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0275 SKUNKNET ROAD
fn 1�11M' -ak, Ww"11IN VW 441%,31vt 6" vv M W'in"".14'�IQ 'jg U,'-w- PP im, IRMIR-3 IN lit sr "m df� 94 4 4 rill, 4N OWN �Ogy- a�-" Vlw e4' J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �.� Parcel ( Application # Health Division Date Issued l� 5 Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �.�� ��ur,���� A-ler VillageP�9"y�Owner Address �/a t�`� �/ �- Address Telephone /0 ~o /7f2 1116 Permit Request +fc/ Pl_01:rl-1� ��' �,P rater �✓®� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 70Construction Type AO& - J 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 YNo On Old King's Highway: ❑Yes JNo Basement Type: VFull ❑ 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 f(No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes 4(No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: Zexisting ❑ new size Shed: ❑ existin ❑ n •9 g — g new size _ Other....._ (Y) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes QNo If yes, site plan review # 77 s Current Use Proposed Usea APPLICANT INFORMATION 1 ! (BUILDER OR HOMEOWNER) Name Z )// AL44CI'L� Telephone Number ,�Q� 0��. 2S �Address 7• X44F License 6AMY�G� Home Improvement Contractor# 16 Emai 7 'kW9," e 4ae - GOB Worker's Compensation # �� �'�5�� 57S ALL CONSTRUCTION DEB IS'RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l r ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 1• MAP/PARCEL NO. ADDRESS VILLAGE OWNER . DATE OF INSPECTION: � I FOUNDATION FRAME `{ INSULATION FIREPLACE - :f. ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. s e ICI �- ! l6W ULPO-RT BUILDING&REMODELING,LLC Contract PO BOX 2881 Hyannis,MA 02601 Date Proposal# Phone# 509.298.2523 Fax# 774.994.8422 IW9/2014 39 belportbuilding@live.com wwwJ3elPortBuilders.com Name/Address Viola Wyman 265 Skunimet Rd ProI'ed Centerville,MA 02632 . 265 Skunlmet Item Description Total General to entire Project f 0.00 1)BelPort Building&Remodeling(BBR)to carry both Liability and Worker's Compensation Insucence. 2)The Owner shall maintain their House Insurance Policy throughout the duration of the work 3)All building materials,fasteners and debris removal will be fiunished by Be1Port Building in accordance with conditions of this contract. 4)BBR to use existing on-site electricity. 5)BBR will provide cleanup on a continuing basis. ` 6)All affected Construction areas will be cleaned at the end of construction. All material is guaranteed to be as specified and all work to be performed in` accordance with specifications submitted for the work and completed in a substantial workmanlike manner. Any alteration or deviation from this agreement will be executed only with written change orders. 05 Masonry Demo&Rebuild Chimney$7850 4-`'-1 t- CL,;,e ( 13,435.00 -Debris removal R&R White Cedar Siding$5135 1 Location:Entire Gable Roof repair around new chimney S 450 05 Masonry Front Step: 2,080.00 •Demo&Dispose existing.step �Gsf��> C i 1 r:.v 4 -Install precast New Brick step Option:Steel Rail(ea)$260 (-2-1 13 Windows&Trim Remove two existing front dormers windows(Front Doghouse dormers) 5,085.00 -Install Two NewAndersen 400 TW24310 windows with 12/12 grills to match with odsting 6�—Cmze— in 1-'Gtl� -Replace all exterior/interior trims as needed per new window installation with properwaterproofing and..o."""b -Remove&Replace(AKA R&R)White cedar siding at all sides of two front dormers Debris removal Signature Dat GUI - Total �d «. Page 1 BELPO-RT. BUILDING&REMODELING,LLC Contract PO BOX 2881 Hyannis,MA 02601 Date Proposal# Phone# 508.298.2523 Fax# 774.994.9422 1129/2014 39 behwdmfldipg@livc.com lding@live.com Name/Address wwwJ3elPortl3uilders.com Viola Wyman 265 Skunlmet Rct Project Centerville,MA 02632 265 Skunknet Item Description. Total 11 Siding R&R White Cedar Siding _ 1,350.00 Location:Rear dormer -Debris removal 11 Siding R&R White Cedar Siding 2,100.00 Location:Gable wall above garage roof -Install PVC trim block behind Electrical meter -Debris removal ,• Deck&Rarilin Deck work: Debris removal 3,470.00 -Remove existing decking and railings ` -Reuse all existing framing -Install New 5/4x6 Pressure Treated decking -Install New Pressure Treated railings -Build a New step from deck to grade 17lnsulation Insulation:' 500.00 -Remove and replace all wet or damaged insulation(window/wall /ceiling). Allowance for labor&Materials Plaster Drywall&Plaster rears and patching Allowance for labor&Merials 800.00. i 24 Paint InteriorPainting 2,250.00 -All newly installed trims,ceiling&Will areas (prep/prime/2 coats)Allowance for 4 labor&Materials$1500 Exterior Painting: ='All newly installed trims(prep%prime/2 coats)Allowance for labor&Mat TMIS $750 Signatu D L/ To tal J J, G� • / Page 2 9 r - - - , nW r-- I eE-LYO-RT op BUILDING 8c REMODELING,LLC Contract r PO BOX 2881 Hyannis,MA 02601 Date Proposal# Phone# 508.298.2523 Fax# 774.994.8422 11/29/2014 39 belportbuildng@live.com Name/Address