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398 West Main St, Hyannis
Not Registered
Dwelling is a second story condo unit.
Property is vacant.
Dwelling in good to poor condition over all.
Notes: Last building in complex. Unit over looks wind turbine. Needs new deck..
Kitchen sink& cabinets missing. Stove and refrigerator remain. Carpeting in poor
condition.
Posted Contact: Hubzu` 888-876-3372 Anchor Preservation 419-864-1013
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398 West Main St, Hyannis 2nd floor condo unit
-7-
TO'WN OF SAUSTAD
tE
CAME COD 2014JUL -7
INSULATION 1� 2
fB 4OEA55 %c•n 5-AYfOAM 595VENOEO d �
6ATT5 ���• i INSYE➢TION C[IlIN05 1/dj 7
ol
1-80G-0-96-6611 1
'I own of Barnstable
Regulatory Services
Building Division
200 Main St
Hyannis, MA 02601
Dater—
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatheriza6on work at the property listed below. Cape Cod
Insulation did this in accordance to the spc nfications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements.
Property Owner Property d�iress Village
Insulation Installed: Fiberglass Cellulose: R-Value Restricted Unrestricted
Ceilings (� ( ) ( lGl ) ( ) (X)
Slopes
Floors ( ) ( ) ( ) ( ) )
Walls
Sincerely
t
He y E Ca sidy ,r, President
Ca e Cod sulation, Inc.
p�pFIKE ip Town of Barnstable
BARNSTABLE. * Regulatory Services
9 MASS.
t6�9• �0 Building Division
p�FO MAC
200 Main Street,Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
Location =,'`Ig M*A)2<, F f q1J( ,Permit Number
Owner Builder
One notice to remain on job site,one notice on file in Building Department.
The following items need correcting: /? -
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Please call: 508-862-4 for re-inspection.
Inspected by
Date -7/ / /�
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L ] [R269 051 . ] •
LOC] 0398 WEST MAIN STREET CTY] 07 TDS] 400 HY KEY] 254637
----MAILING ADDRESS------- PCA13991 PCS100 YR] 85 PARENT] 0
PARK PLACE REALTY CORP MAP] AREA150AC JV] MTG10000
.MERCANTILE PROPERTY MGMNT SP1] SP21 SP31
BOX 1190 UT11 UT21 SQ FT]
BUZZARDS BAY MA 02532 AYB] EYB] OBS] CONST]
0000 LAND IMP OTHER
----LEGAL DESCRIPTION---- TRUE MKT REA CLASSIFIED
#PL 398 W MAIN ST HY ASD LND ASD IMP ASD OTH
* KEEP PAR # FOR SWR ASSMT DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#RR 1813 TAX EXEMPT
RESIDENT'L
OPEN SPACE
COMMERCIAL
INDUSTRIAL
r
EXEMPTIONS'
SALE100/00 PRICE] ORB13519/284 AFD]
LAST ACTIVITY] 07/13/88 PCR] Y
R269 051 . P P R A I S A L D A T A KEY 254637
PARK PLACE REALTY CORP
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=B
A-COST
B-MKT
BY 00/ BY /00 C-INCOME
PCA=3991 PCS=00 SIZE= JUST-VAL
LEV=400 CONST-C 0
----COMPARISON TO CONTROL AREA 50AC -- TREND EXCEEDS STANDARD
NEIGHBORHOOD 50AC HYANNIS
PARCEL CONTROL AREA TREND STANDARD
101 10 LAND-TYPE
] 102000 LAND-MEAN -10001
] 75048 IMPROVED-MEAN +Oo 25%
] FRONT-FT
1001 100 DEPTH/ACRES TABLE 02
1000] LOCATION-ADJ APPLY-VAL-STAT 1
LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES
COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC
FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?]
t.
R269 051 . is P E R M I T [PMT] ACT#R] CARD [000] KEY 254637
000000001
PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT
[B36682] [05] [94] [AD] A 100001 [LK] [01] [95] [100] [NEW ] [HY DECK ]
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KRA
LS• T LATH & PLASTER BATH RM. FL. &WAINS. 6,C7 S. F. ZZ., U, O ALLS COMPO: BOARD. TOILET RM. FL. & WAINS. .3< �S. F. S i. ACOUSTICAL` BATH ROOM FLR: S. F.TOILET ROOM FLR. S. F.INTERIOR FINISH S..NT:AREA LATH & PLASTER MISCELLANEOUS, S. F.I aA I FULL DRYWALL` FIREPROOF CONSTR.' S. F. »R -WALLS WALLBOARD MILL CONSTRUCTION S. F.
LID COM. BRICK UNFIN. INT. FIRE RESISTING fi
STEEL FRAME • x « ?'
CE BR.'ON COM. BR. PARTITIONS STEEL BEAMS & COLS. J
CE SR. ON,C.'B., LATH AND PLASTER TIMBER BEAMS & COLS. }
CE BR. VEN. DRYWALL STEEL TRUSSES
MENT OR CINDER BLK BRICK 3 9
AN..CONCRETE C. BLK. SPRINKLER SYST. �� ~
I
T',STONE FACING PASSENGER ELEV. y
ONE OR I RIM HEATING' FREIGHT ELEV.
