HomeMy WebLinkAbout0095 VALLEY BROOK ROAD K �.
,� � �
,,
�,., ,�'
f
e.Town of Barnstable
:Ct�erG:it n
Regu
fatoryServices
L t;,%-:s rf nrGrtrhs r-or. rs-:r_rit„ir
Fee
`I+- �gRr57,� LEI•1j '
h-OM2S F. G4rt,-r, Dircctrr
Building Diviision
1J kla)l Sti e :'Hyaann7 s; 1MTA, Q260
V(W 10 Wvn.b arn stable..:,la.us
OTII Z_ ``vL�l3b2-'ttiJU Fax-: 50'--,90-6230
EXPRESS PAR UT APPLIC Al O - .REST -ENTI-L ONLY
(��p :Yoir'.��?s;`t,'surif Red,Y-Press Irr�r=rf -
`�;_crparce, Nun;ber_ Z1 I —
t eS:--',to ria.` 'rY DrK �� ~' V'13WRIUmn �.00 w 60 ,
. fee of.�.i �ftlr [ts,<Lft:uer.g�•,.t?�_�c{)
,, cress7�
11 e,,,n-- �' -
Contra tr.+r's ?`�a.�e / / S ! ,, S 7NC S
�Z0;7tC I7t?prOY�7lcr+i CG+7iraCiC;} i C1 5� ;r(i1`3rp+:C4v!$�_ ! g1S
0� .`!�[loil SupGr�IJ�r' i}CC'iiSi 1i'1 �;C�` ;C't 2 --
r✓ U i
,cl Ki"'' n 3 's k-OMi el"Sa IDTI Xr '� E PER IVI
'T
ChccK
I aryl a sale proGrtE:'^r 2�12.
rT JUL 31
� Iir tPF i,�ITi�04Vi1:;%
I hav—, V./ork-r'S C.on—r-sattC:i ir:LlrallC, -
Name C,4N CO TOWN OF BARNSTABLE
N Man'S cernp. Policyi__ D0 �A
CCr)v cif lnsur2nice Compliance CCrt'f C2te TUSL lieco I P!IP Z:?clt pert-nit.
e-roof(hurricanc n."-.t!ed) IS1tippirfy or0 Slitrtgies Af! Co.nstruction debris vt'lil be taka-h to
J Re-roof Shur rICBnc ;;i3ttLd7Ifnot s ippiri7. CSG Ili Ver EhiSi'.ng :pyerS l)t root),
zcpman, v, i^t7c�YS,'CiDv'iJ/5!. vr5. L 'rc.t!aev7't.indc3
iC.yvireG. S-Njai7:C Oi: S;.0 rr,;r,..ue5 ao;-cxC s._a o.wr .D;r ta�:'aiior'25,ILL.Hnan,{it;,user>riia:±,
<.*,dote: ?iopt[— y Qv l_- in u .s;g i Prupe rI V}'r712r lj'T:°r Di ECf itSSl Jrt,
ACDPY Df The HCmc Improve„ten: COT Tractors ll lcense & Construction Supervisors Lcelise!S
regaired.
The ct anoy"Weafth 0j.>"I'lassyaa hm:3e s
( Office of Investigafions
600 Washington sveei
Boston, MA 02111
www.mass.gov/diaa
Ior.kers' Compensation Insurance Affidavits Btall�ers; on ��to�°s le�l�°Icl�ns,�Plt� begs
ARM cant information Please Print Le�ibl��
Name (Business/Organization/Individual):--H D d'y,C,
Address: &Ce-5 err D `
City/State/Zip: a(et"N4rt, �o - 31 Phone#:
Are you an employer? Check the Appropriate b® . Type of proj t(required):
1. I am a employer with ,r��= 4. am a general contractor and I b. ❑N construction
employees(full and/or part-time).* have hired the sub-contractors
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
workin for in an capacity. employees and have workers'
g Y P ty $ 9. ❑Building addition
:(No workers'comp.insurance comp. insurance.
required.] 5. ® We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.M Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
• employees. [No workers' 13.�] Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homedwners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new aflxdavit 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 she
Information.
