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HomeMy WebLinkAbout0492 SKUNKNET ROAD :� q�� e � �F�h 3 � � � ,. t � � . ,� E9 � �:. � �"", � wo ".� � � � ;u3:�, e � . �. ,, , _. F. s ... � .. � {, s e ,. r .. � � i w �. � ., 49 � Olt" . s � y � 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr.Perry, This affidavit is to certify that all work completed for insulation worts at 492 Skunknet Rd (application#201401253) has been inspected by a certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State requirements. .Sincerely, Conor McInerney ConserVision Energy a:. ;p Co 376 ROUTE 130,SUITE C SANDWICH,MA02563 508-833-8384 www.cbNSERVTODAY.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ifoi Map. %(,c% Parcel oSl, try: Application # Health Division Date Issued 3//0 Conservation Division Application Fee ` Planning Dept. Permit Fee _Aoe' Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village��� Owner Address_`c%iL Telephone t� e> - SO - 48o z.y Permit Request w c e.%-..v Loaf, %%a V.5 C_�- w*. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio z..omd .6� Construction Type 'Lot Size Grandfathered: ' ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: OdFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq'��L :7, Number of Baths: Full: existing Z. new Half: existing new, V73 Number of Bedrooms: L existing —new Total Room Count (not including baths): existing new First Floor Roo Count . zj Heat Type and Fuel: ❑ Gas 2-05il ❑ Electric ❑ OtherCD 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 Ld,.moZ w..c.\►.� ..5fia.N Telephone Number tb$ - 8'SS - $3$ Address License# 3�•-�a..� c.w., .�...a n z.��� Home Improvement Contractor# 0% LS Email Worker's Compensation # .AcQ bS 35 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `� n14 DATE `3 y FOR OFFICIAL USE ONLY 9 , APPLICATION# t DATE ISSUED ' MAP/PARCEL NO. L ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME t' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL = GAS: ROUGH FINAL ' t FINAL BUILDING '. DATE CLOSED OUT ' E ASSOCIATION PLAN NO. ti I" CSSL-102778: CONOMb MCiNERNEY 30 SIASCONSET:DRIVE SAGAM ORE BEACH MA OZ562 081.19/20.14 Office of toosnmer'Affa�rs&'Bu"smess Regulation` HOME IMPROVEMENT CONTRACTOR _ - Registration:., 171251 TYPe :Expiration:. N112014 Partnership CON=SERVE ENERGY CONOk MCINERNEY 376 ROUTE 136 SUITE C' _.. rT- SANDWICH,.MA 02563 Undersecretary License or'regis`tration valid for.individul useonly, before.the expiration date, If found return to: Office of Cores uner.Affairs;and Business Regulation. 10- ar.k Plaza-Suite 6170 Boston,:MA,61 i16 \ !k. Not valid without signature The Commonwealth of Massachusetts Print Form Department of IndustriPlAccidents Office of Investigations: l Congress Street,_Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit: Builders/Confractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/(Tiganization(lndividual):Con=Serve1nergy;Inc dba ConserVlslon Energy Address:376 Route 130 City/State/Zip:Sandwich; Ma 02563 Phone# Are you an employer?Check the appropriate box: Typeof proiect(required): 1.21 1 am a,employer with 8 4. lam a general contractor and I employees(full:and/or part-time). * have hired:the suti-contractors 6. ;New consttvcfpi 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.: '7: Remodeling - bay. ors e ship and Mite These subcontract e no employees, - 8. Demolition working for me in any capacity. employees and have:workers' 9: Budding addition. [No workers'comp.insurance comp.insurance required] 5'. We are.a.corporation and its 10. Electrical repairs or additions. officers have exercised their' - 3..