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HomeMy WebLinkAbout0026 ELMERS WAY r i aklLo Fol N . 152 1/3 ORA � �.Tn 100/a,� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$4 .0 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission t>Soperate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st. FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: c1 1 t 11 -3 Fill in please: APPLICANT'S YOUR NAME/S: F:�- a q-o V ;>°` '' BUSINESS YOUR HOME ADDRESS: Z� t � s M ,3av,n S -e t 0 Z 0to — �E TELEPHONE # Home Telephone Number SUpq, 3(22 r. NAME OF CORPORATION �,,.+- NAME OF NEW:BUSINESS ;' w USINESS r , , �� p a .: �, �'P S B IM-G.-r ke 1n � TYPE OF B Lb IS.'THISA'HOME'OCCUPATIONS NO: ' ADDRESS OF BUSINESS 2Cn'' r L/J,. w,*a t y, :k' MAP/,PA . 4 c - :• RCEL NUMBER :.; :U6,L( 9 r 3'[Asses'smg) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSa'S OFFI This individ I nfo�rr n d !1%errylit requirements that pertain to this type of business. t orized Signat r COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: The Town of Barnstable Department of Health , Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: Name: M a'l?Y R, Phone#: �U 9--36 Z -9 yq / Address: EF I'M Ea2 s I/LL12� Village: wi f3twluS nlaL� Name of Business: 65TR120 44-,zkL7rJ1\1 U 1n)0- d 6w 414-1 itN C2 f4L-f"S L IV lK z 71/U C� Type of Business: S✓t1�- 8 .116ir2 X f-1-7/u 6- Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside.the_dwelling: there shall be no increase in noise or odor; no visual alteration to the premises which would suggest anything other than a residential use; no increase in traffic above normal residential voltmtes; and no increase in air or groundwater pollution. After registration with the Building Inspector;a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by-the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise, vibration, smoke, dust or other particular matter, odors, electrical disturbance, heat, glare, humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materiars or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires, parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business, the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I, the undersigned, have read and agree with the above restrictions for my home occupation I am registering. Applicant: ('/'lj t l /C. Date: ��(� Homeoc.doc %i i TO ALL NEW BUSINESS OWNERS ' Fill in please: j APPLICANT'S �® YOUR NAME: Iv 11(kRK. I�. �L--R2-�7 BUSINESS YOUR HOME ADDRESS: So$-362-fo(a�4 ICE s�-i3 4ac2��-nfK3LE t WIFA C)-7_( (ol6 TELEPHONE Telephone Number (Home) S(xS- 3102 -C1Li.4 I t,t._I S 8 �1nas2,Kt-Ti ►�Fs NAME OF NEW BUSINESS.% 20 5 5 iMJKLkt"C t t�lS: N°� ba ; TYPE OF BUSINESS Skl..c S 8.::M At L. T1— (s IS THIS A HOME.00CUPATION?. ADDRESS OF BUSINESS � ELM w f3 ILL' D1ob� MAP/PARCEL.NUMBER .195028043. When starting a new business there are'several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual h s ee inform U of any permit requirements that pertain to this type of business. ALhhorized nature COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: :After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 oc=4:years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you y permission to operate -you must get that through completion of the processes from the various departments involved. a Town of Barnstable *Permit# 7 U� p Expires 6.moonths from issue dole Regulatory Services Feea� Thomas F.Geiler,Director FDN1A`° Building Division 6- y 1 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 f 1 5W /� I /ll P Property Address (Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address a 12/L�l_.t7 Contractor's Name I /(ot.��,,� �illti�, n�As i rt�� Telephone Number 50 a I? —02 oZ4 k Home Improvement Contractor License#(if applicable) 651 Construction Supervisor's License#(if applicable) 0Workman's Compensation Insurance G� �`_�'-� Check one: ❑ I am a sole proprietor Z{ f(,- � �- �4, y� El am the Homeowner ®F1'"RES PERMIT .a I have Worker's Compensation Insurance Insurance Company Name 9 -.&--I MAY 3 U 2007 Workman's Comp.Policy# �' G`>• TOWN OF BARNSTABLE— Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to Q.1ti��1 L-eAN. ❑Re-roof(not stripping. Going over existing layers of roof) ,r. ` ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) �""� , *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. i te; its anon,etc. ***Note: ro Owne ust sign wner Letter of Permission. Home ense is required. ml QC A m«0, SIGNAT RE: Q:Forms:expmtrg Revise071405 Fraser Construction Roofing & Siding Specialists P.O. Box 1845, Cotuit, MA 02635 Phone: 1-508-428-2292 8v Fax 1-508-428-0123 RE-ROOFING PROPOSAL June 13, 2006 Revised April 12, 2007 Mr. Mark Ferro Phone: (508) 362-6647 Job Address: 26 Elmer's Way W. Barnstable, MA 02668 FRASER CONSTRUCTION herby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old Asphalt Shingles -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK: 30 -Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self- Sealing, Multi-Layered Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. Color: u1 and Install - CERTAINTEED LANDMARK PREMIUM: Lifetime Year ty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE ant, Extra Heavy Weight, Self Sealing, Multi-Layered, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10-year Warranty-,against ALGAE Containment. Color: f ;I Supply and Install - CERTAINTEED LANDMARK ULTIMATE: Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10-year Warranty against ALGAE Containment. 