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HomeMy WebLinkAbout0037 ARROWHEAD DRIVE� 7 HRzorvff��td De, - -- a BUILDING DEFT. FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 MAR. 0 3 2020 Tel. (508) 771-3232 FAX (508) 790-2344 TOWN OF BARNSTABLE TO: (j) Building Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen O Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: DECASTRO, Erick Property Address: 37 Arrowhead Dr. Hyannis, MA 02601 Policy Number: MAH0003813 Type of Loss: Fire Date of Loss: 2/24/2020 File#: 133301 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 36 is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of.this notice to be sent to the persons named above at-the addresses indicated above.by First Class Mail. B.,VALENTINI Adjuster 2/24/2020 - � ��.� N g - C _ RUCTION sid 'teal and Commercial Builderu '', r „ ,EA 46A SPECIALIST 1 MCCARTHYC f TtGW1'A'I n e.WEB' WWW October 21, 2014 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main Stret Hyannis, MA 02601 t RE: Insulation Permits Dear Mr. Perry, s r,? t This affidavit is to certify that all work completed for permit application#0 at 37 ARROWNEAD EVE has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed 'a° meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O(42 Application # cX6 I 'f b I 4�2 6 Health Division Date Issued Conservation Division Application Fee J Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 7 /�! rr�� 1�, .� I�r• Village Owner__�,r,�� occ Address 5� Telephone .Permit Request 10" -Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation L Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family GY Two Family ❑ Multi-Family (# units) _ _1 Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings ighway Y(6 ❑ 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 nevV Number of Bedrooms:: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing Nevi 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 Telephone Number Mike McCarthy ons ruc ion Address PO Box 52 License # West ennis, Cell (508) 280-6964 Home Improvement Contractor# CSL-58633 HIC-169393 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3b.h e FOR OFFICIAL USE ONLY APPLICATION# . tbATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: g w FOUNDATION w r FRAME s � INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �. GAS: ROUGH FINAL �. E41NAL BUILDING y, D_AfCLOSED OUT F ASSOCsTION PLAN NO. i w The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dw Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizadon/Individual): PO Box 52 Mike McCarthy Construction Address: West Dennis,MA 02670 e280-6964 City/State/Zip: CSL-5863?hoi9W-169393 Are y an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. []New cons truction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I 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' Y P tY• 9. ❑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 11.❑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 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: Policy#or Self-ins.Lic.#: Expiration Date: ' Job Site Address: � City/State/Zip:� � .. ..�e 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$1,506.00 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 ins9pace coverage verification. I do hereby certify under th ai d penalties of perjury that the information provided above is true and correct Si ature: Date: 3 Phone#: 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#: Information and Instructions K- ,u Massachusetts General Laws chapter 152 requires all-employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in-a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of ankindivtidual,partnership,,association:or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employkpersons,to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto LsliU not because of such employment be deemed to be an employer. �-e r (.'••f ice, t;S��i:.