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HomeMy WebLinkAbout0095 STETSON STREET i r� I � _ -- Ij t i III' I� 1 ` M r 00 0r of AI U.S.6 r--sSE T'E J 9 /� � �. �l '1 �I �1 � � I i i �� I i I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Application 01 Health Division Date Issued 4 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village 4Y0,IVN �S Owner S'r'6-e4r-YQ ISe�o5- Address I-j"D Q 3r mLS'nN � Telephone S70 s7G 9 6 Y 13 Permit Request i Nra7L%p tiL ,) 6..n..a Lr T e A o 1= 5I4c.%-_ T-MGlL Alr s uL,a t;v r. 4,4alujcx3 d Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation O 00 Construction Type Wr3c) �►�t E Lot Size 3 7 y3 s Q r-T- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure odA -4(L 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) �66 Number of Baths: Full: existing new Half: existing I new Number of Bedrooms: --�3 existing _new Total Room Count (not including baths): existing ? new First Floor Room Count Heat Type and Fuel: ❑ Gas )kOil ❑ Electric ❑ Other Central Air: ❑Yes 1ANo Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing n❑ new size_ n -i Attached garage:A existing ❑ new size _Shed: ❑ existing ❑ new size _ Others' . .n'J Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ F Commercial ❑Yes ❑ No If yes, site plan review# a : Current Use Proposed Use ? APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ Name W xrl t MA^. "*Lew Lew Telephone Number Sack )6 0 I g l f Address I _' L PON d S T- t3�tr�s c-14... License # Home Improvement Contractor# h Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `f'b w" o 1;7 'A AI&W,6-r L S Sal-L 14(�LfA SIGNATURE DATE a(J Y FOR OFFICIAL USE ONLY f &PPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE } OWNER < DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE n ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL = GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The COmmonwealth of Massachusetts .Department of Industrial'Accider& D,juice ofInvesfigations 600 Washington Street Boston, MA 02111 www mass gov/rite Workers' Compensation Insurance�Afidavit: Builders/Contractors/IIectricians/Plurabers Applicant Information Please Print Le�tblg Name (Bmssdess/Organi=tian/individ=a : Whalen Restoration Services Addmss: 22 American Way City/State/Tp: South Dennis, MA 02660 Phone#: 508 760 1911 Are you an employer? Check the appropriate bor. 12. [3I an a employer with 4. ❑ 1 am a general contractor and IF[] oject(required): . employees(RM and/or part-tape).* have hired the sutr-cQntzactois construction El I am a sole proprietor or partner- listed on the attached sheet: odeling ship and have no employees These sub-contractors haveolition working for me.in any capacity. employees and have workers'[No workers'comp.iasm-ance comp,mstu�ce.# ing addition requu-ed.] 5. ❑ We are a corporation and its rical repairs or additions 3.❑ 1 am a homeowner doing aIl work officers have exercised their I I.0 Plumbing repairs or additions myself [No workers' comp, right of exemption per MGL i 12 Roof insurmce required]t c. 152, §1(4), and we have no repairs en:tployees. [No workers' 13.❑Other core.msmrazice required..] *Amy applicant that checks box#I must also fM out the s=don below showing their wmi=,compcusation policy information t Hm=vmers who submit this affidavit indicating check they are doing an work and then hiro outside eontractors nmst submit a xConhactars that eck this bat must attachd an additional shear showing the nam new afndavil indicating such e of the sub-contractors and state whether or not those entities have =mP loYem If the sob-contractors have cmplo3 a they mast puvldt their work �•P cY' oh ffimbCr. lam an employer that is providing workers'canrpensaaon insurance for my employees. Below is the po&7 and job site infvrrrtm�on. Insurance Company Name: 'Arbella Protection Ins Co Policy#or Self-ins.Lis#: 9091320411 Expiration Date: 4/1/13 Job Site Address: y s Srul-50" : Tr Ci /S ' ty tate/Zrg:_- u—`�y4lt�Y�tla S IAAGQ Attach a copy of the workers' compensation policy dec'aration page(showing the policy number and expiration date). Faa=to secure coverage as requmed trader Section 25A of CIL c. 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one-year imgtisommer� as we11�Ls cl ril penalties in the foml of a STOP WORK ORDER and a tine Of up to$250.00 a say against the violator. Be advised the`a copy of this stal:ement may be forwarded to the Office of investigations of the DIA for h mance coverage verification. I do hereby certi,f,undue the pant`` =d penalties vfPe 7raY that thehTfvrrnadon provided above is ire and correct Signature: v�l W Date: a 6 Phone# 508 760 1911 Eth only. Do not write in this area, to be completed by a*or town official n: PermhUcense# hority(circle one): Health Z Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#; Theresa Cahalane-Norkus To:Kathieen Spelean, Whalen Res./Stephen is Rachael (1508760M) 09:38 04/26/12 EST Pg 3-3 Client#:245206 WHALENREST ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 0 . 4126/2012 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:IT the certificate holder is an ADDITIONAL INSURED,the pol(cy(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 CONTACT NAME: Christopher Hedetniemi,.HUB HUB International New England PHO 508-945-0446 508-945-9136 (Al NE No Exit: FA A/C No 265 Orleans Road EMAIL North Chatham,MA 02650 ooa s : INSURERIS)AFFORDING COVERAGE NAIC a 508 945-0446 INSURER A:Arbelia Protection If1S Co. INSURED INSURER 8: Whalen Restoration Services Inc.; INSURER C Whalen Services Inc. 22 American Way INSURERD: South Dennis,MA 02660 INSURERE: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMIDO MM1001YYY - 'LIMITS A GENERAL LIABILITY 8500040398 D4101112012 04101/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISE a oNTEO nel $1 OO OOO CLAIMS-MADE a OCCUR MED EXP(Any one person) 15,000 PERSONAL 8 AOV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOPAGG s2,000 000 POLICY F PRO- - JECT LOC $ A AUTOMOBILE LIABILITY 58243400004 0410112012 04/01/201 FOMBINED SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ALL AUTOS OWNED X AUTOS SULE BODILY INJURY(Per accident) $ X HIREDAUTOS N NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLALIAS OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ OEO I I RETENTION S $ A WORKERS COMPENSATION 9091320411 0410112012 04/01/201 WC STATU- JFR OTH- AND EMPLOYERS'LIABILITY YIN To Y IMIT ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500 OOO 0 CERIMEMBEREXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 It yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,d more space is required) RE: Project Address: 95 Stetson Street, Hyannis,MA 02601 CERTIFICATE HOLDER CANCELLATION Stephen and RdChdel Keefe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 702 Linden Street ACCORDANCE WITH THE POLICY PROVISIONS. Boylston,MA 01505 - AUTHORIZED REPRESENTATIVE ©1998.2010 ACORD-CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #ST178411M7D3151 TC002 Restoration Services Inc® Fire,:Smoke, Soot,Water Damage&Mold Remediation Services Cleaning • Deodorization Reconstruction Specializing in Fire Restoration - All Work Guaranteed Access,_Authorization and Direct;Payment Request Form I (we) authorize 1nlIiALEIV REST®RATI®IV SERVICES to perform work as per estimate at property located at 95 Stetson Street, Hyannis, MA 02601 to repair damage caused by water on As owners of thisproperty, .I we understand that I we must authorize this work. I we heret O ( ) ( ) ( ) authorize WHALEN RESTORATION SERVICES. to perform this work and accept responsibility ft payment upon completion. I (we) authorize and direct my Insurance Company Policy No. , to make payments directly to WHALEN R EST®RATI® SERVICES, Insurance Claim Specialists, for doing thisVork and to that extent I (we) assign the benefi applicable to this loss to WHALEN RESTORATION SERVICES. (we) acknowledge receipt of a copy hereof: 4~ '- f OWNER . r DATED SIGNED OWNER WHALEN RESTORATION REP. SIGNED 22 American Way,South Dennis,MA 02660 Phone: (508)760-1911 Fax: (508)760-9995 • 1-800-244-2598 •E-Mail: restore@whalenrestorations.com Web Page: http://www.whalenrestorations.com OFFICE COPY I Nlas,alhitsett< - DQj)zu-ttil<'nt id' PubliC i roartl of Building_ Rc--yulatirtns mid staudardk --+ Construction Supervisor License License: CS 74928 WILLIAM WHALEN 122 POND STREET BREWSTER, MA 02631 Expiration: 8/10/2012 ,il kill I. Tr--: /0 (rc1777P10Ile I ffflm RI G�l'�t9 frP�uSr//J �4 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only �--,VOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: — egistration: 129244 Type: Office of Consumer Affairs and Business Regulation �� y xpiration: 7/30/2013 Private Corporation B Park Plaza-Suite 5170 �' Boston,MA 02116 Whalen Restoration Services Inc. William Whalen 22 American Way South Dennis,MA 02660 Undersecretary Not valid without signature TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION iklyo T0'VVN OF TM )q1rzJn,-APNs�;'1 Parcel- Health Division 2PMD�41q IsSVJedM,, 'I i4lll Conservation Division Application Fe (A Planning Dept. _Per Date Definitive Plan Approved by Planning Boar P�11� - Historic - OKH Preservation/Hyannis ' Village Ovvu: *uureu: To Telephone Square feet: 1 st floor.existinMAI�roposecl 2nd floor: existing proposed Total new Zoning District —Flood Plain Groundwater(]v9M8yProject __________ � \adU8tOdr4 C0OGtnuCtk}n Type � Lot Size Gr8ndfadh8r8d: D Yes O NO If yes, attach supporting documentation. ~�_ Dwelling Type: Single Family �� Two Family LJ Multi-Family UOits) ___________ Age Of Existing Structure 1960 Historic House: L Yes Z On [ |d Kin8'G Highway: LYeG _ �� � Basement Type: ��FUU ��^^[|r8vv| ��VV8|�OUt �� ��h8r�� � Basement Finished Area (sq.ft.) Basement Unfinished Area (nq.f) Number of Baths: Full: existing. new Half: existing -new Number o/ Bedrooms: existing new ' Total Room Count (not including baths): existing new First Floor Room Count 5 � zoil He�T�8 �d Fu8|� � G� � B�hC � Other ^. ____------- | Central Air: LJYeG W^'�N0 Fireplaces: Existing I N8vv Existing wood/coal stove: LJ Yes LJhJO | Detached garage: Ll existing U n8vv size—Pool: Ll existing [3 new size B8rn: Ll 0xiGting U n8vv Giz8___ ' ^^ Attached garage: 2/existing Un8vv -Size -—Shed: LJGxiGtiOg QOevv size Other: Zoning Board of Appeals Authorization 0 A»peal # Recorded 0 CODlDl8rCi8| [3 Yes U NO If yes, site p|8O review# Current Use Proposed Use APPLICANT INFORMATION OR . , � Name Number , Address License Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. > r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ,t. -R FRAME INSULATION R, 4 • h. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL K t FINAL BUILDING t DATE CLOSED OUT i. ASSOCIATION PLAN NO. 3 i The Commonwealth of Massachusevs Department of Industrial Accidents Office of Invesfigations 600 Washington Street Boston, MA 02111 www.m=S gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le giblg Name (Sosmws%prgaizationdndivumal): Whalen Restoration Services Address: 22 American Way City/State/Zip: South Dennis, MA 02660 phone#: 508 760 1911 Are you an employer? Check the appropriate bow I.[3 I am a employer with 4. ❑ I am a general contractor and I Type of project(required): . employees(f ill and/or.part-tine).* have hired the sub.contractors 6. ❑New construction 2.E❑ I am a sole proprietor or part am- 3�d on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me.in any capacity. =aployees and have workers' [No workers'comp,insurance corm,insurance.# 9• ❑Building addition required..] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑J am a homeowner doing all work officers have exm-cised their 11. '❑Plumb mg repairs or additions myself [No workers' comp. right of exemption per MGL 12.E]Roof repairs insurance regizirea]t c• 152, §1(4), and we have no amployees. [No workers' 13.0 Other camp,insurance required,] *Any appticinit that chech box 91 nusst also fill out the section below showing their workerscompensation policy cs 'Hnmeown who submit this affidavit indicating they am doing all work and thm hue outside t act=mast submit a new a2adavd md'icating such. XConh-actars that cheek this box mast attached as additional sheet showing the name,of the sub-contractors and sbate whether or not those entities have, employees If the sub-cunt actors have employees,thL7 must provide then-waja='eaQaP.policy member, I am an employer that is providing workers'compensation insurance for my employees Below is the po&cy and job site information. Insmance Company Name: 'Arbella Protection Ins Co Policy#or Self-ins.L ic. 9091320411 Expiration Date 4/1/13 job Site Address:_ j s rscwcj cityista ;:_�d Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration.date). Faihse to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of czfininai penalties of a fine up to$1,500.00 and/or one-year imr sonment, as well as civil penalties in the form of a STOP WORK ORDER and a free 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 Da for insu=ce coverage verification. I do hereby cer&)y ander the pains and penrrlfies ofPerlury that the iuzformadon provided above is true and corned Sienaature ` � A u / Date (� Phone# 508 760 1911 E only. Do not write in this area to be completed by city yr town officialn: Permit/I,icense# hority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plnmbh g Inspector son: Phone#: li (:Theresa Cahalane-Norkus To:Kathleen Spelvan, Whalen Res./Stephen 8 Rachael (15087609995) 09:38 04/26/12 EST P9 3-3 Client#:245206 WHALENREST DATE(MMIDDIYYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 4/26/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(iss)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). PaooucER CONT NAME: Christopher Hedetniemi,HUB HUB International New England PHONE 508-945-0446 A 508-945-9136 AIC NO E>n: A/C NO 265 Orleans Road EMAIL North Chatham,MA 02650 INSURERIS)AFFORDING COVERAGE NAIC 0 508 945-0446 INSURER A Arbella Protection Ins Co. INSURED INSURERS: Whalen Restoration Services Inc.; INSUREERC: Whalen Services Inc. 22 American Way INSURER D — South Dennis,MA 02660 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED '0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD , INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT Vl OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODL SUER POLICY EFF POLICY UXP LTR TYPE Of INSURANCE INSR WVD POLICY NUMBER MA/DOIYYYY MM/ODIYYfl LIMITS A GENERAL LIABILITY 8500040398 D410112012 04/01/2013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PArii M S E TEDccwr $100 000 CLAIMS-MADE ��OCCUR MED EXP(Ariy one person) $5 000 PERSONAL&AOV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER•. PRODUCTS-COMPIOPAGG sZ 00O 000 POLICY F JEt° LOCI I $ A AUTOMOBILE LIABILITY COMBINE58243400004 4101/2012 04/01/201 Ea accidentsINGL LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAe OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS $ A WORKERS COMPENSATION 9091320411 410112012 04/01/2013 T C Y LI TS OTH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE�Y I N E.L.EACH ACCIDENT $500 OOO OFFlCERIMEMBEREXCLUDED? I "1 NIA r (Mandatory in NMI E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS be1DW E.L.DISEASE POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: Project Address: 95 Stetson Street,Hyannis,MA 02601 CERTIFICATE HOLDER CANCELLATION Stephen and RdChdel Keefe SHOTHEULD ANY OF EXPIRATION H DATE ABOVE DESCRIBED NOTICE WIL CANCELLED L BE DEIVERED IN 702 Linden Street ACCORDANCE WITH THE POLICY PROVISIONS. Boylston,MA 01505 AUTHORIZED REPRESENTATIVE 01988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 Of'1 The ACORD name and logo are registered marks of ACORD #S717841/M703151 TC002 Restoration Services Inc® Fire, Smoke, Soot,Water Damage&Mold Remediation Services Cleaning Deodorization Reconstruction Specializing in Fire Restoration - All Work Guaranteed Access, Authorization and Direct Payment Request Form I (we) authorize WHALEN RESTORATION SERVICES to perform work as per estimate at property located at 95 Stetson Street, Hyannis, MA 02601 to repair damage caused by water on As Owner(s) of this property, I (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform this work and accept responsibility for payment upon completion. I (we) authorize and direct my Insurance Company Policy No. , to make payments directly to WHALEN RESTORATION i SERVICES, Insurance Claim Specialists, for doing this work and to that extent I (we) assign the benefits applicable to this loss to WHALEN RESTORATION SERVICES. I (we) acknowledge receipt of a copy hereof: 41 S 6 ° OWNER ATED SIGNED OWNER WHALEN RESTORATION REP. SIGNED 22 American Way;South Dennis,MA 02660 Phone: (508)760-1911. • Fax: (508)760-9995 • 1-800-244-2598•E-Mail: restore@Whalenrestorations.com Web Page: http://www.whalenrestorations.com OFFICE COPY _ ilil!ti ��_-t, rili,nt. ii C3(s.: }.� k��I ii. �rr !ltl '�! 