HomeMy WebLinkAbout0474 LINCOLN ROAD EXTENSION y 7
f
7
' I
Qj
}1
Zi
141
44 .±
*� +�
• ti
s— e z9v
�` s S>4 L_. E E V.
rED! ABOvE ROAD
S'
FR.QN.T/NG LOT
S C�4 L E 97 D<I
7 R S
$H2OWN. PLA/V RE..CDRDED %N THE wL O
8fi'RNS � OUNT� ",REG:., F. D HE—13:5 LAND DAT
CGO;7JRT $ECT/ pN 4N ` LR_l1/D GOUR•T
R PLA N No `2WC0$ _NC?. _
/ N ;RZEK� Ga `llCY : THAT �TNE f,Qc//�/pA:T/OM RE.G AND SUR EYoR
TN 4 e/Mio,' 4'S:` �*I 4 WM 3H00�'l��►^� A /bl D
���y37►=��Ya"' �"�'�� � � IN��.v
iSA4, fii `4�aC/t F l lT'Sr
7'1•/LC � iJ�t�'N'� F' 'F GEORGELOW
Gn
'� I• Mj L"{fT' +'sates�'�'° `,� rF 3 2' s .¢+ s t. .Pa �� s f, x V.
O V•
5 P(N 4c
t
s,'; ��^'t ;".rt� ,.tiz./ its '�S �c f�}b+ s �t�'t t r '•+ �:' f, < - ..
orb Fps
Assessors office (1st 'floor): �(f�p
' SEA'�4�a► � �7, BE �F TN E TD
Assessor's ma and .lot -number .....�� ..... ..................:. .. _
Board of Health(3rd floor): (� rO�P ♦�
,y (�•
Sewage Permit number r1 k.'.. .a ..�.� ................ . t Baaa9? LE,
Engineering, Department (3rd floor): ����D sB
39-
House number• ........................... .................... ya\ i
Definitive Plan Approved by Planning Board .________________________------- -------- , : �•
APPLICATIONS 'PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. •only,
�OF. BARNSTABLE TOWN
BUILDING INSPECTOR s
Q l
APPLICATION FOR ,PERMIT TO ..: Gl..l :'f��Id,(�:Q�.......f�>,. r..x��...l...fC....!U.. �!,,04M�I�?�CYb��
TYPE OF CONSTRUCTION ....... ... ...........................
................ �.....19-d..y!
TO,THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies-for a .permit according' to the following information:
Location ..`?��..7.... �N � !1�....l.l �.... Cam,?( /US./��1/......... . . `1y/1J/ ... ...�Y�rx.........05;� ��...�Loi�7
Proposed Use ... /.R��.Ll� ...... 1??�L ................. ......... ................... .....................
C
Zoning District.. :............ ..-.'. .: Fire District �o ,:r�...:5. ..... ....... .......
� . . ; ...Addreof Oner '..:7.�.. .L r.N�O-cv!/. t..Name .
Name of Builder/ a ' 'N ..Address c %, IUQ.Iff�1 �/.�...//%�.r....
Name of Architect .... .....:UV. ... .:..........................:.....:.Address
Number of Rooms ... .... .. Foundation ..
Exterior .....V.j..h).(,l.L�.... /..d1/. . ....:. �... Cf.Q�.......;Roofing ...... .� a 1'n 0,��1.[01v............I...
Floors ..................................................................Interior. :.::.::� ....
Heating 'T ..! l...v!i....................................................Plumbing ......... .�.
t�
5...................
Fireplace ............. .:.................................:....:...:.:......Approximate Cost .. J.Q..°....:.........................
0 O°
Are ....................
Diagram of Lot and-Building with Dimensions Fee
�l ..
OCCUPANCY PERMITS REQUIRED'FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the'Town of Barnstable reg ding the above`
construction.
Name
P
Construction Supervisor's ,License .Q.�Q'. S„Q
BUSH, JANET
No U.9.7
V� ,�., ................. Permit for
Location `474 Lincoln Road., Ext. V
-.. ....:... Hyannis ... `--- r .� } - - . .' � . •
'Janet Bush................................ - - �, - • - - � /- �,;� - . -
Owner ........ .. .....B ..................................