❑ lam a homeowner doing all work 110 Plumbing repairs or addition myself.'[No workers'comp: right of exemption;per MGL 12.E]Roof repairs insurance required.]t c. 152,§1(4),and we have no employee"s.,[No worker's' 11❑✓ Other Weatherizabon;2013 comp.insurance required;] *Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy 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. tGontractois that check this box must attached,an,additional sheet showing:the name of the sub contractors and<state whether or,no[`those engties have: employees. If the subcontractors have employees,they roust provide their workers'comp.policy:number. J am an employer that is providing workers'compensation insurance for my employees. Below is the,policy and job site njormaaon. Insurance Company Name:Sel"ectlye Insurance Co.of the Southtast Policy#or Self-ins.L c.#WG7956539 Expiration Date 3/14/20 .4, Job Site Address City/State/Zip:. . .._ .._. .Attach a copy of the workers'compensation policy declaration page':(shoiving the policy number and-expiration date). `Failure:to secure coverage as required under Section'25A of MGL c. 152 cam lead to the_imposition of criminal;penalties.of a fine up to$1,560.00 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 advisedAhat a copy of this statement may be forwarded to the.,Office of Investigations of the DIA for insurance coverage verification.. 1 do hereby egad under the. airs and; ,Wallies o er'u ihat.i4e in ormation provided above is true and correct" _ _ Si nature: `' Date 3 Z 2013. Phone#:508-833-8384 Official use only. Do not write in this area,to be.completed by city or town;of ciaL City or.Town: N effilt/License# Issuing Authority(circle ouel: 1.Board of Health 2.Building Department 3.City/Town Clerk 4::Electrical Inspector 5.Plumbing Inspector, 6.Other Contact'Person Phone#: CONSENE-01 MVAUGHAN ACORO' LWAWn'YYNI CERTIFICATE QF LIABILITY ISU NRANCEF-06ATE 0112612613 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 OOE8 NOT:CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORRED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE.HOLDER. IMPORTANT. -B the cerMcate holder Is an ADDITIONAL INSURED,the p licypes)must be endorsed: H SUBROGATION IS WAIVED,subject to ' the lerma and conditions of the'poltcy,certain policies may_r_quIrean endorsement.A statement an this aertl(icate.daes not confer to he, carttgeate holder Inileu Wsuch endorsements_. PaooticER NAME Strafe is Business Unit Rogers 8 Gray Ina.-Dennis Branch PNORE 608'398-7980 . F : 877 816.2156 43f Rio en EODRE8S South Dennb,:MA.02880 I .INS AHfeR0llq COVERAGE: INsumm .,SeiecUve Ins.co:gt ihe.3outhBBsF -;INSURED _ - .. .. ._ 'INSURER 8:-' Con-Serve Energy,Inc.. INsuRERc:, dba CorrherVlsion EtleFgy 607 Main SE INsuReRo:. Hyannis,MA 024W INSURERE: 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 WITHAESPECT TO VIMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS:SUBJECTTO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS NMI rMOFIMIRWANIX ... POLICY NUNBEIL. .. ... EFF _ :LIMIT$ OENEBAL LIABLLIIY :. ..._.. -. ,. ._...._ .... ._ . . ..... EACHCCCURRENCEi A 'X ODMME CAL.GE►f-ERALLweanY 20112" 3M4W3 3H412014 DIU&%E1 om�ce s 100,000. Cl.AedSMADE. .a OCCUR MEDEXI' alaveraon) S 10,00 PEP SGNALbrovINJURY s-- --_ 1.000,000 GENERALAGca RYE QENLAGGREGATELAMTAPPUL3:PM PROGICIS--COMPADP.AGG S 3,000000 . X POLICY tAC', f amBm aoddanl- .rt. . ANYAUFO .:._...,... .. ._. .9ODLY.INJURY Qwfw-o S ... �DH.SCHEOLLED :.BODILY INJURY(Per afdQ811I)HIREDAUTOS :AUTOS S. UUMN-UAL" OCCUR; :EACH OCCURRENCE 5 EILCESS1.1149. CLAIM ;` :AGGREGATE S DED' RETENRON ,____ ._......