Insurance Company Name: "
' .t 3
Policy#or Self-ins.Lic.#: W c, 0 l ' 6 c5 Expiration Date:
Job Site Address: Y! City/State/Zip:CC e s)llt� R. , Cl _3
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$i,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fuse
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 flee pains and penalties of perjury that the information provided above is true a9nd correct~
Signature: Date:
Phone#•
O lcial 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.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other ;1,
Contact Person: Phone#:� ` '
Office of Consumer Affai and Business Regulation
10 Park Plaza - Suite 5170
Boston, Njlassachusetts 02116
Home Improvem'nt , ontractor Reg istration
Registration: 126893
Type: Supplement Card
t� Expiration: 8/3/2014.
i
The Home Depot At-Home Servlces�--=-_- --
DARREN DEMERS =�
' -
2690 CUMBERLAND PARKWAY UfT 30m0 w
ATLANTA, GA 30339
Update Address and return card.Mark reason for change.
Address 0 Renewal 0 Employment Lost Card
DPS-CA1 as 50M-04/04-G1012166
�, �✓ie l�oaavnwa2uie22� o�./�ac✓iudP,�
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
c(fiOME IMPROVEMENT CONTRACTOR before the-expiration date. If found return to:
�. I Office of Consumer Affairs and Business Regulation .
Registration �126893 Type: 10 Park Plaza-Suite 5170
i-
,. I `Ex iration g/ /32pg4_ Supplement Card Boston,MA 02116
The Home Depot 'At Home Services
DARREN DEMERS
2690 CUMBERLAND PARKWAYS � -76je
At'C�N�A,-GA 30339 Undersecretary Not valid without signature
b1
v f jce of Consumer Affairs :sad us�L.ess eg
t-A t4GIt
' 1J Park Piazza - Suit- 5i -J
v` Boston, Massachusetts 021 =6
z ome ingrovement q ntractor Registration
- RI?pistration: 132349
Type: Partnership
c 1 r# 207392
::.,_. ;..,• .;;::;:::: -';:, Expiration: 1f1112t)13
J &J Remodeling
Joseph DuarteT �-
15 Fail St.
Wareham, ma 02571
gad return card.Nlark reason for orange
Update Address a, t Card_
Address Rtnawral U Employment []
7PS CAt 0 SOM-04104-0101216
A,s o gu License or registration valid for indioidul use only
Offree o onsum before the expirstion date. If found return to:
SOME IMPROVEMENT CONTRACTOR TYpe' office of Consumer Affairs and Business Regulation
Registration •132349 10 park Plaza-Suite 5110 `
Expiration: Partnership Boston,MA 02116
ki emodeling.:
Joseph Duarte _
15 Fail St. �.ri sue. -
Wareham,tna 02571 .., U„derseeretAry
—?Vol v d without signature
\la;:a�hua t�-Utrp:tltirrcut of Puhiic S:tfci�
1 Btrtfd tr(IBuittlino Re�d'uiatillns and Stalulitrd:
Construction Supe(visor License
License: GS 70077
JOSEPH C DUARTE
15 FAIL ST
WAREHAM,MA 0257't
Expiration? 12�0/2Q12
cs Trtt: 7G46
. (..mmirviuncl'
- - - ' -' Z9L6S6Z £S:TZ ITOZ/ZOITO
TO 39Vd
li 26r`2�Ji2 t3:3Q:�7. tP�! PST i 7-E ?RC.r"$: �Ot�005-I:3: 15 �s�t'3(t.vS 'r ge.: 2 OZ 2
ACC>RV CERTIFICATE OF LIABILITY INSURANCE DATE(TI�PlQISTrhYr1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CODERS No RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFRIAAT4VELY OR HEGATN£LY AMEND, EXTE"D OR ALTER T14E COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE GOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IMSURER(S),AUTHORIZED
REPRESEWATIVE OR.PROWCER,AND THE CERTIFICATE HOLDER.
tMPORTANT: if the certificate holder.;-an ADDMONAL INSURED,the polley(iess)awat be endoiraed. If SUBROGATION IS WAVED,%%b*I to
the teams and conditions of the policy,certain Policies Array require an endorsement. A statement on this can ificate does not colder rights to the
certificate holder in Rau of such endomea m e.
PRODUCER PAUL 6 SULLIVAN INS AGCY INC MOTACT
1467 S MAIN ST PNONE
FALL RIVER, MA 02724
SEa tR AMRDiNO COVERAGE NAIC d
1H91NtER a: ,.
uRER e:
I JOS J 8► R MODELI GN DALEY RASWERc
DBA15 WILSON WAY nsu o:
MIDDLEBOROUGHMA 02346 VISURERE:
RF-
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS 1S 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 ALL WHICH THIS
CERTIFICATE MAY BE LSSLIED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB GT TQ ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIYI PS.