11 I Color: ��� P.h Q n d 0 ►/1 5083626637 ALLIANCE EAST SALES PAGE 03 .4t/07 12: 54PM No, 2557 P. 3 FRAUR CONSTRUCTIOw Warranties the labor for 10 yews FRABR CONSTRUCTION'Wa rantiee the shingles egAinat Blow-Offs for 10 years. C -'AINTB,RA Warranties the allingles and o labor 100/o for the first 10 years, and then on a pro rated basia for the Lifetime if the shingles become defective. CERTAINTETrD Warranties the shingles to be ALGAE resistant for a full 10 Years. Any deviation or alteration from above Specification will be executed upon written orders and spill 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. FRASRR CONSTRUCTION: Carries Workman•s Compensation and Pal►lic L%bility Insurance on the above work. DATE OF ACCEPTANCE: 2 O BU13MITTED BY: I i HOMeown r Fraser CoX4truetjojm 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 Please Print Legibly Name (Business/Organization/Individual): /(a u rJ Address: P 0-y City/State/Zip: Q 9,6 3,S Phone#: So g—qA�" o� q p Are you an employer?Check the appropriate box: Type of project(required): 1.VI am a employer with 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. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'� comp. - c. 152 §1(4) and we have no' 12.[g.R�6of repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑Other *Any applicant that checks box#1 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: L Policy#or Self-ins. Lic.#: 7 / 7 X 6 t,? Expiration Date: q/ Job Site Address: City/State/Zip: t), 13� Attach a copy of the workers'compensation policy dec aration 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb ler t sand so per ry that the information provided above is true and correct Si nature: Date: Phone#: U C� — a i;L Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): L6. oard of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector thertact Person: Phone#: No. 1586' IRTMCA , LSBLBDATS ""US C511TIFICATE IS ISSUED AS q aid C9 7 WLSB&QU IlYS AM CONPERB No nIt,pTS Rb A Tim c OP INao �2AV(�pi0 PPOApYCASYAOESNOTAIYdEq CATEfipDLDFR T3rlgY 4a9 p ,�IVT sr aPaORDED$Y TJIR P'OLICCgS D'pj ND OR ALT1dY 7 COVERAGE BROCKTON,MA 62301 COR�AlgJWS A FOY2 t%COyl71'3AQ co ,NARTFOleb Mb�� �vstrr� Axv' �'BRS Ws CO FRA&E12 C0INS7W U•CTr0,V B PO BOB'1845 fa y C COTCJUI MA 02635 co Mar D VK2RAGE4'` '• ,, Thm rsroM,V 7ftArrW �YCATM NOTM71VANDWt30AA Y OF 1NSURA)6i LISM SHLOty F p• MAY 8H ISSUBn Q� TSRM OR N SEFN 1S9I16D 70 TfIR INSURED Y yrr,p A2U�B?PO$ A1JD CONDIIIOA6q 00 MAY e'BRTAIDf,M NURAN C01ID1TION OB ANY CONTRgCT OR O lC}3POLICI1IgLtapyS9iDVIN N�1?07tD6ngYTH3P0IIC18gD rf33RDOCLAfSN?tvpYln TNRPOL(CYPI?YaOt) LC1OA TYPE OF INSYIBAN MAY HAVE B7;3N REDUCBD By PAIp Cr l Ell Y1gEgD�IS SUBJECT tY V Z TERMS gJtS ►'OLXCYNUnIBFR POLICY CWSlON9 Cr$plgRAl LYABILJTy MW'NE bATt Elt>n POLICY fi n[G%sm y �MM/DDlYy RATION DATB LIMIr9 IvYY �A1ADE OCCiAR. t?BABRALa WHBltB 400ty1RAC1108g PROT Ta PA00: 4 paASONAL414M.IN s AUMN( eAaf Occ $OYILS LIAB y $ ANYAuto DAtiAOg AW'OWNPDAVPOB �68dJO 8 �b�DAurn9 S aM8D AEnW BODII Y ODIp RD(.OWXIOAurLs V*Pennn) $ OAAA08UAaMnv (PawRw.�D BY 9 �8 LJABRJ7 Y FSRT(DA36tOP�LLA FOASq 3 077Ieg r7i/1,1 IApORM �lSt'OCCUftxgrCe A AGaUQA78 S I WORn"COMM9ATrONAND S OT SMPL SLIABIr 6S60EM-794X'6191 09WO6 A 6ACHCCIDaBYLMIre � 09/26l07 sl u o00 . D Ssooaoo iusCii OAOPEpA1pp SlG0A0o rrONS/yC6pL m CERT T�"'AUMANYa Via$HOLD CiT 'M C>:sMXArn oLD AFHscMQ vc+0Una CO CAIVCE MP CO NB XO , 1'O$ 7'R17C'P )y �-ANON:, ,.•�•�, OX1845 ANY op A80VBD >:1�IIt rmDA,n ovD, bPOLTC�B)IIECAAC , 1A026�5 AenrsNNorr�axp BUpiOCaAvAmYVP11LpT�oprp T 91PPAAII,Ug�11.0tf y Nance �C y➢fCATSA'OLbBANAMMy1p� 1A1L10 ibD n y 08A1Yr+ TYA YTON THE CO A 0MCKTID �1 C Pn�urrA �1'R61MMAMa Ate '�'M1 ®AC oft RIPpR<1T1alyp�94D Board of Build ing Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement-,Corractor Registration Registration: 112536 Type: DBA FRASER CONSTRUCTION CO. Expiration: 3/23/2009 Tr# 127920 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 DPS-CA7 ', 50M-05i06-PC8490 Update Address and return Bard,Mark reason for change, -- -- — --- ❑ Address ❑ Renewal [:] Employment Lost Card Board of Building Regulations and Standards HOME IMPRp,VEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: Registration: .112536 Board of Building Regulations and Standards Expiration: 3/23�2009 Tr# 127920 One Ashburton Place Rm 1301 -Tybe: •DBpr' Boston,Ma.02108 FRASER CONSTRUCTION q0.