Loading...
HomeMy WebLinkAbout2/4 HIRAMAR ROAD `�A VT e, - i c y -Jr I - YOU WISH TO OPEN A BUSINESS? Fo'r 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: , Fill in please: s a y APPLICANT'S YOUR NAME/S: M j P, L10 1; IGZ _5 Al b BUSI ESS YOUR HOME ADDRESS: 2 1 p !Y1 Mr-- )a�7 :0 31 3-300 TELEPHONE #, Home Telephone Numbe 341 cvO NAME pF CORPOflTION NAME OF NEW BIJ5INSS bC TYPE OF BUSINESS ' IS Th(IS•A HOIVIIrIOCC�JPAXION? _YES NO� i' .=1=Z, ;ADDR S5( F6U$11�1It 8 _ 11/IAP%PARCEL NUMBER :`' (Assessing] c 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. 6 Main Street) to make sure you have the appropriate.permits and licenses required to legally operate your business in this town.. 1. BUILDING C MISSIO R'S OFF This indivi us e n i r ad v.f n er it requirem nts that pertain to this type o e _ � i� COMPLY WITH HOME OCCUPATION Au orize atur RULES AND REGULATIONS. FAILURE TO cOM FNTS COMPLY 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. i Authorized Signature* .COMMENTS: i f rf Town of Barnstable Regulatory Services Richard V. Scali,Director • snxrrsTear.E. Building Division MAS& $ ,Tom Perry,Building Commissioner 1639. 6�0 iOrEn t��t 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approv d Fee: Qb Permit#: 0 HOME OCCUPATION REGISTRATION . Date i n / Name: AA f 1/io Phone#: 4 Address: ��!.fnr� M A k D Village: Y1 l Name of Business: 01 131%%i2G �} i�N ��J f'N 6- _ Type of Business: ��i' i.A. �`�—G Map/Lot: ,;�__ INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution.. After registration with the Building Inspector,a customary home occupation shall be permitted.as of right subject to the following conditions: • The activity is carried.on by the permanent resident of a single family residential dwelling.unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated inexcess 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 5 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: I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. . Applicant: L Date: Homeoc:doc Rev.103113 %PR MIT Town of Barnstable *Permit# Regulatory Services gee 6m hsfromissu ate 1639. Thomas F. Geiler,Director Building Division TOWN OF BARNSTABLE Tom Perry, CBO, Building Commissioner 20.0 Main.Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 c, EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY - Not Valid without Red X-Press Imprint Map/parcel Number �. Property Address .2-f' 90 l�/YAZ,,0IV A 0026 611 ®Residential Value of Work -3.OX Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address I oSt T• �A/t/TOS Contractor's Name J,611-.5ON 5C-601_;A11 Telephone Number Home Improvement Contractor License#(if applicable) ) 5 9 9 . Construction Supervisor's License#(if applicable) 9 ®Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I I have Worker's Compensation Insurance Insurance Company Name SHFL,GGC— Workman's Comp. Policy#�1�' 00 — 6V 9 -y36 19 Copy of Insurance Compliance Certificate must accompany.each permit. Permit Request(check box) Re-roof(stripping old.shingles) All construction debris will be taken to 7(lmP ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ .Re-side #of doors ❑ Replacement Windows/doors/sliders:U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home'Improvement Contractors License& Construction Supervisors License is r quired. SIGNATURE: �:1WPFILES\FORMSIbuilding permit forms EXPRESS.doC Zevised 171110 r F The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legiblv Name (Business/organization/Individual):, ���o j�y/� ��,r 7-�yG�-�0�'✓ Address: /d /V/4100-✓ .4Aj✓6 City/State/Zip: hone #: Are you an employer? Check the appropriate box: . Type of project(required): 1.