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0074 CEDAR STREET
f= 74 { Fy .� �4 `, . �, J ` �,. __ �. �� �� I .� _ � I r .I..i�1 `� ,� '! � � �: - � 1 �. ,'.�_._ - �.. E E � � n L. .. / f \...t i � . r � � � 4 }} 1.� i „ � . ���� � �� a �l�� �s � �..� $� � � �e� � � Town of Barnstable, MA Pagel of 3 Town of Barnstable,MA Friday,July 73,2078 Chapter 240. Zoning Article III. District Regulations § 240-24.1.4. MS Medical Services District. [Added 7-14-2005 by Order No. 2005-1001 A. Permitted uses. The following principal and accessory uses are permitted in the MS District. Uses not expressly allowed are prohibited. (1) Permitted principal uses. (a) Single-family dwellings. (b) Two-family dwellings. (c) Business and professional offices. (d) Nursing homes. (e) Medical/dental clinics. (f) Hospitals (nonveterinarian). (g) Bed-and-breakfasts. (h) Multifamily housing totaling not more than six dwelling units per acre or 12 bedrooms per acre. (i) Mixed-use development. (2) Permitted accessory uses. (a) Family apartments. (b) The following uses shall only be permitted as ancillary operations to a hospital, nursing home,or other medical-oriented facility: [1] Personal services, such as barber or beauty shops. [2] Banking services. [3] Restaurants. [4] Pharmacies. B. Special permits. https:Hwww.ecode360.com/printBA2043?guid=6558665 7/13/2018 Town of Barnstable, MA Page 2 of 3 (1) Permitted principal uses as follows, provided, however, that a special permit shall not be required when the applicant has obtained a development of regional impact approval, exemption or hardship exemption from the Cape Cod Commission: (a) Nonresidential development, including nursing homes,with a total floor area greater than io,000 square feet. (b) Mixed use developments with a total floor area greater than 20,000 square feet or greater than io,000 square feet of commercial space. (2) Multifamily housing proposing to create seven or more dwelling units per acre or 13 or more bedrooms per acre and including at least 25% of workforce housing and totaling not more than 12 units per acre. Multifamily housing in the MS District is not required to provide inclusionary housing pursuant to Chapter 9 of the Barnstable Code. C. Dimensional, bulk and other requirements. (NOTE: For hospital uses: the maximum building height provisions set forth in the table below may be extended to no more than 85 feet or a maximum of six stories not to exceed 85 feet; and, the maximum lot coverage requirements set forth below shall not apply.) Maximum Minimum Yard Building Setbacks Height, Minimum Lot Minimum Area Lot Maximum Zoning (square FrontagEront Rear Side Lot District feet) (feet) (feet) (feet)(feet) Feet StorietoverageFAR3 Medical io,000 50 202 102 102 38 3 80% - Services NOTES: ' The third story can only occur within habitable attic space. 2 See also setbacks in Subsection C(1) below. (1) Setbacks. (a) The front yard landscaped setback shall be io feet. (b) The SPGA may reduce to zero the rear and side setbacks for buildings to accommodate shared access driveways or parking lots that service buildings located on two or more adjoining lots. (2) Site access/curb cuts. (a) Driveways on Route 28 shall be minimized. Access shall not be located on Route 28 where safe vehicular and pedestrian access can be provided on an alternative roadway, or via a shared driveway, or via a driveway interconnection. On Route 28, new vehicular access, new development, redevelopment and changes in use that increase https://www.ecode360.com/print/BA2043?guid=6558665 7/13/2018 Town of Barnstable, MA Page 3 of 3 vehicle trips per day and/or increase peak hour roadway use shall be by special permit. (b) Applicants seeking a new curb cut on Route 28 shall consult the Town Director/Superintendent of Public Works regarding access on. state highway roadways prior to seeking a curb-cut permit from the Mas sachusetts Highway Department, and work with the Town and other authorizing agencies, such as the MHD,to agree on an overall access plan for the site prior to site approval. The applicant shall provide proof of consultation with the listed entities and other necessary parties. (c) All driveways and changes to driveways on Route 28 shall: [1] Provide the minimum number of driveways for the size and type of land use proposed; [2] Provide shared access with adjacent development where feasible; and [3] Provide a driveway interconnection between adjacent parcels to avoid short trips and conflicts on the main road. D. Site development standards. In addition to the site development standards set forth in § 240-24.1.10 below,the following requirement shall apply: (1) Landscaping for multifamily housing. A perimeter green space of not less than io feet in width shall be provided, such space to be planted and maintained as green area and to be broken only in a front yard by a driveway and/or entry walk. https://www.ecode360.com/print/BA2043?guid=6558665 7/13/2018 i VA ' OpTHE.r Town of Barnstable *Permit y�' Expires 6 months from iss ate Regulatory Services Feed swrtxsTnsr.e, Thomas F. Geiler,Director MASS. 9�A 1634. .