HomeMy WebLinkAbout0207 MIDPINE ROAD •
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irt. Application number.....
1 , . �� Date Issued 7/Z...?-...h. g
YARNS7ABLE, :
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% 16 Building Inspectors Initials..
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' ��' Map/Parcel
JUL 24 2019 ,dry, 71
46 OF ( <<; . t,, ; 4'30 F BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 267 A I r
NUMBER rYli of( S ET VILLAGE
Owner's Name: n fl a R i n 9 Phone Number 5D8--3L2.- L 3'7$'
Email Address: Cell Phone Number
Project cost $ /0/ 71i/ Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: . 5 e e .A-f(Q cif\e,dQ C 4ac-/- Date:
TYPE OF WORK
1 Siding 7 Windows (no header change)# !_. Insulation/Weatherization
F, Doors (no header change)# a Commercial Doors require an inspector's review
L_ Roof(not applying more than 1 layer of shingles) n
Construction Debris will be going to 1 d s-e-, 4442 eniP,r 71 -$7/.71A-};L-1d 1 r
CONTRACTOR'S INFORMATION
Contractor's name f)r1 an `7e i1 i sor\ - S ,. -e rn +Je l 6.
1-3 LcvJ LA. cow S
Home Improvement Contractors Registration(if applicable)# 17 3 2_4.S (attach copy)
Construction Supervisor's License# bq c 7 07 (attach copy)
Email of Contractor qS4.Jee-i-9cice qtnq; (• C60't Phone number /o/- 2 21 -`I,Qpo
ALL PROPERTIES THAT HAVE STRUCTURES'OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER
*For Te`,its Only*
Date Tent (s)will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X , X X
Additional tent dimensions can be attached on a separate piece of paper.
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES *
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures, specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
• PLICANT9S SIGNATURE
-
l y
Signature 1
Date z,IZ� J
All permit applications are subject to a building official's approval prior to issuance.
Renewal Agreement Document and Payment Terms
Andersen. dba:Renewal By Andersen of Southern New England Donna Ring
;�� Legal Name:Southern New England Windows,LLC 207 Mid Pine Dr.
*111111 .# RI #36079, MA#173245,CT#0634555,Lead Firm#1237 Yarmouth Port,MA 02675
WINDOW REPLACEMENT 10 Reservoir Rd I Smithfield,RI 02917 H:(508)362-6378
Phone:866-563-2235 I Fax:401-633-6602 I sales®renewalsne.com C:(508)360-5681
Buyer(s) Name: Donna Ring Contract Date: 06/26/19
Buyer(s)Street Address: 207 Mid Pine Dr.,Yarmouth Port, MA 02675
Primary Telephone Number: (508)362-6378. Secondary Telephone Number: (508)360-5681
Primary Email: d-s-ring@comcast.net Secondary Email:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a
Renewal By Andersen of Southern New E.ngland("Contractor"),in accordance with the terms and conditions described in this Agreement
Document and Payment Terms;any documents listed in the Table of Contents,and any other document attached to this Agreement
Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this "Agreement").
Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement.
Total Job Amount: $10,741. By signing this Agreement,you acknowledge that the Balance Due,and the Amount
Financed must be made by personal check,bank check,credit card,or cash.
Deposit Received: $3,579
Balance Due: $7 162 Estimated Start: Estimated Completion:
Amount Financed: 8 to 10 weeks 8 to 10 weeks
$0
Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on
the date in which we complete the technical measurements.The installation date that
we are providing at this time is only an estimate.We will communicate an official date
and time at a later date.Rain and extreme weather are the most common causes for
delay.
Notes:. Taxes paid in Barnstable, Ma.
Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal
understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be
valid without the signed,written consent of both the Buyer(s) and Contractor. Buyer(s) hereby acknowledges that Buyer(s) I) has read this
Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including
the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this
Agreement.
NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign.
YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT
OF 06/29/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,
WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
EXPLANATION OF THIS RIGHT.
Legal Name:Southern New England Windows,LLC
dba:Renewal B Andersen of Southern New England Buyer(s)
Signature of Sales Person Signature Signature
Gino Montesi Donna Ring
Print Name of Sales Person Print Name Print Name
UPDATED: 06/26/19 Page 2 / 11
o,t1F!E,70, . Town of Barnstable *Permit#
.3r.'►gaf '-,,S N anth
� Expires r issued e
i Regulatory Services Fee( ,
• vsrwsrs. _.