Type of. Construction ..Frame
.. .... .... ,_...:.. i... ...(Lot...#.2.7).
Pots ....`. Cot ........................
Permit Granted ......!`kY...16...........' ....19 89.
Date of Inspection ...................................19 fy
Date Corn leted
i
11113
Assessor's office (1st floor): �_� J �FTNETo
Assessor's map and lot number .................... ....................... .. �♦
Board of Health (3rd floor):
Sewage Permit number ....Z ' as `j.;. ................... Z BAHa9TLDLL, i
Engineering Department (3rd floor): # /�// ��f co 1639• \e�
Housenumber ....................................7.................................. ''�o Mpg a•
Definitive Plan Approved by Planning Board ________________________________19________ .
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO A.J..: � ..."��� C 1 el►�P/l ITc^rICti1 c�c0 Oarl �'�,�yf Gj
.. ��(. ' � . ............. �.... ............x.............. .............. .. ..... -......���
TYPE OF CONSTRUCTION ...CC fV;^,.R. ..�..... ryUt !t�.......................................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
! ...Location a ..r.....LX4 .s................. .
ProposedUse N . _ F-��'.�r. �.. :........... . �..... .......................................................................................................................
ZoningDistrict ......`..................................................................Fire District .....................................�...�................... j/
Name of Owner :�..,) C.�........(...4l-5.!1 ......................Address ...
Name of Builder./17/lF,r.. .'!f..... ,/!5 ...Address a„!e`a.,..•.,l- �" ... ...... r .........................
Name of Architect ........... V
�.....................................Address .................:................-....................................................
Number of Rooms ... �.........................................................Foundation .. ^(�nlC Frt�.!. '._....... ?�f. .. .
Exterior ....!!.l.sl/.. .....•—/C1 v� /1 .. !✓/�.........Roofin �'f..S��..... . ................ g ;. ........r!..�{% ................
�.....1 ......Interior .... `�Floors .........i! � ............................................................ .......! .�!�.•.c- ....�. .
Heating 'T / :t... ......................................................Plumbing ........./ `�i....................
p p'
Fireplace .......................................................A proximate Cost .....;.. ...T..+/J✓( '....U................................
Area ...... J .........................
Diagram of Lot and Building with Dimensions Fee ��
c�
>•............. ........................
F
t
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 . . .
�%4f'C�G� ✓�f `f���'%�� 1°`Ff Y`�"�j/5'r v✓��i..vv.:........
Construction Supervisor's License /0.1.0-31.5.0................
BUSH, JANET A=272-027
No ...32897 permit for ...BUILD ADDITION
.......... ..... .
......Sa,n.gIa......F.ami ly. ..DW.e 11d.n,g.......
Location .....474.„L.irlc.Qj: l...kZA.df�..FX .......
............... Yann i.s
. ........ ...........................................
Owner ..........Janet.... . ...Bush...............................
Type of Construction ......F.l;ame.......................
...............................................................................
Plot ............................ Lot ................................
ti
Permit Gran} .......Granted May 16.,...............19 89
.............
Date of Inspection ....................................19
Date Completed ......................................19
-J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map � � i� Parcel � � � Application Health Di Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address Koo-A
Village i an n s
Owner So 1 va-+ore &Is 61-C�4(-- Address 5 NM e
Telephone 6 li
Permit Request A c'A 641 G );A (J 40 t OAQ S u,5lV�O
VLo5e.
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Totak newts
Zoning District Flood Plain Groundwater Overlay a
Project Valuation 600 Construction Type
c:
t�
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units)
Age of Existing Structure 19 5 0 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 OL- new First Floor Room Count
Heat Type and Fuel: 4 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 U111am McCloske /Caje SoLy Telephone Number
Address —4C 14%)f k n n Ave, License# o 14 U U 2 2
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNATURE DATE
i
FOR OFFICIAL USE ONLY
'APPLICATION#
DATE ISSUED
r MAP/PARCEL NO.
i
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
'p
FRAME
'L
F I
INSULATION
FIREPLACE �..