www.BelPortBuilders coin - viola Wyman 265 Skunknet Rd. Project Centerville,MA 02632 d 265 Skunknet Item Description Total NOT INCLUDED IN THIS AGREEMENT OR BY OTHERS 1. -Problems that arise due to defects in'the existing plumbing,electrical or Strocdrrat systems,such as rot or items or not to code,will be assessed and priced as needed -All utility expenses(electric,gas,any utility underground work and etc.). -Special permitting fees above building pe®it -Any ground or landsr apingh ee or paving work -Any additional architech design/engineering -BBR is not responsible for my damages brat may occur during construction to landscaping or any finish ground work,plantings(may wed to be repaired or replaced by homeownaX asphalt or stone eta All Flowers and shrubs against house will be protected with tarp cover; 4r; warranty berms 1-year 1000/6 labor and materials warranty and duration of warranty are prorated labor and materials for the life of the installed materials. Job is estimated to.commence approximately 2-4 weeks af=deposit received Any work above and beyond the specifications outlined in this proposal will be performed at$65.00 per man hour plus materials or priced on request.All additional work,inchrding travel time and hrmberyard runs will be subject to extra charge.All products installed by BelPort Building&Remodeling,LLC will be to manufacturces gpmfications.All work will be performed by insured professionals. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. The above prices,specifications and conditions are satisfactory and are hereby accepWA BelPort Building&Remodeling,LLC is authorized to do the work as specified ; Note:No work shall begin prior to the signing of the conbldd and hm>amittal to the owner of a copy of such contract.You,the buyer may cancel this transaction at any time prior to midnight of the third business day after the day of this transaction. Sign Date - / Total $31,070.00 Page 3 , .The C9fnWW7tveakh,ofMassachuretts - Department vflndus,,,WdAc&&nirs Office of brPeyagations 600 WashbVion Street Boston,MA 02111 www.mus govhiia Workers' Compensation Insurance Affidavif BOderslConfracforsMectriciam/Plmubers Applicant Information Please Print Legibly Name pasincss/organizationandiydduai): oe _ Address: City/State/Zip: .� Phone#: :S oe 2 - 21 3 Are you an employer?Check the appropriate bo>i a T f re . am ntt d I racor an Type o project.Tect(required): .1.El I am a employer with 4 ❑I co 6. New construction employees(full and/or part-time)_* have hired the sub-contractors 2.M I am a sole proprietor or partner- listed on the attached sheet- 7. ❑Remodeling s and have no em�to ees These sub-contractors have ship P Y 8, Demolition wotidag for me in any capacity, employees and have workers' inerrran�t 9. Budding addition [No workers'comp,msn'ance comp. . req�ed 1. 5. ] We are a corporation and its 10-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their t 1l,❑Phnming repairs or additions myself [No workers'comp. right of exemption per MGL i : I2 0 Roof repairs insurance recfrrired I t c. 152, §I(4),and we have no employees.[No Wo]Jers' 13.[]Other comp,rasmancer ] *Any applicant that checks box#I mast also fill out the section below showing then workers'compensation policy information_ t Homeowners who submit this affidavit mdicaling they arc doing all work and thm hire outside cauft-tun must submit a new affidavit indicating such_ tContraf-1=that check this box mast attached an additional sheet showing the name of the sub-contrr-cmrs and state whether or not those cmti tics have employers If the sub-contractors have employers,they mgst provide their workers'comp,policy amnber, I am an employer that is providing workers'compensation buwwane for my employees, Below is the pc'U-7 erred job site information. Insurance Company Name: �4YI Policy#or Self-ins.Lic.# ACx Gt/��`Fj J� ExpiratonDate: Job Site Address: �� �l2�� City/State/Zip: i C;9' 63Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and e)piMtion date). Faffi re to secure coverage as requ red under Section 25A of MGL c,152 can lead to the imposition of crmmumal penalties of a fie up to$1,5W.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance co Verw vecalion I do fey c f3' p ofp that the inforrnadon provided above is true and correc;f Si r Date: Phone#: .7 or Offuial use only. Do not wrfie in this area,to be completed by city or town ooriaL City or Town: PermitlLicense# Issuing Authority circle one): 1,Board of Health 2.Building Department 3.City/Town Clerk 4.E{Iecfrical Inspector 5.Plumbing Inspector 6.Other Contact Person: 'Phone : Information and Instructions Massachusetts Genaral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Purmmnt-to this side,an m ployee is defined as"_.every person in the service of another under any contract of hire, express or implied,oral or wriftea." 