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HomeMy WebLinkAbout0009 BROKEN DIKE WAY /- � � �: . � � _ .� 6 .. � � .. d a F � o o o.: { /' �, ,_ a a '� ! �� � �� � � �! } � ' a� � �� � 3 IKE TOWN OF BARNSTABLE Building 201305450 • BARNSTABLE, Issue Date: 08/27/13 Permit y MASS. �p 1639• Applicant: LANZETTA DENNIS rF�MAC A � Permit Number: B 20132039 Proposed Use: SINGLE FAMILY HOME Expiration Date: 02/24/14 Location 9 BROKEN DIKE WAY Zoning District RC Permit Type: DECK/PORCH RESIDENTIAL Map Parcel 227078 Permit Fee$ %00 Contractor LANZETTA,DENNIS Village CENTERVILLE App Fee$ 50.00 License Num 057268 Est Construction Cost$ 19,600 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMOVE EXISTING DECK&BUILD A 14'X20'SUN DECK AND A 6'X ' THIS CARD MUST BE KEPT POSTED UNTIL FINAL SUN DECK IN SAME LOCATION INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CULLIVAN,AMBER BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 9 BROKEN DIKE WAY INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS;NO>RIGHT'TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TE&dORARILY NYLY. ENCROA HMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED,UNDER THE°BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY DES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE:,• OBTAINEDTROM THE DEPARTWNT`OF,PUBL'IC WORKS.Tkh�ISSUANCE OF�THIS PERMIT DOES NOT RELEASE THE,APPLICAN M THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION W low- 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL WIRiCTION. LUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR F IvI1�IN 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECT 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUP CY. WHERE APPLICABLE,SEPARATE RMITS ARE REQUI D FOR E CTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNfL THE INSPE THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NLDAS D D IF C STRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISS D ABOVEPERSONS CONTRACTING WITHTE D CO TRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(asset forth in MGL c.142A). -111m:Nrmll w 0000W BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map L., Parcel C) Application #o)613 0 S Y SO Health Divisions 0'1 Date Issued '1 Conservation Division D n�►, c,u,4" A Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 1 Nzoy r� b)V-� N�ly Village CCrr'.Te;� ,Liu. Owner 4 m WL:) Vprr.� Address 6A09e'4 N%Z vQA`I C 2Z Telephone 77q- H?7- 2100 5-DI5" - 71 - g6$I Permit Request V �Xl`ST 1�� tety_ &t 0) q Z rA ®�cx. ,grad 6 gig' 50,4,WXX, N S&ME LocA oi-J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 19,600, Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwe�ing Type: Single Family 31 Two Family ❑ Multi-Family (# units) Age of Existing Structure l w� Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Cz,, Basement Finished Area (sq.ft.) Basement Unfinished Area (sq ft) a_ Number of Baths: Full: existing new Half: existing new ra Number of Bedrooms: existing _new ' Total Room Count (not including baths): existing new First Floor Room Coun Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)— SJ �a2 , i,�ra Z,9� - 5$'- 1-S " 5 S S� Name 1-L �'lele hone Number p Address !; maJi�GM L4,� License # CS 05_�a63 &U,)�TM MA' 0431 Home Improvement Contractor# Worker's Compensation # 6 Z20 6-��►`� - '9-1 Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AQc�^c�TN 1�0MP SIGNATURE DATE g� Z,., } FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED ' MAP/PARCEL NO. A tt ADDRESS VILLAGE OWNER i 1. DATE OF INSPECTION: FOUNDATION� P FRAME 4 INSULATION w FIREPLACE '1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r, GAS: ROUGH FINAL z FINAL BUILDING t a DATE CLOSED OUT ASSOCIATION PLAN NO. r F 3 The Commonwealth of Massachusetts Department