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0108 MARSTON AVENUE
Town of Barnstable Buildin 9 yx • Est This Card�SaThat rt as='V�sible�From,the Street ,�, :roved Plans,Must be Retamedon.J,ob andthis Card3Must;-be Kept M"� Posted UntilFina)Ins ection Has Been Nlade� '� �pp'"� y � � � � Permit, � s� � � � '�" be"Occu ied�wn#I<I`a Final Ins'"ect�on.has been made . eater+ Where a�Cert,i> catefOccupancys Itequ,red,such$u�ldmg"shall"Not p � , Permit No. B-18-2257 Applicant Name: Paul Eaton Approvals Date issued: 08/10/2018 Current Use: Structure " Permit Type: Building-Solar Panel-Residential Expiration Date: 02/10/2019 Foundation: Location: 108 MARSTON AVENUE,HYANNIS Map/Lot: 288 101 002 Zoning District: RB Sheathing: : Contractor.Name PAUL A EATON Framing: 1 Owner on Record: MAHER,SUSAN C TR ,� r Address: MAHER, DAVID 1&SUSAN C i C ntractor tcense- CS 088720 2 - HYANNIS PORT,,MA 02647-0522 EstProlect Cost:. $3,000.00 Chimney: Description: Install 11.8kW solar panels on roof.Will not exceed ropa of nel, but Permit Fee: $85.00 will add 6"to roof height.40 total panels Insulation: t FeAePaid $85.00 ' Final Project Review Req: g Date 8/10/2018 Plumbing/Gas __. Rough.Plumbing: n Building Official Final Plumbing: Rough Gas: - This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the`approved construction document.51crAch'this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning'by laws' nd codes: This permit shall be displayed in a location clearly visible from access street or r-oadb4and shall be maintained open for pubI inspectloh for the entire duration of the work until the completion of the same. � � Electrical ��> �101 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the"B"g" mg rid Fire Officials ale provided on this permit. Minimum of Five Call Inspections Required for All Construction Works$"RF „ Rough: 1.Foundation or Footing " A' 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. "Persons-contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT OkIKE dg� Application number f?-�- 1.:J _ O� ® Date Issued.............Q? 15�.t� BARASTABLE. " .... ......................... MASS. u %639. ��� AUGBuilding Inspectors Initials.. .... 51010 -r T Z 88 o t oo-- ��s�� ��8ARNS_. Map/Parcel............. ..�...... ............._................... ABLE TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORmAnoN Address of Project: NUMBER STREET VILLAGE Owner's Name: /A Phone Number&N—7f e- 66 zd Email Address: Cell Phone Number Project cost$_ ` q6F3.-, 06 Check one Residential ✓ Commercial ®VV 1VEWS AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: � p Cak t-0,1_ Date: TYPE OF WORK 0 Siding D Windows (no h er ange)#' El Insulation/Weatherization VLJ Doors (no header change)# I Commercial Doors require an inspector Is review Roof(not applying more than aver off�shingles) Construction Debris will be going to bLVL4fyAk&rt9A�Lt_ CONTRACTOR'S INFORMATION Contractor's named �� / P ore ( �-N ✓S "IN Home Improvement Contractors Registration(if applicable)# //ZZ 7 8 S (attach copy) Construction Supervisor's License# 07`]/ � (attach copy) Email of Contractor aS � ((10(l • C-0, - Phone number 4ro/- 71V- 6 3`3 9 ALL PROPERTIES THAT HAVE STRUCTU S OVER Ts YEARS OLD OR IF THE SUBJECT PROPERTY IS[IV A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................. *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health(Department approval between the hovers of 8a 00am-930 am or 3:30 pm-4:30pm. Commercial events may require Fire(Department approval, *WOOD/COAL/PELLET STOVES x Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEITTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction. Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date . APPLICANT'S SIGNAT Signature Date All permit applicatiVaresub ject to a building official's approval prior to issuance. Page SPECIAL SERVICES CUSTOMER.INVOICE of'5 NO.. H2612-85388 Store 261'2.HYANNIS Phone.: (508)778-8948 F 65:WDEPENDENGE DRIVE Salesperson:RHP4LE + HYANNIS, MA.02601 Reviewer: VXG1198 Name Phone.t MAHER ' DAVID (608)726-0887 REPRINT Afto3s _108 MARSTONS AVE Phone (508)'790-0620 � t Compiny Name c'ry HYANNIS PORT J°0°os`"p"0" patio door install. ".c�=08-01`16:26 sioto N1A zip 02647 c«,"ty BARNSTABLE We reserve Ihe'right.toiimit he quantities of merchandise INSTALLEWDELIVERY`#I MERCHANDISE AND SERVICE SUMMARY sold to customers REF# 101 STOCK MERCHANDISE TO BE DELIVERED: REF#. '.SKU _ CITY UM DESCRIPTION. PI TAX .PERJ EXTENSION R03 0000-677-038 100 EA 3/4"X AM"X8'AZEK S2S TRIM/ A o $15.63 $46.89 R04 0000=458-'056 24.00 L:F 11/16 X3-1/2 PFJ`WM444 CASING/ $1.94 $46.56 . R05 1002-961-477 1:00 . .EA 6"X50'WINDOW& DOOR SEALING TAPE/ Y $17.97 $17.97 R06 0000-715-499 1.00 RL MULTI-PURP 16"X48" ROLL INSUL 5.3SF/ A Y $5.48 $5.48 R07 . 1001-361-475 too EA 1/2 X 4-1/2',72"WW472 OAK SADDLE] A Y $23.98 '$23.98 R09 1000.049-623 1.00 EA PS51 OR FRAME WHT PART ONLY] A Y $215.00 $215.00 R10 1000-049-624 1:00 EA PS51 OR STAT PANEL WHT PART ONLY/ A Y $292.00 $292.00 R:11 1000-049-625 1.00 EA PS51 OR OPER`PANEL WHT PART ON A Y $292.00 $292.00 Al2 0600-321-257 1.00 'EA SCREEN FOR`200'PS510-DOO A Y $139.001 8139.00 R13 1 0000=570=469 1 100 EA1 DOOR HARDWARE 200/40 WHITE`/ A Y $59.00 $5900 7. N _ o e $1.137.88 DELIVERY INFORMATION: DELIVERY DATE: INSTAL SCHEDULE INSTALLER WILL DELIVER MDSE TO: SITE OF IN ON #101 AT TIME OF INSTALLATION. •"CONTINUED ON NEXT PAGE"" D v Check your current order status online at -WWLv.homedepot:com/orderstatus. Page 1 of 5 NO. H261.2-85388 CUstor&Copy ty SPECIAL SERVICES CUSTOMER INVOICE -Continued Name: MAHER Page 5 of 5 No. H2612-85388 TOTAL CHARGES OF ALL MERCHANDISE & SERVICES $1.896.89 Policy Id(Pt): SALES TAX $71.12 A: 90 DAYS DEFAULT POLICY. TOTAL S1.968.01 BALANCE DUE $0.00 'The Home Depot reserves the right to limit/deny returns. Please see the return policy sign in stores for details.' _ ' END OF ORDER No.H2612-85388 x .� Signatu of Owner Date - ./ Page 5 of 5 NO. H2612-85388 - Customer Copy P- tF CS-074247 f PAUL M DOWNING 180 KESWICK ROAD BROCKTON VOA 0230Y s ,I A3, #d� �> Ex Y Commissioner �1 �$ The Commol�wealth of Massachusetts Department of IndustrialAccidents ; Office ofInvesti ations ' t&Ei 1 Congress Street,Suite 100 —,` 9" Boston,M4 02114 2017 www.mass gov/dia Workers! Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):_? Ad '" 1 dress: l 1 . City/State/Zip:— �:.r > ;-:n l; '� ) h.r�•-� �.-:��:;� Phone#: �Z Are you an employer?:Check the appropriate box: 1.❑ I gun a employer with a- ❑ I am a general contractor and I Type of project(required): ,, employees(full and/or parr-time)* have hired the sub-contractors 6. El New construction 2.L�J I am a sole proprietor or partner `. listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition Working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance z 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑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 ciiecks f&it must also rill out the section.below showin r.their workers'compensation policy information. t Homeowners who submit this affidavit indicating they amdoing ill:work and then hire outside contractors must submit a new affidavit indicating such- tContraetors 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. fain an employer that is providnzg workers'compensation Msurance for my employees Below is the policy and job site information. _ Insurance Company Name: Policy#or Self-ins.Lic.