� e�•r MGL chapter 152, §25C(6 also states that'"every state oi-'local licensing agency shall withhold the issuance or renewal 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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 city 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 required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permiVlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, 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 Washington Street. Boston,MA 02111 Tel, #617-727-4900 ext 406 or 1-877-MAS8AFB Revised 4-24-07 Fax#617-727-7749. www.mass.govfdia ACC �..� 10/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE D'@ES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 01962-001 CONTACT i NAME: __ B den&Sullivan Ins A c of Dennis Inc I PHONE FAX PO 9 Y (AAt .No_Ext) (508 398-6060 A/c_No_:_508 394-2267 F O Box 1497 --- ) ----- -.__- -... ..1.. . (---� -._... -----— EMAIL So Dennis,MA 02660 ADDRESS: (_INSURER A. ,AIM.Mutual Insurance Company 33758 -- --- - INSURED j INSURER.B__.. _ Michael McCarthy Construction Inc I --- --- -•-- - - - - -.- -.. -- i __ -_ INSURER C_:- -- _--__---- -- P O BOX 52 j INSURER D i. West Dennis,MA 02670 INSURER E_.___- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING .ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITICNS OF SUCH POLICIES.LIMITS SHOWN MAY.HAVE BEEN REDUCED BY PAID CLAIMS. INSR I _. IADDLrgUBR--- - --- : T MM ODY EFF TPOLICY EXP - -- -- --- LT R' TYPE OF INSURANCE INSR WVD I POLICY NUMBER )(-- M( M/DD/YYYY)-I - LIMITS -. — GENERAL LIABILITY ; I EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY j I DAMAGE TO RENTED - --. occurrences--�$---- ___ i I CLAIMS-MADE I OCCUR ; I MED EXP(Any one person) $ PERSONAL&ADV INJURY $ i I GENERAL AGGREGATE $ - -- I I -- ---.. _ — --- GEN LAGGREGATE_ LIMIT APP-LIES PER-: _ POLICY PE LOC PRODUCTS $ --- COMP/OP AGG CT ._ _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEAac cident) S --- ;ANY AUTO BODILY INJURY(Per person) ,$ ALL OWNED ISCHEDULED AUTOS :AUTOS I' I I BODILY INJURY(Per accident) $ HIRED AUTOS L NON-OWNED PROPERTY DAMAGE AUTOS jeer acc!deno - -- - - I ..... UMBRELLA LIAB I-- -'---- T - - - ($EACHOCCURRENCE - - - EXCESS LIAB i CLAIMS MADE.I I AGGREGATE - $ - - AGGR DED RETENTION $ G E $ - - WOoRKERS COMPENSATION - - - - - I I- - - - i_I T/yC gTA�I�J OTH _ .. AtJD EMPLOYERS'LIABILITYYI X ORY L TS_ ANY PROPRIETOR/PARTNER/EXECUTIVEr--NI' I E.L.EACH ACCIDENT $ 500,000.00 A OFFICER/MEMBER EXCLUDED? I Y_I I N/A l I VW6-100-6017656-2013A 7/17/2013 7/17/2014 i - --- -- - -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE($ 500,000.00 ._......If s ddescri a und..r ._-.. I- ----- DSCRIPTI bbN OF OPERATIONS below - - -_ i E.L.DISEASE-POLICY LIMIT l$ 500,000.00 O F '. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required), CERTIFICATE HOLDER CANCELLATION TOWN OF SANDWICH Attention:BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS. `\ AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ORD 25(2010/05) The ACORD name and logo are registered marks of ACORD OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) (Property Address) r r hereby authorize C0 AL (Subcontractor) an authorized subcontractor,for RISE Engineering, to ct on my behalf to obtain a building permit and to perform work on my property. Owner's Signature r 2/7, 7 1 ' Date e ��eoa�tnaoo2cuea�G�o,C/f�a�oac�ccaeGYi. Office of Consumer Affairs&Busif�ess Regulation License or registration valid for individul use only — — OME IMPROVEMENT CONTRACTOR before the expiration date. 1f found return to: egistratiori: ,_1`69393 Type: Office of Consumer Affairs and Business Regulation xpiration 6/16/201,5 Individual 10 Park Plaza,-Suite 5170 �,. Boston,MA 02116 MICHAEL MCCARTHY MICHAEL MCCARTHY` r I ' 6 RANGLEY LN. SOUTH,DENNIS, MA 02660 Undersecretary Not valid without signature ------------ - Massachusetts -De Board of Partment of Public Safety r Building Regulations and Standards Construction ' Supervisor License: CS-058833 MICHAEL J MCC TIM, PO BOX 52 2 W DENN'S MA 6670� Commissioner Expiration 04/10/2016 ' r F IL 746 NI LLJ O CL/ 43 7 co V LOT 8 1 0 20417.5 5.F. EA5EMENT o TELEPHONE Q 160•G8 BUILDING LOCATION PLAN LOCATION: 37 ARROWHEAD DR., HYANN15, MA CLIENT: CHANDLER E305WORTH �1H OF M SCALE: DATE: DRAWN 8Y: 1 " = 40' 01 -20-2006 TMW 'S�, ST VE W. yG JOB NUMBER: REVISION: 5HEET NUMBER: M� CPP- I N 3 1 v, A�DFESS\ WELLER * A550CIATE5 I G45 FALMOUTh RD., SUITE 4C • P.O. BOX 4 17 CENTERVILLE, MA 02G32 2 