['�.I am a employer with 4• ❑ I am a general contractor and I . employees(full and/o art-tim ,* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees IThese sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp, insurance . comp,insurance.T 9. ❑Building addition. required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[I Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4),and we have no 12.E]Roof repairs employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: i!Ve_11> Policy#or Self-ins.Lic.#: W(' O®� —y3 6"_ Expiration Date:::0:5:�P01,2 Job Site Address: �A City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der the pa' and penalties of perjury that the information rovided ab ve is true P and correct Si afore: Date: /d 2 Phone#: Official use only. Do not write.in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: f �I"E Town of Barnstable Regulatory Services s Thomas F. Geiler,Director i639. � Foy` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Tom as Owner of the Pr subject J opetty A hereby authorize �CGOG/i✓l6jaw to act on my behalf, in ali'matters relative to work authorized by this building petinit q � � �s (Address of Job Pool fences, d afa s are the responsibility of the applicant. Pools P are not t e ed b re rice is installed.and pools are not to be utuiz un't fi al iI e lions are perf ormed ormed and accepted. tJ S' afore et Signature of Applicant Name Print Name Date P Q:FORMS:O WNERPERWSSIONPOOLS 1HE Town of Barnstable Regulatory Services BARN sTABLE, * Thomas F. Geiler,Director 9 MASS. 1 39 ,�� Ar A Building Division fD� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnsta bl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides-or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work-performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official. Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1•-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ..r-..r nd'rdura� � F e tie a cpir2fiairsauhaess Bexff '?latiAn .. w- 8tt , acid R+lthouf sign rrr. �aacIa tioii( Office�f Co> m�er Affairs sm ess Regulation#2-. ...'Office HOMEIMRROVEMENT,COtvTRACTQR t : Registration:159597 TYP? ,' .Ezp�ration�' a�ii15/2012 DBA`x '� " • S GOLINI CC).STRIJ ON f F } t " ADILSON SECOLINI 417 MINTON"LA 1E i� ti • fx �„�fr�- r • . I# WES�xBARNSTABLE NIA G?6 rr, -�JJndersccretarg ,.�.,, ` N ►ss tchusettS- Department of Public S ifct% Board of Building Regulations .md"St.tndard Construction Supervisor Specialty License i License:-CS SL 99907 Restricted to:, RF,WS,DM a ADILSON SEGOLIN_I 117 MINTON.LANE WEST BARNSTABLE, MA 02668 Expiration: 1 011 41201 3 ummi cioncr r.• Tr# 5207 l CERTIFICATE OF LIABILITY INSURANCE DATE 105/27/2011JMM/DDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Schlegel & Schlegel Insurance Brokers Inc PHONN,Exf). (508). 771 8381 FAX No).(508) 711' - 0663 34 MAIN STREET E-MAIL ADDRESS: PRODUCER CUSTOMER ID#: _.¢r West Yarmouth, MA 02673 INSURER(S)AFFORDING COVERAGE NAIC#P INSURED INSURERANGM INSURANCE Adilson Segolini Dba Segolini Construction INSURERBGRANITE STATE ' 117 Minton Lane INSURER C: INSURER D: West Barnstable, MA 02668 INSURER E: - INSURER F': , COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. INSR AVUL 5UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 MPT84 8 6U 05/07/201105/07/2012 X COMMERCIAL GENERAL LIABILITY PREMIDAMASESO(Ea occu ence) $500,000 CLAIMS-MADE 1i]OCCUR MED EXP(Any one person) $10,0 00 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2 r 000,000 �GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 r 000,000 POLICY JECOT- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULEDAUTOS PROPERTY DAMAGE $ HIRED AUTOS _ (Per accident) NON-OWNEDAUTOS $ $ UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ - RETENTION $ - $ B WORKERS COMPENSATION WC-007-648-4368 05/23/201105/23/2012 X I ORYLMITS OETH R AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? ❑ N/A - (MandatoryinNH) E.L DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Aftach ACORD 101,Additional Remarks Schedule,if more space is required) ADILSON SEGOLINI HAS