'i
ELECTRICAL: ROUGH FINAL
4 ,
PLUMBING: ROUGH FINAL
` GAS: ROUGH FINAL
FINAL BUILDING
� r
E DATE CLOSED OUT
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
r Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia -
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Aunlicant Information Please Print Legibly
Name(Business/Organization/Individual):M I C 14 ( i a S V EV T)11/r&_cdejE, A
Address:_1 to tJ1 ty a t icrib t
City/State/Zip: S • IA4ZA0q'k 1"`(l 6Z. &one#: - &' 0 13
Are you an employer? Check the appropriate box i Type of project(required):
1.0 I am a employer with 4• ❑ 1 am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have S. ❑.Demolition
working for me in any capacity. employees and have workers' .
9. ❑ Building addition
[No workers' comp. insurance comp.insurance.*
require
d.] 5: ❑ we are a corporation and its 10.❑ Electrical repairs or additions
q ]
3.❑ I am a homeowner doing all work officers.have exercised their 11.❑ Plumbing repairs or additions.
myself No workers' com right of exemption per MGL
Y [ p� c. 152 ti 1(4).a 12.❑ Roof repairs
insurance required.] ` , § and we have no
employees. [No workers' 13.�Other 1.,��lcti-4►e
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 axe 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. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.Insurance Company Name:C-4662-T U5 P S call ,A -
C—C
Policy#or Self-ins,Lic.#: Lh3 C !2� 0 mot SD Expiration Date:
Job Site Address: �� l( L�n Co n 0Lt. 4eeri5i ri City/State/Zip: �tv.a, l.1
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form.of a STOP WORK ORDER and a fine'
of up to.$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under.thepains ndlenalties o perjury that the information provided above is true and correct.
SiLynature: b` - Date:
Phone#: �
Official use.onlh. Do not write in this area,to be completed by ci0i 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#:
CERTIFICATE OF LIABILITY INSURANCE 111Y 010
�.1l1/2010 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 endorsements).
PRODUCER NA E:CT Shannon 3perrazza _
Risk Strategies Company 1 PHONE , (781)986-4400 a NO:(781)963-4620-
15 Pacella Park Drive ADDR :soperrazza@risk-strategies.com
.Suits 240 PRODUCER AO018476
Randolph MA 02368 _ INSURER(S)AFFORDING COVERAGE i NAIC#
INSURED INSURERA:Seneca Specialty Insurance Co
INSURER B 0eating Group Ins Services _T
Michael McCluskey, DHA: Cape Save iNSURERC.Chartis Insurance
7 C Huntington Ave INSURER D: A
INSURER E: Y "
South Yarmouth MA 0264.4 INSURER F:
COVERAGES CERTIFICATE NUMBER-CL1011132675 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.
t 4SR i POLICY EFF POLICY EXP
LT
R TYPE OF INSURANCE i POLICY NUMBER MMfDD/YYYY I MMIDDIYYYY LIMITS
GENERAL LIABILITY i
f EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITYDAMAGE TO RTED
— ; PREMISES tEa occurrance, $ 50,000
A CLAIMS-MADE X OCCUR PAG1002608 10/I6/20T0{10/16/2011 MED EXP(Any one ) $ _ 10,000
PERSONAL&ADV INJURY !$ 1,000,000
}_= j GENERAL AGGREGATE $ 1,000,000
LG_EN L AGGREGATE LIMIT APPLIES PER: ~�
RODUCTS-COMPlOP AGG 5 1,000,000
X POLICY; PRO JECTLOC $ w.
