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Town of Barnstable
�ofYHE row Regulatory-Services
P o Thomas F. Geiler,Director
Building Division
BARNSTABLE,
v MASS. $ Tom Perry, Building Co ' issioner
t639• ��
prF�AAAta 200 Main Street, Hyannis, MA 0260(
www.town,barnstable.rria.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: —
Permit#:
HOME OCCUPATION REGISTRATION
Date:
Nalne: \40\� ck 1 ''J e
Address:
Name of Business:--C'01,�
"hype of Business: 9 `1 tj Map/Lot: 5
INTENT: It is the intent or this section to allow the reside(lts of the`hcill n of Barnstable to operate}1 11011le occupation
P('1t11L11 slllgle f<lnllly c141'elhngs,subject tci tlLe provisiolis of Section d�f.�l of the toning ordinance, provided that the actilricy
shall not be discernible front outside the dwelling: there shall be no increase ill noise or odor; no V1suail alteration to the
premises Which Would suggest anything other tharl a residential use;no increase in tnLR-IC abOVe 001-111al residential volumes;
and no increase in air or groundwater pollution.
After registration with (Ile Building Inspector, a custoniary home occ•upatioll shall be perrllitted as of right subject to the
following conditions:
• The activity is carried oil by(lie perlliani iit resiclerlt of a single Ialruly residential c1111ellilIg unit,located ciithiil
that clwelling unit:.
• Such use.occupies no more than 400 square feet of space.
• There.are no external alterations to the dwelling which are not custoniary.irl residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of n<>rnlal residential volunies.
• 'File use does not.involve the production of offensive noise, libraticin snu>ke, dust or other particular matter,
odors,electrical disturbance,heat,glare, h111111 lity or other objectionable effects,.
• There is no storage or use of toxic.or hazardous materials, or flaliiinable or explosive materials, ill excess of
nornlall llousellold quantities.
• Any need for parking generated by such use shall be islet on [lie same lot containing the Citstonlary Honie
Occ•upatiou,aunt not l6thin(lie required front yard. h
+ There is no exterior storage oi•display-of iateriah or equipment.
There are no conunercial vehicles related to the Custoniauy Horne Occupaticnl,•other than one van or one
pick-up truck not to exceed one toil.capacity, and one trailer not to exceed 20 feet in Ieulfih and not to
exceed f tires,parked on the same lot ccilitainiiig the Customary Honle Occ•upatiou.
• No sigii shall be displayed indicating the Customary Honie Occupation.
• If'tile Custoniauy Home Occupation is listed or advertised as a business,the street address shall [lot be
included.
• No person shall be employed in the Custonia iy Hogue Occ•upa(ion W110 is not a permanent resident of the
dwelling unit.
I, (lie undersigned, have read and agree mrli the above restrictions for nl}•home ciccupation I and registenlig.
Applicant: Date: 08 ✓ 29 — 1l
Town of Barnstable Buildin
g
Post Th�S�Card,So That rt is Uis�ble From the Street•-Qpproued ,Plans Must beRetamed on Job and<this Card MustXbe`,Kept
" Pasted�Until".Fina);Ins ectlon Has<Been Made a h s
R ` ' at of accia anc`s Re"aired:such B�u ldin�shall Note Occu red urttit a F nal lns ection has. een made Permit
Where a Cert�f G 4 ,�, ,...g. . , . .. ; .. . P - ..,. ,"gyp :
Permit No. B-18-2757 Applicant Name: Brien Langill Vivint Solar Developer LLC Approvals
Date Issued: 09/19/2018 Current Use: Structure
Permit Type: Building-Solar.Panel-Residential Expiration Date: 03/19/2019 Foundation
Location: 7 KITSY LANE, HYANNIS Map/Lot: 2S1-186 Zoning District: RC-1 Sheathing:. ;
Contractor'Name:' BRIEN LANGILL Framing: 1
Owner on Record: SILVA,WANDERLEY F
Or
Address: 7 KITSY LANE Cntractor License CS106675 2
HYANNIS, MA 02601Project Cost: $ 16,500.00 Chimney:
,s
Description: Installation of roof mounted photovoltaic solar syste s,25 panels Pe[ml#Fee: $134.15
7.5kW - Insulation
Fee Paiid $134.15
x Final:
Project Review Req: Date, 9/19/2018
4 Plumbing/Gas
A" a Rough Plumbing:
g
Buildin Official
Final Plumbing:
.,; Rough Gas:
This permit shall be deemed abandoned and invalid unless the work authorized"byths permit is commenced within sixmonths after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents,for whichahis permit has been granted. Final Gas:
,:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws,and codes.
