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0010 SKUNKNET ROAD
v e � „ u o e e _ � 0 o o o _ . � F _ a a .. .. a BUILDING DEPT. IENE OY S<>U_•1' <>r4s MAR 16 2020 TOWN.OF BA, RNSTABLE 378 Route 130 - Sandwich,MA 02563 PH:774-205-2001•844-90-AUDIT Permit Affidavit Permit M, -ao Wc 1,Craig Bishop,confirm that the weatherization and air sealing work completed at 10 Skunknet Road Centerville Hyatt has been completed in accordance with 780 CMR. ne l 3/13/20 Signature:..:: Date: . _ Town of Barnstable Building 7 ' a Post,This Card So That rt isVisib(e'From.the Street Approved Pla Must be Retaaied on Job and this CardMust be Kept BUS& iPosted Until'Final Iris-pection Ha`sBeen Made = Where a Certificate�of Occupancy is Required,such Building shall Notnbe Occupied until a Final I`nspectwn"has been=made ermit Permit No. B-19-3713 Applicant Name: Paul Eaton Approvals Date Issued: 11/21/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 05/21/2020 Foundation: Location: 10 SKUNKNET ROAD,CENTERVILLE Map/Lot: 192-046 Zoning District: RC Sheathing: Owner on Record: ROBERTS,ORAL Contractor NamePAUL A EATON Framing: 1 Address: 10 SKUNKNET ROAD Contractor License: CS=088720 2 CENTERVILLE, MA 02632 Est. Protect Cost: $ 20,000.00 Chimney: Description: Install 5.67kw solar panels on roof. Will not exceed roofpanel, but Permit Fee: $ 152.00 Insulation: will add 6"to roof height. 18 total panels. i : .Fee Paid: $ 152.00 r Project ReviewReq: Date: 11/21/2019 Final: Plumbing/Gas Rough Plumbing: This permit shalt be deemed abandoned and invalid unless the work authorized by,this permit is commenced within six months after Issuan 2. icia Final Plumbing: All work authorized by this permit shall conform to the approved application and the`approved construction documents forwhich this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas The Certificate of Occupancy will not be issued until all applicable signatures by the Building and,-Fire Officials are,provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:; 1.Foundation or Footing ` Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining issiinstalled ._,. Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: DNS� Application number .................t ...�........... ..... Fee ..................................4.30, . .. .. ... ........... 8A.MASS�LF. Building Inspectors Initials............ .......................... .......................... 0 8 Date Issued..................... . .. . ........ TOWN lj! 6AHNSI-ABLE Map/Parcel.......... q.ff�� ................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHEF-IZATION PROPERTY INFORMATION Address of Project: NUMBE STREET VILLAGE Owner's Name: VS Phone Number i O ` D Email Address: pW U)(A OPV� Cell Phone Number Project cost$ Check one Residential Commercial • OWNER'S AUTHORIZATION • As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: VVI TYPE OF WORK ED Siding Windows (no header change) # � E-1 Insulation/Weatherization Doors (no header change) # Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor s name z i4 Ul;lj Home Improvement Contractors Registration(if applicable)# (attach copy) Construction-Supervisor's License# C SFA or) / s-07 (attach copy) Email of Contractor gl,AIEIII-:�7' Oi lb,A r J Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3:30 pm-4:30pm.Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side' right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date 1 APPLICANT'S SIGNATURE Signature All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017., ; www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMTTI'ING AUTHORITY. Applicant Information Please Print Le 'blv Name(Business/Organization/Individual): Address: City/State/Zip: 0d,1,Ya Phone#: Are you as employer?Check the appropriate box: . Type of project(required): lQ'I am a employer with employees(full and/or part-time).* 7. New construction 2-0 I am a sole proprietor or partnership and have no employees working for me in 8. emodeling any capacity.[No workers'comp.insurance required.) 9- ❑Demolition 3-Q I am a homeowner doing all work myself[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. Twill 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t ' 14.❑Other 6.❑We an;a corporation and its officers have exercised their right of exemption per MGL c.. 152,§1(4),and we have no employees.[No workers'comp-insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation polity 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. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /_ / Insurance Company Name:��<' �c Policy#or Self-ins.Lic.#:WCC<, 00�'d0 yy r2,70/g" Expiration Date: ty Job Site Address: /`0—- � m��c�7��� Ci /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;c. 