HomeMy WebLinkAbout0022 DARTMOUTH STREET ���
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i
AAr echnie, Robert
From: Deepika A <Deepika.A@xome.com>
Sent: Thursday,August 6, 2020 1:34 AM
To: Mckechnie, Robert
Subject: DE-registration request-22 DARTMOUTH ST HYANNIS MA 02601
Hello,
Good Day,
Xome Field Services(XFS)is working on behalf of our client of Mr.Cooper
XFS previously registered a property located at:
Address City:, --� - State Zip APN,
a
e t
22 DARTMOUTH ST HYANNIS MA 02601 3071-126
This letter is to serve as notice that the property has either been sold to a new owner,the property is now occupied,foreclosure has
been rescinded and/or borrower is no longer in default.XFS does not represent the new owner, if applicable,and has not been
provided any further information or documents.
Xome Field Services
Attn: Property De-Registration
13640 Briarwick Dr
Suite 200 Austin,TX 78729C�OflllLo
xfsvpr@xome.com I'
I
Thanks & Regards,
DE—EPIKA.A
Process Associate-Trainee
xome
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2
Town ®f Barnstable _ Building
ensarsrn
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
MA Posted
Posted Until Final Inspection Has Been Made.. �,�
1
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made er
Permit No. B-19-2042 Applicant Name: Jonathan Whipple Approvals
Date Issued: 06/21/2019 Current Use: Structure
Permit Type: Building-Insulation- Residential Expiration Date: 12/21/2019 Foundation:
Location: 22 DARTMOUTH STREET, HYANNIS Map/Lot. 307-126_ Zoning District: RB Sheathing:
Owner on Record: SILVA, FABIO A Contractor Nam�JONATHAN N WHIPPLE Framing; 1
Address: 22 DARTMOUTH ST Contractor License: CS`-.078683 2
HYANNIS, MA 02601 m ¢m _ Est. Project Cost: $ 5,328.00 Chimney:
Description: Insulate attic l Permit Fee: $85.00
i Insulation:
i Fee Paid: $85.00
Project Review Req: < i {
Date. �' 6/21/2019 Final:
Plumbing/Gas
Rough Plumbing:
zBuilding Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.-issuance.
All work authorized by this permit shall conform to the approved application,and the'approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
� ' Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. f
Y- -- Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this-Permit.
Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Rough:
2.Sheathing Inspection -.� -•- -- -m �F g
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) 'Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site /�?V.- Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
t
Town of Barnstable wilding
Post Thls`Card So That it;�salislble:From= he;5treet <A ravedPlans Must be;Retalned,on,Jgb and;thls CardrMust be-Kept .
enxrsrwg�.c. T t '.
M" Posted Until Final Inspection Ha,s Been�Made `� y �, ; � ��
' a Certificate`:of�Occu ancs Re alredNsuchBuildm shall Not;:beOccu Iedunt�i aFlnal ins action;has,been made,.= Permit
1•�...�MM Where r1 vv
r ..,a. p �. w'»xQb �,� --.„x,x `a, ... ..'.mxa'<:..,.a...x.� >:< 3«x_ .c . ;'. _� ".. •Px, ...A.=,tea««.5..a,. -;. x.,� .x.«zti# `.:.eta.
Permit No. B-19-1265 Applicant Name: Ryan Lane
Approvals
Date Issued: 05/15/2019 Current Use: Structure
Permit Type: Building-Solar Panel-Residential Expiration Date: 11/15/2019 Foundation:
Location: 22 DARTMOUTH STREET, HYANNIS Map/Lot 307 126 Zoning District: RB Sheathing:
Owner on Record: SILVA,FABIO A Contractor Name SKYLINE SOLAR LLC. Framing: 1
Address: 22 DARTMOUTH ST C�riractor,Ll e�rise 172284 2
HYANNIS, MA 02601g r Est Prolct Cost: $6,000.00 Chimney:
Description: Installations of a safe and code compliant,gritied,RU solar system PermltFee: $85.00
on a residential rooftop. 19 Modules/6.84 kWa Insulation:
Fee Pald $85.00
Project Review Req: Date .' 5/15/2019
Final:
Plumbing/Gas
4 N, Rough Plumbing:
.,. .x
g UI I ICIa
This permit shall be deemed abandoned and invalid unless the work authonzed bythis permit is commenced within six months after Assuan Final Plumbing:
All work authorized by this permit shall conform to the approved application and the=approved construction d m ocuentsKfo r�whkh this permit has been granted.
All construction,alterations and changes of use of any building and structures steal be in compliance with the local zonegby lawsand codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or`road and shall be maintained open for public Inispectlon for the entire duration of the
work until the completion of the same. Final Gas:
The Certificate of Occupancy will not be issued until all applicable signet res by theBuilding and.Fir Officials are Of6.Oiided on this permit. Electrical
Minimum of Five Call inspections Required for All Construction Work
r:.
1.Foundation or Footing � � � � > � �� ,�\
y Service:
2.Sheathing Inspection SF
3.All Fireplaces must be inspected at the throat level before firest flueing is_mstalled:�
Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Final:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final:
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Per ns contrac ' g with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL cA42A). Final:
Building plans are to be available on site Fire Department
die All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Final:
j
Xome use only I VID# -89910 I WO# 24196967 PID# 1135343 1 Regular Mail
•
+t: Town of Barnstable 1200 Main St. I Hyannis I MA 102601 1 508-862-4038
REGISTRATION AND CERTIFICATION FORM
FOR FORECLOSING/FORECLOSED PROPERTY .
Thank you for registering in accordance with Town of Barnstable Code chaps 224
sections 224-3 and 224-4: Please complete one form for each property in for osure '
(section 224-3)or already foreclosed for which possession has been taken(sit on 224-'-' -n
4). Please file the original with the Building Commissioner and a copy with Chief o` 3
the Fire District,in which the property is located. .o
If you claim you are exempt from registering under Massachusetts law;please st.to the
reason(s)and complete section I (property information)and the first paragraph f
N
section 2 (foreclosing party; court,etc.and foreclosing party representative,but not other
representatives.and attorney).so that the Town can review the exemption and update its
records: N/A
Section 1 —Pro a .. Information
22 Dartmouth St
Property Address: Hyannis MA 02601-4528
Assessors Map#: 'N/A Parcel#: M307L126
Land area and description N/A.
Building(s)description and contents N/A
Occupied:.N/A.Occupant(s)(if borrowers so state and include name(s))
Borrower,if known: SILVA.FABIO
Phone: N/A 'email:. .N/A other:. ..
Vacant: No Date.: Anticipated Length of Vacancy:. N/A
Last occupant(s))(if borrowers so state and include name(s)) N/A
Phone: 800-468-1743 email: AFSVPR@xome.com other:.Has possession been taken No If so,please explain and complete and file the
maintenance and security plan form(unless exempt as stated above)
Section 2=Foreclosin Pa Information
Foreclosing Party name%title) Mr.Cooper
Foreclosure Case Court: N/A Docket# .N/&
Please forward all notices/confirmations to AFSVPF:@assurant.com,
101 W Louis Henna Blvd,Ste.400,Austin,TX 78728,800468-1743.
PID# 1 2135343
Date filed: N/A Current Status:. .N/A
Foreclosing Party's representative(s) for property(entry;management,repair,
etc.)(name,title,):Assurant Field Services c/o CHRISTOPHER SIDEMAN
Company(if different from foreclosing party): Assurant Field services
Address:268 MAMMOTH RD,LOWELL, MA 01854,
Phone: 800-468-1743: . email: AFSVPR@xome.com. other:
If an exemption is claimed,please do not complete the.remainder:
Other representative(s)(if foregoing representative is primarily responsible for
property and/or foreclosure and is most likely to be able to address town matters
concerning the property and/or foreclosure,please so state and do not complete
contact information(i. e. "none.".or."see above")):
Name,title; other: N/A . :
Company(if different from foreclosing party): N/A
Address: N/A
Phone(s): N/A email(s): N/A other: .
Name,title, other: N/A
Company(if different from foreclosing party) N/A. .
Address: N/A
Phone:N/A email: N/A other:
Attorney representing foreclosing party N/A.
