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HomeMy WebLinkAbout0053 VALLEY BROOK ROAD 0 o e . o o Town of Barnstable DIME Regulatory Services Richard V. Scali,Interim Director • BAxxsr�s�. • Building Division - �q,, o Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERAHT# FEE: $ 3S , SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 3 (� oac� � vt � Location of shed(addre s) Village - �V (0 �o Property owner's name Telephone number g x I Size of Shed Map/Parcel# , Si afore Date CD INJ Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway n Conservation Commission(signature is required) Sign off hours for Conservation -00-9:30&3:30=4:30'7 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg - REV:110413 \ DA1L.N(FLOW ►10 x O L7. SEPTIC ` USE- l000 GAL. 1 oo `1 015Po5AL PIT v5E Io00 GAL.. +I I I S 1 DE.VIIALL AQ>rh. - 150 S,F `' BOTTOM AREA 5O S,F, � f Sp S.F X 1• a = 5 D G.P.Q. �3 •� ,FiJD •� -ToTAI.. DfiSICoN 9 425 G.PD 1 •TC1TAL_ DA I LN( FL-ova( = 33o G Po ; n!t M ro�,f ` 15 PE2CoL-AT(og RATE: 1,1(N 2MlN P,r l2 1N Df � 1 toy\ pr ALAry RtCHARQ b w M A w jo?4 q•. �4t BAXTEA .. '•.. -a1 Na:24rAS ar ON AU TEST Top FwD a 43 { � f '• loots lN�. SuiS'ScfV DIST. INS. GAL. Q i Cp�� IW�(, l TANK �ilLl CAL. GQA LEAC4 WI-ru 2 i WASNQD AA e6 570 N C - GE2TIG,1Cp - P1-oT . PLAN PRdF1Lh �1.� L o C 4T 1 o N CEt�TtrR�./►t,�$ . 2q IZ .. ., • N o 5 CALE 1 CEQ.TIPY THAT "TNE �ouI�DI�Z'Iol� :5"C)ww PLAN REFE��� G� NERti^o�i GOMPI..�(5 1rJITNT�H� SI�E�1t-.f� . AND sE-ceAr-K R.EQuIlzr M1;N`f5 0P TVA I `Co W rJ v F �Atz114r/�r31i3 .A N C> (s . War. LOGp.TED WlTN1l.1 T E GLOOD PLAIN -AIJr� Cp11Ktt' �55cb� BAxT�Qe hJ` L INC. W-EG 1 S'T I- tr. T)%-AW D 7ut5 ,PL KI 15 .NHS' BAo`jF3D a►d i� AN. dSTEVILLE.o MASS. IW,5TRutAU.WT SU2VE=y �'tNE OFFSE Ut,D NoT LE. VSED'Tc5 cjF-TC--R.MlWE Lo"r X.IN.F-.5 �APPLIGA"T 9 Ti l H C"E* S AVE 8: 5 1Weathenzation, DIVISION' 508-398-039'8 December 14,2011 Town of Barnstable f Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 t RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application #201104003, Status A, Parcel 188159 at 53 Valley Brook Road, Centerville, Permit type: RADD, and issued on 8/22/2011 has been inspected by a certified Building Performance Institute(BPI) Inspector. R-30 Cellulose insulation was added to the attic. Walls were dense packed with R-13 cellulose insulation.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey 6 Cape Save 7 Huntington Avenue Suite C, South Yarmouth, MA 02664 r � 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ( J Application # Health Division Date Issued Conservation Division Application Fee Planning rDept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address V a,u Village aA±CrV`V� `� Owner (�a��� der' e r- Address .7OLm e, Telephone 5 0 2 ` 7 1 ` � 8 TO Permit Request - �" c C ' - c tcAT- WaAs w Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation S•0 00, 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 17 U Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ 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: 3 existing _new Total Room Count (not including baths): existing 3 new First Floor Room Count Heat Type and Fuel: J (Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes I(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 6 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: i existing"❑ net. size_ Attached garage:gexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other`, ._. c Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ? Ln Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use a i- rn APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W111110L,� Mr-Cluskv (� Sam,-Cam- Telephone Number S 0 G - 3 7a 0 ` d 3 Y 0 Address 4 G rty(144 A t-h n License # C 0A �/#,PoiojA . 