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Home My WebLink About0036 VIOLA LANE �� o .. e - _ �� . o .. ,. ,. �� ,, <� ,. �.' o - ,�� .. .� � .� .� , t, .. ,. ++ � ): .. � ,. �.. � ,. o �' ., a _ i �� - o - ,. ... i �. ,. a '- � ,. .. o �. � ,.� � ,� ,� o -. �, '. - i d o p o „ .,�� r .. � �. � ,. �. .. .. '- ,. .. .� _ o o �. .. _,. „ , ., � � o l � .. ,. . r � G ,. � - � e; �� t, i � � ., .. � � .. _ �. � - �, , ,.,. � ,. d „ .. . , a rt 9 -. .. „� ,. � .o- -p a. _ � _ a a ,, - .. , n ,�. - , ,. ., n ,. �� _ ° 'o � _ �, �, - � o .. �� o �� o �.n � .� ,. � � � ° i. - a ,i m ,� - �� _ � �, , G,� , „a � � ,. ., � o o ,. e,. � � - ,. ., �. n a � .. - �, o , n ,. o � � - .. �� -, �, � ,., � ,� ,� ,; o .., ,.. .. o -,� - � - o - - o a b a �� - �. a v � ,. 6 .� i. � - „ i , °�i n. o � � � �` o � �, ., � a -: � .. a .. ,. ., o ._ �. a - :, ', fl � ... .� � �, - o � _ ,. ,. . � .. P , ,� o a. , �, o_ o ��, �' �, , _� i - �, ,,,.. �, ., r„ ,.: �. ., �� o ,� �. ,. _ n - 1 a - i �. r � p �b � ., � ,. _ a.� ,. o �� ,. o a r o ., �i n - - - � �� .� e o �� .. � _., a .., � .� � a o - `.` o � - .. �� ,� a ,, � �" �- n ,,. ° � - .. ��r. � � n o '', - 4 ,� _ ,- � - n o � �, � � � ,.. _ .. - .. � .. y n � ° � - .. � „" a ,. ,. ��,t o r o _ � a .. �. �." � .. r; o a �, o � �� o � � , ,� a , i ,.. o ��: o � o a �_ � „ , � -, �, o wK�ra..K7-f�...� w�� .�,e•.rf"'n�.� r+"��R a„� �!..�� .._n,.. w.�,�„r+,.r+ � � ,. '. 4—. .�r� �n,,..�++,r"""".'^.�..++++� ,,;I��,,,,�,.,,..,..✓�...0 ,, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 043. Parcel Application #0w4vitp5q Health Division Date Issued 3 Iq Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis /Qµ � 1 Project Street Address 3 6 V I 0 1 a Village na(3_�'01-0 nll� Owner na r ,6 S CO rA S.S Address 5 c6ye_ Telephone SO N a� - ` 5 5'A Permit Request f? -)4 CP )I LA o.s c a p r, 1 eAc, T >e- iris Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ..Zoning District Flood Plain Groundwater Overlay, Project Valuation 3400 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 ( 90 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 (�,s A Number of Baths: Full: existing new Half: existing -mow Number of Bedrooms: existing _new C): ,o CD 7' Total Room Count (not including baths): existing new First Floor R om Count Heat Type4and Fuel: ❑Gas ❑ Oil ❑ Electric ❑ Other N n cis . Central Ai:-4; ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal sQA: ❑ es ❑ 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 'NrNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) S p 508 318 G39g 1I11 Name I � Q�� Tele hone Number_ Address License# t 6 5 0 c afmo '% I �M r k OMNI Home Improvement Contractor# Email Worker's Compensation # TWC 3 3 53 9 b8 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 3 ` 1�'I L_ � V FOR OFFICIAL USE ONLY n ' APPLICATION# DATE ISSUED MAP PARCEL NO. - ADDRESS VILLAGE OWNER r t" . DATE OF INSPECTION: - FOUNDATION T FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH �` FINAL FINAL BUILDING DATE CLOS_ED OUT } ASSOCIATION PLAN NO. ok oanivarE - Y flop- r 460 Wes[hi2iu Sttett oust • '- - g -- - - Hyaunis,Ivl1A 0260I-3698 Assistance., T (508)T71-54W F(508)T5-7f- 3'I on all lines - �buronevpeeoda HOMEOWNER WEATHER1ZATION WORK PER1UiiT8�FUEL RELEASE PLEASE FILL OUT AND-aaN THIS FOIM IF YOU ARE �rr THE APPLICANT HOME OWI\i hereby consent to and agree that w atheri.zation work may be done by the Weatherization Prograuz of Housing Assistance Corporation(herein after refesed as 'Agency-) on the property loeatr-d at 1 " The weatherization work done will be based on proggramr,at-ic pziozities and availability of funding and it may include all or sortie of the following measures: Weather-stapping U c=Rditg of windQws and doors,insulation of