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0019 ISLAND AVENUE
REVALIDATED LETTERS OF MAP CHANGE FOR TOWN OF BARNSTABLE,MA Case No: 11-01-0521V Community No.: 250001 July 17,2014 Case No. Date Issued Identifier Map Panel No. Zone 98-01-092A 02/04/1998 SQUAW ISLAND- LOT 49 - 1911� -SEA D, 25001CO564J X NUE 98-01-1020A 12/30/1998 LOT 1, LAND COURT PLAN 25001CO752J X 16194-N - 1623 MAIN STREET 99-01-244A 01/06/1999 PLAN 13687,LOT 5 215 SEAVIEW 2500IC0776J X AVENUE 00-01-0306A 03/28/2000 648 MAIN STREET 25001CO544J X 00-01-0998A 08/22/2000 291 BRIDGE STREET 25001C0757J X 02-01-0994A 06/05/2002 1300 CRAIGVILLE BEACH ROAD, 25001CO563J X CENTERVILLE 05-01-0804A 10/06/2005 COTUIT HIGHGROUND, LOT 25.001C0752J, X + 152B -- 220 CROCKERS NECK ROAD 07-01-0535A 03/29/2007 CENTERVILLE, LOT 9 - 36 BROKEN 25001CO564J X DIKE,WAY (MA) 11-01-1245A 03/31/2011 LOT B ---265 SEA VIEW AVENUE 25001CO757J X, 13-01-0725A 02/05/2013 MAP 259, LOT 12 -- 11.6 SCUDDERS 25001C0554J. X LANE , 14-01-1368A 04/10/2014 LOT 18 835 SOUTH MAIN STREET 25001C0563J X t, Page 2 of 2 Federal Emergency Management Agency July 16 2014 .. Jessica Rapp Grassetti Case No: 11-01=0521 V President, Town Council Community: Town of Bar►stable, Barnstable County,Town of Barnstable Barn Massachusetts Town Hall Community No.: 250001 _ 367 Main Street Effective Date: July 17, 2014 Hyannis, Massachusetts 02601 LOMC-VALID Dear Ms. Rapp Grassetti: This letter revalidates the determinations for properties and/or structures in the referenced community as described in the Letters of Map Change (LOMCs) previously issued by the Department of Homeland Security's Federal Emergency Management Agency (FEMA) on the dates listed on the enclosed table. As of the effective date shown above,these LOMCs will revise the effective National Flood Insurance Program (NFIP_) map dated July 16, 2014 for the referenced community, and will remain in effect until superseded by a revision to the NFIP map panel on which the property is located. The FEMA case number, date issued, property identifier,NFIP map panel number, and current flood insurance zone for the revalidated LOMCs are listed on the enclosed table. Because these LOMCs.will not be printed or distributed to primary map users, such as local insurance agents and mortgage lenders, your community will serve as a repository for this new data. We encourage you to dissemin ate the information reflected by this letter throughout your community so that interested persons, such as property owners, local insurance agents, and mortgage lenders, may benefit from the information. For information relating.to LOMCs not listed on the enclosed table or to obtain copies of previously issued Letters of Map Revision(LOMRs), Letters of Map Revisions Base on Fill (LOMR-Fs) and Letters of Map Amendments (LOMAs), if needed, please contact our FEMA's Map Information eXchange (FMIX),toll free, at 1-877-FEMA-MAP (1-877-336-2627). Sincerely, Luis Rodriguez,P.E.,.Chief Engineering Management Branch Insurance and Mitigation Federal Insu Administration d C? Enclosure: Revalidated Letters of Map Change for the town of Barnstable, Massach s G a cc: Community Map Repository =� Thomas Perry, Building Commissioner, Building Division, Town of BarnstabI8 f Page 1 of 2 t Town of Barnstable " c � r� 66; ! 2-ff • �- L *Permit# o Regulatory Services Expires6manthsfrom issue(late s.AXt iS sSsr�, Fee v ps. $� 11 10- 'A Thomas F. Geiler, Director (] Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us ' Off-ice: 508-862-403 8 EXPRESS PERMIT APPLICATION - RESIDENTIAL Fax: 508-790-6230 ONLY Not Valid without Red X-Press Imprint Map/parce I Number /Re'siydential Address /' J Value of Work Minimum fee of for work under$6000.00 Owner's Name & Address /�/Aj� � r - ��/ c n Contractor's Narne jq,/Y1,e5 Telephone Number ® Home Improvement Contractor License#(if applicable) L &/ � �) ZConst action Supervisor's License#(if applicable) _ Workman's Compensation