•#: Expiration Date: 9 Job Site Address: City/State/Zip: Attach a copy of the w rkers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL C. 152 can lead to.the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year itnprisozunent,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 Ftcerh under the pants and penalties of perjury that the information provided above is ue and correct _ _ Mate:: Phone#: s� Official rise only. Do trot write in this area,to be completed by city or town.offzciaL Cite or'I'otiyn: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: The Commonwealth of!Massachusetts rn Department of Industrial Accidents Office of Investigations - t} 1 Congress Street,Suite 100 191 Boston,ltiL4 02114-2017 �ww.m s a s. ov/dia n Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers applicant Information, Please Print Le -blv '_N2.nle (Business/Organizatior:ndividual): Oine, - 9e S A r/ �w ` AfA tsiSY� Phone#: 7 J L�� 7 - 02�•�� C+5 .State/Ztp. /'� A, you an employer?Check_the __propria x: Type of project(required): 1: I am a employer witl 4 1� i a general co actor and I 6 r�New construction employees(full and/or part-time).* have hired the sub contractors t listed on the attached sheet.. 7. ❑Remodeling 2 _: I am a sole proprietor or partner- i These sub-contractors have i g• ❑Demolition ship and have no employees employees and have workers' i — working for me in any capacity. �, I 9. (J Building addition: [No workers' comp. insurance comp.irstualice.= 5. We are a corporation and its I 10.[�Electrical repairs or additions required-] officers have exercised their 11.7 Plumbing repairs or additions ;. I am a homeowner doing all work rift of exemption per iVIGL j myself. "No workers' comp. 12.❑Roof repass insurance required.]r c. I52,§I(4),and we have no 13.i Oth r 0 ` tmpioyeeq. [No workers' i comp.insurance required.] �� 'v y appant Lhaz checks box#1 must also fill out the section below showing their workers'compensation policy mfo a[ion, lic 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 shoving the name of the sub-contractors and state whether or not those entities have `mpioyees. i the sub-contractors have employees,they most 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. - Lsurance Companv Name: r/ . Policy#or Self-ins.Lic.#: (li Expiration Date: Job Site Address: Q� 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 DLA for insjoVace coverage verification. I do hereby certify under a and jury that the information provided abo is tr a and eorreeL Si att�e: Date: Phone#: d — r Official use only. Do not write in this area,to be completed by city or town officiaL Citv or Town: PermitUcense# . Issuing Authority(circle one): I.Board of Health 2.Building Department 3.Cityr"Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone : Contact Person: = �__J r'*? C�''�<?7�11 t{'it�'.�'(�f�';�.i 11 {f � ��C�.�.i{.�'•Cf2-�C,��'� Y,� Office of Consumer htfairs and Busines. Regu lation _ r 10 Park Plaza - Suite 517.0 Boston. Massachusetts 02116 Home Improvement Contractor Registration T,rpe: supplement Car' }registration: 112785 Ejcpirabon: 04122.'201 g HOME DEPOT USA INC 2455 FACES F 30Jy R-, C-1 HSC A.TIANTA.GA Update Address and return card' Mark reason for change• r Address D Esenewa! D Employment ❑ Los+Carc _ pf{rce of Consumer Affairs 5 Business Regulation Registration valid for individual use only before the expiration date. 11 found return to:Regulation HOME IMPROVEMENT CDNTRACTDR ' TYPE:SuDDiement Card Mee of Consumer Affairs and Business 9 Expiration Reams�n —;�' ?G Park Plaza-Suite`'l7C _ I 1. 