HomeMy WebLinkAbout0082 SEA STREET s e
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Application number ....`................................. ........
Fee .................. ..........I.
MAW 'BLIcling Inspectors In . . . ...........................
*639. MAY 17 2019 Date Issued......5. ...............................
OIJAH I N'S W Lklap/Parcel.... .........................
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project:
NUMBER STREET I LAGE
Owner's NameQ;U z 'In-e-- Phone Number --r
Email Address: C Cell Phone Number
J U
Project cost $ Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application fo a b g permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
> in g IJU?'Windows (no header change) #-40 Insulation/Weatherization
L-1--r Poors (no header change) #-4- Commercial Doors require an inspector's review
C, �`koof(not applying more than I layer of shin les)
Construction Debris will be going to 0-,'W,5z
CONTRACTOR'S INFORMATION
Contractor's name b(��-�
Home Improvement Contractors Registration(if applicable) # 19+06 (attach copy)
Construction Supervisor's License# p5 qc? (attach copy)
Email of Contracto Phone number4 1 LA2G8 6-7-0�p
ALL PROPERTIES THAT HAVE STRUCTURES&ER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
i ra
APPLICATION NUMBER ............................................................
*For Tents Only*
Date Tent(s) will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X 9 X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a health Department approval between the hours
of 8:00am -9:30 am or 3:30 pm-4:30pm.Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name`
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures, specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signature Date v
All permit applications are subject to a building official's approval prior to issuance.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
_ 600 Washington Street
- Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual) ) '
Address:lGt
City/State/Zip: Phone#: �� �vz:mac :
Are you an employer?Check the appropriate bog: Type of project(required):
1.❑ I am a employer with .4: [] I am a general contractor and I
ployDes(full and/or part-time).*, have Lured the sub-contractors 6. El New construction
2. I am a sole proprietor or partner- listed on the attached sheet. 7. Ef emodeling
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. 10. Electrical repairs or additions
required.] 5. ❑ We are a corporation and its ❑ P
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself, [No workers'comp, right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.[1 Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then bird 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 wbether 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 isproviding workers'compensation insurance for my employees. Below is the policy andjob site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address:, City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do h eby rtify an r th ains and penalties of perjury that the information provided Bove is re and correct
Signature: d Date: G1
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/Tovm Clerk 4.Electrical Inspector 5.Plumbing Inspector.
6.Other
Contact Person: Phone#:
Informa
tion and Instructions
Massachusetts General Laws chapter 152.requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to-your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be retained to the city-or town that the application for the permit or license is being requested,not the Department of
c _ .7' .'fl.a l..c+r n..iFcrnn orq ram-ir,-A to n}l}'ain a worker$'
Industa!Accidents. Shoula you have&TY Tae�uong TV-6 ',ug tan �a u f .w L _ --
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Departnent's address,telephone and fax number:
The Commonwealth of Massachusetts
Dement of Industrial Accidents
Office of Investigatims
600 Washin gtQn Street
Boston,MA 0-2111
Tel.#617-727-4900 ext 406 w 1-977- -MASSAFF,
Fax# 617-727-7749
Revised 4-24-07 WWWMass,gGV/dla
III
r �
,fie �srrirearcvPa,��o�•/�d.�sac�cWelds
Office of consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
T .P}E Individual
ReaistF uinExpiration
%-M&E— 02/14/2021 1
` BRAULIO'BRif
D/B/A BBRITO S
r
BRAULIO BRITO �1
� C�19 SAGA RD � 11
> SOUTH DENNIS,MA b260 Undersecreta 1
Massachusetts Department of Public Safety,
Board of Building Regulations and Standards
License: CS-110548
r Construction Supervisor
i
BRAULlO'BRITO
16 UNCLE STANLEII SaW
SOUTH DENNIS MA<0 60 R
�'O�' ✓<� ���G1tL�-- expiration:
-'Commissioner 06/2312020
,
Town of BarnstableBuilding
rd So�That�it isUi'sible=From' hetreet .�A roved.Plans;-Must be�Retamed gn Job and,-this Card Must-be Ke t, �, ," ,.
16,3
.n�rsrwes.e: • Post This Ca� � pp t, P
Posted Until Final-Inspection Has Been Made , .
