Loading...
HomeMy WebLinkAbout0007 BAY SHORE ROAD 17 1 oME� Town of Barnstable *Permit# 1 ( �1 Expire moi �s from issue date Regulatory Services Fe A�CW.., — 1639. y� Richard V.Scali,Director '°rEo fit,' Z 5 2016 Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY d f . Not Valid without Red X-Press Imprint Map/parcel Number 2(� Property Address 9 64`1+ih adz W 0°I l) Al yQatoi 0,/ NA [Residential Value of Work$ /,Z/V0C-L'1 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address IY41? f,4"-/- ��'/'��S y �S�yIGIVC-�. Rr� �y���%� ��>✓� as�o® Contractor's Name �� �t♦G �f lid l�,/ Telephone Number 3 ©01-�, y/_if Home Improvement Contractor License#(if applicable) / 00-7Y0 Email: ��C� ' jyr1Z. 4y"` te*v Construction Supervisor's License#(if applicable) 'V 4� G w 1 G s� C�Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ['I have Worker's Compensation Insurance P Insurance Company Name fa� l Af G' 1i,4/'U 0 4 f l d K4 VA 0 y Workman's Comp.Policy# `° .�a Z G Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof hurricane nailed)(not stripping. Going over existing layers of roof) e-side 1YC-D QtOku J4/%v ,efy 4 tie, � W4&It[Replacement Windows/doors/sliders.U-Value 0,16 (maximum.32)#of windows -eI�'fi°l f�°E'��f ✓ in67Aj b cV> #of doors: :2s J/rto®��✓fig (,-4x4 ®0 s� ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Im rovement Contractors License&Construction Supervisors License is SIGNATURE: C:\Users\Decollik\Ap ta\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 r--; Page 7 of 7 T7nrria Trnnrn�rarriani Tarr STATE OF MASSACHUSETTS rN���� ��-�� l�r�,�z�-��?® v✓es ��v�»iJy `7r�Jdr, WE,J S,OWN THE PROPERTY LOCATED AT 7 BAYSHORE ROAD IN HYANNIS, MASSACMJSETTS_ I ILIA V rl AU i.lr ILLI i JLUIVM liyil ilK.0 V i.1Jii,IV I I V Au I AL)Ivi Y AkirliV I I V A i L I FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. MASSACHUSETTS STATE BUILDING CODE. � m SIGNATTT�F.nri n. .A� .R- OWNER'S TELEPHONE: 508-778-0353 LESSEE'S TELEPHONE: APPLICANT'S ADDRESS: 1645 Newtown Rd.,Cotuit,MA 02635 A,PPLTCANT'S TFT FPTTONF: 50,9 428-9519 RESPONSIBLE OFFICER ADDRESS: y C�Ee�inncrnonuecclfl n�'C��2rrrrrccc�tue� . Rice of Consumer Affairs tc Business Reguiation License 0➢.rebistration vaghdd for indiviclu!lase only ME IMPROVEMENT CONTRACTOR before the expiration date. r'a`ffoun-d return?to: Office of Consumer Affairs and Business Reglilztion egistration: 100740 Type A®Park Pizza-Suite 5170 VA-EXpiration: 6/23/2016 Supplement Card ]Roston,Iy[j A 02116 CAPIZZI HOME IMPROVEMENT,INC. .i y JOHN SIRUMSKI 1645 Newton Rd. Cotuit, MA 02635 a Undersecretary �j Not val<i•r?v tall apt sa�iiztlir€ E. va Massachusetts -Department of Public Safety Board of Building 1?egulations and Standards Construction Supervisor License: CS i . IS AI DEN AVIE Bunn,rds Bay Mg 02S?,'r _ �✓. .ems ' ''' Expiration Commissioner 1 The Commonwealth of Massachusetts z L Department of IndustrialAccidents I Congress Street,Suite 100 Boston,AM 02114 2017 www mass gov/dia VA orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plambers. TO BE FILED WITH THE PERMITTING AUTHORITY ApnlicantInformation Please Print LeaibIy Name(Business/organization/Iudividual):CAPIZZI HOME IMPROVEMENT INC Address:1645 NEWTOWN ROAD City/State/Zip:COTU IT,MA 02635 Phone#:508428-9518 Are you an employer?Check the appropriate box: Type of project(required): L JQ I am a employer with 40 employees(full and/orpart-time).* 7. ❑New construction In I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling. any capacity.