•...,... .._.._ .. S WORRMCONPENSA1rOX ATU- :OTH• ANOEMPL:o'rIASLIAaLITY YIN` .'.. ITORYI � I A ANY PROPRET0PAV mEW-X8WTME C7968639 =3/14/2013 3M412014 E-L&4IIArWENY s 600, O MOCLUCED7 O.:NIA ... pryi+wrl. E.LDISEABE-,,EAEMFLOYE S 600,00 OF.OPERATIDN6bft.;. _- ....-... ._.__ .. E.LDISEASE'-POLICYUM(T 3 600,000. N: ` DEECRIPT.M 01P OPERAMM ILO W1ONS I VENUES(A&r ACORb 1101.IWdYIoeN Remh6 ScMAuMi,R ma a Opus ti dmd).. _ OFFICERS UNDER WORKERS COMPENSATION:CONOR&COURTNEY MCINERNEY"NOTE THAT BLANKET ADDITIONAL INSURED. OVERAGE APPLIES TO THE COMMERCIAL:GENERAL'tJABILRY(IFA WRITTEN CONTRACT IS IN PLACE).; CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR E. THE 'EXPIRATION DATE. THEREOF; :NOTICE YIINEL BE 'DELIVERED`_IN Rise Engineering; ACCORDANCE IMTN-TIE POLICY PROVISIONS. 1341 Elmwood Ave. Cfanston,R102910 __. ........ -.-, AIM6104RE0 NEPRESENTATIVE A 019882010 ACORD CORPORATION:-Ai1 rights reserved:, ACQRD26(2010105) The•ACORD narne and Logo ace reglatered rnarila of ACORD- Federal al),#:05-W5629. RISE Engineering RI Contractor Registration No8166 MA Contractor Registration No 120979 A division of Thie)sch Engineering CT Contractor Registration No 620120 25.Mid-Tech Drive,West Varmo.uth,NIA 02673 CONTRACT 508-568-1926 X-6613 FAX 508-568-1933 Page 1 RI S E PROGRAM' :THIS CONTRACT IS ENTERED INTO BETWEEN.RISE. CLC-RCS: ENGINEERING AND THE CUSTOMER FOR WORK.AS ENGINEERING DESCRIBED BELOW CUSTOMER -PHONE -DATE: CLIENTd.. WORK ORDERr Kathy J Martin (568)7904024 01/27/2014 102165. 00003 SERVICE STREET: BILLING STREET. - - 492 Sk-unknet Road 492 SkunUet Road SERVICE CITY;STATE,LP BILGING CITY;STATE,ZIPS Centerville, MA 02632 Centerville,MA`02632. JOB DESCRIPTION- Provide labor and materials io seal areas ofyour home against wasteful;excess air-leakage This work will be performed in conceit with the use of special-tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange.and indoor air quality.Materials,to.be used`to seal your home can include Caulks,foams,tiveatherstripping and other products.,Primary. Areas for sealing include airleakage.to attics,basements,attached garages and other untreated areas'(windows are not generally addressed.),(8)working hours. -At the completion of the weatheriration Work,and al'_n.o additional cost'to the homeowner,a final blower:door and/or combustion. safety analysis will be conducted by the.sub-contractor to ensure the,safety of the indoor air quality: $616.00`, Homeowner is responsible for the removal of the stored items_biocking,the installation of weatherizatlon work-in the knccwall and - attic areas..(clear out closet.iOnd bedroom).Removal must occur prior to the schedu]6,d work-start: $000 Provide labor:and materials to install a 9"'layer of It31 Class;l Ce)lulose added to_(544)square-feet of open,attic space.. $7;l$08 hNEEWACL FLOOR:Provide labor-anti materials to install,a:9"layer.of R-11 Class t Cellulose added to(164) quare feet of open, kneewall Floor - S213 20: ..1'royidc labor.and.materials to:install 2" .FSK fiteed'semi-rigid'fihe iass:board;insulati6n to:(147,)square feet of kneewall,area,... $4$6,51 Provide labor and materials to install(I) new,finished plywood,with 2"rigid Thermax board,weatherstripped attic space access hatch. Prime coat and/or paint is not included. $120.00 Provide labor and materials to install(1) new,finished plywood,kneewall space access hatch.The hatch will be;insulated with code. compliant 2"rigid Thermax board,wea6cT-stripped,'and held closed byeye hooks. (Wood`surfaces-will be unfinished. Prime coat and/or paint is not included:) $120.00 Provide labor and materials to:install(1)`insulated exhaust:hose with roof