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1754 OLD STAGE ROAD
r� i �I Q llll J��craEo UPC 12543 Now 53LOR WASTINGS MN Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 9/27/12 Town of Barnstable Thomas Perry CBO -� Building Commissioner 200 Main St. Hyannis,MA 02601 i� :q RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 1754 Old Stage Road,West Barnstable has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-19 cellulose under decking; R-30 cellulose rest Basement: R-19 fiberglass box sill All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U� Application�� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH_ Preservation /Hyannis CJn�b Project Street Address 54 o U e o a Village WGYi Owner Ca,akgn Address Ss Telephone Permit Request �� ce kU 05e, -1 o 4e IC . R i r SeAk 1- e, 4 G p�^oe i%v hosc onent LA �c nafl ns 4ash Square feet: 1 st floor: existing proposed 2nd floor: existing_ proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation r�0� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. r Dwelling.Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of 4isting Structure l 84 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new _ Half: existing r,a news C Number of Bedrooms: existing —new o Total Room Count (not including baths): existing new _First Floor Room,Count C_ Heat Type and Fuel: ❑ Gas M Oil ❑ Electric ❑ Other Central Air: ❑Yes ® No Fireplaces: Existing New Existing wood/coI stove: �0 Yes❑ No Detached garage: El existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: exilingEl ❑ rfew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 10 No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION M (BUILDER OR HOMEOWNER) Name C kwS{^�v y Telephone Number 50$ - 3 4 c� ' �3 U Address �'`� h-Q nh A00 �\Vt q�Q License # \fmt Y1P1 wst Home Improvement Contractor# Worker's Compensation # -TWC 3 31 1011 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO \ �C,tM_OJ 'h SIGNATURE DATE (� I �- r; I ' FOR OFFICIAL USE ONLY APPLICATION# t :DATE ISSUED } MAP_/_PARCEL NO. ADDRESS - VILLAGE OWNER - S ' DATE OF INSPECTION: ':,FOUNDATION 14 ; FRAME �21NSULATION . . } FIREPLACE ELECTRICAL: ROUGH FINAL r r PLUMBING: ROUGH FINAL ` ROUGH FINAL ;i;�FINAL.BUILDING , fF, jj .,'DATE CLOSED,OU.T ASSOCIATION PLAN NO. k fOUS T1`1G 460 West Main Street Hyannis, MA 02601-3698 S S I S TANCE ENERGY & HOME REPAIR T (508) 790-7106 F (508) 790- cORPORATION 2425 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: rr —E4�E_ fLL��Z AN ED' l TH1JT 7T 7 ARE n RE THEAPPLICANT HOMEOWNER. 1 / GC�4C?cY hereby consent to and agreethat weatherization work may be done by the VVeatherization Program of H ousing Assistance Corporation (herein after referred as "Agency") on the property located a�A t 1+ 54 S-t 0-cip- Theweatherization work done wiII be based on programmatic priorities and-availability of funding and it may include all or some of thefollowing measures: Weather-stripping& caulking of windows and doors, insulation of attics, sidewalls& basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows, In consideration of theweatherization work to be done at my home I agree to thefollowing 1. I give permission to the"Agency" its agents and employeesto travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The H ousing Assistance Corporation reservesthe right to inspect the fuel or utility bill for the weatherized unit on an ongoing basisfor no morethan five(5) years after theweatherization work.is completed. I have read the provisions of this agreement as listed and freely givemy consent. HomeOwner: (SSgnature) � Date Agent: (signature) Date HAG approved Weetherization Company : 5 v -C .All Cape Energy, Cabiber Building&Remodeling, Cape Cod Insulation, ape Save, reswebl Construction, Frontier Energy Solutions, Lohr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction The COM111onlvealtlr of iilassachitsetts e artrnertf of Ittdttstrial Accidents D P Off of Irtvestigatiolts _ 600 Wasilingtolt Street Boston.,MA 021I1. Qov/dia � luFnbers . 'vwtv'mass.b IContractors(Electricians ntY,e6ibly Workers' Compensationlnsurance idavit:Builders Pleasepr1 A lieant Information vC S n Name,(Business/Organization/indivi(Jual): o ddress: - D [�U,t►�'in kt)t1 �vG°`"� _ q a . 0 3 9 $ A pa.6b�l Phone#: 50$ 3 City/State/Zip: �� �o�ctno0.t� �R (required): Type of project(req ): to er?Check the appropriate box-I Are you an emp x a general contractor and I 6 New construction y 1 J] I am a employer with� have hired the sub-contractors � ❑Remodeling employees(full and/or part-time)' listed on the attached sheet. olition 2.