�� Building Division lfti��a Tom Perry, CBO, Building Commissioner 5� 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 Map/parcel Number `1-3 00 / Prop rty Address ti � � Residential Value of Work"� ,S - Minimum fee of$25.00 for work under$6000.00 Owner's Name&AddressM45II&O/i qq Cef S Gam( � �® Contractor's Name Yoa t97ttcL S.e-Ecz7:5 L XTelephone Number Home Improvement Contractor License#(if applicable) 1 b ❑Workman's Compensation Insurance ®PRESS PERMIT Check one: JUL e � 200$ ❑ I am a sole proprietor ❑ m the Homeowner [ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name C-0 Workman's Comp. Policy#_ Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ 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; oC`n—gm atten-etc. ***Note: ' _ Property Owner must sign Property Owner Letter of Permis ' n. A copy of the Home Improvement Contractors License is r1g1i4dNd SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc RevisCO20108 I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street., e Boston, MA 02111 www.mass.gov/dia `Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): 1 0 _ S 4 Address: City/State/Zip: < b33 Phone.#: Are you an,employer?Check the appropriate box: 1. _ Type of project(requtred) 1.[ 1 am a�employer with 4. ❑ I am a general contractor and I ..employees(full and/or part-time).. have hired the sub-contractors 6 ❑New�construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7 -E Remodeling ` t >:ship:and have:no employees These sub-contractors have g• ❑ Demolition' workingfor me in an capacity. employees and have workers' yt 9. ❑Building addition ' workers' comp.insurance comp.insurance. 10. Electrical re airs or additions o-: P required.] 5. ❑ We are a corporation and its ;.. ❑ P 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions right of exemption per MGL , myself. [No workers comp. 12.0 Roof repairs insurance required.]t "' c. 152, §1(4),and we have no employees.[No workers' 0 POMP ..insurance required.] ''Any applicant that checks t ox#1 must also fill out this below showing their workers'-compensation pout' nformation: :. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must.submit a new affidavit indicating such., t ontractors 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 pokcy and iob site information. Insurance'Company Name: . Policy#or Self ins.Lic.#: "�.. Expiration Date Job Site Address. �T1-cx�l City/State/Zip: < eo 7 6 Attach a copy of the workers' compensation policy declaration page(showing the policy num4 and expiration date). Failure to secure coverage as required under Section 25A of MGL cA52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year,imprisonment,as well as civil penalties in the forrri of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her c ify rid he pa' s pe lti of perjury that the information provided above is true and correct Siena Date. Phone#: Official use only. Do not write in this area,to be completed by.city or town official. City or Town: b 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 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 an individual,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 employs persons 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 be an employer. MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or ''renewal of it 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-contractors)name(s),address(es)and phone number(s) along with their certificates)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.' ber listed below Self-insured compames should enter their compensation policy;please call the Department at the num 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 affidavitfor you to fill out in the event the Office of Investigations has to contact,you regarding the applicant. . Please be.sure ao fill in the permit/license 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 ma be provided to.the y applicant as proof that.a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each Y ear.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture ( .e. a do license or permit to burn leaves etc.)said person is NOT required to complete this affidavit: i g The Office of Investigations would like 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 offiee of Investigations 600 Washington Street 'Boston MA 02111. Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia r ACOPDiw CERTIFICATE OF LIABILITY INSURANCE 02/26/08"r'Y' PRODUCER 1-404-995-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR homedepot.certrequest®marsh.