20 ,e _ _ ok 22 �, r n.MR t278� Bpste . t-TOME DEP07-JSA INC , NDR 'SWEET r`. .ithOU signature A � 2455 PACE FERRY.RD G I i HSG Undersecretary A�AN GP. 3033° DATE(MWDDIYYYY) ACO CERTIFICATE OF LIABILITY INSURANCE 021221`2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED .REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemerrt(s). PRODUCER NAME- FAX MARSH USA,INC. PHONE AIC No): TWO ALLIANCE CENTER E•M.N 3560 LENOX ROAD.SUITE 2400 ADDRESS: ATLANTA.GA 30326 INSURERS AFFORDING COVERAGE NAIC R 24147 INSURER A:Old ReI ubllc IrlSurance CO CNi01642069-HaneD-GAW-1&19 23841 INSURED INSURER 8:New Ha Shire Ins CO THE HOME DEPOT,INC. HOME DEPOT U.S.A.,INC. INSURER C:HomeRisk gNOve Insurance Company 2455 PACES FERRY ROAD INSURER 0: BUILDING C-20 INSURER E: ATLANTA.GA 30339 INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004353439-16 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMJOD MWoo A �X7COMMFR'—CIAL GENERALIWBILITY MWZY312717 03I0112018 03/01/2019 EACH OCCURRENCE $ 9,0W,000 OA AGE EES1,000,000 AMS-MADE a OCCUR PREMISES Ea occurrence LIMITS OF POLICY XS MED EXP(An one person) S EXCLUDED OF SIR:$1 M PER OCC PERSONAL 8 ADV INJURY S 9,000,000 GENERAL AGGREGATE s 9,0�0oo GEN'L AGGREGATE LIMIT APPLIES PER: 9,000.00G X POLICY a PRO. a LOC PRODUCTS-COMPIOP AGG S JECT S OTHER: COMBINED SINGLE LIMIT S 1.000.000 A AUTOMOBILE LIABILITY MWT8312718 0310112018 0310112019 accident BODILY INJURY(Par person) S X7ANY AUTO r OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident) S AUTOS ONLY AUTOS PROPERTY DAMAGE S HIRED NON-OWNED Per accident AUTOS ONLY AUTOS ONLY S UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S S DIED I RETENTION' B WORKERS COMPENSATION WCVNIZZ577(AK,NH,NJ,VT) 031011Z018 03101I2019 X STATUTE ER B AND EMPLOYERS'UASIUTY YIN WC 014122578(WI) 0310112018 03101/2019 5,000.000 ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S OFFlCEFBMEMBEREXCWDED? � NIA r 5,000,000 EL.DISEASE-FA EMPLOYE S (Mandatory in NH) 5,000,000 Ues,describe under Continued on Additional Page EL.DISEASE-POLICY LIMIT S SCRIPTION OF OPERATIONS below - 4000000 C Excess auto 297-1-10011-00-2018 03rot2018 03101019 Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA.INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD • AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta ,aCORo® ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMEDINSURED MARSH USA.INC. THE HOME DEPOT,INC HOME DEPOT U.S A,INC. POLICY NUMBER 2455 PACES FERRY ROAD BUILDING C-20 ATLANTA,GA 30339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued: Cartier.Indemnity Insurance Company of North America Pdicy Number WLR C64783191(AL,AR,FL,ID,IAKS.KY,LA,MS.MO.NE,NM ND,OK,SC,SD,TN.WV,WY) Effective Date:03/01/2018 Expiration Date:0310112019 (EL)Limit,S1,000,000 Carrier-New Hampshire Insurance Company Pdicy Number.WC014122576(I)C.DE,HI,IN,MD.MN,MT,NY,RI) Effective Dale:0310112018 Expiration Date 03/0112019 (EL)Limit:S1,000,000 Cartier:ACE American Insurance Company Policy Number.WCU C64783221(QSI)(AZ,CA,IL,NC,OR,VA,WA) Effective Date:0310112018 Expiration Date:03101/2019 (EL)Limit:S1,00D,000 SIR$1,000,000 SIR for the states of AZ.CA,IL,NC,OR,VA,WA Carver:National Union Fire Insurance Company Policy Number XWC 4595580(QSI)(CO,CT,GA,ME,MI,PIV,OH,PA,UT) Effective Date 03101/2018 Expiration Dale:0310112019 (EL)Limit$1,000,000 $1.000.000 SIR for the states of CO,ME,NV,MI,OH.PA,UT S750,000 SIR for the state of GA S350,000 SIR for the slate of CT Carver National Union Fire Insurance Company Pdicy Number XWC 4595581(QSI)(MA) Effective Date::03101 018 201 Expiration Date:031D1/2019 (EL)Limit.$1.000.000 SIR:S500,000 TX Employers XS Indemnity. Camer.0linios Union Insurance Conwny Policy Number.TNS C4916693A(TX) Effective Data:0310112018 Expiration Date:03/0112019 (EL)Limit S10,0D0,000 SIR S1,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE " BUILDING DEPARTMENT = aA213TA TOWN OFFICE BUILDING rna HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit hasbeen issued for the building authorized by BuildingPermmitt#............... ,..1�..�3 ... ........................................................................ .........................................�._..............._................_. issued to %1/- G _ �j1 1t ....... rr�................