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HomeMy WebLinkAbout0006 STAGE COACH ROAD - - - - - � _..=; �� a _� _ _ .� y�FTHET��y TOWN 'O BLAST ABLE Q • MARNSTADLE, i "6 9 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...r .O...1..................................... @sV I�Y -'�l ,,,cZ'v-P.,,,,, TYPE OF CONSTRUCTION . ?.'':.. ............ `� .... �y.............. �?.v . a..:..r'i ?q-�.. ................ 1713 ........... j .....................191'_3 TO THE INSPECTOR OF BUILDINGS: The undersigned ,ereby applies f a permit according to the f Ilowing 'nformation: Location ... ..............�..........._....::dmr, ... .... ....................... ......................... Proposed Use ...... -�:r r........ .... „ in...we............................................ ............................ ......................... Zoning District . ....... ..................................Fire District .....014 1 .......16:.:;.......... ........... Name of Owner . ........ .. ............... ......Address . ...... .. ................ Name of Builder . ......... '4 '' ."?. ddress J '� Name of Architect ..........j..`.......................°...............................Address ................................................................... °.:'..:......... Number of Rooms .............. ..............................................Foundation ................................ ....................................... Exterior ... .. ....................... ................................_....Roofing .......... .... •• ....•....................................:... 6 • Wei✓ Floors .......... ..............................Interior .. :.. .:.. �- Heating /.... ........�.... ................... . .......... ..............Plumbing ........J�.......F`....... ............................................... Fireplace ........Y!�Z..,� ..................................:..........:...........Approximate Cost ..... ?� .................. r3 �...� Definitive Plan Approved by Planning Board ---------------________________19 Diagram of Lot and Building with. Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 .SEPTIC -SYSTEM � ►NSTALLED ISM MUST BE WITH COMPLIANCE ARTICLE SANITARY COD E Atli). STATE '•�-4 � (0 F , REGULATION . TOW�11 `` N } s 1/ 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1, Name a Mahoney, John J. ' . � No ...?��9�- Permit for ..........one- ...�����--.. - .. ~ ____�������..�����y.^^**,���z�:-----.. Location ����� Roadon ��-- � .. ---------' � . ^ --------- --------- Owner John J. --------' --===°--.----.. � Type of Construction .................frAme.............. ----------'--------'------- ' �� Plot ........................... Lot --........................ \ ' J�3� �Permit '=--]- -^]�" �? Parm lV ^� ^ ` ----_------'�- ~ | Dote of Inspection lg uo/e �om x�e . . . �EFUSED Oct . ^ �� PERMIT'. -----'---------------. 19 ` . v v �� ----------------.---------- ` ' ^_____._,,~________~________. � ' . .-------------------------... ' � { ' ' --------_.----__---._,._,__~_ xN � ! Approved ,'--------------- lg > ^ ----------------------^'---' ' ' -------`----------------~^'' | ' | ' ` / - oFt ram, Town of Barnstable *Permit# P� Expires 6 months from issue date • r Regulatory Services Fee r * - * BARNSTABLE, '"ASS' Thomas F. Geiler,Director ! ' / ArED MA'1 A�0 I Z3 /O Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barristable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address Residential Value of Work C 0g�V Minimum fee'of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number $Z)9 jr 5-f— Home Improvement Contractor License#(if applicable) Z/ Construction Supervisor's License#(if applicable)! ,6C 99Vorkman's Compensation Insurance' y PERMIT Check one: XPRESS ❑ I am a sole proprietor n ❑ I am the Homeowner N u ❑ I have Worker's Compensation Insurance 'TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate:must accompany each permit. Permit Request(check'box) �Re-roof(stripping old shingles) All construction debris will be taken to sG( vt i ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows • *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. y'of the Home Improvement Contractors License&Construction Supervisors License is requi SIGNATURE: Q:\WPFILES\FORMS\building ermit forms\fXPRESS.doc Revised 090809 _ ` -, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mass. 