Firm name(if different from Attorney's name): N/A
Address: N/A
Phone(s):. N/A.. email(s):, N/A other:
I acknowledge that.the information'provided is accurate and correct: I also understand
that any inaccurate information will result in non-compliance with section 224-3 of
chapter 224,of the Code of the Town of Barnstable.
Date: December 21 2018.
Name.: Eric Knudtson'
Title: . Assurant Field Services Manager
Please forward all notices/confirmations to AFSVPR@assurant.com,
101 W Louis Henna Blvd,Ste.400,Austin,TX 78728,800-468-1743.
PID# 2135343
I hereby certify that the above-named foreclosing party is in compliance with the
provisions oNection 224-3 of chapter 224 of the:Code of the Town of Barnstable:
Date:
Building Commissioner, Town of Barnstable
ASSURANT
BUILDING PLAN / STATEMENT OF INTENT
Occupancy Status: Occupied Building Plan
Property Address: 22 Dartmouth St
Hyannis MA 02601-4528
AS OF: December 21;2018
THIS BUILDING PLAN SERVES AS OUR STATEMENT OF.INTENT
TO MAINTAIN,SECVRE,:AND INSPECT PER ORDINANCE:
.THIS PROPERTY WILL NOT BE DEMOLISHED:
THIS.PROPERTY.WILL BE LISTED FOR SALE.
IF..000UPIED,THE PROPERTY WILL BE INSPECTED ON A MONTHLY BASIS UNTIL VACANCY.
OWNER CONTACT; Mr.Cooper. . .
.350'Highland Dr.,Lewisville,TX 75067
AGENT CONTACT IS
ASSURANT FIELD.SERVICES
101 WEST LOUIS HENNA BLVD. STE.400.
AUSTIN,TX 78728
T: 800-468-1743
E:AFSVPR@assurant.com
'
DATE(MM/DD/YYYY)
06
ACORO
CERTIFICATE OF LIABILITY INSURANCEnB/20,B
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 1.NSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE.HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED'provisions or 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 2
certificate does not confer rights to the certificate holder in lieu of such endorsement(s). e
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PRODUCER CONTACT
. .
Aon Risk Services Southwest, Inc. NAME:PHONE (g66) 283-7I22 FAx (800) 363-0105 toDallas TX office- (AIC.No.ExtR aC.No.: y
Ci tyPlace Center East - .. E-MAIL - - .. ..
. . ADDRESS:.. .. C
2711 North Haskell Avenue - _
suite 800
Dallas TX 75204 USA INSURER(S)AFFORDING COVERAGE NAIC#
INSURED - - INSURER A:• Great Northern Insurance Co., : - 20303
Nationstar Mortgage HOl di nqs, -Inc. "INSURER Bi -Chubb-Indemnity Insurance"CO. 12777
8950 Cypress waters Blvd INSURERC: . XL S ecialt Insurance Co 37885
Dallas TX 75063 USA P y
INSURER D:. ..
.. - - .. ..
.. .- ..INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:.570072097262 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. Limits shown areas requested
LTR -TYPE OF INSURANCE - INSD NIVD POLICY NUMBER - MMIDD MM/DDIYYYY LIMITS
_ EACH OCCURRENCE .. $1,000,000
" - X COMMERCULL GENERAL LIABILITY � - � � - "
.- CLAIMS-MADE GL TO RENTED
X OCCUR - UAML ' . $1,OOO,OOO -
.. .. - - .PREMISES Ea occurrence- -
MED EXP(Any one person) $10,000
. - .. ..
PERSONAL"&ADV INJURY - $1,000,000 -
GEN'LAGGREGATELIMITAPPLIESPER: - GENERAL AGGREGATE $2,000,000 iz
POLICY EP CT ❑X LOC _ - "PRODUCTS-COMPIOP AGG- - Included N
.OTHER:_ n
A" AUTOMOBILE LIABILITY - ' ' 73542588, '- - 07/11/2018 07/.11/2019 COMBINED SINGLE LIMIT
,. X ANYAUTO „ . - - . . . .
Me accident- �$1,000,000
BODILY INJURY(Per person) Z
OWNED" SCHEDULED - '- - - - BODILY.INJURY,(Per accident) q
AUTOS ONLY AUTOS -
X HIRED AUTOS NON-OWNED - _ - PROPERTY DAMAGE V
ONLY AUTOS ONLY..
- -
Per accident
m
c x UMBRELLA LIAB x OCCUR Us00079378LI18A . "' . 07/11/2018 07/11/2019 EACH OCCURRENCE $25,000,000 V
EXCESS LIAB CLAIMS-MADE - AGGREGATE $25,000,000
DED RETENTION " - '
B WORKERS COMPENSATION AND - - 71701785 ' ' 07/11 2018 07 11 2019 X .PER- ' " OTH-
EMPLOYERS'LIABILITY -yl N - - STATUTE - -
ANYPROPRIETORLPARTNERIEXECUTIVE E.L.EACH ACCIDENT - .$500,000
OFFICERNEMBER EXCLUDED? - �NIA _ - ..
(Mandatory in NH) - "" E.L.DMEASE-EA EMPLOYEE - - $500,000
If yes,describe under- - -
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000-
DESCRIPTION OF OPERATIONS LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more spacets required)
t _ - -
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CERTIFICATE HOLDER CANCELLATION
.. - SHOULD ANY.OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ITHE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
PROVISIONS. - -
Nationsyytaf.Mortgage•LLC - AUTHORIZED REPRE$ENTATNE - -
8950Coppe 1pTXs75019 rsABlvd.
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01 988 2015 ACORD CORPORATION.All rights
hts reserved..
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
i
Town of Barnstable
Regulatory Services
Op THE Tp�
P� o Thomas F.Geiler,Director
Building Division
> BARNSTABLE, '
a3 `0$ Tom Perry,Building Commissioner
A�en 3.s 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: S • cx�
Permit#: �<5n-7 01-i lv
HOME OCCUPATION REGISTRATION C
Date:
ff 9 o �n
Name: C 1�� l� Cfn�G Phone#: ��3e0 ��
Address:cz- �� M(ool H :51 Village: X NN
Name of Business:
Type of Business: y"I T� Map/Lot:
INTENT: It is the intent of this section to allow the residents of.the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes; and no increase in air or groundwater pollution.
After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit, located
.within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelli
I,the undeYsigned,ha ad nd vith t above restrictions for my home occupation I am registering.
Applican . Date: , 0
Homeoc.doc Rev.5/30/03
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you.must do by M.G.L.- it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1" FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
DATE:: 7- O • C�1
e , Fill in please:
' W1, APPLICANT'S YOUR NAME: UIG�D►�Z �r?U�0 /�f0v1D0NC q
BUSINESS YOUR HOME ADDRESS: DARJ—J310UTHS'T
MA C.Q601
" p TELEPHONE # Home Telephone Number �SOA SC,0 S S?
NAME OF NEW BUSINESS I J E _ TYPE OF BUSINESS
IS THIS A HOME OCCUPATION.
Have you been`givenappr'oval'from the;building,divison� YES NO
.. 1 ,..
ADDRE6S"OF°BUSINESS`'�20`� %�,�/�( ®tl`�if" `S:I, Hyt?l�lll.-y r1?IO601MAP%PARCEL NUMBER _ `' . a2
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200-Main St. - (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S OFFIC
This individual.has n informe any permit reequu ig t t"to this type of business.
_OCCUPATION RU� �
Authorized Signatur
COMMENTS:
2. BOARD OF HEALTH
This individual has been i ed of Ethog_permit requirements that pertain to this type of business.
�.-
COMMENTS: .o Au rized Si ur gn te** MUST COMYNMAM
3. CONSUMER AFFAIRS ICENSING AUTHORITY
This individual ha n infor ot`the lic n re ents that pertain to this type of business.