3ufl;Ili1 74928 WILLIAM WHALEN 122 POND STREET BREWSTER, MA 02631 _.:?is i L''i';r- 8/10/2012 r _ 70 _ Office of Consumer Affairs R'Buslness Regulation license or registration valid for individul use only '= before the expiration date. If found return to: IMPROVEMENT CONTRACTOR 10ME ACTOR P ` registration: 129244 Type: Office of Consumer Affairs and Business Regulation Expiration: 7/30/2013 private Corporaticn 10 Park Plaza-Suite 5170 Boston,MA 02116 Whalen Restoration Services Inc. William Whalen 22 American Way , __ _ South Dennis, MA 02660 t.indersccrerary Not valid without signature r IYIa'r�h.!'t�evel i ( ;Left 9eAiraom:. � 'o . ....._....... _. ffasacaaia ,✓ S+ • j - -.� 6... �� it _. ...._.. _ _..._ ......... ._ _ ...... r i 's .r S��i T r2oG�L 3 v, �oTF fi-oo�� ��- 1--r25, TGool ej-2/lr7- ffq/��j GvaO� Main Level KEEFEISTFLR 6/12/2012 Page: 1 ....................................... ............ ---—-------------------- ................................... ......................... :..................... ................................ .................... ...............- ................................................. .......................................................... ......... ........-..................... ..................................................... ................... ......... ............ ....... .......... - - -------- ....................................... F—I'T— Bed— L-J iT 51--------------------------4--a 2- ................................ Main Level KEEFE2NFLR 6/12/2012 Page: I PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE,_ BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 08/20 i 108 TIME: 11 :07 -------------_.---..._TOTALS_,_.------------------ PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200804459 PAYMENT METH: CASH PAYMENT REF: ol SHE Town of Barnstable *Permit# f Expires 6 ionths rom issue date Regulatory Services Fee swxxsrAsrE; Thomas F. Geiler, Director puss g g, -i639• .� Building Division 1 PrEo �a (,7 Tom Perry, CBO, Building Commissioner � 8`- 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 Property Address l u Residential Value of Work / 0 Minimum fee of$25.00 for work under $6000.00 Owner's Name&,.Address Contra Name _ _Telephone Number _ Home Improvement Contractor License# (if applicable)_ __ rkman's Compensation Insurance XO PERMIT Check one: ❑ I am'a sole proprietor AUG 2 ® 2008 KI am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workm omp. Policy# Copy of insurance mpliance Certificate must be on file. Permit Request(check box). Re-roof(stripping old shingles) All const ction debris will"be taken tom, .Re.-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value. (maximum.44) ' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: n,mrocrr r_c,cno� ct ..:u; e F nvoD�cc a The Commonwealth of Massachusetts Departmun. t of Industrial Accidents Office of Investigations 600 Washington Street P Bostorr, AL4 02111 www.mass.gov/dia UT Workers' Compensationln!;T rance Affidavit: Builders/Contractors/Electricians/Plumberg A 'bl Applicant Information Please Print Le f • Name (Business/ ization/fndividual):�,J Address: 5 OW ? r � - • Ci /Statdzi Phone.#: tY P• Are you an employer? Check the appropriate bwa Type of project(required). 1.❑ I am a employer with 4_ ❑ I am a general contractor and I 6. ❑New construction eurplayees (full and/or part time).* have hired the svb-contractors 2.❑ I am a sole proprietor or parhier- listrd on the aiiached sheet 7. ❑Remodeling" ship and have no employees These sub-contractors havo 8. ❑D cmolition employees and have workers' working far me in,any capacity. 9. ❑Building addition [No workers' comp.;nn„anr_e comp-insurance.$ 5. [] We arc a corpomtioa and its 10_❑Electrical repairs or additic =am officers have exercised their 11.❑Plmabing repairs or additic )3d, homrawncr doing all work myself [No workers' comp_ right of exemption per MGL 12.0 Roof repairs t in. 152, §1(4), and we have no incrrrance regnired] employees. [No workers' 13.❑ Other. comp.msux ncc required] kkny applicant drat choke box 91 must also fill out the section Wow sbovimg their workLrs'compaisation pofiry info Tmfim-, t 14MrCoWna'G who submit this affidavit indicating they=doing alt work and thrn hire outside conh-actnrs must submit anew afhdavitindirating such XContractnrs that eb=V this box must attached an additional sbcct showing the name of the sub-wnfrattors and stain whetba or not thosd cntitia have employees. if the sub-eonfractrn-s have employees,they moat pruvi&then workers'Camp.policy number_ I am an em/aany is providing workers'compettsatiart insurance"for my employees. Hcrow is the porky and job site informatio insurmncc Camc: Policy# Self ins.Lic.#: Expiration.Date: rob Site Address: City/StafclZip: ' Attach a copy of the workers' compensation policy declaration page(showing the policy number and erpirafzon dab Failure to secure covcragc as rcgu_ircd under Section 25A of MGL c. 152 can lead to the imposition of criurinal penalties at finc up to$1,500,00 and/or one-year miprisonmcnt, as well as civil pcnalti e'es in th form of a STOP WORK ORDER and a advised that a copy of this stat=r t may be forwarded to tb-c Office of of up to$250.00 a day against the violator. Br- InvcStigations of the DU for ingurancc c*vmgr verification. I do hereby c ` under the p •and pe of perjury that the information provided above [sere and correct Si e: Date: Phone O fictal use only. Do not write in this area, to be completed by city or town officiaL City or Town: Perm!Mrewe# Issrung Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.ElecHcal Inspector S.hanibing Inspector 6. Other. f °p-THE r, Town of Barnstable N. Regulatory Services vlwxHHASS. A Thomas F. Geile.r,Director �A 019. �� TFo �a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner M[ixst Coinplete' and Sign This. Ction If Using .A,. Build Z , as Owner of the subject property hereby authorize to act on my behalf, in all.matters relative to work authorized this building permit application for: . (A ess of Job) Signature of Owner Date a Print Nam I£Property Owner is applying for permit please complete the Homeowners License Exemption Form on .the reverse side. Town of Barnstable the rpm o Regulatory Services y • swxxsrwsc.e, Thomas F.Geiler,Director v MASS, Building'Division ATom Perry,Building Commissioner . 200 Main Street, Hyannis, NfA 02601 vc'ww.town.b arnstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB L ��� b LOCATION: n mbcr street ? village•`HOMEOWNER": / A '1' name home phone# work pho e# 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 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 inspect' procedures and requirements and that he/she will comply with said procedures and req irements. Si ' ature of H c wrier 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. HONMOwNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the prow lions of this section(Section lom.I-licensing of construction Supervisors);provided that if the homeowner engages a parson(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 awamncss 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 hc/she understands the rrsponsbilities 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/ecrtification for use in your community. _ TownofBainsra e Building Department Complaint/Inquiry Report Dom; G —C/ Rec'd by: Assessor's No-: Complaint Name: . LocationJ 9 V Address: Originator Name: Street: Xz vim; State: 71P: Telephone: DIE Complaint a . Description: Inquiry 0 Description: For Once Use Only Inspector's Action/Comments Date: Inspector. Follow-up Action Additional Info. Attaclied Gant-Disnibuaon. 1471ite-Department File TO TIME DATE mi � �� URGkNTI etephoned M (�Rolarned '. Collgd 40 Qi7?T3 /Q�i °youf coil see pour of y' �/l'ySr'�OaI PHONE Lo a�a►�! know MESSAGE OPERATOR; O� 23-024-400 SETS 23-027-200 SETS / � � i � /� � � f i / i / / /� i s� � ✓ � � � / / i /, / �. �• i � � i i / , �� i � i � / � / / / i � A / �J. i oFt r Town of Barnstable ` *Permit Expires'6 monlhs front issue date y RARNSTABLE. : Regulatory Services Fe3 y MASS. 1639. Thomas F.Geiler,Director A prFDjAp� �� Building Division ' t C Ulshoeffer,Jr. Building Commissioner in Street, Hyannis,MA 02601w Office: 50818Q--[4�03P 1 ?. 6 008 Fax: 508-790V��".�(� OPBA�/VS _ t ,RESS PERMIT APPLICATION l� of Valid without Red X-Press Imprint Map/parcel umber V Proper Address 5 S -7`.Q 7 Sy S F! Residential OR ❑ Commercial Value of Work �G(� Owner's Name&Address `),r r Contractor's Name Q (� S . Telephone Number Home Improvement Contractor License#(if applicable) 0 (, 'T 7 3 Construction Supervisor's License#(if applicable) 41 ❑Workman's Compensation Insurance VeCKe: a sole proprietor the Homeowner e Worker's Compensation Insurance Insurance Company Name 0. ,� S' r� 1 1� S (], Workman's Comp.Policy# a 55 Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ e-side Replacement Windows.'U-Value 6 ' 3 3 (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 expmtrg ACORD TCERTIFICATE OF LIABILITY IIo SUR ANCE D IDD/YYYY) M 02/26/26/00 PRODUCER 1-404-995-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON .THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES.NOT AMEND, EXTEND OR homedepot.certrequest@marsh.