attics;"sidewalIs W basements,attic and otherventilationmeasnics and poss21ly replacement of badly detexioratedwindows_Li consideration of the weathaization work to be done at my home I agree to the following Z- I give pm=swn to the —Agency—its.agents and employers to travel onto or across said property with such equipment and materials as may be necessary to peaform weatherization work on said proTaiy. I 2- The Housing Assistance Corporation reserves the rigu'-t to tin sp ect the fael or utility bill for the weatherized unit on an ongoing basis for no more than five(5)years after the weatherization work is completed- I have read the provisions of this agx t as listed�and freely give my consent Home Owl (SIgnatM Date; D41 - �� Date= ILkC approved WeathCiMatton CoMpan-y= COL C5 Cah-ber Building&Remodeling Cape Cod Iusulafion Cape Save Cieswell Constmction FrontierFnergy Somons Lobs&Sons eter Smith Resoluho.iLE e U Rock Solid Coi;g n c =' All Cape lasnlahon The Commonwealth of Massachusetts Department of Industrial Accidents � �- - Office of Investigations I Congress Street, Suite 100 tLw Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizadon/Individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone#:. 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with � S 4. ❑ I am a general contractor and 1 6. ❑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. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y9. ❑ Building addition [No workers' comp.insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ 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#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'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: Technology Insurance Company Policy#or Self-ins. Lic. `#: TWC3353968 Expiration'Date: 04/09/2014 ` Job Site Address: 3 b y % b\ 01, `- OLA e, City/State/Zip: 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 S 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. l do hereb certi under the pains and penalties of er' that the information provided above is true and correct. Signature: Date 8 r Phone#: 508-398-0398 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: '4 CERTIFICATE OF LIABILITY INSURANCE �0/22/2D'3' 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. PRODUCER NAM : Colleen Crowley Risk Strategies Company PHONE (781)986-4400 FAX �:(761)963-4420 IS Pacella Park Drive n Suite 240 INSURE 3 AFFORDING COVERAGE NAICS Randolph M 02368 INSURER A Selective Ins. OF America INSURED INSURERS:SafetY Insurance Company 3618 Cape Save, Inc iNsuRERC:Technology Insurance Coompany 7 D Huntington Ave IN5URERD: INSURER E: South Yarmouth MA 02664 INSURERF: EEA COVERAGES CERTIFICATE NUMBER:CL13102268490 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 WiiICH 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 TYPE OF INSURANCE POLICY NUMBER MMl I E F POLICY1XP LTR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea Qccurreme) $ 100,000 A CLAIMS-MADE a OCCUR 91994480 0/16/2013 0/16/2014 MED D(P(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY X PRO X LOC $ AUTOMOBILE LIABILITY EO accident N4 L L 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6208200 1/6/2013 1/6/2014 BODILY INJURY(Per acrident) $ X AUTOS AUTOS X ALITOSWNED PReOP�a Y DAMAGE $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION Nxi. 1994480 0/16/2013 0/16/2014 $ C WORKERS COMPENSATION officers Included for X VoRYTATUS OTI+ AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEREMECUTIVE Y/N Coverage E.L.EACH ACCIDENT $ 500,000 OFFICERWEMBER EXCLUDED? � NIA 353968 /9/2013 /9/2014 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Weatherization Specialists GL: Blnkt AI, Blnkt PNC, Blnkt WOS, Per Proj Agg, Per Loc Agg / GL Exclusions: Snow & Ice Removal/OCIP/Wrap Ups 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 ksh—chael Chrlstlan/CLC ACORD 25(2010105) ®1888-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD ....-......!.•e-+�-..^...._.-. ._._...-.___ ..�.._.....__'!�TI�'.__.-.�. .,.__._ -...__.- _.._ + -_-.... ..-.:RJR.'.. ._T...... ..-_ _ N 0/ Office of Caner Affairs anti-Biaimm Regulation 1Q.Pwk Plaza- Suite 5170 . Bow Massacbuseft 02116, Hem t Cotctor Rai Type Commun Exphstion; 3f 4M`1B TO 20M CAPE VEM WILLIAM WOU.04gy 7-D HUNTINGT# E SOUTH YARMO 664 ;f Lt;/ tom;` �: r .,..�. SCA 1 b 2 A44WI ... Lw caw oic � R ct 0. Type: aCernerAls Coorpo is iPba=suite 5170 ;' 1 ,MA 02116 CAPE SAVE INC. °:,=-" ,rt F.aT, ��;•:lam WIL UAM 7-D HUN7iNWO3V AV alf1 SOUTH YARMOLM MA 026ii4 �� Massachusetts-Department of Public Safety. Board of Building Regulations and Standards Construction Super%isor Specialty Licenser CSSL-102776 mot:rr.. wt[J AMaMC 37 NAMT ROA6 s 1 west YAK MA �%�.,.� ► ,��w Expiration Commissioner 06/2lifms i� - I j • i - ` Town of Barnstable *Permit# lI W) Expires 6 nihs from issue date Regulatory Services Fee ' X mP =zi'3 8 PERMIT Thomas F.Geiler,Director FEB 0 7 2007 Building Division /�� Tom Perry,CBO, Building Commissioner . TOWN OF BARIVSTABLE 200 Main Street,Hyannis,MA 02601 r n '�' Y www.town.barnstable.ma.us �f�" Office: 508-862-4038 Fax: 508-790- EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number (200� Property Address 3 6 11 f 0 4-A 441 /0—M,222& /41— 'Residential Value of Work Minimum fee of$25.00 for'work under$6000.00 Owner's Name&Address ZC0 C I-q?, 0A)A.);F e"'h oe.4IS5 Contractor's Name Telephone Number�. - })/-� Home�Tmpiovenient Contractor License#(if applicable) J y9 y Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec e: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workinan's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) @e-roof(stripping old shingles) All construction debris will be taken to y � A/ - ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Own=must sign Property Owner Letter of Permission. y th o Improvement Contractors License is required. SIGNATURE: ` Q:Forms:expmtrg Revise061306 " The Commonwealth.qf Massachuseds T Department of bidtis&d Accidents — Office of Investigations- : 600 Washington Street ' Boston,MA 02111' www.mas&gov/dia Workers' Compensation Insarance Affidavit: Builders/Contractors/Elect cia&/Plumbers ��ulicant Information Please Print Ledbly Tame (Business/Or tionfthvidaal): address: g 0L.Z 1d-La(!x� -`ity/State%Zip::. .I,et��.��!/l�� -ytr9L Phone#: .�5 re you an employer?Check the•appropriate boa:. .'Type of project(required):. I am avmployer with 4. ❑ I am a general contractor and I ._6..❑New construction. engvloyees(full'and/orpart time).* have hired the sub-contractonrs 2'I am a sole proprietor or pm1ner- listed•on the attached sheet$ 7. Remodeling ship and have no employees These sub-contractors have .8. -❑ Demolition working forme in any capacity, workers' comp.insurance. 9. ❑ Building addition o workers' comp.insurance 5. ❑ We are a corporation and its 10-M Electrical repairs or.additions 1eq�&] officers have exercised their ❑ I am a homeowner doilg all work . tight of exemption per MGL .11.❑ Plumbing repairs.or additions myself-[No workers' �. c. 152,$1(4),and we have nq.. 12�of repairs insurance required.]t employees.[No workers' comp.insurance required.] 17. Offer say applicant thatchecks box#1 must also fill out the,section-below showing their workers'onVeasation policy information: ,. 3cmeowners who submitt d affidavit indicating they are doing all•work and Bien hire outside co�acb=must subaat a new affidavit indicating such :untmcwrs that check this boa must attwbed an additional sheet.ftwing the name of the sub-cuatractors and their wofl='.