,This permit shall be displayed in a location clearly visible from access street or road and shall be maintained�open fo�pubiic inspection for the entire duration of the
Electrical
work until the completion of the same. y
Service:
The Certificate of Occupancy will not be issued until all applicable signatures by the Buildingand Fire Officals are provided on,this permit.
Minimum of Five Call Inspections Required for All Construction Work: ' \: 3 .. Rough: -
1.Foundation or Footing
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final:
Work shall not proceed until the Inspector has approved the various stages of construction.
Fire Department
"Persons contra with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
�Z
Final:
Building plans are to be available on site
� � 11 Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
6 91
Town of Barnstable *Permit#
.► Fxpires 6 months from issue
Regulatory Services Fee Olt
KAM Thomas F.Geiler,.Director
p i63y. ♦�
r��yl►
Building Division
Tom Perry,CBO, Building Commissioner
20.0 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press_Imprint
Map/parcel Number � .
Property Address u. �l✓) l
❑Residential Wa1ue of Work-$ -3-cco- Q Minimum fee of$35.00 for work under$6000.00
�0_wner_'s-Name_&_Address_ g- )O G /Y1 c, --f ov:> C(en CAAA
Contractor's Name Telephone Number '
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable) V%M C IT
❑Workman's Compensation Insurance
Check one: AUG 12 2013
❑�I a sole proprietor
s9y am the Homeowner
❑ I.have Worker's Compensation Insurance ® N ®F.ZARNS-1-ABLE
Insurance Company Name ..
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
01"Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
O Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*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
required.
!"'SIGNATURE• �(.V �� s� -C� �..�il,��/I Cj '
Q:\WPFILESTORMS\building perm it forms\EXPRESS.doc
Revised 060513
The Commompeam of Massachusetft
D4ep ftnent of Industrial Accidents
t ffwe ofrm wAgadons
600 WasliingtawStreet
Boston,MA lt2111
www. pass gmMia
Workers' Compensation Insurance Affidavit:Builders/Conti-actors(ElectriciansJPlumbers
t Information Please Print Legibly
Name(Bi>smes�t6�gani�liao�tndividnaly: v 1 O ro') t Y, C• Ae 1✓C, -
A+ddress:��—
.fGityltat�elZip`�` aJ�1 5 Phone#_
�-A re u an employer?Check tlm appropriate box: Type of project(required):
L❑ I am a employer with 4. ❑ I am a general contractor and 1 6- ❑New constrac6ca
employees(full and/or part time).* havehiredthe sub-contractors
2-❑ I am a sole proprietor orpartner- listed on the attached sheet y- ❑Remodeling
ship and have no employees Them sub-oontractors have g- ❑Demolition
wodcing for me in any capacity- employees and have workers' Q. ❑Building addition
[No workus' comp.insu anre comp-rncnranoe t
5. ❑ We are a corporation and its 10.❑Electrical repairs or additions.
3N Litam a homeowner doing all work officers h a exercised their 11-0 Plumbing repairs or additions
mysel€[No workers'comp right.of exemption per MGL 12-❑hoof repairs
c.152,§I(4�and we in�j T ave
employees_[Nvworlt�rs' 13.❑Other L
comp.insurance required]
*Amy WYDcm t that checks boa#1 amst also tin out the section below shoo*their wadcere ro pens +oa policy informatitm
T EUm eawners who submit this affxUr in&catiag they Rn doing allwm k sand�hire outside contractms nmst submit a neap affidssi3 mriirstmF such
zCan—ctors iffiat check this boot ME st stwhed m additional sheet sho ing the name of the sub-contractors and state whether ornot those entities fisae
employees. Ifthe svb contracta m bzm employees,they must pruvide their workers'comp.policy number.
