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0109 WOODLAND AVENUE
.` ri TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map zcaq. Parcel o o Application #C;? 1 (3 S Health Division Date Issued l� Conservation Division Application Fee il loll 'Planning Dept. Permit Fee t� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Address Telephone --tAy- %A'%- - o S'i P;�,•,� \s, a o z r o I Permit Request \.�� +.�w�a �Zw"1 \a � .a�:w�` Z' <v.�zw.A�o �O �C►aa� �+�`\ 1U'2M-� . \%A `.AvGL \O b�L.+ Fay� �L� ♦saa�P�\ � \ \ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation417-aoo C, Construction Type 55 - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ff� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: -LJ Yew❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other y, t Basement Finished Area (sq.ft.) t Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Z new Half: existing new Number of Bedrooms: 2 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas it ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name Telephone Number som- -%a s --t Address License # \ct-*04 S s \•._. ��., `.�+� c> !: tZ k Horne Improvement Contractor# Email Worker's Compensation # (_�p �\3 cod ti q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE lam- I s FOR OFFICIAL USE ONLY APPLICATION# �ATEISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i f. .S R � � r x� fy 4 OWNER AUTHORIZATION FORM owner of property located at hereby authorize ConserVision Energy,to act on my behag to obtain a balding per-it to performs work on my Property. Owner Signakme �G Qat ! assa use Oep;wTp- �Yl e� #r�aatet ; B6ard af`i�uiiC iq R66, Suttots a:cd �i tttlarLs i�caR £ L $se<CSSL-102778 CONORb`R"ICINF,tN>iY 39 SLAWONSRI�DttI1► SAG"On 111 3 }f�.'�smnsi sion�* - � ti8l19fZ018 - I��It1►:��t f€flNrtJd{{+�Iflf.P� �fY,iaCfflfllN4 F�a � � _ OfTiet of Consumer Affairs&Business Regulation License or registration valid for individul use only - ME IMPROVEMENT CONTRACTt3q before.the expiration4atti.,If fangd return to. u eglsirabon. 171251 Type: Office of Consumer Affairs and Business Regulation xpiiatton 3f1i2016 0 trip tQ Park *laaa-Sulte 5170' + Boston,MA.021,1 G: CON-SERVE:ENERGY CONOR MCINERNEY K 378 ROUTE:-13D SUITE C' t SANDWICH,i41A:025S3 C LluBersec efary Not*slid without signature a-.Kd�:.m .}•5•r-.f^: yoY,y..w.. '"'^`.':'K^""' C.•+..:$.�:�.�....wr ... ,^�t✓rnw•+M•+.wu..:'+N'�„'^I^•*�.i'C -w•......nY +ow«r5.m-.+r,.4•.,..,-+en-M*...+., mmrnr-D=I a me uts rmuwuL Sang Inc LICK I trtf-s I MULUtrt. :_ IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,'certain policies.may require an endorsement A statement on this caftificateL does not confer rights to thgettlifleatebP02rin lieu of such endorsements. PRODUCER CONTACT ✓ NAME CSBrS/WORKCOMPONEPHONE FAx r ABC,No,EA A/C.No PO BOX 946580 EMAIL ADDRESS - INaiUand,FL 32784-6$80 INSURERS AFFORDING COVERAGE NAIC 1-877-724-2669 Continental Ca Ual Company.. 20"3. I` INSURER A: t�y.�� om Pa y INSURED INSURERS: CONSERVISION ENERGY INSURER 376 ROUTE 130 INSURER 0: SUjTE C ! INSURER E: SANDWICH,MA 025..63 ilNsuRL 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. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE I.AFFORDED BY THE. POLICIES DESCRIBED'HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS. DDL SUBR a POLICY EFF- POUCY.EXP LTR-. TYPE OF INSURANCE SR:. - POUCY;NUMBEf�,, - .MAD. MM/D .. ., ,LIMITS . A GENERAL LIAeUJTY Y' 6011316335 03111115 0311.1116 EACH OCCURRENCE ' 1,000,000 COMMERCIAL GENERAL UABlurr PRE i��ENTED r 300,000 CI_AII&SUADE 0 OCCUR . PLED EXP(Any 0a PWSM): $ 10 1 000 Y. PERSONAL'&AOv MURY. $ 1,000,000 GENERAL AGGREGATE : 2.600.000 GEN'L AGGREGATE LIMIT AF'PLF-S PM: PRODUCTS-cotMPIOP Aw. $ 2,000,000 PoLtcv JPE�cr X Loc . 6611316335 03/11/15 03N 1i16 COMBINED SINGLE LIMIT A AUTO1tA06ILE LIABILITY { (Ea acddeM $ 1,000,000 ANY AUTO . BODILYL INJURY(Per person) $ AALL UTOS OWNED SCHEDULED III - BODILY INJURY(Per accident)AUrTOS �/ NON,OwNED PROPERTY DAMAGE HIRED'AUTOS /� AUTOS. .� - (Per uddent) A x uMaRELL.ALIAS XOCCUR 601 IL 316362 03/11/16 03/11/16 EACH OCCURRENCE 2,000000 EXCESS I 1CLAIMS-MADE AGGREGATE 2A00,000: ED X NMTENTION$10 000 fi $ WORKERS COMPMATION A AND EWLOYEW LIABOJRY YIN. 601.131634 . 03111/15 03/11116 X TORY LIMITS e: ANY PROPRETORIPARTNERlEXECUTW4E OMCER&gNB R EXCLUDED? NIA E.L.EACH ACCIDENT $. 560,000 (Nand-V In NH) El-DISEASE-EA EMPLOYEE $ 500.000 Ifyas.describe under DESCRIPTION OF OPERATIONS betow EL.DISEASE-POLICY LIMIT $ 500,000. OTHER TORY LIMITS ER E.L EACH ACCIDENT . EL.DISEASE-F1�EMPLOYEE $ .. E.L.DISEASE-POLICY LIMB $ - MUM owre IS MqUIRM) Certificate Holder Is added as an additional insured as pr ,"ided in the blanket additional Insured endorsement as it pertains to work being performed by named insured under written contract INCLUDES PRIMARY AND NO.N-CONTRIBUTORY LL CERTIFICATE HOLDER CANCEATION Rise Engineering SHOULD Ater OF THE ABOVE 6ESCRISEO POUCIEs BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE Y4iLl BE DELIVERED :IN ACCORDANCE WITH THE POLICY PROVISIONS. 