of Industrial Accidents vOffice of Investigations 400 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Name(Business/Organization/Individual): JU av as S (CUJAU, 60'�/,� LAr-179M Address: �5 � City/State/Zip: WWSIV, MA. OU31 Phone#: &" -00ZI Ab&'72- 31ST Are you an employer?Check the appropriate bog: Type of project(required): 1.0 I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required,] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.04 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then 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 andjob site information. Insurance Company Name:_ Z-VRI CAt Policy#or Self-ins.Lic.#:_ 6 Z ZO&9 7 f 07 7 _/Z Expiration Date: J Z J I�� 13 Job Site Address: / �� (./JH City/State/Zip: cagD4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceqftunder the pains and penalties of perjury that the information provided above is true and correct signafore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): l 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: M J 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-contractor(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 Deparhnent of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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 Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.govfdia n - - uv VVVV I . I OOR 1 CERTIFICATE OF LIABILITY INSURANCE 8/12 2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poficy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements. PRODUCER CONTA T HOt1aa NAME- Russo Insurance Agency, Inc. PHONE (508)533-3000 (506)533-s393 92A Main Street EohAae : P. O. Box 637 INSURER(S)AFFORWHO COVERAGE NA(C 9 Medway MA 02053 INSURERA:SafGtY Insurance 39454 INSURED mukrRe:Amexican Zurich Insurance Superior Sidewall Ino and, DBA: Superior INSURERC: 33 Pleasant St INSUReRD: INSURER E Milford MA 01757 - COVERAGES' CERTIFICATE NUMBER:CLI381202975 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILSR TYPE OF INSURANCE POLICY NUMBER POLICY BF POLICY EXP LIMITS GENERALLIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES IP&accurrencel3 100,000 A CLAIMS-MADE �g OCCUR BMX0000998 8/1/2013 8/1/2019 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN,LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED IT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) 3 AUTOS AUTOS $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS , $ UMBRELLA LIAB OCCUR EACH OCCURRENCE I $ EXCESS LIAB CLAIMS-MADE AGGREGATE 8 DED I I RETENVON S $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 100,000 OFFICER/MEM(MandeloryIn EREXCLUDEO? N/A 62ZUH9699LIS9 12/12/201212/12/2013 E.L.DISEASE,EA EMPLOYE $ 100,000 If(MenAelory In NH) , DES IPTION under E.L.OISEA3E-POLICY LIMIT 3 500 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Allach ACORD 101.Additional Remarks Schedule,It more space Is required) CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ACORD 26(2010105) 01988.2010 ACORD CORPORATION, All rights reserved. INS026(aoiw)-o1 The ACORD name and logo are registered marks of ACORD l i Town of Barnstable Regulatory Services SS. Thomas F.Geiler,Director 1639. �m A. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize bEl"it-11s �,N+�12 �s�1 Foe- 510F' i L- to act on mY behalf, in.all matters relative to work authorized by this building permit 6R.oK€d 14'' dA C���EfZtll�Ge (Address of job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signa e Applicant 4rl�6711- Ptint-Kmne, Print Name Date QTORMS:OWNERPERMISSIONPOOLS 6/2012 > Town of Barnstable °^ Regulatory Services s : Thomas F.Geller,Director 39- Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �. JOB LOCAT[ON: number street village "HOMEOWNER": name home phone# work phone# CURRENT MA]LING 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 hue 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 requirements. Signature of Homeowner Approval of Building Offiicial 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. C:\Users\decolldcWppDataU.ocal\Microsoft\Windows\Temporary Internet Files\Contentoudook\QRE6ZUBN\EXPRESS.doe Revised 053012 0FEr Town of Barnstable F Department of Health,Safety, and Environmental Services # AdRNISTAAi.F. + • �$ MASS- Conservation Division s639. 