HomeMy WebLinkAbout0220 CASTLEWOOD CIRCLE �y �
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Cape Save Inc. 'TOWN oT
7-D Huntington Avenujg1l
, _cSouth Yarmouth, MA 0214
Tel: 508-398-0398 Fax: 508-398-0399
DIVI.Sio
8-7-14
Town of Barnstable
Thomas Perry CBO
Building Commissioner
200 Main St. Hyannis,MA 02601
RE: Building Permits
Dear Mr. Perry,
This affidavit is to certifythat all work completed for 220 Castlewood Circle Hyannis has been
p v
inspected by a certified Building Performance Institute (BPI)Inspector.
Ceiling: R-38 cellulose in open ceiling& R-19 cellulose under decking
Basement: R-19 fiberglass blanket in box sill area
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map tT Parcel o� O Application # 2d r 5 2 /
Health Division Date Issued -7— S—/y
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address C + e W d 0� �0,
Village I
Owner R,LSJa �1a-0060A Address � 6'15 Fad m01A V Ile
Telephone 5 I d P 0 9
Permit Request —Nil R' I 9 and R, _3
t TkC 6astamenf r
e- ; a.41C, anj 66 -F k
Square feet: 1 st floor: existing proposed 2nd floor: existing 'proposed Total new
Zoning District Flood Plain Groundwater Overlay
CProject Valuation ' 410 0 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 new
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new First Floor Ro Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
c
Central Air: ❑Yes X No Fireplaces: Existing New Existing wool al stove]Yet,❑ No
t,Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 ex' ting ❑_Qew we
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 51.1
c: i=
O� M
Zoning Board of Appeals Authorization ❑ Appeal # Recorded
Commercial ❑Yes ;XNo If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name tc4r Telephone Number 5D� 3q8 03 48
Address '� License# --C BOA 17:6
&uA—�a �ria -�-� d tlyb 17�I Home Improvement Contractor# J(� 0
Email Worker's Compensation # W W C 3 0 U 50.3
3.3
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1�PM4Yl
SIGNATURE DATE ?-/I 0/1q
I�
Ik
' FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED w
MAP/PARCEL NO. `
f ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DAT&CLOSED OUT
AS,SW-10ION PLAN NO.
Ju1' 03 2014 8:33RM Cape Cod Financial Servic 15084132G07 p. 1
�12
♦ M" r a
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Housing / woes Mtn 9tre�t
Assistance Alt, 214 Tek(SD8 7�'11 i F�
Corpora M on sail AnewCWCW
(50A}�y
FIV herization .1
Your tenant has requested and is eligible for weathsrizatlon of your rental home
through government funding. this will bs provided at no oust to you. Program
regulations permit us to spend around $2,soo. $7,5M In materials and labor per
dwelling unit.
Program regulations require us to weafer-stnp and caulk doors and windows;-Insulate
attics, sidewalls and floors. All work Is professionally done by established private
contractors. We will conduct a final Inspection to make sure that all work is completed ;
to specifications.
If you request, you will be informed of the estimated measums before they are done
and provided with a list of the actual measures and crusts following the completion of
the work,
We also need proof that you own the property. A copy of a NT:• 1
RZK2 IlOng you as the owner will saft this requirement.
LL 08
Please fill In all blank areas of the enclosed agreement and return with the proof of
ownership as soon as possible. r.
If we do not receive the enclosed form within two were, we will do a basic
energy audit of the home, but no weatherizatlon worts oan be ravommended or '
done.
It you have any questions please call Suzanne Smith at -77.1-5400, ext, 123,
LMDLORD: TENAW;
Ilia) L
oo „..
3u1. 03 2014 8: 33HM Cape Cod Financial Servio 15084132607 p.2
TENANTIMOPt"M OWNERIAQMY WEATHERIZAMN AORI EMENT
1. The PeirgeB his rt a followring:
(h&Mfter W=M as Tenano,
(print yQUILIOMWs nartie) � - -
wr�!' / +,�.< </ !S '► (hereafter known as Property Owner)
(print your name)
and Homing Asetetence Corporation (hereafter known as Agency). In correideration of the mutual promises
hereafter siatud,the Parties agree as follows:
Z The dats of Agenoys slgneturs lfr EI be then effective date of ft Agrearnent.
