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HomeMy WebLinkAbout0261 OCEAN STREET - ��.�5"�-a� � 5': o�o � 1 t.. �V a 1 � i is r 7 i d �� 4 I Ii f j k _ ti t1lr lrs� - i . =� . �� �..� G �v `\ G� � �� �., i 1/ ` +� Z � � 6�� J\ � � � .. �'�"�r � 'S r-� '�� ,- � .. .�. �'� �^� ✓fir 4 / '� � \ � `% T U� �� �-, � /"'�"\ I.. '� � C i�`�I' !► � :. �- - - � M _ .., �'�_��� ��. �. �,,,..-o--._- .� - •� � f _�, �4 .., �. .. �c*j �.,. - �� � l� \` �,,, �� � t .. C.� �� S , _�, �1 ��� Vie' +�,!^'�� / � J� `�' ' �� �� _ A �` � �.I 1\ st� ll% ► r + fir- a ►* �ti. � �+, � Mom. ,�-/''' ,e' r ' !`fit ✓' 'i:. r + 11' rr j�r " Z G S :J�J �r r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 5arparcel �V ` Permit# Y � Health Division Date Issued S Z ' Conservation Division Fee r 0 Tax Collector loom� Treasurer Planning Dept. ` Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village 44 44W_4440 Owner Address All Telephone � t Permit Request k�2 Square feet: 1st floor: existing proposed 2nd floor: fisting proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Alm Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing StructureHistoric House: ❑Yes o On Old King's Highway: ❑Yes ®�Pdo r Basement Type: ull ❑Craw ❑Walkout ❑Other Basement Finished Area(sq.ft.) / (� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing `l / 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: ❑Zo Oil ❑ Electric ❑Othe Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Yes ���o 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 *No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 6176U/V el A_ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION D BRIS RESULT N F M THIS PROJECTWI L E TAKEN TO r� SIGNATURE DATE • FOR OFFICIAL USE ONLY ' PERMIT NO. DATE ISSUED . MAP/PARCEL NO. ADDRESS VILLAGE OWNER M , DATE OF INSPECTION: FOUNDATION FRAME , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL �`! it PLUMBING: ROUGH FINAL ;r i GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f r ��on,e- cA� Department of Indusrrial Acc.w enu aflarresu�auoffs 600 Washington Street Boston,Mass. OZlll v Workers C OM13 easation Insurance Affidavit Ann[ic:�t�f�iutrr� name: iocauon: hone# ciiv all work MYselL IT a home Cr p oimmg I am a sole D etor and have no one wo�nn in any�l0� 0%// /�D%/// /�///%G.%//O/%//%�O//G//% //%/O%/////I%//�//,1 ffA for my employees.working on this job. : >;>::;:; .................: i I am an employer providing}wonte?s ensanon...:::::::::: C ,.. c om D a n n a to . a ddre ss- ' one#' >:Y ::{:.:::;.;>:; :•:;;:::,..:::::::: .::.:.. n,,. ;.. pi :.... insurance co. circle one and have hired the contractors listed below who L- I am a sole proprietor,general contractor' or homeowner( • •� PoIues..... . . o workers ..... .......... .........:.....:•........ ... ......... ....-...................................................:::w.�::::..,.>':o->:YrY',•';�;:Gi:;i:2:5i;}::Ji':T.; ::.:.;i;:.':... ................ :... ................. -n s to e cam .....:.. x., •,..:.:::::::•.{:•:::•: .......... ............. addres .::iY:•Y:•:ti:(r.{;i :ii:.........L::•'....' n:..•.vv4............v.. .::.::••v.v:yy:.. •:4Y:+fr ........... ................. . .......::nv.........•:•:•.v::::nv. .wrr.,..:v:..:i....:..... ...........v::......::::..................Y:: .:.•x:::::..vvw::::::. .. . ... :. ..�:::<•>::::.:..'i i"i'::4:;'.•:..�:::::':::::::v.Y;•:''4:aYxv}ri'•Y:::•:> .-.... .{..r......v.:. ...... .. ...:::.:...:...:::.:..::�:rr:::.::::.•.:r:::•....�...... .:..::}.v:::.• .,•:•: ......: .::.::::::.:::::•.:•:::•.:. ff$?{Y.Li;:;i:}]':`j:;::tj{:::i<:is:::`}:•<:ri:i:?;.�.'::>:::�:::: in svrance - .., Warn ,::.::::::::::::.. ............a..............': 3Q d ... ......... .....::.::.::�:::.:�:::....:..:�.:.,.:.:.:ar;:•?: .o-.:<.}:..<.::�i::•:::;::;'+:�i :�i:::::::i::::•'.:;:;::5�:;::� ``;::::t':? :::`�i::::is�:::�:�i:;':i::::i.':i;:::� ::i3::i5:::;;; ..:; :;;. .. ..•::.....:i:::::•Y::.::};{?4};::•:::'isY:::fi'n:ii:vt:::.}:':::::•::Y}:;;::i':iyv::::•}iY{:'...:::r ....:.:.; : $Y?Y'iY::>:::•i:L:tii:i;{:!?::;:::i;{::'y:':ii'ri:i::`T};iii.y;i::::;C:;.;:.:,_..,..::.i::-:::'. ...::.::::+.:v:::::•....�:::v.v::..........:::w::•w::....•v.•::::::•....::vv,:.,..:n.:•.}.i 4Y:::•:.:::v.:.:•.v�-:�.: ..y.}y:.:?.a :v... n tF- - .} wG .:.::......... imurnnnce co. • •� _..... ., � � n of crltainai pnsDaltiea of a Sae n:p to S1rS60.Q0 and/or Under Section 2SA of MQ.1S2 can lead to the imps g aiinre to s ccnre covera;e as rttgttired the form of a STOP WOE ORDER and°Sue of S10Q00 a day a;aittst me- 1 tmderstsnn that a one Sean'tmori+onment as weR as t#rff p as of the DIA for eovesa;e vertSeatlon. copy of this statement maybe forwarded to the OMU of Invest[;ado that ormatioa provided above it runt eorr d I do herenv certify ua�the pain penalties o 1pedury Date — Ph=# :..t ic1.Ile do not write fa this area to be completed by City or town ofIIdal of&i:sl use only C]Bujiung Departanent M1 permitAiceme 1# OLiceusmg Board g city or town: ❑sdsetatm's Office J check if immediate response is required ❑$ewer ther-----Depa treat phone#C contact Person: .;crxa r 95 F;Ai . - . il.-1 . . :1 • •It �. • 1 .� I il•11• . �/ . . . . . :1 •IN1.:•1 .•• N. . .