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): _ f"r.CL5 E r 6 n CR ro cz-Ar em � L L. Address: -Po —eaX �B y City/State/Zip:_y i-+ MA 02 63 S Phone#: .:(�5-o8) y 2 8— 2 2�}2 Are ou an employer?Check the appropriate box: Type of project(required): 1.yI am an employer with t_;�> .4. ❑ 1 am'igeneral contractor and I" 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors �. ❑Remodeling 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.$ required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11. ❑Plumbing repairs or additions myself [No workers'comp. right of exemption perm'MGL insurance required]t" c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees.[no workers'. 13. ❑Other comp.insurance required.] *Any applicant that checks boa#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such., :Contactors that check this boa must attach 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 isprovit ing workers'compensation insurance for my employees.Below is thepolicy and job site information. A/ / Insur ance Company Name: LV.4%or7Q Un►o Yj �re <rrls u rG h, , (2o'rrl d»_/ Policy#or Self-ins.Lic.#: 'r 13 C5: Expiration Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration(date). Failure to secure coverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certi nder the p 'n d pen s of perjury that the information provided above is true and correct Si ature: Date: Print Name: aif. Phone#: CSo®)y28—2 2 q,;2 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 Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#• I I ry , Boa Ian an Standards License or r 'HOME IMPROVEMENT CQ hefo NTRACTOR eg►st►'efron valid for individul use only ro the expiration date. 7f found return to: . Regis t+�q`i�{ 11206 Board of Building Regulations and Standards rn�"��"" 011 Tr# 281021 One Ashburton Place Rm 1301 Type: Dig Boston,his.02108 FRASER CONSTRUGjI N Cl). DEAN FRASER - 104 TWINN VIEW*61E �- E FALMOUTH,MAs6 y Administrator at re oar o ow aVo ns an an �rs 92 e 2u .e As.hburton Plwe e R®®m 1301 Boston. Massaphusetts 02108 .dome ImprovementQgtraetor Registration Registration: 112 O Type: DBA FRASER CONSTRUCTION CO. Expiration: SI23I2011 Try 281021 DEAN FRASER P.O. SOX 1845 COTUIT, AAA 02635 Update Address and return card:Mark reason for change. Al $" 4oM-08ras-nesUF0RMGA1O 1z0as [] Address Ej Renewal E] Employment n Lost Card `- AC R FRASCON-01 MOSU �.� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) PRODUCER 9/2W2010 (508)676-0309 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Viveiros Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 375 Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fall River,MA 02720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Fraser O.Box 1845 Construction LLC t wsuRERA National Union Fire Insurance Company Cotuit,MA 02635- INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 17 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPI G TION ENERAL LIABIUIY LIMITS EACH OCCURRENCE $ . COMMERCIAL GENERAL LIABILITY PREMISES Eaocwrence $ DAMAGE TO RE CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ . FGEINLGREGATE LIMIT APPLIES PER:PROPRODUCTS-COMP/OP AGG $ CY LOC AUTOMOBILE UTASI 1TY ANY AUTO (COM COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Perpersan) HIRED AUTOS NON-OWNEDAUTOS ( I INJURY $ PROPERTY DAMAGE (Peraccident) $ GARAGE WIBRITY ANY AUTO AUTO ONLY-EA ACCIDENT $ - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $. OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X WC STATU- OTH- A ANY PROPRIETORIPARTNERa(ECUTIVE'Y� Bp 9/26/2010 9/26/2011 OFFICERIMEMSER EXCLUDED? E.L.E EACH ACCIDENT (Mandatory In NH) $ 500,00 If yes describe under E.L.DISEASE-EA EMPLOYE $ 50010 SPEGrIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Fraser Construction,LLC 'PO Box 1845 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Cotuit,MA 02635- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE To 00 So SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD I The Commonwealth Of'Masachusetts I Department of IndustrialAccidents Office of'Investigadons 600 Washington Sheet Boston,MA 02111 www massgov/dia Workers' Compensation Insurance AJMdav :Beers/Contractors/Electricians/pIumbers A Iicant Information i Name(Businessro Please Print L 'b rganization/Individual): r0.S2 Y Co y� Addre sit ro C-_ o L L Z—c City/State/Zip: {mil-{- �(,q b 5 Phone#: at:�)q- y�8 Are ou an employer?Check the appropriate box: I, I am a employer with 4 ❑ I am a general contractor.and I Type of project(required): i 2.