Authorized Signature*
COMMENTS:
EAMIM LE The Town of Barnstable
Department of Health Safety and Environmental Services
P�� a Building Division
367 Min Stleer,Hyawiis MA 02601
Office: 503-862-4C,38 Ralph Crosson
Fxc 508-790-6230 Building Corp.missioner
d
July 19,1999
Lorraine M. Raleigh
19 Mary Dium Way
Hyannis, MA 02601
Re: B >d �rrao th 1:,Map 302,Eugd�ufi
Dear Ms. Raleigh:
Our records iadicate?hat your houm at 22 Dartmcuth St, is currently being used as a
multi,fatnily home contrary to 13?rnstable Zoning Ordinances. You must contact this
office as soon as possible to either:
I- apply for a building permit to restore the property to a single-family home
2. apply to the Zoning Board of Appeals for a variance
3, prove that this is a legal multi-family� j � fi% a �)
You must contact this office irnmediat6y to tell us��lat direction you wish to take.
Sincerely,
Gloria Ni, Ureras
Zoning Ertforcerneat Offic i
GMU:AW
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wtc:_s);I rPF. 1T3LTt 1 �li)_98�
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PARTIES In tno conslaeral'on of 1116 mutual pruinsew.obtsgations an•d nrovn;e,qs herein set lortn.the panrvs h4teto agree as
follows:
LORRAINE M. RALE.YGH, 19 MAP.Y OUNN WAY, HYANNIS, MA 508-778-5001
(Name) (Address) �'- (Tel No.)
Hareinafter called'Laridlora",iereuy;eases lo:
KENU9DY-Ot,1N017Aty CENTER, ONE COt9MERCIAL STr PDXBORO,MA 508--543-2542
howinafler salted°Tenant',and Tenant hires from the Landlord,the Leased Prernisss described in paragraph 2.
2. 4The Leased Premises consists of the!and and the buildings thereon now known as and numbered,
LEASER
PREMISES 22 DARTI'rlOU T'H ST.
(Street) —
HYy of
Town)
_ tNas c se If
(City of Town) C � (�)
3.
TERM This lease shall be far a term of!EWC1 years,beginning on NO, R-1 T lg 98
end' 0aTm*PJ T31 c 2000
4. °1y/T
RENT enar i agrees to pay rent la the Landlord at tile rate�.
par month on the I t day of each and every morn;rn advance so long as this lease is in force and affect. All rent
Shall hat paid to Lartulard by 06CK marled to the address of the Landlord set forth,above,or as otherwise directed In
writing by Landlord.
5•
REAL ESTATE --if.ia.any real estate Irscat lax year starting with Ina real estate fiscal lax year beginning June 30, 19_2 er'
TAXES real 9sl3M on the Leased Premises(which specifically includes both tie lend and the b��ui1 re in exces
the amours,of such toy real estate fiscal tax year beQrnning sutra 30, eanl agrees to pay the f G�
Landlord,as additional rent when bi dlard,One Hundred per !ol of such excess that may occur in
each year of the Term of this Lease.apportioned.o a tar year in which the Term of this Lease begin,
ends. In accordance with irhassachuselts Law ressiy unti8rsteod&nd agreed that Tenant shall be obligate
pay only that propor
tion cI such in roe x as lhtt unit leased by him bears a of the real estate so tax d
Ilia: 9t7L°k),aria if Ld' alns an abatement of the real estate tax levied on the whole o tale of wh•
the unit legal h ant is a part ita:Leased Promises),a proportionale share of such atatement,less rea
—altomey's fees,if any,shalt be refunded to tr.e levant.
6.
CLEANLINUSS. Tenant shall keep the Leased Premises in clean condilion,Tenant sha►I be responsible far the proper storage and final
eollectlon or ullirTtaie disposal of all 001 il'uj•c and rutb10,all m accordance van the regular municipal collection system-
Tenant shall not pfirmit!he Leaseu Pien;ises to be Overloaded,dartlaged,stripped,defaced for suffer any waste,and
shall not be used for any purpose other than for which they were constructed.
7.
PETS No dogs,biros or otlidr animals of pets snail lia kept in or upon the teased Premises without Landlord's prior written
consent obtained In gash instance.
a.
GROUNDS Tenant shall be responsible for normal ground maintenance dunng the Ierrn of the lease. Without ilmlGng the generality
of that foregoing language.Tenant shall promptly remove snow and ice from the driveway,walks and steps of the
Leased Premises,and shall keep the lawn alter all shrubtey noatly Iummed,heAny and of good appearance.
9,
INSURANCE Tenant understands and agrees dial it sha;f be his own obligauon to insure his personal propeny•
10.
COMPLIANCE Tenant shali not nyake or pimmi use cl ine Leased Premises which will be unlawful,improper,or contrary to any
I J S applicable taw or u uci ill orJ riaiicw t clud n without limitation all Zoning,11urldin or Sancta Slab es Codes Rules
WIT)I LA Jm I P I {n i.9 rtt rr n9, g ry t ,
Regulations,or Ordinances),or which will make vGrdab'e or IncieaSe illy cost of any insurance maintained on the
Leased Premises by Landlord
i
Page:
tt,
ADDt11UNS Twwlils shall riot none airy,aliJltivob uj olteratluns to ttta Leased Pfvnuses without Lanftfd ti plioa vuntltm corisent
OR OtIlai+iD(J If)00ZI,Wsluw?C& Arty alleiatiui*is twee by Tananl,al his axpense may be removed by Ter,am at or ptior to
ALTF-RATIONS the termination of utis Lease, plovstidd that'i onant Is not in default under lho:i Wase,has obtained written consent by
Landlord and provrdad futiner that Tunartl iepcttr any resulting iniVy,10 the teased Promises and restore the Leased
Premises to their lorfrior Cordiiion.
12.
SUBLETTING: Tenant srlall not assign or sublet any pan or the whole of the Leased Premises,nor shall permit the Leased Promises
NUMBER OF to be occupied for a period longer than a lernporary visit by anyone except the individuals specifically rained in stye
OCCUPANTS first paragraph of this Lease,their spouses,and any chflQren bom to(hem during the Term of this Lease,or any
extension of renewal thereof,tvilhoul first abraiaing on each oocasmn the consenl i>9 turtling of i andlo►d.
Noiwchslanding any such consent,Tenant shai)remain uneonditionalty and principaliy liable to Landlord for the
payment of all rent aria for ate full perfornmrice of the covenants and conditions of this Lease.
13,
UTILiTiES Tenant shalt promptly pay a;l utlity bills IQ(water,sewer,duel,heat,e!eclricrry,gas,telephone and other UuKies
furnishec to this Leased Premises during the Term of this Lease,and shall keep the Leased Premises adequately
heated during the;riof;nral healing,season, Upon request ai Landlord,Tenant sh&ll promptly deliver adequate proof of
the payment of utility bills to Landlord, Landlord and Tenant understand a d acknowledge the following utility
egtilpmeflt has beer.rented or purchastO on credit sy Landlord, Td A End the Tenant
agrees to pay the sum of$ per Month directly to _ for the use of such
equipment,during the Term of the Lease and of Tenant snail fell to pay such sums as set forth"rain,than Landlord may
pay such sums for the account of Tenant and Tenant shall reimburse Landlord therefore upon demand,as additional
rent,
14.
ENTRY Tenant snail permit Landlord to enter ilia LedSed Premises prior to the termination of this Lease to inspect the some,to
make repairs thereto'allnough nothing contained;n this parogfoph shall be construed to require Landlord to make such
repairs),or to show the same to prospective Tenants,Purchaser or Monpagers. Landlord shall also be entitled to enter
the Leased PrMjtes it they appear to have been abandoned by the Tenant or ofterwise,as Permitted by Law. ,any
person entitled to enter the Leasso Premises to acco{dance with this Paragraph may do so Lhrough this dulti,authorized
representative. Wherever possible,Tenant shall be informed in advance of any proposed entry hereunder.At any time
within Three(3)months before the expiration of the 7e,m of:his Lease,Landlord may affix to any suitable part of the
Leased Premises a notice for!Citing or selling the same and Keep such notice so affixed without hindrance or
molestation.
i5.
KEYS& Locks shall not be changed,altered,or replaced Pot shall new locks be added by tenant without the written consent
LOCKS of Landlord. Any locks so permitted to be Inslalled shall become property of laridiord and shall not be removed by the
Tenant. Tenant shall prornpay Give a duplicate key to any such changed,altered,replaced or now lock to Landlord and
upon larrrunalion of this Lease.Tenant shall deliver all keys to the Leased Premises to the Landlord directly.