CCO ON STEAM INCINERATOR
DING OR SHINGLES HOT WATER FIREPLACES.` '
RTY WALLS HOT AIR CHIMNEYS #
TE GLASS FRONT GAS 3
OIL BURNER STEEL FRAME SASH
ROOFING COAL STOKER ' WOOD FRAME SASH REPLACEMENT VALUE h
7( f iF
!POSITION ORJT,:& G. NO HEATING RENTAL CAPITALIZATION LOCATION
ETAL ; AIR COND.—.REFRIG.: LAND GOOD FAIR POOR
t
DOD DECK A• LNG AIR COYD'i—WATER VACANCY LISTER DATE k
ETAL DECK— n.' �' HEATING i ry
ky r• :.FvA L"�• WIRING WATER Vl< 7 B� p /�S j �AsM pW�G�. 'rA
` a FLOORS, FLEXLUME OR EQUAL ELECTRICITY 0
� OCCUPANCY DETAIL & INCOME ;��w#�+» uw.of
kw e -rY ` B'1ST 2N 3RD PIPE CONDUIT '" JANITORe
rs '
NCRETE, } MANAGEMENT f a. C/f A F TAT .. —
RTH " PLUMBING
INC.'." BATH ROOMS TOTAL FLAT EXPENSES Z T/2 IL
J k $
ARDW000 t TOILET ROOMS rr'4,
Z •f
INGLE FL.. ' WATER CLOSET,EXTRA GROSS ANNUAL INCOME U Q / wf 14 p5/Z ES T,4-rr�' x J`.
SPH, TILE', . LAVATORY EXTRA LESS FLAT EXPENSES n /,
ERRAZ20 SINK EXTRA BALANCE FOR CAP. "C2 U Q b O tj.5,e• OtJ 'A A&,i 'J
OOD JOIST URINALS CAP. RATE
TEEL JOIST' NO PLUMBING REFLECTED CAP. VALUE
EIN'CONC i.):
O.CCUPANCY,. CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep.' PHYS. VALUE Funct.DeP. ACTUAL VAL.
1,713 0 �' /4S
�z ,�S t(3 F(L:• N� .SG .�' '..'. ---. � 2S �•Z o Z.s<1'~ .
lswJN� S r�
PcT 3-aoo •3S� /6.�0 �S' G Z-34777
r� i. � TOTAL // r•'.
'.zt'a'f" 'i.�,'.::r Y.'ar•b4 `i' a`"j-G .w-"v ;,Sa'" 7{ i t`' "�+x ? , -
a.'2'Nt6'r'e•Sr- - - ,a a. ., y L: �,1Oi
o , 4. COMMERCIAL PROPERTY
MAP NO.' LOT_NO. FIRE DISTRICT 'SUMMARY�
STREET _
398 West M&iri St, Hyamis 73 LAND
H BLDGS.In
,•y (J$0 `.na
axOWNER
TOTAL
LAND :$
4=
RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS:
e x+rA BLDGS. {
t: x TOTAL ? -
fi
i^. C?!�Ca LAND
„ _
4?5tr BLDGS.
�Realt -Cor = '.' 12-1-80' 201 227 8 00 G -7I 1F';' '�J ' .F� TOTAL
t - - — o Qn i 1^m 1 LAND
o>< 53 M a iUiS o s�o i BLDGS. : ,4
'
TOTAL ~
LAND
BLDGS. :.
TOTAL
LAND
0)' 'BLDGS.
" r TOTAL
LAND �.e+��.•�2;
BLDGS.
a +� TOTAL
, e
LAND
?:INTERIOR INSPECTED:,, BLDGS.
a TOTAL
DATE.
LAND
} "'y ACREAGE•COMPUTATIONS BLDGS.
'SAND TYPE_ - #k OF ACRES PRICE TOTAL DEPR. VALUE '— TOTAL ��-,r ,�—
HOU `T D, Z O,.�O r7 .3Z50 /d �•. Q LAND j
CLEARED{FRONT , v/c/U�=!/ r, BLDGS.
REAR X;J A z 3 O d d .6_3 Z &9 0 G TOTAL
WOODS&`SPROUT FRONT f'J LAND
w rt:s :y REAR �"" 9'G% e�e - BLDGS.
WASTEFRONT TOTAL
'REAR' . _ LAND
BLDGS..
TOTAL
LAND
wz� O O ,Sa BLDGS.
LOT COMPUTATIONS LAND FACTORS TOTAL
FRONT DEPTH STREET PRICE .DEPTH-% FRONT FT..PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND
BS ROUGH TOWN WATER BLDGS. a
HIGH GRAVEL RD. TOTAL
I.•` LOW DIRT RD. LAND
I ,.- SWAMPY, NO RD. BLDGS.
s Y PROPERTY ADDRESS STATE "O
r I I ZONING I DISTRICT CODE 'SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHDy NO
0398 WEST MAIN STREET 07' 400 O7HY. 07/09/95 102 00 DO 2
LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T' Land BylDala se Y UNITADJD.UNIT ACRES/UNITS VALUE DescoplwM C G I N N I S. W I L L I A M
MAP—
LOC./VR. PED.CLAS ADJ. COND. P PRICE PRICE CD. as N B L D G(S)—CARD-1 1 51 i 3 0 0 rINCOME
N ACCOUNT —
L BATHS 1 .0 U X C= 100 3500.0 3500.00 1.00 3500 d NUT UNIT 2A BLDG 2 OF 01.:
A NPL 398 W MAIN ST HYANNIS
N NRk 1813 54500
D *PARK PLACE CONDO A D D VALUE
D J 51P300
A U ARCEL SUMMARY
I T S AND
A T 3LDGS 51300
Nj —IMPS
F E
OTAL- 51300
CNST
�'i E N DEED REFERENCEI Tyve I DATE Iq Rorer R I O R YEAR'V A L U E
. _ 7 A T Book Page Ins". MO. Y,.D Sales Prig AND
T S ILDGS 51300
� UTOTAL 51300
=! E
BUILDING PERMIT
Number Data Type Amarn"
S LAND LAND—ADJ ' INC O E SE SP—BLDS FEATURES BLD—ADJS UNITS
3500
Class Cons". Total Base R.I. Adj.Rate ar B ill Age Novr. Obsv. CND Loc %FIG Re 1 Cost New Ao Re I V-I— S"ones Heigh Roam Rma Bulbs a iia. Pony—"Fac.