Iam an empinyer thatispronidtng workers'comFens tian inmirance for Pity enq7inyeaL Below is diepayd7 an.d job srlg
infotxtaliom
Insurance CompanyName-
Policy 9 or Self-ins.lic.# Expiration Date: .
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Fa ure to secure cm-erage as requiredunder Section 25A of MGL t:, 152 can lead to the imposition ofcliminal penalties of a
fine up to S1,500.00 and/or one-yearimprisonment,as well as civil penalties in tine fowl 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 Ore DIA for insurance coverage veeification-
I do hereby certify und
er the pains andpenaWas ofpedury that the information prat�ided above is hate and correct.
Date:
OBEdal use only: Do not write in this area,to be campleted by do or town offrc&L
City or Town: Permitlicense#
Issirina Authority(circle one):
L Board of Health 2.Budding Department 3.Cigffown Clerk 4.EIectrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
6
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Puisuant'to this statute,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 le representatives of a deceased ern to er-or the
g g g � rP � � >� P Y ,
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and;if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance toverage. .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. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
1 '
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. In addition,an applicant
that must submit multiple pennitllicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled oirt each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
The Commcmvimtth of Massachusetts
Department of Industrial Accidents
Office of lmvestigatims
600 Washington Strut
Boston,IAA 02111
Tot.#617-727-4900 at 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
wwwmass gov/dia
Town of Barnstable
Regulatory Services
R�RAif.T�Rf F. s
Thomas F.Geller,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:—8:1 Z I
JOB-IAGATION:""'" I� 11 �L{ L kAj /1J I, Im
number street village
"H�WNTER":-1�T 6-0=ram k vl C (2-e I't I re
name home phone# work phone#
CURRENT MAILING ADDRESS: S �
cityttown 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.
DEFINMON 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 buildkg2gr tit (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.
•_.- SrgnatureofHomeowner�--� "
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.
HOMEOWATER'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.
C:\Users\dccoDik\AppData\LomMicrosofl\Wmdows\Temporary Internet Files\Content0utlook\QRE6ZUBN\E)TRESS.doc
Revised 053012
THE Town of Barnstable
Regulatory Services
` ��I'�' ` Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
_,.. www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to,be filled or utilized before fence is installed and all.final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
A
Date
Q:FORMS:OWNMPERNSSIONPOOL•S 6/2012 .
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatUres on this form at 200 Main St., Hyannis.
Take the completed form to the -Down Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 Clown Hall) and get the Business Certificate that is
required by law.
DATE: _ L - f / Fill in please: '
�r APPLICANT'S YOUR NAME S: VCil I ry I 1,
uZli ,. :, /
XF � s BUSINESS YOUR HOME ADDRESS: 1; I T L�ti y .J 'v' i 5 Vl
�
' y �� 3 o N 3
TELEPHONE # Home Telephone Number Sep
NAME OF CORPORATION
�` Il.
NAME OF NEW BUSINESS C '�L
Q L �C-
�ZT
E OCCUPATION? ( YEAS " Nr�1 1, N1• MAP PARCEL NUMBER 1 AssessinESS;�OF BUSINESS: �,' T S= �-�V 1�- / .._. . .
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need.. You MUST GO TO 200 Main St. - [corner of Yarmouth
Rd. &Main Street] to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING CO ISSI ER'S Ofqc OCCUpATION
This indivi\al hhs nnfa of y p r it re ui ements that pertain to this type of business. OMPLY WITH LIOME
MUST C TIONS. FAILURE TO
� •;� Aut or g re** RULES AND RFGULA
MMENT SUET IN FINES. ,
U, o /71e
-�)2. BOARD OF ALTH
This individual has he permit requirements that pertain to this type of business. MUST,0AMPLYWITHALL
l� V dV HAZARDOUS MATERIALS REGU►_A,70NI.q
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS(LI NSI U HORITY)
This individual has b�. infor e e licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
Towri of Barnstable
'THE Regulatory Services
P-� Thomas F.Geiger,Director
rt
• _ -Building Division
* snxxsr,�st�.
