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TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 3 3 R 1 ,n h Q-y5 L n Ce rjex.,j NUMBER STREET VILLAGE Owner's Name: bp nA i a 0 C`,oc�,- Phone Number a lS S (I 3 Email Address: J4 e-PA i Q-41 0 cl o P,- on. w doox Cell Phone Number Project cost$ —7.&0'0 5 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ® Siding ED Windows (no header change)# F-1 Insulation/Weatherization 0 Doors (no header change) # Commercial Doors require an inspector's review M Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name C-0(` Ca P Home Improvement Contractors Registration(ifapplicable)# Q ? 3 01 fl (attach copy) Construction Supervisor's License# k 0 CV (attach copy) Email of Contractomor o o �o number SO 7? �� !(� ALL PROPERTIES THAT AVE S TR UCTUftS 0V 75 YEA AS OLD OR IF THE SUBJECT PROPERTY IS IN *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9.30 am or 3.30 pm-430pm.Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: { Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PPLICANT'S SIGNATURE Signature Date 1 ® g ( ® H (S r ' All permit applications are subject to a bu official's approval prior to issuance. b Massachusetts Department of Public.Safety fet Y x Board of Building Regulations and Standards -License: CSSL-106102 Construction Supervisor Specialty ARMEN SAFARYAN 67 SEA STREET APT A4 HYANNIS MA 02601 Kfc: E Expiration: . -Commissioner 10/02/2020 elk Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home ImprovemeiatContractor Registration Type: Individual - .-/ Registration: 183202 ARMEN SAFARYAN ' W iI i D/B/A COREY AND COREY a ` Expiration: 09/13/2021 67 SEA ST APT A4 { ' HYANNIS,MA 02601 -a bj y' update Address and Return Card. SCA1 .$ 2OM-05117 V7e (QQ9MM691weall1l,O�r/l Cll[IQB I`6 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE.IndMdual before the expiration date. If found return to: Reglstrafi;6 iration Office of Consumer Affairs and Business Regulation 183202 —09/13/2021 1000 Washington Street -Suite 710 ` t.P ARMEN SAFARYAN-' - —/, Boston,MA 02118 D/B/A COREY AND COREY �� ¥ ARMEN SAFARYAN'. ' ' � - M � z 67 SEA ST APT A4 ''`' HYANNIS,MA Undersecretary 02601 T Not valid t ignMure ROOF INVESTMENT ------------- $79500.00 The Roofers " ADDITIONAL RECOMMENDED WORK: Supply and Install NEW 3/8 CDX PLYWOOD ON THE ENTIRE ROOF,OVER THE EXISTING ROOF BOARDS----------------$2,500.00 POSSIBLE EXTRA CARPENTRY:Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra:Materials Plus Labor at the Rate of$60.00 per Hour(For Each Laborer Involved). PANAI.ErN"T SCIIF.DI`1...E;: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE:All the Roof Work is Scheduled for Completion Within 90 Days of Acceptance and the Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of Signing. Please Make Checks Payable to: COLEY & GREY COREY& COREY Warranties the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100%for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED NVatranties the Shingles up to a CATEGORY HI HURRICANE-130 MPH WIND WARRANTY. CERTAINTEED Warranties the Shingles to be Algae Resistant for a Full 10 Years. COLEY & COREY -- ----_ -------carries�Vorkman's-Eompensaticn-am:-Public-L-iability-Insurance-orrthe abovcwork— _.____ __.___ __ ____�_ _ DATE OF ACCEPTANCE: 09 d9 19 ACCEPTED BY: SUBMITTED BY: CHOA ARMEN SAFARYAN HOMEOWNER COREY& COREY HIC# 183202 CSSL# 106102 I ,ico O® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 16-� 9/13/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ashley Paiva Eastern Insurance Group LLC PHONE . (800)333-7234 �No: 233 West Central St ApDRILs .apaiva@easterninsurance.com INSURER 3 AFFORDING COVERAGE NAIC 0 Natick MA 01760 INSURER AArbella Protection Ins. Co. 41360 INSURED INSURER BAssociated Emplovers Insurance Armen Safaryan, DBA: Corey and Corey msURERC: 67 Sea Street INSURER D: Unit A4 INSURERE: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER:2019-20 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. INSR TYPE OF INSURANCE ADD S B POLICY EFF POLICY EXP LTR POLICY NUMBER M/DDIYYYY) (MMIDDhnrM LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ❑R OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 9520046441 9/18/2019 9/18/2020 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 % POLICY❑JEC El LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peraccident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LWB OCCUR EACH OCCURRENCE $ EXCESS LUAB CLAIMSMADE AGGREGATE $ RED RETENTION $ WORKERS COMPENSATION I PER OTH- - AND EMPLOYERS'LIABILITY Y/N S AT UTE ER ANY PROPRIETOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICERIMEMBEREXCLUDED? �N/A (Mandatory In NH) WCC50050150912019A 9/18/2019 9/18/2020 E.L.DISEASE-EA EMPLO $ 1 000 000 If yes,dasaibe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required)-T . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John Koegel/APAIVA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 on1an11 I The Commonwealth of Massachusetts ' Department of IndustiialAccidents =} I Congress Street,Suite 100 �T Boston,MA 02114-2017 ' www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERAUTTING AUTHORITY. A licant Information Please Print Le 'bl Name (Business/Organization/Individual): ff✓';va e-17134 - Address: C � I'le _J City/State/Zip: _ _2 � '', Phone#: -;G 2 77� �J L( Fr-11 ployer?Chec''the appropriate box: Type of project(required): ployer with--!--employees(full and/or part-time).' 7. []New construction e proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 8• Remodeling 3.❑1 am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition 4. I am a homeowner and will be hiring contractors to conduct all work on m roe I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 11.❑Electrical repairs or additions 5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.- 13.(]Roof repairs 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: J 9- ©0 4/ 'Zr ' Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce and penalties of perjury that the information provided above is true and correct. Phone#: r; Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/'fown Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ZO .-OSS-60Z- Application # o2 76 Health Division Date Issued 7'la o k Conservation Division Application Fee 0 ,, Planning Dept. Permit Fee lU Date Definitive Plan Approved by Planning Board - 0(ti 7/2olf i Historic - OKH _ Preservation / Hyannis V Project Street Address 133 PIIAMQNEYS LANE Village e_E i-m \r_ LL& Owner _1��&MMA4 oe-k*31k S_1kXktRY OARMA4 Address l3 Poia s LAiv -- Telephone Zl 13 - 3�Z1 Permit Request FOP. eta Gt-� E - -V:1ZC-K,Lso 1Z 1 o m A M ti Zit }Z I Jt, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed --e—Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 'v Historic House: ❑Yes Jdl No On Old King's Highway: ❑Yes J No Basement Type: ❑ Full ❑ Crawl ❑Walkout 00ther 4ALr- FWL/Ul,F�- 2 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Zq1� 6 = Number of Baths: Full: existing 2- new Half: existing new_ Number of Bedrooms: I existing I new p� Total Room Count (not including baths): existing > new 7 First Floor Room Count 3 Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other TTT� Central Air: ❑Yes No Fireplaces: Existing 2. New Existing wood/coal stove: )dYes 1❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑existing Onew 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 _5TJC1IL fi"TI-Y Proposed Use W v � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � Name � �N ©�-Nt)A Telephone Number Address i 3- P WDQNC-uS - License # N/, _ iADT �I,t /�'1�k G�63Z Home Improvement Contractor# N Y Worker's Compensation # �J A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO PY-NQA9L . S 5-1TT.e►N SIGNATURE DATE 0:7 1L �� FOR OFFICIAL USE ONLY - d 'i APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER 1 I DATE OF INSPECTION: - 3 FOUNDATION C��1h�wv> 8 �taJW .. FRAME 4 INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING FDATE CLOSED OUT 4 ASSOCIATION PLAN NO. s ' ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a ' d 600 Washington Street Boston,MA 02111' �M t�•�'� www.mass.gov/dia Workers" Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ..Please Print Lejibly Name(Business/Organization/Individual): . Address: 1­4.