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 applicantwho 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 perfomuance ofpublic work until acceptable evidence of compliance with the requirements of this chapter have been presented to the contracting auihoiity." Applicants Please fill out the workers' compensation affidavit completely,by checkiag the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certifica c(s)of insum ce. Limited Liability Companies¢LC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not requited to carry workers' compensation fi sinance. If an LLC or UP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Deparlment of ladustrial Accidents for confirmation of m�nca 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 sore 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 perr it license 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 indium current policy information(if necessary)and under"Job Site Address"tie applicant should write"art locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filed out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax rt miber_ Tht C6inmdaw6aZth-of Ma ssa.Ghusttts Departnmt Gf 1IldusT1 rial Acraideats Offiee of)hVC3tig2taO.AS 6G4-Washivou Size BastGn,MA G2111 T(Z.9 617'27-4900 e-xt 406 or i-977-MA-SSAFE Fax 4 617-727-7749 Revised 4-24-07 w mass_gG��c�ia I. .vl2e�pomvriaaraw�l�o��aaaaclitcaP,Gla _ , . Office of Consumer Affairs&Business Regulation j: OME IMPROVEMENT CONTRACTOR, o egistration a¢�1,48 . Tye A ® y xpiration r 9�1X2015, Private Corporate BELPQRT�pU1,WIMG i kdM6DELIN6,LLC: ' +.. . ,r a MAZHEIKA ZI1(ITRY ic} 60 JOSIAHS PATH -WEST BARNSTABLE MA wdail liider9ecretary s Massachusetts -Department of Public Safety Board of BuildingRegulations 9 ns and Standards Construction Supervisor License: CS-097029 y DZbIITRY MA7.F1; P.O.BO.V 2881 fiY HYANNIS 1V1A 02601 �- %�:.. .liz .3rit •:.L-Expiration Commis�sionne'r` ";`101081201$ l� oFTME>o TOWN OF BARNSTABLE Permit No. ..29444 BUILDING DEPARTMENT B°8;;p;a TOWN OFFICE BUILDING Cash .... 1639 HYANN IS,MASS.02601 Bond ......� g � CERTIFICATE OF USE AND OCCUPANCY Issued to S L S Trust Address Lot #14, 265 Skunknet Road Centerville, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD 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. .....i•�..........7..... �..... + ..!a, ,� -�<.s..a. Building Inspector' I' { TOWN OF BARNSTABLE BUILDING DEP:ART'MENT _ RAN qT = TOWN OFFICE BUILDING rb 9 �� HYANNIS, MASS. 02601 �OIUfI M• J MEMO TO: Town Clerk FROM: Building Department DATE: An'. Occupancy Permit has been �issued'-for the building authorized by` r, Building Permit .»l!.L .........» .... ....... issued to ....... t !.:.. " ; - !. ::< » ...........................................................». ff. � .... .». ............ �» Please release ,the performance bond. r - Town of Barnstable *Permit# 61/��l/J Expires 6, onths .tyn issu d e Regulatory Services Fee awaxsrnatt;. esass. Richard V.Scali,Director 1639. � ATED�.(A Building Division , Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PFRMIT APPLICATION - RESIDENTIAL ONLY l — Not Valid without Red X-Press Imprint Map/parcel Number / / Property Address 6& �!C s'[.,T 6wTGe,��/ram Wxl� P-Z2 2 ❑ Residential Value of Work$ /� Minimum fee of$35.00 for work under$6000.00 fi 4 Owner's Name&Address ( 7— Contractor's Name �M✓-1 I1 �l — Telephone Number )a,:F,,e Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) 4Workman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor MAR ®J ZO�� I am the Homeowner [i -I have Worker's Compensation Insurance F BARNSTABLE Insurance Company Name �!�'!�� �J �� ze-h�L/e� Workman's Comp. Policy# )41O1 141(f Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [1/ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value L 7 (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 Home provement Contractors License&Construction Supervisors License is SIGNATURE: Q:\WPI-ILES\FORMS\ uil 4ff t rms\EXPRESS.doc Revised 061313 I - The CoMMO.raxcfet kh of-Wssachaseffs Deparftnen t of fisdmtrid Accidents - - 0 e o�'IMestzgaaiarrs 660 WasALugfon Street Boston,MA 02111 ' 1-MI qs 7ti=gavrdia Workers' Coinpensafioalusurauce fGrdavit:Builders/Contractors/Electric ianMumbers Applicant Infarnsation Please PrintLe-eibly Na=03= ten: C/C7,e� .�� '/ LLB. City/Stat&7ip: .��� Gt# OaPAOnZ47 �O� - 2 2 ."S Are yan an eiuployer7 Check the.appropriate box; T of.l eat C r 4_ ❑ I a3rY a geneal crmfractor aad Z a• ] e'EF°��= l_❑ I am a�uployer with r 6- ❑New oonstr, ioa employees{fall audforpart-time}* havebiredthe gull-contractors. 2_Kj r.TTn a safe props etor of partner- listed on the attached sfm-ef 7- ❑Remodeliag strip and have no employees These srb-oontractors have g_ ❑Denlolitioa Wedang forme in auYct3r-cT employees and have workers' 4_ ❑Building addition +'3 vSOri P1S mwp_Sn¢�t_ranr•e. comp- -SL1r317{ 5_❑ VTe are a corporation and its 10_❑Electrical repairs or additions ❑ r�mF h iFor ati��ercised Their 11_. r airs er additions. 1 atn.a ha�mt�u�ez doing all wrarli ❑Plumbing e-P� . If. [Noworl='comp right ofe�mpiion per MGL I7.