3. Property t wnw and Tenant consent and agree that the Agency may do the following with respell is the property
located at(eb*4 town)
6 t isf unk .and ots n teased or rented to the
Tenants
a) rester ft promises for the purpose of perfcnrtktg a Weatherixeftn inepeceon.
b) Enter the prernaea to perform WeatherMon work which tfine Agency determines Iry its dlscrotlon Is
necessary and appropriate as a result of the Agency$Irmpeatlan of the property and In acacrdanco with
the approprge priority list for doe type of dwMIng. The Agency and the Agenoy's contraaars may also
order the appropriate common areas of the building for the purpose of accornplehing the WeWwrUtion
. work. The Agency and represenvalwoof the CammornveMasanc husetts,Deparhitant of Housing
& Oommunky, Dsvelopment PHCD) may further enter the property to Inspect any and an wreck
hereunder. The Agency will provide rule notice of the timing of the Weathertxatk m wwk.and
Inspections. The Weatherization work will be performed In accordance with the properly.Owner's
consent as further srpecklad below:
INITIAL ONLY ONE OF THE FOLLOWING
concord to performance by the Agency snit Its contmotors of any Weathsrhation work detormhmed
necessary and appropltale by the Agency as a result of its Inspection of the property. I understand that
Me Agency wM provide a OWlecl statement of the meal worts perlwmed and the asoclated value at
tlto completion of vrork.
1 will provide a separate consent to performance by the Agency and Its oortrabore of Weattartaeftori '
work following my recelpt of the Agottcy'e Inspeoton report and a statement of the eedmaled Work and
associated voRhmL This additional ocneani will be sent render separate cover as Attachment A.' I
understand that the Agency w01 provide a detailed statement of the actual work pod"ad and the
associated value at the complertibn d the mark.
4. The Property Owner understands and agrees that any and all work, Including foisted repairs for which the
Property may also be e141ble,wM be petlormed at the Agertoys discretion. The Agency esthvW oompletton of
the vlle*wdragon work by fhe end of QQ13
5, n the Property Owner Is required to make repairs to the property prior to the commencement or Weatherizmn
work bythe Agency,the Property Owner Will be notified bythe Agency and will be required to make the repairs as
som as possible. E=opt where the Property Owner receives a wriaen extension from the Agency,dyne Is of the
aimmce In the performance of Walre by the Property Owner.
S. The Propsny Owner and Tenant authiorize the Agency to remove a statement from the fuel supplierA rmity slier
as to the qvwW of fueMilkies used at the ROM address in each of the past three years and the tutors three
years, The Information Is to be,mad only to determine the cast erfeativenees of the Westheriza ton
Improverctetrte.
7. The Property Owner agree that ft rant for the dwelling unit W not be raises#because of any lnormse In the
vales thereof due safely to the v►rsadtson work performed.
Jul. 03 2014 8:33AM Cape Cod Financial Servio 15084132607 P.3
8, In otmdderatb
n of the Wsathedastlon work hereunder, the e#fe the property further agrees that upon adve
date of this Age and du"a period ending through 241=14, appro rnabey one
year from the done the work Is completed,
a) The Mwent rent$ f=r PW month will n a reload br any reason. (The rent amount must be
filled in).Heat induded t1 rent?Yes..._ No
However,this Par h 0a)Wil to watvsd by the Agermy In writing If,and only Or the prornlau
are 440W under a xilgo or federal ram eubetd)r program, In hwhich eta the pearl rant charged
by the OarnW SWI conform to the safWads of the rant wjbIdy proem.
Please*hate whk h Mousing Subsidy proBrrant your tenant le on and through whloh Agency:
b) The Property Owner will not Ind any summary process soon for poesession except In the case of
nonpayment of rwd or other good reuse ralated To the Tenant(or any successor Ten*4
c) jr,the event the Property Owner deckles to Bell the premises, pMerty Owner shall comply,with one of
the Two requimmolle below:
..The Property Owner shall not seal the premises lenses the buyer agrees(wldh a copy forwarded to the
Agency) In wding prior to sale to AMMS all abllgations of the Plroparty owner set, out In this
Agreement;or
The Property Owner shell pay the Agency an amount equal I?o the cost,in oeerttherd by the Agency,Of.
the Weetherization matertais kurWled sari lather perfwM*d In tie premises as of the date of sale. Bald
amount shall be paid to the►Agency immediately upon$ate,
0, (Applicable only If TananYe herd is Inoluded In rental payment and blank@ are filled In) At the and of the
period set forth In Paragraph 8 above,the rent shalt riot be talesd more than — .%per I for an
v9dMonal period of one year. and the pnMalons of 8b and 8o above shell continue in eftect for suoth period.