WINDY WAY, #232 NANTUCKET, MA 02554 TEL: (508) 775-0735 -- FAX: (508) 775-0735 EMAIL: tri5Weller@C0MGa5t.net PROFESSIONAL ENGINEERS LAND SURVEYORS f <tif Town of Barnstable- *Permit# g" X-PRESS PERMIT Expires 6 months from issue date Regulatory Services Fe&J I DEC 2 0 2005 Thomas F.Geller,Director TOWN OF BARNSTABLE Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint / arcel Number 6 Ma C P P o �- / lA� � — bI l7 f Property Address ❑Residential Value of Work /<�-i 000,Q Minimum fee of$25.00 for work under$6000.00 jV Owner's Naive&Address Contractor's Namch�����oTelephone Numb zz- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) r� 1 C(]Workman's Compensation Insurance Che ne: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Reques check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-r of(not stripping. Going over existing layers of roof) Re-side 0 Replacement Windows. U-Value (maximum•44) *Where required: Issuance of ermit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***No Pr erty 0 t sign Pr—.Apo ner Letter of Permission. H e I ov en ntrac rs Li a is required. SIGNA Q:Forms: Revise071405 077ie -Po;rrmo�euea/.� o�./�«aactclu�aell • BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I Numbe` 019611 �a B'�rlat t 1957 w tE ? !07 ------- -- 1� Q Tr.no: 6029.0 Rtr �lp�rp WARREN C BO . 133 ASH:LEY DR r j CENTERVILLE, MA o Commissioner ° `• 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO Map ` J'_�Parcel { Permit# 7 � Health Divi,,`ion .�b(OV q6-6S-7 Date Issued k e © Y Conservation Division7%Xle Application Fee Tax Collector Permit Fee Treasurer U/U111 v Planning Dept. EpgSTING SEPTIC SYSTEM Date Definitive Plan Approved Y 9 ,,.roved b Planning Board UMITEDTO,... _#0F9WRl=MS Historic-OKH Preservation/Hyannis Project Street Address 37 A rrt;n L-j X&._ J D r%v°P Village 4, no;,5 r f, Owner R,clay—J J, Leyn,-,- Address 3 7 Arro j e-,-d bey-z Telephone �,S—o g) 36 d "Rs- Permit Request I—vr 9'x /G &X &P, Ctdd rn!1 ird bedrddm ►n Q�Se�'► ert� - �X1S77�t�C dC7, �e ✓ I6X/v' see- P 7� Y-7/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ��`� � Construction Type Aoldr�/v', Lot Size'ZQ �60-t z Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family R Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 113 No On Old King's Highway: ❑Yes 8 No Basement Type: AFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ,( Basement Unfinished Area(sq.ft)�G Number of Baths: Full: existing new -0 Half: existing new Number of Bedrooms: existing Z new Total Room Count(not including baths):existing - new First Floor Room Count Heat Type and Fuel: r@ Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ,&No Fireplaces: Existing New,-O Existing wood/coal stove: ❑Yes ArNo Detached garage:9 existing ❑new size 2`0-Pool:❑existing ❑new size Barn:❑existing D 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 BUILDER INFORMATION Name_ Kl64&r) Telephone Number Address -3 AMA he) JJr i'e License# +tia►n 5 M A U Home Improvement Contractor# PIA Worker's Compensation# A�0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sc1w�i P. r�VkS t rr SIGNATURE DATE �� �10'r FOR OFFICIAL USE ONLY ti PERMIT NO. DATE ISSUED MAP/PARCELI&O. ADDRESS i VILLAGE OWNER ' DATE OF INSPECTION: 1 FOUNDATION III _ FRAME r INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH c FINAL 6 GAS: ROUGH FINAL FINAL BUILDING fx DATE.CLOSED OUTS t? ASSOCIATION PLAN NO. lvP RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 � t✓ Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) c ALTERATIONS/RENOVATIONS OF EXISTING SPACE J0 square feet x$64/sq.foot °= �� � � x.0041= SIC,� plus from below(if applicable) GARAGES(attached&detached) Square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 `pp1HETp�� j The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services ` 7 MASS. a _ i639. �e pTFoy Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: c {� L- Map/Parcel: 7 6 Project Address: 3' 7 191?/7D k11f r'4-V P/?. Builder: 0 L,/ti The following items were noted on reviewing: S��c• ozdh Reviewed by: Date: trrlmla M q:building:forms:review r E TO'w � of Barnstable ' pY'M t�. ' � • Regulatory Servzdes i aax e Thomas F.Geller,Director �4'AT 659, 33URding Division Tom Ferry,Building Commissioner ' ' 200 Main Street, Hyannis,MA 02601 . 