[No workers'comp.insurance required] 3_0I am a homeowner doing all work myself.[No workers'comp.insurance required]t 9. ❑Demolition 10 C1 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LM Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. I am a genera contractor an have hire l d I hd the sub-contractors listed on the attached sheet ❑ 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance) Sidi-iyf 6.❑We area corporation and its officers have exercised their right of exemption per MGL c. 14.®'Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i 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 subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:AmGUARD INSURANCE COMPANY Policy#or Self-ins.Lie.#.R2WC527200 Expiration Date:12/2512016 Job Site Address: City/State/Zip: Attach a copy of the work s'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi 'on. I do hereby c un t pains and penalties of perjury that the information provided aba is true and correct. Si ature: Date: 0 Js IF Phone#:508-428-9518 - --- 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#: 7 DATE(MM/DD/YYYY) ACCA ro CERTIFICATE OF LIABILITY INSURANCE 12 29 2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ROGERS&GRAY INSURANCE AGENCY,INC. PHONE FAX IAICA/C No): 434 Route 134 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# South Dennis MA 02660 INSURERA: AmGUARD Insurance Company 2390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC INSURERC: 1645 NEWTOWN ROAD INSURERD: INSURER E: COTUIT MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INDR$WVD POLICY NUMBER MMID�fYYYY MMIDDmwv LIMITS GENERAL LIABILITY EACH OCCURRENCE $DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE F—IOCCUR MEDEXP(Any oneperson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY I I MOT 7 LOC $ AUTOMOBILE LIABILITY C LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- A AND EMPLOYERS'LIABILITY YIN R2WC655250 12/25/2015 12/25/2016 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) i4 CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis, MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. aurHowzeO ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD fir.:-; $" '' • ' - Town of Barnstable, "Permit# D,171;es 6 mmnlbs jroirr issrte date °T Regulatory Services. . Fee BAMSTABLB t a 'A Richard V.Scaliy Interim Director., o , It PEO��T re iuta'i �� Building Division .Tom Perry,CBO,Building Commissioner . SEP 08 2014 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us.- Y TOWN OF'BARNSTABLE Office: 508-862-4038 ' y'" Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL,_ONLY r ` Nof,Vnpd without Red X-Press Imprint Map/parcel Number Pro erty Address Residential. Value of Work$ ' Minimum fee of$35,00 for work under$6000.00 Owner's Name&Address \t I ( • �' 1 Contractor's Name Telephone Number 10 ' Home Improvement Contractor License#(if applicable) . �I O Email': Construction Supervisor's License#(if applicable) ❑workman's Compensation Insurance _ C} ck one: - `. I am a sole proprietor, ❑ lam the Homeowner w . ❑ I have Worker's Compensation Insurance . Insurance Company Name ' Workman's Comp:Policy# a ` Copy of Insurance Compliance'Ce►•titicate must accompany each permit. , Pennit Reque (checibox) « (� Re-roof(hurricane nailed)(stripping old shingles)'All construction debris will be taken to ❑Re--roof(hurricane nailed)(not stripping: Going over existing layers of roof) ; ❑ Re-side , ❑,Replacement