1.341'Elmwood Awe Cranston,RI 62946 AUTHORV"REPRESENTATIVE 01988-2010 ACORD CORPORATION.'All rights reserved. ACORD 25(201psy The ACORD name and logo are registered marks of'ACCIRD I t The Caient onwealtlra of Industrial Aecideno ' O ce of.Invesdgadons 6 0 Washingtorir Street ostoty JIM 02111 W. www.malss:gov/dia Workers' Compensation Insurance davit: Builders/Contractors/ElectrictanslPtumbers A Ifc nt I form do Pleas Print L b Name(Busineworganization/(ndrid�i). Cons rVision Energy Inc Address: 378 Route 130 Ci /Stawz : Sandwich, MA 62563' phone#: 508-833-8384 Are you an employer?Check the appropriate bo am a employer with 6 4•:❑ I am a general contractor and I Type of project(required): employees(bill and/or + h�va hired the sub-con4actors 6. New Co on part-tune); 2.❑ I am a sole.prnprietor or'partner. 1. on the attached shoat, ?,, R emodetmg;: ship and have no employees these sub-contractors have g `0 Demo Oil: working forme in any Capacrty. :: ioyees end have workers' [No workers'.comp.insluance c mp.%nsurance.t 9..[�Building addition 5: eana to corporation ❑ and its 10.[] Electrical repairs or.additions 3:❑ [am a homeowner doing all work o cen have exercised their 11. Phunb' myself.[No workers'comp ri t of exemption per MOL mg trpairs or.additions insurance regnife&I t c. 152,§1(4),and we have no l2(]Roof repairs ' 3a.❑ I am a homeowner acting as a e 1oyees.[No workers' 13.[3 Other Weathenzation genera!contractor(refer to#4) surance requited.] Any aM�dM checks box#1 aster also fill out the Secng their waei�as' , t Hatrmowtteta who.Submit thu tdtidavit i tdicating'they EJd=S ,und then hire.Outside con tGuntrsetots that cheek this box IMM attached as addidO tractors must submit a[row atRdavit it dteating each. enryloyeea; tf the aub•oonttttctps have enae of the sod cottaae�tt and State whethta or rmt entities five ey .they norhets'�•Pommy intmbd I am air emplvyerthat Is prvvidkig swrkere'conrpena A lnstrrpRca or lnformadota I m3'em ye+es. Below Is the pelhy and job.sJta Insurance Co CS&8/WORKCOMP NE Company Name: Policy aY of.Self--ins.Lic.#: 6011316349 - - ;&pirac on Date: 3 11 2016 Job"Sites Address: City/StateJ?ap Attach s copy of the workers'compeastttloa policy lion page(ahowio �e Failure to secure covers as g il> y aomber.and eip[ration date). 50 required under Section 25 of MGL c. 132 cart lead to the itnposition of crinninal penalties of a.<. Pine up b;S 1,500.00 arid/or one-year mq sotunent,as ell as civil penalties in the form of a STOP WORK ORDER and a fine of up b$2SO.Ot),a.day age" a vt Be advised " t a copy of this statement map be foavded to die Office of Invesdgad he DIA for' e t o tj verifi tion. I dO taNjj►pre the p o and urn of p that the b yormadotr ptmdded abovta is trwc and c'orrntt Phone O,�clal'raa o Do not wrftrr!►s thb.areg,to be eo pleted by clg►of rowte o,Q?efa[. City or,Town: Permit/i,iccnse f{ issuing Authority(circle one). 1. Board:of Health Z. BnQding Department 3.CI owo -77777 Cleric 4r)aeeMcai Inspector ~3.Plumbing inspector 6.Other: Contact Person: Phone ll: Police: Man suffers gash from golf club attack CapeCodOnline.com Page 1 of 1 � z f ' a •�R k 3s A f Police: Man suffers gash from golf club attack- r November 01,2009 2:00 AM HYANNIS-Violence broke out on Woodland Avenue early yesterday morning, resulting in two injuries and two arrests, public safety officials said. At 4:37 a.m.,the Barnstable police and the Hyannis Fire Department.were called to 109 Woodland Ave. for a report of a stabbing, Hyannis fire Lt. Kevin Black said. The injuries turned out not to be from a knife but from the jagged edge of a golf club that had the head ripped off, according to a report from Barnstable police Officer Brendan Burchell. Ramone Emilio Perez, 30, had apparently been consuming alcohol heavily during the evening-and got into a fight- with a Woodland Avenue resident,according to Burchell. Perez left the alleged victim's house following an argument, but then returned with his wife, Danielle Perez, 25. Perez entered the house with a wooden baseball bat and allegedly smashed a beer bottle over a man's head. When another man tried to intervene, Perez punched him, according to Burchell.Then Danielle Perez struck both alleged victims with the golf club.The cut from the torn metal left one of the men with a deep gash in his forearm, according to police photos. The man with the injured arm was taken to Cape Cod Hospital by friends,while the other man refused treatment. Ramone Perez was arrested for assault and battery with a dangerous weapon(a beer bottle)and assault and battery,(a closed fist), Barnstable police Sgt. Sean Sweeney said. Danielle Perez was arrested on two counts of assault and battery with a dangerous weapon (a golf club), Sweeney said. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers, Inc.All Rights Reserved. http://www.capecodonline.com/apps/Pbcs.dll/article?AID=/20091101/NE W S/911010329... 