- i• . •lYl 11 - .11 J I/ / •�1.11�• 1 .• tt►1 1• .1 �1 • • 1•. 1.1 q.•.�/ •IQ • � / / I • ' .1.i• .11 11 • •1 . ••a . • .N .1• •1• «•1 ••1 ..• •11 • • 1/�• :+•i: �1.1.1 •1 •11 ' • • Y..• . • •It 1 :/. • • - • 1 • (11 :+11 �1 • .!1• 1 . 1• • /• - �••Y. • �•1.'•t• •1 •:.«..•! ►• :.•••1• • :/ •1 .• • • . 1• .1 . ••-.w 1 U •N .1• •1• •1 • /a �•Y. =••UI �•HI• • 11 • �•H1. • • • �.• U - • •••M •► • • .• 1• . . 11 • 1 • •• • 1 .1lei v v- • ve-b q•t1.•.1•. .11. 1 • V •1-4•t -• ti11 •1 Rk 1/ • «I/• .1.1 • .1w1ov.17111 • 1• • 1�•1 • .• :1..1. • •w• •1. /• • • •• toI m.• 1 r' r•11 • • Mt •11 •1 H• 1 •' •1.. •11 1 • • • i 11 t • •1 •II of J ••.. • . . .I �1• 11 It ti I• 1 I • • • ✓•1 • 1 • :•111• • Ir�•11 • • ---.1 . 1i • •i/ .•111• • •:•f . • ►Mt •11 • Y.IIw elk 1 1 i W. �• V11 -�1 1 ( 1 1 1 1 1 / 1 r' 1 1 � • 1 / 11 1 1 1 1 1 V11 1 rl rl 1 • 1 •• 1 11 1 11 '1- 1 rl rl 11111 11 / 1 1 1 1 1 1 1 . 1 • • ♦ 1 1 1 r- 1 • 11 1 1 Y' 1 11 1 11 I r MI :.• 11 �1 r • 1M.771 I ' 1�••.•..• .. •.. t.•It • �• 1 1 • .11 • •1 IA • • 1• ✓. 1 .tl • Y •11 VI I .•111ti 111•• .t1 ' «•1.1• M 1.1 rl •�1.t•i.t1 .•1 M •1 • 1 • •••1.• • ' •Y • •�•• •1 r•1111• .11 « • 1.1 .1 IIA ItY•11 r �• 111 ..•1•.wt1A •1 .11 MtV.I• /:� 1 V. • 1�•-r• •1 �.+11/�• /• .1 r•Itl. . 1 • ifi 1 .1 •1.•�-•w 1••11t11..•Av:\• •11 .. • 1 r•11.1. 1/' . 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' , i• • t w • •G1• •11 ••• 1 • - 1• •1 .11 • 1 11 1 • .0 r 1.1 • 1 Y•• •••1 •1• UI .It• t• / • • 1 .t1 . 1 :� . .• 1 • Q•i••1 .• 1 • 1 •11 .11 . .:• 111/11 •.1 1 1 11 11 1 1 1 • 1 w' 1 . •11 1 1 1 1 1 t l A 1 1 - 1 1 I : 1 1 III , 1 / 1 1 • 1 1 1 1 -ME r The Town of Barnstable 9 ,� Department of Health Safety. and Environmental Services . Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building ss Commissioner Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION r, MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along 'th other requirements. Type of Wo rk. Estimated Cost ���✓� Address of Work: u` Owner's Name: Date of Application: v_ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ob Under$1,000 [:]building not owner-occupied owner pulling own permit Notice is hereby given that: G WITH UNREGISTERED OWNERS PULLING THEIR OWN PERMIT OR DEALIN WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IM R W OVEMENT OR UNDER MGL 142A. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR -------- Owner's'Name q:fb ms:Affidav I F1ME Department of.Health Safety and Environmental Services Building Division • BAMSrABLL ' 367 Main Street,Hyannis MA 02601 9 i6796 10 rE0 AAA'1� Officer 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: i JOB LOCATION: O/V/ number #oree village "HOMEOWNER": V 2 name home phone# work phone# CURRENT MAILING ADDRESS: ��X 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 as individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and r quirements. ignature of and Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. .To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the.last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN fi� � � � ` ._* .� � �_ .: � �--- f . ; a _ F : « d' �$ - _� � � � S � � . of � I i �— ' �, [ ] [R325 0215 . 001 * ] LOC] 0261 OCEAN STREET CTY] 07 TDS] 400 KEY] 238184 ----MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00 PARENT] 0 ANESTIS, NICHOLAS MAP] AREA] 69AC JV] MTG] 0000 261 OCEAN ST SP1] SP21 SP31 UT11 UT21 .40 SQ FT] 2214 HYANNIS MA 02601 AYB11902 EYB] 1975 OBS] CONST] 0000 LAND 39200 IMP 121300 OTHER 1100 ----LEGAL DESCRIPTION---- TRUE MKT 161600 REA CLASSIFIED #LAND 1 39, 200 ASD LND 39200 ASD IMP 121300 ASD OTH 1100 #BLDG(S) -CARD-1 1 107, 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1, 100 TAX EXEMPT #BLDG(S) -CARD-2 1 13 , 400 RESIDENT' L 161600 161600 161600 #PL 261 OCEAN ST HYANNIS OPEN SPACE #DL LOT 3+5UNM COMMERCIAL #CL 37 - NICHOLAS INDUSTRIAL #RR 1133 0085 EXEMPTIONS SALE] 08/96 PRICE] 1 ORB] 10337187 AFD] I A LAST ACTIVITY] 09/18/96 PCR] Y R325 025 . 001 •P P R A I S A L D A T KEY 238184 ANESTIS, NICHOLAS LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 39, 200 1, 100 121, 300 2 A-COST 161, 600 B-MKT 104, 500 BY 00/ BY ML 6/88 C-INCOME PCA=1091 PCS=00 SIZE= 2214 JUST-VAL 161, 600 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 69AC -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 69AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 392001 LAND-MEAN +0 1616001 139993 IMPROVED-MEAN -130 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 140°61 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 [?] R325 025 . 001 P E R M I T [PMT] ACT*[R] CARD [000] KEY 238184 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT `ooNT i r H RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY S STREET -- 261 Ocean St. Hyannis 73 LAND - 325 . 25-1 H BLDGS. OWNER TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: � BLDGS. TOTAL LAND Davis Irene J. & Anestis Nicholas J. 7-21-76 2372 74 omina BLDGS. 