Windows/doors/sliders._U-Value { _ (maximum.35)`#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red Sand inspections required. Separate Electrical&Fire Permits required. *Where required:.Issuance Uthis permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *"Note: Property O mu sign Pr erty Owner Letter of Permission. r . copy the m I ov ent Contractors License&Construction Supervisors License is re ui ed r i SIGNATURE: w f Q:\X%TFILHS\FORMS\b ' g permit forms\EXPRESS. oe Revised 061313- e. µ oFJEr Town of Barnstable "t Regulatory Serwees RARNST`BEZMAS& Thomas R.Geiler,Director q�Arf A,��. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 3 ,- mvw.town.barnstable.m a.us Office: 508-862-4038 Fax: 508-790-6230 property Owner Must: 'Complete and Sign This Section If..Using A Builder as Owner of the subject property hereby authorizev WV 1 to act on my behalf, 5 ' in all matters relative to work authorized by this building permit '✓ F. {Address of Job) ; **Po. ol fences and alarms are the responsibility of the applicant Nols�' are not to be filled or-utilized before fence is`installed and all final inspections are performed and accepted. Signa e o£Owner,.' e of Applicant _ M c�r�t-rTn res Print Name, . Date Q:FORMS:OWNERPERNSSIONMT.;S 6R012 �` '.!ttB�UlYlrP101iiPercltli afMassachusetls - Deparftnezit oflr dusftial Accidents dive of InVffSflglil 0US 600 Washingtoa Street BosforY,MA 02111 wmP.Ynass gov1dia Workers' CompensalionXnwmnceAffidavit Builders(ConfractorsMectricians/Plumbers AI Applic-mit Information Please Print Le ib Name akienewo ganizationlTndividnat) I Address:— P.D. • n e CitytStaWZip: C PhonF_`#�1 fl 4aM Are you an employer?Creckthe appropriate box: Typo of project(required): 1.❑ I am a em to yer with 4-.'❑ amt I a general contractor and I p * have hired the sub-contractors d. ElNew con.�iction tI oyees(full andlorpait-time)_ I a sole proprietor orpa[tner �on the attached sheer 7_ ❑Reruodoling ship acid have t]A employees These sub-contractors have $. ❑Detnolitioa ' .` working for me is any capacity. employees and have workers' ' ❑Building addition [No workers'comp.insurance comp.insurance ; required] 5. ❑-Ate area corporationand its 10.0 Electrical repairs or addiEians 3.❑ I am a homeot mer doing all work 1. officers lza�e exercised their 1LEl Plumbing repairs or additions y myself o workers' ',- right of exemptioa per MGL insurance i�� c.152.§1(4),and we hm a nQ 12[]Rao repairs , employees_(No workers' Un Other ` comp.insurance regnired.I '�Y�Pp}ksat that checksbox�l tanstalsa fllovt th$sec6onbelaArshatving theuwodcers=compensstioapolicp inform�tiva. . tmweowners wbo submit ibis&&davit indicstiug they are doing all woA aid then hire outside contractors must sabwit a new affidavit indiratiag such TCDntraclontdstcbedc this boxmustattachedansddifioasl sheet sbDiningthenmweof die sub-cmffrxt rsandslatetcbetLerornotthawmihiesh e nVtayem Ifthesub-contmdotsbaseemployers,they mustpmvide%elrworkers`comp.policyntaaber. lam arr eitiployer fltatisprofidurg n'orkers'coniFerzmdon inviranceformy employees Belay is diepoliey mid job site infornratiatt. + . ^t y _ Insurance Companykame: ' 4 Policy#or Self-ins.Lia#: ExpirationDate: Job Site;Address: _ CitylStatelZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and e=piratiou datey. Failure to secure coverage as rcguimdunder Section 25A ofMGI,c.