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0323 OAK NECK ROAD
3a3" 6ti/- ru.�. /r.�L o. t r Town of Barnstable Regulatory Services ` 'AMST^BM ' Thomas F.Geiler,Director 9� 1bIA 9. 1�g -nw+°i Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601, Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM DATE: �.2 '00 D TO: File REGARDING: COI Multi-Family Use Re: Certificate of Inspection is not required for this property--does not consist of 3 or more units within a single structure. Notes. I , T Town of Barnstable Building 14AM36 9A.BLE. Permit ;Where a Certificate of Occupancy,s�Requ�red,5uchBuildmg s�hNot,,be�Occwpeduntil a Final lnspect�io�nhas beer�uma�de� � � Permit No. B-18-457 Applicant Name: CAPE COD INSULATION, INC Approvals Date Issued: 03/08/2018 Current Use: Structure Permit Type: Building-,Insulation-Residential Expiration Date: 09/08/2018 Foundation: Location: 325 DUPLEX OAK NECK ROAD, HYANNIS Map/Lot307 198 Zoning District: Sheathing: Owner on Record: `DEWEY JACOBT 3 Contractor Name CAPE COD INSULATION, INC Framing: 1 sContractor License 153567 Address: P O BOX 614 2 HYANNISPORT, MA 02647 � Est Protect Cost: $ 1,800.00 Chimney: i, Description: Weatherization PermitFee: $85.00 Insulation: Fee Paid $85.00 325 Oak Neck Road Final: Date ', 3/8/2018 Project Review Req: v21, „ r � ' r Plumbing/Gas 0', J k fW 4, V , L Rough Plumbing: ;,Building Official z .� Final Plumbing: ;k ` Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzedjby this permit is commenced within six months after issuance. g All workauthorized b this perm shall conform to the a roved a lication ai thew roved construction documentsfor which this permit has been ranted. Y P PP PPr PP P g Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access ree stt or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same.. T Electrical Service: The Certificate of Occupancy will not be issued until all applicable signaturesxby the Bu11, 11 and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construct'101 iWork*i,, Rough; 1.Foundation or Footing . 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: 'Upersons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f C/5-� Map Parcel �U 13UI ' ' Application # Health Division �OEPT Date Issued Conservation Division FEB 14 2018 Application Fee Planning Dept. - TOVV/V OF,64P STq Permit Fee Date Definitive.Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village ✓�rr,^��� Owner uJ w Address Telephone �°U ' -957" k74 Permit Request ' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �d Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .0 Two Family V Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)- Name t Telephone Number Address �� Pavdb�l t�V License # lao q OU • r vl Home Improvement Contractor# Email 'VVI � dl�i ��i�,�I�O� Worker's Compensation # nd �7[' b 7i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING A DATE CLOSED OUT ASSOCIATION PLAN NO. I t dsy sy �. 460 west Main Street ' Housin '� v Hyannis,MA 02604-3698 : �yJ .. ASsista&e Tel:(508)771-5400 Fax(508)790-2425 r Corporaflon - a TW on all lines Gape Cod Free Weath erizatio ft! Your tenant has requested and is eligible for weatherization of your rental home through the Matherization program at Housing Assistance�Corporation. An average weatherization job is worth $4,500 and these services are provided at no cost to you. The following weatherization measures are applied to the typical job, air sealing in the attic and basement, insulation in the attic- basement and waf{s, wreather-stripping doors. Bath fans may be installed if necessary. We .wif{ test the efficiency of the refrigerator. All work is professionally done by licensed and experienced contractors. HAC will conduct -a final inspection to make sure that all .work is completed in compliance with quality-work standards. Prior to the work being.done you will receive a letter from HAG showing the actual. measures that will be installed and the total dollar value to the work. To confirm ou`r ownershi of the roe we will pull the appropriate town assessor's Y. P property,rtY, P report. If necessary, we may ask for a copy of your tax bill or deed to prove ownership. The work on your rental property will .begin-when we receive the signed copy of the attached Agreement. If we do not receive'.the Agreement, HAC will conduct an energy audit but no