[yJ repairs insuranroregmiied_I F e_152, §1(4} and weaneno employees_[No wDrkers' 1 _❑€3tizer G J h comp-insuranc-require.I 'Any apahcmt>T3xt checks box fl T7mst slso 5ll out tl-srzfioa hakrw shrnfirg Their,woiken'coaipens-Rh on poUry infon -6aa I Snn�cc rn s rs o sabrait ffiis s dxvef i usiine,they s z thing sII r�cmc end tbm hoe outside co�traemn nmsS s t s syd It mnir �sarSi {tauactncs th�i deck thi s box mast stlachrd su sddiuens meet ffio r�tip nsme of dte Sur-o=ft3GWrR=d State�chEret ocnnt tense gibes S�vg emalnyers_ If�sub-co-ntactcncs lyre mpIayrp-,they must F-Rmde th-s war3ecs'comp-po3icy nvmbez I art an enipLryer that ispt-,nidurg irL=raffce for my e-mFLOY-gm Belau is die porky and job site Insurance Gompautl�fame: � ( ;ew/'� .f`r , CIO PoIL-y ff or Self ias_Lim I 0?141C- -3 Expiration.Date: Z Job Sites Address: �� �i7 f��. ✓I�i � C bf StabaIZip: C�1�P/0�/ G-Y* Attach acopy of the-Nmrkers'compensation policy declArstiou page(showing the policy nnamber and expiration date). Failu_c to se;mre coverage as mquiredunder Sectica 25 q o€MGL c- 152 can lead to the imposition ofcrirnical penalties of a fine up to$15DQ_aa andfor aae yearimpr%sozx t,as well as civil penalties in$he farm of a STOP AWF©RK ORDEP znd a fine of up.to$250-00 a.day against the violator_ Be advised that a copy of this statem mt=maybe forwarded to:thz Office of lnvestig�tions of fe DIA fxrr msarrancle con ge verification- _ . . _. ... _ ._. . _. _.._ .. _ .._.._.. -- --- __._ . . .... ._.. _'. .. .--- --.._ -.. .__ ._. .... . I da f�erebXr certify th t ma tee of perjacty that the information prcnided a r cis tars and correct Siaatam: Bate.: ego. 09. /S Phone 9 O ff Eciuf use atilt'. Da,rot ivritg in fills area, a bs campreted by dlt or town of c-iaL City or Tow-a: _Pm-raibUcense# Issuing Ant-hority(-irate oae}: 1.Raard of$erlth .Building Deparbnent I City1Ta wa Clerk 4_Electrical Insgec#or -5.Ffmmbing TaTector 6.Gth w Contact Person. Phone;k 6 �,yr Informafion and Instrue ons . Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees, Pursuaat-to this statute,an ernployee is defined as"_.every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or awry 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,constructioa 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 s'iatIffs that"every state or Iocal licensing agency shall withhold the issuance or renewal of a License or permit to operate a business or to construct buildings in,the common-fYcaltla for:.0 applicant who has not produced acceptable evidence of compliance vrrn the insurance.coverage re-quired." Additionally, MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the per-foi-inance ofpublic work until acceptable evidence of comphiaDce,,hiLh the insurance requirements of this chapter have been presented to the contracting authority." Applicants — Please fill out the workers' compensa+on ai�davit completely,by check, or the boxes That apply to;-rur mutation and i.f necessary,supply sub-contractors)naane(s), addresses) and phone nrxnbeT(s)along with theme ceri:uc`c-(s) of insurance. Limited Liability Ca apan_es(I.LC) or Limited Liability Par ue,-shius(LLP)vvi-&no employees other than the members or partners,are not requied to cagy workers' compensation insurance- If.an LI.0 or LLP does have employees, a policy is req L-,ect De advised that this affidavit may be submitted to the Depar-unent of industraI Accidents for confirmation of Liu--ance coverage. Also be sure to sign and date the of davit '11�e affidavit s,o id be retuned to he city or town that he applicanon for the permit or license is being rt--cuested,not the Department of Industrial Accidents_ Should you have any questiom, regarding the law or if you are required to obt:in a workers' compensation policy,please call t m-Depa-bnent at the number listen below. Seir:insured companies sao,-dd enter the-i r sell-insuraance license number on tie 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 ill out iii he event the Offce of Investigations has to contact you re2a�ding he applicant Please be sure to fill in the perm ILce use number which will be used as a reference number. In addition,an.appL cant that must submit multiple pei- it/license applications in any given year,need only submif one alffida.vit indicating current policy information (if ne--essa-y) and under"Job Site Address"the applicant should-write"ail locations in __(city or town)."A copy of the afEi davit that has been o3cially stamped or marked by he city or town may be provided to rile applicant as proof that a valid affidavit is oa file for future permits or license$- Anew affidavit rai--t be filled out each year-Where a home owner or omen ie obtaining a license or permit not-elated to any business or commercial.venture (i-e, a dog license or permit to burn leaves etc.)said person is NOT required to complete this af-fida:-it. The Office of Investigations would li cc