Wher�a Certificate:of;Occu anc ::is,.Re uored,,such:Buoldm shall Not be'Occupeed'untsl a Final II„'nspection,ha„, e made. ,
ermit
Permit No. B-18-1377 Applicant Name: Approvals
Date Issued: 05/25/2018 Current Use: Structure
Permit Type: Building-Demolition-Accessory Expiration Date: 11/25/2018 _ Foundation:
Location: 82 SEA STREET,HYANNIS Map/Lot 308 178 Zoning District: RB Sheathing:
Owner on Record: SANTOS, MICHAEL&HARARY, ELY f ��Contractor Narne Framing: 1•
3
Address: 129 WHITMAR ROAD Co�ntractorLicens�e 2
COTUIT,MA 02635 " ' Est Project Cost: $5 000.00
Chimney:
Permit Fee: 50.00
I' Description: Demo Existing Garage. $
y Insulation:
Fee RN $50.00
Project Review Req:
Date 5/25/2018 Final:
' 4
Plumbing/Gas
' Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work a% honzed'by this permit is commenced within six monihsafte issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which=this permit has been granted.
All construction,alterations and changes of use of any building and structur ee es shall be in compliance with the local zon3ing ity laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road�and shall be maintained open for pubticInspection for the entire duration of the
work until the completion of the same. Electrical
x
The Certificate of Occupancy will not be issued until all applicable signatures,by the'BW ing pp, E, ®fficials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work `
1.Foundation or Footing a ' Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
f
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
The Commonwealth of Massachusetts
' Department of Industrial Accidents
Office of Investigations
600 Washington Street
- Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): f�--
Address: � /Z 7-
City/State/Zip: 4 / /err Phone#:
Are you an employer?Check the appropriate bog: Type of project(required):
1.❑ I am a employer with 4. [] I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have S. E]Demolition
working for me in any capacity. employees and have.workers' 9. Building addition
[No workers'comp.insurance comp.ms=ce.$
�guied-] 5. �] We are a corporation and its 10.❑Electrical repairs or additions
3.LJ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t C. 152, §1(4),and we have no 13.❑Other
employees.[No workers'
comp.insurance required.]
*My applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. 1
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state vyhether or not those entities have
employees. if the sub-contactors 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 thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of pedury that the information provided above is true and correct:
Sienatt>re / /% ' Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Perinit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector.
6.Other
Contact Person: Phone#:
SNE 0 Application Number. ..••• •••• ...
RARMABr E. ' Permit Fee.................... ..............Other Fee, .....
MASIL
Total Fee Paid
TOWNOF BARNSTABLE Permit Approval by........ (... . .................on:. ...................
BUILDING PERMIT 14.....................Parcel...........
APPLICATION
Section 1 — Owner's Information and'Project Location
Project Address S ,& village
Owners Name A4/azi
Owners Legal Address
�-t State zip
Owners Cell# E-
Section � P [Jse of Structure
Use Group -r
4 2018 ❑ Commercial Structure over 35,000.cubic feet
OK/N OF E ARMSTAF3L.E] Commercial Structure.under 35,000 cubic feet
Single/Two Family Dwelling
Section 3 —Type of Permit
❑ ew Construction ❑ Move/Relocate Accessory Structure -❑ Change of use
Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm
Rebuild ❑ Deck Apartment ❑ Sprinkler System
❑ Addition ❑ Retaining wall ❑ Solar
❑ Renovation ❑ Pool ❑ Insulation
Other—Specify
Section 4 -Work Description
m
r
y
P
T act undated-2/9/2018
Application Number............................................
Section 5—Detail
Cost of Proposed Construction SOD, Square Footage of Project w (�
Age of Structure r��5� e � Dig Safe Number
r.
#Of Bedrooms Existing Totaly# Of Bedrooms (proposed) 3
110 MPH Wind Zone Compliance'Method ❑�'MA Checklist ❑ WFCM Checklist ❑ Design
Section 6 Project Specifics :•`
Winn i Oil Tank Storage
❑ g . ag ' Smoke Detectors
Plumbing Gas', D Fire Suppression
❑ Heating System ❑ Masonry.Chimney ❑Add/relocate bedroom
Water Supply ❑ Public ❑ Private
`i
Sewage Disposal ❑ Municipal F 6 ❑ On Site 1
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
1
Debris Disposal Facility: I am using a crane El Yes _
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No
Section S-Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard Required Proposed .