10An8
tlL6 1t TYPE OF WSURANCE I PCUCY NUMBER
EACHOCCI!>iliEWE E
GENERAL alA80.iTY
IS. a dcarrence f
COMMERCIAL GEWPA L LIABILITY MED EXP(Myend Pw'w) f
CLANSdAADE OCCUR
PERSONAL IL AVV INJURY f
GE:NERALAGOREGAT£ S
!I PRODUCTS.COMPiOPAGG S .
GENT.AGGREGATE LIMIT APPLIES PER: � S
POLICY POCT I
RO LOC f
AUTO008"UAMI Y aCt
90DILY,IN.fURY(Paparson) f
ANY AUTO - BODILY WURY{Per&Ce"44) _ -
PIIOWNEO �t�Ol1lE0
AUTOS AUTROON-OOWNED eM S
HIRED AUTOS AUTOS f
I f
EACHOCCURE�NCE f
UMBR[iLA aW .00CUR I AGGREGATE S ..
e=tssum CuWS.MADF f
QED RETENTIONS $
f
� f
Vic
A WORKERS COMPENSATION WC5 mS384800-012 2t212012 212F20t3 n1a)j:SEASE.
10000
AND E6IPLOYERS'LIABILITY YIN :
ANr PROPRIFTOR1PAgT►+ER1E)IECUTTrE j-} PLOYEE t ovFua wars aceEaexcurDEo� uN/A(Mandalery in NH) Y LIWT f 50000
11 TTec•desabe under
DESCR TION OF OPERATIONS be$"
OESCRPTION OF 7ERAnONS/LDCATKINS/VESet1ES (AttdehAC0r10161,Addilidnal Rdmdrkd BeNedurR K ° °d b tpufnd)
Workers compensation ins"Ce Coverage applies only to the Workers compensation laws of the state of MA.
NO PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY.
E
7MAIN
SHOULD ANY OF THE ABOVE DESCRIBED POlN S CANCEL)EO BEFORE
N$TTABLE TFIZ ExP AT10a DATE TMtatEOF, NOTICE WILL BE OELNERED IN
ACCORDANCE YVITfMTHE POLICY PROVISIONS.
EE02601 AurNo,uzFCRe�RESErAEATttrt
Jeff Eldrldae
a 1g "- O10 ACORD CORPORATION. All rights reserved•
ACORD 25 J20t0X15) Ttw ACORD name and loge am regWefed mae"of ACORO
CCFLT mo..1icatel7e+�cela and MCC;supe 9ede9#1 pz!'vLuusly zwkee1Ceztifitdtes- Page 1 or l
this
'fit
Jul 19 12 04:23p Robert Higgins 508-444-8882 p.1
HOME IMPROVEMENT CONTRACT
PLEASE READ THIS UU
Sold.Furnished and Installed by:
��".,t6 �-, THD At-Home Services,Inc.
Branch Name: Boston Date: �/i'd/G d/b/a The Home Depot At-Home Services
Boston Tumpike,Unit 1,Shrewsbury,MA 01545
Toll Free(900)657-5182;Fax(508)845-6017
Branch Number 31 Federal ID#75=_'69R460:ME Lic#C 02439;RI Cont.Lc#16a27
CT Lic lil .0565522;MA Hocks impr t'ement Contractor Reg.#i26393
1 0 3�
Installation Address: - City, State Zip
Prrrchaser(s):
WorL Phone: Home Phone: Cell Phone:
-
Home Address: City State Zip '
(If different from installation Address) ,
E-mail Address ito receive project communications and Home Depot updates):
❑1 DO NOT wish to receive any marketing emails from The Home Depot .