1°A ®,6 C 4 Home Improvement Contractor# t 6 Worker's Compensation # 9 J 3 ® 15 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO YCkP(h.00` " SIGNATURE DATE 3 FOR OFFICIAL USE ONLY x= APPLICATION# n � r DATE ISSUED MAP/PARCEL NO. '1 Y "S ADDRESS VILLAGE OWNER I�. DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE 'g ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL b FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r Please Print Legibly Name(Business/Organization/Individual): MlcaAei AA &Ci4%s vci�, Address: -C_ A u ro City/State/Zip: ®Vk� Ma 2,(A one#: tT ik- :3 g- 0 3cm Are you an employer?Check the appropriate box: Type of project(required): 1.M I am a employer with t I 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers'comp.insurance comp.insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their i I.❑ Plumbing repairs or additions .No workers myself. ' con right of exemption per MGL Y [ P 12.❑ Roof repairs insurance required.] c. 152,§1(4),and we have no employees. [No workers' 13.®Othcr_xasot o4i'Jf1 comp. insurance required.] 'Any applicant that checks box 41 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. $contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C(WT 15 LT S i✓1 9ijbi C—C Policy#or Self-ins.Lie.#: C- .6!�A - q 3 - 6� Expiration Date: 2 Job Site Address: City/State/Zip: f e (VI .I' 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 c. 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains d enalties erjury that the information provided above is true and correct. Signafore: Date: a. _ Phone#: _ �S Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: Phone#: Ac40 R`�® CERTIFICATE OF LIABILITY INSURANCE DATEIMWDDIYYYY) I' ll/l/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER TACT NAME: Shannon Sperrazza _ Risk Strategies Company PHONE (781)986-4400 Fax (781)963-6420 15 Pacella Park Drive a0DR�ss;ssperrazza$risk-strategies,com Suite 240 PRODucER i10018476 Randolph MA 02368 INSURER(S)AFFORDING COVERAGE i "C# INSURED i INSURERA BeneCa Specialty Insurance Cc INSURER a:Keating Group Ins Services Michael McCluskey, DBA: Cape Save INSURER c:Chartia insurance 7 C Huntington Ave INSURER D INSURER E: — South Yarmouth MA 02644 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1011132675 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iLTR? TYPE OF INSURANCE A i POLICY EF ! LFCY EXP POLICY NUMBER MW ' MMIDOlYYYY ' LIMITS GENERAL LIABILITY ' EACH OCCURRENCE $ 1,000,000 R COMMERCIAL GENERAL LIABILITY I PREMISES(Ea ooccarencs) $ 50,000 A i :CLAfMS-MADE ; $ OCCUR BAG1002608 10/16/2010:10/16/2011;MA P(Any one person) $� 10,000 i PERSONAL&ADV INJURY $ 11000,000 !GENERAL AGGREGATE $ 1,000,000 GENT.AGGREGATE LIMIT APPLIES PER: ! — ,--, i PRODUCTS-COMPfOP AGG ;S 11000,000 X;POLICY) PRO- LOC -- --- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ;$ (Ea 1,000,000 ANY AUTO i6208200 11/6/2010 `Zl/6/2011 i(1- arc`°anI) { ;BODILY INJURY(Per pesos) t S _y ALL OWNED AUTOS I — _ j BODILY INJURY(Per sodden)-':$ X ;SCHEDULED AUTOS i t PROPERTY DAMAGE -- — — 'HIRED AUTOS (Per actideM) $ X. NON-OWNED AUTOS ( S I$ °UMI9LLA LIAR OCCUR i ;EACH OCCURRENCE _ $ 1,000,000 EXCESS LIAB `-j CLAIMS-MADE } AGGREGATE � $ 1,000,000 DEDUCTIBLE B _ RETENTION $ P23578601 �0/16/2010'10/16/2011: '$ C i WORKERSCOMPENSATgN �Lichael McCloskey WCSTA7U OTH-I AND EMPLOYERS'LIABILITY YIN! X'TORY LIMITS: i T ' ANY PROPRIETORIPARTNER/EXECUTiVE I i its excluded from coverage, OFFiCER/AIEMBER EXCLUDED? j N I A j i