Rear Yard Required Proposed
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes Not
Last undated 2J92018
Application Number....:.........,..........................
Section 9-.Construction Supervisor
Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
Contractors Email Cell#
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of.Bamstable.Attach a copy of your license:
Signature Date
Section-10—Home Improvement Contractor
Name Telephone Number i
Address City State Zip
Registration Number Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC...
Signature Date
Section 11 -Home Owners License Exemption
Home Owners Name: 14VI f,C
Telephone Number Cell or Work Number - 3a
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. .I understand the construction inspection procedures,specific inspections and
documentation required by 780 C>M and the Town of Barnstable.
Signature Date
APPLICANT SIGNATURE
Signature Date S ��
Print Name-A rA AJ ,��g,,, � Telephone Number ,,$'a p- ) 6
E-mail permit to: (/<-P- C'
M, v
T n..+.....i..as.i.nlr%MniO
Section 12 —Department Sign-Offs
v
Health Department ❑ Zoning Board(if required) ❑
Historic District ❑ Site Plan Review(if required) ❑
Fire Department ❑
Conservation
For commercial work,please take your plans directly to the fire department for approval.
Section 13— Owner's Authorization
L , 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:
. f
(Address of job)
Signature of Owner date
Print Name
. s .
Last updated:2/9201 S
r
Town of Barnstable
FINE Tp�
do Regulatory Services
Thomas F.Geiler,Director
`* saxxSrABLF.
MASS. Building Division
9 i639.
�ATFD MA'S Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# FEE: $ QL5:9
�Iv�5Q3
SHED REGISTRATION
120 square feet or less.
Location of shed(address) Village.
60 -90 0691 Z �.
Property owner's name Telephone number
� � 10 309 1,7�
Size of Shed Map/Parcel#
1
i Ae Date
Hyannis Main Street Waterfront Historic District?
' Highway Historic District Commission jurisdiction? lv
OldKng s g y J
Conservation Commission(signature required) Z Q� D1 KG
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE.
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
REV:121901
C)I= P P, P E R-ry L' N ES nnsw NC3 E, ,Cc PPL-rE STANDARD LEGEND
INOTE:not all symbols will appear on a map
/ GOLF COURSE FAIRWAY
EDGE OF DECIDUOUS TREES
EDGE OF BRUSH
ORCHARD OR NURSERY
Ma -_-
9 y "�77 EDGE OF CONIFEROUS TREES
x / \ ° 2 �
t MARSH AREA
/ \ M _.. WATER EDGE F G 0 A ER
__= DIRT ROAD
DRIVEWAY
PARKING LOT
74 F—PAVED ROAD
—--—--— DRAINAGE DITCH
————— PATH/TRAIL
/ 471
PARCEL LINE**
��J
\ .�......._- \ / 0 tiuvtto < —MAP#
• Mai a
21e6a—HOUCSE NUMBER
'•178-
� � � 2 FOOT CONTOUR LINE
7 is 10 FOOT CONTOUR LINE
Q Elevation based on NGVD29
8 \ ..• ��4.9 SPOT ELEVATION
!I / STONE WALL
X X FENCE
X RETAINING WALL
a p a RAIL ROAD TRACK
4 9 � -- STONE JETTY
Ma 307 SWIMMING POOL
84 PORCH/DECK
65 0 BUILDING/STRUCTURE
30 n DOCK/PIER
_ ------------- L
--• f4 HYDRANT
........ .... 6 VALVE ® MANHOLE
-111iYY11p O POST OF' FLAG POLE
T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T p SIGN ® STORM DRAIN
M PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of o **NOTE:The parcel lines are only graphic representation DATA SOURCES: Plonimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames r, TOWER
1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD fry UTILITY POLE
t " ` 0 20 A40 National Map Accuracy Standards of this do not represent actual relotionships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards
It * enlarged scole. 4' LIGHT POLE O ELECTRIC BOX
s 1 INCH 40 FEET aJ on the map. at g scale of 1"=100'. Parcel lines were digitized from FY2003 Town of Barnstable Assessors tax maps.
