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Cape Save Inc.
7-1) Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
11/10/2014
Thomas Perry CBO
Town of Barnstable
Building Division
200 Main St.
Hyannis,MA 02601
RE: Insulation Permits
Dear Mr. Perry
This affidavit is to certify that all work completed for 169 Main St./Rte 6A(#201308120) has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
NOIStn10
h :CI Wd .Z 1 AU'N b6v
918V1SNVO dO N#.01
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
D-C)
Map �!� Parcel Od Application 1
Health Division Date Issued
Conservation Division Application Fee J#':2 SkU
Planning Dept. Permit Fee a6,
Date Definitive Plan Approved by Planning Board -
�J
Historic - OKH _ Preservation / Hyannis
Project Street Address
Village f--all-t"WS 7&
Owner u e c4 o` Address S t� QS �' �f✓
Telephone SV j ` 0
Permit Reques ���✓ S�Ct, W Q.ttI m (�
ML et -) fill
G✓l,S (.<, cc� i cT� O Cywl.uJ� W�t� ,
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuatio Quo Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach eyliportingmcudntation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) .._.,
cn
Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings ighway: Q YeLs3 ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) ra ?
Number of Baths: Full: existing new Half: existing newo r"
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name V91 A4, C4 61)e Sa4l� Telephone Number
Address' C ��`v l '4 #v e, License # G O°Z
Ua )4 oow �LS d'�- Home Improvement Contractor#
VU
Worker's Compensation #TwC3AY:3 Q'(p 1
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YQ✓�'`'LJ `�
SIGNATURE DATE ``
r
r
IIe.
lx •
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
,. MAP/PARCEL NO.
'I ADDRESS VILLAGE
OWNER
1
DATE OF INSPECTION:
'a AFOUNDA-TI.ONiu U...14L,
FRAME
5,
dNSULATION.�-
: FIREPLACE
F
}
ELECTRICAL, ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL '
ti •
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
Building Permit Authorization
I, .Ruth Bechtold `` as owner
hereby give my permission to
Cape Save, Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Office:508-398-0398
to take all necessary steps to obtain a building permit to
perform work at my property located at
169 Route 6A
West Barnstable, MA 02668
Signed
V- '
Date
a I ;Print Form y J
f f The Commonwealth of Massachusetts
Department of Industrial Accidents
Ka Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Cape Save,Inc.
Address: 7D Huntington Avenue
City/State/Zip:
South Yarmouth, MA 02664 Phone #: 508-398-0398
Are you an employer?Check the appropriate box: Type of project(required):
17 4. ❑ I am a general contractor and I
l.❑✓ I am a employer with 6. New construction
employees(full and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. ❑ Remodeling
2.❑ I am a sole proprietor or partner- These sub-contractors have ,
ship and have no employees 8. ❑ Demolition
working for me in any capacity.
employees and have workers'
comp. insurance.+
+ 9. ❑ Building addition
[No workers' comp. insurance 10. Electrical repairs airs or additions
required.] 5. ❑ We are a corporation and its
3.❑ I am a homeowner doing all work officers have exercised their l l.❑ 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 13.❑✓ Other Insulation
employees. [No workers'
comp. insurance required.]
*My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Technology Insurance Company
Insurance Company Name:
Policy#or Self-ins. Lic.#:
TWC 3353968 Expiration Date: 04/09/2014
Job Site Address.
ff City/State/Zip�_/,
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury tl at the information provided above 's=and correct
--
Si ature: - - - - -
_
Phone#: 508-398-0398
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
ACORU® DATE(MMroDrvYYvI
CERTIFICATE OF LIABILITY INSURANCE 10/22/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements.
PRODUCER NCAOW,,eCT Colleen Crowley
Risk Strategies Company PHONE (781)986-4400 AC No:(761)963-4420
15 Pacella Park Drive
Suite 240 INSURERS AFFORDING COVERAGE NAIC s
Randolph Ili 02368 INSURERA:Selective Ins. of America
INSURED INSURERB:Safet Insurance C(apany 33618
Cape Save, Inc iNsuRERc:Technology Insurance Company
7 D Huntington Ave INSURERD:
INSURER E:
South Yarmouth M 02664 INSURERF:
COVERAGES CERTIFICATE NUMBER:CL13102268490 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED: NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE D POLICY NUMBER MM►,SUBREFF MPMJ�EXP LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000
A CLAIMS4viADE a OCCUR 91994480 0/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY X PRO-JECTX LOC $
AUTOMOBILE LIABILITY COMBINE15 SINGLE Ea accident _ LIMIT 1,000,000
ANY AUTO BODILY INJURY(Per person) $
$ ALL OWNED SCHEDULED 6208200 1/6/2013 1/6/2019
BODILY INJURY(Per accident) $
AUTOS X AUTOS
X HIRED AUTOS X NON-OWNED i PROPERTY DAMAGE $
AUTOS Per accident
$
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
A EXCESS LIAB CLAIMSAIADE AGGREGATE $ 1,000,000
DED I I RETENTION$ sit S1994480 0/16/2013 0/16/2014 $
C WORKERS COMPENSATION Officers Included for X WCSTATU TEN
EMPLOYERS'LIABIUTY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN overage E.L.EACH ACCIDENT $ 500,000
OFFICERIMEMBFR EXCLUDED➢ FN1 NIA 3353968 /9/2013 /9/2014
(Mandatory In NH) E.L.DISEASE-EA EMPLOY $ 500 000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LMIT $ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required)
Weatherization Specialists
GL: Blnkt AI, Blnkt PNC, Blnkt WOS, Per Proj Agg, Per Loc•Agg / GL Exclusions: Snow & Ice
Removal/OCIP/Wrap Ups
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
chael Christian/CLC '��
ACORD 25(2010105) O 1988-2010 ACORD CORPORATION. All rights reserved.