to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a cail_ The Department's address,telephone and fax number: CoDamcLawl+aI&of Massach�u-s-ets D apartment of IndustdaI Acci:dea%s office oz�avesfig�t%any GHQ Wasbmgtua�tl Boston_IMA 02111 161,4 617 727 4WO 406 or I-R7-7:V-LkSSfiFF fax G17-`27-TI49 Revised 4-24-07 - �� -�nas�gnvEe_a . IFL ;BELPOIRT BUILDING&REMODELING,LLC Contract PO Box 2881 Hyannis,MA 02601 Date Proposal# Phone# 508.298.2523 Fax# 774.994.8422 11/29/2014 39 belpoitbuilding@live.com www.BelPortBuilders.com Name/Address viola Wyman 265 Skunknet Rd Project Centerville,MA 02632 265 Skunknet Item Description Total General to entire Project 0.00 1)Be1Port Building&Remodeling(BBR)to carry both Liability and Worker's Compensation Insurance. 2)The Owner shall maintain their House Insurance Policy throughout the duration of the work 3)All building materials,fasteners and debris removal will be fii nished by BelPort Building in accordance with conditions of this contract 4)BBR to use existing on-site electricity. 5)BBR will provide cleanup on a continuing basis. 6)All affected Construction areas will be cleaned at the end of construction. All material is guaranteed to be as specified and all work to be performed in accordance with specifications submitted for the work and completed in a substantial workmanlike manner. Any alteration or deviation from this agreement will be executed only with written change orders. 05 Masonry Demo&Rebuild Chimney$7850 f��= '� C / t 13,435.00 -Debris removal R&R White Cedar Siding S 5135 Location:Entire Gable Roof repair around new chimney$450 05 Masonry Front Step:precast l � ,�,� 1 2,080.00 -Demo&Dispose ep -InstallNew Brick step Option:Steel Rail(ea)$260 (2_ 13 Windows&Trim Remove two existing front dormers windows(Front Doghouse dormers) 5,085.00 -Install Two New Andersen 400 TW24310 windows with 12/12 gills to match with existing ill GL) -Replace all exterior/interior trims as needed per new window installation_with proper waterproofing and flashin -Remove&Replace(AKA R&R)White cedar siding at all sides of two front dormers. -Debris removal Signature Dat ' Total Page 1 4BELPO-RT ` rr a r--— III P BUILDING&REMODELING,LLC Contract, Po Box 2881 Hyannis,MA 02601 5DEate Proposal# Phone# 508.298.2523 Fax# 774.994.8422 14 39 belpordmffding@Uve.com Name/Address wwwJ3elPortBuilders.com Viola Wyman 265 Skunknet Rd Project Centerville,MA 02632 265 Skunknet Item Description Total. 11 Siding R&R White Cedar Siding 1,350.00 Location:Rear dormer -Debris removal 11 Siding R&R White Cedar Siding 2100.00 Location Gable wall above garage roof -Install PVC trim block behind Electrical meter . -Debris removal Deck&Railings Deck work: 3,470.00 -Debris removal -Remove existing decking and railings -Reuse all existing framing -Install New 5/4x6 Pressure Treated decking -Install New Pressure Treated railings -Build a New step from deck to grade 17 Insulation Insulation: 500.00 -Remove and replace all wet or damaged insulation(window/wall /ceiling). Allowance for labor&Materials Plaster Drywall&Plaster repairs and patching Allowance for labor&Materials 800.00 24 Paint Interior Painting: 2,250.00 -All newly installed trims,ceiling&wall areas (prep/prime/2 coats) Allowance for Labor&Materials$1500 Exterior Painting: -All newly installed trims(prep/prime/2 coats)Allowance for labor&Materials $750 Signatu D L/ Total Page 2 �:;; • ,B L ,•3llt'��tR ,, t- � PO-RT ljp BUILDING&REMODELING,LLC Contract PO BOX 2881 Hyannis,MA 02601 Date Proposal# Phone# 508.298.2523 Fax# 774.994.8422 11/29/2014 39 belportbuilding@live.com Name/Address www.BelPortBuilders.com viola Wyman 265 Skunknet Rd. Project Centerville,MA 02632 265 Skunknet Item Description Total NOT INCLUDED IN THIS AGREEMENT OR BY OTHERS -Problems that arise due to defects in the existing plumbing,electrical or Structural systems,such as rot or items or not to code,will be assessed and priced as needed. -All utility exq>enses(electric,gas,any utility underground work and etc.) -Special permitting fees above building permit . -Any ground or landscapm&4ree or paving work -Any additional architechnal/desigo%r4ineering -BBR is not responsible for any damages that may occur during construction to , landscaping or any finish ground work;Plantings(may need to be repaired or replaced by homeowner),asphalt or stone etc.All Flowers and shrubs against house will be Protected with tarp covers. Warranty terms: 1-year 1000/0 labor and materials warranty and duration of warranty are prorated labor and materials for the life of the installed materials. Job is estimated to commence approximately 2-4 weeks after deposit I=ived. Any work above and beyond the specifications outlined in this proposal will be performed at S65.00 per man hour plus materials or priced on request All additional work,including travel time and lumberyard runs will be subject to extra charge.All Products installed by BelPort Building&Remodeling,LLC will be to manufacturer's specifications.All work:will be performed by insured professionals. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. The above prices,specifications and conditions are satisfactory and are hereby accepted. BelPort Building&Remodeling,LLC is authorized to do the work as specified. Note:No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract You,the buyer may cancel this transaction at any . time prior to midnight of the third business day after the day of this transaction. Sign Date �I. Total $31,070.00 ke /3.`� . Page 3 � �e�panvviao�raw��o P/�aaaccc/aicaeCt: �I. Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR egistration 16*148 Type xpirat!on r 9/1%2015 Private Corp o rat i` BELPQRT pkj,i DIMG 8 BEI 6" ELM,LLC. = i 1 ` MAZHEIKA ©ZI�I�TRY S� �t 60 JOStAHS PATH -,WEST BARNSTABLE,14 02668 Undersecretary. • Massachusetts -Department of Public Safety .Board of Building Regulations and Standard � s Construction supervisor. License: CS-097029 s DZIMUTRY MA7.H II k P.O.BO.V 2881 r HYANNIS MA 02601 i - Y , fl . a expiration Commissioner "` 10/08/201f License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-'Suite 5170 Boston,MA 02116 j of valid without signature Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS r ..TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT. Aal%1- JOB WEATHER CARD DATE 19 i3q PERMIT NO. 1 "� 2944 %eJ�ii--iio.L.L.rrs, ':i�•�. .;�:?-_i:�t��� ., ,;us.it� iJU�S:� APPLICANT ADDRESS (NO.) (STREET) Ar (CONTR'S LICENSE) l5uiid dwtillinY llq ;:il:1Nie 7ziZY111;' C%tti7c:... NUMBER OF '?�+' PERMIT TO (_1 STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) J.•:)L tj-4 265. C,enr-er-v i Ll e ZONING AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY. _FT. LONG BY F FIGHT AND ALL JCNFLIN CONSTRUCTION TO TYPE E GROUP BASEME� WALLS OR FOUNDATION (TYPE) REMARKS: I AREA OR "ilC :iCi. iC. `•U,U{;i) PERMIT jam), ij VOLUME ESTIMAT ST � FEE .� (CUBIC/SQUARE FEET OWNER U_9 K<_ll! BYILD,ING DEP r J ADDRESS I , THIS PERMIT CONVEYS NO RIGHT TO OCCL PY ANY STREET, ALLEY R SIDEWALK OR ANY PART HEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBL CI PROPERTY, NOT SPECI ICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- I .). PROVED BY THE JURISDICTION. STREET O (ALLEY GRADES AS WELL AS DEPTH AND LOCATION O PUBLIC SEWERS MAY BE OBTAINED { FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PE MIT DOES NOT RELEASE TH APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICT QNS. MINIMUM OF THREE CALL APPR ED PLANS MTJ'ST R TAINED ON JOB AND THI WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD EPT POSTED UNTIL F AL INSPECTION HAS BEE PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS R - MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRE ,SUCH BUILDING SHALL NOT BE OCCUPIED LINT L MEMSERS(REAOY TO LATH). FINAL INSPECTION HAS BEEN MADE. I 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS C RD SO IT IS VISIBLE FROM STREET • . BUILDING INSPECTION APPROVA S PLUMBING INSPECTION APPROVALS EL rCTRICAL INSPECTION APPROVALS 666 V�/ r •. Z Z V (a P!::2 >� HEATING INS CTING AP ROVALS RE &M A S -iER 12 ------ - -- 2 OF_ HEALTH �J RK SnALL NCT PROCEED UNT:L THE i PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS INDICATED ON THIS CART r ;aECTOR AA5 APPROVED THE VARICUS WORK IS NOT.STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARP. NGED FOR BY TELEPHONi lGES OF CONSTRUCTION. OR WPI-_- N N`ftFICATION. PERMIT IS ISSUED AS NOTED ABOVE. �' r ! - = LoT \3= �'e9 v° a ti S3>* FoUaDgYION /� iS,zy3 O s 6 �p 4 r 3 JOB # 85-420 CERTIFIED PLOT PLAN PREPARED FOP.- LOCATION., LOT-14 CENTERVILLE SCALE. 1 °=40 ' DATE: 05/30/86 REFERENCE. PB 403 PG 271 . LEBEL-SOLLOWS I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE �v �F SAS GROUND AS SHOWN HEREON o�� y - � AANE H. OJALA H down cape engineering N26348 0 0 CIVIL ENGINEERS '�si Is LAND SURVEYORS ] ROUTE 6A YARMOUTH MA DATE PEG. LAND-SURVEYOR Assessor's map and lot number . ../..7/i,�.......... SEPTIC SYSTEM MUST BE �oF THE Toy Sewage Permit number ................T. �,I,�,�,5�0,,� INSTALLED IN COMPLIANCE WITH TITLE 5 2 BaEB9TsnLE, House number .........................., E`...2.L.. .............................. ENVIRONMENTAL CODE AN 9 MU& b �` TOWN REGULATIONS o°,,�ONnY.�`e�' TOWN OF BARNSTABLE .BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....1......... v..t..1. ......... .....5......... ......................................................... TYPE OF CONSTRUCTION . rho o C ........................ ...................................................... ..................��` ......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ... .................................:......�1T .....�. ....... ................. ProposedUse .............. ...................................................................................................................................... Zoning District ..:.......... e,,.................................................Fire District ..........C:.