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HomeMy WebLinkAbout0029 MARK LANE E � �..,_� �� �, i i LkA m��es h �ry, i o-vss► bCL,. 106 4Fv cz br-itrne,T 1 t ss LA e.& n-,r�s 1 A t s b l'S',� ro Ac, Town of Barnstable RECEIPT; KASS 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-3985 Date Recieved: -11/15/2017 Job Location: 29 MARK LANE,HYANNIS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: BRIAN D DENNISON State Lic. No: CS-095707 Address: Charlton, MA 01507 Applicant Phone: (401) 714-6399 (Home)Owner's Name: SYLVESTRE,JACQUES&VIERGELA Phone: (508)771-4562 (Home)Owner's Address: 29 MARK LN, HYANNIS, MA 02601 Work Description: INSTALL( 16)REPLACEMENT WINDOWS NO STRUCTURAL C Total Value Of Work To Be Performed: $27 234.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. 1 hereby certify that I am the owner of the property which is-the subject-of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: BRIAN DENNISON 11/15/2017' (401)714-6399 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $27,234.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $138.89 11/15/2017 $138 89 XXXX XXXX-XXXX-, Credit Card `. ..... ._. .....- t ......... i............. 7... ..................i.......................................................................... . Total Permit Fee Paid: $138.89 T� f - 7-10 x J �67 f- re- S 6F S l 74�- V l S (7� - S � - y -DTIE- 5 Pam- .. 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NA .,ieAvl #, {{ HIS AMV �V' ' w JvgiURI 0Z .3 f " too on: ; .. allyfif gin Yi .r i dyd „ �' g. LAM IVY.y� '� y , Oro M QUA* ` s :ar v xd a Tq m SLIM -swims Mu WE W1, lit 71 TIN v r 29 Mark Ln, Hyannis 8/14/08 29 Mark Ln, Hyannis 8/14/08 I ' � ,sw� a vW°rq,� #m* �'° S',ai�' sN�s.; �.w_S ,s �v• , nS W f d^ dR. k r w op �' m S1 _$ e*s.. r� � a�: � } a +ro ,�+ 1R d3 } a�fi°•� .51'�'A n ' t '��4'm`�A�� � d 'm x; ,,...,ys.a �;rw:� "�F� +y�°�x !! f"x �tf'P r°v�✓C x a9 �.s9�,� ar'S= . . �mH ..a � . -fit q Y 9 29 Mark Ln, Hyannis 8/14/08 Aqb tt l4A ..E'4 W 10 p Al � & r` m .�;z-7' �.t� w; tw WIWI �• �� c� � "�� ar•� ` � ,�� ,� �� sue, ,� 29 Mark -Ln,, Hyannis 8/14/08. oFVE T Town-of Barnstable Regulatory.Services BARNM'BLE, ' y MAss. g Thomas F. Geiler, Director . �A 039. �0 lFDMA�a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 19, 2008 Jacques Sylvestre 29 Mark Ln. Hyannis, MA 02601 RE: EXIT ORDER 29 Mark Ln. Map: 289 Parcel: 146 Dear Property Owner/Occupant: This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 9304.7 you are notified that the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be - subject to criminal prosecution. A building permit is required to bring the property into compliance and must be applied for by September 2, 2007. You may call this office at (508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, r L. Lauzon Local Inspector Q:zoning5 1_ �L,7_ o I ..,.Y{-,.i^,.a•.J,r"W�¢srw'7�:�`PY..e'.c `xw'"!k'+ f,' +�'.k'�;�:z-ram :- n 1 + ✓z,.1i ' S.+' ,r"� ! .iw�lm+��' rg^•�`r+'Frsrd' OFTNE r°w Town of B�arnstable BARNSTABLE.p`. ,., 1ZegUlatory Services.:.. . Building Division pTfO MPy a. .. 200 Main Street,Hyannis;`MA 02601 Office: 508-8624038 Fax: 508-790-6230 r Inspection Correction Notice Type' of Inspection Location HAkk L.