INS025(201005).0l The ACORD name and logo are registered marks of ACORD
t 'Massachusetts -Deoar rnent o;Public Safety
Board of Buildina Reaulajions and Standards
Construction Supervisor Specialty
License: CSSL-102776 _
WILLIAM J MC C3.USIKEY. . `
37 NAUSET ROAD
West Yarmouth NIA
Commissioner 06/28/2015
�i eur4Office of Consumer Affairs andness Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
-_" Registration: 171380
_ -- Type: Corporation
-- _ Expiration: 3/14/2014 Tr# 222184
CAPE SAVE INC. -
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE - -
SOUTH YARMOUTH, MA 02664 -
Update Address and return card.Mark reason for change.
- i Address i j Renewal ❑ Employment i i Lost Card
:)PS-CAt'u 50h9.OS/04-Gt01216
�e �wr:,nzcozcaealCl c��•l�absarl uaettc . .. _ . . .. _ _._ _.. -
Office of Consumer Affairs&Baiuess Regulation License or registration valid for individul use only
,'-HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
-, Registration: .'171380 Type; Office of Consumer Affairs and Business Regulation
P' Expiration: 3/14/2014 Corporation 10 Park Plaza-Suite 5170
= Boston,MA 02116
CAP€SAVE INC.
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE_.---'',
SOUTH YARMOUTH MA'-02664 Undersecretary Not valid wit signa
The Town of Barnstable
Department of Health, Safety and Environmental Services
KAM Arm. t Building Division
ds¢��� 367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Home Occupation Registration
Date: P. C1 q,'
T
Name: 41- ,,.-T `REc472)1-2 DEiA S u 6�sr1T !S I SEYLUIC
Address: I[^ Village: W,'Ru Rr,�,�t.6
-- —T—
Type of Business: Tz r�P f s�—, Sr6U tC 4 Map/Lot: 2 S
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 volumes;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. r
• 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 materials 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: 61 - Date:
[ ] [R111 025 . ]
LOC] 0169 WEST MAIN STREET CTY] 05 TDS] 500 WB KEY] 54256
----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0
BECHTOLD-IMHOF, RUTH MAP] AREA] 88AB JV] MTG] 0000
169 ROUTE 6A SP1] SP21 SP31
UT11 UT21 1 . 12 SQ FT] 1793
W BARNSTABLE MA 02668 AYB] 1975 EYB] 1975 OBS] CONST]
0000 LAND 44500 IMP 82900 OTHER 3200
----LEGAL DESCRIPTION---- TRUE MKT 130600 REA CLASSIFIED
#LAND 1 44 , 500 ASD LND 44500 ASD IMP 82900 ASD OTH 3200
#BLDG (S) -CARD-1 1 82 , 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#OTHER FEATURE 1 3 , 200 TAX EXEMPT
#PL 169 W MAIN ST RESIDENT'L 130600 130600 130600
#DL LOT 2 OPEN SPACE
#RR 1813 0160 COMMERCIAL
INDUSTRIAL
EXEMPTIONS
SALE] 06/95 PRICE] 1 ORB] 9709/188 AFD] I A
LAST ACTIVITY] 01/16/96 PCR] Y
R111 025 . A P P R A I S A L D A T A KEY 54256
BECHTOLD-IMHOF, RUTH
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF
44 , 500 3 , 200 82, 900 1 A-COST 130, 600
B-MKT 136, 400
BY 00/ BY /00 C-INCOME
PCA=1011 PCS=00 SIZE= 1793 JUST-VAL 130, 600
LEV=500 CONST-C 0
----COMPARISON TO CONTROL AREA 88AB -- --MAY NOT BE COMPARABLE--
NEIGHBORHOOD 88AB WEST BARNSTABLE
PARCEL CONTROL AREA TREND STANDARD
101 10 LAND-TYPE
445001 LAND-MEAN +Oo
1306001 97303 IMPROVED-MEAN -150 2501
] FRONT-FT
1] 100 DEPTH/ACRES TABLE 02
1001 LOCATION-ADJ APPLY-VAL-STAT 1
LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES
COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC
FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- ( ] XMT[?]
R111 025 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 54256
000000001
PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT
[B18067] [11] [75] [ ] ] [ ] [01] [78] [100] [NEW ] [WB 11/2 ST]
[B21757] [10] [79] [ ] A ] [ ] [01] [81] [100] [NEW ] [WB GARAGE ]
[B23553] [10] [81] [ ] ] [ ] [01] [82] [100] [NEW ] [WB ADD'N ]
[ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ ] [?)
Map Parcel , Permit# 3 ;?- C/
House# Date Issued 711
Board of Health(3rd floor)(8:15 -9:30/1:00-4:39)aP
Conservation Office(4th floor)(8:30-9:30/1:00 2:00)
cd
Plammrg-Dept.(1st floor/School Admin. Bldg.) - 'IKE rp;�
Approved by Planning Board 19
• _ BARNSTABLE.