Units Units A I Oe C..d P I p
05C . 000 100.100 76.25 76.25 82 82 12 89, 85 74 69380 51300 1.0 4 2 1.0 4.0 `
Descoplion Rate Square Feet Rapt.Cost MKT.INDEX: 1•00 IMP.BY/DATE: / SCALE: ELEMENTS CODE CONSTRUCTION DETAIL
S BAS 100 76.25 864 65880 CNS7 GP
T STYLE 11 ONDOMINIUM 0.0
R ESI----GPJ AD-----JMT JO- -------------- -
.; _ - --0.0
U XTE2.611LLa 1T OOD SHINGLES 0.0
C EAT/AC TYPE_ _,3 LECTRIC 0.0
T
+-------------------+" NTE9 FIVISH 0_1 W RYALL -------- 0_0
TE --- - - - --- -- ------- -
U i � v ! NTE�.LAYOUT 12 VER.INORMAL 0.0
CONDOMINIUM ! NTEIf QUA LfY 9Z AME AS EXTER.R UNIT L0YR ST RUCT [TU ---- ------ p.0
-- --
E -
p - ! LOOR COVER tT4 ARPET ---- a_0
L Total Areas Aus� Bese= 864 ! ! 00P--TYPE----- -UT A8L E= P ASH-StI---T.Q
T BUILDING DIMENSIONS ! i LtZ'fRIZA- - '1Jf R VEAGE --------_.-Il.ff
A +------------------+ OUN_D_ATIUN-.._ 0- DUFFED-SONC-----99
_
---FRRZ-FCAC -C N-D-6----------- -----
L LAND TOTAL MARKET
PARCEL .51300'
AREA 5150
VARIANCE +Q +896
STANDARD 25
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TOWN OF BARNSTABLE
REPORT SAU LEMENTARY/CONTINUATIC WIEPORT
NAME (LAST, FIRST, MIDDLE) EDIVIIONS /DePT
1`V
NOTE DETAILS 6 OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL tS ETC.
1
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SUBMITTED BY ` �� /� PAGE Y
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BARNSTABLE
.•_ } HOUSING AUTARITY .
sy� LEASED HOUSING DEPARTMENT
TELEPHONE(508)771-7292
146 SOUTH STREET•HYANNIS MA 02601
I
ZONING VERIFICATION
i
I
` TO: Barnstable Building Inspector
FROM: Leila R. Bruce, PHM, Leased Housing Coordinator
RE: Uerifying legal rental unit
Date: � _ � _ /cL
DFRAFT
Address: /� T� tJ ��
Village:
Unit type: Bedroom size:
The owner of the, above listed property is entering into a contra
ct
with us for the rental of the property as listed above.
Please verify by signing below that the unit is legal and meets all
zoning requirements for a rental in the,town of Barnstable. If it does
.not, please list reason here:
Thank you for yo assistance in this matter.
IL L4
Signature Print name
Date
MRVP Section 8
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Assessor's office(1st Floor): r
Assessor's map and lot number ( `/� i TwE
Pao >o�o
Conservation Board of Health(3rd floor): •
Sewage Permit number : DeassT�nt
� rua
Engineering Department(3r8 floor): °o s639.
House number
Definitive Plan Approved by Planning Board 19
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 eta/4 k �ZLh 5' c�^S Z 6c,i rlU c 116
I _
TYPE OF CONSTRUCTION Ct/G--Gf' J�c^c•sMZ
t9 4C/
TO THE INSPECTOR OF BUILDINGS:The undersigned hereby applies for a permit according to the following information:
Location / h/Z P�GG O k
z ` 0l0dy c 1aP4
Proposed Use
i
Zoning District Fire District
Name of Owner O'aO�Z p r.Gt COO rWSIAddress 0, ��'�' /go7saI-V 5 A, L 0z5—jz ,
Name of Builder r P,y/ �lq. Address r'O. 40e 3 ds��f�'l�z 4 OZLrs—
Name of Architect Address
Number of Rooms dI& Foundation ,0avPid eag Cr-;k 041AW It
Exterior 1914 Roofing
Floors �u//T Interior AM
Heating // Plumbing
Fireplace �l(1,%/ Approximate Cost
Area �o A-ea e�is?,vfe-
Diagram of Lot and Building with Dimensions Fee
Sao
S
ill �a�sZs 2—k4' spr-1t.'"j
0 P'h c,). a t,, )LIff 4"b,5 . 1�
y �
1 /si p l?"'16-i�5 1- TN-r S ,� �— 3 2 P —� 4
Z 2O t Z-
`Il
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re ding the above construction.
i
Name i
Construction Supervisor's License
e< PARK. PLACE CONDOMINIUM TRUST 1
f A=269 051 -
No 2. Permit ForREPLACE DECKS
AND STAIRS '
Location 398 West Main Street
` Hyannis
Owner Park Place Condominium Trust -
Type of Construction
! 1 F t ty
• Plot; I Lot { t
` t -
Permit Granted May- 6 19'- 9 4
- t ;
Date of Inspection—' 19. « r F f
Date Completed �� 19 -
r = F
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1
COMMONWEALTH OF MAS�ACHUSUTS
DEFARIviFN7 OF LNDUSIRIAII ACCIDENT-S
600 WASHINGTON STREET
lames.: Camooel, BOSTON, MASSACHUSETTS 02111
Corr rt:ssioner WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(licenseelpermittee)
with a principal place of business/residence at:
col
(Cary/Sace/Zip)
do hereby certify, under the pains and penalties of perjury,that:
H1*l am an employer providing the following workers' compensation coverage for my employees working on this
job.
Insurance Company Policy Number
[ � I am a sole proprietor and have no one working for me.