mounted flapper'vcnt to exhaust existing bathroom fan(s)` $'i16-10 Provide labor and materials to install"ventilation chutes in(76)rafter bays to maintain air flow, S26524 P pvide labor and materials to:insia))(4);4"X I6"rectangu)ar;alumin,um soffit vents to:increase}ventilation iwzittic areas_Specify:, color White:, = $I15614 RISE Engineering will apply all applicable,eligible incentives to this contract.You will be billed only die Nd amount.'Fora limited time,the Cape Light Compact is offering 100%incentive towards eligible insulation measures,not to exceed$4,006 per calendar year and all incentive of 1.00%for the.AirSealing measures; $0.00 S Federal10:#054466629 RISE.Engineering' RI Contractor Registration No 8186 FAA Contractor Registration No 120979 A division of Thielsch EBgiaeering: CT Contractor Registration No 620120. 251Ntid-Tech Drive,NYe_s_t Varmouth MA 02673 �aOw'iVTO w�+ r 508 568 19261-6613 FAX;508.-G694933. �+ R?11.► �* Page 2 PROGRAM THIS CONTRACTOS ENTERED INTO BETWEEN RISE CLC-RCS ENGINEERING AND THE CUSTOMER FOR WORKAS.. E N GtN EE RING DEscalsEo GELow.: CUSTOMER .. PHONE - DATE _ CLIENT�A. WORK ORDER- Kathy J Martin (508)790=8024 . 6. /27I2014 1021,65 00003 . SERVICE STREET BILLING STREET' 492 Skunknet Road 492 Skunknet Road -SERVICE.CRY,STATE,LP III IGNG CITY,STATE ZIP Centerville,:MA 02632 Centerville,MA 026')2 JOB DESCRIPTION Total; $2,77083 7 . Program Incentive: $2;T70:83 Customer Total' $000 WE AGREE HEREBY-TO FURNISH SERVICES-COMPLETE IN'ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "**001 Dollars $0.00. UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER;AGREES TO.REMIT AMOUNT DUE IN.FULL.INTEREST OF 1%WILL BE CHARGED:MONTHLYON ANY UNPAID BALANCE AFTER 90 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTORREGISTRATION.:. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY$LANK SPACES`: :AUTHOR SIGNATURE'.RISE ENGINEERING-" - -- CUSTOMER ACCEPTANCE - - R f� .. NOTE THIS CONTRACT MAY WITHDRAWN BY US IF HOT EXECUTED WRHIN-. DATE OF:ACCEPTANCE - �------ - ACCEPTANCE OF CONTRACT-THE ASOVE•PRICES,SPECIFICATIONS AND CONDITIONS ARE: �aSATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO OD THE WORK DAYS: AS SPECIFIED.PAYMENT WILL BEMADE AS OUTLINED ABOVE P y OWN ER ER AUTHORIZATION FORM I, (Owneffs Nam owner of the property located at l ( ` 4 �he � (Property Address) Leh f� ' v ,/l GZ (Prooerty Address) � 1 hereby authorize \ (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a buildi permit and to perform work on my property. Owner's Si ature Date i ��e (po�nvr�Loaactsen.�o�C�aa�u�eC�- --- • Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ` ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration 171251'. Type: Office of Consumer Affairs and Business Regulation xpiration: 3/1/20.16 . Partnership 10 Park Plaza-Suite 5170 �r Boston,MA 02116. CON-SERVE ENERGYt 00.•� CONOR MCINERNEY:,. 376 ROUTE 130 SUITE SANDWICH,MA 02563 f Undersecretary Not valid without signature ,. y .. - •� III • a h • aAsse sor's map and lot number -, .. ........ ... . !!ff S 71C S�-.�'SYSTEM `MUST Sewage Permit number ....... .. .~..1.... ... .... '�d��.�. 1B`. r Housa number ...... .. . ..... ........ . .... ............... ....... 039. a� a a t cw M" LA )a B MPT ' 0, 's . TOW OF °BARNSTA•BLE BUILDING IHS.PEC TOR . APPLICATION FOR PERMIT TO .... Construct,IhVellin TYPE OF CONSTRUCTION .:....................................................................... Ti June19.83................................................. TO THE, INSPECTOR OF_-BUILDINGS; The undersigned hereby applies for,a permit according to the 'following.information: Lot d Skunknet Road Centerville , Location ...... ......... ..................... ................. .......................... ..... ............... ......... ......:.. ........ .. ... ..: Proposed Sinl ,Use .... ge f'ami.11:......... ..:.. ................................ ......... ' Zoning District ...-�,esidential.... . ........ .. .Fire District ..................................................ri .................. Name of'Owner R James K. Smith ....,...,Address ...Barnstable ..................... .... ....... ..... ,Name of Builder .. J.ames..K.•...Smith ......................Address ................:�arnst;able........................ ............. ,. Name of Architect ............:......................................................Address .......... ....:.. .. ourcd. con;cr. Number of Rooms Foundation _P ... : .............................. Clapb t ?Exterioro. a9.. �.,oak Interior drirvlall Floors• ........ .......... Heating 1..wa.rm..air... Plumbing ...... � a�at�i Fireplace On2................ ........ ...................Approximate Cost . . ::d�Z.9.�.��......... . .. ..... ..... .... ...... 6 s: Definitive Plan Approved by Planning Board _______________________________19________. Area ............................. ....... Diagram of Lot and Building with Dimensions Fee 49 SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 4x' 2 ;stories' no garage 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. 1 ' .`Name .... L1J(`lv!''.: ... .>." '.............. Construction Supervisor's License #5 9 ,j SMITH, JAMES K. 25262' 1 2 Stor to .............j. Permit for ...................... y.......... ...S.ingle .Family...Dwelling................ Location . Pt...4.,....49.2...Skunk4et...Raad I Gen exv. .�.J .................................. 4 Owner ......?=eS...K,....SX(dth........................ " Type-,of Construction, ..F.rame.......................... j r.................. f .Plot ............. ....... ....... Lot ................................ ' Permit Granted ....June' .................19 83 [ _ - 'f3 .Date of Inspection .:.... /...' � .......19 F - Dates"Completed .. 1 149 ^ r .. w�•^rc.a N C� 'p6r516ki DATA �. GisaGLrm P'AM ILI-{ 3 8meooMS Uo 6AQBA,loE QF11..1DE2 ` AV6, =h&�IL.Y FLOW • 3 x 110 s 33o GPI SlaQ'['lC •rA+.ItC = aSo x ISO�o d95 GPD l . . _ .. . . . (0oc> . F't MLx> • ui E:2- p•vw of FFu55oK5 • SIbEWA.�..L d¢ELa s -1B 5F (i�,Q�jR , ..� : , �a ,. .-.._ �7d+48�!•o8)C.2•S) = t94 G.Pp: . . .-,' ::. . _. ..1. . _ -•-.p. _. ,, . 1 •._...• - •50TTOAA AIZ9=4 . = 288 5F _- ,1 i 31 -L88 6••PD. F. ,"T°oTAL- UESt G1-4 = 'ABS GPI '! N r PZ ZGot.ATI o W GZ4T1= (" I t,l 2 AiM. OZ.LW. i 3 J NM of •DtSr-b5Qt_ _ tea eo ._ cezr 24 -��-FtrKortS S, z .o , 1 -1zTl FY Tu AT. TN=.:` Cx���IQ7 Affl l Fl�D PLOT Pl-b.hl S H0vJQ -UE9GC,R -51D6d. "a- Alm S�TBacx 2eDui¢EM�tTS'c� ; i �/ : e,�U �Nv �>zya�. � I,+ P1-.tir,..1. ;R:J�: _ _�����. .._ .�.. -..-._ __ ' .- ...-..... Q�ISTE�Eb ►-��� �uQu�''�oe; . _.. -t>1°T TvP F+ : . ; 53 6—La +,. jtuV CH R tow iuu 1uJ CKT IUD 'L SoSsa��,: :� A 2 B 6odt_. 3?L 3?d Bo,R SAXT%N ' Na 2 ' -31 l o �i�P1'1C 1 uv �' 31f i W rr4 d°of 3/d I'/t WASHED -6TOUE ALL AZWWZ>. Z• OF N WASLIED PSASTaN6. oN ToP t pq� fq PPoPoSED joWEs... ale- THE ,`};.-� TOWN OF BARNSTABLE Permit No. _____-_____- Building Inspector 11Ausr.n, Cash --_-------------------- OCCUPANCY PERMIT Bond Issued to J a1Re:- Mi t . Address Wiring Inspector Inspection date Plumbing Inspector !f 6�` ( j '� / Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 1. . . IL= Building Inspector Assessor's map and lot number THE Sewage Permit number ....... .... 