MASS p
��fD FAAt p`bv
► TOWN OF-BARNSTABLE
Q (� Building Permit Application
Project Street Address 1(0 l 0Lj( , C0oh MAJAJ (/J9,qS--r , AYWS rFN3trf'
Village
Owner r Q tA'� {�FCC:o 14 —T:ul hop Address 5~L _
Telephone .S"o Y/3 6 2, -61 3/
n
Permit Request ! 2 X A0 S6,e IN
First Floor t 9 a square feet Second Floor ak.�r- square feet
Construction Type Pv 5 4- /3 ez
Estimated Project Cost $ _ goo
Zoning District Flood Plain Water Protection
Lot Size 414 pd o aq./,�; Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Ur Two Family ❑ Multi-Family(#units)
Age of Existing Structure 6 W!a Historic House ❑Yes 3-Ko On Old King's Highway p,Yes ❑No
Basement Type: ❑Full ❑Crawl pWalkout ❑Other
Basement Finished Area(sq.ft.) - Basement Unfinished Area(sq.ft) YB o ±11,
r�
Number of Baths: Full: Existing New Half- Existing / New
No.of Bedrooms: Existing_JNew
Total Room Count(not including baths): Existing -7 New First Floor Room Count 3
Heat Type and Fuel: ❑Gas 3�61 ❑Electric ❑Other
Central Air ❑Yes (3/No Fireplaces: Existing New Existing wood/coal stove ❑Yes 91,No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
31None ehed(size) /D X/V
T
tether(size) 1ycm5W /, �XJXV
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes �o If yes, site plan review#
Current Use Proposed Use
Builder In o�aattion —t'
Name a V7 ele hone Number Sob 721 J d 0
,/� .� p
Address 13 ��D[���j /ZDe License# 4572
it if dV7 Home Improvement Contractor# 6q,374
Worker's Compensation# WO, 3 3�j.�8
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE ATE 7
BUILDING RMIT DENI D FOR THE FOLLOWING REASON(S)
70� �� VU
FOR OFFICIAL USE ONLY
PERMIT NO. V `
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE -
OWNER .. } •.
DATE OF JNSPECTION: — 1
FOUNDATION r
FRAME '
INSULATION
FIREPLACE -
ELECTRICAL: ROUGH FINAL
r
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
a f ry 1— r
DATE CLOSED OUT _ • . ` -
ASSOCIATION PLAN NO.
r
' Application to `+
Old Kings Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470.
Acts and Resolves of Massachusetts. 1973. for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: 0"'New Building ❑ Addition ❑ Alteration
Indicate type of building: ❑ House ❑ Garage ❑ Commercial M'Other.
2 Exterior Painting: ❑
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE a/ U
ADDRESS OF PROPOSED WORK J bq YU CST &y-JuST141-r In'ASSESSORS MAP NO_
OWNER Allf� B1'-*TOLt9--T2171VVE - ASSESSORS LOT NO. 0�
HOME ADDR ESS ��� ,6!4 d'U Sr 8!},Cw5�i913L .1yll¢ _Q��� TEL.No. �' 36a -4'3f
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
�p 4 pf X * 1_,4u2.ow� /S/ � -'Q�tr ��� v`'ESi ga4fiPwsrr4$� YYIx� o� 66P
t-1 ow' O /P Xn+.c.i-e 4if • EVAg S l770
Qit�d- t/DwxX- #441e- 60 W Sr�2�+r�S�igQ1F.y11/�
fM*,l �ddn, 3 Q�/� dH.d pi9_. 57aws wf,1/s
rfe C-40h phr r e, &2
AGENT OR CONTRACTOR OU 091.2�Af ®2od.�,cc7� TEL NO. -OF 2-2 �f' 007
ADDRESS 311q ljrQj2eaii->4 bod mv-MIS �1l4
(
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side),including
materials to be used,if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed
locations of new signs_ (Attach additional sheet,if necessary).
ia'x�� ' at D.l�rl�s mN t�
� ` S
L u ` -, Signed
p h9l. Owner-Conttact r-A t
g ow 1ine4or-Committee use. �aQ
D Recei`. d D.
6�4
Certificate i herebyDate
Date, 2 119%
Time
TQ�I/N QF RN TABLE
ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION
FOR A CERTIFICATE OF APPROPRIATENESS
j The.four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a
separate form).
1. EXTERI,OR BUILDING.CONSTRUCTION (new or existing buildings): An.application is required for any exterior of a
building to be erected or altered including windows, doors, siding, roof,light etc., that will be visible from any public street,
way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition —show
existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or
alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground.
2 EXTERIOR PAINTING: An application is required for any portion of a building,structure or sign to be painted that is
visible from a public street, way or public place. Color samples must be attached to these applications. An application is not
required when repainting existing colors, changing to white,or using colors approved by the Town Historic District Committee.
3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the
following exceptions:
a. Existing signs or billboards on,November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate
of Appropriateness.
b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are '
removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from
the Act may be allowed with the prior permission of the Committee.
C. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are _
erected or displayed.
d. A single sign of not snore than 1 square foot in area showing the name, occupation or address of the occupant of the
premises on which they are erected or displayed in a residential zone.
4. STRUCTURE: An application is required to build of alter any structure within the District which is defined by the Act as a
combination of materials other than a building, sign or billboard,but including stone walls,flagpoles,hedges,gates,fences,etc.
GENERAL REQUIREMENTS
S. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town
Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act.
6."No ghanp s shall be made from the original-approved specifications without advance approval of the Commission on an
°amended applicat o'-n- 'led with the Committee. C��'�� •� 4'�
7. A separate application must be filed with each project requiring a Certificate of Appropriateness.
8 Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation,
chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters—leaders, roofing and paint color.
9.•Unless application is complete and legible and all material required is supplied,application will not be accepted or acted upon.
Copies of the Act establishing the'Regional Historic District may be obtained at the Town Hall.
• � 66VRi 1�
Lad!a.F9= R NST�AiE .. r... g BV ea . .,,PP 'k ls..n,9 ,! d Ist k.....r. d... .,
iai.9,.....
C*u*CoM o No. ... its�3ook.....".........gage.. .�a .Barnstable,Rego, o f„D 5
.ii{P.c......
+P�.F..c.. aeeti,a9e
f Land iin Barnstable by L C9 Lattmer° AssWates -_ Riar� kart' .....so....diFY99_..
�r yM... .�an�. 1.$ft972
.. . .ee.e»•r .,.u.ue �M1�� � ...rr - P......�.... •••
Barnstable of Duels, in lalae� Fi2FP P �9�hla.� Riff . i •iii33FF9Bi4Pf�..
