Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
6/8 FRESH HOLES ROAD
Cv � ��es 1, l�lo l�� `�mot. � - - �� ��P x �-� -, ��� ��; l � t p f -4U -� �� tow n of isarnsime Building Department Services f�Ke TOwti Brian Florence,CBO o� Building Commissioner sexxszaarE. 200 Main Street,Hyannis,MA 02601 Mass. 7+ i659• ��� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: —up— s HOME OCCUPATION REGISTRATION Date. `U \.2 0 \e Name: ' Phone#: 1 Address: Lo � 9_r,�kA AAC)LEf,'�- Zf� . Village: C_�a.� � � Name of Business: Type of Business: o t+\r__ w\ o Ue-m 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 carved 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 are 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 bg employed in the Customary Home Occupation who is not a permanent resident of the dwe,11ing unit. I,the undersigne have read and agree with the above restrictions for my home occupation I am registering. Applicant: 11�' Date: 1 20 i Homeoc.doc Rev.061`0116 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: i -' `-'`rc�' Fill in please: effl ngaan.Imo` APPLICANT'S YOUR NAME/S: i1\\ arm BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number ti !h NAME OF CORPORATION: N` NAME OF NEW BUSINESS \A-E\L c l_ES 'i . NTE R-P VS-E TYPE OF BUSINESS k-\(_ MQ_ IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS Lq _V- 5 � Glv� ' MAP/PARCEL NUMBER — (Assessing) 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 COM ISSIO R'S OFFI This individu I ee y ermi re uirements that per into this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Aut or d igRatur * C OMPI_Y MAY RESULT IN FINES COMMENT : 11 V n i 2. BOARD F HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St:, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: a� 16/ Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: `� TELEPHONE # Home Telephone Number 4 q NAME OF-CORPORATION: /'V NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YE NO - ADDRESS OF BUSINESS �, �Ye� �/�/�� &Z12 r_�2 SMAP/PARCEL NUMBER oC o (Assessing) P When starting a new business there are several 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 CO ISSIO R'S OFFI E MUST COMPLY WITH HOME OCCUPATION r This individ I ha e inform d f ny er r quireme is that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO ut oriz Si nature** COMPLY MAY RESULT IN FINES.' r. OMMENT i 2. BOARD OF H ALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Regulatory Services o RichardX Scali,Director Building Division M' $ Paul Roma,Building Commissioner �'iDrEvr A 200 Main Street,Hyannis,MA 02601 4 www.town:barnstable.ma.us ` t Office: 508-862-4038 5 ;r Fax: 508-790-6230 ' Approved: , Fee: R Permit# HOME OCCUPATION REGISTRATION Date: 9 l O Name:f//'�1.�_ O h`t✓ Phone#:ni16 Address: r _;'Village:./ / n� ' Name of Business: �,���,f� � r Type ofBusiness:�JGr_ �/� J' `' F 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;yno 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.,r 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 bther objectionable effects. ; , There is no storage or use of toxic,or hazardous materials,or flammable or.explosive materials,Jn excess - of non-rial 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 are no oommer`cial 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: p • No signshall,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. E • No person'shall be employed in the Customary Home Occupation who is not a permanent resident of the r; dwelling unit. t, I,the undersigned,have read and agree with the'-above restrictions for my home occupation I am registering. Applicant: / Date Homeoc,doc Rev.06/20/16 .v . w r ' CD U,.� V\- 74 NOISIAIG bE 01 Wtl h- Ntl( 81U1 g'Igy1$NUtl9 301dM01 t own of narnstable oFZHE r Regulatory Services y` o .Richard V.Scali;Director } Building Division 9cb iKASS; 10 Tom Perry,Building Commissioner prEo►u�t°' 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 F 508-790-6230 Approved: Pee: Permit# ONE OCCUPATION UGIS ON Date: r 2_(01201 Name: �re E J -S ' {A!-'��� Phone rJO�--Lq _— 14 ' Address: Y e: I GZY Name of Business: £ U i Type of Business: C) Ma ot:" INTENT. It is the intent of this section to allow the residents the Town of Barnstable to operate a home occupation, within single family dwellings,subject to the provisions of Sec' 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there s be increase in noise or odor,no visual.alteration to the premises which would suggest anything other than a resid 'al use; o increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Budding Inspector,a custo home occup 'on shall be permitted as of right subject to the following conditions: • The activity is carried on by the pe ent resident of a sin family residential dwelling unit,located within that dwelling unit • Such use occupies no more th 00 square feet of space. • There are no external al ratio to the dwelling which are not cus margin residential buildings,and there is no outside evidence of such e. • No traffic will be generate excess of normal residential volumes. • The use does not involve a production of offensive noise,vibration,s oke,dust or other particular matter, odors,electrical disturb 'ce,heat,glare,humidity or other objectionable ects. • There is no storage o use of toxic or hazardous materials,or flammable or losive materials,in excess of normal household