E.L.EACH ACCIDENT $ 500 QO0 (Mandid"in NH) -9930951 10/21/2010;10/21/2011 Byyeess desatetaMer E.L.DISEASE-EA EMPLOYEE$ 500'000 +DESCRIPT[ON OF OPERATIONS flow i E.L DISEASE-POLICY LIMIT,$ 500 QQQ � I ; DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is re(Iuired) Issued as evidence of insurance. Contractors-Executive Supervisors or Executive Superintendents. CERTIFICATE HOLDER CANCELLATION (508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ruth 460 Hest Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601-3698 IMichael Christian/SASS ACORD 25(2009M) - ®1998-2009 ACORD CORPORATION. All rights reserved, INS025(2009M) The ACORD name and logo are.registered marks of ACORD f Fes. Office of Consumer Affai s and Business Regulation ... =r 10 Park Plaza - Suite 5170 3 _ 'v. Boston; Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 Type: Supplement Card CAPE SAVE Expiration: 10/6/2011 WILLIAM MUCCLUSLEY _......- 8201 S. HOURD CT -----= __...........-------..._..... CHAPEL HILL, NC 27516 Update Address and return card.Mark reason for change. )Ps cap sena•oa,oa Gia�ztis i Address _� Renewal 7-1 EmploymentLost Card r �__ ,,, ��� "tosrrziecarl�Ueex,�� r��1�c.3ttc�T� 1 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ilr ;HOME IMPROVEMENT CO NT CTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 164432 Type: 10 Park Plaza-Suite 5170 ._. Expiration: 10/6/2011. Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY 7C HUNTING AVE. v S.YARMOUTH,MA 02664 Undersecretary Not valid wit on signature �xa.�:rchu,ett,=t➢epar•tn)ent oI'Ptll)13e S;jf t� A Board of Buiklin<, Re-',nations artrl tarr)ttar rle Construction Supervisor Spec€a,'Vy Lwer=se License: CS SL 102776 Restricted to: IC WILLIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH, MA 02673 ` - -� Expiration: 6/28/2013 t ,sami.ai a<'e' Trtr: 102776 f 461) West Main Streex : US A Hyattmis, MA 02601-3695 a ._...` SYLS`r� AN HOMEAIR T (508) 7/1.-5400 F E508)790-2425z r. CORPORATION 'x`�'`x' ona.11 lines unvw.l�aconccapecod.org 0 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I ��f��!" ;6� %�tl�l ltr hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation (herein after referred as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors,insulation of attics, sidewalls &basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature) a ''h '` � 'R f% a` t Date. -ACIZ/k. t Agent: (signature) Date: � � l HAC approved Weatherization Company :an �Q �— PF F Y Caliber Building&Remodeling Cape Cod Insulation Cape Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction . All Cape Insulation r_ dJs`_ oc° CAPE SAVE . 1 Weatherization 508-398-0398 August 22, 2010 To Whom It May Concern: William J. McCluskey is an employee of Cape Save. He is authorized to negotiate contracts and building permits for our.company. 1.Cat Michael McCluskey H Cape Save—Owner 9i9-593-5939 cell X Huntington Avenue. South Yarmouth,MA 02 t Assessor's map and lot'number�-�,.,,/a .....1..!...... <.. r ` ypi THESEPTIC S- TEMD Sewage -.Permit numbei ..... ............. E6ST ALLEYS N CO M a�a '` 9TAD House number :.'..... ............rt��.�.......� ... ..... �/�T� TITLE +� r a c ENVIRONMENTAL CODE 03 Y.6�0�° T ' WN �' OF BARNS.' �' LATp® s - BUILDING INSPECTOR APPLICATION: FOR"PERMIT TO ........:.................................. .......... ...... ........................... .......... TYPE OF CONSTRUCTION Oct. .... ........................................................................ J 1 41...... �c1 19.g2 s ................:......... TO THE INSPECTOR OF BUILDINGS. The undersigned hereby applies for a permit according .to the following information: Location ...... .... ............... ............. ...... ......... ......... ........ ... ........... ........................... 0 Proposed Use Z M` ... ............................... ........................................................... Zoning District ........ S...�.e ��!. ... Fire,District ��.1. . Name of Owner .... ° ..�."..... S�'. .�. .. ...Address ................ ...... Name of Builder ic�......1C ..... .1 .........Address ....... Gu .. ... Name of Architect ...................................................... Address ...............:. Number of *Rooms .. . ....... ....... ....... .................... .Foundation ........ K.6"e.k:...... .... ........ Exterior ..�1 �.!?.'!u.. .... .....................S7.........................� Roofing ......... �s�.W. ................................................ Floors ......V`'`' ........ -.0. W" .... .Interior ....................................................... .3 :- Heating — `:}�.'` .... ...:.... ... Plumbing ............................................ Fireplace ..........DIV,�....... .....................................................Approximate Cos4 ..:........................................................ © ... .... Definitive Plan Approved by Planning Board ------------______-----------19_______. Area ... Diagram of Lot and Building with Dimensions 31 Fee ............................................. } SUBJECT. TO APPROVAL_ OF BOARD OF HEALTH Y � Y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I, hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name'. !.:..... .�........................ SMITH, JAMES K. i . V 24257 One Story o ..... .....:.. Permit for ........... ............... Single Family Dwell ng _ Location , Lot #12 53 .Valleb ook Road - Centerville _ .................................................. t , Owner ,,, James K. Smith -c ................................... 4 Type of Construction Frame.............. 44 _. ?. Plot . Lot ............................. -July.;, 82 3 0 .. Permit Granted .............. ............. 19 Date of Inspection ............. ... ' .....19 Date Cb pleted , 7. �'�4:'l,'.............19 r �. r' � fir. . ♦% . « '�� .Il' • w ♦ - n !� .. F14 .�} a.� � .c � • �. •a may' - ... � .,_ �4 'V• f > 1 ' � r t , ..ti=a-� ,• .. het ♦ � •�f. SINGtc FAMILY( -- BEOsa10 ' WO GAQ5A6E 621MDE2 DALLY FL-ow ; ►to Y. 3-= 330 SEPTIC, TANK - 330xi5o'/o =a95G.P 0 V ALL' a P.62COVL vsr-- t000 6A1_. 015Po5AL PIT V5E IDoO COAL.: i 1 'S�DEY�IAt.L AREh. •- 15d S.F. � . 50TTOM AREA= 50 S.F, ` q 50 S.F x t 1•o = 5 O G.P o -TOTAL. DESIGN - 425 'ToTAt_ TEA t L,( FL-C>W 330 6Po J �t� y PE2GoLATLot� RATt= • I tN 2MtN Oc�Lt~55 ' � �SAP plr �2 �N , OF of ALAn ` \ BAXTEA Na:?4048 ��� 4z. Top FND* 43 1000 WV. pLST. GAL• Su�SctV INS. ,Sepvc, 39•Q IS tp �. Joao ►tJY t3u�c 39x.G -TANK _...� PIT.,.. 1 �p NY. WASNr.D 33 . . . Ce2TIF•IGD PI-oT PLAN !' • it P�ZOFIL� ,. LaCATtoN �2egr 7wlLz . Tj IZ N o 5 CALF �7 CA L E CrC?; p AIT a I /1415 L i 00 wMT(�ti= L CEt2T11=Y THAT 'fNrc �cu1JDQZ'lota 5"c)WN . PL-AIJ REFE2<rNG� . a NE.Rramo lA COMPL`t!s WITH"T WE. S I o6L1t-1 i✓ AWP 5ETeAGK ��- 7o w N o 1= 'L:?Arz►14T•txt3LII a N� 1 S �•Ic LA lar� r LOCp.TED ;W►TNI►J T S 1=1-00D PLAtN OAT 1'14•�Z .1 .. BAxT�cze N.1`(E 1•NG. REG i S�ER.6V'LAN D$u Q.V'E�CoT�S -TN15 pL&M 15 :NET• AM vs•rEe;vlc.LJr Mi1.aS. 11J5Tt2UMENT SU12Vay ?NE OFF5ET5 6NOIJL,D No"t t3� VSEDTb DET��MI► 1~ L..CT �:.INE.