HomeMy WebLinkAbout0147 LAFRANCE AVENUE I �7 L ez-
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Town of Barnstable 30q
F� Erpires 6 inond ronr issue date -
+
Regulatory Services Fee
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+ BAMSTABLE, '
9� MASS Thomas F. Geiler,Director -PRESS MIT
Al fD AAPy A _
Building Division 6
Tom Perry, CBO, Building Commissioner �� ! ��fi
200 Main Street, Hyannis, MA 02601 TOWN OF BARNSTABLE
www.town.barnstable.ma,us
Office: 508-862-4038 Fax: 508-790-6230
. EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address l LC` rav�C� Li�nn�
rv[vf Residential Value of Work ��d 0 Minimum fee ofS3S.00 for work underS6000.00
Owner's Name &Address
Contractor's Name j�C�G�rh �e1G'ner Telephone Number 413 -53 9 _14U I
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if-applica.ble)- /6 y.Z Z
❑Workman's Compensation Insurance
Che k one:
LJ 1 am a sole proprietor ..
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
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
Re-roof(not stripping. doing over existing layers of roof),
Re-side
#of doors
[ Replacement Windows/doors/sliders.U-Value o.3 . (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 Or `Home Improvement Contractors License& Construction Supervisors License is
required:
SIGNATURE: -
Office of Consumer Affairs and usiness Regulation
10 Park Plaza- Suite 5170
Boston, Massachusetts 021.16
Home Improvement Contractor Registration
- Registration: 167231
1 Type: Individual
Expiration: 8/23/2012 Tr# 202481
ADAM BELCHER
ADAM BELCHERf
P.O. BOX 1354 r t'
NORTHAMPTON, MA 01061 � ljjp
A r,.. -
Update Address and return card.Mark reason for change.
El Address [:],Renewal Employment Lost Card •
DPS-CA1 Ca 5OM-04/04-G101216
. Office oto�ume� �ir� ine`ss`llegutah - License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration 167231 Type: Office of Consumer Affairs and Business Regulation
Expiration 8/23l2012 . Individual 10 Park Plaza-Suite 5170
Boston,MA 02116
A BELCHERr1n! '
ADAM BELCHER ,, tr !
122 STATE ST APT-1
NORTHAMPTON,MA-'.010W Undersecretary Not v d without signature
y e
>` N9aSsuchu,ctt.- Dcirutmcnt A Puhlic SAGO
�. Board of Buildin', Regulations Mid Stan(lur(Is
Construction Supervisor License
License: CS 1042210.;!
i
,
ADAM BELCHER
PO BOX 1354 r�`
NORTHAMPTON, MA 01061 �k
Expiration: 10/7/2013 i
- ("unimi•.iuncr
Tr#:,104221 l
C1 _
The Commonwealth of Massachusetts
>; 1 Department of Industrial Accidents
Office of Investigations
600 Washington Street
' Boston, AM 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Build ers/Contractors/Elecfricians/Plumbers
Applicant Information Please Print Lej4ibly
Name (Business/OrganizatiorAndividual): &Ic e.
Address: /C
City/State/Zip: /(or1 k.A122,ntv 1 /VlI + 0/66/ Phone #: �/13 S'
Are you an employer?Check the appropriate box: Type of project(required):
1,01 am a employer with 4. ❑ I am a general contractor and,I
- 6: ❑New construction
employees(full and/or part-time).,*. have hired the sub-contractors
2.2`1 am a sole proprietor or partner- listed on the attached sheet.$ ?: [Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance.. g. ❑Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
officers have exercised their ]0.❑Electrical.repairs or additions
required.] of
3.❑ I am a homeowner doing all:work , right of exemption per MGL 11.❑Plumbing repairs or additions
myself. [No workers'comp. c. 152, §1(4), and we have no 12:❑ Roof,repairs
insurance required.] t employees. [No workers'
comp. insurance required.) 13:❑Other
*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 their workers'comp.policy information.
I am an employer that is providing worker's'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 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 may.be forwarded to the Office-of
.Investigations of the DIA for insurance coverage verification.
I do hereby certify and the pains and pendliies of perjury that the information provided above is true'and correct.