9-4-79 2977 156 TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. O1 _ TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. // TOTAL DATE: (o y�/7 7l ,Q ` f G LAND ACREAG `COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HO LAND T CLEARED FRONT - BLDGS. REAR 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 rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND - SWAMPY W NO RD. 0) BLDGS. PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE PARCELIDENT LASS I PCS I NBHD KEY NO. 0261 OCEAN STREET 07 RB 400 07HY , 07/09/95 1091 00 69AC IR325 025.001 238184 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Lana 61/0a1e T UNIT. ADJ'D.UNIT VALUE t D A V I S. I R E N E & M A P- CD. FFDe tnlncres LOC./V .SPEC.CLASS ADJ. COND. V PRICE PRICE ACRES/UNITS #LAN D 1 3 9 p 2 O 0 CARDS IN ACCOUNT - L 10 1BLDG.SIT .1 X .40B=14 175 39999.9 97999.9 .40 39200 #BLDG(S)-CARD-1 1 1070900 01 OF 02 A #OTHER FEATURE 1 . 10100 UST - N BATHS 2.0 U X C= 100 7000.00 7000.0 1.00 7000 8 ,#BLDG(S)-CARD-2 1 13.400 MARKET IC4500 D RG1 DETGAR S 12 X 20 192 C= 20 22.3 4.4� 240 1100 F #PL 261 OCEAN ST HYANNIS INCOME #DL LOT 3+5UNM USE A #CL 37 - NICHOLAS PPRAISED VALUE D 0 #RR 1133 0035 A 161,600 #TAB 437.50 PARCEL SUMMARY A S T #FAB 437.50 AND 39200 A T LOGS 121300 -IMPS 1100 M OTAL 161600 F E9 CNST E T DEED REFEREC ys: ATE s aIsP, R I 0 R YEAR VALUE A o �r D AND 392CO T 2977/154, 00/DO LDGS 122400 U OTAL 161600 R E OLD HEAT, PLUMB BUILDING PERMIT S Number Date Type Amount 8 E L E C F I X...... LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-ADDS UNITS HATCHWAY TO ATTIC39200 Ol I 1100 7000 Cones Total Ve r Built Norm. Obsv. Class I Units 'knits Base Rate Apl.Rate A 1 Age Depr. ConE. CND Loc %R G Repl Cost New AOI Repl Vale $tome^ He�gnt Rooms Rms Batns /Fi.. Partywail Fat I 018- 000 100 100 68.60 68.60 02 75 19 .80 100 80 134816 107900 2.0 8 3 2.0 7.0 Des-pli- Rate Square Feet Repl.Cost MKT.INDEX: 1-00 IMP.BY/DATE: ML 6/88 SCALE: 1100.46 ELEMENTS CODE CONSTRJCTION DETAIL BAS 100 68.60 1047 71824 W LING CNST GP- S FOP 35 24.01 160 3842 *-*5-14--* STYLE OS OLONIAL OLD 0.0 T 1S8 100 68.60 60 4116 8 FSF ! DESIGN ADiAT 00 ____ __ _ __ 0.0 R FOP 35 24.01 40 960 FOP 13* EX TER.WALL S 12 LAPBOARD 0.0 U FSF 90 61.74 20 1235 *-* ! 8 EAT/AC-TYPE- -09 IL-HOT WATER----K C 1S8 100 68.60 40 2744 1SB2 1S8 INfi ER:FINISI 06 RYWALL/PLAST -6-0 T 820 60 141.16 1047 43095 ! ! 7 INTFR=LAYOUT- -1­1 000 -------------O.O U *-10* BASE NTER:OUALTY- -02 AME AS EXTER. 0=0 R ! ! FLa0R STRUCT 02 D J0ISTIB Exit---7f.0 A W . 15 14: E LOOR CaVER-- -01 ARDWUOD ( _0 L 4@� Total Areas Att. 200 Base_ 1167 . ! ! 00E-T YP-E---- -Ot ABLE+ASPH _S_H 0=0 BUILDING DIMENSIONS *-* *-* LE`CTRItAL l71 VERAGE U.0 �aAS W01 FOP S08 W20 N08 E20 .. 13 14 OITnfDATION- -05 TUN E-id-ALLS 9V.9 A SAS W21 N13 W04 N15 E10 1SB N12 ! 820 ! -------------- --- --------------------- W05 -S12 E05 .. BAS N20 FOP W05 *---20-- X -----NEI-GIfBOR OD _69lAC-ifYANNT5------- L SOS E05 N08 .. FSF N04 E05 SO4 8 8 LAND TOTAL MARKET W05 .c BAS . E14 S13 1SB E05 � NO8 ! FOP ! PARCEL 39200 161600 W05 S08 .. BAS E05 S07 E01 . S14 . *---20---* AREA 17499 W04 514 .. 820 N14 E04 N14 .W01 VARIANCE +0 +823 SEE APR FOR CONTINUATION STANDARD 25 _ Bsmt. PURCH. DATE Inc. Slab Bsmt.Garage St. Shower Ext. Walls �u PURCH. PRICE. /n- S(o, l; •.A .un_k Walls Attic FI. &Stairs Toilet Room Roof RENT r/' -� ,lone Walls Fin.Attic Two Fixt. Bath 1 - icrs INTERIOR FINISH Lavatory Extra Floors a L O �• 2v 7 Isnit. 1= `1 3 Sink J. r Plaster Water Clo. Extra Attic 0 EXTERIOR WALLS Knotty Pine Water Only ,rihle Siulng Plywood No Plumbing Bsmt. Fin. �v 'it;le Siding_ Plasterboard Int. Fin. 4. •�� Shingles TILING .ac. Blk. G F P Bath Fl. Heat a A 70 :(:e fir k.On Int. Layout Bath FI.&Wains. Auto Ht.Unit .+ (� 0 Veneer Int.Cond. Bath FI. &Walls Fireplace IN m. Brk.On HEATING Toilet Rm. FI. Plumbing a- N3 o c2 Jid Com. Brk. Hot Air Toilet Rm: &Win . "- 'Tiling � _ Steam oilet'Rm.FI. &Walls & Lmket Ins. Hot Water 00' St. Shower /�O• `' A Ins. Air Cond. Tub Area Total Floor Furn. . ROOFING COMPUTATIONS ph. Shingle _ Pipeless Furn. /0 3 S.F. .2 G -0 :nod_Shingle No Heat a S.F. G •0 f7 A p .bs. Shingle Oil Burner - e , ASS.F. aA•70 late Coal Stoker O S.F �� �U •/St: :ia Gas S.F. L.3 U 3S,3 OUTBUILDINGS ROOF PE Electric G ,ble Flat S.F. a�`0 /3 (o 1 2 3 4 5 1 6 7 8 9 10 1 2 131415 6 7 8 9 10 MEASURED II_ Mansard FIREPLACES S.F. Pier Faund. Floor ,rnbrel Fireplace Stack Wall Found. 0.H.Door /LISTED FLO R Fireplace Sgle. Sdg. Roll Roofing onc._ _ LIGHTING f l Shin Sdg. . Shingle Roo ..rth No Elect. Dble DATE Shingle Walls Plumbing .udwood ROOMS Cement Blk. Electric Z 7 .:ph. Tile Bsmt. 1st TOTAL 3 S Brick Int. Finish PRICED angle 2nd _ 3rd FACTOR -7 /J REPLACEMENT 3& U G lJ.�J OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL.VAL. „NLG. / Wyh 962 F 3G00 q450 .I -az'� �� I X '��' a G /l/o�• '�% - i a 3 2 s U r3 9 :O TOTAL / RESIDENTIAL PROPERTY =`~ MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 261 Ocean St. Hyannis LAND / C :3 25 27-1 11 F^ 0) BLDGS. OWNER �,?,:. ... `, i t„ H. TOTAL LAND ;a.• RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Unnumb. & Lots .3 & 5 7_- � BLDGS. - TOTAL 1 LAND Davis,; Irene J. & Anesti s, Nicholas J. 7-21-76 2372 74 omina a1, BLDGS. cc e4w �f s M A . 0 z.6 o 9-4-79 2977 154($ ,000. & E.o TOTAL '74 A- SU S3 J LAND _AIM 0 �� OL�oa, BLDGS. TOTAL LAND i BLDGS. - TOTAL LAND BLDGS- TOTAL LAND BLDGS. TOTAL HNDL INTERIOR INSPECTED: ( DATE: 2 2 (/. �� �� ! C_.