MASS. g -Toni Perry,Building Commissioner'
i6gq. �m
200 Main Street, Hyannis,MA 62601
www.town.barnstable.ma.us
r
Office: 508-862-4038 508-790-6230
Approve.
aFee:. � 4 q
Permit#: (�
HOME OCCUPATION REGISTRATION
Date:
Name: V Gl I f � ) �✓1�1 G Phone#: 50�
vv
Address: 3- /'� �/ L j k..._ Village: /4. wN//"s
Name of Business: C o Lo 1lJ 2 �' 'Al /lJ .�
Type of Business: 1'cl l �'1/ I MaP/Lot: �1.3'6 P
INTENT: It is the intent of thus section to allow the residents of the Town of.Barnstable to operate a home occupation
v`ztlnin single family dwellings,subject to the provisions of.Section 4-1.4 of the Zoning ordinance;proNgded that the actixity
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 groimdiaater pollution. x
After registration with the Building Inspector,a customary gnome occupation shall be permitted as of right subject to the
following conditions: !:
• Tlne actiIaty is carved on-by the permanent resident of a'single family residential dwelling u nit;located«ritlnui
that drvellirng unit.
• Such use occupies no morethan 400 square feet of space.
• There are ino external altetations to.tlne dweaig vl iich'ar6 iiot customary u residenntial builduigs,aid there is
no outside e«deuce of sucln'use.
• No traffic will be generated.un excess of normal residential volumes.-
• The use does not involve the production of offensive nioise;Nabration;smoke,`dust or other particular matter,
odors,electrical disturbance,heat;glare,liunudity.'or other objectionable effects.
• There is no storage.or use of toxic or hazardous materials,or flammable or explosive materials,ui excess of
normal household quantities:
• Any need for parking generated by such use sln<111 be,met on the same lot containing:the' Customary:Home.
Occupation,and not zthiri 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 thus one van or one
pick-up truck not to exceed oine torsi capacity;and oiie trailer-not to exceed 20 feet u;length and not to.
exceed 4 tires,Parked on the same lot' 'ntaunung the�Customary Home Occupation:
• No sign shall-be displayed indicating the Customary'Home Occupation: ,
• If the Customary Home Occupations'is listed or advertised as a business,the+street address shall not'be
included.
• No person shall be employed in the Customary Home Occupation I•srho is,i1ot a permanent resident of the
dvvelling unit.
I,die undersigned,have read and agree with the above restrictions for my home occupation I an registering.
Applicant: V 0.fZ d'Ls.:a- 7� Cz-��...� �,� Date: 9 Z z if
Honieoc.doc Rev.01/3/08
�.. Date:09 /?2 /i.i
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
ENTORY
NAME OF BUSINESS: c 0,(40 '2 (-rS
BUSINESS LOCATION: l! r 5 INVENTORY
MAILING ADDRESS: TOTAL AMOUNT-
TELEPHONE NUMBER: 5'�-)P Y o `) �( 33
CONTACT PERSON: �J c, 71
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS:
INFORMATION/RECOMMENDATIONS: Fire District:
Waste Transportation: _ Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The board of health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardlessof volume.
Observed / Maximum Observed / Maximum
Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
® NEW 0 USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers)
Diesel Fuel, kerosene,#2 heating oil ® NEW ' ® USED
Miscellaneous petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil ❑ NEW , ❑ USED
Degreasers for engines and metal Printing ink
Degreasers for driveways &garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers r Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
- � Lacquer thinners
(including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison"labels
(including chloroform, formaldehyde,
Paint&varnish removers, deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
Laundry soil &stain removers
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
Applicant's Signature WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS PP 9 Staff s Initials
TOWN OF BARNSTABLE ■ °
�tNEh,,,.� Building
201104854BARNSTABLE, Issue Date: 09/09/11
9 MASS,
1639. �� Applicant: Permit Number: B 20111926
Arlo��p
Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/08/12
Location 7 KITSY LANE Zoning District RC-1 Permit Type: RESTORE TO SINGLE FAMILY
Map Parcel 251186 Permit Fee$ 35.00 Contractor PROPERTY OWNER
Village HYANNIS App Fee$ 50.00 License Num OWNER
Est Construction Cost$ 250
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
j RESTORE TO A SINGLE FAMILY: REMOVE CABINET AND SINK IN BAStfds CARD MUST BE KEPT POSTED UNTIL FINAL
ENT AND CREATE 5'FOOT OPENINGS REMOVE 2 BASEMENT BED OONSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: PEREIRA,DABSON C& BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 7 KITSY LANE INSPECTION HAS BEEN MADE.