=152 can lead to the imposition ofcriminal penalties of a fine up to$1.500.00 andlor one yeariu priso�as well as civil penalties iu the form of a STOP WORK ORDER and a Sue of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA f+or' ovr;rage erificatitm_ ` T do Ir r er ttii rth'e prrit it stia 's ofpetjuty$tatthe informeion pratridcrd u u� u e-fund corr8ct 5i hire: Da P. (_]I Phone#: . Otidal rise only. Do not twrite lit this area,to bs Completed by city or forrvl o dat City,or Town: a PerudtlLice'nse# IssuingAathoaity(circle one): 1.Board of Health !.Building DepartmentA CitylFown Clerk 4.Electrical Inspector S.Plumbing Inspector 4 6,Gther' Contact Person: P,hoite 0- 6 f r ; x i • • t < : i a ' , w Massachusetts Department of Public Safety \' 'Board of Building Regulations and Standards ' Construction Supervisor Specialty. �• License' CSSL-099138 JAMSI 287 FULLER ROB Centerville MA, D2 , .. �. _ a m-. '• - . �i �'''1\• )1'1'.\�,\ *` ,x " -.Expirations - :+ _ Commissioner— I. YI K°'i t" 1, ..sy - '+ - •J cz' 1ES" .. M ,�^ 4 �jpw.�r'�e4,�j �. 11GWv Tiiv��Z �•,~ �}� v{ "fN S'h� 'r ,�I ' G ry p�' f•,i.51<;. a" �... ; '�,�,,�, 1fi, ,W .31,. r•1,`.0 +n.•. :L+a�.,7.`.i r ,�'�r,� � e p tK c,.a„r..r., �•`'I° a.:��sn)i:;!� r., ..;, ,?+�k 'J 't �f r ,M, W,. ,�, J,+r,s ',,. �i +I'• x k+y. S Irw- I..!fr r� yd A.f f r• 1.c•; � /.-'hr�Ti�.l.s,r rnw, �n �I tf s I aY .I "Jc".' :Q ,V. �:fl � ass r.; �': �I�. n+ ,a9 .3w.ti.• F r. ,l ,rr .r^s. ,l '�.. r` 1' 7 tY•h l.4.,. .••.` r: l S,• .>.rn. .7" n � ,. a Y ��•t, r a� ,r •a., 1• a•„n,.. n .t' S' r:d,l �' ., ;,.xd ,r':J t l �. !- ^�s .�;^hl 1 e ".'S`:'IIC �,u,q.,7.y •.ef er' .ul h' i♦•'�/ ,.l rr l'>tf�: 1 •J• � At ^oJ•' +�'•1 ♦.•-.t„ ,:.:{ u•l� ,I r1. 7 ..IP`, ..i..•n k� .n, ,'.h n. 4� -.t• r.^ca'` .t,.�tl,. .f,r T. ::!' l•17 l:ii".:.. r' r 'v v n. ti tr., , i;(jf,✓ S .N,^.lf '••}.14rn,..a y,���:•,r. S Wii` .�, L h ,J S,. 1 r,` .L-..•.Cs, J .,ri .:.6,. .rt?r,'," c tos.- I .c, )1^, L,..w. ,•iw` '+:(`. (fr.�.a "J�� , 4.J.r%;. ..��. �t., fSL:t. 1. �i: If. ^•.a. .I ' t, ^"4. ( v,:.t�;• ys9 •� l. °•+:iru r;�Ih,�. ..r 1- f', "C" "5 ��1=.•� , y.. ."Y. .� ��+.. ,-.1ti S ..h:glFLal n �. ,•. t� �T a•4: C.. .rr. lr., •• 1. r• :.. ...,., y.�r+. •J .. 1 ., l' � -{'A ♦♦ ,, e1• } 1, t 1 b .'� n1•'. •1• J;• 9Y., 2� r l..l "lin.. :�.oh, ,:h 1 '4 .!f I (�• 511 rn"I :i�.: � � K G+,. �I. ^,^7e,�, Nu IA -.+. .f ..1:"�"•.1/ ',W �, ,.J. �I, S„ .rols.raH aunOz'^.,,r. ,'r:Y. �. I ll 1 r, y. -;: .K^• .,i• A` 5+:.. � �a •. I d` r,.•.. �. I r� re •,, l""•,,:, d,.t,- 1 ti I. :I t�l .7 I, u.d...p rf Sr ••Yr. .7. .,C, r,S. .r;.. I f:l.. /. L ;,i 'h ^f.1 L� �R )k ,a r�,. - cl IM SAM _ I I :•i1Sr�,.+wl:•^3r t-,a.9• R. �f+"s`ta.,. Y I>n., rrwra. .r.l•sn^- rn rr.:.J„41..J1„.:y,,.71�;, ...7t°l1 lr zc3F+,t..,l.a,,;l7,,,.,,�h4'�-jW_.,r,,....,Mr r.G,It.V^w .c,,,p,�.... J C..V.,r yf.'.>'•„�t..wr. ;...,.•J... ..n.,,,..s•...�•,;� -1;,.;,.•_l.m 'r ..,,J.s;,•,l r., I: -now-,01 RI ON 4. ar Naive? 110 rJt• ]-- _.? �. y aJC,1. Y Y I ��+,r 1 �, ? r. .+^Ioal i I +_• j'I � � r ti 1, t L i1 r 4 ti I i I I +Itil .,�;1r1. rh..F.:. YG.1.+ ,,�• y :.I. ,.,, ,,:.,, I,^rnh r is 1i 1: S•-, "'t ('.fj, :4 Y. ..1� 1' - I, l I I.' }, �', 1 I J Ks;.7 +'' c n••f I�i 1 C Jwag ' k ire J i. J I ,Y� r•nr in v ,'fv J I ',�.f +fl 91'd'd;Y I,'{IIU, r .,7�, , '•" r l 1. p•: 1 r �... -d l:{ .,. l]J. .4 {U ,.li I I :.,J III ..'.° l,.. ,..:; .? - Man .�, r --1•.4. a w 1 '.i:., � I r r', I r l Ih �;•I I I i': t Y ! lots 7 1 ?j I l Ill II'� Ir1 T I 1 I f 1 f II ,; t'yl l rl I tr:;lrr -- S i l{. ' �.,` ..:' ....•,, �-� ., 1, f •, I + 1•':{Y L, I 1. ............ 1; 'f' •4 A �:.I:1 A +, t ':, 1 'I J l 7,� i- !ti +.