Pro�ecl Information: Undersigned("Customer"),the owners of the property located at the above installation address,agrees to buy. ,
and THD At-Home Services,Inc- ("The Home Depot")agrees to furnish,dell ex anwhich arrange
for th rated.ininstallaoa his("Installation—)
by this
all materials described on the below and on the referenced Spec Sheet(s),
reference,along with any applicable State Supplement and payment Summary at hereto and any Change Orders(collectively,
"Contract"):. cob
Products: ' Sec Sheets # Pro'ect Amount
Job#: PWemd Rder< 1
Roofing0 Siding Windows Insulation $
QI ❑Gutters/Covers ❑Entry Doors ❑ -71
`. Roofing Siding Windows Insulation $
[:]Gutters i Covers 0Entry Doors ❑
Roofing Siding Windows Insulation $
[]Gotten-1 Covers ❑Entry Doors El-
Roofing Siding Windows Insulation $
❑Gutters,'Covers ❑Entry Doors ❑
NGnimum 25%Deposit of Contrail Amoant'due upon exewtian of this contract Total Contract Amount $
Maine Purchasers may not deposit more than one-third of the Contract Arrrount
Customer agrees that, immediately upon completion of the work for each Product.Customer will execute a Completion Certificate
(one for each Product as defined by an individual Spec Sheet) and pay any batance due. .As applicable,'each Customer under this
Contract agrees to be joindv and severally obligated and liable hereunder: -
The Home Depot reserves the right to issue a Change Order or terminate UsContract or any individual Product(s)included berem,at.
its discretion,if The Home Depot or its authorized service provider determines that it cannot perform its obliearons due to a structural
problem with the home,environmental hazards such as mold,asbestos or lead paint,other safety concerns.pricing errors or because
work required to complete the job was not included in the Con traacct.
/y -J�R included as ,ttt.of this Contract, sea forth the total
Payment Summary= The Payment Summary.# 1=1
Contract amount and payments required feu the deposits and final payments by Product(as applicable).
NOTICE TO CUSTOMER
You are entitled to a completely Shed-in copy of the Contract at the time you.sign. Do not sign a Completion Certificate(note:
there is one Completion Certificate for each listed.Product as defined by individual Spec Sheets)before work on that Product
is complete. `
In the event of termination of this Contract,Customer agrees to pav The Home Depot the costs of materials,labor,expenses'
and services provided b} The.Home Depot or Authorized Service Provider through the date of termination,plus any other
d under applicable law. THE HOME DEPOT MAY NyITHHOLD A.IOUNTS
amounts set forth is this Agreement or allowe
OWED TO THE HONLE DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE,-WITHOUT
LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS.
Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreem nt between Customer.
and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and aereemcn4e,either
Drat or written,relating to said Products and Installation.This Agreement cannot be assigned or amended'except by a writing signed
by Customer and The Home DepoL Customer acknowledges and agrees that Customer has read,understands,voluntarily accepts the
terns of and has received a copy of this Agreement Y
Submitt % !
' accepted by: v_ ;
?C T ate
Cus r`s Signature' _ ,Date Sales onsultant's//Si(gna�tjur `�f� f�,( �
Telephone No. ( si ! °7 %1 — —
x
Customer's Signature Date Sales Consultant License No.
- (as appliciL+le)
CANCELLATION: CUSTOMER MAY CANCEL THIS
AGREEMENT WITHOti I'PENALTY OR OBLIGATION
BY DELIVERING WRITTEN NOTICE TO THE HOME
DEPOT BY MIDNIGHT ON THE THIRD BUSINESS
DAY AFTER SIGNING THIS AGREEMENT. THE
STATE SUPPLEMENT, ATTACHED HERETO
CONTAINS A FORM TO USE IF ONE IS
SPECIFICALLY PRESCRIBED BY LAVE' IN
CUSTOMER'S STATE. .
NOTICE:AUDITIONALT'ERNTS AND CONDITIONS ARESTATED ON THE REVERS! S1DE AND ARE PART Or THIS CONTRACT
In
Q0
N A BUSINESS?
. A Business Certificate ONLY REGISTERS YOUR NAME in the
you permission to operate). You must first obtain the necessary
ed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis,
d by law.
DATE
Le --e BUSINESS TYPE:
d
MAP/PARCEL NUMBER _3.7.Gd
rder to be in compliance with the rules and regulations of the Town of
tion you may need. You MUST GO TO 200 Main St. — (corner of
e permits and licenses required to legally operate your business
in to this type of business.
[aino this type of business.
t
ertain to this type of business.
.e' ` • TOWN OF BARNSTABLE 25469
� Permit No. ------------------------------
Building Inspector
smn Cash
OCCUPANCY PERMIT Bona
Issued to James K. Smith Address
Lot 18, 95 Valleybr-s4 Road, Centerville
Wiring Inspector . f� /lam Inspection date
Plumbing InspectorAl
/ , Inspection date
Gas Inspector 4 A Inspection date
X Engineering Department f f Inspection date - L Y
Board of Health, G,�". '�_ • -_. , 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.