11/2/2009 Barnstable Assessing Search Results Page 1 of 2 Home:Departments:Assessors Division:Property Assessment Search Results New Search - 1 aa ,New Interactive Maps>> Owner: 2009 Assessed Values: CONCEICAO,FRANCISCO P 109 WOODLAND AVENUE Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $151,200 $151,200 269 /061/003 Extra Features: $21,800 $21,800 Outbuildings: $0 $0 Mailing Address Land Value: $155,600 $155,600 CONCEICAO,FRANCISCO P Totals $328,600 $328,600 109 WOODLAND AVE Residential Exemption Received=$100,964 HYANNIS,MA.02601 2009 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $47.12 Fire District Rates Town Residential Barnstable FD-All Classes $2.37 $6.90 C.O.M.M.-All Classes $1.08 Town Commercial Hyannis FD Tax(Residential) $584.91 Cotuit FD-All Classes $1.43 $6.12 Hyannis-Residential $1.78 Town Tax(Residential) $1,570.69 Hyannis;,-Commercial $2.77 ;.W lBamstable-All Classes $2.11 Community Preservation Act 3%of Town Tax Total: $2,202.72 Construction Details Building Property Sketch &ASBUILT Cards Building value $151,200 Interior Floors Carpet Property Sketch Legend Style Cape Cod Interior Walls Plastered Model Residential Heat Fuel Oil Grade Average Heat Type Hot Water Stories 1 1/2 Stories AC Type None fig. Exterior Walls Wood on Sheath Bedrooms 3 Bedrooms , ' Roof Structure Gable/Hip Bathrooms 2 Full yE f/ Roof Cover Asph/F GIs/Cmp living area 1440 Replacement Cost $166156 Year Built 1987f3aiiq g Depreciation 9 Total Rooms 5 Rooms"' Land CODE 1010 AsBuilt Card N/A Lot Size(Acres) 0.33 Appraised Value $155,600 http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=26906... 11/2/2009 f Barnstable Assessing Search Results Page 2 of 2 View Interactive Maps >> Assessed Value $155,600 p Sales History:. Owner: Sale Date Book/Page: Sale Price: CONCEICAO,FRANCISCO P Nov 15 2002 12:OOAM 15924/150 $275,000 DASILVA,ANDRE B&VIVI ANE A Oct 20 2000 12:OOAM 13310/009 $145,000 CHILDS,JAMES S May 15 1995 12:OOAM 9687/279 $90,000 AYERS.DAVID C Dec 15 1994 12:OOAM 9492/320 $55,000 DIME SAVINGS BK OF NEW YORK Nov 15 1991 12:OOAM 7773/241 $70,000 ZIFF,AUSTIN& Sep 15 1987 12:OOAM 5921/305 $127,900 ZAINO,CAMILLE M Jan 15 1987 12:OOAM 5532/038 $1 KRUEGER,MARIANN E L Sep 15 1973 12:OOAM 1980/291 $1 Extra Building Features Code Description Units/SQ ft:;.:'cf.; Appraised Value Assessed Value BLA Bsmt Liv-Aver 960 $21,800 Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) r http://www.town.bamstable.ma.us/assessi'n 11/2/2009 Police: Man suffers gash from golf club attack CapeCodOnline.com Page 1 of 1 # ° Aft � *00 Yy Police: Man suffers gash from golf club attack November 01,2009 2:00 AM HYANNIS—Violence broke out on Woodland Avenue early yesterday morning, resulting in two injuries and two arrests, public safety officials said. At 4:37 a.m.,the Barnstable police and the Hyannis Fire Department were called to 109 Woodland Ave.for a report of a stabbing, Hyannis fire Lt. Kevin Black said. The injuries turned out not to be from a knife but from the jagged edge of a golf club that had the head ripped off, according to a report from Barnstable police Officer Brendan Burchell. Ramone Emilio Perez,30, had apparently been consuming alcohol heavily during the evening and got into a fight with a Woodland Avenue resident,according to Burchell. Perez left the alleged victim's house following an argument, but then returned with his wife, Danielle Perez,25. Perez entered the house with a wooden baseball bat and allegedly smashed a beer bottle over a man's head. When another man tried to intervene, Perez punched him,according to Burchell.Then Danielle Perez struck both alleged victims with the golf club.The cut from the torn metal left one of the men with a deep gash in his forearm, according to police photos. The man with the injured arm was taken to Cape Cod Hospital by friends,while the other man refused treatment. Ramone Perez was arrested for assault and battery with a dangerous weapon(a beer bottle)and assault and battery(a closed fist), Barnstable police Sgt. Sean Sweeney said. Danielle Perez was arrested on two counts of assault and battery with a dangerous weapon(a golf club),Sweeney said. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20091101/NEWS/911010329... 11/2/2009 j r ' i '_ S i` e !' .. is ;r ! i j �,�.� 4 e;, i ' ���b '- /o�-�--� � �j�'L-- v� ao �� -- Town ®f Barnstable � *Permit# Op THE r ®�' Expires 6 mondis jron i3site dale awttNWABM Regulatory Services Fee ib �$ Thomas F. Geiler, Director 3 pTFo �� Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 061 C' Lai de AA& �{�rQ/ll�t,';j [V/Residential Value of Work ( Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address leltald•1SC' C�V1 t C�� O! G—) Cp �14 o?_,� 1 Contractor's Name ,Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chefzk one: ®PRESS PER [�'I am a sole proprietor I am the Homeowner AUG 20�9 0 I have Worker's Compensation Insurance -l- Insurance Company Name OWN OF BARNSTABL'E . Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ .Re-roof(stripping old shingles) All construction'debris will be taken to [9"Re-roof(not stripping. Going over J__existing layers of roof) F Re-side ❑ Replacement.Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 1 *"Note. Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License& Construct Supervisors License is required. SIGNATURE:X - emu 4_4i1.tL{ tld�P. t� Q:\WPFfLESTORMS\Express\EXPRESSPERMIT.DOC Revise06O4O9 The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): t�G�t/1 t5(z��164n� � a Address: Q 001 W y-yt k9e 04iolili_� k4 p - 0260 ) City/State/Zip: Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6: ❑New construction employees(full and/or part-.time). have hired the stab-contractors ..2.❑ I am a sole proprietor orpartner-' listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have 8. -❑Demolition workingfor me in an capacity. employees and have workers' Y P t3' $ 9. ❑Building addition [No workers'comp. insurance comp. insurance. fiequired.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 1 LE]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 checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who subnvt this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 maybe forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si ature X, n l�p Dil t lx P .ri��i P>w Date: r/I�_�j — Phone M FAuthority only. Do not write in Ihis'area, to be completed by city or town official n: Permit/License# hority(circle one): health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: U 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-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 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 retumed 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 then 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/liermse 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 maybe 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 bum 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: The Commonwealth of Massachusetts Department of Industti,al Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617--727-4900 ext 406 or 1-877-MASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/dia 1 THE Town of Barnstable fp��� Regulatory Services t sAiuvs-rwsr.e. - Thomas F. Geiler,Director r~iwss. . tbs¢. ,��' Building Division plED Tom Perry,Building Commissioner, _. . _200 Mairi Street—Hyannis;MA 02601 R'ww.to wn.b arnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOl\1EOWNER LICENSE EXEN PTION Please Print DATE' QY 10 [OP7 f' JOB LOCATION: number street village "HOMEOWNER": �_�W'sC-k Q��f� lr o z name homaphoone# work phone# CURRENT MAILING ADDRESS: 009 6v+•e I"(�"u' c /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,Hiles and regulations. The undersigned."homeowner'•'certifies that-be./she understands the Town of Barnstable,Buil&g Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re ements. p IL h XSignati=of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control: HOMEOWNER'S EXEMPTION The Code sWcs that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption an unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licrnsing Construction Supervisors,Section 2.15) This lack of awareness of m results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot prococd against the unlicensed person'as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the bomeowner is fu1ly aware of his/her responsibilities,many communities roquire,as part of the permit application, that the homeowner certify that he/she understands the rmporismbilitirs of a Supervisor. On the last page of this issue is a farm currcndy used by several towns. You may care t amend and adopt such a fonn/ecrtifi Cation.for use in your rDmrnunity. r S T Town of Barnstable Regulatory Services S,H` QABLF- $, Thomas F. Geiler,Director e' en; 16 Building Division 0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: S09-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. .(Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. o�TNE>o TOWN OF BARNSTABLE Permit No. ..3QA44..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ......X.. .: .. CERTIFICATE OF USE AND OCCUPANCY Issued to Cantille Zaino Address Lot #3 s 109 Woodland Avenue Hvannis. Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD 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. July .17, 8 7 19................. ............ Building Inspector v ..� °�. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ IIIISTABL / TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 y, t it 7 MEMO TO: Town Clerk FROM: Building Department DATE: 1 An Occupancy Permit has been issued for the building authorized by Building Permit #. ��%.... ......._.................... .................................................... _...... ......._. ..... ___ issued to .../...'4.../,c/Q.. ... ...... ...���D� G/�.t� Please release the performance bond. I i TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT Y DATE ! i'.i.r''li. r ' 19 19 617 PERMIT APPLICANT Cnndtl•'pr+t' ,rm:, -i':Tr ADDRESS (}.S..I: (`;I-n i�'T"�P' If. .N r,. +' •j (NO 1�~ (STR EET) (CONTR'S LICENSE) PERMIT TO-__. '"7-1_� I i .