[j I am a sole proprietor,general contractor or homeowner (circle one) and have hired the contractors listed below
who have the following workers' compensation insurance policies: -
Name of Contractor Insurance Company/Policy Number
Dame of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
0 1 am a homeowner performing all the work myself.
NOTE-.Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dweliinc of not more than three units in which the hormeowner also resides or on the grounds appurtenant thereto are not generaliv
considered to be employers under the Workers' Compensation Act(GL C 152.sect 1(5)),application by a homeowner for a license
or permit may c+iccacc the Jccal status of an employer under the workers' Compensation Act.
1 under t:nd that:ccov of pis st:tc:nenr will be forwarccd to tnc DcoarTmcnt of Industrial Accidents' Orrice of lnsur.;.ncc' for coverage
Vcrfic:ion anc t f:iiurc to sccurc covcmec as rcauircc under Sc^on ?5.:'of'v1G�15= car.lead to tizc i^position of criminal pcnaJuc
consis,:rig of a tirc oruc to SI 500.00 and/or.impruonr..cnt of uo to orc vcar:.nd cyi, pcnai cs i:, thc.form of:Stop cork Ordcr and a
fine of.5100.00 a day against me.
Signcd this dad,of , 19
Licer.s:.rPcrT� __ ::ice^sor;P:rrri.,;,r
r
ti
HOME IMF'F.:OVEMEN'1 CONTRACTORS REGISTFATION
Board of Building Regulations and Standard
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
' Registration 100023 Expiration 06/08/94
Type - INDIVIDUAL
Bill Croston
Bill Croston
51 Suomi Rd
Hyannis MA 02E01
t�nossf.-ssacerrent
COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY "ti�cPrusattsStateBrrldc::gig
OF ONE ASHBORTON PLACE iseorse for rorocation
MASSACHUSETTS BOSTON,MA 02108 4'I .•atre..�l.
�` LICENSE
EXPIRATION DATE �!� CONSTRa SUPERVISOR CAUTION
04/25/1996 - FOR PROTECTION AGAINST
RESTRICTIONS EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB
NONE 06/30/1993 014112 PRINT IN APPROPRIATE
° BOX ON LICENSE.
> WILLIAM W CROSTON
SS 11 NYANNIS 025-50-6068 '1 NNISII RD o BLASTING OPERATORS ,
m MA 02601 m MUST INCLUDE PHOTO.
PHOTO(BLASTING OPR ONLY) FFFO 0.0 0
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY 1
HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER .-
DOB:
04/25/1956
THIS DOCUIED MENT MUST BECAR « SIGN NAME IN FULL ABOVE SIGNATURE LINE 'THE HOLDER PERSONOF I� SIGNATURE OF LICENSEE -
THE HOLDER WHEN EN-
OTHERS-RIGHT THUMB PRIM GAGED IN THIS OCCUPATION. ICTUAZTONER
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4
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel �� l U o , Application# �W
Health Division
Conservation Division- Permit#
Tax Collector Date Issued
Treasurer Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 3 9 g WF`�i A4//4/ /5T.
Village HY�IV& /'S &AY 02W
Owner /Y 1YyN11GHA1✓ Address
Telephone Ogg y696
� 4 il-
Permit Request SipWIAZ1- 0/
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
,Project Valuation / Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 0 Two Family 0 Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:0 existing 0 new size Pool:0 existing ❑new size Barn:0 existing ❑new size
Attached garage:0 existing 0 new size Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization O Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use '
-- _ t
BUILDER INFORMATION
Name C �//R �E✓y/ y/� Telephone Number _ L4 b�61fS_ 0Z/�
Address 1160 /I/I«' 6 . License#
X/rAiiyl'> lf/,4 0Z,/Of Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
PK0 i/l0(_() LO 7-y/ 11 ad 6 1 i�
SIGNATURE DATE &1 0310
FOR OFFICIAL USE ONLY �a
s
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
i
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL '
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
t
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
' 600 Washington Street
. Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Ii:nsurance Affidavit: Builders/Contractors/Electricians/Plum' bers
Applicant Information Please Print LetZibly
Name (Business/Orgauization/Individual): #V1 �� C O/t/lym c ,o /V
Address: 40 /11f/1V
City/State/Zip: A/M' A-///,5 /Y1l 02_/a/ Phone:#:
Are you an employer?Check the appropriate box: Type of project(required):.,
I am a employer with 0 4. ❑ I am a general contractor and I
t(/`1 employees(full and/or.part-time).* have hired the sub-contractors 6. ❑New construction .
2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers'
[No workers' comp,insurance comp. insurance.$ " 9. ❑Building addition
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doingall work officers have exercised their
11.❑Plumb'
ngrepairs 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_ ,/n/o
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 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 whether or not those entities have
employees: If the sub-contractors have empoyees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site
information.
Insurance Company Name:
Policy#_or Self-ins. Lic.#: Expiration Date:
Job Site Address: 3 M M1,64 j. /y�/ry �T City/State/Zip:_ V/7
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 hereby certify under thepains and penalties of perjury that the information provided above is true and correct.
Si ature: Date: 03.1 O
Phone#: elf 711/2 —
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
eiveT nr trustee of an individual.parhiershin,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-contiactor(s)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 carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that ibis 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 pemvt 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 permittlicense 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 fo 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 Department's address,telephone-and fax number:
T (.'Commonwealth of Massachusetts
Department of Industrial A.ccxdents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext.406 or 1-977-MASSAFE
Revised 11-22-06 Fax# 617-727-7749
www.mass.gav/dia
I
HAKI'S CONSTRACTION
76 NAUTICAL WAY
PHONE# 508 685 7142 FAX# 508 771 5504
REGISTRATION#
NAME: L J AN 0v1',� CAAPJ, JOB ADRESS: 3 9 014;�T PIA itj 5-r
ADRESS: 1,og) W&&.# lyAiAj TOWN: MyR,E<dl 1 f PV A 4401
CITY: yAv4uj JOB PHONE:
STATE: OTHER PHONE:
ZIP:
The job is estimated to start N L 3. 100
Total production time to be approximately ---------------------------------------.