Signature: Date: It
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 S.Plumbing Inspector
6.Other
l
Information and Instructions
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-contractor(s)name(s),address(es)and phone number(s)along with their certificates)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 Tequired. 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 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 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 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revicerl 5-2fi-(15
.. -.'{..
n
ti e
z ro Town oaf Barn-staljle
Regulatory Services A
BARNSTABL
v MAW. g Thomas F. Geiler,Director`
��o i. Building}Division
Tom Perry,`Building Comrnissioner "
200 Main Street,'.Hyannis,MA"02601 ,
www.town.barnstable.ma,us=.
Office: 508-862-4038
Fax: 508-790-6230
Property Ownelr N1us t*
Complete°arid Sign This 'Section
rf Usm ABurlder r
I, � nc5(1 �:U LC` as Owner of the sub ect ro e
7 p p rt5'
hereby authorizev-� CSr1 to act on my behalf, tH
N
in all matters relative to Work authorized"by this binding pemut appliCation'for
s
'��'��-I Ica-��ur�� '�V`-� �Qr��t � -a--�'►� oa�01
_ e
(Address ofjob)
Signature of I
er, Date
pnnt'Name
hr
>i
Jf Property Owner is applying for permit please complete the
Homeowners-License,Exemption Form.,on,the reverse side `,`. �s
3
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,
Town of Barnstable
ofT�.t�yc Regulatory Services
RARNs-rABLr; Thomas F. Geiler,Director
MAss.
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis, Na 02601
www.town-barnstable.ma.us i
Cfftce: 509-862-4038 . Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Pleise Print
i
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.
DEFT MON OF EOATFOWNER
Persons) 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 constrgcts more than one home in a two-year period shall not be considered a bo=owner. 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,be/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 .
Notc: 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.homcowner performing work for which a building perrrvt is rcquircd shall be exempt from the provisions
Of this section.(Section 1 o9.1.l -Licensing of construction Superyisors);proyidcd that if the homeowner engages.a persons)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homcowncrs who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawarcness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this ease,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Superyisor is ultimately responsible_
To ensure that the homeowner is fully awarc of his/her r<sponsbilitics,many communities require,as part of the permit application,
that the homeov✓ner certify that hdshc understands the respons-bilitics of a Superyisor. On the last page of this issue is a_form currently used by
several towns. You may care t amend and adopt such a forTn/ccrtifieation for use in your community.
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates cost $30.00 for.4 years. A Business Certificate ONLY REGISTERS YOUR NAME in
town (which you must do by IVI.G.L. - it does not give you permission to operate.) Business Certificates are available;at tho Town
Clerk's Office, V' FL., 367 Main Street, Hyannis, MA 02.601 (Towt7 Hai ) and 200 Main Street Offices at the Licensing counter.
DATE:
i+ c' Fill in please:
k2,3 APPLICANT'S YOUR NAME:
f
BUSINESS YOUR HOME ADDRESS: l4 l,fl t� 1'� i�CE y L
r :L �08680��4� �IyaNN I S D
TELEPHONE # Home Telephone Number: �SQ& 6�Q o`�--I Iq �
NAME OF NEW BUSINESS N i'� C f1 -P t JTG TYPE OF BUSINESS),
IS THIS A HOME OCCUPATION? YES NO
Have you been giverR approval from the building division? YES _ NO
ADDRESS OF BUSINESS I LI � LA PQ IA d\J C = (\J E 4 I- N N t 3 14 A MAP/PARCEL NUMBER a�U
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 C MIS TONER'S OFFI
This indivi ual' s een inf r®red
y permit requirements that pertain to t i f Hess.
U �-Y WITH HOME OCCUPATION
ON ".
,Authorize i a re** RULES.AND REGULATIONS. FAILURE TO
- COMMENTS: COMPLY MAY RESULT IN FINES.
t`
-2
2. BOARD OF HEALTH
This individual has been ' ed�fther requirements that pertain to this type of business.
Auth rized Signat re**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORI�)
This individual h s%b en infor ed of the 1 e�hsi g requirements that pertain to this type of business.
Authorized- Signature**
COMMENTS:
Town of Barnstable
:. Regulatory Services
�tNE ip�
�1•o Thomas F.Geiler,Director
r +
Building Division
t RUMSfABM • -
v MAes. g Tom Perry,Building Commissioner
1639. 1m
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: ZS—
Permit#:
HOME OCCUPATION REGISTRATION
Date L1
Name: V E \ C Po C-H Phone#: '50� r0 80 C�l `1
n
Address: R�.j C U Village: R N W 1 S
Name of Business:—
Type of Business: . C P\ { Map/Lot:�t
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 nornial residential volumes;
and no increase in air or groundwater pollution.