antities. • Any need for par ' generated by such'use shall be met on the same lot con g the Customary Home Occupation,an of within the required front yard. • There is no rior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,othe than one van or one pickup not to exceed one ton capacity,and one trailer not to exceed 20 feet in 1 gth and not to exceed 4 es,parked on the same lof containing the Customary Home Occupation. • No sign' all be displayed indicating the Customary Home Occupation. • If the mary Home Occupation is listed or advertised as a business,-the street address s not be incl ed. • N er on shall be employed in the Customary Home Occupation who is not a permanent re "dent of the dwIlmg unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. ApplicantC!!L�-. ,_ �� Date• yI2�1 1 Homeoc.doc Rev.103113 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. 1 DATE: `�121Q `'L011p Fill in please: •. •-a � �� ; � APPLICANT'S - YOUR NAME/S: h`l EQL.� S 1Z K BUSINESS ' YOUR HOME ADDRESS: to TELEPHONE. # Home Telephone Number S-n 9- 7 R2- LO FS dhwl NAME OF CORPORATION: NAME OF NEW BUSINESS (-(cc-cu leS Nnpre TYPE OF BUSINESS 6lbiye LI�9y✓ch/e�'�JNi47�s IS THIS A HOME OCCUPATION? YES, NO -'� - /,��J, ADDRESS OF BUSINESS �o r-es e P ed f-{= a n �'�Lna MAP/PARCEL NUMBER _{(/ (Assessing). 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 OFFICE - T COMPLY WITH HOME OCCUPATION This individual ha b infor ed f any permit requirements that pertain to this type of busi RULES AND REGULATIONS. FAILURE TO ed Signa ure** COMPIYY MAY PESUtµT IN FINS. COMMENTS: 2.. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** - COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: t� L t own of .Barnstable Regulatbry Services CZES1� lEsj , a` `+ OFSHETp� J. �y` o Richard V.Scali;Director ,AR,„ST"L * Building Division v� 16.59.' �� Tom Perry,Building Commissioner prED MAC 200 Main Street,Hyannis,MA 02601 , . www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee. Permit#: HOME OCCUPATION REGISTRATION Date: �.t `Z Lo 2 01(o Name Ec ed� E iz C J L,L �_e� bS Phone#• J0<S"2.gr Z'-�n ' Address: F )_ko LE �C� Village: l�C,tC y�S�Q �c I� .Name of Business: �\ c i Z Type of Business: plY\P —Fry�C 6UL 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 spice. • 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. i • 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 are no commercial vehicles related to the Customary Home Occupation,other than one van br one . pickup 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 dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant.Anl/!!_ Tr�� t' ._Date: '-hZ o 12i�1 Homeoc.doc Rev.103113 r YOU WISH TO OPEN A BUSINESS? For•Your Information: Business certificates (cost$40:00 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.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.Talce the completed form to the Town Clerk's Office, 1 st FL, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate'that is required by law. y. DATE: Fill to please: : . APPLICANT'S, YOUR NAME/S:A BUSINESS,,' YOUR'HOME ADDRESS: ,. TELEPHONE #'" Home Telephone Number rTn7t L o NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE,OF BUSINESS 15 THIS A HOME OCCUPATION? I- YES No ADDRESS OF BUSINESSMAP/PARCELNUMBEA rAssessing] A When starting anew business there are several things you must do In order to be in compliance with.tha rulas 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 hueiness in this town. Y I., BUILDING COM 1551 NER'5 O 1C This indivldu I en-1 fo e o ny permit r_�qulrements that pertain to this type of busiT COMPLY WITH HOME OCCUPATION ��'`� SAND REGULATIONS. :FAILURE TO _ 'A ha � d Sig- re** COMPLY MAY RESULT IN FINES. * OMMEN 1 - . V. .2. BOARD F ALTH This Individual has,been informed of the'permit requirements that pertain to this type of business, �- Authorized Signature** _ COMMENTS: 3. CONSUMER AFFAIRS.(LICENSING AUTHORITY) This Individual has been informed of.the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Town of Barnstable . oFZHE r Regulatory Services ` o Richard V.ScaH,Director Building Division ' 1MA B Tom Perry,Building Commissioner '°TEn neat°` 200 Main Street,Hyannis,MA 02601 ' www town.b a rnsta b le.m a.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name:P/ Phone#: 0 Address �h Village: Q- u Name of Business: C/✓l Type of Business: ' ! � Map/Lot 1 - 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. A • 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 are no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tries,parked on the same lof 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 dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant / Date., Homeoc.doc Rev.103113 Town'of Barnstable r Ri gi atory Servkes o Richard V.Scali,Director • Building Division t EI RNRPART4 9� MASS $ Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 .Fax: 508-790-6230 Approved: J,Z Fee: 3S Permit#: HOME OCCUPATION REGISTRA Date: f D�c:� -,g Name: 1Pd4-14A4 O _Phone#: O � �/ Address:4� � ,/ l7 @�v /9 �A�/✓�,i t e. Name of Business•r/''_/' _ QIkC. Type of Business:L /V C:> Ma_ /Lot UNUE T: 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 t6fhe " 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,_V and not within•the required front yard. ' • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than.one van or one r 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. sign sin shall be displayed indicating the Customary Home Occupation•. Q • . 