❑ employees(fill!and/or part-time) have hired the sub-contractors 6•• ❑New construction I am a sole proprietor,or partner- listed on.the attached sheet. 7 ! ship and have no employees Ihese sub-contractors have ❑Remodeling working forme in an 8 ❑Demolition y capacity employees and have workers' (No F rkers'comp insurance comp insurance= 9• ❑Building addition requ .l 5 ❑ We are a corporation and its 10.❑Electrical repairs or additions I 9•❑ I amomeowner doing all work officers have exercised their myself.[No workers'comp. right of exemption per MGL 11.,❑Plumbing repairs or additions insurance required.]f c 152,§1(4),and we have no 12❑Roof'r epaim i employees-(No workers' 13.❑Other ! comp.insurance required.] f ' o eowapplicantrsthat checks box a f must also fill out the section below showing their workers•compensation policy information t Homeowners who submit this affidavit indicator the *Contractors that check this box must attic g Y are doing all work and then bile outside contractors most submit a new affidavit indicating such. hlo as additional sheet showing the name of the sub-oontractors and state whew or not those entities have employees If the sub-contractor;have employees,they moat provide their workers`coin � p policy number. I I am an employer that is providing workers'compensation insurance or I informadon. f my employees, Below is the policy and job site Insurance Company Name: Una %r.e '��s'ur-c;• �e �•+•r Policy#or Self-ins.L ic..#: i Expiration Date: O g 2.6 420 Job Site Address: City/State/Zip:�� Attach a copy of the workers'compensation policy declaration Failure to secure coverage as required under Section 25A of MGL c�152 ge can lead to th the e imposolicy ition and expiration date). fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDminal ER and a fine of up to$250.•00 a day against the violator. Be advised that a copy of this statement may f forwarded to the Office a , Investigations of'the DIA for' coverage insurance cover a verification.. 1 do hereby Gerd 'rs d penalties o e ' fP rlury that the information provuled above is, a and correct. Si ture: , Date: l� Phone#: I Ojj'idal use only. Do not write in this area,to be completed by city or town o City or Town: Permit/License# Issuing Authority(circle one): 1..Board of'Health 2..Building Department --_3.CitylIown Clerk 4.Electrical Inspector. 5.6.Other Plumbing inspector. .•' Contact Person: I Phone#: i t f r - MECon CONSTRUCTION Fraser struction, LLC P.O. Box 1845, Cotuit MA. 02635 Email: fraser construction@verizon.net� 508-42$-2292 www.fras-rroofing.com FAX 1-508-428-0123 HICL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: September 16 2010 P � PHONE: 508-428-2000 NAME: Candy Witt MAIL ADDRESS: 6 Stage Coach Rd Centerville MA 02632, JOB ADDRESS: Same FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old'roofing material -Re-nail all plywood sheathing as needed: h Supply and Install - CERTAINTEED LANDM ARK W O ODS _/ CAPE AR 3 0: 30 Ye Warranty, 5 year Sure Start Protection,,CLASS A FIRE RATED, ALGAE Resistantar Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New.England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 110 mph wind- resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO O additional cost. See actual warranty for specific details and limitations: Color: PRICE- $6 840.60 Initial C? Note: Energy Star Silver Birch at no extra cost. Product & Installation Details Supply & Install (Soffit Venting) Hick's Ventilated Drip Edge or 8'. Aluminum Drip Edge with existing soffit vents. Protection against damage to the roofing materials and structure. x The most effective system is a-balance of air intake and exhausf that creates a uniform flow of,air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck Supply & Install - CertainTeed Winter- Guard: (ice & water shield) 1 Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes,walls, and skylights) Supply 8s Install - DiamondDeck Underlayment Paper: (30 lb synthetic high strength underlayment) manufactured to provide best-in-class performance in terms of both weather-protection and contractor safety. DiamondDeck is a synthetic, scrim-reinforced,water-resistant underlayment that can be used beneath shingle, shake, metal or slate roofing. It has exceptional dimensional