F:\dgn\conservation.dgn 04/24/03 09:02:45 AM
y 60-05
oFIKE,a,,,
Town of Barnstable TOW cl P t#
Fxpir'e�s'�s x�r fi issue date
iaxxsTnBt.�
Regulatory Services 2003 APR g4g• - :1
v� "A 16 9.SS. Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner i I/ISION
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 �® IT
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL O 2003
D r7 Not Valid without Red X-Press Imprint
Map/parcel Number TOWN OF BARNSTABLE
Property Ad ss �c � �i / /�y� �" All,
esidential Value of Work �i Poe.
Owner's Name&Address JAI Alelef
Contractor's Name� l_C Telephone Number 6d
Home Improvement Contractor License#(if applicable) Z,,,.,2
Construction Supervisor's License#(if applicable) S 0 �� Q
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ IanHomeowner
ave Worker's Compensation Insurance
Insurance Company Name -Azl c�
Workman's Comp.Policy# alc
Permit Request(check box)
e-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised121901
°FTHE T° Town of Barnstable
Regulatory Services
' BARNSTABLE, ' Thomas F.Geiler,Director
y Mass. g' •
M;.,a`` Building Division
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
as Owner of the subject property
hereby authorize 1 7 1 AAJiC0&LGkVCP61') ( nI to act on my behalf,
in all matters relative to work authorized by this building permit application for (address of
job)
Signature Owner Date
Ne-
Print Name
Q:FORMS:O WNERPERMISS ION
BOARD OF BUILDING REGULATIONS
` _"License CONSTRUCTION SUPERVISOR
Numbe �S 074360
a �
B t dat 0 aF1 11958
�6Q04 Tr.no: 10200
RICHARD VILL/}I1 =,
PO BOX 692
W HYANNISPORT 62 Administrator
f. s
. �le T�om�reoouaecci o�✓�aaoac/u�oelda
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
! Registration 128560
S;-,;Exp�rat�gn 4'f2r1112005
Tyke Cridividual
t �
RICHARD VILLA f f` # DUMCATO
RICHARD VILLA F
1 \`
109 WAGON LANE
HYANNIS,MA 02601
Administrator
l
TOWN OF 13ARNSTA13LE
REPORT SU ZXENTARY/CONTINUATIVVRPORT
NAME (LAST, FIRST, MIDDLE) q DIVISION /DSP7
NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL is ETC.
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ATE ARCEI IDENTIFICATION
iTV ADDRESS I I ZONING I DISTRICT CODE SP•GISTS.I DATE PRINTED I CT LAW I PCS I NBHD ICY NO
0082 SEA STREET. 07 RB 400 07HY
UNO/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT 'ADJ'D.UNIT
L.na By/Date1 .11..1-1 n LOC./VR.SPEC.CLASS ADJ. C(` P. PRICE PRICE ACRES/UNITS VALUE D.1'�G(S)-CAAD-l
LEYIS• ROBERT R 8 ALICE 6 MAP
-
GD. FF C nmhA re 1 23/4D0 CARDS IN ACCOUNT
10 1BLD6.SIT 1 X .3 =10 203 3499949 71049.9 .33 23400 1: .J_,59,500 01 OF 02
ER FEATURE 1 %l I'm OST 9670C
BATHS'10 , U X C= 100 -6000.0 6000.0 1:00 6000 8 #BLDG(S)-CARD-2 1 6PI00 ARKET 9480C
,FIREPLACE U X' C= 100 3100.0 i 3100.0 1.00 3100 B UPL 82 SEA ST HY NCOME
'BARN S X' 196 D= 66 .7 11.7 540 6400 F #RR 1447 0069 SE
SHED S X 196 O= 71 .9.7 5.3 240 1300 F 5027/241 4/86 PPRAISED. VALUE
96.70(
ARCEL SUMMARY
AND 2340[
LOGS 65601
-IMPS 770(
OTAL 9670C
CNST
DEED REFERENC TyP, DATE yynpop RIOR YEAR VALC
Boon P.pe In". Mo. r sa».Pro A N D 2 3 4 0 C
8561/083: IQ5/93 A 1 LOGS 73301
50271241: I,04/86 1 OTAL 96701
8561/083: IQ5193 A 1
BUILDING PERMIT
NpnM Dala iypa Mrwnl
LAND LAND-ADJ- INC ME SE SP-BLDS FEATURES OLD-ADJS UNITS
23400 770d 9100
Class Con St Total Baas Rite o Rate Yaer A" Norm. OCay. CNO lac %R G Rap C-1 Maw Aol Rop Val" St- ;;d Roan. Rma Bath a fla. Parly.aY F.C.