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 Customay Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant Date: �� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$HO.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 v [ ) raga ;�:••r„���M r1.j:- -n DATE: Fill in pleas / � (VA)We ;�i;�;f�1ff .F :q � APPLICANT'S YOUR NAME/S: n 1r c eL f n o. rA BUSINESS .- YOUR HOME ADDRESS: —,l /f 1L211.�.uil.�...:lf:>I. .�)11�1 i d A!-.• � L - vL•,. - I�r !>f{��1 fear#h.+�• - Home Tele hone Number :.� � , .TELEPHONE # p - I rile :UIn.9l t;=115".f�?j r3_ �r r. - _ _ •' _ NAME OF CORPORATION: / ' or.- NAME OF NEW BUSINESS Gt TYPE OF BUSINESS 61r_ IS THIS A HOME OCCUPATIO YES [ NO 9 - ADDRESS OF BUSINESS th c MAP/PARCEL NUMBER / (Assessing] ��Whenstarting a new business there are several i�hgs 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. - _ MUST COMPLY WITH HOME OCCUPATION 1. BUILDING COMMISSIONER'S OFFICE RULES AND REGULATIONS. FAILURE TO This individual hehErd in'-' e of any permit requirements that pertain to this type of business. COMPLY MAY RESULT IN FINES, Signature** . COMMENTS: M 44..ST Gor+%P1_Y &j=_7-N TaWN o F B,�4rt a s'7'/�B CE Za wy./G o � • c,E,-,. yv —�f(o 2. BOARD OF HEALTH This individual has .e n informed e per �it�equiirements that pertain to this type of business. uthorized Signature** MUST COMPLY WITH ALL COMMENTS: HAZARDOUS MATERIALS REGULATIONS,, 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS., oFtHE, Town` Of Barnstable Regulatory'Services µ BiUMSTABLE, MASS. Thomas F:Geiler,Director 1639.ren3'� Building°Division ' Tom Perry, Building Commissioner ` 200'ivlain.8treet; Hyannis,MA 02601 z Office: 508-862-4038 Fax: 508-790-6230 March 8, 2011 Dear Property Owner, This letter is to inform you that Regulatory Services canvassed the general area of Hiramar and Fresh Hole Roads on Friday afternoon,March 4,2011 in an attempt to assess the current conditions of the properties located in this area. This department recommends that all landlords personally inspect their property in order to obtain an accurate assessment of their individual-rentals. For your convenience I am identifying the findings in a generic list below: • Broken window panes and storm.doors., • Failed glass ? • Missing storm doors: • Torn or missing screens • Broken glass strewn along he perimeter of dwellings • Broken glass,surrounding,dumpsters-and in parking areas • Peeling paint • Uncontained outside storage of household trash$ • Abandoned appliances outside' ._ • Missing or clogged gutters `4 • Failure to post contrasting house nuinbers - • Rotting window sills'and su '_or-posts • Missing or broken outside lighting fixtures • Blocked egress including a rear exifnailed shut.. In addition, landlords should confirm that all"units have the adequate number'of operable smoke detectors properly placed as'required and units relying on fossil fuels are also required to have carbon monoxide detectors. ' Please feel free to contact me directly at 508-862-4027,in the event that you require additional information concerning this letter. i erely, Robin C.Anderson Zoning Enforcement Officer CC:Chief Paul MacDonald,BPD,Debra Dagwan Town Council Tow of Barnstable."' Regulatory Services OF tHE rpm ` P� o Thomas F. Geile'r,Director ;. . Building Division• * BARNSTABLE, y MASS. g Tom Perry,Building Commissioner � gq i6 . ��AtFp39.tA 2m Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us ` Office: 508-862-4038 Fax 90-6230 ` Approved:,% J° Fee: Permit#:� HOME OCCUPATION REGISTRATION Date: Name: 'T kk� EJ Address: to y�5k -}o4e5 Village: tc�a Name of 13usiuess: 'L ----- ---- --- - Type:of Business:� a r 't F-�0. .� Map/Lot: e. INTENT:'It is the intent of this section to allow the residents of the 1'ovvn of Barnstable to operate a�hoiue occupation =` within single Eiinily dwellings,subject to-the lirovisions of Section'4-1.4 of the'toning or(linance,1)roNrided that tlie'activity ' shall not be discernible from outside the chvelling: there shall be no increase in noise or odor; no cisualalteration to the: {` premises which mould suggest anytliing other tlian a residential:use;no increase in traffic above normal residential voluriies; and no increase ii%air or groundwater pollution. .' After registration with the Building Inspector,a customary home occupation shall lie permitted as of right subject 16 the following conditions: • Elie actnrity is carried on by the perniaueif resident''oF,a single Eaiiiily residential da1eiliug unit, located iiithiii that-dwellimg Unit., • Such use occupies no more than 400'scluare feet of space. r • There are no external alterations to the dwelling'Which are not.customary in residential b a ldings,and there is no outside evidence of such use. • No traffic mill-be generated'.in excess:�of normal residential volunies.