stability compared to standard felt underlayment. (As recommended by CertainTeed) Supply 8s Install - CertainTeed Swift Start With self- adhering asphalt starter course on all eves,and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded,wind warranties. Supply Sa Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install- Ridge Vent - Shingle Vent II (as recommended by CertainTeed) Supply 8s Install - Pre-Cut CertainTeed Hip Ridge shingles Shingle Ridge meets the hip,and ridge accessory requirements for the CertainTeed Integrity'Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to provide optimum performance--no matter how bad the weather conditions are. (As recommended by CertainTeed) Clean & Remove - Debris from work area daily. x4 Star Warranty Upgrade will be applied if proposal is signed and returned. (see enclosed brochure for warranty details) 2% Discount if paid by check immediately upon completion Initial v v NO MONEY DOWN- NO Payment at the start or part way thru Payments accepted are; CASH CHECK,- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. 2 Possible Extra-After the shingles are removed from the roof, we will lift one sheet of Plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is,ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the Plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 15% mark-up materials. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 ears.y CERTAINTEED Warranties.the shingles and labor 100% through.the Sure.Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability.Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: O((� f, Homeowner Fraser. Const Ction, LLC For company use-only. ` Date`Received IC7 Date Started: Date Completed Job estimate: Dea We # of squares: Billed - Material ordered Extras Paid Available Discounts_ 3 I ji. r` T o Owe. , f oftol z'i'c._ hD1g71i;. qs3 :o,. es. III � •.• • Building Department Complair4nquiry Report Dal e• —O r/ Rec'd by: Assessor's No.: Complaint Name: Location ' Address: WP Originator Name: Street- y,,,age: State: Zip:__ Telephone:D/E Complaint Q Description: ` Inquiry Description: For Office Use Only Inspector's `vZ a Inspector. Action/Comments Date: � r / CIO e • . Follow-up Action Additional Info.Attached Copy Disoibtdon: . White-Depa=wt He ' Yellow-raspector Pink-Inspector(Return to Ofce Alanager) 0 • J 7W �/ � �s30 — 9s30 a.m.Assessor s map and lot number ...... .. � � ....... � 1 . - 2. m. yoF t E •00 :00� p. �P ewage Permit number ........ �'!cy iT d .....................i............ Z ARNS E • House number �F�ka.......Jl.a�q.&.... f! � ...;/.f.•. !•.... ° 9B "° L0� a O 9- .. t �0 MP`!k' TOWN OF' BARNSTABLE "BUILDING' 'INSPECTOR Add 2nd {tdon to &wetting APPLICATION FOR PERMIT TO .... ..................:..................................................................................................... S n.to {yam Uy dwe.tting TYPE OF CONSTRUCTION .............................. i ....................... .........19... TO ,THE INSPECTOR OF BUILDINGS: ,. Theundersigned hereby applies for a permit accordirg to the following information: Location .........................:....1-....• s / ........ �.!�. .�r......:...............................4.... ............................ i © t�S' .............................................................. Proposed Use .....:........................................................ ......................... Zoning District !.� ......Fire District .0 it !t'!� V/,��h; O s� (/i /�x- Name of Owner .. ` .f. A✓Y..A�.G'.......�^1.!. ..Address ..... ......�TA..ts. ...... c Q.�.�.. �.......... • U Name of Builder ....U11 AC. ..........�✓...1.. .......Address .6......�./.��.w........��?.<?.�.��...�.::. ................ . ...... ..................... Nameof Architect .....................�-- ---..................................Address ................................ - .................................... Numberof Rooms .................%, ..............................................Foundation ........•..................................................................... Exterior .............Roofing ........................:........................................................... Y1 Y �T'�r�4..............: Floors Interior .............. .......................... Heating :. :...:........::...........:::.:.....:............:..:....:.......::..:...:r:.:Plumbing.