=zpi:poliq inf x ation. am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site. formation. usurance•CompanyName: -1 • !i!/I -- _ -olicy#or Self-ins.Lic#: Expiration Date:• fi ob Site Address: City/state/Zip: kttach a copy of the workers' compensation policy declaration page(showing the policy number and vxpiration date). allure to,secure coverage as required ender Section 25A of MGL c. 152 cati lead to$le imposition of arimmalpenalties of a ine 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 >fitp to$250.00 a day against the violabr. Be advised that a copy of this statementmay to forwarded to.the Office of . nvestigatidw of the DIA for insurance coverage verification. do hereby certi der the p ns d p aloes of perjury that the information provided above is true and correct: 3U Date: Phone#: t�O e -7`d$-7 �-?a Official use only. Do not write in this area,to be completed by city.or form officiaX City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone.#: r t t ` Y Town of Barnstable Regulatory Services BAMSTABM Thomas F.Geiler,Director 0 9�A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder C(- ''l S 5. , as Owner of the subject property hereby authorize ERI C. E►y4 �:Ee n to act on my behalf, in all matters relative to work authorized by this building permit application for: \)j bl a UL✓ e- PYIU s 5�or�`j (11► l5 V�'1� va/�`F� (Address of Job) Signature of Owner Date i TV-pmogs L 1,5 S Print Name Q:FORM&OWNERPERMISSION y > g* ngtegtlahons end Stan SAE 11 P '64'-E A JT CONTRACTOR t�ist 2008 ' • f z ELSEIV , _ _. t a _ —• _�..,. t,:;� .:_...Y_, a .,i.:,:.,:-r::_ _ _ _„s .... �--'--... Aj � .• aZ � for . . .. a4 2 43 18, 62o DO bIt FAD ° � A i C6, IL14.2 A • Lcm XARD c A. BAXTEA : a ao.24048 ter; i STER� zs� .• CER TITI ED PLOT PL AN i LO-CATION MAQ.STcWs/AjLLS MAaS I CERTIFY THAT THE FOUNDATION SHOWN HEREON COMPLYS WIT+i SCALE J''� 4o ' DATE 3-8-4o ' THE SIDELINE AND. SETBACK PLAN REFERENCE REQUIREMENTS OF THE TOWN OF BARNSTABLE AND IS NOT LoT 4,3 LOCATED IN-THE FLOODPLAIN. PL. 13lC.. 443 i->G 8 6 DATE : 3-8- 70 �a �� BAXTER 0 NY THIS PLAN IS NOT BASED ON AN E, INC. INSTRUMENT SURVEY AND THE REGISTERED : LAND SURVEYORS OFFSETS SHOWN SHOULD NOT BE OS T E R V t L L E MASS. USED TO dETERMINE LOT LINES. APPLICANT TAM C S Ie• SNt IT-14 f / SHE A r .. The Town of Barnstable � � Department of Health Safety and Environmental Services . o;9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION V�M Location of shed(address) 4— Village Ix yk C rl ^ Sr� y operry owner's name Telephone number ,)C C Dq3-00 6-6 0 - Size of Shed , Map/Parcel# Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction?. Conservation Commission(signature required) D PLEASE NOTE: IF YOU ARE WITHINTHE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE- PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg °,*WE t� The Town of Barnstable 9� � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. `/ Type of Work: Ck Est. Cost Jr),p D p D Address of Work: 3 jioll�, La-Vl-f—> Owner's Name I orn af) L + 12rmw— � Cn r I i S S ;,- Date of Permit Application: b— 3 / I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. BxAding not owner-occupied ,4�3Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contracto am Registration No. OR Date Own ame + Thc• Conrmonivealth of Alassachuseav, ;,;i Departnie 1 of ludlurrial Accidents iw {[,� oficeff"WeSM171/ons 600 11 achingfair Street Boston.A1aas. (12111 Workers' Compensation Insurance Affidavit Applicant information: Please PRINTaebi�i j� name Tt^'lC�,� l ['�� 4�� D"( �� 5 Lciti c't� hon•# am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _ .. .�-.v......_.......__,._.�.�.�...,...-Y.-1rc.--�-..n-'n..�r-+:��-. .. +�-q-..-...-.---:-"i...---•--�-�,---_ ^-Win'-^--. � ..,....,.