16,
REPAIRS SUiSjecl la applicable law,Tenant sr:all keep and maintain the teased Prernsses and all equipment and fixtures thereon
or used therewith repaired,whoie and of the same kind,quality and dascrtplion and in such goad repair,order and
condition as the same were at the beginning of the Term of this Lease of may be put in thereafter, Reasonable and
ordinary wear and tear and damage ty fire and char unavoidable casually only exceoled. If tenant fails within a
reasonable time tC make sucn repairs,or makes there improperly.Then and in any such event or events,Landlord may
(but shall not he obligated toy makes such,repairs and Tenant shaii reimbursa Landlora for the reasonable cost of such
repairs in(tali,as additional rent,upon darnand,
17.
LOSS OR Tenant shall indemnity Landlord against ail liabilities,damages and other expenses,Including reasonable attorney's
DAMAGE fees,-which may be imposed upon,Incurred by,or asserted against Landlord by reason of tat any failure on the part of
Tenant to perform or comply with any covenant required to he performed or con`.plied with by Tenant Lander this Lease,
or(b!any injury to persons or loss of or carnage to pioperly sustained or occitring on the Leased Premises on account
of or based upon the act,omission,fault,rleq�iyence or rhisconduct of any person whomsoever otP,er than Landlord.
18.
FiRF OR
CASUALTY Should a subsianual portion of this Leased PtCmises be substantially damaged by fire of other casualty,Landlord may
elect la terminate this Lease.When such tire,casualty,of taking renders the teased Premises cr any pan thereof unfd
for use and occupancy,a past and proportionate abatement of rem shall be made,and Tenart may elect to terminate
this Lease it Landfo(d fads to give wrilten notice within thirty(30)days after said fire or other casually of his intention to
restore Leased Premisos,or rf Latld'sora falls to restore the Leased Piemiseb to a condition substantially suitable for use
and occupancy within rilnety(00i Mays alW said fire or cthe`cAsuaily, however,nothing contained in this Paragraph
shall be cons!ruLti to mquirc Landlord to make such ie.sloratipn,
i
Page 3
19.
DEFAULT It Tenant sriail fail lu compry vvith,any lawful hirrlt.condition.Ccvgr eri,.ubiryat101)of agret3t11ant eaplrssec hefeut Of
iriplird inereurlGar.Or it a yeggon'o udr,f iuptey has i)een 61nd by or against Tenant of of Tenani sha!I be adiudicaled
Uankrupt or tri"Iver l a"ording to law or,f arty assignment of TtfiJrW5 property shall Le made for the benefit of
credliors,or if the Leased Prernrses appear to be abandenea,then. and in any of the said cases and notwithstanding
any license waiver of any prior breach of any of the said(erms,conditions,covenants, obligations,or agreements,the
Landlord%ithoul necessity oo requilemont of making any entry,May(subject to the Tenant's rlghis under applicable taw)
terminate this Lea€e by;
1, A Th i r.ty.3!)day written nol!ce to tha Tenani to vacate the Leased Premises in case of any breach
except only for non-paymeN ul rent,or
2. A qa,_Vgn_(7 )day written notice to Tenant to vacate the Leased Premises upon the neglect or refusal of
Tenant to pay Ihe;ent as herein provided.
Any termination under Ihis action shall be without prejudice to any remedies wfiich might otherwise oe used for arrears
of rent or preceding breach of any of pie said terms,conditions,covenants,obligations or agreements.
20.
CONVENAN T S Tenant covenants trps in case of termination of this Lease,by reasol of the default o?Tenant,than:
A. ,enani will forthwith pay to Landlord as damages hereunder a sure equal 10 the amount by which the rent and
Other payrn0filS Z,0*0 for nafdun0er for We remainder of the term of any extension or renewal thereof exceed
the fair rental vaiue of said Leased Premises for the remainder of the Tenn of any extension or renewal
therool,and
R. Tenant covenants that he rod+futiGermore mclemnify Landlord from and against any loss and damage
sustained by reason of any leonmwmn caused by the default of or the breach by,Tenant. Landlord's
damages hereunder shalt tnciuda,but shall not be limited to,any loss of rents,accrued but unpaid prior to
len'tiinalion;reasonable braei s commission for the re-letting of the Leased Prer'nises;advertising costs; the
reasonable cost incurred in cleaning and repainting the Leased Premises to order to re-Iel the same and
moving and storage charges vicuired by Landlord in moving ilia Tenants belonging's pursuant eviction
proceedings.
C. At the opllo:i of Landlord,howaver,Landlord's cause of action under this aaction shall accrue when a now
tenancy or!ease term last commences subsequant to a termination under this tease in which event
Landlord's damuyes shall Le lirmtaif to any and at damages sustained by hind prior to said new tenancy or
lease dale.
Landlord shall als,be ermlleo to all oilier wriw he6 provided Uy Massachusel►s taw, All rights and remedies are to be
cumulative and nol exclusive,
21,
SURRENDER Upon termination of this 6ease,Turiant sisal!uebver up the t.easec Premises w as good condition as the same were at
the comrnencemant of the TarnZ,reasonable and oroonary wear and tear and damage by fire or other unavoidable
casualty Only accepted. Neither the vacating of the teased Premises by Tenant,nor the gefivery of iteys to Landlord
shall be deerried a surrender of an ancet,tence of surrender of the!.eased Premises,unless so sllpulaleJ in writing by
Landlord,
22,
ATTACHED The forms,if any utlached haieto adz iriwrpoialed heroin by teferencb.
FORMS
23.
P40TICES Notice from one pang to the csher shall Le deemed to have been properly given if mailed by registered or Certified mail,
postage prepaid,relwn receipt iequescl t_ ,to the other party(al in the case of Landlord,at the address set forth in the
first paragraph in Ills allreement or any other agdlass of which Tenant has been notified,and b)in the case of Tenant,
at the Leased PremiseS,or;f said nolicu is delhered or left in or on any pare thereof,provided that theta is actual or
presumptive evidence that the attter patty or sonteana on his behalf racelved.said notice. Notwithstanding the
foregoing,notice by other party to the other shall b8 deemed adequate d given in any other manner provided or
recognized Dy law
24.
LIABILITY In the event that Landlord is a trustee or partner,no such trustee or panner nor any beneficiary nor any shareholder of
said bust nor any partner of such partnership shall be personally liable to anyone under any term,condition„obligation
or agreement expressed herein or implied hereunder or for any claim of damage or cause at law or in equity arising out
of ifie occupancy of the Leased Premises,Gee use or maintenance of said building or its approaches and equipment.
25.
OFFINITIONS The words"Landlord"ar,A"renanl'as used°lerefn shall include lheif respective hairs,legatees,devisees,exeCutors,
administrators,s"cessofs,peisorwl represenlatives and assigns:and the words'he*,'his',and`him'where applicable
.triad Apply to Landlord or Tenant ieywd!ess of Sett,ntJmbef.corporals chilly,trust or other RtoQy, if more than one
party signs as Landlord o,Terlan,t hereunder,the conditions and agreements herein of Landlord or 'tenant st±alt ba joint
antl several obligations of each su it party.
I
I
Page 4
26.
WAIVER The waiver of one bread-of any terra,condition.covenant,obligation or agreement of the Lease shall.not be
considered to be a waiver of thai or any otherterm,condition,covenant,obligation or agreement or of any subsequent
breach thereof.
27,
SEPARABILITY if any provision of this Lease or portion of such provision of the application thereof to any person or circumstance Is held
CLAUSE invalid,the remainder of the tease(or remainder of such provision)and the application thereof to other persons or
circurnstEnces shalt nor be affectad thereby.
28,
ADDITIONAL PR
PROVISIGNSlt7NS
EXECUTED as an instrlment under Seal in dupliWe on this day and gate first written above,and Tenant as an
individual states under penalty of perjury that he Is at least eighteen(1 @)years or age.