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3475 Piedmont Rd NE, Suite 1200 Atlanta, GA 30305 Fax (212) 948-0902 INSURERS AFFORDING COVERAGE NAIL# INSURED - INSURERA:Steadfast Ins Co 26387 Home Depot U.S.A., Inc'. The Home Depot, Inc. INSURERB:Zurich American Ins Co 16535 .2455 Paces Ferry Road INSURER C:Illinois Natl Ins Co 23817 Building C-8 Atlanta, GA 30339 INSURER D:American Home Assur Co 19380 INSURERE:New Hampshire Ins Cc 23841 COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR SRD POLICY NUMBER D T D Y D MDD Y LIMITS A GENERAL LIABILITY IPR 3757 608-02 .03/01/08 03/01/09 EACH OCCURRENCE $4,000,000 X COMMERCIAL GENERAL LIABILITY LIMITS OF POLICY ARE EXC SS PREMISESO c Ea curence $1,000,000 CLAIMSMADE a OCCUR "OF SIR: $1,000,000 PER CC" MED EXP(Any one person) $EXCLUDED PERSONAL BADVINJURY $4,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 X POLICY D PRO- E T LOC B AUTOMOBILE LIABILITY BAP 2938863-05 03/01/08 03/01/09 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS - BODILY INJURY NON-OWNED AUTOS Per accident) $ X SELF INSURED AUTO tlPHYSICAL DAMAGE PROa ci PERTY DAMAGE $(Per . GARAGELIABILITY - AUTOONLY-EAACCIDENT $ ANYAUTO EAACC $' OTHER THAN AUTOONLY: AGG $ A EXCESS/UMBRELLA LIABILITY '. IPR 3757 608-02 03/01/08 03/01/09 EACH OCCURRENCE $5,000,000 X OCCUR CLAIMS MADE AGGREGATE $5,000,000 $ DEDUCTIBLE $ RETENTION ' $ _ $ C WORKERS COMPENSATION AND 1928757 (FL) 03/01/08 03/01/09 X T CSTATT JOTH D EMPLOYERS'LIABILITY 1928756 (CA) 03/01/08 03/01/09 1'000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ E OFFICERIMEMBEREXCLUDED? 1928755(AOS) 03/01/08 03/01/09 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER F TX Employers Excess TNS-C45197967 (TX) 03/01/08 03/01/09 Occurrence/SIR 25M/2M D Workers Compensation .1928759 (OSI) 03/01/08 03/01/09 E Workers Compensation 1928758 (KY, MO, NY, WI) 03/01/08 03/01/09 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *FOR EVIDENCE ONLY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE HOME DEPOT, INC. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 2455 PACES FERRY RD., N.W. BUILDING C-8 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ATLANTA, GA 30339 AUTHORIZED REPRESENTATIVE USA ACORD 25(2001/08)datkinson ©ACORD CORPORATION 1988 8207866 r only valid for individul a to: istratton nd return e f ou r g If s r d License o iration date. d Standar before the exP , ulations an goardof.BuildmgReg 1301 one.pshbu►'tOu place Rm j Boston;Ma.02108 1 Not valid.with j HOh1E IMPRO VFMZW CONTRACT Sold,FtasUW Sad Insta]led by. Branch Ntme:4'1C 4S{Y\ Da6e u II V� rliD At home s�vacea.Iac. d'G`a The Home Dcpat At Home Snrioes `d 34SAOrecowoodSt;cel AWom1vtr.MA0ifQ7 z BramcbKamber: Jobls 3to1 t{1 Toll Fit*(8M657-518J-Fss-%M?56.28S9 (� FedaattD47S MNW AQLk4CO2439 PJCmLLie0Tb127 - r /S` CT lx f S65!2k VA a"L.7to•:wrzt rnek..•oorxey.#U.aegJ -... - ----- -- __ -- - •- - _ _-- - r e � I.rtrllatianAaarear: 5 5 -'tS� 5rti 41�1am�3...�i�n.q_ - U� - - - 01 N - o city state Z4V m _ Lail 4 D%is o0desr's - Ya+riasa(t} 11t.0A Xrg.MotYr. R'ark nose Beme Pre3w. - O HomeAddreas: (If dif m-cutfi=b'allaroaAddreis) CSty S+ste lay F cul Address(so ra-ehT tp&ks and promotions fnwm She Hans Depotk ProJeel lnlorptatiea: LSi'o'Yon('Y.mbasea"),tHx o+sorca o[eLo iaoperty Located at the abort�,d•ty+�address,a�@ea[o - . contract n»h T IM At-Herne Sonwes,Ira. Ftj W furmsk deliver and artange rice the immllatice of an mazdaa as dwmbed an the al&CW Spa SLM sS atoCL e�tA .wowpor"herein by refera=-ce and rand&a part buea£ x Home Depot reaeaves the rig�l to can d thlt eoalnct if,upon re•hstpectlom of We Job,Home Dew deleradmea Wit 11 O 3 eaanat perform lb obEgaftua due to a strmclmral problem wilb the bome,Pridng Mon or beeamse work reQnirsd 10 compideffm job was Dog bdudedpa the Spec Shed orCoatntt. C] DEPOSIT PA"IEN'T OP7[ONS Cr] i o—sD- CkkaaoafmdlAimb-roStra%Stanamrd) - - `0 CONTRACTA3iOUNT s 9 L �cul~mchectat76Poml&miceW uandv T&IIe.j.Ia to She K—Depa). x tLESSDEPo81F S (o�Cle� i [koflt�ad"eoG'mdl3tpessmtt7riw-olydsOacHdew C z BALANCE DUI: I1'35-00 Mm VWm Dir Ag==-_ralceaa z 01CommEnox sue_ 1LeBOIXDepotHomeTT ��"lasa 1btHameDr�oeGditCticd t3fislmam 25%of Cownct A00"du_!tea _ 9 Rrw A.12t UKd$ftA.V1M eweom eQ ebb eoaumn A.aa bL Gera e i a RDoc W k) I ftitte paymeh Moded For AcO: Erp➢R. BALANCE DUEONCONPLMO\t Nemeutsppeaowtant G1rtCG ••Bymyram dgnsume bebw.L'We agree to a]bW 110—Depot b. oWge the abo-c refecenred credit card for the deposit indicated. •%7=wc yrori.•a a ebxt as ptyromr,)va sam.�e m e�cr - b um kfinmS w IF—yaurbeak 0,aaka OGae-dm9 elxaame Ckr®elda'a upitare Sand kn6ft fi m your exams ar to puma gt pryrant a a _ .. ebxk t xwd o.Rbw at ON td=066 a fiem Svc cbmk es BIl,or s�CC Antborbatioa Oadea - . .00e w eo&ww Find tms5a,Imb MY be x}3dnau from - yprxwrat sumo sdo ptyrawli ttae6,4 eadyw vm art Patrchaser Strom that.MUN63tal,upo0 letioa ot(he work.Fwd&eu sill e Y bab=due i tatahaser eko agree:b be l and utraal[y obliga6ed end tiabk berz9nder. Colin -_ eat:This egtt®eat and h at=hmcatt,mkbdiog say faamcmg agroaMMtwtain the comp)ete-09ccMaA betaxea the parties and ten not be amxoded or modified carless im wrikiag in a sepa¢ete.agr'eemeat signed by barb pe¢tiea. . NOT[CE 7OPUMHASER Do mot slgnThis eentraci befart pia read iL Ye areendtled to i tom yA7eldy 1Bled-m coppy�a1the eomlrect at the time you dgat Keep 11 t0 protect yomr rights. Do scot slgr a ConpTtifan t`ertlHcate before W6 projoc!y eaerplek. Taw prahihdls home reeair oeatrae[an[ram regatstinS er atzrpdng a Completion Certifirsce dgncd by Ibe awsQ prior to the adval tompie4m of the wort ua be perfarowd under the contract You way reneeltWkamsaction any tkne prior tomddaWdof the tbbdbasiness day after the dated lWeontraeL See Notke of Cancellation for an euplematlon of tblr sdgbL 7bere wM be a mortice cbup egtW to 10%of We couhaet amounts(jobIs canoelledbyPurchsser AMR The d"ba mess dap,bat BEFORE maffirlelsareordered•TherewW be a arnica cbatge equal to 25%of the contrast amoaat If Job IS canceled by Pmrehasee AFTER makrt+ls we ordered. -3 BY h6Y UM SIGNATURE BELOA'.LWE UNDERSTAND MT T16 AGREEdH NT MAY BE,SUBJECT TO RHNUW `d 03 OF MY,VUR CREDIT FIISTORY AND U9PE AL IZB-FROR HOME DEPOT TO VERIFY AND REVIEW MWOUR CREDIT RECORD WITH AN INDF.PE,YDE..W CREDIT REPORTD*AGENCY ARD RELEASE MR FRO.ti1 ALL CD LLABIIM TNCURRBD FROM NADVERTENT 0&fMI0N5 OR ERRORS. BY MY1OUR SIGNATFIRE BELOW,LR'E AGREE TO BE BOUND BY TIE TS&VS OF THIS CONTRACT. I?wE ACK)IIOIAJEDGB RECEIPT OF A COPY OF THIS CONTRACT AND T%V CONiPLE ED COPIES OF THB NOi7CE OFCAA)CELdATION. T ` SUak.917ED BY: Data. Ll-l-G ilbae Omde: AOC&Pj1rD BY: ArA+ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 126893 Expvration 8/312008 : Type, Supplement Card x 4 st 1 THE Home Depot At Home Senric t (ufARK NIADA 'it 3200 COBB GALLEFIAWY'#20 u , AtIANTA,GA 30339 Administrator Y i 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 A Ucant Information Please Print Le 'bl Name(Business/Organizaiionandividual): A'2 b e a Address: .a 14 - City/State/Zip: Phone4: Are you an employer? Check the appropriate box: Type of project(required): 1 I am a employer with y 4. ❑I am a general contractor and I 6. ❑New construction employees(fiill 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 g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition • �o�,inciTrance.$ . urance [No workers comp.-u►s 10. Electrical re airs or additions r��] 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.❑Other comp.insurance required] "Any applicant that cheeks box#1 must also fill out the section below showing their workers'compawafion policy infarrnation. 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 subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must prvvidb 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: Policy#or Self-ins.Lie.