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3475 Piedmont Rd NE, Suite 1200 Atlanta, GA 30305 FaX (212) 948-0902 INSURERS_AFFORD_I_NGCOVERAGE _NAIC# INSURED INSURERN Steadfast Ins Co 26387 Home Depot U.S.A., Inc. RB INSURE :Zurich American Ins 16535 Ame Co The Home Depot, Inc. ,- _ 2455 Paces Ferry Road INSURERC:Illinois Natl Ins Co 23817 Building C-8 - -- - — -- ---- Atlanta, GA 30339 INSURERD:American Home Assur Co 19380 INSURERE:New Hampshire Ins Co 23841 COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN-W AbD'L POLICYEFFECTIVE POLICYEXPIRATION LTR INSRE TYPEOFINSURANCEPOLICYNUMBER DATE DATE LIMITS A GENERALUABILITY IPR 3757 608-02 03/01/08 03/01/09 URRENCE S4,000,000 EACH OCC X COMMERCIAL GENERAL LIABILITY LIMITS OF POLICY ARE EXC19SS PREMISES Eaeccurence $1,000,000 CLAIMS MADE 1�1 OCCUR "OF SIR: $1,000,000 PER CC" MED EXP(Any one person) $EXCLUDED PERSON ALBADVINJURY $4,000,000 GENERAL AGGREGATE $4,000,000 GENI AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG 1$4,000,000 X POLICY PE 4 LOC - B AUTOMOBILE LIABILITY BAP 2938863-05 03/01/08 03/01/09 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Eaaoddent) --- ------ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS BODILYINJURY -- — NON-OWNED AUTOS (Per accident) $ X SELF INSURED AUTO PROPERTYDAMAGE $ PHYSICAL DAMAGE (Per accident) GARAGELIABILITY - - AUTO ONL Y-EAACCIDENT $ ANY AUTO OTHER THAN EAACC__$_ _—. AUTO ONLY: AGG S A i EXCESSIUMBRELLAUABILITY IPR 3757 608-02 03/01/08 03/01/09 EACH OCCURRENCE $5,000,000 OCCUR C CLjvMSMADE AGGREGATE $5,000,000 DEDUCTIBLE $ RETENTION $ S C WORKERS COMPENSATION AND 1928757 (FL) 03/01/08 03/01/09 X ORYLMIT - OER TH- EMPLOYERS'LIABILITY 1,000,000 D ANY PROPRIETOR/PARTNERIEXE CUTIVE �1928756 (CA) 03/01/08 03/01/09 E.L.EACH ACCIDENT $1,000,000 E OFFIGER/MEMBEREXCLUDED? 1928755(AOS) 03/01/08 03/01/09 E.L.DISEASE-EA EMPLOYEE $1,000,000 Ifyyes,describeunder I �S—JALPROVISIONSbelow E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER F TX Employers Excess TNS-C45197967 (TX) 03/01/08 03/01/09 ccurrence/SIR 25M/2M D Workers Compensation ;1928759 (QSI) 03/01/08 03/01/09 E Workers Compensation 1928758 (KY, MO, NY, WI) 03/01/08 03/01/09 DESCRIPTION Of OPERATIONS)LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *FOR EVIDENCE ONLY CERTIFICATE HOLDER . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE HOME DEPOT, INC. - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR 70 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 2455 PACES FERRY RD., N-W. BUILDING C-8 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ATLANTA, GA 30339 AUTHORIZED REPRESENTATIVE ��j/0 USA • 7 aAv-"& ACORD 25(2001/08)datkinson ACORD CORPORATION 1988 8207866 ,I JUN-28-2008 11:13 HOME DEPOT HYANNIS P.004 070M'4-uW HOMEIMPROVE1vIEN.T..'OONTRACT. Sold,Furnished and Installed by: Branch Nar ore.:"' a�- .. g0 ;`•`�. • Date: THD At-Home Services,Ine• d/b/a The Iiom6Depot St-Home Services 345AGreenwood'Street,Worcester,MA 016507 Branch;Numtier::.7.1kt>. 3 51..1Job,#:• ��5IIOS '•,::..•. ,•:Toll-,Free.'(800)f57=5182. Fax:508-75&2859 Fedend.lD m75.269W ME LAIC#C 02a39 RT COQL Lic#.16427 CT`L!d#565522. MA home tmprovement Contractor Rey#126a93 Installation Address 1 t{:CG.DLOr S}_:•�-r tGn+��5 M,g' g2�.a.1• :: City.. State,. Zip.. :,:: :•..i... Laet4 Dtp's`'t o f Dtiver's"Purchase's `•'Dit91.&.E ..Mo/Y.rt .. 'VVorkPhone: HomeP.hone:. Home Address. (if different,from instaUstionAddress):-. Cyty State zip E-mailAddress(tareceiveupdatcs and PromotionsfromTlie:HomeDepot)i 'Ca�tGc�e�ho�.OQ hod Project'Information:- I/Wc(You("Purchaser");th.e'.owners of the propgtty.located at.the above installation address;offer to contract with;T111)At-Home-Services,Inc.("Homc'Depon to furnish,.deliver and arrange for.the installation of till material, as described oir.the attached Spec Sheet# 5l?cz7—'2—.,. - ineorporatcd herein byieferdnce nnd7nade apart hereof. Home dkp'ot•reserves the:right'to canc&&is.contract ifi upon.re4hspectiom of the job;•Home Depot determines that it cannot perform its:obli'gations,dow to u structural problem with the:home;jiricing'errors or because work required to complete:the job was notincluded,in.the Spec Stieet or Contract ,_,.. ... • ,.. ,. ,. . ... . .:. ::_ < .- :• 'DEI',OSITPAYMEN'I'bPTTONS r (Subjo=to f®d verification and/or credit upprovut:) CONTRACT AWWCOUNT'.-` $;�B'^I 5.& " Cbec ' $ie[a Cheek or US Postal Stuvice Monty Order. Ic to The liome Depot). .� �i�y� .. j•LESS.DEPOSIT . 7 2, Credit Cird•'andlorotherpuymentopticntc-Circvone-Below U Vim," Msttaf Divr' AmncanEBAIANCE DE: xpress aN COMPLE Thc:ltomcDopot Home ImptOvemeutLour,.. The Homo Dopot Credit Gad �MinitnPg125%`Of COilttatd'Artiounfdue upon New Acconnt 0 Exixtieg,Aawpnt- .•(ffiL&EDCC ONLY) etteetition of ttiis contract" Availublo Credit.$ (7L&EDCC ONLY) :,Indicate Payment Metb.od.For Acct11: _ Exp,Date: BALANCE DUE-ON'COMPLETION::'.. Name as it appears on,cafd: . -9yty,oe --By my/our-signaturobelow,T/We agee'to itllow I•iome Depot to charge'theabove referenced credit card-forte deposit-indicated. •When you provide;a.chocY,ts payment,.you authorize us cithe. '' (D to use-infdnvA6on_from your ohoak'to make 3 one-timeelectronic C_,dholdes Sipawie - Date fund trans&r fiom yom'ucoomtt or to'ptootss the.payment�n check triastction;%%enwe-useMf0r=1tion frornyour;cbxk to HIL or HDCC APtb oirization Codes nlakc uneleetmnic4und.tnuwfor,finds.%naybe withdmvm-from- ^- yom•.acCOltntas soon as me payment is.tr:ttiyed;.aod ytat'will'not" _:.,,. •'Deosit.. 'Final Pa meat roceiveyou chockbuck. ' Purchaseragiees that immediately upon.completion of the:work Purchaser will'exccute a Completion Certificate and pay any balance duc. Purchaccralso'agrees4o be.jointiy and sevcrilly obligated and'liable hereunder:. 