0ffice: 508-862-4038 Fix., 508-790-6230 Permit no. Data • AFMAYIT ' • xroryM R0RO'VFMENT CONTRACTOR LAW St PIY,MENT TO PERMIT.APPLICATION MGL 0.142A regaires that the"reconstruction,alterations,renovation,xepair,modernization,conversion, 'improvement,removal,demolition,or construction of an additioato any pre-existing owner-occupied bu0ding contauimg at Beast one buff not more than four dwelling units or to structures which are adj aeent to • such residence or building be done.by registered,contractors,with certain exceptions,along with other requ}rements, Type of Work; 2 f?j e x Fstisna�.ted Cost ls�d Address of Work: 5 7 Anny,.-.,4 ear �ri yawl S ; Owner's Data of Application• Z C TO l(�f - I hereby certify that: Fegistration is not required for the following reason(s); []Work excluded by law ' []Job Under S 1,000 ' []Building not owner-occupied ,Owner pulling oven permit . Notice is hereby given that: OWNERS PULLING THEIR OWN J,BRMIT OR DEALING WITH UNREGISTERED COyrp,ACTORS FOR A.FPLICAB•,DE HOME ZUROYEMEIYT WOPX3)O NOT HAYE ACCESS TO THE ARBITRATION PROGRAM OR GIIA.'RANTY FUND UNDER MGL c.142A, SIGNED UNDBR?BNALTMS OF PERJURY ' Ihereby apply foi apermit as the agept of the owner: ' I Dale Contractor Dame Regis�adonNo. OR Owner's Name f The Commonwealth of Massachusetts — — Department of Industrial Accidents' 660'Washington Street -Y 1s Boston,Mass. 02111'. Workers' Com ensation.Insurance Affidavit-General Businesses •- ':k'i. �7�t',�i s., �',q` '''s:1's"b+a:?YV.s,• .•�Me+"M.F3.r•`TM1+..:' ,.,. :y. ..�: � ••5�';d§3 22 yinau•• � `^X address 3 i n ; �s�h ect cJ ✓7 r/C' 99�� C. state: 1 t 21 Z60J• hone# C �� 360-- work site loeatic z fall address I am.a sole proprietor and have no one Business Type: ❑Retail❑RestaurantlBai/Eating Establishment working in any capacity. ❑Office❑ Sales(mcluding•Real Estate, Autos etc.)' ❑I am an ern, toyer with eta to ees(full& art time): ❑ Other ' � �%/�/%//G%/%%////%%�/%///////G%%///%%%//�/�%%%G// � � •••t'%%%G/%%�/. , Jam an�ployer providing vYorkers compensation for my employees worlang on this job. ; 4' .ST• ., S 1 -'r _•'.. ry fit' :r,�':�' ,_ �. 'ri,:.Ns{t:S1s'• _. 'i LT1•• •:�:,5:�;: •'t.�''• u' 7V•i•9i 'j,l'•.'=. cob�an'Mame: ir. �'::.: '.r., ., tj r: ,. '•+:`'_'�', ?:=.: '. :_ ,':_••' .?': , ;�: .•a+'. -ij',•l a `'., '(••::i:;, :a:, .. . •l•. - v'a �5 Ff..'. ;•q• '�•''• f.!:i. ter,i•Y.:. - .i:•� �.•.'„ •:l'• .n:'. n'ti. ,T'-t='... t. oddness , `'l:..'. ,4.y..::'r::S +t: •rj .:;;_ '•;. e. ark , , 1,• •t :' ,..1,'. ,,. • �• ..1�^. J:y.; 'i. '`:`y'^ij{' 'i::,:1:':k:',. 011C, •iT. '�..� - // ' ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: ; COII3 8II nflnT�: 4'b'; ' i' :•i`.ti:+::Y :( iY:. ��T. .a' :•r• .ri ,! 'li , - '=1-.•.•'.' �t,•�':. ,•t•.3'.•. _ .• address:. 4•• ,��' •'4'::.�' 'f. �'•• ,I ''L.,.� '�y! :a :\ �7y�,.t•:•..',=F o�''�'t =i:.::r + .lei• ..i-�: t' '�•rr er)': _r ,•L '• i; '.•`'••:�:' `&'one#�. - t:,: "`•' Cl t '•}•,_; -Z1�;5r''ti��,�:}.'�;:. :,tiy s:l.:.. :<•`{. ;t.i','h'_.y,{}r.�.,. r:'�}•, �+! aysr +:I:'•':•;t�• .e•.:•,�.,: .;al; ' f:• �'O'IiC :�':.a, �:t•:.�:}j?'•.`.i:'•:•.. insurance'co. - 11111711711, coin' 4•• 'rill t.': j . #: C).' .'r- •'i .:H�•�•, :'l:. •,i..• nS� ^' •i•' '=1�•v4,.a .f;a•':' �•'Yi',,�r .'I' ':1:;'�.j •:TAI•:);? ••r . • 4•. i.5,r' • ;'j.tii��� :.�j; i/.•. 7: .'r, .:t. ��I::'.• _ i�•_.: �,.•;'a��.:. � •.• r ti ti••. r.; 't.' 1�• t•' :<�;; ��i. �.•'�'' �S•",i, 13011CY:tt i��".,r . . ?r.,rl..! insuraace!co:',: :; 1' :,' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SiA00.0.0 and/or one years'imprisonment as well as civil penalties in the foam of a STOP WORK ORDER and a fine ofS100.00 a day against me. I understand that g copy of this statement maybe forwarded to the Office of Investigations of the DIA.for coverage verification. I do hereby certify-�nd� a Pa� and penalties o erjury that the information provided above is true and correct Cz Date ��L ) y�� Signa - Phone# Print name ✓official use only do not write in this area to be completed by city or town official city or town: _ permit/license# ❑Building Department . []Licensing Board ❑•checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other _ (rev5ed Sept 2003) �•a - Information and Instructions. .. o rovicle workers' co ensation for'their. 