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0246 LINCOLN ROAD
o?/ln ,/i��l'oin /�/ skim, 1 508-398-0398 October 14,2011 Town of Barnstable ry Thomas Perry CBO Building Commissioner ; 200 Main St. Hyannis,MA 02601 RE: Building Permits a Dear Mr. Perry, This affidavit is to certify that all work completed for 246 Lincoln Road Hyannis,MA has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-30 C'e11��o5� Basement: R•S All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCloskey Cape Save 7 Huntington Avenue Suite C,South Yarmouth,MA 02664 - Town of Barnstable Building Department Brian-Florence, CB 0 Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.towmbamstab1e.ma ns Pre-application for Business Certificate Date '1 Map Parcel `J Applicant Information _ Applicants Name/!!✓mac��'0/V �/� � - /'�-. .. '��'t - _.. ._ /® (//1 � �Z Applicants Address. 2 /6 Z,/.,v 20 // / `J " /7 yr9/4 DZ(©1 Email Address N "�S� /� e 11/1.E'Z ©/V i0T 1V4t 1,< 60.41 _ Telephone Nu tuber 4T y AO /'" z Listed❑ Unlisted ❑ Business Information New Business? ---------------------------------------- No Business is a registered corporation? _______________________'_. Yes 6) If yes Name of Corporation Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? _________ re No If yes then a Home Occupation Registration is rregg red—See Building Division Staff` Name ofBusines �V Business Address /V ��r w ��/(��/f o "401 Type of Business �; ((ly7 � B ' dmg Commissioner Office Use Only , Conditi o s _ 6 Building Commission 6r2 Data OX8 ?�-4d Clerk Office Use Only Town of Barnstable Building Department �oFTHE rasy Brian Florence,CBO o� Building Commissioner 3RIARN LE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us QED MA'S A Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: —� Permit#: C SU( HOME OCCUPATION RkGISTRATION Name: 4 N1c LJ 0 �" PST f u V� r/Phone#: Address: village: !T ! ltMAI I Name of Business:A'YW Type of Business: 11V T//L 6 Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1 A of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located Z within that dwelling unit. 0Such use occupies no more than 400 square feet of space. F— F- . There are no external alterations to the dwelling which are not customary in residential buildings,and there aW is no outside evidence of such use. n CC U � No traffic will be generated in excess of normal residential volumes. UO Q . The use does not involve the production of offensive noise,vibration,smoke,dust oT other particular W u_ Z .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. L z . There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess p Z z of normal household quantities. = O Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. U) . There is no exterior storage or display of materials or equipment. W There are no commercial vehicles related to the Customary Home Occupation,other than one van or one W cc>- pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to b exceed 4 tires,parked on the same lot containing the Customary Home Occupation. vQ >-- . No sign shall be displayed indicating the Customary Home Occupation. w If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included . No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have r ad and agree 'th the abov restrictions for my home occupation I am registering. Date: Applicant. Homeoc.doc Rev.10/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �3 Parcel Application #05_9 Health Division Date Issued f Conservation Division Application Fee Planning Dept. Permit Fee S Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address IL 4 no 0 , Village 6�1)n i c MN� Owner it A.6e-�-I� '5ky 010 . Address S o Sg j le bac v. U, mas�tee Telephone S O g '" T b - b I q g Permit Request aQ e S V-_ 115 0- t I2 \ c� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a 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 cJ5 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 ` r Total Room Count (not including baths): existing new First Floor Room Count m� Heat Type and Fuel: 34 Gas ❑Oil ❑ Electric ❑ Other m= , Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: 0 Y&s p No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ exting 0_0jew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 4 ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION r .I (BUILDER OR HOMEOWNER) Name W I�am &,U as�e Ca e. (sage Telephone Number Address ,ng � :- ie License # ow Yak'mo +�� �1R o2�b 6 Home Improvement Contractor# l V y 3 Worker's Compensation # ¢ Q 3 O W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y,,CM 0ILA SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# f