HYANNIS,MA 02601
Application Entered by: PC Building Permit Issued By: I
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY:ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO
SPECIFICALLY.PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE'JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS MAYBE
OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOESNOT.RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION
RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK:
i. FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5. INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
'DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
� .4 MOM ® � � 1
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
2 2 2
3 tl;5�_' 1 .-Heating Inspection Approvals Engineering Dept
Fire Dept 2 Board of Health .
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application 44�?k a 7-15 Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _Preservation / Hyannis
Project Street Address '
Village ✓✓)
Owner S� P-e f t Gl Address .S0 Y'Y-)
Telephone 6 3G 31 6�
Permit Request A-o (g fAA* `�� ;aka a
�,n o y e. C q�-a i n,e�- oy,)C { .,n�v►^ �L rya p Ve
•�,�,.. S ` �fi. w .� � -ice �� �� he c� a.�-�-� �'
e �J
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed TO,al new
Zoning District Flood Plain Groundwater Overlay _
Project Valuati �r
� c�rrl- 250-490 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ 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: ❑ Gas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review# l
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER"OR HOMEOWNER)
Name e- i ci Telephone Number �b 3 3 Z 613
Address K T5`I Q-A) License #
u /kw &3 S ✓✓t A Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
Y
9 _ o) )
SIGNATURE � ,�1 ,�Sa� C %c��c� DATE
J
,r
FOR OFFICIAL USE ONLY
APPLICATION#
A DATE ISSUED
d MAP/PARCEL NO.
t
s
ADDRESS VILLAGE
OWNER
�IT
'E DATE OF INSPECTION:
,t
FOUNDATION
r
k
FRAME
INSULATION
FIREPLACE
s ELECTRICAL: ROUGH FINAL
y
`4 PLUMBING: ROUGH FINAL
f
GAS: ROUGH FINAL
FINAL BUILDING
I.
DATE CLOSED OUT
',t ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts. .
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston.V MA 02111
•� www.mass.gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information nn Please Print Legibly
Name(Business/Organization/Individual): T)A-f550-i 1� ✓ 4- 1{�
Address: Dr 11, 1 T S v4
City/State/Zip: f Phone.#: ._t4 ` 3 _3 Z
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a er w employer 4. ❑ I am a general contractor and I
P Y 6. ❑New construction .
employees(full and/or part-time).* have hired the sub=contractors
.2.0 I am a sole proprietor or partner listed on the attached sheet. 7.-❑Remodeling
ship and have no employees These sub-contractors have g, PrDemolition
workingfor mein an capacity. employees and have workers'
Y P, ty t , 9.'❑Building addition
[No workers' comp. insurance comp.insurance.
quired] 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.❑Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required.] t c. 152,-§1(4),'and we have no
employees. [No workers' 13;❑Other
comp.insurance required.]
*Any applicant.that checks box#I 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.
tContractors 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 subcontractors 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:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: 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 MGLF6. 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 may be forwarded to the'Office of
Investigations of the DIA for insurance coverage verification
I do hereby certify under the pains and penalties of perjury that the, provided above is true and correct
L — 11
Sienature:L Date: _
Phone#: 3 2 .6
Official use only. Do not write in this area,16 be completed by city or town offccial
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#:
Information and Insttuctions ,
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees.
Pursuant to this statute,an employee is defined as "...every person in,the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
.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. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in _(city or
town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone-and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02.111
Te,1. #617-727-4900 ext 406 or 1-877-MASSAFE
Fax# 617-727-7749 i
Revised 11-22-06
www.mass.gov/dia
f
Town of Barnstable`
o Regulatory Services`
t Thomas F.,Geiler,Director
M.R ..