� • 'lie use does not it dolve-the_productioii'of oflensive noise,vibration,smoke,(lust or either particular matter,. - odors,electrical disturbance;`lieat;glare,hunwlity,or other objectionable effects • "I'he.re is no storage or use of toxic or hazardous materials;or ffamivable or explosive materials,ni excess of normal liousehold quantities. - • Any need for parking generated by;sticli use shall he niet on the same lot coritaiiung the C•ustoniaryfHome -Occupation,and not iizthin Clie required front yard. • "There is no extenor>storage or display of_niatenals or equiT)nient., ti • -'. hliere are rio`cominercialveliiclesrelated'to the CustoniaiyHonie Occupation,otheithan oiie van or one w - pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to' exceed f tires,parked on the same lot"containing the Customary Home Occup�atioi . r •� No sign sliallbe displayed indicating the Customary Home Occupation. If the Custotwuy H�iiie occupation is`listed of advertised as a business,the strcet a(fdress shall clot be included No person shall be einploye&ln the Customay Home Occiapaliou udho as no't a permaneut.residegt of the chvelling unit. I, the undersigned,have read and agree with the above restrictions for iny hoineciecupatiom I un registering. Applicant: � ��'���. '�iQ r�� Date: H"onieoc.doc Rev.01/R/OR 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 Town Clerk's Office, 1 FL.,367 Main Street, Hyannis, MA 02601 (Town Hall) y DATE: L Fill in please: 5 - Dk,w xO?h ° � . APPLICANT'S YOUR NAME/,S: BUSINESS YOUR HOME ADDRESS: q: Y 1 TELEPHONE. # Home Telephone Number :S 6 g- NAME OF CORPORATION: . NAME OF NEW BUSINESS V Ps ON l b 1" S'E-- Q -Q� S TYPE OF BUSINESS ,fin i V)W IS THIS A HOME OCCUPATION? YES. NO, / r/ ADDRESS OF BUSINESS l� ( s MAP/PARCEL NUMBER o� 1 b (Assessing) _ F "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 ed to assist you in obtaining the information you may need:' You MUST GO TO 200 Main St..- (corner of Yarmouth Barnstable. This form is intend Rd. & Main Street) .to make sure you have the appropriate permits and licenses required to legally operate your usiness in this town. 1 ,. BUILDING COMMISSIONER'S O This individual has`been Vof any p it requirements that pertain to this type of business. orized Signare** .. 'JST COMELY WITH HOME OCCUPATION COMMENTS: © J 211 ES AND REGULATIONS. FAILURE TO MAY , 02. BOARD OF HEALTH This individual has been i ormed of the per requir ents that.pertain to this type of business. . COMPLY _.A h ized Signature** MUST 0 Y WITH ALL 9 � _ ,�: y . �fi�ARDOUS MATERIALS REGUi_AT',- !`-^ COMMENTS: 3.` CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has`been informed of the licensing requirements that pertain to this type of business. Authorized Signature**. COMMENTS: a Town of Barnstable A 'Y Regulatory Services c Thomas F.Geiler,Director &UWsTABL% z Building Division M'`S g Tom Perry,Building Commissioner i6jq. �0 )9. & 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ffice: 508-862-4381-- 10 Fax: 508-79 -6230 Approved: 22 �' Fee: 'de) M Permit#: t_ HOME OCCUPATION REGISTRATION Date: i&_/ Name: Phone Address: 6 O/_ s& Village: Name of Business: 6 A Clr&17 Type of Business:_ C/C &A M t 0S/n[-SS nZj�l-6 e lr Map/I,or. K/ 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$hall 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 dwelling unit. the undersigned,have read and agree with the above restrictions for my home occupation I am registering. applicant:rZ'I a A, A_ A I i 46 A Date: f. iomeoc.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: Fill in please: APPLICANT'S YOUR NAME: JUCen BUSINESS YOUR HOME ADDRESS: q /l�Sl�l �C E # Home Telephone .� TELEPHONE hone Number p NAME OF NEW BUSINESS MAI& r IXANFI?5 TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES _` . NO Have you been given approval from the buildin division? YES NO ADDRESS OF BUSINESS 8L oiae� MAP/PARCEL NUMBER 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 OFFICE This individual has be informed f ny permit requirements that pertain to this type of business. uthorized Sig ture* COMMENTS: aa 2. BOARD OF HEALTH This individual has y �beeformed of the p 'ier t requ a ents that pertain to this type of business. en Authoriz n COMMENTS: ed ature**Si .S0 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has rlpf the li si *emen.ts that pertain to this type of business. Authorized Signature** 'COMMENTS: u� t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel SEr-TICC SYSTEM IVWSTZ Permit# STALLED IN COMPLIANCE Health Division - 310 WITH TITLE 5 Date Issued Conservation Division EN ONMENTAL CODE AND F = N REOULATiOa�S Tax Collector • F Treasurer Z s Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis / Project Street Address ES /� S" �h�//� Village i S Owner ' Address U Telephone l 4— Zvi- Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing"O proposed "`(7 Total ne6`0 "- Estimated Project Cost 6yv Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Ef Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 2(No On Old King's Highway: ❑Yes 0 No Basement Type: ❑Full ❑Crawl ❑Walkout O Other St A 6 Basement Finished Area(sq.ft.) 0— Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new7::nQ Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths).existing new"`Cr First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing 0 new size Other: . Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name enCfs>n ��s B p�4Tele hone Number e -�73 = 99? 