HomeMy WebLinkAbout0042 NIGHTINGALE LANE �� ��
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06/19/2007 09:12 15087906230 BUILDING PACE 02
Town of Barnstable •Permit#�C070 q
. 3�y
EM&W 6 months from lam dale
Regulatory Services Fee
Thomas F.Geller,Director
Building Division
Tom Perry,CEO, Building Conmibaioner
200 Mara Street,.iymis,MA.02601
wvvw.ta mbanutabla,ma,us
Office: 508-8624038 Fax: 508.790-6230
EXT'RESS PEItLIYT APPLICATION - RESUAN UAL ONLY
Not Vdid tvtlhoal AW X aFrW rrMFd:it .
Map/parcel Ntustbmr L09
Property Address 4 I v 1 T2r1 a {'1 (s 1 ' A[.plecidential Value of Wont . 40Q. '60Minimum fee of S25.00 for work under$6000.00
Owner's Name&Addsees Waller T_ . G I Q t c)QG1C i
7 0. P50x a8 N an+LLc.kP_t m A o, 1
Contractor's Name V V QLj"f e{' _T C-3f1S Teiephose�l=ber�l U_=�� I�q(p
Homo Improvetmemt Contmotor License#(if applicable)
Construction Supervism's Liceme#(if Applicable) CS 01 v` 22 0-
Qworkmsa's Compensation 1 w2wce g
Check one: -PRESS PERMIT
VI=a sole proiewr
amtbcxomeowwncr JUN 2 6 2007
have Worker's Compensation lusurartoe
lnstuaace Compmy Na= ' ZurtC-1 Nt Or'+'1 Amu icox) . :TeWN OF BARNSTABLE
workmen's Comp.Policy (aZZ ula> 523g5 C_LF ok to
Copy of Insurance Compliance Certificate must be oa file.
permit Request(check box) 1 1
�erroof(stripping old shingles struc
) All contion debris wiL be taken to Lr jas;6l6
[]Re-roof(Dot stripping. Goiug over existing layers of roof)
X
❑ Re-side
E] Rcplacement'R'indowaldoors/sliders. U Value_- ( •44')
" -hcm required: lesuanaa of rllis pvt>O does not exampt compliance with ath.r town depsrw=t raguWons,i.e-Aiswrso,Conservatiom,otc,
*wwNote: property owa.Gr must sign property Owner Letter of Permtssion.
A copy of the flame T_txtpravement C ctors Lic }s rpgaired
SIGNATURE: '
n.-. n7
�;Formscexpma� t ' P't 7 r
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06/19/2007 09:12 15087906230 BUILDING PAGE 03
' The Cnmmotnvealth afMaNwAuseft
:- . Dot of�ixd�rsd�al�ccr'�en[s .
Off ice of itwestfgawons
680 w'ashiagols SfMd
De wa4MA02111
wswv.ssaass g+vly dU
Warikere Compeasation Ynsuranee AMdavit:BuilderslColltractors..Tlectridans/Plumbers
Atatplitaaott xniormntton Please Print Leeibly
Name M"jntWorgaWzsaodtad(vidW)..WQ Ifer Owack C jad fl&
Address: 90 F.
City/Stffwzip: (u,+ )C,1C_e t". � �a Phone.#:
Are you an employer?Chas kthe.s ffroptrku boa: Type of project(required)..
1. Zama soya wig 4. []I am a general contraccur and I
Bell and/or;P�:timer have Wrod the bra
koL 6. ❑Nmv c auaSaa .
®plg ( )• oattzo'attaebedlsheet +amnde)ng
2❑ I em a e grerpzieoor or pattised 7. R
,�� �have
atilt veno ewptoyoea 8. ❑Dawlitiam
-dA
for me in employe and ba m war msl
my es 9. �]Building addition
amktp I mug.bmi-ince5.Q We are a cotporatiam and its 10.0 Mwftiad repairs or additions
�P
3_ I snn a bona veer da6mg t officon have a &dr I L[]j repass or additions
right of exuwdon pet MGL ®
t caagt e.152,f 1(4),and eve have no f repstir$
eaaployeea.(No Workers' AID Oiber
comp.insurance netLI
•Any appbeant tbvt chaely box#1 mutt afro fill oat dm aeation below sbowing the rwudwm'c=pcoojim pot cy infmaztion.
t Hvzn=wm who sub*this aSdavh iadieatiag thvy era doing dI werk aid thm him outside coahactots must submit m new affidavit indlesttag'such,
iCduraetora drat stuck t di box must attached w addhienat abod abowkg tU nw&afthe sub4onbaetors and ou whether or not those enti iaB have
employees, H Ate sids�on>zaemrs tore ea�ployces,they oast ptartda theft woristts aost�.golicyautnbeQ.