weatherization work can be done without the signed Agreement. During the. energy audit we will install energy--efficient light bulbs and will test the efficiency of the refrigerator. If you have any questions please contact Suzanne Smith at 508-771-5400;.ext.:123 or ssmith@haconcapecod.org . LANDLORD. e ti TENANT: -£ t�.te date A* lam( wVy�i 5 t / aw+ntS Afi - small: Q(�.e�;at. AAJtL((i(dlA email: _J: .. PHONE:(home).. PHONE;(home) —7 (cell) TJ��3 (cell), 14. The Fatties acknowtedge that this Agreement is under seal. It is-intended by the Parties that the Tenant or any successor Tenant Is the intended beneficiary of the-Agreement and.shall have a right of enforcement Property Owner's Signature: Date Phone Address; . rod'i -� Tenant Signature Date Agency Approved Weatherization Company Adam T:I orated ! AM Cape Energy' / Alternative Weatherizaton Cape Cod Insulation 1. Cape Save / Cazeaun . 1=rontier Energy Solutions I Lohr Home Improvement 1 Tupper Construction Agency Signature �" V� Date k The Commonwealth of Massachusetts r Department oflndustrlalAccldents Y 1 1 Congress Street,Suite 100 Boston, MA 02114-2017 www.mass,gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers, TO BE FILED WITH THE PERMITTING AUTHORITY. Aonlicant Information F_� - ` ti:. Please Print Lezibly Name (BusineselOrganizadorAndividual): Cape Cod Insulation Address: 18 Reardon Circle City/State/Zip: South Yarmouth,MA 02664 phone#: 508-775-1214 Are you an employer?Cbeck the appropriate boxt Type of project(required): IQ I am a employer with 48 employees(full and/or parwime),r 7. ❑New construction 2Q 1 am a sole proprietor or partnership and have no employees working for me In $, Remodeling any capacity,(No workers'comp,insurance required,) 3TI I am a homeowner doing ell work myself,.(No workers'comp.Insurance required,)t 9. ❑ Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[�Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5,[]I am a general contractor and I have hired the subcontractors listed on the attached shoot, re Theca sub 13, Roof repairs contractors have employees and have workers'comp,imuranee,t ❑ P , 6.[]We are a corporation and Its officers have exercised their right of exemption per MOL o. 14. Other Weatherization 152,11(4),and we have no employees,[No workers'comp.Insurnnoo required.) 'Any applicant that cheeks box 61 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit thla`Midavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name bf 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: Atlantic Charter Policy#or Self-ins.Lion#: WCE004 31902 Expiration Date, 06/30/2018 Job Site Address; City/State/Zip: (4PtP1tti Wk Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required under MOL c. 152, §25A Is a criminal violation punishable by 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,A copy of this statempnt may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, 1 do hereby certD under the pains and penalties of perjury that the information providedabove is true and correct Sienature: Henry Cessldy / '7) i Phone#: 508-77 5-1214 L nly, Do not write in this area, to be completed by city or town of�iciai,n; Permit/License# hority(circle one): Health 2, Building Department 3. City/Town Clerk 4,Electrical Inspector-S►Plumbing Inspector rsons Phone#i CAPECOD-27 KDOYLE CERTIFICATE OF LIABILITY INSURANCE D 0TE 6130120Y7 06/3012017 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 pollcy(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 Ileu of such endorsement s. PRODUCER CT RogBra&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 AIC No EXt; A/C No;(877)816.2156 South Dennis,MA 02660 I mall@rogersgray.com INSURER AFFORDING COVERAGE NAIC q INSURER 'Peerless Insurance Company 24198 INSURED INSURERS:Safety Insurance Com an 39454' Cape Cod Insulation,Inc. INSURER C;Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INS& AODLTYPE OF INSURANCE INSD WVQ SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE I OCCUR CBP8263063 04/01/2017 `04/01/2018 DAMAGE TO RENTED 100,000 MEDEXP(Any one Person) 6,000 PERSONAL&ADV INJURY 110001000 M'OTHER: L AGGRE ATE LIMIT AP LIES PER: ENERAL A REGATE 2,000,000 POLICYL_j jp&- LOC PR DUCT MP/OP AG 2,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT• 11000,000 (dent) $ ANY AUTO 6232707 COM 02 000112017 04/01/2018 BODILY INJURY Per arson $ AIURRTEEOpDS ONLY X AUUTNOOSWULNEEDp R X AUTOS ONLY X AU705 ONLY BODILY INJURY Per accident FAO,eccRdent AMAGE C UMBRELLA LIAO X OCCUR EACH C URRENCE 2,000,000 X EXCESS LIAO CLAIMS-MADE EXCl0006635002 04/01/2017 04/01/2018 AGGREGATE 21000,000 DED I I RETENTION$ D WORKERS COMPENSATION PER TH• AND EMPLOYERS'LIABILITY YINX ANY PROPRIETORIPARTNER/EXECUTIVE R/O WCE00431902 06/30/2017 06/3012018 1,000,000 �FFICERIMEM EXCLUDED? N NIA E.L.EACH ACCIDENT vtandetory In�ij U1000,000 ea describe under E.L.DISEASE•E EMPLOYEE SG�RIPTI N FOP RATIONS below E.L.DISEASE•POLICY LIMIT 1,000,000 ;5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10%Additional Remarks Schedule,may be attached Ir more space is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES_. ICI 3 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7� ACORD 26(2016/03) 01988-2016 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD a b r Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Maid usetts 02116 Home Improveme fit. tractor Registration _ :Type: Corporation Registraib :, 153567 Cape Cod Insulation, Inc n ry a Expiration: 12/14/2018 18 Reardon Circle - So. Yarmouth, MA 02664 a -- - - e • '1M 1...,•• Svc Update Address and return card. Mark reason for change. SCA 1 0 20M-05/11 — ----------...--- ------ -------- --- -------.._�--�-�4t��?sMss-!-''•-�;�aF.�:af:..•...�;:r.;�:�art_CL.L.ast-^arm+._-. .._-._ eN �e�ai�unao�zarea�o�C�aac�craeCld• Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TO T:0% Corporation before the expiration date. If foun urn to: eg(atration Expiration Office of Consumer Affalrs and si ss Regulation z^— 10 Park Plaza- e 5170 f`E !5 �? 12/14/2018 Boston,MA 11 'L E'"�'1 i•J Cape Cod Henry Cassidy'',Y, =5 18 Reardon Circ � So.Yarmouth,Mk-. Undersecretary t4al6Wh6ut sl atu Commonwealth of Massachusetts Division of Professional Licensure -Board of Building Regulations and Standards Cons� ICtri�$(Sp�rvisor CS-100988' Tres: 11/11/201.9 .t s HENRY E CA�TDY, 8 SHED ROW . WEST YARMO1jT�NA.Q. ;70 �C '�: 45 Commissioner V'�`� 0_? r Town of Barnstable *Permit# Expires 6 manths from issue date Regulatory Services Fee MRNICTABU, 1639., �b� Thomas F. Geiler,Director IT Building Division Tom Perry, CBO, Building Commissioner r( a 2 ) 200 Main Street, Hyannis,MA 02601 i` _ hf�r ,'�._ ww .town.bamstable.ma.us w L. Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAM APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number _?o Property Address S Oci U 1 v e,c U� . f Residential Value of Work Poo, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Pe-Tel :sv il Fq lGc } Contractor's Name N(�,�� ;f�i/r'a✓i,� f s�� � S Telepho e Number r= Home Improvement Contractor License#(if applicable) `[ Q Construction Supervisor's License#(if applicable) S G q 16 orkman's Compensation Insurance Check one: ❑ lam a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 5�(� d?S�rC(V)C Workman's Comp. Policy# �opy of Insurance Compl'iance Certificate must accompany each permit. 'ermit Request(check box) I uJ � re-roof(stripping old shingles) All construction debris will be taken to l fed L ccc 1. r<<;7 r-a�cc✓zmr Re-roof(not stripping. Going over existing.layers of roof) nn u5�_ ❑ ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of7th Home mprovement Contractors License& Construction Supervisors License is equired.GNATURE: WPFILESTORMS%pilding permit fnrmsTXPR.ESS.doC vised 070110 ,- �ZHE Town of Barnstable,,- • Regulatory Services• eeaivsrea�, ; , M.+es Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA-0260I www.town.barnstableana.us Office: 508-862-4038 y } Fax: .508-790-623 0 x -- -Property-Owner Must Complete and Sign This' Section If LTsin A BU:ilder G ,as Owner of the subject / l prop ay. hereby authotize ©t)n to act on my behalf; in all matters relative to work authorized by this building ermit `3 �`3 c�o�k IveC 4 l4 CI-Cl,hn (Address of Job) Pool fences and alarms are the res onsibili o P tp f the applicant. Pools are not to'be filled before fence is installed and pools are not to be utilized until all final.inspections are performed and accepted. Signature of Owner L qetate of Applicant lac e Print Name 1 I Print Natne Date i Q_FORM&OWNERPERMIESIONPOOLS THE Town of Barnstable Regulatory Services ASS.LF, Thomas F.Geller,Director 1639. ,�$' . a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print - DATE: JOB LOCATION: '" number street village ".HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as Supervisor. 