52 section 25 re wires all employers t p ?nF ..;, usetts General Laws chapter 1 q vlassach , ;mployees. As quoted from 4`law', an employe is.defined as every person in the service'of another under any contract :)f hire, express or implied; oral or written. ; An employer is defined.as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased,employer, or the receiver or a , association or other legal entity, employing employees. 'However the owner of a tr ustee of an individual, P .rtners . dwelling house having'not'znore than three apartments and-who resides therein, or the.occupant of the dwelling house bf - another who employs . 1. ..s to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such.employment.be deemed to bean employer. es fhat'every state'or local licensing agency shall withhold the issuance or renewal MGL chapter 152 section 25 also'stat of a license or Permit 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- coinrnonwealthnor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. - Applicants lies your 9ttiation. Please Please fill in the workers'con']p ation affidavit completely,by c�he�cldng.cateof msxu that ce as all affidavits maybe submitted supply company name, address and phone numbers along with a to the Departrn6t-of Industrial Accidents-for confirmation of insurance coverage. -Also'be sure to sign and date the - o the Devit- The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you.have any questions regarduig the'"law" or if you are required to obtain a:workers'.compensation policy,please call the Departriient at the nurnber'listedbg1ow. City or Towns . Please be sure that the affidavit complete and printed legibly. The Department has provided a space at the bottom of the 'the-Office of Investigations has to contact you regarding the applicant. Please affidavit for you to fill out in the event be sure to fill.in the perrrntlhcense number.which wiill b�e-used as a reference number. The.affidavits.may.be.returned to entbY-n?�or FAX unless other arrangements have been made. the Depar rn :. . The Office of Investigations would like to thank you in advance for you cooperation and should you have airy questions,' nothesitate to give us a-call.- please do The Department's address,telephone and fax number: :_ ,_.• The Commonwealth Of Massachusetts Department of Industrial Accidents Me of iairestiPtfenS 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 I OFIME,�t• Town of Barnstable ' Regulatory Services snnlvsTA1314 : Thomas F.Geiler,Director y Mnsa 039. �.�A Building Division rfD MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 2-6-7ti 10 If / ) JOB LOCATION: J ;;� f A L h Cep y-1 number street fillage "HOMEOWNER': CLkc.l?J �e/°'!�l 3CO— name J home phone# work phone# CURRENT MAILING ADDRESS: A ►,� O ®rive tY/town state zip code The current exemption for"homeowners"was extended to include_owner-occupied dwelling of six units or less and to allow homeowners to engage an individual 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 reside,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 structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require gnature of Homeown Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �.= N ------ r W - ----- A D n= 0` o'n p N m _ vo o.. �o - m 33 � 1-0 T m ' a aB A IV m j o�o = U I o o- 1--0 oo �a 0 Qay o=o RA.A y m <a$ � � y=� � 1• 1 o IN \ L91 No m rED a r r r r a2m $ y / r � C3 It Q A ® Q ® p o o „ x my O •n '^ Q m m n = Z <A p m p 8% m v cl vZm -i o = z o o n � T A A S A D C D � o H N v I IMPORTANT - :UPGRADE REQUIRED f STATE BUILDING CODE, REQUIRES THE UPGRADING OF SMOKE DETECTORS Ft R THE ENTIRE DWELLING WHEN !� ! ONE OR MORE SLEEPING AREA1 ARE ADDED OR CREATED. j NOTE: A' SEPA'c Tc 1-tRl117 i IS REQUIRED FOR, THE NSTALLATION Of SMOKE DETECTORSj—THE!ELECT I H NE,RMIT DOES NbT SATISFY TiIS RE(OUIREM NT. CIO e ! I C)Ile , i I I i I t i i I i I 5 K DETECTO REMEE clBARNSTABLE BUILDING DEPT. �— _. O G (�. I FIRE DEPARTMENT DATE " ,� BOTH SIGNATURES ARE REQUIRED FOR PERMITTING C F 11 y. i 4.' �►c� dew rill Yn r ? Lf N r LIN IL 3 �•� I II c 11 I j Y0 t m 1� r oLA ,n b ROOF SHEATHING ?