Start and completion times are approximate and subject to change due to, but
not limited to, the following circumstances: weather delays, additional work,
permitting delays due to town regulatory boards.
This is the entire agreement of the parties. Any discussions or verbal agreements
are superseded by this agreement. Such agreements, even those of the smallest
nature, must be in writing and signed by both parties:
This contract price is for standard industry installation procedures and removal of
white cedar shingles approximately 7 sq..
This price does not include any materials or a dumpster.
Contract total - 13 � ` s, eulz 14001to/t T#*I g jaaFox 7--4f-#Vokate k
Workmen's Compensation and Public Liability Insurance on above work to be
taken out by Haki's construction.
n q
ACCEPTED BY .,..,..,.. DATE I e�
i
Monaghan Real Estate
April 04,2007
To whom it may concern,
I, Liam P. Monaghan,manager of Park Place Condominiums,398 West Main St,
Hyannis,MA 02601, authorize Edgar Gevorgyan of Haki's Construction
to perform the siding work, as described in the attached document,on building 5 of
the complex.
Sincerely,
r
Liam P.Monagha
100 West Main St. Suite 6
Hyannis, MA 02601
508-778-4696 phone - 508-778-4976 fax
s _ _. _ ,�
`�
I
Assessor's map and lot number ..... .. .
� TH E Tp�y
Sewage Permit number
BARNSTADLE, i
House number ...........3. .8................................................. , rasa
If C �,. pp 16}9. `e0
' �F0 MAY a.
Y
TOWN OF BARNSTABLE
to
BUILDING INSPECTOR
• APPLICATION FOR PERMIT TO ................................ ................. ..........................................................................,.
TYPE'OF CONSTRUCTION ...................................... .
... ? f.t.. .............19.
1 7 *
TheTOTHE INSPECTOR OF BUILDINGS: �,/undersigned hereby
applies fQr a gpermit according
%to the following information:
nz
Location ........`,. ..w- .��',.......... .4t ....................... . �u! ...... `,1.... "�%c1......"...........
Proposed Use ...... � ..... .... ..�. .... .. ... � ...............................................................................................
a
Zoning District .... .,/...........Z5................................ ....Fire District .. +s.:fin.: C..."................................
Name of Owner ,.. ...... ...Address ........ ! ...^..!�.:.. l ..w. .. .� `1� ,
Nameof Builder ....................................................................Address ....................................................................................
Name of Architect ....Address .....1...:.:�. !. +.......�!"„`(, � ^ .........
Number of Rooms ...a ! i.. � �` ..............Foundation �� .........I ...
D
Exierior /,/ Roofing A�LL ............:'............................................. .. /�?. ;. ...............................................
4
�...• .:Floors .... ....�.....-�/1.�� .........................................:..................Interior ......... ...../ .. ?�'4- --loff,
..............................................�y II
Heating '...:•._---/. '' .......... .. ....................... Plumbing .......... ....� .^ .... ::............ . 1
Fireplace .... ��.1 ................................................Approximate Cost ... ........ ..
C
Definitive Plan Approved by Planging Board __________________________ ____19________. Area %. fl.........�
Diagram of Lot and Building with Dimensions J p Fee ". ....! n
SUBJECT TO APPROVAL OF BOARD OF HEALTH O'+��
cyp
I hereby agree to-.conform to all the Rules and Regulations of the Town of Barnstable-regarding the above
construction.
Name .. :� /
D. S . 6 B . R E A Y �C' - - , A=269-5l
- �~— `
No 23�][T Perm ' for �
—. . .. . --.^. ~`�~,..~— � '
___..(5_B'..doa�� /_4_Uni+�l'Zac�z)......
Location —3.B8—V�mot.ACA' ..Streat
— ........
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. .
................. ----------.. ---.
D S
Owner —..�--.�..-�.�J}�..��� .�c�z�_..
- .
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Type of Construction --��raoze...................... '
~ '
�
--------------------------.
,
Plot -------�-- Lot -------^---
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� Jo �7 8I
Permit Granted --�����--'..�---'lP '
`
Date of Inspection -----------']V
Dote Completed ...................................... ~
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-
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PERMIT REFUSED
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—.—��--. . ����� ............................ /
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........................ ................................
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----.--. . . . . .................................
Approved ................................................ lA
-------.--.------...-----.---. ,
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'
TOWN OF B.AiRNSTABLE Permit No.
r)_3AI
t .UISTAS Building Inspector .'
Cash _
• .�s Ate`
�.p. OCCUPANCY PERMIT Bond/" ,fir=---------------_.f______--___-
Issued to D. I.S# & B. Realty �} r Address
Building < Unit B 398 West I4-Ain st , I-Tyarl is
V.
Wiring Inspector -� — Inspection date
� - -
Plumbing Inspector/ �� � ('�� Inspection date
Gas Inspector j Inspection date/ �+ F.
Engineering Department • N/A Inspection date
Board of Health Tmn SeWer Inspection date
x
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE_
........... ..., �,.Jay Building InSPec or..,,� �—._. .
TOWN OF BARNSTABLE Permit No. ------------
2---3
Building Inspector
auax�n Cash
spa �
NMI OCCUPANCY PERMIT Bond ---------------------------------
Issued to D. S. & B. Realty Address
Building Unit'C %- 398 1�es t Hain 'St, s myannis
a
Wiring Inspector rLi'�/ ' �y Inspection date
Plumbing Inspector Inspection date
v r
Gas Inspector �` Inspection date
Engineering Department'ef e �/ r,s� / f �Tf' Inspection date ~
Board of Health �,�
,+ Inspection date
THIS PERMIT WILL/NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY -THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
i
`?................ 1s -3 f z d ---a-�..-
......................................................_.........._.._.._.._.........._.._..._._._. _.