• :. /1 rt ,�, r• if, 1.1' "NN 1. : l 'S.- f` 4 :I v ^'� . .'.:. �'�,, J , I I :' - i lY �' i•.tiii<~ .v"4lV:rx<.,rrxaJ"A1uL'...G,.-hn�+f�.uuv,•_ F i,,,.,..Jm,y ',.,5 .�,.,rwl+.+w! �^ I �t J nitr+,••�N'. rwy, �..:f:.,.+mil....—,•.�.,.. I Y r y + 4'Er Assessor's map and lot number ....................... ........ .. . THE ?Sewage Permit number ... ...... 11ARNSTLE, House number. .......................................... ............................ ea 39- TOWN . OF BARNSTABLE BUILDING INSPECTOR" b""; I C( C, C(f-64 ci APPLICATIONFOR PERMIT TO ...............................................................6............................................................. TYPE OF CONSTRUCTION ...... di...................I ...... .. .... .... ....................................... .............................................. ........... ...................... ........19P TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: L2> /e_C-j .:, I ........................ . ..... ......................................................................... Location ............./ k ProposedUse .........................W..ec...................................................................................................................................:.............. ............. Zoning District ........................................................................Fire District ............ .Wy. .. .................................... le me n"e-lo 13 ,To12-12,e-r Nameof-Owner (,I.................. .......... . ........ ..................Address ......11..... ..............................j................... -7 Name of Builder ................................... ................Address ..../........ f 1A ....................... .::;7 Name of Architect Ila 4. ...... ..............Address .................................................................................... So�� lobes Number of Rooms ...................e.......:...........................Foundation ......... .................................................................... Aj Exierior ....................................................................................Roofing ........................AZRA)-��....................................... Floors ...............•-2 y-G ............................................................. .......... Interior ......................11.11i?lq��............................................... Heating ..................../Uolou Plumbing....... C) .............................................................. ............................................................................ Fireplace .......... ......... .................................... ...........Approximate Cost ..... ..... ............................................. 0 Definitive Plan Approved by Planning Board ---------------------------------19--------- Area ..../.7 .................... Diagram of Lot and Building with Dimensions Fee ........... .................... SUBJECT TO APPROVAL OF BOARD, OF HEALTH �Y � �� � '� HV Sqll- T X IS 7- A,- P0 Re,14- J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS elf .1 hereby agree to conform to all. the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......................................... Construction Supervisor's-License .................................... '} TORRES; CLEMENCIO B. No . 