DATE ISSUED x MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL . r GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT s } ASSOCIATION PLAN NO. f i TENANT/PROPERTY OWNERIAGENCY WEATHERIZATION AGREEMENT 1. The Pa, to thi A reement are the following: a.'a � 'M a (hereafter known as Tenant), (print your tenant's name) (2a w (hereafter known as Property Owner) (print your name) and Housing Assistance Corporation(hereafter known as Agency). n consideration of the mutual promises hereaffeir s led, the Paaes agree as follows: 2. The date of Agency`s signature will be the effective date of this Agreement 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at(street town) /A(+0-- 1 t F d . � t,(1 n� (Yl unit# , and currently leased or rented to the Tenan-' a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing&.Community Development(DHCD).may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections, The Weatherization work will be performed in accordance with the Property Owner's consent as further specified below: IIiL=OKa(:QAiI fit;THE FOLLOUItdG:*"" I consent to performance by the Agency and its contractors of any Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of work. I will provide a separate consent to performance by the Agency and its contractors of Weatherization work following my receipt of the Agency's :. inspection report and a statement of the Estimated work and associated value. This additional consent will be sent under separate cover as Attachment A. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work. 4. The Property Owner understands and agrees that any and all work, including related - repairs for which the Property may also be eligible,will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization work by the end of 2010. 5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization work by the Agency, the Property Owner will be notified by the Agency and will be required to make the repairs as soon as possible. Except where the Property Owner receives a written extension from the Agency, time is of the essence in the performance of repairs by the Property Owner. r °s J 6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel suppliedutility supplier as to the quantity of fuel/utilities used at the above address in each of the past three years and the future three years. The information is to be used only to determine the cost effectiveness of the Weatherizabon improvements. 7. The Property Owner agrees that the rent for the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. 8. In consideration of the Weatherization work hereunder, the Property Owner further agrees Vat n the effective date of this Agreement and during a period extending through T5 f T a) Tisent rent$ �per month will not be raised for any reason. (The rent amount must be filled ink. However,this Paragraph (8a)will be waived by the Agency in writing if,and only If,the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program Please state which Housing Subsidy program your tenant is on and through which Agency: b) The Property Owner will not institute any summary process action for possession except in the case of non-payment of rent or other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises, Property Owner shall comply with one of the two requirements below: --The Property Owner shall not sell the premises unless the buyer agrees(with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement; or --The Property Owner shall pay the Agency an amount equal to the cost, as certified by the Agency, of the Weatherization materials Installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale. 9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the period set forth in Paragraph 8 above, the rent shall not be raised more than %per for an additional period of one year, and the provisions of 8b and 8c above shall can#inue in effect for such period. However,the rent provisions of this Paragraph 9 may be waived by the Agency in writing if,and only if, the premises are leased under a state or federal rent subsidy program, in which Case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. 10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement,the provisions of this Agreement shall govern. However, if such other lease or agreement, including without limitation a lease or agreement under state or federal vent subsidy program, contains stronger protections for the Tenant, such stronger protections shalt apply. i 11. For breach of this Agreement by the Property Owner, the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance,the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing,the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government,as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants terminabon. 13. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement -Property Owne Signature:, y'Dafe Phone: y �lo ��Q j q6 MV Address: t_ 1ff Tenant Signaturk1LA Date Agency Signature Date The Commonwealth of Massachusetts K� Department of Industrial Accidents Office of Investigations y� 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aunlicant Information Please Print L�ezi�bly' Name(Business/Organization/Individual): i C 14 A.ei �1�Is -D�� t� c4e Address: rJ XI t 611t[ t� > City/State/Zip: S - Yf�t�-o'�o� _t, l phone#: - Are you an employer?Check tth�e appropriate box: Type of project(required}: 1.CK I am a employer with �"1 4. ❑ I 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 6. ❑ Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance ❑ required.] 5. ❑ We are a corporation and its I O.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I IQ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12❑ Roof repairs insurance required.] c. 152, 51(4),and we have no employees. [No workers' 13.®OtherTn"GhJ �' m comp.insurance required.] *Any applicant that cheeks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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'camp.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 (ANZ T I S &I S it ANi C—E _ Policy#or Self-ins.Lic.#: G"3 C. - 413 1 Expiration Date: 2 [ Job Site Address: d-� 6 n e o n City/State/Zip: Attach a co py 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance_coverage verification. I do hereby certify under the paxnsMld pvenaftiesqfRerjury that the information provided above is true and correct Si ature: f Date: Phoned Official use onh}. Do not itrite in this area,to be completed by city or town officiaL City, or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITYFDA_TE(NM1DWWM INSURANCE 1/1/2010 THIS-CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED,the POlicy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the Policy,certain Policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCERCONTA NAME: Shannon Sperrazza Risk Strategies Company 'PHONE (781)986-4400 FAx --- (981)963-Ori24 15 Pacella Park Drive A, Doa�ss;esPerrazza@rick-strategies com Suite 240 ' PRODUCER A0018476 INSURED ED NA OZ36$ INSURER(S)AFFORDING COVERAGE c INSURERA:Seneca Specialty Insurance Co Michael McCluskey, DBA: Cape Save �INSURER e:Keatina Group Ins Services IN 7 C Huntington Ave SURER C:Charti3 insurance INSURER 0 INSURER E: South Yarmouth MA 02644 --- I 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, s EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR.` TYPE OF INSURANCEMwyp; POLICY NUMBER MPOLICY EF I POLICY OLI Y0XP ' (IpA GENERAL LIABILITY R COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE $ 1,000,000 t 1 PREMISES(Ea oocurrence) $ 50,000 A CLAIMS-MADE $ ;OCCUR BAG1002608 10/16/2010 10/16/2011 j MI_D EXP(Any one person) g _ I0,Qfl0 t !PERSONAL&AOV INJURY S 1,000,000 �— GENERAL AGGREGATE is 1,0001 Ofl LGEWL AGGREGATE LIMIT APPLIES PER: r` — f PRODUCTS-COMPIOP AGG ;$ 1,000,000 X;POLICY JFrT PRO- LOC $ -- -- AUTOMOBILE LIABILITY ' +-- i COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO 16208200 11j6/2010 11/6/2011 i E1OBnl) ALL OWNED AUTOS �! I BODILY INJURY(Per person) `$ X ;SCHEDULED AUTOS j I BODILY INJURY(Per ecgdent) $ al HIREDAUTOS I PROPERTY DAMAGE (Per accident) s NON-OWNED AUTOS f S _ X'UMBRELLA LaB i $ �;OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE i EXCESS LIAB CLAIMS-MADE! ~� v ,000,000 i ; �_ .s 1 DEDUCTIBLE i g $ i : RETENTION S 1023579601 P-0/16/2010'10/16/2011: O E WORKERSCOMPENSATION ctsael McCluak® t 'S AND EMPLOYERS'L(JF,Bk.IT1' WC STATU OTti ) YIN! ?X:I LIMITS' FR •I _ ANY PROPRIETOMPARTNER(EXECUTIVEpis excluded from coverage. — j OFFLCERIMEMBER EXCLUDED? 7 j N J A I E.L.EACH ACCIDENT $ 500�d0 IMandalory in NH) 9930951 10/21/2010;10/21/2011; E.L.DISEASE-EA EMPLOYEE S 5fl4�000 i worst deauibe under ? DESLhRIPWN OF OPERATIONS below I i E.L Dl$FASE-POLICY LIMIT $ ' 500 000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,AddMonal 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 MLL BE DELIVERED IN Housing Assistance Corp ACCORDANCE YYITH THE POLICY PROVISIONS. Attn: Ruth 460 West Main street AUTHORI7ED REPRESENTATIVE Hyannis, MA 02601-3698 Michael Christian/SMS ACORD 25(2009M) 01988-2009 ACORD CORPORATION. All rights reserved. INS02500sos) The ACORD name and logo are registered marks of ACORD Im.— Mwisachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License License: CS SL 102776 ry . Restricted to: IC 4 WILL1AM MC CLUSKY � � ''° ���a�. 