%-.r.+ r i •- O STORY NUMBER OF _ +!':� ) ;ft,77-�� .t<:� DWELLING UNITS j (TYPE OF I�M/PR OVEMENTI" NO. ` (PR OPOSE6,USE1 . /.I ZONING AT (LOCATION) .) i 1W< ?r••..r a +,r+� y•..-�rt"i DISTRICT— I (NO.) (STREET) I BETWEEN - - AND /1 (CROSS STREET) - (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE i BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: 1 � rt AREA OR ll ri :ni�. PER VOLUME J.E7i?1) G. ESTIMATED COST $ '4j.UUv FEEMIT �. 5 4.00 (CUBIC/SO LIAR E,F E ET OWNER ADDRESS i,r1'n.. •iUll-.}'i �' ..I, ',) i, BUILDING OEP'r. BY --�-r—FR-6RTT'R'E-UE"P'ATi'T'� ss'vxx'ct o'�-Tn-rs•rE-rrmn--irrre-s-�cv-r-xczz-x�-c--rn-�-Kr,--�n:-.,-.�—.-�.� - ---_ OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ,r.--+ .c ��,•�.. ....•_ MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO BEFORE 3. FINAL INSPECTION BEEFORE R FINAL INSPECTION HAS BEEN MADE. , E OCCUPANCY. POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �pV a Pr' � �11 d 2 21 --- — 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 4:zweao—�__ OTHER BOARD 01:HEALIH c_ C_� r� -- tiiJ����17 PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC- INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI r MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT iS ISSUEDyA$ N JED ABOVE. NOTIFICATION. r 1 r r 1 w EK�snN� Fvlj of 1TVA,/ 4D °z,` w �o�.oo, 1 .�NL> i r PREPARED FOR; SA�PCI M CER T/F/ED ' PL 0 T PLAN LOCATION SCAL E l":: an'. DATE FEe. n 1907 REFERENCE: LOT 3 P. B. -13 P. I' ,E f �'- •Anp FLOOD ZONE / HEREBY C£Rl/FY THAT THE BUILDING ? SHOWN ON THIS PLAN IS LOCATED ON THE (U 18 7 I GROUND AS SHOWN HEREON AND THAT IT t nor CONFORM TO THE ZONING BY-LAWS OF THE TOWN OF GA2Q SEA te- su �3 WHEN CONSTRUCTED. LOW & WEL L ER, INC. 7/4 MAIN S TREE T _ _, ✓', f 7&7 YARMOUTH, MASS. DA TE �2 S3xG T Es Z Pir 0 G 50 j e 7� 00 27 w � S6 t R P 1 TEst o I S8 70� - I I . 5 /.3S. 73 v I �q�r70 I SZ LEGEND 5� 56 PROP. SPOT EL.EV. = .j EXIST .SPOT ELEV. _� P.RDp CONTOLL�2 = `""`-.F � �'..k ti.--�-�-'.�'€"''r4we+.�..'t'� �t''�' �+"• `T^--^..'"'�"s...�___„�e_. r .;,�t a- 4+.7-.-•--^'�--�. *.� ..�..,qTs, a,.'°r""•r � �f�`a "k "..r• ` ' A ssor's map and lot number .`. .. .. Iv r _ .. � _E ,end SYSTEM N9U37'� TNE,o�y . g .. TALL IN-Co { Sewa a Permit number u �P :..................... 7�T1 -WITH TITLE$` Z BASBSTADLE, i House numberMAM ENTA�,CODE i639a�e� ?'OWN REGU IONS °"AY TOWN 'OF '.BARNSTABL ` - DUI�LDINAG INIFEC TOR, APPLICATION FOR PERMIT TO ! ..: �!? .� :.... � � i.'. ' .�...... .... x TYPE OF CONSTRUCTION ..... � .... .. ....... .......... ... "... .., r ..................................l 9:....... TO THE INSPECTOR OF BUILDINGS: M' The undersigned hereby applies for a permit according to the following information.. Location ... .�.. .� A v� r .....................................��3......... . ....... ................... ProposedUse ...... ........................ .... ......... ........ ......... ........ 4 . ................................... Zoning District Fire District ............. ... ................ .... .. .................................... .. E Name of Owner . 44!_?1;1.!`. ...:.. ff1!(�....................: .Address ...:�`�y3..: .��' :. "� Name of Builder/ ..d ' "• .Address .� �v.,�?..� ... '� � �. Name of Architect .........�!...(3 'IZ3KJ... ` .. ... Address ...... . "i.!" .......................................................... ' e� .. Number of Rooms ...............L .............................:.........Foundation ......l..O. ....... . Exterior .... .................................................. .... ...Roofing ' .1.. . Floors ... ... :`...��..lT':.......!...�.�'?` .............. ..Interior .. Y. . Heating ....... > '............................:......:.....:..:. :.......:Plumbing ....:.......... Fireplace ..... .... '1...........................r.........................:. .....Approximate. Cost'.'....rZ'+ ..�°A�.... ..: 72 Definitive Plan Approved by Planning Boardl�pt_k&�_19_`_ _ Areofi! Diagram of Lot and Building with Dimensions Fee'' .....:.....J: .. ... ; SUBJECT TO APPROVAL OF BOARD OF 'HEALTH ? 6 / -20 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS Y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable.regarding the above construction. . Name ... ....................................... z a 0/)- ..� ' upervisor's License ........Construction- S ... `gAiNO; CA2MILLF 3j0 4 4 4... Permit for .One... .Rx r........... Sin...................le Fil D , .. a ..... .�,�,AXl iy.............. � �r J r J - Location 5 .....4.��....Waadla.-nd--Ave 1li2 ..Fig.'.ann ........................................... ns' Owner ..... ajai,sle... .4 i.T1.R........................... Type of Construction ..........F.r.a P.................... 7� ........... ............................. ................. ......... Plot ............................ Lot ................................ yi Permit Granted ........Februar��...19 .......1�9 87 ff Date,of Inspection ........... :........19 r:=' F _ Date Compt ted ..................:. ..............19 r `..fir[ Y TT`-.. it ; � { . '� ,` ,�'� •� .. f � ��,...r. tv Jim 0� _ �/�� 3/5/° 9 a �P � �5 �- m� �P Fetql� ove Pantry,Sliding Door,Vinyl Floor 1 G Linen Closet,Pantry or ical jE=Capecod&PRGNAME= 2/5/2009 P0009 65161 10720-2000 a 01 a 3a QUITCLAIM DEED 1,1AMES S..CHIL.DS of 109 Woodland Avenue,Hyannis, Massachusetts 02601 In consideration of ONE HUNDRED AND FOURTY FIVE THOUSAND and 001100 ($145,000.00)DOLLARS paid B. Grant to ANDR DA SILVA and VIVIANE A. DA SILVA of 69 South Main Street Apt 4 3,Centerville,Massachusetts 02632 4� WITH QUITCLAIM COVENANTS U The land in the village of Hyannis,Town and County of Barnstable,Massachusetts together with Any buildings thereon bounded and described as follows: EASTERLY by Woodland Avenue,as shown on hereinafter mentioned plan,one hundred and g 00/100 (100.00) SOUTHERLY by Lot 2,as shown on said plan,one hundred thirty-five and 73/100(135.73) Feet; WESTERLY by a portion of land now or formerly of Richard W. and Nancy R.Griffith,as Shown on said plan,,one hundred six and 97/100(106.97)feet;and NORTHERLY by a portion of land now or formerly of Ruth H. Schuman,as shown on said plan, O One hundred thirty-eight and 62/100(138.62)FEET. v Containing 14,179 square feet,and being shown as LOT 3 on plan entitled"Plan of Land in Hyannis,Barnstable,Mass.for Mairanne L.Krueger;Date:Feb. 18, 1976 Scale: 1"=40' Charles N. Savory,Inc. Registered Civil Engineers&Land Surveyors 712 Main St. Hyannis,Mass.",which said plan is duly recorded with Barnstable County Registry Of Deeds in Plan Book 393, Page 72. Said premises are conveyed subject to an easement recorded with Barnstable Deeds In Book 689,Page 177,and subject to a taking recorded with said Deeds in Book 780, Page 219, insofar as the same are now in force and applicable. Also,subject to and with the benefit of all rights,restrictions,reservations,appurtenances,rights Of way and easements of record insofar as the same are now in force and effect. For title see deed recorded in Book 9687, Page 279. f � . 1�K. 1�31 � PGtrllr] ��1f� 1 EXECUTED AS A SEALED INSTRUMENT this 20 day of October, 2000. James S. Childs COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss Then personally appeared the above named dames S. Childs and acknowledged the foregoing instrument to be His free act and deed,before me, VY kc0IMMISSvion expires: BARNSTAKF. COUNTY REGISTRY OF DEEDS REG OF DEEDS COUNTY I?XCI5E TAX gARh1STpDLfw CWNCE� ic/20/00 t2:3?PM 01 DATE 10,20.100. FRI p00i10U #8142 FEE $495.90 T H X $330.60 TOTAL $330.60 *,495.?0 CHECK $330.60 CLERK 1 NO.014630 TIME 12:26 1111 BARNSTABLE REGISTRY OF DEEDS Bk 15024 Pw 150 "0102975 1 1-15-2002 cal 03 s 57,, QUITCLAIM DEED We,Andre B. Da Silva and Viviane A. Da Silva,both of 109 Woodland Avenue, Hyannis,MA 02601, In consideration of Two Hundred Seventy Five Thousand and 00/100 ($275,000.00) Dollars, Grant to Francisco P. Conceicao, P.O. Box 336, Dennisport,MA 02639, With quitclaim covenants The land in the village of Hyannis, Town and County of Barnstable,Massachusetts M together with any buildings thereon bounded and described as follows: SEASTERLY by Woodland Avenue, as shown on hereinafter mentioned plan, one hundred and 00/100 (100.00) feet; SOUTHERLY by Lot 2, as shown on said plan,one hundred thirty-five and 73/100(135.73) feet; WESTERLY by a portion of land now or formerly of Richard W. and Nancy R. b Griffith, as shown on said plan, one hundred six and 97/100 (106.97) feet'and NORTHERLY by a portion of land now or formerly of Ruth H. Schuman, as shown on said plan,one hundred thirty-eight and 62/100(138.62) feet. Containing 14,179 square feet, and being shown as LOT 3 on plan entitled"Plan of Land in Hyannis, Barnstable,Mass. for Mairanne L. Krueger; Date: Feb. 18, 1976 Scale 1"=40' Charles N. Savery, Inc. Registered Civil Engineers &Land Surveyors 712 Main St. Hyannis, Mass.",which said plan is duly recorded with Barnstable County Registry of Deeds in Plan Book 393, Page 72. Said premises are conveyed subject to an easement recorded with Barnstable Deeds in Book 689, Page 177, and subject to a taking recorded with said Deeds in Book 780,,Page 219,insofar as the same are now in force and applicable. Also, subject to and with the benefit of all rights,restrictions,reservations, appurtenances, rights of way and easements of record insofar as the same are now in force and effect. For title see deed recorded in Book 13310 Page 009. Bk 15924 P0151 �1�2976 EXECUTED as a sealed instrument this 1-'day of m6 , 2002. Afidre B. Da Silva Viviane A. Da Silva COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. /wV. t.