Building Inspector
1
TOWN- OF BARNSTABLE Permit No. ___----_ 3'1_7-_-_-_-
Building Inspector
1 smn Cash ------------------------
•
OCCUPANCY PERMIT Bond ------------------
Issued to Do S, Cc B. Realty, Address
Building #i Lhat D 398 ;lest Ylain St,, ltmmis
Y
Wiring Inspectorfr�t in i" .1� Inspection date
'17'
Plumbing Inspector Inspection date
Gas Inspector � � � Inspection date
f
Engineering Department Inspection date
Board'of Healthy a� . Inspection date,
THIS PERMIT RILL NOT BE VALID, ND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
�`l.!..0. ..rc�........ i 9 a_ 1._....._...._
.......................... .. .........
`Buildng Inspector` �--
,o•""' -TOWN OF BARNSTABLE Permit No.
Building Inspector Cash S340.00
NUMAU
R OCCUPANCY PERMIT, r Bona
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector.No building shall be occupied until a
certificate of. occupancy has been issued by the Building Inspector."
Issued to De S. & B, Realty Corp. Address ' Box 539, Hyami s
$) T�n;f- AA 1Q9, Llxba f- 14,14;rn q t-raP t-.
Wiring Inspector!* {J� — / /� Inspection date
Plumbing Tnspectorrr1//'1 ( Inspection date
Gas Inspector �� Inspection date..
Engineering Department ,f ' y Inspection date, _!r�
t
THIS PERMIT WILL NOT'BE VALID, AND THE BUILDING SHALL'NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING: INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
7)1) 1 _3
,Building Inspector
4 J
• r
1
TOWN OF BARNSTABLE Permit No. _----_?33-�—....
t ».AU Building Inspector
YYL
Cash --____--
OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector." j
Issued-to D. S.'& Ti. Real.ty, Carp. Address Bm- 539, Hyanrli
Bu-iIding #2 Vnit B 393 i'att l'Llin,ttref5L', Lynmis
Wiring Inspector r r+ Inspection date
r�
Plumbing Inspect 5.,r Z t `% Inspection date
Gas Inspector �,a� , Inspection date
Engineering Department � ,r �,,� Inspection date /e, �
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
1.
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS. V
. ............. . 19 Building Inspector
f r
TOWN OF BARNSTABLE 23317
Permit No. -------------------
1 �mn.n Building Inspector Cash
------- ----
OCCUPANCY PERMIT Bond A114 —----
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."u:,
Issued to D. S. & B. Realty Corp. Address Box 539, Hymn is
Building #2 Unit C 398 West Yjain Street, 11yratmis
Wiring Inspector t , Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department /\114 Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
............. 19 .........................ILI 14,
tl Building Inspec"tor—
J
TOWN OF BARNSTABLE 23317
Permit No. ------___--_- _
Btilldlrig ZIlSp6CtOr Cash _-_—_---
� rua
OCCUPANCY PERMIT Bond
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been- by the_.Building Inspector."
Issued to
D. S. & B. Realty� Address Box 539, Hyannis
Built! -#2 Unit D 398 WeSt Min Street, I-IyaMis
Wiring Inspector ..- Inspection date
Plumbing Ihspectror �✓, Inspection date
Gas Inspector r � � Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
. ... _, Building Inspectors
1
I �
o•*� o TOWN OF BARNSTABLE Permit No. _-2 3 317__--_----__-
. �� ; Building Inspector
Cash --------------------------
�ra
`~ OCCUPANCY PERMIT Bond ------------------ _-_-�_-__
Issued to D. S. & B. RF,ALTY Address
� I
Building #3 Unit C 398 West mA i n 94-"g_�4-
Wiring Inspector ? Inspection date
Plumbing Inspector Inspection date
Gas Inspector v ` d Inspection date
Engineering Department Inspection date
Board of Health Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
.................................................. 19 ........................................
Building Inspector
TOWN OF BARNSTABLB Permit No. ________�� � ___--__
Building Inspector
saun.m Cash ----------------—------
— -
� wa
OCCUPANCY PERMIT Bond ---------�`�--�
----__------
Issued to D. S. & B. Realty Q)rp. Address
Unit A Building 5 398 West. Plain"Street, 11vann*L
Wiring Inspector I /� Inspection date
Plumbing Inspector Inspection date
Gas Inspector ��/ :� Inspection date
r Engineering Department IV111 Inspection date
Board of Health l V Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE. ���,���'/
....................................................... 19 ...:r !a`... .;�r�.o
Building Inspector
TOWN OF BARNSTABLE 23317
Permit No- - -----------------------
Building Inspector
..�. Cash ----------------------
--
,b,q. � �• WA0"y6. OCCUPANCY PERMIT Bond
Issued to D. S. & B. Realty Address
Unit B Building 5 398 'hest Main Street, Hyannis
Wiring Inspector �� Inspection date
Plumbing Inspectors 1 � _ Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health � SInspection date/
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SMALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
....................................................... .( .?...... .............♦..................................._._._
is ..._._
+ . ���Building Inspector
THE•,. TOWN OF BARNSTABLE -----------23317
Permit No.
Building inspector
iARNITAU Cash
�s Una.
`a ---------------7------------
'OCCUPANCY PERMIT Bond _-____
Issued to D. S & B. Realty Address
i.In t C Builldina 5 .398 West Main Street. Hyannis
Wiring Inspector 12, 45 Inspection date
Plumbing Inspector, ' Inspection date
Gus Inspector � T Inspection date
Engineering Department, - Inspection date
Board of Health Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SlIALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
...�. .............................. 19 3 :................... ,:-j.°??.......1.................... ......................_ .......