� �y DEAN FRASER 4556 RT 28 y COTUIT,MA 02635 Administrator Not valid without signature N Q� q h o Sy r'2 24 c 4-+ \ .a )o CG`�TIt/tom R2T fZg7V WF3`r B��-STfISt� M/fss. Fo,e '49vc z, SC44E • 6Dw<i-� E. Ate,- ry \ e��s CvHs�s��✓.a Ms�.ss . i9, 'J ` Li.�� �ouuogTsaN s�+bw,v av Tt1i3 J !L Ply. i s to C.gTzaa a.v 77-rle C,OD fi A/a �47tSL�4 sr s -5140 wN A-ir-Je—A-DAv 4+vZ) 77/,9T TD 77/E' SET Bq�,•„I� T,VE 7D h/A/ �Fe � C.17go+ 8 i Ave. 2;/SF'3 .P6G•. �+va S�eveyc Assessor's offioe (1st floor): .� �� Assessor's map and lot number ./../... .. ... P!t., .�Dy � K ,9. ��ETO` Board of Health (3rd floor): S - r ;ice 9PTOC SYSTEM �O �• Sewage Permit number .................... ......... . .) TALLE® IN COMP '� . .. ........... ..... WITH TITLE 5 7 BAsaAXa U. Engineering Department (3rd floor): � o House number ..........................................................::............ "``P"VMMENTAL �' J :._o D MAX AP APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION .....(.:.�rr1.!.... . ............ .f . ....................................................... ................ ..0.................,97 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... :6.... 4'1'J6/IS..W. .t1.......GU..L.eQflA1%t.Va ............................................................................................... ProposedUse .... ................................................/......................................................................... Zoning District ....... ..............Fire District ....... / ,.� ` Name of Owner !9��C 'yIJE27�/1t(.cfC�J ..............Address ?..�2I 9 B�Zf�E.{ST Name of Builder .. vlr�fC...�S,... /IEOF/Z�Gfrgv!t/.....Address .a................................. ivOuC ............. Name of Architect ..... .......................Address ...........el V.641.z... t.'a .... ...... Numberof Rooms ..................... ,.........................................Foundation .............................................................................. Exterior ..C'�191'.I�VQ Qs .GJhI.Z C'cr�9�<........................Roofing ..f?fs.O..C'b?I/42.......................................................... Floors ...............f.....................................................................Interior ....v/.j. How..................................................... Heating ..............1444...........................................................Plumbing .... .................................................................... Fireplace .................. /}..................................................."..Approximate Cost ........... � �vo .................................... Definitive Plan Approved by Planning Board l ----------19 Area ���! ....�.T... ........... Diagram of Lot and Building with Dimensions Fee �D............................................. 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 . ....... ..�........ ................... Construction Supervisor's License .................................... FREDERICKSON, FRANK G. Jill! Addition No, 3.140.7.. Permit for .................................... Single Family...Dwelling_. ........ .....I..................... Location ....2.6.... ...Va ..Y.......................... West Barnstable ............................................................................... Owner ...F.r.an.k...G......F.re.d.er.i.c.k.s.on.......... .. .... .. .. . .. .... .. .... .. . .. .. .... Type of Construction .......F.r....a...m.e.......................... ............... ............................................................... Plot ............................ Lot .................. .............. Permit Granted .....N.ov.emb e.r....10 0 —19 87 .. .... ....... .. . . . . Date of Inspection ....................................19 71, Date Completed ........... ......19 previously t. #195-28-1 , A pp�ortioned, '82 FY RESIDENTIAL PROPE�TY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 26 Elmer' s Way _ WPFt Rarnstahlp A 82 LAND _6— ,6- 0 195 28-1-2 rn P IONED _ y/l OWNER TOTAL ,y 0 RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot 7 (App.2-40) LAND LAND 0 TOTAL - 1 .82a LAND Frederickson Frank G. 7-23-81 3328 345 9,500. ) m BLDGS. /: Z!eHMR/,l five /Gf/ /I��9•ozs'6 TOTAL LAND O1 BLDGS. TOTAL LAND 01 BLDGS. TOTAL LAND 01 BLDGS. TOTAL LAND BLDGS. O1 TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT (nr'IJ LAND CLEARED FRONT - BLDGS. _ REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND 01 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. 01 BLDGS. 