200 Main Street,Hyannis.MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR A CTIVITY REGISTRATION Property Owner Telephone number . Mailing address ZZI C)-�t �Ircject location Map/Parcel# � vE 37 �.Iq, �r c.ic / � ���� f i�?7` � 6 9' � reS Project description CJ t( -t j N E7X1 T)I r' ( 0b The foEowing minor activities will be reviewed,under Art.27,by Conservation staff instead of the, Conservation Commission, as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement, 6"above grade * Conversion of lawns to decks,.sbeds, or patios that are accessory to single family homes, as long as: -house existed prior to August 7,1996 alteration within the buffer zone is less then 250 sq.'feet -sedimentation and erosion controls are used during construction * Stonewalls (this does not include stonewalls for retaining wall.purposes, grading and/or fill) Signs e Y Date dg rZ 3 Reviewed by Date _GIS Plan Attached(fee charged for plan) QfWPFiles TonnWnorAct ■uMu■ Town Boundary 7�7_8139002 t%3 5o Parcels FY2012 A S 1 y z t234 Address Street Numbers Buildings Approximate Locations of f .! ! / \`\ \ tl ' New Buildings from Plot Plans Decks/Patios 1 3 Above Ground Swimming Pools ©a In Ground Swimming Pools \ Walkways Improved � -----' Walkways Unimproved ,t k� ��s Paths ® t \ Stairways ` i � 1 X i _ Paved Roads. �i�y. :` ��•.,\ \ ,`., '�� «! s' , i x 1 - erg 3� / \ u�� •; ;irS$ s+.v c � 3 Unpaved Roads \\ c Paved Driveways 227-081 . \ \\ � Unpaved Driveways ._.__.#-3H.......__. _ i G aid \, \�`.` .\ "I I ff Painted Lines 0 Paved Parking Unpaved Parkin I °Q lh - N i \�•V rrY��'�.. ��,�� ���`�� Av vv �y� �\, z "'- z . Ott Bridges Railroad ti y — Fences zit i 227- 10 Guardrails J \\ i QO ...� --0— Retaining W - q - - s �� '. SporlsAieas C Golf Areas Q q " /i'"••�. �`�\` - \ \ \� \\\y..� \\\ \V \ Docks/Piers �3 3 ;i � _ s \ Boardwalks F ;� s �r /.-�'• __ ,�;'�`\\ �\��•��.�°�..,,� 4� Jetties 2F r- ... Streams P.._... 3j \ .... Drainage Ditches %lC Marsh Areas i' 227 077. A Water Bodies, l' f J t #327 3 3 ,;,,?• r. _ \. \227-076 X/ Spot Elevations(NAVD88) 3S3 \ Topo 10 ft Contours(NAVD88) �` \\ ` \ �CFatchb `ins $( @tfi�@� / r 1' * Monuments Lamp Posts 4 TowersITL Manholes O O ity Poles Satellite Dish Util i Signs e®Fuel TanksOM Water Tanks X r \ Flagpoles 0 Utility Boxes t it I c 1! O Posts d t � Pilings 3 �_ � 3� ''��• i• J L Data Source Human-made features,. Disclaimer- __ This ma is for planning purposes only.It is I inch O eet N TQtKll of Barnstable P p g P P Y• -4 .f hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination Feet- Conservation Division interpreted from 2008 aerial photographs and representations of Assessors tax parcels.They or regulatory interpretation.This map does no may have been updated from more current - .. O 10 20 40 60 S. W _http://www.towv.barnstable.ma.us � Y P - are not[rue property boundaries and do not represent an on-the-ground survey. sources.Parcel lines were digitized from represent accurate relations to relationships physical Enlargements beyond a scale of 1"-too'ma zoo Main Sheet,Hyannis,MA o2601 - ���„T.......nr R 1.1 p p p Y g � Y � ��/LC (�119/1-lLO7LCOBli��fl O`niZ�C13JCCC'I[!JC'-l�J � Office of Consumer Affairs&Business Regulation License or registration valid for mdividul use only i - -- Y , OME(�i IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 12egistration 133425. Type: Office of Consumer Affairs and Business Regulation ;y Expiration.