-:�......................................................... Name of Owner ..........5. .......................Address ..... Name of Builder ....... 50.#N;? ... ,...........Address Name .of Architect t?. ............Address tf`r!�lac?V Q�t�d? f7 .... .... ....................... ................ .. Number of Rooms ..............5....—.............................................Foundation .....g... Exterior .......... . ....1. ......................................:..................Roofing l� .................. �. ......................................................... n ..................Interior .......Floors r.��Y�??�vo.. ...................... CG............................................... Heating ....................... a— ............`..................................Plumbing ....... .............2 Fireplace (� Approximate. Cost S� {�� ......................................., ............. .f... ...... .... . . Definitive Plan Approved by Planning Board __ _____ -----19 5 Area ...... ....... ..��........... Diagram of Lot and Building with Dimensions Fee , SUBJECT TO APPROVAL OF BOARD OF HEALTH v E � 1 yN OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard' g the above construction. Name . ......................... Construction Supervisor's License S LIS TRUST No ....29444.. Permit for ... ...Story................ Single Family Dwelling ................... ........................................................... Location Lot #14, 265 Skunknet Road t ................................................................. .......Q.-,AtgX�Vi lle ............... ..............................:.......... Owner .......S...L..S.....Trust.................................. Type of Construction ........................................... ................................................................................. • Plot ............................ Lot ................................ T Permit., Granted .......... une 2, 86........................ .....19 X Date of inspection 19,9 Date Completed .......... ....19A 4D ;n C pFTHE rod, Town of Barnstable- *Permit# ( % � 3S Expires 6 months iom issue date h Regulatory Services Fee r s BARNSTABLE, r 9cb 639. � Thomas F. Geiler,Director XpRi� - arED MA'S A Building Division , Tom Perry, Building Commissioner OCT P 200 Main Street, Hyannis,MA 02601 TOWN O� '9 2002 9� Office: 508-862-4038 - II I,1 Fax: 508-790-6230 �R�Sra�L EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address cam!�A J^ ► l� e ►�-L° Y. UJ� e y l Residential Value of Work L7 Owner's Name&Address I V v Contractor's Name—�h fv 1('V`4 , - J `e 1l- L, I Telephone Number Home Improvement Contractor License#(if applicable) LO (/ (D ` Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance / Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name U v- Workman's Comp.Policy# d b 2 6 ,59 Z Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to YA V, v A v o ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows. U-Value. (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Fom1s:expmtrg Revised121901 r I I ✓fie >°ammwnu�ecz� a�✓�aaaac�u�ae�.ld Board of Building Regulations and Standards Licer HOME IMAkOVEMENT CONTRACTOR befog Boar R g�stratron 08615# fin One: xpfrafign 8/ 0/2004 Bostu 1 IiT gr�"vidual BARRY MERRILL't' 1 Barry Merrill 312 Skunknet Road Canterville,MA 02632 arlm n�ctrs!tnr 1 1 } 1Jq 22 ._. 23 211 25 26 7 28 29 30 31 1 3; i � .I �L W►"7.�II r+4,I�. VI'CI°+T ; �'�I I I �. �� li r i - I ---- --- - -- I I I : y �`i Y i i Gig Z1, Jf : : f i ' 1 I I , i I -L_ --L I_.-�-- - ----- 1 i i _I. I- : + J - I 34 35 30 37 S8 39 40 41 42 43 44 45 46 47 40 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 j 7 T �A NA , uNsa3 DL 041 P L T4%F Ir par p IL L -------------- ep' A 14 L L At-If Assessor's office(1st Floor): f p� 0 0 Assessor's map and lot number � 7bC SYCd 4 i THE r""E' T Board of Health(3rd floor): LLLLE0 ON C0� r;,1;- S jj Sewage Permit number 16 UNTH TO 6 LE Engineering Department(3rd floor): fR� >- .n�EN UAL i Z �eHr ODtL House number oC � x�, q � t6}p. Definitive Plan Approved by Planning Board 19 1aL �MULA T i°°'`' ����Y° APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ( NlST T;UC i 1�ea ' 075t-t AP.P i T1 0� TYPE OF CONSTRUCTION �P,A tz& 1913e) TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �GJ h4lJtf Kk46- �tcY i iZi�zVt1.�1� Proposed Use J t t E G. ��A r�2 ��Y 5 i�o�M G!'- Zoning District Fire District Name of Owner JAt,7153 YT-7,t t-( Address 2L') Name of Builder l F-,22 t3 U 2i i 6A Nap Address "Si^ 116z"i S 11101 e� 5"K TGe-�L,7144 E Name of Architect Address I Foundation T I A 5 0t0k -e • 3. Number of Rooms Exterior ► e La S � �t �� Kt� Roofing �/�` 5 ?aAL Floors �LvCx%&tlP AA 1-17?a T t*e6, Interior P4k"git-Iy<6,/ Heating ' `a Plumbing " e K 61- Fireplace l-t H Approximate Cost Area 1 g�< 5, r LOT Diagram of Lot and Building with Dimensions 1 i 4 , 44 Fee ®i r, 14 �(3ovCSQ.v M . q IJ� A 97'17fT1�� D�` ` Fx 15. . �o fic� 13 1� 6i4K 3g� M 6 ItL-> OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reaarding the abo a constn. n. Name Construction Supervisor's License b t $ WYMAN , JAMES 'i71 AbD TO No%-3-3 Permit For DWELLING ,:Single Family Dwelling Location 265 Skunknet Road Centerville - Owne'-James Wyman , Type of,Construction Wood Frame Plot x Lot Permit Granted April 25 19 90 r. ' ` r Date of Inspection 19 , Date Completed 19 a.. 4 i . r.t„4'lri�'fli W„-�fi. ;$.