Unna Unna A I 1f9 Dap. Gone.
01C. 000 100.100 61.00 61.00 74 75 19 80 90 70 84973 59500 1.5 7 4:1.1 6.0
Deacnalwn Saaara Fast Real.Caal MKT.INDEX: 1.DD IMP.BVIDATE. ME 5/88 SCALE: 1100.61 ELEMENTS CODE CONSTRUCTION DETAIL
SAS 100 61.a00 940 51240 GROSS AREA 1720 SINGLE FAMILY'DWELLING CNST GP:00
FOP 35 21.35 24 512 *---14--* TYLE 10 L_D___S_T_Y_L_E______ 0.0
--------- --- -
fF8 650 65.00 40 2600 ! ESIGN ADJMT_ 00 0.0
INTER.-
------------- ---------- -
815 42 25.62 840 21521 ! XTER06LUM/VINYL 0.6EAT/ACTYPE 0924 NTER.FIMISH DS LASTER .NTER.LAYOUT 12 VER./NORMAL 0.0
3UALTY 02 AME AS EXTEB. 0.0
40 BASE 100R Siiff0 02 D JOIST/BEAM 0.0
-----------
YE_LOOR_ _Q4
Toler Aren Aaa. 24.Ba,.. 840 - ! ! OOf TYPE 01 ABLE-A S_P_H___S_N____0.0
BUILDING DIMENSIONS *-* ! LECT RICAL_ _ CS1 VERAGE 0.0
BAS Y26 FOP SO4 E06 N04 Y06 .. ! 18 OUNDATION 02 ONCRETE BLOCK 99.9
BAS Y02 NO2 FFB Y04 N10 E04 S10 10! ! ____ __�__ ___
.. SAS N40 E14 S24 E14 S18 .. ! ! NEIGHBORHOOD 61AE NYANNIS
815 N18 Y14 M24 Y14 S42 E28 .. FFB 815 ! LAND TOTAL MARKET
*-*6-*---26-----X PARCEL 23400 96700
FOP* AREA 2848
VARIANCE +0 +3295
STANDARD 25
- I T SYADDRESS ZONING IDISTRICCODE '.SP-DISTS.I DATE PRINTED I STATE PARCEL IDENTIFICATION NUMBER
CLAS SIPCS I NBND TV NO.
1 221SAi
0082 SEA.STREET. 07 RB 400 07HY: 07/09/95 1091 00 61AC LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTOR UNIT ADJ'D.UNIT S V
Lam Br/Dale sae D.reEawa LOC./YR.SPEC.CLA ADJ. C P PRICE PRICE ACRES/UNITS' VALUE De.crlr�,. l E YI S. R OB E RT R B AL I C E 6 MAP—
. cD. FF- INAErea CARDS IN ACCOUNT
BATHS .1•. X D= .0 - oc Ao f 02 OF 02
NO HEAT. S X' D= 100 2.3 —1.83 240 400-8 OST 96700
NO BSMT S X. D= 100 7:8 .6.1 240 1500-9 ARKET 94800
i NCOME
SE
PPRAISED. VALUE
96.70C
ARCEL SUMMARY
AND 23400
LDGS 6560C
—IMPS 7700
OTAL 96700
CNST
DEED REFERENC T, DATE Raoar RIOR YEAR VALU
Book Pape InM. MO. Yx. Pn0' AND 2 3 4 0 C
LDGS 7330C
OTAL 9670C
r BUILDING PERMIT
Nump. Oals TV" Anafunt
LAND LAND—ADJ INC ME SE SP—BLDS FEATURES BLD—ADJS UNITS
1900—
Claas t5' U�,ey Bane Rale AEI-Rara V er B 1' Aga . COm. CND LEc a0 R G Rap Coil Na. AEI Reo V Ww Sl..s M.ga1 Roon. Rma BMm F Fla. P.r. Fao.