Insurance t Check one: ❑ I 5Fda sole proprietor X ❑ m the Homeowner RESS Cz IT ❑ have Worker's Compensation Insurance NOV Insurance Company Name J2e,0-C,01V .AaV,6L1 �+' WN F BARNS-FABLE Workman's Comp. Policy# (p Copy of Insurance Compliance Certificate ust accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) ❑ Re- 'de _ Replacement Windows/doors/sliders. U-Value (�; 35 #of doors (maximum .35)#of windows _ *Where required: Issuance ofthis permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner better of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is required. -� SIGNATURE: Q:\WPFILEskFORMS\building permit rormslEX PRESS.doC Revised 072110 . Rie Caminorrivealthr of 1'kl assaclrusefts .. -- Department ofIndrrstr a1'.Acciderats Office a,,f'Invesfib rations 660 Washington,Street Boston, At4 02111 # � --� �afst�tt�.rrrrrssg©y�,i'dirr "Workers' Compensation Insurance Affidavit: Builders/+Con:tr.iciar-s/Electnci.<ans/Plumbers Applicant Information Please h-nt Le lih Name. (B:usine&eDrgauizn ' ndndividzaai : ®©/v' A_50_:6" Address: 17 k r:i-51 - City/StateJZip:_POA, t�-� d�� 95� Phone # V0 -70-`�� Afire it an employer?`Check the appirepriate boa.: T r e"oi` r o rr t(required): 1_ - I am a employer with �, (� 4. ❑ I am a general contractor and I yP P J { cq cl): y S_ re=deli constnrction etx�ployees.(full andlor part-time).* Have hired the sub-contra�ctors 2.❑ I am a sole proprietor or.parttre3-- listed on the attached sheet. 7. ng" s� and have no l Tees These sub-contractors have P" $_ O,Demolit on xrrorking :for the in any capacity. employees and have workers' cam insurance..? 9. O.Building addition ;[I*fo workers' comp.insurance P- 5. ��u'e are a corporation.and its 10.�.Electrical repairs or additions required:] ❑ 3.❑ :I.xru s homeowner.doing.all u•at-k �xfB.cess have exercised their iI.�Plumbing repairs or additions myself [No workers'comp. right of exemption per NfGL 12.❑Roof repairs insurance:requited.]T c- 152, §1(4),and rve have.-no employees. (No work-ers' 13.. 'Other comp.insurance.required.j "Any Wheat that checks box also fill out the section below showing their workers'compensation policy inform3tlan- Homeaw'mers who submit this a€iidavit.indicating:they are-doting 41 wmt and theta here out-ide continclo"mmv Sl lmdf.a liew affidavit Indicating such. 'Contractors that chack this bcac mina attached an sddition.3t s'h7e.et showing the name of the Sub-conimctors 9nd stale whethber or not those entities hwe - employees. Ifthe sib-contractom1ave employees,they.must provide their warkexs'comp.policy niimtier. T ant all z��ftplo �r tltrct is prairrdir�galror�ers'co�rliertr ci on irlsnrrr'rrce for r,:ty emplcyeaas. Below is trtt:prrlic3 anal job site irlforlutrcian.. insurance Company Name: 1 J e AkA Policy#,or"Self-irss.Lic.#: Expiration Bate: Job Site Addresx: At S IANt7 City/State zip: /lj(�S ©1 O�O `] Attach a copy of.ehe iyorkers crrmp.e%nsation polio deciairation page..(shondng the polic' rru� er and espu�tyan d9te). Failure to secure coverage as required wader Section 25.A.of hfGL c. 152 can lead to the imposition of criuiinaI penalties of a fine up to$1.,500M and/or one-year in prisorurient,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 may:be forwarded to the Office of Investigations of the D.Ifi for insurance cmerage verification. I coo hereby certify rlrcder fTiepains ttnr7penaih'es nfprjilry that the it farrn-Rticrn prm irlerl.a.brnre is trueand correct . Si tare: Date- Phone M 0l yw, C' o O L-1W lrSe Dilly..Da not rt'riti M this area,to be c0lJ1pWed by-cif. or town ofciaL City or Town: PermitlLicense# Issuing Authority(cat the one): 1.Board of Health 2.Building Department 3. Gtitytfo`m Clerk 4,Electrical Inspector 55.Plumbing Inspector b. Ot]Ier Contact Person: Phone#, , . 6 S 508 746 4356 P.02 I)7 Palk E it Drive Rhode Wend 0283smowmft - a...ntpa.t2:7t.30asefedcenAsw�aa:1�-• i�711!97i666a "von _ - Cc"HI Q'G725;Nma-AWo2e:;vj - Purchaser{s)Nam¢: yV j1/ Sf2f� � Mart.xi►uuts te+.rc.A„or„�.