-� I}iUN��' rS Ztt � City/State/Zip: G►&jTF_F 1ZC-F_ Ml} Are you an employer? Check the appropriate box: :Type of project(required):• . general con and I 1.El I am a employer with 4 � I am aeneral con ' 6. ❑New construction . •employees(full and/or part-time),* have hired the sub-contractors ;. 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling, ship and have no employees These sub-contractors have 8. []Demolition workingfor me in an capacity. employees and have workers' Y P tY. 9. ❑Building addition [No workers' comp.insurance. comp, insurance.$ required.] 5. We are a corporation and its 10.El[] Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions '3� I am a homeowner doing all work . ., ❑ , g P myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §.1(4), and we have no employees, [No workers' 13.❑ Other comp. insurance required:] *Any applicant that checks box#1 must also fill o.ut 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. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic. #:' Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and.expiration date). Failure•to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the viola r. Be.advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insura covera e verification. I do hereby certify under the poi penaltie Iperjury that the information provided above is tru an' correci: Si ature: 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): -.1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to thus 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 dividual,partnership, association or other legal entity,employing employees. However the owner of a dwelling houseXhaving not more than three apartments and who resides therein, or the occupant of the dwelling house of another wo 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 toaperate a business or to construct buildings in the commonwealth for any A applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ehapter..152, §25C(7a)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-compliaaEe with the insurance requirements of this chapter have been preslnted'to the contracting authority." Applicants I' Please fill out the workers compensation affidavit completely,by checking e boxes that apply to your situation and, if. necessary,supply sub-contractor(s)name(s),address( . and phone number(s�°) along with their certificate(s)of insurance. Limited Liability Companies (LLC) or Limit Liability Partners 'ps(LLP)with no employees other than the e e ation incur nce, If an LLC or LLP does have ' ed to c workers' co ns members or partners, are not required arty employees, a policy is required. Be advised that this affidavi y be subtted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sur to sign add date the affidavit. The affidavit should be returned to the city or town that the application for the permit 'cense is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the la or4f 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 F 7 i Please be sure that the affidavit is complete and printed legibly. ThefDepartment as 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 the must submit multiple permit/license applications in any given year,need only subAt one affidavit indicating current policy information-(if necessary)and under"Job Site Address"the applicant should write y'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. Anew 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 persq-i is NOT required to complete this affidavit. The Office of Investigations would like to thank you in�dvance 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 Comm awl�*-a1th of Massarlhus_otts Dopa!�, t of Industrial A.cGzde is f} Office of Inn.estaga#�oas , 6Q Washingt6 Street " Boston,MA 42111 e1. #61 7-72`-4900 ext 406 or 1-977-MASSA.FE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dla I b . Town of Barnstab.le yam. o Regulatory Services Thomas F. Geiler,Director 16 16.