Building Division
Prfo a Tom Perry,Building Commissioner
200 Mairi.Street,_Hyannis,MA_02601
www.town.barristable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOTNIEOWNER LICENSE EXEMPTIO_N
Please Print
DATE: 91 q I /1
JOB L.00AT1oN: I T�j�/ L
number street village
"HOMEOWNER": `�O t. Y'ry ��-`� 3 6 3 Z
name G home phone# work phone#
CURRENT MAILING ADDRESS: (JG_VI-)
ZJ
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 ants as
superyisol.
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 constrycts 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
re ements.
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.
HOMMOWNER'S EXEMPTION
.The Code states that: "Any homeowner performing work for which a building permit is,requircd shag be exempt from the provisions
of this scction.(Scction 109.1.1 -Licensing of construction Supcv m
sors);provided that if the hoeower s n engages a paon(s)for hire to do such
work,that such Homeowner-shall act as supervisor."
Many homcowncrs who use this=mption arc unaware that they arc assurning 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
Supervisar. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/bar rtsponnbilitics,many communities require,as part of the permit application,
that the homcowncr 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 tamend and adopt such a fonn/certification for use in your community.
Q:for rrs:homecxcmpt
�fKEr Town of Barn-stable
Regulatory Services
� r
iatsaAs�E � Thomas F. Geiler,Director
°rEv16���` Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town.b arnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230,
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
m all matters relative to work authorized b y this building pen-nit application f wo y g p pp on or.
(Address of Job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on.the reverse side.
Q:FORMS:O WNERPERMISSION
j
E
� � o
Town of Barnstable
of
Regulatory Services
Thomas F.Geiler,Director
• E::iiding yiyision
WiNSfABM i
MAM $ Tom Perry,Building Commissioner
1619. 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: dv
Permit#:
HOME OCCUPATION REGISTRATION
Date: O 5-Z 2-a S
Name: �4 E,oU C K I ST 1 A- J N . PC—K C- fro '� S 10. Z Z .
' Phone#: `� �
Address: J G.N) Village: V", K�3 N S
Name of Business: C O i.0
Type of Business: �fk k_T Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution. -
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to'exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home,Occupation.
•. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• ' No person shall be employed in the Customary Home Occupation who is'not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. #,
Applicant: 'Ja 650 ) Date: 0 5 Z T —OJ,
Homeoc.doc Rev.5/30/03
TO ALL NEW BUSINESS OWNERS
DATE: O S n -05
Fill in please:
APPLICANT'S YOUR NAME: � `� C Rl ST1 At .V� • Pc-Rc-1 A .
.YOUR HOME ADDRESS:
BU INESS �� r �; '
(5,>3) -Ir NS i o ZL, - •
TELEPHONE Telephone Number Homes _ 1 O Z2.
r NAME OF.NEW BUSINESS COtoP, W<DA K,!�) A-NT%,nQ TYPE OF BUSINESS A vy ► '� �— e10 0r'I
IS THIS A HOME OCCUPATION? YES �NO
Have you been given approval frp the building divi ion? YES NO: r.
ADDRESS OF BUSINESS ! LQ r/12 v)15 MAP/PARCEL NUMBER
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining.the information you may need. Once you.have obtained the required signatures, listed
below,you may apply for a business certificate at-the Town Clerk's Office (Ist floor-Town-Hall). You MUST go to the following office to make sure you
have all the required permits and.licenses., y ,
GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) and you will find the-following offices: Y'
1. BUILDINMISSIO. ER'S OFFThis individuanf ed of an i requi ments that pertain to this type of business:
A th ed Signat e*
COMMENTS:
2. BOARD OF HEALTH
This individual has been informed -of thepermit requirements that pertain to this type of business.
} Authorized Signature**"
- COMMENTS:
3. CONSUMER AFFAIRS [LICENSING A HOR TY]
This individual has��n infor ,roof he i si a ui ements that pertain to this type of business
horized Signature** r.
COMMENTS:
Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town(which you,must do by M.G.L.
-it does not give you permission to operate-you must get that through completion of the processes from the various departments involved.