After registration Arith the Builduig Inspector,a customary home occupation shall be permitted as of right subject to the
followuig conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located ra ithirn
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 buildungs,'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 fl•m�mable or explosive materials,ui 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,«thin the required front yard.
• There is no exterior storage or,display of materials or equipment.
• 'I'Inere are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot contaunung 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
di,velling unit.
I,the undersigned,have read and agree abloverestrictions for my home occupation I vn registering.
CVVV� Q
Applicant: ,�_. Date.: �c�. d u•; .
Homeoc•.doc Rev.01/3/08
[ ] [R270' 175 . ]
LOC] 014 7 LAFRANCE AVENUE CTY] 0 7 TDS] 400 HY KEY] 178159
----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0
GARRISON, DANNY L TRS MAP] AREA] 50AC JV] MTG] 0000
RCC NOMINEE TRUST SP1] SP21 SP31
4746 EWING RD UT11 UT21 . 19 SQ FT] 1080
CASTRO VALLEY CA 94546 AYB11971 EYB11975 OBS] CONST]
0000 LAND 24000 IMP 52200 OTHER
----LEGAL DESCRIPTION---- TRUE MKT 76200 REA CLASSIFIED
##LAND 1 24 , 000 ASD LND 24000 ASD IMP 52200 ASD OTH
#BLDG(S) -CARD-1 1 52 , 200 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#HN 147 TAX EXEMPT
#SN LAFRANCE AVE HYANNIS RESIDENT'L 76200 76200 76200
#RR 0851 0085 OPEN SPACE
COMMERCIAL
INDUSTRIAL
EXEMPTIONS
SALE] 05/91 PRICE] 45000 ORB] 7546/304 AFD] I L
LAST ACTIVITY] 08/07/95 PCR] Y
R270 175 . lop P R A I S A L D A T A!_ KEY 178159
GARRISON, DANNY L TRS
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB
24 , 000 52, 200 1 A-COST 76, 200
B-MKT 64, 200
BY 00/ BY ML 10/90 C-INCOME
PCA=1011 PCS=00 SIZE= 1080 JUST-VAL 76, 200
LEV=400 CONST-C 0
----COMPARISON TO CONTROL AREA 50AC -- TREND EXCEEDS STANDARD
NEIGHBORHOOD 50AC HYANNIS
PARCEL CONTROL AREA TREND STANDARD
101 10 LAND-TYPE
240001 102000 LAND-MEAN -760
762001 75048 IMPROVED-MEAN -300 250
] FRONT-FT
] 100 DEPTH/ACRES TABLE 02
1001 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 [?]
R270 175 . • P E R M I T [PMT] ACTI0R] CARD [000] KEY 178159
000000001
PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT
is
,
F
ROPEFltTV ADDRESS ZONING (DISTRICT CODE SP: DISTS.I DATE PRINTED(CSTATE LASS I PCS I NBHD ip s KEY NO.
0147<, r.LAFRANCE .AVENUE . 07 RS 400 07HY. .07/09/-95 1011 00, 50AC. R270 . 17.5.
t + -LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS ADJ�D.UNIT ' ' _ _ 1 7
'�L cl By/Date Size Dimension Y UNIT. ,
w _ 5
*+a" j, "�""<"'I CD. FF-Oelh/Acres LOC./YR.SPEC:CLASS ADJ. COND. ,P f 'PRICE " 'PRICEb '� NACRES/UNITS ," VALUE:.. Aiptin
tD bARRISONim;ANNY L"`'OR$ =' .- A=,-:.MAP
24. 0 0 A�OU
10 1.8LOG.SIT'-1 �X, .1 -100 316 39999 9, .1.26399 98s 1,9 .",.:24000 #eLDGtB)-CARD.-_1 '1 r- 52.200 •t CARDS
01 t
q
HS.,1 1. U T X C 100 _ 6000.00 r 6000.001:D0 6000.8 #SN 'LAFRANCE AVE HYANNIS`'., AR�cET <}64200`
N PLACE' U" X`. " C- 100 3100.00 310000 1 0.0 3100,.8 #RR ,0851 0085 D ram; NCOME'/
pnh:'
e
A- - :r - 3 E w
p - y PPR ,I _ ALUE
D . _ > _ _ — _. _ Aw 6200".
q�aU' _ ARCEL SUMMARY
AND 624000 4
LDGSS' . `52200'
—IMPS
M' OTAL ' 76200
F E CNST'
i. .