43 Office Use Only The Commonwealth of Alassaehusetts Permit No. X-15T55 Deportment of Public Safcry Oavpancy&FmChed, BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All nork to be performed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INR OR TYPE ALL INFORMATION) Date__LL Jai y TOWN OF BARNSTABLE To the Inspect Jr of ices: The undersigned applies for a permit to performp the electrical work described below. Location (Street & Number) /��n�g Otter or Tenant Fe*rKK Fnt- ��tG{e s6A1 Owner's Address 2[2-E 1p"t s ,R.f1 (,(.), /JQ••R"V"k Is this permit in conjunction with a building permit: Yes ❑ No Da (Check Appropriate Box) Purpose of Building If &�f��� _Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity f Location and Nature of Proposed Electrical Work �'�C a No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Above In- No. of Lighting Fixtures Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Iotal No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Disposals No. of Humps Total Total Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW N D Self Contained Deteecc tion/Sounding Devices 1 No. of Dryers Heating Devices KW Local Municipal ❑Other ❑ Connection No. of Water Heaters KW of o. o Low Voltage [� SiS ns Ballasts Wiring ' �v((11 - C,' No. Hydro Massage Tubs No. of Motors Total HP T— 04 OTHER: A',449W& U INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws CM I have a current Liabilitz Insurance Policy including Completed Operations Coverage or is substantial equivalent. YESE NO[J I have submitted valid proof of same to this office. YES NO If you have chec d YES, please indicate the type ��ogqff� coverage //�by checking the appropriate box. INSURANCE [S BOND OTHER ❑ (Please Specify)HJ((]���/></� i/' x ration ate Estimated Value of Electrical Work S .m Work to Start d. Inspection Date Requested: Rough Final C9d y Signed under the pens ties of perjury: FIRM NAME LIC...10AJAU i Licensee Signature ,LW. NO. A �j7�t B . Tel. No Address . Alt. Tel. No. -061 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Amer Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) TOWN OF BARNSTABLE Date — ) 19 14 q Building � Permit# � AT: Locat' � S Owner's Name W- K d Type of Occupancy:"511y—LA9 12 New Renovation ❑ Replacement Plans FIXTURES Submitted: Yes❑ No ❑ _ l� Z N t N z V f• N J N O Z W W W Y_ J N > < N � O C L < F n O _W f— W Ur I— U CW. x aL < N W G ~ f l = Q O C N pj C < H N = O < N O tC tt Q O r U f[ W ty < N i < J N ¢ Q J O Q O W C W = ; O ►� < Y W IL IL W X d O < J J < C tt < o < 1­ i t_ U. 0 0 0 < 3 a to 0 sue—saMT. BASEMENT Q 18T FLOOR I 2NOFLOOR 0 ]ROFLOOR 4TNFLOOR STN FLOOR STNFLOOR 7TNFLOOR •TN FLOOR (Print or Type) Installing Company Name Wff,� Check one: Certificate Address 4o ❑ Corp. �2,1��— �- ❑ Partnership d71 31Z 1 ❑ Firm/Company Business Telephone/3 ,6 Name of Licensed Plumber U14 C r,, '?�*-g---s I hereby certify first all of We details and information I have subutilled for entered)in atone appliolinn are utte and accunle to the bell of lily knowledge and that all plumbing work and tnstallalinns ltcttunued under Permit issued for Utis application will be in compliance with all pertinent pa viatons of the Massachusetts State Numbing Code and Chaplet 142 of the Central LawL I hav or the ner or his agent that 1 do not have liability in ra Includi completed operations coverage. Lsignafafe of Owner Agent I have a current liability insurance policy to include completed operations coverage. By Title signs ure of Licensed Plumber e of Plumbing License City/Town: APPROVED (OFFICE USE ONLY) License Number 0 Master C9 Journeyman r z � N v N A v r z v m m r N A 9 z -4 -� m C r r m = f r rR c °+ O Ino „ c C C mz O N = p o m p � O v z = C < v y O _ Z fA v m A C z N - PERI Y ADDRESS I I ZONING I DISTRICT CODE SP,- DISTS.I DATE PRINTED I CLASS I PCS I NBHD KEY NO. 0026 ELMERS .JAY 05 RF 500 0.5WS 07/G9195 lull )v .,l')AC r�193 02t3.1^,43 121638 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY- UNIT ADJ'D. UNIT F k,D E R I C K S O N i FRANK G MAP- Land B /Date Size Dimension ACRES/UNITS VALUE Description Y CD. FF•De th/Acres LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE L A D 1 41 4 O 0 CARDS IN ACCOUNT - 10 18LDG.SIT 1 X 1 =10C 100 . 34999.9S 34999.99 1 .00 3i000 43LDG (S)-CARD-1 1 123.500 01 OF 01 11 1RESIDUAL 1 X . 82 =10C 111 7000.0C 7770. 00 ..82 6400 ""OTHER FEATURE .1 14,000 COST ;'LPL 26 ELMERS WAY MARKET 130700 BATHS 2 .0 U X C= 100 7000.00 7000. 0 1 .00 7000 6 #DL LOT 7 INCOME FIREPLACE U 1 X C= 100 3100.0C 3100.00 1 .00 31JO a #RR 0512 0123 USE A RP5 POOL GU S 16 X 32 1987 C= 60 34.2 27.40 512 14000 F APPRAISED VALUE D A 178,900 J ARCEL SUMMARY U AND 4140C S LDGS 123500 T -IMPS 14000 M rOTAL 178900 E Y CNST N DEED REFERENCE Tye�D�ATE q�d� RIOR YEAR VALUE T Book Page Inst. D S•Ies PrimAND 41400 S47C2/148- I /85 A 1 3LDGS 137500 3 23/345: V,]0/00 rOTAL 178900 I l I I ADD•N N/S 1 /88. BUILDING PERMIT Number Date Type Amount ........ ... LAND LAND-ADJ INC ME SE SP-BLDS FEATURES SLD-ADDS UNITS 41400 140 0 DI. 10100 B31407 11/ 37 AD 15000 Class Const. Total Base Rate Adj.Rate r B 'lt Age Nrm. Ob%v CND Loc %R.G Repl Cost New Adl Repl Value Stories Height Rooms Rma Bathe 1 Fix. PaAywall Fac. Units Units A I f DO.,,. Cond. 01C+ 000 105 105 63.30 66.47 83 83 11 90 100 90 137257 123500 . 1 .5 7 4 2.0 7.0 Description Rate Square Feet Repl.Cost MKT. INDEX: 1 .00 IMP.BY/DATE: / SCALE: 1 /O 0.5 6 ELEMENTS CODE CONSTRJCTION DETAIL SAS 100 66.47 936 62216 GROSSW NS : FWD 85 8.50 240 2040 *----20----* *------26-----* 3TYLE 04 APE COD 0.0 1 SB IUD 66.47 168 11167 12 F WD 12 ! ! t�rGN-ADJ�1T- -9T D 5S rG'N-AD3IM-- Y.0 FSF . 90 59.82 72 4307 -JTf _J­U0_"F t;VRE-------U:0 G13 44 29.25 728 21294 *---------36-*--12--*-8-*--*6-* ! EATPAC-TYPE" -U3 L_E7CT RTC---------IT:O 815 42 27.92 936 26133 ! 815 ! ISO ! ! 28 1 INTc,4=FZ%ZSF!- -J4 RYWALI=----------IT.-O 14 FSF12 I NTtK.-LAYGUT- _TZ VE-9-7N-(YRMA1----7.0 I RT Tr_K:WLrXi TY- _UZ -AKE-AY-EXT-E1F:-We IT.-0 26 BASE 26 6_*. F LDVR ST- UCT- -0Z V_Jd0I_T/BEA-K---IT.O W! *--12--* 4 G13 '.-: LOUtZ-CDVER-- -134 -AWPET-------------T O D Total Areas Aux'_ 968 seas _ 1176 ! ! '------26-----* DDT--TY-7-F -- -9T E BUILDING DIMENSIONS ! ! L E 'T R I 7C A-L JT V E R A'GF M.-0 T SAS W36 N26 E36 FWD E08 N12 W20 ! ! OZrhirDATZMiV-- - 111' WRED__C`ONC-----WO A S12 E12 .. 1 SS E12 FS-F E06 S12 *---------36--------X -------------- --- ---------------------- G13 SO4 E26 N28 W26 S24 . . FSF -----gEItiNBOR- (16 -0-UaC-VEST-_9AKrJb I AB L W06 N12 .. 1SB S14 W12 . N14 .. 1 LAND TOTAL MARKET HAS S26 .. B15 N26 W36 S26 E36 PARCEL 41400 178900 AREA 16538 VARIANCE +0 +982 STANDARD 25 Dlt OkH -aDk .z/am/k'3 'Assessor's map and lot number � ...-. .C�.a . ............... r cCF TM E ter •� Sewage• Permit num•er A. Z BARNSTABLE. i House number ........................... ............................................. r rb a �+ ti °0 39• �e PP�� nn��e 6�d� AV 0 MAY T N' O F B AA%V!E BUILDINA IN EC'T'0R r APPLICATION FOR PERMIT TO ................ ... ...... ... .... TYPE:OF CONSTRUCTION ............. ..... ........ ........... ......... ... . . . ... ..... ............ ............................ 217 ....... .......Z, ..........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. ..C.�Ko .. �� .. ..K..1.G'. . .. ......... ... A.•. 1�..... ................................................ ProposedUse ..... : ............. .. .... . .. . ......................................... ...................................... ............................ nn Zoning District 1�: .... .......................Fire District . 1 Name of Owner ,-11"V&....6_1..FgAcocw .X_4.' .Address ... /i ZV�'.:...c.1.1�N��r-�� Name of Builder .Q�KV. . .......................Address Nameof Architect ........o.........................................................Address .................................................................................... Numberof Rooms .......fJ...............:........................................Foundation .................................................... Exterior 4(,,W/..Te7c �?1. 4.Roofing .............................................. Floors .Interior'.; L Heating ................................:....................Plumbing ......1(7 ........................................................................ Fireplace ......................................................................Approximate. Cost..� .......a Definitive Plan Approved by Planning Board -----------______-----------19_______. Area .....Z/ZV/,�Z/ZV�....................... Diagram of Lot and Building with Dimensions Fee ..........4W. ... ......................... 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 ..... f..... ....... . ... .................................... Construction Supervisor's License ...........................-....... FREDPRICKSON, FRANK G. 25391 1-1-2 Story N� o,t................%.Per it for .................................... Single Family Dwelling .............. ................................................................ Lot 7, 26 Elmers Way Location ................................................................ West Barnstable ............................................................................... Owner .... Frank G. Frederickson.............................................................. Type of Construction .Frame......................................... ................................................................................ Plot ........................... Lot ................................ Permit 'Granted ...Aqg.Vg.t...4.r..............19 83 Date of Ins pectionA�44-9,3 ........19 Date Co 1 t d ........19 qpee ...... Z Za -- - -wove- =RpF►-ai ��- Lo 7- `y 7 � l I 3 �' b p I Wc33r B��✓-ST�98L.y� /�J/tSS. I Fv2 � \ J � qua L A0414.1014WOA/ SA6w.v cn/ ZW-5 WM7- 40 7V 7WE"SE'TBqC.