<M1r, mIttallatronAddress:_ 44A1e� -- MaRing Address- Home Phone: 5Qb! /0 �Q Can Phone; J I E tnaa: Year Home BuiIL 1979 Customer Initials —"`--� Taxes Paid In Town ef;_ I:We,tie above purchaser(s)['Purchaser(s)")and the owner(s)of the propene located at the above installation W CoMrtct tv:th Moon Atsociates,Inc.I'Maonwvrks')to furnish,deliver,and install of all materials as described in this Ofirreement('"Ag eement"),tee 3=&,ed Spec Sheat(s)and diagrams)which are incorporated herein by reference and made a part hereof.A Completion Certificate will be executed for all jibs at:ha end of the installation. Orde Numb r: a OrderNumber: -- c -, r Order Number: Pra;cr,Type: L4.r •Y t�.l(N` Project Type:^ _.,—. y Project Type; AgrecroentAnlOUnt S 33/ Agreement Amount $ Agreement Amount 5 'Less napositt 700 " $-- `---- Less Deposit# $ - less DeposiC# i . Balar.te Due On Completion $ � Balance Due On Completion $ Balance Due On Completion $_ (=e+:;r?reW:lsT4 or AI•cen+e't Amo.nr C..-P nete[,,tbn. tMnxnr.i-734 ofAsreentEnt due u]on w, ution, tMintr.m 33%of Afm.rrr-AAm,rt c,e - Ind@ate Payment Method for Balance upc�rwr.bo.r Indkate Payment Method For aalalYe Indicate Payment rroe DUO at Time of lnstailation: Method For at T irne Of fnstaflation: - Due at Time Of installation, Est.Sr,rt Date: 4 'Est.Compl Ion Date: Est Start Date. Est_CompletionDate: -Est,start Dates ESL Completion Date: I DEPOSIT,!PAYMENT OPTIONS!suhieneotundvcriheatioe,snd;orereditappr 11 --' I.Check.Cashier's Check or Money Order Ck e 'I IFinancing I (MadepavabletoMoonvo ylty,)W�&60 Acct(t gpprovalCode 2.Credit Cards(cirCfr) Visa MasterCaro���� ,cover Aecta Approval Code_ AC[ta ExP Date _ Security Code 'Uwrrqu.mrbwraoprrmrnreei.ar ae the rorereneti enSt rare brtha d�nosn emeurc —� ^6caud.aslakerobext.rraedea cn>dtt card open rcmok,wn arintutafgn Ano•,pp abTt It is agreed by and between the parties that this Agreement constitutes the entire understanding between the parties,and titers are no verbal understandings chan6ktg or modifying any of the terms of this Agreement.Purchmer(s)hereby acknowledges that Purchase15)11 has read the front and teverse of this Agreement and has received a completed, signed,and dated copy of this Agreement,including the two accompanying Notice of Cancellation forms,an the data case written above and 2)was orally informed of hisf her right to cancel this transaction.00 NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES- Purchaser Purchaser Moo ks Sldnarur,^ Signature tt! ST�Q19GhRA� 5/1$J�at_ulre r P,int Name — .L'�RA4/J cAr�4Rcv✓..�. Print Name - Print Name YOU,THE BUVili ,MAY CANCELTHIS TRANSACTION AT ANY TIME PRIORTO MIDNIGHT OF THETHIRO BUSINESS DAY AFTER THE DATE OF THIS TRAk5ACTION.SEE THE NOTICE OF CANCELLATION FORM BELOW FOR AN EXPLANATION OF THIS RIGHT, NOTICE OF CAN„CUU.VION WTICE OF CANCELLATION - - - Date,Of transaction DateLof Transaction, You may mantel this transwilon,without any penalty or obligatbn, You may cancel this transaction, withOPt'any penalty or abligatioa, within three business days from the above date.if you cannel,any within three business days from the above date,If you carmel, any property traded in,any payments made by you under the Contract or property traded In,any payments made by you under the Contract or Sale,and any negotiable Instrument executed by you will be returned Sale,and any negotiable instrument executed by you will be returned within 10 days following receipt by the Seller of your c4ncellation Within-10 days following receipt by the Seller of.your cancelliit!ori ratite;and any security,interest arising out of the transaction will be notice,and any severity interest arising out of the transaction will be Canceled.if you cancel,you mint make available to the Seger at your canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition as when recelved any residence, in substantially as good condition as