�j �4PPLIGANT' . �A&Ae,' ' �Mt'C"ba TOWN OF BARNSTABLE Permit No. _________24257 t •AUn.0 Building,Inspector cash --------- C 1630• p S VA! OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be:occupied until a certificate of occupancy, has been issued by the Building Inspector." ,�, � �Issued to Address Jades K. Smith Centerville Is ` lot #12 53 Valleybrook Road, Centerville Wiring Inspector €/ell Inspection date Plumbing Inspectorv� � ` Inspection date Gas Inspector � ���* J � �{ Inspection date A16V Fk W . {d°Engineering Department Inspection date e 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. rc..... ...._....... 19f— 2......................................�................% -- Building Inspector Assessor's ma and lot number--✓ -+...... Sewage Permit number ....... ,,,; „��.......................... fNEr��`� i 9AUSTADL • House number !.. .... A. YAAR TOWN OF, BARNSTABLE �- BUILDING INSPECTOR e ' ............................................................ ���! ' APPLICATION FOR PERMIT TO ............. .. ........�........................ .......:. f, {�� C TYPEOF.CONSTRUCTION .................. ........ ...:.................�..........................................:.......................................... ' J c } �........ 19. .:�"' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informatiiom. Location 'U QC) )e-Ae ...... Proposed Use .............. Ci C' . r`fl : . . . ll Zoning District ........�f S� r� £ F1 Fire District ... t .............................................. ...j..: ''�', Name of Owner .. '�.�...........�:. ..."r}i .........Address ......................................................� . ....... Name of Builder' ...........: ..(.!:n.', .........Address ......................4....... ........................... Nameof Architect ................................................................:..Address .................................................................................... Number of Rooms .............:. .......................................... .foundation t3Oto. f Exterior ..` .1 ; ` ....... ......� .. ..................... .Roofing .........:.... ` l C' G, ! " ... ............ Floors �` )(..4`%c ........ .......... `:...................Interior ............... .................................................... Heating ..... Y1 ....`.......f? f ?.....................................Plumbing ............. . ............ .... ..................................... Fireplace ..........)O� ..............................................................Approximate Cost .........::5.... ...,........................................`. ..r tl Definitive Plan Approved by Planning Board _ __________________________19 . Area ............. . .................r...... Diagram of Lot and Building with Dimensions Fee . ................ .SUBJECT TO APPROVAL OF BOARD OF HEALTH ,C - 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. NameU ....!.:.......�f ....................:... SMITH, JAMES K A=188-4 24257 One Story rr� fo .No ................. Per it fo ..................................... Single Fa Dwelling ..................................... ...................n ................... --k Lot #12 53 Va"'t'lleybrook Road Location .........................z...............I- ...................... UenterVille ............................................................................... .Owner ..............James.4K Smith ..................... Type of Construction ...DZ4M.......:.................. ............................................................................... Plot ..................i........., Loty# ............................... Permit Granted .......Jul - 30. ........19 82 .q'........... .. .......... Date of Inspection ...... ....... ....... ...............19 Date Completed ....... .... ....... ...............19 /'00'(0'A 3