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 resaonsible for all such work-performed under the building_permit (Section 109.1.1) . I 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 he Town of Barnstable Building Department _ minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 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 Supervisor;);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, r 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:homeexernpt Ntassachusctts- ucp:u-tnunt of PuMIC Jatet) w Board of Buildin- Re-ulations and Standards Construction Supervisor License ' License: CS 69152 ,l JOHN M FALACCI PO BOX 1224 HYANNIS, MA 02601 Expiration: 12/11/2012 L'unntissi.pile r Tr—: 9186 l i �lze�arrvnzamrrseuCC�. a- �i1a ac�u7e! License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: ,,JMVR!;HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration:—148770 Type: r' J 9 10 Park Plaza-Suite 5170 Expiration 10/25/2013 Private Corporation. Boston,MA 02116 HOME IMPROVEMENT SPECIALIST OF CAPE COD JOHN FALACCI 25 IYANNOLIGH ROAD - HYANNIS,MA 02061 - Undersecretary Not valid without signature The Commonwealth of Massachusetts -= Department pf Industrial Accidents -- Office of Investigations .;J 600 Washington Street Boston, MA 02111 www.mass.gd v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly O�✓t �. GK �pri P r c'�t! C r r( c`�%S ®t� &a N &® Name (Business/Organization/Individual):. nn — Address: l c�ah n o�c orh �I City/State/Zip: R n,` O 2 6 o Phone #: 9_0 7 7, 2� f,- Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.KRoof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also till 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 anew affidavit indicating such. *Contractors 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: rO f &2 9Y Policy # or Self-ins. Lic. #: W C C>cl '-�a`-1 C7 Expiration Date: Job Site Address: Qq V �i°G�C �r� City/State/Zip: Ui o�n✓�; �{tr ' .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 tine 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 hereby7rtrfynder the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: � Official.use only. Do not write in this area, to be completed by city or town official City or.Town: Permit/License# Issuing Authority(circle one): 1. Board of Health .2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: - ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMI°°/YYYY) 10/03/2011 THIS��C��;i�ICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOSS 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 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 endorsement(s). PRODUCER CONTNAME: Gwen Vosburgh Mason & Mason Insurance Agency, Inc. AH/ ,N Ext: 781.447.5531 FAX No:781.447.7230 458 South Ave. E-MAIL ADDRESS: Whitman, MA 02382 PRODUCER CUSTOMER ID#: Brenda Gillette INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Main Street America Assurance 29939. Home Improvement Specialists of Cape Cod Inc INSURERB: Phoenix Insurance Co 25623 PO Box 1224 INSURERC: Star Insurance 000204 Hyannis, MA 02601 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 11/12 GV bui1 t REVISION NUMBER: 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. IN RI TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDDIYYYY MM/DD/YYYY GENERAL LIABILITY MP049363 09/02/2011 09/02/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE C RENTED $ PREMISES Ea occurrence) r 50O 000 CLAIMS-MADE Ex] OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 17 POLICY 71 PRO- JECT LOC $ AUTOMOBILE LIABILITY BA2638N65611SE 04/24/2011 04/24/2012 COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO 1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATEH $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC0428640 09/15/2011 09/15/2012 TORY LIMITS OER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) OFFICER IS INCLUDED E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Residential remodeler , CERTIFICATE HOLDER CANCELLATION FAX: 508.775.2887 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable AUTHORIZED REPRESENTATIVE 200 Main St. Hy nnis, MA 02601 David H Mason ©1988-2009 ACORD CORPORATION. All rights reserved. \ACCORD 251(2009/09) The ACORD name and logo are registered marks of ACORD Town