-.6/20/2015 Individual 10 Park Plaza-Suite 5170 I a wAl Boston,MA 02116 DENNIS LANZETTA r4 #¢4 u DENNIS LANZETTA'a 5 MOLDSTAD LANE BREWSTER,MA 02631 Undersecretary ) ValidwithwAgnature Massachusetts -Department of Public Safety Board of Building Regulations g ns and Standards Construction Super,isor 4 - License: CS-057268 DENNIS J LANZE3TA 5 Moldstad Lane ' Brewster MA 0201 `.�..G- /�� , ,� �,� Expiration n Commissioner 02/12/2015 c � �F LOT 7 r l n�O Y y Z 2i c \ l d L.OT S j� IN N \ 36 m Z. � s 4 � - — — — — : . o�IGI►JAi G¢AnE 0 Rt4AL GQADE DRIVE �o I "AS BUILT" PLOT PLAN TO ' THE BEST OF MY INFORMATION, BigeJASTARLt MASS. KNOWLEDGE, AND BELIEF THE ACT- (., �� 13K z3� �G j31 FOL)NDATIGN - SHOWN THIS , PLAN HAS BEEN LOCI, H Ass E R. J. OHEAR/V /NC. icy SWAN RIVER PLAYA GROUND AS INDICATED _" RICHA 35 ROUTE 134, UNIT 2 N SOUTH DENNIS, MASS. 02660 O'HEA DATE a Iz- I`�- Sro SCALE, I" =30' 12i L3 �6 �SJQ JOB NO. 2425. CLIENT 3aFINSON WE GREGISTERED EYOR DR, BY= -��� SHEET I OF _I __ T _. Town of Barnstable *Permit# ;� o G2 �g Expires 6 monthsfiroMisf ue date - PER0,41ulatory Services Fee Thomas F.Geiler,Director MAY 1 4 2008 Building Division (01cc �ll�lo� CBO, Building Commissioner �o\NN OF BAD �00 Main street,Hyannis;MA 02601 www.townbarnstable.ma.us Dffice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTL*kL-0N'LY Not Valid without Red X-Press Imprint /parcel Number ( a� L7-rJ perry Addres Residential Value of Work 2 QL)T42 0 _ Minimum fee of$25.00 for work under$6000.00 aer's Name&Address i.11, IJA ol r O C, C-a r"� airr1.L.c.. iA44 A itractor's Name >,d L' C" i4 'J., 1� i Q S Telephone Number me Improvement Contractor License#(if applicable)_ -- mVisor s r T.a roar#tf:i - r 1 1VVIJJV 7T`u Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance urance Company Name /"�'/!�'/(,d J`1-�E' S i fJ y 1 A ,i9 L e 0✓44 )rkman's7Comp.Policy# IA I py of Insurance Compliance Certificate must be on file. :fit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ,,,AA P ❑Re-roof(not stripping. Going over existing layers of roof) gRe-side ❑ Replacement Windows/doors/sliders. U-Value (ma)imum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note:_ Property Owner ' sign Property Owner Letter of Permission. A copy of the ome Improvement Contractors License is required. GNA , m ms:expmtrg vise061306 i ✓lie 1°anvmoou�sea.� o��/f/�aaaactivaelta . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:;152g8.1 Board of Building Regulations and Standards Expiation WW1/2008 One Ashburton Place Rm 1301 T pe ,- Boston,Ma.02108 DETAIL CONSTRUCTIpN ALEX DIAS r i •iz 55 WOLLEY RD � � _ .. HYANNIS, MA 02601 Deputy Administrator Not vah without signature oFtHE► , Town of Barnstable o Regulatory Services BARNSTABIZ Thomas F.Geiler,Director lFn3ya Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 16.�' S �1.4 .�s to act on my behalf, in all,matters relative w work authorized by this building permit application for: 3 ® h 4C bu t' (Address of Job) ev / r Si a re of Owner ate Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable �pQ THE Tp�� Regulatory Services " Thomas F.Geiler,Director t sAtuvszeari„ � '. 