-.c.., HLANDACREAGE COMPUTATIONS Ol LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE - HO -'' ' LAND CLEARWRONT p p ' ,j U t-3 BLDGS. REAR X p TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. rn WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAND �. BLDGS. - -- Y ei od �..., .✓v 01 - LOT COMPUTATIONS / LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. ,VALUE HILLY TOWN SEWER LAND Bs ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS PCS NERD KEY No. 0261 OCEAN STREET 07 R8 400 17HY LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T UNIT Land 6,1D.I. S� D�men LOC./YR.SPEC.CLASS ADJ. COND. YPE PRICE ADPRICEN IT ACRES/UNITS VALUE o—iwr DAVIS. IRENE & MAP— BATHS 1 .0 U FF.De XAcreS D 100 2700.0 2700.0 1.00 2700 B CARDS IN ACCOUNT — F 02 A — NO BSMT S X . D= 100 7.8 6.1 360 2200-8 COST �161600 N ARKET . 104500 D I INCOME A USE D APPRAISED VALUE D J, A 161.600 A U PARCEL SUMMARY T S AND 39200 A TI LDGS 121300 0—IMPS 1100 M TOTAL 16160C F N CNST E DEED REFERENCE Type DATE a.�o,cw P R I O R' YEA R VALUE A T Boob P.g� h 51 Mo. v,.iD S.I..Ric. LAND 39200 T S BLOGS 122400 U TOTAL 161600 R E INFO GIVEN AT BUILDING PERMIT S Numper D.le ryp. Amoum A I N H O U S E...... LAND LAND—ADJ INC ME SE SP—BLDS FEATURES BLD-ADDS UNITS 500 Consl. Total Vear Built Norm. O'Glass Vnits Units Base Rale Atll_Rate A I Age Depr. Cond. CND _o< 4'o R G Repl Cosl New Adl Repi Value Stories Reighl Rooms qms B.Ihs IFix.- P.rtyw.11 Fac. �010 0U0 100 100 49.05 49.05 02 70 24 74 100 74 18158 13400. 1.0 1 , 1 1.0 4.0 Descnplion Ra Square Feel Repl.Cost MKT.INDEX: 1.DD IMP.BY/DATE' ML 6/88 SCALE: 1/01.81 ELEMENTS CODE -CONSTRUCTION DETAIL S 8AS 1U0 49.05 360 17658 A 36U SINGLE FAMILY DWELLING CNST GPc00 T N STYLE 09 OTTAGE 0.0 R ----------------- DESIGN ADJMT _00 0.0 ! ! ExTER.WALLS 12 EAPBOARD 0.0 U ! ! 'EAT/AC TYPE 16 ALL%FLR FURN 0.0 C ! ! NTER.FINIS_ 04DRYHALL ________ O.0) T ! ! NTER.LAYOUT 12 YER.%NURMAL 0.0 U ! ! NT ER.3UALTY 02 AE AS EXTER 0.__ .0I R -- ! ! FLOOR STRUCT_ . 52 D JOIST%BEAM 0.0 A CO W ! E LOOR VER 07 INYL FLOORING O.OI cfTotalAreas Aux- Base= 360 A OOF TYPE ___ _31 ABLE—ASPH__-_S_H___ 0.0 BUILDING DIMENSIONS 1$ BASE 18 LEC7RICAl D1 VERAGE O.D j S W20 N18 E20 S18 .. ! OUNDATION 1 _32 ONCRETE BLOC _K 99.9 At -------------- - - ---------------------- ! ! --------------- --- ----------------------I L LAND TOTAL MARKET ! ! PARCEL ! ! AREA ! VARIANCE +0 +0 ! ! STANDARD y BLDG. COST ,•uc. Ulk. Walls �/ Bdmt. Rec. Room St. Shower Bath Bsmt. � ��, . :. Slab Bsmt.Garage St. Shower Ext. _ PURCH. DATE Walls �/�U PURCH. PRICE. wk Walls Attic Fl. &Stairs i Toilet Room V' Roof _-.. RENT gone Walls Fin.Attic Two Fixt. Bath Floors .ere INTERIOR FINISH Lavatory Extra ;:mf. F 1 2 3 Sink 'a r/2 1/4Plaster Water Clo. Extra Attic EXTERIOR WALLS Knotty Pine Water Only ' ,i ble Siding Plywood No Plumbing Bsmt. Fin. _ ,wgle Siding A Plasterboard Int.Fin. Shingles LlTILING C (` mc. Blk. G F P ,Bath Fl. Heat .,ce Brk.On Int. Layout r Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl. &Walls Fireplace ...m. Brk.On HEATING Toilet Rm.Fl. Plumbing _ ��•r ,lid Com. Brk. Hot Air Toilet Rm.Fl.&Wains. - Tiling Steam Toilet Rm.Fl.&Walls .lanket Ins. Hot Water St.Shower mf Ins. Air Cond. Tub Area Total , Floor Furn. ROOFING COMPUTATIONS ,.;ph_ Shingle Pipeless Furn. 34 Q S.F. 3 U - ;ood Shingle No Heat S. F. ,Lis. Shingle Oil Burner S.F. late Coal Stoker S.F. .to Gas S. F. OUTBUILDINGS ROOF_TYPE Electric . 11'le j Flat S. F. 1 2 3 4 5 6 7 8- 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED S. F. Pier Found. Floor i i/ / / lip Mansard FIREPLACES � :_mbrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace jfV Sgle.Sdg. Roll Roofing LIGHTING Dble.Sdg. Shingle Roof .girth No Elect. Shingle Walls Plumbing /DATE '7 e V 13rdwood ROOMS Cement Blk. Electric _ ,ph.Tile Bsmt. 1st n TOTAL G 7 3 p Brick Int.Finish PRICED >iugle 2nd 3rd FACTOR •3 REPLACEMENT 3 OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. 2 3 4 ' S— U (j 10 +j y; TOTAL r- i . r --- ---_ i i - - -® r I R� IY PO ✓ --- .. _ 7 — — jf —, 7-1 q 4/b ! _ - �f/�, , j ' �--t,ii• �C"a '� �' �l/J q ,Pit � �".�" ll�,q,.}y,41�.. � � i no IrE ....Y.M.... .. r r , i u� # 255 - ----------------------- ---------------- ............... --------------------- --------------- ---------------------- - ---- -- - .................................... Map 325 2, 5 f f E 2`61 ................. Y� \Desktop\Conservation.dgn 9/16/2003 8:41:11 AM 6 -13 -r3 P c�,Or3b37�� RESS P RM wn of Barnstable *Perm�t Expires onths fro 'sue date • anxrtgr BU4 • UN 10 �013 Regulatory Services Fee / MAES, Thomas F.Geiler,Director 059. N OF BARNSTABLE Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number 3 Z s—a Z Property Address [;Zesidential Value of Work$ I -Z-7 inimum fee of$35.00 for work under$6000.00 Owner's Name&Address /V i C Gt- 141z 14�s 2(o I �C0rn►-v Contractor's Name/A�Q ����...Telephone Number Home Improvement Contractor License#(if applicable) 1j)-'7VS0� Email: Construction Supervisor's License#(if applicable) �SZ 2W/orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Ipfn the Homeowner have Worker's Compensation Insurance Insurance Company Name 4. Workman's Comp.Policy#�,/C �� 7 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑R oof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&;Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.