7Bui ldmg Inspector ,
r II
1
A
TOWN OF BARNSTABLE Permit No. _— � I?--------------_
Building Inspector
Cash
.aY� OCCUPANCY PERMIT Bond _______Nl A_
Issued to D. S. & B. Realty Address
Unit D Building 5 398 blest Main. Street, 11yamis
Wiring Inspector ' /' Inspection date
Plumbing Inspector �✓ P� T Inspection date
Gas Inspector / Inspection date
Engineering Department j Inspection date
i
Board of Health — .", Inspection datel/� �
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SMALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
....................... ...... ............. ....................................._...
f �Muilding Inspector
spector
• TOWN OF BARNSTABLE _-___ 23317
Permit No. --_____.____..____
=nAX Building mnspector Cash
s�a0"IL
rra �n- —
1639. A
OCCUPANCY PERMIT Bond _—__--
Issued to P. S. & B. Realty Address
Building 4 Unit B 398 West 11aira Street, hyamis
Wiring Inspector � , } � �►, Inspection date ],
Plumbing Inspector !f ,/ Inspection date
Gas Inspector �. Inspection date
Engineering Department_ `+{ Inspection date
jP ,e�
Board of Health c,e' f �ff ' Inspection date
tr THIS PERMIT WILL NOT BE VALID,�/AN/D THE BUILDING STALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENT'S AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING /CODE.
t�( c �
...............................�. 1.�.. - ....................... ... �
�Building Inspe tor—
_ .�-+"-
1
„• TOWN OF BABNSTAME Permit No. 23317
1 DA" Building Inspector
• wa . Cash ----------------------------
3619
°••• OCCUPANCY PERMIT Bond --- NIA
Is ued to D. S. B. Realty Address
BuildiriR 4 Unit D 398 West Main Street, Ryarmis
Wiring Inspector ''� �. Inspection date
Plumbing Inspector Inspection date ;
Gas Inspector ._/ Inspection date
Engineering Department r Inspection date
Board of Health 6 `sl4 Inspection date
THIS PERMIT WILL NOT BE VALID, "ND THlr: BUILDING SUTALL NOT BE OCCUPIED UNTIL,
:SIG-NED BY THE BUILDING IN:SFECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQU REMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
1 Building Inspector
f r
`" • ''TOWN
OF BARNSToABLE
23317
Permit No. __-.--------------------__--
Building Inspector
-saa.nm Cash
OCCUPANCY PERMIT Bond :_ NI`.____
issued to D A S. & B a Really Address
Building 4 I}'f"E t 398 GvP-,ta -,in St. , 14'ra-lTliS
///
Wiring Inspector . L i--- Inspection date
Plumbing Inspector/ Inspection date
.. r .
Gas Inspectors Inspection date
Engineering Department- k 1 Inspection date
Board of Health.
�+ � : Inspection date�lr���.r�f�
e
THIS PERMIT ,W'ILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED .UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
.. ls......_... _ k��r... ,......r a ........
„„.
Building Inspector
• ft �''� .A Pf .
{
TOWN OF BARNSTABLE _ - - ---------
Permit No, _ _ -
• Building inspector
iarsa�n" S Cash -------------— - --
W 9
Bond —
dCCUPP�NCY PERMIT -- - =r---
I s_ed to D. S. & B. Realty WI(�♦ Address
Buildim 4 Unit A 399 I+7PP't' 1gi»
Wiring Inspector �i� i � Inspection date.I;> av �.�
Plumbing,Inspector " - Inspection date -
Gas Inspector J Inspection date
Engineering Department f t Inspection date e
r
Board of Health .. •fy�� .! Inspection date
THIS PERMIT WILL NOT BE VALID,r AND THE `BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
..........: tr 6 `: .... r..................! f ..........._._._ _._...
.......:: ...
r .,. Building Inspector
L __ -
TOWN OF BARNSTABLE Permit No, _________ 317-
-----------------
� 1 �8
In ,�: Building Inspector- Cash f/
� rYa r
f0)9
er�Y� OCCUPANCY PERMIT Bond ----------------------------
Issued to D.S. & B. Realty Address
Building 3 Unit B 398 West Main St, , his
Wiring Inspector Inspection date
Plumbing Insp *` ! Inspection date
ector ,, .v
`_ a
Gas Inspector l�Fy..� �f Inspection date
Engineering Department,' r Inspection date'/ = :
Inspection dater
Board-of Health —r7
THIS PERMIT WILL NOT BE 'VALID, AND THE BUILDING SHALL NOT CBE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
................................ . 19 : :'':`....� `: "�" ._...... ....._...
wBuilding Inspector
k
i
\ b
' }1
z ,dam TOWN OF BARNSTABLE Permit No. _-__.,_•_'? '? _______
Building Inspector Cash r
--------------—-------
--
OCCUPANCY PERMIT Bond -----------_-------
Issued to D. S. & B, Realty Address
I f
Building 4-1 Lbit Ae :,393 West 1,!airs SL e t, hv�-nni:s- �..