� BnUding Division rFD ley Tom Perry,Building Commissioner 200 Main-Sfreet,_Hyanpis,MA_02601 R wAown.bxrnstable.m&us Office: 509-962-403 3 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMMON Please Print DATE: JOB LOCATION:— number /�� "HOMEOWNER": vc�4 ZI `1 name home pbon&l work hone" CURRENT MAILING ADDRESS: C�— S cc.ICA Csw I"1/� GJ63 Z city/tnwn 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. DEFINMON OF HOMEOWI\'ER Persons)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 cons"cts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Ofcial on a form acceptable to flit 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 Burilding Code and other applicable codes, bylaws,Hiles and regulations. The undersigned"homeowner"certi$es that•he/she understands the Town of Barnstable Building Department =13 um inspc on procedures and requirements and that he/she will comply with said procedures and requirements Signs ' o` omcowncr 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 Constmr-tibn Control, HOMEOWNER'S EXEA mbx .The Code states that: "Any bomeowner perfoming work for which a building permit is required shall be exempt from the provisions of this section_(Sectian ID9.2.1-Licensing of ctmstruction Supcm isors);provided that if the homeowner engag=a persons)for bin to do such worms that such Homcowncr shall act as supervisor.". Many homeowners who use this exemption arc unaware that they are assuming the resportsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.M This lack of awaxrness often rosults in serious problems,particularly when the homeowner hues unlicensed persons In.this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homi towncr acting as Supervisor is ultimately responsrble. To ensurz that the homeowner is fully aware of hiAcrn=sponsibilitics,many 6ommunitics require,as part of the permit application, that the homeowner certify that hdshe understands the mspmsmbilitics of a Supervisor. On the last page of this issue is a farm currently used by several towns. You may tare t amrnd and adopt such a fonrJcertificati.on for use in your community, Q:farms:homecxempt Try Town of Barnstable Regulatory Se se.�xscAsr.� . rvices ?AMM I Thomas F. Geiler,Director A. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstab l e.ma.us Office: 509-862-4038 Fax: 509-790-6230 \Property Owner Must - Com jete and Sign This Section If Using ABuilder ►, as Owner of the subject.property hereby authorize to act on riz behalf, in all matters relative to work authorized by bwTding gezmit application for. (Address of Job) Signat xe of Owner Date i Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:F0RM5:0 WNERPERM1S510N h t t S<�" tO' e� �c }S 'i rl � •�q�;, Do- I 4 ? ? i �(o7 0- : Z • I f I I • li I � L � :,,i __ .s. -.-.-...e ...__...fie...._...._... SI 1 f O /j f r UP r;loill t F Ads 0" • r _ i L�—, \ � s 4 MOHTGAG-E livsPE'CTioly PLAN APPLICANT: OCHOA & HARTMAN TOWN: CENTERVI'LLE x.LOT B M ` ii 680p. LOT A �b O1 V Z W 3 S . \ y O�. ® AS. LOT. . AS. LOT 54 2� . tvlb L � PSTEPHEJ. c 1 s d DOYLE p TI#-'gam: �. ®v rc•` - ;U ,v ` FLOOD PANEL: 250001 0005 C FLOOD ZONE: "C" .DATE MAP REVLSED: 08/19/1985 I HEREBY CEP.TIFY THAT THIS MORTGAGE INSPECTION PLAN HAS BEEN PREPARED FOR: DATE: 08/07/09 SCALE: 1" = 20' CAPE COD FIVE CENTS SAVINGS BANK DEED REF: 19779-20 PLAN REF: 140-5 THE LOCATION OF THE DWELLING SHOWN DOES NOTFALL WITHIN A SPECIAL FLOOD HAZARD ZONE. PER TAPED INSPECTION THE DWELLING APPEARS TO CONFORM TO THE LOCAL ZONING BYLAWS IN EFFECT THE STRUCTURES SHOWN ON THIS MORTGAGE INSPECTION PLAN ARE LOCATED BY TAPE SURVEY.. AT THE TIME OF CONSTRUCTION WITH RESPECT TO HORIZONTAL DIMENSIONAL SETBACK REQUIREMENTS ONLY. NO INSTRUMENT SURVEY WAS PERFORMED AND LOCATIONS SHOWN ARE APPROXIMATE,: OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MA GENERAL LAWS CHAPTER 40A AN INSTRUMENT SURVEY IS NECESARY FOR PRECISE DETERMINATION OF BUILDING LOCATIONS SECTION 7. REFERENCE DEED SUB.ECT TO AND 4YITH THE BENEFIT OF ALL RIGHTS, RIGHTS OF WAY, AND ENCROACHMENTS, IF ANY EXIST, OTHER WAY ACROSS PROPERTY LINES. YANKEE LAND EASEMENTS,RESET VATIONS AND RESTRICTIONS OF RECORD, IF ANY THERE SHALL BE, AND INSOFAR SURVEY COMPANY INC. SHALL NOT BE HELD LIABLE FOR DAMAGES RESULTING FROM ANY USE AS THE SAME ARE OF LEGAL FORCE AND EFFECT. IOF THIS PLAN FOR PURPOSES OTHER THAN MORTGAGE INSPECTION. TELEPHONE: 508-428-0055 YANKEE LAND SURVEY COMPANY, INC FAX: 508-420-5553 40 Industry Road, Marstons Mills, MA .02648 yankeesur vey@comcast.net www.yankeesurveyxom 80462 SH 9'9 MAP 309 Parcel 055/002 78.14' ,,5,748 Square Feel EXIST. 