-A qiq7 PermitNumber Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �c a C ( ►� AMP LV 1=6�- 5,0(1 (L u ib 2 ot)64 S -- C Dk tt C a u N 7 /U 5 &_7 P r ram:-- ►�. �r C= PZ ►fir F—= Please call: 508-862-40 8 for re-inspection. Inspected by Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ® Oil -� Map >. Parcel_.; ` �(' p tion # � .A plica Health Division "Date Issued ;. Conservation Divis on rAppl cation Fee d Planning Dept: -:Permit FeeF O' - Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address g9. zgii ' 'q 21Q f Village Owner_P due 5/ 1,0s,&e Address Telephone Permit=Request Square feet: 1 St floor: existing proposed 2'nd floor: existing proposed Total new Zoning District Flood Plain Groundwater;Overlay Project Valuation Construction Type �C Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .p 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 p g Existing wood/coal stye: 4-Yes ❑ No Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: U xisting U new size_ Q Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Others CD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CD M Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER Name S S s Telephone Number Address 21 ha»P License # •b9 f Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Gt ,, I - DATE C2 O� 7 R FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER- DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �i GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f t 1 q f _ �r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): > Address: q. �v�P l-�yaln�llln T Q City/State/Zip: " Phone.#: 5- Are you an employer? Check the appropriate box: Type`of project(required): 1.❑ tam a employer with 4. ❑ I am a general_contractor.and I employees(full and/or part- me),* have hired the sub-contractors 6. El New construction .2.❑ I am a sole proprietor or.partner-' listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have g, [Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or.additions 3. I am a homeowner doing all work officers have exercised,their 11.❑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#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. 1Contractors that check this box must attached an additional sheet showing the name of.the sub-contractors and state whether or not those entities have employees.. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 maybe 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 information provided above is true and correct Si mature: , Date: OO -Phone 4: L fficial use only. Do.not write in this area,to be completed by city or town offcciaL ity or Town: Permit/License# suing Authority(circle one): Board of Health 2.Building Department3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Other ontact Person: Phone#: Information and Instructions A 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 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 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 Washin9rtQn Street Boston, MA 02111 Tel. #617-727-4900 ext 406 ar 1-877-MASSAFE Fax#617-727-T74 Revised 11-22-06 www.mass.govldia Op%HErp� Town of Barnstable Regulatory Services BARNM SrAB Thomas F.Geiler,Director MASS. 1639. "`0�* Building Division rfD �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 J vt"town.barnstoble.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION cc�� � �1 Please Print DATE: D/ /i/ �Z 9 JOB LOCATION:�TI a,141L 449"7P number treet - village ,.HOMEOWNER": /TG�CGI z_5 5U/(&.5. /L ame �— home ph6ne# work phone# CURRENT MAILING ADDRESS: T_ �� 17 ct town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingpermit. (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. Slinatbre o Homeowner �— Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly. when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,. that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently.used by " several towns. You may care t amend and adopt such a fom✓certification for use in your community. Q:forms:homeexempt r SHera,, Town of Barnstable • r Regulatory Services RMWr a S S.M a Thomas F.Geiler,Director 16.19. 