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 ( arum>�hau'r Tr#: 102776 .:. .. .. . .. .. . -. -- ;' 1. 1. k., 5 �. c% ={O s Officeof Consumer A"ffairs>'and usiness Regulation i,�:;i�,�.—�..,.qi,`,���;��,�,1".�),,:-i,�.�3"W-�.1,i.'.-�.'.,.,�i,,,1.-,,..;"'�.:1�,�_:.,—;,�%f.,.,�.",�.I�'.�!,.��a.;-.1,..�,,:�..,.���.:1���".;—Id.�'l,,',,��,.�.'�,.'.1_,...��,I:I�.,,�.s..,�.;,.?�.�-,- 10 Park Plaza .Suite 170 ',-I,")�'��i..-1�-:..,..-...,�-...�-�;��,.,-.�,.",,,'.i;�1�;.:�—1".,�'.I�.�,I�1--I,,.,.--,.,.-I�.1-,1�,.%,%-d:'��..,4',--�,7,--.,�',,,�,-�;.1.�-,'i"A��:,--- , Boston, Massachusetts 021`l 6 Horne Improvement Contractor Registra`tlon Registration: 164432 Type DBA a ` Expiration 10/6/2013 ' Trf; 21765fS CAPE SAVE MICHgEL McCLUSKEY - - _ 7C,HUNTING`gVE I S YARMO,UTH,:•MA 026fi4 , r�, h ` _ 4 Update Address and return card Mark reason for c6;ange ,%,,—, DO cA a so '` Address Renew ;< s°an o�oaoioizas al �': Employment`. Los ,11 �_ LJ f� G J c card �� �jy��� ������jj..// , Z Office-ofon 0°a_ A sumerAfYairs°&:;BnesaRe `� ;, x :- 8alahon ;, License;.or�re grstration valid for�mdrvid J use only : HOMEIMPROVEMENT' CONTRACTOR .:: belorea6e-ez is �' �Re'istration p ton date If found return to , , 164432 Type Offce of Consumer Affairs and �:; Business Regulation Expiration: 1- .13013 DBA �10 Park Ptaza Swte 5170 C SAVE Boston,MA 021.16 MICHAEL McCCUSKEY 8201.S HOURbCT t CHAPEL HILL NC 27516 — . 4 `` U of valid witliout signature ad ersecretsry F, a'. n Ad As: 's map,and ;lot number n �, a ,r. Sew_age.Permit number .............A"".""fl'...! THE t° TOWN � OF BAR.NSTABLE ca tea, • o� �'? 4 '. � . i BAH9T BADLE` i `; 9� Mu Yae�� DU11DIHG : 1H_SPECTOR �C W. r F APPLICATION FOR"PERMIT TO, ...... �✓e«S£„ /,,, 7/a........ ......................................................... .... ... . cr TYPE OF CONSTRUCTION yC . ,. ... ...............19!l. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby2aaplies for a permit according to the fo owing information: Location ........ .... /..1/G.�.(s .�V......A.Aoqv... .. .. . '�1��...........:.................................................... '. t ProposedUse ....... ,£.FZF!�4/. ............................................................ ................................................................ Zoning District ...... . .t. Fire District ..... .. �! R// Name of Owner L /. ..:.........Address .........Wm!V!!h �.................... Name of Builder ...... !. /�!..... .......!......................Address ...11kNCflJ....&j.0......;�".1T.. ............. Nameof Architect ..................................................................Address .................................................................................... ..:.........................Foundation �®NC/Q TC Number of Rooms ......�..)./.►....................... ......................................................................... S/ .'fv�? ...........Roofing ..... 49L .................................. Exterior ............ .. .......................................... � ............. Floors ............................................Interior .................................................................................... Heating .................... .........................................................Plumbing :............................................. ......................... OV Q 17, Fireplace ..................................................................................Approximate Cost ... .."7"� ............... ....... ... .. ..................: . Definitive Plan Approved by Planning Board _______________________________19________. Area Q.. ....... .. ! Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �`y 4- --A .............. Y M Pelder, John 17992 enclose patio ..................jPermit,for .................................... to .breezeway .... .......................................................................... 246 Lincoln Road Laication ......................... .................. . ................. Hyannis ............................................................... ......... John Pelder Owner .................................................................. Type of Construction ...........fram...e.................... ........ ............. ................................................... ............... Plot .....A..................... Lot ................................ Permit'Granted ........ ..........1975 Date of Inspection ...... . ........19 Date Completed .......19,npleted '.7�1........ PERMIT REFUSED ...................... ........................................ 