..au..,..........r.....' EJ a,,re:eai ....,.... cia ....e
1
JMt> GE 114SPWri M PLA14 MctVULTY G HOPKI NS, P.C. Modfied:5120198 JHB
Ruth M. Seotottcfd-Imhof
;homas J. MeNulty. Jr.. Esquire
I r
k
i�.
w -
17
Qta
Proposed I d {� 16'
Shed t3.5' D„`
12'X 16' l love pf
Neb _
C
F.W.T.i
7P
LEAW F8D
9.a Ir1
F......O.I.p
170' 4.
May 14,1988 /+ /�
V7
7 z7 O z�
6 a7
{
t JAR,&
J1
120 Great Western Road (508) 760-4500
P.O. Box 708 �� Fax (508) 760-4930
South Dennis, MA 02660
Toll Free 1 (800)368-SHED
d PRO 7433
58550
DEPARTMENT OF PUBLIC SAFETY 58550
U1v ONE ASHBURTON PLACE, RM 1301
BOSTONj :MA 02108-1618
CONSTRUCTION SUPERVISOR LICENSE u0
Number: Expires:
: Wf SAIACIO
Re
stricted To: 1G
D D
JAMES D. MCGRATH o Detach bottom, fold sign on
PO BOX 708 � `back, and laminate license card.
S DENNIS, MA - 02660 Keep top for receipt and change
of address notification.
HOME IMPROVEMENT CONTRACTOR .
Registration 109374
Type - INDIVIDUAL
Expiration 09/11/98
PINE HARBOR BUILDING CO.,INC.
JAMES D. Mc6RATH
,�_ BOX 708/120 GT..WESTERN RD
i
PD"' T R S DENNIS MA 02660 .
G./ / t ICJ w
>, V
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
e - ... ,�.._._ •.. �-.-* - era.-r-n+�+may.+..-..�=�2...r��s��cYi=E4� :�. t�_+'�;�•vq.r..-.:
licant informaiion TI'fcAsl�fi'�` ti-• �� = •r� =�`r..-..•a
location:
CJl\. phone J
O 1 am a homeowner performing all work myself.
0 1 am a sole proprietor and have no one work-ins in any capacih•
l am an employer providing workers• compensation for my employees s�orking on this job. A
cnntn'tny name: C�Ct'w P — i` �2e�ULI. OfrQ. MA �Ine �&r Woo / 1 D CedixTs
address gyphone�CZr�nIC` l9Q�X
a. '0g TZL — 'Oo
insurance co � �,e)G36' 3 ? -
O 1 am a sole proprietor. general'eontractor.or homeowner(circle one) and have hired the contractors listed belo\% s%ho have:
the follo%%in�g,workers' compensation polices:
tsinranti•n•
cc•
tJ.L
phone of:
-
oolit�•N
compi
n
phone fl• _
city:
o eo(icv q
Eta a on'A J-1Q lrVZ
Failure to secure coverage as required under Section 25A of StGL IS2 e:n lead to the imposition of criminal penalties of a fine ar to Sl.e.^^^^ "�"
one years'ltnprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. i understand that a
copy of this statement may be fora arded to the Mice of investigations of the DtA for coverage veriricatian.
/do hereby certify under the pains d penalties ojperju t e in provided above is true and correct
Signature t Date
Print name (� Phone 9
:- o(ricial use oniv do not s+rite in this area to be completed by city or town official
city or town: - _ _ permitAiccnse if rl8uildiag Department
0Llcensing Board
Qselectmen•s Once
O check if immediate response is required 01tealtb Department
phone p:_ - othcr�
contact person: -
'Suggested Affidavit for Home Improvement Contractor Permit Application
For Omce Use Only NAME OF CITY/TOWN
Permit No.
Date
AFFIDAVIT
Home Improvement Contractor law
Supplement to Permit Application
MGLc.142A requites that the"reconstruction.alteration.renovation,repair,modernization,conversion,inprovement,removal,demolition,
or construction of an addition to any pre<.dsting owneroccupied building containing at least one but not more than four dwelling units....or
to structures which are adiacent to such residence or building"be done by registered contractors,with certain exceptions,along with other
requirements. /� ,�
Type of Work: cc ISiyv Gh o r) o� f Q MJJ 113e-C'y)4tt� Est. Cost/d,As oa
1r ,M �
Address of Work / b irf��� sT• W P51- i34Ai057,+1?LF4 0 taxI6� .
Owner Name'✓ 1�tJ�`�-� y�'►'l�/(� y j7t 7 o/'
s
Date of Permit Application:
' I hereby certify that:
Registration is not required for the following reason(s):
r
_Work excluded by law
_Job under S1,000
Building not owner-occupied
_Owner pulling own permit
_Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL
c. 142A.
Signed under penalties of perjury:
I hereby apply for a permit as ag�t �t n r:I " -
7(J
Date tractor Na a Registration No.
OR:
�IAL W r
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property:
Date Owner Name
r -
a
jil
-171 1:7Z
ir1771
�.LC
rad. -
,.�.�
K
O H '
0
V
i
1
����.•: , - �'� - ':.ice., _ .. � -' .. - ti`• :��.1:r_,�.'... •_.
IND
V , t in i
---- - � � _• � ;fit ;
O L
- --- ---cam..__._ ._._. r.— •-- ..._L - -�- --------70 -----•------. .... - _ ...... _ .. ... - --•--...- - -
SHEDS (greater than 120 sq. ft.)
If located in O or Hyannis Historic District-Certificate of Appropriateness is needed
Map/parcel umber
d'
Sign-offs fr7th
He
Conse atio
Tax Coll o
Owner's nam & d ess
Shed Dime s. ns
Estimate Cost
Complete dwell' formation for the Assessor's dept.