J'tarn an tmpipyer that is protrl"workers'compewa ton insurance for nay employees Below is Ike policy and job site
btfonnatlon.
inaurat�ce CompandNtimo: .W M..ui ch M OYt-h A- 9xn t C OLK-
Policy#or Self-ins.Ise.#,,,(,zz lu� 5z4`J C i-I-a(o EViration Date: LC5-a 3-o
Job Site Address: Ia 1hQ,P'lAaLe Lax,-9- t tylStetelZip: cS MA �2eac�I
Attach a copy of the workers compensation policy declaration page(showing the policy atambe stud expiration date).
Failwo.ta set•.c M tsevmup as reT*ed under Section 25A of MM c. 152 can lead to the bwosztiou of ctixmnal penaldea of a
&e dp to$U00.00=&or one-year bVdB nment,as wQ as owls penalties in the farm of a St OP WORK ORDER and it f ne
ofup to$250.Oo a day against f*violatar. Be advised that a copy of this matmesitmaybeftwaxWto the Office of
ywdmjdm of tits DIA fbt instueace tAye IM ads- ma-
!do A*n*Celle=Iftr fhe pafisa-axd pemstd w of pelf ury that!Ise&fvnnation provided above,is Ow and sorted
S' afore: aQ. -oZD—O
Offlrw rued not wrut dhis V-m ffi be WMFIMd by Zwor sown ojflctaL
Ctb'or'Townt PermifMceuae#
lutbg Authority(circle one):
I.Board of Health. 2.Au€Idlas Depattment 3.CloYrown Clerk 4.MachIcA Inspector 5.Plumbing Inspector
6.Other "
Coaiact Persout Phone#:
06/19/2007 09:12 15087906230 BUILDING PAGE 05
Town'of Barnstable
Regulatory Services
Teomas F.Geller,DlreeWr
MIS
Building Division
Tom Perry,Suilding Cemnt%ioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable..ma.us
Office: 508.862-4038 Fax: $08-790-6230
lityMOWNU LIMME EX1YlY n011
Plaasa Print
DA78 (o- 1C1-Dri
JOB LOCH MN: MA
aumher �� attest village
��xoriBow1 -°: j±ex: T C-I Qw aLV— . 50 8-Ala- c39(o
name horx ptraooa it workpbonefk
ZrtrRt WT MA7LL*1G.ADMMSS' TO- 0>L ail
city/town. $rate 4 cads �
The current Mwvtion for was extended to include gZ;M -ocWjpd dvielli=of six units or less and
to avow homeowners to engage an individual for hire who does rot possess e.license,Ra ids#tbat_the.owner.acts as
DEF>L*MON OF HOMMOWMM
person(s)wbo owns a parcel of land on which l oghe resides or intends to reside, on which there is,or is intended to
be,a out or two-far*dwelling,attached or detached structetres accessory to such use andlor farm stmctares. A
person who constructs nacre than one home in a two-year period shall not be considered a homee'evt:er. Such
,,bomeowner"shall submit to tte Building Official on a fo=acceptable to the Builtliug'Of fcial,that he/she shall bg
resnomstblc fez all each work WA
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,Talcs end regulations.
rmnirrm u inspection prooadwas and requirements and that he/she wl comply with said procedures and
2
re uireweats. ,
ptatute of Htsnwwner
Approval of Building Official
Note: Thrae-famf'l7 dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Coda Sectiom 1.27,0 Construction+Control, ,
HOMOVMM-S 14R3rdrt MON
The Codi:states drat: "Any borteownel p=fm tins work fbr which a building pa Tit is required sball be eicempt from the provisions
of this amtioa(Section 109.1.1-Licensing of constsuetfon Supervisors);provided that if the hon owwr engages a person(r)fbt hire to do sueb
work drtt sub Hoineowrier shall act u snperAser."
Many hotmowam who use ibis ex"*tim are unaware that they am assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Constwtitm ftwr.sm,Section 2.13) rhis lack of awarenza o0en raulta in scriow 7oblans,particularly
when tte homeowner him nmHomsed parsons, In this case,our Board cannot procsad ago nst the slliecased perao�t as it would with a licensed
Supervisor. Thcbtmtcowner acting$a Supervisor is ultimatelyresponsible.
