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1122 OLD POST ROAD
1102-�- i � r Insullit", ave., " S W e a t h e r i z a t i o n & Insulation, 410 Grove.St.Fall River, Ma.02723 Insulate2save.net 8/4/2020 To whom this may concern, I am writing as a confirmation that.lnsulate2save Inc. had completed the work for the following property: Permit Number: B-17-3785 Kathleen C Burke 1122 Old Post Road Cotuit, MA Completed on 12/13/2017 Please close out the building permits on file for this property. With sincere thanks, Insulate2Save, Inc. Alison Pinheiro / Office Manager Phone:(508) 567-6706 Fax:(508) 617-8092 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q, Map �`� Parcel D' Application �7Y Health Division '� Date Issued Conservation Division TOE/ N®VN 13 20�J Application Fee O Planning Dept. Fe�i� rV, Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Ili - Old Ra-s4 &�v+ PA 01 Cv 3-6- Village CA Owner kAben T2c4 is Address Jlti1- O(d Posy fcc4 C'a4tw; &�4 a"3.s- Telephone At6?7 Permit Request At ae.fl ku_ b �/�o(d4��� �(��I� � , i� 2"��,�d to." „ts l=ss k s,,/(S. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �S�S.; -Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family A� 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 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 Nab Telephone Number Address uw Ge-4t SI- License# 1 o 38(0 V,�(1 124' r hA OY73-o Home Improvement Contractor# -19014 Email d 1;sue+ c(,.j>Lsj,-,kUaA,e,&gA, Worker's Compensation # XW S—b[ tf W y J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO gy eAh'c "Cels SIGNATURE "� j� DATE Gp l FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. a ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING S DATE CLOSED OUT ASSOCIATION PLAN NO. i f The Comin.onweal.th oftMassachusetts w - Department of Industrial Accidents - .1 Congress Street, Suite 100 Boston,MA 02114-2011 www tnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO TIE FILED ILFD WITH'THL PERMiTTING AUTHORITY. Aft licant information Please Print Leeibly Name (Busi„ess/Oreanization/Indivi,dttal): Insulate2Saye Inc. Address: 410 Grove Street City/State/Zip: Fall River MA 02720 Phone #:508-567-6706 Are you an employer?Cheek the appropriate box: Type of project(required): l.rX 1 am a employer with 20 emplovees(full and/organ-time).° 7. F1 New construction 2.01 ant a sole proprietor or partnership and have no employees working for me in ;, Remodeling. capacity.[No workers'comp.insurance required.] 9. ❑ Demolition 3.EJ 1 am a homeowner cluing al l work myself.[No workers'comp.insurance required.]t 10 []Building addition4.01 am a homeowner and will be hiring contractors to conduct all work on my property. i will ensure that all contractors either have workers'compensation insurance or ace sole I Ln Electrical repairs or additions proprietors with no employees. ]2.❑Plumbing repairs or additions 5,M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workcrs'comp,insurance.- 6.Q We are a corporation and its oIMims have exercised their right of exemption per MGL c: t4,❑x Other Insulation 152.yl(4).and we have no employees.[No workers'comp,insurance required.] *Any applicant that checks box"I must also till out the section below showing their workers'compensation policy information. s 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. 1£the-sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing rvorhers'compensation insurance for my employees. -Helow is the policy andjob site _ information. Insurance Company Name: Liberty Mutual Insurance — Expiration Date: 12/10/2017 P` Policy#or Sell'-ins.i.�ic.#: XWS 56418741 Ex p ' Job Site address: 112 - 00 1�5 � City/State/Zip: CD to M A Qa63 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.;152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDE R and a fine of up to$250,00 a day against the violator. A copy of this statement may f'orwarded to the Office of lnvestigations of the DIA for insurance. coverage verification. I do hereby certify under the rr` s mu pert .ties nfperjury ILunt the information provided above is true and correct Signature: "� � � Date: D: Phone#: 508-567-6706 Official use only. Do not write in this area, to be completed by city or town officirit City or Town: Permit/License Issuing Authority(circle ogre): L.Board of Health 2. Building Department.3.City/Town Clerk 4. Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: q Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home lmprovemertnCgrtractor Registration �— Type: Corporation • Registration: 180747 INSULATE 2 SAVE , INC. ` - Expiration: 12/28/2018 410 Grove St Fallriver, MA 02720 .0 ha Update Address and return card. Mark reason for change. 3CA 1 t3 20M.05/1 t El-Address_El-Renewai D�loyrttent ❑Lost Gard �ie�?om�mrr:.�ru�aj�1 af'C?/�rsdtz.o/tuaellt. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found returnto: . U0 Seaistration expiration Office of Consumer Affairs and Business Regulation , 12128/20.18 SO747 10 Park Plaza-'Suite 5170 gg �f3 Boston,MA 02116 INSULATE 2 SAVE'ON �" Roland Langevtn=` - 410 Grove St Fallriver,MA 02720 = c_ } Undersecretary Not valid without signature Commonwealth of Massachusetts r Division of Professional Licensure i Board ofBuildingRegulations andStandards Gonst�rgtib�ls3;'prvisor CS-103864 , � Ic�pir es:-0812412019 wyF'" , ROLAND LANGEVI 66-HIGHCRESTR©ADpr". FALL'RIVER MA02720 I Commissioner , } ACCI CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/8/16 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 CONTACT NAME: Anthony F. Cordeiro Insurance PHONE FAX (508 677-0407 A/ No: (5oe) 677-0409 171 Pleasant Street ADDRESS: hsouza@cordeiroinsurance.com Fall River, MA 02721 INSURE S AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Insurance INSURED INSURER B Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURERD: Fall River, MA 02720 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADOL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INaR WVD POLICY NUMBER MM/DO/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY y Y BIOS 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISETORENTED $ 300,000 CLAIMS41AADE 5�OCCUR ME EXP(Anyone person) $ 5 000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENTAGGREG ATE LIMITAPP LIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC $ A AUTOMOBILE LIABILITY y Y . gAA 56418741 12/10/16 12/10/17 EOMBIcNEDtSINGLELIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Par.. en' A X UMBRELLA LIAB X OCCUR Y Y USO 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000 DED RETENTION$ $ A WORKERS COMPENSATION XWS 56418741 12/10/16 12/10/17 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yyes,describe under DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Rerrrarks Schedule,if more space is required) "For Insurance Purposes Only" 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: RISK Engineering R=' E 5 DuPont Ave,South Yarmouth,MA 62664, pAC T ENGINEERING CON�T.1'R .1' (401)784-3700 FAX(401)784-3710 Page 1 PROGRAM - THIS CONTRACT IS ENTERED INTO BETWEEN RISE CLC-HES ENGINEERING.AND THE CUSTOMER FOR WORK AS DESCRIBED:BELOW CUSTOMER PHONE DATE CLIENT# WORK ORDER. KATHLEEN B JACOBS " (508).685-1467 10/02/2017 188655 31503 SERVICE STREET - - BILLING STREET 1122 Old Post Road 1122 Old Post Road SERVICE CITY,STATE,LP BILLING CITY,STATE;LP - Cotuit,MA 02635 Cotuit,MA 62635 JOB DESCRIPTION AIR SEALING:Provide labor and materials to seal areas of your home against wasteful,excess ail leakage. This work will be performed $800.00 in concert with the use of special tools and diagnostic,tests to assure that your home will be left with a healthful level of air exchange and indoor air.quality.Materials to be used to,seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing iriclude airleakage to.attics,basements,attached.garages and other-unheated areas(windows are not generally addressed.) (10)working hours. A reductionin.cubic feet per minute(cfm)of air infiltration will occur,but the actual number of cfrn is not guaranteed. ATTIC FLAT::-Providea"abor and:materials to installak"layer of R-19 Class 1 Cellulose added to(156)square feet of floored attic - $308:88:.' space. " ATTIC FLAT'Provtde;aabor and-matenals,to"install;a'10',layer of R-37 Class 1 Cellulose added to.(670)square feet of open attic space. $1,045.20 KNEEWALL SLOPE:Provide'lalior and materials to insta112"rigid board with the required fire rating to(259)square feet of kneewall $997.15 rafter area. STORAGE BARRIER:Homeowner is'responsible for,the removal of the stored items blocking the installation of r (initials) weatheniation work in.the.kneewall areas. Removal must occur prior to the scheduled work start.. 1— VENTILATION:Provide labor and materials to install(2).'8"diameter.roof vent(s)to increase ventilation in attic areas. The vent $174.30 can be supplied"in(circle color)black,brown;-gray or mill finish. VENTILATION:Provide labor and materials to install.ventilation chutes in(76)rafter.bays to maintain air flow. $265.24 VENTILATION:Provide labor.and materials to install(4)4"X 16"rectangular aluminum soffit vents to increase ventilation in attic $115.64 , areas.Specify color:White or Gray. 13ASEMENT CEILING:Provide.labor and materials.to install(68)linear feet of R-19 unfaced fiberglass insulation to the perimeter of $1'48:42 the;basemenf'ceiling of the liousesill:` " 0 RISE Engineering ' 5 DuPont Ave,South Yarmouth,MA 02664 ENGINEERING` CONTRACT (401)784-3700 FAX(401)784-3710 Page 2 PROGRAM - THIS CONTRACT IS ENTERED INTO BETWEEN RISE - CLC-HES ENGINEERING AND THE CUSTOMER FOR WORK AS ,DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT# WORKORDER KATHLEEN B JACOBS (508)685-1467 10/02/2017 188655 31503 SERVICE STREET BILLING STREET 1122 Old Post Road 1122 Old Post Road SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Cotuit,-MA 02635 Cotuit,MA 02635 JOB DESCRIPTION YOUR INCENTIVE EXPLAINED: RISE Engineering will apply all applicable,eligible incentives and you will be billed only the net amount. Currently,for eligible measures,the Cape Light Compact offers.75%:incentive,not to exceed$4,000 per calendar year,and an incentive of 100%for the Air Sealing measures. LIMITED TIME SPECIAL INCENTIVE: The Cape Light Compact will waive the$4,000 limit towards the weatherization work. RISE will reduce your cost by 75%on all the weatherization-work:outlined in this proposal.This special incentive is available to homeowners who sign their weatherization proposal before December 31,-2017'and.submit to-.RISE-by January 81 2018. I Total: $3,855.33 Program Incentive: $3,091.50 Customer Total: $763.83 WE AGREE HEREBY TO.FURNISH.SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF °'Seven,Hundred.Sixty-Three&83/100 Dollars $763.83 ...UPON FINAL:INSPECTION AND.AP,PROVAL BY RISE ENGINEERING-.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCEAFTER 30;OAYS:SEE:REVERSE FDR'IMPORTANTINFORMATION ON;GUARANTEE$,RIGHTS OF,RECISION;SCHED LING,AND CONTRACTOR REGISTRATION. RISE REPRES ATIVE- - - ... CUSTOO ERSIGNATURE " 0 NOTE:THI CONTRACT MAY.BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 0 '� • ". .: ".,.. - SIGN DATE .. 30 :DAYS. - ACCEPTANCE OF CONTRACT-THE ABOVE PRICES;SPECIFICATIONS ANDCONDITIONS ARE ,. SATISFACTORY TO U.S.AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED SO DOTNE:WORK - - _ ASSPECIFIED.PAYMENT;WILL BE:MADE AS OUTLINED.-ABOVE'� I Town of Barnstable F Regulatory Services W { Richard V. Scali,Director Buildin. . Division a r Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 . www.townbarnstable.ma.us Office: 508-8624038 Fag: 508-790-6230 Property Owner Must Complete anal Sign This, Section I, KATHLEEN B JACOBS ,.as Owner of the subject property hereby authorize Insulate 2 Save,Inc to act on my behalf, in all matters relative.to work authorized by this building permit application for: 1122 Old Post Road Cotuit, MA 02635 (Address of Job) Signature of Owner Date Print Name If Property Owner is apply'a r permit,.please complete`the.Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\windows\1NetCache\Content:Outlook\L7U69LF2\EXPRESS(2).doc 01/23/17 Assessor's map and lot number ....— .......................... CON" TQ Ce �PL I iA Sewage kPermit number. .............:oz.d..l.......i...,....::,........... �,L" RY CODE AND TOVM TOWN OF BARNSTABLE yo%TN E <r . 7. s t , . Z B9HBBTADLE; • '� `ti ! "6 9 1 `' B'U �LOING INSPECTOR ; I t" APPLICATION FORS PERMIT TO SJ .fin 6C3 D /JM cS o TYPE OF CONSTRUCTION .(!Z.�................f�.......................................................................:............................... �r G/✓...... ..............19?.7.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................. .A..................... ...........,,.,,............................. .. ... .... ... ' ProposedUse ... .............................,.......................................................................................................................... Zoning District ... ........... .........„•,,,,,,,Fire District Name of Owner 1,7vp....�?: .....5/.�C�A..f.f.f...................Address ........�IJ......................... Name of Builder .........�Gi`-I ................ Address .................................................................................... ....................... ........... 2, Name of Architect �' .e/?�G ''!I GrIf6 t. Address /.,��!`!!bci .. e2e?T /`'1�fJ,.,,,,,,•,,,, .......... ............. ....... ..........Foundation �%�!`�' ��� Number of Rooms ............................. ............:....................................................... ........................... Exlerior a10) ...Roofing T ` �i.sh/'` Floors �/���J!d.!!l�oi`'I.....6'L,L-,� !�!.f..�voo O..Interior ............... ................. .. ...... .. ..................................................................... Heating ; , .T�i e' ....Plumbing ` Fireplace 2 ......................................................Approximate Cost !`1............................................... . ..... Definitive Plan Approved by Planning Board _--------------------------------19--------. Area ..... . `s Diagram of Lot and Building with' Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH V 7 , hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ..................................... Jacobs, Roy A. 19184 1 1/2 story No ................. Permit,for .................................... single family dwelling ............................................................................... Location ........Old ..Post Road........................... Cotuit . ............................................................................... Owner)............Roy A.. .......