Applicant' tel hone number
Plot an
Two sets of pl s with cross section
ork"an's�Comp/Iform
ome Improve C ontractor's Affidavit
Construction Super's License AND Home Improvement Specialist's License
OR
Homeowner's LicensXemption form.
Check expiration date on license(s)
�ck expiration date on license
Fee'
i
NOTES:
SHEDS 120 sq.ft. or less-(RESIDENTIAL AND COMMERCIAL), do not require a Building Permit
BUT Registration form and Plot Plan are required
If located in OKH or Hyannis Historic District-Certificate of Appropriateness is needed
PLASTIC,FREE-STANDING GREENHOUSES DO NOT REQUIRE BUILDING PERMITS.
q-forms-PERMITS 1
Rev 6/2/98
]PINE H A\1K IN 0 ]R, W 0 0 IDS IPRO IDS U[ C IF S
Post and Beam Garden Sheds
! f F
Salt Box Design
6'x 8' $ 800
I � 8'x 8' 850
8'x 10' 1050
8' x 12'. 1170
# 10'x10' 1320
10'x 12' 1420
10'x 14' 1690
ohm 10'x 16' 1930
IT x 121 1640
12'x 14' 1980
` 12'x 16' 2300
Storage Sheds
Even Pitch Design t - All
Have Many Uses...
6'x 8' $ 880 i R .. ' 1 , •Riding Mowers
8'x 8' 920
8'x 10' 1130 i " lI 6;, •Workshop
8'x 12' 1280
10'x 10' 1420 • Garden Tools
¢ .
10'x 12' 1530 •Garden Tractors
10'x 14' 1780 •Outdoor Furniture
10'x 16' 2040 t
12'x 12' 1760Motorcycles
12'x 14' 2160 • Pool Supplies
12'x 16' 2480 Q`�E1tAR80,P Bicycles
. y
• d.g
259 Queen Anne Road 344 Yarmouth Road (Willow St.)
Harwich, MA 02645 Hyannis, MA 02601
508-430-2800 OOP PRO��G 508-771-5007
1-800-368-SHED (7433)
The Outdoor Storage Specialist
Licensed • Registered • Insured
J,g
i
j� - `k•�Ly.C6 �" Y
$ j
FOOD PROO��
r «s
a ,i ��w
Since 1950 Pine Harbor Wood Products has built thousands ''
of post and beam sheds throughout New England. ' �:I ` '`o ��y,.�
Our family owned and operated business would be pleased
to quote you on one of our designs or c•ustoin design of your �• ;fit''
choice. €i ,,
!;
All of our quality crafted storage sheds are.fidl dimensional,
sawrnilled pine. We deliver and construct our products at an
affordable price and on schedule. u
Sheds are precut at our shop and usually assembled in one
day on your site.
Thank you for your interest in our post and beast buildings. ' +�
Please call us for-more information.
Ind .�-•,
Our post and beam sheds are built on your property.Our
standard sheds come with: *
•Concrete block •Handmade oak handle � " `'�, r�r t• �� I; �, ' t
•5/8"plywood floor •2'x 6' Pressure treated floor framing
•Ramp •Stationary window
•Post and beam frame •Shutters and flower box t r r
wy 3FL
• Board and batten siding •Asphalt shingles4
t al.,
•36"door •8"x 12"louvers for ventilationAl
"•�, t k, , xJLr , t ? l f
•Heavy duty hasp
Available options to further customize your storage shed:
•Double Doors •Extra Windows :
•Higher roof pitch •Longer Ramps
•Double hung windows •Loft '
•Cupola •Cedar shingles
•Cedar clapboard •Sona tubes
•Work Bench •Shelving ' r .
Give us a call for pricing on options. j
+]Y9
•Please check with your local building department regarding r.
permit requirements, setbacks and other regulations that apply. "
(E-
• Payments are due in full the day of delivery. Credit card sales `
must be processed before the delivery. No exceptions.
� n
•We ask that you properly prepare the site location on which the
shed is to be constructed.Trees, shrubs,and miscellaneous items
need to be removed before we arrive to do the building.
•Please notify us in advance if the site you have chosen is not WARRANTY
accessible by truck,or is in excess of a 50 foot distance. Sheds Pine Harbor wood Produces provides you with it Limited One(/)
are built on location for your convenience. Year Guarantee againsi defective materials❑nd workmanship.
•All sheds come in natural pine.We recommend staining after Daman e by accident.neglect or n:uu,;,l disaster is mn incliided ill
this guarantee.The warr:mly period he=ins upon completion of
construction to preserve the wood. construction.
/)�Assessorls map and lot number .. ...... �'
CF THE t0
• Dp ���
• ,�GlSewa a Permit number ...� '.lC�.:�:a...s TOC SYSTEM
INS TALLIED IN 't SB STADLE, i
kHouse number ...j... ,./ j. :. ......:................................:....., C014l1 Ll;:� R OAS& �
LNVIR �'Ul7l}� TITLE 5 °°Ai�oyaY.a��o
L CODE
TOWN OF BARNSWM -.-
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ........:# }'... ...... if:P&TJQAI.r
...........................
TYPE OF CONSTRUCTION ........ . . ........ ................................................... ..............
..........................fJ ...19.t
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
G l /n
Location .......I. .l..........r T....�?PT..................1�i4�,....,, 1��.s.l�.If ............M. ............................................
ProposedUse ....... ........................................................
Zoning District ....... ....t....................................................Fire District ...... ................................
Name of Owner Ad.............Address �.L. . �.1....1?
... ........ ....... ....:.. ............ .
Nameof Builder ..........%5.I��4!!!.4L......................................Address ....................................................................................