'Entire-Arreement This tiieniaadits+attaolitrieii/ti incltidia agree gmfm=ctaragreement,'oonram die:complotc:agreement between the parties and can not be wn�ended'or.modified unless'in writiAg.in.a'separate agreement signed.by both parties.. NOTICE TO PURCHASER: .. Do,itot siga:this::contract:bcfore`,you read-:it. .You:;are entitled to:w-completely Sled-in co of-the.coutmet'at the'time. yore sign.:.;Keep'it'to protect•,your rights—Do iiotsigq;a'Complction-Certificate before.this:project'is.com'plete. Law- the actual'completionof dii*ork'to be performed underthc.rontra'ct. You may cancel:this tmusactionl anytime-prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of.this-right. There w1B bc:a service charge equal:to.L0%of the contract amount.if job is cancelled by;.Purchaser'AF I1ER.Yhc third-business day;but:BEFORE.materials artrordcrcd..Thcrc will be a•.service'charge equal to 25%'of the contract amount if job is cancelled by Purchaser AFTER,mater ials are ordered. BY.MY/OUR SIGNATURE.BF- OW,LWE'UNDERSTAND THAT THE.AGREEMENT-MAY BE SUBJECT TO REVIEW OF:wWOUR'CREDIT HISTORY AND.'I/WE AUTHORIZE HONIE DEPOT:TO NBRIFY.AND REVIEW MY/OUR . CREDIT RECORD AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM.FROM ALL. LIABILITY NCURRED•FROM INADVERTENT OMLSSIONS'OR ERRORS. $Y MY/OUR SIGNATURE,BELOW,"YWE AGREE TO BE BOUND BY THE TERMS OF THIS.CONTRACT. 1/WE ACKNOWMGE RECEIPT'OF,A COPY OF•THIS:CONTRACT AND TWO COMPLETED COPIES OF THB NOTICE OF CANCELLATION. SUBMITTED BY- ACCEPTED B r7?�s Yr.� Date. . (o 'e�7 G� Date: Purchasor , NOTICE:'ADDiTMONAL TERMS AND CONDITIONS:'ARE STATED-ON THE REVERSE SIDE " . ' ,. ..AND ARE PART OF THIS CONTRACT • .: . 9-21 07 iov 4.2-07 CSC,` White-Brandt`File,.Ye11 rev—Customer `Pink-:Sales•Consultent. .a ✓fie �ooninwouuea�fi o����ac�ucaelta Board of Building Regulations and Standards -License or registration valid-for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration. 126893 One Ashburton Place Rm 1301 Expiration 8/3/2008 Boston, Ma.02108 Type Supplement Card THE Home Depot,At Home Serve . WCHAEL BEDARD 3200 COBB GALL ERtA PKWY"#20 � r AtIANTA, GA 30339 Administrator r Not valid ithout signature I . i Town of Barnstable- *Permit# 2� X-PRESS PERMIT Expires ohou � Regulatory Services g fee FEB ' 8 2006 Thomas F.Geller,Director Building Division TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint faplparcel Number 3 roperty Address C.Q 4 A►' � t �Q v� ►� . Residential Value of Work g® Minimum fee,of$25.00 for work under$6000.00 )wner's Name&Address A4r., - K contractor's Name (J y�'�' Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ' ❑ I have Worker's Compensation Insurance Insurance Company Name Worlanan's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to D S , ❑Re-roof(not stripping'. Going over existing layers of roof) '❑ Re-side ❑ Replacement Windows. 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 Owner must sign Property Owner Letter of Permission. om ovement Contractors License is required. SIGNATURE: QTmmu:expmtrg Revise071405 I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 - www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiowlndividual): q G Address: 14 Ci /State/Zi y�1�, 5 ) Phone#: d g- 4) 1 Are you an employer?Check the appropriate box:. Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and I 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 t 7 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or-additions required.] officers have exercised their 3: I am°a homeowner doing all work right of exemption per MGL 1-El Plumbing repairs or additions mys lf. [No workers' comp. c. 152,§1(4),and we have no 12.% Roof repairs insunce required.] t employees. [No workers' comp.insurance required.] 13 ❑ Other Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information *� 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 their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site nformation. asurance Company Name: 'olicy#or Self-ins.Lic.#: Expiration Date: Db Site Address: City/State/Zip: Lttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). aihire to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a he 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 f up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of ivestigations of the DIA for insurance coverage verification. do hereby certi and e p 'ns and penalties of perjury that the information provided above is true and correct ifmature: Date: 1,7 hone#: 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 - 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 an individual,partnership, association or other legal entity,employing employees. Howev.-er: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 employs persons 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 be an employer." MGL chapter 152,§25C(6)also states that"every state or 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 their certificates of 1 necessary,supply sub-contractors)name(s),.address(es) and phone numbers)along with ( ) n , PP Y . . - insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the,y partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have members or p , 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 PP 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'. conVensation 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"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 permittlicense 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 tovan)."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 bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like 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 . rtI?Cepament of Industrial.Accidents Office 9f Investigations r 600 Washington-Street Boston,MA 0211 L Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Gf/� Map 3 + Parcel �� Permit# 7f Health Division [ — �T R 83 ` �r�fr fa4f ,''iSI Date Issued a a Conservation Division 2� ,�� � E Application Fee 22 P 1: l. Tax Collector `Permit Fee*v2 Treasurer .,, �.t._�0 0I c __--------SEPTIC SYSTEM MUST DE ,I I Planning Dept. INSTALLED IN COM PLIAE Cli: ` WIT'H TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANL Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address iw C_e� dr Village Owners° � ! Address 7.5;, C ��• ,�' Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 Historic House: ❑Yes �J'No On Old King's Highway: 0 Yes WNo Basement Type: ❑ Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No . If yes,site plan review# --Current Use Proposed Use 4 BUILDER INFORMATION ���� �7 60 4 Name r, -.�' � Telephone Number - � ���'��A 7 Address License# ® 6_41 y J/�id o Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �`�1� FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED , MAP/ARCEL NO. 4% ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION 3 FRAME • j INSULATION , e � • 5 , ? FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH" FINAL GAS: ROUGH .' " FINAL , FINAL BUILDING i r y DATE CLOSED OUT R -, ASSOCIATION PLAN NO. t ti ........... The Commonwealth of Massachusetts = Department of Industrial Accidents exce of/ayesffoatieos _ 600 Washington Street , Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location city yI. J hone# �rr00 ❑ I am a homeowner performing all work myself. I am a sole etor and have no one worku in ca achy ❑ I am an employer providing workers' compensation for my employees•working on this job.: >3 `2 <>' ' '�t ' %2`' < ' ;` ;;:' ; '>: � Spa � '> t3� '''' `': y� ''�� ':':�3:' �. ?>` ': <''} ' �t? �; � '�• comma v gild cttw . ;.:.::.:.i:;.;:.:.;:.;:.;:.;:.; tsyranWX Mani a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices; .....:.........................:............................................................................... roioanv ............. :.::.: .. .... r: .. •::a;:::::•:: grit; Nunnnattratc ;:: .:.........................;:.;:.;::;::::..;:::::.::.:..:.:..........::.:.................:...... . .........:......:..... adiiz :.::.:::.:.::.. 1. ilea ::..::................::::::::.:.:.........................................................::..:..:::::::.::::::.. . ..:.:::.:.................... #w. .... Y,.y:{y;.};ti:;ti:;F;ii::ii:;i•:!4:vY.?!•}:v:Sin:^:?i:?:6:;4:'?jL::i;•'•iiifri''f.•iY.?i:??i+::::iri•i:•iiii::;;4'r:v: {�4iYr:;:%:i ::`%:;:j?;i y;i i;:?;.^:•';•;•;::{.'}:;;t iii::{;4ji:%v.i:': ::......:..........?;.....:...I Q •'..#::%%:>.;:;{:�i:::':;`i�ii::;:::j;.:y:is�i:< :i>.<.;i'tin,j�.:};i'.j:::jC}:.:.;'.:±:L:.��%:':S.$:.::::$:?.`'''vr i:';:;:?::?. Fafiux to aecore coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,W.00 and/or one years'Imprisonment as wcH as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do here by.cerdfy under the pains and penalties of perjury that the information provided above is tme and correct Signature >'"� Date Print name C� c fe Phone# Cfflchdonly do not write in this area to be completed by city or town official town: perndt/license# ❑Buildhng Department ❑Licensing Board immediate response is required ❑Selectmen's OfficeOHealth Departmentson: phone#; (3Other (revised 9195 PIA) Information and Instructions .., Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 an individual,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 employs persons 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 be an employer. MGL chapter 152 section 25 also states that every state or 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,neid=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. a Applicants a davit completely,b -chec ' the box that applies.to your situation and � workers' compensation affidavit Y �8 PP ,� Please fill m the w mp 14. supplying company names,address and phone numbers along with.a certificate_of insurance as all affidavits maybe 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. City or Towns 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 peimitllicense number which will be used as a reference number. The affidavits may be returned to the Department by mad or FAX unless other arrangements have been made. 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 Office of InvestlgauOus 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 i '(MEr .=. Town of Barnstable Regulatory Services BAMMBM ` Thomas F.Geiler,Director y MASS. �* 1639..�a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 t Office: 508-862-4038 Fax: 508-790-6230 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: Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner 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 Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav BUILDING PERMIT FEES ' RESIDENTIAL APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 a Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONSJRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ftt >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.0031= STAND ALONE PERMITS Open Porch x$30.00= T (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) a permit Fee projcost I INMEKati Town of Barnstable 6�. Regulatory Services a • - sai MASS. Thomas F.Geiler,y ass. g, ,Director ?, 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 as Owner of the subject property �i'�/�e-P � ���'��` i�- ,e, to t on y,behak� hereby authorize ` in all matters relative to work authorized by this building permit application for: (Address of Job) 1 '-7 C� Signature of Owner Date Print Name Q:FORM&OWNERPERMLSSION f [ ] [R343 009 . ] LOC] 0074 CEDAR STREET CTY] 07 TDS] 400 H00 KEY] 249724 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 MCCULLOCH, MARGARET & MAP] AREA] P 015 JV] MTG] 0 0 0 0 ROACHE, BRENDA L SP1] SP21 SP31 74 CEDAR STREET UT11 UT21 . 29 SQ FT] 1560 HYANNIS MA 02601 AYB] 1880 EYB] 1975 OBS] CONST] 0000 LAND 23400 IMP 78300 OTHER 1000 ----LEGAL DESCRIPTION---- TRUE MKT 102700 REA CLASSIFIED #LAND 1 23 , 400 ASD LND 23400 ASD IMP 78300 ASD OTH 1000 #BLDG (S) -CARD-1 1 78, 300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1, 000 TAX EXEMPT #PL 74 CEDAR ST RESIDENT'L 102700 102700 102700 #RR 0259 0079 OPEN SPACE *LIFE EST M MCCULLOCH COMMERCIAL INDUSTRIAL EXEMPTIONS SALE102/96 PRICE] 1 ORB110064051 AFD] I A LAST ACTIVITY] 06/11/96 PCR] Y R343 009 . P R A I S A L D A T A* KEY 249724 MCCULLOCH, MARGARET & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=PRD &B 23 , 400 1, 000 78, 300 1 A-COST 102, 700 B-MKT 133 , 600 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 1560 JUST-VAL 102 , 700 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA P015 ----------------------------- PROFESSIONAL ZONE PARCEL CONTROL AREA TREND STANDARD 101 30 LAND-TYPE 234001 LAND-MEAN +Oo 1027001 IMPROVED-MEAN +0% 5006 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100011 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 [?] i R343 009 . P E R M I T [PMT] ACTI*] CARD [000] KEY 249724 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT [B23206] [06] [81] [AD] A ] [ ] [01] [82] [000] [NEW ] [HY REMODEL] RESIDENTIAL PROPERTY [` MAP NO: LOT NO. FIRE DISTRICT SUMMARY STREET I} Cedar St. H annis LAND /o -, + 73 BLDGS. 343 9 H �, o OWNER TOTAL !:a p LAND l0S�D RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: 7/ BLDGS. Z 1/7 4 0 '{ 1 27 58. 996 53 TOTAL LAND Arlington, -Teresa - - t a ter) BLDGS. w� .. TOTAL ". fiC.jL LAND BLDGS. TOTAL z LAND BLDGS. TOTAL LAND . BLDGS. TOTAL LAND BLDGS. Of 1 TOTAL LAND BLDGS. INTERIOR INSPECTED: -- � � TOTAL DATE: 3 G^ �p7 �C (`r�l ,�1. ;' l I JLe�I...11.l Jt i•CJ LAND ACREAGE COMPUTATIONS U Of BLDGS. ND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE T LAND CLEARED FRONT BLDGS. TOTAL REAR WOODS&SPROUT FRONT s� LAND REAR 01 BLDGS. TOTAL j WASTE FRONT LAND REAR BLDGS. TOTAL LAND j-o i I1 BLDGS. 0) — LOT COMPUTATIONS LAND FACTORS TOTAL .A FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND r ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL _ LOW DIRT RD. LAND ___ _ SWAMPY O m BLDGS. FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST . Cone.Wells, Fin.Bsmt.Area AIL Bath Room I,, Base B �iiED 5 �y v � LDG.COST �T T Cone.Blk.Walls Bsmt.Rec.Room St. Shower Bath Bsmt. PORCH. DATE 3 /11��'./Q . ne. Slab Bsmt.Garage St. Shower Ext. Walls . �� � �'+-• Brick Walls Attic FLA Stairs Toilet PORCH. PRICE Room Root RENT Stone Wells Fin.Attic Two Fixt.Bath Floors ier• INTERIOR FINISH Lavatory Extra i Bsmt. , ..1' I 2 3 Sink i r/2 rh Water Clo. Extra Attie Plaster EXTERIOR WALLS Knotty Pine 1 Water Only .20 ouble Siding Plywood No Plumbing Bsmt.Fin. Ingle Siding Plasterboard Int.Fin. — �a 2 9(' Shingles TILING one.Blk. G 'F P Bath Fl. Heat 4- Face Brk.On. Int.Layout Bath Fl.&Wains. Auto Ht.Unit __lI- veneer Int.Cond. Bath Fl.&Walls f Fireplace �8� om.Brk.On HEATING Toilet Rm.Fl. Plumbing Solid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. .� Tiling Steam Toilet Rm.Fl.&Walls Blanket Ins. Hot Water St.Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS Asph.Shingle Pipeless Furn. S.F. a �/ Wood Shingle No Heat 3 S.F. .50 Z 3a Asbs.Shingle Oil Burner c S.F. G Slate Coal Stoker S.F. Tile Gas S F. OUTBUILDINGS ROOF TYPE Electric S. F. 1 2 3 4 5 6 7 8 9 101 1 2 3 1 4 1 5 16 7 8 9 10 MEASURED Gable Flat Hip Mansard FIREPLACES Pier Found. Floor Wall Found. 0.H.Door LISTED Gambrel Fireplace Stack FLO RS Fireplace Sgle.Sdg. Roll Roofing ✓%� Cone. LIGHTING Dble.Sdg. Shingle Roof - - - — DATE Earth No Elect. Shingle Walls Plumbing Pine 3 Hardwood ROOMS Cement Blk. Electric Asph;Tile Bsmt. 1st y TOTAL Brick Int.Finish 7 'Single 2nd 4,& 3rd FACTOR FTI FLU 1 . _ REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.DeD• PHYS. VALUE Funet.Dep. ACTUAL VAL. R n 2 L S O J z SSE b: - ',a 2 3 4 5 ' 6 B — 9 10 — TOTAL 1m .� =7 1 1 3 �i o �v 11 �z 4 �f i I TOWN OF BARNSTABLE REPORTS LEMENTARY/CONTINUATI�REPORT NAME (LAST, FIRST, MIDDLE) ( �) DIVISION /DHPT /��-p' NOTE DETAILS 6 OBSERVATIONS-ITEMIZE EVIDDENNCE, SERIAL /S ETC. r SUBMITTED BY j - PAGE # ....................�......._ _...._- =' tau<'z>' '' ?>>z .....A. ..T.6 y f may- -W� vi:}:;iii:::j;:•:j>:r,.>;y:: i::v�: ..... ..... f.�.:i.{Llf.:d:: .:C�:211���{�4�:i:::vi.;J::i � � , :'•: ::::..:::. 562 >:>>: "...' :.`.::+> B I DIN ERV > >< «< X.n:N�Y iSi.1 �' 'q'¢ ...��..•':ti:+'.:.':::::�:�::::;:i3::vi:?:y:Y:i.�j�.'%isisiii::i::::i:::�y>.y+}Y{tLi'i::i::::::i::::i::::::ist::::y:::isi:::::'vti:::::i::::is:::j'::isi%:�:":::i:i::::::!:is ii::i:`:?'{::i}{::<:::::j:i:::v:::i`':i::::::::�::L'{:::::}::::i::14�-'.::::::v:::{�: v>v: ::i::,^�,'•Y�,, i..'. :. .p7:... ... :........ .: :::::i:;;};.::•?'•:y;:•}:6ii:•}i`iiiii?iii:Jii:•isSiii:•i:•?iiiiiiiii'+i}i................:i'.:.i:•.i'::.}:•{:::::•::::•::::::.....::: i;Y,.:•:j; :hJI:R' :1 ti%•':'•::.:':: ii. .•:....:`i'':-.'••:•..j:::::iii?iii::i::::::}::i::i::i: i:LiisiiS{•iiiiii?:iL`.isii.:iL.isiiii:4i}iiiiiii:.isLitp?:iSiSi:.:}:::5^i:::>iiiTiiii:: t:isiii%::i•ii::::i::i::iiii:L(ii: 4.... ..,r.r._�..........r..-l.r...-'--- .........:............:..::. :.::.::.:::............... X. ............... .......................... ..... CEDAR r. STREET HYAN NIS•• :E33$3?t' I . aaa--• RESEARCH •sr', X.......... ...... m ** . �.r. Y 1 U. 1 w( 1 f'r ';;:ii:::tii:viiiiiii:•is4iiii}iii:i4:'4iiiii:4:ti!�iiy}:v::::::::.�:::YY::: J Wxiii::C?•: I 1 �: a' y U -1�tl11, A49 m� m C a Y i • '( �_ r i i i § f �� •� } $� ® m2 , } ( � i Assessor's r eap and lot number ..........::... The<.�' '�-i5 �t��� /=a<< Th A t�L L G GAr/w ;(�"/ THE TS /*U�e_-/�5-•f QrO�r TO�y , _ , // 4 5 � Sewage Permit number ............................................ ..::. MA"STADLE, i ... .................... ....... : •,..+, O MA86 p� ,, O i63 00 House number s,sue ' ,FO MaY a\ { TORN OF B;ARNSTABLE BUILDING <INS'PECTOR APPLICATION FOR PERMIT TO ....... .... .. ...... ... ..!L1......... .-!/....... ............. .................................. `. TYPE OF CONSTRUCTION ................. ......... .................................................. .............................................. tq ................................. .. . .........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby,ra'pplies for a permit according>to the following information: Location . ..fir..-.1.....t_ l-rie?.y......�.�.............:. I.... !i..........► �'�i.�.........................:........:... ProposedUse ........... ...... ` f..................... ..................................... Zoning District" ............1",............... ............................ ..FieDistrict ..... 5- /a/riy!.c1Q. .................................. AName of Owne'r`G�. f ' l fi... ,A,l?1.C.`/,� w� !Qress ...�.... ��. . a.? .....?.` ........1714. ... :: ✓ !. ?.... Name of Builder �, . ....!.:�??„ !'7P r.1y......... ddress .t rt?..?�.�?�.*. .r., �^!.!a;�.Y .r.a. ...:...... Nameof Architect ....................................................... .... ...: : Address .................................................................................... Numberof Rooms .......................................................:..........Foundation ..............,............................................................... i Exterior ............................................:........................................Roofing .................................................................................... Floors .....................................................................................'.?Interior .......................................... ....... ............. ...... Heating :......................:..............:........:E.. Plumbing ....... ................ ............................................ Fireplace ..................................................................................Approximate Cost �...... .. ...........!!.................,........ Definitive Plan Approved by Planning Board -----------------------__-------19________. Area ....... .. ................... Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH w f I hereby agree to conform to all the Rules and Regulations of thejown of Barnstable regarding the above construction. iName .r!......... ........... ............... / &JILI0GTO0, TERESA A=343-9 33206^ REMODEL No ................. Permit for ------------ ' . TO DUPLEX --------------------------' 74 Cedar Street ^ ' Location ............................................ Hyannis ' ...----.� .�����----------�------. ' - Tazeaa Azl ' too � ` ^ {�vvnar ---.. . � Type of Construction I�r��oze--.--`—_, , ' ----------------------,�--- Plot ............................ Lot ................................ ^ - June lS^ 81 ' ^ Pmnnh Granted -------------]g ` Date of Inspection ------------lA ' Date Completed ...................................... , ^ PERMIT REFUSED ' � . / � ........... 19 ' --~------^'' ---------------' . --------..'/----------------. � * ' --'—' .. ............................. .................................... ' ^ v . . ' < Approved -- ......................................... lA ' -----..--------.—.--.--------- ' -------------------------'— Assessor's m � � f sso s map and lot number ........ 5: ._-..... ...... irs - Thckr r �yoy�wJ °FT erg ....... .. . ` LC4zl, w - H Sewage Permit number ...i? .....Gv cD�..... ............ .....r.° ��GG��� ,�Q.� ♦� 0 G /" "X_/C ��_ ...,........• 1' B9HBSTADLE, i House number ..................f....................................:. 9� M6 9 e�0 Omoa` SOWN OF BARNSTABLE BUILDIN INSPECTOR APPLICATION FOR PERMIT TO ..... �..... ..... .. . ♦ TYPE OF CONSTRUCTION .....................:....... ...................................................................... . ................................................19........ .-.�-!.'r-+•.w:..a....,.,-..as.sr.t•.•pn..,:ne..,•„,.c�,,,..ww-,...b....,wrv^`..u�m°> ;.,.�^.�.,,,,,,,.,,v.,�:y^i'�L;Yn�',�..�y.,.;,.w,.,a;atw - �-�la....rv-�w�h+r+W-..-.^.:+-.ar.dawi:+;p:a_o..a t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according toto the following information: Location . .. ..I ..... �C U;� ...�.........�................. .d: "�.�� . ��!.. ..........................:........:... ProposedUse ........... ..... ......................... ............ ......................... ............................................................ Zoning District ............r....t'C ......... Fire District ........ Name of Owner 4/'. ...........Address ...�..`�........P.�.�.�.. �:�.......'�. 7 ....^......... Name of Builder e' j'f / �`� Y.. .......................Address Nameof Architect .......................................................... .......Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ............................................Interior i..r�eic+ .. .. . .... J ' -- µHeating 1--,-- --?... ... `.... .:.......Plbrng ... ............._ Firepp .Approximate Cost . ..... 00 C lace ..:.............................................................................. ...................... ............................ Definitive Plan Approved by Planning Board -------------- ------------------19--------• Area .. ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 �r c i o I ()o 1 I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. ......(/✓d oV ......... ...............!! t�a RLINGTON, TERESA 23216 REMODEL No ..............-. Permit for .................................... To DUPLEX M J ....................... .............................. ..... 74 Cedar Street , Location. - .................................................. .............. Hyannis . - ,#--• . ..... ............................................ ................ E t - Tereaa Arlington Owner _ - � game _ Type of Construction. .......................................... ............................................................ .....:.......... Plot ............................ Lot ................................. , r I Permit Granted June '..... �19 81 x ";Date of Inspection ....................................19 r Date Completed ..............�ru .......19 - 1 ` PERMIT REFUSE® ......................... . 19 _ ............................................ ............................... ........................................................................... 1 �)j}j}j a• �—. ........' ............................. ................................. M • „ r 4' r ............................................... ....................... Approved ...... ...................................... 19 :. ......................... ............... ....... ....................... t .................... ......................................................... N �' j ittIitttitNO DATEt�t% :`tDESQ iiItN MY,` tIititLE) itItittO'El SEST tH PROFESSIONA "KNOWL U. 'MAP AN( _13ELI EFZ�,�T1IA CORNERS,,.pir� T DI 'SETBAG THE ON 1 NSTR Q'�,AS "SHOW !�D,ETERMINED- By�,STRIJCTURE CQN�SR EXISTIN G SHED t608±''S.r. �j tEXISTING DWELLING it �PROPOSED -ADDITION tI0 '7+ S I 6 OF,:,,"Ll 3� 0 v LANLo ��p b St gk� ATE ItOTAL 2 :13 ,IIiitttt,�FOUND IR T t E F D :N ASSESSI�RS',LOT,:#8', IPLOT PLA VINC IT P.�,iibouMPIO,EN It9 t9 A tI6 9 4'3 F� 6 ,,E,DARi,Li`,,,�,1 , TREE #74 c tt %v HE itS "PAGH U c MAC METER CO U,N1 Y)E PROF)650 TABL itittOL8 t10A11"ON titttIIRON�-,P ..... UL-EXISTIN SSESSORS A' T #9 277 J Y 25 IPE,t 55+� S.F. GARAGE'' tilHELD FOR' t! v t86 I1V6a illttiititttItiti .........IitiUND lHELD M J E IN N I f7 itASSESSORS,��,LOT ifl �"74 tMAR -,STREET-WWAM�&"ANN1E,`,JO.HN$O YANN115 A IH 'iIIIitttitRIM'� 42 B-cb t 'roup;,4 itItIitittitit5 T LO" Nf0m,U5'A j6 A t Ou hU w itit0 7*,UENNIFER�`,Md 7,'ilf,ir" AURRER Itt7, 1 tuRRENT WNER 3 itit'M _,BS C tGt,'i-25 ro up,, n c tII "No"PLAW-0'AN RE El ...... N �6*itiitISOR S�`,M AP t tIIItittt1ONING,,DI STR ttMtO E,M, AC S. `,:�FRONT 20 I:5 V E FIt 0 itREAR 7 5 t )IGN �N H LALY."t 500 itt4 IN I MU 9 �SlZt_ 'A OV C K�j��R_Al t0IMUM LO, T'; 8320 �C G,NO` 3 5-;�,01 DWG.� 20'.0 IN 4-o�:83 0 IitII