1000\ULLON SEPTIC TANK ` ' _ _- EXISTING .I - - - - �O � 2 BEDROOM HOUSE rj GfNyEL DRIVYWAY/ I ,I 1 to 01'Ilr.7 7, r- 5 --�--98 AR 94-J4- PVC is ` -' .66 t / 9q+p TEST'HOLE #l * -- -- -ELE'.= 96.00 1 10.00' - �oile d`Leach Pit --------�' ---- --- -'--� PROJECT BE Nor, V (40 FOOT RIGHT OF WAY) TOP OF FOUNDATI( ELEV. = 100,00 40 POLYETHYLENE LINER FROM ELEV. 93.00 to 95.00 AND TO EXTEND 10 BEYOND SAS7 Jell- . _ K Desion Calculations Number-of Bedrooms: 2 Equivalent to 220 Got./Day (330 Gal./Doy Min, per Twe V) - Garbage Grinder: No - - - I•- - Leaching Capocity Proposed: 330 Gal./Day Minimum (Min. Per Titlq V) - ' Septic Tank - 2 x 330 Gal./Day - 660 USE EXIST 1,000 GA�. Septic Tank. '0 - 20 40 50 SOIL ABSORPTION AREA; Using percolation.role of <2 min./inch Bottom Area: 0.74 goi/sq. ft. x 300sq. ft. = 222.00 gau�ns - - - Sidewall Area: 0.74 go(./Sq. ft. x 148 sq. ft, - 109.50 gallons ,g;• - _ - Providing: 331.50 gaU.lns ' Use: (2) PRECAST 500-C UNITS, HAVING A 2' EFFECTIVE DEPTH, SCALE: 1 =20' .� �. uccn un T�J t q' nP wnrurn c,—m Ant Tur c,nrc CNn , `oFtHE,a,� Town of Barnstable BAHNSTA9L6. _ Regulatory Services MASS. t6, ,0r Building Division PEED MP'�A. - 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection GC 1F-7/0 A L Location 1 3 3 Permit Number Owner Builder r One notice to remain on job site, one notice on file in Building Department. The following items need correcting: Please call: 508-862-4038 for re-inspection. Inspected by Date c 17 07 12: 06p Barnstable Housing Author 15087789312 p. l 2001 DEC I I Ph 12. 50 ZONING VERIFICATION TO: Linda Edson FROM: Kim M. Gomez - Leased Housing Coordinator RE: Legal Rental Unit Verification Date: Address: L� 4— Village: 2_ L- - Unit Type: - ` y Bedroom Size: ,G Map & Parcel No.: —D� c -- The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: Thank v for your a is a e in this matter. Signa re Print name Date VIA FAX: 790-6230 M1tvP Section 8 Rev. 8/06 Town of Barnstable *Permit# Expires 6 months front issue date Regulatory Services Fee 4"2,-5--Z5 iD Thomas F. Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA.02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number,;�C, Property Address / . i// Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address i `C � K)f1A%e �. �� �������1�\1 �� V�� (�Ve Contractor's Name < S�� � 5 - ®� Telephone Number �`y` Home Improvement Contractor License#(if applicable) �3 / Construction Supervisor's License#(if applicable) Workman's Compensation Insurance S PERMIT' Check one: ❑ I am a sole proprietor APR 18 2007 ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE. Insurance Company Name Worlattan's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit bequest(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,lonservatio'n",etc. ' Whe e q P P P P g ***Note: Property Owner must sign Property Owner Letter of Permission. A copy Rf the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600.Washington Street �< Boston,MA 02111 www.mass.gov/dia Workers' Comp ensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Business/Organization/Individual <d9g ems( Address: City/State/Zip: , Phone.#: Are you an employer?Check the appropriate bog: Type of project(required):. 1 XI I am a employer with 4. 0 I am a general contractor and I .6 New construction employees (full an(Voipoit-time).* have hired the.sub-contractors listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a"sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition e workers'd have v working for me in any capacity. employees9. ❑Building addition [No workers comp.insurance. comp.insurance 10.0 Electrical repairs or additions required.] 5. [] We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their I L E]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL ME]Roof repairs insurance re ed. t c. 152, §1(4),and we have no ] employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside.contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and.state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. �./ Expiration Date: IL Job Site Address. City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA.for insuransce.coverage verification. I do hereby certify under the pains and penalties of pe 'ury that the information provided above is true and.correct Signature Date: — Phone#• �— 77, Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one):. 