-:.:;.:..:::,.../........... ...............:.......................- Fireplace ....................................................................Approximate. Cost ....... /.. ...........................!.............. Definitive Plan Approved by Planning Board --------------------------------19--------. Area ......r%��., ................... Diagram of Lot and Building with Dimensions Fee .......>. . ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ..... `�1..�./1..... ! .........w................................. owneA Construction Supervisor's License .................................... WITT, RALPH A=172-109 ' 26 81 No.,......1.......... Permit for ....2n.d..f..lA.ar...addi.t ion . - - r .....tn.s .09.1.e..faml..lx...d�s.l.l.i.n�................... Location .6..Stagp..QQa.ch..Road....................... Centerville ............................................................................... r - Owner .....Ra l.ph. &..Candace Wit t Type of, Construction Frame..................... ............................................................ Plot ............................ Lot ................................ Permit Granted ...: .................19 84 Date of Inspection "....................................19 Date Completed ..................... ................19 , e f , ay :1 t } LAN O � F� a✓ . .�> Y � wti '� _ Assessgr s ma i and lot number ...................... �1.......r/...... :36 9:30 `a.m. �/� . •/C �-,3-�y U� r `? y- 1/ ' 1 1 :00 - 2:00 � � � °FTNEToy wage Permit:'number � .'�.!°!: INSTALLED IN x House number 1L.... .. :.�- �..... .� a WITH B TOWN OF -�*BAR'NSTABLEf5` ' BUILDING .* INSPECTOR Add 2nd. �toon to dwe ting APPLICATION fOR PERMIT TO ......................... TYPE OF CONSTRUCTION' ...........1:...... S(YGgte {}u.11L(.�0 dwet.ting................................................ :........... {. .J ........................ ..-�5.........19...Q. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....6......... 5.. .tr''.. �....... �.! C !�� ... v'.:.....................4.. ,�// (�// £ fS,............. .... .... ..... .... B Proposed Use ...................................................................................... Q... ................................ ` f Zoning District .................................... ....................... ....Fire District .�t=^'.jt.. . .�!°........ „.... ...... ... ...... .. .. Name of Owner vrl 41w `t��} !® C.!L........W..!. ..Address 5 �1 G>" �'a cam..... .................... .................. . /............... �" ' Lf . � � r7 !., . . o4CPName of Builder .. . . ....................................................... .........................................../��' �.....Address .t. r✓1 Nameof Architect ......_.....:........................................Address .........................:.`..-:-'-......::.......:............................ Numberof Rooms ..............................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... J f Floors ......................................................................................Interior ........... �-"� ..............................:......................... IHeating - . .Y p _:_........................................Plumbing^_'--~ Fireplace ................................:................................................Approximate. Cost .......X.00.......................... ...... Definitive Plan Approved by Planning Board ________________________________19________. Area .......L(��!..................... Diagram of Lot and Building with Dimensions Fee ....... ©.r.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r 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 ......... 1,1...... .............k..................................... owneA Construction Supervisor's License WITT, RALPH A=172-109 No 26]81...... Permit for .�n:41.:.f.14 ...�.d.dl.t.ion - - ............:s.!ng ...f.�m.!.l.y...�We].:l.in.g................. 6 Sta e Coach Ro d ,Location ...........9......................�.......................... Cente,rvi,lle f� r Owner . . Ralph. & Candace W.i.t.t................. f ; Type of Construction Frame I r'' �•. `. 'Plot .... ............... Lot .................................. it Permit Granted4!•!9!.!*.t...3.........................19 84 - - rDate of Inspe io O O ...190 `......... .... ....... Date Completed ............V/.......................1 S�. ctiN,ji 4 . . r • .i' -'ter. •�'► �..- ,•�> ,. � - t4V -