when received, any goods delivered to you under this Contract at Safe,or you may,It you I goods delivered to you under this Cgettraet or$alai or you may,if you wish,comply with the instructions of.the Seller regarding the return!wish,Comply Velth the instructions of the Seller regarding the return shipment of the goods at the Sellers expense and risk.If you do make f shipment of the goods at the Sellers expense and risk.if you do make the goods available to the Seller and the Seller does not pick them up the goods avalable to the Seller and the Seger does not pick them uP Within 20 days of the date of your Notice of Cancellation,you may within 20 days of the date of your Notice of Caneenatiort,you may retain dr dispose of the goods without any further obligation.If you retain no dispose of the goods without any further obligation.It you fai>to make the goods available to the Seller,or If you agree to retum fall to make the goods available to the Seller,or it you agree to return the goods to the Seller and fail to do so,then you remain!fable for the goods to the Seller and fail to do so,then you remain liablei far performance of all obligations under the Contract. To cancel this performance of all.obligations under the Contract. To cancel this transaction, mail or" deliver a signed and dated copy of this transaction, mall or deliver a signed and dated copy of this cancellation notce or any other written notice,or send a telegram to I cancellation notice or any other written notice,or send a telegram to MOtN WORK5, 1137 Park East Drive, Woonsocket, Rhode island Moartworks, 1137 Park East Delve, Woonsocket, Rhode Island 02895,NOTLATERTHAN MIDNIGHT OF (Date). 02895,NOTLATERTHANMIDNIGHTOF (pate). I HEREBY CANCEL THIS TRANSACTION: I HEREBY CANCEL THIS TRANSACTION, Cotsumer'sIllgnatute DDaattgee� ransurner'sSignature Date. ?�iO ��It. G Hdmet REP::WER a e r e i'nlar. ra6rrner Pi,d l'opyl'n!htt``;+,•..airy !�H CERTIFICATE OF LIABILITY INSURANCE OPtD SR DATE(MM/DDlYYYY) MOONA-1 10/05/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunter Insurance, -Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old River Road, P.O. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI 02838-0001 Phone: 401-769-9500 Fax:401-769-9502 INSURERS AFFORDING COVERAGE NAIC# INSURED Moon Associates Inc. INSURER A: National Grange insurance Co 14788 DBA Gutter Helmet DBA Renewal by Andersen of RI INSURER B: Beacon Mutual DBA Gutter Helmet Roofing INSURER c: DBA Moon Works 1137 Park East Drive INSURERD: Woonsocket RI 02895 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I RATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDM'YY) DATE(MM1oD1 NYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10 0 0 0 0 0 A X COMMERCIAL GENERAL LIABILITY MPS26619 09/16/10 09/16/11 PREMISESS(Eao mnca) $500000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 10 0 0 0 PERSONAL&ADV INJURY $ 10 0 0 0 0 0 GENERAL AGGREGATE $2 0 0 0 0 0 0 GEN..L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 0 0 0 0 0 0 POLICY PRO• LOC JECT AUTOMOBILE LIABILITY A X ANY AUTO BIS26619 09/16/10 09/16/11 COMBMEOSINGLELIMff $ 1000000 (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS - - (Per person) $ HIRED AUTOS - BODILY INJURY $ NON-OWNED AUTOS (Per accident) . PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A X OCCUR cl-Aims MADE CUS 2 6 619 0 9/16/10 09116111 AGGREGATE $ $ DEDUCTIBLE $ X RETENTION $10 0 0 0 $ WORKERS COMPENSATION X TORY LIMITS ER AND EMPLOYERS'LIABILITY YIN B ANY PROPRIETOPJPARTNERIEXECUTIVE 28586 10/01/10 10/01/11 E.L.EACH ACCIDENT $ 500000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $5 0 0 0 0 0 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MOONAs S DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHOR! D REPRESENTATIVE ACORD 25(2009/01) 01988-2009 ACORD CORPORATION. Aff rights reserved. The ACORD name and logo are registered marks of ACORD Del !y " 1 "Ai#` LDS ` a.. 3n gam. .