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: • r% Information and Instructions Massachusetts General Laws chapter 152 requires all emPto ers to pr6ide 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 representa'ves of a deceased employer,or the recei�reLortrustee of an individual,partnership,association or other legal entitv,(employing employees. However the owner of a dwellir; house having not more than three apartments and who re des therein,or the occupant of the dwelling house of another who employs persons to do maintenance,constru 'on or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of su ch mployment be deemed to bean employer." MGL chapter 152, §25C(6),.;also states that"every state or local licens agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct ' dings in the commonwealth for any applicant who has not produced;acceptable evidence of compliance 'th the insurance coverage required." AdditionaIly,MGL chapter 152,§25C(7)states"Neither the common ealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acc 5 ab evidence of compliance with the insurance requirements of this chapter have been presented•to the contracting a thority." Applicants 4 Please fill out the workers' compensation affidavit completely,b checking the boxes that apply to your situation and, if necessary,supply sub-conttactor(s)name(s),addresses)and pho a number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC�r Limited Liabi ty Partnerships(LLP)with no employees other than the members or partners,are not required to carry w rkers'compe ation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit y be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. o be s re to sign and date the affidavit. The affidavit should be returned to the city or town that the application for a pe 't,or license is being requested,not the Department of Industrial Accidents.. Should you have any.questions r ar g the law or.if you are required to obtain a workers' compensation policy,please call the Department at the n er 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 printe egibly. a Department has provided a space at the bottom �.. of the affidavit for you to fill out in the event the Offic,of Investiga 'ons has to contact you regarding.the applicant. --,.Please be sure to fill in the permit/license number which will be used a a reference number. In addition,an applicant that must submit multiple permit/license applicationsim.. y given year, ed only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applica should write"all-locations in (city or A copy of the affidavit that has been officially stamped or marked b e city or town maybe provided to the applicant as proof that a valid affidavit is on file fo/r future permits or licenses. new affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related any business or commercial venture (i.e.a dog license or permit to bum leaves,etc.)s id person is NOT required to co lete this affidavit. The Office of Investigations would like to thank ou in advance for your cooperation d should you have any questions please do not hesitate to give us a call. The Department's address,telephone-and fax n_ ber: h (` onwealth of Massachusetts Depari memt of lafttrial Moi€lents Office of Investlgatiens 600 W'ashingtan Street Boston,MA 02111 Tel.#617-727-4900 ext 406 ar 1-877-MASSAFE Fax f 617-727-7749 Revised 11-22-06 www.mass.gov/dia °F�HEra,, Town of Barnstable Regulatory Services BAMST9 ^MASS. Thomas F.Geiler,Director �p s6g9• rf1639.�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 I, O"M 1'Ut Ci , as Owner of the subject property hereby authorize �ft� �''? �Yi�',j.4'�I / to act on my behalf, in all matters relative to work authorized by this building permit application for: /3 Address of job) 07 nature of C6ner . ate IArfnt Name kk9e Q:FORM&O WNERPERMIS SION 317 ��o Liberty Mutual Group Liber X t PO Boa 72{}2 tuil. Portsmouth,NH 03902-7202 Telephone(800)653-7893 Fax(603)431.