//�. ...... Please release the performance bond. TOWN OF BARNSTABLE Permit No. 36.031 I BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ....X.......... CERTIFICATE OF USE AND OCCUPANCY Issued to Black Ville International, LTD. Address Lot #1, 108 Marstons Avenue . ` Hvanni.sport, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT'BE OCCUPIED UNTIL SIGNED. BY THE BUILDING INSPECTOR UPON.SATISFACTORY COMPLIANCE WITH-TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 Of'THE MASSACHUSETTS STATE::` - BUILDING CODE. November.a 1, 19....93... ....... ............. Building Inspector .Y....+^Y-.•�-<..,,.,,,.,�.v'srro.?:.-'t-t--•,ti.,.....,�,...,..rr1..,.d";e '0 �„r' .. ':r7 r ,.,� ✓ p �..-.+°"�s-r ..�"y"). ��v..:....,,,,.>•+y�•�.,,...�_., 1 i Of7NFTp TOWN O'F BARNSTABLE Permit No. .3 0.31...... • BUILDING DEPARTMENT 1 "." TOWN OFFICE BUILDING Cash 7 019 i679• eto�ur► HYANNIS,MASS.02601 Bond ..... ......... CERTIFICATE OF USE AND OCCUPANCY Issued to Black Ville international, LTD. Address Lot #1, 108 Mar.ptons Avenue HvannisporL, .Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD - THIS, PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL xNOT 1�BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY "COMPLIANCE'WITH TOWN .REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS.STATE BUILDING CODE. T November 17, 19 .. ......:... .... . -, --,= Building Inspector DEPARTMENT OF PUBLIC SAFETY COMMONWEALTH 1010 COMMONWEALTH AVE. s� OF BOSTON,MASS.02215 r MASSACHUSETTS 11 ENCLOSE CHECK OR MONEY ORDER r LICENSE FOR REQUIRED FEE, EXPIRATION DATE 3 8S CONSTR. SUPERVISOR 06/30/1993 MADE PAYABLE TO 5 EFFECTIVE DATE LIC-NO. 6 RESTRICTIONS "COMMISSIONER OF PUBLIC SAFETY" NONE n06/30/1991 000656 mJOHN J BALDNER JR (DO NOT SEND CASH). 180 EVERGREEN OR L►/L'7) MRSTN MILL MA 02648 PLEASE NOTAE #NC"SE PHOTO(BLASTING OPR ONLY) FEE: 100.00 E FECTIVONEO [ 1,,0,1989 HEIGHT: NOT VALID LINT SIGNE- Y LICENSEE AND IC LY STA D- -S A RE THE CO S ER NOAP&I 04URE SE STUB THIS DOCUMENT SIGN NAME IN FULL-ABOV LINE CARRIED ON THE PERSON OF SIGNATURE OF ICENSEE « - THE HOLDER WHEN ENGAG- OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION. 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USED 7� OE"T�,�itil/.t/E .�-OT%N S APi�.L ( NMALL :..i'.' ------------- bn7647 vAu iSO ,3 Town of Barnstable Zoning Board of Appeals Variance Decision and Notice ----------------------------------------------------------------- ,Appeal No : 1991 -34 -Applicant : Jane Smith At. a regularly scheduled hearing of the Barnstable Zoning Board of Appeals , held on June 27 and continued to' July 11 , 1991 , notice of Which was duly published in - the Barnstable Patriot and forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts (MGL) , the applicant Jean Smith , represented by Attorney John Alger appealed to the Board for a Variance to Section 3- 1 . 3 ( 5 ) , Bulk Regulations of the Zoning ordinance ,to ,.pe.rmit a the division of a parcel containing 1 . 64 acres into two .1Oes : 'V \ The applicant proposes Lot # 1 to contain 36 , 756 square feet and Lot #2 to contain '36 , 756 square feet ; - Lot # 1 , is to be buildable for a single family detached dwelling and presently developed with an accessory garage structure . Lot #2 will contain the existing residential dwelling . The petitioner has submitted a plan titled "Plan of Land in Barnstable (Hyannisport ) for Charles and .. Jane Smi th dated, 2-/9 /89 , p.re.pared by .Baxter & Nye,. In.c:. , Registered Land Surveyor to the Board . ,n; l The applicant ' s .prope`rty is shown on Assessor ' s Map and Parcel ` Number 2.88/ 101 , and is more commonly addressed as 126 Marstons i ,;• l Avenue , Hyannisport , MA . The property is zoned RB, Residential B kv T Zoning District . The applicant ' s request was heard by the following Board members : Gail Nightingale , Ron Jans-son , Dexter Bliss and Acting Chairman Richard Boy . Summary of Evidence : ' The appeal was initially heard at the