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Home My WebLink About0114 BAXTER ROAD //� o� �� ,1 ,, _- -__ ,` 3 Cape Save Inc. 7-D Huntington Avenue- South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 10-29-13 Town of Barnstable " C> _ a Thomas Perry CBO = rf Building Commissioner r -) 200 Main St. Hyannis,MA 02601 RE: Building Permits ` Dear Mr. Perry, This affidavit is to certify that all work completed for 114 Baxter Road,Hyannis has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-38 cellulose; under storage platform R-19 cellulose Walls: R13 cellulose dense pack All work performed meets or exceeds Federal and State Requirements. Sincerely, ' William McCluskey C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (31 0 Parcel O 9 Application #C Cb l Health Division Date Issued �� 7— Conservation Division Application Fee ` Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Br�,w�Cf Village VV,14L n n4 Owner Qe-A 5+rL+U� Address a.ry1 P. Telephone Jr 0 51 J58 Permit Request NA - 9 AA ( -A Ce IdSG ^kQ —tLe -Roof`I IWO WeII 1 kk SOAJ "�Ne A L1"nl'olA Lgx\.nAIA C, �6AR , ;Square feet: 1 st floor: existing proposed 2nd floor: existing• proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation —Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 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 ney�v, 4 _ 0 Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Roo; Count Heat Type and Fuel: ❑ Gas. . ❑ Oil ❑ Electric ❑ Other , Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/c al stove:0 YQ)❑ No tip Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ ex ting ❑oew F°,ize_ Attached garage: ❑.existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 4 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 011 Telephone Number 50B 318 0HR Address -gyp nc�-o �ll� License # S + 1 Ilvy ✓�, ,bb� Home Improvement Contractor# Worker's Compensation # WCW C 3 3,s 4 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �u,rn►o,n�I� SIGNATURE DATE I, 3 FOR OFFICIAL USE ONLY =APPLICATION# } DATE ISSUED MAP/PARCEL NO. r; ADDRESS VILLAGE r Y OWNER DATE OF INSPECTION: -.FOUNDATION FRAME y INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 4 1 GAS: ROUGH FINAL x FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. " The Commonwealth of Massachusetts =-= Department of Industrial Accidents --y� ' Office of Investigations T I Congress Street, Suite 100 ' r Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Lezibly Name (Business/Organization/Individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone #: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): L ✓❑ I am a employer with 6 4. ❑ I am a general contractor and 1 6 ❑New construction employees (full and/or part-time).` have hired the sub-contractors 2.❑ I am a sole,proprietor or partner- listed on the attached sheet. 1. ❑ Remodeling ship and have no employees These sub-contractors have 8, ❑ Demolition and have workers' working for me in any capacity. employees 9. ❑ Building addition [No workers' comp. insurance comp.insurance.* 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] ;.El I am a homeowner doing all work officers have exercised their l 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per IvIGL 12.❑ Roof repairs insurance required.] �w c. 152, §1(4),and we have no q ] ; employees. [No workers' 13.❑✓ Other Insulation comp. insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy infonnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. .Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. irthe sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Technology Insurance Company Policy#or Self-ins.Lic.#: TWC3353968 Expiration Date: 04/09/2014 Job Site Address: ss: C City/State/Zip: t 'n the policy numb r and expiration date). Attach a copy of the workers compensation policy declaration page(shows g p y p 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 S1,500.00 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 cerd under the gins and enalties o er' that the in ormation provided above is true and correct. Si nature: _ Date U 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#: 'ADO D® DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 4/9/2013 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(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). PRODUCER NAME: Colleen Crowley Risk strategies Company PHONE . (781)986-4400 FAX (781)963-4420 C No: 15 Pacella Park Drive Uakssl Suite 240 INSURE S AFFORDING COVERAGE NAIC0 Randolph MA 02368 INSURER A:Selective Insurance INSURED INsuRERs:SafetV Insurance CCmpanV 33618 Cape Save, Inc INSURER C:Technology Insurance Company 7 D Huntington Ave INSURERD: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL134960509 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. I TYPE OF INSURANCE POLICY NUMBER MMIDD FU F MMI ICY EXP LTR LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 