#: ' V Expiration Date: Job Site Address: I S 31 b 1.J u� City/State/Zip: a A )) M a- 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 crinrifial penalties of a fine tip 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 perjury that the information provided ove is true and correct Signature: ow Date: l~ ` 6C Phone# 2 2 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#: Information 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 numbers) 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 carry 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 returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' 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 lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,ttIcphone•and fax number. The C6mmonwe-alth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4.0G or 1-977-MASSAFE Fax# 617-727-7744 Revised 11-22-06 www.mass.gov/dia Assessor's map and lot number ST E TOWN OF BARNST '� 1ULATICNS BUILDING � NN N �� N �� INSPECTOR . �� N00N�0NN ��N� ^ � �� =� � ���~ � �� ~m APPLICATION FOR PERMIT TO --14V _. __ .. .. . _..._._.._.__._______.____, � � � TYPE OF CONSTRUCTION ......... � ~ m°p............................................................................... . . , ` ....................... TO THE INSPECTOR OF BUILDINGS: � The undersigned 6ena6v applies for opennit according to the following information: �~� LoLocation —.—L.`^.......~"��../.C./.��.'��l__.^�/_.......... __________________________.. Proposed U .................................. � � ~� /�x�� �~/ ,��� 7~~ popos Use --��---'....�—..`/—.��..'��..�.�.��..�,/.�z��3��.�f—=nw��±--..��—..��'������L�.m..�------ / , / ~ � Zoning District ----------...-----------..Rve District --------~-----____________ � S. ....... � j /(� /��� / � Name of Ovvne, '. �=^��i—=--�°p.�������.��l--.A66esx --..�------t—...�---...�/----_----- � ) > . ' / Nome of Builder ----------------------'Ad6res -----.—.---------..---.------- Nome of Architect ------------_---------A66ress --------------_-----~—______ � ���� �-x�°~I�' �, Nvnn6e, of Rooms ----'1----------------'Foundohon �,�`;�.��x./�.���—.�2����.���-------_. � ` ~ �-r~ Ex1e,in, —' ��—�� ��-�---------'RnoGnQ ���� ���/ �-------------_---,— 'Floors .................................. —...............................................Interior ----------______,___________. . � Heating ---------------------------.Plum6ng ---------------__________,_.. � _� Fireplace ---------------------------.Approximate Cox —.�� ...,2 .. ........ Definitive Plan Approved by Planning Buov6 lQ----' Area —.. ./'`-/ �' '�--. �. D�iognzm of Lot and Building with Dimensions Fee ---'/��—`�--------. | ` SUBJECT TO APPROVAL OF BOARD OF HEALTH � ^_X^ _ . ' _ � / J ' . 36 . _ ' - � � . , � . / � � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above —=---_—_—/. ------.~ Construction Supervisor's License -- J L.01VBARDI, JAMES 2.7.181.... Permit for ...Add No .. ..... .. . ...... ....... .... ............. Accesso to Dwelling ............................................ LoE,'ion 95 Stetson Street ................................................................ ....... �� .J�yanni .............................................. ... ..... ......... Owner .....James...IjOrnbardi ................................ -Type'of Construction ...Frame................. ..................... ..................... ........................................................... Plot ............................... Lot .................................. • November 5, 84 Permit Granted ................................. .......19 1%,tte of Inspection ..... ..... 9 Date Completed ......................................19 66,14 60?�9 �. •�. r - � ter. ._. Assessor's map and lot number .... 4............... ' It '` CF t��♦THE i Sewage Permit number f, ;" Qy� Z BAHHSTADLE, • House number ..... V YABa i639 ♦� T � 1 D uxt a` TOWN OF BARN-STABLE f BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ...........................�.................(... ........................................................................ TYPE OF CONSTRUCTION .........4(J0?C1....�t7� .Me.................................. ........................t 9V/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies ' for a permit according to the following information: Location l S S / C ( �-�M `-' . ...�f h�j.. ............................................................................... ............................ .................. ................ .� Proposed Use ..... ...?.(�..H..........f.....s f����1...f�U?9a. .!�...� .r...... .............. r ZoningDistrict .........................................................................Fire District .............................................::.................................. • Name of Owner ... ?�.Y✓i. �5........G a.Nih .yc�L........Address ......,,`,..5....5/� ry,rIn.....5- -r ................... Nameof Builder ..................................................:.................Address ............................................,'....................................... Nameof Architect .........................:........................................Address .................................................................................... 'Number of Rooms ..............1.:.................................................Foundation .........................:.... Exitrior , Roofing /,!1 ................................................ .... C-P Floors .....................................................................................Interior .................................................................................... Y Heating ..................................................................................Plumbing .............-................:".................................................... Fireplace ..................................................................................Approximate. Cost ...�.. ....... fit.. ................. Definitive Plan Approved b Planning Board _________________________ �� -r� Pp Y 9 ------�9--------. } Area ................... ...................... `Diagram. of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH , 00 Lxl sT, A) G 14dd 71 6-Y, -36 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above 1 construction. Name ........ ✓......... ......................... Construction Supervisor's License .�v.SCQ..I LOMBARDI, JAMES A7--306-60 No ... Permit for ....................................AddtoGarage AL-cessory to Dwelling ............................................................................... 95 Stetson Street Location ................. .............................................. Hyannis ............................................................................... Owner James Lombardi .................................................................. Type of Construction .....Frame..................................... ................................................................................ Plot ............................. Lot ................................ Permit Granted ....W.WeAtex.5,.............19 84 Date of. Inspection ....................................19 Date Completed ......................................19 V C A)16 V/6 9/rpf 3 l G a` lh for hones o 0ccu ah,,oh t I r"mA i oo , �l s P � business will be done ak y 0 ver f he ihtt rc f A 7� c vlll he no Cu,1�Yncrs, shlPpih9 ok' eXfM )�,OA'C GJygfSa�ver. will be the_ sole eiiployc e a �" � ihdic�r�c/ aad�-zfr. his addrrss is my tofker's PPSand S�k Cov�,�lc C'Dnsth fi t �ia� be Can�efed t"f� PENTAATION` PERMITS+'!MANAGER i Town of Barnstable oftrE Regulatory Services �. 1.� Thomas F.Geiler,Director Building Division BAMSTABM v M^M Tom Perry,Building Commissioner �'OtFo 39. A 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: V�i Permit#: HOME OCCUPATION REGISTRATION Date: o Name: Jt_ 7 CQ lom-bard Phone#: 508- 7 !S — 024 Address: /U 57onn Village: HWwni,S Name of Business:___PJ�P_ QhCd ,�_ Type of Business: In]''PJ") et 0—O&M XA Map/Lot: 306 06c) Zoning District _Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity, shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be:permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard: • There is no exterior storage or display of materials or.equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Re .5/30/03 I y ,•• TO ALL NEW BUSINESS OWNERS DATE: 02110103 Fill in please: APPLICANT'S YOUR NAME: Jessica tftkard1 BUSINESS YOUR HOME ADDRESS: TELEPHONE Telephone Number Home - NAME OF NEW BUSINESS l i'S TYPE OF BUSINESS Ihferne f Clad%nAF� IS THIS A HOME OCCUPATION? YES L NO Have you been given approval from the building division? YESZJ NO ADDRESS OF BUSINESS o MAP/PARCEL NUMBER. When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S FICE This individual has en ' ormed f a y permit requirements that pertain to this type of business. Authon d Signature" COMMENTS: 2. BOAR O D F HEALTH ' requirements nts that pertain to this a of business. informed of the permit e sbe been ' individual has e ThisP q P type Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. QACONSUMER\Lois\CA Forms\newbusfrm.doc g _.. ., , .