7JAzassa:,f::;;�etts Dgarfrrent oJlndl��tr: '�4ccyc�e,ktf Office of rrm wer6gailoru 600 Aaskingiax Street Boston,MA 62111 www.mass,gcvldia Workers, Compensation Insurance Affidavit: Bui.ders/Conte-actorsrlectl-iciaas/Plum:bers lien or agion Please Print Lezib'v Na ' (Business/Qrgaaaizat oMndividual): Address: -- /4 City/state/Zip: - ,'�„ .�1/�,t.✓- 3 phone Are XQU an employer?Check the appropriate box: l 1,V1 am al tstnployer with � 4, ® I am general=ntactor and I Type of project equiredj: err,ployees(fuli and/or part-t`me).e have hired the sub�contraGtors G. C New construction 2.❑ I am it sole proprietor or partner- Ust-^d on the attsobed sheet. r 7. ❑P.emocialing ship amd have no amployees These sub-contractors have s. Dersoiitioa working for rice in any capacity. workers' mmp.iaSttr oc. [No workers' comp, irsurmcc �. (� tit are a corporation and its g Buildiag atdPdon required.] 061ceta have exeri`ised their 10. EtacticaJ repairs or additions 3• 18m a homeowner doing all worts right of exemption per MaL I�,1. } Plumbang repairs or ttdditiocs j raysst>~ No workers, camp. c. I52 §1( a nol`U2 roof rrpaira au itsmoo required.]t' employees,. o wotfo«cs' camp,insurancerequiraj Is".�Cater °Any OpUftat that ohtft b=#t roust alao MI out thes4don WOW showlus dMirworkeol«►mpraz$a6uu poiay tntaranattoa t 1iw&0rweors vMho submit 60 xMdarit ladtsatmg they are doing all work and Chm him oittsida WrItactrt+asdst suhattlt a Aotr tt idavit+ndieaGrg su i~ aContraMn that ehtrok tt—al Wx hum attached an addltlona ahast sh w*the attmo cethe"v -C tttactora sad their werk s'eeasp,pacer irttotmat}en I om are errtp1*Cr that is providitap workers'comoert 4on tr Mattce far r*,errptayeea. Below is the policy artd/a6 site lr¢farnaatlora Insurance Company Name; Policy#or Self-Los.Lio. ' Expiration 13ate.,,� � l� Sob Site Address: . 1772i City��tx/Zip:�r�.9rfiT�7.UI Attach a copy of the markers' cotupeasattoa policy declarstioc page(showtting the policy number and expiration date). Failure to snure coverage as requirad under section 2SA oflvf(it c, 152 oan lead to the irapo$itiaa of orirokal ponaltlts of a fine ap to$1,500.00 and/or otie-yeatr imprisoat =4 ag welt ea civa*aides fir.the form of a STOP WORK OR,D2R and a ftc of tip to$250,00 a day against tho violator. Be advised that a►copy of this statement may be forwarded to tho Or$tx of Inveldlations oflthe DLL for insurance oaverage verifaoation. I do kareby atrrt y un er fhe pa iw andpanalttar ofpajury that the,irtforftwdon proarlded above is true attd carrer� ate' Q/piatel,we only, Do not wrtte to this area, to be eomplaad by clty or town ochet City or To wu-: t Permit/License Issuing Authorltw(circle oae): °l` X.Board of Resfth 2, BuildingLepartment 3,Cif ovra Clerk t.Electrical IaspecLoa 6.Othea 5,PiumhingFcspectar I'Carltea:t Persoar: phoae : inaaaao.nuaciia - Reg atio L Ur r Sla- .mar ds Board of Building Regulations and Standards Construction Supervisor License: CS-063537 DAVID R COX PO BOX 401 ` South Yarmouth SU 02661•�� ` Expiration Commissioner 10/15/2015 &2e Pco•nur�za�LcaealC�'o`��l/lcisdac�udet " '�♦ Office of Consumer Affairs&Business Regulation s - ME IMP.ROVE11AENT CONTRACTOR egistration: 10047 Tye: xpirat on 3/25/2016: Private CoPporati k DAVID COX, INC.-I.. _ - David Cox 19 LAVENDER LN' g W.YARMOUTH MA 02673 - Undersecretary , � z t n r DAVIO-2 OP ID:KG A�D, DATs( CERTIFICATE OF LIABILITY INSURANCE a,r14120r l4,zal5 L ICATE 13 13SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS E OOES RIOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sk AUTHORIZED ATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: it the certificate holder Is an ADDITIONAL INSURED,the policypes)must be endorsed. It SUBROGATION iS WAIVED,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 cernoate holder In lieu of such endorsements. R Nine; KathyGeddis Norli wood