`.+a..1 „i �#-t[t*A.'- ✓:`°n� ,yFafi; �y ,�. }�r'-��.3.d.�'. �'t'°�F..:��� �'^�ha1� �YAPY. "�'',j�rK' Assessor's office(1st Floor): r� / }` Assessor's map and lot number I f ! � Q Board of Health(3rd floor): Sewage Permit number - 1614 Z i Engineering Department(3rd floor): DAUSTAXLLrasa House number °o 1639. Definitive Plan Approved by Planning Board r 19 �o y�Y A, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only x�r TOWN OF BARNSTABLE BUILDING INSPECTOR." �- APPLICATION FOR PERMIT TO C C: F SST 74Uc i �kl�ZSt( A;�, 1 c%► TYPE OF CONSTRUCTION A t z a r f� 19 �FC� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: t a /' } Location G-j h4 U rl K t' (' �: `— K;i ?,V f c t Proposed Use a 1 r l�. ✓A t r i t l—) ►; 5 i �7 t=�t r Zoning District rl C" Fire District 6 ' 2LS ✓V10f-'t-,Kt c '�t r`zKi1z►� VI(.[ Name of Owner JA 1'a U 5 l-f /�t'L A M Address r• Name of Builder ! Fri i�41 .--6 x{co if Address 'Sa LCe1,r S 1=h .��t r 7 i�,u1c Name of Architect { Address r t Number of Rooms + f -`roundation 5 c%N '-� C , 13, �Cl•itry- y � DG �1 '1+ t t° g -(ElG Exterior Roofin t�� �..F Floors R`i toba;7V -A 2-,F6i f�«; Interior FA) f,(rc.,rrcg, �, ), . Heating i t h I Fe FL ' �•. Plumbing is .k�t . t a.' Fireplace t t E -• rApproximate'Cost , 'a `-• J) '1 ,t }} Area Diagram of Lot and Building with Dimensions q . 44 ' Fee :ri a _ ' �t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License co � S lei WYMAN , JAMES A=171-281 ADD TO 33696 DWELLING No Permit For Single Family Dwelling 265 Skunknet Road Location Centerville James [Nyman Owner Type of Construction Wood Frame ; Plot Lot Permit Granted April 25 19 9 7 Date of Inspection 19 Date Completed 19 n. �x t, PERMIT COMPLETED 1/1/� Al2) Assessor's map and lot number . `�`... THE TOr, �l(71(_ Sewage Permit number ...............� ...... ..-!�... l 1 Z 339HH9TADLE, i House ,number ........................... .....?.............. ro NAM L t O'EO YPY Or- TOWN OF BARNSTABLE BUILDING INSPECTOR . . � APPLICATION FOR PERMIT. TO .............,r�.tr.l......:................ .................. ....:...................: TYPE OF CONSTRUCTION .....................................�t?o cr T�2.Gc�' .�........................................................................... .................. TO THE INSPECTOR OF BUILDINGS: e The undersigned hereby applies for a permit according to the following information: Location ........ ' ..:....�. ....... ..... ... ............. .................. Proposed Use T :'.�:�' .I?......: Zoning District .......::. .' ...:......... ....Fire District `� .... Name of Owner !...........................Address .....? .... Name of Builder ......L i!2:.�....t7g•�/ w. ... '::!,...........Address ........................... ... ............. � . Name of Architect 'l?���_ l 5r ....:?....:.5.{ �1...........:Address ..� Pr ./'7��tnIf'�vZ:l.:........ ,.......... . Number of Rooms .........Foundation .............. .: : .........:...: Exterior ...... r> �e Roofing ............................................. 5.........f... ..................... Floors �l' '..Ua.L:.................:. ..................Interior .......... ..t......... ............ x Heating .... .. ................,2 `5 .Plumbing ll.:�.�/.,.T �yJJ !� ..: .. ` s•............... ... ....... ..... ... x Fireplace .................................................. ......................... .....Approximate Cost .>........... .� ...... .�. �� �...�.�.... PP Y g u.xa- Z-----f 9 —���-• Area ...... �..._....-Definitive Plan Approved b Planning Board ____ ______________ 7. ........... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I 4 _ t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS :. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard ng the above construction. Name �n...::` f All Construction Supervisor's License ........ . J S t S TRUST .-429 /7/- aJC/ No 29444 Permit for A.? Story Single Family Dwelling ... Location ...Lot... 4�14 ...........,........, 26 Skunknet Road ...... . ......................... Centerville Owner ....S L S Trust ....................................................... Type of Construction ....... rame ... ............................ ................................................................................ Plot ............................ Lot ................................ a Permit Granted June 2, 19 86 Date of Inspection ....................................19 Date Completed ......................................19