9 MAss. ''. �
..•a, � 3 7 3 ' i 1
�p s639. �� Thomas F. Geiler,Director
�'` Building Division
riz Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 3 ) (L 0
Property Address 2c7 77 _ Z 1J . ;13 A RAW-
P �/—/
V Residential Value of Work /0- Minimum 7 VV
fee of$35.00 for work under$6000.00
Owner's Name&Address S Te-la kba af-44 a (Pot, LA.e I k
• AE P/ t` �8
Contractor's Name . �Qil�(, �C'Vic /&rQ ki� Telephone Number 71 7 y(9
Home Improvement Contractor License#(if applicable) /
43 743
Construction Supervisor's License#(if applicable) 9CD1 9
['Workman's Compensation Insurance
Check one:
DR_I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Igl Re-roof(stripping old shingles) All construction debris will be taken to (c (J G � o
❑ _ V
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. •
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 0701]0
10/03/2011 11 :46 BROADWAMARKETPLACE #1065 P. 001/001
-MyFix-Tatra Building Company (16174924047) 11:2410/03111GMT-05 Pg 01-01
'(7 4g1- 4v 7
.� .. • Town of Barnstable
Regulatory Services
MAR . F.Gam,Director
Building Division
•
Tom may,Building Comer
200 Man Scot,H MA.02601
www.1 .imrn ma.uts •
•
•
Office: 508-862-4038 Fax: .508-790-6230
• Property Owner Must
. Complete and Sign'This Section
If Using A Builder
: .e pvP� •11,Ili CtietDof na..11• in` ,as ownerSof the subject property
hereby authe ize i11 -rt&..But (6 (la to act on my bchaif;
in all matters relative to work a nri'- 4 by this building pe4nit -
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(Address of Job)
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**Pool fences and alalrtrrs are the responsiibi i of the applicant Pools
are not to be£filed before fence is installed.and . . .ls are not to be
utilized until an.f h*1 inspections are perform- • and accepted.
•
•
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signa
ter of Owner Signature of pplicant
"Donna A . n►;i
. Pint Name Plat Name
/013/72,01(
Date •
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QFo1 c3 . .
3s6 /7
yOFTME\ TOWN OF E., ARNSTA. E., L]E
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i BARNSTB.
ABLE, I:900 r6 9a`D 1� 1LDO Il 0 �I PE T OR
0BPY
APPLICATION FOR PERMIT TO 'l ./. e0 "7 (.j1 9 0 4'`
TYPE OF CONSTRUCTION S " 06"' '
‘77,r! C 7 19 7-2-
TO THE INSPECTOR OF BUILDINGS , ,,a 9• -, --_ • i
The undersigned hereby applies for permitaccord'iiig`to the following information:
Location ,Cr, 43 �1/a�" ie 4 9- 4r1/ .7j4,4„)4)....: -Al agf'`7.`5
Proposed Use /'A,ez.i
Zoning District , 0 - S Fire District
Name of Owner / / . /. � s 7T��/� Address �9A dOGllf� . : ed
lT. ®sP�
y
Name of Builder ....P./Mt. Address
Name of Architect Address
Number of Rooms 7 Foundation gir.e66
Exterior VQ.Pd... *,!X4.4.L S.1...L°�f}�BQ � Roofing -�J.,P#&G 7- ''4t 4 d
/-i.4�. 4rig
Floors .!1- 0OP4941 / e ,67-/4( /.Interior J - 14"- //
Heating ..!.474.0l 4 7 Alit .ey 9.- Plumbing P#//< I L,.. � -7L`17,�[
/ K
Fireplace E.5 Approximate Cost .30 £.f 2 � a00
Definitive Plan Approved by Planning Board 19 . /r‘ 9 , '
Diagram of Lot and Building with Dimensions ,cm ! /4! 7*_
SUBJECT TO APP'• , e ;. • '1 OF HEALTh ,
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I!hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ,
Name 41‘147, 04)46141,te
Hartranft, Edwin A. .
No 15105 Permit for one story t
� 1
single family dwelling
Location Road
GCa +e tr a,'M 5.. -+1.e
Owner Edwin A. Hartranft
Type of Construction frame
Plot Lot #133
Permit Granted June 7 19 72
71z92-- i "�7.
Date of Inspection .
/V ILA &ate, k ;
Date Completed vigkr4Vie-ro ` \n
PERMIT REFUSED
19
Approved 19
e
2 p'� r7'
Assessor's map and lot number L..._ ,.�CQ x
/ / QED,IN E TD4y
Sewage Permit number �e`" �►�� ;;: ,�+�
/; 7 i n �/ Z BAR/STABIA i
House number 4t a', �r� 'o "6 9�\��0/
EMAY%
TOWN- OF -11: ARNSTA I LE
f' BUILIDON INSPECTOR
APPLICATION FOR PERMIT TO-S\!!:{. ?"L` / 14'e•' r (4 / /`--6 <7 -4— �'`_-.