-_....___ •.. ..... �L. .._.... .ate - y�c II I am an employer providin_. workers' compensation for my employees working on this.job. cnow.-m • name: address• city: phone#- insurance co. Wolin # [I I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: mmunriv natne: adtiress• city: nhnnc#- insur-incc rn. rinliev# cntnnanv name address� cin nhnnc#- insurance co policy# Attach additional sheet if ne _:cessary -'R �__- _ - +�' " _ ____ ...'—._•,�— --' -_.. .—__...._-._ �.ia��. - °ram'-..�ri.r�.�•.+��- rr..v... ..+....... .,.-.y-.Kra ' '..r....?_ a. - Failure__ to..secure coverage as required under Section 25A of I%lGL 152 can lead to the imposition of criminal penalties 01'a line up to 51.500.00 andiur une •cars' imprisonment as well:is civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statcment may be forwarded to the Office of Im•cstigations of the DIA for coverage verification. 1 do herchr cerrift•tinder the p itts and pen s of perjun-that the information provided above is true and correct. Sienaturc Date ✓ (� �' �j 7T Print name Phone# rci al use only do not write in this area to be completed by city or town official r rows permit/license# rjouiiding Department C3Liccnsing Huard I] check if immediate response is required 0selectmen's Office I' O11calth Department contact person: phone#; mother S: information and Instructions Massachusetts General Laws charter 152 section 25 requires all emplovers to provide workers ccmi:l ensation for the employees. As quoted from the "law". an eiupluree is defined as every person in the service of-'ant4i er under an\• contract of hire, express or implied. oral or written. An eynplt rer is defined as an individual. partnership, association. corporation or other legal entity. or anv two or me the foreuoin�_ enLaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recciver or trustee of an individual • partnership. association or other legal entity, employing employees. However ti owner of a dwellinu, house having not more than three apartments and who resides therein, or the occupant of the d\vclling house of another who employs persons to do maintenance , construction or repair work on such dwelling_ he or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an employ MGL chapter 152 section 25 also states that even- state or local licensing nsency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into_any contract for the perforniance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Appficants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and suPpl�°in_= company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the cin° or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law''or if you are require to obtain a workers' compensation policy. please call the Department at tite number listed below. . City or Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pik be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tile-Department by mail or FAX unless other arrangements have been made. The Office of lnvesti_ations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to give us a call. The Department's address. telephone and fax number: The Commonwealth Of?Massachusetts Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION __�'lease print. . DATE (D y1 JOB. LOCATION CQ 1 I �(�Yl �5�0 1 ' I I L, MA Number Street address Section of town HOMEOWNER"- Name Home phone Work phone . - PRESENT MAILING ADDRESS � I � np City town State Zip code The current exemption for "homeowners" was extended to include owner-occuni dwellings of six units or less and to allow such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (s)' who owns a parcel of land on which he/she resides or intends to r side, on which there is, or is intended to be, a one or two family dwelling