**SIGNIFIES APPROVAL FORA BUSINESS CERTIFICATE ONLY.
Parcel Detail, i Page 1 of 3
ARN
MASS
w.
e
Logged In As: Parcel Detail
Thursday,June 30 2011
Debi Barrows
Parcel Lookup
Parcel Info
Parcel ID -186 I. Developeer
251 (LOT 57
Location 17 KITSY LANE Pri Frontage 140Sec
Sec Road OLD STRAWBERRY HILL ROAD I Frontage 76 I
Village JHYANNIS I Fire District I HYANNIS
Sewer Acct F Road Index �845
Asbuilt Septic Scan Interactive
ive
map .14
Owner Info
Owner IPEREIRA, DABSON C& I Co-Owner rDACRUZ, DEBORA M
Streetl 7 KITSY LANE I Street2
City HYANNIS State MA zip Fi02601L country F J
-w Land Info
Acres 0.41 use Single Fam MDL-01 I zoning RC-1 IVghbd 0105�^
Topography Level Road Paved �)
Utilities IPublic Water,Gas,Septic I Location _ I
Construction Info
Building 1 of 1
Year 1972 I Roof able/Hip I Wood Shingle I
Built Struct Wall all
Living i 092 I Roof SAS h/F GIs/Cm AC None I
k
Area Cover; p p I Type- 2
$
Bed
Style Raised Ranch I wali Drywall i Rooms BedroomsI .
Model Residential I ) Bath,lull
Floor I Rooms
Grade Average Minus Total
I Type Heat Hot Water I Rooms 16 Rooms
Stories 1 Story Heat Fuel Gas I Found ation Poured Conc.
I
Gross�2
Area340
Permit History
Issue Date Purpose Permit# Amount Insp Date Comments
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18531 6/30/2011
Parcel Detail Page 2 of 3
Visit History
Date Who Purpose
01/26/2004 00:00:00 Paul Talbot Meas/Est
01/12/2001 00:00:00 Paul Talbot Meas/Listed-Interior Access
06/15/1990 00:00:00 ME
Sales History
Line Sale Date Owner Book/Page Sale Price
1 09/03/2003 PEREIRA, DABSON C& C170421 $265,000
2 SCHULTZ,WILLIAM F C80225 $0
Assessment
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2011 $110,000 $10,800 $0 $107,300 $228,100
2 2010 $109,900 $10,800 $0 $107,300 $228,000
3 2009 $130,300 $13,600 $0 $144,200 $288,100
4 2008 $117,300 $13,600 $0 $150,300 $281,200
6 2007 $116,600 $13,600 $0 $150,300 $280,500
7 2006 $105,100 $13,600 $0 $153,800 $272,500
8 2005 $99,400 $13,500 $0 $139,600 $252,500
9 2004 $80,600 $13,500 $0 $160,500 $254,600
10 2003 $73,000 $13,500 $0 $42,800 $129,300
11 2002 $73,000 $13,500 $0 $42,800 $129,300
12 2001 $73,000 $13,500 $0 $42,800 $129,300
13 2000 $54,200 $11,500 $0 $28,400 $94,100
14 1999 $54,200 $11,500 $0 $28,400 $94,100
15 1998 $54,200 $12,300 $0 $28,400 $94,900
16 1997 $61,500 $0 $0 $28,400 $89,900
17 1996 $61,500 $0 $0 $28,400 $89,900
18 1995 $61,500 $0 $0 $28,400 $89,900
19 1994 $59,100 $0 $0 $31,900 $91,000
20 1993 $59,100 $0 $0 $31,900 $91,000
21 1992 $67,200 $0 $0 $35,500 $102,700
22 1991 $89,200 $0 $0 $49,700 $138,900
23 1990 $89,200 $0 $0 $49,700 $138,900
24 1989 $89,200 $0 $0 $49,700 $138,900
25 1988 $60,600 $0 $0 $22,400 $83,000
26 1987 $60,600 $0 $0 $22,400 $83,000
27 1 1986 1 $60,600 $0 $0 $22,400 $83,000
Photos
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18531 6/30/2011
Parcel Detail Page 3 of 3
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may•+_ a�-1- IV
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http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18531 6/30/2011