%jvoo&. The Town of Barnstable RAFTER SIz Department of Health Safety and 2" X 1, Environmental Services t6'' o.�-• Building Division .................... CEILING JOIST SIZE: 2" X 6 O. C. WALL STUDS 2" X . y IG O.0. - FLOOR SHEATHING= N T' " _p1yw.oA , SILL 6 �� 2"X FLOOR JOISTS SIZE: 2"X I() 161' O.C. FOUNDATION WALL . THICKNESS " v a BASEMENT FLOOR SLAB THICKNESS o � , FOOTING SIZE AT 3..Li . FRAMING SECTION - - - - ALL DIMENSION LumBER SHALL BE Kb SPF NO.2 OR BETTER. x COLLAR TIE @ 48" O.G. 2 x RAFTER @ 2 x CEILING JOIST D.C. SHINGLE W/IS LB.-FELT i i I 1 1 i Ix PINE FACIA R-30 KRAFT FACED FG BATTS R- UNFACED FG BATTS SOFFIT VENT W/(6-MIL POLY VAPOR BARRIER O sT t 2Nu FLOOR) PINE SOFFIT 1 1 1 1 Y. 2x FLOOR JOIST @ (isr 2Nc FLOOR) - f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0(a R 15TASLE Permit# Health Division I1 G o Y Date Issued -s 03 Conservation Division `' °�- Application Fee Tax Collector ® v 1 rmit Fee , SEPTIC SY Treasurer INSTALLED IN COMPLIANCE WITH TITLE 5 - Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approve d���I nning Board TOWN REGULATIONS Historic-OKH lJ Preservation/Hyannis w ,,�h�jn„ UMQ k, Project Street Address 3 4-1 - r Village Owner r Address Telephone J , 2 2 — �� Permit Request a . ` Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Gr ndwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑ es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) .} Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new v Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new -size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# - Current Uk Proposed Use BUILDER INFORMATION Name / G2 Telephone Number Address % License# _ 6/e,/b/ ` S Home Improvement Contractor# Worker's Compensation# A ALL CONSTRUCTIO DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO C i S c SIGNATURE DATE l�7ffio a FOR OFFICIAL USE ONLY T r a i PERMIT NO. G ` DATr ISSUED , F • . MAP/PARCEL NO. r ADDRESS VILLAGE 'z OWNER DATE OF INSPECTION: ' FOUNDATION ��D O/� �' �✓ y FRAME INSULATION FIREPLACE Yr ELECTRICAL: ROUGH FINAL co S 5 PLUMBING: ROV FINAL c) GAS: ROO 1E 2 , FINAL co FINAL BUILDING 1; tE Q� � a � ?5 !. DATE CLOSED OUT oo n :. < ASSOCIATION PLAN NO. ` I I _•jr i The Comnwnwealth of Massachusetts Department of Industrial Accidents' 6Q0 Washington Street Boston,Mass. 02111 Workers'.Com ensation.Insurance Affidavit-General Businesses EEO name: Y _ .. '_ ,x � 5 .• address: state' phone# _. _. . . work site location fall address ):- I am.•a sole proprietor and have no one Business'Type: El Retail❑RestauraniBai/Eating Establishment worldng in any capacity. D Office[] Sales(including Real Estate,Autos etc.)' ❑I am an em to er with .' ern to ees(full& art time) ❑ Other %�///////%/ %/%/%%/%%//G/%/%////G%%/%//////�/%%//%/��%%/ I ani an'qijPl9 yer providing workers' compensation for my employees worlang on this job. com-ari'•nerve: - .•�a;t: :S;• :.�� :ate. ��:.. . d"dress:' Y' VIVO jrisiirance.ca's •,. 'i:• '•'�.4' '+i'la,a:..•F.;•. , I am a sole proprietor and hive hired the independent contractors listed belowwho have the following workers' compensationpolices: address:.. ;':�:, {,�.��• 0/000 I; rr.i;- ,,:.•• _ +it�' •'k;• ^.fit' ••.?:•'. irisurance'co. - `�" ��/����/%/ address:. • � -' • • IFE :;. oneP0 dy. -.-5 #5 -77, 1D5112 BIIC.^°EO'f'' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK OIRDER and a fine of$100.00 a day against me. I understand that p copy of this statement may be forwarded to the Office vestigations of the DIA for coverage verification. I do hereby certify under pe ies o Hury that the information.provided above is true a rrect.J"� Date Signature v Print name �'- Phone# official use only do not write in this area to be completed by city or town official city or town permitfliceuse# []Building Department ❑Licensing Board ❑Selectmen's Of1"ice []check if immediate response is required ❑Realth Department contact person: phone#; ❑Other ed Sept 2003) — Information and Instructions I Laws chapter 152 section 25•requires all employers to provide workers' compensation for their. Massachusetts Gener, p ,. ; to ee& As quoted from the 4`law", an employee is.defined as every person m the service'of another under any contract emp y of hire, express or implied; oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint enferprise, and including the legal*representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. 