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 I, '--rac 't:c 55 V&1r,51ge , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) r-- a s o -6 o S5gnaturd of Owner Date Pnnt.Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form.on the reverse side. QTORMS:O WNERPERM ISSION I _ S ri a . , s F , r , a • , 4w Y µ ,� • �� .,w .�� �. ��, " � • • !. �` _� ? �� S � /^ 1.r -� ss V'\ x �6 V � - � .. . / � r q t, � 1 } f Town of Barnstable Regulatory Services * BAMSrasLe, 9 MAS g Thomas F.Geiler,Director �Fo�,,prA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 -October 23, 2008 Mr. Jacques Sylvester 29 Marks Lane Hyannis, MA 02601 RE: Illegal Apartments: 29 Marks Lane Hyannis NIA 02601 - Map 289 Parcel 146 Dear Property Owner, This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-1.1. You must contact this office by November 22, 2008 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter This property must be restored to a single family home. . By Order; ell a Edson Amnesty Apartment Investigator Building Department Qzoning5 Town of Barnstable BARNWABLE. * Regulatory Services v`bA 10� Thomas F. Geiler,Director EED MA'S p Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 August 20, 2008 Mr. Jacques Sylvestre 29 Marks Lane Hyannis, MA 02601 Illegal Apartment: 20 Marks Lane Hyannis , MA 02601 Map: 289 Parcel: 146 Our records indicate that your house at the above-referenced location is currently being used for more multi-family units than allowed, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either • Apply for a building permit to restore the property to a single-family home • Apply to the Amnesty Program • Prove that this.is a legal multi-family home. Please contact this.office immediately to tell us what direction you wish to take. Linda Edson Amnesty Apartment Investigator Building Department gforms:zoning3 Parcel Detail Page 1 of 3 z THE p . ,, S,IAhTAI�LE �.. w A�11 Logged In As: Parcel Detail Wednesday, Augu Parcel Lookup Parcel Info Parcel ID 289-146 I Developer LOT 2 Location 129 MARK LANE I Pri Frontage 101 Sec Road I Sec Frontage Village HYANNIS I Fire District JHYANNIS Sewer Acct I Road Index 0980 Asbuilt Septic Scan: Interactive 289146_1 Map ' 3 d L Owner Info Owner I SYLVESTRE, JACQUES & Co-owner ISYLVESTRE, VIERGELA Streetl 129 MARK LN I Street2 city HYANNIS I state MA zip 02601 Country 1.L—S Land Info Acres 10.23 Use Single Fam MDL-01 ( zoning RB rvghbd 0105 Topography Level I Road Paved Utilities Public Water,Gas,Septic I Location Construction Info Building 1 of 1 Year 11972 I Roof Gable/Hip I Ext Wood Shingle Built I Struct Wall Effect 1955 I Roof Asph/F GIs/Cmp I AC None ( ' Area cover Type style Icape Cod I Wall Int Drywall I Bed Rooms 4 Bedrooms Model I Residential I Rooms 2 FUiI I Floor f Grade Average I Heat Hot Water ' I Total 8 Rooms Type Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22156 8/20/2008 Parcel Detail Page 2 of 3 a .xIs #.:a Heat Found- --' r »�. Stories 1 1/2 Stories Gas Fuel ation Poured Conc. : . ., gg BMi 4 'a Permit History Issue Date Purpose Permit# Amount Insp Date Comme 03/31/2004 Finish Basement 75711 $25,000 10/15/2004 00:00:00, - Visit History Date Who Purpose 10/15/2004 00:00:00 Martin Flynn Meas/Est 10/10/2003 00:00:00 Gary Brennan Meas/Est 02/25/2002 00:00:00 Paul Talbot Meas/Listed-Interior Access 07/15/1988 00:00:00 ML Sales History Line Sale Date Owner Book/Page Sale P 1 04/09/2003 SYLVESTRE, JACQUES & 16716/32 2 12/15/1992 TOLCHINSKY, ELECTRA L 8383/046 3 TOLCHINSKY, JOHN M *DC 11155/321 4 TOLCHINSKY, JOHN M 1842/336 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2008 $170,500 $6,900 $0 $143,200 ; 3 2007 $197,900 $6,900 $0 $143,200 4 2006 _ $173,500 $6,900 $0 $142,600 5 2005 $158,200 $2,600 $0 $128,100 6 2004 $126,300 $2,600 $0 $108,900 7 2003 $112,300 $2,600 $0 $41,900 ; 8 2002 $112,300 $2,600 $0 $41,900 ; 9 2001 $112,300 $2,700 $0 $41,900 10 2000 $82,400 $2,500 $0 $31,100 ; 11 1999 $82,400 $2,500 $0 $31,100 ; 12 1998 $82,400 $2,500 $0 $31,100 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22156 8/20/2008 r Parcel Detail Page 3 of 3 13 1997 $75,800 . $0 $0 $31,100 14 1996 $75,800 $0 $0 $31,100 15 1995 $75,800 $0 $0 $31,100 16 1994 $74,200 $0 $0 $27,900 17 1993 $74,200 $Q $0 $27,900 18 1992 $84,500 $0 $0 $31,100 19 1991 $102,000 $0 $0 $43,500 20 1990 $102,000 $0 $0 $43,500 21 1989 $102,000 $0 $0 $43,500 22 1988 $79,800 $0 $0 $20,000 23 1987 $79,800 $0 $0 i $20,000 24 1986 $79,800 $0 $0 $20,000 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22156 d 8/20/2008 a �� " \ ` *•a. * ifP.''{+�.#�r�`�." � i '�t 3#*� Y3J� t+..�w+'e,"sar�t�a�r 'r'+�r ire-.. ��, a '., �". � • 1 t ems„ '.._ '�« n.',A, '�"' . - `1 }} i }i�a-q ►t re' { � �,�``''�� E;td•?��� � yam '���^:.Y e t` � r :'`y+,.:±.r 7,;r�*"�*""� �'��t'lr�•J 2 y�a,;. ��,����itt . !! x6 iyl r�.s Y; ♦� _�Y yy, � �� �Jf• r sye:h,a,,,,,,, a�"'i� .Crrr,/;y .e STR S*rr :fM.��,�`�.«.K b4. x'r t� � �� AY .1 �.;� •rr' �� * * ,}�v ! � re�� �L"fe ""�a.p"�v '.S,°� {' fY 1 # i t �� •94 � c,#�ra� � i"'°"' i"!�',,�rw}"'' �`�aa t:NI.�s.i'c�i}. ,t (+r#t`- # a^��:#� � et� � e+ ':A. i1.� �'�r �; Y 1. .y. ,`��"`•av rcy}Tw�,. q �� � �•.� � ;r� �i�'^�� � � M.� -r- .`�{�'�b.,S fir v s.�9, .a Aft p.i�`c'ie,..,,, i e er• °, a edS�tre{«� 'fib, a, � �. 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(�av x`�, ir } ',l_ � _ r4�.. �, �! #�,��.,,:.Y.�'�dltrr• r_ /// �'�,�"ti�f:�� ,,,1 �, w' .:r ��/< .,'.��+isJ 3, 'tea � �`�' •Y7 W r • ' , it r f g � V 7 , t l0 U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r�lap Parcel y Q� Permit# = lealth Divisioh 3 1h a, r r k, � ,Obate Issued 3 C Conservation Division 0 Tort Application' ;O�- . Tax Collector OB,y L�.�.r, �� �,/.3//O P ?!e Treasurer b 9EPTIC i4DOMPLIANCE- INSTALLED1N � Planning Dept. - i Date Definitive Plan Approved by Planning Board p ye VIIThP®p'TTITaL.E 5 P Historic-OKH Preservation/Hyannis q.6e_qaa -J On . 5 d t CaaQ Project Street Address 2—� Village. A, UIL VXo Owner Address Telephone Permit Request 12 o&I �� ° �. e—•� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiord Construction Type a Lot Size Grandfathered: ❑Yes ❑ No If'yes, attach supporting documentation. Dwelling Type: Single Family al_ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No . On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2— 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 0 Oil ❑ Electric ElOther Central Air: O Yes ❑No Fireplaces: Existing �_ New Existing wood/coal stove: 9les ❑ No Detached garage:�]existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: m existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ✓�L) �� Telephone Number Address License# Home Improvement Contractor# } Worker's Compensation# ALL CONSTRUCT S RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIG RE' DATE rr FOR OFFICIAL USE ONLY i >,>PEAMIT NO. .. , DATE ISSUED c MAP/PARCEL NO.• 4 � s ADDRESS -- ' VILLAGE F OWNER ' DATE OF INSPECTION: FOUNDATION `r 1 '. FRAME zy �.::.. , .INSULATION . ����td �/f��� �S/w►� � k j - 's FIREPLACE x ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING , uyol DATE CLOSED OUT''* ? ! ASSOCIATION PLAN NOl, i • The Commn vea�th'of Masd chuse. s , ndustriaTAccidents' DP n t oI arhn e 6Q0 Washington Street _ Boston;Mass.. 02111 Workers'..C m ensation. nsurance Affidavit-General Businesses FMIII 5 tyy �� •• / '•I+jM . .4.• . ••S'1 F,�J„�•�l- •t �filvws•S i ' address: y e work site iocatio>i ftzil address :' ; ' Basine5e: []Retail[]Restaurant/BaF/Eatiag Pstablisliment rietor and havd no one s a4 Antos etc. (� I ain•a sole drop []cg i [�Sal'ps tiding R:;al'Est e, etc.)' anY capacity. ' .vtrorking 'lo'ees full&' art time: E]I am an em to a %/% %/ %%/��///%%%/%%//////%/%///%/////%%////% /%an-ga markers' cemvensation for ray.eRl . t -oyees working on this Sob.,J: - "•: ; Z ,� 10 x0�ding t , : 1'• rt :�' ti ` M1t.' a.,r.,''• .: am ,��?,.��'p •' 't i •t.. y+ "T� t t.. 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"i;irs• ' :i�.;i,is'�1p:j�:+`'.`C.!i.r+ �L,;•,'..`••J4.•.•+• . t. .` a• ", t, r,•' ..t'' •'' 'a�'�} •j,'', .••a• '•.'• :'�O1�E.Yf:r• •. .....••` •.;.: :}''' I r:t1••i, 5:..:: ,i: • r• ,,,f .. Y1'• 1 t '� :'••w. ttr.. ��.�rt.•'J�' ia:.c: w':•.. �.�.i�;.:i�. . •:!�';y'r '�4. t. '' •� ' • ,• .•.' ..lrC••r.•it•,, {'t, . 4•I3 y.,1 •., ,.Y.; t' S•' ':y /G:C3 ' 'r:•:;•�f«}a'i,"°i: r;}�'••,• .•t f •\• .s; f. r L.••tt •• tr .�I:.t ,,f��^��L, •i:i t''S�.JttiM.t r;r',i^ M:1•'^'•t• :i'i:•.e.: { '>r•rF•',F4::3 ,;,"f.'t,;Q.� t�;p;' ,r. r:•ir sii. t1'4 i'LS•J.4, O'i3C:':}r'a. •J•'a•7i' t••, '' ^ ` -+ imposition of crimfnal�enaltira of a fine up to$1,500,00 andJor Fallnre to secure coverage as required under Section 2 A of MGL iH can lead to the imp ent as well as c}yrilpenalties�°the form of a STOP WORK OiDER and a find of$100.00 e'day against me, I'nnderatand that ovayeara imprvonm • copy of this statement maybe fonyaraed to the Office of Investigation of the DlAfor coverage verification. I erJury That the' 'arc provided above is true and corred I do hereby certify u ate Signature ti _ hone# :. .. • .•• ' Print name official we only do not mite in this area to be completed by city or town official . permftllicense# ❑Building Department []Licensing Board city or town: ❑Selectmen's Office [�cheA f immeaste response is rcquired ❑HealthDcpartmenf '[]Other phase#; '- contact person: (%fled Sept 2M3) , • Information and Insfxuctians Massachusetts General Laws' pter�i52 secfion 25 regiures all emgloyers to pYovi�Tworkexs' �s,j•tidn fcr'thelr•. loyees: . quoted'fromthe `lgw'•' an employee is.defined as every person xn the service of another under any contract o e'express or isriplied; oral or written. pioyer is defined as an individual,P'aiQrsI4, association, corporation or other legal entity, or any two or mgre of the foregoing engaged-in a joint enfierprise,and including the legal representatives of a deceased,employer, or the-receiver or artn:ershi association or other legal entity, employing employees. -Howevei•.the owner of a .truster,of an individual,p . P�. dwelling house havl'g.not'inore than three apartments and who resides therein, or fhe,occupant;of the:dwelling bolts a of another who orVPlbyspersbns to clo maintenance, construction or repair work on such dwelInig houae.csr on the grounds or b g app�tenant thereto;hall not because of such employmentbe'deemedtobe rd employer, t ,chapter.152 section 25 also'states that'every state or lbcal licensing•agency shall withhold the issuance or renewal t too operate a business or to construct buildings in the.ibrnmonwealth for any applicant who has Of a license or lierin? P not produced acceptable,evidenceof compliance with the 9nsbrance coverage rigigzed: Additionally;neithbr'the' cozz�a�v'ealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with tie insurance rbquirements of this chapter have been presented to the contracting authority: V FIR: Applicants Please thews' ensaiir a€fdavit completely,by checking the box that applies to your situation•.Please supply company name, address and phone numbers along with a certificate of insurance as all.affidavits maybe submitted to the Department'of Industrial Acaidents•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 pepartmentT 6� dustrial kccideAts. Should you have any questions reAardiri�the`I Iaw"or if you are requested, not the required to,obtain a workers.'