-Historic,Conservation,etc. ***Note: operty Owner must sign Property Owner Letter of Permission. copy of the Home Impro t ractors License&Construction Supervisors License is )Lquired. 4 SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 060513 N tA (DLp .�Y o 3. 4, rNi �r.11 N • .�.. h :o O 7 e zn. o 7 4.0 1 N1l�a� Q G �� ; L�cerise or registration valid for i❑ before the Valid dat ��dul use'.only' ' 01!ce of Consumer' ,If found re4irn to:. I 10 Park Plaza:-Suite 51.70s and Business`Aegulatiot� Ord Bos.on I i t. ,MA.02.1fG... ... . Notialid:wixfio.ut si i gna re: 3 Massachusetts -Depa rtment of PubiiczSafety Board.:of Build ing.Regttlations and Standards Gonstruction'Supersisor License: CS-095228 �s LTTS -ty�.: h AANA J PICIOP 19 BAMLETS 0271 r Fairhaven MA i Expiration " Commissioner 0 122120U Vhe Wlllz nooua oModacItuae, fficvf Consumer Affairs Bc>Business*..R`gulation , ME IMPROVEMtkftONTRACTOR egistration 10Q503 TYPO-- Expiration 6/19%2014 SupP lement CARE FREE HOMES rNC DANA`=PICKUP JR 239-Huttleston-ave Fairhaven,MA:02719 Udtlersecretary Client#:33723 CAREF ;CORD. CERTIFICATE OF LIABILITY INSURANCE 8,2MMfDD? THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION ONLY.AND CONFERS NO.RIGHTS UPON CERTIFICATE HOLDER.THIS i 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 polley(iss must be endorsed,- UBROGATION IS WANEp,subJaet to the terms and conditions of the policy,certain poticies.may require an endomernent.A statemOM on this certMente does not confer rights to the eortMkats holder in Neu of iuch andorse s). PRODUCER COI(TACT NAME Herlihy Insurance Group Inc. 50$756.5159 ; 508-751.5747 51 Pullman Str+eet.' � . Worcester,MA 01606 506 7S8-5159 Cuatvrmt o r. IIRU N)'AFFORDING COVERAGE NAIC S ° D INSURER A:Peerless Ins.Comp. Care Free Homes Inc INjuRER8:interguard Insurance Company 239 Huttleston Avenue Ir3LMM c c Sammy Indemnity Insurance Comp Fairhaven,MA 02719 INSURER D: 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 POUCIES..LIMITS SHOWN.MAY HAVE BEEN REDUCED BY PAID CLAIMS. INIM TYPE OF INSURANC! POLICY NUMBER l V-9 LIMITS A . GENERAL UABILrTY CBP$929704 0910112012 091011201 EACH OCCURRENCE $1.000 000 X COMMERCIAL GENERAL LIABILITY PRElu nee s100 000 CLAIMS-MADE 51 OCCUR MED EXP(My one person) $15,000 X BUPDDed:250 PERSONAL&ADV INJURY $1,000,001) GENERAL AGGREGATE s2,000 000 GEN1.AGGREGATE LIMIT APPLIES PM: PRODUCTS-COMPoPAGG s2,000,000 POLICY PRO- JECTLOC S . C AUTOMOBILE LIABILITY 6213950 0710112012 07/0112011 COMBINED SINGLE LIMIT ANY AUTO (Ea° ► �1,000,00D BODILY INJURY(Perpeison) S ALL 01M ED ALTOS BODILY INJURY(Per accident) t X SCHEDULED AUTOS X HIRED AUT08 PROPERTY DAMAGE $ (Per accident) X NDN-OMED AUTOS $ � s UMBRELLALIAa, HOCCUR EACH OCCURRENCE S ELCESSLLAB CLAIMS-MADE AGGREGATE S DEDUCTIBLE t B WORKM CMMMM7= CAWC35947$ 9/Q12012 09/01/201 X "c SraTu ANY AND EYPLOYPRS'LIABILITY Y!NTORY LIMITS oFFFTCRtRIMEM BER&cL "fN WA 11 EACH ACCIDENT :1 000 000 fwrwmryInNM E.L.DISEASE-FJiEMPLOYEE 0,000,000 Ryea deaolbe order DESCRIPTION OF oPE E.L DISEASE-POLICY LIMIT 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Atbdr ACORD 101,Additional Remarks Schedule,B more space Is required) CERTIFICATE HOLDER CANCELLATION 30 Days for Nonce ent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E PIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable. ACCORDANCE WITH THE POLICY PROVISION& Building Department 367 Main Street AUTHORMDREPREBBfrATNE Barnstable,MA 02601 ® M-2009 AtORD CORPORATION.All rights reserved. ACORD 25.(2009109) 1 pf.1 . The ACORD name and logo, are registered marks of ACORD #5590181M56619 P02 �IYs� The Commonwealth of Massachusetts. Deparonent of Industrial Acdden& Office of Invesfigadons 600 Washington Street Boston,. A #21I1 . nwcwv.anasmgev/dia Workers' Compensatian Insurance.Affida,,t: Bugders/ContractorsJE-ke,ctric ans/Pl tubers Applicant Information Please Print Legibly Name k049 citylstate/zip: �li`� Phone 4: 9 7--01 Are y in employer?Check the appropriate box.: T of Type project(required): 1.Lv1 I am a employer with Z G 4. ❑ I am a genetrai ccanfractcr and I employees-(full audrarpor#-time). : #rave hired the scab-contractors 6. ❑Nt�x construction ❑ I am a sole proprietor or partner- listed on the attached sheet, 7. [ odeling strip and have no employees These tub-contractors have S. ❑Demolition working for me in any y- employees and bave mockers' [No wodcm' comp.insurance comp-insurance—I 9. ❑Building addition rewired.] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3-❑ .I am a homeowner doing all work «dicers have exercised their 1 L❑Plumbing repairs or additions myself [No workers,camp- right of exemption per NfGL I10 Roof repairs insurance required.]F c- 132, §1(4). and we have no employees_(No workers' 13.❑'other comp.insorasnee regirirrd.] 