25238 Permit for ADD DECK ................. ................................... Single Family Dwelling Location ...7...Bay...Shore...Road.................... Hyannis t✓ A l i ;� i `f ............................................................................... t h f •T a^ 4 j.. - �. ;_.i - Owner ....Clemencio B. Torrgs,,,.,,,,,,,, .............................. - TM ,3 Type of Construction ...Fr azee..............�.......:.. ........: ............................... i............................. Plot ............................ Lot .......................... . ' Permit Granted .... june 2.3y. ..........19 83 ' Date of Inspection '...................................19 ti /Qate Completed ..�b..:..Z.......... , � �. Y •. . 'Lv�. -:tea... .. \.�1` ` ^ - 1 � • ' , - 'i ,r a _..., f• _ _ ..- ;•` ice ' � ,�� ` �A _ ' � ' .. t Assessor's map and lot number ................. .... .. %TNE Sewage Permit number ......................................................... 33AUS'TIB E, House number ........................................................................... SM& 1639- 0 M TOWN OF " BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ........................................................................ .................................................... TYPE OF CONSTRUCTION ........................0 bV v C....j......................................................................................................... ............ ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a p6tmit according to the following information: Location ....7 s........ .............. ................................................................ cilr ProposedUse ..................... e C........................................................................... ................................................. ................ Zoning District ..............R X/y . .......................................................... .........................................................Fire District ............ Name of Owner .....12............................................... .. . ..... ...... .... .. ... ... . ... ..... . ...... Namj of Builder 'S/0 ..............Address 2.`...... .............................lam..y,.................... Name of Architect ..............Address .................................................................................... .. .... .............. Numberof Rooms .................... ....................................Foundation .............................................................................. Exterior . ....................... Roofing ............................V49 Oq ................................................. Floors ................................................................................Interior ........................ ............................................... .................................................................................Plumbing ................................,.................................................. Heating NOS lJ Fireplace ..................... .................. Approximate Cost ..... ..... .......................................... Definitive flan Approved by Plainping Board -----------—--—---------------19--------- Area .................... ..................... Diagram 'of Lot and B'uilding w,,ith,Dimensions Fee ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1k, HV Q� -Ij 1),E Ck/ 770.19z r >1 Ole 0- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ol-?