meeting of June 27 , 1991 and continued to July 11 , 1991 to allow the Board to visit the site under. .consideration . Attorney , John Alger represented the applicant at both meetings , presenting the plans for division of the lot and documenting the existing site and lot. conditions of size , shape , topography , and use . He noted the size of this parcel in comparison to surrounding lots in the neighborhood . The public was asked to speak , and an abutter to the site , Marilyn Mace , noted that she had no objections to the division of I the lot but wo-uld request that a twenty ( 20 ). or fifteen ( 15 ) foot P: buffer of. natural vegetation be preserved along the property 'I i nos abut (i.n.g ne) g,hbo r i ng I o is BOOK7647 FACE 181 ` The Board questioned Attorney Alger on the potential to create a vegetative buffer along the interior property lines of the lot. and he was acceptable to the idea of such a restriction on the lot . Findings of Facts : At the meeting of July 11 , 1991 , the Zoning Board of Appeals made the following finding related to Appeal # 1991 -34 . The findings were made by Nightingale and seconded by Bliss . 1 . It would present a financial hardship to the owner of the property by preventing the subject lot (Assessor ' s Map/Parcel Number 288/ 101 ) from being divided , given it ' s size of 1 . 64 acres and the Board ' s estimate 'that it is approximately six (6 ) times larger than most surrounding lots . 2 . The lot , a corner lot , is shaped in such a manner that it provides frontage on two streets , Marstons and Greenwood Avenues . The Tot extended a distance of 245 feetin depth and meeting the requirements of MGL Chapter 40 A Section 10 requirements as per granting of a variance : 3 . The topography of the lot , although not extreme , slants in a manner which does create a topographic difference within in the lot and its usability as one lot difficult . The -vote on the findings was as follows : Aays JANSSON , NIGHTINGALE ; BLISS , BOY Nays ., None Decision : Based upon the findings , a motion was made by Nightingale , amended by Jansson and seconded by Bliss to grant the Variance sought , subject to the following terms and conditions : _r .1 . That there be a fifteen ( 15 ) foot natural buffer zone on the northly and westerly sidelines of the proposed lot ; 2 . The lot be divided pursuant to the plan submitted and titled , "Plan of 'Land in Barnstable . (Hyarinisport ) , Mass . for Charles and Jane Smith" , dated 2/9/89 , and prepared by Baxter & Nye , Inc . , Registered Land Surveyor ; and 3 . Neither of the lots shall be further divided . The vote was a follows : - . ' DYES : BLISS ; JANSSON , BOY , NIGHTINGALE NAYS : None Variance #1991 -34 is granted as requested and subject to the terms and conditions enumerated within . aou.76.47 182 Any person aggrieved by this decision may appeal. to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Ccmmonwealth of Massachusetts by bringing:.an action within twenty days after the decision has been filed in the office of the Town Clerk. Chairman I� +AtiC' \ . P�U� � Clerk of the .Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this \ �j ` _day of 1'9 _under the � �a,�S� pains and penalties of perjury. ; '',. q•...ac,`,1`;,: Distribution: Property Owner Town Clerk Town Cdserk Applicant Persons Interested Building Inspector Public Information Board of Appeals /,PEE'PLANNING BOARD ._�tMOUTH` PLANNING BOARD DWICH PLANNING BOARD PARTIES IN INTEREST MEETING.OF JUNE 27, 1991 APPEAL NO. 1991-34 JANE A. SMITH CONLEY, MATTHEW & CATHERINE WALSH, EDMUND J. & MARIE T. P.O. BOX 625, W. HYANNISPORT, 02672 KENNEDY, ROBERT & NANCY 33 LOWE STREET, TEWKSBURY, MA 01876 TWOHIG, WILLIAM 18 ACCIAVATTI DR. , QUINCY, MA 02169 HILL, LAWRENCE, S. 17 OAKDALE STREET, JAMAICA PLAIN, MA 02130 EPRO, SHERMAN & ELLEN N. 5 MACARTHUR CT. , STOUGHTON, MA 