7 Address,53 ,eg /�i� Ae-l7 Z yr ,slVul License# L �� 9' f�GS�SGZ�j1�/`fit ZS Home Improvement Contractor# Worker's Compensation# Pic ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �� DATE SIGNATURE FOR OFFICIAL USE ONLY PEMIT'NO. DATE ISSUED , MAP/PARCEL NO. ADDRESS -,, VILLAGE _ !" r OWNER' S DATE OF INSPECTION. ` FOUNDATION FRAME- ,'-,; INSULATION'; FIREPLACE r� _ ELECTRICAL: ROUGH _ FINAL PLUMBING: ROUGH FINAL GAS: • ROUGH } FINAL FINAL BUILDING `f A DATE CLOSED OUT ASSOCIATION PLAN NO. , The Town of larnstaDle 9 � 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 Permit no. Date t 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: Le.Zk QU_,A, t Estimated Cost /G',00 . Address of Work: L 1C=r&5'A Owner's Name: 1/i3 et �--i' Date of Application: / I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]1ob Under S1,000 Building not owner-occupied C]Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EffROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby ly for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:forms:Aflidav 7 CIM Ask J - Table JSZ2b(eondnaed) Prou*tive Packard for Dae and Two-Fatuity Residential goiw,g,geaad with Fold Fade - MAXIMUM MUMUM Olaaag Glazing Ceiling Wait Hoar Baaemmt Slab 1 C00finr Arm'('/Z) U-value2 R-vataeJ R vaiuo' R,•value� Wall P �— EMd Paclmm- Rrvalae' R.vaiue' 9701 to 6500 Headaw Degree DEW Q 12% 0.40 3E 13 19 1p 6 Normal R 1 12% 0.32 30 19 19 10 6 Normal S !2•b 030 3E 13 19 ip 6 ES AFUE T 13% 036 3E 13 2S WA WA Normal U 13% 0.46 3E 19 19 10 6 Normal 1/ 1�7i V�.4 is :: rv'► `�::. R5AFUE W 15% 0 32 30 19 19 ip 6 ES AFUE X 18% 032 3E 13 2S WA WA Normal Y 19% 0.42 3E 19 2S WA WA Normal Z 18% a42 3E 13 19 10 6 90 AEVE AA Ir/. OSO 30 19 19 10 6 9 AAFUE 1. ADDRESS OF PROPERTY: kg /er> 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a i z 780 CMR Appendix J Footnotes to Table J5-7-1b: ` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft'of decorative glass may be excluded from a building design with 300 fl of glazing area 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between - -- ---d-�. ...f L`te the conditioned Spam auu u1c vcuumm yin u 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-b insulating sheathing. Wall requirements apply to wood-fiarne or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements•are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the,efliciency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 —_:_ P a —. ' Department of Industrial Accidents . , == Office ofINFOS992 its 600 Washington Street - . `4; Boston,Mass. 02111 Workers' Cona ensation Insurance davit name &Le-L I L4�¢r' /��<a�Y`A-e- t'J�� Se r y-/, t~- location• , 9` /S 2V12:r:'A c , 7?1 yc�( r city / `"'S ��- G/'/��/ i �iS phone# gam,.71T- ❑ I am a homeowner performing all work myself . ❑ I am a sole netor and have no one Ian in any ca achy %%��%/%%%%%%%% %///%/%%%%%%%��%%%/%%%/%/%%%�/////%/%////G%%%%/%%///////=MM%////%MM///%%/%%/%%%%%M=%%%%%%%%%M/%%////////%= I am an employer providing workers' compensation for my employees working.on this job....... . . ..:::: :.:.:.:::::::::::::::: .; :. ...i...i..:::Z..ii::. »:.>:.: :; .: comoanvname.: f t t :> ::.:: ....... .:::::;;:::.. ,:.: j. "' > > �'` gdaress. :..::: .;:.: . . . ...:.:: NI cityw ✓r ?..; �...... .., phone#: . ............: <:.t..;;:;:; :::;::<::: <:<:;:<<: . .;;:.:...::..::... insurance co: - ,.. : ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have . the following workers'compensation polices: »;;;: .; comaanv name. :,.;.:;.;:;:: . ,alit t'3$ .::.:::: :: :i5 i:: ss i?; r:: ::i ::: i > :... si :i::::'!%.i<? ;i; : 'f S 3? i'::'.`:ii;i i i;<:. ... `<>iii i i ::'>i i? i ?::::i: ?i' a ::.i... x<.<; :;:::>::::::>:<.:> <;;:>::>:><::::>:><::::.>. ::::;<.>.,::>::;:: »:::: .:.:: ''hone#. >>>' ::::::: cjhr. :: ... . .... b :: :,.::. . : ...... : <:::;•;: .. :.::. ...... ;::•;::s:.,:..- ... ...............................:::......:::......::................................ :::•:::;•;:....:::......s... insnrance:co ;;:::.:::.:::::..,.::::::::;.;.::.:::,,::::::::,.::::::I ::.;.;,.;•::::::;:,:..;.::....::::._..........:....:................ opicv#...:::...........,..::.....: V!iiinm ....................... ...................:........ ............ camaany name.':.:.. ...............:::><:;»:>:.... ...::::;:;;>:::»;>;::::::,.. ;: . . address. .:.: ...,::;:::::. . ..:........ ::.. :. ::: :.. '_. nBone#. ,?... I.....:<:>:::.:>.<:::.>.:>::> city' _; insurance co.:.>_ .., ::..,.,. . �/ Failure to secure coverage as required under Section 25A of MGL 152 can had to the imposition of criminal penalties of a fitte sip to$1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 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 I do hereby certi under the paint mid p n of perjury that the information provided above is true and correct. . tore y Date �L . Print name VeVz4) c�°I4U ,( L f—,.5A ( p Phone# key",t�,7�Z'%Z� 111111 Cchrdtunly do not write in this area to be completed by city or town official permit/ficense# ❑Building Department ❑Licensing Board mmediate response is required ❑selectmen's Office _ ❑Health Department - n: phone#; ❑Other .- (mvieed 9/95 P1A) 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,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. XXX FEE 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 along with a certificate of insurance 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"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 pemutllicense number which will be used as a reference number. The affidavits may be returned io the Department by mail 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 0111ce of Imlesdoadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 ` •'ok tf ti' t M �� . A s; L��L' ER fti 41 r 4 F.ikY.el'1. !r \7 t 5 L. = to yJr J t gfqxri J b fvs6'F f£ �' X t .y- nF w t ?,, e r r s +� r 'R% 4 R a - t j s. j 'q }Y t 6 i r :4 v `t k r'S fxyY ..tt 4 n ,f F '�:r 'tr t - s r a %. 