TYPE OF CONSTRUCTION V/ kk( ,
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit cco ding to the following information: ..„.
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Location 7o 7 M- cti,/Ai `"e--' ' C_- v /lc.../td,LALi U/a
Proposed Use
Zoning District fe Fire. District. .lig/0 /2 "1 C.7--, , cr
Name of Owner/Y ®ii'LI C (---�///SS `-C-- Address ✓ A,L `C--,_
Name of Builder c_TX/A, 'C Address
Name of Architect Address
Number of Rooms Foundation
Exierior Roofing
r
Floors p Interior •
Heating Plumbing f// 4"/
Fireplace Approximate Cost SP!/`
Definitive Plan Approved by Planning Board 19 Area c;.10XVOe'd
Diagram of. Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Toy-of-Barr stable regarding the above
construction.
am t .Name' 4 ''.
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Construction Supervisor's License
( CHASSE, RAYMOND A=356-017
No 29521 Permit for Build Swimming Pool
Accessory to Dwelling
Location 207 Midpine Road
Cummaguid
Owner Raymond Chasse
Type of Construction Vynal
Plot Lot
Permit Granted June 18, 19 86
Date of Inspection 19 •
Date Completed 19
e 4 047
/�4��.6 ,Z /7 0k PG4
Assess'or's map and lot number g� 2 -77
SEPTIC SYSTE
/ 2 2 ' i INSTALLED IN��UST gE
4, Sewage Permit number !1 WITH AR�IC� MPLI�Ncg
r. SANITAPy COE II STATE 1
Qyo��TNEro�� ,,.. TOWN I OF s•, AR OP ND ° pA:4; thNei" wN
r: ii r.4;eAil_ ;
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4y i B": •STA4LE i ji 7 V:, o M
• ��'rneaa. � , BUILDING ;D I o0SPECTOI •
oMPY 7 t a (.
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"` APPLICATION FOR FOR PERMIT TO 1
o TYPE OF CONSTRUCTION ;v ` '7 C..
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• 3 19.
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies ,fou t a for a p
c.3permit according to the following information:
Location LP / / / /r 4 Pl `'G 4 , ` , ex)--p-„,.._..yro6
Proposed Use
Zoning District Fire District
Name of Owner /..G•/`" ./nemi 1
CCJA,S'�. Address err 4.,.re.-- ief%1 se7, Y""A
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Name of Builder c (--/3Vf 4 /1L4Z S)(SPM .S�Address Z 7 7 441 4 i€,5 / /d'T s 5 >eAseP 14
Name of Architect Address
Number of Rooms -7 Foundation C v k d-,e` `(.
Exterior AA( e J 13( /� Roofing S 1 44 r- •
Floors / 5---- Interior
Heating, Plumbing
Fireplace '21_ Approximate Cost -/ ° °�^'O
Definitive Plan Approved byPlanningBoard 19 Area /C sl
6%Pp
Diagram of Lot and Building with Dimensions Fee •�_
SUBJECT TO ,APPROVAL OF BOARD OF HEALTH
it
/4 ebe 1 16Al
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above
construction.
Name/P-7..------------
-
Chasse, Raymond C.
19642 1 1/2 story
No Permit for •
single family dwelling
... -
Mid Pine Drive
Location
Cummaquid
Raymond C. Chasse
Owner
frame
Type of Construction •
#131
Plot Lot
Permit Granted September 28 19 77
Date of Inspection 19
61 : iDate Completed ........? 19
PERMIT REFUSED
19
•
•
•
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Approved 19
Assessor's map and lot number '/•.. ' '
•
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Sewage Permit number / .
Q�o*THETo� TOWN OF l•� ARNSTA E•, LEL
V BB HBSTLBLE, I K ^^ r MM• y94�0 119. 1310OL® O , HISPEtTOI
APPLICATION FOR PERMIT TO / /f-' ( () P
TYPE OF CONSTRUCTION
11
19 /
-
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location / 3 / / f • �. i , > •1-VA
Proposed Use
Zoning District Fire District
•
Name of Owner /� ^. i Ar c r Address 1 4` / j. �-., /4 TA LTD t/z n . I,'
Name of Builder / •'�" �- .'1 _- 5.1�• r Address G 9i '. v /, , ir C 7a ` /, c Q �/. ,.
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Narrie of Architect Address
Number of Rooms -7 Foundation - - ` '?� `f
Exterior '� /i r�.c /< Roofing e( c
Floors / Interior
Heating Plumbing
Fireplace F Approximate Cost
Definitive Plan Approved by Planning Board 19 Area •1
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
,
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
� °
Name -- - C �-----
Chasse, Raymond C. A=356-17
' 19642 ' 1 1/2 story r t
No Permit for •
single family dwelling
r
Location "\ S
Mid Pine Driv
--
Cummaquid
Owner Raymond C�'/
Chasse
Type of Construction frame ,
11
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Plot Lot
S tember28 77
Permit Granted P 19
Date of Inspection / 19
/ .