9 MASM Building Division TED �s Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# 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 requirements. Signature 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 persons)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 Aith 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. GRANITE STATE INSURANCE COMPANY 78075-0000 WC 826-68-77 ----------------- -------------------------- 13102 013-66-0308-00 16' CONSTRUCTION DETAIL SIDING NC I t WOLLEY RD Member Companies of ;+ HYANN I S, MA 02601-0000 01M American International Group 'EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK, N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 LD# MA UI#: SANDPIPER INS AGCY INC WORKERS COMPENSATION AND EMPLOYERS 12 ENTERPRISE RD LIABILITY POLICY INFORMATION PAGE HYANN I S, MA 02601-2253 INSURED IS PREVIOUS POLICY NUMBER CORPORATION I NEW �-- OTHER WORKPLACES NOT SHOWN ABOVE: SEE NAME AND ADDRESS SCHEDULE - wc9go6lo ITEM 2 POLICY PERIOD 17-01 A.M.standard time at the insured's mailing address FROM 03/15/08 To 03/15/09 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA , B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ SOO.000 policy limit Bodily Injury by Disease $ ;00.000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT - WC200306A ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Remuneration Premium M Annual❑3 Classifications Code Number mluneraFt on Year Annual 3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $105 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $ 1 8 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED PREMIUM $2,280 If indicated below, interim adjustments of premium shall be made: ElSemi-Annually{ Quarterly Monthly DEPOSIT PREMIUM ENDORSEMENTS(FORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 04/01/08 ASS°IGNED RISK 66 The Commonwealth of-Massachusetts Department of bidusti id Accidents O,fflce of Investigations: d 660 Washington Street = Boston,AM 02111' www mass.gov/dia Workers' Coinpensat on.haurance Affidavit: Builders/Contractors/Electricians/Plumbers )WIcant Information Please Print Legibly iII]e(Business/OrgaaizationRndividual)• ,% C,/ ,�/ j _.;,1 ,�4 ty/State/Zip: d 0 Phone ou an employer?Check.thc appropriate box:. Type of project(required): I am a employer with 4, ❑ I am a general contractor actor and I 6 [-]New construction employees (frill'andlor part time).* have hired the sub-contractors ] I am a sole proprietor or partaer- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition worldug for me in am'capacity. workers' comp.insurance, 9 ❑ Binding addition [No workers' comp.insurance 5. ❑ We are a corporation and its reqUfi'ed.] officers have exercised Their 10.❑ Blectrical repairs or.additions. I am a homeowner doing all work right of exemption per MGL 11-M PhuAing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no. I2.❑ Roof repairs insuuance required.],t employees. [No workers' 13.❑ Other camp.insurance required.] �appiicant that checks box#1 must also IM out 1he section below showing heir workers'compensation policy information `• neowners who submit this affidavit indicating they are doing ell-work and then hire outside contractors must subarit a new affidavit indicating such tractors.that check this box must attached an additional sheet showing the nwmi of ire sub_contractors and their workers'comp.policy inforirration tan employer thatisproviding workers'compensation insurance for my employees'Below is thepolicy and job site rmation ranCe-CompanyName: a 9,0 a,P i I,,? S t W re + a 1, C v it a[,�r �_ �_ P ,cy n,or,Selarins.Lic.:#: Expiration r -- - Dater . �O ;'Site Address: City/State/Zip: tch a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ire to.secure coverage as required under Section 25A of MGL c. 152 sari lead to the imposition of criminal penalties of a up to$1,500•.00 and/or one-year iffipnisomnenl; as well as civil penalties in ire form of a STOPVORK ORDER and a line p to$250.00 a day against the violator. Be advised that a copy of Ibis stat=cnf maybe forwarded to The Office of stigations of the DIA for insurance coverage verification. hereby certi er the pains a enahles of perjury that the information provided above is true and correct tie#:. 