�� ' _ -.•� � /� �' r'r� Jv �r ��y .��� �'� ��h y ,� � .� �� i r _ �t �--; I �� N �l' j`� '�'`�•� �--�•-ram---- -- ---- _ —__ } I „'�'+ ; f �a�, � `�S-TE r:501V ST l I � f r *. I t i Assessor's office(1st Floor): PD Assesior'R map4ais lot number 's Board of Health(3rd floor).- Sewage Permit number 2 Engineering Department 3rd floor): ` ° ` � -�� Z D&USTULL 9 9 P ( ) �� / �' ryes House number �9�l�Yv 9oulir� �fat� t���,� °o 1639. Definitive Plan Approved by Planning Board 19 ���41 d' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN _ OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION / 19� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordi g to th f (lowing information: Location 5 � S Proposed Use Zoning District Fire District �.Ty� .+��✓�s Name of Owner �J u�1�.� Address Name of Builder Address Name of Architect V�r°�/ L�L� �S Address Number of Rooms ��`" Foundation ���Gh7i Exterior � . � Roofing ���� Floors Interior Heating 1�d Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor License 6QS��r1 J ,,��• LOMBARDI, JAMES . No 33884 Permit For Build Addition '! t`Single Family Dwelling - Location 95 Stetson Street r J. s Hyannis - j` Owner. James Lombardi r, Type of Construction Frame Plot F Lot • .- r Permit Granted July 2 7, - . 19 90 'Date of Inspection 19 _ k _Date Completed • 19 • r_ r tr . ' y« ti--,�.,,,t•.i'.�. '��� jS.. .-.7.. - ,,rc`.S t.'^^.;,.'n++.ow,�e.r�--. #.r+,.,-;w'+..,-:�a w .... _,t^---^r,.wa^...i"_-"tc; - _ :gym. --F. .. :r � .. ,t. t:{ 1 Assessors of��(lst_Flo@r): Assessors,,v -anc7%:Ptnumber " ypFTMETC Board of Health(3rd floor): Sewage Permit number �� Engineering Department(3rd floor): =-'ssaasrsnta .�o ryes House number 30 Definitive Plan Approved by Planning Board 19 o MAI APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 72 --S IAJ L>! � ryr� � �LG.,✓ TYPE OF CONSTRUCTION [ 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District / Fire District A'�z Name of Owner J�i ? Ii ' Address ' ' Name of Builder Address Name of Architect C-� � l� 1 Address i Number of Rooms �- Foundation Exterior Roofing 17 F Floors Interior � ' `S� HeatingY , Plumbing Fireplace .""--- Approximate Cost ` 2, Alp Area Diagram of Lot and Building with Dimensions Fee QCCUPANCY.,PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name ��-J Construction Supervisors Licensee LOI$Bt31Zil , JAi,1LS S——306—O)6 0 No 33884 Permit For Build Addit,iori i , ySingle Family Dwelling ;.` I Lohation 95 Stetson Street i Hyannis Owner. James Lombardi Type of Construction Frame Plot Lot Permit Granted July 27 , 19 90 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1 u417 d alof The"town of Barnstable } '""fIG. ' Inspection Department 1619. MAI 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner TO: Warren J. Rutherford, Town Manager FROM: Joseph D. DaLuz, Building Commissioner RE: 95 Stetson Street, Hyannis A=306 060 Bacon Complaint DATE: July 15, 1993 Dwelling was inspected on July 13th. Area is occupied by one tenant. Area does not constitute an apartment as defined by the Commonwealth of Massachusetts State Building Code. Copy of pictures taken during inspection and a copy of "DEFINITIONS" taken from the State Building Code. b COMMAND: END HELP Y or N N VIEW Mail *MAIL ITEM* *TO/CC LIST* From: W. RUTHERFORD Date/Time: Monday 07/12/93 04 : 15 PM Subject: 95 STETSON RD,HYANNIS, APT DWELLING To: J. DALUZ *MESSAGE* PLS HAVE INSPECTOR GO TO ABOVE TO DETERMINE IF EXISTING. USE (APT DWELLING) IS IN CONFORMANCE TO ZONING. MR&MRS BACON ADVISE THAT MR LOMBARDI IS RENTING TO TWO DWELLERS, EFFECTIVE 7/1/93. PLS ADVISE ASAP. THANKS **END** 9 " 0 Subject: . . . . . . . 95 STETSON RD,HYANNIS, APT DWELLING Urgent. . . . . . . . . N Certified. . . . . . N Confidential. . . N Follow-up. . . . . . days File outgoing mail. . . N Route list. . . . . Complete by. . . . . . . . . . T/C/B T/C/B T/C/B T/C/B T/C/B More Recipients. . . . N Message: INSPECTOR BEARSE TO ATTEMPT INSPECTION AT SITE TODAY. More message text N Attach: Doc Folder Drawer T,30 061 0 _.0 E E 1.11 CTY 07 TDS .01 F Y JRT Y -S'.13 42 AC (.1095 D.T '.,.i IN--i A 1)0E S.Cl L. ViR, (10 FA FNE.N V F AY 0 Z; IN N Rh 0 Al c J v C, 0 T I-11 p A F", N p 0 ui F 2 5 F.3 C 71 .41 SIQ FT INA 02NI'XI-31.11 1Y B Z 9 14 0 0 dell0 OBS CO.", ".11T S,4 k"',0 111lip 8121".foO 071"Z A T11,11H iflk."T 72,55000 R "L A S S.1 F T E P, L,A 4.3 4 A s D 71 N 11) 4-_R 4 01 0' AS'D I Nil" 9 2 1 A S D 0 2• Il 0 DE'S CR FFT 7 ON 7 AX YR C F`R`1-1 T EXEMPT Za i,07' 5 3 R E S-10 E H T 1,255()0 125500 �R .-Y 534 01 1_`8 OFEN SFACE ME RCAT ALI INDUSTRI AL s2z,.`HLE 1011"i26 PRICE fJ`R173 8243114,9 AF!") Y 'A R306 060. L D A T A MEY 213842 FEDERAL DEPOSIT INS CORP LAND SLDIFEATORES SUIEVINGS NUMBER ZN/FL-RB 43,40(,), S2,100 3 A—COST 125,500 &MkT 97,90c, BY oo/ By NE 6192 C—THCOME PCA-1011 PGS=00 SIZE= 2204 juST—VAL 125,500 LE040) CONST—C TO CONTROL AREA 60AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 60AC HYANNIS FARCEE CONTROL AREA TREYD STANDARD i 10 LAW—TYPE 43400 LAND—MEAN +0% 125500 114359 IMPROVED—MEAN —20% 25% FRONT—FT 100 VSPr91ACXES TABLE 02 85% LOCATION—ADi APPLY—VAL—STAT I LNR LAND EFT110F AVUSISSIFEAY SrR SrRUCTURE ARR AREA—MEASUREMENTS NOR NOTES COM MARKET INC INCOME FMR PERMITS GRR ORAFRIC F LAN CTIOW STRUCTURE—CARV No— 000 DATA— IMF ? 1306 P E R M 1 7 FMT ACTION R CARO 000 KEY 223842 00000000 FERMIT-HO MO FR TFFE VALUE CK-BY NO FR %CMP WEP/0EM0 COMMENT 327181 11 84 AD im 01 89 010 NEU Hy ADD GAR 033884 07 90 AD 12000 LK 01 92 100 NEW BY ADDIN 6f, 12 3 13 42 PO L APO I D<,1 96b I ���� ' I � ,1 L f � ✓: q� ,� R � � I 1 I I li� �! 05312313342 POL APO ID I -7113/raj 9-5- ��: i�,. k?' T { tip• �.._.r. .`� *. �� '�7 '/ � ... i J5% 1231 :i 42 POL APO IOz1 7/r3%93 si > ULIIIJ) ! IUIJJ v Dwellings Boarding house: A building arranged or used for lodging, with or without meals, for compensation and not occupied as a single family unit. Dormitory: A space in a building where group sleeping accommodations are provided for persons not members of the same family group, in one room, or in a series of closely associated rooms. Hotel: Any building containing six or more guest rooms, intended or designed to be used, or which are used, rented or hired out to be occupied or which are occupied for sleeping purposes by guests. Lodging house: Any building or portion thereof arranged or used for lodging by more than three (3) lodgers or boarders and where cooking or sanitary facilities may be provided (R-1 use group). Multi-family dwelling: A building or portion thereof containing more than two (2) dwelling units hnd not classified as a one- or two-family dwelling, and with not more than three (3) lodgers or boarders per dwelling unit. One-family dwelling: A building containing one dwelling unit with not more than three (3) lodgers or boarders. Two-family dwelling: A building containing two dwelling units Nvith not more than three (3) lodgers or boarders per dwelling unit. Dwelling unit: A single unit providing complete, independent living facilities for one or more persons, including permanent provisions for living, sleeping, eating, cooking, and sanitation, with not more than three (3) lodgers or boarders per dwelling unit. Dwelling unit, congregate: A building or portion thereof, owned by a municipal authority or an agency or department of the Commonwealth, housing no more than six (6) not necessarily related residents all over the age of 55, with separate sleeping accommodations for each resident and in which living spaces, cooking and sanitary facilities are shared outside the sleeping accommodations, shall be considered a single dwelling unit. NN"here individual residents' rooms contain a sink, refrigerator and cook-top. and residents have individual or shared sanitary facilities, each individual resident room shall be considered a dwelling unit. For purposes of the State Building Code, Congregate Dwelling Units shall be considered multi-family dwellings (R2) when not designed as attached one- or two-family w g f mil dwelling R3 r Y g ( ) o , (R4). Congregate housing shall not be considered as boarding, lodging, dormitory, hotel, motel or institutional use. Corrected 780 CMR - Fifth Edition 2-11 �., � � F • Fy n �� � � q3 TOWN OF BARNSTABLE •--- s BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Assessor's No. Date Rec'd B Last Name First Name ORIGINATOR Street 96 Village ,/ ice-, S State h 2-6 e:V _ Telephone: Home 2 ?5 ZS Z-Z Work i • Description: _ COMPLAINT INQUIRY Requestor's Signature COMPLAINT Street Address LOCATION OFFICE USE ONLY INSPECTOR'S Date Ins ector ACTION/ COMMENTS FOLLOW-UP ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR. ) MIBC1 A f F R A I S A L 0 A T A KEY 213842 FEDERAL DEPOSIT fNS CORP LANO WIFEAWRES BUILDIN04 NUMBER ZM/FL=R2 4S,400 S2,100 A-COST 125,500 OWT 97,900 By oo/ BY ML 6/92 C-INCOME FCAW0Yj PcS=00 SIZE= 2204 JUST-VAL 125j500 LEV=400 CONST-C 0 ----CO MPARISON TO CONTROL AREA SOAC -- TREND EXCEEDS STANVARD NEISHBORROOD 60AC HYANNIS PARCEL CONTROL AREA TREND STANDARD j 0 10 LAND-TYPE 43400, +0% 125500 114359 INFROVED-PEAN -28% FRONT&T 100 VEPTHIACRES TASEE 02 85.