� ,-;- - DEED REFERENCI T DATE R�r RIOR' YEAR-:'-VAL'UE.--
dd
q Ty y - - _ Book : p� Inse Mo: - rr.p .S.a,Prk. AND,-, 24000:..
L. Sy D G S2200
2954/303: b0/00 rOTAL __•76200"
I
BUILDING PERMIT
- Number Dale Typo Arr I
LAND LAND-ADJ INCOME SE SP-BLDS „ FEATURES BLD-AOJS- UNITS
240D0 9100
-Co i Total r B l Norm. Obsv. -
a Class UniIs Unils Base Rate _ Adj.Rate A I Age Dept. Contl. CND. LOC %R.O. 'RBPI Cost New Atl,.Repl Value $tgiea H"hl ROoma Rma .-.a (Fla. Partywall Fac.
000 100. 100 59.40 59.40 .. 71 75,19 80. .90 70 . 74638. 522004 1.0 6 3 1.1 ' 6:0 `
IF
esaipt n Rate - Square Feet Repl.Cost MKT.INDEX: 14.00IMP.BY/DATE: -•ML i 10/90,•- w SCALE � 1ID D 74i ELEMENTS CODE. <-CONSTRUCTION DETAIL100 59.40. 1080 64152 'Ps 55 5.50 252- 1386 *=---- - . AT
18-----* N: TYLE 03 NCH 0.0
•. ! FMP ! �< .. �, ESI�a'ADJ-MT- �0 ----------- -----0_0
• :,'� - ALLS" Tf OOQ=SAI:NGCES -.D D .
0 14: 14 ACa E -07 AV=BO'1 �-NATYW U:-Q
E ATr
NTER fITdY$H U4 R
NT.EK.CAYQOT- '17 VFR:7MTFiMAL D:D w
J *-----18-----*--45- -r-= ---- -* . NTER:QUA-CTY'. UZ AWE-A"S- EXTEW:--D.O
CODR-IT UZ D--JOIST/BEAM(---D_ Q
4 ! E LODIi-COVER-- Ui' AR-6A0DV---------U.-O
ED ! OOf:"TYPF---- UT ABLE-ATRH-SN---D�Q
Total Areas Aaa- 25 2 Base. 1 O8 0 "
�' BUILDING DIMENSIONS ! : CECTRICAt ITT V�ffA GE- D.0
T BAS,W45 N24 FMP N14 E18 S14.W18 24 BASE 24 OU]`[VATIDN-_.- Ut DU7fED- CQAC -9TT.
A... BAS: E45•S24 .. -------- --- --- ----------------------
WEIGHSORR ZT6' 5DAC-HYJiNRI�-------
L _
45=-----=- Xx
LAND TOTAL MARKET
P,AR C 24000 t
762A0
----- -- AREA` ' 102000 657.
'VARIANCE 76. +1µ1497
,,..at•C a .N.s / t :- a„ ..�_'r i . r.a..,m t ... - _
S T A N.D A R D �..
r
_L:.:.a-----3��^ :. ..._. --..,_--,..--.-�:-_.�..-.�,..:�.,..,:.- .�...—__.... .. _-.:-� - - __-,� t, ���'_cl:.®r..®"x...�.•..�t-"3:._... _ h;:�a3.tea,.....:.....-..:.s....•.,...:,.__ a ._._,._-,.._„ e..,.r` ... _ - •_-� t��.- �'1
RESIDENTIAL PROPERTY { ",_'
MAP NO. LOT NO. FIRE DISTRICT SUMMARY
STREE147 FIRE Avenue ,
Hywulis 7-3 LAND y p U
270 11q H BLDGS. 1.9 IQ S'
OWNER TOTAL a 3 ,y iU
RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot 29 LAND
01 BLDGS.
4 ^ TOTAL
--11 20 • 0 -14 1
LAND
Ac
-at 3.: . !--- BLDGS.
J y 0 o, TOTAL
• Dean LAND
Lopes, Donna M. 7-20-79 2954 303 33 9 . BLDGS.
Alm TOTAL
V Al 0 3-6d LAND
BLDGS.
^ TOTAL
LAND
BLDGS.
TOTAL
i LAND
BLDGS.
TOTAL
'LAND
-77
INTERIOR INSPECTED: / /r� s ,C OTa f rn
p( l J BLDGS.
PiI2. � , TOTAL s.