Name of Architect ....... 1!A.
. .,.......................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ..........9.61.rd.7 �....................................................Roofing ....... ....................................................
Floors lit%S�4?.'...........................................................Interior .......5. :r 7 .. C ..........................................
I
Heating ......fi...If.V.t.........C'.1.L....................................Plumbing .......NgNi...............................................................
Fireplace ...... d. ............................................................Approximate Cost ........'�` J!-6G:°`��
Definitive Plan .Approved by Planning Board ---------------_---------------19________. Area ......L37fc ....��7.....
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
4- 1 l
I S �lbo 2
0?4 14
G ? _
a�► Coe CP
6D
al�
ID
a�
I hereby agree to conform to all the Rules and Regulations of the Tow 7Bable regarding the above
construction.
Name .. ................................................
TEIRKELSEN, VEIL A.
23553 ADDITION
No ................. Permit for ....................................
Single Family Dwelling
............................... ......................
169 Re;+tre 6A
Location ................................................................
West Barnstable
................................................................................
Neil A Terkelsen
Owner ..........:Neil..A..TerNelsen........................
Type 'of Construction. ..........................
................................................................................
Plot ............................. Lot ................................
Permit Granted
October 15,9,-* 81
.... ; -9
............................... 11
Date of,lnspection� ?;?�........r?......19
Date Completed ........... ...... .....19
PERMIT REFUSED
I
.......................................................... .... 19 fl.
Ile
-ON
..........................................................w..................
V—
.................. .............................................................. F
.................... ..........................................................
Z5
................................................................................
Approved ................................................ 19
.......................................................................
...........................................................................
/P A-Assessor's map and lot number .. //... . ..............
gyp*TM E T0�
t?Itsewage .Permit number ... /YW...�tn,��r....:.,�
Z BAREST LE, i
House number ...�... MAB6
A 9
................... i639_ \�00
�D Mo a
TOWN OF BARIiTSTABLE
BUILDING INSPECTOR
APPLICATIOW OR PERMIT TO ..........M ..... ....... .... ? .....-"',5IV..4...p.....A-Pb. jl'q.A�..........................
t.
E. TYPE OF CONSTRUCTION ..........WC_).D .... ......................:.................................................... . .......................
......:.:.................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......1-6z-f..........;(l T..... ? ..................( .,....;.! r2.1�!.S..f. � ............► ............................................
ProposedUse ...... ....eQ52 ..................................................................
i Zoning District ....... .....';'......................................................Fire District ...... .................................
Name of Owner .............Address .: �.G' J,,;,,1'��
Nameof Builder ...........�. d .........................................Address ....................................................................................
Nameof Architect ........ .5..........................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ........�H. ...................................................Roofing. ........ ....................................................
Floors [ADO.D. SF{S 7' !�C
........... ...........................................................Interior ..................�........�.......�..........................................
Heating ......:1'.....N...W............./0.i.Z.......................................Plumbing ....... ................................................................:
Fireplace ...... .............................................................Approximate Cost /1
Definitive Plan Approved by Planning Board ---_-------__-_---------------19________. Area ..`................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1' , <f1lvlsdG
3D
emu. mdtu
£XStSVN
L C-
I hereby agree to conform to all the Rules and Regulations of the Town/of, Ba.ns`t ble regarding the above
construction.
Name ....................
........... ...
TEBKELSEN, NEIL A.
V/L,^ .
. ^
.
^ '
No Permit for ----
'
`
___.Si__Ie.. .�D�ellio��___. ,
Location .l69_�oot��..6&__________
`
----- ..B�����ta�le._______. .
_
'
Dv,ne, ,..�eil']�_-------�—....................
Type of Construction --..����P��------.
--------------------------
`
Plot --------- Lot
.
.
.
'
. u�� .
��� Granted� ����
,
Date of Inspection" " /
' ~~'= q, ^p~'~~ ��'~ ^
' .
` '
. -
' . ~~~ I REFUSED
^
� ---� lq
! '
........... ----.�—. .. --------. .
e
—.-- .0�$^��.---.1...�.^^--------..
^� "
. .............................................................
�
, '----------_-------.-................. .
� ~
. �
�
-'�— ^` lQ
' ` -- r-^-------------
` |
. —..---.—..~...---.—~.—.---.-----, .
.
-----------------.------.-..
, .
- r
Assessor's map and'lot number f� �.12 5
..
Sewage Permit number .................................:........................
°*THE t°�. TOWN OF BARNSTABLE
P r
•
H9HH9TADLS,
"6 9 �•� },_ BUILDING INSPECTOR
gar a'
APPLICATION FOR' PERMIT TO .............................................................:...............................................................
TYPEOF CONSTRUCTION ...............................:.....................................................................................................
................................................19.
TO THE INSPECTOR OF BUILDINGS:.
"The undersigned hereby applies for a permit according to the following information:
Location ....... .........................................:......................................................................................................... .....................
ProposedUse ....................................................:...................................................................................:....................................
Zoning District ` -�' �.-- a�--...`�.........Fire District ...... ? ca,l...... ,.a:......................
Name of Owner ................................l �.� .!/ ... a� ....Address .... �1 .............. �2 / � ...
Name of Builder .... ...N-f M4. 1�S t�t Fr S/a Address ........ZSAIV h.L4hf0A
Name of Architect ....All f�: t Z'�?�C /SaS/1�......Address ......f�I„t f l��!�D i...... i� -����.....
Number of Rooms s......................................................Foundation � e.�.�`,)3
Exterior �Y1-I IA�l� l.S" S Roofing ...... .............................................................
Floors wr,5af1 .Interior �/�fs l 3mf-
:......................................... .......................................... ..........................