-5693 March 15,2007 TOWN OF BARNSTABLE ATTN: BLDG DEPT 200 MAIN ST HYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance Insured: CRESWELL CONSTRUCTION CO INC 195 PINE ST CENTERVILL.E, MA 02632 } Policy Number: WC2-31S-342421-016 Effective: 4/19/200'6 Expiration: 4/19/2007 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: Bodily Injury By Accident: $ 500,000 Each Accident. Bodily Injury by Disease: $ 500,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement,term or condition of any or other documents with respect.to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date, Liberty Mutual will endeavor to notify you of such. cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MI i'I'i AL INSURANCE GROUP 11is Certificate is a\ecuted by LIBERTY MUTUAL INSURANCE GROUP as respects such insurvice as is afforded by those.companies. cc` Insured: Producer of Record: CRESWELL CONSTRUCTION CO INC KERRY INSURANCE AGENCY INC 195 PINE ST P O BOX 1945 CENTERVILLE. MA 0263)2 NORTH EASTH.AM,.MA 02651 . ;x BO,AD OF BUILDING REG -AtfONS� � I Eicense:" CONSTRUCTION SUPERVISOR M�ber `rS r)76535 ' Birth- te, Exg r,Qs i ,7 T :no: 3571.0 STEPHEN W CRS /E�LL ' 195 PINE STREET ,J.• z FI. CENTERVI'LLE,. MA b2632 Commissien': i _ �fxe� zsuea ` Standards Regulations and Board of Building T CONTRACTOR HOME IMP�ROVEMEN \` Registration t54346 Tr# 254399 �- '�n 2F2812009 'EPtfartto rr WELL C�NBTRU CTLON R > S.W.C ES HELL '{ e <.: CRESW x STEPHEN. ti�. --- - 195 PINES MA 02632 i CEN�ERVILL.E, a o y .y 4p+ O q R A. �. •O w cl � N m 'LTA OM > w .� E q D papa � oau •`" }�� • i.i 0 �/ c0 V 6 a oaa0w anxxsrnB[,E, The Town of Barnstable % � Department of Health Safety and Environmental Services A'ED1"o`p Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Ralph Crossen Building Commissioner November 30, 1998 To Whom It May Concern: RE: 133 Phinney's Lane,Centerville,MA (Map 209/Parcel 055.022 The above listed property is a legal two-family dwelling. Sincerely, /d7 Gloria Urenas Zoning Enforcement Officer GU:Ib g981130a 'TOWN OF BARNSTA8LZ �p T N g08 . OATS LnMENTABT/[0mi IJII g IV Dznszox NJ1ltE (Li1STr rz r !1lDDLE� ,� v ✓✓ •— NOTE DETAILS i Os==TIONS-rrmlZE EVIDENCE. SERIAL is ETC. i Ll a �- t pertyLocatlon: 133 PHINNEYS LANE MAP ID: 209/ 0551 002// Other ID: Bldg M 1 Card 1 of 1 Print Date:09/17/1998 , a A ,; nz rR ¢ k M Element Description ommercra� ata ��enrents ype ancElement Ca. Ch. Description gel 1 lesidential Aeat de - Frame Type aths/Plumbing ies Story. UBM[456] upancy 0 CeilingfWall ooms/Prtns ;rior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height if Structure 3 able/Hip if Cover 3 ' sph/F Gis/Cmp' rior Wall 1 03 Plastered 2 amen t c code ascription ractor rior Floor 1 14 Carpet omp ex 2 loor Adj nit Location ting Fuel D3 as ling Type 9 ypical umber of Units SAS 4 Type 1 one umber of Levels 4 /o Ownership rooms 2 Bedrooms vooms Bathrooms 0 Full na j.Base it Rooms Rooms ize Adj.Factor .29835 de(Q)Index .93 : Type dj.Base Rate 7.96 :hen Style ldg.Value New 8,134 its ear Built 946 ff.Year Built 970 mil Physcl Dep 7 uncnl Obslnc on Obslnc F4 M pecl.Cond.Code a tl ' . peel Cond% ) e �escri hon ercenta e verall%Cond. 8 eprec.Bldg Value 5,300 g, „..za ,� �" ,k,l�' �;r ,> �" bra-a ode escription LIH Units 4 nit Price Yr. DpMl o n pr. a ue Irep ace DO o e Description LivingArea f.w(YrossAreal Eff.Area unit Cost eprec. Value rs oor SM Basement,Unrinished 0 456 91 11.51 5,27 RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 133 Phinne s Lane Centerville LAND 209 55 -2 C-0 �� BLDGS. 1� OWNER - TOTAL LAND RECORD OF TRANSFER DATE BH: PG I.R.S. REMARKS: 181 LA cis �ptoVALl ji., . 0 . , LAND 82 BLDGS. a450 Swenson, Eugene Kent 5-28-80 3102 208 Gift � TOTAL LAND BLDGS. o afe 3 Z TOTAL LAND BLDGS. TOTAL LAND — BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. _ ' -� TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL LOUSE LOT �p O �-TJ Q LAND :LEARED FRONT BLDGS. REAR TOTAL VOODS&SPROUT FRONT LAND REAR BLDGS. VASTE FRONT TOTAL REAR LAND O BLDGS. TOTAL LAND BLDGS. 01 LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND -- SW _ _ BLDGS. FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST one.Walls Fin.Bsmt.Area Bath Room :' Base j3 D BLDG. COST onc. Wk.Walls Bsmt. Rec. Room [,') St. Shower Bath "? + / Bsmt. — �j p PURCH. DATE Dnc. Slab Bsmt.Garage C— St. Shower Ext. Walls _ PURCH. PRICE. rick Walls Attic FI.