19
Building�Inspector
Assessor's, map and lot nu ber &Z, % �:, p1���' THE
Q
-Sewage Permit number''`.`......4 ....................
p�� Z 8AUSTADLE, i
House number ......................................................................... 90 Mb a
O 39• �0
TOWN OF BARNSTABLE
Y
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......Construct Dwelling................
......... ................ ....................................................
Wood frame
TYPEOF CONSTRUCTION ................................................................... . .........................................................
........Aug.....2 3....................19.83.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............Lot 18 Valleybrook Road, ....................................
... .. ..... .... ........ ............. ...... .. ........ ....
Proposed Use .......Sirigle family
....................................................................................................................................
Zoning District .....ReA• .....................................Fire District .....Ce21t-�0st•
......................... .................................................................
Name of Owner ...Ja.mes K. Smith Barnstable
...................................................Address ................ ........................................................
Nameof Builder James...�.•....Sm.ith. .............................Address... . ......... ... ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms Foundation ..... JOLLr@d conCret.e
5............................................. .................................:....................
Exterior ....alapbOard & WC8 ...Roofing ...........asThalt
............................................................. .................................................................
�........................................................................Interior ...........ar,....a11;......................................................
Floors ......a......
Heating ..hot...watex......................Plumbing .........2..bAth%%9......................................................
Fireplace .SXT1.9........................................................................Approximate Cost ...........15.2.000................................
.
r� I
Definitive Plan Approved by Planning Board ________________________________19________. Area / / �f
......... ................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH 28Y50 stanch
14x24 garage
F
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 .C\ �+...... ° `....................
##5190
Construction Supervisor's. License .:..................................
SMITH, JAMES K. A= 4
No .
25469 permit for One Story
............... .... ........
Single Family DV1i
.................................................. ...........
Lot 18, 95 rook Rd.
Location ................................... ..........
Centerville
.. ...............................................................................
Owner ....►..dmp-5...X,....wS. l 1.........................
Type of Construction .•.tame
. ................................
................................................................................
Plot ............................ Lot ................................
Permit Granted August 24, 83
............................... ....19
Date of Inspection ....................................19
Date Completed ......................................19
s /�7
Assessor's map and lot numberC .... 11 %�... / Y; � ! �A� �g9� H E to,
co
Sewage Permit 'number ....... ... J
C �9 � Cry Z BARNSTABLE,
Housenumber ........................................................................ /• ®
710
TOWN OF . BRNSTABLE
r
BUILDING IMPECTOR ,
APPLICATION FOR PERMIT'TO ......ConstructJelln
Wood. frarne.
.,TYPE OF CONSTRUCTION .... ...................................... ................................; ....:,.::
..
Aug. 23, t9.8
.............. ......... .................. .
'TO-THE.INSRECTOR'OF:BUILDINGS
The undersigned_ hereby applies for, a permit according ao the;foll'bwing information::
Location ...........:Lot 18 Valleybro:ok' Road Ce s nt er v ill
e `
.
Proposed Use .......S ? le...f am3ly.................................. y .... ... ,
Zoning District .... e. .^.............. ...... •Fire District ....... ..................... .............
Name of Owner ...Jam.e.s • Smith .....Address .....:.....Barnstab. . le......... ...........................................
..... .. ......... .
Name of Builder .cTarireS... �...5r? tr.................... ... .Address ......................................... ......:................................
Name of Architect :........:. . .. Address ........................................................... .......
Number of Rooms ..... ourec-` concrete
�........................... Foundation ..... ........... ...... ..
,
Exterior cla�'oord & zlcs J2oofng asphalt
..........._... ;. .. z•_
Floors oaf t ... ........ ;Interior d� Jall ..........................................}
Heating a S . x¢ ss ...h.Q ...V1a G:�........... Plumbing ... ...�?-i�:�?.9.. ......................... -,- -�=--
Fireplace .... .........:.................................................Approximate'Cost . .55-r ..
Definitive Plan Approved by Planning Board--------------------------------19 Area ......... .............�................
Diagram -of Lot and Building with Dimensions .Fee .
..
. .. ........................................ .
SUBJECT TO APPROVAL OF BOARD OF ;HEALTH , 28x50 Ranch
14x24 garage
,
,
e ,
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. \ ,
t Name.... 011111. '\�.� .....................
#5190
Construction Supervisor's License ....................................