To more that the hceaenwma is faw aware of ble/ha respansfhi7.itiea,ttfeaY mnarumities requite.as part of tree pennt applieadon,
thot thebomcowacr certify that bo/sbe uodanwds the resporsibtlftieg or a Supervisor. on tttc last page of Ibis issue is a form rtmentty used by'
several Tema. You may care t wwd and adopt such a foravoortfr4tion for use in your Community.
Q:fa�rmfbotn�oer:'r:'pt
t
RESIDENTIAL PROPERTY
MAP NO. _T . � r- ��+2 N htin ale-Lane FIRE DISTRICT
STREET— _.c x = `.._L� 8T1T1�S ._ 7y 98
LAND UMMAR Y00
OWNER H BLDGS. �SD
TOTAL Z yS o
LAND
RECORD OF TRANSFER PATE eK PG I.R.S. REMARKS: 1/�?�� o % �� ]�
� BLDGS. Z ��
B TOTAL z l? c0 J
•l0a LAND
BLDGS.
TOTAL
LAND
4
. 'O P✓/��S i > / BLDGS.
TOTAL
LAND
BLDGS.
TOTAL
LAND
m
BLDGS.
TOTAL
LAND
BLOCS.
TOTAL
LAND
INTERIOR INSPECTED: BLDGS.
TOTAL
DATE: LAND
ACREAGE COMPUTATIONS BLDGS.
LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL
HOUSE LOT 0 LAND
CLEARED FRONT - BLDGS.
REAR TOTAL
WOODS&SPROUT FRONT LAND
REAR BLDGS.
WASTE FRONT TOTAL
REAR LAND
BLDGS.
TOTAL
LAN D
Ot BLDGS.
LOT COMPUTATIONS LAND FACTORS TOTAL
FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND
ROUGH TOWN WATER BLDGS.
HIGH GRAVEL RD. TOTAL
LOW DIRT RD. LAND
SWAMPY NO RD. BLDGS.
aj
TOTAL
TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL CO., EAST HARTFORD,'CONN. - J
FOUNDATION BSMT. & ATTIC PLUMBING PRICING
LAND COST '
Conc.Walls Fin.Bsmt.Area Bath Room U Base ���y0
BLDG.COST
Conc.Blk.Walls Bsmt.Rec.Room St.Shower Bath Bsmt.
PURCH. DATE - •��
Conc.Slab Bsmt.Garage St. Shower Ezt. Walls
PURCH. PRICE. •
Brick Walls Attic Ff. &Stairs Toilet Room Roof RENT
Stone Walls Fin.Attic Two Fixt.Bath
Floors
Piers INTERIOR FINISH Lavatory Extra
Bsmt. F i "1 2 3 Sink r c `✓C� �.. ✓ /� .
% % r/4 Plaster I Water Clo. Extra Attic
EXTERIOR WALLS Knotty Pine Water Only 3�
Double Siding Plywood No Plumbing Bsmt. Fin.
Single Siding Plasterboard Int. Fin. /
Shingles TILING A.
Conc. Blk. G F P Bath Ff. 1 Heat + 3
Face Brk.On Int.Layout /—A Bath Fl.&Wains. i Auto Ht.Unit
Veneer, Int.Cond. Bath Ff. &Walls / Fireplace
Com. Brk.On HEATING Toilet Rm. Fl.
j t
_ Plumbing
Solid Com.Brk. Hot Air Toilet Rm.Ff.&Wains.
Steam Toilet Rm. Fl.&Walls Tiling
Blanket Ins. %' Hot Water St.Shower
Roof Ins.. Air Cord. - Tub Area Total
Floor Furn.
ROOFING COMPUTATIONS
Asph. Shingle Pipeless Furn. S.F.
Wood Shingle No Heat S.F.
Asbs.Shingle Oil Burner -.. z S. F. ��, 76
Slate Coal Stoker S.F.
Tile Gas S. F. OUTBUILDINGS
ROOF TYPE Electric
S. F. 1 2 3 4 5 6 7 8 '9 10 1 2 3 4 5 1 6 7 8 9 10 MEASURED
Gable Flat
Hip Mansard FIREPLACES S.F. Pier Found. Floor
Gambrel Fireplace Stack Wall Found. 0. H. Door LISTED
FLOORS Fireplace y Sgle.Sdg. Roll Roofing
Conc. LIGHTING Dble.Sdg. Shingle Roof
TEarth No Elect. DATE
— Shingle Walls Plumbing
Pine
Hardwood ROOMS Cement Blk. Electric
Asph.Tile Bsmt. 1st TOTAL j ',L/ Brick Int.Finish PRICED
Single 2nd 3rd FACTOR
REPLACEMENT
OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. CONO. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL.