-, LOCATIOH-ADJ APPLY-VAL-STAT 1 LNR LAND EFT'llnP ADJSISSIFEAT SIR STRUCTURE ARR AREA-MEASUREMENTS NOR NOTES COM MARNET INC INCOME PMR PERNITS GRR GRAPHIC FUNCTION- 'TRUCIURE-CAeD NO- 000 DAT& XMT Rsoo 00q. P E R M 1 T ' FMT ACTION R CARD 000 KEY 213842 00000000 FERM-NO NO H TFFE VALUE CK-BY NO YR %CMP NEPIDEMO COMMEW B27181 M 84 AD it Q 89 010 NEU NY ADD OAF 633884 07 90 AD 12000 LE 01 92 • 100 NEI NY ADD LOC 0095 STETSON STREET CTY 07 TVs 400 H-V KEY 213342 ADDRESS------- PCA 1011 PCs 00 YR 00 PARENT 0 FEDERAL DEPOSIT ZNS CORP wA.F AREA 60AC W Wo 0000 P 0 BOX 9104 SPI SF2 SF3 UT.1 UT2 .4j 80 FT 2204 FRANKLIN NA 02033 AYB 1950 EYB 1970 OBS CONST 0111.11010 IL A b"D .4,ll:�!4 0 0 IMP 82100 OTHER ----LEGAL DESCRIPTION---- TRUE NRT 125500 REA CLASSIFIED #LAND i 43,400 ASO LNO 43400 ASD imp 32100 ASO (.TH law(s)-CARP-1 1 S2,100 DESCRIPTION ax YR CURRENT EXEMN TAXABLE OFE 95 STETSON S22 TAX EXEMPT *vL LOT 5 i 13 RESIDENT'L 125500 Z25500 125500 ORR 1534 0138 OPEN SPACE COMMERCIAL INDUSTRIAL Ys EXEMPTIONS SALE 30192 PRICE 62500 ORO S2431149 AFD 1 L LAST ACTIVITY 02/22/93 FCR Y' A=306 060 JOSEPH DaLuz _� Building Commissioner �� ____,__ TELEPHONEo a[7p K=XXX�X TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 September 18, 1990 Mrs. Leonard Bacon 96 Stetson Street Hyannis, MA 02601 Re: A=306-060 95 Stetson Street, Hyannis Dear Mrs. Bacon: I will attempt to alleviate your concerns as outlined in your letter of August 26, 1990. First, I must advise you that we cannot control what people do - good or bad. If they seek information regarding zoning we certainly can explain what they are entitled to do. In your case, building permit #33884 dated July 27, 1990 was issued to James Lombardi to permit construction of an addition to his dwelling lo- cated at 95 Stetson Street, Hyannis. The dwelling has been inspected by Richard Bearse, Building Inspector as part of his duties and he has assured compliance with all applicable codes. There is nothing in the Commonwealth of Massachusetts Building Code to regulate the number of doors and windows in a dwelling as long as adequate ventilation, access and egress is provided. Building permit #27181 was issued November 5, 1984 for an addition to the garage. Construction was started but not completed. 'Therefore, the building permit did not expire. This addition, at the present time, has a dirt floor. There is no hobby or gun shop. Mr. Lombardi has stated that he wants to care for his father in his home. His father wants his independence and his privacy. Originally Mr. Lombardi considered the provisions of the "Family Apartment" as permitted by Special Permit under Section 3-1.1 3) D) of the Zoning By-law. However, since his father does not cook there is no necessity for a kitchen at this time. I believe it is admirable that Mr. Lombardi has welcomed his father into his home. I do not consider this to be a zoning violation. I a , Mrs. Leonard Bacon September 18, 1990 Page 2. I trust this will answer your concerns relative to the dwelling located at 95 Stetson Street, Hyannis. May I suggest that Mr. Bacon talk with Mr. Lombardi as a neighbor. Communication provides for better understand- ing. This department is desirous that you enjoy comfort and tranquility in the home you have lived in for many years. Peace, �J 'se7h D. DaLu ' building Commissioner JDD/gr cc: Town Manager Aug. 26 , 1990_; Hr. Joseph DaLuz Town Building Hyannis, Mss. 4 Dear Mr. DaLuz, I have two problems to submit to you concerning ZONING and a PERMIT issued five, six, or seven years ago to Mr. James Lombardi , 95 Stetson St. Hyannis, Mass. PROBLEM NUMBER. ONE- Concerning a permit #33884 issued to Mr. Lombardi for an addition to a, single family dwelling in an RB zone, consisting of two bedrooms and bath. Now, on the permit under USE, FAMILY was written in,' iaith FATHER scratched out. The plan submitted to your dept. didn't show any windows, exits or entrances. Well, Mr. D'aluz, we have two entrances , one in the front ( of street) side of building and double French doors on the side of the building lead- ing to the rear of the main single dwelling. We also have seven windows. Now, Mr. DaLuz, you tell me what it is .going to be. Motel Rooms or Apart- ment . Take your pick. Another thing that bothers me is the fact that the foundation and first floor were completed before the permit w,ss granted and approved. I was always under the impression. that permits were granted first before con- struction begins. By the way, 1 was told by the Inspectors Office that there is no onsight inspection. PROBLEM NUMBER TWO: Concerning a permit issued- and: granted five, six, or seven years agosto Mr. Lombardi for an addition to his garage. I thought itt was going to be a. two car garage instead of one but I was wrong. The real purpose for the addition was USE, HOBBY SHOP. His main purpose was to bring in some sort of cutting machine to manufacture GU , BUTTS. After consulting with an attorney, my thoughts concerned with this subject were correct. It is a NO NO -in a residential neighborhood without going before the Board of Appeals for approval. Construction halted and there sits a partially completed building. Wait, Mr. DaLuz, there is more ! Now Mr. Lombardi is now working to complete this addition to his garage. I called your office to see if Mr. Lombardi submitted a new plan and of -its usage, and guess what, no new plan was submitted. None could be found. I was told to call ,ba,ck after three when an inspector would be available. I did call back and was told that the former permit was "On Going. " Therefore, I would. assume that we are going to have a HOBBY SHOPor WORKSHOP along with MOTEL or FUTURE APARTMENT. . ►_, Whatever happened to our zoning codes? I was always under the impression that zoning was implemedted to protect neighborhoods and property values plus the peace and serenity of its neighborhoods. Must I q.s a property owner and taxpayer of this same property for forty two years , 96 Stetson St. vacate my home that both my husband and I worked so hard. Where is the justise Mr. Da,Luz? Your immediate response to my inquiries would be greatly appreciate. Thank you. Sincerely Louise A. Bacon 1�ya X;7 ass_ 4 t �OMr Leonard Bacon .96 Stelson St ,'' R Hyannis MA`` _ - - t . �'': A'U.S.POSTAGE s w. 02601` P 411 2],9664 3 -Aacrr,as Building Commissioner M.r-.. Joseph D�ALuz- ToTm of B�.rnsta cle 367 main St. Hyannis, M s s. o 2 60 R REQ��StE� Is your RETURN ADDRESS completed on the reverse side? r` f f. f •ealnJeS tdleoea uwnjea Bulsn jo; noA ]ueyl I be T0W14 OF 8Air-N5-IA BLU TOWN KAPl 11,17�'PIS August 26,' 1990 y '90 AUG 28 A110 :314 Town Manger Town of Barnstable 367 Main St. Hyannis, Mass. Dear Mr. Rutherford, Attached to this letter you will. find one addressed to ..Mr. DaLuz concerning, what I consider, a violation of our Zoning By-Laws . What in the world is going on in this town? I have herd many horror stories concerning zoning violations. and here is mine. I do hope you will get out your big broom and d6 some house cleaning. Sincerely; , Louise A. Bacon i - t Aug. 26, 1990 Kr. Joseph DaLuz Town Building Hyannis, Mass. Dear Mr. DaLuz, I have two problems to submit to you concerning ZONING and a PERMIT Issued five, six, or seven years ago to Fir. James Lombardi , 95 Stetson St. Hyannis, Mass. PROBLEM NUMBER ONE: Concerning a permit #33884 issued to Mr. Lombardi for an addition to a single family dwelling in an RB zone, consisting of two bedrooms and bath. Now, on the permit under USE, FAMILY was written in, with FATHER scratched out. The plan submitted to your dept. didn't show any windows, exits or entrances. 'Well , Mr._ Daluz., we- have-two ent.rrances , one--In the f-r-ont. .