*..... .. .... .. . .... . ...... . .......... Tyl5ew 6f Construction .............frame ............................. ............. ................................................................ Plot ... .................... Lot ................#55................ May 5 77 Permit Granted ........................... ........19 Date of Inspection �W77 oNi 6t- f I .../................ Date Completed ... . ........19 PERMIT REFUSED ................................................. ....... 19 ............................................................................... .............................................. ................... ..................................................................o............ ............................................................................... VApproved ................................................. 19 ...........................................................:.................... ............................................................................... Assessor's map and lot number ....:.. !...::...:""....................70 c� �- Sewage !Permit number ................'`:d.�:............................ c7 �FTHEt� ,^ TOWN OF BARNSTABLE r t B,HHSTOIiLE, i p�"6 9. BUILDING INSPECTOR f o r f APPLICATION FOR PERMIT TO ..............:......................J` t ................................ TYPE OF CONSTRUCTION -142 F'4*�-'lAlI- -14 9Cf�......?..............19 ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .5-n(22 ... �f .17o lv ..) Zel Tv/ S S ................... ....................................... .; `... ........................................ Proposed Use .... .... t. ..............................................................................................I.,............................................... ........... Zoning District ...'�� `..........................................................b, ° CFire .District .... � TG' ` ... .................................................... Name of Ownera 'A c�i'1/' !�t' _� Address l/�,/ I .......................... ..........:.......... ................:............................. ...................................................... Name of Builder G^� ..........................Address ........... ......................... .................................................................................... Name of Architect � ir-cs/1l . .�J �I_r") 'L ....:...Address �t>/'J����c.%r/ /`' ;rT:........./--14.f�............. ..................................... .................................. . ... Number of Rooms ................Foundation '`.. �ti r Exterior 5'/✓/��.��� 6ti�JC�17 g .'✓� xr �:........................... :........ .......................................................................Roofin .............................1... ......... ........ Floors �+��/l(7/.t,o <;, cS>rl�.................................................................(.n.,.`�..Interior .................................................................................... .......... Heating �.. 5. ...- ...'.."�.r...`..:....................................................Plumbing ..........,..........................................................- -- Fireplace ..................................................................................Approximate Cost 21-1 ...............................................::..... Definitive Plan Approved by Planning Board ________________________________19--------. Area Z S f.. ....... ... . ....................... . Diagram of Lot and Building with Dimensions Fee ............ ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH l f 1 ( �y c-�o r t' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - Name '. .............:..................................... ��• yam. Jacobs, Roy A. A=56-11 No ..l9184_. Permit for _..I_l�2_a�ory..�_ . single family -dwelling ' --------------------------. � . 61d 9uot Road ' Locodnn --._--________________ . ' Cwbu1t - . -------.------------------.. . --R—my..a J z .� .. ... ru / . . . ' . ' ' . ' M_` - 77 re,n"/ u,on/uo ' ' . Dote Completed ' . . . ' . � ' �- � lQ � ' . � .-- ,----.. ' --'' ------' . . ...--.`----.---'�—.—][--.—.—.---.. . . —''r----------~-----^—^''r---- � , �. � Approved ................................................ lV ' ^ , . --------------------------. . ' � -------��---------------.--- ` ' ' ` _ O, 00 m, It Y o 1� Tot or rAK =AJ FZOM 5GBDl v�15/afJ ,aLA1,/ L.C. ;34z5,5p aPr- Z AAlD /Ac/ ZW iZA 5 rA BL.G, AIA S-. P,QGPA,4,4 U FZ).Z2 Q.7AM4:5 .tR. yf ,QO Y A. ,,1ACO8 5 L 46 R p D�G ,n�Lz GL� 13Y 6 OA.k H11- RO4 L� a A1A eNAss,E rr, M.45S., Z4; /97/ Tj44A 5L: PJ Ah4 5 =M.04 Y iv/r/1 ey /`"7L=L r 7141 VA/ Of" 6U 1,4_D 1,k1 COD L , v Co NC. 8L' I CERTIFY THAT THE FOUNDATION SHOWN CONFORMS TO THE 70NING BY-LAW (op.00 OF THE TOWN OF BARNSTABLE. SCA L c- 1 Y z i ?2. OLD 'IQ Ic BY RO Y A� CIA J�� No. D� Y�= ..__ ,kc 9 - 3 - Z- 77 -- fr• Dart 1 vv e5y ,-