•compensationpolicy,please call the Depar(znent at the niunber listed belogr. a , City or Towns affidavit is complete and.printed legibly. The Department has provided a space at 66 Bottom of the pleasebe sure that the affidavit for you to fill out in the event the Office of Investigations has to contact you xegarding the applicant Please be sure to fill et the pernnt�Heense number which wM b'e usecl as a reference number. The•affidavits maybe returned tQ maid •FAXuuless othei•'arrangementshavebeenmade• theDeparfinent V. °T, . .. The Office of Investigations would life to thanit you inadvance for you cooperation and should you have any questions, please do nothesitate to give us a•calL.. The Aep tines address,telephone and r. fax number. ' The Commonwealth Of Massachusetts 1)epartment-of Industrial Accacdents Dian in ii asupws 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 Town, of Barnstable Regulatory Services STA B Thomas F.Geiler,Director v s63& ,�' Building Division �pIFD Mp�k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Office. 508-862-4038 permit no. pate ' AFFIDAVIT MZNT CONTRACTOR SUPPLEMENT TG FEMUT APP CATIONw MGL c.147.A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, en removal,demolition, or construction of an addition to any pre-existing owner-occupied improvem t, four dw building containing at least one but not mor ergcontractors,with certain ex ptious,'along with other n o such residence or building be done by registered requirements. 0 007 c7 Es ' ted.Cost f Type of Work: • T � v ,e s • Address of Work:: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the fallowing reason(s): []Work excluded by law ❑lob Under$1,000 []Bug 'ug not owner-occupied wrier pulling own permit Notice is hereby given that: 0 FRS PULLING THEIR OWN PERMIT ODUROYEMENT WO PKDO NOT gA� • CONq'RACTORS FOT�A.PPL7CAB..LE HO , AC CESS TO THE AMITRATION PRO GRAM OR GUARANTY FUND USER MGL c.1�2A. GNED UNDER PENALTIES OF PERJURY or, Ihereby apPI a Contractor Name Registra onNo. Date OR Owner's Name . I E r Town of Barnstable Regulatory Services BARNSTABLE, ; Thomas F.Geiler,Director 9 MASS. 4,A 1639• Building Division TFO MA't A 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 l Please Print DATE: '�_ �� q �1 JOB LOCATION: c9 q Y c f` j ' `n Y U(8l^1 rV t!,- number street I` village "HOMEOWNER": LA name home phone# work phone# CURRENT MAILING ADDRESS: JILAN city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Ip,l! (Am S�flli?S' Signaure of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." w Many homeowners who use this exemption are unaware that they are assuming the,responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt r 1 g g A � J1 00 O , Q3, /� S G �7 Jo q o 4 0 RESIDENTIAL BUILDING PE MT FEES .' APPLICATION FEE New Buildings,Additions $50.00 � Alterations/Renovations $25.00 Building Permit Amendment $25.00 I+'EE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE G 0 square feet x$64/sq.foot= GO x.0031= f� plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS , Open Porch _x$30.00= (number) Deck x$30.00 (number) Fireplace/Chimney —x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 ' (plus above if applicable) permit Fee -3 a projcost Town of Barnstable ,,AFT"E'O'y Regulatory Services Thomas F.Geiler,Director '" `� ` Building Division 9 S.MASS. q 0 �ptEn Mpg a 0` Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 COMPLAINUINOUIRY REPORT Date: Rec'd by: Complaint Name: J,1z 1! S 111 z f J/,t6edMap/Parcel Location Address• 02 G,. 