of Barnstable : Regulatory Services i AAR1VfdrA�Ai.R i - , WAes ► Thomas F.Gefler,Director Building Division Tom Perry,Bui1dmg Commissioner 200 Main Street,Hyannis,MA 02601 WWW town.barnstabhLma.us Office: 508-862-4038 Fax: 508-790-6230 __.. ]P=pe-rt:y--Offer Must____—__ _— Complete and Sign This Section If Using A Builder , I, G CAC c'1 Q ,as Owner of the subject prgpetty . hereby authorize S0�h Fulgoc I to act on my,behalf in all matters relative to work authorized by this buddt%perm r oo�k I/ecr 4 [�C7r4V)r 'I �I eTtsc p %� i_��_N- n� (Address of Job) "Pool.fences and alarms are the responsibility of the applicant Pools are not to be fiIled before fence is installed and pools are not to be utilized until ill-fim1 inspections are perfo=aed aisd accepted. kef Owner e of Applicant Print Name Print Name Date (,"4 QF0E-W:0WNERYER MSI0hT00IS _ 168 w �L' ne �,,,.. V :� -ke� :265 1 18 �x `•� I a 9 Y; 15 9 � 36 " .� 1 t, •ss •A ' 0 1 miff - - E t 1 13 .'c=n "_` � t 66Pr• p" �- Y{p' 24 � 1 \ �` t� o -. fln 169 W307Ism i i65 n 73 ,ppp In 69•l166 a 4 _ _+_ s 102_ wj�t 0 df2 1 - .. ♦ta ,.. -IdUL _ ©10WWI 6tPtwm _ 3 yn t..'-._, Wm� 1 `I ♦10 '�- -'�j ------ H: -.EIEEi I(F6 18 1 _ i 57 s ©i ub r Yo 2 7" Y_tji+ nyt , E w Y 2a.: nit 56 '111 ' IW 47 - 7 _•iu 5 203 . lu i Y ep 04 t7 A ' 224 S 2f7 y —_-- _ 8 - 206 1201i a 2 px s s 89 qs�t : i' 9 2 T7 s 1 i 6y. - ww — 20 X § 1s .... 3 ..f. IT-j , -hl V, J'.o , •a _ Y .n •u •ss .9. — 1 26k. d W Wm 246 196 ' , s� 1' 1� 1� 1 Yo Wm ;t I 2 .m ) 04 244 9m - 8M,_7 W m 7,,,;,3 C' 1 1 7y 18Y Al 4 11 RRIPPITZ t r 1 T g nti 85 O •as - 9 wsa sa m i 2 w ivu .-w is 7• 4 r �t'3t's;. u C30-7 b I i ti 1 ' i i i r � J 1 � Property Location.'323 OAK'NECK ROAD- MAP ID 307/198/// Vision ID: 24745 Other ID: Bldg#: 1 Card 1 of 2 Print Date:06/14/2000 AMILIFE�" �✓„^tis� re�, sue, s-,, ,,say„���: i/,g�° ,.,. „�:* :: „��'' a �,. �� .� �, : ��.; r � +x ;�.. SF� "i � ��:�. � � ,- ,�, �, �;;� a, ,xax:r � �..,c+. Description Code Appraised a ue Assesse Value O BOX 1222 RESIDNTL 1110 68,500 68,500 801 YANNIS,MA 02601 E DATA-Barnstable,At ,; Ad ccountr an Ret. ax Dist. 400 Land Ct# et-.Prop. #SR VISION Life Estate DL 1 LOT 4 5 Notes: DL2 6&7 CIS ID: Totall 1019400 1U1,400 - g u, v t. ; 4 ,. ..• .�. ,, ..., a.. ,; � ;-�� ,�., ;�: :` Yr. Code Assessed Value Yr. Code Assessed value Yr. Code Assessed Va ue 20001110 68,5001999 1110 68,50019981110 68,500 ota: 101, Total:1 , ota ® WSME11V Is k is signature acknowledges a visit a ataCo lector or Assessor. �: .. Year lypelDescription a mount code Description Numver Amount Comm.Int. MR, RA Appraised Bldg.Value(Card) 34,900 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 0 ora Appraised Land Value(Bldg) 32,800 _ Special Land Value Total Appraised Card Value 67,700 Total Appraised Parcel Value 101,400 Valuation Method: Cost/Market Valuation e otal AppraisedParcel Value 101,400 $ u NG Ww- a ..,h. ,' ; xo g,_. ermitIV issue Date lype Description Amount Insp.Date ulo Comp. Date uomp. Comments Date ID Gd. FurposelResuit s` 0" .. e Use Code Description zone D Prontage Depth units Unit Price 1.11actor actor Nbhd. Adj. otes-AdjISpecial Pricing Adj. Unit.-rice Lana value Units oes: Toral Cardan nitsParcel ota an rea: Total an a ue i Property Location: 323 OAK NECK ROAD MAP ID: 307/198/// Vision ID:24745 Other ID: Bldg#: 1 Card 1 of 2 Print Date: 06/14/2000 MA 411 "A Element Cd. Ch. Description ommercia ata ements e ype ami y Duplex Element Cd. Ch. Description Model 1 Residential Heat rade C C Frame Type Baths/Plumbing tones 1 1 Story Occupancy 0Ceiling/Wall ooms/Prtns Exterior Wall 1 4 ood Shingle /o Common Wall 2 Wall Height Roof Structure 3 able/Hip Roof Cover 3 sph/F GIs/Cmp nterior Wall 1 5 Drywall 4 2 Element Code Description actor 2 Interior Floor 1 14 arpet omp ex 2 Floor Adj Unit Location Heating Fuel 04 Electric Heating Type 09 Typical Number of Units C Type 01 None Number of Levels %Ownership Bedrooms 2 Bedrooms 12 Bathrooms 2 2 Bathrooms E t VABM Ad 36 0 Full :•« •�,� . Total 48.00 Rooms ze ize Rooms 1. ase e Adj.Factor 1.19935 Grade(Q)Index 1.01 ath Type Adj.Base Rate 58.14 Kitchen Style Bldg.Value New 71,163 Year Built 1966 ff.Year Built 1975 rml Physcl Dep 2 uncn]Obslnc con Obslnc 29 y pecl.Cond.Code code Description \e�rcenta a peel Cond% nits —Overall%Cond. 49 eprec.Bldg Value 4,900 YA s Code >,Description LIB Units Unit Price Yr. p Rt %Cnd Apr. Value 41 Code Description LivingArea Gross Area Ejj.Area Unit Gost Undeprec. Value firs oor71,163 7M Gross LivlLease Area g Vak 71,163 Property Loeatioh: 323 OAK'NECK ROAD " �MAP ID.