— I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. e, .........Name .................. Construction Supervisor's License ....... ........................... TORRESr CLEMENCIO B. A=326-91 I tr- qL 25238 ADD DACK No ................. Permit for ..................w................ ...Single Family, 9 I............... Location 7 3-ay Shore Road i y a nni si ................... ..................... .................................... Owner ..CI 2.0en.C.i.01.5.1....T.Q r. • r.Q A............. Type of Construction ....i.........Fr.amp'.1 1---- ..................... .....................I....;.............................. Plot ............I.............. Lilt ...................it.......... Permit Granled .........June 23, 19 83 Date of Inspection .............I.....................19 Date Completed ...............i.................... �009 PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD PARCEL IDENTIFICAT KEY NO. 0007 BAY SHORE ROAD 07 R8 400 07HY 07/09/95,1011 . 00 69AC R326 . 09% 240625 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T TORR E Si' MAR GA R ET K MAP- Lane By/Date size D�menuon LOC./YR.SPEC.CLASS ADJ. COND. YPE PRIDE ADPRICENIT ACRES/UNITS VALUE Description I CD. FFDe to/Ac,es ISLAND I - 44.600 CARDS IN ACCOUNT -L 10,1BLDG.SIT 1 X, .24,A=15C 258 120. 39999.9 : 185759.98 .24 ' 44600 #8LDG(S)-CARD-1 '1 870,200 01 OF 01 A #PL' 7 BAY, SHORE RD. HY Cubf 13113ru- N BATHS 2:0. U X C= 100 7000-OC 7000.00 1_00 7000 8 XDL LOT .119 LC715-8 ARKET 96300 D FIREPLACE . . U . X9 C= 100 3100.0 3100.0 1_00 3100 8 _ #RR 0090 0154 0419 0093 INCOME A SPIT GARAGE U 1 X 1 C= 100 310O.00 310O.00 1.00 3100 B #SR DAISY, HILL ROAD USE D APPRAISED VALUE D J A 131P800 A PARCEL SUMMARY T U AND 44600 A S T LDGS 87200 M —IMPS OTAL 131800 F E N CNST E N DEED REFERENCE Tye DATE R-dec PRIOR' YEAR VALUE nst. A T egpk Page � Mo. v,.D Sales F"l AND 4 4 6 0 0 T S C115574 I 9/88 A 1 BLDGS �7200 U C89017 1'06/82 108000 TOTAL 1800 R C88514 I05/82 81750 BUILDING PERMIT WATER PROX.FY90 Numbe, Date Type Amount EMEASURED.DATA ' LAND: LAND—ADJ '. INCOME SE SP-BEDS ',FEATURES BLD-ADDS UNITS IZE INCREASED. 44600 13200 25238 6/83 AD Class Const. Total gas.Rate Ao.Rale ,gt II q Norm- Obsv. I Unils L'nits l q u j 9a Depr. Cone. CND Loc 4q R.G Repl Gust New AO, Repl Value St,.,as Rooms Rrns Bain. .Fia.I Portywell Fac. I01C: 000- 110 110 : 54.' 55 60.01 53 65 29. 66 100 66 : 132179 87200. 1.0 6 3. 2:0 •7.0 Descriplwn Rate Squa,e Feet Re Cost MKT.INDEX: 1 OO IMP.BV/DATE: ME.11./90 SCALE: 1/00.53 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 60.01 1938 1' 6299ENSI (ip_ UU FMP, 55 15.50 240 1320 *--18---*----20�---*----Z2----* STYLE' 03 ANCH 0.0 FWD 85 18.50 1601 1360 0 DES -ASJMT- -02 E-SIGN-N­: -ST--1-9.-0 ! ! XTE`R-WA—LS-- -TT noo-s- rNGL'ES----O-.-O U ! 26 ' EAT/AC-TYPE -09 TL=MDT-WATSR---70­:0 C ! *-----24-----* BASE ! " NTFR:fI1vISH -04 RYWALL----------U:O T ! 10. FMR i0 ! NT€R:LA1rOUT- -t2 VER:I"RMAV----Z:0 U 45 ! NTFR:QU-XLTY- -02 AME-AS-EXTFK:--U=0 R -----24=—r--+*--14--X a LD0-R-STR-UCT-: -02 D 401SST/BEAM---7MX A - W E LOUR-COVER-- -04 A1tPET--------------O-.-0 L T..tMass Aux 400 1938 D 00E--TYPE---- -O7 A�tE=A-SPR--S-H----O-.-O = =E Base ! BUILDING DIMENSIONS ! ' 19' ILE-C-TRli-tt -OT VERASE TrA T 4" P S E .. ! • F 0UittDAT-I�N7 - -122 =CRETE-BLITCK-91T.-9 A BAS,W24: S19, FWD' S.08 W20 N08 E20 -------<------ - --- ---------------------- El AS I W22"ll N45 E18 SO2-E20.NO2- *----20---* -----N€it BOR 00 :i�AC1fYANNTS------- L E22 .S26_ BAS 8 8 LAND TOTAL MARKET ! =FWD A PARCEL- 44600 -131800 *=-- 20---* AREA " 17499 VARIANCE +0 +653 STANDARD 25 . a RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET 119 Bay Shore Rd. Hyannis SUMMARY 326 91 H 73 LAND J lam) BLDGS. OWNER /�t�J-( �.