DWLG. F !'rt l 's�-% f.iL .f1 -r:— 71 7 :! ./ 12 "r ' C�
1
2
3
4
h 5 .
6
7
8
9
10
TOTAL
PROPERTY ADDRESS I I ZONING I DISTRICT CODE 'SP-DISTS.I DATE PRINTED I STATE I pCS I NBHD KEY NO.
CLASS
0042 NIGHTINGALE LANE 07 a 400 07HY 01/04/96 1011 . 00 HY12 R311 098- 23087f
Lana By LAND/OTHER FEATURES DE Oate SCRIDP m10N1On ADJUSTMENT FACTORS ,, UNIT ADJ•D.UNIT WALTER J MAP-
ACRES/UNITS VALUE Dexription
CD. IF
FFDe mrAcres LOC./VR.SPEC.CLASS ADJ. COND. P PRICE PRICE , -r----
#LAND , 24.300 CARDS IN ACCOUNT —
L 10 1BLDG.SIT 1 X .10 =10c 490 50 98999.95 242549.9 .10 24300 NBLDG(S)—CARD-1 1 19.100 01 OF 01
A NPL 42 NIGHTINGALE LN HY
N BATHS 1 .0 • U X C= 100 3500.10C 3500.00 1.00 3500 B #DL LOT MARKET
D ORR 1087 0058 INCOME
A
pUP FY97 USE
APPRAISED VALUE
D i A 43.400
.A U PARCEL SUMMARY
T S AND 24300
A T BLDGS 19100
0—IMPS
E TOTAL 43400
F E N CNST
E N PRIOR YEAR VALUE
A T BookD REFEREP 9e Type MO ATE Yr.p at"Rec P is LAND 24 300
Insl. Sates Price
T S 9652/076! I,05/95 45000 BLDGS 19100
U 7202/325,TEI;06/90 A 1 TOTAL 43400
R 1981/257: :00/00
E BUILDING PERMIT *LAND ADJUST.FOF S Number Data Type Amounl SIZE/SHAPE/L O C
LAND LAND—ADJ INCOME SE SP—BLDS FEATURE BLD—ADJS UNITS AND USE....
24300 3500
-- Const. Total Base Raie I Atli.Rate Year Built Age Norm. Obsv. I CND. I LOC. 14b R.G. Repl.Cost New Atlj.Repl.Value Stories Heigbr I Rooms RmsJ Batbs I 'Fi,<. Pertywei Fec.""' Units Unns A I Depr. Con%, 11
IL"C— 000 100 100 56.10 56.10 40 60 34 56 80 36 53170 19100 1.0 4 2 1.0 4.0
D sc:iption Rate Square Feet Rep,.Cost MKT.INDEX: 1.DO IMP.BY/DATE: / SCALE: 1/01.00 ELEMENTS CODE CONSTRUCTION DETAIL
SAS 100 156.10 858 I 41 4
FOP 35 119.64 12 I 2361 *----------------36----------------* STYLE 03RANCH 0.
FFB 650 165.00 20 1300 1 ! ! D EST GN-A6J MT' -00 -------------------0.
! ! EXTER.YACCS-- -01 -66D-T D fFAME-------- .
I_I i _ _ _
i 14 HEAT/AL -TYPYE 04 TIL------------ ---D.
INTER.FTtJIS}f -00 - ---0.
1NTER.LAI�OUT -01 ---------------- --D:
R I ! ! INTER:3tACCTY 02 1IME A� EXTER:---D.0
BASE 26 FC-(YR-STR`uCT -00 -------------------D:
A W *--7---* ! EFLDIYR-t-OVER-- -00 --- - ------------ U=Ol
E ITpta;A,naz Aux= 12 Bagel_ 858 ! ! RODT-TYPE---- -00 -------------------D.
BUILDING DIMENSIONS ! ! L T C-T R ITI�L 00 -II.D
T BAS W26 S02 FOP E06 NO2 FFS E10 FOUNDATTQN- - -OO -------'---------Y9.
A 1s02 w10 NO2 FOP W06 S02
14 -------------- --- ----------------------
IBAS W03 N14 W07 N14 E36 S26 ! ! -----00MM-ERCIA --N N�-IW-HYA-WWIS-HYT2
! LAND TOTAL MARKET
*--6--*------26—*---------X PARCEL 24300 43400
*3—*—FOP—*----10---* AREA
FFB VARIANCE +0 a0
STANDARD 50