2E Originator Name: Street: in w Village: State: Zip: rZ ; Telephone: Complaint Description: if A-V/ 2Z 4e( T� /W fro FOR OFFICE USE ONLY nn Inspector's Action/Comments Date:6 -#4- �� Inspector• 1L. -o S"" Additional Info.Attached Q:fonnsxomplaint 1 Enginesring Dept.(3rd floor) Map $ Parcel (o Permit# o2 jFS� r� House# Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Fee av 0-b, Conservation Office.(4th floor)(8:30'-9:30/ 1:00-2:00) Planning Dept:(1s floor/School Admin. Bldg.) �iHE t De ' tive PlaU Ap oved by Planning Board 19 . • EARN STABLE. MASS �} rFI MAC a�� f I.' . TOWN OF BARNSTABLE �� 0� Building L Permit Application Project Street Address 2 IT Village Owner Address 7 q Telephone �— Permit Request o First Floor . square feet Second Floor square feet Construction Type Estimated Project Cost $ � r Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No. 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 - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number 41Z&— 1 d _� Address,--- ddress ,ZQg ' ',/ License# le) q 4 1 / CY.t.� 1 yr� YWl t r w✓, {/�1/l I—" Home Improvement Contractor# Worker'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 DATE—,/ — / - 97 BUILDING PERM D IED FOR THE FOLLOWING REASON(S) 'f '• r FOR OFFICIAL USE ONLY - PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: i FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL - _ GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .► COMMO �`�� t W� JF��OF P.�TDUS 1 CCIDEMS `G00 T�GTON ST 'T fames. Ga-i�oe� 1�QS?Oi�, MiISSACHUS=S 021.11, c—n:ss•one - '�O} RS'COMPFI�ISATION D�ISUItr�NC£AFFIDAVIT (liccrucc/perrniacc). �` .-' with a principzl place of iacssJresrdcn(csc 3Pz o A <Ci Caccrzip), do hereby ccr66-, under the pains and paraltics of perjury; than j] 1.am an employer providing the followingworkcrs'compcnsacion covcragc for mycmployccs working on thi< Job- Insurance Company Policy Number 11 I am z sole proprietor and,havc no.one working for me. a 1 am a sole proprietor,,S=21 conmcxor or homcowncr(cirdc onc)end have hired the conuaaors lisccd bolo.&• 'who have the following workcn'compcaszuon;iusu=ncc politics: 1=rnc of Conmaor Inscuancc CompanylPohcr N=bcr • ` L .. -N-amc of Contractor, Insunncc Company[Polky Dumber -(?Lkcccctc N2MC of Contractor Insurance Cornp=y/Polky Dumber I zm s horncow-ncr performing all'thc.work myscl£ NO Plcasc be awuc 6Z%wrtBc boCQCQvmcn who employ persoas to,do raaiatcasacc,ucrtrvctioa or repair%wock on a 2Mcllias of'ssot wore tbam three uaics is w tli<bocacowacr also scsldcs or on the Erouads appuruoaat tbcrcto am mat Ecocralb. I con:idcad to be employers azZcr tb<vor':<n'Co mp"asaluca Act(GL C'152.seeL 1($I),appliutioa by a bamov mcr fora NCCCS C or pernit r-..:y cvidcacc the IcEJ states cf i�crfloycr%:04cr`tbc Workcrs'Compcosatioa Act i r:acustartc ti,at a ropy of this uaccmcssr oc foe -aslcd to er c Dcpa::-cnt of IndustriJ Acddcnu'Orcc of Inscranu for.covcratc <rifiution:nd that failure to s<cvcc eohcrsoc.s required uiidu Scevon 2S/�`orMG1.7 SZ eus kad eo etu imposie;on olssiminaJ pcnJ ucs consisong of a fine of up co s150o.00&Ae/or sssprisoc a C1"1 up to oroc year asid civil pcnakiu in the form of z Scop vQ&Order and a fine of s I00.00 a day against mc. I Sisncd this dzy of Liccnscc/Parnittcc Licensor/Pctmirror 4 U01sleN 8ti9Z0`.tlN s111N f a HOWH1SINIWOM08 3I a}inS BZ,..'