ELECTED COVERAGE FOR HIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE j r ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registere m s of ACORD Town of Barnstable ti Regulatory Services BAR9 MASS. Thomas F. Geiler,Director �A 1639. �0 ren3.A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 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, 201 Fin 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 the 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 • Failure to post contrasting house numbers • Rotting window sills and support posts • . Missing or broken outside lighting fixtures • Blocked egress including a rear exit nailed 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 directlyat 508-862-4027 in the event that you require additional Y q information concerning this letter: ry(— Robin C.Anderson Zoning Enforcement Officer, h CC:Chief Paul MacDonald,BPD,Debra Dagwan,Town Council i' ' L ] [R292` 144 . _ ] LOC] 0002 HIRAMAR ROAD CTY] 07 TDS] 400 HY KEY] 203390 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 WINER, HOWARD A TR MAP] AREA] 63AD JV] 394647 MTG] 0000 P 0 BOX 434 SP1] SP21 SP31 UT11 UT21 . 17 SQ FT] 1440 HARWICHPORT MA 02646 AYB11945 EYB11975 OBS] CONST] 0000 LAND 17700 IMP 36200 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 53900 REA CLASSIFIED #LAND - 1 17, 700 ASD LND 17700 ASD IMP 36200 ASD OTH #BLDG (S) -CARD-1 1 36, 200 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 2 HIRAMAR RD HYANNIS TAX EXEMPT #DL LOT 70 RESIDENT'L 53900 53900 53900 #RR 0723 0080 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 11/94 PRICE] 50000 ORB] C135690 AFD] I LAST ACTIVITY] 01/19/96 PCR] Y R292 144 . P R A I S A L D A T A !. KEY 203390 WINER, HOWARD A TR LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 17, 700 36, 200 1 A-COST 53 , 900 B-MKT BY 00/ BY ME 9/87 C-INCOME PCA=1041 PCS=00 SIZE= 1440 JUST-VAL 53 , 900 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 177001 LAND-MEAN +Oo 539001 54197 IMPROVED-MEAN -330 256 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R292 144 . lop E R M I T [PMT] ACTIO161 CARD [000] KEY 203390 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT RESIDENTIAL PROPERTY MAP NO. LOT NO. H�1aYli2�8 FIRE DISTRICT SUMMARY STREET HiY'811 r Rd* pp 73 LAND 292 - � H BLDGS. / 17 3 D 1 OWNER TOTAL a3 9J ,' LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: �L 7e B LDGS. • Bless etf-. TOTAL LAND 4 BLDGS. TOTAL • LAND _Jones Elizabeth C.., Tr,, (LGL Trust) 12-19-73 Ctf. 60213 BLDGS. rn - TOTAL LL. s c- . LAND .0 O D�L A/C y� ' . NT BLDGS. LI T s'� s` r M cA— TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE: a LAND ACREAGE COMPUTATION BLDGS. LAND TYPE # OF /61RES PRICE TOTAL DEPR. VALUE TOTAL HOUSE' </;t'• o ' ,L o o +-f,Z o U LAND CLEARE ONT 01 BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND _ BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND 80 ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD, BLDGS. FOUNUATICUIV LAND COST ' bne.WallsFin.Bsmt.Area Bath Room u'e2 Base EILDG. COST 1onc.Blk.Wells Bsmt. Rec Room St.Shower Bath Bsmt. — p O D } onc. Slab Bsmt.Garage St. Shower Ext. PURCH. DATE 9 Walls PURCH. PRICE . . 'rick Walls Attic &Stairs�� Toilet Room Roof RENT tone Wails Fin.Attic Two Fixt. Bath Floors iers , INTERIOR FINISH Lavatory Extra smt. F 1' 2 3 Sink Plaster Water Cie. Extra Attie f. EXTERIOR WALLS Knotty Pine Water Only ouble Siding Plywood No Plumbing Bsmt. Fin. ,. ingle Siding Plasterboard Int. Fin. 11io�Shingles TILING inc. Blk. G F P Bath Fl. Heat me Brk.On Int.Layout Bath F. Wains. Auto Ht.Unit f— Veneer Int.Cond. Bath Fl.&Walls Fireplace ' om. Brk.On HEATING Toilet Rm.Fl. Plumbing Aid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. 