19 ...................................... ........................................ ............................................................................... • ............................................................................... ............................................................................... 1.Approved .............. ........................... ..... 19 ............................................................................... ................................................................................ ,� Ae •/cam_. Assessor's map and lot number �...,�.�.. ...%'.��..�.....r' Sewage.Permit number ....j�: ...: �'.'a:�...t`u��'' '`'-.f :.. ... yo�T"ET°�° - TOWN OF BARNSTABLE BARNSTADLE, i + M6 q D:UI`1DING s INSPECTOR* a yaY a' .' _ -' APPLICATION FOR•PERMIT TO ...............~................................:... i ........................................................................ cTYPE OF CONSTRUCTION ........... y'.f..•.l.'..�...i..f........L............�..f:.r.1..�.:.........'..J........�.........: ..+............... b...................... ................................., �- .19j..� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........:.... .......`.. r.:L ...........!.:.�..................,.d � '`:::.:...................................... ................................... `. ProposedUse ........f` .........'.°`.?..... y............................................................. .............................................................. Zoning District ...... .............Fire District .....�::� 1-1-1-/ 11 ...e t.......................�. ................................................ AE Nameof.Owner ....................... ..r .. .........................Address ......................:............................................................ Name of Builder ......�. �1f'�"� t..0��� �•G. /%/t C01 1 L ?a `t?..... X.r.................. .........................................................Address ......................:..................... ... Nameof.Architect ............... ................................................Address .................................................................................... Numberof Rooms ..........:..............�......................................Foundation ................................................................................ Exterior ...... .-: ......'...."... ......................................................Roofing ....../�5I010...... .!...................................................... Floors ...........................Interior .................................................................................... �...`..!. .. ......... ...r�.................. Heating ..................................................................................Plumbing ................................J............f ................................ Fireplace ..................................................................................Approximate Cost ....:........... ................................................. 40 �'' Definitive Plan Approved by Planning Board ________________________________19________. Area -at '...................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........�•,!.....:... . ....n...................................... r Pelder, John A=270-42 17992 enclose pdtio No ................. Permit for .................................... to breezeway ......................................... 246 ULeoln Road Location ........................Y....................................... Hyann/is .......................................... ..................fP John elder Owner John Type of Construct-ion .............frame.... ........................ .................... ................... ........................................ Plot ............................ Lot .............................. ctober 15 ........19 75 -Permit Granted ..... ..................... Date of Inspectic ....................................19 Date Completed ......... .19 PERMIT REFUSED ................................ ............................. 19 ................................. ....................... . ................................................................................ ......... . .... ............ .. ............ .. ............................ Approved ................................................ 19 ............................................................................... ............................................................................... 01��' a S ,-6 �� oSAl P6), z / ' /I C S5 71 -Fp T S41 �O�e �G� Ide ft ,