02072 PETERSON, WILLIAM & MARGERIE 9 SELFRIDGE RD. , BEDFORD, MA 01730 SULLIVAN, PAUL J. P.O. BOX 6046, BOSTON, MA 02209 MAHAN, MARIJANE 2166 BERRY HILL DR. , GROVE CITY, OH 43123 AVERINOS, ANTHONY OFF CRAIGVILLE BEACH RD. , RFD, CRAIGVILLE RYAN, RICHARD & SHIRLEY P.O. BOX 586, S. WINDSOR, CT 06074 EURICH, RICHARD & JOANN S. 7 PITCAIRN PL, LEXINGTON, MA 02173 SOUCY, KENNETH & TRUDY A. 46 HEYWOOD DR. , GLASTONBURY, CT 06033 ', BISHOP, NICHOLAS A. & GARVEY, WILLIAM & PALARDY 38 BOUDREAU AVE. , MARLBORO, MA 01752 KRAVIS, SHARON A. 47 PAWLING ST. , RAGMAN, NY 12086 BENGEN, BARBARA S, 5076 WASHINGTON ST. , W. ROXBURY, MA 02132 GARVEY, WILLIAM & MARGARET 48 CLINTON DRIVE, S. WINDSOR, CT 06074 BISHOP, NICHOLAS .& ANNE M. 200 PLEASANT STREET, FRAMINGHAM, MA 01701 GUTKOWSKI, THADDEUS & PUGLIESE, MARILYN A.. 154 ROSEMARY LN. , S. WINDSOR, CT. 06074 DAWSON, DAVID & NANCY J. BOX 16, BOSTON 5 SVGS. BANK, BOSTON MA 02101 SMITH, EUGENE D. & JANET 222 HERSEY ST. , HINGHAM, MA 02043 BABCOCK, CHRISTOPHER H. 35 W. 23RD ST. , NEW YORK, NY 10010 KING, RAYMOND E. TR, LIGHTHOUSE RLTY. 4.33 MAIN STREET, CHATHAM, MA 02633 PALARDY, ROBERT & SHIRLEY 38 BOUDREAU AVE. , MARLBORO, MA 01752 l PAGE 2 OF 2. '�`� • � MEETING 6CCK.7647 FAA 184 G OF DUNE 27, 1991 1991-34 JANE A. SMITH CHASE, ROY S. 212 GREENWOOD AVE. , HYANNIS PACHECO, ANN I. BOX 513, HYANNISPORT, 02647 HAYES, JAMES & MARJORIE 11 TUCKER STREET, MILTON, MA 02186 MCHUGH, PAUL & JANE 153 WESTMINISTER AVE. , ARLINGTON, MA 02174 CUNNINGHAM, MARGARET M. BOX 474, HYANNISPORT, MA MANNI, FLORENCE E. P.O. BOX 562, HYANNISPORT AUSTIN, PAUL JR. BOX 432, NOB HILL ROAD, HYANNISPORT BROWNE, JANE M. MCMULLEN, RAY W. 1521 DAIRY ROAD, CHARLOTTESVILLE, VA 22903 MCMULLEN, MALCOLM & ARTHUR 10 CHERBOURG CT. , POTOMAC, MD 20854 COHEN, MORRIS P.O. BOX 45, SOUTH EASTON, MA 02375 GRANDE, MARY C. % GIGGIE 43 PIERCE AVE. , EVERETT, MA 02149 STONE, LILLIAN & ELIHU P.O. BOX 342, HYANNISPORT CHILDS, MILDRED L. 87 MARSTONS AVE. , HYANNIS FITZGERALD, ROBERT & BETTY 77 MARSTONS AVE. , HYANNISPORT, BOX 642 BUTLER, WILLIAM & ELIZABETH P.O. BOX 481, HYANNISPORT SHERMAN, MARCUS 70 MARSTON AVENUE, HYANNISPORT HALISKOE, GEORGE & VERONICA 63 REDWOOD LANE, HYANNIS MORELL, CAREN L. P.O. BOX 705, HYANNISPORT BORKIN, SHELDON & SANDRA 6 GRISTMILL LANE, S. NATICK, MA 01760 MELODY, ROSALIE MARSTONS AVE. , HYANNISPORT DUNEEY, RICHARD & MASS, MARILYN 39 ELLIOTT ST. , JAMAICA PLAIN, MA 02130 SELLERS, ROGER & MARY P.O. BOX 49, HYANNISPORT OBRIEN WILLIAM & MARY 237 GREENWOOD AVE. , HYANNISPORT VOUTAS, EFSTRATIA 229 GREENWOOD AVE. , CUMMISKEY., JOHN & CAROL P.O. BOX 95 BOYLSTON, MA 01505 CHARPENTIER, MARGARET E. P.O. BOX 603, % MARTIN, HYANNISPORT H �' •� c ON c o c ao c' OO A c`•_ ` u oo W .4a'ti� A ..7E U E °•c •"°v�C0 A ,� v). C4 O n A�.o g.'aa•r 3z0 _ KLL) ga T3 ° w•= N q �a r c._U ���"' CW ° - c oU°.o 0 0 0 J am. UO QA o� a x ^ o o°°�� ° '��_ �<c m E m �.v � ' � . ate >, N^L`C �F- a� U E ° w o w O U F C ° u :� C °.A $ U F < pQ -7p ur, 3 NL�-7.G av�y ` ` •� G 3 ^ y QOW A. E n _1 0.Q C ° c m A Z > L t E p �<M. a 9 c•� u p aoa C a E c _7 u O u 4 _�.� C L r Q � W 0. E p r c E oz.. c C ^ u n V a c `.� c G c Y /_ «E+ u QFN'2m u�tO.,.E=N< � : <F Or `o^p vrF- 0 o g `1iJ0> 00 % = c o U' a .. ��`, �° o v ` ono 'S q�� 5 °'Q r y �v H 00 azwa� ., iyyoU OM ° y y ...7:-.. vi u•v •°_ 3 °a o0 y OazaQz Rw C ^ r C G� d A.1 .= 7< q c .ce w F.Q�Q'.�iG �' cQ ° 5 c , ❑ c� boo c $� r ='n 7 O v�aGr,UOUW wo E c�° .o.> 0N � C u u` y c8 `N O a'Lc'OaNz 7 u� v 3 cTv A °NI o a U~ = c- � o ° �p _ G Q0lz j"� aEi A A o E � Ku o 5 7 E � .w�d7 3pEaW'C7 w N o0a o ° oIx. 5 190wo .rU � -E z0 Ec U Zz F ° off7 . 3 o F•a Gt. w .. ;; u AN o° W uE > ` ou ouk00 pI cc0. O O u cv c= c c c u u F +v > Q .,N°c7 .E�" A < �.. c 3 oU LE(Li fTD Auc Id 9 1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / � LI DATA TOWN OF BARNSTABLE, MASSACHUSET i_". 