010+ 000 100 100 53.45 53.45 00 65 29 66 90 56 10928 6100 1.0 2 1 .1 3.0
El'60
Rala 1Q 1 Feel Re Coal MKT.INDEX' 1-00 IMP.BY/OATS: ME 5188 SCALE: 1102.00 ELEMENTS CODE CONSTRUCTION DETAIL
3.45 240 12828 N P:
N TILE 09 OTTAGE 0.0
—22-------- ESIGN ADJMT_ 60 ----------------- 0.0
! I IITE9- AYLS If OOD SHINGLES D-.0
! ! _EAT/AC-TYPE -Oi ---------------0.0
! ! NTE_R.FINf§H_ _OG RTYALL 0.0
! ! NTEQ-LAYOUT_ f2 VER.7li0RMAt 0.0
! ! NTER.QUALTY _02 APIE AS EXTER. if.
10 BASE 1 LOOR SiRUCT If ARIOUS TTPES 0.0
Y! 12E CDOR CDYER 07 -IAfYC fL60RING__ 1f.0
AV.- Base. 240 !' ! OD-F"_-TPP_E_--_-_ -_01 A_e_L_E_=A_S_P_N___S_H____D._0
BUILDING DIMENSIONS ! I CETTRItAC 0t vER A_ME__________ -G.0
SAS Y10 NO2 Y12 N10 E22 S12 .. ! ! OUNDATIVH--- _a6 T R5 9V.9
--------------- --- ----------------------
2 LAND TOTAL MARKET
*--------10-------X PARCEL
AREA
VARIANCE +0 +0
STANDARD
RESIDENTIAL PROPERTY
MAP NO. LOT NO. FIRE DISTRICT
�I +308 178 STREET 82 Sea. St. Hyannis LAND
H '23 0 0
__.-. / BLDGS.
c� OWNER ��> / m*11 r i'"/� `1 r.a� ....d TOTAL o
.ZboS
LAND
RECORD OF TRANSFER DATE BK kte #51)097
I.R.S. REMARKS:
BLDGS.
Lewis—*. B 7s a�7t 026*58 (9 7 B TOTAL
ew 3 . 3a LAND
Lewis, Thelma B. 11-1 - Prob� rn BLDGS.
-)Ei) it T1 .. ! J S} G1 .4+� - tLccCQ _ TOTAL
LAND
BLDGS.
at
TOTAL
LAND,
BLDGS.
TOTAL
LAND
O! BLDGS.
TOTAL
LAND
BLDGS.
0)
TOTAL
LAND
INTERIOR INSPECTED: \ i BLDGS.
DATE: TOTAL
S 2O/7 � � LAND
ACREAGE COMPUTATIONS rn BLDGS.
LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL
HOUSE LOT ,5-T 10 23 A, C?/0 O LAND
CLEARED FRONT BLDGS.
Ol
REAR TOTAL
WOODS&SPROUT FRONT LAND
REAR BLDGS.
0)
WASTE FRONT TOTAL
REAR FAN
0)LOT COMPUTATIONS LAND FACTORS
FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND
ROUGH TOWN WATER as BLDGS.
HIGH GRAVEL RD. TOTAL
LOW DIRT RD. LAND
SWAMPY NO RD. BLDGS.
TOTAL
.,,c. Blk.Walls Bsmt. Rec.Room St.Shower 83mt. '
nr.�Slab Bsmt.Garage St. Shower Ext. Walls PURCH. DA
TE
PURCH. P
ick Walls Attic FI: &Stairs Toilet Room r) Roof
RENT n_
.,die Walls Fin.Attic Two Fixt. Bath T
Floors
,s INTERIOR FINISH Lavatory Extra- IH j0
int. F� 1' 2 3 Sink .—moo �'- .3 a D I
I
y= y� Plaster Water CIO. Extra Attic f 4 ky r
_ y I
,.XTERIOR WALLS Knotty Pine Water Only o 1' /i�!0 0 C_ S i vZl/� l
able Siding 1� �/ Plywood No Plumbing Bsmt.Fin.