TENANT: REMEMBER TO OBTAIN A SIGNED COPY OF LEASE
GAURANTtEE: in consideration of this eze utiop of the wl%? in Lease by Landlord at the request of undersigned and for one dolls,paid
to the undersigned by Landlord,the undersigned tterepy,joint y and s.verally,guarantee to Landlord,and the heirs,
successors,and assigns of Landlord,the punctual performance by Tenant and the legal representatives,successors,
and as9igns of Tenant of all the ferns,conditions,covenants,obiigatlons and agreements in said Lease on Tenants or
their part to be performed or observed,derlarrd and notice of default being hereby waived. The undersigned waive all
suretyship defenses and defenses in the nature thereof and consent to any and all oxtensions and postponements of
the time of payment and all other Indulgences and forbearance's which may be granted from erne to time to tenant.
WITNESS the execution hereof under seal by the undersigned the day and year first written in said tease.
t
K ECY-DONOVA CENTER,INC. TITLE
. s101,
PROP IES TITLE DATE
r WITNESS � ADDRESS BATE
ADDENDUM TO LEASE BY AND E,TWEEN LORRAI NE RALEIGH (LESSOR)AND KENNEDY-
DDNOVAN (ENTER, INC. (LESSEE)DATED SEPTEMBER 22, 1998.
1. Termination:
A. Ira the event Lessee loses funding for arts contraci with the Counnonwealth of Massachusetts to nperate the group residence,
Lessee may terminate this lease after sixty(60)days written Notice to the Lessor.
13. In the event that the leased premises becom.i;s uncedifiable:oruninhabitable due to changes in the Commonwealth that are
heyond the reasonable control of the Lessee. Lessee may terminate this lease after sixty(60)days written notice to Lessor..
2. in the event that,pursuant to the revocation of a Critical Service clause governing any Service Contact between Lessor and the
Commonwealth of Massachusetts involving this lease,the Conunonwealth chooses to designate an alternative service provider as
Lessor,the Lessee shall not unreasonably wiftoid consent to assignnaeent or sublease to the identified successor Lessor for the period
specified by the Commonwealth, not:to exceed 24 months from the specific transfer slate,unless such longer period is mutually
agreed to by the negotiating parties.
3_ Lessor agrees to complete repairs and modifications to the Leased Premises prior to Lessor taking occupancy. An attached listing
from the Commonwealth in order to obtain an occupancy permit will be completed when submitted_
4-j��11
Tenant: Kennedy- cen vary Center,Inc. L Qrd: Lorraine Raleigh
Date: 2 2- l Date: 91,
' i1UMIN WW �fKOiY®1CiEDii�
BUILDING PERMIT
PARCEL ID 307 126 GEOBASR ID 21816
ADM SS 22 DARTMOUTH STREET FHOHE
HYANNIS ZIP
LOT 30 BLOCK LOT siz$
DBA DE 1Gc?PMENT,. DISTRICT HY
PETIT 28088 DR8CRIPTION NEW ROOF SIDEWALL INDOWS
PERMIT TYPE BMISC TITLE MISCELAN OUS PERM
CONTRACTORS: RALEIGH, STEPHEN V. Department of Health, Safety
ARCHITECTsw and Environmental Services
TOTAL FEES: $45.26
BOND $s 00
CONSTRUCTION JC.TION COSTS $14,800.00 �
753 MISC. NOT CODED ELSEMRS 1 PRIVATE
' >IIA�NKI'e� •
BUILDINWIs N
DATE ISSUED 01/02/1998 EXPIRATION DATE BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK ON ANY?ART THEREOF,EITFER TEMPORARILY OR PERMANENTLY,EN-
CROACHMENTS ON PU61.10 PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CCDE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALI-FY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS
PERMIT DOES NOT R4E:4SE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBCIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS RFOUIRFP APPROVED PLANS MU6T dE gEfAINED QN J08 AND
IALLCONSTRUCTIONWORK THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTIN^S PERMITS ARE REQUIRED FOR
8,PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEE,y MADE.WHERE A CERTIFICATE OF OCCU• ELECTRICAL,PLUMBING AND MECH•
(READY—10 LATH). PANCY 13 REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3,INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BEIILDIN0 INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
3 1 5ATINC1 INSPECTION APPROVALS ENGINEERING DEPARTMENT
z 0 q BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
Off—'-• .
9 MIf
WORK SHALL NOT PROCEED UNTIL PERMIT WILL 8E0OMF NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
TI'IE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC• MONTHS OF DATE THE PERMIT IS ISSU190 AS TELEPHONE OR WRITTENNOTIFICA-
TION. NOTED ABOVE. TION.
i
°FTF1E Tp�
. 'Y The Town of Barnstable
• anxrrsrna�.E, -
9�A Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
July 19,1999
Lorraine M. Raleigh
19 Mary Dunn Way
Hyannis, MA 02601
e• 22 Dartmouth S . 07 Parcel 6 --fi r4-lllll� S
R . rt h t,Map 3 ,Pa 12
Dear Ms. Raleigh:
Our records indicate that your house at 22 Dartmouth St. is currently being used as a
multi-family home contrary to Barnstable Zoning Ordinances. You must contact this
office as soon as possible to either:
1. apply for a building permit to restore the property to a single-family home
2. apply to the Zoning Board of Appeals for a variance
3. prove that this is a legal multi-family
You must contact this office immediately to tell us what direction you wish to take.
Sincerely,
Gloria M. Urenas
Zoning Enforcement Officer
GMU:AW
i
ineering Dept.(3rd floor) Map 3 Parcel �' Permit#
-45. House# tea- (= 15 Date Issued 2
Fee
.nn i .n3-i'oo--aa 0)
R* � 19 �Sa
�
BARNWABLL
� N
TOWN OF BARNSTABLE fD MIO
Building Permit Application
Project Street Address 2oZ ')fl k-TP1 1,L2T+l �T a 3.D
Village_ `lf1Uut-s
Owner �C��• flll7� d`l. k Al. I�} Address 19 1'1wi )o oo wh fl )L)IS
Telephone
Permit Request r T^ F
Les
lL"mat t aipi QYPLl1l l'3€UT ��y � ��ti;t�a���c y GAS 1L>a I�Y�ATTtt�.
First Floor square feet Second Floor �C?/J square feet
Construction Type I ix:_� 1h G
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family M Two Family ❑ Multi-Family.(#units)
Age of Existing Structure Historic House ❑Yes f'N0 On Old King's Highway ❑Yes �No
Basement Type: U/Full Crawl ❑Walkout &d6ther .
Basement Finished Area(sq.ft.) ^ 0 - Basement Unfinished Area(sq.ft) lJO 1
Number of Baths: Full: Existing _New --Q-- Half: Existing —rJ New —0
No.of Bedrooms: Existing _New
Total Room Count(not including b th1s):Existing New "tom - First Floor Room CountHeat Type and Fuel: ❑Gas ❑Electric ❑Other
Central Air ❑Yes ONo Fireplaces:Existing _New Existing wood/coal stove ❑Yes No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) P fA
❑Attached(size) ❑Barn(size) to
(None ❑Shed(size) �i l
❑Other(size) U I n
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial (J Yes ❑No If yes,site plan review#
Current Use _ecn 1RY Proposed Use
Builder Information /
Name�� V /�/lj,[�� ��(J�p Telephone umber
Address Z2 nWP-f'��r})LA-) 42i License# 67//V /
Home Improvement Contractor# // (
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOF��
SIGNATURE ATE/ 1/1
G P RM D NI OR TH FO OWING REASON(S)
The Tow of Barnstable
'� e$ Department of He2lth Safety and Environmental Services
Binding Division
367 Main Stress,Hymmis MA 02601
Offtcr: 508-7904Z27 Ranh Crozet:.
508-790-Q30 Fax: Huildiag C��
PLEASE FORWARD IM ATTAC= P.4GE(S) TO:
TO:
Fl;eg
� T
ATTN:
M NO: 07#7 S
FROM:
is 1gr
DATE:
PAGE(S): (EXCLUDING COVER SEMET)
TRANSMISSION
-. 0 VERIFICATION REPORT
TIME: 01/10/1995 04:07
NAME:
FAX
TEL
DATEJIME 01/10 04:05
FAX NO. /NAME 97786448
DURATION00:00: 58
02
RESULT
OK
STANDARD
ANDARD
ECM
neering Dept.(3rd floor) Map 30 P Parcel [ �4' ' Permit
House#' a— Date Issued 'L r
r Fee"
_ .THE
19
BARNSTABLE. .
j . MASS.
TOWN OF BA TAB 'E°" '�
RNS LE .
t Building Permit Applkcation
Project Street Address �' 1 b �-L
Village jki b L20Z
Owner kp k, I off_ Address -_(9 I)L)l
,.Telephone N5 lie ,I
Permit Request - — `
P� Lj URA
% I ,�Aid �� Lys—( l 4ir
-First Floor square feet Second Floor s square feet
Construction Type ; ► D � � �A 1j, ,t) �� +
Estimated Project Cost $ -�
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family fw/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes Multi-Family
On Old King's Highway ❑Yes �o
Basement Type: U/Full Crawl ❑Walkout &dOther
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New >0
No.of Bedrooms: Existing New
Total Room Count(not includinYO'il
hs): Existing New "�� " First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Electric ❑Other
Central Air ❑Yes U/No Fireplaces: Existing I_New Existing wood/coal stove ❑Yes ZNo
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) I� 1I11 t"
❑Attached(size) ❑Barn(size) ky 4 p
None ❑Shed(size) &I
❑Other(size) I
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
Builder Information r, d
Name��/ � /`.j9,� �_;wI Telephone umber L, C9 ;�c- z
Address l /%Ael b)IOV 41J41 License# 62YO/
Home Improvement Contractor# A0275�9
Worker's Compensation# 1,e, t?' ry76 6V
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT,
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO < ~
SIGNATURE �( c DATE
B G P RM4DNIE OR TH FO OWING REASON(S)
FOR R OFFICIAL USE ONLY _
PERMIT NO
DATE ISSUEDA
MAP/AftCEL NO.
ADDRESS VILLAGE'
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
t
FIREPLACE
ELECTRICAL: ROUGH FINAL!
G: 1 t
1 r ,
PLUMBIN ROUGH FINAL, '
GAS ROUGH FINAL_•
FINAL BUILDING
1
71
- t r 1 • -
DATE CLOSED OUT
ASSOCIATION PLAN NO. -
/
I Amer
�. ° . The ®Wn ®f Barnstable
. .� • Services
e$1 Department of SenIth Safety and Enviifonn�e�
]Building Division
-367 Main Stets,Hyannis MA 02601
Ralph Cr=e.•:
Ogee: SOS-7,90-b227 BuiIding Cara:
Fax: 508,90-6230
For office use only
1
Permit no.
Date f AFTMAVIT i
HOME MWROVEMENT CONTRACTOR LAW
t Si7pPLENiFNt TO PERMIT APPLICATION ;
MGL c. 142A requires that the "reconstruction, alterations, reaovation,: repair, modernization.
, demolition, or construction of an addition to any prim
conversion, improvement, rest:ovat ing
owner occupied building containing at feast one but not more than four dwelling n trs or o
structures which are adjacent to such residence or building be done by registered
wit
certain exceptions,along with other requirements.
VI/Type of Work:
t bi..1 Fat. Cost
Address of Work:
Owner's Nance
" Date of Permit Application: �� d
I hereby certify that:
1. Registration is not required for the following rmson(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEE OWN PERMIT OR DEALING WITH UNREGISTERED HOME
vEMENT WORK DO
CONTRACTORS FOR APPLICABLE GRAM OR G�ZJRA�OiANTY FUND UNDER MGLo I4Z�i �
ACCESS TO THE ARBITRATION PR
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of th er.
Date
Ca for nze Registrsnoa No.
The Cnntinon ivealth of Massachusetts
Department of Industrial Accidents
Office ofltty S&9211ONS
600 If ashingtott Street
Boston. Ma.u. 02111
s Workers' Compensation Insurance Affidavit
i lic.iiit inttirniatiori: �� Plcaie PRINT F.-NE
• ._ b ._....._.- ._........ ... .� ...
nam 7 Z,0A4e,'1WiLA- 104 6,
location: � ZWeV &7-,9,
city ,% Z211/1 �%� nhonc
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working_ in anv capacity
❑ I am an emplover providing workers' compensation for my employees working on this job.
contn:lnv name:
address-
city: Phnne#• -
incur nce co. lieu#
I am a sole proprietor- beneral contractor, r homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
comnanv name: is'f � E /
address: Z
city: /- I&A)MC /cam( - (shone#: t ) -710 5-06
Insur-1nce Cn
__..._._.... .._ ...-_-.....__ _1.�....,+y.�_:_ .may-iv'.�w+1r'• -_ ..J� - _ ._ ._ _ ..1�:- __ _-__-...���.�a:or�`_... .�.�-�
compnns• name:
address:
city Phone#:
insurance Co. nolicv#
.Attach additional sheet if tieccssa ';- - `i -Ji' -' _ - �+�� •i�y^ ^"-•, +'�^-�� '—^_
.�v�..���r�.r.rata'+r/r' "--�.�'.��:d'i •�^•'1GWSdi-''.-T..�-��rilY!'��I..�.�i..MYc i.r�.
Failure to secure coverat!c:Is required under Section.SA of 111GL 152 can lead to the imposition of criminal penalties of a line up to S1,500.UU andiur
one v cars' imprisonment:Is ii cll as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that n
copy.of this statement mad be forwarded to the OMce of Investigations of the D1A for coverage verification.
� 1 do ltereht•cenrjt•r er r pains=andl �jut• rat the information provided above is true and co r ct.
Si^_nature Date
Print name r � 1 Phone# �� /��
:. •oflcial use only do not write in this arca.to be completed by city or town official ,
cis or town: permit/license# r'tBuilding Department
C3Liccnsing Board
0 check if immediate response is required []Sdectmcn's Office I
i
� C]Ilcalth Department
contact person: phone Of: MOthcr ,
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all ern plovers to provide workers' compensation for the:
employees. As quoted irom the -law-. an entpinrree is defined as every person in the service of another,under am•
contract of hire, express or implied. oral or written.
An emplt rear is defined as an individual, partnership, association. corporation or other legal entity, or airy two or more
the foreuoin�� crium_ed 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 dwellin�l house having not more than three apartments and who resides therein. or the occupant of the
dN\!cllin�,, house of another who employs persons to do maintenance , construction or repair work on such dwelling ho:
or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an employer
MGL chapter 152 section 25 also states that even- state or local licensing agency small 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.
Additionallv. 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 it:
been presented to the contracting authority.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
affidavit should be returned to the 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,"taw' or if you are required
to obtain a workers" compensation police. please call the Department at the number listed below.
City or- Towns
Please be s k.tire that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o
the affidavit for you to 1-111 out in the event the Office of Investigations has to contact you regarding tite applicant. Plez
be sure to fill in tl�e permit/license number which will be used as a reference number. The affidavits may be returned t
the Department by mail or FAX unless other arrangements have been made.
Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any question
please do not hesitate to Live us a call.
M ..-f�.O-w.•I�M1117.'
Tile Department's address. telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 cat. 406, 409 or 375
�14e ZU4'[U
DEPARTI>EN ETY 28470
ONE ASHBURTON PLACE, RM 1301 4=�
— BOSTON, MA 02108-1618 DEC 2 11995
CONSTRUCTION SUPERVISOR LICENSE no
Number: Expires:
Restricted To: 00
STEPHEN V RALEIGH .., Detach bottom, fold sign on
19 MARY DUNN WAY ^: jback, and laminate license card.
HYANNIS, MA 02601 Keep top for receipt and change
. ,of address notification.
G7 &44nomv" o1,Aw6a
HOME IMPROVEMENT CONTRACTORS REGISTRATION
P
Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston , Massachusetts. O21O8
HOME IMPROVEMENT CONTRACTOR -i-- -------=-----------------------
Registration 112304 Expiration 03/12/99
Type — PRIVATE CORPORATION j
HOME IMPROVEMENT CONTRACTOR
t
Registration 112304
STEPHEN V . RALEIGH M Type.- PRIVATE CORPORATION
STEPHEN V . RALEIGH I Expiration 03/12/99
19 MARY DUNN WAY;
I
HYANNIS MA 02601 I STEPHEN V. RALEIGH
�
STEPHEN V. RALEIGH"ARY DUNN WAY
noMi"islanroR HYANNIS MA 02601
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CNA CNA Plaza
FotAH the commitment-you Make• Chicago,Illinois 60685
" DECLARATIONS
A YOUR CONTRACTORS PACKAGE
RENEWAL DECLARATION
PolicyNumbr Fror '::::: p1t.. erlud o::.;:::;:.: :: .:
..........:.. ::::::::::::::::.:::::. ...:............::::Coverals..praxidOd ::::>::::::>:::::.::::;:::>:::.::.
B1 56086758 07/05/97 07/05/98 TRANSCONTINENTAL INSURANCE CO. 003426120
Nam �..
Aid:eas...............:..::.:::::.:::.::::::......................::::::::::::::::.::................... . :::: ::::::.::.:::::::::.::::::::::::::.::.;:<.;..::.:.::::::::::.
S.V. RALEIGH DEVELOPMENT CORP. ROGERS & GRAY• INS AGENCY INC
19 MARY DUNN WAY P.O. BOX 3700
HYANNIS, MA 02601 341 COURT STREET
PLYMOUTH MA 02361
COMMERCIAL GENERAL'' ABILITY—COVERAGE PART DECLARATIONS
ITEM _
2 . POLICY PERIOD: THIS POLICY BECOMES EFFECTIVE AND EXPIRES AT 12 :01 A.M.
STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE.
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL TERMS
CONTAINED HEREIN, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED.
3 . AUDIT PERIOD IS ANNUAL, UNLESS OTHERWISE STATED.
4. LIMITS OF INSURANCE
EACH OCCURRENCE LIMIT $ 1000000
PERSONAL AND ADVERTISING INJURY LIMIT $ 1000000
MEDICAL EXPENSE LIMIT i. A $ 5000 ANY ONE PERSON
FIRE DAMAGE LIMIT $ 50000 ANY ONE FIRE
PRODUCTS-COMPLETED OPERATIONS $ 2000000
AGGREGATE LIMIT
GENERAL AGGREGATE LIMIT (OTHER THAN $ 2000000
PRODUCTS-COMPLETED OPERATIONS)
S. NAMED. INSURED IS:
( ) INDIVIDUAL ( ) 'JOINT VENTURE ( ) PARTNERSHIP
( X ) CORPORATION
gp ( ) OTHER ,
Rie y •
BUSINESS DESCRIPTION:
ERECTION OF PRE-ENGINEERED COMMERCIAL BLDGS.
LOCATION OF ALL PREMISES YOU OWN, RENT OR OCCUPY:
001 19 MARY DUNN,-WAY HYANNIS , MA 02601
J
Loa
Chairman of the Board " Secretary -
GRANITE STATE INSURANCE COMPANY 13102 32166 WC 335-75-04
SEND CORRESPONDENCE TO:
AMERICAN INTERNATIONAL CO.
P.O.BOX 409
• • • ' ' PARSIPPANY, NJ 07054-0409
r r rr rA Z I I I a LOYA I OH E •
PHONE:1-800-645-2259
S.V. RALE I GH DEVELOPMENT CORP Member Companies of
19 MARY DUNN WAY 01M American International Group
HYANN I S MA 02601-0000 EXECUTIVE OFFICES:
'70 PINE STREET, NEW YORK,N.Y. 10270
I.D# PRODUCERS NAME & MAILING ADDRESS
WORKERS COMPENSATION AND ROGERS S GRAY
EMPLOYERS LIABILITY POLICY 640 I YANOUGH ROAD
ROUTE
INFORMATION PAGE HYYANN I S32 MA 02601
INSURED IS CORPORATION PREVIOUS POLICY NUMBER NEW
OTHER WORKPLACES NOT SHOWN ABOVE
ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured's
mailing address FROM 03/02/97 TO 03/02/98
ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the
states listed here:
MA
B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A.
The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident
Bodily Injury by Disease $ 500.000 policy limit
Bodily Injury by Disease $ 100.000 each employee
C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here:
SEE ENDORSEMENT WC 20 03 06A
ITEM AI The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans.
All information required below is subject to verification and change by audit.
Estimated Total Rate Per Estimated
Classifications Code Number Remuneration $100 OF Re- Premium
® Annual ❑3 Year muneration ® Annual ❑3 Year
SEE ATTACHED SCHEDULES
TAXES/ASSESSMENTS/SURCHARGES $53
EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $1 90 MA
MINIMUM PREMIUM$ 500 MA TOTAL ESTIMATED PREMIUM $1 ,719
If indicated below, interim adjustments of premium shall be made: -
❑Semi-Annually ❑ Quarterly ❑ Monthly DEPOSIT PREMIUM$ 1 ,719
ENDORSEMENTS(FORM NUMBER)
SEE ATTACHED SCHEDULE
03/04/97 ASSIGNED RISK 66
39967
Issue Date Print Date: 03/04/97 Issuing Office INSURED'S COPY Authorized Representative wC 00 00 01
The Town of Barnstable
"IJoFTMe tq�
do Department of Health, Safety and Environmental Services
r •
Building Division
STAB 367 Main Street,Hyannis MA 02601
Mass
i639.
Off. �ArFot�'ta Ralph Crossen
Fax: )us-/Yu-bLSU A Building Commissioner
Building Permit Procedures for Re-roofing
1. Building permit application form must be completed.
2. Application sign-off required from the
Engineering Department(3rd floor Town Hall)
Tax Collector- 1 st floor Town Hall
3. Homeowner License Exemption Form must be submitted if homeowner is acting as
general contractor or builder for the project.
4. Workers Compensation Insurance Affidavit must be submitted.
5. Home Improvement Contractor Affidavit must be submitted. (Residential only)1.
6 Home Improvement Contractor's License copy (or homeowner's license exemption)
must be submitted (residential only)
7. Fee to be paid before permit is issued.
PERMIT
Rev 2122/96
�/0 4` GAL✓ �/I/`ti /�1�/
PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHD KEY NO.
0018 HOMEPORT DRIVE 07 RB 40G 07HY 07/09/95 1011 00 5 171334
LAND/OTHER FEATURES DESCRIPTION I ADJUSTMENT FACTORS Y UNIT -ADJ'D.UNIT ACRES/UNITS VALUE Dexriplion T R I L L I.A. J A M E S G M A P-
Lantl By/Dale Size D,mens�on LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE
cD FF-Dp Ih/Acres E #L A.N 0 1 2 0 o 6 0 0 CARDS IN ACCOUNT -
L 10 18LDG.SIT 1 x .1 =10c 347 34999.9 121449.98 .17 206UD 48LDG(S)-CARD-1 1 5.3,5CG r 01 OF 01
A .4PL 16 HOMEPORT DR CST 741CC
N BATHS 1 .0 U x C= 100 3500.00 3500.00 1.00 3500 J J4Rk I13735 0100 "ARKET 60800
D FIREPLACE U X C= 100 3100.00 31 00.00 1 .01) 3100 s INCOME
A USE
D
PPRAISED VALUE
D A 74.10C
J
A U ARCEL SUMMARY
T S AND 20600
A T .LDGS 53500
M )-IMPS
E OTAL 74100
F
E N I DEED REFERENCE TyDa DATE Rppp,tl b ,R I O R T YEAR VALUE
A T Book Page T, MO. Yr.D Salea Pr ce AN D 20600
T S 1Si9l30U ,JU/<lG 4LDGS 53500
U IIOTAL 74100
R
E BUILDING PERMIT
S Number Data Type Amount
LAND LAND-ADJ INCOME SE SP-BLDS FEATURES BLD-ADJS UJITS
20600 1 1 1 6600
Class Con51. Total Base Rate Ad.Rate Year Built A Norm. Obsv.
Units Units 1 A fl 9e Depr. Contl. CNO Loc 4y R C Repl Cost New Atll gepl Value Stories Meigm Rooms qms Baths I fix. Pertywall Fec.