A 7 CLAIMS4v1ADE Fx_J OCCUR S199448001 - 0/16/2012 0/16/2013 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 X POLICY PRO LOC $ COMBINED AUTOMOBILE LIABILITY Ea accident LIM 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6208200 1/6/2012 1/6/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident X Underinsured motorist 81split $ 100,000 A X UMBRELLA LIAR X OCCUR 199448001 0/16/2012 O/16/2013 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS.MADE AGGREGATE $ 1,000,000 DED RETENTION $ C WORKERS COMPENSATION Officers Excluded from X TWCYSTATT OTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN Overage E.L EACH ACCIDENT $ 500 OOO OFFICERWEMBER EXCLUDED? a NIA 353968 /9/2013 /9/2014 (Mandatory in NH} E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company, Action Inc., ,and Housing Assistance Corporation are listed as additional insureds as respects General Liability as required by written contract. . CERTIFICATE HOLDER CANCELLATION (508)790—2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED. IN' ACCORDANCE WITH THE POLICY PROVISIONS. Housing Assistance Corp 484 Main Street Hyannis, MA 02601-3698 AUTHORIZED REPRESENTATIVE ]Hichael, Christian/CLC ACORD 25(2010105) 01989-2010 ACORD CORPORATION. All rights reserved. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supem-Nor Specialty License: CSSL-102776 --, WR LIAM J MC CLUSKEY. 37 NAUSET ROAD f West Yarmouth NU 02673, ," . Pi ration Commissioner 06/28/2015 r Office of Consumer Affairs and usiness Regulation s�1 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Tvpe: Corporation . Expiration: '3/1412014 Tr# 222184 CAPE SAVE INC. _ - WILLIAM MCCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 - Update Address and return card.Mark reason for change. Address I j Renewal Employment v Lost Card DPS-CA1 0 5OM-04/04-G1o1216 ✓lie WaftavacacXu4elt.6------- . _._..- : ,. _-._ _ .• ._.. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Pal—. `- Registration: .-.171380 Type: Office of Consumer Affairs and Business Regulation " Expiration: 3/14/2014 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. WILLIAM MCCLUSKO 7-D HUNTINGTON AVENUE~ SOUTH YARMOUTH'MX02664 —� , Undersecretary Not valid wit o signa i Oil Housing �4 Assistance Corporation Cape cod HOME OWNER WEATHERIZATION WORK PERMIT & FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. 2 y hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance.Corporation (herein-after referred as "Agency") on the property located at: d �. The Weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following 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 the weatherization work to be done at my home I agree.to the following: 1. 1 give permission to the"Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the Weatherization work is completed. l have read the provisions of this a eeme t as li ted and e1� give my consent. Home Owner: (Signature) Date: 67 Agent: (signature) 14 Date: t HAC approved Weatherization Company : nP vg, All Cape Energy Cape Cod Insulatio Cape Save icient Buildings,LLC +. Frontier Energy Solutions,. Lohr.& Sons. Resolution Energy . .` R c-C T jj *Permit# LaFZME Tp�� 1 own of Lar �a� e Erpires 6months from issue date _f- cc Fee , TAe Regulatory Services 9� MASS. $ Thomas F.Geller,Director t659. Building Division Elbert C.Ulshoeffer,Jr. Building CommissiRESS PERMIT 367 Main Street, Hyannis.MA 02601w JU �� Office: 508-862-4038 N 2 5 2001 Fax: 508-790-6230 QQ N N OF BARNST EXPRESS PERMIT APPLICATIO gBLE Not Valid without Red X-Press Imprint N Map/parcel Number Property Address �' �S2�530 CommercialVaIu f Work Z? �� "��• residential OR ❑ Owner's Name&Address / ��v , J/�'e �C elep hone Number r''o 77 T Contractor's Name Home Improvement Contractor License#(if applicable) 9 Construction Supervisor's License#,(if applicable) ❑Workman's Compensation Insurance qht4 one: I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) /O Re-roof(not stripping. Going over existing layers of roof) Re-side Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: issuance of this permit does not exempt comPi ce with other town department regulations.i.e.Historic.Conservation.etc. Signature expmtrg L > �a u t n.. •A r - * MUOS�gq r , CF THE 1pyy Town ot. jsarMLU1JLV- Expires 6months from issue date ti 00 n� � 'i�► � Regulatory Services Fee 9 MASS. �$� Thomas F.Geiler,Director fc 139.