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HomeMy WebLinkAbout0105 HAMDEN CIRCLE _,.--- - _ `�----- - ��I► ������� ����� 5/6/2014 Brenda was informed by Health Dept. James, that he had a call from a person stating that there was a Family Apt. upon checking the folder the person never applied for a Family Apt. Brenda Coyle a r TOWN OF BARNSTABLE 19821 12f8/77 Permit No. ------------------------- t Building Inspector NIX s�ar�Taai Cash OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Cedar Acres Realty Address South Yarmouth lot #100 105 Hamden Circle. Hyannis Wiring Inspector Inspection date �,�` Plumbing Inspector Fl��v Inspection date Gas Inspector � �- � � � Inspection date Engineering Department Inspection date .y -ry ` THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. /,,X,...3 .................. /,+Building Inspector ♦I**THE- TOWN OF BARNSTABLE Permit No. 193?_a- 12181'�7 r` 4" --------------- ------------ i »STAU Building Inspector cash e'�/ '1 -1 r - — Y �0 OCCUPANCY PERMIT Bond ---------------------------- 7 "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Coda' Acrou Roalty Address South Y4i1""`tuouth lut t100 105 Hamdan Circle. Wannie Wiring Inspector c %' / Inspection date Plumbing Inspector " Inspection date Gas Inspector Inspection date w r Engineering Department �% r`/7/f,i�^/>^/..� Inspection date '. Ll �f THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. r t 3 IT !� r .............. 19......w. .... ..... ........................................ ........................... ._ ...;. B. ��Building Inspector f ' • r N / --� a J IL+ 1-4 y i fs tv NOVS 3S `3!!#f L�VJ�:i i'iJiiis"Tiice,; , _ +RS ua. (jNv t4MOHS`Sty I0r 3:'9S K'O �� 1 O►1lidtdll+F?� SAM ibttJ A essor's: map and lot number ..L.!..1. .�.tl�`!J..�:... ^30 SEPTIC SYSTEM MUST'B �$7 �!S INSTALLED IN COMPLIANCE Sewage Permit number ................................. ......... WITH ARTICLE � STATE. G SANLTAltY COD SAND = :. , z , °FT"Er° TOWN . OF �- BAABLE 8ARX9TADLE' i a "A ` BUILDING ; INSPECTOR Op�i6j q. `00 � c � - !y �i'M p ., 9 APPLICATIOWFOR,,PERMIT TO ....................................................... ........ L" TYPE OF. CONSTRUCTION ..... .......... �i ...............to....:... ./�:......19.�� ._. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... . ......91� ..�7�J�.C.r.„1�.....C.���� ........................................... i. Proposed Use .........), .....'( .�....��.. ........ ... .......................................... Zoning District .........., ............ ...............y.�...............`..�........./.. ........:......Fire District ..........i.. Name of Owner ..�� 1� Itt.: t'. r ..K��i�iGll? ress ... ..... .......... ..............::.......�,�C�C`L�L............. Name of Builder E: ......... ... � ,� %i �LC.��Address Y... 614 Nameof Architect .................. ...... 9°.....................Address .................................................................................... 13 Number of Rooms ..........Foundation Exterior ... .t . f .i (� ....L. i-'L.•: .Roofing .... . / . 7F//�'/y�/:� 5........a.1. ..... Floors C: - Interior �X"z�.................... .........) .. ... Heating �'fi .. ... L- a .2:�z..... . ..,. ............ �?.. .' ..�. ....Plumbing ............. �! :::.. �,�1 Fireplace ..................0..` ............................................Approximate Cost ........... .. ....... .... ...................... i Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ........ �.. ..4 ................... Diagram of Lot and Building with Dimensions Fee .. ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I i I �l ------------I i F- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameFA' AX.......... . ... ... 1 / .m Cedar Acres Realty • �No ...... Pe[q;it for ......Dwelling............. ................... Singl a..Fatom.J,y........................... Location .......IqI.Hampton..C;ir....................... .................................Hyannis................................ i r Owner .......Gedar..Acxaa..Real ty................... Type of Construction' Wmad..Fxame................:.: t. 1 ............................... .................. Plot ... ............:....... Lot ....... ...100............ Permit Granted December 8 ....19 77 ... ............. Date of Inspection ........ 19 - r Date Completed ....... .....19 r~ TTT t^ 1 r PERMIT REFUSED -.- '' r .� ..'� (-I t.......................................;=19 � .. t ... ........... ............................... ! n , Y ^ • '{', ` .r..:4.. .. ........... .................................... 01 .... .......................... .. .. .. 1 Approved ................................................. 19 s ............................................................................... ! ............................................................................... Assessor's map and lot number ..!..(..'....... c ..1......I_.--. I� Q� Sewage' Permit number .......................................................... Qyo*TNEr TOWN OF BARNSTABLE ldARNSTSALE• i w BUILDING INSPECTOR c aY a. t �! ? APPLICATION FOR PERMIT TO ..................................................,.,...............,. -..................................................... TYPE OF CONSTRUCTION ..........ill........................................./ A I tfi/,�+ .r'"..........1����1 f�................ .... / ............ 1.6...�'::........�J.......19.�� TO THE INSPECTOR OF BUILDINGS: 1' 1 The undersigned hereby hefrebby/tapplies for a permit a/ccccorrd}ingto�t1he following information: _Locaticm ..........J :/�`ri'...... I i 1C1 . ... ....... `.'!...H 14,/- /J.7--/\�.....f�...�. .... ( 1�................................................ .Proposed Use .................... .!'. j..:f...... '.'�` ........................................................................................................... ZoningDistrict ......................................................I/............Fire District .............................................................................. Name of Owner ..r .f. tL9_ r'.�Qn T-r.C�vAddressf.. ..-.:"-z ? i.?°`Y,............. ........... t ....�. r. Name of Builder .....:`. ... "� ,✓t.... '" 1 "1 r? .. r ci .. ......... ............. .......................•��kr~,,. ✓/ ................_! .................. Name of Architect -! ....Address .................................................................................... - i r Number of Rooms — ........................Foundation / 3 . '-' ....... ................ ...�......�.�../...`...-.:...t..�...-..f-..- .... Exlerior .....�. ' ..�.... �.... c _ °�3 _{- .a�-'01'.+'�-?.Roofing ......•Gf�,A;7 ... .it t . 1YL .�..... ................... Floors F ^ .Interior ......... + '� !�ri ....................................... :... ........ . .. .. • . r` 1` � t .`r' .? I` Heating .......c .--f '° . ....Plumbing .................................................................................. i 1 Fireplace ..................!.::... `.....^"............................................Approximate Cost ................e:... .:.!:. ................................... V Definitive Plan Approved by Planning Board -----------_------_-----------19--------. Area ............!:!....f................... Diagram of Lot and Building with Dimensions Fee � .60. SUBJECT TO APPROVAL OF BOARD OF HEALTH d�. j _ 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ................................................ ,Cedar Acres Re y No .1M4.... Perrnli�for ..... W.q)1U n&........... Singlg..Fam ... ..... ........................ Location .... 9.5.HMVV=..Ci r.......................... .................Hyls=ti s................ ....................... Owner edax:..Acze ealfry......................... Type of Construction ..Wod.-Frame.................... Plot ............................ Lot ............10.0............. Permit Granted ..... ... December .. .........19 77 Date of Inspection ......................• ` ..........19 Date Completed ...............z...............19 PERMIT REFUSED .............. ........................ 19 IT ,..l.m...�l........ �........ �.F.. .. :. a. ............. Approved ................................................. 