attached or detached structures accessory to such use and/or farm structure. A person who constructs more than one home in a two-year period shall not bt considered a homeowner. Such "homeowner" shall submit to the Building Offi( on a form acceptable to the Building Official, that he/she shall be resmons: for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and 'regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Depart3ment minimum ins n procedures and requirement and that he/she will comp y with said ures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. Cc)< _frY �'S�'c�vtis is A a ` XJ z f � r?4 AJ Wo'l -Ln — L � iv 5-2i Col 88.8 /88.7 — — Q.- 86.5 7 .6 (86.5 \ , �i 9.6 5— /\ 8 7 r 88 /7 71 7.6 f` 2 { 88.1 6_ �s5 6-5 { 439 i<84.9 l�86.9 1 6-6 y/84. i / 1\87.00- _� 7 6-8 _2 ! : „ r�8 %/ 851 �i7 /86. `�83.6 ��` v 6 \i8 `/ 8B 76.8 06-11 � &pgineenng Dept. (3rd floor) Map 643 Parcel oo(lya 'Permit# ,� 7 J r House# Af-&ato Issu ��-�� Q7 a, oard of Health(3rd floor)(8:15 -9:30/1:00-4:30) �l - Fee o, ` 07 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) C1iP�� Planning Dept.(1st floor/School Admin. Bldg.) SEPTM$ ST SE Definitive Plan Approved by Planning Board 19 INST CE TOWN OF BARNSTABLPv'aCMi a AN® Building Permit Application 'TOWN REGULATIONSr.- Project Street Address I �`P _ �( = 7- 7Z4 � Village p Owner - l �� Address � i Q` l L Telephone Permit Request Q gel-f UJ 673 d X First Floor Qft2!5: square feet Second Floor a az square feet I Construction Type Estimated Project Cost $ „ZO0 O y Zoning District r Flood Plain Water Protection j Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 0( Two Family ❑ Multi-Family(#units) r Age of Existing Structure �+ Historic House ❑Yes .W No On Old Kirig's Highway ❑Yes QkNo Basement Type: JaFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing y�_New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: Mas ❑Oil ❑Electric ❑Other Central Air ❑Yes 7_VVo Fireplaces: Existing New Existing wood/coal stove ❑Yes PkNo Garage: ❑Detached(size) Other Detached Structures: ool(size) ❑Attached(size) ❑Ba44 e done ed(si ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Eio If yes, site plan review# - Current Use �:A r-r\!C Proposed Use r- Builder Information Name Qti)nz r Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTI N DEBRIS RESULTING FROM THIS PROJECT WI L BE TAKEN TO SIGNATURE DATE .�/ UI DING PE , DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY — PERMIT NO. 2— DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: ' FOUNDATION s — FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: GH FINAL ' GAS: �Q ,FINAL f FINAL BUILDING E� �im T,s 1 gy�pp;; k'•+ 1 DATE CLOSED OL� ASSOCIATION PL ,.,.r.,, .,.. -.. �-.'. .... . ._ ♦i._'8iltiedd21 �C+l',,.FS1.C.ir-3' 4�4"`d!'��iti-•�tr f t�iRfi6�e. •...a'. "-...- ♦ ♦ -�.`♦.: ter! i- -, .. _ _ _ _ -c'L.t•C.:a,::t�•`,_�___ M r-ow 97 a N Dr?' Lo7 a�2 43 la /2o S,F, �. p v � �_ I4.2 8S A. .. U BAXTER w: _ .. 24M � s 10 Jr STt ,rS : "� t�Kc �► CERTIFIED PLOT PLAN LO•CATI`ON MARSTcNSMILIS MA$5 I CERTIFY THAT THE FOUNDATION SC ALE 1"), 4o DAT E 3-8-4o SHOWN HEREON COMPLYS WIT+i THE SIDELINE AND. SETBACK PLAN REFERENCE REQUIREMENTS OF THE TOWN OF LoT 4-3BARNSTABLE AND IS NOT LOCATED IN-THE FLOODPLAIN, l�L, t31C. 44.r6 - 8 b DATE : 3'8' o �d. �� - ,�..._ BAX TER 0 NYE INC. THIS PLAN IS NUF BASED ON AN REGISTERED ' LAND SURVEYORS INSTRUMENT SURVEY AND THE OS T E R V I L LE MASS. OFFSETS SHOWN SHOULD NOT BE USED TO dETERMINE LOT LINES. APPLICANT TaM c S IL. Sra►TN ,r 7'.J'.'-`�fl3tir.`��..�%=.iy.{�'p:.r...,y�..'t'+.r�.,`/�"J�....}w..�..�,,y�ra,,� `r"' �'..r Ln`�'�,�?+'f"\.��I .F,.� w';��,1�•.�1+•v� '�d''U"h'V�`�..