Heating ;-1,c? S ' t• /7T c.1 .`. 1?L Plumbing .. 'hA0 2 :Sri h,ot t/ �r_�'S r'ic W f.,Tf-7
........................................................ ..... ......... .. ......... .... . .. ....
Fireplace ....... t,�{1tfi1 Srrztls Mta K INK Approximate Cost � I���>�� .,
. .............:.......r. ......... .................. .........................................................
Definitive Plan Approved by Planning Board '4 _________19 _! �-. ., Area ... rD .+ ,
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH ` I
a z
V �
a c•I:~c�
' r
st,
17
7} �+
1 I
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ......A ./�^-...................................
• ... .ter-,�. � �.
Terkelsen, Neil A. =111-25
18067 1 1/2 story,
No ................. Permit'for ....................................
single family dwelling
Location Route 6A
West Barnstable
Owner Neil A.• Terkelsen
' Type of Construction frame,
l ........................ ...............................................
Plot ................. Lot ............#2 ..............
Permit Granted ...... ovember 21 -19 75
4 Date'of Inspection .....................................19
Date. Completed ..............................: '...19
PERMIT. REFUSED
ko 2 _
.... :�...... ....... 19
............... ......... r
.............. �° _ .� .. .,.. .7.
Approved ................................................ 19
................................ ...........................!. .....
................ . . ............ ..........
--{-'�—ram--f _ f.oL./7—
Jr
47+1
�1
3f 1 1 .u.�ry_�•--•l—_ .� f 1 .1 1 �1`� 1� / v` -1 �' { , T� .,�.�!!�'+=
{ / +' ;,�' I —� I I �•�.� y ;I : r�0� L¢G4774Y�1 �' �.,.....t� e,• *�lIE.MMM`'•••
� ` 1�, 4 }��".fi' .- ! '. ' , � I r -, ,�, � � . J ?�/s/�'SOkC.. �/T: .� . r. 1 -a•_• �;�+r�T
1 11114 � .I �.F.._
+ �!'r " ��-�•�-R —�- •r-^-'----4�--.j`-. { -r��/L'�/�.. C�7T r ,� .' ��-K� !�%�1/�r'1//!�/T!!-Y.�-.._..� —.� .:.,._.t.,�_,r�,:.�� yam'`r, 4��.
so
e '
•f' /�r7 17 . 7" 1'NLY�
-� J7c7P,� f?�;�++/t? ,/D/r-- /V / l� r~k'
. 1 »'t'r'c �Y
; ; h'�'r4Whfis i i li i,AS'1F4,�,r �rt5
7454 7f , .Z'4W11y6l )FO;(4 4714;vys
T�NNtAl_ 1H OF,
9 -ALA
.,�.�:�...•.:_.,..._,; �., � � � � sr OkVlct�
. �
zs,,q Q /'1
'„'' ���--�.'�—..f.7+ ,' ,' �. - �FJS rs�.�-;�t��� � .I '. DYE 9�.- ,���`� -�,�..'���.1,►:!
^yt. w4,r-i:I-� a _ f 1 W`� q •' YIIY� T'.wi'f+h/TT:-:
SEPTIC SYSTEM, (,rPMT BE
,........ INSTALLED INCOMP4_IAPICE
Asses map and lot number ........1.. .....:.r.........
WITH ARTICLE 11 STATE
v �
Ya G/ �ll.�-/ /J, SAMITARY CODS N
Sewage Permit number .............................................. .. REGULATI:OM d
TOWN OF BARNSTABLE
ypi TN E TO
BJHY9tAM i
"AS` 61.111DING INSPECTOR
Op,o�i63q. `00 � ,
'EpYPYa' !«
APPLICATION�,'7FOR"PERMIT .TO. .........fl �.�. .... ....d7u? Ual1/Gi.........................................................
W TYPE OF CONSTRUCTION .........WO.OD. .... . ................................................................................. ................
/b )... 3.......192
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a/permit according to the following information:
Location .....CD. ... ............1�..i........f-.�................IWT..../.�gvd.rhau..............................................................
ProposedUse ........ � .1.'DX.14............. ......................................................................................................................
Zoning District .........Fire District ....... - r C3"la C.L
Name of Owner ..... jt:-...... ... J ..(�. �-J� QY.....Address 101..{ JrfQ P IJ .....................
Name of Builder .... ..........Address .......:�5.410..WAA..
...............................................
Name of Architect ..... /.Lo.....1 .... .IZ.l4� /Y......Address ....... �L.J .........��.rl.........ap./W
Number of Rooms ..... ......................................................Foundation ...... ........2. V.C./?.RA.............
Exterior ...\11AIN6.(If...15......C.Po t1.Tr...aEK4............Roofing ......!!.5AP�Lg ....................................................
Floors ...................................Interior c* s ( �'OC��
.....u?.oath......:.........:.................. ........�:.�....................................................................
Heating ......R12T.... ����..............................Plumbing ..�o®0�. .... cs,hinL�l.... ? t`(IC..WU�b'
Fireplace ...............5?A.0..tk...d1YOX....MO..G. VV-s.........e.....Approximate Cost .....!�...�.S7Cu00...... �.....................
Definitive Plan Approved by Planning Board -_-- --2-y-_---__ S•
------19--&�'. Area .........................� .
Diagram of Lot and Building with Dimensions Fee '
SUBJECT TO APPROVAL OF BOARD OF HEALTH
aj
V• �
W
O 3
J
p
I
I hereby agree to conform to all the Rules and Regulations-of the Town of Barnstable regarding the above
construction.
Name .... .. !..........................................................
Ilk
-
Terkelsen, Neil A.
No ��,..1.80.6.7... Permit for ...1...1/2...story tory........... ...... . ........ .
Angle family dwelling
..... ........................................................................
Location ...........Route 6A
.....................................................
West Barnstable
...............................................................................