itts.VoncY,Inc. Ala.N .508-TT1-1632 arc.No 809-393.2955 540 Main WO�,Suite 9 Hyannis,MA 02b01 oowess NSU S AFF011De10 CDVMA30 NA.c I INSURERA:TraVeiers Insurance Company INeUR® Da Vld Cox,Inc, - INRURER8: P.0.Ebx401 INSLAERC: 8 Yarmouth,MA 02664 NeuRSlec: MURER 6: INSURER P: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 7HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INS RE NAMED ABOVE FOR THE POLICY PERIOD TF NOTWITHSTANDING REQUIREMENT, TERM OR EA F ANY OL DOCUMENT P CERICATE MABE SUED OR MAY PEERTAIN,THEINSURANCFORDD BY THE POLIICIES ESCRBEDHEREIN SoSUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDrrIONS OF SUCH POLICIES.LIMITS SHOWN VAY HAVE BEEN REDUCED BY PA10 CLAIMS. POLICYLWTS TYPO OF 9J51�L4hdC6 I POLICY NUMeiER. MMID Mhm01YYY: TOTHEIR: MdtCIAL GeNERAL LIASILiTY I EACH r C J:r�E'•1. S 1,000, CLAIMS-MADE a cu_CUR I680148iM79£ 01/14/2015 103111412016; PE}A 3Es'Ea or.;;r ante; s 300, 0001 siness Owners I ! MEDE'�P(Any one pbrson) s 5,00 1 PEPSONAL1,aO'JIN kRY S 1,000, GRF.GA-E.IN!'APPLISSPER j I GEtIEkALAGG?9Ga?E_ S 2,QOQOO Ppppp ! PPO^UCTS•c0!A=;OP A5�3 S 2,000,00( I C' JECT L'. S AUTOMOBILE LIABILITY 4 E9 ectidbn" SCOI_Y I1 ANY AU-0 ` I ,1. ?q f(P3r person] ALL O'Y(NED aCHEDULEC I •2n01_y IH.URY(P,r aaitlantl S AUTOS AUTOS I PPV+. v AI'A,; N0N•CV1NEO .'—iQ, I HIRcDt'JT03 AUTOS i S UMBRRLLA LIAO 4CCUn EAG H OCCJ t<cVC: I S �_ EWCESS LAB CLAIN�•MAO` A;:.PEr,,.aTE 5 DED ;:TEN'ION t � s ZN! 0 I 3 ATUTE �R i _ OOMMOYERS'LlaerLmr YIN A A14Y PROPRiETORPAR*ti.=R/E)eC-UT!YE , ERTIFtCATE WILL FOLLOW O'i16l2015I 0711f12016 �_L..ACr acc� 4r s 100,Q0 OFFICERIVEvB`R EC:.v ED4 ❑I N!A I WITHIN 5 DAYS FROM CO. ESL.!ISEASE•EA ENPL ,YEE s 100, andl pf tery In NNI L• —if Yes OasuIDE t'W9r j I E.L.rA SEASE•c ou--1'uMR s 900,OC DE R+=T:CN GF OF'ERAi IONS oalow „ i E DLOCRpMN OF oMMTION81 L.00AT10N9!VEHICLES (ACORD 101,Additional Remarks Schedule,may be att ed V nors space is required) + CERTIFICATE LDER CANCELLATION TOWNBAR BNOULA ANY OP THE ABOVE DESCRIBED POLICRB BE CANCELLEO BEFORE THE EXPIRATION DATE i Town Of Bamstable ACCORDANCE MnTN THR OLICYPRW NOTICE e WILL BE DEt.wBReD IN ASIONs. 1 230 Main Street Hyannis,MA 02601 4UTHOMMOaMUNTA-,VI; 01999.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1,73 Assessors map and lot number .... .....".."............"..... ,. o �� •� uF THE �-Sewage Permit number ..l f ...� 441.4z� ,�' L a :�� > SEM$�. MV / INSTALLED IN COM House number" BAHHSTsnLE, 9............0...............................: WITH E 5 NAM ENVIRONMENTAL, COD ° 9• Yak y TOWN: OF �BARNSTA �L *��'�� r BUILDINGy INSPECTOR APPLICATION FOR PERMIT TO ..:.... kf:! ....A: :...GAG f......° ................................................................. w a O c -F r� TYPE OF CONSTRUCTION ........................ ...................... ....................................................................................... ...... ?.i. ..............................2, ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�jperrmit according to the following information: Location ........... .Q......D.1S.vt�°. ......!Y�.�......... ��.! b .V�.�.`� ............................. , . ProposedUse ...........1.(`v.[.'�P�. ................................ ....................................................................................................... Zoning District ..............Fire District `!"��"�� r4 c. ............. ....... Name'of Owner ..........Dame.:..... L!�!.k., -+1'C............Address .....�.R..... ...�........ r ,/ � ,, fi Name of Builder ......�f�LC��4l ccf.....C�,,,,,�,/".....".........:r".....Address .V..1.b ......................1i ..1.` t�SlJ �' ...�... s. Name of Architect ....Address .. . .............................................................. ............................................:....................................... Number of Rooms .................... O ............................................ ................" .....b..e...................................................... Exterior ........:'.:5. !:(1.r��1eS.......................:.........................Roofing. ...........aA. ? 1. .........:.................................... Floors .................................r................................Interior ..........:.......................................................................... Heating ..............r(e_.,J ...... .................Plumbing ...........MAC. ......................................................... W O o-" ......5.:d //, �_ f� .........Approximate Cost S 0 0 D Fireplace Y.. ....:..V ......... pp ... ................................................. Definitive Plan Approved by Planning Board _______________________________19________. Area a S S - ...... . ................ f Lot and Buildin with Dimensions 'Diagram o 0 9 Fee ........ .......................... SUBJECT TO APPROVAL OF BOARD OF'HEALTH 5�� I • 1 hereby agree to'conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameF.... ....... ................................. ........................ ARCHIBALD, DAVE 22722 ADDITION .............. Permit for .................................... Single Family Dwelling ......................................................................... #30 Oxner Location ......................................Road .......... .. .............. Center,�ille ............................................................................... Dave Archibald Owner .................................................................. Type of Construction ............................ ................................................................................ Plot ... ........................ Lot .................. ........... Permit Granted ......Der-emlaer-...2........19 80 Date of Inspection .................................19 Date Completed .............19 PERMIT REFUSED ......................................... 19 co M Or a Ir ..,..................................................... ...... ...... ................................................. ................................................ Ap pMW J;d ...�-t............................................ 19 ............................................................................... ............................................................................... _a• Assessor's map and lot number '.......... .,i SEPTIC.SYSTEM MUST BE 4 y, 7� f INSTALLED IN COMPLIANCE :4 Sew�ge •Permit number ....................���...: .............. ' � WITH ARTICLE II STATE A ..... 4 y - SANITARY CODE AND TOWN of?HET :7 r: TOWN . OF BryARNSI ' RILIF • Z BJS&9TAIII;E, i � tit �. { K ` DULIG ' INSPECTOR �p 16'3 9• `0O C!f /111!LAPPLICATION FOR PERMIT TO .:...: .......................... Lr !,� 1�..`..�......`.... .......... TYPE OF CONSTRUCTION .....................................................W U cti /l C(�v`-� TO THE INSPECTOR OF, BUILDINGS: , f. The undersigned hereby applies fo a permit according to the following information: Location ...........1 ..©.. .... ......... ......... fb.�� J...`. `......... R.................................................................. MY�--2�Proposed Use ............ .......................::.:..................................................../.......................................................:.............:... Zoning District ..............................................Fire District �C� Nameof Owner ........ ..�.,J. ...:..........................Address .................... .................