DATE: ///! /'7 r. LAND
( ACREAGE COMPUTATIONS BLDGS.aj
h
LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE ^ TOTAL
HOIJAE LOT Nw 7° 4510 0 y 0 Y LAND
C b FRONT Ol BLDGS. f,
REAR ^ TOTAL
WOODS&SPROUT FRONT LAND
REAR
BLDGS.
of _
WASTE FRONT TOTAL n
REAR LAND
BLDGS.
^ TOTAL
LAND
D ODO C7 U BLDGS.
I LOT COMPUTATIONS LAND FACTORS ^ TOTAL
FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND
BLDGS.
`q -�
s ROUGH TOWN WATER pl t
HIGH GRAVEL RD. TOTAL
LOW DIRT RD. LAND
SWAMPY NO RD. BLDGS.
TOTAL s
cunt. Blk.Walls Bsmt.Rec. Room St. Shower Bath Bsmt. �.�7�,'4,-,
Bsmt.Garage PURCH. DATE
.'onc. Slab g St. Shower Ext. Walls . "
_ PURCH. PRICE. 1
:crick Walls Attic Fl.,&Stairs Toilet Room
Roof RENT
:;wne Walls Fin.Attic Two Fixt. Bath Floors
` *
p,ere INTERIOR FINISH Lavatory Extra ,.� a
i 2 3 l�<.c."J f /
iiomt. F Sink
Attic tj
;; r/2 A Plaster Water Clo.Extra t ,- j
EXTERIOR WALLS Knotty Pine Water Only
Houhle Siding - Plywood No Plumbing Bsmt.Fin. 4.
}
Single Siding Plasterboard Int. Fin. - r(
Shingles TILING t2. •,F!
G F P Bath Fl. Heat ;
F
Face Brk On Int.Layout 7 Bath .&Wains. Auto Ht.Unit f V '$$
Veneer Int.Cond. Bath Fl.&Walls Fireplace Q S
ter'8 i
HEATING
I'nm. Brk.On Toilet Rm.FL ,�.'a�t
_ Plumbing . 5�
Solid Com.Brk. Hot Air Toilet'Rm.Fl.&Wains. vq
— — jToltal
ng �' Jr f c4
Steam Toilet Rm.Fl.&Walls
t!1
/
(ilanket Ins. Hot Water -(l2, St. Shower
hoof In Air Cond. Tub Area ¢ lyk
Floor Furn.
EFLY
Yn
ROOFING• COMPUTATIONS
Asph. Shingle Pipeless Furn. /p S.F. D 9 O iN.
Wood Shingle No Heat S.F.
Asbs.Shingle Oil Burner S.F. rF
Slate Coal Stoker S.F. S
lire Gas S F OUTBUILDINGS x,
ROOF TYPE Electric 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 819 10 MEASURED
S.F. 4#
Cable .Flat
nip Mansard FIREPLACES S.F. Pier Found. Floor
.;ambrel - Fireplace Stack Wall Found. 0.H.Door LISTED.j,
FLOORS Fireplace Sgle.Sdg. Roll Roofing -
Conc. LIGHTING Dble.Sdg. Shingle Roof
Earth No Elect. DATE
_ Shingle Walls Plumbing
Pine _ Cement Bilk. Electric
Hardwood ROOMS
Brick P ICED_ r
Asph.Tile Bsmt.'' 1st yr� TOTAL 20
Int.Finish
Single 2nd 13rd FACTOR - /qO 14 br � �((
-- REPLACEMENT
OC PANCY CONSTRUCTION SIZE - AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL.+„��,,,• .x'
DWLG. ,
t
2
3
4
10
----. a TOTAL #1-44.r�t
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BARNSTABLE
•— HOUSING AUT�ITY
LEASED HOUSING DEPARTM 71' TELEPHONE(508)771-7292
146 SOUTH STREET•HYANNIS MA'02601 97 —7 G /
ZONING VERIFICATION
TO: Barnstable Building Inspector
F
FROM: Leila R. Bruce, PHM, Leased Housing Coordinator
RE: Uerifying legal rental unit
Date: /,Z _ 96
DRAFT
Address: "71 'x,
Village:
Unit type: Bedroom size:
The owner of the aboue listed property is entering into a contract
with us for the rental of the property as listed aboue.
Please uerify by signing below that the unit is legal and meets all
zoning requirements for a rental in the town of Barnstable. If it does
not, please list reason here:
Thank you for our assistance in this matter.
Signature Print name
Date
MRVP Section 8