&Stairs _j Toilet Room Roof RENTAr% !�� W'�' .�CY yn/i i tone Walls Fin.Attic Two Fixt. Bath Floors ' iers INTERIOR FINISH Lavatory Extra U u smt. F 1 2 3 Sink Attie 11 M.; y� Plaster Water Cie. Extra EXTERIOR WALLS Knotty Pine Water Only ouble Siding Plywood No Plumbing Bsmt.Fin. tingle-Sidiinng Plasterboard Int. Fin. — jU U 3 SK I0o, TILING A/61 —fir. 1 f- Z U nc. Blk. G F P Bath FI. Heat Z�, , ace Brk.On Int.Layout Bath FI.&Wains. Auto Ht.Unit 9� / Veneer Int.Cond. Bath Ft. &Walls Fireplace F 3 IFU \ ' om. Brk.On HEATING Toilet Rm. FI. plumbing lid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. -- Tiling Steam Toilet Rm.FI.&Walls , lanket Ins. r Hot Water St.Shower oof Ins. C) Air Cond. Tub Area Total , Floor Furn. ROOFING COMPUTATIONS sph. Shingle Pipeless Furn. /,Z S.F. cod Shingle No Heat S.F. sbs.Shingle Oil Burner S.F. ' late Coal Stoker S.F. Ile Gas S F OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 1 4 5 6 7 8 9 10 1 2 1 3 1 4 1 5 6 7 819 10 MEASURED able Flat ip Mansard FIREPLACES S. F. Pier Found. Floor ambrel Fireplace Stack (Z_. / Wall Found. 0.H.Door LISTED FLO RS Fireplace Z)l Sgle.Sdg. Roll Roofing 'onc. LIGHTING Dble.Sdg. Shingle Roof C / arth No Elect. DATE Shingle Wells Plumbing ine ardwoad ROOMS Cement Blk. Electric /P R sph.Tile Bsmt. 1st Z_ TOTAL .3 D 3 O Brick Int. Finish PRICED Ingle 2nd 3rd FACTOR 7 REPLACEMENT /s 7�aj,,.-^" OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.bep. ACTUAL VAL. WLG. -Z 9 113099 �a vso 1 2 3 4 5 6 7 8 9 10 TOTAL MAP ID: 209/ 055/ 002// Pty Location: 133 PHINNEYS LANE � Other ID: Bldg#: 1 Card 1 of 1 Print Date:09/17/1998 4 ` ,1 & rarse ��- escnptron o e ppt ralue Assessed _a ue 801 SIDNTL 1040 49,4oc 49,40( ELM O BOX 75 BARNSTABLE,l OLBROOK,MA 02343 Account Plan Ref. Tax Dist. 300 Land Ct# er.Prop. #SR visio Life Estate DL 1 Notes: DL 2 ota � '. �., • ' __ ����_ r. o e ssess value r. Code Assesseda ue r. o e ssesse a ATON,JOSEPH P&BERTHA 3770/248 6/15/83 Q I 53,00 ATON,BERTHA M-792 9472/187 U 1 A ota. Total.,, ota. k signature acknowledgesa visit y aalaCollector Or SSeis ear yp escnpnan mount Code escnption Number mount comm. nt. PFKAISEffMIA �„� 'yam z..>s>r,,r> ;;. .: sc, �,�,. ?.,�:., s?.+s�,� •.�:a. Appraised Bldg.Value(Card) 45' Appraised XF(B)Value(Bldg) 41 Appraised OB(L)Value(Bldg) o a , ._ Appraised L and Value ue(Bl g) 31 Special Land Value 7b # IN Total Appraised Card Value 8 Total Appraised Parcel Value Valuation Method: Cost/Market Valu Net Totalpp raise ircel Value -Y✓n-o-E� Y f '' 'f F. t- -• s ,ram,. ;s3#x Permit Issue ate ype escnptron mount nsp. ate o Comp. - ate Comp. Comments ate urpas es easure an s. .� �,. �:� - �M_. _ <.� _- � - Notes- eCla nCIn nrl nce An a Use s� Description_ Zone rootage--Depth mts Unit nce actor . . actor J• l P S J• opertyLocation: 133 PHINNEYS LANE MAPID: 209/ 0551 002// Other ID: Bldg M 1 Card 1 of 1 Print Date:09/17/1998 Element Cd. CA escriphon Commercial Data klements eType 11 Kanchcement Cd. Ch. Descriplion odel 1 Residential Heat de - - Frame Type ones 1 Story � Baths/Plumbing UBM 456 1 cupancy 0 CeilingfWall ooms/Prtns tenor Wall 1 14 ood Shingle %Common Wall 2 Wall Height of Structure 03 able/Hip of Cover 03 sph/F Gls/Cmp tenor Wall 1 03 Plastered .. �., �: al .... . 2 ement Code jueschplion Factor tenor Floor 1 14 arpet omp ex 2 Floor Adj nit Location acing Fuel D3 Gas ating Type D9 Typical Number of Units . 4 BAS 4 Type 1 one umber of Levels Ownership drooms 2 Bedrooms throoms 2 2 Bathrooms 0 2 Full unadj.Base Kate Mu tal Rooms 4 4 Rooms ize Adj.Factor .29835 Grade(Q)Index .93 th Type Adj.Base Rate 7.96 tchen Style Bldg.Value New 8,134 Year Built 946 ff.Year Built 970 rml Physcl Dep 7 uncn]Obslnc con Obslnc pecl.Cond.Code a pecl Cond% o e pescn tionXM ercenta auu —Overall%Cond. is eprec.Bldg Value 45,300 f. { ry td o e Deschpizon LM Units unit Price Yr. Dp Rl %(;nd „pr. Value YFLI Fireplace , - � P. z o e I Description LIVIngArea UrossArea rea UnitCost undeprec. ratue BAS First Floor 912 UBM Basement,Unfinished 456 91 11.51 5,27 r '. t oss LivlLease rea V11 4301 19OUlg Val. 58,131 .r