Neil A. Terkelsen
Owner ..................................................................
Type of Construction ............... .frame..... ... .
................ Y'
................................................................................
#2
-Plot ............................ Lot ................................
Permit Granted November 21 75...............................a.........19
76
4'
Date of Inspection ........19
b,...Date Completed .........19
PERMIT REFUSED
................................................................ 19
...............................................................................
............ ...............................................................
.................................................................................
j
Approved ................................................ 19
................................ ...................... .......................
................................................ ..............................
Assessor's map- and lot number,......111.................�..�... .may u.; y:.,.v*`�.1� .. .:. .. .: ;. _ ,,
THE
N��;�,
Sewage Permit number
u ber ........................
33AR33TA.BLE,
House number
AS......!j�l......................................... ................... P &
039.
a mo
TOWN 'OF BARN-STABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......j... .... ........ .....................................................
TYPE OF CONSTRUCTION,.......�R.6hK............ ).a. ............................................................
..................................... .. 19.........
TO THE INSPECTOR OF BUILDINGS:
..The undersigned hereby applies for a permit according to the following information:
Location .......lj�J...........i2T 6 1+
.............................................................................................................................................................
ProposedUse ..... ..4j55:...... .........................................................................................................
ZoningDistrict ....... .............................................................Fire District ......#)....../� .........................
Name of Owner ... ....................Address .....
j-,A...........4v....
........................
Name of Builder ............ ..........................................Address .............N94
.Name of Architect ........5.6.44.j�............................................Address ..............51ctm,......................................................
Number of Rooms ..........��21.....................................................Foundation ......12!� R ]X 6a6KVIRE..........................
Exterior .......... ..........Roofing ......... .......................... 61 ....................
Floors .......... ......llloclnterior . ........; (-Lfr...124.0(............................................
Heating ..... .............................................................Plumbing .........NMI.,...........................................................
Fireplace ......... ............................................................Approximate Cost .....................................................
Definitive Plan Approved by Planning Board ---------------—--—-----------19-------- - Area .........................
7.P
Diagram of Lot and Buil'ding with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
.I
(46
o
I hereby agree to conf m to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...................... ..................................
Terkelsen, Neil 11.1 L 25
No .2.175.7.... Permit for ...CA r a&Q....................
...............................................................................
Location A69...Maia..St......................................
....W.-Barns.table...............................................
Owner ......N.e.i I...Terk.Qlaen.............................
Type of Construction .........C/liraj�et.(�...............
............................................... ..............................
Plot ............................ Lot ................................
N
Permit Granted .............bL-taber...25.....19 79
Date of Inspection ........................I............19
Date* Completed ....................... ............19
19
PERMIT REFUSED
...................................../...................... 19
..... .. ..... .
........... ....
... . . .. ......... ......... .................
...... ..... .. .............I.... .. ....... ... ..............................
U
........ . ...................... ...
......... ... .......
.............................
Approved ................................................ 19
...............................................................................
...............................................................................
Assessor's map and lot numbe I�.r...... ....LoT �� d/� / f��"2. 7 E
. ......... � ` Q�Of 7 N E Tp�♦
Sewage Permit number ..:'..:.........yl� :........................ MUM MU
WNW
C� TABLE, i
House number ......Et!9.q............................................................. 6 9�p rb 9 00�
lE1MVMtONMENTAL Coco a�
TOWN OF BARNSTI R99u'AnONs
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...sR. �L.I?.......,Vx. ........0 L6 r4r.....................................................
TYPE OF CONSTRUCTION ........5.7.7(ik............. ..:.. °C.f..t ..�i.�.�Rr...................................................................
......................... .(�!. .a .....19. .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......��.��....:...... ......!P.. .......................................................................................................................................
ProposedUse ..... ...... .......................:................................................................:................
Zoning District .•...... ..............................................................Fire District ...... ...........................
Name of Owner'..,!!'ffL.....T.-t4��L .*.gAI....................Address ��9 �- .0:.q. d. SJ
. . ........ ................... .... .............
Name of Builder ............10�M.51...........................................Address ...............: 41MI............
............................................
.Name of Architect ........ ..........................................Address .............r5i*ate.. ......................................................
Number of Rooms ......... ...................................Foundation Q�n�.................. ........ ..................Q.F ..F.......................
Exterior ..........Vhti.....C1,hEVI.L......SW.N4QL..........Roofing .........14SAPIlky�...........�j��!'.....................
Floors l,1��6 ..... ..�°G?. C' r....�.., .Interior ......7t.R-.ET...eoqeK............................................
.................... t
Heating .....�e.,Q.��� ............................................................Plumbing .........NAN.`,,............................................................
Fireplace ........ ...........................................................Approximate Cost .... .I.Z.Od.�0...............................
Definitive Plan Approved by Planning Board -----------------____---------19________. Area .3.....................................
Diagram of Lot and Building with Dimensions Fee 7.S
SUBJECT TO APPROVAL OF BOARD OF HEALTH
CIS
I hereby agree to conform to all the Rules and Regulations of the Town f Bar ble regarding the above
construction.
Name ......................... ..................................
Terkelsen, Neil 111 L 25
No .2-1.7-5.7..... Permit for ..........WPM..............
...............................................................................
Location .....j6.qL..Madn..St....................................
. .............WI-Barns-table......................................
Owner ....Ne i.1...Terkelserl...............................
Typ6 of Construction ........Concrete.................
......................................... ....................................
Plot ......................... Lot ................................
Permit Granted .......October 25,..... 19 79
......................
Date of Inspection .......19
Date Completed ....................... 19
PERMIT REFUSED
..... ... 19
.. ..... ...................................
....... .....
.1...............................................
Jul- M
0 Q.L................................................
C) 0
Appr fft ........% 19
0
...............................................................................
...............................................................................