�=` n Kdr-AM It Fr X33uecraty 3lxl%w tV�- c"hewer of Public sarm v Board af Budding RegM t fm and c tr,4 Supervisor Specialty U-co WB. € VVS- s#; ES MOON 48 PI . C M ERLAN , •834at�rWf}'rsd Tom: 9 r �NGY MqN Federal Emergency Management Agency e - a a� Washington, D.C. 20472 FEB - 4,1998 IN REPLY REFER TO: r CMs. Anne W. Strachan Case No.: 98-01-092A `L 19-Island-Avenue �' Community: Town of Barnstable, Squaw Island Barnstable County, Hyannisport, Massachusetts OZO47J Massachusetts Community No.: 250001 Map Panel Affected: 0008 D Map Effective Date: July 2, 1992 218-70-RS Dear Ms. Strachan: We reviewed your request dated August 18, 1997, fora Ix;rw oMap A 8. Usinmeadmeat_(LOMA).—All required information for this request was received on January 19, 199g the information submitted and the effective National Flood Insurance Program (NFIP) map, we determined that a portion of the property described below is located in a Special Flood Hazard Area (SFHA), the area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood); however, the structure on the property is not in the SFHA. Property Description: Lot 49, described and recorded in Transfer Certificate of Little Book 694, Page 41, Document No. 280,445 CIF No. 85381, recorded on May 8, 1981,•filed in the Barnstable County Recorder's Office Street Address: 19 Island Avenue Flooding Source: Nantucket Sound This letter amends the above-referenced NFIP map to remove the structure from the SFHA. The structure is now located in Zone C. Flood insurance coverage for the structure may be available under a low-cost policy (see enclosed document). Because portions of the property remain in the SFHA, any future construction or substantial improvement on the property remains subject to Federal, Commonwealth, and local regulations for floodplain management. A portion of this property is located within a Coastal High Hazard Area (Zone V 10). Therefore, no construction may take place in Zone V areas that use fill for structural support or that increase flood damage to other property. An additional enclosed document provides information about LOMAs. if you have any questions about this letter, please contact Ms. Helen Cohn of our staff in Washington, D.C., either by telephone at (202) 646-3457 or by facsimile at(202)646-4596. Sincerely, Frederick H. Sharrocks Jr., Chief Hazard Identification Branch Mitigation Directorate Enclosures cc: Commonwealth Coordinator(w/o enclosures) Region(w/o enclosures) Community Map Repository Ar',sessor' map and lot number .....Nap...2.65....Lat ..#2 T11E 4 a SEPTIC SYSTEM MUST BE PROS Toy♦ r SfwagekPermit number 36:. INSTALLED IN COMPLIANCE p� � f VV" TITLE J t SAEBSTADLE, i House number ..................�..I... �l ��Ur,...� .................. ENVTONMENTA►CCODE AND 900 "b 9. m� �0 �r;en,+�4 r,Pr'°p 11 �apt'"9n,ye° �FpypYa• TOWN OF B A R N S T A RLE" TO APPROVAL OF BARNSTABLE CONSERVATION COMMISSION BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......Construct new„residence......................... TYPE OF CONSTRUCTION Wood ...................................................................................................................... June 19.f......................19.81. ',;GITHE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: p Location Lot ......Kap.5.................... N ... � ...... Residence y� . ProposedUse ............................................................................................. . ............................................................................ Zoning District ..RF... ............................................................Fire District .HYaIqpis.......................................................... Name of Owner Anne„Louise Tt?,*,,,,. ;;Aria ,,,,,,,,Address 6.Q.... 3U1Y.)C 7.x1...DX.7..V.e......T91e kAI1.,...NtA...... (Box Name of Builder George T. Lloyd..........................Address Q.la.,....5nzzdxd.9...Bray.,... KA............................ Name of Architect .Wj_llj.aa..Cars,o.n...........................Address Hil.ton.•.Head...1.s1.and.y....No......Car-o-1 n•a Number of Rooms ....'.W.QIV.e.... .................................Foundation .P.mu.red...Cancret.e.................................... Exterior ...j^1hit.e...Ce.d.ar...ShiAgeez........................ Roofing p g... ........A,s. ha1.t...Shin 1.es................................. Floors Hardwood .Interior .......Dry„WAl1.,,Plaster ................................................................................ ............................................ Heating .EleC,tr1C...............................................:............Plumbing .....Faux...baths...&..RQIJder..x.Qo.m........... ldstor.eT-(Lai l?... Q. .qU.1kA.h.)......Approximate Cost .. .9.0.,.lFAO...Q.Q....................................... Definitive Plan Approved by Planning Board -----O_ct.__2,---------19-7a_-. Area 21: tom}/p.p Diagram of Lot and Building with Dimensions —See attached plan: Fee ..... .r:............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH rea of Building: 3099 sq. ft. / "ass I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Anne Louise( W. Strachann�i.�.• u ; Name ....B.X........... .►. L..i.o.... .�L�� U. ..... ; STHACHAN, A NE LOUISE W. '•�. s 2r2 One Story ... rtNo .. ?emor .................................... fj,.r S:jngle Family Dwelling Location Lot #49 Squaw Island r+ o 19 Island Avenue, Hyannisport o � J � W Owner Anne Louise W. Strachan � 0.. - c.. ............................................................ Type of Construction Fr me ' :0 •^ 4 �+ • 0 nv . t •4 Plot ........... ..........:.... Lot ................................ 1-4 Permit Granted " �9 81 ^ U C. Date of Inspection .............................. ....19 / . ..Date Completed .19 8G , P 'l: � o p • �k t� to PERMIT REFUSED ±' Cl) ............................... ... T ..........................`~ ✓ G� 1 `-i � Ct y LID ................................. ... ... 1--1 %. `r ;-v, ��.. . !".................................... Rol ti .... s. ... ....... .....` .............................. �•� ~ m_ } Approved ..................n............................. 19 ...........................f. ................................................ .................. ......................................................... Oil f A Asseesd4ls map and lot number .....k!AT&)..2 65....Lot...#2 a . ..... THE Sewage Permit number 0, 36................................. SEPTIC SYSTEM N1 INSTALLED IN COM 33A"STABLE, 11 A6 House number .......................................................................... WITH TITLE ENVIRONMENTAL C TOWN OF BARNST A IMEFGu LATIO DT TO APPROVAL OF BUILDING INSPECTOR "ME-1 CONSERVATION COMMISSION APPLICATION FOR PERMIT TO .......Co.ns.t.ruct....new...re.s.ide.ncg........................................................ ..... .... .. .......... ........ .... .. ....... ..... TYPEOF CONSTRUCTION ...............Wood..................................................... .................................................................. !NneJsi...................... i. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the 'following information: Location Lqt.. 4P.0....;qyAw..Island,...Iiy4pAispq;�t.;...Xgp.4 .......... ..... ....................................................................... Residence ProposedUse .;........................ ........................ ..................................................................................................... Zoning District ..R.F...1 Hyannis ..... Fire District jjyppnis .................................................................. Name of,Owner Anne Louise.- * Strach 14........ . Address I5Qj3jAXr,.W a . 4(Box "7!� Name of Build T ' George Geore T. Llo�'d...........................AddresS( ...a.ay.� .......................... ........... ...... Name of Architect Milli,aM...CaXS.On...........................Address Hiltan.