'However.the owner of a dwelling househaving.-not more than three apartments and who resides therein, or the:occupant of he.dwelling house of - another who•employs•persoris to do.mainteaance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such,employment.be deemed to be an employer.' MGL chapter 152 section 25 also-siaies that every state br heal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.cornmonwealth 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 performance of public work until acceptable evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please fill is the workers' compensation affidavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted ceidents'for confirmation of insurance coverage. Also be sure to sign and date the to the Department'of Industrial A affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being artment of Industrial Accidents. Should you have any questions regarding the""law"or if you are requested, not the Dep required to obtain a:Workers..-compensation policy,please call the Departriment at the number liste�cl:below. City or Towns . Please be sure that the affidavit is complete andprmted legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill;in the per it/hcense number.which will Ue used as.a reference number. The.affidavits•may.be' returned to FAX unless other'ariangements have been made. the Department by mail or The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, 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 eMce of I8{eftgons 600 Washington Street Boston,Ma. 02111 fax.#: (617)727-7749 phone#: (617) 7274900 ext:406 ENE r Town of Barnstable . P of Regulatory Services a srtat� ` Thomas F.Geller,Director Building Division''lFb MAC k . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"on ors onstrcrction of an aaddition tooany pi existing n,lepair,modernization, c pied ion, improvement,removal,demob biding containing at Least one but not more than four dwelling units or to structures which are adj scent to such residence or building o done by registered contractors,with certain exceptions,along with other requirements, Estimated Cost Type of Address of Work: �' / /t'�l�w�Cam.� ��f`r y e ►�'7 e�nz�' Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law . []lob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that; R DEALING WITH UNREGISTEP ED OWNERS PULLING THEIR OWNL,E`ERMIM ZTpROVEMENT WORKDO NOT HAVE RA CONTCTORS FOR APPLICAB ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTIES OF PERJURY I hereby apply for a permit as the ageut of the owner; Contractor Name Registrationldo. Date OR Owner's Name �°FjHE T°yj'` Town of Barnstable Regulatory Services sAaNSTAsM Thomas F.Geiler,Director MASS. Building Division lED µP'I Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder I, Z Gk� erJ r� ,as Owner of the subject property I hereby authorize �J� 6, ��';� to act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) G gnature of Ow er. Date Print Name Q:FORMS:0WNERPERmJSSION L CATION O F P R(7 E RTY LINE Y NOT BE C U TE STANDARD LEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES A 271 EDGE OF BRUSH 065 MAP 2 I 71 ORCHARD OR NURSERY "' .".....;; EDGE OF CONIFEROUS TREES 062 # 60 -'� - MARSH AREA 2• # -- • • •"--- EDGE OF WATER _ � - -- _= DIRT ROAD DRIVEWAY E---PARKING LOT �--PAVED ROAD — DRAINAGE DITCH ————— PATH/TRAIL PARCEL LINE** P 326 �'—MAP# MAP021E PARCEL NUMBER #367 E -HOUSE NUMBER MAP27 ;' -- 2 FOOT CONTOUR LINE fi —i— 10 FOOT CONTOUR LINE 06 E` Elevation based on NGVD29 # 7 ,`�4.9 SPOT ELEVATION 6-6- STONE WALL 5.8-ED -X----X— FENCE RETAINING WALL RAIL ROAD TRACK STONE JETTY �r Pow SWIMMING POOL PORCH/DECK M_ _---• } ❑ BUILDING/STRUCTURE MAP 2 DOCK/PIER -i:r HYDRANT .''0-5 e VALVE O MANHOLE MAP271 50 o POST 0FP FLAGPOLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T o SIGN ® STORM DRAIN M PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James ❑ TOWER 1"=100 scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE " ° hmff�mfl0, 