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 the Onsandpenalti of perjury that the information provided above is true and correct. Simature: Dater Phone#: 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 S.Plumbing Inspector 6.Other Contact Person: Phone#: i information and Instructions f. Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation.for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under 41y contract of hire, i express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current _ policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year:Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The-Commonwealth of Massachusetts J Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7466 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.m2ss.gov/dia ` l f: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constructio + "& 2 Family E' ires: 08/11/2019 r CSFA-071507 �` 4 w s+ DAVID.J LINNELL JR ;4- P.O.BOX 31 WEST BARNSTABLE MA OZ16 cj Commissioner ._ r ` p�p� �e;�aanaaur�euseall/a, caa�cc accoeCt.�, k Office.' Consumer Affairs&Business Regulation OM E IMPROVEMENT CONTRACTOR registration: w120659 T e YP Expirati 2(1g/20 k8 DBA LINNELL'ENTERPRISES -_( � k Its V} t DAVIO LINNELL '7 59 FREE:BOARD LANE YARMOUTHPORT MA 02675� Lndersecretary f t a �{q� ...... WA.Lv'AWdAMLAtll POPA1E9dAA A.M CERTIFICATE OF LKSILITY INSURANCE Daum 7MCOMWATE IS fE'6D AS A M4°IM,(W lM5i?AlMON,' p krt�ne[ u rrct , air mtm IAVNfKe Cfmwlc•A`6 �.a�:xis C�;1ttgR��qY AAA or ot.MAID403 -iMY[.+aedWWci AYtN*sX-Yn o�{l�c �stTe���aG�raa�- d�p"vAA{+°w +A "�RCt'sa �k �'fary.�- ; �� �: n1�•�'aaa��µar; �`iw�t. °f,�tb+t�x a mw t t . AMwma+ewdMlmrtm,9 -:�*. .wia:a�t.• MAV wor 9 _... ra AOTO �� M••� ,.. - e:a-AaMa=.wrrc�wxe!:ri?x A y wMWOMNAM104, MrZols, R01's: oan Acmfiaat OTwft Tc"�'�or�@ � o 00 Main$Weet MA W-6M - 0 dUcoftfP C©tJPQPte1TY"'.tug.:,. �o� Y r - Town of Barnstable *Permit C � Expires 6 months from issue date ERIWIT Regulatory Services Fee Y Y i AB Thom as F. Geiler, Director v e TO 1639. a, 008 Building Division r RNSTABLE Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ( Z D � Property Address ®residential Value of Work 7J7/ Minimum fee of$25.00 for work under $6000.00 Owner's Name& Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one; ❑ I am a sole proprietor [Zl'I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of-Insurance Compliance Certificate must be on file. Permit Request(check box) . LlJ�ne-roof(stripping old shingles) All.construction debris.will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U=Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the.Home Improvement Contractors License is required. SIGNATURE: �� C Q:\WPFILES\FORMS\building permit forms EXPRESS.doC t -p^ The Commonwealth of Massachusetts Department of Ittdustrial Accidents /37 Office of Investigations 600 Washington Street Boston, MA 02111 wwwanass.gov/dia Workers' Compensation'Insurance Affidavit: Builders/Contractors/Blectricians/Plumbers A licant Information Please Print Le gib Name(Business/Org�izationlFndividuan: Address: ;b S� /I/�' City/StatelZip: - 1lJi,` Z Phone.#: Are you an employer? Check the appropriate box: Type of proj ect(required): 1.❑ I am a employer with 4. I am a general contractor and I 6- ❑New construction employees(full and/or part-time).* have hired the sob-contcactors listed on the attached sheet 7. ❑Remodeling 2 El I am a-sole proprietor or putacr- • ship and have no employees These sub-contractors have g, �Demolition ye erk - emploes and hav woers' working for me in any capacity. 4. ❑Building addition [No workers' comp.inncc comp.insurance.$ stua 5. We are a corporation and its 10-[]Electrical repairs or additions �tquir d.] officers have exercised their 11.0 Plumbing repairs or additions 3. I am a homeowner doing all work myself [No workers' comp. right of exemption per MGL 12 []'Roof repai,s inccrance required- t c. 152, §1(4), and we have no • employees. [No workers" 13.❑ Other comp.insurance required.] *Any applicant that cI,=Im box#1 mast also fM out the section below showing their workers'mTnpaim im policy information- t Homwwncn who submit this affidavit indicating lhey are doing all work and thin hire outside contractors must subnrit a new affidavit indicating such tCmtractors that check this box mast attached as additional shoot showing the name of the sub-coutractcn and stain whether or not thost cntit cs have employers. If the sub--contrnctrns have cmPloycra,they roust prQvidt their warkccs'camp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the poUry and jab site information. Insurance Company Name: Policy#or Self-ins.Lic-#: Expiration Date: Job Site Address: City/5tatelzip: _ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requited under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Eton up to$1,500.00 and/or one-year unprisonmcnt,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against t the violator. Be,advised that a copy of this statcmerit maybe forwarded to the Office of Investigations of the DIA for innnramn coverage verification. I do hereby certify under the pains-and pertaldes of perjury that the information provided above a true and correct . 