►+' Building Division �� Elbert C Ulshoeffer,Jr. Building Commiss �"PRESS P c 367 Main Street. Hyannis.MA 02601 w c R t p�'1 r ,D O Office: 508-862-4038 JUN 2 5 ZOO, Fax: 508-790-6230 rpp EX N OF PRESS PERMIT APPLICATIO BgRNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number ZQ t•?c 7 Property Address ao ao • • E-F�esidential OR ❑ Commercial Value of Work onk'o� Owner's Name&Address we tc �r k ' Telephone Number.5�Fwomr 7� Contractor's Name Home Improvement Contractor License#(if applicable) 9 Construction Supervisor's License#(if applicable) MWorkman's Compensation Insurance Chec one: [-lam a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Poiicv# Permit Request(check box) G ne-roof(stripping old shingles) lO ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this petmit does not exempt compli etc- cc with�otherwn department regulations:i.e.Historic.Conservation.ttc Signature exprnwz APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE 3a Inspector,of f Wires Wiring Permit# `7Z COM/Electric # 3 2 2 ��Q Town of � 5TA3 t4--- Massachusetts f Building Permit # Date �� a Customer: �C� ewu ��Z e Te 7�s``� I`s� on (Street #) I ` AX7—,,,Vww--- Lot-#� in the village of /� .O nt ur r, utility pole.number or underground number Customer's billing address 4L' /U° e. , f t s y s L &r-r .� Temporary New installation OC. Change of service Starting date .2 oil Ig S Job description i ra-CAO lfo&A, X C i..w 1 s S To k f i c�.-�r.. &cA-rL-X& A/,Gt/ Si uk 1!. 41 .5w,Te+(. M—tug =,e-e4J ' o awl r0411, s 1 ,.LC (i a t.Ur.�,.:�el /�,r�l u:• �ry,j.,aj &f= -G -7. ioris, 41g Co A4L oxrol w,i/,� ty A Service entrance voltage / O .3`f a Amperage /00 Phase Wire size(cu.or al.) Conductor per phase Number of meters / Water heater Off peak: YesNo— Estimated load:Electric heat kw, lights kw, Range dryer Motors, P. hass Ready for first inspection Ready for final inspection 9S Electrical Contractor Lic. # T e`h ' G O f Telephone # Address f L t�tA rta7 B�c1 BAT' /??i LL S Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service —�:�•r��, r'�.da'+r�s. ►�.�%S Roughing in 44%r- :E4tr°� 0!�-'661Z Service and Meter Off Peak Meter 4� Final Approval Disapproved* �h3 4 *For the following reasons CERTIFICATE OF INSPECTION Date To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day been inspected and approval granted for connection to your service Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE '.1 -lie Commonlvcalth of Mossachusefts F1'.. ..It Dcpartrnent of Public Sofcty ` Occupanc) & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (te.�e blank)' T> APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ', a4. All work to be performed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Jo TOWN OF BARNSTABLE To the Inspee or d Wires:. The undersigned applies for a permit to perform the electrical Work described below. Location (Street b Number) M T.t� AGlI Owner or Tenant Owner's Address Lo_rr� Is this permit in conlunction with a building permit: Yes ❑ No (Check Appropriate Box) .< Purpose of Building rl.e�l C��-�- _Utility Authorization 110. Existing Service I/O 0 Amps /P0 /,9('0 Volts Overhead Undgrd ❑ No. of Meters F New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity ��ee Location and Nature of Proposed Electrical Work No 13AU- l rav Total No. of Lighting Outlets No. of Hot Tubs No. of Trans ormers KVA In- No. of Lighting Fixtures Swimming Pool Abnde ❑ rnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices t Neat Total Total *fir No. of Disposals No. of Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers Heating Devices KW Local❑ Connection[]Other f n� No. of Water Heaters KW No, Ballasts IWoirinoltage No. Hydro Massage Tubs No. of Motors Total HP OTHER: .� INSURANCE COVERAGE: Pursuant t9 the requirements of Massachusetts General, ws I have a current Liabilit Insurance Policy including Completed Operations Coverage o its substantial. equivalent. YES NO I have submitted valid proof of same to this office. YES NO ❑ , l;; If you have chec YES, please indicate the type of coverage by checking the appropriate box. INSURANCE OND ❑ OTHER ❑ (Please Specify) Expiration ate Estimated Value of Electrical Work S Work to Start Inspection Date Requestedi Rough Fina1 Signed under the penalties of perjury: _ LIC.-.VO_ FI�'NAME .. Licensee Signature 2�0razLIC. NO. Bus. Tel. No. t' Alt. Tel. No. 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, that my signature on this permit application waives this requirement. Owner Agent (Please check one) `.\ Telephone No. . PERMIT FEE S Signature of Owner o>= Agent Assessor's map and lot number ...... .............I- YN E roe Sewage Permit number ... ................................................. I 3BAWSTAMLL NAGL House number ............................ -f- ............................................... 1639. mif 6'. TOWN OF BARNSTABLE BUILDING INSPECTOR 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 .... ...................... ..................................................... ..................... . .. ... 3 Proposed Use ................. ......................................................... Zoning District ............. 15.........................................Fire District �� .... ................................. Name of Owner 1M.5..Aele.,dl.... ............Address py... ..13 .... MA g�4,0 Name of Builder .........:.....:....Address .1.99..39 -5.69.616...R .....A/..tl&! .. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..... .............................................Foundation e -3............... Exierior Roofing ..... Floors .......................................... ,,0..:4;.. Ax/.?P�w.7.....................Interior ... Heating ........."me........................................................Plumbing ...... ............................................................. Fireplace ......414 a C,........................................................Approximate Cost ............5. 1:��040 , 0 (t, ........................ .................. Definitive Plan Approved by Planning Board ---------------—---------------19--------- Area ......— .......... 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 Regulations of the Town of Barnstable regarding the above construction. Nam eftPtMr . ........ Construction Supervisor's Licenseor;t .60.57............. STRETCH, HELEN A=310-97 27054 ADDITION No Permit for .................................... Single Family Dwelling Location ....114..Boxte);..Rood.......................... ...................jjy.�1�,7,'5............................................ Owner ....11P.IM..$tsQZt.Qh........0........................ Type of Construction ...FMW............................ ................................................I.............................. Plot ............................ Lot ................................ October 4, 84 Permit Granted ........................................19 Date of Inspection .....................................19 Date Completed ......................................19 7 . � -- 9 ................Assessor's map and lot number .......................� C.�_, s I SEPTIC SYSTEM MUST 13E *THE Toy Sewage .Permit number . I� •......... INS°p'A�,,Le IN COMPLIAN o� ........................................... �pg�TNTIT® Z AHB9TSD •�f P9 8 B 8'�6 dmE House number' ?� f �18I4C f �l'I�L 'ODE A.'°aB m� ....................... N`..................................., 6 L TOWN q g ,per 2 6 ON, TOWN O.F BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. 1. .....:.. .. .0..................................................................... TYPE OF CONSTRUCTION ... .. :.........................:...................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follovying information: Location ...1.. :/... . e� i� ....I �g.................. ... ......................................................... .....:.. Proposed Use A911//.nl.,5....Anew Zoning. District .................l..l... . ......................:................Fire District ................ ... ... JJ...... .... .......................... Name of Owner 0%/. ..a7�P/'CF1/.... �°!............Address .�� ...lX .l'... �.. /./..1 ..... 61 ley Q� Name of Builder 1[ -t y— A1.41A .. . 41 ...................Address ..1 // {J V/ ...(S..Q..... •...... Nameof Architect ..................................................................Address .....................................:............................................... Number of Rooms .....0AIVIL�.........................•.....................Foundation ' /.ClCa.! .... .... . ..0?�t ?.... ........... U�� /y Exlerior ..///� ....��!�!:�...�...........�.�.(.. ..�1/.�/�Roofing .. ....... Floors li��.. .. /.lr'��1�� ' ..................Interior . „1 .. „,.i' T G��F-1 ........................................ Heating .........�o—VIC,........................................................Plumbin ...... ' .04fll.................................... ........................ 9 Fireplace .....X1,4 ,........................................................Approximate Cost ..........n✓ Definitive Plan Approved by Planning Board---------------------------------19________. Area ...... 1 ..: . ................... Diagram of Lot`and Building with Dimensions Fee yr............ .........................;..... 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 ''�1� + 11�t/AC! :.w ....... Construction Supervisor's License` ... ... .............. I_ STRETCH,, HELEN � Q ot, :;�.. No 2F054....... Permit for ADDIT........................ t Single Family Dwelling ..... .............................................................. ' t location 114 Baxter Road ... {� Hyannis � ................. ..............,.................. Helen Stretch Owner ............................................ .................. Type of Construction F'aisle............................... • Plot �:. .................... Lot ................. `? ......... October 4, s 84 * f y Permit Granted :......19 Date of Inspection Date Completed ......t..:.................... ......19 8 _ w .... •' r �. �� I .�• � l �nrt• J• rani' �•� E,kf SY T •'N_I L I:V I N Gj RCS a,1 !� tN i. ... _ ��4 16�ii�'I Sn�l`i��::! ��V� �y �e,�¢i {.1�.y �. ` /, .F/+�j, •�l> }• Ir iA • r - , �' 'li ; T' > .. 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