1�chd use only. Do not write in this area,to be completed by city.or town offi'curt Ity or Town: PermiVLicense#. ssuing Authority(circle one): .Board of Health 2._Building Department 3.City/Town Clerk 4.Electrical Inspector"5.Plumbing Inspector .Other :ontact Person: Phone#: . _, o�tNero• TOWN OF BARNSTABLE permit No. ..�W4....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ....... CERTIFICATE OF USE AND OCCUPANCY Issued to Walter D. Johnson Address Lot #6, 9 Broken Dike Wav ! Centerville, Massachiiset.t;s 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. .� � '. ....... Building Inspector 0 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING t � rua g�0159. HYANNIS, MASS. 02601 ly MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permits has been issued for the building authorized by BuildingPermit #...... .............................................................»...............................» ...._....... ...........».....»»»» issued to .c�r�!!!.'�!!' :».»:»! ..... !� �!1 '1........................................................ »...»...» .....»».........»..»»..».»»»» Please release the performance bond. F.+'ruh73F nt s. n t�Njwropyaa PINKDEPT FILE_ COPY/WHITE FIELD COPY? '- YELLOW APPLICANT COPY >o ; 6� 3 BU� ��NV g ¢' r To WN OF, BARNSTABLE,,MASSACHUSETTS" n� A Z27 78 i , PE�I�I,I ,• 'V'AL10A710N • 45 DATE' December 3.1 fig; 85 ., pERMIT.NO • APPLICANT OG7flP S ,ied s �. „ADDR SS L�3ted BelOW ' OiOO2'1 _ # . (STREET) \;� 4CONTR S'LICENSE.1 u�'PER�tIT TO Build.-Dwelling I ( ', ) 5TORY �i g gIe Faiilj�y`r DW@ > g DWEBLRNG'UN(TS k • :•(,TYPE 0. IMPROVEMENT) NO .,j. {pROPOS,ED USE1'�:. t, .IAT (LOCATION) Lot. 6 9 Broken Dike Ufa C iterv3l`1e zoNING RC (tS TREET). L5 `DISTRICT BETWEEN + AND F (CROSS-STREET) (:CROSS STREET) ..LOT $UBDNIS.ION f LOT BLOCK SIZE I } i BUILDING AS',TO BE a Fj WIDE;BY FT.'LONG BY ( FT IN HEIGHT AND SHALL,CONFORM IN CONSTRUCTIC l4.d , TO TYPE USE GROUP / FOUNDATION BASEMENT WALLS OR, 11 (TYPEoe u REMARKS e E AREA' Bind VOLUME 3000 sqt. ESTIMATED COST `.� 175b0O.00 FEEMIT �lO :OO jt (CUBIC/SQUARE FEET) PLANER Walter ADDRESS 36>Ed?e Hill .'Zpad J�yanni- § Oot BUILDING DEPT fty .,y 5 � .8 ... i... 1 , .. t .. y, i77 Rr THIS PER CONVEYS NO'-RIGHTuTO: UCCUPY ANY STREET, SAL4`�lt'3TDEWXCR�R-•7CAYY'7CFti 11 PERMANENTLY. 'ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE i PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIC 1 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 1 \-ININIUM OF THREE CALL JAPPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I 1. 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 I I MEMBERS(READY TO LATH). IFINAL INSPECTION HAS BEEN MADE. '' •;•:'• 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET 7 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 //� 2 l� 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVAL EE NG h OTHER 2 f �l BOARD OF HEALTH T v�1 l6-� . 3 I►ul �s � �� WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRICTION INSPECTIONS INDICATED ON THIS C j INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHtW SIX MONTHS OF DATE.THE CAN BE ARRANGED FOR BY TELEP"t OR WRITTEN OTIFICATION. STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. a f /AAssess*s map-and lot number .....,<J.. ......... l.K. . '. i , F THE r0� �. 4 SevSage Permit number ' �7 SEPTIC SYSTEM MUSTS � `:.. INSTA LLED IN COMPL BAEB9T11DLE, • 3 House number •••••• C s rnea . .................................. WITH TITLE 5 °° i639• �e ENVIRONMWDE ^ o war � S ANil9TOWNS OF BARNONS . APPROVED Barnstable Conservation Commi"sson • Y, BUILDING I�N S P ba' Signed Dettb .....C:OiJSR1/ .1. .......:..........................................: k 6 APPLICATION FOR PERMIT TO •••••••••••••••••••••••••••••••'••'•'••"' TYPE OF :CONSTRUCTION tv�aQ ���/h6....:...................::............................................................ ................................................19 a TO THE INSPECTOR OF BUILDINGS: f. ' The undersigned hereby applies for a permit according to the following information: Location �l .........K.Rs.`°...... �.I\r ..... .!.... ........... ....................- -��r.......................................................... ............... . { i Y��L'. f •1�- I >'� ,/�•�.�................................................................................ Proposed Use ... .. .... ••••• •• ..............................Fire District .. 1 ?`ioILL�,.. ... ...........�Z.� f.. } Zoning District .......................................... t.. ,.n Name ,�f Owner .�i�Q�•.� .. ..... 5� PP .............Address �... Fr-... :��-�- ... ...... Nev� �0�� f ..........Address ... NGm`e of Builder rn !.............................. t.................................................. Qn �� A��•5... �� x..Address01 CiPL .� - `� �:.�. .' :.......... Name of Architect �d�ALI..• """"" ""' ""' �.. A �S -D C�nrG�fF la' Number of Rooms Foundation ...... UP, ............................... ....................... ........................ Exterior .... 5�,,7,1461,65..............Roofing .........ASP9.442. ..................................................... Floors 3/ ..... �.::..P�-y00,Q Interior ........... ................ . ............................... R!a....�. ... ..... ._ 9 ........... . ................................. - -- --`fit.rs• ..._..._ _ / Fireplace ....0/1%...................................................................Approximate Cost SN 4 Definitive Plan Approved by Planning Board _____�� � �_I ___________19 7Z. Area . . Diagram of Lot and Building with Dimensions Fee .... .....................O........... SUBJECT TO APPROVAL OF BOARD OF HEALTH � s • �o 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 .../1.�!... r`. y ... Construction Supervisor's License .................................... J'n"NS0N, WALTER D. _ 4 11-! e CPR,. ?8804 Two Story , Na. ................. Permit for .................................... , ' Single Family Dwelling ` t 1:......... ....................................................... _ [` L-9t"6:: 9 Broken Dike Way = Loccsticn _ ' Centerville 1 rt .............. ......Walte.. Owner . D. ..Johnson....................:. -� . ��, �. _ _ c ram' r $ Type of Construction .....Fray................: _ / t. ......... , i ............................................... ............................ ' Plot ............................ Lot ................................ r 'December •' -� — � �� "" - f� s •� . . Permit Granted ............................k!........19 Date otUnspection ....................................19 ?= F Date Completed, •. ` . + Z cc i ?j C1` t L i 1 D - � j 4 o , S 4i • f, �O.b HAS BUILT" PLOT PLAN TO THE BEST OF MY INFORMATION, ,P✓✓srg�c e� MASS. �NOWLEDGE, AND BELIEF THE OA,DPl rlO ✓ SHOWN ON THIS LAN HAS BEEN LO=GATED ON THE � J. OHE�fRN /NC. �-�jN ,� SWAN RIVER PLAYA ROUND AS INDi6Af�D. 35 ROUTE 134, UNIT2 SOUTH DENNIS, MASS. 02660 DATE: /z Z6 SCALE: ZG SS °u ,,�vv� �a �r JOB NO. z. } CLIENT: �tr� - rC .��.. DA E REGISTERED,��L'AND 'SURVEYOR DR. BY: SHEET OF / ROCKWOOD JOHNSON & MORIN COUNSELLORS AT LAW 840 MAIN STREET POST OFFICE BOX 377 OSTERVILLE,MASSACHUSETTS 02655 CRAIC T. ROCKWOOD TELEPHONE(617)428-6964 PETER B. MORIN JEFFERY JOHNSON October 17, 1985 Joseph Daluz, Building Inspector Town of Barnstable Town Hall 367 Main Street Barnstable MA 02601 Dear Mr. Daluz: On behalf of my client, Walter D. Johnson, I have examined the records on file with the Barnstable Registry of Deeds with regard to the contiguous ownership of certain lots located on Broken Dike Way (off Elliot Road) in the village of Centerville. Mr. Johnson presently has a binding purchase and sale agreement with the owner of Lot 6, Plan Book 238, Page 131, your lot 78 (Page 227), .Leone F. Lawless of P.O. Box 2066, Centerville MA, by virtue of a deed dated April 25, 1973 and recorded May 11, 1973. The owners of the two contiguous lots are shown by the registry records to be as follows: Lot 5 Ruth L. Ferguson, 10222 Robinson Rd. , Overland Park, Kansas Book 3403, Page 179, deed dated December 2, 1981 and re- corded December 2, 1981 Lot 7 Raymond Ratkowski, P.O. Box 2048, Centerville MA Book 3435, Page 11, deed dated and recorded December 10, 1982 I offer this information as evidence in order that you may determine that the lot to be purchased by Mr. Johnson is grandfathered from the January 31, 1985 zoning change. Please contact me if there is any question or problem. Ve truly yours, Ptr . Morn ~~^- TOWN OF BARNSTABLE BUILDING I N S P E TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appl,ies for a pe I rmit according to the following information: Nome of Builder ---' �.* r!Al!�..�.......................................Address -------.—.—.---------...-----. Nome of A �hec Un�u».�����V—b )k �� .� 'A6Jn�» . ..���_ _..�1�..'___. � 'ornbo, of Rooms — �~—.f^—'2-' -------..Foun6otion -- —. —.�/�/---' Ex/orior —.Y ���5-----Roofing ---��)1�9�i��/�---------^------- ` . . Floors .—�L�m/����---.�----------.�|n�hcv -- ---------------,. x� Heating ----�����J� ---------.��..--'�um6ing ---------------------------. ' ,��- Fireplace —�/�»1��--_-------------------�App,oximooeCos --..r.�.1��+00/7.................................. � Definitive Plan Approved by Planning Board '--'�----���------lg'�-��--' Area ' '/x.����z,�-------- Diognzm of Lot and Building with Dimensions Fee _______________ SUBJECT TO APPROVAL OF BOARD Of HEALTH � \t~' «. �� . AY« ~] � \ /~ \ . � \ ~ u ' \ OCCUPANCY PERMITS R |REW'FDR NEW DWELLINGS | | hereby agree to conform to,all-the Rules and Regy|ohonsof the Town nf 8omnmo6|e regarding the above construction. \ . /~�/ /\ ^` Nome —..�. . *< ^/ \/ Construction Supervisor's License ..�--/—.—..—~--.�-- N JOHNSON, WALTER A=227-78 Al No .... Permit for .....Two...S.t.o.ry............ . .... . . ...... S±!,,gie Family Dwelling . ............................................................................... Lot 6, 9 Broken Dike Way Location ................................................................ Centerville ............................................................................... Walter D. Johnson Owner ...................................................... Frame Type of Construction ............................. ............ ................... ............................................................ Plot ............................ Lot ................................ Permit Granted ...........De.c.ember 31.,...19 85 Date of Inspection ....................................19 Date Completed ......................................19 IL Cb _ a �� 2- 41 LEU��5e L.C>CX- �g Z � 5 � ":1 - � ' ►� 2�� poi ,j a�Sl, SUN boogue; �� Q Mib.DLl aF ®�GZL � i PT� 561-5TS 161 O.G . ?Ct,p 2t-►O � �Z Conk c � P�y �s y'p�P i^1 ►2" r- �' �— LEI S em CEt� boo-&Lc, CTWI;PLz Z.* Pse4m PT 5TA+2 s�iN�S 2� iZ PC" G O.C. y*Li f 1 3O L-fl� ��4� `1-� cor�N S►"^PSo•J . 571APS I C,,F 0 co" GR N F�s�u { � PrJ �" PL . SYL o2 37 , P6 . 131 7?y 323- ®4y q 1-:;4y!! � �� --noy IA Ism IIIII "I ANT Ito, It,K Awful wjj�w" II . ..... ....... ItIIIII �J�xvq, too",IWy IIIoil! &404m A" toot i I70""V 0 C41 a IIII'Af Or I 'on IINp IZ4 M"W— MW% "Oil SUSAW., IIa.� ITon pqap IIIZan Wn D ,3 too,.,; ­j -PINY IIDE I!tt� 0 IL.E.,A,(7,H N G ti L) Q A -HIN Q IIA low* v most '54 Wo� 'Jim A mom; M I N bET %j I Itop., IIIX lWN vl... .........L Bill!IL7, ............