4� /S�,6 � . Si c: Date: — Phone O frclal use only. Do not write in this area, t' be completed by city or town official . 'City or Towa:, Perminicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department.3.City/Town Clerk .4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: OFTHErp� Town of Barnstable : Regulatory Services. H"R'SM YES' Thomas F. Geiler,Director Fn39. �a`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable C THE Tp�y Regulatory Services ti ' Thomas F.Geiler,Director • aaxtvsrkBm .• MASS& � i639. Building Division PlE°l'u'y a Tom Perry,Building Commissioner 200 Main Street, Hyannis, NIA 02601 www.town.barnsiable.ma.us Office: 508-862-4038 R Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number Ahto'� eet village "HOMEOWNER": name c� phone# work phone# CURRENT MAILING ADDRESS: 01 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be., a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A two-year period shall not be considered a homeowner. Such person who constructs more than one home in a "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and kqre �lets. nature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be,required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1o9.i..1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/ecrtification for use in your community. - ., �...- ::.�,. ._.. .e ...._:. ,.R.. :.. t _,� � rC. n �.. �;�y � ,_ - .t.- .:.. - �.- -...+,�,.v.�•*.... ,..ram..i_ , ov Assessors map and lot number ...... . ...... ................ .......... ` 'THE of toy dFv:�57 . . �� •e Sewage Permit number ....... ..... .... . �......... ......... !a � ,► i SAUSTAU i House number f,�.a Y ed................. �., TOWN -'OF:. BAR.NSTABLE � . ,BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... . ..�... ....�...: .... �- TYPE OF CONSTRUCTION a (�.,�,�,,,..._.�._ 19. TO THE INSPECTOR OF BUILDINGS: L The undersigned thereby applies yfo�r a permit according to the following information Location ... t�, h tZ�a � .` �� ......... `2:Y?: ?.v:.t ............................................................ '�,;,b %�;%a;,. .. ffi.w"•�,. "fir ,....:..+,;;' ...... ProposedUses..:..: i a .l�. r'_:; .. .................................................................................................. ................ .. 'Zoning District .... . ..............................................................Fire District .....�. ., ...................................................... Name of Owner .•e` 1C Uw,.4�r' d`r'-rN ...Address......:. - '......... , .......v .7Y 17 Name of Builder" .. .� fir... . 't�Ltd < :;...Address .......R� .."Ci s-.* .....��� ;�,�� ................................... . Nameof Architect ..........:. ^.,�.���.... .......................... .Address ........................................................... ( err lJ_/ Numberof Rooms ...... .........:.............. .................................Foundation ... ... F'.......�:,.�7.1................................................ ExieriorWest ...........-�sittc k4a[ X.%5.�;'J ;A fro :................................................... Floor s f l..G� Aa 2 `..: `' ..... a �� �;r....lnter�ior `51 �a . r�ac_.�C............. Heat Plumbing e, f ................. ..................... , .. ....a.......-.�..a Firep . ......... ............ ... ...Approximate Cos .......a � t Lb'v hu ...... � S.P (000 Definitive Plan Approved by Planning Board 19 AreOa,ua-ti;J 3 3 -------- -- --- L v ........ Diagram of Lot and Building with Dimensions Fee ....................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 2 i ,,QCCU'PANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the own of Barnstable regarding the above r construction. tName......... ...................................�::........ .z........ DACO REALTY TRUST A=192-46 No .... Permit for One Sto.ry........................... ..... Single Family Dwelling ............................................................................... Lot #1, 10 Skunknet R d Location ................................................................ Centerville ........................................................ ............ .... Owner ....D.a-c.0...Re.alty. Truss .. .... .. ..... ......................... ....... ......... Type of Construction ....Frame........ .. ............... .... ..... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......S.Q.P.t;......2.9...........%19 82 Date of Inspection.....................................19 Date Completed ......................................19 too 43 essor's map and lot number ..../ l a., "7`f0 a, �. i THE ti Sewage'-Permit number ....: � Si . ............ ...................... PT6C1( TE ° { House .number �'} t/ INST`ALLE� tip C®61�'F ea i. sar, f ..... .. .. ......... fT TbTI Miva { .r Alit i639 ? Qi ENVIRONMENTAL ��:��o.iiar� TOWN OF BARNSTAT&L,E a' BUILDINGS I.NSPECT-OW r APPLICATION FOR PERMIT TO ................... ..... ....... .. .. :v,xX ....................................... TYPE OF CONSTRUCTION .. ........ ,,;..cn .. ...... ......... ....... ......... ......... ............................ 54. . ;"�.. ............ . TO THE INSPECTOR OF4 BUILDINGS: The undersigned hereby applies for a permit according to the following information: �QLocation ....... � �. ......Yll v< .. Proposed Use Zoning District ... ..�.C-....................................................Fire District .....��..C..� ....................................................... Name of Owner .... lTU..9` ......:....Address ........3 d .......Ce ....... ........`................. Nameof Builder' ........`J.. 1 ...��- ...`.... ` . .......Address ................. .�... .. • ... ............................... Nameof Architect ............. r.. ........ ................. .Address ........................................... ............................... burr 7`C ; Numberof Rooms ..................................................................Foundation ...................1......................................................... Exierior�"�^' "�. `'... '" `...�. � `."`.�L-Roofing .11. �i ...... ............. .. . ...... Floors . .......5... . ........................ .....................Interior ........ .................................... .... Heating �tf? ` v`o;c.....`'�` ... ........:.... ..Plumbing .: '.l...�:� .. e: ......... .. .. .` x .... . � rr u T Fi�re.ep'�.,lace„ x. \1.\�:e ......:t s•....... ... . ......... .. .te.e.. ...�...i..,......Approximate Cos t ...... .... . 6 .................... Definitive Plan Approved by Planning Board _�� _�____19____. Area Ur. % -� 3 36 ...... Diagram of Lot and Building with Dimensions t� Fee ........ ..... ................... . . ..... ..... SUBJECT TO APPROVAL OF BOARD OF HEALTHY"�� 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. O t Name .............:..................................................... . ........... " e Ty TRUST `v 24417 `One Story _ ' Permit for ........................ ' s _ Single Family Dwelling Location ..Lot...#1,...10...Skunknet Road ' Centerville { owner Darn Realty 'Trust i yp Te of Construction Frame _ r ......... Plot ............................ Lot .. t............................ _ . _ ; t . 46 Granted hSeptember,~2 -1`9 j Permit 9, 82 Date of. ec .1.��1.k. :19�v P ..... ........... Date Completed ..:..i /..... ... ....... .1.9d� 4 •i. r r: t TOWN OF BARNSTABLE 24417 Permit No. ----------------------------- ` Building Inspector Cash ---------------------- fy0. ` OCCUPANCY PERMIT Bond --__---- _`�- qJ�3 Issued to Taco Realty Trust Address Box 762, C.�,ritervi.11e, ,ft lot #1 10 Skunlmet Road., Ceaterville Wiring Inspector Inspection date / / •�%_ - _ Plumbing Inspector�� <lf Inspection date Gas Inspector �nvc. � ; rc.ram`�v1 Inspection date 7 t b 1 963. Engineering Department: , r r+ P L Inspection date f� f Board of Health { ��, / � + Inspection date rR° 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. .... Building Inspector s 'i BEORooM �j11JGL.G— FAMILY � "`. PJIJDE2 1JD GARBAGE 6 �`'`� DAILY Ft-OW 110'X 3 = a3oG.Pp b` r ��fill, u5c- loon GAL. t v AL. o0 6 V - D15P05A1•- P1T 6uE �b � 5 DGWALL AQGt► ? 150 S.F t5o s.F x 2•5 = 375 mo o, , ' 4� '. 3 BOTTOM AQE.A= Y �o F•. € _ ��;° _ r , �f' C S.F• 'X I� � R �j•O �,yP Dy � �n �. �R� iJ�L � ' i j� e -TOTAL 'AA 1 LY FL-DY� = 33o G.PO, 8 ` � 1 _ - _ _ "pti ��► i 1 5?,%,:i i fl n� , : ' F j°p T4 Q- VACHA BAXTEFI Na•240a80 3 .� 4 1�T /A L Q'!� pQ' Ic NA EN�'� /'. ,. al T���T C►/ . C�� TOP Fmostoo.O E L% J9 '�� tNv. loco INV. SJi011.. p16T. INV.' SGVTIG }' oao INY• 9�X 4S•G •�•pNK Gc►L. 4G 3 �EAcu ` �I• PIT INV. INY. �- WAS SD 1 C.i+RT I F I G D P 1.wr P I-A.ICJ PR0PILIe •- ��r-1.1T 1 0 � i SGALE PL.AN REF6TZEIJ:GE CE RT1FY . THAT T1+E 1POUwM11PA : 0P"Owrj NE.R Eo 1J GOmpu S 1nl ITN-T HE S I pE.l-IN E "' AUP 6Eb'C GK -TO W N 0 I= -a 2J� !3't.0 AND 1 gQ; , I LOCP►TSO •WITNIV4 1dFs F oD Lb,1N �•-•'�' � • �54 � Co i . I DAT E.l.� BAXTET�e Wye; INC. � EQ6►U I.AN D 5 u V-v RycC Tu15 Pl.aw 1<I NcrT ca AN C2 ILL& (I INST _uMEN'1" 5u2vG-y 4-THE of 'SE'r5 6QOULD j I No'T DG Vef'•C�TO DCTr 6';MI►�C L nT`L.EI-1G'r� APPLICANT �QGc;7', iDl�4T I I � I i `1 1