33AUSTSIILE, Housf, number MAS& ..... ...................................... 1639. Or. TOWN OF . BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Construct Dwel ..............................................44. .................................................................... TYPEOF CONSTRUCTION ...... ..........39qqA...trame.......................................................................................... ................June......................1983 .......... ........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........Lot. ...4...S.k.unlme.t... Centerville ..... .. .. .. .. ............ .. ......................................................................................................................... ProposedUse .....Sin.gl.e...fami.ly.......................................................................I................................................................... .... .. .......... ..... Zoning District nt- ...Re.s.id.ent.ial ........................Fire District Cent-fps........... Ost . .. .. .... ....... ....... ................................................................... X James K. Smith Barnstable Nameof Owner ......................................................................Address .................................................................................... Name of Builder .... Smith...........................Address ................1�!AAIAA......................................... ..............................................Address Name of Architect ........Address .................................................................................... Number of Rooms .......4..........................................................Foundation ..........Pq 9.4...PPACTRtg............................ Exteriorclapboard. WC S t 111 ...............Roofing ............................. ........v.......................................... ................................................. Floorsoa k .......Interior ......... ............................................................................ .1 ...7WA ll................................ .............. Heating vrarm air ......................................................................Plumbing ....................bath.................................................... Fireplace PAP.........................................................................Approximate Cost .........M.—t,V'W..4-�9q.0.0 0........... ........ Definitive Plan Approved by Planning Board -------------------------------19--------- Area .......................................... sd Fee ..........Diagram of Lot and Building with Dimensions ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH 24x-")4 stories no garage 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. Name ..... 0. ....... ............. .............. Construction Supervisor's License �53.9.0....................... 1 SMITH, JAMES K. A=169-93-3 V 4 25262 1z Story No .............. Peft1't for .................................... + S.ingle. . ...Fam....ily. ...Dwellin. . . g............... .... .. .... ..... . ..... ....... .. .... ..... Location .... ot 4,. 492 Skunknet Road. ............................................. Centerville ............................................................................... Owner .....James K. Smith .................................................. Type of Construction ... rame Plot ............................ Lot ................................ Permit Granted „June 29, 19 83 Date of Inspection ....................................19 Date Completed ......................................19 a f