.._.__. ._ v J• /
a i;le Siding Plasterboard Int. Fin.
Shingles TILING v he,&S6 —
3� 4 14
.,c. Blk. G F P Bath Fl. Heat F /Q„2 Y�P 0
Bit-.-On Int.Layout Bath"Wains. Auto Ht.Unit
Veneer Int.Cond. Bath Fl. &Walls Fireplace 4= G
..,_Brk.On HEATING Toilet Rm. FI. Plumbing 4— d 6
lid Com. Brk. Hot Air Toilet Rm.FI. &Wains. '
Tiling
Steam Toilet Rm.FI.&Walls
.,nket Ins. Hot Water '} St.Shower
A Ins. Air Cond. Tub Area Total .
Floor Furn.
ROOFING COMPUTATIONS
.ph. Shingle ✓ Pipeless Furn. 8 S.F. .,?3 a 9G ..
.,ud Shingle No Heat a S.F.
.hs__Shingle Oil Burner yo S.F.
..ite Coal Stoker S.F.
Gas S.F. OUTBUILDINGS
ROOF TYPE Electric
S.F. 1 2 3 4 5 6 7 8 9 10 1 2131415 6 7 8 9 10 MEASURED
de Flat
yip Mansard FIREPLACES S.F. Pier Found. Floor -
..:mbrel Fireplace Stack Wall Found. 0.H.Door LISTED
FLOORS Fireplace Sgle.Sdg. Roll Roofing
,nc. LIGHTING' Dble.Sdg. Shingle Roof
rth No Elect. DATE
Shingle Walls Plumbing
e 77D y
,,rdwood V ROOMS Cement Blk. Electric /S
TOTAL ✓I 3 Brick Int. Finish PRICED
:ph.Tile Bsmt. 1st _
Ingle 2nd /g 3rd FACTOR A p
r TF
REPLACEMENT .Z S 3 `I L
OCi, NCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL.VAL.
zt, D
Ei
TOTAL
/ 8 y S✓
;.
L ] [R308 178 � 0
]
LOC] 0082 SEA STREET CTY] 07 TDS] 400 H KEY] 221584
----MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00 PARENT] 0
LEWIS, ROBERT R & ALICE G MAP] AREA] 61AC JV] MTG] 0000
82 SEA ST SPi] SP21 SP31
UT11 UT21 . 33 SQ FT] 1720
HYANNIS MA 02601 AYB] 1874 EYB] 1975 OBS] CONST]
0000 LAND 23400 IMP 65600 OTHER 7700
----LEGAL DESCRIPTION---- TRUE MKT 96700 REA CLASSIFIED
#LAND 1 23 ,400 ASD LND 23400 ASD IMP 65600 ASD OTH 7700
#BLDG (S) -CARD-1 1 59, 500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#OTHER FEATURE 1 7, 700 TAX EXEMPT
#BLDG(S) -CARD-2 1 6, 100 RESIDENT'L 96700 96700 96700
#PL 82 SEA ST HY OPEN SPACE
#RR 1447 0069 COMMERCIAL
5027/241 4/86 INDUSTRIAL
EXEMPTIONS
SALE] 05/93 PRICE] 1 ORB] 8561/083 AFD] I A
LAST ACTIVITY] 06/24/93 PCR] Y
R308 178 . P R A I S A L D A T A• KEY 221584
LEWIS, ROBERT R & ALICE G
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB
23 , 400 7, 700 65, 600 2 A-COST 96, 700
B-MKT 94, 800
BY 00/ BY ME 5/88 C-INCOME
PCA=1091 PCS=00 SIZE= 1720 JUST-VAL 96, 700
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
234001 LAND-MEAN +Oo
967001 74880 IMPROVED-MEAN -120-. 250
] FRONT-FT
] 100 DEPTH/ACRES TABLE 02
100%1 LOCATION-ADJ APPLY-VAL-STAT 1
LNR] LAND LFT/IMP]ADDS/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 [?]
R308 178 . • P E R M I T [PMT] ACTIORI CARD [000] KEY 221584
000000001
PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT