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Home My WebLink About0015 AURORA AVENUE Ar..... mrilEVE o � 1 I Town of Barnstable � E Regulatory Services Richard V. Scali,Director s�xivsTnai.E. Building Division 9� MASS. $ Tom Perry,Building Commissioner 1639. �0 10rEn ° 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: d HOME OCCUPATION REGISTRATION Date: 2 Name: Q2F-a'QboLo, Phone#:,E(R -SS Address: IS A-U Q O i?�41 A-UK 1 r�VlaQ r ll�1� ��1C��7- 6 Name of Business: �� SAT M 3_� Ca$4. Cd{ Type of Business: CX Y11 n 0 Map/Lot: I INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the-permanent resident of a single family residential dwelling unit,located within that dwelling unit. • `Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes: • The use does not involve the production of offensive noise,.vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary.Home Occupation,other than one van or one - pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation: • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have re �agree h the above restrictions for my home occupation I am registering: Applicant: Date: s Homeoc.doc Rev.103113 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years)..A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to.operate.) You must first obtain the necessarysignatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FL, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:S -iZ- `Z.d�_{____ Fill in lease: APPLICANT'S YOUR NAME/S: � BUSINESS YO R HOME ADDRESS: �t TELEPHONE # Home Telephone Number NAME OF CORPORATION ``1 V" "� NAME O.F NEW BUSINESS40 'PE OF BUSINESS THIS;A HOME OCCUPATION_ YES = ..O �q ADDRESS OF BUSINESS (t� t-J L AP/PARCEL NUMBER: Z.S [Assessing) When starting a new business there are several things you must do in order to be incompliance with the rules end regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMM '0 ER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individual ha a iFifo m of an per t req irem nts,that pertain to this type of buRWWS AND REGULATIONS. FAILURE TO Aut ize ig COMPLY MAY RESULT IN FINES, C M TS:.60/M V"I (I I rJ2 1j( P ni `�j j b' /\ SS i i 2. BOARD OF HEALTH This individual has peen i nf the permit requirements that pertain to, this type of business. "COMPIYYYRHAtI HAZARDOUS MA Authorized Signature COMMENTS: 3. CONSUMER AFFAIRS(L NSING AUT ORITY) This individual has een informed he lic sing requirements that pertain to this type of business. This indi vidual hasfgn Zorr se —uthorizedSi ature** COMMENTS: } r r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .p ` I > L . Map `} ' Parcel �� Per # --v-T n Health Division - ° `0 2 Date Issued _� ` Conservation Division a S Le Application Fee 70 t CD Tax Collector .'02 _001 Permit Fee Treasurer — —Opt, SEPTIC SYSTEM MUST DE INSTALLED IN COMPLIANCE Planning Dept. — 1fa11TH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOIRTH REGULATIONS Project Street AddressS 11v�R5ct� �ap,, Village C Owner cY- Address Telephone Permit Request ��y� � 0. ` 1c (�, N--sr'sus-e— c,Y� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _ �0 MQ Construction Type i�k7s5L.d-� S�e Lot Size Grandfathered: Cl Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) d P Age of Existing Structure Historic House: ❑Yes Flo On Old King's Hi -way, ❑Zes 3N0 Basement Type: a I ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) . cc; Number of Baths: Full: existing new Half:existing new`, . Number of Bedrooms: existing_ new Total Room Count(not including baths): existing `.P new First Floor Room Count Heat Type and Fuel: NQ Gas ❑Oil ❑Electric ❑Other "r Central Air: Cl Yes CA No Fireplaces: Existing I — New Existing wood/coal stove: ]Yes ❑No Detached garage:❑existing Cl new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:4 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# - Current Use Proposed Use BUILDER INFORMATIONty Name_Vc 4 � Telephone Number SOo Y)H/P,U � Address 1 S � -nC6, License# Home Improvement Contractor# P%G Cs V,/h2!� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY s a. y PERMIT NO. g:: ' DATElSSUED MAP/PARCEL NO. , ADDRESS. ^,� ' VILLAGE OWNER DATE OF INSPECTION! FOUNDATION FRAME j INSULATION .FIREPLACElk ELECTRICAL: ROUGH FINAL ! q 1 t PLUMBING: ROUGH; i FINAL' ! GAS: ROUGH' FINAL FINAL BUILDING DATE CLOSED:OUT �- • 1 j ASSOCIATION PLAN NO. CJ , f I oEtHE ra,;, Town of Barnstable Regulatory Services * BMMSrABLE. 9 MASS. $ Thomas F.Geiler,Director 1639. rFOM Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.•142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: � �CAOnS�r�(,1 Estimated Cost C.000 Address of Work: `�_ f kkAT%S�� a ��+(��fl Owner's Name: T6A�- GQl.A� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 E]BuiWng not owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY ' I hereby apply for a permit as the agent of the owner: Date, Contractor e Registration No. � oL Date er's Name Q:forms:homeaffidav � * I � `B�`-- The Commonwealth of Massachusetts :_ ` fl =_ Department of Industrial Accidents . exce efinl estigatiens . . ..-� 600 Washington Street Boston,Mass. 02111 . Workers' Co m ensation Insurance davit name: 6 Cx�,A location V�_ (Z]ocf'(a('e `� ci e hone# 14�_6 �(—'- I am a homeowner performing all work myself. . ❑ I am a sole r rietor and have no one workin in an ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. conitianv name ... .... . city ..... . . D :::::::.;:;.::.;:::.;:.::.:.: of�nstttance co..;.::.:.: ........ ...:... ....::::.;::.;'.;'::::. __.. ❑ I am a sole proprietor,general contractor, omeowner(circle e)and have hired the contractors listed below who have the following workers'compensation police . ................. ... tolupauy'tlame: .::.:...:. ....... ; :.r.�}TeSS:::::?:::::k::".,ii � '%< ::i::<:i>j !a:::...... z�'� :'J ii.:::i:i>?:''::3'+:::::`3:?:'f%` ii i�'i<�! !i i!iii ii iiii::::i:::::i:::: it::..,��:::X. :::< i:�'-:._.... '::i :::11ii: ?i:iii::j� c S`'S Aii a<<' A V: % V a'?:`: ::: :'s:+:: ::::::: 2:%%a::::::£::: ::::::::: ' : ::>::::: :::,::> 5:: £:>% :ti ff:':::4 ::` ::::;:::::::::::::•::::::::::::.::::::::.::::::::::::::.:::•:::::::::::::::::::,.::::.::::.::::::..::::::!::: Kraltee.:ca>;;:;.;:<::;;;;;;;;;;;;:<,:.;:.;:;«<;. , :.:.:::::::::::....:. .:.:.::...... :..,::::::::::..:::::......................... ...:.:: c an:.name:.:.::.::;:.;::;::;:.>::'::.:.><»;.;. 11. ;:.;::>::;:•::: ........ ......... ....... .... . .......... .. .......... . I. :«? <:<:::>`::> <:::::> 3<> »:<:>:> <::>::<::::<:>:::':ii j`o?:::<::::<:>:: <;`:: <> ': >:>'.?<<<:><:<>.»>><>::< ::»>::>:: >:<::<< > >;>:::>::«:<>::>:<: :>>::<::::`: <:>< :> 3><:>.....::»? ':< adess tl"•':': :: ?>: ::::: ::::2 ::::?:> ::::' > : 5 :?::?:::%: ::% :::? Iba # ...............................:. . . ....:...:..... :..... ....... .................... •.:+.:................. ........... i:(;'F'i.v:i s±�»:jj>::::`::}i:::j::::<S::y::>iii:•:?ii?.'::'::?:>v:is>::i:<4}':::i::'.4::: :.::Isis:::,:.Y::;':J":i'fiiiii...:::•::.:?i'.:i'iii:::>+:j:::: ;insnranre co: ::::>:.;::;:::.:,.:;::::: >':>:<::;::: h .... . ... :: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby e - the p ' an enalties of perjury that the information provided above is To/and correct Signature - Date r �Z - . -� Phone# °>>I` L�t�� ` �Priest name offidal use only do not write in this area to be completed by dty or town offidal dty or town: permit/license# � ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office OHealth Department , contact person: phone#; I ❑Other 4aw;ed 9195 PJA) Information and Instructions t Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is 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 representativesof a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because.of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to.construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until accepta,ble evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required,to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned in the Department by.mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. 0��/O��/O��%�/O��OO�O��0�000��0��0��0��0��/00�0%,. The Department's address,telephone and fax number: 2. The Commonwealth Of Massachusetts Department of Industrial Accidents offlee of Invesduatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 � T 1 Town of Barnstable yP o� Regulatory Services Thomas F.Geiler,Director * BMWSTABLE, ' 9� ;MASS. �m� Building Division '°lens s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �Z-�{�Z- I JOB LOCATION: `� I/'mC, �q e-, number street village "HOMEOWNER": \"�, cs, �$ ��`-�Z�Z S6- & S�() _431r) name ^^ home ph(onne# work phone# CURRENT MAILING ADDRESS: C� «1L►Q Imo'`p\ ®6 Z city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner certifies that he/she understands the Town of Barnstable Building Department minimum inspection p dures and requirements and that he/she will comply with said procedures and requir SigRature 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 states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as-supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt C I \ C jow IF, ;IiT I c6" A MORTGAGE INSPECTION PLAN UNREGISTERED LAND FILE N.0.: 121694 ADDRESS:' 15 AURORA AVENUE, .BARNSTABLE, MA DEED BOOK: PAGE: ATTORNEY: GARNICK & SCUDDER, P.C. 15876 PLAN BOOK: PAGE: Z LOT(S): \\ LENDER: NORTH AMERICAN MORTGAGE CO. PLAN NUMBER: OF OWNER: LYNDA M. DZENAWAGIS APPLICANT: THERESA BARBOZA REGISTERED LAND DATE: 03/20/2000 SCALE: 1"=20' REGISTRATION BOOK:976 PAGE: 9 CERTIFICATE OF TITLE: 119169 PLAN NUMBER: 30367—A LOT(S): 9 FLOOD HAZARD INFORMATION FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL: .0005C DATED: 08/19/1985 MAP: BLOCK: PARCEL: N/F GROSSI LOT 6 IRON PIPE 110.00' ` SHED SHED �1 LOT 9 1� DECK LOT 10 0 o LOT 8 o `- o0 1 i/2 STORY -�-I DWELLING/ NO.15� cwa rg 110.00, AURORA AVENUE MORTGAGE LENDER USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT DEs LAuRIE-R-S OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. e CcOCTATS' NC. 40 KENWOOD CIRCLE, SUITE 8, FRANKLIN, MA 02038 THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED TEL.:(800)287-.8800 FAX.:(508)528-4011 .DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. OF THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN oMARIOASS9�yG,n A SPECIAL FLOOD. HAZARD ZONE. o DOMINIC MANDANICI N THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER No. 18841 WAS IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN o CONSTRUCTEDEFFECT WHEN SETBACK REQUIREMENTS O S O /S NL), ,OR RISEXEMPTFROM VIOLATION o STRUCTURAL 'i��S�NALL00 ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing In Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for construction. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished by an accurate instrument survey. r s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D�� Parcel k0b Permit# Health Division 00W-19t 2E 8' /6 Zee-�k Date Issued Conservation Division ! �B /�� ` _ Fee �✓rs- A'.,O Tax Collector 19 Treasurer, , -- SEPTIC SYSTEM MUST BE Planning De t. _ +'~ INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address - vS 1��TJm Nut-.- Village Owner acm Address ,�PLw,& _ Telephone 4'kul Permit Request LA) iZ k ®®(�'..�. Isa L ' Se Square feet: 1 st floor' existin l q g proposed -2nd floor: existing proposed Total new_Q__X Valuation f'1 o7' Zoning District Flood Plain Groundwater Overlay Construction Type k_t-j ®Ici Lot Size _ f 0.�� Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. �-1b� klbCa'� C : Dwelling Type: Single Family,� :Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On.Old King's Highway: ❑Yes ❑No � r Basement Type: C9'Pull ❑Crawl. ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full:*existing a� new Half:existing new Number of Bedrooms: existing new Total Room Count(not-including baths): existing new First Floor Room Count �� Q�• � � � k �(�e.,� SQL—'��I Heat Type and Fuel: Zas' ❑Oil. ❑ Electric ❑Other Central Air: ❑Yes ®'No Fireplaces:-Existing New Existing wood/coal stove: O'les ❑ No Detached garage:Q`existing ❑new size Pool:❑existing .❑new size Bam:❑existing ❑new size Attached garage:❑existing_,❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals AuZo horization ❑ Appeal# Recorded❑ Commercial Cl Yes If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name-lll �� ( 0. v� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# --�- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY _Ph MIT NO. DATE ISSUED. ' MAP/PARCEL NO: ADDRESS .7 + . "-VILLAGE OWNER DATE OF INSPECTION; FOUNDATION FRAME INSULATION ell9 i - r FIREPLACE T .. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED'OLJT _ " ASSOCIATION PLAN NO. a MORTGAGE INSPECTION PLAN UNREGISTERED LAND FILE NO.: 121694 ADDRESS: 15 AURORA AVENUE, BARNSTABLE, MA DEED BOOK: PAGE: ATTORNEY: GARNICK & SCUDDER, P.C. 15876 PLAN BOOK: PAGE: tSI LOT(S): \t LENDER: NORTH AMERICAN MORTGAGE CO. PLAN NUMBER: OF OWRER: LYNDA M. DZENAWAGIS r APPLICANT: THERESA BARBOZA' REGISTERED LAND DATE: 03/20/2000 SCALE: 1"=20' REGISTRATION BOOK:976 PAGE: 9 CERTIFICATE OF TITLE: 119169 FLOOD HAZARD INFORMATION PLAN NUMBER: 30367-A LOT(S): 9 FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL: .0005C DATED: 08/19/1985 MAP: BLOCK: PARCEL: s: N/F GROSS) LOT 6 IRON PIPE 110.00' SHED SHED �1 LOT 9 1� Yt 1 DECK ° ��a, LOT 10 0 CD F1LOT 8 00 ® +_'� o 1 1 '2 STORY DWELLING/ 15/ • t 110.00' AURORA AVENUE w ' MORTGAGE LENDER USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT DEs LAuFJERS OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. ASSOCIATES, INC. 40 KENWOOD CIRCLE, SUITE 8, FRANKLIN, MA 02038 THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED TEL.:(800)287-8800- FAX.:.(,508)528=_4011_ _ "DEED OR ENCROACHMENTS-WITH''RESPECT TO BUILDINGS"SITUATED`_ ON THIS LOT EXCEPT AS SHOWN. OF MASS9C' THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN o�'� MARIO yGs A SPECIAL.FLOOD. HAZARD ZONE. o D OM I N I C MANDANICI N THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER No. 18841 WAS IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN o EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL r Fss�FGISTER�� SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION `, ANAL LAND 5 ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my;knowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for construction. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished by an accurate instrument survey. A . 1 r . ESTII�IA TEO PROJECT COST tNORKS f-lEET Value LIVING SPACE (high end consauction) square feet X$I I51sq. foot= (above average construction) J 6 square feetX$961sq.foot= (average construction).' square feet XS571sq.foot= GARAGE (UNFINISIM) square feet X S251sq.foot= PORCH squaw feet X S201sq.foot DECK square feet X SI51sq.Soot OTHER square Seet X S??lsq.Soot= .... r t aC RF.4 4ytt 4 4y xt' Es Tot Noied Cost71 al timated _ ..� ro.,�+-q:�,r,m,ryu-?. a.,„°.....r.. gad. "..-.c. ., • • • •... •i� • • Y...'•w atY • . +% r•° s a ,r 7. ., -.M — _• — s�,n i I till L.I JOL— HA .. �� ._ - za. PC �'�'gib; 2�,o Reasure.Tce�,•oc�h 'i�eet'� � -� be11c ti�oyc�,a A8`W mac+ ••:E oo � oars J 4S OD Z-} 1Qca.� o A-o -�: f9 C ae �h 's nns �tn w�t1� .y t �� a A CTI - F1oox- lo.•. j �-f�,v,,r `(i p1.1.oaa ts4Avr CD►� I }�c... Z.sQ1 a�-0.Rti:1ec� �* �1a;a s- —— ----- c.o.c.ek . -- C�a.y �"4eG Vr c ZV 5 10 2 E - I t•4 ...e�.e7...a �ecti<..y. 4` LJ The Commonwealth of Massachusetts Department of Industrial Accidents -� , Offfce 911IMstiff,19919s ��9fL 600 Washington Street �� yr Boston,Mass. 02111 Workers' Compensation surance Affidavit In name: location: city I am a homeowner performing all work myself. ❑ I am a sole pro netor and have no one working in any capacity /�///%/%/%%////%%%%//::::x x % „-,- ❑ I am an employer providing workers' compensation for my employees working on this comnnnv name: address: hone#. city: oltcv# insurance co. ///////// / / ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follonzng workers' compensation polices: comoanv name: address: city: ohcv comoanv name. <. , address: hone#. city- IN olicv# insurance co. j j %%///////; ::;�•, Failure"to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Hoe up to understand that or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against ma I understand that a copy of this statement may be forwarded to the Oi11ce of Investigations of the'DIA for coverage verification I do hereby certi 1 under t pains and penalties of perjury that the information provided above is true and correct Date Sigmnir ' Phone# Print name oiticial use only do not write in this area to be completed by city or town official permit/license # ❑Building Department city or town: ❑Licensing Board ❑Selectmen's Office 3S X ❑ check if immediate response is required (]Health Department k L: phone#; ❑Other contact person: >' :.4 �y` Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employee is defined as every person in the service of another under any com employees. As quoted from the "law", an a 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 receive: e of an individual,partnership, association or other legal entity, employing employees. However the owner of a trustee house of therein, or the occupant of the dwelling dwelling house having not more than three apartme nts and who resideserem, another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rene� of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracttng authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Departrnent of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city have an estions regarding the"law"or if yc being requested, not the Department of Industrial Accidents. Should you y qu are required to obtain a workers' compensation Policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided the pficaut" Pleaseace at the bottom affidavit for you to fill out in the event the Office of Investigations has to contact you regards be sure to fill in the permidUcense number which will be used as a reference number. The affidavits may be returned-to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Initesduations 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 .t The 1 own of B.arnstabie Department of Health Safety and Environmental Services •En,u Building Division 367 Main Street,Hyannis MA 02601 Office: 508-962-4038 _. Rahn Crossen Fax: 508-7 90-6230 BuiIdinz Catz`.:_ Permit no. Date AFFIDAVIT HOME ZIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERP=APPLICATION MGL c. I42A requires that the Asa action,alLuzdans,renovation,zapair,modetai on,conversion, improvemenr,removal,deato1hian;or ofaa additroa to any pre-existing owner-occupied building containing at Least one but not mare than font dwellmg units onto srntemres which are adjacent to such residence or building be done by regisum d curmzctor:s,with certain eons,along with other requirements. ►3,O0 Type of Work Nam/ — ��1 Fstimated Cost e Address of Work Owner's Name: c b :-'- ILI Date ofApplicationi 5 I hereby certify that: Registration is not required for the following resson(s): WZ�Z uded by taw QJ SI,000 OBnot owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERNIIT.ORDEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME',MMMOVE1ENZ'WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR-GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER MALTIES OF PERJURY I hereby apply for a permit as the agent ofthe owner.- Date Conzzaaor Name Registration No. OR �40 Dare Owner's Name able T �bReetdmsl�t Raitdiap l d wth Fong Faeb p�aigtfre Pss��for Daa x=d TwaFamdr I s , I SVb can Wa -now Hsm�e�t rs� $.�►. Wan I wake ta6300BadacDe�*ID++la' .. . . to s Nit I Q iZ"'S I aaa � s Noraat I g iZ:S I am I 19 as� I to s iT.S I ass � to t3 3?. NIA. NIA Narasat I T Isis I a36 t9 19 i0 i N;Q o Ins a�a 3= WA is AFUE I V iS.S I OW A 13- 3s NIA is AF�JE I W 15%. 1 asz 30 19 !9 to 6. WA NIA Nowt � X IE7• i a3Z 3 wA N==i y IVA I OA 1S 19 a NIA 6 90AFETZ I t! � Z it! 13 10 S I o.� 1 33 19 to 6 N AFEM I AA I A ass 1 3o 1. ADDRESS OF PROPERTY: I SQUARE FOOTAGE OF ALL S �ORWALLS: 3. Q UARE FOOTAGE OF ALL GLA23NG 4. %GLAZING AREA(03 DIMED HY • . PACXAGE(Q ve�—AA-ses ch=aba _ NOTE. OTHER MORE INVOLVED MMODS pFDl" RbumGEEMGy REQUIIEYENTS ARE AVAILABLE ASK US FOIL THIS DEUPMA M. q BUILDING INSPECTOR APPROVAL: 1'E NO: -i�S0303s 780 CMR App=" J ' to Table J' ' Ib: sj g�azs doors, skylizhts, and Footnotes a�embIh= (mcindmg -� ; Glazing art~ is she ratio of the ffirs of fire glazing but ooc�mg a doors)to the gross wa.l bascm�t windows if iocamsi in walls that eadc=s cd�' be eaeiuded frflm the U-value reslu. :n �, rmz-, ed as a pct�e.Up zD I%of the toss-gig a�ffiY with 300 fit glazing Mr—.For==Pie,3 fl?of decorative glass raaY�e t be tau�$ �b � is acccra= with z Aft"'January 1, 1999,glazing U-vahs=s oc tskm f om Table n.5.3a. U-values are for the National Fen, tm Rating Cosii ' . Whole snits:semser-of-glass t-values cconct be used. -tie insulation achieves the iuiI -Me ailing R-values do trot ass= $rBiSCd or °�'�' &M� MY be.substituted for R--8 m.•ulasioa thickness over the C=iw walls with= C=F=io �g Re �s r =the sum of cavity won and R-33 insulation may be f rR-49 - g insulation plus insulating sheathi (if used).For wa gs. mtut laced betwr ng T ed sad thevmtofthetoo� . .Do not in ditioa used) the smn � sheadtmg(-f' wail F . . the sttta of fire Y could be met ErM Wall R valucs rcprcent �t R-19 r = Far •-*or sidin structural slteshmg.and c °r Nall re:;nirr•menrs 2PPIY to ezx... mssia�aa P�Br6 8 mg• mW 'oa OR R•13 cavrtY ctian. by R 19 =VrrY insuiatt bntdonot�ytomesa- ft=coastru wood-ire ormzss(eanc.•r%masoarY,Iog)wan . c=w1spaces,basemc-^• else floor zrv^,:irneats apply to floats overmt . �>ss over onside akmtst meet the m�ag Q e o below '-must or=r-m).Floors basemeatwa--W&an Its than 50/ 1M•- •Tre=d= opaque Portia=ofanymdividu2l w ind 0 8w doors of conditioned m the same R V'dluc Beni ffi &WH ' �t meet the door U-value um="t c=: b�sczv�'u must be included with the atha:S & BaRameat Bed in Note b. _ R•2 fothated stabs. Tnc n-value r,7siremeats tits forte g �,�ar 3. If you p to install nor If the building oleic t�istaac �coaft ozeeck zquripmeat withthe 'owe _�: than.one piece of h=tmg esluigtacm or more than �sew '. must meet or the effici�Y W99117 Is • s D•�r_Day rcquiraaeats offfie riosatcrtY ertasysssse _ _ For He..ttn, _._ NOTES: Ia=W=R ate minimum ac�as ble '.eves. a) G1a�ng arms End U-values are maximstm -...-..ts are.or insulation c aly values muss R-value s•c�uir"'•" s � tits=0.35.Door U- be t�:-.- aquc doors i=the building eavelop nwst bava a II�+a-tie no .... ._ c r ration from the door U•vaiuc b) Op wtth the NFRC test pt+e I iaciudc and dcc m cntcd by the is accorzbm�.. r�door is not avatlab e, _�.� 1 5�b.If a door caaraias glass sadCPR=doorU to desamine =Mpfi nee of the door. s arc.: of the door with your wiaao U �(L ..�Y have a Uwabo��035)' One door maY be c-riudcd fm=this ra}uirem �two or more �S with 'iin wall,floor,basement watt,siabwed8�artaawl space aII �p u m c) Ira cc: _,.r.•_ Val= - cauai to difr r=nt ins a on levels,the zompoaeat g or door� ��p-y if the tired weighted average,the R-vaiuc rceu' err for that camper the U•vatue (035 for doors). value of ail windows or doors is less thaw or es-ua- - The Town of Barnstable OF1INE Tph�O Department of Health Safety and Environmental Services Building Division &MWSTABLF, ' 367 Main Street,Hyannis MA 02601 - tKAss. 1639. `l FD MA Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION GPlease Print DATE: JOB LOCATION: number street �/J�9 village (� "HOMEOWNER": D J��U� -,AMQ name home p one# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided _ that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner: Such"homeowner"shall submit to the Building Official on a form acceptable to the —Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re uirements. Signatu�of &r Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN � � � �. .. _ � [I ti. L J-/��• ."` �ter, �`_ �",�_ —� -.� /� Gov' ice-Via,',, ��r� �h �5� �s �_ � _ 3 � .. �r. �J'; � .� �`'�'` - 1 ,�. � z e �.- �. ,. �--- ,. �. �, �� , :` �� -.. p ® � -�,�"Y „�:, r 4 \ j r .r ti I 1. ; s r , Assessor's offioe (1st floor)-`", ,. � / / p' • Assessor's map'`and lot number, ..... / ( Zja.... > a _ �THE Board of.Health '(3rd floor): �< ENS l)'r` LLED IN CGMN'�q E� Sewage Permit number .................................... `.` Z B9Hd4Tl1DLE, + Masa Engineering Department (3rd floor) ) s v 039• House number .5 5MVEROBI?��°EE6°�°�AL a`e. ............. ..... ......... APPLICATIONS PROCESSED 8 30 9:30.A.M. and 1:00-2:00 P.M. only FE �t� TOWN—OF BARNSTABLE• ; BUILDING . - I• SECTOR APPLICATION FOR 'PERMIT TO t pj��y�JfG.11 - TYPE OF CONSTRUCTION ........... `.( .v�Ch..:................................:........:....................................:...................:.... .. ...= ..... ...19. TO THE INSPECTOR 'OF BUILDINGS: , The undersigned hereby applies for. a permit according to the following informaxion:' ' a. Location ..... ./5 .:. f ........:..... EGf' 1....4 Y...v/ �S Proposed Use ........ .... P d �� . ......•,..... ........................................................................... ............................................ ... .� a Zoning District ........................................:...........................::...Fire District ................. ...................... ..................... c Name of Owner ... � .6�5....Address ` C .:.2.d�...c.a. m. . . ... :... ... .Name of Builder �`1 y !! ...................Address /S !b!/- ........ Nameof Architect .................../................�..............................Address .........•.......................................................................,... Number of Rooms ..:.....:.........1:..... • .. .. ...Foundation C �2�eiv�. ........ :. .......... ExIerior�C��:eg.....s�Le.%n . �aS ...Roofing ...... h./...... J r2 1.................................... ..................................... s e '� Floors ............./...............................:............._.........,....:.........Interior •-.:........�:f'.... ...::.........�.'�.......................................... • H.eating ....... s.'S...............................................................Plumbing ..�a! �. /Tc Fireplace ..........1...........................I..........................................Approximate Cost ...... ..� (/.!! !!:........................... . Definitive Plan Approved by Planning Board -------------------------____t.__19_______.. Area ............... ......... Diagram of Lot and Building with Dimensions Fee / V .�� . SUBJECT TO APPROVAL OF BOARD OF HEALTH �OV.0 w cri ♦ J J � r R � f 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 ✓................................... ........G .... Construction Supervisor's-;License ✓... ..r .... } DZENAWAGIS, ALAN No 2.9648 ADDITION - Permit for �,. •S: le�Famiiy Dwelling...................... ing ,� � f f E' ! P .� . ._ . �� ,� c'< ,ti �.•� • 1 ..5i" Aurora Avenue Location ....................................................... Centerville `. Owner Alan Dzenawagis >, i,, ! . .' ............. ... .......... fh ✓' f e Type of Construction ...Frame.. `........... .rt yam. h�' � • .. ✓'} ' {,,.::7, ' 1. `;y €`-,,,.._r........� M� l'• 1 ,.�..,p+ .r Ile Plot ....................... Lot '............................. z• r� JuIY...1l.�t `" ..�1'9 86 ► ,r r - ( .�� t 1 '• Permit Granted ! ( n• • X, Date of Inspection -��.......19 '� "' '' �,•.r , Date Completed ... ..... ..... : ......19 �, -_ .• �;,, <' � ' •,. i f � -tea� „�-;> � � - •� � • 1 0 i �_ � ' - ..!. fI` j�Lll".�� i �iT�/J t F� •DiJ.,i ,. d • .. • i � _ Assessor's offioe (1st floor): / / Qp THE Assessor's map and lot number ...... �oF ?off♦ Board of Health (3rd floor): WQ o ��........:...... ...... ... Sewage Permit number ... L BAHd9TODLE, . ... Engineering Department (3rd floor): `/S s oo 1"6& House number r`. 3 `e' s �Fa YPY a• 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 ........... � � .��l�./� ... ......... ...................... ..................................................................... TYPE OF CONSTRUCTION ..........�.T. e(P.................................................................. ............. ---......-..---. 9--fib TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followin_gt information: Location Z� ( .r��:j( ............... F.'..............ce'm:l,l�/�C/(�/l !��/ JS .................................... ........................................................................... Proposed Use il� �� 'C1rZC..:�................................................................................................................. ........ ................................ .. ZoningDistrict ....../ ✓..................................................................Fire District ........./...................................................................... Name of Owner klzqz ze`v,4wv1 l5 Address �5^ &(i(!�! G`(/�o't� G Name of Builder ..... .........: ...................Address ......... Nameof Architect .................................�.................................Address .................................................................................... Number of Rooms ( i "—'? FoOMS...Foundation .........1....�`Lr e.V7' f �... w... ... . ................................................ Exteric�/ .(r!7A:f.2.....:�.1.x!.'.°/�ps �� Roofing ..... .. .............. ....>..,.................................................... Floors // Interior .....5�?.�`E' ........�C ,( .......... ./................................................ ............................................... J Heating ....... •? :................................................................Plumbing .. ! ......./.�c� ..........:..................................... Fireplace ') p .........�......................................................................Approximate Cost ...... ..�.!/.�!.�!.r.....................................: Definitive Plan Approved by Planning Board -------------- � � g -----------------�9-------- . Area � . . ...... Diagram of Lot and Building with Dimensions Fee // ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �rv9�� N N n 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. «z Name ..........................................•.....t.............. ..... �.'� Construction Supervisor's License ....... DZENAWAGIS, ALAN A=251-118 * No .2.9.6.48..... Permit for ....Addition.............. .......Single..FamilyDwelling Location ......15..Aurora Avenue ...................................... Centerville ............................................................................... Owner ....Alan Dzenawa8is Type of Construction ......Frame .............................. ............................................................................... C Plot ......I..................... Lot ................................ Permit Granted .....July..11.,..................19 86 Date of Inspection ....................................19 Date Completed ......................................19 6�Qyo�THE'Tp�y� TOWN OF BAR.NSTABLE Z 12B ABLE, i "6 9 BUILDING INSPECTOR 'RFD of a• ......�'t ...:. APPLICATION FOR PERMIT TO .......1�1..v.!.� -- �v� ��'• TYPE OF CONSTRUCTION ..........rRA.0. ....... t.f .......... .y .........../.,7... s..................................... ......�.c.r.....51......................19.,7,.0 TO THE INSPECTOR OF BUILDINGS:-- The undersigned hereby applies for a permit according to the following information: Id 91 Location �0.r............. .�.u.r,.P.RA..../Ue............�e.v/erC!1.. .G......,,................................................................................. . . ProposedUse .t?vc..,., .N ................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. se 7-k% Name of Owner Tr•c ...•..... Ie77....................Address .t.1.9.......ppw.R.....oir.W... .........Aq.A............. ,....... .e ? e Name of Builder ..$ .r �L{2 rc T�.(........................... Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....` ..........................................................Foundation ....G4.r' (�.�T.C....... .:! .I1............................ Exlerior .....5 e.............................................................Roofing ......... % .............................................. Floors .........'�4.k....................................................................Interior .,.....1�ny..6.sr?!#. .5-.....................:............................. Heating9 %� LcJ ................................Plumbing .....t?nre .3, /f5........................................ �......... ................................................... Fireplace ...../.......,1 e.4f R.......................................................Approximate Cost ...� ,�. .L�P.�, ...................................... Difinitive Plan Approved by Planning Board ------------------------- Diagram of Lot and Building with Dimensions e- ViV LO 110 A Z > -4 rn $! G j o � x o m, 0 -s —i Lrj n rrrrn -< 00 fir; rri c 0 C7 0 Ill 7n -) P u rn x C? 2 co G? "i1 y FI uRo"rZ� /4 u e__ G) rrt r \Q I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega the above construction. It Name ..° ... r.. .p ..r................ L\ `L="i=°~l*' Seth & ~----� ! '�1�� r� 1 1�l'� ' .~~~_ w - `-' ' No .. — Permit for — ..I- Aga. . � \ ---OJ��.�� ___ \ � Ivenue Location ..��+�................------ -.__________Ce�to ______.. ' � f ` Owner —.Ge.th..&..T-inw.tjW. ........... � � Type of Construction .......................................... | ----.—^--------------------.. ` ' p �� .Plot ---------. Lot ----. .............. ] . . Permit Granted _.Oc�±o�mr.��____.]A 70 ' Date of Inspection .....//-- /' --.—.]A �� ' . ^�� Dote Completed .^/�,�� y r=x----lg �� 7—'' (} ' ` PERMIT REFUSED , -----_---.----------- 19 - `~-------------------'------ �—_----.-----------------~— ` ) ' ----^---^-------^--^^^'------ } � � � --------.--------.---..--.~.. ' � Approved .......................................... lQ � . � � ' ---------------^'^''^--^-----` � , ----------------------'—^'`^^ / ^