'Any appHcaaat that checks boa:#1 mast also fll out the section below.shormog their waarkers'compensation policy inforanatiom t Homaeowners wbo submit this aff lvot imdxxtmZ they are,doing aH track and then hire outside coataxims;mo submit anew affidavit indicating sack. =C—Mcmis that check this boar must attached an additional sheet showing the'name of the sub-camzractm and state whether or not!hose entities have, enPlnyees. If the sub-contma—.have employees;theyani Fn—de their workers'ooaap.policy number. I am an ampioyer that is providing workers'corrrpartsalrarrr insurance for rr:y enrgloyem Baiow is the pelicy and job site informadon. Insurance Company Name: Policy#or Self ins.Lie.#- � J ��� ZC Expiration Date: Job Site Address- 8 CityfStateyZip: Attach a copy of the workers'compensa tion policy duration page(showing the policy number and expiration date). Failure to secure coverage as required under Section.25A:of MGL c. 157 can lead to the imposition of criminal penalties of a fine up to$1,500.00 ancUor one-year imlxisoatri,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$254.Q0 a day against the violator. Be advised that a copy of this statement may be iiorwarded to the Office of Investigations of the.D1A for insurance coverage verifircatio I do hereby card y under the pains and puns es+vf pedwy drat the informalion pro ded abm is bus and correct Situratum. Date: Phone#: 0jokial am only. Do not write in this axea,fa be completed by city or toom oljiciaZ City or Town: PermitUcense 9 Issuing Authority(circle one): 1..Board of Health y.Building Department 3.Cityli'own Clerk &Electrical Inspector 5.Plumbing.inspector 6.Other C:oatact Person: Phone#�- 6 JUN-10-2013- 02 : 17 PM P. 01 . - I -, 1 nonnrwcim, fvlh uiC/1!1 #15179 R.I. NAME r Sig DATE ADDRESS !�A 5 ZIP CODE__Qr Q ADDRESS OF JOB •.�'/l • HOME EMAIL ADDFIE98 CELL JOB DESCRIPTION s tv , e i ova ��r ��,.��is a- �Yw✓,� s � � Scheduled Start � � Scheduled Completlon—&i A.Replacement of missing or rotted lumber is not included unless specified. S.All start&completion dates are approximate and could change due to weather conditions, C, Stripping of roof Includes removal of up to two(2) layers of shingles,e h additional layer to be charged® ft1 D. Replacement of rotted roof boards/plywood to be charged® E.Existing chimney flashings will be reused, replacement, If necessa is not Included. F.Care Free Homes, Inc. Is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc. promptly, The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent,however, upon the want of strikes,fires, and any natural disasters,the ability to obtain materials,or any other conditions beyond the control of theej Company, Cost of Project$ �5' PAYMENT TERMS Date 1. You,the Owner may oancel this transaction at any time prior to midnight of the third businese day after the date of this transaction. 2, You, the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and enforcing the terms of this contract, Including but not limited to, reasonable attorney's fees, interest and court costs. DO NOT SIGN THIS RACT IF THERE ARE ANY BLANK SPACES CARE FREE H S C PCEPTED: [9 B Guyer acknowledges r; " y' receipt of fully completed Copy of thle Agreement Owner All contractors and subcontractors shall be registered by the director and any Inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617) 727-8588 �k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel fr_�) Jy.r,rj; �iL Permit# 13 Health Division dl�� �� i G3 r Date Issued q e 3 Conservation Division ' `r : Application Fee A ` Tax Collector L 9II�I�✓? __ ._. Permit Fee 00 Treasurer ��_ — C1 - ij: ; lufl MA"MMOBTAWAnE Planning Dept. GONNSCTION PERMIT FROpq TitF SING DMSION PRIOR TO Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 26f QdeAtJ S+rt&t Village YANN IS Owner N,CIL Ao_E� Address 2-(,I iJ 66A nl S-rirF_E'T. 14) ANN Is Telephone 50S - 0 2t Permit Request Po LC41 r7 I eg_�1 Square feet: 1 st floor: existing JJw4oposed 2nd floor: existing proposed Total new Zoning District ,,��//�� _ Flood Plain Groundwater Overlay 'Project Valuation i�0- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes C�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 c� Heat Type and Fuel: ❑Gaffs Zulu Electric ❑Other bentral Air: ❑Yes U? o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: Hexisting ❑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 ❑No If yes,site plan review# Current Use Proposed Use b BUILDER INFORMATION Name S co- - QU I L+ek Telephone Number Address 2 q 7 S ro,,��f YLUI L&A License# C S y 7 a 00 U Miti 02co 3 2. Home Improvement Contractor# 132169 1 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 13A�2��-� ��� 1 s4,JaLj 6/ SIGNATURE DATE 9'- 'p U FOR OFFICIAL USE ONLY '= PERMIT NO. 4 DATE ISSUED MAPJ PARCEL NO. ADDRESS VILLAGE OWNER k F DATE OF INSPECTION: t FOUNDATION I FRAME &rjeln d A a& INSULATION s FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING rt / 01, �C% Y,/Q ? DATE CLOSEDtOUT. ` ASSOCIATION PLAN NO. , ' ' The Commonwealth of Massachusetts _ Department of Industrial Accidents = Office OffOYesif9af0Os _ - 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name 1 location: ?-la 1 Cc AW hone# .Sb 8 7 7/- O Zy/ ❑ I am a homeowner performing all work myself. am a sole r rietor and have no one workin in ca iclty am an emp 1 r rovidin workers' compensation for mry employees working on this job.::::::::::::?::::::::::::;:.