-Head...Island.,....No4...Carolina Number of R 6mi ....!W9 X.3�9...0 .. .........r, n. ..................................... Exterior ...1KhitiP,.'.Ce.dar Shj.ngjpg................. .........Roofing .......Aathalt. shing.l.ea............... ...... ...... ......... ........ Floor Hardwood' S ........................ ........................... Interior .:.,...Dry PKY.. Wall Plaster .............. .......................... ...................................... Heating - Electric P m.......................................................I................ lu 'bing ......D�PX...]DAtA4....4i...P.QW49K...:r004........... Fireplace Fieldstone (with heatalator.)......Approximate Cost ..........................I............. ............................................................. Definitive Plan.Approyed,by Planning Board ----jo_clt'�---2"t---------19 78--. Area Diagram%of Lot and' Building with Dimensions —,See attaChed plan. Fee ...... ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH (Area of Building: X. (3099 S'q. ft. IJA TIU Q1 0/h T) j V IA,104 L I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable/S`egarcliiid the above construction. Anne Louise W,, Strachan Name .... .........et.. ........ STR,kHAN, ANNE LOUISE W. A=265-2$ One Story No 2.3.213...... F@Tmit for .................................... /Single Family Dwelling Location L� ................ - �y.:-............ 19 Island........�. Hyannisport ........................................ ............................... Anne Louise W. Strachan Owner .................................................................. Type of Construction Frame ...................................................................... Plot ............................ Lot ................................ July 9, 81 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 - PERMIT REFUSED , .......................................... ................ 19 .......................... ........ .................................... ................. .................. ....................................... 4-7 , .................../r......................... Approved .....:.......................................... 19 r ............................................................................... ...............:............................................................... En ineerin 'Dept.t. (3rdQoor) Ma Parcel Qo2�GZPermit# 9 P �2` House# Date Issued Board pf Health(300or)(8:15 -9:30/1:00-4:30)91-36,,9,r/1 h/3� �Fee.. tjl. o?d-. w T © Conservation Office(4th floor)(8:30- 9:30/1:00-.2:00) �.(; pprove yBoard 19 RARNSTABLE, ` MASS. P TOWN OF-BARNSTABLE Building Permit Application Project Street Address -L. SI p� y A`►e . Village `"` -�- /Y1 rr'_ nn tt Owner Address ��" �} SKr&N k 0 'Ll���t62�, ('llq Telephone �� -7� 0459 w �_�' - ` Permit Request GA 70- Appowf) wl oca)��- &DPW M S (IJA r First Floor g c�Lf S ca C q / square feet Second Floor D2 I q ' square feet Construction Type W060A '-Aj C 0 k) e( Estimated Project Cost $ /0? 0-V61 OD Zoning District Flood Plain Water Protection Lot Size c SD Grandfathered Q Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure RS , Historic House ❑Yes 2*1 o On Old King's Highway ❑Yes Basement Type: [Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) aN Y 40 ° Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing _ New Half: Existing New No.of Bedrooms: Existing New L;p Total Room Count(not includingbaths): Existin ew First Floor Room Count ) -I rT-- �- 2� - Heat Type and Fuel: ❑Gas ❑Oil lectric ❑Other Central Air U4es ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes WIO - Garage: ❑Detached(size) ev - Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size)K� - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded Q Commercial ❑Yes MINo If yes, site plan review# Current Use m L).S E Proposed Use &_2(3�xLS Builder Info ton '-Name Telephone Number �(} -�78 •-t�'� � Address License# r-j � 1Iiome Improvement Contractor# I , n O a Nu ( ,,4orker's Compensation NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE X Al OA DATE J /I-C2 UILDING PERM ENIED FOR FOL OWING REASON(S) ' -FOR OFFICIAL USE ONLY �. PERMIT NO. - DATE ISSUED MAP%PARCEL NO. ff , r ADDRESS _ -YIL LA6E R OWNER _ r _DATE OF.INSPECTION: t - m t a w .t FOUNDATION , r v. a. FRAMEi INSULATION FIREPLACE _ ELECTRICAL:" ROUGH = FINAL PLUMBING: ROUGH FINAL - ` # i GAS:'.