17— O tl Steam Toilet Rm. Fl. b Walls Tiling �-'�''�;\ • lanket Ins. Hot Water j�p f' St.Shower )of Ins. Air Cond. Tub Area Total Floor Furn. 7 ROOFING v2 ZaHC COMPUTATIONS ' sph.Shingle Pipeless Furn. Q S.F. D CTO 0 lood Shingle No Heat o S. F. sbs.Shingle Oil Burner S.F �u ' late Coal Stoker S.F. ile Gas S.F. OUTBUILDINGS ROOF TYPE Electric able Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 81 9 110 MEASURED ip Mansard FIREPLACES S.F. Pier Found. Floor ��1 'iambrel Fireplace Stack1441- Well Found. 0.H.Door LISTED FLOORS Fireplace f Sgle.Sdg. Roll Roofing one. LIGHTING Dble.Sdg. Shingle Roof -- arth No Elect. DATE Shingle Walls Plumbing ine lardwood ROOMS Cement Blk. Electric P ED isph.The Bsmt. 1st F/-,zQ TOTAL � Brick Int.Finish A' ;Ingle 2nd 3rd FACTOR -/S4�F REPLACEMENT a 3 Y6 3 OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYSS. VALUE Funct.Dep. ACTUAL VAL. :)WLG. li_ 93 k 0 3 7 7.! 4 ,y 1 2 3 4 5 . 7 8 —. 9 to TOTAL TOWN OP SARNSTABLE REPORT S LIIMZNTA &T/QONTINIIA' N REPORT DIVISION loll? NAME (LASS# rnw, MIDDLE) NOSE DETAILS i owERVA=oNS-ISENISE EVIDENCE. SERIAL /S ETC. Z45 . L b�Qy�FTHE pO��.e TOWN OF BAR.NSTABLE 2 � r i IM135 ILE, i "°9 am BUILDING INSPECTOR � PY�`' � . APPLICATION FOR PERMIT TO ...... f�............... ... . . .... ................................................... TYPE OF CONSTRUCTION ......!1.t/.C? ,......1.... ....vu: .. ................................ ................................... ............. .....19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location........" .9...... ............ ^..... ..... ProposedUse ...... . . : .. ....... ..... .....^................................................... .............................. ZoningDistrict ......... ...-./................................................Fire District ........./.. ............................:........:..................... < Name of Owner ... ........................... .................... Address ....',1. ............................ Nameof Builder ..2... ....................Address .................................................................................._. Nameof Architect ...........................:......................................Address .....................................................:.............................. ALI Number of Rooms ..................................................................foundation ..6 JeJ.�?:r:.....�%?:°. ... ::..................:.......... Exterior ..... ... .. ....Roofing ........�� Floors .Interior Heating ...................................................................:..............Plumbing ............................:..................................................... Fireplace ..................................................................................Approximate Cost .........po. ,90 ......o...................... . Difinitive Plan Approved by Planning Board ________________________________19 f=__ . o�(� Diagram of Lot and Building with Dimensions 0! I hereby agree to conform to all the Rules and Regulations of the o of Barnstable regar i t above construction. Nam Laskey. Lawrence No ....1i748..'Permit for .......garage............... ............... ................. ....................................... Location rear 2 Hiramar Road ........................................................ Iyannis ............................................................................... Owner ....... awrence Laskey ................................................... Type of Construction frame Plot ............................ Lot ................................ l 1 Permit Granted .......... 68 0 May 31 19 Date of Inspection ......... .....2a._........19 Date Completed lYQ...77,.yO E.........19 t V t PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... k Approved .:.............................................. 19 ............................................................................... ............................................................................... i