SMITH, JAMES K.
r.
One S
1�o.,..�4.��.. Permit for ..O.ne...... ...
Single FamilX Dwelling -
................
Location .Lqt...1.8.e......95 Valleybrook Rd.
.......................................
f.
Centerville
................:;.............................................................
Owner JaiiLes K. Smith
..................
Type of Construction ....Frame.............................. ........
.................................................................................
Plot .../'...................... Lot .............................
V
Permit Granteded
August.•24, ....19 83
.....................:..............
Date of Insp6ction.............................. ....
Date Completed ........19/-
pE SIG►.I _DA A
` ►w:GLL FAM►►-Y - BEOQooM
I e►r.iDE�z {
W o G ActBA6E 6
Y _ _
0 r
SEPTIC TA►JK = 33ox15o /• - 49/G.P.
Ii U5� l 000 GAL.
Dt5Po5AL PIT U6 IooO GAL.
,I 51 DGv�ALL A2GA
-TOTAI— DESIGN : 425 G.PD. ► � . � � �'TN.
'TOTAL DA I [=Low 330 G.Po \
i� PE2�oLATIoN RATE : I'"IN ?MIN ot`LE55 1. i ► I. I I (�
► T; IC
.Cm
Of IVx�rf
r� WIlL1AM tiG ALAN y,`• \ I �. 1 \ ' -.
v ,p 25 No. 19334 � � o. .i� `
\ B TOP FNU
.tg4.y�a 1000 INS
i SvQfoi` DIST. INS. Gad. 3 7.3'
Ou�c 37•/ �aEPr�G
Z/ IODO INS• TANK
Gc.L. 3G f
INY. I,NY.
wI
WASN6D u
6-To He
/// CE TIFICD PLAT P.LAQ .
Lo44'T10N
No 5.CAL.E GAL.C. / _ GO BATS/ 3
pLAN REFE2Er4 GE '
ti CERTIFY THAT TNaSw%�srl►.16 ;=Na5g0 N
NE2Eow GoMPLY5 hIITN- H6 'GPPS- INS Xo7T /c!
A R.ENIENY> oF -cµfr
'To W N o f L- &2#1 sr,& A N- I
LOGp.T D WITH IJ TN GLOoD PLLXItiJ
D AT E = 3 C B AXT E 2.a 1�.1`(E INC.
j' REG I S'T f-_z6'D t_Aw o,5 u 2.v EYoe
I . ?Id15 PLbPI 11 N� '3 D old AK) oSTELZVILLE:
�( 1N.5-T-R.uMENT C-Y -I•NE n1:r5F-rS '6 W 0 U L 3 A 12V. e. -7A- E-s A' f�. • ��Th�
fi
Assessor's office(1st Floor):
Assessor's map and of number, f 14' Is— {Uro f THE
Conservation ' — 7— - ` "' �i' WP e
Board of Health 3rd floo S� 'Tic SYS L-Wf ky",�A w
f
Sewage Permit number O 'ti .��� �������°�.'�® �� c'� ��'�� T r asassr�nt.
Engineering Department(3rd floor): WITH'TITLE 5 r6}q.
` House number EI�I\/IR®6�i!lIEI�ITAL CO®� �' o Mir
-Definitive Plan Approved by Planning Board 19 TOWN REGULATI®N�
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
_ . l
APPLICATION FOR PERMIT TO — lG f 2 ,-Y/G
TYPE OF CONSTRUCTION �,��
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 9`� � �^� ��/ i� // J
Proposed Use
Zoning District Fire District
Name of Owner�iP$ l_�1 Address
Name of Builder 22 �� �14ddress �'� 2.✓ieccr �i9 OL6�'
Name of Architect Address
Number of Rooms Foundation
Exterior Roofing IM
TA
Floors Interior
j
Heating Plumbing
A
Fireplace Approximate Cost 11;e,2-4010
Area
Diagram of Lot and Building with Dimensions Fee
/Co
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 a urG
Construction Supervisor's License
COHAN, MRS. ( 1
No7Permit For ReBUILD DECK. ;
Single Family Dwelling
i`
t Location " 95 Valley Brook Road
t Centerville
Owner Mrs . Cohan
Type of Construction Frame "
. Yp
Plot Lot
Permit Granted May- 7 , - 19: 9 3
Date of Inspection 19'. ,
Date Completed
4Y ) i•. �� - a '' a ICI
F r