However, the rent provlelone of this Paragraph t may be waived by the Agency In wridng li, and Orly if, the
prsnlses are lsand under a state or federal rent awoeldy program,in which vase the actual rent otmrrged by the
heater shall conform to the a mnderds of the rent shady program.
10, The Partiets agree that the"rms of this Agreement are hh mrporated Into any other Tessa or agreement between
the Property Owner and the Tenant, and bvtwoen the Property Owner and any succor Terant,and If there is
any oonti4 between the provisions of thle Agreement and the provisions of such other lam or agrgernant,the
proviolohs of this Agreement shall govern. However,it ouch other lease or agreement, Including Wthout Hmlow i
a lease or agreement under state or federal rent subsidy pwti am,oontalne stronger protedlorw for the Tenant,
such o1mger prMactlorw Shall apply.
11. For breach of this Agreement pY the Property Owner, the Property Owner shalt reimburse the Agency in an
amount etWW to the ocet, as certified by The Agency, of the Weathertzaton matiehtlale Installed and labor
performed on the promises,as well as otorrWe fee and court 000. The Property Owner may coo be Nettle for
damagse 10 the Tenant in s000rdance with applicable law;In such Instano%the Property Owner shall reimburse
the Tenant for atlorroy's foe and e r uct 000, Without limiting the foregoing, the Agency may at lM option
tarmhete This Agreement,by prcwldtng written notice to the Property Owner and Tennant,in the event of breech by
the Properly Ownw at Tenant,
12, Performanoe of the WastherlUllon work hereunder by the Agency I6 contingent upon the avallabiilty of funds to
the Agency iron On aommor wealth of Massa+teefe and the federal government,as well as the oltgibinty of the
Tenant under WAP program requiremente, The Agency may terminets this Agrownent, by providing wd t n
notko to the Property Owner and Tenant,If the Agency determines that the unavallabulty of funds or Ineligibility of
The Tenant VArrants termination.
i Jul 03 2014 8:33AM Gape God Financial Servic 15084132607 p.4
13. The Pardee ark ledge that hie eM t is er seal. R is lntendsd by the Parties that the Ter►e I or my
suamesor Tenon I hw tar of Agreement end shag have a right of @rdoli work
Pr*rttt Owner$SIOnalufe Dtt Z 3
Phone:' 611570 2-0
Add 46 �
ress: / r..�.
Tenant SI9 natu
Or
C
AgenayApproved WeaftrlzWon Company
All Cape Energy 1 Addm T. Incorporated / tie►toad Insulation Cape Save
Frontier Energy Shcutim / Whir&Sorts Inc. 1 Rssaiutbn Energy
Agency ftnature Detae
i
The Comnnon»*alth of Massachusetts
Department of Indrsstrial Accidents
Office of Investigations
, 1 Congress Street, Smite 100
Boston;MA 02114-2017
www.»tassgov/dia
Workers'-Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/organization/lndividual): Cape Save
Address: 70 Huntingtoh Ave a
City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398.
Are you an employer?Check the appropriate box: Type of project(required):
1.E✓ l am mein employer with 4• ❑ 1 am a general contractor and 1
P 6. Q New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached.sheet. 7. 1 Remodeling
ship and have no employees These sub-contractors have g. �Demolition ,
working for mein any capacity:: employees and have workers 9 [].Building addition
[No workers' comp.insurance comp.insurance.*
5. We are a corporation and 10.El Electrical repairs or additions
required.] 0 -
officers have:exercised their 11: Plumbin repairs,.or additions
3.❑ i am a homeowner doing all work_ ❑ g p
myself. [No workers'comp:, right of exemption per MGL 12.0 Roof repairs
insurance required,].t c. 152, §1(4);and we have no
employees. [No workers' 13•®.Other Insulation._ .
comp.insurance required.]
*Any applicant that checks box#I must also fill out;the section below showing their workers'compensation policy, uttonnation.
r Homeowners who submit this at'lidavit indicating they are dging afl v�iirk and then hire tnttside cgntracton must submi(a new affidavit indicating Such.
�Contractors_that check.this box Must attached an addntonal;sheet shoe ing the name of the sub contractors and state whe'ther or not{hose a t... s have
emplo,'ees. If the sub-contractors have-employees,they must provide their workers'comp:policy humber.
t ant an employer that isproviding"workers'conrpensatign insurance for n:y'eniploytes. Below is the policy and job site
information,
Insurance Company Name: Wes co Insurance Company F.
Policy It or.Self:ins.Lic.# W—WC3085633 ... Expiration'Date: 04/09/2015 .