�5 , 2002 Then personally appeared the above-named Andre B. Da Silva and acknowledged the foregoing instrument to be his free act an before me, Notary Publi a.LJ S, -P^- ?'r s a ' :a t' N M �:> ; 1 My commission expires: . �.3 a oo7 .i J••`+ COMMONWEALTH OF MASSACHUSETTS •� '�,' Barnstable, ss. /Ua V. 12002 Then personally appeared the above-named Viviane A. Da Silva and acknowledged the foregoing instrument tThe('act and deed,before me, '�. Notary Public ' raL T , '1�t'� _� . J� Id .4 My commission expires4z,� vZS�: '� oZU�� :7 I R 2 W I 'C' `�—ti- � Yj 'I' Ifs 0 ...J Jl i \1 5Fi Eh1 4A• '. 6Ld JIF J I ri Un LT. Ce. r_ '� 'C0 Ce co U Cr U. (w(� z .iv Ti O l,L U BARNSTABLE REGISTRY OF QEEN JJ11 � x •Teti i 1'} F rl `a 3 f d s r gg a t � 1 H _a> • `*�,,,, s.. rt°"'.`.`"E * ^.?, ,.�.`�"+�� �,•�, r.�, .�, ,. � s-.- ram:"_. � r 1 ,yr, r s v t , x , i s� (� TT ' 1 ' i •r ,y5 gy s z • I .e 77 � I y�� f ur T� R '1i�, .�Y 4N. Ma'•�, ��.R1N �- •. i'�`7. � _ t �; _ a$ ��� ��..�,. r �. * � .;'l.T ��.. '�+ ,ir.#6. i''3•n'°"t�-'�g. s�,� k`#1�4, ' � '� '.i .�{p�^R //,Assessors map and lot number.................,. ...............`... /�� _ ... � G �� /� ,� /U 67 � � �FTNEtO� ,.,Sewage Permit •number/ .... ;..:...................................... .:.... "7 l BA"STADLE, i use..numbed ...................... ..... a . Gp i639. \e� i 0 MPY�• TqWN OF BARNSTABLE, BUILDING INSPECTOR ' C6nstruct Single gamily Dwelling APPLICATION FOR PERMIT_ TO ................................. Wo-94. 'KAMP - TYPE OF CONSTRUCTION .................�. ..............:.........................:....,............................................................... Se 26 .......tember........................ ....:.......19.....8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appl.i:es for a permit according to the following information: ' Location ........0. ...#?,.A..... ..:.�.......�+.� ^-.�� ���?�?l�.y. .?I(fd.S.S................................... ................................... 1 ProposedUse .......................................................:s.:. Zoning District .:....... .r.Rm.............................. ............Fire District ...HYa11Y11S....................... ............................ Name of Owner .....C�"�:Ar �.Q. z?,....R ?:c, k.�t...rl!Y'La.�.t.....Addresa .........765 Falmout . Rq�. Hyaranis.%...Nlass Franco Real F to C I Name of Builder ............................... ..... e... eTT...�•.Q....LAddress ............. .SaI111 '............................;.............................. Inc . 1 Nameof Architect .................................................. .............Address ............................................................:....................... Number of Rooms ' ..............................Foundation ............P.......C...........................:,............................ Exierior .....Cla-pboard,.,and/Qr Sh ,TI.tgles.............Roofing Asphalt Shingles Floors Carpet .Interior SheetrQck ............................................................................... .. ........................................................... -Gas .F,W.A. . , Two - %d Heating ...................................... ......... ..............................Plumbing ........ ..............................P �................................. -Fireplace ..Nqn� ...................Approximate. Cost �C i 000•CC Definitive Plan Approved by Planning Board ________________________________19--------. Area '.1056...sq.. ft. .......... Diagram of Lot'and Building with Dimensions Fee ,L,�.~ '. SUBJECT TO APPROVAL OF BOARD OF HEALTH d J - � ,Y___ 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 t., construction. t .> .j � ,a Pees,,. ..... 000989 ` Construction Supervisor's License .................................... CAPRICORN REALTY TRUST A=269-63 No .2185.8... Permit for One Story .......S.13R��6...Farni•i .DWe•1-1•in ' • 4 � Location ........Lot...2A,a....89...P.ontiac••Street ........................Hyanni,9................... Owner .CapricorrX..Realty....Tr�ast..... . Type of Construction .......Fr3mw...........'.:.......... , 1 Plot ..... ...................... Lot ............L!........ ........ - m Permit Granted ........may...$.r.................19 85 � a Date of Inspection'....................................19 Date Completed ......................................19 r s Assessor's map and lot number. . . .... .D �'� FINE T 4 ... Quo o�y Sewage Permit number �, o 9 '° f c Z BAWSTABLE, i USe number ................. ....�U.S.................. .�..~. 1639. .. y NAM �p \00� No TOWN OF BARNSTABLE i BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... «�`ram! ./..!....... � �°.......=.�. d!Il ..:............ TYPEOF CONSTRUCTION ..................................................................................................................................... ............ ...............................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ��P fib a i��N A v� Location ... ..Z.129u� ProposedUse ...... ./ t`>'�� ........................ .................................................................................................... Zoning District ........................................................................Fire District ................... ........ a ... Cam, i if., Z.A ivy �3 6�� U t 6 R . - � Nameof Owner ........................................ ...........................Address ...........................................................—................`.. Name of Builder ......I M........ Address / ...5 1 �+V.' '�,,.... ...... D ` Name of Architect ........?!/ V ............Address .......1 Number of Rooms ............................................ ........ ....:....Foun:dation ... A .'�..I'. ' .................... .. Exterior ...................................• .. ...Roofing ...... ........................................ Floors .... `.. :.....��I. ..........................interior ........ �W,G1 .�� ........................ Heating !'. % � .. .P Plumbing ....:... `,�J..!4�.5....................................'-...... Fireplace .. .Y.P..S ........................................................ Approximate:_Cost .. �........................................................�``� ` - ' n.AI, H � w— i �'( Definitive Plan Approved by Planning Board!/`--- i�1-f--19 ............ .......... . Area iT Nr� Diagram of Lot and Building with Dimensions Fee ..........................°* ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH ,l / i �0xa V CC� � l 1� 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 ..... dl„ ........................ I Construction Supervisor's License ..©�''. .z..b.......... ZAINO, CAMILLE A=269-061--003 No Permit for .................................... Story ........................... Single l.e...family Dwelling Location J!!?t Akz-= 109 Woodland Avenue ......................................... .................Hvannis ...................................... ...................... Owner . Camille Zaino ................................................................. Type of Construction ..........Fre . ......... A I ....................... .......................................................... ..................... L4 Plot ............................. Lot ................................ j )�!��br Permit.Granted .... uary 1!79 �,1..-:- j'q 87 ....................... Date of Inspection ....................................19 Date Completed ...... ..................... ......19 en 40 Aj 0 Aby, i FarclS Detail Page 1 of 3 Y'k- I�AWMSTA - `�� � Logged In As: Parcel Detail e Thursday, Febru Parcel Lookup Parcel Info Lo Parcel ID 269-061-003 I Developer LOT 3 Location 109 WOODLAND AVENUE I Pri Frontage Sec Road --- ( Sec Frontage Village HYANNIS I Fire District HYANNIS Sewer Acct I Road Index 1872 kge Interactive {tomAn Map , s .1% Owner Info Owner ICONCEICAO, FRANCISCO P I Co-owner Streets 1109 WOODLAND AVE I Street2 City I HYANNIS I State MA zip 02601 I Country Land Info Acres 0.33 use Single Fam MDL-01 I zoning RB lvghbd 0106 Topography I Level I Road I Paved Utilities Public Water,Gas,Septic Location I _ Construction Info Building 1 of Year 1987 I Roof Gable/Hip I Ext Wood on Sheath Built Struct Wall Effect Roof AC - Area 1637 I Cover Asph/F GIs/Cmp I Type None d t Be d 9 DKy Style Cape Cod �I Plastered 13 Bedrooms Wall I Rooms ' Model Residential I Int I Bath 2 Full I } Floor Rooms ` r �MIT ' Grade Average Heat Hot Water Total 5 Rooms Type I Rooms I �x d -Heat a Wit' stories 1 1/2 Stories I Fuel Oil I F ation Poured Conc. http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19707 2/5/2009 -Parc6Detail Page 2 of 3 - Permit History Issue Date Purpose Permit# Amount Insp Date Comm 2/1/1987 B30444 $45,000 1/15/1988 12:00:00 AM HY 1 E Visit History Date Who Purpose 4/8/2003 12:00:00 AM John Greene Cycl Insp Completed-Update 3/7/2003 12:00:00 AM Paul Talbot Meas/Est 1/26/2001 12:00:00 AM Paul Talbot . Meas/Listed-Interior Access 9/15/1990 12:00:00 AM ML - Sales History Line Sale Date Owner Book/Page Sale P 1 11/15/2002 CONCEICAO, FRANCISCO P 15924/150 2 10/20/2000 DASILVA, ANDRE B &VIVIANE A 13310/009 3 5/15/1995 CHILDS, JAMES S 9687/279 4 12/15/1994 AYERS. DAVID C 9492/320 5 11/15/1991 DIME SAVINGS BK OF NEW YORK 7773/241 6 9/15/1987 ZIPP, AUSTIN & 5921/305 7 1/15/1987 ZAINO, CAMILLE M 6532/038 8 9/15/1973 KRUEGER, MARIANNE L 1980/291 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2009 $151,200 $21,800 $0 $155,600 2 2008 $157,100 $21,800 $0 $166,500 4 2007 $185,900 $21,800 $0 $166,500 5 2006 $161,000 $21,800 $0 $148,400 6 2005 $150,200 $21,800 $0 $134,500 ; 7 2004 $123,400 $21,800 $0 $114,300 8 2003 $79,200 $0 $0 $40,900 9 2002 $79,200 $0 $0 $40,900 10 2001 $79,200 $0 $0 $40,900 11 2000 $69,700 $0 $0 $26,800 12 1999 $69,700 . $0 $0 $26,800 13 1998 $69,700 $0 $0 $26,800 14 1997 $64,200 $0 $0 $26,800 15 1996 $64,200 $0 $0 $26,800 16 1995 $64,200 $0 $0 $26,800 17 1994 $64,600 $0 $0 $30,100 18 1993 $64,600 $0 $0 $30,100 19 1992 $73,400 $0 $0 $33,500 ; 20 1991 $85,300 $0 $0 $46,900 ; 21 1990 $85,300 $0 $0 $46,900 ; 22 1989 $85,300 $0 $0 $46,900 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19707 2/5/2009 Parcel Detail Page 3 of 3 23 1988 $0 $0 $0 $17,300 24 1987 $0 $0 $0 $17,300 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19707 2/5/2009