- 12t//,e�-7-ses�Ts of TiV,-& 7D h/N Ave. Z., !.g�yB3 ,e6c. „/D S&avoyo Y, 1 — . �@e7,' s of N d �,9 / 8 Z 8 �GQ� • IkA 8L. EZ' 9 LOT. Rr ao� o,G Qok � i esse�va' 4z ; T kill r T C A 7N Z w.D�,� i°� �Pn N Of 9s 1/ o CRnI�r • � � x , I/.ZS/83 L-Q�s n,N I�/�3r Q�isr�ac� MAss. • / l/ P�'�'O$c� `cam t'DWA2,D t. �'�LGE�/ P� of�� -�Q��' . ,ec. �a EDWARD E. w o KEL4EY�Gr••• � :v ' c/sT S �o +�l��ra' Aoo ua'►�� D A"y �r - ...•r.!i`' Na7rb'-- CT��'>yi�T7 n,v J. 8/l5d7� o.v FROM FT TOWN OF BARNSTABLE fir. Francis lahteane BUILDING DEPARTMENT Town Clerk 367 MAIN STREET HYANNIS, MA oew Phone: 775.1120 SUBJECT: FOLDHERE v " DATE February,27, 9$4 Nk E S S.A G E Mork has been completed rider Building Perch #25391 (Frank G. TYeder ckson). Please release Bond. SI"NEQ • ` ���1 G.C., DATE ,f REPLY ' SIGNED t�/'" i t r` ..fit' K�� '. �� i. � � t • ' Y � ,S i 4 �„��'"` • TOWN OF BARNSTABLE Permit No. 25391 YA"n� Building Inspector cash r.ua a ,t ------_------—_.___ OCCUPANCY`- PERMIT .Bond- —_X_____ Issued to Fri G. FYedai&SM ' Address Tni-.. 7. 96 Fl nra �IaV, WSt WAM. Stable Wiring Inspector Inspection date Plumbing Inspector F v���i - Inspection date Gas Inspector Inspection date - - i ;{ Engineering Department` � Inspection date Board of Health / \Inspection date � 3 THIS PERMIT WILL INOT 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. ........... I9. .. ..................................................a ............... _........M:� - .. a /Buildin ,Inspector _ D oky apt �/01y/S'a Assessor's map and lot number .. ..:..... :.......... .. uFTHETo /� Sewage,Permit number ..:............. .... ,..............:........ - 9TdD B ASB LE. • House number M a O1639. �0 a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............................. t' 1� ............ y `.�... d :...................... ........... . . . ...... TYPE OF CONSTRUCTION .... .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .c >.. � ?.r. .. L�xS........�1'� �n� . r' f � ProposedUse ...................... ,( �; ,a1........................................................................................................................ ZoningDistrict ...........!... .:.........................:.........................Fire District ...... ,..f.?..:......................................................... Name of Address NameName of Builder ...06e-.2IU.��?K.....................................Address .........................................................:.......................... Nameof Architect ............................................................:.....Address ............................................................:....................... Number of Rooms .........................Foundation .................................................... J Exterior (��h; .r!`.[ r�s�..:ailiiv6.LG: ./C'L�`ir° s'o9it/Js.Roofing h!.T .. ' iJ. .z................................................... Floors �� .InteriorY 1�. "`� ..................................................................................... ..:................ .......................................................... ' Heating 644: 7?{C.....................................................Plumbing ......�9 ....................................................................... Fireplace ��- ....Approximate Cost �� O ..,............ :........................................................... ...................... ...................... ........... Definitive Plan Approved by Planning Board ____________________________19______ Area ..... ....................... Diagram of2•Cof and Build'irig with bimensions Fee _ - fig ........................... ................ :+ SUBJECT TO APPROVAL OF BOARD OF HEALTH a 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... . ; ,. i ............................. Construction Supervisor's License :::!�.� �. -....... A=195=28 FREDERICKSON, FRANK G. I' 25391 13 No ................. Permit for ........3...gj;.P Y............ Single Fami , Dwe ............ ...........], x1g.............. Location ......Lot... .i......2G...g4.mer.s...W.ay.... West Barnst.4b� ................. ..... Owner ....F:-r'ahk.,.G. Frederj,.QX.5.0.U...... Type of Construction .9Xr411P............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted .... ... },iJLTeS: ...4...........19 8 3 Date of Inspection ...19 Date Completed .......................................19 let-( s Assessor's offioe (1st floor): _ THE T ' �j /./.. ,�. Assessor's map and lot number ..... ....1`S ©y`� G� y,r �I�C SYSTEM � �Q°�c: Board of Health (3rd floor): . - I ;,STE LLED IN CO Sewage Permit number. .......�.