�"1..pi�`tgr'•C: „� -rr»�r`d� Assessor's office(1stTloor): Assessor's map and lot number Q A b fs = G 7 aJ��.. o`TN¢ Board of Health(3rd floor): Sewage.Pernnit number o e h� -� Z B�Hd9TABLL i Engineering Department(3rd floor): / n rnsa. House number 3 !� �(tL— °° i6}9. e� Definifive Plan Approved by Planning Board J ' 19 MpY°\ APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE r ' -`� BUILDING INSPECTOR_ APPLICATION FOR PERMIT TO a TYPE OF CONSTRUCTION G Lj 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �n � ��®� ''��it/E ��• , Proposed Use -�i��LE� Zoning District Pe,S1 6 -,,V72,4 L Fire District Name of Owner A��.�G .�G".gGTy T.e�-iST Address Name of Builder "7y�--,,V<5.3 Address �•Pvr/_ Name of Architect Address Number of Rooms Foundation -�� e/�er� �o�C°•�E'� Exterior C'LX�/��SA�� Gel - C' ,� Roofing Floors. Interior GL Heating ��-°`�S' Plumbing -`rry�' Fireplace Approximate Cost6 Area Diagram of Lot and Building with Dimensions Fee , i r r; . 1 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 _ Construction Supervisor's License Sf/ d MAZEL REALTY TRUST _ A=043-006.007 ._ BUILD No 33687 Permit For DWELLING Single Family Dwelling Location 36 Viola Lane (Lot '#43) Marstons Mills Owner Mazel Realty Trust r Type of Construction Wood Frame I j Plot Lot Permit Granted Apti 1 19 19 90 Date of Inspection 19 Date Completed 19 to pf TNT>0 TOWN OF BARNSTABLE 33687 .Permit No. . BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 .Y� 670• V HYANNIS.-MASS.02601 Bond ................ a CERTIFICATE OF USE AND OCCUPANCY Issued to Mazel Realty Trust Address Lot #43, 36 Viola Lane Marstons Mills, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. MaX..9................ 19......9 0...... Building Inspector �..� °•o TOWN OF BARNSTABLE BUILDING DEPARTMENT _ tea°T TOWN OFFICE BUILDING,."' rut ♦� t6J9 �� HYANNIS, MASS. 02601 i MEMO TO: Town Clerk ; FROM: Building Department R DATE An Occupancy Permit has been issued for the building authorized by F BuildingPermit $ ......... ............................................................................._......................_......................... . ..... issued to ..... Dd .................................... ............................... ... ..........._........._.__..__ Please release the performance bond. Y BUILDING PERMIT NO. 1121gy ASSESSORS PARCEL No.. CONTINUATION OF ROAD BOND The undersigned* owner/contractor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction or the Engineering Section of. the Department or Public works: i/ loam and seed shoulders as soon as S '�. weather pe—its: other (e�lain) t/U S�'L ,�� LOCATION;: LOT. 4-3 10 L_44 _(4�� 1 . 1 1 L.LS SICCED (OwivE:./CONTRACT OR) (print name ) L ;Gi:viE Iy` ACir.0RIZAiTI N TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERM I T DATE i�.y �'l,�6! ��(?'"1 19 PERMIT NO?- s r f. APPLICANT .ti?:?)L!:' 1'.. z�Y�i:.i•1 ADDRESS '!)L .'/I li 0�19U IN0.) (STREET) (CONTR'S LICENSE) PERMIT TO !311:-�..CI <��rtt J.-L a.ClF 1 k .� .',.; ,• t 't = NUMBER OF (_) STORY `I" DWELLING UNITS ,L (TYPE OF IMPROVEMENT) NO. (PROPOSED USE)'•, AT (LOCATION) J`i1 it'43 30 Y:�C`.i..i i ZONING (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR '_ t VOLUME �1� �� ESTIMATED COST $ l? ),•• FEEMIT s- o rJfi (CUBIC/SQUARE FEET) OWNER �:i.t'?i.'.l. [':)�:.5.�.�';' ;'LL'•_ ' ADDRESS c1 t:s ::!i\ BUILDING DEPT. BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY, ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL WHERE APPLICABLE SEPARATE APPROVED PLANS MUST BE RETAINED ON JOB AND THIS INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTR CAL, PLUMBING I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS D Z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI 70 BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 �.a.