Job.Site Address: a 5 o ty p �t a(18
�.�,, � C °1.1�1P rC I e, Ci lStatelZi : lS_.
Attach a copy(if>the workers'compensation policy declaration page(showing the-policy numbe► and expiration date):
Failure to secure coverage as required under Section 25A of MOL c. 15`2.can lead to the imposition of.criminal;penalties ofa
fine up to'$1,500.00 and/or one-year in?prisoninent,as well as civil penalties in the form ofa STQP WORK.,DERand a.fine.
of up to$250.00'a=day against the`violat.r. Be advised that a copy of this state-ment tray bt forwarded-to.the`Offzce of
Investigations of the D1A for insurance coverage verification:
I do hereb Peerti "under the pains and''"enalties of er` that the in orriiulion provided above is true and correct.
Sic-qiature' _ _ Date
l -
Phone'#: 509-398-0398 _
Official«se.only: .00 not tvrite rn this.area,:,to be completed.by city or town of ciaL
City or Town: Y PermittLicense#
1 Wing Authority(circle one:.):
.Board of Health 2:Building-Department 3.City/Town'Clerk. 4 Electrical inspector 5.Plumbinganspector•
6.Other
t
Contact Person ; _ _ _ Phone:#--
'4� CERTIFICATE OF LIABILITY INSURANCE 4i14im01 '
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(es)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 CONTACT NAME[ Colleen Crowley
Risk Strategies C.oripany PHONE (7$1)9HC-4'$OO FAC No:(761)963-4420
15 Patella Park Drive ADDk9SS-
:'SLl1tE 240 INSURER(S)AFFORDING COVERAGE _:NAIC
I;t # .
andolph MA 02368 INSURERA.:Selective Ins.. OF America
INSURED INSUPSERS:Safety,Insurance C cm p any 33618.
Cape Save, Inc. iNSURERC Wesco Insurance I Coupany
7 D Huntington Ave INSURER D:
INSURER E
SOuth Yarmouth. T& 02664 1 INSURER
COVERAGES CERTIFICATE NUMBER:CLi441475243
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 SUBJECTTO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMrrS SHOWN MAY HAVE:BEEN REDUCED BY PAID.CLAIMS.
L SRR TYPE OFINSURANCE -- 'POLICY EFF POLICY EXP -
POLICYNUMBER MMiDDNYYYI (MMIDDNYYY1 LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ :1,000,000WAGE TO RMTEU_
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrencel $
A CLAIMS-MADE ❑X OCCUR 1994480 0/16/2013 0/16/2019
MED EXP(Any one person) $ 110,000
PERSONAL&ADV IN URY $ 1,000,000
GENERAL AGGREGATE $ 2,.000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000
POLICY X PR
i X -LOG $.
AUTOMOBILE LIABILITY Ea COMBI'IderNED SINGLE LIMIT1-000 000
BIR
ANYAUTO BODILY INJURY(Per person) $
ALL OWNED
.X SCHO�LED 208200 1/6/2013 1/6./2014 BODILY INJURY(Peraccidant) $
X NON-OWNED PROPERTY.
HIRED AUTOS AUTOS PeraoadeM $'
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
EXCESS LIAB CLAIMS-MADE G
A AGGREGATE $ 1,OOO,OOO
DED RETENTION' . Nil 1994480 0/16/2013 0/16/2019
C WORKERS COMPENSATION fficers Included For NC STATU- OTH
AND EMPLOYERS'-LIABILITY .Y1 N - X R
:ANY PROPRIETOR/PARTNER/EXECUTIVE overage E.L.EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXGLUDECri N❑,_N IA.
(Mandatory In NH) 3085633 -. /9/2014 /9/2015 E.L.DISEASE-:EA.EMPLOYEE $ 500,000
D yes.CRI describe OF er
O E.L.DISEASE-POLICY I IMIT $ 500 000
DESCRIPTION OF OPERATIONS belor+
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space far equired)
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
Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Margaret Song
PO BOX 427/SCH AUTHORIZED REPRESENTATIVE
3195 Main Street
Barnstable, MA. 02636
chael Christian/CLC
ACORD 252010105
�. ) O 1988-2010 ACORD CORPORATION. All rights reserved
INS025(201605).o1 The ACORD name,and logo are registered marks of ACORD
Office:
Consumer Affairs and BuSlness Regulation
10 Park Plaza_Suite 5170
Boston, Massachusetts 021 l6
Home Improven1dht I-nt ctor Registration
Registration: :171380
Type. Corporation
Expiration 3/14/2016 , Tr# 249649
CAPE SAVE INC.