Date Completed 19
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PRMIT REFUSED
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19
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Approved 19
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CERTIFIED PLOT PLAN
L 0 C A T I ON: 46#49'E) 457---/94SL& /yf.475S .
SCALE: / ''= LO ' DATE: / )Z.2 . /4 /977
1 R E F E R E N C E : .Q.E//•/ GOT /3 / ,q.5 -_SNO l2^-/
41:›-`" ,o,L,q A-/ , ;'. .G U/2Q E O AT BA,yS7.'?
, 2 .G/ST2/ O.z ., 2. Os / .` 8// ‘/77
7"-9. 5 /4/ DATE
I HEREBY CERTIFY THAT THE BUILDING R E . LAND SURVER
SHOWN ON THIS PLAN IS LOCATED ON
THE GROUND AS SHOWN HEREON AND
THAT IT Z!'. )e --S CONFORM TO THE
T H E ZONING
T O W N SETBACK
O F C LSAIe A/S7'A 43 L.e. O F /...e. QI` ,r'��
WHEN CONSTRUCTED .
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:r•I .ONANAN a
C M S ASSOCIATES , INC . *P�5 Ls ,354) i
REGISTERED ENGINEERS & LAND SURVEYORS ��a'► ��_eke(
MID - CAPE . OFFICE BUILDING - I265 ROUTE 28 �`i t`as '`.""a�►,
77- 83 SOUTH YARMOUTH, MASS. 02664
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CERTIFIED PLOT PLAN
L 0 C A T I ON : 4619'E'^/s / ,6G , rY/,9SS .
SCALE: / �O ' DATE: ,C7v*. /lo, /977
R E F E R E N C E ..e /n/ Z07- /3 / '9S -SNOj(J"-/
d-/ /4,L,9 ti ,&'. .G o/20 E -0 Ai 7- ,!:9/9,e"/-5 2-4 8
•. ', .GZS72/ o,C. . 7.. - > / .v g�f77
_7--� /4. , DATE
I HEREBY CERTIFY THAT THE BUILDING RE . LAND SURVE ;06R „
SHOWN ON THIS PLAN IS LOCATED ON -
TN E GROUND AS SHOWN HEREON AND
THAT IT ,Odd S CONFORM TO THE ?J.,
•
ZQNING SETBACK REQUIREMENTS OF /4'0 OFE14
THE TOWN OF q,e.uS-7-A L3 -
WHEN CONSTRUCT E D . e. ^ :=�:: r►' 4 '
4 ':
M S ASSOCIATES , INC . ��SE' o
REGISTERED ENGINEERS & LAND SURVEYORS t �'C.•t. 016 �+
MID - CAPE OFFICE BUILDING - I265 ROUTE 28 �� r4DSUR" `t",
.'7- 83 SOUTH YARMO UTH, MASS . 02664 .�, w _���,�
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Assessor's map and lot number / 7 ?HE
v4F rr;
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, Sewage Permit number ' ' ;,►^+�� o�
G -7 ' -4 I V•. Z BASH9TABLE, i
House number rrY v MAIM 9'I 1639. ��
TOWN . OF II' A i': NSTA ili LE
BUILMING I ^SPECTOR
,
APPLICATION FOR PERMIT TO \/1.4,''�`'""-1�'`' '' ' �'O. ( A`-e- ��c-- ,--,__—
TYPE OF CONSTRUCTION V/ v/Y (
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit ccording to the following information:_
Location [7 l / �" �G ` C /'K'Aw'/ C'�(f
Proposed Use'
7— CC
Zoning District.` fi
F Fire District 19 /./‘ C
73
Name of Ownerl/ /l/ -.`1"d� ./7 ss ' Address 5"7<cl AA' Y
Name of Builder 5�/ - Address
Name of Architect Address ,
Number of Rooms Foundation
Exierior Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost 7/d/
Definitive Plan Approved by Planning Board 19_______ . Area c'l° x 4°
ma
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Tow stable regarding above
construction.
Nam
Construction Supervisor's License
~-
CHASSE, IUiYM00D .
` No 29521
� ponnit for Swimming Pool �
�
Accessory to Dwelling
Location 20/ Midpine Road ,
CPnqu4�pid
Ovvna, Raymond Chasse
Type of Construction -7 y al ^
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�plot Lot --
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Permit Granted June 18, lq 86
Dote of Inspection lV
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Date Completed lq
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