�8 IZ8E - 03 NOI1MISN03 N3388 , a LO Fg :r t Wx, 11960I u011e1IS1 q; = 8013}01N031NMA0 MI3NON ' �i r �$ 07. �omvrreoozcuea i a�� r .:Restricted To: 61 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE I= AB - None No— er,� Expires: 16 = 1 5 1 Family Homes Restricted-To .':16 Failure to possess a current edition of the I 'Massachusetts State Buiilding Code Y JOSEPH P BREEN is-cause for revocation of this license. RTE 18 BLDG 1 SUITE C NARSTON MILLS, MA V648 �ofTHE ro� T F B OWN O ARNSTABLE S . i MAIMSTOBL& 9� Q pYpre� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...Y..Gr: �/......./.... ......cl. ................................................. TYPE OF CONSTRUCTION ........... . f.Z,:n........ 1-L0'7........� `'::................................................. ��.....7........................19... z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location r........y ..../t�lU1.1.........1` . .��.�..........1,,!: : �:.... � Proposed Use ...... ... 1.... ....... !.h ................... Zoning District .Fire District t S Name of Owner SIP. ...C,�)V,:Sk;:...C�v...Address ..1.:.. .. .....M.y.........I i. .f��UNI.S....... Name of Builder ) .................................................Address ...... .r�.1-1 E........................................................... Name of Architect N.h J. C.O�.6x .a.... .:...Address ..... .............................. Number of Rooms ....................Foundation ..�.b' �C)!n e- .... ........................ ........ ........................ Exteriorv\ S g......................................Roofin .... ........,.. .................................................... Floors .. © .................................................................Interior ... ........ ................................................ HeatingZ.A-s. . ...................................................................Plumbing ...... r � ,� q��j f Fireplace ......�... \}ca d . l( c O�O • e p ......... ............. ...�:\c....:......................Approximate Cost .................�..........................:.........:.:........... Difinitive Plan Approved by Planning Board ---�-- c-------------19 _v Diagram of Lot and Building with Dimensions '"'�� o � - � � ✓ � � 1~s uj z cn z / mow - q V c y )A,11 Vep L J 3 _! (j; ® ' j n n LA ' CL Q ® �jrZ� Ld � W � C. I hereby agree to conform to all the Rules and Regulations of the Town of Barns regard' g e above construction. Name ............ .. .. ........ .... ........ . ....... Surrey Construction Corp. 14759 1 1/2 story No ................. Permit for .................................... single family diTelling ............................................................................... Location ..........................Mark Lane....................................... Hyannis .......................e....................................................... .,p,v Owner ........ ..Construction Corp........................................... ;00 Type of Construction ..................frame.............. .................?............................................................... Ale Plot ............................ Lot ................................ d- uary 72 < Permit Granted ......Febr ..................7................19 Date of Inspection .... 711- 0 Date Completed .....&. ....4.12 ... 19 Fe: 0 1 01 i "Ili ;0 > 0 j PERMIT REFUSED 19 Is ................................................................ j. ............................................................................... 0 rL 5- ................................................................................ 0 Q I / 0- < � ................................................................................ "Z ............................................................................... Approved ................................................... 19 ................................................................................ ...............................................................................