f � �
Wiring Inspector Inspection date
Plumbing Ins�pectorl � t� f = Inspection date
Gas Inspector Inspection date
Engineering Department' Inspection date
t
Board of Health j i e.t. ),�,r✓. Inspection date .` X,
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING,SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.J-, (
�............................... 19......_' r .......................Building...Inspector _ _
r
o• >o�� TOWN�_.OF BARNSTABLE Permit No. -2331.7
Y�
1 � Building inspector Cash
----------------------------
� YYL
OCCUPANCY PERMIT Bond
Issued to D. S. & B. Realty Address
Buildiriz 3 Unit D 399 tap"gt Mai_xi gr_raPf-- 1hya 4
Wiring Inspector % �/ �,� � Inspection date _
Plumbing Inspector I ?✓ V �" Inspection date
Gas Inspector w �..� Inspection date
En ineering Department Inspection date
of Health
Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
!/ Building Inspector
o-
TOWN OF BARNSTABLE 23317
`.� Permit No. -------------
Building Inspector
"" IL Cash
26y0. `
OCCUPANCY PERMIT Bond ___----------------------_______
Issued to D.S. & B. Realty Address
Wilding 3 U-dt A 393 test M.--.in St,, ,Hyarr is
r
Wiring Inspector Inspection date
Plumbing Inspector f f Inspection date
Gas Inspector Inspection date
Engineering Department f , � ✓,`>' .c!.F.%� Inspection date�jf
Board-of--Health"" � � Inspection date
Board A j
THIS PERMIT WILL NOT BE VALID, AND THE RT'ILDING STALL-NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
Building'Inspector
i
TOWN OF BARNBTABLE Permit No. ------- 17
Building Inspector '
swam i Cash
63
OCCUPANCY PERMIT Bond --_-----------
Issued to D. SA & B. Realty Corr Address
Building 4 Unit B 398 West Main*Street, Hyarmis
Wiring Inspector � � Inspection date
l '
!' Plumbing Inspector t �� ,a �� Inspection date'-
Gas Inspector � y � Inspection dat
Engineering Department ..3�+..--l�"")f�'i71%.�.�'./ ,.,,�.�-►rampection dat
9-7 /'�B a" -oif!i alth Ins ection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING-INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
..... .» Buildin a...........p.................._ ..._ .._...
Ins'ector
/ 1
Assessor's map and. lot number ....... .'5......::............. r y�FTHETO
Sewage--*ermit number t/r ...Z wan
3 g SEPTIC.SYSTEM
House number ...............`1......................................... ,
,•.' INSTAUM IN CO
J '
TITLE NPY
TOWN OF B A R N-S T ENTAL CODE AP,110
n '
BUILDING . INSPECTOR
t
s.-�
APPLICATION FOR PERMIT TO ............. ..� ....... .-:C:� ..:.. :...............:....................................................
TYPE OF CONSTRUCTION ....... . e...................... ...,f.. .......................................................
.....I.... ............19.
w TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to, the following ,information;
Location ........� �. .; ............. .... ....../..... .Ci ........����••��< !��,:� .... /.� t1t�•.....:..............
ProposedUse ...... a�.� .vhd.�:!- �2: .�................................................................................................
`/� T C
Zoning District .... . .e4...>.....-........................... ....Fire District .. C�zl!L �::. >.......................................
Name of Owner .:..).: .L.S.. . - s.! - :Address ........` ....... .:`..1. .(`� .........
Nameof Builder ...... " ....................................Address ...................................................................:................
Name of Architect ...}j` '. p ..................
/ ... .c.. ...,�� �. d....Address ...../ .. ....... •• �•..
Number of Rooms ...... .. .. �1. . ..............Foundation .... ...��4 ........
i
�-zn-
Exlerior �. .. ...Roofing
Floors .....4 .. ........Interior ......... ....l.. .....................
Heating :.1-r �... .t ...r.:..'......................................Plumbing .....,C....�r- �/`��.. t .c... ....................
Fireplace .....1. ��. .` � ..... ....................................Approximate t�........ .....
Definitive Plan Approved by Planging Board --------------------- _--------19--------- Area �:6,�.o. ...
►.U"i.
Diagram of Lot and Building with Dimensions Fee .�fJ !Is............... ... .. .... ..
SUBJECT TO APPROVAL OF BOARD OF HEALTH D` 9L
L ` f.
1
�l�s\
/S
I hereby agr to conform to all the Rules and Regulations of the Town of Barnstable-r grding the above
constructi .
Name . .. ..����
''-_-------------
D.S . & B. REALTY CORP. i
�i
+No 23r,;�7 Permit for ....BUILD...................
i TWENTY CONDOMINIUMS
. ................................................................
3'98 Nest Main Street s -
Location ... ........
'
Hyannis
.......................... ...�..........
Owner .....
& B. Realty Corp. !
vl TYpe of Construction ,.,,Frame
f ,
........... ............................'
.
n y�
< Lot
Plot ............................ ................................ - •� ,' 1
Permit granted J1?1�. .�.7..,......... 19 81...
_ V0 F
Date of. Inspection ...........................On 19
Date Completed ....... ....... ' .. 19�3
12-
PERMIT REFUSED "
XX
. .....� >�. 10,
1. /
1�� 1
.. ........... 4(J. ...`�,...... .....✓. ./.J..``��3 17
i :✓; t. f E / •Avg *5 �> r r
x ..............................................
.Approved� " ^�� ............................... 19 +r
�.. r � }�r• R
.�_. ..5... ...................... ..
. g ,
J
Q
.rr
INTER—OFFICE CORRESPONDENCE
s
TO-. -Whom It May Concern DATE: September 12, 1983
FROM: William Maravell, P.E. Engineering Section, DPW
Supervisor Project Engi eftr ___
RE: Before Signing Off for Town Sewer on the Occupancy
Permit for:
D.S.B. Realty, 398 W. Main St. , Hyannis
Building #3, Units A, B & D
Building #4, Unit B
The Engineering Section requires that the Contractor submit evidence that the
Sewer Connection has been completed and submit ties to same.
Building #1, Unit A was completed 7/8/81 and has been so noted on its Occupancy
Permit.
Also, this office requires the number of fixtures in each individual unit and
the owners of record.`
WILLIAM MARAVELL
ENGINEERING SECTION, DPW
SUPERVISORY PROJECT ENGINEER
G
- a .