WILLIAM McCLUSKEY a
7-D HUNTINGTON AVENUE
SOUTH YARMOUTH; MA 02664
_. `
4Fl
Fl
Fl
Fl
Fl
Fl
Fl
"� :Update Address:and return card:Mark reason for change.
scn, t, zone osnt 0.Address Q_Renewal �-:Eroployroeat Lost Card
�ie�io�ivinarxarea`c/a�✓�uatcc�«eGt�; � - �
Office of Cousumer Affairs&Business Regulaaou ' 1 , - L,cense;or regist"ration valid for'ind,v,dul:use only'
€ before the ex nation date. If found return to i
OME IMPROVEMENT CONTRACTOR p
egistration: a171380 Type: Office of Consumer Affairs and Business Regulation
Expiration 3/14/2016 Corporation t
10 Park Plaza-Suite 5170 r'
Boston,MA 02116 {.
CAPE SAVE INC. a
:,�„
WILLIAM McCLUSKEY j i
7-D HUNTINGTON AVENUE
t=-y
SOUTH YARMOUTH MA 02664 ':,
Undersecretary," Not vali ,thout signature n ,
_ {
0 .
Massachusetts -Department of Public Safety
Board of Building Regulations.and Standards
Construction Supervisor Specialt% �. A�
License: CSSL-102776 -
WE;LIAMJ MC CsLUSKaE
37 NAUSET ROAD
West Yarmouth iVIA- 7
f
Expiration
Commissioner :06/28/2015
t
a.
Q
P�ofTNEro�` • TOWN OF BARNSTABLE
roe" O�
•
BASBSTAUX i
0pYa�e� BUILDING INSPECTOR
.&Nee-aci! "ec cz E
APPLICATION FOR PERMIT TO .......J4......R.,fe%.Max..�,ra 4s;...............:...............
TYPEOF CONSTRUCTION ....0J.6t5 . ......................................................................................
...............e.4....................19..�U
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to 1the following information:
Location ... .C�.... � !,�,�.�. �.sl!Q............/ )!/ !d/I?0�. ........................................................................
ProposedUse .15�In1.�.......�0.a!?!J......................................................................................................................................
ZoningDistrict ..des............................................................Fire District ..............................................................................
Name of Owner ......��t.�..� �.✓.i...(!7..V.f�!�/.�¢�?�� Address ..... �':S�/�.°.�.�.1�.�..�/..!4�..................
Name of Builder 1"4.1liew tA.... 1�/ .Q..� .� ........Address
IA
Nameof Architect ........p....�.......................................................Address ..................................•.................................................
Number of Rooms .....( .L -..................................................Foundation ...aG)/V..G.-efA. ..�...............................................
Exterior ..Z.Vo.a.d. ................................Roofing ....OX•46-6-77.0...............
Floors ....4we-o ..................................................................Interior . /.h. ,..... , .........................................
Heating .. °.•:..` ...........................Plumbing ... .. ..
Fireplace ../ ...............................................Approximate Cost .......�.po.a.
...... .............. po.a.0-0......................................
Difinitive Plan Approved by Planning Board -----------_______-----------19________ .
Diagram of Lot and Building with Dimensions
AME PROPOSED METHOD OF PROVIDING FOR
SANITARY WATER SUPPLY, SEV AGE DISPOSAL
AND DRAINAGE IS F r: °r " PiN V ED
N- i E,
POAR' OF HEALTH
ke2 NY��� �
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .. . . ... ... .........
� Rutherford, I&lnnard J.
/< U 70
___------ -_-
No . —. Permit for -- ............. '
..........c����::��------_._____.___..
^
Location --' ...{jtcle__...
....................... ......................................... i ^
Ovvna, ---1CbVPX.�d'.J, ..&tJaarj}uzrl ---..
�
Type of Construction ---jrame------.-
�
-----^---~----------------'' i
Plot ............................ Lot ................................. �
Feb
Permit �ron�� -- .�----]q 7O '
------� '
� l
Date of Inspection ..... ^.�� '—.��~ 19 70
Dote Completed -- -----lg
i
' .
PERMIT REFUSEP,
`
----------.----------. 19 '
�
--------^_'---------------'—
�
^--'--^'-^^^'—^^-----------''---' ( `
A
..,--_------------.—.---..—.—..
�____._______.,,_,,,,,,,_,,_.___,. > �
/
Approved ................................................ lR
--------.--------.--------- �
. -
-------------------^—''-----
^
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