❑ I am a sole proprietor or partner- These sub- Dem contractors have S: ❑ ship and have no employees employees and have workers' 9 ❑Building addition working forme in:any .capacity. comp insurance: 10.❑Electrical repairs or addrhons [No workers' comp. insurance 5 ❑ We are a corporation and its ❑Plumbing repairs or additions required.] officers have exercised their 11. 3.❑ 1 am a homeowner doing all work right of exemption per MGL 12.❑Roof repairs myself.[No workers' comp. c.152,§1(4),and we have no 13 Other t" \- VI on insurance required-]t employees.[No workers' comp.insurance required-] *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. 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 thepolicy and job site information. Insurance Company Name: TeG�n o 1 0 G n 'TW Policy�or Self-ins.Lie.�: C 3 3[ 0 0 Expiration Date: (4 I 13 Job Site Address: I S`4 <w Q taol Dt'_ 1 bl� r /1A/� City/State/Zip: -la I ' A 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 forcklarded to the Office of Investigations ofthe DIA for insurance coverage verification. f do hereby certify tinder the pains and penalties of perjury that the inhforhnation providedrl( l bove is true and correct. Date:Signature: 9 /\ Phone 4": 3 ODOR Official use only. Do not write in.tills area,to be completed by city or tmvn official City or Town: Permit/License icense Issuing Authority(circle one): 1.Board of Health z.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone 4u: AI�O ® DATE(MM/DD/YYYY) , CERTIFICATE OF LIABILITY INSURANCE � 5/10/2012 T S 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(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT Risk Strategies Company PRODUCER NA E: Risk Strategies Company PHONE (781)98f>-4400 FAQ a..(781)963-4020 IEss: 15 Pacella Park Drive EDOA Suite 240 INSURERS AFFORDING COVERAGE NAIC p Randolph MA 02368 INSURERA:selective Insurance INSURED iNSURERs:Safe Insurance Co an 3618 Cape Save, Inc INSURER C.Technolo Insurance Co an 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBERCL125948081 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. INSR D POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MMIDD IYYYYI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D $ 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence A CLAIMS-MADE FxO OCCUR CPPS1994480 0/16/2011 0/16/2012 MED EXP(Anyone 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 $ X POLICY PRO- LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident) $ 1 000,000 BODILY INJURY(Per person) $ B ANY AUTO ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED Per accident X HIRED AUTOS M AUTOS X Underinsured motorist BI s lit $ 100,000 X UMBRELLA UABH EACH OCCURRENCE $ 2,000,000 OCCUR EXCESS UAB CLAIMS-MADE AGGREGATE $ 2,000,000 A 0/16/2011 0/16/2012 $ DED RETENTIONS PPS1994480 C WORKERS COMPENSATION x STATU- we OTH- AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,00 ANY PROPRIETORMARTNEFVEXECUTIVE E N I A OFFICERWEMBEREXCLUDED? C3318007 /9/2012 /9/2013 E.LDISEASE-EAEMPLOYE $ 500 000 (Mandatory in NH) I(yes,desaibe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inc. is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact Attn: Margaret Song AUTHORIZED REPRESENTATIVE PO Box 427/SCH 3195 Main Street Barnstable, MA 02630 Michael Christian/BAM �6 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25ontmsint Tho Annon namo nnel Inn^era ronieforo+l morlre of Arnpn flu>sachusct[:- DcP t of Public j;tfCt) 9 oils and Standards Board of Building Rc�_ulati Construction Supervisor Specialty License License: CS SL 1o2776 Restricted to: IC i. WILLIAM MC CLUSKY �.. 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 612812013 Tr: 102776 ('nnuuisiuncr Office of Consumer Affairs and usiness 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. -- 17 Address Renewal ❑ Employment Lost Card PS-CA1 0 5OM-04104-G701216 �` ✓/e &oo r�,zo11weaN, 01-4IM"ImaeCGs License or registration valid for individul use only Office of Consumer Affairs&Business Regulation >� y R. -HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: -171380 Type: Office of Consumer Affairs and Business Regulation 6 z Expiration: 3%14%2014 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CA SAVE WILLIAM McCLUSKEY�-_�';i`, 7-D HUNTINGTON AVENUE-=' SOUTH YARMOUTH;MA 0266d' Undersecretary Not valid wit n cianat�i a Town of Barnstable emit: cPO -7 01 q� Regulatory ServicesDate:. pFTHe toy Thomas F.Geiler,Director ,Y Building Division r ee:d 5 anxxseaet.e. Tom Perry, Building Commissioner 9 MASS. 4j 039. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: �I/c�OQ 1.17 Phone: U =� �/ Install at: ��t, Village: Map/Parcel: 061 �Z Date: Stove :-== A. New(Use Use 1 B. Type: adiarit Circulating C. Manufacturer: Lab. No. 1 D. Model No.: 161 Chimney A. New Existing 1(If existing, lease note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: C- B. Sub Floor Construction: ZeU v Installer Name: Address: Phone: Location of Installation: H.I.0 Registration# Construction Supervisor# OR check_Homeowner Installing, no license required APPLICANTS SIGNAT ql/� 1APPROVED BY: c a Please make checks payable to the Town o Barnstable T *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:fonns:stove Rev.103107 21 t Lr � i - r t TOWN OF BARNSTABLE. Permit No. 26486 " I � } Building Inspector Cash _--—_-- OCCUPANCY PERMIT Bond Mattakeese Investment Corp. Issued to Address lot B 1754 Old Stgge Road, West Barnstable Wiring Inspector j ` r �, �r�ss�� Inspection date -2,/( f Plumbing Inspector�s� Inspection date Gas Inspector ' �;� Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. CODE. ....................................................... 19_ / �y�G� �. Building Inspector t ' FROM TOWN OF BARNSTABLE �► BUILDING DEPARTMENT Mr. Francis Iahtei.ne� Town Clerk .............. �367 MAIN STREET HYANNIS, "MA 02801 �. Phone; 775-1120 SUBJECT: FOLDHERE DATE Eebmagrz 15, 198 MESSAGE A Work has. oa�leted under Pennit #26486 (Mattakeese Investment3 �..w qom.-) Sr.y r.r ei.w ky ►T.wa+e'Psw.aw rwav'cs4k Y++►¢+P+s-�?�"�" •Y a�vy-e.�r aF aG+Xvw eR,Y-w. ♦ +e�ws► Please release Bond. Pk44.kYk.TfY•T#-Y^4Rw.,ryu5r'?.INt.M"7 k7 r'R`�!l akw�.ErsM ink•."R?�'U`�•'-�� , t _ SIGNED DATE ' `J 'REPLY 1 J SIGNED - Ne7-RMI , RECIPIENT:RETAIN WHITE COPY,RETURN_PINK COPY' ' • , PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES.WITH CARBON INTACT. �• ' Assessor's map and lot number, .S....e a . Sa. .. ...... . �aF toy Sewage Permit number ...p....!:..� :/...�...... .. ......... ..... - •: e�Q ♦� -SEPTIC SYSTC.4". I 89SBSTNDLE, i House number ........................... ... . .. .. Q �y cane ............ I�'�!''o�. TALL.F.D i 1 r� r- *po063Y•tr�e00 fi r W17-' YP TOWN OF BA���NiSTABLE BUILDINGINSPECTOR APPLICATION FOR PERMIT TO .... /4.............................................................. TYPE OF CONSTRUCTION ......... ................................................. ........................ ............?1.y L .............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby �applies � for a permit according to the following information: Location ..... 19, ...�.�......0 ��. Est . ... sa. /� ....... r.... L ....................................................... ProposedUse ......I Vi, .7. .................................................................................................�.p..................................... Zoning District :. .. N....Fire Djsjrict .......... ..... T 7'A ! -(_ c T t r F/t,0 o it 7v, y Nome.of Owner - / Address .....7 ....� d! ...��L.,.. /' JI'iL!lS............... Name of Builder ,!/✓Ly�✓���k ... Q.Q1P.....Address ....7/. ../�1 /,f.( c.A ............... Nameof Architect ..........................Address .................................................................................... Number of Rooms .....�.........................................................Foundation .....XA5eJVK-'L::V 6 W..&A-� ,j.`.e................. Exierior l//�1%� �? �... IiP/Q...���iilJ��.L�..........Roofing ..... L........................ Floors ...................................Interior L9C.'............................................. Heating ...... ',�/.�.��� ..� .....................................Plumbing ......�f ..0... ........! .............. �' GQ Fireplace ........yam,S........................................................ ...A pproximate Cost C .QQ................................... •�, Definitive Plan Approved by Planning Board _______ _�_;1_�________19 Area ........1. .�� .....s"..... ' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD 'OF HEALTH 6�b Ittz A i'nD , 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. / NameY'........... ,:..... ' Construction Supervisor's License ..J./.. tl. .p2.......... E RVESTMENT CORP. 'Na 26486 ................. Permit for One Story............... Single F, mily Dwelling ....................... • Location ...Wt.gj.....17.54-Old-atAgg...Road. .......................... . ................. Owner ...I-latt.akeege..Investrn.ent..q�qrp...... ........ ............. ............... ...... Type,of Construction ....Fr aM............................ ............................................................. Plot Lot .................................. Permit Granted .......M ay..23,. ..............19 84 -Dat4-Inspection' ............................. .....19 ,,,-69te Completed ................V... 19 3 .NON •S , .5�;3�G ��' •3 � c.s /8z• � r/ lip �/ �. LOT .B ,�'�• �✓o�' G/E iN f"Gaa.O �.�.4i�/ CERTIFIED PLOT PLAN FOR : LOT : ,B T 0 W N 0 F jsz SCALE : i " = so' DATE I CERTIFY THAT WHAT IS SHOWN ON THIS PLAN IS AS IT EXISTS, ON THE GROUND AND CONFORM TO THE TOWN REGULATIONS . BOYLE ASSOCIATES FALMOUTU , MASS. -�� Assessors map and lot number ..........�T...... .... . ...... THE YJ f Tp�♦ SOwag'e Permit number ...U..... ° • S� Z B � ��pp q �aea LE, • House number ................::....�.�1.. � ::....:f1. ............... } V. i639• a Mix TOWN : OF BARNSTAiBLE BUILD:ING INSPECTOR APPLICATION FOR PERMIT TO ....!.�ttttt". .... `...L124. ,/,-..h4aA�............................................................ TYPE OF CONSTRUCTION .........A2 ............................................... ............................ ............ �A?.. .... ........19 ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a• permit according to the following information: Location ...... !°. .... .... ..................................................... �f ProposedUse ...... f.�lL..//C//9'......................................................................................................................................... . o Zoning District ......�C:. �?. �f .................�............... -- y- � Fire District .................................................:............................ Name of Owner ,f t !•.. Z//f,�!/� 1�!/.!' 1' ?� Address ... .7 .. . C�//,... , ,...`l.�!.arl,riA�i< .............. Name of Builder ,�����f1./�,!_1. /l.✓.�/���... .....Address .....7/r.;... !l /•r�. e�...: `/�•!/!!//..�)............... Name of Architect .vl/1 ... A/!1r..;/.........................Address .................................................................................... Number of Rooms ........ ...................................................Foundation ..... I(,.1/'r`?1....{°%<(./.C`.e�"r��} '.................. Exterior .�� /:�l �49.....t:� .g/..el.... G, ..........Roofng .....� � Z-- ..................... Floors �I h ..................................:Interior ..... hC.k........................................(....?J. Heating .... ..... � ..�¢!�:�.....................................Plumbing ....." .............. ...................... r Fireplace .........� �, ............................................................Approximate. Cost .....4S., l '? ?........................................... s...... Definitive Plan Approved by Planning Board ______�_�_�t_�________19�. Area ......... .................. Diagram of Lot and Building with Dimensions Fee ...... �_........ SUBJECT TO APPROVAL OF BOARD OF HEALTH �oO"o ' j 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; ............................ .......... Construction Supervisor's License P !� ..4 ............. ............ 4 MATMEFSE INVESTMENT CORP. A=152-4 •- No ,2b486.... Permit for ..One„Story.......:...... Sin e Farm Dwellin j Location ....IA.t..B ......1754..QU.,Stage...FQad ..`...............CYQ.rat..LEAxmlrf blew........................... Owner ...MttAwe.$.e..1T1Ve,9tMXlt..C9 ?,... Type of Construction ....kram........................... ................................................................................ Plot ............................ Lot .......:........................ , Permit Granted .......May..23....................19 84 ` Date of Inspection•....................................19 Date Completed : .................. .................1.9 . f_ L any �. TOWN OF BARNSTABLE, Permit No. t---. 2la ���-i_---- +. I suer Building Inspector Cash• 'w'' OCCUPANCY• PERMIT Bond Mattakeese Investment Corp Issued to A.ddress lot 13 1754 Old Stage Road. West Barnstable Wiring inspector � ,trj, Inspection date Plumbing Inspector w �r 1 Inspection date Gas Inspector �; • Inspection date Engineering Department ! .,� ' ' �, Inspection date_ }, , Board of Health �`1 -s�.✓ ,�;� ��.t,, Inspection.date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE.' ................................... B,uiPding Inspector � f