•::>:.<::::«::>:::<:>:v:::.::,i:.: :::,:: is ;.::.:....X................. one, .......... ::: :m ifsaran alt ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the Mowing workers' co n. aionpolices: .,... :.::...u.,•:.<.:::.:.,:•.,..>:::• x.•..v.:�.:n::::.:.:.-:::..::..,:. ........... ............. ....................... . ,........,...,::..,..�::: Um an :nam . ... ... ....:.. ..... .. ::??v?....;:n.Jv::?};..{::::;::::::v+?L;n.:,.........•..:..:y.n ............................. ....................................................................................................................................... ..................................................... ......................................w::•:::::n�::::::::::•:.....,:::::::v:.:v:::.�::::::::::w,�:::::::::::•:x::??.}:•;vvv�x iiiiYi:'•ii::;:;>Ciii:�i}:+{i:S}j:<J;}:; ii�:? i;;?:::•i::::::L?.:}:;4:;i:;Xii�.:i'{'?:i:`vi::iC::>2tJ:Y•;itii::�iYi::.::�.....:v:::....::•i;•; ::.......::•::•::::•:�':•i"w:;.;:':•i:':rrr v;...::. nfi:n�:::n:�::::::v:::::.�:::::.�::::::i4:????�ii?iiii:?•i:4i:?•ii}:•iii:??^i:?•:i:::::::::n... ...........:... ...................................::::::...................::}i:•ii:::,:•::::.�::::::::.�:::::..:::'::i:.:::r::}:::v.:'-iii:•i:??:': ':iii:ti�i:!`ii:?isiyi}};•':t2:::i:(:; ::•::�:•':•:;•:::::::iiiiii}:!�i:{i?i:(i:iii: •i:Fin!.:?:: ................ ...............,... ..:.............................................,.:..�::.:..............--..-..................... dug.#, .r:r:::;::.:.:,.�::•::::;:::<:::..:::..,.... .......... :•�,,:.:.:::;:<< ?•i:•i::i•iii:•ii};{?•iii:::vii:•;•iii:•ii:•iii:'?vw::is:.iii:!�ii i::.":ii:?•ii:•+:iii:i^iii>i>ii•::�.�.?i4:�i'F�i:�:�:;:{i:;Yj}}ii:iiijy;:};i:;{:;:;:};:$;}:;:j;:;:;:i::LS�:?(:iTiiii:i�ii�"i•i:4'r'i::J::iiY8Y:4:?/•i:•ivii'pw:::•�•! ...............................:..X....... .................. - n:.:.............:�:•...................iv:n................:•::..........................v::.............v.......-........................:?h:4;?4:6; ::v::.�:::vn,v:................-...,-:.�:.�.••n;•::n'n:i:?4}:?•:. r.•.- . `Y(��y}:Ji:..;":n::•5:•.•:i::•:r:«+ni:<::::::.:}i:::r.i:?!::<••Si::::::•i::.i:.i:<::?::-v,••i:x4i:.:{::;::Lii::ti:i:i;?v5:: <i?si >.� �ti;??i?: isa>iE:;:?:<::?:;:>;?i;i;isi:}i;i:;c2asi;:;:::>::::5 ::;:;i:;k:'s::i5:::::::Y,>2:a�<>:;;;:::;:-:;:,:::.: .. ............... M. ......................::::.�:::::•:::::•:::::::::::?::�i:::>}:^:•iii'r::•ii::Li:•::j`ii�ii>:viv:i:+?�:?�'ri$'r:;i:•i+i:r:irr:i::�::::i::::..::::............. "HiO i>:�?i:%T'^:vi4:+�i:>:i:}•i:"vY�iJ�ii:i:i?:•ii:�: ' .. .. .;•: :.;:.}:'•"-.:::.:n .:: an:icy'<:4:?:i:}';..�%�: i::y:. •��:C�{:;:;,:yi:i?,i{.;i.�i:>?;i;<i;:;.;:;Y:y}i:}Y{:.:?�i:;:`..':;:L:v;..:,y::i;n;':'::?:':::!;i:;:;:�:;`;ni:'+.`:++i{:':::3:::'t>: fL1QT81tl C Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crlmitwl penalties of a fine up to$1,500.00 and/ one yam'linprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office-of Investigations of the DIA for coverage verification. I do hereby certify the pacts and enalties that the information provided above is true and correct Date Signature 9'A6 Print name `� �� Qyi ( ���' _Phone# S 77/-OLYI official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's office ❑Health Department contact person: phone#; ❑Other Ocvised 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. ,,An employer is definedas an individual,partnership, association, corporation•or'other legal entity; or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However The owner of a dwelling house having not more.than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has I not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. s: Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and 6. ce as all affidavits may be company names, address and phone numbers along with a certificate of irmu y �> supplying � si and e. Also be sure to 'on of insurance cove sign submitted to the Department of Industrial Accidents for confirmation rag 0.'. the city or town that the application for the permit or license is date the affidavit. The affidavit should be returned to being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`haw"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not l esitat&t6 give us a call. , The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 L OEVE�� Town of Barnstable Regulatory Services BAMffABLB. ` Thomas F.Geiler,Director 9 MAW. �AtfDMA't0. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 911610 3 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: keQ(..Aa AX is y G Axr,44 Estimated Cost XSyOb Address of Work: Z �61 OCI /S�E6 fL kv A"m Owner's Name: KICK_ ANFS'ri S Date of Application: VIA210..3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a7peit as the agent of the own �/b CS 070,000 Date 6ontractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav °F, rti Town of Barnstable Regulatory Services BAMSrABLE, ` Thomas F.Geiler,Director Mass. i ,19. `•�� A b BuildinQ Division A�fD MA'S Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I /V C -, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:OWNERPERMISSION ,' t - Boar d of Build' 9 Regulations and Stan HOME IMP Standards ar O ds ., VE Regjstaton' INENTCONTRACTOR fxp,raton 132691 372,?72005 Tye SCOT Individual o T QUILTER s t SCOT QUILTER ., 247 STRAWBERRY CENTERVILLE, I MA 02632 Eels `administrator ✓fie -,�-..._._ � `�' i . BOAR& OF BUILDING RECULAY Rims 'License• ;�al'1 inUCT6 SURE M/1 I Uumbei; 078000 i j � fi�=$Oz'703f'1961 �"04 Tr,no: 78000 Restricted fia OQ SCOTT:H Q.UILTCR F PO UM 727 W HYAfVtJ1SpORT, �' ` MA 02672 Adminrstrator {�❑ '� �o-, ti�fa y't., � •4?d� .