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards LIGHT POLE O ELECTRIC BOX s 1 INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessors tax maps. pall, MAY-13-2004 13:45 BARNSTABLE 'WATER COMPANY 509 790 1313 P.02i02 Bamst47 Old'Yar ouchWaterCompany ' 47 Old Yarmouth Road P.O.Btax 326 RFW,= V CW ttert=MV1'wAiER SFWI? I— Hyannis, MA 02601-0326 Ottim,508.778.9617 Fast:508.790.1313 Customer Service.508.775.0063 Z May 13,2004 Town of Barnstable Building Inspector Town Hall Hyannis,MA 02601 RE: Service# 1679,37 Arrowhead Dr.,Hyannis Dear Sir: Please be advised that the above water service was shut off and the meter removed on 5/10/04. The owner has informed us of plans to raise the existing building. Sincerely, d(�bv►�Q,C - f John Rademaker,Clerk Barnstable Water Company TOTAL P.02 i 05/24/2004 MON 8:17 FAg N01/001 NSTAROne NSTAR Way.Westwood,Massachusetts 02090-9230 �c Ec rR�c GA S Date: May 21,2004 Dear Richard Lema, This letter will serve as confirmation that the electric service at 37 Arrowhead Dr,Hyannis was removed. Based on this information,there is no electric power to this building. If you have any questions,please contact me at 888-633-3797. Sincerely yours 6rt h ad Kentl G~� cY MAY-20-2004 THU 10:47 AM KEYSPAN ENERGY DELIVERY FAX NO. 17818904898 P. 01 KeySpan Energy Delivery 127 Whites Paw i;LCcJy Li(ii lei y' South YannoU@,Massacuuselts 02664 May 18, 2004 Re: 37 Arrowhead Drive, Hyannis - Hayden Building Movers 84 Industry Rd Marstons Mills, MA 02648 To Whom It May Concern: This letter is to confirm that the natural gas service to the above referenced property has been cut off and capped. If you have any questions, please call 508-760-7530. Sincerely, x„ I Steve Jacobson Field Supervisor Barnstable Assessing Search Results Page 1 of 2 f OKA rara�i � • �• .. . qr Home: Departments:Assessors Division: Property Assessment Search Results m 37 ARR®WHEAD DRIVE Owner: LEMA, RICHARD J& MARNIE Property Sketch Legend Map/Parcel/Parcel Extension 271 /061/ Mailing Address ffk LEMA, RICHARD J& MARNIEv, 37 ARROWHEAD DR HYANNIS, MA.02601 - 2004 Assessed Values: Appraised Value Assessed Value Building Value: $60,800 $60,800 Extra Features: $2,400 $2,400 Outbuildings: $0 $0 Land Value: $ 128,000 $ 128,000 Interactive Property Map: ap requires Plug in: Totals:$ 191,200 $ 191,200 1 have visited the maps before ,� $ First time users Show Me The Map Click Here April 2001 photos available as R Sales History: Owner: Sale Date Book/Page: Sale Price: GONNELLA, ROBERT J D/B/A ARGON 11/15/1984 4311/156 $43,000 WALKER, RONALD S&ALICE 10/15/1984 4284/266 $0 WALKER,ALICE R TRS 4/15/1984 4056/109 $0 WALKER,ALICE R 2825/241 $0 LEMA, RICHARD J& MARNIE 12/18/2002 16103/175 $ 189,000 ECKEL, PETER 10/29/1999 12633/029 $98,500 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,263.83 Town Fire District Rates Other Rates 6.61 Barnstable 2.01 Land Bank 3%of Town Tax Hyannis FD Tax $388.14 C.O.M.M. 1.10 Cotuit 1.52 Land Bank Tax $37.91 Hyannis 2.03 West Barnstable 1.36 Total: $ 1,689.88 Due to rounding differences these values may vary http://www.town.bamstable.ma.us/tob02/Depts/Admini strativeServices/Finance/Assessing/AssessO3/display... 5/6/2004 Barnstable Assessing Search Results Page 2 of 2 Land and Building.Information Land Building Lot Size(Acres) 0.45 Year Built 1960 Appraised Value$ 128,000 Living Area 768 Assessed Value $128,000 Replacement Cost$75,014 Depreciation 19 Building Value 60,800 Construction Details Style Ranch Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Minus Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Wood on Sheath AC Type None Roof Structure Gable/Hip Bedrooms 2 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 Bathroom Total Rooms 4 Rooms Extra Building Features Code Description Units/SO ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/AssessO3/display... 5/6/2004 rv— • ,, Board of Bdiijda'ng Re uiations and Stand r-e :w r HOMEULAME-SITGONT�2AC IR " Re 2 . ' �stfiort , iatto�a 2004. . rate C ration HAYDEN BL•'DG � r 6e:t Hayd�m _ - • - .� WARP OF RUILDINg RE GOLLALTCO,'Njr' License• CONSTRUCTION SUPERVISOR Number:..ES 016f61 , s , 4 Tr.no: 3776 I R ROBERT F HAY' Na SO GHIEOH'ROAD u T 'fGIA Administrafior I Oeq iAv y! a s f 1 I f •. 9; _ 1