19 Y ............................................................................... ............................................................................... r T IMPORTANT MESSAGE T For A.M. Day Time —� P.M. M Phone FAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call Special attention Wants to see you Will call again Caller n hold/ Message Si ned yniversal'48023 unto IN u.sa. i � � i , � � I i �� � , � � � � i � � i � , � , fill F I ' i � i �� , � i ! � I w � . ,�. � � � � i o � � � �. I , II ; � 97 08%26 08:40 V617 826 4823 COLONIAL .Sbi:VEY C -- -- ,#- OW spry cl e deck dwelling btw 4 YlO-ltlS o j } Circ1c, re )20766 d c>m"`�: 260 oat aoo5 C , .gone- C � �"o►"�,�. >� d� }ot PAUL yN n LL���� .�y,.c �9acJe loon wt�SltT'iEc�'��" " T. J f WIG C � y h6 n ,t�,,.,,� j� .ems G 31311 5 rN •/l�trt'i S+>?rthe 5 and, ErW t/�f Mtge,, �Erl/! .Tom. No 3131i o dWeUj�sholNm �'t¢CY'�m dOQ3 kfo>�Z in CL sU�G�L�L � Q' � h fmar& aria with,Gin efec We daU of 8 •19 85an&qhe LOCH bory oP Ow dwett{ng does wnfonu rt'o*W local Toning 6y-taws in.¢�ece� atthetime Fconstru. nm with. respectto hnrisanfrd dinwtuiana� Scale: 1" = x" setback or&extnVr{rom. vLOZatoa e*FO eeMUrte Date: 0-19 97 =tY;on, under mass. oawrd laws Outpttr40X-_SecV.b1V 7. File k-c-97--O PLEASE NUTS; The structures as shown on this plot plan are approximate only. An actual survey is nrcr-sSSuy for a precise drtcrmination of the building location and encr0achmcnts, if any cxisL eithr., way ac:jtjs4 prtmerty linrs. Tl,is flan ms,st �uyt he used for recording purpases or for use in prr.paring deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate property lines. Verification cif building IrKations, property liar. dimensions, fences I or lot configuration can only be accomplished by an arcurWc in-,trument survey which may reflect different information than what is shown heron. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY'. COLONIAL LAND SURVEYINGr COMPANY, INC. W 269 Hanover Street • Hanover, Mass. 02339 - Phone: 617-826-7186 Fax- 61�'826`4823 _ - i Gibraltar Pools'"Corp. For Marketing Dept. Use Only 428 Boston Street Where Buyer Heard About Gibraltar: U.S. Route One 1 1. ' Buyer initials: Topsfield, MA 01983 (978) 887-2424 2. 1. 3. 2. ' -7 Date 19 N I I Buyer 1's name an one number Buyer 2's name and phone number — a Buyer 1' address(street, town,state and zip code) Buyer ' address(street, town, state andionditions code) We here'Vylgre�wl(and 8'uyer and any Co-guyer sFiowrf above agree to b y In goddaidbject to the�lerms an set J forth below and upon the reverse side hereof,the following: —� j Your Pool has the features and accessories checked below: ` M jt SWIM AREA OUTSIDEI DIMENSIONS , &�` nd Filtration System: Q,6.-90 steel Buttresses and Supports - �1Tacuum Cleaner Q-flwith baked acrylic finishuxe High Rate Agin Bottom Drain nterlockin G-90 Steel Side Panels ❑ Standard g I� in Vinyl Printed Liner ruminum Coping t 04luminum Fence � l flush In Wall Skimmer �jtrS Pool Ladder afdek el F�T uxe 64tainless Steel ❑ Standard ❑ Aluminum Qj7° Bottom Leveling Channel Q,-Slarter Chemicals urIIi�urn Outside Ladder -_> a_,.,.�'c�st Kit NO OTHER EXTRASP-Approximate 4'depth Your pool includes only those features and acc ssories specifically stated herein those included by the manufacturer of such pool unless otherwise indicated in writing in this agreement. _ _ I ASSEMBLY: Your pool will be assembled by ❑ you ❑ us • • • • • LOCATION OF YOUR POOL Your pool will be assembled at Buyer 1's address stated above or,if not,at ' 1. Price of pool $ �0 2. Less trade in(include description) $ r 3. Net price of pool $ 4. Sales tax 5. Total price(3 plus 4) $ a + r 6. Initial deposit❑4,000ti] ,ot]0 .'other o cash eck O Vise O Master Card o Am.express 7. Total Balance due(5-less 6a '4 4 t<Irr., t 8 Amount due on or 6efore.del)very C, Do See associated finance documents,if any,and the provision on the 9. Amount due on com let rt;rr financed reverse side hereof entitled'Credit application and finance documents'. ibimbutse us for any such costs paid by us on ypO�behalf. bdy'&(s)'warra'nt'_th6 cifi6i t'itie-01 ariy trade-in,6nd w'&[6hi ih a'i it i- 66ebi Iiehs and encumbrances. By signing this agreement,you acknowledge receipt of a completely filled in copy of this agreement,two completed copies of the attached notice of cancellation and confirm that you have been orally informed of your right to cancel;and that you have read and unri=ty theJ frQpi�m��back of this agreement. IhJ~f Sc/�.d1 r Sig of Buyer 1 < Indepen ent Sal so Sigriature of Buyer 2 St nature of an Officer of Gib I ools Corporate n j '.+ftt', NOTICErFCANCELLA ION YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN i HR* EE BUSINESS DAYS FROM THE ABOVE DATE.IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY�YM9NTS MADE BY YOU UNDER THE CONTRACT OF SALE, AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 BUSINESS_ DAYS FOLLOWING RECEIPT BY US OF YOUR CANCELLATION NOTICE,-AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL i BE CANCELLED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO US AT YOUR RESIDENCE; IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OF SALE, OR YOU MAY-IF YOU WISH,COMPLY WITH OUR INSTRUCTIONS REGARDING THE RETURN SHIPMENT OF THE GOODS AT OUR EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO US AND WE DO NOT PICK THEM UP WITHIN 20 DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETURN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO US,OR IF YOU AGREE TO RETURN THE GOODS TO US AND FAIL TO DO SO,THEN I YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THIS CONTRACT.TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM,TO GIBRALTAR POOLS CORPORATION,428 BOSTON STREET,TOPSFIELD,MA 01983 NOT LATER THAN MIDNIGHT // /Q — OFF (Date) I HEREBY CANCEL THIS TRANSACTION (Date) (Buyer's signature) Y , _ The Town of Barnstante � M �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 r r Ralph Crossen Fax: 508-790-6230 , Building'Commissioner Permit no. Date AFFIDAVIT f HOME IMPROVEMENT CONTRACTOR LAW r, r 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: ?G ©` Estimated Cost ►3, ,� C - Address of Work: D-5- jVA md,#,, •�" Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 []Building not owner-occupied weer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR - 7 1'- Date Owner's Name q:fomu:Affidav , A liG i V ♦♦u Vi JLJ"L4,JL A&LjWas"A%O °1� T Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 509-862-4038 mph Essen Fax: 508-790-6230 Building Commission HOMEOWmEER LUMM E E1 EMMON Phmie Print JOB LOCATION: ✓ `�' ��,� ry �- Ccr Y A NV)S number vWsge Li emne home phones# work phone d CURRI•M MAaMG ADDRESS: ilk �AN1 c�I w►+ CMG'+ Ckyhown see zip Cone The current exemption for was extended to include ed dwellinss of six traits or less and to allow homeowners to engage an individual for hire who does not possess a license,Mmdrjed that the awnet • a�=sued°z : Egg NMON OFHOMEapYNEB Persons)who owns a parcel of land on which he/she resides or intends to reside.an which there is,or is intended to be,a one or two-family dwel b&attached or detached struct ues accessary to such use and/or farm strticturm A person who constructs more than erne home in a two-year period shall not be considered a homeowner. Such _ •"homeowne:"shall submit to the Building Official on a form acceptable to the Building Official,that he/she all be - Secdon 109.1.1) 'the smdersigned"homeowner'attunes responsibility for compliance with the State Budding Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner:'ouff s that he/she understands the Town of Barnstable Building Deparmient minimttm inspection procedures and ra pdremems and that he/she will comply with said procedures and 8lgtrtmre of Homeowner Approval of Baudiog 001" Note Three.family dwellings wing 35,000 cubic fees or larger will be required to comply with the State Building Code Section 127.0 Consmsction Control. HOMEOWNER'S EMMPTION 'the Cods stagy three: 'Ray homeowner pabozmiog wotik fo vM*a bt 9ft Permit is text "I ahali In ecamI f fmra the ptavisioas of this m doa(Seecoa 1091.1-Limning of i , - S pffbots)r provided that if the hozowwwengages a pasoo(s)for hies to do Sash wotik.than so&Hsmeoww d wU act as sapavboe bb"hoaxoaerea who asa this c=don an tmawaea dh fey in asses the nsPxWWft of a sopmvbw(see Appendix Q. Rules&Regn sdm for Liccmn CoasDe cd=Supervisors.Seedm 2.15) Thb lack of awz a often mules to saeom problem paedeadady whm the hsmeowaer hhw uditaowd pricer In this cam oar Board carrot proceed apaiettttho uniimosed pawn as it would wilt a li=nwd Supatisat: The homwwmr acdng as Sup wism is uWmdety mPomML To cam dwd w homeowrax is Mly awaw of firm repo.10110Y 1a1e F as part of the permit aPPucatiOn. that the homeowner ca*that hdshe aodeatands the responWadgs cf a Supervisor: Oa the lam page ofthis isms is a form aateady and by severaai taunts. You may can to amend and adopt such a f WeatiScisioa far me in your may. '_ The Commonwealth of Massachusetts � _ Department of Industrial Accidents Office offosestigations -- 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit name• 1 C�-lJ t� U'J �, ,. c�tZ location: 1 8 )q 1-4 Q t,," CAh city N M Q /) phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole pr7rietor and have no one workin in anv ca acity to er rovidin workers co ensation for my employees working on this job. I am an emP Y .P...............g........_.........._..mP.... . ...:.......::::::.:::::: :..,.:::::::::::._:::::::::..::::::::::::.::::.::::::.::::.::.;:.;;;::::.;;:;.;:.::::::.;.;;:<.>:.;;;;;;:.;;:;:<::;:.;;;;::.;;;;.<::::;:;:;; «:: coat any name.. address.' :.:. :...,:.. insurance co. �'I am a sole proprietor, general contracto , r homeowner( - cle one)and have hired the contractors listed below who have the following workers' compensation polices: :.. : #s j aomvanv name '^ ........:. ............................. address__F h .......... one#. ..,:... ............... ........... .::::.:..::..... :.:....................................... ......... ................ c any namez. ................. ;:. ::.:..::,.: address: city. ;;.;::...:.. , : . phonelf insurance co.. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crhninal penalties of a fine up to S1,Soo oo and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.signature }/ as �, Date '? - 1_L)- 12 _ Print name �, a s' `, a y i_Q !I b Phone# -7') b' — 1) 0 official use only do not write in this area to be completed by city or town official city or town: permittlicense# []Building Department ❑Licensing Board I ❑checkif Immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revietd 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 recenvr 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. 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 permit/license number which will be used as a reference number. The affidavits may be returned fo 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 Departmert's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of invesugallons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 f JUL-14-99 0= : 11 PM P. C12 -- A/IG %-+ururl{uF[wCLU414 VI 1rlW.)(AL14"Jctw .._ Departmetrl of Indus'Zrinl Accidents y t-� � •� � Otl7�'OflAYtms7l�'�1''oD5 r 600 Washington Street `�'• ��5� Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Warne_ f ••"� lecrtitan: __ C I am a homeowner pe-formrog ail work tnvseif. t I am a soic oroorietor and have nc one working in anv capacity I am an emoioyer providing weriters' comaensrnon for my empiovees worx g on uiis oe. itiUary namr. Gibraltar• Pools Corp, a�drejs_ 428 Boston S f t 01983 978-8672424 iftIAMMM Co. —W1,Lg S v ce MILCual_ oli Y- 03-266101-98 am a scie proprietor. general conrraCtor.or homeowner tcircia one) at,ri have hired ^!commtc cos its:t3. �eiew tv;no:,Izye the ?ollowins•.vori..�' comper.sacier poiica: city: �. comun 1AMM iddrf.= ... ... 11iu {i nu-Co. Failure to secure tortract as rtquiftc JaOar Section '9A of MCL M can,cad to the imposidoo of cr+mIaaf peg Nit es,a[a ,Aat up to it<00AJ and/or one years'imprtsaarttent as well as civil penaltia in the form of a STOP WORK ORDER and a font of S204.08 a day against Mt 1 vndtrsudd that s copy of this statement may 1 e ror►►srdttl to the Oftee of 1nvt;t7iloons of the DU for coverage YetineAdan. 1 do htreby c urtdtrtF,e Dams st114 aitrd$of pMry that the infos7+=*m providrd dbove is ire and comes= $i a�ralttre �•--•. �1.Z/ 4 Date ILI — PrintilamQ Dominic DeBernardo PliOnC 978-887-2424 R Oftieiat use oozy do not write in this area to be comq;eted by dry or to"oodai city or town- permi rtane0 r,Bcifdint;Deparrmeot C;Licewint®oar4 C ehei k'ii immediate response'ts re•goittid C:eieetmeo's Me �fieyttl:DeparetDepc tootscr penoo: Fhonc a; (rnwal jAl P)A) ., Q M oSTcL� 1� X� 2 PENTAMATION - PERMITS MANAGER Parcel Detail Page 1 of 2 'A" �. F f y.. Logged In As: Parcel Detail Wednesday, May 7 2014 Parcel Lookup Parcellnfo Parcel ID�291-317 I Developer J—LOT 100 . I 05 HAMDEN Location f1 CIRCLE - I Pri Frontage r106 Sec Sec Road '� I Frontage Village. HYANNIS I Fire District FHYANNIS Town sewer exists at this address INO I Road Index 6654 Asbuilt Septic Scan: Interactive 291317 1 Map ! s' Owner Info_ Owner COSTELLO, CAROL F I Co-Owner �I Streeti ,1�05 HAMDEN CIR � .�� I Street2 � �� City HYANNIS State MA zip2601 * _. Country Land Info Acres-I i4 use Single Fam MDL-01 I zoning RB Nghbd�0,104 Topography Level Road, Paved Utilities Public Water,Gas,Septic W _ Location Construction Info Building 1 of 1 Year f1978 ____— Roof Gable""�Hi `'~ _� Ext�'W' o�od Shingle Built i I Struct i p I Wall 1 g �i Living� '— Roof�'"""""—'"'�'" • AC Area 1864 I coverAsph/F GIs/Cmp I Type INoneI � iv. Int Bed style Ranch _. all ... . 2 Bedrooms Wall{ I Rooms ,,. �331 IntA... _ _.. _ ._�.. Bath _ _ Model Residential 1 Floor+Carpet I Rooms J1 Full Grade IAverage Minus I Hear Hot Water I Total 4�Rooms Type Rooms 1 Stories 1 Story ry� —I Heat Gas —I Found- oured Conc. Fuel at Stories Gross 1888 _. Area Permit http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22862 5/7/2014 Parcel Detail Page 2 of 2 I1Issue Date (Purpose I Permit# (Amount Ilnsp Date (Comments II Visit History Date Who Purpose 3/9/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 11/15/1987 12:00:00 AM ML Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 8/26/1997 COSTELLO,CAROL F C145597 $89,900 2 6/15/1990 ARMENTI,JOHN A JR& ELIZABETH R C120758 $1 3 6/15/1988 ARMENTI,JOHN A JR& C114480 $111,500 4 10/15/1983 MONIZ;VENILDO&CIDALIZA C93823 $46,500 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2014 $66,400 $31,700 $2,800 $66,000 $166,900 2 2013 $66,400 $31,700 $2,900 $66,000 $167,000 3 2012 $66,400 $29,900 $2,200 $66,000 $164,500 4 - 2011 $90,300 $11,900 ~ $1,100 $66,000 $169,300 5 2010 $90,200 $11,900 $1,100 $71,000 $174,200 6 2009 $87,000 $11,200 $500 $165,600 $264,300 7 2008 $101,400 $11,200 $500 $181,200 $294,300 9 2007 $100,800 ,$11,200 $500 $181,200 $293,700 10 2006 $88,400 $11',200 $500 $142,800 $242,900 11 2005 $84,900 $11,100 $600 $128,700 $225,300 12 2004 $68,700 $11,100 $600 $96,500 $176,900 13 2003 $62,200 $11,100 $600 $38,200 $112,100 14 2002 $62,200 $11,100 $600 $38,200 $112,100 15 2001, $62,000 $11,100 $600 $38,200 $111,900 16 2000 $50,400 1$10,300 $300 $24,100 $85,100 17 1.999 $50,400 $10,300 $300 $24,100 $85,100 18 1998 $50,400 $10,300 $300 $24,100 $85,100 19 1997 $66,100 $0 $0 , $20,100 $87,000 20 1996 $66,100 $0 $0 $20;100 $87,000 21 1995 $66,100 $0 $0 $20,100 $87,000 22 1994 $63,200 $0 $0 $29,000 .$93,000 23 1993 $63,200 $0 $0 $29,000 $93,000 24 1992 $71,800 $0 $0 $32,200 $104,900 25 1991 $76,900 $0 $0 $40,200 $118,000 26 . 1990 $76,900 $0 $0 $40,200 $118,000 27 198.9 $76,900 $0 $0 $40,200 $118,000 28 19.88 $43,900 $0 $0 $17,900 $62,500 29 1987 $43,900 $0 $0 $17,900 $62,500 30 1986 $43,900 $0 $0 $17,900 $62,500 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22862 5/7/2014 , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION U 9 Map a =�,�—Parcc�el,,' / Permit# 129 [7 Health Division,�_W�i. � � Date Issued (,0 Conservation Division J Fee Tax Collector SEPTIC SYSTE9 F00ST E Treasurer 0 . Pa- 7. y'� INSTALLED IN C®I�IIpLIAGC a WiTH TITLE 5 ' ENVIROIIRIENTAL CCOI a . ..., m ry` Project Street Address Village Owner tl&ftv A co 2Ae_I Id Address '/d +�°i�1 C" <IVL ' Telephone "7 Permit Request ' Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost VA W 4� Zoning District PA Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family d Two Family ❑ Multi-Family(#units) Age of Existing Structure -;20 Historic House: ❑Yes. ❑No' On Old King's Highway: ❑Yes ❑No Basement Type: JA Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric, ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning hoard of Appeals-Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name- Telephone Number Address % t4 A MQAI� License# Home Improvement Contractor# Worker's Compensation# ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE l DATE -7 y 9 r }; FOR OFFICIAL USE ONLY PERMIT NO. 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