-. .. WITH TITLE 3 L Basa9TGDLL, EngineeNng Department (3rd floor): ;99, House number ' .... UMVER®����TQaL C®® ora� APPLICATIONS PROCESSED 8:30 '9:30 A.M. and 1:00•.2:00 P.M. only 3 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............................................. TYPEOF CONSTRUCTION ..................................................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ...... ....................................................................................... ProposedUse ..................................................................................................................... r Zoning' District .. ...'...:.............................................................Fire District ...tc,).... . A:<1.wS.rr.4:(.}.+~.6................................. Name of Owner 1L9 1rC... ?..g0.67 ?.b.Q.N..........Address ...�').�... S�C.m '.. .....1���fS?.S.T '� �tt��G�jo�l/ �i►.��.e,S� �,a,Jz�/fry�.t a'�3 s Name of Builder ................................Address : ... '. .?.f�.1.T..�2✓ ....Gl>,.�! nlO..v..Tf�......... Nameof Architect ....................................................................Address .................................................................................... Numberof Rooms .... ..........................................................Foundation .............................................................................. Exterior .....A11A.....................................................................Roofing" .110�lz oofing ./0�lz........................................................................ Floors .......� ......................................................................Interior ..../V/i�................................................................... Heating ... .. .. . ..............................Plumbing .................................................................................. Fireplace ...... ....I..........................Approximate Cost ......���................................. pp 'l./.�.1��?.:�....................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area1...... 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 Regz:W4;z garding the above construction. ...................................... Construction Supervisor's Licensx.gae4�........................ FREDERICKSON,. FRANK E. 4No Permit for ...Swi.r.ra i n 9..RQ.Q - Location ...2.6..E lMqr. .y....................... Barns a ............... U.9........................... Owner .....F.ra.nk. . E.. ......F.re.de.r,ic.k.s.o.n...... .. .... .. .. Type of Constructi&v;r---'-......--. .................. ............................................................................... Plot ............................ Lot ................................ P 87 Septemben.25.,19Permit Granted ............................ . ..... . Date of Inspection ..... .... . ...........19 Date Completed, ........Ai........ .........19 Q v i /. 828 ,gce�3 0 W �y � •J 6 "14 Ti In 44��� te • �', •as �\ F � ffeA Wei- �i�inus7�9a� Mi9ss. .o �� CI�HH�9��iD Mst3S . o �iL S I cE�n� rt/�ar TNer /sn�vG 5>1 .4COciV4DOQ-W Al SA6wAv av 7,Yi3 Lo cArz-z> a.v uA.a J s}s .7,�fo w.v yre��a ry -QsLa 77�, 7a 7W4C-- SE7,54C, oa - _ a� BHrr1.vS7A8LE: G��.G j ova S,.CVpyo,- I Assessor's offioe (1st floor)-' _ Assessor's map and lot number .....//.5.. ` ...��3FTNETo` Board of Health (3rd floor): - LI�r /�f`"til. Sewage Permit number ..�'1�. .-. . i Baaa9TsnLE. S Engineering Department (3rd floor): ob rb 9• Housenumber .........................................................:.............. �nraYd' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00' P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....C.c4.v .r!I.u c..r...... ....5 ct X 6a m!:.............................................. v { TYPE OF CONSTRUCTION ............:....... ................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following,information: Location ....... WAY......GCS.. A.1Q .e?snf AC C......................................................................................... ProposedUse ..................................................:.................................................................. Zoning District ......:....r•.............................................................Fire District ...(�•... ...A.(.lN:�.�r.4Q,�.t`�"................................ �tJ �/1 EO Ems/l G/!/ 1. E21 lt> !,� gi9iL Name of Owner���.A.....�.............................1.4"5...................Address .............. �./.'�..,,...�`.......�i1,�:........ ........�S,T.:3�« Name of Builder PoL_5................:.......:.......Address . . ...C //lu. . .iCJ.,... :.y!