81U D 0 ' PERMIT" DATE - 19 PERMIT, NO. i�3� -3 4 APPLICANT = i ADDRESS -- (NO.) (STREET) J(CONTR'5 LICENSE) _ NUMBER OF PERMIT TO STORY—- - - DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) -`-'� DISTRICT— (NO.)'(NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT.. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: :J`' �;'.}., - •`� AREA OR _ _ PERMIT VOLUME "` '- ESTIMATED COST $ FEE $ LL - - (CUBIC/SQUARE FEET) OWNER ---.�_..�.. ..:.... ...._.. _..-:...._ BUILDING DEPT. - =RESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC. WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI 70 LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING IN P TION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 7 93 3 - U HEATING INSPECTION APPROVALS ENGI E� EP TMENT �ING-��`�" B F HEALT � OTHER % L' ,4 SITE PLA EVIEW APPROVAL i 1 t� st r t r � I �•• `,•�i, F • SS• 1 , I wK SHALL NOT PROC:' Lc_l NTI U jPEC E RM I T L C, (;IN ST R U'CT IO :)R I "!S INC P-:_[ TOR HAf.APPROVE THE :`,AI}(i, 3L' yr WORE: Z U tl IN' �t i ;�7P. OF DATE THE ) N FOR P� :r 'ONSTRU:TION. I PERMI S i I It i vl t-;. ,:.Ro O' N. Assessor's office(1st Floor): I'D 61 , Assessor's map and lot um et �����° DL��/ THE t Conservation Board of Health(3rd floor): D Sewage Permit number � (L% : DAtiI�T�Dttl NABIL OIL" Engineering Department(3rd floor): l �o #e3o. `�d° oYOr House number SEPTIc SYSTEM E l BUST Definitive Plan Approved by Planning Board ✓ 19 INSTALLED IN�'®Ih�PL1A(�CE APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only �E 5 Gg TOWN OF BARNS, P� wttl- -�IrC,O,'OEA�!:� , P BUILDING IN ry 9e3 INSPECTOR LR APPLICATION FOR PERMIT TO S'/N 6 C e �� 1 DVVe C C �/U CG g G/�)r xI�� TYPE OF CONSTRUCTION _VJOC4� T-F lt}V�P F 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use 7SOWe -01jr-4 6,11V 6 Zoning District Fire District 1 /,e�vlym GLfUIC V Q Y nr 1-w /o/v 4(- , Name of Owner sz zt L7-4D Address �7<-9_�I/�I'�' S/ ®S rel-11141- e Name of Builders#/V :' 8/94DA et Address / ?6 491/1-� Name of Architect //S Address Number of Rooms Foundation gX/`� r6A71- A16 k"APO# -Cn e,o 0-� 4sAZ(_, Exterior �.G�//1° reow— 's -11 C,6,1Q Roofing Floors 3�k / 0�9 °Ub>?� C0'PC,7 Interior ✓�� G(/�• HeatingT B a AS Plumbing Fireplace /3t'1�N ��' g t°f O A"! Approximate Cost Ar bee, q� l3 � ea r� Diagram of Lot and Building with Dimensions Fee � 3 s �N 0 i ON, � 4 ri v � o o y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above constructio . Nam Construction Supervisor's License/000 6`S6 BLACK. VILLE INTERNATIONAL, LTD r' i r No 36031 Permit For 112 Story r r , --Single Family Dwelling. _ , r Location Lot #1 , 108 Marstons Avenue i Hyannisport r , Owner ` Black Ville International, LTD. s ` Type of Construction Frame -i Plot Lot Permit Granted j ul"I 16 , 19 93 Date of Inspection //'�� �rk� 19 -- at nrnn1PtPd 19 . J. k i Q O � 3 t� I ST � ARAV W s / 0AN 1 AVF Pv'�v i LOCUS MAP 1:25,000 ZONE RB 8 AP MAC' 288 PCL 101 a. N N cm i MILNER D. 8 ROSALIE ROGER W. 8 NARY MELODY SELLERS WILLIAM J. 8 :NARY ODRIEN CB S 85°2S'S0''E BLp . FND 90,{)0 -- I IP 89.44 s��o FND 'n 31>1 o j � t / •j z o >r CD C\l �Sb'+ I r' T g, toy 38,756 SF 36,75 7 SF / S.N. If>,75 N S.N. 16.I1 O ! z oz c� J i , F 20 ca • GARAGE � , , Ld 08 ' � � �`'��_��.� � - : � :� - _ ������°° �.�v• �}sue �� � i ., _ � / N�0a.�0'S CB FND HIT'- " 0.00 oll Ca/p Fi sO 0. t o t c • 0 EE CIO / C8 FND i I I - I SEE BOARD OF APPEALS PLAN OF LAND DECISION #1 99 1-34. IN SPO MASS . � BARiN (r�rA �T) BARNSTABLE PLAN�=�1lNG BOARD . APPROVAL UNDER THE SUBDIVISION CONTROL LAW NOT REQUIRED. FOR r� CHARLES G. a JANE A. SMITH DATE, - PEE V. Y 30,1"I SCALE: I";40' DATE: FEB. 9, 1989 BAXTER NYE, INC. REGISTERED LAND SURVEYORS CERTIFY THAT THIS PLAN CONFORMS TO CIVIL ENGINEERS THE RULES AND REGULATIONS OF THE _ OSTERVILLE, MASS. REGISTERS OF DEEDS. Ilit 0 20 40 80 i 1I t ,are00