�h o•tic� 2►- g 1 P l 2 Cl 3 qs HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 231 OTHER ICI P r (p 10 BOAR f� H H Q U `�/ Z) WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'NSLL BECO.E NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION. ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT IS ISSUED AS NOTED ABOVE, NOTIFICATION. LI � t C.J TT' Ei�J 1.:. -S>VDT7-- 7E .. • � - - ® ® . Effl -WAsCEr3y W0005 - r ARSTONS MtL-Ls -BRACKEN . IrE2N 'Rc Lo-TS ,17, /0, //, 36 ,37,36,Sil, S3 ,S.e,5/,SO,4Lg� �LB,-317, -f'6 `l .£oNy I-A tyc 1-oTS pi 31 /S, /w . /?� v o LA LA.N£ L.v TS ems, , �3,�2,��,x�,39 Iueuq�edap UOINed;U'� ip'en AS'TE2 "Rb. 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I ff� I � ' M 'LA" rI F r 4 ' 3 O • F 0 V tom! 0 A i i r o P��wwM�r (3ocLw �• SEPTBC S YSTER131 U `Assessor's office(1st Floor): ��?,.T ME YNf Assessor's map and lot number R a t/ 3 6 lS L . a b 7 aTALLE®9N COEU7:1� ."yak P�o� >o``. Board of Health(3rd floor) MTN M I1 iL� Sewage Permit number �`p �l� EMIRONMENTAL CCa<,`—; � ,, = BAH39TABLL Engineering Department(3rd floor): 3 / n� TOWN REGULA IONFS � moo M% 9 House number (o �'% d� Definitive Plan Approved by Planning Board 19 _ rar 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 C' TYPE OF CONSTRUCTION V/G 6 Z�, 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location eo Proposed Use Zoning District ��SENT-1.4 4— Fire District 7— Name of Owner ��Z-EGzT .�i2�-aST Addresses Name of Builder `��''�� sC, S�J r� Address c � v✓coT.�✓�G� Name of Architect- //'�'� Address ""�— Number of Rooms Foundation Exterior C'L�9/�24d�� C'� Roofing Floors ��pe'� Interior Y G C— Heating �r�� Plumbing Fireplace ev,Vco!� Approximate Cost fArea `Diagram of Lot and Building with Dimensions Fee ✓ ' �� t� Q =11EA IJ %j NOV 3 J P°9 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 90 Construction Supervisor's License d SJ/ MAZEL REALTY TRUST � . BUILD "No 3 3 6 8 7 Permit For DWELT.T NC, Single family dwelling Location 36 Viola Lane (T.n-F #43-) Marstons Mills Owner Mazel Realty Trust Type of Construction Wood frame Plot Lot r Permit Granted.' April 19 19 go 3 - `r Date of Inspection 19 Date Completed 19 R )) gg s f iv, s ' r — Ti P.' �; . •USA- /ono 6.4L D%5 Prr-u /too c- sivrw4U- ,dew. _ /78. gorr,z>A-f •57y G.P. D sa OF r �'� - ..,-'_ ... 'S �j �N M j. �. ? SALLYN 6 ?o .PJCHARD c✓.r `r t f. ; _ :.i.:' : '. .' ;, `t't: `•i ti:''?' WILSON •.A�No.3616�Q y CIO.2404t3 �fQSTER�� `SON D I /n/5r4'1-L P,G G./215aZ s.. >-o/z .�/-Eit/G. �..t.+�l✓/n/�FS.o.f,l. ' ro cv�r�i,�i2.��, S�. f-G, �-Tbr o �5o/L Z.D �`!:4'L � � o�sr. ��.c�v s•0) ��,� .KG.� � •.� /.si✓. 8 j, GLAX rju I / Box CIA OIL/ M dv,4,-WEo M � 4LL Sy,y c.E,eri�iEo PG o r- ,oL;c�/ �✓Q �� iQl@:��i✓,p ,b 7S.D ., M M .{~C" , LoG,GT/oaf/ '%.�STbi✓S �'//�..L$ i Z Z ,��1/�Un/��T•4Y� /"'A"i EZMZ- io 4 w ✓�GeL.S �M- A72f • Rio,��N� . ..' p,�;� I 7y o � w� �o w,�� p s� •. . CST �/3 / GE•�'�y,CY 7;/4T-T.y.E' FoLIMOArlaVS el j"%V yy8 y��Ea� cayo�Y,s �,�,,,�rf,•E sioB•,�,i,�� '8� .�6QlJ/�'E�1ENrS d.= 7;V .eE'6isr��v��t vo .sve y �S TOlf/H OF 15 4R�✓Sufj CE .c va /.S iVGT. Lacdr�� GvinrHiN 7-.f/.E cc �f A.�.G�cet!�'• c/,Qn�Es �i. >� Tif!!t -!/�lEiYl'.fy,2f/EYi41-/O T.SoE ,G/y r of vsEG CIA Cie- -.SS O® `a4 2 43 fit /? 451 A. aAyT. n No.2404II ^I'° CERTIFIED PLOT PLAN LO.CATI'ON M\lZlToNSMlLL6 MA$S . I CERTIFY THAT THE FOUNDATION SCALE j''= 4o ' DATE 'SHOWN HEREON COMPLYS WIT+i 3-B_90 THE SIDELINE AND. SETBACK PLAN REFERENCE REQUIREMENTS OF THE TOWN OF BARNSTABL€. AND IS NOT LoT 4-3 LOCATED IN-THE FLOODPLAIIrN. PL. t3lC., .4l�. �G, 8 (o DATE : 3'8` o �ec}-a 1, 4. r B A X TER e NYE, IN THIS PLAN IS NOT BASED ON ANC. INSTRUMENT SURVEY AND THE REGISTERED : LAND SURVEYORS OFFSETS SHOWN SHOULD NOT BE OS T E R V I L L E MASS. USED TO DETERMINE LOT LINES. APPLICANT TAM C !� I(_/ , Sri iT-H...