- 307/'198/// .. - • _..I .-__ , I , .- — ,.:..., Vision ID: 24745 Other ID: Bldg#: 2 Card 2 of 2 Print Date:06/14/2000 t" i, xii - z 'x" -T ,� �r. Description o e Appraised Value Assessed value O BOX 1222 801 SIDNTL 1110 68,500 68,500 ANNIS,MA 02601 E DATA-Barnstable, Xc—c—ou-nTi7 218892 Plan Ret ax Dist. 400 Land Ct# er.Prop. #SR Life Estate VISION DL 1 LOT 4 5 Notes: DL2 6&7 GIS ID: 101,409 g 4. _fix, 1s;;; � �s, a - r. Go de /Assessedvalue r. Code Assessedvalue r. Go de AssessedValue -2um 1110 f f e 2000 ill 0 ll0 68,5001999 1110 68,5001998 1110 68,500 ola:-------WF,40U 7ofal:1 TO, ota101,400 rj I his signature ac now a ges a visit by a Data Collector or Assessor „F„:, ':;,,,a.,.., ',d': ?: •' ..�. - .. x ..: ,� "_ ... s. '� £ .;» ;-. :<�.. sue: Year lypel.Description Amount Code b escription Number Amount Gomm.Int. ;• 3 Appraised Bldg.Value(Card) 33,600 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 0 ota .. . ,, ' .. E ":, ... " . Special Land Value (Bldg) 10 Value B 0 Total Appraised Card Value 33,700 Total Appraised Parcel Value 101,400 Valuation Method: Cost/Market Valuation etTotal AppraisedParcel Value 101,400 sj ermtt ID Issue Date lype Description Amount Insp.Date o Comp. Date Comp. Gommenis Date ID Gd. PurposelKesult \. ....... ..... F....,T $>. :, ,a... .. :,� , i':• Sad.,,: .,,..... :\\�.; .. �,,::,::2:..� �.:.u„ 8". ....,F....�' .\........� ./ ...�a .. ,�.x v� :� � �.,�' ., �s`� ' Use o e escnptton one rontage Depthnits nit rice actor actor j. Notes- pecia Pricing ,/. nit ice k... an a ue 2 1110 4-8 Units .o es: ota an a otal Gardan n itil rce ota an rea: u Property Location: 323 OAK NECK ROAD MAP ID: 307/198/// Vision ID:24745 Other ID: Bldg#: 2 Card 2 of 2 Print Date: 06/14/2000 i.:. `:.u"T':.�...- ...;. :., %•-:.: . .. .-.. ..n.. Element Description CommercialData Elements ty e ype 1U Family Duplex Element Cd. Ch. Description Model 01 Residential Heat Grade 01C C Frame Type Baths/Plumbing Stories 1 Story � ccupancy 00Ceiling/Wall ooms/Prtns Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height Roof Structure 03 Gablefflip Roof Cover 03 sph/F GIs/Cmp ;. „. Interior Wall 1 5 Drywall 4 2 2 eiient Code Description 1,actor Interior Floor 1 14 Carpet Complex 2 Floor Adj Unit Location Heating Fuel 4 Electric Heating Type 9 Typical Number of Units C Type 1 None Number of Levels /o Ownership Bedrooms 2 2 Bedrooms 48 athrooms Bathrooms .:; ; .INAKAZ 0 Full Unadj.Base Rate Total Rooms 4 Rooms ize Adj.Factor .22743 Grade(Q)Index 1.01 ath Type Adj.Base Rate 59.51 Kitchen Style Bldg.Value New 68,556 Year Built 1966 ff.Year Built 1975 rml Physcl Dep 2 uncnl Obslnc on Obslnc 29 x: - M pecl.Cond.Code . . i , r .. peel Cond Um —Code Description ercenta a Overall%Cond. 49 nits eprec.Bldg Value 3,600 Code Description LIB Units Unit Price Yr. Dp Rt %Cnd Apr. Va rue WA -1AgN y a Code Description LivingArea GrossArea Ejj.Area Unit Cost undeprec. value First Floor (38,556 TM Gross L vlLease Area g a: 68,556 [ ] [R307 198 . ] • L 0 SEA STREET * CTY107 TDS] 400 HY KEY] 218892 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 JAMILIPE REALTY INC MAP] AREA] 61AC JV] MTG] 0000 P O BOX 1222 SP13 SP23 SP33 UT13 UT23 . 64 SQ FT] 1224 HYANNIS MA 02601 AYB] 1966 EYB] 1975 OBS] CONST] 0000 LAND 28700 IMP 102300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 131000 REA CLASSIFIED #LAND 1 28, 700 ASD LND 28700 ASD IMP 102300 ASD OTH #BLDG (S) -CARD-1 1 52, 300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG (S) -CARD-2 1 50, 000 TAX EXEMPT #HN 323 , 325, 335 & 337 RESIDENT'L 131000 131000 131000 #PL OAK NECK ROAD HYANNIS OPEN SPACE #RR 1447 0152 1118 0176 COMMERCIAL #DL LOT 4 5 6 & 7 INDUSTRIAL #SR CREASCENT DRIVE EXEMPTIONS SALE] 00/00 PRICE] ORB] C65102 AFD] LAST ACTIVITY] 03/29/93 PCR] Y V`- D� R307 198 . op P R A I S A L D A T A• KEY 218892 JAMILIPE REALTY INC .LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 28, 700 102, 300 2 A-COST 131, 000 B-MKT 129, 400 BY 00/ BY ML 7/88 C-INCOME PCA=1041 PCS=00 SIZE= 1224 JUST-VAL 131, 000 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 287001 LAND-MEAN +0% 1310001 74880 IMPROVED-MEAN +3706 250-o ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] ti R307 198 . • P E R M I T [PMT] ACTIOR] CARD [000] KEY 218892 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT h RESIDENTIAL PROPERTY MAP INO. LOT NO. STREET Sea St. Hyannis FIRE DISTRICT SUMMARY :. 