�' � G".-..._.. TOTAL yiY �. LAND RECORD OF TRANSFER DATE EIK PG I.R.S. REMARKS: Ol BLDGS. `� TOTAL Q LAND Maneuso, .Robert L. & Antoinette 9/30/80 ,Ctf 83030 ($150, BLDGS. TOTAL LAND 3 14 L 2 pe BLDGS. TOTAL 2b• �... / LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: ` 01 BLDGS. DATE: I �1 TOTAL / /d `its -._ca� O � -) - ¢ .�. � /� LAND ACREA E COMPUTATIONS BLDGS. ) TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE OT LAND ' /�/� �' �� / / - CLEARED FRONT OI BLDGS. _ REAR TOTAL WOODS&SPROUT FRONT LAND REAR rn BLDGS. _ WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND q7 BLDGS. LOT COMPUTATIONS LAN FACTORS 7 TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER 01 BLDGS. HIGH GRAVEL RD. TOTAL �� LOW DIRT RD. LAND FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST ranc.Slab Fin.Bsmt.Area Bath Room / Base BLDG. COST alls Bsmt. Rec.Room St. Shower Bath I Bsmt. y ' PURCH. DATE Bsmt.Garage St. Shower Est. WallPURCH. PRICE.Attic FI.&Stairs Toilet Room Roof RENT tone Walls Fin.Attic Two Fixt. Bath Floors iers INTERIOR FINISH Lavatory Extra Bsmt. F f 2 3 Sink s/� '/: 'h Plaster Water Clo. Extra Attic EXTERIOR WALLS Knotty Pine Water Only ouble Siding Plywood No Plumbing Bsmt. Fin. Ingle Siding Plasterboard 1.1 Fin. Shingles TILING �c �� p one.Blk. G F P Bath FI. Heat /3 7 , Face Brk.On Int.Layout Bath .&Wain.. r_ Auto Ht.Unit 3 /� �L�Q 0 /, ,21. Veneer Int.Cond. Bath Fl. &Walls Fireplace '?7 Com.Brk.On HEATING Toilet Rm. Fl. Plumbing olid Com.Brk. Hot Air Toilet Rm.FI.&Wains. Tiling • Steam Toilet Rm.FI.&Wells Blanket Ins. Hot Water _j St. Shower Roof Ins. Air Cond. Tub Area Total ? , Floor Furn. Pfd ri0 ROOFING COMPUTATIONS - Asph.Shingle Pipeless Furn. Q S.F. 31710 , Wood Shingle No Heat 126, S.F. 9. 6 O 14 91 G Asbs.Shingle Oil Burner g•p, �Q o? Slate Coal Stoker S.F. Tile Gas S.F. OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 10 1 2 1 3 4 1 5 6 7 1 8 9 10 MEASURED Gable Flat Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack / Wall Found. 0.H.Door LISTED FLobRf5 Fireplace Sgle.Sdg. Roll Roofing -- Conc. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Shingle Walls Plumbing Pine Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. 1st �. .� TOTAL .3 sl Brick Int.Finish OWED Single 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. - PHYS. VALUE Funct.Dep. ACTUAL VAL. DWI-G. J 5LQ 1 T I 2 3 4 5 6 7, 6 9 10 TOTAL R�26' 091 . P P R A I S A L D A T KEY 240625 TORRES, MARGARET K LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 44, 600 87, 200 1 A-COST 131, 800 B-MKT 96, 300 BY 00/ BY ME 11/90 C-INCOME PCA=1011 PCS=00 SIZE= 1938 JUST-VAL 131, 800 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 69AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 69AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 446001 LAND-MEAN +Oo 1318001 139993 IMPROVED-MEAN -380 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 15001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES . COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] M 326 091 . P E R M I T [PMT] ACTO [R] CARD [000] KEY 240625 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT [B25238] [06] [83] [AD] A ] [ ] [01] [84] [000] [NEW ] [HY DECK ] [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ l [ ] [?] i J