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ?a 1,000,000
208200 11/6/2010 11/6/2011 I (Ea accident)
ANY AUTO F---- — ------ _
1 ALL OWNED AUTOS t BODILY INJURY(Par person) ?$
i BODILY INJURY(Per accident)$$
X SCHEDULEDALITOS
i 1PROPERTY DAMAGE
X HIRED AUTOS i (Per aaident) $
ix ' NON-OWNED AUTOS I $
I { r$
I X',U148RELLALIAS OCCUR i EACH OCCURRENCE $ 1,000,000
EXCESS LUiH C!AIMS MADE i AGGREGATE $ 1,000,000
DEDUCTIBLE I �� $
$ i RETENTION $ 1023578601 10/16/2010.10/16/2011 j $
C 'WORKERSCOMPENSATION Michael MCCluskey ! WCSTATU- 0TH-}
AND EMPLOYERS'LIABILITY YIN'
I• ! X�(Ry LIMITS' � i R ; _
ANY PROPRIETORIPARTNERIEXECUTIVE ! :is excluded from coverage
FanC ryEMB in Hi EXCLUDED? j N/A i 19g3095i 10/21/2010 10/21/2021 E.L.EACH ACCIDENT is 500,000
If yes,describe underi E.L.DISEASE-EA EMPLOYEE$ 500,000
i DESCRIPTION Of OPERATIONS belowi E.L.DISEASE-POLICY LIMIT $ 500 OQO
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
Issued as evidence of insurance. Contractors-Executive Supervisors or
Executive Superintendents.
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
Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Ruth 460 West Main Street AUTHORIZED REPRESENTATIVE
Hyannis, MA 02601-3698
Michael Christian/SMS :�`� = ` ' �.`•, K- "
ACORD 26(2009109) cp 1988-2009 ACORD CORPORATION. All rights reserved.
INS026(2w9wj The ACORD name and logo are registered marks of ACORD
N /1 60 In1es.L Maj_ri Street
ENERGY & HOME REPAIR
AS KS I
�:� �L -T TON ^925
HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE:
PLEASE FILL. OUT AND SIGN THISFORM IF YOU ARE
THEAPPLICANT HOMEOWNER.
G Ac:c_. . it 1 ... hereby consent to.and agree-that weatherization work.maybe
done by the Weatherization Program of Housing Assistance Corporation ( hereinafter referred as
"Agency") on the property located at:
The weatherization work donewilI 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, sideNalls& basements, attic
and other ventilation measuresand possibly replacement of badly deteriorated windows. In
consideration of theweatherization work to bedoneat my home I agreeto thefollowing:
' 1. I 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 thefuel 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 thisas-fi'Ited and f i, e ccsnsent.
Home Owner: (Sign aturre), `
Date:
Agent: (signature)
Date:
HAC approved Weatherization Company : ` 0 C 5OLia
Caliber Building&Remodeling Cape Cod Insulation ape Save Creswell Construction
Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy
i
Rock Solid Construction Sprinkle Home Improvement
its-i'_t_• lit.'ea;'L;'ssu�_�,E: T.I:. �ttit rcl_tt'•` 'Joc
_.
r
. . .... . ... ..... ...... .........
C A-
-�
August: 10
Tbh1Ftt� ay C�raern
V00illiarn .i cCl skeyls ars a ee:. Cape Save a is authorized r egcat ate
contracts and buildi per i car our c® pant'.
2�.
.. ......... . ..........
. .. ......
. .. .... . ......... .. ..
Michael McCluskey .. . . .... ........ . ............... .......... .........
Cape Save `C3�rnr
.919-593eE
C„ i t ti ra, r a , Y r oath, 6
fl e �!-fi fi d"� l h �` r° 1.. 1 r'
t " ' ire�5 r ' r&
Office of Consumer Affais and Business Regulation
10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 16443,2
Type:S plement Card
CAPE SAVE Expiration: 10/6/2011
WILLIAM MUCCLUSLEY _�_.._........__.:_..______..._. ... . _
8201 S. HOURD CT
CHAPEL HILL, NC 27516 ......
Update Address and return card.Mark reason for change.
Address 71 Renewal --; Employment i' Lost Card
..l f
=. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
` - before the expiration date. If found return tw,
HOME IMPROVEMENT CONTRACTOR
Office of Consumer Affairs and Business Regulation
Registration:Re
9 164432 Type., 10 Park.Plaza-Suite 5170
Expirations. 10/6/2011 Supplement Card Boston,MA 02116
CAPE SAVE
WILLIAM MUCCLUSLEY 'N
7C HUNTING AVE.. --
S,YARMOUTH,MA 02664 Undersecretary ^-- Not valid wit oa signature
1)iluirrmcrrtoI1'nhli�
Kick[ �,1 Iltriltlin, 12t�i�f;4tiuii. ariif �t.ir►ef:trifti
�scer�se: CS SL 102776
ResEricted to: IC E,.