( --of street-)- side of building and double French doors on the side of the building lead- ing to the rear of the main single dwelling. We also have seven windows. Now, Mr. DaLuz, you `tell me what it is going to .be.. Motel Rooms or Apart- ment. Take your pick. Another thing that bothers me is the fact that the foundation and first floor were completed before the permit wms granted and approved. I was always under the impression that permits were granted first before con- struction begins. By the way, 1 was told by the Inspectors Office that there is no onsight inspection. PROBLEM NUMBER TWO: Concerning a permit issued and granted five, six, or seven years ago:;to Mr. Lombardi for an addition to his garage. I thought it` was going to be a two car garage instead of one but I was swron.F. The real purpose for the addition was USE, HOBBY SHOP. His main purpose was to bring in some sort of cutting machine to manufacture GUH BUTTS. After consulting with an attorney, my thoughts concerned with this subject were correct. It is a NO NO in a residential neighborhood without going before the Board of Appeals for approval. Construction halted and there sits a partially completed building. Wait , Mr. DaLuz, there is morel Now Mr. Lombardi is now working to complete this addition to his garage. I called your office to see if Mr. Lombardi submitted a new plan and of its usage,, and guess what, no new plan was submitted. None could be found. I was told to call back after three when an inspector would be available. I did call back and was told that the former permit was "On Going. " Therefore, I would assume that we are going to have a HOBBY SHOPor WORKSHOP along with , MOTEL or FUTUI<E APARTMENT. II M �1 � The Town of Barnstable Office of Town Manager d10. '►r .. ►` 367 Main Street,Hyannis,MA 02601 LOG # 'S5 Office 508-775-1120 Warren J.Rutherford FAX 508-775-3344 Town Manager REFERRAL FORM SPONSOR/ORIGINATOR: j _ _ Warren J. Rutherford, _Town Manager COMPLAINT FOLLOW-UP F. Y. I. R. F. I. TOPIC: ZONING AND PERMIT 95 StPtcpn R: __Hyannic Mr In response to enclosed complaint please provide response to my attention by date noted below. (Response - September 7, 1990) r DISPOSITION: ROUTED TO: g TOWN MANAGER ADMN ASS'T DEPARTMENT: BUlr.r)TNr, FOR OFFICE USE ONLY COMPLAINT FOLLOW UP DATE IN 8 t28/ 90 DATE: 9 / 7/90 DATE OUT 8 R8/ 90 MT a.'777) f ✓- ,77 ,•h'". .!Y.. ... -. 1 ki l♦'f. iA a"lima .J TOWN OF BARNSTA.BLE, MASSACHUSETTSr� BUILD .... }*• �i t A--30.6-060 { _ A {?. DATE Jul fA� 27 , "' 1g 9O .PERM IT ,NO._N9 .'fie Q�pp 884 APPLICANT Owner James. Lombards ADDRESS 95 Stetson St. , Hyannis #005610 �, - • (N0.) (STREET) a (CONTR'S LICENSE) PERMIT TO.'-BUi.ld Addition (_) STORY Single Family Dwelling�WEBERNG UNITS {t (TYPE COF IMPROVEMENT) NO. (PROPOSED USE)AT (LOCATION) _ 95 Stetson Street. HT F , �2i1'ii11S ZONING (NO.) (STREET) DISTRICT PB f� BETWEEN AND CCROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT - BLOCK SIZE iBUILDING IS TO BE FT: WIDE BY FT. LONG BY FT: IN HEIGHT;AND SHALL CONFORM IN,CONSTRUCTJ TO TYPE I USE GROUP` BASEMENT WALLS OR FOUNDATION REMARKS: Sewage # /-.27"90 • I. I VOLUME_. 384 s ft q� ESTIMATED COST $ 12l OOO o OO PPE ERMIT. 50•.OO .(CUBIC/SOUARL FEET) V\ :OWNER Jcl,TCIE'3 Lombardi , ) "DRESS 95 Stetson Street, Hyannis BUILDING DEPT.BY � b�P'7C S2•Tlv1 E�'9°�`F�` PUB^ ° r / O F NAPPLICABLE SUBDIVISION N ._.::_ __._.. _�1,..._...a..,r..:I C A .. , LIRESTRICTIONS.MINIMUM OF THREE CALL gppROVED INSPECTIONS REQUIRED FOR PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE � ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR 1. FOUNDATIONS OR FOOTINGS. 'ELECTRICAL, PLUMBING AND MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL ' ! FINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM ,STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS (ELECTRICAL INSPECTION APPROVALS 1 � all c/ 7 2 2 -----_-- -- 2 — -- ` 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i BOARD OF HEALTH „. OTHER SITE PLAN REVIEW APPROVAL i WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED 'WITHIN SIX MONTHS OF DATE THE NOT STARTED 'WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN F CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTE NOTIFICATION. WMARDI, JAMS PNVK DEPT. FILE COPY/WHITE- FIELD COPY/YELLOW APPLICANT COPY D° BUILDING04 TOWN OF BARNSTABLE, MASSACHOSETTS PERMIT VALIDATION November 5 84 DATE _19 FLI'2MIT NO. - APPLICANT Owner ADDRESS (NO.) (STREICT .(CONTR'S LICENSE) PERMIT TO Add to garage Accessory to dwelling NUMBER OF 0 ( ) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 95 Stetson Street, Hyarini.s Z NING ' RB (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT YFC. LOT BLOCK SIZE BUILDING IS, BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM,IN'CONSTRUCTIOP TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: No sewage Sewage #79-810 AREA OR Add 240 sq. ft. 3,000 PERMIT 11.00 VOLUME ESTIMATED COST � FEE (CUBIC/SOUARE,FEET) _- OWNER James Lombardi ADDRESS 95 a son . , Hyannis, MA BUILDING DE PT.. BY jnol e COn? r�s. �.vAn, J C'A6i.u�T� 41 _ Zcl .00ca3 pot- LO .�.� i EGG i AJ TOWN OF BpgNSTABT . BUILDING DEtpARRpORT COMPLAINT/INQ Assessor's No. Date i • g• Name _ _. .. .. . st Name •- Street `-� 'ORIGINATORState Zi Villa e Work Telephone: Home Descri tion: - .COMPLAINT INQUIRY oGa Requestor's Signature COMPLAINT Street Address LOCATION OFFICE VSE ONLY INSPECTOR'S Date b/ ACTION/ COMMENTS FOLLO;;-UP ACTIOV INFO. IrLTACHEDWFIT G� DEPI,RTY. '2.T FILE YELLOW — I2:sPECTOR CO?Y DZS'RZEL'TZ027: PINK INSPECTORINSPECTOR (RETURN TO OFFICE Y.GR-) f(15G1 � 0 1 N M 1 II 1 Town of Barnstable Building Department Complaint/Inquiry Report Date: — -7' Rec'd by:� Assessor's No.: a Complaint Name: Location j Address: M/P /-S Originator Naine: %� . Street: �il?iJ 1�7 Village: State• Zip: Telephone: D/E Complaint a Description: T Inquiry Description: For O/fice Use Only Inspector's Action/Comments Date: Inspector. Follow-up G Action Additional Info. Attached Copy Distribution; W1ite-Department File 3 ello w-Inspector !L __ Pink-Inspector(Return to Office.Anger) f /Ve TOWN OF BARNSTABLE � BUILDING DER DEC 18 [1995; TOWN OF BARNSTABLE BUILDING DEPARTMENT ' CMeLAINT/INQUIRY REPORT Date 8 9 ✓`l Rec'd By Assessor's No. ,EGG -G ECG Last Name First Name ORIGINATOR Street Village a State Zip Telenhone: Home 7 7 S'- Z W,;Z Work Description: COMPLAINT INQUIRY _ Requestor's Signature COMPLAINT Street Address LOCATION OFFICE USE ONLY INSPECTOR'S Date` ���� Ins ector ACTION/ , COMMENTS Qvw FOLLOW-UP ��� i ACTION F / 71�� 77� ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - FILE YELLOW INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR.) HIM . r. [ ] [R306 060. ] LOC]0095 STETSON STREET CTY]07 TDS] 400 HY KEY] 213842 ----MAILING ADDRESS------- PCA] 1011 PCS]00 YR]00 PARENT] 0 LOMBARDI, KERRY F MAP] AREA160AC JV] MTG12010 95 STETSON ST SP1] SP21 ISP31 UT1] UT2] .41 SQ FT] 2204 HYANNIS MA 02601 AYB11950 EYB] 1970 OBS] CONST] 0000 LAND 39200 IMP 87100 OTHER ----LEGAL DESCRIPTION-. -- TRUE MKT 126300 REA CLASSIFIED #LAND 1 39,200 ASD LND 39200 ASD IMP 87100 ASD OTH. #BLDG(S)-CARD-1 1 87, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 95 STETSON ST TAX EXEMPT #DL LOT 5 & 13 RESIDENT'L 126300 126300 126300 #RR 1534 0138 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]07/93 PRICE] 94500 ORB]8680/296 AFD] I L LAST ACTIVITY]01/11/94 PCR]Y J/ ' R306 0�60. A P P R A I SAL DATA KEY 213842 LOMBARDI, KERRY F LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 39,200 87, 100 1 A-COST 126,300 BY 00/ BY ML 6/92 B-MKT 97,900C-INCOME PCA=1011 PCS=00 SIZE= 2204 JUST-VAL 126,300 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 60AC ---------------------- ---- NEIGHBORHOOD 60AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 10] 10 LAND-TYPE 39200] LAND-MEAN +0% 126300] 114359 IMPROVED-MEAN -24% 25% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 85%] 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-[000] DATA-[ ] XMT[?] • n R306 060. P E R M I T [PMT] ACTION[R] CARD[000] KEY 213842 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B27181] [ 11] [84] [AD] " ] [JM] [01] [89] , [010] [NEW ] [HY ADD GAR] [B33884] [07] [90] [AD] " 12000] [LK] [01] [92] [ 100] [NEW ] [HY ADD'N ] [ ] [ l [ l [ ] ] [ J [ ] [ ] [ l [ J [ ] [?] _..__. —..—... wapw...a,.wry".(new.�+.vw.Rw-.�.•ass.�.+v+•ww_.—•�.....nw.vaw�w.w.+n�rr�`"wr��.ewr+.+m�+Ov�+w�f�+n-�esw+waver.f�+...w+�wwv+.�.vro.s+�s.ww�aw�a.�w.Nwwn��+Y[-w�+avr�i�::#fa��..v.^M�.WCsn-lAr.'x•4f�^'�M"4,+f�1'o-+w�A►KV'N..•••�.•_.w-.wy.•r++R.;.sr...vawfR^-rwr�Ma..,.y.ww"+^�f�w,e"�wvr�►+f^aw+�ww(}`MwM�r++A'•�r�Mn'1—:A�:�'M/Y'T,aF 1 J i t� -- 44 Nf ILI let 1410 ti - 1 , Awlplf �4 "MM4�•�Y!'P� `wR<1Y�•w..•ww%�!Y�A�n'f`w+1•-.�9ktA'�t^�KY+T�r++*.+_.ir+.v ad��!*w��++s��ww—�� �ICT!Y�lC5VN1Vf�i►�.T�M��1!'iW MMCKY���'�"__ i xzK . - IF \ - - Air 77 Of VA pl �t7 el CV �} r •4