- ROUGH ` FINAL FINAL BUILDING DATE CLOSED OUT 3 ± ASSOCIATION PLAN NO. n +`-' T/rc• CIrrrIr11Ur1II-Calth of.1f rssachrrsctts ' D�•perrt»rcrrt njlndayr al Accidents Of 1=9=69SIZaNS 6XI Wu1•Irlrlgruir Strear •�-: +:� � Bc,xrurr.,'1lcraa: (13111 �•' Workers' Compensation Insurance Af idaOt AvPlic •nt infnrrttntinri Plc•tse PRTNT'ler�iily It,t- inn v [ I am a homed rner penormin^_ all wori:mybse�l�f m-a sole proprietor and have no:one workim_ in am, capaciry — I am an entpiover providin_ tvori:en compensation for m,% empioyees working on this job. ennrn•tnv n tmt t t t •t(ltlrrcc• — cin•• nfinnr#• nnlin # incur^rrrr rn. -..��_.•M�_ ,�_ [ 1 am c zoic rroprie•or. esncral contractor, or homco%%,ner(circic aarc) and have hired the conrmctors listed be:ow -.;•i;c i the "oilo%ving -vorke." compensation police:: rmmr tnv nntnr 1(Irlrrcc- • cir r .L1f10nC i!• incur-irr rn rmmr.ln. ,ntnr. atirlrrc tin•• hone#' incnr..nrr rn. nniic•+� ,Itt:ch additional slice"if necesian� F:lllurc to sccurc cttvcrnac :ts required u ucr�cy c��=`A of h1GL In can iead to the imposition of criminal penalties of a line up to SI.!OU.UU anurL: unc cars' imprisonment :ts %%ell :ts civic penalties in the form of a STOP WORK ORDER and a fine ofSI00.00 a day against me. I understand teat cop% of this ,rttenhcnt•mink be funvarded to the Qlfce of Im•esticwtons of the DIA for coversre verification. I do perch- crr7tit•«r •rr tr pains anti penalties of perjur, that the information prorided above it trur a. correct- / /� Date -- Prins nam.c Phone; otTiciai tic unh do not write in this area to be completed by city or town oiriciai l cin or town: _permit/license 0 r;13uiidin:Department :Liccnsinc Hoard E C scieesmen's dace t tc resunc is rcuuircd:hee; ifimmrdi p Clticatth Ucpartmcnt . phone 9: r-Uthcr ccn:ac: ncrcnn: 1= °♦ The Town ®f Barnstable 9q� MAM �e� Department of Health Safety and Environmental Services 1"9. � Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosse.^ Office: 508=90-6227 Building Cann- Fax: 508 90-6230 For office use only Permit no. Date AETMAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL a 142A requires that the "reconstructfon, alterations, renovation, repair, modernirstion, conversion, improvement, removal, demolition,et one but not�moreon f an than fouraddition dwelling units or pre-existing to owner occupied building containing at structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions, to with other requirements ko? Type of Worir F.sL Cost ,Address of Work: Owner's Name ; E- , &i Date of Permit Application: ' `3 I hereby certify that: Registration is not required for the following resson(s): Work excluded by law Job under 5I,000. Building not owner-occupied ,a Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EWROvEMENT WORK DO NOT HAVE ACCESS TO THE ITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- 14ZA SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the owner" A V�L Date Contracto N ffie Registration No. Cam" ^y F k q� Ku ^sy;f3'R'� � ax y , AV IN, sd F fi �� ej"a-`r +'w'#A I R I 1, S j h�ru� ,,,.,_ �. .�.-. ..i-. .�,P.--�....-'_S'' , mot. ,.. - .....�.r.,+ �. 'i.�d.� -:.<»�2.'�,r.,.�.na,�„�•. _ _.., .. _. ..._<_._ ,_ ,..at. . ._..._:.'a'r� ;. PAR" T r dE F PUBLIC SAfir C Isill IaII IIPERVISOR ICEIiSE_ _. (I4 er Viz. Ezplres., i;81rf �l fPu � IffERli _. 838 _a ,� 4 xCS AA 02558 21 -^"0.5 rtt:'t `�'�T'�n-•..,,,��+x;Sv:Y�va.,�!t --w t `off . IS ✓Q� 1MRROIIENENS.CONTRACT'O�R�=£� Regstw Cron 115003 NDIVIWAL, li/19/:99 Nr� 02601 r n m ADMINI