0 1 C 000 100 100 60.?_0 60.20 67 75 19 80 100 80 66860 53�Ju 1.sJ 5 3 1 .0 4.0
Description R.I. Square Feel Rapt.Cost MKT.INDEX: 1.G G IMP.BY/DATE: ML 1 2/91 SCALE: 1/0 1.G Il ELEMENTS CODE CONSTRUCTION DETAIL
S SAS 100 60.20 840 50.568 GROSS AREA 9.30 SINGLE FAMILY DWELLING CNST GP:00
T FOP 35 21 .07 100 2107 *----------------35---------------*----10---* �U .A N C H STYLE 0.0
--------------- --- -----------
R fSf J 4.1 14G 7585 ! ! fOP ! cSiGN -i ---- -iCi 0.0
l '_R.'4ALL.3 11 rIJOD SHINGLES 0.0
- - -- ------------------f-
10 1G itATfAC TY?F 11 )A5-IAAR AIR 0.
C ---- -- --- ---------------- ---
'. NTci2.FIN'ISH 04 RYWALL 0.0
T 2.L 1YO'JT 1t VER./NORMAL 0..f)
U --- -------- ATIE----- -------
• *----10---* hi7Er:_;iUALTY sJ[ iAi�lE AS EXTER. 0.G
R --- D J-61----------------
24. BASE ! FSf ! `LOO : 5TRJCT 02JD JOIST/BEAM 0.0
L D ! ! _ LVOR lCOV1= 2 ;J4 ARPFT 0.0
E T.I.1 Area Au.= 10 0 Base_ 9 8 ----- -
! tOI�F T'f?E J1 "ABLE_-
-ASPH SH G.ti
BUILDING DIMENSIONS ! 1 4 - 1 4 =t- C I k I C 7{I ()1 1 V_RAGE 0.G
T SAS W35 N24 E35 FOP E10 S10 W10 ! ! ! -01071-)ATI V 91 CtiR1=D CONC-----�9.>
A N10 . . SAS S10 FSF E10 S14 W10 ! I I -------------- - --- ----------------------
---,-r FJ! - ------------------
N14 . . SAS S14 .. ! ! ! J IiI �1i< i0JD »(�C HYANNIS
L *----------------55---------------X----i0---* LAND TOTAL MARKET'ARCEL 20600 74100
AREA 1106
VARIANCE +0 +6598
STANDARD 25
RESIDENTIeAL""' PROPERTY , 'b
1� }MAP NO LOT NO. 4. � F - >5
FIRE DISTRICTi
ar sSTREET �'IrJple Ort Dr.- r SUMMARY >"-+
p Hyannisnort pp
t�268 122 :H �3' LAND r .SO 6 D 'p
:BLDGS, 'a s G 0 0
,
s i s OWNER t JO7Al `+
a �
„.
d` LAND
RECORD OF TRANSFER DATE 'BK PG I.ii.s. REMARKS:; •BLDGS.- >• ::�
rn
58 1 99 350 TOTAL
Triglia, James 'G. &-Elizabeth -A. .,
{ LAND u y
BLDGS.'
TOTAL
a r "LAND t
SLOGS.
Jar. Y TOTAL d
LAND "9
+ ' 0),. BLDGS.
x TOTAL•
f
-- I LAND t
r..2,
a r r TOTAL-
Al.."
LAND '' •S a.m.YF .7
:
r
s
BLDGS
',:TOTAL
f
' 'LAND
f
#INTERIOR INSPECTED: \ / � C ! BLDGS.
f TOTAL_e R
4 LAND
ACREAGE COMPUTATIONS BLDGS:- >` q
TYPE # OF ACRES PRICE 'TOTAL DEPR. VALUE _ rTOTAL.,
HOUSE LOT Af g ./ Ev) n u�0`I 5 D `J U LAND
kLEARED,FRONT..
_ BLDGS:.
REAR ' TOTAL': I
WOODS 8.SPROUT FRONT LAND k
I• REAR BLDGS.-O:
WASTE FRONT:_' TOTAL ;
REAR '.wr LAND
BLDGS. a• r: 44, f
;TOTAL. !
k. .. _ .. LAND
V'Oc90 /__ QUO �� BLDGS. .5 I
LOT COMPUTATIONS LAND FACTORS TOTAL +
FRONT- DEPTH', STREET PRICE DEPTH % FRONT FT. PRICE ;TOTAL DEPR. COR. INF. VALUE
HILLY TOWN SEWER LAND''
.Oo ROUGH TOWN WATER ..BLDGS:v 'i '
t$ HIGH i GRAVEL RD.', s>`r' �� ,TOTAL'.w ,A P
LOW DIRT'RD: a.,4 «LAND•
SWAMPY ,. NO RD. seg
'. --TOTAL" a4J^
-rn%A/N nP RARNGTARI F. MAqS. UNITF..D APRR
.^.�
"� "•-"' A154L CO'^F ST HART f1Rp,_CO N. '
Bsmt.,Rec.Room y St.Shower Bath Bsmt.
Cnes-Slab PORCH. DATE
o rs
`r Bsmt.Garage, _ St..Shower Ext. :r 5 xrti wa r
Walls z t of Is.
µBrick Walls ,, j _ Attic,P�&Stairs Toilet Room PUFtCH:PRIG
Roof- '!. D RENT 7GG E .d
Stone:Walls rr Fin.Attic Two.Fixt. Bath ®�
Floors
INTERIOR' FINISH Lavatory Extra
. O
Bsm el,F T 2- 3 Sink
a r a t Attie F' � �x#
✓a> /z / Plaster Water Clo:Extra D 0 I G'
l60 '.
�XTERIOR WALLS Knotty Pines Water Only O7 fj r
Double Siding . Plywood No Plumbing Bsmt. Fin.
Single3idmg Plasterboard Int.Fin.
Shingles TILING Getz / Nf e.a
.onc..Blk G F P Bath FL +l,
Heat (� a
Face Brk On ar Int.Layout Bath .&Wains.
Auto Ht. Unit D w
Veneer 3 Int.Cond. Bath F1.&Walls Fireplace
Coin.=Brk On: :, HEATING Toilet Rm. FI.
Solid Com Brk Plumbing
Hot Air Toilet Rm.Ff.&Wains.
..+ Tiling 'a. •s
!Steam.,, Toilet Rm.FI.&Walls
Blanket Ins St. Shower.Hot Water t �
.
Roof-Ins. Total '
Air Cond. Tub Area
• Floor Furn.
ROOFING. COMPUTATIONS
Asph.Shingle`,4 Pipeless Furn: a
Weod Shingle No Heat S.F.
�
Asbs..Shtngle ' Oil Burner UD S.F.
Slate Coal Stoker. S.F. r. .
Tile Gas
s
°Y ROC2F PE Electric S.F. t s e OUTBUILDINGS
Gable >'a,...a. •Flag.` N S. F. r:�ec .;'•�a, 1 2 3 4 5. .6 ,7 8 9:10 :,s - ;- 1 1 2 31,4 510 .7 1,0 :9; 10 MEASURED^
Mansard FIREPLACES S.F.' Pier Found Floor ` /. +•'<• t
Gambrel t L r Fireplace Stack %
-�', Wall Found 0H:Door;
?s"FLO R Fireplace tsLISTED; t.
Cone;, fit, LIGHTING" Sgle.Sit _ s Ro1I Roofing
s Fi✓
Earthn< 1- Db No Elect. e.Sdg ; Shingle Roof 6 DATES:
I
Pine r, - •roT Shingle Walls' Plumbing .. 1
Hardwood - •�' ROOMS CementBlk Electric.'.
Asph:Tile ?t" Bsmt. 1st TOTAL t ...2 Bnck ' )nti Fintsh t> "PRICED
/'9 y.g`o
Single„ t'-� :r� -.2nd 3rd FACTOR - ` , f7.
- `
' �R+?�> REPLACEMENTS - -.'I+�,s7.s ,• - -'+ t.. ' _ r
-,;OCCUPANCY` ,CONSTRUCTION ' SIZE AREA - CLASS :AGE REMOD. COND. REPL�. VAL Phy`Dep.. PHYS VALUE:' Funct:Dep ACT.UALYAL
/may
3.c21:, 3
4r .:v
,
q
a
r '
d
K8 r�, {•..MSS -. . ` t. - k t- ,} t t r+�., r .1a r ;i'Y 4+w.
TOTAL
.,uK:a..., p.rti. � 4-. ,�.r'f .�' .. - � 1 - - . .�v s�r• .-2. ;Li. w