�llsylvv..T1�......... Name of Architect .::.............. ...........................Address Numberof Rooms .... /. ...................................................Foundation .............................................................................. a Exterior ...... ,��.. .......' ......... ...............................Roofing 011`�4 .....w1�' .... Interior .... / ................:.......... ....................................... Floors ... s Heating ... /�j.................:...................................................Plumbing .............................................:...................................... Fireplace ...... ..................................................................Approximate Cost .... Definitive Plan Approved by Planning Board ________________________________19____ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 'i 1 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. L—N e . . .... ........0.. ......................................................... Construction Supervisor's License C.2 �OJ� .................................... FREDERICKSON, FRANK E. A=195-028-043 q,3 No 31232. Permit for ..Swimm.ing...1�q.Qj ....... ..... . :Single.'Vamil Dwelling,,,,,...,, Location .....2.6..,.E.1me.rs....W�KY.......................... . .. .. ....... .... ... ...................W.e.sl...BA.rn.$.t.4.bllp..................... Owner Frank E.(,�'...]F)�ederi ........................ ........... Type of Construction ......Gu.n.i.t.e.......... .... .. .. . ... . ........... ................................................. Plot ............................ Lot .................. ).......... Permit Granted Sept......2.5.,............19 87 Date of Inspection ....................................19 Date Completed .......................................19 Assessor's offioe (1st floor): ✓ 7 Assessor's map and lot numberQ�oFTNETo�` Board of Health (3rd floor): . Sewage Permit number ......a.......................... ............ :.... : Z BAHd9T'SDLE, Engineering Department Ord floor): moo "639- e0� Housonumber ........................................................................ 0mo APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00• P.M. only TOWN OF BARNSTABLE BUI-LDING : INSPECTOR APPLICATION FOR PERMIT TO •.••.••..•••••,,,•••••••••••••. .....................................:............................................. TYPE OF CONSTRUCTION " e�Z�" _._....... . ................................................................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a permit according to the following information: Location ...a.6....C.z.�'Y.6176...40.,Ik......W.. Ai9.�1�67..R.440r............................................................................................... .��A�� . Proposed Use .... ............1....�QE.�.��!4.�........................................................................................................:................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner !9�h.�F� /JI7Er�l.rfC�)ly►�..............Address r�' ,t)fc /!EA' 2/'C f� oat/ 9�B�Z�fIE�STi �.vOuCPL�/ �? .......... Nome of Build'e'r .....•............... ..ti............0.�............. .............Address .�.......................................................� Name of Architect ..... ...v .......................Address ...........9[!ltl..../1.Qr..../ j�itS.l !W�.s�i/..�1 ..,... Number of Rooms .. :.............Fovndotion ,......... . .. ................. Exterior .. ' .f9P..�tl��.d..�/.C�hi.r ..PE'�,9<.........................Roofing .. t..®..(7e..: .�1 ........................................................... Floors ..........Interior ....V1.0.fiatl!.5.A?w':b..................................................... Heating ..............lk-l/k...........................................................Plumbing ...y//� ............ R ................................................ A Fireplace pp K p................. .....................:.................................A roximate Cost ...........�.G UO, Definitive Plan Approved by Planning Board �. �__r_/__`z___--------19_ Area �( >�....�. .......T..-.. Diagram of Lot and Building with Dimensions Fee �0 ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH J� 1 ` � 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. F Name .........:./ ........J.�.......................................... t Construction Supervisor's license .................................... FREDERICKSON, FRANK G. A=195-028-043 Sys--o�� Z-/ No Permit for ...Addition ......................... ...... ...D.w.e l.l.i.n.q......... Location 26 Elmers Way ............................................................... West Barnstable Owner .......Frank...G.......Frederickson. . . .... . .. .... .. .. .. .. .. .. .... .... .. .... Type of Construction .......F.r.am.e...................... ............................................................................... Plot .................. ........... Lot ................................ Permit Granted .......N.ov.emb.e.r... 19 87 .. .... ....... .. .. Date of Inspection .....................................19 Date Completed ........................... ..........19 lee