`Y!.. ' Nameof Builder .............. ...................................................Address ................:...............................................................:... Nameof Architect ...................................................................Address .................................................................................... �C7 /© . Number of Rooms ..................................................................Foundation. :............. i Exterior Roofing ......ctfaG� ...................... ..................... ................ .................................... Floors ............e7 e_l.........................................................Interior . ........... ...w J..... ... Heating - �C,�sGQ 2C ` �iT1p .Plumbing ................. .... ......................................... .... .................................................................................. Fireplace ..............011 :....................................................Approximate.Cost ......... ©,�..�. .......................... Definitive Plan Approved by Planning Board ________________________________19________. Area /..`!�.9Q. s............. Diagram of Lot and Building with Dimensions Fee ..... ®0 ........... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH fro l,sfoG��' �©f 3� C'€�17 I y�xir t•'a auQ,_, ;3'G x ter' i tIL I hereby.agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................ Stanley, C. F. ' i a C No JP�W.... Permit for ....one,story..........., dingle..familg..dwel—Ung.................. �s .....�...... ... 30 Omer Road � { Location .......... .................................................... 1 Centerville .................................................. ......................... a C. F. Stanley Owner .................................................. ........... Type"of Construction ...........frame.................... rf ; , +: ........................................................................... -Plot ............................ Lot ............#31............. ^a' ,/Permit Granted .......March..29..............19 78 Pate of Inspection ...t. ....dl1 ...........19 - ,Date _Completed ......................................19 s t .. ... ................44 zhr............... 19 o R '.I .... ..................................... ................. ................................................................................ ............................................................................... Approved ................................................ 19 .......... ................................................................. ..................... ......................... ........................... TOWN OF BARNSTABLE y:��o• Permit No. ---------------------------------- Building Inspector • Cash ----------------------------- 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 I s ecto ." Issued to Address -- `.entervi. Wiring Inspector ,,r!`�` Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department �d , ,� ,/ r^` . , ,+�,.� :e 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. ............................................I.......... 19......_._ .................................................................................................................. Building Inspector a is L vT -3Z LoT '± (l 27 23 , 431} _ ^ ' # oT 3 IIv�Mw►- A T 'I,t 30:7 h 11510 c5.1 co 9 T�sr -=J NZ LOT R 22 3e 2 8 - (0 3 f. • _ _ KELLEY � � f o� THOMAS G.r• "- V.7 I CI87E CP suR*� THOMAS.E.KELLEY-CO. N NEERS' SURVEYOR$ ►JOYE; 346 LONG POND DRIVE o��AJox-n c, a SOUTH YA.RMOUTH,MASS. �s co.S V- -ET . Aao\-rc T%--E CERTIFIED PLOT Y ' PLAN _=-CE�T�zU�E_ of �E READ - o P Po s��r rat Sov riffs=2LY LOCATION C /..�R... . . .. . � . ... �o�N�AT'1 olU �saLL. SCALE . PLAN REFERENCE S-",,,? aF C-a..�.J i!.? E. . . . . . .,�A2►J bTA6LE� �o{� CA facZLc 5 � STfa 23 IL 2-7 7 Y I CERTIFY.THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE C14A2LES /�;` ,�itJ SETBACK REQUIREMENTS OF THE TOWN OF LEYA��. A WHEN CONSTRUCTED. RoLL i�G iT�vk Qo,�a6DATEPETITIONER: Ek)Tf-2Vrb.LFE� - _ _3ZERED LA D SUR YOR