1 - {k a s it! 'i-y 4 t 'u F'Fs� t Y`W= rox �, s t�, , - . k .,.iT y t (' a S.r y sJ« y `. ¢. s„� 1 f '. tA¢ d '.z u R ka ! Av,,. S "'-b ,S S rt 1 Y 4. , Y „�. 1 1 e y,9 7: $ r _}` ,r M t l° A� 'P � ���i1 afi e r .t J ' of I r 71 5 kYa �' n , s r " to-s ;,�, r �i �`f�+r�'i{�y' rt+.� a a rs� r a 's * 1't t,, i : t 3 x 1, ` .#,a�"iY.aPfe° >r*i[rva s 3-. ,, '+Y :1 st s f hs e_ F z >;-`Y s t$a Y •a tq W r t aj . a 3 e,; .,r« a K c } k. r T� : t 't. a7. s� i r s.€ �' t CS' i{ t#' '4 1 a d P tr ; 1 :^�"'ti k i} 1 t A.t $ }C 'tzr+.�p� "yi-}' 4`�'t'`ti- 'a ,,r ae4 y t x rS,,.;E '.` ,1- { f <zro.^'.� :z , t .. t t [PCs`\-' i t;- e"r�'n `•i!t r i: ,, ": .. HONE IMPROVEMENT CON.1,C I IR ResisE[.ation.'115103 :,Typo - 'IND.lylOUAL a [C.jy_1yrj• /fin QQ >^ .,1" _ 1 �,IC "'�Q=+�T,�'��NNl q �. It7f S!y',StPy µ e f KEVIN M.'SHUTKUFSKI ' M ��;,,&V NacARTHUR BIVD AToR SSET MA 02559 'F ber -%i L,f S YY� t c `yG r t 4- xJ t "',r, ..� y,� e a y `>l 'w.d 'i s r f txa y r> ; y t r t y' f r z. r ee��l +,. rr• 1 r s t tt t Kti,ud rr ' tfi m•Y 4 'Yt ti +� �' c'!r E fi" 3-„, , t t t r ';'? r q tir e x r - #1 _"H F c $.n xf�u2X y _.5? i s !S F r a q V .�-.. T i t >r{kit _ i v s i 1 •s a -.. r u�t+ k t"' y ': w,.t ! a +. r 4 i,y ,ice 1'p yy't t s # t % t 44 F «r t r ^. " s s a d rr t: A �, a r a �T' x 3 F m 7^ ' `�`sY r a e 1 T 1 t y .y "' r�'tx A x4gt ..� �.z 1 �,.. 'x A w r.,'`469d�•t F} !t S. X s 3°e i t d'.y.. k..�,v Y - .:. .;y k 7 y I,; .+n""�f+1 i ,ari rtt'3•tr red j+1'rPrr %tv Y `''. t t �' ' tr F `y y, t J 1 "� �„„f r, a �! 1 r x t.. •''. ut ti .t a a t r 4 �•f.,tt �`{'t y + t s. a c.', .,i z t r.� T - ,F., .'� - - r - -- 6. I.»rw.ru.a4p4.o�.6woani�w.l4 .I _ � + DEpla yIIENT OF PU9lIt SAfETI . 1 CUSTtY AU,SUPEIVISU LICENSE ' t rt Eypirss: Birthdats:' • . w T�`, T.1,1 1112812*1 11/2811912 • . 4. , fat r _',� f - '�1 . C r ', Z i1 r c` 3s ',r .` .r irk/ :3 p �, .. u4 , S' L & R 2 e..b NAilt`8.r. 4, 1 'f'" �!, '1 A. ;, `r J W } T 1.• 1 f a,n of r �„ .. a ' ' ' .i1r^ 9 t 1 i l . .!t r 7 ., M ,yr t yip { a+ 4 r '>� < �4'r.INq. tt f..b.1+17+ ^+ tfMM•MgX7G •tt � r.. . r 4 f i x ` ti re a a w }} k. t ��}V #C*1t�iri m as paGgi u t. ruy , ,;,K! .i t, r s a,1 , 4 v Y a.,ba , m et i t .t aR i r:§�k 4 n r "�+ 2. J. `+4 1 a J t N 4 r sl 2 s i < e F! f rt. !�' t f ih fit. {l14 JL, i 's - �4 it,a�:t ,t ✓�- o xr , iY tii"' y ya ! 1'� r .." cpir55t'ia,:;- ;.°'i �'i_is ;.. w t ` a >a + a t, ;� 'l. F'y"y'%�r j�P i ! (.; r`'Nf tr r r� wwtw...+� ..r..a.,ir„- t•kry .�.•'+lh+l'.YK we v s vr'bMrV^i°rM f 4 y 'YY3 t o s fi i t x .t,,?w4u'w k t o r Lv F - t,3- , y e ya a +fit r •" '`+ `" r K 1 F i ` 7d! AAjy'1 rnr xaA a9'a'�i5 aT :r + ,* S #Yr"•a 1 aar$t•t tE • 't r x xkv r „7 X' r f' r r 'iMlna�1 s �_� < ti; s.dJ'�'¢ Iii ''itPF��t' IQ }zid .,ti n1 X 1 1 .,i,� -x` a " t '� ., s r ` 5y� y,^r b 1 1.t' K'� .a K 1�4i� 'YiP"d`�r"(F,�@Et yt if IS.�t b 56 .1 2 {F.: t t,,:,5 f k t iS V �c4 M>P• 1 �,t t •� 4 . ii I`k 4{{ n f .;i s t �QC ,ct ett 'rk'1y(7 + �' J H Ea +r .„1 ) a fey y+,. �'ti 4d 7x..? /fir a t f 3 f f t, "! a' a L ",L tt I,{..,x f S d1+ .hid 6 al N. -.t i biti' 5;4! 'r N+Sa>`rk��"7 ey : i 3 t f. f i.:' t 't - . i � 4'+''�jr)''.Rt + nt 5z ' 3 r` i. t t' .: ; s rFih °a r ,,l' ,Ji' rt a i- . e -s ..r• { -iXYe R y �i'(t M 1 ' fr't j f A t :b t ) f : t 1 t! f ' - tFy�., ''�1`a�a«�a;5y'n{.y ;%M,,f �tf f xG �' -t r t o I r :�Y r Y'a1Fa N.tw fi k�.�t4Y er ..> e :"r s ') t f' ..I t N x i ) ?' "#14 +Yr +;ln �4$i `'}nu4 v.,,�y !,� s .�ai r.J i '� ;. ,�`fvw-d y r �, r fc t . Y '1r`4i �r f�` 4 it, t I .� n an r.x� a f' 7, 1 S i - a + f - ixyvN+G'j� �1'�,jf-r% ,zs#. v', l>t r-lb rs ¢ a w t.3 % �0 >.I { t' 4r m ay?Ya fi i4e k£7 4 1,t" s3., t �, `:1 s �r f� $ r i: .r .at7 ' u 6 " s� ,taaF �£jxiea�8...,f �(� i • 4 r i. F t .- L e'�+1 � a i r i s y t ' '` i s d'S ,' IILI `{", , ��fT, Lrk'4.*'`•£•�F'`e� sti f X :•s i # rfi G' r % :� t t , f t i;. a a s: a'PP 'R g$,e'y y Y 3F .�?14X>I+�,�,`% ;_ Q r i a z a A .: ��a� �r: N } i ) ,�df s { i _^I ,,{..` • 9 S ' 1 k.Ib rf. .y V S t6 C t4 ', t f ' M1 a p atv'V"4St',�.r v 644' U } e's�,> . y' ' f +f K�t Yk�{x 'tf,tt X s e ; Y t E r* b^ t n a^`ir 1 s%A�a 2M w .ws'+.tl 4*sy .#,-,�.Yu .,,m K� : dry. �t ',s -. x, R y `(if J W r �4v 1a f c i , ; t i N 5 r r < 1 .s .}V �amrcW'.1' tf t a'.;taMt (Yns^t.A r f '' '�" �; - RESIDENTIAL PROPERTY STREET t m y SUMMARY MAP NO. LOT NO. FIRE DISTRICT Bearse s W H annis �3 LAND d. .292 -AMW H - BLDGS. y?See 77G U 188 OWNER tly_•.:G..7.r•.a�-� y�e E� 'c. TOTAL � 3yo 0 ? LAND "RECORD OF TRANSFER DATE 1 PG I.R.S. REMARKS: J BLDGS.. al y49 TOTAL • LAND GAG- BLDGS. ' C K � TOTAL - �/' LAND a) BLDGS. Uh X� L L A G SS G TOTAL LAND BLDGS. B S) O N M 001 TOTAL J LAND BLDGS. TOTAL LAND 0) BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. n •1 TOTAL DATE: _ _ 7� //'.�. /n%, n, -da/ i r LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL EPR. FVA TOTAL HOUSE LOT °n 0 LAND CLEARED FRONT � BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND _ 0) BLDGS. TOTAL LAND f u01 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. 70 /PJ fir% HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND I F FOUNDATION ts51w I. be .,r r i� .., t F2i� ilv:, ± .. "��� LAN COST u.Walls Fin. Bsmt.Area Bath Room y„ - Base l ' nc.Bill.Walls Bsmt. Rec.Room St. Shower Bath Bsmt. ,. DO PUR.CH,' 6ATE ic. Slab Bsmt.Garage •St. Shower Ext. Walls PUf CHJ PRICE ck Walls Attic .&Stairs .f) Toilet Room Roof RENT/J'o no Walls Fin.Attic Two Fixt. Bath _z ; Floors s INTERIOR FINISH Lavatory Extra _ t. F 1 2 3 Sink Attie r/2 r/� Plaster Water Clo. Extra _ - XTERIOR WALLS Knotty Pine Water Only ble Siding Plywood No Plumbing Bsmt.Fin: , le Siding Plasterboard Int. Fin. aEAllingles TILING C-A—, Blk. G F P Bath Fl. Heat Brk.On Int.Layout Bath .&Wains. 2 Auto Ht..Unit ,.Veneer Int.Cond. Bath Fl.&Walls Fireplace Brk.On HEATING Toilet Rm. Fl. Plumbing A d Com.Brk. Hot Air Toilet Rm.Fl.6 Wains. Tiling D t) Steam Toilet Rm.I'l.3 Walls , nket Ins. /= Hot Water x rRn>✓ St.Shower f Ins. Air Cond. Tub Area Total y , Floor Furn. ROOFING 1 Zone COMPUTATIONS III.Shingle Pipeless Furn. D S.F. d Shingle No Heat S.F. s.Shingle Oil Burner S.F. e Coal Stoker S.F. Gas S F OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 1 8 9 10 1 1 2 3 4 5 6 7 8 9 10 MEASURED le Flat y Mansard FIREPLACES S.F. Pier Found. Floor[rI /� brel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing c. LIGHTING Dble.Sdg. Shingle Roof f u h f No Elect. DATE Shingle Walls Plumbing dwood ROOMS Cement Bik. Electric D A.Tile Bsmt. 1st a TOTAL Brick int.Finish PRICED gle 2nd 3rd FACTOR _ /o U FLL REPLACEMENT a9 3 4 7 ; OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD.. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. t 2 5 6 7 9 O TOTAL ZONING DISTR T CO PROPERTY ADDRESS I I I k DE SP-DISTS. DATE PRINTED STATE PCS NBHDIQFNTIFICATION NUMBER- +' I I CLASS I I KEY NO. 0006 ---- FIR HOL'ES . ROAD 07 '""aa RB 7HY 4 9 q LAND/OTHER"FEA-TURES DESCRIPTION --ADJUSTMENTFACTORS TY 'UNIT ADJ'D. UNIT Land By D e S. D LOC./VR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Dascdplwn A L I K E RT I, ANTHONY J M A P— cD FFD.-nxAdes E #LAND 1 17,.400 CARDS IN ACCOUNT — L 10 1BLDG.SIT 1 X .1 =10 387 29999V 9 116099.9 .15 17400 #BLDG(S)—CARD-1 1 36,600 01 OF 01 A l #PL BEARSES WAY HYANNIS COST N BATHS 2.0 U x C= 100 70P0.0 7000.00 1.00 7000 B #DL LOT 3 LC17786—C MARKET D — NO BSMT S x C= 100 5.9 5.95 1440 8600-3 #RR 0576 0094 0109 0044 INCOME A #SR BEARSES WAY USE D APPRAISED VALUE D J A 54,000 A PARCEL SUMMARY U L S M RY T S LAND 17400 A T BLDGS 36600 M O-IMPS TOTAL 54000 F E N CNST E nl DEED REFERENCE.Type DATE R-.,ded PRIOR YEAR VALUE T A Insl. sage,Pdoe enpk Page Mo. Y�'D LAND 17400 T S C1 7 0 531 1108/86 13000 0 BLDGS 36600 U C103688 : 1:10/85 N 2400000 TOTAL 54000 R C60213 :00/0 0 E S Number Oe Y- A— _ BUILDING PERMIT *NO ATTIC....... E SE SPBLOS FEATURES BLDAOJS UN ITS LAND LAND—AOJ INCOME — _ "" ..- ' •'••'•' 17400 *85•RENOVATED... 1600— COnsl. Total Veat Built NOlm. ODSV, _ C la's I Unas Units Base Fa1C AOI.Rate 11f1 ,-A9e Depr. Con.. CND. Lee %R.G. Repl.Coal New Adj.Repl.Value Slo�ies Heignl Rooms Rms.BdIDs Fix. Pertywall Fac. 1 11 ................ 02C— 000 100 100 55.25 55.25 45 80 14 87 60 47 77960 36ti00 1 .0 8 4 2.D 8.0' Desc,iplion Rale Square Feet Repl,Co sl MKT.INDEX: 1.00 IMP.BY/DATE: ML : 9/87 SCALE: 1/00.75 - FEAAJ/AACTYPt- TS CODE CONSTRUCTION DETAIL S SAS 100 55.25 1440 79560 GROSS AREA 1440 TWO- FAMILY DWELLING P:00 T *---------------------60----------- —* 17DUPLEX 0.0 ------ R OJMT 00 D:0 ------ --- U ! LLS 11 OOD SHINGLES_ 0.0 C ! 1.7GAS-WARM AIR 0.0 -----—-------- --- T ! NTr FINISH 04DRYWALL 0.0 BASE ----------YOUR- --- U i4 24 INTER.LAYOUT 12 VER.%NORMAL 0.0 --------------- --- -------- -------- R ! NTER.QUAL--- -- AME- - -EXTER.-- --b q ! LOUR STRUCT iT4CONCRETE SLAB 0.0 L D W• ! "E LOOR COVER 04 ARP ET O.D --------------- --- --------------------=- E rolalAeas Aoa= Base 44 ! ! OOF TYPE 01 ABLE—ASPH SH D O BUILDING DIMENSIONS *___—________�_ --_-60------�------�— --------------- --- ---RAGE--------------- T --- -----X ELECTRICAL _01 VERAGE _ __ 0` 0 A SAS W60 N24 E60 S24 .. FOUVDATION 03CONCRETE SLAB 99.9 -------------- --- ON AREA--------------- --------------- L NEIGHBORHOQO 63AD HYANNIS ------ LAND TOTAL MARKET PARCEL 17400 54000 AREA 3871 VARIANCE +0 +1295 STANDARD 25 S � [ ] [R292 187 . ] • LOC] 0.006 FRESH HOLES400AD CTY] 07 TDS] 400 HY KEY] 203764 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 WEINER, JEFFREY MAP] AREA163AD JV1407660 MTG10000 6 & 8 FRESH HOLES RD SP1] SP21 SP31 UT11 UT21 . 20 SQ FT] 1440 HYANNIS MA 02601 AYB] 1945 EYB] 1980 OBS] CONST] 0000 LAND 18000 IMP 36600 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 54600 REA CLASSIFIED #LAND 1 18, 000 ASD LND 18000 ASD IMP 36600 ASD OTH #BLDG (S) -CARD-1 1 36, 600 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 6 OFF FRESH HOLE RD HY TAX EXEMPT #DL LOT 4 LC17786-C RESIDENT' L 54600 54600 54600 #RR 0576 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE101/96 PRICE] 77500 ORBIC139535 AFD] I LAST ACTIVITY] 05/31/96 PCR] Y r v ,1 R292 187 . OP P R A I S A L D A T A• KEY 203764 WEINER, JEFFREY LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 18, 000 36, 600 1 A-COST 54, 600 B-MKT BY 00/ BY ME 9/87 C-INCOME PCA=1041 PCS=00 SIZE= 1440 JUST-VAL 54, 600 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 63AD -- TREND EXCEEDS STANDARD NEIGHBORHOOD 63AD HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 180001 LAND-MEAN +Oo 546001 54197 IMPROVED-MEAN -3201 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 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- [000] DATA- [ ] XMT [?] R292 187 . is P E R M I T [PMT] ACTIOR] CARD [000] KEY 203764 000000001 PERMIT-NO MO YR TYPE VALUE CK_-BY MO YR oCMP NEW/DEMO COMMENT i RESIDENTIAL PROPERTY MAP NO. LOT NO. p Hyannis s H FIRE DISTRICT STREET 6 H off Fresh Holea, Rd. am+"`". SUMMARY H 73 LAND 292 .V� BLDGS. OWNER / 187 � TOTAL LAND RECORD OF TRANSFER DATE +BK Pc I.R.S. REMARKS: �. � �� BLDGS. Lase r{•.7 B TOTAL. •2O$ LAND BLDGS. N Q �j TOTAL •. LAND 60213 BLDGS. L L A A S v 0 C TOTAL LAND c o L j3(sN SNe A 7s 01 BLDGS. TOTAL LAND Ol BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. IA�ic _ ,,or.°ram, LCrS. + 01 _% (� 7 �- TOTAL DATE: 1 LAND ACREAGE COMPUTATIONS 01 BLDGS. LAWD TYPE FACRES PRICE TOTAL DEPR. VALUE TOTAL OUSEL `>'S o 0 '/J 0 O LAND LEARED FRONT BLDGS. I REAR TOTAL GODS&SPROUT FRONT LAND REAR BLDGS. ASTE FRONT TOTAL REAR LAND t BLDGS. I TOTAL i LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND {I III nr_e t LAND COST' onc.Walls Fin. Bsmt.Area ; Bath Room - Base BLDG. COST anc.Bik.Walls Bsmt. Rec.Room St. Shower Bath Bsmt. PURCH. DATE - mc. Slab Bsmt.Garage St. Shower Ext. Walls PURCH.PRICE. •ap •ick Walls Attic,FK&Stairs ) Toilet Room Roof RENT one Walls Fin.Attic Two Fixt. Bath ' .. ars INTERIOR FINISH Lavatory Extra Floors mt. F f 2 3 Sink Z 0 1 'h r/� Plaster Water Clo. Extra Attic U 0 EXTERIOR WALLS Knotty Pine Water Only uble Siding Plywood No Plumbing Bsmt. Fin. igle Siding Plasterboard Int.Fin. W4Shingles TILING 2 ? ie. BIC G F P Bath Fl. Heat ke Brk.On Int.layout Bathjf!&Wains. Auto Ht.Unit p Veneer Int.Cond. Bath Fl. &Walls Fireplace m. BWOn HEATING Toilet Rm.Fl. Plumbing lid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. U Steam Toilet Rm.Ff.&Walls Tiling rnket Ins. Hot Water Od;i,,:._ St. Shower of Ins. Air Cond. Tub Area Total Floor Furn. 6 ROOFING y 7oG o COMPUTATIONS h. Shingle Pipefess Furn. O S.F. od Shingle No Heat S.F. s. Shingle Oil Burner S.F. to Coal Stoker S.F. Gas S ROO TYPE Electric S.F. OUTBUILDINGS le Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 1 2 1 3 1 4 1 5 1 6 7 8 9 10 MEASURED Mansard FIREPLACES S.F. Pier Found. Floor bral Fireplace Stack Wall Found. 0. H.Door LISTED FLOORS RS Fireplace Sgle.Sdg. Rolf Roofing C. LIGHTING Dble.$dg. Shingle Roof h No Elect. DATE e- Shingle Walls Plumbing dwood ROOMS Cement Wk. Electric !`: A.Tile Bsmt. 1st�h 2 TOTAL Brick Int. Finish P D � / � ; gle 2nd 13rd FACTOR _ (o REPLACEMENT a 3 !� •� �. OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.DeD• ACTUAL VAL. t 7 9 -- 0 TOTAL PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE I pCS I N8H0PARCEL IDENTIFICATION KEY 4 CLASS NO. 0006 FRESH HOLES ROAD 07 RB 400 07HY 01/04/96 1041 OD 63A R29 1 7 764 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS ,, ADJ•D.UNIT Lantl qv/Date s�.e D�mens�p^ ACRES/UNITS VALUE ueap.ipnp„ R AL E I GH P L O R R A I N E M' MAP— UNIT LOC./V R.SPEC,GLASS ADJ. CON D: P PRICE PRICE #LAND 1 181000 cD. FF.De,n,/nes E CARDS IN ACCOUNT — L 10 1BLDG.SIT 1 X .20 =10 300 29999.9 89999.9 .20 13000 #BLDG(S)-CARD-1 1 36,600 01 of 01 A #PL 6 OFF FRESH HOLE RD HY N BATHS 2.0 U x C= 100 7000.0 7000.0 1.00 7000 3 #DL LOT 4 LC17786—C MARKET p — NO BSMT S X C= 100 5.9 5.95 1440 8600-3 #RR 0576 INCOME A USE p APPRAISED VALUE U i I I A 54,600 A U PARCEL SUMMARY T LAND 18000 A T BLDGS 36600 T M O—IMPS TOTAL 54600 F E N CNST E T DEED REFERENCE Type DATE qe p,tletl P R I OR YEAR VALUE Inal. $elea Price A rr T Rpp Page MO. Yr D LAND 18000 T`• C135731 I,12/94 A 1 BLDGS 36600 U C132409 1:12/93 L 42000 TOTAL 54600 R ;� C131004 1:07/93 L 43000 E _ _ BUILDING PERMIT —*NO ATTIC....... SNumber Dale Type Amount ....... LAND LAND—ADJ INC 01 ME SE SP—BLDS FEATURES BLD—ADDS UNITS _ 18000 1600 *87/1•UNIT BEING - cpnal Tplal ^v`a�a,e n Np,m. oba. REMODELED. Class I Unes Unns I Base Rale AtlI.Rate A I] 11g Age Dep, Contl. CND. Lo<. ^b R.G. Repl'.Gosl New Atll.Repl.Vale Sl orios Re�gnt Rooms e0 Rms Balbs 1 e Fix. Pertyw¢II Fac. . ..e l 02C- 000 100 100 55.25 55.25 45 80 14 87 60 47 77960 36000 1.0 8 4 2.0 8.0 ................ Description R.I. Sgpae Feel Repl.Cost MKT.INDEX:. 1-OD IMP.BYIDATE: ME 9/87 SCALE. 1/00.75 ELEMENTS CODE CONSTRUCTION DETAIL S BAS . 100 55.25 1440 79560 GROSS AREA 0 TNO` FAMILY .DWELLI_NG CNST GP:DO T I ,--------------- 60--------------------* STYLE 17D_U_P_L 0. _EX ! DESIGN ADJMT 00 .0 R ----- N-GLES-----17W00D SHIN_GLES_____0. C ! ! HEAT%AC TYPE _11GAS—W RM_A_I_R______C T ! ! INTER.FINISH 04DRYWALL 0. - -----U 24 BASE 24 INTER.LAYOUT 12AVER.�NORMAL 0-.-- I I` NTIR.QUALTY 02SAME AS E_l(TER.____0__R - ; A FLOOR STRUCT O4CDNCR t SLAB 0. --------------- --- L D �` �! ! EfL00R COVER 04CARPET _ ____0._ �lal A.eaa AL.= Baae� 1440 ! ! OOE TYPE _ _OIGABLE—AS_P__H_- S_H_____0. BUILDING DIMENSIONS *------------.--------60--------------------X L E C T R I C A L_ _01 A VE R A G E _ __ 0.0_ - A AS W60 N24 E60 S24 .. F OWN DATIDN 03CDNCRETE SLAB 99. --------------- --- --------------- - L NEIGHBORHOOD 630 HYANNIS LAND TOTAL MARKET PARCEL 18000 54600 AREA 3871 VARIANCE +0 +1310 STANDARD 25 t TOWN OF BARNSTA33LA REPORT SUJWLEMDNTARY/CONTINUATI REPORT 1 7/c�l NAME (LAST, FIRST, MIDDLE) "L_rE ) k_�� �c_(Ji/� DIVISION /_ R�..\1 J VVUY G�V h 1� NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. k-) tJ \ S QN El O 1�5_ CIO L�n StSAMi^.'^En 9Y r /, ./ 1. / / PAGE `