30 f 198 H 73 LAND /! `. r c.�� OWNER BLDGS. d TOTAL S - LAND, RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS'I)Md lots 4,5,6 & 7 BIDGs. rn LC 31965—A TOTAL - LAND Ala 0 BLDGS. munfmi Howard 0. TOTAL C LAND "C� /N .e N _ BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. Ol TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL 6/DATE: 0/ , � .. LAND ACREA E COMPUTATIONS BLDGS: LAND TYPE_ OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOOT �c3 f Z 3 /�n n_� 76 �o 7 4 LAND CLEW FRONT 7 7 JD BLDGS. r/ TOTAL WOODS$SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND 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 0) BLDGS. a�g /,Y"7 ?Jr. HIGH GRAVEL RD, TOTAL 6./ v/1' /JP, ICY LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. LAND COST ' Gone.Walls Fin. Bsmt.Area Yin Bath Room %j / Base / j 2 Cone.Blk.'Walls Bsmt.Rec. Room St. Shower Bath Bsmt. g o BLDG. COST / PURCH. DATE Cone.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE. . . Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt.' F 1 2 3 Sink "° •mac^ / a��U 1. % % r/4 Plaster Water Clo. Extra Attie EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt. Fin. T Single Siding Plasterboard Int.Fin. S/ 1A/01 Shingles TILING 4 a Cone. Wk. - G F P Bath Fl. Heat f— 3 1 U _ Face Brk.On Ant.Layout Bath .&Wains. Auto Ht.Unit �y Veneer Ink Cond. Bath Fl. &Walls Fireplace ' Com.Brk.On HEATING Toilet Rm.Fl. Plumbing Solid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. t 0 d Tiling 3 U d • ' Steam Toilet Rm.Fl.&Walla Blanket Ins. Hot Water St. Shower Roof Ins. Air Cond. Tub Area Total Floor Furn: ROOFING COMPUTATIONS ' Asph.Shingle Pipeless Furn. /a S.F. 02 0 Wood Shingle No Heat S.F. Asbs..Shingle Oil Burner S.F. ' Slate Coal Stoker S.F. Tile Gas S.F. OUTBUILDINGS ROOF TYPE Electric Gable Flat S.F. 1 2 3 4 5 6 718 91101 112131415 617 819110 MEASURE[' Hip Mansard FIREPLACES S.F. Pier Found. Floor i Gambrel Fireplace Stack L Well Found. 0.H.Door LISTED FLO RS Fireplace p Sgle.Sdg. Roll Roofing Cone. _ LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Shingle Walls Plumbing . Pine // •_ Hardwood I,/ ROOMS Cement Wk. Electric _ Asph.Tile Bsmt. 1st { TOTAL a a ;2 P ED p Brick Int.Finish Single 2nd 13,d FACTOR - REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. .2 S�O 2 — 3 4 5 6 — B . 10, .TOTAL __ RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Sea St Hyannis 73 LAND 307 1-98 H. � BLDGS. OWNER TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LC 31965—A �, Blocs. TOTAL LAND BLDGS. Jamilipe Realty, Inc . 8-1-75 Ttf. 65102. 525/22 TOTAL LAND BLDGS. TOTAL LAND. BLDGS. TOTAL LAN D 01 BLDGS. TOTAL LAND BLDGS. 0I TOTAL LAND INTERIOR INSPECTED: Ot BLDGS. TOTAL DATE: ✓6s 7I / I (-!� LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LAND CLEARED FRONT - 0) BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. - WASTE FRONT (% TOTAL REAR LAND r BLDGS. - n TOTAL LAND 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. FOUNDATION tz�blVI l. a N I t t� �,. f i:IL u. . Conc.Walls Fin.Bsmt.Area Bath Room., Base / // 0 LAND COST ' BLDG. COST Conc. Blk,Walls Bsmt. Rec. Room St. Shower Bath Bsmt. /7 70 PURCH. DATE Conc. Slab Bsmt.Garage St.Shower Ext. t Walls PURCH. PRICE Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT �• %'� Stone Walls Fin.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra n Bsmt. F 1 2 3 Sink % s/= t/4 Plaster Water Clo. Extra Attic EXTERIOR WALLS. Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt. Fin. Single Siding Plasterboard Int. Fin. 1A 111 Shingles TILING ,„ •_..__,; Conc. BIk. G F P Bath Fl. Heat / / / /0 c 0/ Face Brk.On Int.Layout Bath .&Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl. &Walls Fireplace Com.Brk.On . HEATING Toilet Rm.Fl.- y Plumbing o _ • Solid Com.Brk. Hot Air Toilet Rm.Fl. &Wains. Tiling Steam Toilet Rm.Fl.&Walls Blanket Ins. Hot Water St. Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS Asph. Shingle Pipeless Furn. / 5 A S.F. 0 Wood Shingle.. No Heat S.F. Asbs. Shingle Oil Burner S.F. ' Slate Coal Stoker S.F. Tile Gas S F. OUTBUILDINGS ROOF TYPE Electric W-1 S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Gable Flat Hip Mansard FIREPLACES S.F. Pier Found. Floor r Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace D Sgle.Sdg. Roll Roofing ��JJ Conc. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Shingle Walls Plumbing Pine r — Cement Blk. Electric Hardwood W jti/ ROOMS P ED Asph.Tile Bsmt. 1st 6 TOTAL a•;J Brick lat. Finish Single 2nd 3rd FACTOR L "M REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL..VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. D 2 3 4 5 . 6 7 6 9 tO TOTAL STATE PARCEL IDENTIFICATION NUMBER iTY ADDRESS I I ZONING I DISTRICTSCODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHD KEY W 0270 SEA STREET 07 R8 400 07HY 07/09/95 1041 JU 61AC rR307 198, c LANDIOTHER FEATURES DESCRIPTION I ADJUSTMENT FACTORS Y UNIT ADJ•D.UNIT Lam qy,D a Sm D�menail ACRES/UNITS VALUE O.xrlptmn JAMIIIPE REALTY INC MAP— - CLASS ADJ. C P PRICE PRICE NT 10 1BLD6.SITG1 F.DetxAprez .64 =10 128 34999.9 44799.9 .64 28700 G(S)—CARD-1 1 52.300 CO1gIOF02 JOG 1 50P000 COST 131001 ' BATHS 2.0 U X C= 100 7000.00 7000.00 1.00 7030 3 #HN 323. 325, 335 B 337 ARKET 12940( NO BSMT S X C= 100 6.3 6.3 1224 7700—d #PL OAK NECK ROAD HYANNIS INCOME #RR 1447 0152 1118 0176 SE #DL LOT 4 5 6 8 7 PPRAISED VALU[ #SR CREASCENT DRIVE 131.001 ARCEL SUMMARY AND 287C: LOGS 10230 —IMPS OTAL 13100 CNST DEED REFERENC Tlw Bppa D.ATE .D R 1 0 R YEAR V A L etP S P" AND 287C C65102 On/On LOGS 10230 OTAL 13100 BUILDING PERMIT Number DataAmaunl LAND LAND—ADJ INC ME SE SP—SLOS FEATURES BLD—ADDS UNITS 28700 700— Class Unez nns Base Ra Ad,Rate A r B I Age pepr Cpntl GND Lac zo R G apl Cpzt New ACI Reel Value Slpnae TH.Vhl RI- r Rme Batna I Fm I Pv .Fr. 02C OUO 100 100 61.60 61.60 66 75 19 80 90 70n 74698 52300 1.J 4 2 2.0 8.0 D.—v.. SRuare Feel eol C-1 MKT,INDE%- 1�00 IMP.."DATE- ML 7/88 SCALE. 1/00.93 ELEMENTS CODE CONSTRUCTION DETAIL 8AS 100 61.a60 1224 R75398 N .iPp ----------------—----48--------------------; TYLE 17 UP_L_E_X 0.0 ESIGN ADJi1T_ 110 ---D.0 ! ! EAT/AC YYPE _03 LECTRIE O.OI tITER.FINLSH 04 RTWALL O.OI ! ! NT`rRLAYOOT f2 vE9._7H0_RMAL —.0 24 ! INTE-4'.ITUALTY -02 AXE AS EXTER._ D.0 ! BASE 26 LOOR STRUCT 02 D JOI$T18EAM 0.0 Y! ! E LJ�R-COVER-_ -04 ARPEI------------1T.0 Tplal Areaa Ap. Baae. 1224 ! ! OOT-TYPE---- Qf ABLE=ASP N___SH ZT.0 BUILDING DIMENSIONS ! ! CEZTRICAL Oi VERAGE H.0 BAS V36 NJ2 412 N24 E48 S26 .. ! ! 0U-10ATIO"N -132 bNCRET-E-BCOC'K-9V.9 i -------------- --- ---- ---------- *----12----* ! -----NEIGW8ORH -66 61-AC-HYANNTf------- *---------------36---------------X LAND TOTAL MARKET PARCEL 28700 131000 AREA 2848 VARIANCE s0 +4499 STAVDARD 25 TATE ITV ADDRESS I ZONING IDISTRICTSCODE SP-GISTS.I DATE PRINTED I CLASS I PCS I NBND ICEr No. 0270 SEA STREET, 07 R6 400 07HY 7 9 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT ADJ'D.UNIT I.arm By/Date s/e amens." PRICE PRICE ACRES/UNITS VALUE Dea,v— JAMILIPE REALTY INC MAP- CD FF De m/Aprea LOC./VR.SPEC.CLASS ADJ. I —_ — — CARDS IN ACCOUNTBATHS 2.0 U x C= 100 7000.0 7000.0 1.00 7J00 d 1* 02 OF 02 NO SSMT S x i C= 100 6.5C 6.5C 1152 7500-3 COST 131000 MARKET 129400 INCOME USE PPRAISED VALUE 131.000 ARCEL SUMMARY AND 287CC LOGS 10230C —IMPS OTAL 13100C _ CNST DEED REFERENC Typ, DATE pecwpsE R I OR YEAR V A L L BEpa Papa — p A N D 2 8 7 0 C LOGS 10230( OTAL 13100( BUILDING PERMIT NYmMr ' Dete Type AEauM LAND LAND-ADJ INC ME SE i SP-BLDS FEATURES BLD-ADDS UNITS 500 Clas Const Total Bese RaleAlate ar Bu",' Nwm Ogiv CND IL. b R G Repl Co.I New AEI Rep,Value Stw-S ...pl Rooms Rma ft- s Fm PNy-eq F.. umla umla 9 "q°� Deo cpnE 02C OJO 100 100 62.45 62.45 66 75 19 80 90 70 71442 S0000 1.0 4 2 2.0 8.0 --ouon Rate Sggare Feel R epl Cgzl MKT,INDEX: 1.00 IMP.BV/DATE. ML 7188 SCALE. 1/00.93 ELEMENTS CODE CONSTRUCTION DETAIL 8AS 100 62.45 1152 71942 GROSS AREA 1152 TWO FAMILY DWELLING CNST GP:OC *---------------------48-------------------* STYLE 17 UPLEX 0-0 ! ------ --- ---------------------- ! DESIGN ADJM 0U 0.0 4! ! xTE -WAL _T_ OO LS 11 D_SHIN_Gl_E_S___ 0.6 ! HEAT/AC TYPE 03ELECTRIC 0.0 ! ! NTE4.FINISH J4' RYWALL 0.0 ! ! I�NTER.LAYOUT _12 VER.%NORMAL _ 0.0 24 BASE 24 INTEZ.']UALTT 02 AWE AS EXTER._ 0.0 ! ! L004 STRUCT _J2 D JOISW BEAM 0.0 W! ! E LOOR COYEA _04 ARPET 0.0 T. A.eaa Au.. Baas. 11521 ! ! ODF TYPE ___ 01 AtiLE=ASPH S_H____0.0 BUILDING DIMENSIONS ! `LECTRICAL 01 VERAGE _ 0.0 BAS W48 N24 E48 S24 .. ! ! 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