WILLIAM MC CLUSKY
37 NAUSET ROAD
WEST YARMOUTH, MA 02673
E.,:psrationr 6IM2013
Z`p Y3 f
8
#k52
C"E* SAVE
Weatheriza 1
508-3981-0398
December 14,2011
Town of Barnstable
Thomas Perry CBO
Building Commissioner
200 Main St. Hyannis,MA 02601
RE: Building Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed for permit application#201101537, Status A,
Parcel 272027 at 474 Lincoln Road Ext,Hyannis, Permit type: RADD, and issued on 3/30/2011
has been inspected by a certified Building Performance Institute (BPI)Inspector R-30 Cellulose
insulation was added to the attic. R-10 cellulose insulation was added to the slops and floor. The
walls were dense packed with R-13 cellulose insulation.The basement sill was insulated with R-19
fiberglass batts. The basement perimeter was wrapped with R-5 reinforced foil or vinyl faced
duct wrap.All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
b�QyOFTNETp�`n TOWN OF BARNSTABLE
i BARNSTABLE. i
"6 9 D y BUILDING INSPECTOR
pY�`'
APPLICATION FOR PERMIT TO
TYPEOF CONSTRUCTION ...........................W,�.,OJ.......................................................................................
............. 4. .......19. .,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a (permit according to ,the following information:
Location ......�.9. /............. G�.h!t�.........��..�.4`��t. .......f���.�. ., .............................. ... .
y
ProposedUse ................. 7..:...............................................................................................................................
ZoningDistrict °'.. ....Fire District... . ..... x�......`................................................. ... _
Name of Owner ......�`ae.)U.7......... .806.4...Address .:.#-?.�......f!��N. �F 1- .......
Name of Builder 5Q...ul 1....... `' ��Q.. .....Address I.�..�.�..... 0. .. �. ... :..... :.. .�
Nameof Architect ..................................................................Address ....................................................................................
UfU
Number of Rooms ..................................................................Foundation ..............................................................................
t f i
Exterior ........................ .Y1.i. ..{P. .�..........................
Roofing .............1 L.ap.k .1 ........................................
Floors ....................... .....................,.................Interior C T' �� Piywoa...............
_J
Heating ............................. ....................+.............Plumbing ..................................................................................
Fireplace .................:..................................................................Approximate Cost ........ .3 00 Q
Difinitive Plan Approved by Planning Board -------------------------------19--------. 0 .
Diagram of Lot and Building with Dimensions
v
�. W � W .
ire � Lo
- Leo
s:ai :a, U
�:xk.
� q�
a
5� �10 Q Ld >�
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a ve
construction.
Name ....Q .. ... i... ....
Buobv Janet B.
� ^
. . .
15385
No -�����'. Permit for .-. --.---
/~
.----.-.---.--~.._---.`.-.--.--..
474 Lincoln Road Ext.
Location_ --.---_.-.----.--.------... '
`
,,_^,_.__..�9'�rozzo,,__.",__~,___.__
`
Janet B. Bush
O=."" ---,----.-.-.-,'.-..------
Type of Construction --.-..�raom»-----..
-...-..^-.-.-.-.-..---,-.-..--._--
Plot ............................ Lot ................................
'
�
� '~
� V
�
` r
Permit Granted ����-"m`at 14 lg 72
-
~-.. .. Inspection. . �~ ^
^
Dote Completed
PERMIT -REFUSED | .
..---.~------.._---..---. 19
-.-----.-..-..------------.----.
- /
~ � |
------'----'-'^--------------
Yl��
-.-----.-.-----.---~---.--.--.-..
^fir
.--.---.---.---.--------------'
�.
Approved .. 19
/
-------.------.-...-.-..--~.--..
. -
----.----------------......-...
, .
`
| ' '