� .'��; nr„� I x'! w i� K+f�:f .� ,. �j"X s , ' ' t � $ C��`flf� �„, VIR rn 4id"E,�'Y;. ��¢*4` 7# �'� �.- � r•`� `� "� ,3' '� Fss.: � v^w} .�, rk s • ems`-i�4 �' �,k„ w��t� { ..ri ta.r=`� w �. rt�-•� -�r�� i �f �: �:4�'re ! `ggFggf}'�,,`s✓�A✓�1d Q�Fr y�:,�. f�n k�V.�Xy7 y"�—�4`zA �5 Y y.rFa a�'�v .`,y..o ys�s. tx` �yay3��, 4 » x � - e 6 .� r j�•cA�.3 ,�`'�•. rigs .� s,� `�"'. t. a r� ¢ i .ti , �,,�t`-s 4( fdt a.Y.. ` "a-- ..o...-. ,q �a. 1 d•r6 LTMa� ' a 'i. "� } a d \ 1 f.��-::g,'E£a.e,.�n.�rF }.'<{r �� w.,, m"i`i�Ekay.&',t<a�.*•.lac �' Ks-• L +� . �� � �"� �k*<� yS,�..; r b�.-t"'"+. :.,� �, a+d i�..v.r.M �txri& o J�s.�`+ " t •c .-�^�4x - �-r a - •`a 1„ .$;f T ..sl.�f' € �, ,✓' +� �..s➢A``..:;r^ :ar.st oF,HE r Town of Barnstable *Permit# ?� 6 Expires 6 months from issue date BA STABM Regulatory Services Fee NAM Thomas F.Geiler,Director s6yg. ♦0 ATfO"A°�� Building Division Peter F.DiMatteo, Building Commissioner - 367 Main Street, Hyannis,MA 02601w r Office: 508-862-4038 �' qR .Fax: 508-790-62M 01% F t< �©o4 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprints' Map/parcel Number � V C)0 Property Address CV-b/ 066?w Sr. Residential Value of Work 7 00 Owner's Name&Address ®i/�`/�Tl��. //',V -7 Contractor's Name AV41-6 A/ Telephone Number —5.a 7 57 7 Home Improvement Contractor License#(if applicable) �® 3 l Construction Supervisor's License#(if applicable) ' orl nan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I.am the Homeowner 13 ve Worker's Compensation Insurance Insurance Company Name ` Workman's Comp.Policy# Z0 Permit Request(check box) R/Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) r *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. r Signature �J Q:Forms:expmtrg:rev-070601 01/04/1995 10:`40 Os915087906230 PAGE 01 Town of Barnstable Regulatory Sen ices La' Thomas F. reiler,Director Building Division Tom Perry, Building Commissioner 200 Mann Street, Hyannis,MA 02601 Office: 509-962-4035 Fax.: 508-790-6230. Property Owner Mast Complete and Sign This Section If Using A. Builder I, A e-11 i �7 --- , as Owner of the subject property hereby authorize A114 6 to act of my behalf, in all matters relative to work authorized by this,binding permit application for (address of job) ti ,I �6 0 Signature of Owner pa %T s Print Name °mi .uealC/ -- GTE Board of Building Regulations and Standards .# HOME lQ9,9ROVEMENT G tVTR4L r Re estfa_tto� 0503, t�� z 004 plement Card CARE FREE HOT'' .OSERT PICKUP = f 239 Huftleston ave Fairhaven, M.A p2719. Adm(nistrator 11W MA. Builder's Lie.#021330 OFFICE: (508)997-1111 RE FREE Home Improvement FAX: (508)997-1297 AoWmes Inc. Contractor's License TOLL FREE: 1-800-407-1111 #100503 MA. WEBSITE:www.cf-homes.com 239 HUTTLESTON AVE. (FIT 6)•FAIRHAVEN, MA 02719 #1517,9,R.I. NAME ��cjwy anz.O& DATE /Ole 7 ADDRESS ZIP CODE ADDRESS OF JOB_iA9Za t�Q_ TEL JOB DESCRIPTION 02 � e Scheduled Start y 7� Scheduled Completion S A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2) layers of shingles, each additional layer to be charged 2 D. Replacement of rotted roof boards/plywood to be charged @ a ^ 5-0 2 E. Existing chimney flashings will be reused; replacement, if necessary, is not included. F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc.promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes, fires and any natural disasters, the ability to obtain materials, or any other conditions beyond the control of the Company. Cost of Project$ /, PAYMENT TERMS on Date O 1. You,the Owner,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the Owners,agree to pay any and all expenses incurred by Care Free Homes,Inc.in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees,interest and court costs. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES CARE F E HOMES � CCEPT 1 Buyer acknowledges Owner nn By: v g f CARE FREE HO ,INC. receipt of fully completed copy of this Agreement Owner All'contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617)727-8598 4 ��r 3 ��ENT•. L to LL d I C l .2 TOWN OP BARN STABLE S✓�S� {rya REPORT PLEMENTARY/CONTINUA REPORT Y NAME (LAST, FIRST, MIDDLE) DIVISION / NOTE DETAILS i OBSERVATIONS—ITEMIZE EVIDENCE, SERIAL IS ETC- ✓� PAGE 1 SUBMITTED BY .......... ;`.;•::. .�1� ••:l:ii:i:v:ii73 ]BUILDING El .............................:. ...ice:.: ::325~M1�025t00���� .... ...... .... ILDIN : (yY ANM1 TI<.;: : :::::. 61 2 .:.OCEAN..STREET«<: AliiIF mot ZONING ................ .... .... .... INN RMISIMM ::::::....:.... ................................... ............................... .... LE ••Yiiiik>.{{ Y Y Y Y Y Y Y Y Y > Rm MOO SEARCH i ,(ENT r� r w IR h ;r i ti